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HomeMy WebLinkAbout1277 BUMPS RIVER ROAD .o [ r " r c A � ' a '�. 'an•.� ti,C[ .,'�d 7 F`S i'. , '�.y \� >.i< • ;i . ,,..� :.'t s iL, � U�Z... .s.', 3 .i. t /, rYF -.J �..y.'.'r �[ Y .. .V'�i v ,L+': r : i i r Y a p �i a , n a , r l E ; z u9 s +n ,r r: i _ 6 00 do -Nor g� ' a 113 a t i3 i. , .&YL ` u , i r tl '` ji aF Fit z• � y, 9 4 • l: „ V Z n r f CAPE -CO INS ULAT10N NWY QVJi U.-Eff WAf FOAM fus""060 - LARf uuRLLi INfu HQH G14"NOf _ �_xx� ,,.r- —+• ���"�T - 1-800-696-6611DRUM. { Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc.'performed & completed the.insulation and weatherization work at the property listed below, Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BP1) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address VillafZe ��'��!col � �A7N(,�� �u a /d 7� �a,,o.1' �.�/�D `'.�•c K�Ji ll� Py Insulation Installed:: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes Floors, (X) Walls Ns �/GrLT s �WOA Sincerely He ry E C is y Jr, President �' :C- e Cod I , ulation, Inc. %"04APE COD TOWN,OF BARNSTABLE INSULATION 2013 AN 28 AB 9. 22 PIPER OLASS SEAMLESS SPRATfOAM SUSPFNOER _ EAlii OVTTERS INSULATION CFILINOS - . 1-800-696-6611 bIV1Sf Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 ^r Date: 6 Ji171/ Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property.listed below. Cape Cod ' Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village ° be D l 7 / 3 At/ ' Insulation Installed: Fiberglass . Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ) ( ) ( ) ( Slopes oC, Floors Walls` ) { ) (. ) ( ) ( ) G� Sincerely He y E Cas y Jr,President C e Cod I ulation, Inc: a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L Parcel 0 7`� - Application # 0 k 3,6 33 4 3 Health Division Date Issued Conservation Division Application Fee SO- Planning Dept. Permit Fee 46 Date Definitive Plan Approved by Planning Board �I5/I3 Historic - OKH _ Preservation/ Hyannis Project Street Address Z,? 7;2 ,!nv, ied Village GG,rr��j2Y'i ��e Owner /�f,n"�Cw t/P�/y Address Telephone J-,�C7;2a 92,e '~ Permit Request X/ / Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation LoOd. d Construction Type lAlfG��lo� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes a No On Old King's Highway: ❑Yes -9-10 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including bathe): existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other p o s" W V' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood al stoveAJ YE6❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑Qi ting ❑'?'w e Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Z c9 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name&2&r 1�2>,l i si��,��J�1�� Telephone Number ,,73F f �4- Address,� ���� � Z License #IAO� `°firms Home Improvement Contractor# Worker's Compensation # ,)4 ae—Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &4 ®i :(2 � SIGNATURE DATE 17 FOR OFFICIAL USE ONLY e APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE - a OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL ti FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. , ,. w 143769 OWNER AUTHORIZATION FORM I, (Owne s Na e) owner of the property located at (Property Address) Ck'y4e v \L( �e (Property Address) hereby authorize aC O rV (Sub o tractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my prope 4nereVnature Date i { " NIIANSur•husetts - Deparouent of Public safet% Ho;tr(f Re:uLuiun. and Stai,(I:,nls construption Supervisor License ati . Liceri of CS 100988 HENRY CASSIDYLI 8 SHED ROW "* WEST 4ARMOUTH, MA 02673 S�i x y Expiration:"11/11/2013 . (:nuu,issi uicr �� Tr#: 7620 Ij Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116. . Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15)Zbl4 Tr# 233831 CAPE COD INSULATION, INC --=-----_. -- _..__.._._.._.......... HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 ---- -- ----- _._ Update Address and return card. Mark reason bir change. (� Address Renewal (—J 1Lmploynrcnt I lost Card Oitirc ul t uusuu,er Affairs& Business RegulationLicense or registration valid for individul use only t�OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t egistration: 153567 Type: Office of Consumer Affairs and Business Regulation x. r xpiration: 12/15/2014 Private Corporation 10 Park Plaza-Suitc 5170 Boston,MA 02116 CAPE COI)INSULATION,'NC HENRY CASSIDY 18 REARDON CIRCLE SO YARMOUTH. MA 02664 Undersecretary of Val' witho t nat re CAPECOD-27 SPURDY DATE(MMIDDM/YY) CERTIFICATE OF LIABILITY INSURANCE 4/24/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. i j IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the ! certificate holder in lieu of such endorsem_ent(s). !PRODUCER CONTACT NAME: Cape Cod Commercial RogRte 134 ers r£Gray Ins.-Dennis Branch jAHico"N,.L0508)398-7980 y_ lA _No) (877)816-2156 j434 ,South Dennis,MA 02660 E-MAIL ADDRESS: j INSURER(S)AFFORDING COVERAGE _ NAIC# ! INSURER A:PEERLESS INSURANCE COMPANY INSURED INSURER INSURANCE COMPANY,.----.