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0119 GOFF TERRACE
/ t, �-�C. . . -- ,,. ,: ,• :, � .: t. U �.. ,, .: ti 0 ��A� 3 , -� �, �, �� i .� t cz)-6M64/S ppIKEZ Town .of Barnstable # E.rpires 6 r 1aidis from issue(late s , STAB Regulatory Services Fee 659, ,�$ Thomas F. Geiler, Director 3 Alf0 Building Division g S �°�"Com Perry, CBO, Building.Commissioner SEP `200 Main Street, Hyannis, MA 02601 4 z0Q9 www.town.barnstable.ma.us Office: 5T9) f4 BARNrABL Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not'Valid without Red X-Press Imprint Map/parcel Number 117 �0'3�- Property Address %/ ,.Residential Value of Work 0 Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address 'I'Aeezz Z? J, , z Contractor's Name� 'j/� �/�r ? Telephone Number Home Improvement Contractor License#(if applicable) �� Construction Supervisor's License#(if applicable) 4:;� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner WI have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# ,�' �� 3 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) e-roof(stripping old shingles)" All construction debris will be taken to �jt71/%y ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. me Improvem tr#et License& Construct Supervisors License is required. SIGNATURE: i QAW PFILES\FORMS1Express\EXPRESSPERM IT.DOC Revise060409 "L The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations 600 Washington Street f Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): � Address: City/State/Zip:. f z 'None Are you an employer?Check the appropriate box: Type of project(required): 1.�I am a employer with Z 4. ❑ I am a general contractor and I ❑ employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. ❑ We.are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ Insurance Company Name: Policy#or Self-ins. Lic.#: G'w'� 1� Expiration Date: Job Site Address: %2 If / -az�"; 1z City/State/Zip: i VanzE�; ✓a7 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er the pains andpe alties ofperjury that the information provided above is true and correct. Si nature: / Date: G Phone#: � Official use only. Do not write in this area to be completed by city town wn ofliciat City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk A Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Informa tion and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers', compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee.of an individual, partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.". MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors) name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the members-or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pen-nit/license number which will be used as a reference number. In addition,.an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia t.Ia, r �> THE rqy� Town of Barnstable Regulatory Services 9ELUMM ssBLFE Thomas F.Geiler,Director 1639. j0rfD6+1AI� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,� �� j /,c , ; , as Owner of the subject property hereby authorize �� �� to act on my behalf, in all matters relative to work authorized by this building permit application for. zz�? (Address of Job) D ' Signature-of-Owne s e Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable Regulatory Services swatvsrnstE Thomas F.Geiler,Director = prase. 0.19. �m Building Division rED MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who.constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC rOm:KO:nyGodd;s `axIJ:IVvrthw5oatnslranCm ray-cvic ti.,, ,+��� .y �� 1CQl Yl CERTIFICATE ®F LIABILITY INSURANCE OP ID K DAVID-2 DAT�t�+�.'07 14/4/0n09 ` PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Nczih good SxtS, A ency, inc. HOLDER.THIS CERTIFICATE D'JgS NOT AMENC.J:XTEND OR 9 ALTER THE COVERAGE AFFORDED by THE POUC 13 BELOW, I540 Main Strsst, Suite 9 Hyannis MA 02601 none:508-771-1532 F,%X:5.08-393-29SS INSURERS AFFORDING COVERAGE NAIC0 Iu uREP p Travelers Insurapce Co. IN UPER3 Dav 5 Yarmouth MA 02664 I INS!+FtEf;E COVERAGES TEE POI ICr-°OF!VAUR,4NCF i.ISTEb BELpt1"hlo=5FFN ISS?.'ED TO T-iE!rMPEC NAkED ASOVE'OR THE POLICY PERiOG t`Jr:;r,, r._p nC'T vITHS7�ld ^+G Af•!r Ok.0,THER OC'r_wE.Kr YvITH RESPECT-,,'%"CH-HIS'MRTIFICAic W' l EE ls'UO_C'OP nsAY FCPTA'N,T-e i;VSUkN,.CE A+PC'rIC'. 6'Y TH POUC EE OESCPJSED-+EPE!n r;SU3JECT-C^«.L_H'_-=Fang.c. !JS!0'Jx,a'lJ_:;%PIDITI?`!v F Si_C- R�Y t,A)C L-ZE,4 nDQrE_1 E+r PAID CLA itsFrvt.[�T AWN imam pww LTR NSR 71'FE OF V SUiW4M POLICY NLIMdER DAI E lN1NJ T)A Y) DATE+MNUD7;W) L'MIT3 ! GENERAL LIABILITY EA.:H ),'0JNr F1'jCE f g 1000000 _i..O._bAmEFGw .AL_IGE"E- ?stLITr I I-690-14$124796-008-10903/14/09 j 03/14;10 esa•S�Eae urrnce; � 30Q000 �___ I CL.ws wzE X OrcUF l ( I N.sr1 <P iAa.C a iMr54'rl I S 5000 � T EF u cL� di IrJn F'r S 1000000 f''xTsusincss Owners - _ - _ ---- ErERPL�':CRF3�iE 52000000 GENL .+ATELIWTnPF-fF'iPER I ` ?F�GU T•-C '"( F' �r3 $2000000 li CSL 2000000 1 ;ErT POLICY I C i AUTOMOBILE LIABILT'fy I cl-N +I\ J sirA';LE Llt,tli , (Ee eccids�r) I" L'L^nvvED ALTOS I 1 +JOO!L"!NJ J�( (ParvgsOnl f i SOHEOULED AaTOS ' ��"'`�' I•IIkEGP.JTO: I BODI L"1:4,A, - i � i(Par act+darn HIa01'J-OWNED A.1708 I i i I PROPEFT f C VAQ.E I I Isar accodwii s OARAOf.1141lIL?Y I j A'vTC r,nILY•EA ACCIC?E 1T S ANYAU-0 I IO'VERTHLdr' 'A'�_;,^! i AUTO?NLY A:,r EXC&R8IUMBROLLA LIAB!LTTY EM H XIC IR.RENCE S I : REIENT'ON WORKGRS COWINSATiON.AND I TCR'UNHTS EAPLOYERS'LIABILITY I Y I-E----_.