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0012 EVELYN CIRCLE
All R-3 ,iL A $�47 OR Oil ETA I w" Ea k, 4 %M MOMMAM. gp'p�mWi, "e,�wli� .1�jll *g��.�1 a NO, 1,02 ,gtiv U.Mr-N,6, U Iz X nj y P 01, fg q :i 4A; k jg� 4 'w 4. N:,4 "Al ID wg lkqc 41, Mi- tv .............I MA, a,�,fti- 3 g;y a �,g g'1 6 g 4�,044040 ng g F U11 4w -a, ;'Y q. �K% W R. R 1z ,i�6 -I RB, rl,, "Vill�`V OR,-1 -471,&M., T�17'1, T V "I T-4 +�F - r F ` �T ' t 139 Queen Anne Road RONTIER TIER Harwich, MA 02645 -Energy gy Solutions, Inc. -. `, •. Office: 774-237-0410 ` c c7 s Co l and Ir r eaa y P Web: frontierenergysolutionsinc.com Certificate of Insulation Work Job Site Address: / Crew Mer 2ers on Site: n Cep ilk Description of Work Location: Square Feet: Material/.Inches,:, Manufacturer: R-Value: R-Values tper inch:Cellulose,loose;37,Cellulose,Dense Packed:3.2,Fiberglass:3.0,Poly-iso board:6.5,Closed Cell foam:,? AirSealing Completed: 'Attic Access Treated:, Blower Door Results: ❑. Attic ❑.: Pull Down Stairs" Pre-Work Test: ❑ Basement ❑ Hatches". Post-Work Test: 15 Living Space ❑ Doors . " No Blower Door Test t ❑ None Notes:_ _ i I certify that the address listed above was,insulated as described on this certificate, and that all work was performed and installed in-accordance with state and, local building codes. ob Foreman 51(Os 261 Date i Town of Barnstable Building $,r,A _ Post This Card So That it is Visible From,the Street-Approved Plans Must be Retained on Job and this Card Must;be Kept M AIM ti Posted Until Final Inspection Has Been Made. . a ... shall.Not _...__cUpi_,.. until.a Final�lnspection.has been made ? Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a � Permit No. B-19-2970 Applicant Name: Andrew Philbrook Approvals Date Issued: 10/07/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 04/07/2020 Foundation: Residential Map/Lot: 187-062-002 Zoning District: RD-1 Sheathing: Location: 12 EVELYN CIRCLE,CENTERVILLE Contractor Name--,,THOMAS V PHILBROOK Framing: 1 Owner on Record: Lester and Kim Grooms Contractor License: CS-006083 2 Address: .12 Evelyn's Circle °N Est Project Cost: $25,000.00 Chimney: Centerville, MA 02632 p Permit Fee: $ 177.50 Description: Remodel attached two car garage: remove existin dr wal,l, update Insulation: P g g g. Y � P � � p1G (DIlL��9. r Fee Paid:; $ 177.50 electrical outlets/switches,install new insulation, install plaster,and Final: install new interior trim package and entry step to main house._ Date. ' 10/7/2019 S q Project�Review Req: ALL WORK WITHIN EXISTING FOOTPRI T. NO CAHNGE IN G 'J y Plumbing/Gas USE. Rough'Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st u'ctures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. f:k - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:: '' Service: 1.Foundation or Footing el 2.Sheathing Inspection ection _ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: - Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT final: Town of BarnstableBuilding Post This Card So That'it is Visible From the Street=Approved Plans,Must bexRetained on Job and this Card Must be-Kept, HARrWAI MAMPosted Uritil`Final Inspection,Has Been Made' _ el illl� �. . Wherela Certificate of Occupancy is Required;sucWBuilding shall Not be Occupied until a:Final Inspection has been made. Permit No. B-19-2962 Applicant Name: Andrew Phil brook Approvals Date Issued: 09/19/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/19/2020 Foundation: Location: 12 EVELYN CIRCLE,CENTERVILLE Map/Lot: 187-062-002 Zoning District: RD-1 Sheathing: Owner on Record: .Kim&Lester Grooms Contractor Name:' �JHOMAS V PHILBROOK Framing: 1 Address: 12 Evelyn Circle Contractor License: CS=006083 2 Centerville, MA 02630 Est Proje' t Cost: $9,300.00 Chimney: Description: Replace(3)existing skylights i Permit Fee: $47.43 Insulation: Fee Paid.; $47.43 Project Review Req: 8 Date: 9/19/2019 Final: Plumbing/Gas Rough Plumbing: Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by this permit shall conform to the approved appl,ication and the approved construction documents for which-this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures-shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public-inspection for the entire duration of the Final Gas: work until the completion of the same. ) Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire�bfficial"s are provided on this;permit. Minimum of Five Call Inspections Required for All Construction Work:, - Service: 1.Foundation or Footing )� _ 2.Sheathing Inspection _ ` Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical;Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). . Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: P , 'r L`*a� C, 1 oFt r Town ,of Barnstable Permit# ',Expires 6 months from issue date °^ Regulatory Services' Fee * BAMSrABLE. • {� Richard V.Scali,Interim Directo! r i r �Y .