---,-,, , j _ - ---- Cape Cod Insulation Inc INSURERC:Evanston Insurance Company 18 Reardon Circle �INSURER D;Atlantic Charter Insurance Company South Yarmouth,MA 02664 4 INSURER E----- --.. - -- --- - INSURER F: ! COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - --INSR I - ------ADDL SUER— ------�- -- ---�POLICY EFF POLICY EXP - - TYPE OF INSURANCE LIMITS - 1__ _ _ ,,,_,____ _„_-- __--_-___ INSR WVD. _ POLICY NUMBER jMMIDD/1'YYY� LMM/DD/YYYY! _ GENERAL LIABILITY I - EACH OCCURRENCE $ 1,000,000! f I DAMAGETO RENTED A ` X COMMERCIAL GENERAL LIABILITY CBP8263063 4/1/2013 4/1/2014 PREMISES(Ea occurrence) $ 100,006i CLAIMS MADE (X J OCCUR MED EXP(Any one person) $ 5,00011 PERSONAL&ADV INJURY $ 1,000,0061 - GENERAL AGGREGATE ,$`, 2 000 00O! ._. ------ .. .. ....._... -- - -'' GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOP AGG $ 2,000 OOOI IRI- AUTOMO ILE LIABILITYPOLICY E7 -- -(O aBINEDt>SINGLE -- $--._....._ 1,000 000 - LIMIT - j B ANY AUTO 12MMBCKVMK 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ . ALL OWNED SCHEDULED 1 BODILY INJURY(Per accident) $ AUTOS X AUTOS --- ._ I `. _-._ NON-OWNED PROPERTY DAMAGE $ i X`.HIREDAUTOS X AUTOS I •(PER ACCIDENT) C$ I I { X!UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000 OOOI -- EXCESS LIAB C i I CLAIMS-MADE, XONJ453512 411/2013 4/1/2014 AGGREGATE $ —00,000i s DED X I RETENTION$ 10,000 -, _...--- -.--_--- -- ._...---- --. _ -..__ Is WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/" X WC STATU- OTH- _ TORY LIMITS I ER I D I ANY PROPRIETOR/PARTNER/EXECUTIVE�' �''I WCA00525903 6/30/2012 6/30/2013 E.L.EACH ACCIDENT I$ 1,000 000` I OFFICERIMEMBER EXCLUDED? I „-J "/A - -- (Mandatory In NH) - E L DISEASE-EA EMPLOYEE$ 1,000 0001 If yes,describe under _------------- .._ .___ DESCRIPTION OF OPERATIONS below-__-- E.L. ISEASE POLICY LIMIT II$ 1,000 000I - - , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.(Attach ACORD 101,Additional Remarks Schedule,if more space is required) lCertificate Holder is an additional insured under General Liability when required by written Contracts or agreements. f CERTIFICATE HOLDER CANCELLATION ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE j THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE { ©1988-2010 ACORD CORPORATION. All rights reserved. . ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD e The Corrtntonw/ealth ofMassachitsetts Nnntiorm _ Department of'lndustrial Accidents Office of'lnvestigations 1 Congress Street, Suite 100 {, Boston, MA 02114-2017 www.Inass.govIdia \Yorkers' Compensation Insurance Affidavit: Builders/Co utractors/E tee triciaus/PIuntbers Ayelicatit Information Please Print Legibly Nimic (Iit.isincss/Urgeutization/lttdividuaI):-- 11 ---- - cI V✓� Phone ti: �D Arc you an e'inployer? Check t e appropriate boa. Type of project(required): I (` 1 ;un a cant►layer Witt) C7 - `l ❑ I am a general contractor and I - - 6. [] New construction i :iltplo)cis (11.111 sand/ar part-time).* have hued the sub-contractors a sole propric; r or partner_ listed on the attached sheet. 7. [] Remodeling spit► ;tnd have no employees These sub-contractors have b- Q Demolition \wrkiil" for me in an ca ate it employees and have workers' . Y p Y- # 9. [] Building addition . No workers' comp: insurance comp. insurance: r0yui(cd. 5. We are a corporation and its l0.[�,,. ctricat repGtirs oradditiotts I ut a homeowner doing all work officers have exercised their I I.[] Plumbing repairs or additiolis rlt)self. I No workers' com right of eaemp.tion per MGL p 12.❑ Roos ie ors n>urai,ce rerluired.) t c. 152, §1(4),and we have no employees.[No workers' 13. Ot1►ur W��rk(,�(fIi I2D ------ __ comp. insurance,r•.equi;red.] Am ,gq,hcant that chcck5 box /k f must also IqII ont the section below showing their workers'compensation policy information. I I inc„ ucrs who submit this aflidavitindicating they are doing all_work uricl then hire outside contractors must subutit it new affidavit indicating such. It' mru,a,n that chuck (his box must luched ❑a an additional sheet showing the cne of die sub-coiuraclor•s and state ivhelh4r or not Utose entities hove niplu,u;n.. Il the soh-contractors have;eurployees,they rnust,provide their workers'comp.policy number. i curt an tenrploYer Hutt is providing workers'compensation insurance for eery employees. Below is t/te policy-and job site . iu/ur'nurluar. r �/� 'I ' In,urai ��C.`.uutl>auy N�une:-- (CcV1 CiVICil ev I Vl�pGtV G1Ul G Poliq IF or SCII ins L,ic, ll: We A ®�`7 Expiration Date U luh�ilc :\delress: City/Skate/Zip: -- Attach a copy of the wo►-Icer-s' coulpeusation policy declaration page(showing the policy number and expiration date). Failure tt,WCUI-C coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a him•u1,to$1,tiU0.0U and/or one-year irnprisonment, as well as civil penalties in the form of STOP WORK ORDER and a tine. ( 1,ul)to.$250.00 a day against the violator. Be advised that a copy of this statement may be`forwarded to.the Office of tm,cstigm ons of the DI for insurance coverage veriticatioti: I du herebv c•erti/'v, letter th,. ,airrs.,jCld penalties of erlary that the injorrnatiurt provided above is true aril correct. - e ,1 n ttnr� Date: Official a.ve only. Der not write in this area, to be completed by city or town official. it) or Tomi: Permit/License# I.'muilig Authority (circle one): I, livard of 1-lealth 2. Building Department 3.City/Town Clerk 4.-Electrical Inspector 5. Plumbing Inspector 6.Utlrer t'nntacl Person:_ Phone a. Barnstable Assessing Search Results Page 1 of 2 Home: Departments:Assessors Division: Property Assessment Search Results New Search New Interactive Maps >> Owner: 2006 Assessed Values: DUPUY, MATTHEW J& CATHLEENF 1277 BUMPS RIVER ROAD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $289,700 $289,700 188 /074/ Extra Features: $3,000. $3,000 Outbuildings: $0 $0 Mailing Address Land Value: $239,900 $239,900 DUPUY, MATTHEW J& CATHLEEN F Totals $532,600 $532,600 1277 BUMPS RIVER RD CENTERVILLE, MA. 02632 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $81.87 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commei C.O.M.M. FD Tax(Residential) $564.56 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Persona Town Tax(Residential) $2,729.08 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other R; W Barnstable-Residential $1.60 Commur W Barnstable-Commercial $2.46 Total: $3,375.51 Construction Details Property Sketch Legend Building Building value $289,700 Interior Floors Hardwood Style Colonial Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Plus Heat Type Hot Water Stories 2 Stories AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mapparbac... 