-..___�_._ 8 F:r/�Rti•'CIE"I.W'f'pRi�•;EP/�?cE�u-i(E ! tsar vu roLs.00r re.dv!co I 07, 15I08 07/15i•09 � L Ear-n;:::I:,':NT 15200000_ oP=Cl7?�EMeEREXG�Lt:_D� •R12d 5 DAiCS 07/13/09 07/15/10 ?EL.01SEA,*E-c!'.C:Ip :'E IS I000pO sF=;PL PFcwS!Or+S De ca: E L cli,Ea.;E•F.%j.-I L l',I.7 I° 500000 I I p OPERP16w 1;=- Mtqi I vBHiC .!EXCLUSION$ADDED BY ENDORSEMENT I sprmAL PROVISIONS— CERTIFICATE M JLOER CANCELLATION rjeQ � OHOULO ANY OF THE ABOVE DESCRIBED POLICIES BB CANCE 6ED BEFORE THE EXPIRATION DAT&THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO KAIL 10- DAYS'A;R4TEP 1 NOT"TO TFVc CERTIPICATS NOLDSR NAkiD TO THE LOFT,GUT FA&VP5 TO 00 SO 5 W.L f TOW OF BAKISTABLE WPOSE NO OBLIGATION OR LIA M I Y OF ANY kIDID UP,OH THE INSURER.ITS AC'C^.+ITS OR 367 MAIN STPJMT HYANNI S MA 02601 REPRESENTATIVES. ACORD 25 QW1108) 0 ACORD.CORPOPATiON 1988 ✓fie i�omiawauueai o�✓��aaaacfcuoelta \ Board of Building Regulations and Standards } License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to: Registrat�w,. 100497 - Board of Building Regulations and Standards Ex`:iratwn j One Ashburton Place Rm 1301 { P � -6�18/2010 Tr# 268012 1 I Type -,Private Corporation i Boston,#VIa.02108 DAVID COX, INC mt a 1 I David Cox y 19 LAVENDER LN ` W.YARMOUTH,MA 02673 Administrator Not valid without s' nature f j �h °i' � oar of w- mg egu ation and tandards !,onstruction Supervisor License '4License CS, 63537 t k Nl I B i rthd ate'X10/15/1953 Expiration 10/15/2009 Tr# 6313 7 I SRes�ct 0:0�1� i DAVID R COX PO BOX 401 �. S YARMOUTH,MA 02664- -. � Commissioner I ' r,, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map //Y 7 Parcel 031, -Application#. 6 L 00 Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee 6 Treasurer _ /®J Z9 A7 d1' Planning Dept. s Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner IfAd kkgRv W OU&J Address 1 l a CCAEE Telephone ' Permit Request lZ 0Z v C ter= gCcSe i-Co, Me Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay (-Project7Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑l Two Family ❑ Multi-Family(#units) Age of Existing Structure 11,, 2 Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes V No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other WN9 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 'P �E.., new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric - ❑Other Central Air: ❑Yes &I No Fireplaces: Existing _ _New Existing wood/coal stove: 0 Xes �,Q No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ! Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 2 No If yes, site plan review# rn Current Use Ey yi e.$, i nnu" Proposed Use 9 BUILDER INFORMATION r Name C�� G Telephone Number_ Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE. DATE FOR OFFICIAL USE ONLY APPLIICATION# DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , oFTHET Town of Barnstable Regulatory Services ELA"STABLE, Thomas F. Geiler,Director T MAss. pr 1639• a.�� Building Division ! ED MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n� Please Print DATE: �® j�(q2" V� �+ JOB LOCATION: 'etZ C& e number street village "HOMEOWNER": MAW name ome phone# work phone# CURRENT MAILING ADDRESS: lf(J 7 , --,-- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to ',,.,be a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned`.`homeowner"certifies that he/she understands the Town of Barnstable.Building Department, minimum inspection procedures and requirements and that he/she will comply with said procedures and require nts. / Signature of omeowne Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions 'of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. The Commonwealth of Massachusetts Department oflndustrial accidents Office oflnvestigations d 600 Washington Street Boston,M14 02111 www.mass.gov/dia Workers" Compensation Insurance.A€fidavit;,Builders/Conti.actors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):. 1-4,e*4 MW,*4y •Address•_/!_�'1 City/State/Zip: N.. •a `�I� !/✓)/¢' ]�3?�hone.#:� 2Z( Are you an employer? Check the appropriate box: -Type of project(required): 1.❑ I am a employer with 4. [j I am a general contractor and I 6. ❑New construction . employees(full and/orparttime).* have hired the shb-contractors 2.ElI am a•sole proprietor or partner- listed on the-attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have S. n Demolition -workingfor me in an capacity. employees and have workers'' Y P tY• 9. []Building addition [No workers' comp.insurance comp.insurance,$' required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions f myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c, 152, §1(4), and we have no employees. [No workers' .•13.❑Other comp. insurance required.] , 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pro-vidb their workers'comp.policy number. , lam an employer that is providing workers'compensation insurance for my employees Below is the policy and fob site information. Insurance Company Name: Policy#or Self-ins.Lic. M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),. Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi,zations of the DIA for insurance coverage verification. I do hereby certi x der a ains•and penalties of perjury that the information provided above is true and correct. - .