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lhyfoi��#,_-,,_t;rv:, ,i, - ,�", I 1�i,`t'ri'11*4'1,� ,��, 14"'l, �.`it,W�m,,I,�`f i`,� e I it, 11111�' on I A o', �
Town of Barnstable- *Permit
Expires 6 nths from issue date
Regulatory Services Fee -00
. g Y
omas F.Geiler,Director
3�8d1SN2l`ds �O NMO Building Division
9OOZ �+ ti Ndr Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
d S ,8d•)( .m
www.towmbarnstablea.us
Office: 508=��Z-� Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 40
.• V�
Property Address
- 1 esidential Value of Work _ Minimum feo of$25.00 for work under$6000.00
Owner's Name&Address
T Rex s „r 1.t
Contractor's Name_ �� E� Telephone Number
Home Improvement Contractor License#(if applicable)_ J r3 Jo/to I
Construction !ervisorl s License#(if applicable) /9./7 DR2 / _.. ...... _. .- .... _. .....
[31orlana33!s Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I amthe Homeowner'
❑ I have Worker's Compensation Insurance
Insurance Company Named L u
WOrkt'nan's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(chec
e-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side.
0- Replacement Windows. U-Value (max,'minn.44)
*When required: Issuanca of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
H rov ontractors License is required.
SIGNATURE:
Q:Fcrms:expmtrg
Revise071405
0
c "Pr ci0.
f Fi c
LacFj C -Oil :
Al t b • E
15cwoi.c aug I-Isril VtAg, fit; � p �,�b ' t� U� lr �r b W,10 LE 4 mr-S
u.;s,,aurrz sliq ry gC:c0tds1;ce.rrqp zbcgLmu lou) a;.rg joc�rl prig gjul cogs
1494 Falmouth Rd. #115, Centerville, MA 02632
LANDMARK , —B
AR
ARGHtTECTURAL STYLE
- ._
October 29, 2005
DAVID STILL INSTALLATION ADDRESS;
P.O.BOX 323 45 BRIDGETT'S PATH
W. HYANNISPORT, ®26�$4 s aF Y r R ': y
COREY & COREY3�iierebyy�.p-o�o%es(Xto perf6rni h' fbilolUti f s6rficei iA aknivat and professional
manner and in accordance with the manufacturers s ecifications and local building
i
P g codes.
Remove and Haul AwayQf;the OJd As� AltlRoofin Shingles-,
Al T P g
Re Nail All Plywood-Shgathng ast needed.;
Supply and.Install CERTAINTEEID LANDMARK AR 30: 30 YEAR WARRANTY, 10 YEAR
SURE START PROTECTION CLASS A FIRE RATED ALGAE RESISTANT
245 POUND EXTRA HEAVY WEIGHT, SELF-SEALJNG, 70 MPH WIND.
WARRANTY, MULTI-LAYERED, LAMINATED ARCHITECTURAL, STYLE,
FIBERGLASS BASED ASPHALT SHINGLE with New England's exclusive
COPPER/CERAMIC ST0NES.wq#i,a FULL.1.0 IMAR WARRANTY AGAINST
ALGAE CONTAMINENT
COLOR: 2
Supply and Install CERTAINTEED ICE &WATER'SHIELD WATERPROOF
UNDERLAYMENT SYSTEM.on Roof Eaves & Under the Step Flashing on the Chimnf
Supply and Install 8" WHITE ALUMINUM DRIP EDGE on All of the Eaves.
Supply and Install ALPHAPROTECTOR-SUL SYNTHETIC UNDERLAYMENT MEMBRANE
htta://www.nermarproduct&com/onlineformstalnhaprotector.pdf
upl 'mad AIR VENT SHINGLE VENT II. GE VENT fn&e tyre Main.Ridge.
Y �nata`il ALUMINUM&NEOPRENE SOIL PIPE FLASHINGS
dean and Remove Debns from wor area afterjo'b ls'eompletecl.
TOTAL INVESTMENT $ 4450.00 O d
Payable immediately upon completion.
POSSIBLE EXTRA CARPENTRY: Any Rotted or. Otherwise Deteriorated Trim Boards,Plywood
Sheathing,Missing Metal Flashing, Side Walling or`Any Other Carpentry Needing Replacement
will be done and charged for as an Extra: Materials Plus 20% and Labor at the Rate of$50.00 per Hour.
PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the
Final Payment for the Balance is Due Immediately Upon Completion.
WORD SCHEDULE:
All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt
of Deposit providing the Materials are Available.
Please Make Checks Payable to:
CH ES COREY
COREY & COREY Warranties the Shingles and Labor for 10 years.
CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years
and then on a pro-rated basis for 30 Years Total if the shingles becomes defective:
CERTAINTEED Warrants the Shingles up to a 70 MPH WIND WARRANTY.
CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years.
Any alteration or deviation from above specifications,will be executed only upon written orders and will become an extra
charge,over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to
carry fire,tornado,and other necessary insurance upon the above work.. This proposal may be withdrawn by us if not accepted
within thirty days.
COREY & COREY
carries Workman's Co pensation and Public Liability Insurance on the above work
DATE OF ACCEPTANCE: t j
/1(f
ACCEPTED BY: SUBMITTED BY:
e
DAVIT) STILL, CHARLES CO '
HOMEOWNER COREY & C
•a
Board of Building Regulattuns and Standards
F1OME 1MPOVEMENT CONTRACTOR
RegistraW 3�WE6
plr fi 6L612Q06
fP R MENTS
COREY&COREY
CHARLES CORE
iW FALMOUTH R
n . CENTERVILLE,MA 0263 Administrakor
+Department oflridastiial Accidents
Office of Investigations
600 Washington Street SL)
Boston,MA 02111' q
'� •" •rs ww.mass.gov/dia
Workers, Compensation Insurance Affidavit: builders/Contractors/Electriciaras/Plun
A licant.Informati®n Please Print Leodbly
Name (Business/org==tion/IndMdual)'
. Address:
City/State/Zip: v 6/ Phone#: '� 8
City �•
Are you an employer? Check the-appropriate bo •• Type of project(required):
1.❑ l am a employer with 4. Wam.a general contractor and I ' 6. ❑New construction
employees (full'and/or part time).* have hired the sub-corrractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling
ship and have no employees These sub-contractrs have 8. ❑ Demolition
working for me in any capacity, workers' comp.insurance. 9. ❑ Building addition
[No workers' comp.insurance 5. ❑ We'are a corporation and its
officers have exercised their 10.0 Electrical repairs or.additions
. required,] . .
3.❑ I am a homeowner doing all work right of exemption per MGL 11.7 Plumbing fepairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.]t employees.(No workere 13.❑ Other .
comp.insurance required)
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 4
t Homeowners who submit this affidavit indicating they we doing all-work and then hire outside contractors must submit anew affidavit indicating such.
tcontractors that check this box must attached an additional sheet showing the name of the sub•eont ubton and their workers'comp.policy infosaration.
am an em '
information. ;T11) ? �j U �y
Insurance,Company Name: \
Policy#or Self-ins.Lie. #: Expiration Date,
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number andexpiration date).
Failure to.secure coverage as required under Section25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$.1,500,-00 and/or one-year imprisonment, as well as.civil penalties in the form of a STOP'WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may die forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify the pains and penalties of perjury that the information provided ab ve is true and correct.
sinafore: Dater
Phone#:
Official use only. Do not write in this area,to be completed by city.or town official
City or Town: Permit/License#
Issuing Authority(circle.one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
1[nformatioina and Instructions
General Laws chapter 152 requires all employers to provide workas'"compensation for their employees. f.
Massachusetts Person in the service•of another under any contract of hire,
p�suant to this statute, an employee is defined as"...every P r
express or implied,oral or w "
ritten.
~ l� er is defined aS:`:`P4 dual,pa ersbup,•,association,Fctrporaiion or other legal entity,or any two or more
An emp y
of the foregoing.engaged in a joint enterprise,and inchrding the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However-*e
owner of a dwelling house having not more than three apartments and who resides therein,or.the occupant of the
construction or repair woiYtin such dwelling house
dwelling house of another who employs Persons to do maintenance,appurtenant thereto shall not because of such employment be deemed to be.an employer."
or on the grounds or building
6 also states that"every state or local licensing agency shall withhold the issuance or
52 25Ct; )
MGL chapter 1 , §
renewal of a license or permit to operate a business or to construct buildings in thetom ionwealth for any
applicant who has not produced acceptable evidence-of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"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
?equirements of'this chapter have been presented to the contracting ty
Applicants .