- ",� maw TFD MAI p l IWP Building Division ;°k Tom Perry,CBO,Building Commissioner Ap� 200 Main Street Hyannis,MAj 02601 t. 1 I, www.towmbarnstable.ma.us ' 4.: Office: 508-862-4038 $ OWN F �( �530 EXPRESS PERVITAPPLICATION - RESIDENTIAL:t, of Valid without Red X-Press Ir Wrint d i Map/parcel Number ' P Property Address ['Residential Value of Work$ V� Minimum fee of$35.00 for work under$6000 00 Owner's Name&Address '` _d' `J rL1 f_ Contractor's Name �-� � I Telephone Number.. r ( � i:l t 0 Home Improvement Contractor License#(if applicable) 'Email: „ Construction Supervisor's License#(if applicable) • I I,j� v i; ❑Workman's Compensation Insurance Ch one: g. PI am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance !, } Insurance Company Name ) Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. t Permit Requ (check box) r,� O(S �a-.l Re-roof(hurricane nailed)(stripping old shingles)'All construction debris will be takeri:to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side M ❑ Replacement Windows/doors/sliders.U-Value. ` i (maximum.35)#of windows #of doors: - ,,. i ❑ -Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required 4 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. r ` ***Note: Properly er , ust sign Property Owner Letter of Permission. py f the ome I ment Contractors License&Construction Supervisors License'is req it d. SIGNATURE: Q:\WPFILES\FORMS\ u' 'ng permit forms\EXPRESS.do Revised 061313 OFTHE Tory Town ofEBarnstable Regulatory Services BAP� '' �tE�, Thomas F. Geiter,Director $pTc�►9.. Building Division, q 4 Tom Perry,Building Commissioner 200 Main Street Hyannis,MA,0260 is ) www.townbarnstable maus Office: 508-862-4038 E' } . ° Fax: 508-790-6230 Property iowner Must i Complete and Sign Tlii� Section* ` If Using A Builder } as Ow net of the subject to e { ' l P P riY heteby authorize '1��, � to act on my behalf, , y in all taattets relative to work authorized by this building permit dress of Job) ' Pool fences and alarms are the esponsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. { i t *i S atuxe Of C�wn r, Signatute of.Applicant t Print Name Print Naiae ; # Date f Q:FORMS:OWNERPERMISSIONPOOLS 62012 I 1 The Comzrro ntfealth ofMassachusetts Dep.arment ofIYutrvsfrinl.Accidents t Office Of� btvesi�.�ns s. 6001,WiT v,hinglon,meet YVngi1 ::mas&g(iVdit Workers' CompensationInsmunce Affidavit:Builder (Contractor Jectricians/Plumbers AppEcant Information n }a t : Piease Print h Name(Busmessl6rganizafionl7ndivit�aiJ: \ �-1':� ��11L Address: i box City/StatelZip: �11��j, 1� i7-i �( � Phone �� Are yau.an employer`:Check the appropriate boX s • { T3'�of project(required): 1_❑ Lam.a employer with 4_ I am a general contractor and I 6- N w l the sub-contractors oonstnior /dmployees(full agdlor part4ime)_2..If I am a sole proprietor or partner- listed on the attached sheet~. 7_ ❑Remodeling. These sub-contractors have ship and have no employees 8_ E]Demolition. working forme in any capacity- employees and have workers' [No workers' cutup_insurance comp-insurance_ $ �: �Building addition rewired] 5. ❑ We are a corporation and its 10_.Q Electrical repairs or additions ofhrzr''have exercised their I❑ I am a homeowner doing all work 1I_.0 Plumbing repairs or additions myself [No workers-camp- right of emempfiou per IV1GL IIFI Roof repairs insur,ncerepined-]1 ' c. 152,§1(4),and wre have no employees-[No Workers' 13_.0 Other comp::"insurance rt;q _]i "AII3agPti vtthatchecksboa9lmustalsofilloutthesectionbelowshowingihcawo�cers'compensationpolicymfbrmation. FFomea�rners wbo submit this affidavit indL atimg they ate doing al i ork and then hire outside contractors Est s¢binnt a new afdnit mehadn such IConttactors that check this box must attached an addi[ional sheet shoumg the name of the s&-oonff=Wr&and state whetlra[or not those t•Mies have employees. If the soh-contmaors hale employees,the}must provide their worker'comp.policy number. Iam art efnpLoycr that is proWdag ttrorke_rs'compefrsrrtio.n insurance for Pity employees $elotr'is SiepaH'and job site ifif Ot fRatitJft_ Insurance Company Name: Policy 4 or Self-ins-Lac.9:. r ExpirationDate Job Site Address: i City,'StatelZtp: Attach a ropy of the worker s'compensation polic.`y declxratiom•page(show'a�tfing the polic}'ja Mber and expi-atio-n date). Failure to secure coverage as mquureduuder Section.,25A of MGL c, 152 can lead to the impositioss n ofrriminal penalties of a fine up to$1,500.0a andlor one-yeariinfxsontut,as well`as civil p'eaalties in the form of a:STOP WORK ORDER and a fine. of to$250.00 a day against the violator_ Be advised tiiaf a copy of this statement may be fbrip arded to the Office of Iirvestigations of the DIA for ^c a verification_ I do{ fy ra.n the p ff ed pe es of fury thatthe infor,;r at&npratidc'Fd W is and correct Ss tare. r.,.`f Date' �f r ( .t Phone a,;f trial use only. Do,trot Write hi this area,to ba'cefifp;eted by av or fawn afficiaL City or Torn: PeruritUcetse it f t , Issuing Authority{circle one}: ,r 1.Board of Health 2.Building Department I city! own Clerk 4 Electrical Inspector'S,.Piumlung Inspector 6.Other Contact Person: Phone#: . 6 - _m .._.,.. ....- ;, .._j-_ .-.-::� ..:�wr—...�_.•r�-i.o ....-,c-..ems..-we, ... _ .. _ -.-._ _ _ - �_,� - Massachusetts -Department of Public_Safety Board of Building Regulations and Standards Construction Supervisor Specialty ' License: CSSL-099138 ;r. ,dA]VdES P CURLED 28 7 FULLER ROACD ` Centerville MA 0632 e�'I .10 Expiration Commissioner 01/28/2016 m ,o .:a ...:-N, r. .:.... .w'....: .;....{,.?^». - t ^h7§.F`,:w,.. W. y r,.. tEr`lL h: z�"+ ,2 i',J ;.Gsl y.r.'i's ..,SJ { '' qt' S r. �t '.' fa>, ,fo t1 � `; ,tia r." i� ,: ',a.v.' �.. .- ., ' .r, ;. a .'.,{`'. ';u. ike'' '' v .,q , A' Ij.' spa,€v.ia. t .'�'. y _', p <°•,:,Jtr .. . .� i� i r ` a.-. k- 'b `.i - .' 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I t t t, y tag€`«, Y t t'9'f5e+'fNy tG t�`. v- n�1ykLIm t. ;xY' t"c :.� a c {, 2 Y G sF x r X ,: d ,r r :: a s . .A- t r . .-.. :. •t.,. ) . -' „ r. •.: :. , . :_. rc ..�. ... .. - _ - ?'; 4 L .. `Sr`' 7. A - y _- �} _ Z1 f �r, .,..,.., 11 ;.::,u-...,.,.., _.,:.:,,.w t-... ,+ ..:,.. ,r ,y. .vy, ,,-,}:a. ,r r - :+fc r7o.,i .0 t..w- } .ta' *YY'bi'T«� , w- 0 O"2 Assessor's Offics.(lst floor) Man -I✓et-- �� .• �� C� Permit#. 