8/30/2006 Barnstable Assessing Search Results Page 2 of 2 Roof Structure Gable/Hip Bathrooms 3 Full Roof Cover Asph/F GIs/Cmp living area 2924 ;ni"62 Replacement Cost $329164 Year Built 1980 sDepreciation 12 Total Rooms 7 RoomsLandCODE 1010 Mny« Lot Size(Acres) 1.51 Appraised Value $239,900 - F:. Assessed Value $239,900 , View Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: DUPUY, MATTHEW J&CATHLEEN F Jul 5 2000 12:OOAM 13112/336 $ 1 FOLEY-DUPUY, CATHLEEN TR Aug 15 1995 12:OOAM 9808/323 $ 1 DUPUY, MATTHEW J & Jan 15 1995 12:OOAM 9513/265 $ 1 FOLEY-DUPUY, CATHLEEN,TRS Jul 15 1992 12:OOAM 8113/267 $ 1 DUPUY, MATTHEW J& Aug 15 1991 12:OOAM 7661/278 $ 1 DUPUY, CATHLEEN FOLEY TRS Mar 15 1988 12:OOAM 6193/023 $ 1 DUPUY, ROY L 30641344 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BRR Bsmt Rec Room 676 $3,000 $3,000 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 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) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mapparbac... 8/30/2006 ARDITO, SWEENEY STUSSE ROBERTSON & D UPUY, P.C. ATTORNEYS AT LAW MATTACHEESE PROFESSIONAL BUILDING ----- ----- ' 25 MID—TECH DRIVE, SUITE C WEST YARMOUTH, MASSACHUSETTS 02673 EDWARD J.SWEENEY JR.' ' TELEPHONE(508)775-3433 MICHAEL B.STUSSE FAX(508)790-4778 RICHARD A.DALTON DONNA M.•ROBERTSON CHARLES M.SABATT MATTHEW J.DUPUY RUTH A.McLAUGHLIN CHARLES J.ARDITO, P.C. PLEASE REFER TO FILE NUMBER April 20, 1995 Building Inspector . Town Hall 367 Main Street Hyannis, MA 02601 RE: �_12 7 7 Bumps River Roadl - Dupuy Dear Sir: Enclosed please find plans with reference to the above-entitled property. If you have any questions, please advise. Very truly yours, ?Mat<t4ew Dupuy MJD:mas Enclosure Ti)`fVIJ OF BARNSTABLE BUILDING DEPT. D AS& 2 AIM E I C E I V E I Cr<ckAJt7 ? I� A a ' gg� .,•.. I%� �. /T,IOClCiJ mceeflNQ ° o e u r .ii MATC 4 EXIST,1.16T OVGR H4Nf� I�, Ll �tHT to -- i . ; .- ....r. I —.—._ +..t ._..._ I'-dl E I 1 6 a lz: �oftr — o6 � .� p�p�T7F11N4L8, �. b�• f, A V' I4 '1 Z I LLJ \ haF6 Z . 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'i77N.u4.t1.aN 9!< MIST VIR41 all .1E115A1+S n'::1W BVKtY1B s, Te 9 xw•coNc.PTq.` xis'.s°femYa�) L s�'••s° ettvnL malple c� asa:me uK rr<oon=ro^.r log +M' <A :I - µ�, �� dl,.free�:nA.� NI.•�tgi�.'-�fi•• .cC tl.�..:ry In I'.f W 1 W FLn Assessor's map and lot number .� ?....... :., �o/ 7 ... . t> FTHEr�� Permit number SeNagea 0 j /Z 7 7 r� Z BASd9TODLE, i rasa F4quse number ...... +oo 039 i0T1ra MAY pr - TOWN OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO .... 2. * ........................................................ � .. .C?G �........................................................................TYPE OF-CONSTRUCTION ...../I .. ......... m ........................a�............19.. . i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..a. 7.........(l.%/��?l ......... 4-c �........ ./?............. r�0%� :%e!/ i ....... '�i7 ?........................ .J ProposedUse ........�.4: .........ef.aoz ...........` r .............................................................. Zoning District ...... ............................. ...... �..............�!..��....................... .�. .��...�. .., .,-,...a.. .Fire District .�: ..r:/.„/,.;, � ..�/; Name of Owner � •`�r7..... td L!/......................Address ..........?.1 .�.'.�.........LI.........../.;.. .4�..... Name of Builder'1 : ��....c � :� ...... ..................Address ..................l.f........................ 7..................... U i' Nameof Architect ............:........ ................:.�.��....�C.............Address '.................................................................................... Number of Rooms ..................1.............................................Foundation Exterior .............lf�'�1.�i � .................................................Roofing ................r�.:(f.G�'.1G...7........................................ Floors �'�..l ..f!? c�� ................ !j�, .................Interior .................... //r ,:...:���.CJt:t�............................... Heating ......... ..../— f'7t!�/..C..............................................Plumbing ................&I %l ............................................ Fireplace ........................................Approximate Cost .........:.... :- . ........ ..................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ......... x /...... C;'..i ....... 1. Qv Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL 777 i l t { OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................... . ........ :............. DUPUY, MATT A=188-74 No . �. :�. Permit for ,ADDITION .............. Single Family Dwelling ..... ................................................. .............. Location ...1277 Bumps River Road ................................................... Centerville ............................................................................... Owner .....Matt Dup.uy ....... ....................................... Type of Co struction ....Frame ................................ ................... ................. ................... ...................... Plot ......... .................. Lot ........ ....................... Permit Gr nted ......... ...9. ..... ..,........19 82 Date of In pection ..... .................. ...........19 p Date Co leted ....... .................. ...........19 1 t` r C� Assessor's map and lot number ............. ..... . THE ��� TOE► Sewage Permit number -- Z BA"STADLB, i House number ..... . *, 77 ... ................................... 9 a' 'TOWN `, OF ,'ZARNSTABLE MUST w�TA�ill S 1� �� Pl�l � . 3f� . . �� TaTLE'6 ' ' PUILDING INSPECTOR cooe JENTAL { TO F$jrC&bNA00rR ERMIT TO ✓ll. �....... . cl 4/ ............... .............................................. TYPE OF CONSTRUCTION .. �IT�QIIL. .Dlje ................................ .................... .. ........ a' ... ../..e)............19,,/Fe2 TO THE' INSPECTOR OF BUILDINGS: ' The -undersigned 'hereby''applies for a permit according to the following information- Location .77......... .t. .r??1,., ......... /..l�f/��i........ 1---(............ /.!�/1 ��(�........ / :........ ...... ... ProposedUse ........ ......... .......;.. �. T.... .......... ....................................... Zoning District ,. ... ...Q. ...............................................Fire. District ....... f,�.v...<..f.........+....0.�?lt ...................... Name •of,'Owner . ./�.,�� ...�?V ......................Address ..........W.�:� ... ...... Name of Builder" ....Address ................. ............................. ................................. oUwyName of Architect �. . ...........Address r Number of Rooms ......... ....,Foundation Exlerior ........... Ga................................... .... ..Roofing ................. T........................................ n r Floors .......P,/x ,G :d!!.. ........... � ..................Interior ..................: 17✓.. .•�fd ........:......................... /C Heating ..............................:............Plumbing ................ Q V/ L Fireplace ............... � �............................................. .,Approximate Cost ... �C� v...................................... Definitive Plan Approved by. Planning Board --------------------------------19--------. Area ...V......... ./....C7l�f Diagram of Lot and Building with Dimensions Fee ............................ SUBJECT TO�APPROV�BOAR-D_O.E_H.EA -T_H a6 ' ! V� R�, ��PS OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Y�1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. oo r. Name ................. .......... .... . . ................ DUPUY, MATT j 242.76 -ADDITION m No ..... Permit for ... .. .............. rr Single Family �Dwelling ' Location ..12.7.7•...B.UMR.a v ...RQad....... _ t Centerville d , ................................................. ............................ T. Owner ...Matl...A.uP>aYf' - - Type'of.Construction •' k:zaiYts... ..... + �.......... , ... F ........ ....................... ... .. .......... Plot ......................... Lot ................................... Permit Granted .....Aqcug//us t 10, 19 82 Date of'Inspection ..../...(..2.......... ... .19 fDate -Completed ...... _ �. ...........19 `•r , - • • / I wl Assessor's offioe Ust floor): / (��. a, -2 F?NE ��� 0 0 Assessor's map and lot number dr T Board of Health (3rd floor): !± Sewage Permit number ......1 !'� j% i1 Engineering Department (3rd floor): �o MA°a 1639- House number .............................1r.9.7 7 ; r. / -7 0 M or- APPLICATIONS PROCESSEb 8:30.-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....l�U�.l. ...LZ/JL .... .d d.&r....................................................... TYPE OF CONSTRUCTION .........W......0....O............—.............................. ..... .............................................................. . ............ ...... :-s..........19.e;7 k TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....L .7.!7..... t')'J.p. ... .1.l�ef^.....1.\4l!. ........lw. tv................................................................... Proposed Use ...../.-<1.5 .....�"" O.t ...................... Zoning District .........!.T�..�...................................................Fire District Name of Owner .'. ..................Address �. ...13!.m.p,',.K.�ver O t P`e-,- )01) Name of Builder A&.W..�T...bvp ' .Address �-.........5�...Gl/T!)1....................................................... Name of Architect .......h.O11. .............................................Address Number of Rooms .......two...............................................Foundation ...C.O.n.L� I��E' .............................................. ..... Exterior ...... . 11. ��' .....................................................Roofing ........��. .�.n LI aY'( Floors ....�.W 0©.Q!.............................................................Interior ..........5/�-.'u-T I~�.C .......................:.............. Heating ............ ........ .......... Plumbing ...... ..,.1 . ...n: -.:.......................... f ..... - Fireplace r.).10... ........................................... ... "'.Approximate Cost .... I J..O....O...O........................................... I Definitive Plan Approved by Planning Board ________________________________19________ . Area ............ � ................... Diagram of Lot and Building with Dimensions 2 spry Fee aC ............�.. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i -1 �Y Roof f �Oa�naiv � t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town',of Barnstable regarding the above construction. 