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
supply sub-contractors)name(s),address(es)and phone number(s)along with their certifieate(s) of the
necessary, PP Y with no employees other than
arts s P wi emp .Y .
• insurance. Limited Liability Companies(LLC).or Emoted Liability Partnership (LL ) •
members Limit e * are not required to carry workers' compensation insurance. If an LLC or LLP does have .
employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the dtY 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'
lease call the Department at the number listed below, Self-insured companies should enter their.
compensation_pohcy_,.P._. . _ —. .— -- - - - —-..__.___..._...
self-insurance license number on the appropnate hue.
City or Town Officials .
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 save to fill in the permit/icense number which will be used as a reference munber. In addition,an applicant
e permit/license applications in any given year,need only submit one affidavit indicating current
that must submit multipl
Site Address" applicant should write"all locations in (city or
policy infommation(if necessary)and under"Job
to,,411 A copy o f the-affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that•a valid affidavit is-on file for;future permit;•or-liceoses..Anew affidavitmustbe filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or Permit to burn leaves etc.)said person is NOT required to complete this affidavit
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
TheDepart3nent's address,telephone and.faxnumber:
The Commonwealth,of Massachusetts .
I}eparttnent of Indi4strial,Accidents
. . .. .. s ..Office 9:f Investigations
?' r•
eet .. _ 'S
' G40•Washin �on .fir. .
0211 1�
. Boston,MA •
' `Tel.#617-727-4900 ext 40.6 or•1-877-MASSAFE
Fax#617-7274749
Revised 5-26-05 www.mass.gov/dia
Engi.=t�!edng D_ePt (3rd floor) Map Parcel ['0 0 �`� Permit# p2 L
House# S F-S - Date Issued `t 14
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 9 3-2S- y- Fee �
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)
gt:(1st floor/School Admin. Bldg.) SEPTIC SY SZ,BE
pproved by Planning Board 19 INSTALLE A IANCE
w
TOWN OF BARNSTABL VIRoNME ®E AND
TOWN REGULATIONS
Building Permit Application
Project Street Address y,5^ t 066?� 700TW C-Dt-v "T- -41 C7 .
Village-C,#-6CVyC-kL-4LLJJ
Owner: Address TES 6P4 10&6% -61
Telephone 14 cl--P
Permit Request MD j3wLnrD!t J-rwd , wood
First Floor 6 square feet Second Floor square feet
Construction Type U-joo0
Estimated Project Cost $ �,0096v-
Zoning,District Re, Flood Plain AD Water Protection out
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ;1 ' Two Family ❑ Multi-Family(#units)
Age of Existing Structure k1P, Historic House ❑Yes )No On Old King's Highway ❑Yes Wo
Basement Type: 4Full ❑Crawl. ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S '
Number of Baths: Full: Existing _ New Half: Existing New
No. of Bedrooms: Existing %) New T
Total Room Count(not including baths): Existing 5 New First Floor Room Count
Heat.Type and Fuel: ❑Gas �Oil ❑Electric ❑Other
Central Air ❑Yes '*No Fireplaces: Existing New Existing wood/coal stove ❑Yes )oo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
*None ❑Shed(size)
❑Other(size) aw 6
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
n Builder Information
Name /� J� 1 }) Telephone Number
Address�,�,�2ia�(,g PfN License#
rn�e(�Za HA CgjL,3A 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
t
SIGNA RE DATE Z 4^
BUILDI G PERMI DENIED FOR THE FOLLOWING REASON(S)
�� 1
l '
r FOR OFFICIAL USE ONLY
PERMIT NO. '
DATE ISSUED
Y "
MAP/PARCEL NO.
ADDRESS VILLAGE t
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME `,
INSULATION < <
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: kOlJGH FINAL ,
GAS: RDIG - FINAL
FINAL BUILDING i
sl gg 6 =
DATE CLOSED OUT''
3 .
LiO.ASSOCIATION PLAN
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The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-796-6230 , Building Commission,
Fogy office use only
Permit no. J
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: Est. Cost
ddress of Work: 4,S W— t) M
er's Name
�A�ateof Permit Application: cl
I hereby certify that:
Registration is not required for the following reasor(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 MWROVEMENT 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
,�fl-i-� r y-�I�—�� ✓ pu�ti1 R• � ,
The Continon wealth of:1 tassac husetty
•+;ii - -�'`-- j•�r Department of Industrial Accidents
• y ,I
Ofliceollnvestlgat/ans
600 N•ashinrton Street
a• , '. Bowon, Jfaxv. (12111
` Workers' Compensation Insurance Affidavit
�nnhcant tntormatton. Please PR11VT lebii j
1 am a homeowner performing all work myself.