37 Z 9 3� Conservatibn Qffice f4th floor -r1— ---�� t�V11�•�� ��/ Date Issued S✓ Board of Health Ord floor) 1411 En ink Bering Dept. Ord floor) House# r l Planning Dept. (1st floor/School Admin.Bldg.): i MUM Ifff rA�, i KAM Definitive Plan Approved by Planning Board 19 2679. (Applications Drocessed 8• -9:30 a.m.8c 1:00-2:00 .m. f S° SYSTEM MUST BE - INSTALLED IN COMPLIANCE ' WITH TITLE 5 TOWN OF BARNSTABLE ! ENVIRONMENTAL CODE AND Building Permit Application Project Street Address Village �cvr� �e..J'U� 't`r Fire District Owner 42S G/3��W \ Address Telc honcZ- Permii Request: (( y b V Vy U 1 rV Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Anneals Authorization Recorded Current Use Proposed Use Construction Tune / Existing Information Dwelling Tyne: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old Kinp s Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name `��� +J f'�6" \ Cr,� Telephone number U 3ci� _ 1 1 Cf Address 43 License# ©'In 20 1 s �� OWN ° O1G pi Home Improvement Contractor# Worker's Compensation # G �I E-1) '2—n E4 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 Project Cos'tP IS,ocDo FeeJ,�,CIO SIGNATURE DATE BUILDING PERT DE ID FOR THE FOLL W MI IN REASON(S) BPERM T r 746 FOR OFFICE USE ONLY rr 3/13A95 -3q49-3- 187.062.00/ - ADDRESS 12 Evelyn Circle VILLAGE Centerville OWNER Ed Caldwell , DATE OF INSPECTION: - FOUNDATION FRANE INSULATION „ • - t FIREPLACE _ r - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: - /�' � "s o— 4 DATE CLOSED OUT: � 2 �� �;- %L ,J ASSOCIATE PLAN NO. ce in s cp t4;3 AdMhk SURETY 1-800-331-6053 Fax 1-605-335-0357 P.O.Box S077 Sioux Falk SD 57117.5077 www.cnasurety.com October 17, 2002 Agent Code: 20 17666 Town of Barnstable Building Inspector Town Hall -367-Main Street, nth Floor Hyannis, MA 02601 Re: Bond#69194880 - Christine and Edward Caldwell 12 Evelyn Circle Centerville, MA 02632 $750 -Road Contractor- Town of Barnstable Company Code: 601 - Western Surety Company On October 11, 2002, we sent you a letter of cancellation for this bond. We now wish to rescind our initial letter. We will continue as surety on this bond. We are sorry for any inconvenience this may have caused you. Sincerely Darci Boy Northeast Service Team DB:rje cc: Mc Shea Ins. Agency, Inc. Christine and Edward Caldwell hr r { f i I ( I • j I II f . I I :�-En�c.-E • F�r - 1� Wo. ; l i F n; FJ SCALE: L = r APPROVED BY DRAWN BY DATE: r- L I ' 1 , r r I _ • a I 14 � 1 4 7, ' rs 10' i I n 1 w I. / �/l/ ��ltc'bfa t I 9A hAw�nJ^' r,'b,d' r jj2A-l1� BAXTEIi 7-/.oY 7-,4.47'Ti�/� f ov ��Tlv�► aG.47/OA/ SNo«iV yE.2E'O.C/Co�1.d.G YS Grp/rH - ' q L G /J /.�/� A�/o,s'ETBA C� / ., j . O-=q TE 2,q 9a <4�t/Apr Z � 1 9,9 % /NSr-,e'U�.��t/T S!/.2!/E}� y� '2EGSTE2E�, L•�WO .S'U.E'YEy�a� STE.21i/.C,L a .vJ,4SS. 7.ev OE'T� TH , COMMONWEALTH OF,MASSACHUSETTS Bo: A of Building Regulations'and Standards i1' Transaction No. On. Ashburton Place,.-Room'130.1 Bo., on, Massachusetts 02108 ,,_ b Registration No. l l 2 o 7 b Apl !cation for Registration as a Effective Date Hot a Improvement Contractor or Subcontractor M( Chapter 1424,';CMR 7804 Expiration Date . .7-12 2 f car t • + ? ; is FOR OFFJM USE ONLY A fi; Date` 14195 1. Name Print the n me of the in idual or business applying for the registration(not both) c' 2. •MailingAddrew /5/3 ;PPo2 COu.i)'yW` 3 City J/�n�V. ,>°o�T State /9� tip O Z.G39 r Area Code&Telephone Number 4. Street Address i f different)_ * ;, Print stree and Number(P.O.Box not acceptable) ty State, tip 5. Applicant type ❑ Indivi tat ❑ DBA ❑ Partnership ❑Trust i►' Private Corporation ❑ bite Corporation (See instruction on back reg: ding enclosing a-d tinder the-D us name"lavv _Mqj c 110,as S&6) ')._ (see instructions) 4 7z :Number of Employees & Individual responsible for Ho a Improvement contracts` r.. 77' Last First. Mi r 9. Title of individt-I responsible 'or Home Improvement Contracts% "l!9�,.:a: ,. O 10. Does the applic at or respon, )le individual hold any other constructio red-state;pry tawd?licenses or registrations? ❑ If yes,Corr Mete the tabb below. Use additional paper if necessary. D, Yes No Type license or registratic Issued By cense or Expiration Name of License Holder ` JACLIA tion number Date co 11. List all partner.. trustees,of! ers,directotayand major"+ ers(10%or greater of ownership)of an applicant partnership or corporation below. Use additional pape if necessary. See it truct�oas on back) eck here if you wish to receive an application for additional ID cards for key persons.❑ Last First, (tddle inttuil` v T-tle in Applicant Business %Owner Address r�Pt�UIS� ,M�F1 12. Is the applicant -laiming exec ption from the registration fee? (See the instructions on the back) El If yes,inc' Je a copy of ;current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13. Registration fe• enclosed:$ 6 Op Guaranty Fund fee enclosed:$ Include two se: rate certific checks or money orders-one marked "Registration Fee"; one marked "Guaranty Fund". ALL APPLICANTS MUST _ INCLUDE A IARANTY UND FEE EVEN IF EXEMPT FROM THE REGISTR'.ATION FEE.See instructions on back for amount of fees. ake all certified checks or money orders payable to,"Commonwealth of Massachusetts" rsuant to)• :ssachuselts General Laws Chapter 62C section 49A,I certify under the penalties of perjury that I, to�mybest n-owleedge and belief,have filed all state tax returns and paid all state taxes required under tew,I Signature. f applicant applicants representative Title held with applicant A false r aver to any ueslion in this application constitutes grounds for suspension or revocation of the applicant's registration: J. Y � 4 r, f �•r, M, r` k " COMMONWEALTH ' -'DEPARTMENT.OPPUBLIC.SAFETY OF,'s ONE ASHBORTON PLACE. �q MASSACHUSETTS {r 'H BOSTON,MA.02108 w .:, IRATION DATE ° LICENSE 'k CAUTION 4 x .. �B4 t LI19�7~ cOtySTR SUPlt ISi�R { ,r FOR PROTECTION AGAINST RETRlCTIONS EFFECTIVE DATE THEFT, PUT RIGHT THUMB'` r PRINT IN APPROPRIATE ` BOX ON LICENSE r R MgFtK 3 CpLEMAN BLASTING .OPERATORS c MUST INCLUDE PHOTO *x' # .m �4'`GHERCI EE- `'Rif i PHOTO(-LASTINGOPR ONLY) ',.FEE " I�ARWICH "NA Oi�'6�+5 - • .' -`•.." R;:ra { Fallon to Possess a*arrant ll){ Y NOT VALID UNTIL.SUiNED BY:CICENSEErANb OFFICIALLY p0 ?