� -�Simatur - - • Date: _ Phone k Official use only. Do not write in this are¢,'to be completed by city or town o�ciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: K P�oFIMME� Town of Barnstable Regulatory Services �nss Thomas F.Geiler,Director A.�IN Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more,than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type ofZo�r�_C�I�I ��/ ��tP/S Estimated Cost �OCJ r Address of Work: 'f C D4'—_E -7-'A-ICIf- Owner's Name: — r Date of,Apphcation:T/(," - K —07 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. /. OR Date O 's ame Q:formslomeaffidav Taal!J5.Z10(eaumueo I ' w. presetiptire Psekagea for Oae aad Txo-F'amiiyrsl Rdeatial Balldiap Heatsy3 x'iA"�°�'F°°� 11iA?CthiilM MoIMUM Glazing Glazing Ceding Wail Floor Buaamt Slab Heating/Caoling Arcar('l�) U.value= R-value' R-values R-Yeluei WaII pc:&Mcar F Fmcnt Effiamc� Pia R-v3kue� R-valuer 3701 to 6500 Heating Ile. Da� ' 12% 0.40 31 13 19 10 6 NararsI R 12% 0-52 30 19 19 10 6 Nomrsl g 12% 0.50 31 13 19 10 6 115-AFUE T 151. 036 38 13 23 NIA NIA. Now U 15% 0.46 38 19 19 10 6 Nomml y 15% 0.4.4 311 I3 25 NIA NIA 85 AFUE N 15% 0.52 30 19 19 10 6 15 AFUE ?[ 18'/. 033 38 • 13 25 NIA NIA Normal y 13%. 0.42 39 19 25 N/A NIA Natural Z 18% 0.42 38 13 19 10 6 90 AFUE A,A I o 1. 0.30 30 19 i 9 10 6 9.0 AFUE 1. ADDRES S OF PROPERTY: j l 6*A5 —rcamC f 2, SQUARE`FOQTAGE OF ALL9EXTERIOR-WALLS:,. < �' Q :2 `- - 3, SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(93 DIVIDED BY 42): 5. SELECT PACKAGE(Q--AA-see chart above):, DOTE' OTHER MORE INVOLVED Iv�THODS OF DETERMWING ENERGY REQUIREMENTS ARE AVAILABLE. ASK.US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-farms-080303a . FTME Tom, Town of Barnstable Regulatory Services • BARNSTABLE, MASS. $ Thomas F.Geiler,Director �A 039. ♦� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 10, 2007 James McGrath 259 Queen Anne Rd. Harwich, MA 02645 RE: 119 Goff Terrace, Centerville Map: 147 Parcel: 036 Dear Mr. McGrath: This letter is to inform you that you in violation of 780 CMR. The required inspections for building permit number 91004 have not been conducted as required by 780 CMR 115.2. The permit was issued on or about March 24, 2006 and the foundation inspected and passed on or about June 12, 2006. Since then no inspections have been requested. Additionally, upon a response to a verbal complaint at the above property it was observed that the structure built was not according to the plans submitted as required by 780 CMR 113.3. Finally, Pine Harbor Wood Products does not have a home improvement registration under that name as required by 780 CMR R6. Failure to comply with 780 CMR will result in this office filing a complaint against you to the Building Board of Regulations and Standards. Thank you for you attention in this matter. By Order, 6reL. Lauzon Local Inspector Qzoning5 Y S� Zao. s4P, 1-71'.2 wG IIlow- 8, 2�i re e�egce CERTIFIED PLOT PLAN LOCATION a�vsTq�l. CCGT�7t✓icL � ` r . SCALE 73°.�. . . DATE .. ry is'Zoc►� PLAN REFERE14CE SAoWA/ cN PL:Q�. 275 .5, &Z EpViIR 00 NO. 281 I CERTIFY THAT THE ........ 9f SHOWN ON THIS PLAN IS LOCATED ON THE OROUNDAS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF ( rzNsT.9/ G . . . . .. WHEN CONSTRUCTED. DATE �Tv,v . %5:�6 OAO,�*, LA12& T, �-lv22 -P-7' REGISTERED LAND SURVEY R Y S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1ti 1 Parcel Application# Health Division 4W��� JlblOi-,, Conservation Division .Permit# Tax Collector Date Issued Treasurer Application Fee I Planning Dept. Permit Fee O Date Definitive Plan Approved by Planning Board EXISTING EPT'IC SYSTEM LIMITED TOy #OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address / ��(� �� ! e Village Coy I-eI--V I l._L-- C Owner U Address Telephone Z-S� '' Liz L Permit Request ���YI.S 17 _c .- Square feet: 1 st floor:existing proposed `�y� 2nd floor:existing proposed Total new b Zoning District Flood Plain Groundwater Overlay Project Valuation 2-�S, Old Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family0\, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �No On Old King's Highway: ❑Yes )kO Basement Type: Cl Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /�. Basement Unfinished Area(sq.ft) Number of Baths: Full:existing nA Half:existing new Number of Bedrooms: existing Wnew Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing Knew size '26 A Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes �, N o If yes, site plan review# Current Use j��'© _ Proposed Use BUILDER INFORMATION Name- ?I OE lff6yf Telephone Number Address ZS q 6 r E License# 0 7 3 f3 L Home Improvement Contractor# 132,5 3 '1 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S-iI ey_ Dv*-P S TD2- SIGNATURE DATE 3 .� FOR OFFICIAL USE ONLY ru - PERMIT NO. DATE ISSUED , MAP/PARCEL NO. " ADDRESS VILLAGE - OWNER ~� t DATE OF INSPECTION: - FOUNDATION $ � V , FRAME INSULATION t " FIREPLACE ELECTRICAL: ROUGH X FINAL PLUMBING: ROUGH _ FINAL - GAS: ROUGH m FINAL FINAL BUILDING Q 0 DATE CLOSED OUT O ASSOCIATION PLAN NO. °FtHET Town of Barnstable Regulatory Services * $MASS. * Thomas F.Geiler,Director 039.ra��� Building Division Tom Perry,Building Commissioner , 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Permit no. I Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: 6) Owner's Name: Date of Application: j K3 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law Job Under$1,000 Building not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. S NED UNDER PENALTIES OF PERJURY I hereby apply for a permit as a gent of the pyner. Date Contractor Name Registration No. O Date wner's Name Q:forms:homeaffidav Department oflndustrial Accidents Office.of Investigations ° 600 Washington Street Boston,MA 02111 u ww.mas&gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Na' Me (Business,/Organizationdadividual): Address: 2�Q QLk°s�r1 �Y nE,Toad City/State/Zip: (_6ri ( i /`'f n2 Phone.