❑ am a sole proprietor and have no one working in anv capacity
• .. �Yr. •..A�.-•PVT-'---.....•^_•1���. Tr •• w-Mw.w�.�..►•.�..r..�-w•.•
❑ I am an emplover providing workers' compensation for my employees working on this job.
commie name:
address• •
city: nhnnc#•
insurance co. nolicv#
❑ 1 am a sole proprietor. general contractor. or homeo�s•ner(circle one) and have hired the contractors listed below who have
the followin_ workers' compensation polices:
comnanv name:
addreSS'
city. nhnnc#:
insurance cn. noliev#
cofnnanv name:
address:
tin: nhnnc#•
insurance co Policy Of
.AttachadditifinalsheetifnlCcssaty� =• •;,�..^_-•+ -•,+%__ ••- -•' - __"'•"•%�•i".'."�^_'•�=`*:•,•• a•.-.•-=^�_ -:_:�.,...� ;•.•�^ :��'
Failure to secure cnveracc as required under Section 25A of t11GL 152 can lead to the imposition of criminal penalties of a line up to SI.500.UU andiur
une%cars•imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a
cope of this statement ma%•be furn•arded to the Office of Investigations of the DIA for coverage verification.
1 do leer rut!cf ilrc p rrrs orr crraltics ojprrjun•tlicr the information prorided above is true rltt correct.
Si:na re Datc '�/(�
Print n e Phone#
_ w
'rofrcial use niv do not write in this area to be completed by city or town official •�
1
cit}•or town: permit/license# I-113uilding Department
C3Ucensing hoard
check if immediate response is required C3Seieetmen's Office
C311c2lth Department
contact person: phone#: rJUther�—
information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for the
emplrnres. As quoted from the "law". an cmphtree is dcfincd as every person in the service of another under any
Na..
contract of hire, express or implied. oral or written.
An empinrer is dcfincd as an individual. partnership, association. corporation or other legal entity•, or any two or nor
the foregoing engaged in a joint enterprise. and including the le-Ma 1 representatives of a deceased employer, or the
receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However th
owner of a dwellin�a, house haying 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_ ho
or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an employe:
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issu. 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 1,
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 requires
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 lias provided a space at the bottom o;
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plez
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t
the Department by mail or FAX unless other arrangements have been made.
The Office of investi=ations would like to thank you in advance for you cooperation and should you have any question
please do not hesitate to aive us a call. -
The Department's address. telephone and fax number:
The Commonwealth Of Massachusetts _
r
Department of Industrial Accidents
;rx'
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
4
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
Z- DATE
`
,/ JOB. LOCATION (,.LCC
Number Street address Section of town
/, 'HOMEOWNER"
Name Home phone Work phone
PRESENT MAILING ADDRESS
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow 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(sj 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 Officia
on a form acceptable to the 'Building Official, that he/she shall be responsibl
for all such work performed under the building-permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes _ responsibility for compliance with the Sta
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building De ent minimum inspection procedures and requirements
Zan that he/she wil comply 'th said dures and requirements.
HOMEOWNER'S SIGNATU
APPROVAL OF BUILDING CIAL
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 " wner actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/tier 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
laat page of this issue is a form currently used by several towns. You may
care to amend and adopt such a form/certification for use in your community.
i
i
u b
Floor stringers 2X6 16"on center
floor 1/2M'plywood
studs 2 4 21on` center
sides tecture t1,1 1
roof truse�9771kI 2 ' on center
1/2"plywood--.roof
drip edge each 'side
1 "X6" rake trim
self seal asfault shingles (roof )
connor boards1aX4#$
ramp 3 'X3 '
ramp 2"X6"pt. 1/2"plywood over --
2 side aluminum louvers f
16
,v
7
r
DANIEL.bd
Page 2
_ Asses d 7
sor's map and lot number ..................... ...................... f: S
Sewage Permit number ......................................................... T CE
,Flouse number. ................. ... .
163;9: �0
O MAt
71
y.