+_ +' wasssobegatts State `I EOty STAMPVQ.;OR TUfir,HEIGHT- a ode/s asao for voaaFC, t/oOnDOB: v/this 110OA4d. y d'�3'�t �. '(�; �' r .. :. �` �C '^: ;; c�f... :,THIS DOCUMENT.MUST BE : 1 « SIGN NAME IN F LL ABOVE SIGNATURE LINE �4{e3 CARMEDON THE PERSON OF y'.� SIGNATURE OF LICENSEE`' THE HOLDER WHEN EN vf � S '* TKAJ) HT THUMB PRINT GAGED IN THISOCCUPATION wa W r F t f ° r t t n } r �` v , a rti h y 17, F $ :f; h c T p.. . W r :-AA mom- -At 1. w"LOSS 0! `7 MPROVEMENY CONTRACTORS ROG13TRAT : 0 Board of EUjjjj7,, Renu!Qtions and "jan,6vd2 CME Ashburton place . R,,, 1301 Eoston . ManOachusetts 02108 HOME !MPROVEMENT CONTRACTOR 'Expiration 02/21/95 7YPc PRWATE CORPORATIM, ANCHOR DESIGN & POOL - CPRP,/ M jEAN DITTRICH 2-43 UPPER T Nn-yRCu D NR t ro ions"1 11/02/94 17:02 V6177277122 DEPT IND ACCID z 001 (otnfno0nuleaCt`L o f Vajjaclitt6etb ' alJttParfine,tt o�J'•ndu�trial✓�lcci�,t,t� 600 qq!//�/V��aa� iton Stmef James J.Campbell &ton, /i/da chulatty 02 f f f Commissioner Workers' Compensation Insurance Affidavit a (tloent�c/permiotee) with a principal place of business at: 96 (car/StmPizip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number O I am a sole proprietor and have no one working for me 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: ��G�acz Qt�c7�5 C0 COSC�k08\520� Contractor Insurance Company/Policy Number C co � �O�►5`l`l Contractor Insurance Company/Policy Number Contractor Insurance Company/Polity Number () I am a homeowner performing all the work myself. I understand that a copy of this statement will be fomsarded to the Office of Investigations of[he DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisdn¢of a fine of up to S 1,500.00 and/or one years' impris ent as well as civil penalties in the form of a$TOP WORK ORDER and a fine of S 100.00 a day against me. Signed day of ('n Cyr�� , 19 C� t�, M/K Lice see/Permitte Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # oF.NE, The Town of Barnstable BAR ASS.LE. Department of Health Safety and Environmental Services MASS. o +639 `00 PrEo a�a, Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection f Location V Q 1 a h Permit Number Owner Builder �{-e o .T One notice to remain on job site, one notice on file in Building Department. The follow' .g items need correcting: lm �VCY /0-0 co d,e v ) V Please call: 508-862-4038 for re-inspection. Inspected by � v Date �� �� .OFISErOy�'b The Town of Barnstable BARNI;-'- . MASS. A Department of Health Safety and Environmental Services 9� 1639• `00 PfFOMA�a� Building Division 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection J`l 1\1•S '1 Location/2 /' t! r 1 .1 el\ r Permit Number 5� Owner Builder S. OY10 c� t One notice to remain on job site, one notice on file in Building Department. The following items need correcting: CA r `� ni j n ,j t� `5 Cc �� Inc h . o Please call: 5`08-862-40381or re-inspection. Inspected by 1�� , n.o ✓ M Date lz E �� f � �, �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � �p Map� Parcel TO 'P� a ARf�STABLerit# Health Division _ ` 3 .3� ' -1 Date Issued Conservation Division T01,4V 20N MAR 30 AM 9`Olication Fee Tax Collector x Permit Fee 2 Treasurer DIVISION Planning Dept. SC-PTBG SYSTEM MUST B IASTA .I' XI)IN COMPUA Date Definitive Plan Approved by Planning Board VM TMI S V-%,V'a ^NMFENTAL CODE ANO Historic-OKH Preservation/Hyannis T �REGULA,-{�E�"� Project Street Address y �. Village Owner 6- Address v Telephone 505 ^ -7-7 43 "7 Permit Request clVd ' Square feet: 1 st floor: existing ( proposed._ 2nd floor:existing proposed Total new,21.�'- Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑.No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes b'No On Old King's Highway: 0-Yes 4Ao Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new co, Half: existing I new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count_7 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: des O No Fireplaces: Existing New �-Y Existing wood/coal stove: ❑Yes o Detached garage:;❑existing ❑new size Pool:V�xisting ❑new size Barn:❑existing ❑new size Attached garage Wexisting ❑: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 T7 Address T �n..�a / I�1r License# C g 9 M J Q _ A; � t Home Improvement Contractor47 # Worker's Compensation# _'2 0 �1 ALL CONSTRUCTION DEBRIS RESULTING,FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t FOR OFFICIAL USE ONLY PERMIT NO } DATE'ISSUED MAP/PARCEL NO.Aw A ADDRESS r, i VILLAGE r 1 f OWNER DATE OF INSPECTION: s i I ( ' r " FOUNDATION FRAME INSULATION ' K FIREPLACE --- ELECTRICAL: ROUGH FINAL J, PLUMBING: ROUGH FINAL } s •: - GAS: ROUGH FINAL a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. y % - The Commonwealth of Massachusetts Department of Industrial Accidents' • 9A3' . 600"Washington Street _ ' Bosfon,Mass. 02111 o R'orkers',.Com ensation.Insurance Affidavit-General Businesses MW / gem, '�°� :.T�,�e,-r.�q`,r'5.,. f .ti. �^•a•6., w.'�,.• -,—;a;}y'•S4�.T7 . ' r. i•!" . address: A-` � • �te zi hone work site location(fall address atkg I ain.a sole proprietor and have no one BRsiness ape: El Retail Oet Sestaur clndingReal Estate,Autosnetc•)' worJting in any capacity. Q. r . . ' - I am an em er with %mIn l7ee, �/% %%%% Other t% O�%%i `wram %/..�i rg v orkers' compensation for my employees working on this fob. I am an;emP .Y�,Pr• - COIn",9n~ >9IDCt �O� ;I. •,L,:•'�.r:; ti�.oL., :��•,y,• •;ti,• ,t .. r t'' .h "t;i:• �.,�•�... •. '.''i' .t, :i: •3• v` , _' •' ,;.,.:� ,.r•{i3„mod::•.