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"',_1-I T I 11 ' 4" ­�'��' � 1, 4 "I'll, �.,�*,,�, , ,�� ,I ,� I,qj� 4� � c-0" 7.,;�oJtn�y, I __ ��,�,,,,,,,�.�,,'�,,',��:.�,,.�,,�,,'!,,�,�,,,,,��:i,__,__,.',' , I-, : �;: _1 �i,�I " � 2: _,%, ,], -0,_�;-,�,'��,�., - " , =ai�i `�� �,o 7 a T - . - �, �'�i,�,."",��1�4!L _- �.)�,��fu,`�,, , ll,!­ .4', ,,-';,,' f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U Application# 0 o� 0�9 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Feed ° Planning Dept. Permit Fee r, Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 7�5 merr iA$ 'RUA dr. Village C_egfery,1k Owner Alyvn nYsseao Address Telephone SQL 776-7-Z5(q Permit Request rn 6101�4_h E!,risAhei deck r;t ZAlj ol 3 Snso,,tM. �'�� W�(, 01?fra�day�a.' ulf✓��evr►s. �,���/� �t �X(,�r►d�iy�'�r✓Ge�av �1 �G.rI �7�c�d O�i(� Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuationl 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 30 Historic House: ❑Yes �2(No On Old King's Highway: ❑Yes 2`No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new D Number of Bedrooms: existing new jTotal 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 ❑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 ❑No . If yes, site plan review# Current.Use Proposed Use BUILDER INFORMATION Name 54 l al+tom Telephone Number ?90 '367 3 Address--a-3/ M.,g vvc rmwj aw a License# ()-at3 5 _o 2.,73 Home Improvement Contractor# lq3 o2�y Worker's Compensation# ) / ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOr,�rwios � SIGNATURE IIWVfO DATE iG 1' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION .FRAME �K77�31 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A f l pomp mt Rect S p m pas"d - j�JGlf/�� Q�oblc 1X� e:uq es o lrp1 Ude) y ag 50,46 �✓d ey s4, J j It qxq o►, � /v"saw -�d�s �Q l ry t f �21.04' Y� -6� . y LOT 5 V r AS LOT 47 y � S � �� 0 y 0 4j AS LOT 39-1 i REFS. ZO_NE.• 'RD-1" This MORTG A E INSPECTION Bank lUseoOnly FLOOD MVE.- "C" THE DISTANCES AND MEASUREMENTS bN T IS PLAN SHOULD BE VERIFIED 2Y AN INSTRUMENT SURVEY. TOWN: _CE1VT__ . _-__ __-- R E G I S T RY O WNE.R: MBZR T E. DEED REF: _QTF -1-19-9-4Q------ BUYER -4LYIN_���1�$AR DATE: _2/3-'00 ___ ---_ PLAN REF ,�0J_�3 REF: _LC "~� SCALE:1"_ I HEREBY CERTIFY TOi- ----.--THAT THE. BUILDING %�� cam' YANKEE SURVEY SHO 4N TFI PLAN WN IS LOCATED ON THE GROUND AS `,�'` � ��. CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ C NFORM ca TO THE ZONING LAW. SETBACK REQUIREMENTS F THE " �� 40B (SUITE 1) TOWN OF B.9RNSTABLE____ __ Na.36 -A D THAT ,, INDUSTRY ROAD IT DOES._NOT— LIE WITHIN THE SPECIAL FLO D HAZARD ' SggO�P MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON .THE H.U.D. MAP DATED 81985 _ f°y�SURVOQ TEL: 428-0055 Co unit anel 250001 0005 C ` °q _._ FAX 420-5553 THIS PLAN N T MADE FROM AN INST MENT SURVEY t L A.. MERIT NOT TO BE U ED FOR FENCES BUILDING PERMITS ETC. 26323 CB Department oflndustrialAccidents Office of Investigatlons 600 Washington Street Boston, MA 02111 ' www mass gov/dia' Workers' Compensation Insurance Affidavit: Buflders/Contractors/Elects icians/Plumbers Applicant Information Please Print Legtbly Name (Business/Organizatioa/IndividuP.' La l C4, " Address: 211 UjIgjiml n City/State/Zip: h- r,-wA A Qu73 Phone#: Sam 7 j,, Are you an employer? Check the-appropriate boa: Type of projecf(required): 1,❑ I am a employer with 4. ❑ I am a general contractor and I 6, M New construction employees (fall and/or part-time).* have hared the amb-contractors 2X I am a sole proprietor or partner- listed on ft attached sheet t 7. Tvemolition emodeling ship and have no employees These sub-contractors have i3c worlemg for me in any capacity.. workers' comp,insurance. g• [] Building addition R[No woticers' Goaip.insuaance S. ❑ We exe a corporation and its . required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption p or MGL I I•❑ Ph=bmg repairs or additions myself.[No workers' comp, C. 152,§1(4),and we have no 12.[]Roof repairs insurance required.] t , employees,[No workers' 13.