TOWN, OF BARNSTABLE
BUILDING INSPECTOR y %
APPLICATION FOR PERMIT TO °.... ..... ...................... ................................. ..�.
TYPE OF CONSTRUCTION 0A..Q.f`.. ................. .................................................. �.......
...................... ...........
........':19.2'
TO THE INSPECTOR OF BUILDINGS:
The undersigns hereby 'es for a permit according the folwi g inform tion: Y °
Location .................. F. ....... .... .. ...... .. .......... .... ...... . ........... .�. ..... .
ProposedUse ....... .. ...... .... :...........................:.........................................................................::.....
ZoningDistrict ......... .................. ...........................................Fire District ..............................................................................
Name of Owner . ttR ............. Address /"z'_L ��4!ut yeC
Name of Builder Address........ ..... ... .f.�..!!c-� ................
Name of Architect ..................................................................Address ..........................
Number of Rooms ........................0.......................................Foundation ..... �.
_ Qh
Exienor ... -J�.........................................�...� Roofing ...:...... ... .......P.. ..............................................
.. .
o
Floors . .........�j . .....................................................
Interior
Heating .....F14. .--V ............................ .......,...........Plumbing ................/.... !?- ................ ...... ....
Fireplace ... ......... ..... ...... ... ......... ......... .........Approximate Cost .�.....:n.p.®............................. .. ...
Definitive Plan Approved by Planning Board ________________________________19________. Area
Diagram of Lot and Building with Dimensions Fee C2/1
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .......... ........................................... .................
Breen, Joseph
20794 one
. No —.---... Permh for ------.�..��.�-- `
'
single family dwelling
A
-----.-----..------.--------.
Location ..........45..8ri t'_�..Patb_____..
/
Centerville `
—.- -. .--- ----------------
. ,
C)wx!ar ----�!����! .�����!---------.
.
Type of ' .......................................... ^
_—� —_ �
. '
Y ..--.--.--.^-----------------..
.��ot ---------. �t ----..��9.---- '
'. . ~
r~ .
^ ' ' November 8 78 .
� �armk Granted -------------..lg
-. � �
D�fa of |n � �/Z�—_—..lg�4 �� �� ' .
^' ^
Date Completed —/r�l(��/.�..�----lg _
-' ' /
PERMIT
REFUSED
i ,_.---.--,---.,---------- lV
. ' ^ ~
. --.--.----~----.. .----.—_—.--..
. . `
^----..."....----.----~,..-----..—.
`
—~--.^...—.-._----.----..~-----
—.-------....—.-----...—..---.—.
'
'
' v
Approved .............................. lg '
ZrX~�^--�—'���.�.:,�— '
` .
^
------''--------------~.--..
'
.
'
Assessor's map and lot number .!.......................................... v
' Q
Sewage Permit number ........................................................ d
r .
Z BARNSTABLE. i
r 1'l}
ouse number ..................:...........!.............I............................ 9� MA811
p 1639.
,off 0 m a�9
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .I..................
.... -t:.le .........�............... � ......................................
TYPE OF CONSTRUCTION !,� r r !X .
.............. .........................................
........................ .............1923
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..........:'.........`y �:.7,t. i ..°. ......��..!�: ......... .a.<; t a a Q:' ........................................................1a.. ..
ProposedUse ........ A.hn �. ;k q....... .rtn,1.L...............................................................................................................
.�
ZoningDistrict ..........................................................................Fire District ......../...............,.{...............j.. .....................................
Name of Owner .......•� .,t ......'? ,y . ....................Address -72-2. !�v1tu /f_I'A Y ciAX '.�...�..,./.......
.......... .........................'v�11
.... ...,.
x
Name of Builder W./R�t &. .................Address ........,...........................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..............................Foundation o \ .
.................................... .......... ...
i ......... ....................................................
Lr
Exterior .....:..:.. ��-• ^ � � ! '..Roofing �-g-�
r I
Floors 1 . w . r D ......................................................Interior `r Y
HeatingPlumbing ...................................................................................
Fireplace ..................:�'.:4..a . ..................................................Approximate Cost ...... .....:.C-0.a...r. ..............................
rb 1
Definitive Plan Approved by Planning Board ________________________________19________. Area .......... ...........: . :`............
� r
Diagram of Lot and Building with Dimensions Fee d`•............C.I... .............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
. � �
Name .. .. ...............