•t .�• �}c:,:!t•'•��;•! !. .. IlM id a hone:#•'.. dit in Usurance.cosu T am a sole proprietor and"have hired the independent contractors listed below•who have the following workers' compensation polices: • : •rya' t `M1 �,•.•.. _t. 'i: =', gi..,�l..yi+':+;' :.r�:�t��':'w t• .�,• 'e: :t. r: ' "' ' •.: • r :' i s 4.r. .t:r.A .41. .:' 'i.t•�it;': ' Coln 8II n9m �.. Sc... 3; s.f`�:a'e•,., , . . '�;..,:•,, :r,'.r.,ta. `,.•" .. ;,�i�' `.t.t~' `.r: t.iA:p S:'(.:j, t:�;: t •i 1• - ':i:'•. :! '� 'a.' 1•.t• :t••:r' _ ':.r'r. .S.:• .: ,',}t. :7.Ar�'•.�':�Y'*�,'•.\!*°'.i,;f;! h;�'' e•, •i• .t,• •to:_ - , :��`tk :;:n!';.::Sjt J'.M1:..r:.. •'r.y._,•`t ?',• l;•:1:• .1 r, «w`r •• ti.�i%:�rF,i, ..,`.A.. >1`. ,t .5 •'Y:. .:,q,.5 t l:i •=!:ii•;.e�:, !:' •. .i., ., , .v.• �. •,'�:.•` }}�,� ', �•. •.r O12C ! t.a.Y'i= >:7i.:.:1 `'f . irisurance'co. ^ . ,t� •,.t! ::{.':•t• .•{: _' :t: ai':(�;i -s 't :4 r''1`n '"1 �•.•f, •E"•t a ••''',•t.,r�yi!. rn�}, r'•i .•t�{ '••'•�.i't t,•. .•t:t.�.,dt:.C::-,''' �•j`?"r`•' _4,.•:•+C ::�" •' •.:Y Y•'..t.s:..,:• `A"' i'• � , � ,t•,;' coin an• nanie:.s.• + hone#'s CI! ..,:r- ..1 y:.:. •.,:,t: ,;r.�•`.';,.�<k• .(.`i ifs ,'.''-' �•'a,'i: ,{•..: ".s:y!, ' `i' • 4>r" i l,�'; �:•Isr ' •!�• •„ i r,L• ,e,, •�� ..i,�s-•.�:.,`� =�1'=1��.:f.R.t, `- .. �'•-• � ,. ':t• :a••> r.;::•' :'.t•.,. "' `'4.S i:; C;;i i•'w'.f.�': -'OuC= fnsur�ii!sp�eb:•fir;•', .: . '�.� . on of cr of it giro y a to secure imprisonment as wrequired�penalties in the forder Section 25X m of a STOP WORK ORDER and a fine of$11000 00 penalties da gainstmme. I understand flat Kr one years'imprisonment ; copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification I do hereby ert u der the pins and pe alties erjury that the information provided above is true and eorre N. Date Phone#' Print name's official use only do not write in this area to be completed by city or town official permit(license# []Building Department city or town: []Licensing Board ❑Selectmen's office [�check if immediate response is required ❑Health Department phone#; ❑Other contact person: (�eti�ed Sept 7 l03) Information and Instructions Massachusetts General Laws*pter 152 section 25.re wires all to ers to provide-ovorkers' ensatioir for their. p q emP.Y P. ,. ernployees.. As quoted'from the I`law", an employee is.defined as every person m the service of another under any contract of hire;express or implied; oral or written. artners association, corporation or other legal entity, or any two or rngre of An employer is defnied as an individual,F hip, . the foregoing engaged in ajoint enferprise,and including the legal representatives of a deceased,employer, or the receiver or trustee of an individual,partnership,.association or other legal entity, employing employees. 'Howeveri the owher of a dwelling house Naving.not more than three apartments and who resides therein, or the.occupanttbf the.dwelling house of who kb spersons.t ..a6. .do maintenapce, construction or repair work on such dwelling house or on the grounds or another .emp. y . betiding appurtenant thereto shall not because of such,employment.be deemed to be an employer. MGL chapter 152 section 25 also'states fhat•every. state-or local Hcensing•agency shall withhold the Issuance or renewal of a license or perm?•to operate a business or to construct buildings in the.commonwealth for any applicant who has cce table evidence of compliance with the insurance coverage required. Additionally,neither-the' ' t produced a p no r .. . . . P commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority: Applicants Please M is .the workers' eorrpeusatm affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Departmerit-of Industrial Accidents-for confirmation of insurance coverage. Also be sure to sign and date the - should be returned to the city or town that the application for the permit or license is being affidavit. The affidavit requested, not the Department of Industrial.Accidents. Should you have any questions regarding the-"law"or if you are required to obtain a,worker§.'compensation policy,please call the Department at the number listed below. City or Towns . Please be sure that the affidavit is complete andprinted 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 bei yetumed to FAX unless othei'ari angements have been made. the Department b mail or 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,!"elc;h6!EandfMxnum�ber. . ' The Commonwealth Of Massachusetts Department of Industrial Ac cidents efffce of Wes#igatiens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 Er Town of Barnstable of �y . o� Regulatory Services Thomas F.Geller,Director ss 9 1639• Building Division �''°raD MA'S�` • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 O{fice: 508-862-4038 permit no. Date • AFFIDAVIT HOME L%dyROVEMENT CONTRACTOR LAW SUppLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,r onstructioaeof an addition tooany p e-e�xistin.g omode�wr�er o,c pied conversion, �nprovement,removal,demolition, ing at Least one but not more than four dwelling units or to structures which are adj scent to building contain such residence it building be done by registered contractors,with certain exceptions,along with other requirements. 