#: Age you an employer? Check.th pp'ropriate box: Type ofprojecf(required): 1 1 am a employer with 4;.❑ I am a general contractor aji 6- New construction employees(full and/or part-time).* have-hircd the sub-contrac 2.❑ I am a sole proprietor or partner- listed on the attached shee ? ❑Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for mean any capacity. workers' comp. insurance: 9• Building additi ❑ on. o workers co g [N comp'. 'insurance 5- ❑•We are a corporation and its 0$lectrical repairs required.] officers.have exercised their 10. or additions 3.❑ I am a homeowner doing all work right of exemption per MGL. 11.❑ Plumbing repairs or additions myself. [No workers' corup. c. 152, §1(4), and we have no 11Q Roof repairs insurance required-],t employees. [No workers' comp. insurance required.] 13.❑ Other `Any applicant that checks box#I must also fill out the scc6on below showing their workers'corr>pensatiori policy infomration t Horiicowncrs wlio subm �devitit this e indicating they are doing all work and then hire outside oontmdors'mustsubrriit a new affidavit indicating such tcbntractbrs that check this box.mus al t attached an addition sheet showing.the ncmc of the sub-contractors end their wotkera comp-policy infortriafiaa I am an employer that is providing workers'compensation insurance jar my employees. Below is the policy and job site information. Insurance Company Name:_19 M S ( Policy#orSelf--ins. Lie #: (t�(, 7 ��2 Expiration Date:: O7—( —Q Job.Sit--Address: City/StatdZip: C_C.N Attach a copy of the workers' compensation policy declaration page(showing the policy number and ezpiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the iri�osition ofctzminal penalties of a fine up to �1,500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER-and a fine of up to 1250.00 a day against the violator. Be advisedthat.a copy.of this statement may forwaTded.to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rti under the p pena o erj t the in ar"" li n 'rovided above is rue acid correct Si ature: D Phone#: 0jjicial use only. Do not write in this area,to be completed by city or town offrcW. City or Town:. }. Permit/License# Issuing Authority (circle one): 1-Boai-d of Health 2- Building Department 3-City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person_ Phone#: r LOCATION ,/9g2VsrgL3cE SCALE 3o DATE /11 PLAN REFERENCE ,,d !! ,ev7T 14,e�P �Cp I � i I I G'o,% 7 �72.e�G w�DE' �7- i Board of Building egulations One Ashburton Place, Rm 1301 Boston, .Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/14/1970 Number: CS 073865 Expires: 03/14/2008 Restricted To: 1G JAMES R MCGRATH 204 CRANVIEW RD BREWSTER, MA 02631 Tr. no: 15967 Keep top for receipt and change of address notification. II Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 021.08 Home Improvement,;-Contractor Registration - - -- Registration: 132935 Type: Private Corporation - _- - - '- Fvniratinn• 1rll'2'I/2hr1R McGRATH POST & BEAM CO. =- - JAMES McGRATH _- - nrn rlI Ic�c�r I n nlni� �n HARWICH, MA 02645 --. <* .=___ •:;• Update Address and return card.1Niark reason for change. PS-CA1 i� 50M-04J04-G101216 Address 0 Renewal Ej Employment ❑ Lost Card .. ........................... ................. .------- ...__.:_� ':_...._- -----------------------=--------- - ,yam � �b-rrt��ro9ztlseaCC1L O�✓�vac�iu6eCY6 Board.of Building Regulations and Standards License or registration valid for individul use only . FJR HOME IMPROVEMENT CONTRACTOR before the expiration date. Jf found return to: Board of Building Regulations and Standards Registration 132935 One Ashburton Place Rm 1301 Expiration .jp/31/2006 Boston,Ala.02108 Type;;;Priyate Corporation McGRATH POST&-BEAM CO JAMES MCGRATH 259 QUEEN ANNE HARWICH,MA 02645 - --- -------- — -----._... -- -- - Administrator Not valid without signature �aEVE Tp� Town of Barnstable ti regulatory Services MASS.t.�$ Thomas F.Geiler,Director, 1639• ♦0 >03916 Budding Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property bier Must Complete and Sign This Section If Using A wilder I as Owner of the subject subj J property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) /3—z ig of er iDate U rl� Print Name Q TORM&OWNERPERMIS SIGN TOWN OF BARNSTABLE ¢, $' JLDIJNG PERMIT PARCEL ID 147 036 GEOBASE ID 8271 ADDRESS 119 GOFF TERRACE PHONE CENTERVILLE ZIP — LOT 11 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PETIT 91004 DESCRIPTION STORAGE GARAGE 20'X 24' PERMIT TYPE 18UILDA TITLE NEW BUILDING PERMIT ACCES CONTRACTORS:. PINE HARBOR BLDG_CO JNC. Department of ARCHITECTS: Regulatory Services TOTAL FEES: $202.50 BOND $.00 O� CONSTRUCTION 7TS $25,000.00 , t ' 438 ' ADD RES. GARAGE & CARPORT MASK. BUILDING DIVISION BY 4f. _ s DAT ISSUED 03/24/2006 EXPIRATION DATE O Q a CLIO 4, TOWN OF .BARNSTABL9 BUT LDI. 1G PERMIT .