Dreeu, Joseph
(not {zlotted)
' No .....2O�9.4 Perm-it for —.oae.. ---'sin ^ '
-----..rg'-'�=�:j+''*=el^in�*------
- _- -
� Location —_ ...................
|
| -------- ...............................
Owner .
',p= of C" s""`'°"'
@ 99 ..............
-
`
N" ?8
�
-
un,e Completed 7MIT REFUSED
j
\ —
' ~ —'
vT ��
....U.....~ ...........
—'-1 ........... -----
-^— '--��`—^'''i7—'^^ , .______,,,.
Approved
� . .
---------------- lA
-------'------^—'—'^'—^—'—~^'—`—
`
-------.-------------.--.....-
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
A , 111
I m / IL
DATA
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'eIf•, x>» s:, '" .` '"�� '"" x_ RAN!( FRANK
C
' i q ONERY CONERY
1 + p Mo. No. 6232
1 Sx£ �� t F076TB��pO
NAL��6 ��'A SU
PLANOF LAND
-/a c�.u ..� 1. C_.._�J�J 7'"� °►�„ ICI'�C. �. �. ��"�
OWNED BY
k4
I CERTIFY THAT THIS PLAN SHOWS N P,t�e Z�l ,,,►
THE ACTUAL LOCATION OF THE :FRANK CONERY 5 TRENTON 5L
STRUCTURE ON THE LAND AND HYANNIS, MAW. OWI
THAT IT CONFORMS W" THE � �s:�s �� s .�,:����,�+►�
BY-LAWS OF THE TOWN
SCALE I IN -,ZCOF'T.
a 7`�
R,-,jINIA ZAMAR 20 STONE
FOU•IJD 4
PL.^N 800,e 306 �'f7GE 7s '"ASS
i A/, 1 AM'4( UA41 CB v3 lc
'y-N �� P eoo,e /38g GE 4LTy Tec�sT ' For/No W �Q -
L 4^/ f30o,� pAG�¢Z W �V�/ LAND COUe7 .386/9
of / $8
C8s _- Ob O Q ALAN
FOIJNP �y ie.e9 76, _ S 76' /5' p (1 Q� PLAN BOO, 306 pa6E /7
.84 _ C/ 33-
V N 76;- _ _-=_ NDEF/NED �d n W0
P l /00.00 - _ANC/ENT WAY 89/. 96 �i W
h - -- - -- -- -- ,Q i e M_O
-30.00 A=47./ 'DO.00 - �..` , 'M - S 8V 20'28"E 245./7 _ - = 20•/4• 7 J
ti �� a °1p; ;, �4 ? /2S,00 _ . .v S j'V,4+y --- - A=ZoS.8, •3/
00
$�(•f h •ti 2 r, C /2S:°o: - - ` 33 .,� � _-' - -- - - _- -_--- - --- ---- --------- --_ \ �s82.S6
�� 0.39AC. h o') 1�784 t o Q W o d o y -- - -
p R q b 0.4/AC. O n 0 1540b f b� ti Z9 °I \ ^' - /05.GY� - /vB2'Zo Ze"W 047.83 - --- A=/88.5 i
p, ti tin, ti °i 0.35Ac 15000 0 .30 N W `� �/7 - e5.3/ ,- /05.00 ; 57.52' D� ' 'e`532 `I l AMES WAY 40 town/ •o
ZS.pp o•31 AC b• ti i 5C7O0 5--- 9, 1 A.116.o3 56 +. r ZAg RaGE 47
Of- / \ W 31 n, O 32 n ,� PI An/600
v - 130.00 1 o•3Q ti 0 N 33 .�► 3Q P h �900- \•. ,
� '►j l N 76• -J - /36.25 _ Q a -,c- /25.aj l 500 ti l 5000• b $ n cn p• W `,
\ /5' 33'W �° N 760/5. 33"W O.34AC. . n,
26/.26 _ "1 N 76•/5'33' /25.,qp h / e� 0.34 AC •� ti l5 384 t O /5/46 t ° 35 m 3
P Epp / 3 k i 3p.00 Q po \ W ` Al 76'/5"33"/y /25.0b ? - ro 0.35Ac. ti 0.35/tc. N /5422°t 6
P C$ I •t o p I �?0 b 27 o N o W /V /25 00 n (A % /585/"t .` n
/s'33 W `� 0.35Ac. d•36.ac. �i h I
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/ 0.64 AC I G 3 ?0' i D N 15000 ,
/7o0ij
O �C. /8.9) k A'=4o.00 0.34Ac °V� i500(D• N 24 ti i N 76%5:33•W /Zo.oO _1 '��,�3soly ,� 37
,v 5 6 ,,10.2 6 90.00 h m� \ 0.3A1 AC l5000• I O 23 N W Zl 93'� i 95 72 '� Lj 15906
800 �4 S �� 4 {� � �-' /25'00 m 0.34AC. ti l5o�o•I O 22 t` 2/ :Z' N70'/3' - 8//3 0.364C. I 1 f / ��o B. - - /25.0 AC. O •' .N O SO n, L_ Ot 41 A LAN E .