1 Q• _ Estimated Cost Type of Work, Address of Work: Owner's Name'_ Qn lication' Date of App i hereby certify that: # Registration is not required for the following reason(s): - - DWork excluded by law [3lob Under$1,000 []Building not owner-occupied ' []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR 0 HME UyRROYEMENT WT OR DEALING WITH UORRY DO NOT HAVE CONTRACTORS FOR APPLICABLE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY Thereby apply for a permit as a age.Ut of the owner: Mex onttactorName RegistrationNo. Date OR Date Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE D New Buildings,Additions $50.00 U Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET _. NEW LIVING SPACE _ s uare feet x$96/sq.foot=� x.0031= �0 q plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft. x.0031= 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.0031= 7 STAND ALONE PERMITS. x$30.00= Open Porch _ - (number) Deck. -� -x$30.00 (number) - Fireplace/Chimney ---x$25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) �9(v Permit Fee of T°�ti Town of Barnstable Regulatory Services 's Thomas F.Geller,Director KAM 9�pr ►,��� Building Division _ TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508.862 4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using rA.Builder I LI.,C -�, c •• - .,•as.0wnet..of the.subject proper V— ..._..._. .: I hereby authorize �QO- T to,act on my.,behalf,. k all matters relative to work authorized by this building pe=it•applicstion=for: (Addtass of Job) Signature of Owner Date print Name Board of Building Regulations and Standards HOME IIVP,�ROVEMENT CONTRACTOR Registratro�rn 117610 z ExjSiration _ y� 'i0�25/2004 YPe 'Indi'"vidual STEVEN L.MELLOR 'c ` STEVEN MELLC�R t 199 PERCIVAL DR _ W BARN STABLE,MA 02668 "` °� Administrator . - ✓lie r�omvinaivaea o� aae�u�ae%ta P� s:: P BOARD OF BUILDING REGULATIONS License:CONSTRUCTION SUPERVISOR Numbe. 049879 — Explr ._aFi2p04 Tr.no: 198 Resti ttgtbwM--! J; STEVEN L M'ELL®Rt 199 PERCIVAL DR\� W BARNSTABLE, h '02fi68 Administrator MORTGAGE INSPECTION PLAN FILE NO.: 136998 UNREGISTERED LAND ADDRESS: 12 EVELYN CIRCLE BARNSTABLE MA DEED BOOK:8907 PAGE: 113 ATTORNEY: ROBERT J. DONAHUE 2002-3 PLAN BOOK: 394 PAGE:31 LOT(S):2 LENDER: COMPASS BANK FOR SAVINGS PLAN NUMBER: OF OWNER: EDWARD F. & CHRISTIANE G. CALDWELL APPLICANT: WALTER A. GARDNER & MARY DOWNING GARDNER, TRUSTREGISTERED LAND r DATE: 05/16/2002 SCALE:. 1"=60' REGISTRATION BOOK: PAGE: 'CERTIFICATE OF TITLE: PLAN NUMBER: LOT(S): FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: 0016D DATED: 07/02/1992 MAP: 187 BLOCK: PARCEL: 62002 N/F O'TOOLE LOT 2 35,851 S.F. 0 Lq o r` � LO N � LOT 1 0�=� LOT 3 =�Qoo DECK 1 1/2 STORY DWELLING/ N0. 12' DRAINAGE ` .. EASEMENT 125.00' EVELYN CIRCLE MORTGAGE LENDER { USE ONLY THIS iS THE RESULT OF TAPE MEASUREMENT, NOT THE'RESULT DES LAUME—PS— OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. & ASSOCIATES,ATCS, INC. 40 KENWOOD CIRCLE, SUITE 8, FRANKLIN, MA 02038 THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL.:(800)287-8800 FAX.:(508)528-4011 DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. ZN OF MASS THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN , o�'� ROBERT 9�0 A SPECIAL FLOOD HAZARD ZONE. EDWARD BISSONNETT N THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER N0. 31300 WAS IN COMPLIANCE WITH THE LOCAL ZONING ,BY—LAWS IN o EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL- SETBACK SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION oNAL LAND S ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey 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 construction. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. fr • O�THE The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services 7 MASS. 0 prf0 MPy d Building Division 367 Main Street,Hyannis,MA 02601 office: 508-862-4038 ?ax: 5.08-790-6230 PLAN REVIEW Owner: � ��1r1 s2lr Map/Parcel: (o 7 () 02. Project Address: 12 EV iv^ Builder: The following items were noted on reviewing: IL >r C)0 0. eb Q, Reviewed by: o Date: 4'— (� q:building:forms:review Ttb1e,1M%b(carst[aae j gated wilt to-oll Fuels {xye F'aekiSa fcr 8aa$Ad Two--rx=ur Aacideniisl HAitdlttEs M •gtr,g/Caaling CJM OR 9 {` llin R-Wt'adlul e ficar zu-rApSlab Fm cat E I-ncyr x A-YaIu ! 714 U. R-tttu R t A y,cluar Fes�St 31Q1 to 6500 Ncsting Dcm pxn' B Normal 13 19 10 6 Narrrucl 19 19 10 15 AFUE Q 1Z'�� 033 30 13 19 10 B Normal R . 0.50 5 uv% 31 13 21 N!A A Narrrsa! 15Yi Q36 31 19 10 6 -� 15 AFVE V 15*h 0•44 33 19 13 35 N!A A 15 AFVE Y 15Yi Q.a# 33 19 1Q NIA Nomsal 19 151/4 0.32 Z5 N!A Normal 131/4 0.3x 31 19 7s NIA NIA 90 AFLM X IS,1K 0.42 33 13 19 10 8 90•AFtTi~ Y 3b 6 Z Q.a Q x ia�. 3Q S9 19 1 0.50 AA • . � A ; v gESS OF PROPERTY: n '�io,•. V � 2. SQUAp,E FOOTAGE OF ALL EXTI,WALLS: S UARE FOOTAGE OF ALL GZ,AZIN �. Q b � 4. 6A GLAZ1'gG AREA(#3 DNIDED BY 5, SELECT PACKAGE(Q `'see char!abcVa): - ; OTHBRMORE SOLVED laTHODS OF DETERMI� Q gMRGY REQUIREMENTS eta ARE AVAILABLE, ASK US FOR THIS TNFORMATIO ' BLJII,DIlZG INSPECTOR ApPROV AL. _ '90'. q.faccns-fl80303a • F STABLE, MASSACHUSETTS BILDINGM�I' DATE October 2-5 19 90 PERMIT NO._ Y - L7�of5 IPPLICANT Delaney Homes Trust ADDRESS 230 Route 149, I�Caretons Mille 009961 S' � IN0.1 (STREET) (CONTR'S LICENSE) Build dwelling /PERMIT TO ( 1�) STORY: Sillgle family dwelling NUMBER OF1• (TYPE OF IMPROYEMENT) NO. (PROPOSED USE) DWELLING UNITS AT (LOCATION) lot #2 12 Evelyn ircle, Centerville ZONING 1 (NO.) •\ TREET) DISTRICT BETWEEN / AND , (CROSS ST ET) (CROSS STREET) SUBDIVISION l LOT BLOCK LOT BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION `TYPE' REMARKS: Sewage #90-494 l AREA OR 1756 sq. f t. BOND VOLUME 140,000 PERMIT 123.25 (CUBIC/SQUARE FEET) ESTIMATED COST � FEE` OWNER Delaney Homes Trust ADDRESS AOUr.0 14V , Marstuns MIJIS, BUILDING DEPT. BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET, FROM THE DEPARTMENT OF PUBLIC WOR OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED KS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.PLUMBING ` D 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I r�� z 2 41 rJN�O„G Z HEATING ' INSPEC ON APPROVALS EpgINEERI G DEPART^'ly �j as , CARD F HEALTH �s-•C�c+.