❑ Other camp,insurance required.] *Any applicant that checks box#1 maul also fill out the action below ahowkS their workers'compensatiaa polieyiafcanation: t Homeowners wbo submit this affidavit indicating they are doing an work andthenlire outside contractors must submit anew affidavit mdiczting such 1cmuactoia that check this boa must attached as additional aheet showing the acme of the cub-watracton and their wor3 are comp.poficy faf'oxmntion, tam an employer that is providing workers'compensation insurance for,my employees Below is the policy and job site information. t ' Iasuranco Company Name: policy#.or SeiiwL Lie.i, : lob Site Address: City/Stata/2 : Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure-coverage as required nndet Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a -fme up to$1,500,.00 and/or one-year irnprisomnen�as well as civil penalties in the•forrn 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 roar mce coverage verification, I do her certify tender t pains and penalties of perjury that the information provided above b true and correct Si tore: Date: 6"2-0 Phone# 7yd—3 V 3 offitd,i,S6 . D's rim a In Iis sum e"to✓E car d b'04 W to M 00R.Cid Ck or Town: 7ermtt/License# TY � Bsuing Authority (4ircle one): 11.Bozrd of Health 2.Building Department 3.City/Town Clerk a.Electrical inspector 5.Plumbing Inspe&tor 6. Other Coemet Person: Phone#: DIME 1 Town of Barnstable Regulatory Services MASS,, ' Thomas F.Geiler,Director 1639. AtFDMA'�p 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: I S@,,,Son roov"'-, Estimated Cost Address of Work: L7 //errjin, Rm G6hnA Owner's Name: #41vikL'z5fcJ Date of Application: 0-6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑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 Owner's Name Q:wpfi les.forms:homeaffi day ot1��,oy, Town of Barnstable Pv � Regulatory Services 3 = Thomas F.Geiler,Director r XAS& �* `bA,Ea r9.,.1166. Building Division.. �1 Tom Perry, Sading Commissioner 200 Main Street, l iyamnis,MA b2601 www.town.b arnstabl e.ma.us ffice: 508-862-4038 Fax: 508-790-6230. Property Owner Must Complete and Sign This Section. -If Using A Builder I, k v11V C. �LOV,�YXhLy ,as.Owner of the subject property hereby authorize BILL C./ to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) eturLeor__O_�Wn�er � to ' Yza Print Name r { Q:F0RMS:0WNMER1Ya5S10N . .&ma.. w ,. ICON tF0 O .S[Mao MS" ::_= ^r aches ;State uildin Co e• 8D� > {' -'V]a_nd71dqJecho L`" �3d w The Massachusetts State Building Code(780 CM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, consiructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions jo,an existing house (780.CMR, Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration,orientation,form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" strictures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of.the main-house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that .a homeowner may 'wish to consider before actually constructing/installing a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential--energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - • Type of Glazing • Insulating value a Solar beat gain • Frame materials • Glazing to frame sealing and gasketing materials/.seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation Ievel in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.23.1,..requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement,the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. v Signature of Actual Building Owner Date Vint Name Address`of Permitted Project Owner Address(if different than project location) Owner's telephone number -. �'/ze t�o�rvrrcoruuea�f y9✓l/taaaac�u�aeUa BOARD OF BUILDING REGULATIONS 'License CONSTRUCTION SUPERVISOR Hij Numbers CS 072350 - f r -' z{zire106/2007 Tr. no: 9649.0 3 Rest ART ricted ,QQ ; WILLIAM A CR 231 HIGGINS CROWil�LwR�I W YARMOUTH, MA 02673' Coinrnissioner ----- --- GJ1,ie eow& anaea1i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration• ]43264 cFCx�ration / 9/2008. , CARTERCARPE`NT�R`/�E � WILLIAM CARTEf � 231 HIGGINS CROV�ELL1�°r ^� WEST YARMOUTH, MA 02673 Deputy` dministrator . v t Assessor's office(,st Floor): Assessor's map and lot number �` U, I '0. �THE> Conservation(4th Floor): Board of Health(3id floor): r SEP-nc SYS'�� Sewage Permit number l 5 'NSTAf.L.ED Engineering Department(3rd floor): _ WIVI s House number Definitive Plan Approved by Planning Board 19 r£r �R'®��j' ElYTAL COQ ANO APPLICATIONS PROCESSED'8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN REGULATIONS TOWN ' OF BARNSTABLE k :BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO C 0AjS//-uz wo f� TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following/information: Location S �"7 ✓��'�'� uAJ C'�.vTQruJ / Proposed.Use ,-/Y?�e r5 Zoning District b ` Fire District D 'Ofg, Name of Owner Address 1 Name of Builder "rrl / Address Name of Architecta) f✓ ✓-L Address Number of Rooms Foundation Exterior Roofing - t Floors C. - /�� J���1 Interior Heating Plumbing Fireplace Approximate Cost yob z Area Diagram of Lot and Building with Dimensions Fee i IN 3U 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 Constructio Si ipervisor's License �; ! 0 OQ ��_ F DONAHUE, ROBERT t 2 ° g No 36199.- ',Permit For RESHINGLE ROOF - &Add Porch Single' Family Dwelling Location, 35 Herring Run Drive k Centerville Ownere Robert'.Donahue Type of Construction Frame Plot - Lot Permit,Granted Sept.. 28 , 19+ 93 J Date of Inspection: frame 19 Insulation - 19 ? Fireplace 19 ry _ Date Completed `� 19' x f 9 t , • 'y + cia pew ��s'�,�x'� � 5 ' S i t � _ �} + • i t ins g •` _ v,1 c AA w„--� ------- - f r iA or C w .- Cis _r q K=( r J. .4 jig stv r COMMONWEALTH OF MASSACHUSETTS DEI'AK,-MENI' OF INI DUSTRIAL ACCIDENTS w 600 WASHINGTON STREET BOSTON, MASSACHUS=S 02111 fames J Gamooei �o- sstone' WORKERS' COMPENSATION INSURANCE AFFIDAVIT (lieensCape, tact) with a principal place of business/residence at: (Ciry/State/Zip) do hereby certify, under the pains and penalties of perjury, that: j J I am an employer providing ncc following workers' compcnsation coverage for my employees working on this job. insurance Company Policy Number [/4/1 am a sole proprietor and havc no one working for me. ( � I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Tame of Contractor Insurance Company/Police Number ?Fame of Contractor Insurance Company/Polity Number Name of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself VOTE Plcasc be aware that while homeowners who employ persons to do rmaintenanec,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL. C. 152,sect. 1(5)), application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act. I understand that a copy of this statement will u•u be fordcd to the Dcputmcnt of Industrial Accidents' Ofticc of Insurance for.eovtragc verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of_r6minal penalties consisting of a fine of up to 51500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. Signed this / day of 19 � R Licensee/Pcrmirice Licensor/Permiuor Ij `� fzaiiuratoPC+ sP•p»tacuttsnt _ COiVImo EALTH DEPARTMENT OF PUBLIC SAFETY ' T i ..=.grvaffCtauS�J-- g OF ONE ASHBORTON PLACE CaAelias�Qedisf�tl83�i5E�86Oit . y PAASSACI�aJS!`TTS BOSTON,MA 0210r9 � of tlalslJcasa®. � ' LICE"JSE EXPIRATION DATE n � CONSTR. SUPERVISOR CAUTION--T G S✓21 ✓ 19 96 FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB E !.;3✓31 ✓1 9?3 054428 PRINT IN APPROPRIATE BOX ON LICENSE. P- aRRY E -NERRILL m CENTERVILLE IAA 02632 � �ST1.Ir UD�HOi {PHOTO(BLASTING OPR ONLY) FE i' . NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER { 9 0��� , v , THIS DOCUMENT MUST BE Y 2. k , t' f p•� �� SIGN NAME IN Fu[L'ABOVE SIGNATURE Li�CARRIED THE PERSONOF 'SI TURE OF LICEt'tSEE THE HOLDER WHEN EN- '2 1 OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. OVER ' HOME IMPROVEMENT CONTRACTORS REGISTRATION - E �3 Board of Building Regulations and Standard: One Ashburton Place - Room 1301 Boston , Massachusetts 02108 r HOME IMPROVEMENT CONTRACTOR Registration 108615 Expiration 08/20/94 Type - INDIVIDUAL i Barry Merrill - Barry B . Merrill 312 Skunknet Road " Centerville MA 02362