s2� 19805 t ��_ - ti a 0.34 ti /5000 V o l6//8 t `� 20 .00 /is24 �+� l I -4 Doi2oTNY A. S/yALL.
a� f y Sv 0.45 AC. - , s 76•/S '3 Be/'D G �6. /25.00 - m 0.34AC• .� N 0.374c. .hti �`� ZO
G� �qeY O 3" `o ET S /S /25.00 10 , A� b tiM . /7508 t ,� Zi 64,/6 -- 1
S o Z _... C,2r .... , i� '� /50'p0 ,, - 1 33 �- /25. ZS.pp `L �4� O. Zl ' 00 , ! 1 BOOe I335 PAGE ¢��9
3 9 N To BE use j oo 4= og 24 c 40 4C. - 9 0
0 84e /v 2 aG�B ' 2 4. 59 _ /U Ki �- 95.0 p 3` \� l 8 . 0 ti J - �Q
a ' ate,,is W 26. /SATy BIp,0O ; , Q•�9. �/ •323 , �� /
16204 •t ti 6 �' /aaop 33• -E- ¢o. Pe/V.47'E `U4y e_-/0' �Sr%9• N /'� 2l Z 2/3p3 f p f q
F /ze
cC SB h 0.37AC. l$i99. 7 l /0o.°O °0 t $ /oo.oo - e= �'o I2p0 0 0.50 Ac. � lQ�? �>7
S c� /00.00 - / 6g A`30 OS �, ' / /,0 Qj
3 �T� -rye so /5>Zi ;0 0.43 Ac. 18829°f W 2l�08 t 9 W c`A >�M �j
i6 'y a n /O ;� a o/ =►546 /9 ro E , l (�� �>i r
4 s3 a� b 0.43Ac. n 0.50AC. $ ti o hie Z �? `' yr _»,, I �� l
GE $3 q�< u vy� c� 40 /5000 0O.' O / W ,� d �s /6390'f
mod' G c� \ /50 O �� - N {
/3 0, S - - try _ '�? `� D.34 AC. y h •' O r. 1p , c9 O.38 4C p ' 1' -, 0•. i
0.34 AC'. n O /5000 o cv m_o
` 30 ti m 0.34 A ° /Z o o.o,"'% �-
N AREA 5q.FT 1- AC,0Es 1 � � � c. �
2Ri �9 `o e< HIV 4�vo �� �000 _�� ,0 aj :o /5331i'f fi G �., � .YL l J4 !/
g,�� ao
AMES !l/A�' 688/6 1. 58 �S O IV 0.00 �5� y� ZO ni
/S 33 -, _ /00.0 0.35 Ac. 37' • 3 ,� I
ae/DGE.T 5 54229 /• 24 \ per. �Q (� a `s9' S ,' co /S/.3/ W ' N 76. O - 8)
P IS'3 47./2 5 P - y
7'A2An!AC /8606 •43 2 4. E ,� 2 ,'�,r ! , r
��, �� ` . 02, 9 /4 Z /•48.69 0 �e P-30.00 fln�� r 30�� a l. S QOAp E
SKUNeNET 26344 60 �� p '�'Gi<��(i L� , ?_/838i O.$OA �, /3 3� ��p0 �PS� / 6� ZZp 9e '
Oti�c (C=l8.l) s- /5022•t �'64 aG5 l(Q
ROA D 5 = 16 80/S 3.86 sq R a��o �F� w <10 100�� �: 0'34 Ac/0,, �0' 0 �305 00 �� .�"�4 r�
s 01 42 . 2 A 2 r 5 i e /
LOTS = 6238-,4 14.32 t�s,��o A<q s6 S� 9 oc,9 9i �' �/ i5,0 23 3• /7 T- I I J Z �:T3 LGCUS