�c�. Q � cam`, �� OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. i IWE TOWN OF BARNSTABLE Permit No./,f 34028 BUILDING DEPARTMENT f" TOWN OFFICE BUILDING Cash 'q ,s3o• '>raurr HYANNIS,MASS.02601 Bond . .....x 1 �r CERTIFICATE OF USE AND OCCUPANCY Issued to Delaney Homes Trust Address Lot #2, 12 Evelyn Circle ' Centerville, Mass. USE GROUP FIRE GRADING' OCCUPANCY LOAD THIS PERMIT WILL. NOT BE VALID, AND THE BUILDING SHALL NOT;BE OCCUPIED`-UNTIL - SIGNED BY, THE BUILDING INSPECTOR UPON,SATISFACTORY COMPLIANCE°WITH,`TOWN'. REQUIREMENTS AND.IN.ACCORDANCE WITH SECTION 119.0 OF•THE`MASSACHUSETTS STATE- BUILDING CODE . April..231.. I9. 1 .. - --- .. .- Building In FROM TOWN OF BARNSTABLE Delaney Homes Trust BUILDING DEPARTMENT 230 Route 149 367 MAIM STREET HYANNIS,MA 02601 Marstons Mills, k,1A 02648- Phone:775-1120 L SUBJECT: RE: Building Permit FOLD HERE - DATE October 15, 1990 . MESSAGE Please call this office regarding a building permit for Lot #2, 12 Evelyn Circle, Centerville. Thank you. SIG and R. B arse Bld Ins t. DATE - REPLY i i I SIGNED - 77 I Ne7-RMI RECIPIENT:RETAIN WHITE COPY,RETURN PINK COPY SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. ` F 1 i 1 1 1 r i } t ! bs > g M -'' al 1 1 1 1 i i I d � ✓� } 1 t J S r _ II - I1 - i 1 1^ I i � '�I !'� r � r. t I '� r �• '1` 's •�� iy �. - _ 1 # I ' I_ t _ i 1 1 I„� 1 } 1 y ..k.Ml x•,f .t t y tH ` D2�i h1 n 1 I p .. Le Ly cE;e�-i�iEo f C,�,e 7'/.+Y 7'f4/_1-- 41�Oj-) ;Sh!OGt/N f/E.2EOrC/CdilgdL YS Gl//Thi - . C�� /c,k✓�=L-� e -7`. ETB,4 C 'S'C.4 E�t/TS o T.Y -' 7-2 4F Lt .4, wv 45 No AL 1 Bf!XT, /RUC. /5 7 9 / /iNs�-,eUi�/.�tir,sU,eYEY� T.y� ,eEG .eEo 0,�, E7-.S Sya1.c%Y S-A0e, r- A 1,L/C41V7- 0 /2s Sol g(' /✓OTE' i9SSG!/�?E/> LD?• �-POTF�7-ipi/ i p . �, boa/oo r �-�. 11I � \.` . 0 xv aw 73 . ,.� V C✓�J I'��7 �f!' 1_-+_+ W .`�.� •�� ,�Y ,r• \\lam � .. y �o� ,b� -- ;�/ -i: .� �'�. � •ate - SS —. ALk,t.Ft f t ! 29 , . ,r LEGEND �s�sz EXISTING SPOT ELEVATItO �Ait0 .`' EXISTING CONTOUR ---- 0 — — \ �:l!g' CERTIFIED PLOT PLAN FINISHED SPOT ELEVATION Lpj �� 0�v�L.yni Ci.00 4 FINISHED CONTOUR - 0 NUFT: The Iocation of any existing underi-ouncl sewerage, -- —« wet Is, or other ut:i l i.ties shown on tl. is plan is -approx- IN imate; only as dctermi4ed from records-and/or. verbal \ d -information. 'rhe contractor is responsible for the R verification of the, existing locations in the field. SCALE, -r`1�) DATES A1.4%•7 u [.DREDGE ENGINEERING ca IN � Nis Frz -------- CLIENT. I CERTIFY THAT THE PROPOSED E:GI�STERE REGISTERED SOB NO,.. -B5%4/ BUILDING SHOWN ON THIS PLAN IVIL LAND CONFORMS TO THE ZONING : LAWS DR.BY _ /, . INEER URV OR OF BARNSTAF3L MS ' ?12 MAIN STREET CH. BY AAn� �IEA { 5' /TE /HYANNIS, MA*S• SHEET—.. OF A REG. LAND SURVEYOR 20 FT. M/N: n`NOTE: /F E/TNER THE SEPTIC TANfC OR L?.4 AV11VG Plr ARE MORE TNA:`✓ /2"BELOJ�!' /D FT M/N. RAOEJ A 24 O/AM ETER CO/yCRETE COVER SHALL BE BROUGHT TO 4RAOE. 6.4N EXTRA "cDN 15r . - CONCRETE /yegYY CA ST //PO/Y C SED 1 t 3 7 GONERS M!N. P/7CN ! /F/N OR/✓Eyt/.4 Y �B PFR FT- e / CONCRE TE - 2% M/N. a 4R10E CC) VEf? CL EAN .SANG J . BACXF'/LL . - SCHEDbW44 ;,..: 2LAYER , PY.f. P/PE t v o o 0 M/N:P/TCN CAL. • t • • . . • •• • b o � / D/ST. : • o a ►�yASHFO S7t0NE. SEPTIC314 TANK t♦ '• • • • • e , ®OX o • s • t 8 • ' • • • ' „•a ' s • 1 • • OEPTi/ • • t ' • o W+45HE0 STONE O 1 / • • . • • • 1 e o e �� • �S/.?�2 SSA,.. 377: - ' • 'o • r • .. . . • • o p , :w s°v� • • • • r r• p °ry PRECAST SEEPAGE' /Nf/eRT ELPYAT/ONS a •. 1 • .. . 0 . . • • a o _ E4 INVERT AT dlJ/tD/NG 5 O�- FT._ t �iT c.XA•gC'Y 6 FT D/AM: FT. 'VIA ' (r SEE T/18LI"7 ON.) INLET SEPTIC TANK .- �4:5 FT, ";: t� , Ol1TLET SEPT/C.TA/VK_. 14—(P INLET DISTRJ6UjJON BOX 3¢ .SECT/ON OFF' GROUND J�IfITER:TABLE _ H, f 6•w. c�cc O�ITLETDJS"TR/�9(1T/O/Y oa A:a FT INLET ZEACNlNG PIT S EWAGE OISRO�SA L SY:STEM- .�FT TABIJLATlOJV ' , j LE.ACHINCv' ..PIT Z IT �t t Sc.aL JE. J4 a OJMENS/ON A DES/Gk CR/TER/A. / / -a pJ/yEwsloN 8 fT. 4 _ DIMENSION C FF. •n/•� T . NUMBER Of BEDROOMS GARBAGED/SP05AL UNIT No/v�r r R SOIL ,LOG ToT.4t ESTi/y�tTEo Ftow 330 SD/L TEST GAL/DAY S01 L TEST,t+•`I1 SOIL. TESTldt2 / � /~/UMBER QF 4fAGNlNl: PITS l O < ELE✓ O —ELETY. AATF OF SOUL TEST _ _.� ,(�7( SIDE L1'ACHJNG PER P1T 51*t PT., RESt/LTS Jn/JTNLaSSEO BY W/GCQX.,,fa. Y�Oy. . + BOTTOM L.6AC/•1/NG PER P/T so. FT.� �A�r+9CH�A- a 04FACOAAWON RATE,*/ L 2 -- M/N•/JNCW `r /S - �s•��s ti-y W PIERCOLi47"/ON RATE 2 MIN. INCH TOTAL LEACHING ARER SQ. FT. RESERv4E LE,4CN!/VG AREA �¢. SQ.' ��* `, - .�J � Jly�DiL FS!/9Sp T�1T.'� � •5..�4� ,�. s3✓r�H ',F � r _ , ' LUT 2. is YELy/V .G•/�fL� a f.1- T / � l- L �V r , O ,« Z Z) Ne.10;5i .v/ ;t t ,v�J�tt� ELOREDGEEJVGr.0Af A'ING GG %NC. a 4''•. 'N -- .>"� '71Z MA 1 N ST P YAN Al!9 ASS. ET NO GROU/Vt7 wo 7-4wR E.-vcoUJ/VTE REO CL/ENT fTREE+yBQi�DATE•A/./ GOTO UA10 PV-4 TE'R AT 64E•v O �s Cor�pletedbY :'• ;. U/N fi(JiA/ r a H I GH GROU14U-WATER LEVEL CUMPUTAT I Site .locat ion: LCYF�,YN C/2CGE L,ot No ' �-` Owner: drRAF.VA21CdZ :ay. Address:14 s/0 ` 6y7�2y�«F A ' Q263Z Contracaor: Ad,eress;:`k Notes: r ' STEP 1 Measure depth, to' watek,. =taV-e F to.nearest 1/10. ft. 3 � f i �2 /17/fS �' D e y . . • e e �. . , e . t..�. . . .'. .. ., y ,•;: :; da t.e iT STEP 2 Using Water•-Level Ran ga Zone and Index Wei 1 site and determine• gQ[{ A) Appropriate, index well BY Water-level range zone , •e rd a 3 a STEP Using monthly report":Current 'Water. Resources Condla determine current depth to '� r } r 44 17 water level for ".index well ..