4C Name .......,............................ .... .........j....................... Construction Supervisor's License .................................... DUPUY, MATTHEW J. & CATHLEEN FOLEY DUPUY A=188-074 No ..366.46.. permit for ,ADDITION .......... . ................... - Single Family Dwelling ....................................... Location 1277 Bumps River Road ........ . ........I............... .Centerville ............................................................................... Owner ...Matthew...J... .... &....Cathleen. . . . ...Foley Dupuy . ... . ....... .. . .. .... ..... Type of Construction Fr ....ame............................ ...................................... ................I................ Plot ............................ Lot ................................ Permit Granted ....Apri.l....1.7.r.............19 87 Date of Inspection ....................................19 ' Date Completed ......................................19 6 i yp Glb r WSOAld . >w e W.Y E �. GER TlF tEb p t..aT Pt-:ICU S CURTIP—i T14AT' Ttd6. Couc.. �uup, 5t.low►J PLC �►� R'�FE2�tJGE WCsQ�oN GoMPLVS WIT" TWG �StuE.Lt►-lE L�r� 1 ��, '- P,t.#�J QVUK Os F Awl> SETBACK vc-4u"ZeAAe►-tT4 GG T"fl-- esaxTE T1-1tS t7l..Af:.J IS WOT BA►'SE'O ItJ�CT�UM�ti�JT SvQv�Y � Ts�E. oF�Srxl't �jl�lC'till.D A1�rit.�cGb.�..1. ' 1� � .r��. ,, WGT. B USU0 r ..DeTCr-M1W : .LET L.1Wtz�� x: ,., =rc.K, ' f 4 t�'["►,> w; '► a AT .777 I i { G t.-47 , o 1019 iv - I >�d d fir° G✓/yp�w c ,��` { ' '00"V,4/! ---------------- r;• 4. Assessor's offioe (1st floor): � �"�'(', SYSTEM MUST BE �0fT"E _ Assessor's map and lot number ..... ..... .�tr.�.......... To� Board of Health (3rd floor): � c TALLED IN COMPLIANC`- /. Sewage Permit number ...... .G ��� �ll�a � ... WITH TITLE 5 ' """` Z 33ASa9TSDLE, i Engineering Department (3rd floor): �7-� ,. TAL CODE A 'i moo rb 9. 0� ../...../....House number ............_............... .. ` 1„ �qm nEGU ATI� °gar"' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN, 'OF BARNSTABLE BUILDING, INSPECTOR APPLICATION FOR PERMIT TO ..:(1 U0.�v41... U....f .(r�. �Q.rJ............................ y TYPE OF CONSTRUCTION .........Lv......o....o.....cC r ..................................../................................................ ....................... ..........19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a peermit accorrd�ing to the following information: I'I Location .... . ....BVM.P..r)...RA.UCr....Rd..........�..C.rl �.1.��✓..IJI• .................................................................. Proposed Use .....rL'�/.LS.P�VLT't. 4...' . .!... .... '!DF?/'!........- .O.t.n.t.n... .....r ®.! ...................... Zoning District ........�.C.]..................................................Fire District .1 �?!1!1 �!'�/`:`('2' / ��? ��-rvl'�'l.�........ Name of Owner .(/lel(.��- R p4�PV.. u...........Address kP!'.F. ... /Y1 �J.�.� '. �1X. rol/e Name of Builder 01a?.11.e.( ..'. .Glw.. Address ..............J .................................................. Nameof Architect .......h.Pill..L............................................Address .................................................................................... Number of Rooms .........l.. ..................................................Foundation ...�'.®�.�r r ,.............................................. Exterior ...... le, .....................................................Roofin `j t eJ �it. Floors ........ .00. .............................................................Interior .......... /�-e1LT, rock ............ ...................................... Heatingel2c� 'r`1. - Plumbing ..........h.......... ,...................................................... ............................ ........................:;..................... D 11 ' �1 s� Fireplace ............r.)PA0.........................................................Approximate Cost ...............1........................,JJ........................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ............7. 0................... Diagram of Lot and Building with Dimensions Skr/ 9 9 Fee ............. ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH .- � �Sr 0-4 Gt/ s?n2 V R R ab � .'Map R 00A 400/n 0 Al I?OW4 r l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS II herebyagree to conform to all the Rules and Regulations of the Town of Barnstable regarding th 9 9 g g e above construction. Name ..... ........... a Construction Supervisor's License .................................... DUPUY, 14ATTHEW J.. & CATHLEEN FOLEY DUPUY 3b646 ADDITION No ................. Permit for .................................... Single Family Dwelling L......................................................................... 1277 Bumps River Road Location ................................................................ Centerville ............................................................................... Matthew J & Cathleen Foley D�ipuy 71 Owner .. ................................................................. Frame Type of Construction .......................................... ...................... ........................................................ Plot ............................. Lot ................................ Permit Granted ..........APAzi.1...1.7..........19 87 Date a/i� pe�ins ctia'n ...... . .... ........... .......19rl Date Completed ............................. I V/P • COMi IONI.;EALTH OF NASSACHUISETTS _ - DETERMINATION OF APPLICABILITY OF THE WETLAND PROTECTION ACT G.L. C.131 s. 40 TO: Matthew Dupuy.