* PARCEL ID 147 036 GEOBASE ID 8271 ADDRESS 119 GOFF TERRACE PHONE 4CENTE.WVILLE ZIP LOT 11 BLOCK LOT SIZE D13A DEVELOPMENT DISTRICT . CO PERM ,IT 5100,4" _..:-'--DESCRIPTION STORAGE GARAGE 20-X 24- P,ERMIT TYPE 18 ILDA TITLE NEW BUILDING PERMIT ACCES CONTRACTORS: `PINE .HARBOR BLDG,CO.INC. Department of ��- ARCHITECTS:: ';" Regulatory Services _TOTAL FEES,, $202.50 il. BOND , ,, ,. .00 p�tf1E CONWRUCT?-ON COSTS $25,000.00 k . 438 ADD RES. GARAGE, & CARPORT BAMSPABLE MASS. , I i639.RN A d w. BUILDING DIVI . OLV i BY p r DA-4,-'ISSUED 03/24/26006 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT.SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT.DOES.NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK APPROVED PLANS MUST B'E RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS , . .' THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE 'REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THISCARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS i 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH' 1 :I OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I BUILUING � PERMIT j Assessor's map and lot number ........ .. ................ .............- , � �TNe t� 0 0 Sewage Permit .r� .�.................................. BAHBSTADLE. i House number .........z........ s NAM .............................. Apo,1639• `0 MA TOWN. OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......................................... ...��"�d........� .............................................. TYPE OF CONSTRUCTION + .......P'"`�9. ii4 l�? �� ........................................................................ ... .................. .................................................192 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: _ Location / ProposedUse 3b.!!f'd#A j....!<J `�I� �t .....................................................................................I......................... ZoningDistrict ........................................................................Fire District ............................................................................... � `� Y.-t—N�� }.� .....Address t9sSmaName of Owner :.................. ... .............../............ .......... .......i.................... ....... .... Name of Builder ..........................Address ............. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ....... .....a,...............................................Foundation .. .Fw......................................................... Exterior Roofing ......... Floors .0 `p.��..+................................................................Interior ""%i ........................................................... Heating (�^ Plumbing ]/`� S ........................!,,,..;!1,..: '�.................................................. ........ .. ".: .. ................ 06 Fireplace ...yn.. �/ f � / C ......Approximate Cost �.. .��,� i ' Definitive Plan Approved by Planning Board ________________________________19________. Area ................................!........ Diagram of Lot and Building with Dimensions Fee `-�� ' ............................................: SUBJECT TO APPROVAL OF BOARD OF HEALTHva� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ', Name '....(. /4? MURRAY, LARRY T. "' A=147-3 3517 Two Story No ............... Permit for .................................... Single Family Dwelling.............. ........................................................ Location ,.Lot...#.11......1.1.9....Golf...T.er.r.ace .... .. .. .. .... .. ... Centerville . ............................................................................... Larry T. Murray Owner ........................................ ........................ Type of Construction. ....FrAM ... . ........................... ................................................... .......................... ' Plot ..................I .......... Lot ............................ 'o 13 .Permit Granted ... . .. .. ..........19 81 Date of Inspection ....... ............................19 Date Completed ......................................19 PERMIT REFUSED ....................... 19 .... . ....................................CC) ..... . .. ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ..................:............................................................. ............................................................................... Assessor's map and lot 'number ........L��� .�......�J..:.:..... i Pyy Sewage Permit numbe �0-., ................................. terra SEPTIC: SYSTEM MUST BE INSTALLED IN COMPLIANCE i BJSBST4DLE, i L._f House number ...................I. I......................................... Mara �/id'ITH TITLE 5 '°o i639. D 6 ENVIR0 ��MaY TOWN OF BA.Rli� �'&Nit LCEINS. 1y . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .../ GvC3........ .1. �F:`.����''......................... .................. _1 TYPE OF CONSTRUCTION .......�' � ...... . �-......................................................................... f ....... .`.... ..........................1924 TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: olejet� _ r ILocation .�.:.r✓ 6.1..........(5;. ...7..........2 LTA ............................................................................................... ProposedUse 3.)A4.