�z/ gs } mo yr. r 4 STEP 4 Using Table 'of Water *level , Adjustn►ents for. ;ind•ex •we I l � STEP 2A cur rent. Apt h ,to" x water level for index. weld . (STEP 3) . and water-Iev.el zone (STEP, 2B) determ�n�e water-level adjustment . . . j. STEP 5 Estinate depth' to high water by subtracting the water i level adjustment" from measured depth' tci water level at silo (STEP: 1) � . . . / M { f [ 6M � I a -,£. .. • s a - � i - 4+Y-Vr�{fir _ • ,M o c:"a i;� 'S"is��r.�r>zrt,t��e����< #,..L A�,f _ , - y ��1 - ;. t t .t` �� q :� 4g 1-_ AFC'' {' Y<, 3y�f.,� 3 �*$ yt ; - _ - !. _ r 1 'i U I r"F12C ppLACtI•. FOOTING.B"ALL ARo uN 7' I � � I _x.W...M GP q , I O .. �:Sya.•`.CoNcrt. �LAeJ ._ _ .— _.._I � i i (a'K oc - �'(7."Le LLY cml.ud.N S i I 9,'Y..��•[o" I u e 1IG ._F z . s �4 �'-r.24'x._1.9."-.FcaprlNb r I I Cryvlc. - _- ggs/n.Fo cr sAc«C ii N &'Al2 Sp CA.A— AM= OL ! b, i `iJ a i DEl_ANE`6 Ho/DES vLoT EUELYN• GI2GLE `w -' -'-� - 4 - BAaSEMEN7 GF-PT 19�0 T11� .GO(•IVE�T. !1b LE ;+ ENTMMUt.L.L.E //�AS'S_ _ - -_`FOUNnY�TION SHEET I of 7 —. J_h7 FI.R 165 Co _RN0 FI-•¢ 900 i 'TOTUL_Llulwe, 1556 -.G-AR A6G I a•I26♦'fCq woeo Cc.GK Rd,,. --34=YJ.1•.. -- - C,.:ty c js I 4• 45 .WE1.a7N ti iD �. ..+4ITc '10s0 ✓ITLo ' ua GnTN D2aa_ __ _ lip I _F 4 4 y Yq. m N v I' 0 lot o .. _ IL_• �jOI -IFa� ,.. \ b 5Ya1•+�. 5TE4 _ o I HnLF HouM1.poon IP 7iFI ,_4. sJ•'-g% -V.4" IS.4., • y' ._ � �N _.-' � -:. - - �. _G AR'AGE a.4 r-14�, O '4"K•E Iw1F dom wZ SLnM, � .. -- � 0 i � �In �',' -N �,I .-L_IV L�U.1(a_ � - � .PIZGI-l. 1".To 000¢•g _ .__'. - N• �j 4 ' - R _ it � � � � j o•a w u I L• � Gw 2 _ GI � 5 + 1B�• _cOnIGR-...A p2pl...l.... � -..---- t DE LANE.Y• N'O// F---:$ ---. ...-__..L:OT._' :2 617E .l.K'N" G.�29:.L-S_ - -= -_----. FIR_,ST FLOOR-PLAN SE P T 199Q _ .GEAR'.Etzv.It�L.E�_Lt�A55:__._.._._�'_-� _._'•G'.-_ 1-4 E. 2 0� � ; - i ' I _._. El 0 I , r-- i _ j s / a2iciee7 �', i I � i ..Ut�cxeS j i i t' N F it o aN t ws 14 i . i i EVE l_YN ______.. -SE conr�' FLoo2' sa r_ 1990.. -_ i ,.G'.1 RCLE �' P _:a tns i1`T r, _,r ry Gv 1 Ll �:; s —'21 D tl'E S H I N C.L-ES __-2x10 �1OGE::.;f3o,n R� I 1L�OU3t-E GOwf-MA4P& BOLL _►LOOPIN4'=lNNEI'ZAt."�I N16a '� 1�• •i 0 -1o97R b !L•• —_ - - _- -- e. ' ailcoo pu rc.rz-1 w,t. A I V" o c. ~ L-TA 3. As b1AL.r SHIn1G.L£5 c !i _Yf_ ` Iti151� F LoofL - P'Y....9urb.P.uoO1L I ..- hN6 FASCIA_ I -14 el,NJ `. iff.�o@ I ^y' jt-U/,\GUTTEK.Si 11r�.EAh7 it,(B SF oFT t \v tSH-.\/Ep�TS �2rEiE.:3odfL.fl:r:.==---- 1 �rG STun C::.._ . F162C,G IJaF INSut_0.TtoN K2' Gp)K SH EDT4t:1 A7 ,�'�3J •�U 11'f;C,SN(IV CnL.:E�._ - ._P(o" C.,ONG 2ETE 4 8 'IL__LA L. _lac.. I kis���E E.v1=may rN clszc�.L - SECT ION /g'-!' o" SCPT ��i�lt�� c•r...t +�._ �.. _, - _ M1 ._"1...RT-.'3...- A,L �./�f;;�`�� -_ _ - 51..�>=GT �• 9F, �. t�..I.1 rr 4, .� l I I I r 44 E5 -- - ---- - I ON VIE\V __ SERT- LY1� _ I ` 1 N i - -- - - 7Z t l .fL---EL.E VAT.CQA1. ../4".z_.it..o•_ 1 N S'F-PT pp�l./aNY C7LL;-r-V Fi, L F'", t _. _.__,...._....,...,-......,....,,,„,.._ram.. .....--..._.�.,...__ .�..-_._..._ ._.».. _ . .-....._. _-.i I I I r. t ' i 1 FA/A LL`1..mend 1 I • � I - - --- -_ yt�Ag't_G2- St)IT�E_---. .. E\/EL �C{CL LEA/ 5 9 eALF GCE h�;Gt"G ...1...�1.. � - •_____.Y_:_..._ _.,. '' - i _`CItC, tzlo-rf Ti.4J1C I .E 2 oK �C Assessor's office(1st Floor): / // _ SEPT C SYSTEM WA,") T BE (��( INSTALLED IN COMPLIANCE �Q., "NE r `o Assessor's map and lot number 0 of o Board of Health(3rd floor): Y WITH TITLE 5 Sewage Permit number_� -�' ENVIRONMENTAL CODE AND = DAUSTODLL Engineering Department(3rd floor): f TOWN REGULATION r6sa House number S °o 1639. Definitive Plan Approved by Planning Board T / -- 19 �Fo Nix a, APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTO APPLICATION FOR PERMIT TO L�✓ `� / LCO�v � TYPE OF CONSTRUCTION q 19 / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location `s ( � Proposed Use lei 9 Zoning District , / Fire District Name of Owner< "A4�"�Address Name of Builder r �r o� Address Name of Architect Address Number of Rooms T Foundation Exterior ��'Uf�� G Roofing t Floors Interior. 117— IA� Heating_qa-4-,l Lam' � AXA, Plumbing h- Fireplace ` Approximate Cost � r Area Diagram of Lot and Building with Dimensions Fee g2 3 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r ar g the b co struction. Name Construction Supervisor's License DELANEY- HOMES TRUST; i 7 } 1 No '3 4 0 2 8 Permit For 11 Story i Single Family Dwelling f Location_ Lot. #2, 12 Evelyn Circle Centerville Owner =Delaney Homes Trust +f r ✓' c r _ "-•�: �� `' Type of Construction Frame Plot Lot l' } `} Permit Granted October 2-5, -19 90 Date of Inspection /�,� % 19 " ! `� %Date Completed 19 " �+4 {�i-J,J./` } -« Assessor's office(1st Floor): / � 1 ,� poi TM[ro�— " Assessor's map and lot number . f 1 vo Board of Health(3rd floor): Sewage Permit number /� - l U L/ �. .� • Engineering Department(3rd floor): �{U n = ssaKAXL a9Tsnt,t House number � (� ° 1b3o• Definitive Plan Approved by Planning Board / — ?, 19 93 0 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 E�;lf'" 6 � /�'l.Citi✓v TYPE OF CONSTRUCTION 19 9a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ., u Location Proposed Use t`rf > '"'a"',^�.-�j CJ��Gt✓�-.F?�C.'Vt�lt GI / Zoning District % Fire Districts (�Address Name of Owner Name of Builder / It 1 Address ii f r Name of Architect ih-��JH-� Address Number of Rooms l Foundation ! ° ✓ � yy �i lrA Exterior � Roofing ! +� Floors � Interior �L Z Heating Plumbing f � Fireplace Approximate Cost ` f Area Diagram of Lot and Building with Dimensions Fee ` d r } e 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 "�✓ / Construction Supervisor's License � � #� DELANEY,HOMES' TRUST A=187-06''--002 y i - No 34028 Permit For 1? Story Single Fam,�dwel1ii4g Location Lot #2 , 12 Eve 1 Un r,; rc. le Centerville t Owner Delariey Home-, Trtl--t Type of Construction Frame Plot Lot Permit Granted October 25 , 19 90 Date of Inspection 19 Date Completed 19