17? 1i, Z '��0 �s /539/�: I
- Qy G 3�0 O0 ti< 6e 35 /' 5 vi �G• 0 W v' O l ` � G�~�U'e0uirf,
TOTAL 79/889 I8.Z cif, 2� /98 . EF" 9(9/ a�' �0 10'° o, �. o.35-Ic. o ti I i � Q ` I
C1� s ��� -'s 2 /5 0 /6 �O (Cz l9 3)0 FIVE
" �q i3 00/ / 3 I- 16/34•-* l0p G s N
0.37Ac. Oii�,O� 's, I I SCALE /' -0000'
/ o ✓� -e __
rW / G �-Q FT�v�a FND`l` /2p,oo n 227/7*t 1
-s-_ ,�, 2 52 4c 1 SUB D/V/5/On/ PLAN OF!A,vO /n/ // 5 i c ,
CEA/7-E,eV/LLE /1455. ,(A�Q oQ0 S2z �. S9.9 _ CC_/8.2) n ,ti'C
/A/ T<NE TON✓A/ OF BA2IVSTA8LE /i9 3/. kp /S . � I ALAV E . SM,4LL
FO 6 2g9 2 OO Os I 1 30oC G ,/S .46E 106
.TKS TRU5 T 80 0 , B 9/' WIDE PLAiv 600•4= 3/0 PAGE 3S
FOt/ND
SCALE I 60 NJA�cN 3, /978
1 NEOEBy CE2T/FY 71%.4T 7/115 PL<!N A4G
.;LJ 5 IqA DE /tiI ACCO•eOLINCE HIIT,�/ Tr'E -- - - -----'- _ �
0A2NS7-Aa4-E PLA,vIVI, C7 /50A,e1-1) /IV- O 60 120 1490 ZONE QC - 2y
S
-57.eUG7/01,,1S An/o TI-16 PEA2MAA1--1v7
POIA.I,:5 SNON/.v D,v THE PLA.1-4•eE /iv 15000° /OO• ✓V/DTH
EXISTENCE OA.I 771E G,eOU.va. GE0,2GE. LOW-0 CO.
197e i Z TU2iVE,2 L A AJE -�•
DATE •-EG. L�II✓ SU•eVE yO,e I F eAn/C/,5 A. LANTE/NE, CLE e/c DATE OF AlEARIAIG iJ11!l� S I�?�
SOUT/1 YA,2MOUT�/, NJA. OF- 714E TOWN OF 48A-2A1S7ABLE
f�E2E.By CE,eT/Fy THAT THE DATE APPPOVED y�l1.L£L�T?�
NOTICE OF A PPROV,4 L OF 7-/-//5 DATE 5/GI✓ED to .�..7w 1q 1ST
PL.4 N By THE BAR^-^/ 7-A13LE
I CE2TiFy THAT 7-/-/15 %7LA" AIAS PLANNING 60A,2D NAS BEEN B ,VS ABLE P AIA.IIn1G 8p4•Z-10
BE':ti P2EPAeErD /NCUn/Fa2M/Ty ZEcE/VED AvD.eECO.eoED AT
vVI -N T7/E !-ULES An/o �EGULAT/O,V5 BE11,/G A 50801VI-FION OF LAI✓D Ti-/15 OGF/CE ANO TNATNOAPPEAL
^L �E ,CEG,�TE25 OFDEEI�5ncTNF AS 2ECOe17ED ItiTHE •2EGIST�Y WAS 2EcE/VEDDlJ2',vG771E7N/E�vey
CC 1MOA.I;-t EA�TN OF^-JAS5ACHUSETTS OF DEE17S PLAN F,300� ZS8 PAGE 3Z. DAYS NEXT -AFTER 5UC N 2ECE/A'
AND 2ECOeDIAIG OF SA/0 NOTICE
!r 3 %•9� - AssEsso,c5 /Lf.4P /65 7��7s .�.�..-. Q-.�./t 9� G�Gia.l'
0.4 TE •rEG LA,vO 5o e y0x� LOT 12 DATE TOWAI CLEk.e