* DATE: March 12, 1980 1301 Bumps River Road Centerville, Massa 02632 Pursuant to the authority of G.L. C.131 s.40, the B RNSTABLE CONSERVATION COMMISSION has considered your request for a determination of applicability together with the plans submitted with it and ' has made the following determination: work .1. LxxJ. Th�/area shorm on the plants is not subject to the Act. 2. [ ] The entire area shown on the olans is subject to the Act and shall require a filing of the Notice of Intent. 3. [ ] Only the area described below is subject to the Act and shall require a filing of the Notice of Intent: 4. ( ] The area shown on the plans is subject to the Act but the proposed work is not dredging, filling, removing, or altering, and therefore a Notice of ' Intent is not required. 5,. The* determination that the work is not subject to the Act shall expire within one (1) year from the date herein. 6. This determination does' not relieve the person-requesting the determination from complying -with all other apolicable federal , state or local statutes, ordinances, by-laws, and/or regulations. 7. Failure to comply with this determination and with all related statutes and other regu latory measures shall be deemed cause to revoke or modify the said determination. 8. No work may be commenced under this determination until all appeal periods have elapsed. ISSUED BY: C � /`�•G�/G Chairman, Conservation Commission Where the Department of Environmental Quality Enqineering issues a negative supersedi determination, you are hereby notified of vour riqht to a formal hearing pro- vided it is made within ten (10) days fron the date of the suoersedinn deter- mination of the Department of. Environmental Quality Engineerina. y� \4� i Ari 4- r/ 2�. 4 i i 4 ter' LoCAT I O" ` j S- GrtZT11=14 THAT T146 PL.AQ WWG-:o" GON\Pt_-!S W ITN TtaE >lVrE.LlWC t-- N Z - Vk-tt J VAC K og AWv SETMACK VGQUllZEAAE:WTS OF TNC- ,�. t •` ,,. To w U of CAA -t,)51'�13t vATE A"� L I c E3QXTE . 1.��lfr I�.tG_ REG1S(T-tZ�-� LA W C> SUCV&`(o V-S THIS VLAW IS WOT E5,&SET;) OSTuzv% LG o rIr(aSS. r (t.ly'MUAnG:t-IT SUZVC�{ ¢ TtaL og:c- = Si-Ic)!Ut.D t1PPt,.I GA.t• IT' � v r , I�IGI Eat- t�Stc> 1"c, Derc-v-mtw& LOT Ltae5 I - ---qm i 74 '.e TOWN OF BARNSTABLE Permit No. -------------------------- Building Inspector { ...� Cash --- - — — 0��0■PY�'\� 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 Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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 Afgessor's map and lot nu r :. .. ......Yg.5..... 4. / j-X 11~ THE TO� �O �y�4,Q O1 Sewage Permit number 1 ....`?............................... SEPTIC SYMM �r House number .......... .]-�)A........................ IIV STAU DH CO os�1 L m� TITL 39 E 'Fp 39 a\e ENVI TAL COD TOWN OF BARNSTA GULATI0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........, t.dIZIP„2..................�LIUIell!5.t.6................................................ TYPE OF CONSTRUCTION ............... C�O/„ ................................................................................................... ......................... .............19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Zq?.7-.............. � ......./. !!/�....... ........... ...../.." 4� 7.......d. .G. .a...... ProposedUse .......... ..................................................................... ...............................I......................... Zoning District .........A.D.-J.................................................Fire District O Name of Owner lVe?Z . .W.......j�2(. C.� ..........Address .1 dl........ Z�& r.. I Name of Builder ......f-l�4 efl! ...........Address ...&..ff ...... ........z/A /!1 ..... �1� Nameof Architect �� �/..................................................................Address .................................................................................... Number of Rooms ......................... .......................................Foundation ..�v.....�Y Q��.S......... SDU ...S.......... Exterior .....<;-44�.......... ....... 4. X--.........Roofing ...........ef6/. ...................... Floors ..........�L)'!rt!�U .....................................................Interior ............ ................................................ Heating ......fLeG7? ..... �......................................................Plumbing ...... �.1/.....�.ezfy1e.-�............................................. Fireplace ....y?it ..............h14�P�TOV/`... �1 ?J9�-Approximate Cost ...........c ... 1�... U. ...................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ............I...........!/.......... Diagram of Lot and Building with Dimensions Fee ......... ....... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 40). 0 0 �6 I hereby agree a to conform to all the Rules and Regulations of the Town of Barnstable regarding the above g 9 9 construction. Name ................ .. . .......... ...... ......................... *DUPUY, MATTHEW N6 y.2 210 9 Permil for TVQ..at;PrY........... 1 4. F .......W.. gtmp ...17 ...L).w.P,.1.1 j a g................................ Location ...12.7.7...5 i.V.P.r..Ro-ad..... ..................centerVille................................ Owner .....Ma.tth.(aW..DUP.UY.......................... Type of Construction ..Frame.......................... .............................................................................. Plot ............................ Lot ................................ Permit Granted ....... 