`!i&P� .... 52 ............................................................................................................... ZoningDistrict .............�.............I.................................................Fire District ....�........................................................................... Name of Owner 6'�!.1.'�' !"! .. l �... ......1..�... ... .�l�/Q/4"�.............Address .. .... ...... .. . .... ....... ....`..1,. Name of Builder ..........................Address ./.'.4F1�6f1.f:!. ...f� L1....... ............. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........114.....................................................Foundation .. ......................................................... Exterior 71.o—Idl/ntdES..Y.�(l �G. P !..........Roofing ... !1.�1 ............................................................ r ................................. ... Ld� FloorsCow ............................................................Interior .......................................................... ............................................................ , ./�?:.. ) HeatingPlumbing Fireplace 1........ ....../ .....................................Approximate Cost ....... ........'...................�.. Definitive Plan Approved by Planning Board --------------------------------19--------• Area ............1 -..........S' .:.... Diagram of Lot and Building with Dimensions Fee �E. . ..... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �G�o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam ....... .............. .................... MURRAY, LARRY T. b23547,'' Two ory,Vtv No .................. Permit for .. . 0 . . .................................. Single...�mily Dwelling �.• :;...• ..................................................... Location ..Lot #11, 119 Goff Terrace .............................................................. ,,7 .j ............. Centerville ................................................................... V.Arry, T. Murray Owner*....7.-...........,................................................. Type of Construction ...Frame....................................... ................................................................................. Plot ............................ Lot ................................ October 13, 81 Permit Granted ........................................19 Date of inspection ......19 Date Completed ......../=� .19 '7>1 PERMIT REFUSED 74 . ................... .................................... 19 '12 ............i:t .. ................................................. ............... ............................................................. ............... ........ A ......................................... P A ............................................ Approved ................................................ 19 ............................................................................... ................................................................................ ...,,. ,�. >•n�- r si fir f .. E,� K ° N A, i 44 P1, r !"� L / 1I TOE FO UA/DA r/OA/ - FEET A8o-E L.0UJ .`O T /w GOAD �; , � 1�1r�i/Mv�i BU/LLB/�vG SETI3�iC,� BY oalz77,4=.Y 7-14A7- T/1E EX15T- ' -/N(5'C'OUVDA7/O.v 1-0CAriow/:5 CO2�1`-CT Q :1d Qf ,A5 1:5N0WAI AND CONjOr2MS Jet I rA4 77/E ENGINEIINC fi : SIGNING' .. t &F 7�6 7o44/, / OFZan,. T ,BE F/L& MO, /-Z98 .r TOWI�T OF. BARNSTABLE, No.., F Permit — Rading ;Inspector { `NAUSTAU . Cash a. OCCUPANCY . PERMIT �rBond �-��a� Z m•r i building now r st ucture;`shall be erected, and no land, buildingor structurF�e shallbe ,� used.for a new,,.different, �clianged, ,or,:enlarged..use; without a. 'Building.,,Permit .therefor' first having been obtained from the Building.Inspector: N'o:building shall,lie bceupied.until�a ;, t certificate of occupancy has been issued>.by the:•Buildm'g, Inspector Issued to Ukry T.s. 1Murl y, Address � ' l�n `Yalmlol:th., 7�at 1 'Ge err orb r.Vj 0 Wiring`Inspector;' j �` r Inspection date r f fit' '. .=ice a Plumbing Y»sp ctoi Inspection date r?� .=� Gas-Inspector ; _� Inspection date � ngn .par me + � InspectioneeringD tnt THIS.PERMIT'WILD NOT BE VALID AND, THE BUILDING SHALL -NOT ;BE OCCUPIED UNTIL,"• SIGNED BY.THEt BUILDING INSPECTOR' UPON 'SATISFACTORY.:. COMPLIANCE T WITH"L TOFVN y REQUIREMENTS. 5 d ��� x ,, i' Building/Inspetetor r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M -A. r- DATA 7f r � , r io 2, o el .01 Ao 4a ,,4PH .� 30 or •' 'rrn On/ FEE 7T A 8O vE L.OGv .gip/I�/T /A/ BOA p C7 g U/L D/�tl:�L rC r�l i i�i/MUM _ G F�20/v T7-6 ' ey — E�TIF.Y i/-/.47- 7/-/ E ViST= '/AYG oc'p UAIDAT/ I ,�QF.;pq�gF Qv LOG4T-OA//5 Cp/2��C7-ti AS, IViv AAID �ONF0.2 5 M W I T14 77-/4'-C Assessor's offioe.Nst floor): ``�7 to l THE Assessor's map and lot number ............ �—a- � l� ..° F > Q BLard of Health (3rd floor): S f4 o" Sewage Permit number ....... f/ Engineering Department (3rd floor): ro rasa House number ............................11.9...r��. .. Te(�uc 2..... O�0MAI e 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 .......CoveS,iY;!A!�. ..........lk....X..Z..�:.......�? .....°.. ............. .......... ... TYPE OF CONSTRUCTION ......... °° 7 �4''� ................................................................................................................. ......................z.. ...s..-..........,9.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ..I..l.......G.o.�.!......Te.v,f4G 2 e.�. ei�✓.'�k.ec........�.�!4............................................................. ............................. Proposed Use ........ . ....fl.r. .!.0.✓1....................... C`.W..!!�.......`oc?�?'I........................ :........................................................ ..............................Fire District ........................ Zoning District .......ii.......................x..q......... \.................................................... Name of Owner .....1�.�►f�j........./"` . Address .........SavK a�dres S Yq(yn0 Name of Builder .....!.!.P.!.Q�.........k7.+:....� .�f/,sa✓1..................Address ...... .......... ..........................:3'g.-z$.Z:ct. Nameof Architect ........ .. .... ...................Address ..................................................................................... Number of Rooms .......�.if........ .................Foundation .....$....�.o N.f`.�.....`:` 0 �✓�-�e t/4)� (( I ` U ................................... ... Exterior ........ l o r�4 Roofing `! p . .......... ...................................................... s+re4,r- Floors .....C.4.r�.c.f...............................................................Interior ed'...:�.!f).s...:'..S. gN .....e.? "7 Heating .....�1ec /•C............ .Q.S.er.�QT.'d......t. oe .y. ..ei........Plumbing ...... ..N....>4...... Fireplace ...... r7 y.!...!.........................................Approximate Cost ...v:J , gn ........................... Definitive Plan Approved by Planning Board -------------------------- ..., . .•.,•••,••.••. - ...f•�•2 ... 44 ------�9-------- . Area 3.S�- �° Diagram of Lot and Building with Dimensions Fee !..... D .O... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH El 5�a 4.S•t f 4[c� yy - d - - - - - - eX,5I; Aq [ ti -z ,. qfp o5�� oA I a 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 .... a...:""!!.....b)...... `.......................... Construction Supervisor's License fl J..l... . MURRAY, LARRY -VP 30414 Build Addition................. Permit for .................................... `Single Family Dwelling .......................................................................... Location .....1.1.9...Goff...Terrace...... .. ............. Centerville ...........................................: ........................ ......... Owner .........'.ar.r ....v ...ur M.....—...a...y........................... Type Of Construction ........F... ....r.am...e....................... ............................................................................... Plot ............................. Lot ................................ Permit Granted ..E.ehruaxy...a...........19 87 Date of Inspection ....................................19 Date Completed .................. ...............19F7 Assessor's offioe (1st floor): / YNE Assessor's map and lot number ...... Beard of Health (3rd floor): I l Sewage Permit number ............................ : IARU:3 LE. : Engineering Department (3rd floor): c ( •oo M639, \0� House number ............................. ......... a� e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR yj APPLICATION FOR PERMIT TO ....... s -{'�qc.;I;..........�...........Z:,...... ,dd . �.......................... C>J©oO ��4P14e, TYPE OF CONSTRUCTION ..................................................................................................................................... .......................................... .....19........ TO THE INSPECTOR OF BUILDINGS: f The undersigned hereby applies for a permit according to the following information: Location 1 ( � Go . d fkCE' e'� C�� '�� �- ....A4:............................................................... .................................................................. ....................:..................... ProposedUse f ,J�..r. �.'°.!>........................ ?..................................................................................................... Zoning District x� ...................................Fire District ........................ ....�..i....s..................................... �Gfl� ("1uy tt�........................Address �av�te ct� cJ Name of Owner ......... le 5 ....... ... ........................ Q n(7 I � r mou Name of Builder .....!..0�.e..........F2........m� (e,5a Address :? iR. .....-t.?.2 .. ...!............ .. �.... Nameof Architect ........... :............ ............... ..........................Address ........................................ ........................................... i 1''n{��, Ji II Number of Rooms .......G. �1 Si' /P o a✓�cJ v 0 cJc+e, t„/a)) �o�t:,� ...........................Foundation .................. ......................................................./ 9 1 vt4-��L1.... 1X.5�ir1 ct41J �r ggU� .Exterior ........ .............. !.............s..... } Roofing ................. ............................ Floors .....CG t,9< .......Interior ..O�."�:. `'� .. */al� s - S �N�Qi� CaS;at 5 I ,14.,(�s , Heating ,z r�-E r.c. ....:'.. c:.t...,�!............::. !. ........Plumbing ......!^....... ............................................................... `� �^✓ G A roximate Cost 0 Fireplace ................................................... pp ............,/................................ ................�.. Definitive Plan Approved by Planning Board --------------------------------19_______ . Area .... . ...................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / ,�c� ;c, UO t � , 4 4 � C.. 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 o� (.. MURRAY, LARRY 7 No 30414 Permit for ...Build. A.dd.i.ti.on '. Single Family ......... Location ........ ...G.o f.f...T.er.r.ac.e................. .... .. .. .... .. .... .. Centerville ............................................................................... Owner Larry..N��.K�E��y....................... Murray ' Frame Type of Construction .......................................... ............................................................................... Plot ............................ Lot ................................. February 5, 87 ; Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 j - / oA 11r e h 1 ' \ • 1 � I ./- n-D N, ,,E IIA"- %II/I-v WOOD . PRODUCTS ROOf SYSTEM: M 12 PUCH Its .all about the wood 30 Year Architectural Shingles 518"CDX Roof Sheathing - 11'18 x 04 LVL Structural Ridge 4x6 Ridge Support Posts 6x6 Gable window Header FOUNDATION PLAN 24 x 8 Rafters 0 2'ac. 2'2 x 6 Collar Ties ® 2'ac. 6 6 I Primed Pine Gable and Sof/1 t Trim + (1x8+ 1x4) 24=0" 6 r.•.: .i..:.. r :.Y.. BIGFOOT BF-28 6 x 8 - - set 4'below grade 12"diameter tube GRADE BEAM 6 12"Wide x 18"Deep _ WALL SYSTEM: - 6x8 Top Plate a - 6x8 Corner Posts 8'High o - 06 Door and Window Posts ao - 06 Intermediate Pasts �� - •t 4x4 Corner Braces 6 _ 212 x 6 Purfins 2x8 PT Mudsill / GARAGE FLOOR p - Jx12 Vertical Siding l 1 - 4"Thick over grade beam N - White Cedar Shingles all walls 112"x 10"Foundation bolts: Primed Pine Trim " / - (2) within 32"of Corners � �•`x/ and 6'on centers GRADE BE i`• 12"Wide x 18"Deep GARAGE FLOOR SLOB 1!=5 11=5 " 4".Thick over grade beam BIGFOOT SF-28 - 1/2"x 10"Foundation bolts: - set 4'below grade - (2) within 32"of'Corners - 12"diameter tube - and 6'on centers 20' x 24' POST and BEAM GARAGE - Scale: 1/4" = 1' - McGrath / Ellis - 03/2006 , RIGHT P NE IOR 1 DID AN , .. -.__ __ - .fits all about the wood"' WALL FRAMING _ DEE 61-0" 6- - - — — — — — — — — I Bmsco 30x49 I c WALL SYSTEM: I '^ - 6x8 Top Plate I - 6x8 Corner Posts 8'High 4x6 Door and Window Posts c - 6x6 Intermediate Posts c _. - 4x4 Corner Braces I — — — — — — x 6 Purlins Zx8 PT Mudsill _... - 1x12 Vertical Siding - _ - - Whlf�e Cedar Shingles all walls _ - .___ _ Primed Pine Trim _._. . \ I I 9x7 Garage Door 4x6 Door Posts .I 3'Ox6'8 9 Lite '^ FRONwon 61-000 20' x 24' POST and BEAM GARAGE - Scale: 1/4" = 1' - McGrath / Ellis - 03/2006 y LEFT s " ► �" T ',S ROOF SYSTEM: ir 10 112 AZ 116afl,,avock t `.wo . - 30 Year Architectural Shingles . ------ ___ - 5/8"CDX Roof Sheathing ..-_.._.. - 117/9 x JV4 LVL Structural Ridge _. x6 Rid Support Posts 4 9e. PPo _:. -. 6x6 Gable window Header ROOF FRAMING - _ - - .. _ ..._. __. __ 2'�x 8 Rafters 0 2'2`o.2�x 6 Collar Ties 0 c. - Primed Pine Gable and Soffit Trlm (1x8 t lx4) in -- - - -- 8rrosco 24"x 28" Fixed 4 We [Mill NI E, , 20' x 24' POST and BEAM GARAGE - Scale: 1/4 = 1' McGrath / Ellis - 03/2006 .RIGHT OR WOOD PRODU Its' 4irll about the -wood i f [IFIF] FIE WALL FRAMING ❑❑❑ 6=0"- 6=0" 6=0" 6=0" Brosco 3Ox49 0 WALL SYSTEM: - 6x8 Top Plate - 6x8 Corner Posts 8'High i - 4x6 Door and Window Posts - 6x6 Intermediate Posts o lisl - 4x4 Corner Braces - - 2(12 x 6 Purlins / - 2x8 PT Mudsill - 1x12 Vertical Siding 03 -- Wh/te Cedar Shingles all walls Primed Pine Trim —T - - --1— = - - - - - - - - - - - - - - - I - 9x7 Garage Door �zl 4x6 Door Pasts I / \ I I o I 0 I I I 3'Ox6'8 I o 9 Lite FRONT Li 6=0" 6=0" 6-4'&" 20' x 24' POST and BEAM GARAGE - scale: 1/4" - 1' - McGrath / Ellis - 0312006 h LEFT III All + f' aj Qi 'r PRODUCTS ROOF SYSTEM: j E� 10/12 PITCH It' It out the '�C�.ooj - 30 Year Architectural Shingles - 5/8"CDX Roof Sheathing - 10,9 x 1-304 LVL Structural Ridge - 4x6 Ridge Support Posts - 6x6 Gable window Header ROOF FRAMING - 2112 x 8 Rafters III, 2'ac. - 21/2 x 6 Collar Tles d? 2'ac. - Primed Pine Gable and Soffit Trim (1x8¢ 1x4) Brosco 24"x 28" Fixed 4 Lite 12 12 -HH1 REAR u 20' x 24' POST and BEAM GARAGE - Scale: 114" = V - McGrath / E/!is - 0312006 y, ,y ti WP O, R WOOD PRODUCTS ROOF SYSTEM: 10/12 PITCH Its' allaboutthe '`C ,too 30 Year Architectural Shingles 5/8"CDX Roof Sheathing - 11718x1314 LVL Structural Ridge 4x6 Ridge Support Posts 6x6 Gable window Header FOUNDATION PLAN 2/2 x 8 Rafters !P 2'ac. - 2�12 x 6 Collar Ties & 2'ac. 6 x 6 - Primed Pine Gable and Soffit Trim ` + 0x8 t lx4) 24'-0## 24 6 6 1 1 SIGFOOT OF, 6 x 8 a, - set 4'below grade 12"dlamet er tube GRADE BEAM o x 6 12"Wide x 18"Deep WALL SYSTEM: o - 6x8 Top Plate o ~ - - 6x8 Corner Posts 8'Hlgh -� - 4x6 Door and Window Posts 6x6 Intermediate Posts 4x4 Corner Braces x 6 - 2"x 6 Purlins 1 o - 2x8 PT Muds/ll \ GARAGE FLOOR SLAB \ - 1x12 Vertical Siding 1 - 4"Thick over grade beam White Cedar Shingles all walls 1/2"x 10"Foundation bolts: Primed Plne Trim ---------------- (2) within 32"of Corners - and 6'on centers GRADE BEAM 12"Wide x 18"Deep a GARAGE FLOOR SLAB 13IGFOOT OF- - 4"Thick over grade beam set 4'below rade - 1/2"x 10"Foundation bolts: 9 - (2) within 32 of Corners 12"diameter tube and 6'on centers r . 20' x 24' POST and BEAM GARAGE - Scale: 1/4" - 1' McGrath / Ellis 03/2006