1 10. .............. .. .......19 80 e- Date of Inspection ................. . .... .......19 Date Completed ....... '57 ........19 PERMIT REFUSED ............................................................... 19 M IV***,,*,*,fn,i......L **............................................ 1, QC ..1. ......0.3.............................................. .......... ............................................. It ..........I#�- ............................................. Ito 00 1—' 0 Appro ......M.5............................... 19 ............001. ................................................. G -P PWAI, ....... .... ............ . .... .............................. L 0 /?et Assessor's map and lot number ..,...... .... � yoF TN E :Sewage Permit number ,5...2 ..' ............................ d ! Z BAHH9TADLL i House number �'..... / ' �� L F` rasa ........................ 1639. 9� 'F0 r TOWN OF BARNSTABLE h .. BUILDING INSPECTOR ' APPLICATION FOR PERMIT TO ................: TYPE OF CONSTRUCTIONIV ....................... i,................19.. U TO .THE INSPECTOR OF, BUILDINGS: The undersigned hereby applies for a permit according to the following`information: Location .... ,7...........:.. ......... Uf ......'��..........c . Zf .:/,/.`:...... !9........1>.. ..... a ProposedUse .......... .................................................................. Zoning District ....... .1./.....!..................................................Fire District ......C, lo Name of Owner /!1�:........ /./„e�t�. .✓..........Address . ...... f/,y�%.....�':�:/.fU... ....... Name of Builder ............Address .... `///k /r {)4,1, Tip j /Y�if ....,. ........ ..... Name of Architect // ..................................................................Address .................................................................................... Number of Rooms ..............................................................Foundation :.� =�.... s.�%�<, 5✓�,�`j / Exterior .....4.. f,: '.............'..f.` :f! .........:/ U. .f......1..........Roofing .................... `:.................:...... . .................... Floors f= :: .z �r .........................................................Interior ............... Heating ......f.'.. i r�':: ......................................................Plumbing ......... :.......:..:`...f............................................. Fireplace .....k, `............. -.Approximate Cost .........' JJ .J.:...:................................. s r— Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .............; '......� .. Diagram of Lot and Building with Dimensions Fee .. """ '".........:........ .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH1,'a'r I� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ` e ..L'^ ............................. DUPUY, MATTHEW A=138-74 No .,22.1.0.9-. Permit for .......... .............. ............................. Location .127.7...B.UMPS...R-iV.er...PWad........ ................Center.v.d-lle.................................. Owner ..Mattlae.w...Dupuy............................. Type of Construction ..Frame... .•.•.••..•••.•.••••.• I I ............................................................................... Plot ................... 'Lot ........... Permit Granted .......j�Pnr�ii 1 ...........19 80 Date of Inspection ....................... ..........19 Date Completed ..................... ................19 PERMIT REFUSED ................................................................. 19 ..... .... .. .. . . . . ... ... .. ...... ...... ... ......... ... .. .... ................. . ...... ...... ..... ......... ........................................ ...... ..... ..................... Approved ................................................ 19 ............................................................................... ............................................................................... QA sessor'' Office 1st floor Map Lot / a Permit# _ �- -Conservation Office 4th floor a --21— Date Issued 1 6 Board of Health Ord floor Engineering hngineering Dept. 3rd floor House# oR t. (1st floor/School Admin.Bldg.): SEPT SST BE INSTAL PLiAMC'Z: Definitive Plan Approved by Planning Board i9 °E 5 (Applications processed 8:30- : & 1:00-2:00 .m. .t ENViRON L C®DE AND TOWN OF BARNSTABLJEf Building Permit Application Proiect Street Address /0?77 &WX-ff Village Fire District C'Pit%1- OST, (hvner / Address S/>raMf_ Telephone Permit Request: /Q PI QAI a X' 7 oZ _ � el 4- y Zoning District Flood Plain Hd Water Protection IVO Lot Size _. .� f Grandfathered Zoning Board of ApMls Authorization Recorded Current Use Proposed Use e,e-re- Construction Tvne Gcp a0 f�l. /tf Existing Information Dwelling Tv-De: in le Famil Age of structure Basement // Historic House Finished yef Old Kin 's-Highway /Y6 Number of Baths No. of Bedrooms Total Room Count not including baths First Floor Heat Tyne and Fuel 6.4 s Central Air A/b Fireplaces *1 Garage: Detached Other Detached Structures:AD Pool rt/O Attached Barn hO None Sheds A0 Other A4 Builder Information ,Name Telephone number ti Address License# Home Im rovement Contractor# I Worker's Compgusatio11 # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. T ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � �-Z Project Cost 004, Ob Fee /yl, 7K SIGNATURE DATE ��3d/�. S' /yl�9T,71��✓ D��v ro wNf� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) /6 6 ` BPERM T _. 1 - i 4/2 4/9 5 -133.6'fr� FOR OFFICE USE ONLY 1F` 188.074 ADDRESS 1277 Bumps River Road VILLAGE Centerville OWNER Matthew J. Dupuy DATE OF INSPECTION: FOUNDATION / - 'j/ FRAME JNSULATION r-. FIREPLACE ' ELECTRICAL: ,ROUGH FINAL w PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , I J FINAL BUILDING: 446 DATE CLOSED OUT: ASSOCIATE PLAN NO. �Op1HE Tp The Town of Barnstable BARE.MASS. Department of Health Safety and Environmental Services 7 $ - o39. � Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection t 5 Location t J` )1A� fj,'J1 L1 Permit Number Owner Builder 'D U P L/ One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Co Q, G( t�.ezo kle, ' AA A �v Please call: 508-790-62227 for reeinspection. Inspected by Dated `�2 ✓ ;a r i 1NE r The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services 7 MASS t639. N0 Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection F(2-0 Location 32�-:� R3 Tx4 e-� Permit Number Owner Builder \1� One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: o 1 r Please call: 508-790-�6`227 for reeinspection. Inspected by Date TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATIO N, Number Street address Sect ion.of: town . "HOMEOWNER" Name Home_ phone Work ,phone:: PRESENT MAILING ADDRESS City town 0 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(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 to six 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 re., onsible for all such work Performed under the buildin ermit. P (Section 109.1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat 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 ins ection procedures and requirements and that he/she will comply with sa ' o dures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Dote: Thiee family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control.. 11/02'94 17:02 'U6177277122 DEPT INT 9CCID . 1600 h � oY� � n,r,�;-� n,,::•nfi,� ��! ihln�srfrzCliu�(�t�f eUaPa�tnienl o��ndu�f��al./deetde�t[� 600 UVcuhin�ton.,S' ef h w James J.Campbell /I'.M.A., b 02f f f Commissioner Workers' Compensation Insurance Affidavit with a principal place of business at: v: IVA do hereby certify under the,pains and penalties of perjury, that: - . "._ }rp MA' n C•. 5 k j£ ti F- wc V 5'.+4t 'l. _ O I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Humber O I am a sole proprietor and have no one working for the in any capacity.' ; () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers'. compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Q� I am a homeowner performing all the work mysel7. f. ce_`�cc ccc; c`t�i<s_te-E�:µil;='e fcre.-ralf tc L e G.Mce of of d:e CIA for eoxrerage wrifica.ion and that fzilv.-e tc sKcre cc:=-age rEc_:::Ec cr.cer SN. er?.h,of N,GC 452 c..,ie«zo t�, impesiticn of criminal penal;es eonsisrn¢of a fine of up to S I,50�.00;:rd/cr cn yEz::' i r�rixrcEn,,z µEfl as c i,rEnzive.!1 t`:e fc^-cf:!STOP WORK ORDER and a fine of S 100.00 a C_ry wins:me. Sir,eC] this G day of 19 q� L' n tree Building Department Licensing Board Selec mens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, s75 T01,7-: (_ B@=`1'ST=--L= BUILDING ?EIMIT .-7r7 of Yru T� BAMNSTABLZ The Town of Barnstable ^ �0$ Department of Health Safety and Environmental Services 13uildin� lli� ision 367 Main Strect,Hyannis MA 02601 Office. `508 790-6227 Faac 508-775 3344 _ RalplICwssen For office use only Permit no. Date = AFFIDAVIT>r� , ,, HOME IMPROVEMENT OONTRACT?ORLAW S(IPPLEMENTTO APPIdCATION ` PERMIT , L `2y MM c.142A IeQiiire5 that the`�COpiZS(rri(Xipg MTwYement, remotal,demolition,or on-of a, containin at Beau one �' to.:w P building g o but Dot,more than four d to such a".e1Lng unrts cr: which zin ad�aoeat residence or budding be done by registered contract ' �- ors'With cenarn aooeptioas,aToag other Type of Work:_ Addrrssof.Work Omer Name:_ ✓Y�i�� ' '��//y!/y Date of Permit Application: 4' I hereby certifv that: -o• ..^.C:rey:::rG.'•�. wuuLi7ri�r4aSpI1�S�- Work excluded by law Job under S 1,0M Building not vaper-00cupied Owner pulling own permit Notice is hereby given that:' OWNTRS PULLING THEIR OttRN,PERMIT OR DEALING'wrm UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO- NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARA Pry FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY - I hcrcbN.2Pn]\-for 2 pcmio 2s the ar_cnt of the o,,>—ncr: IJ2IC Cc;,ircor n:me Registration No. OR . � aap Date Owner's name Lid i..I FILE # D4100 CENSUS TRACT # CLIENT: Ardito, Sweeney, Stusse & Robertson DEED:BOOK 3064 PAGE 134 OWNER : Roy L. Dupuy, et al. PLAN BOOK 178 PAGE 145 LOT APPLICANT: Same ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN of LAND I N B A R N S T A B L E SCALE : 1u= 100' NOVEMBER 22, 1985 41L 27 3 PARCELS 0217 ol 1.5 ACRES±=TOTAL 2 STOR 00 ',. 308 . 91 ' ` L 74 , ' 57 , 10 ' 70 , 59' BUMPS RIVER ROAD I CERTIFY TO ARDITO, SWEENEY , STUSSE & ROBERTSON, BANK OF BOSTON-CAPE COD REGION AND ITS TITLE INSURANCE COMPANY , THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS ; EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION , THE LOCATION OF THE .DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS 'WITH RESPE& TO­"HORIZONTAL- DIMENSIONAL REQUIREMENTS , THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED " ON A MAP OF COMMUNITY #250001 DATED 8/19/85 ._._ BY THE F , I A . THE EXACT LOCATION OF THE BUILDINGS SHOWN CANNOT BE DETERMINED WITHOUT AN ACCURATE INSTRUMENT SURVEY , Land Surveyors Civil Engineers �laC �II8tD21 �lttn� �ur11Ep fQO., �lni~ 17Z ?Milliam $t. Ntfu �Reaforb, 02740 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con— structions. .(4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. -Z-41 �t1 - i VY � 1 �S1efSo21 tilf�P : 8� -La T a 0, 177 D v�`��/ _ 0� IeP 7 7 - -