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0044 LIAM LANE
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N ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee su Planning Dept. Permit Fee 3 Date Definitive Plan Approved by Planning Board 9)241Z Historic - OKH _ Preservation/ Hyannis Project Street Address �O ,G 4L4NZ VillageBo�f�s2yi��� Owner Address Telephone SLoZ Permit Request ��� �.t/� ��;�i �l"i�i� �v�r� i�o���✓1 �,rp -- �i����9�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation3a 6v; D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .ate Two Family ❑ Multi-Family (# units) . Age of Existing Structure Historic House: ❑Yes -E21No On Old King's-Highway: ,Lj Yes:�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 0 new. :74 711 Number of Bedrooms: existing _new ew 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 ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ��z/44 Address a!� �� sZ��� /Z License # ADd 9 Fe � I Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS.PROJECT WILL BE TAKEN TO SIGNATURE DATE j l �- FOR OFFICIAL USE ONLY t APPLICATION# i DATEISSUED MAP/PARCEL NO. r f ADDRESS VILLAGE i °. OWNER i � z �r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL ,r FINAL BUILDING )i l DATE CLOSED OUT ASSOCIATION PLAN NO: OWNER AUTHORIZATION FORM (Owner' Name) owner of the property located at qq L; L (Property Address) (Property Address) hereby authorizeC JJ— S 10LA 0 , (Subcontr c or) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to peiform work on my property. X ' Owne0s Sig ature Date Y -j'_.� 10 Park Plaza - Su t6,5170 _ Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration. 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC" -- --=-- HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 Update Address and return cur(1.Mark reason for change. Address I Renewal Employment I,) Lost Card )P5-CA) $i tiUhl-0•IiU-4-Ca 1 U 21 ti - - (Ifficc t 'ot,umcr[\ffai�S 13us ne}j"ReTul,fiou License or registration valid for i;:; ti idu! use HONK)1191PFbVfJ` C71FI1`taCTO '�7CC°e�t� bc.I'ore the-expiration date. if found return to: Y Registration: 153567 Type: Office of Consumer Affairs and Business Regulation .�' Expiration: 12/15/2012 Private Corporation 10 Part:Plaza-Suite 5170 P P Boston,MA 02116 ry OD INSULATION, INC HENRY CASSIDY 455 YARMOUfH RD. :.•fix-.cJ��E� HYANNIS,MA 02601 --- - — -- — - - Undersecretary t alid ith t si T ture 1aa�.::iu„ctts-Departincut ot•Public Saf•ct% Board of Building Rcoulations anti standardx' Qonstruction Supervisor License License: CS 100988 HENRY CASSIDY 8 SHED ROW WEST (ARMOUTH, MA 02673 Expiration: 11/11/2013 ('nun i„i„ti•r Tr#: 7620 . No. 1605 P. Client#:4597 CCINSUL• ACORD. CERTIFICATE OF UABILITY INSURANCE DATE(MMIDDJYYYY) THIS CERTIFICATE E IS ISSUED A5 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI CATE H CERTIFICATE OLDER.THIS T FICATE DOES NOT AF FIRMATIVELY OR POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NEGATIVELY CONS�rl'I wfE A CONpTRACT BETWEEN T OR ALTER THE HE I$$V NG INS'URER(S'),UGE AFFORDED BY T HOR GEV REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the cerllflcate holder is an ADDITIONAL INSURED.the policy(ies)must be endorsed.If SUBROGATION 13 WAIVED,sub)oct to the terms And conditions of the policy,certaln policies may ruqulyd an atldorsernenl.A statement on this certificate does not confer rights to Ille certificate holder in lieu of suvh endarsement(s). PRODUCER NTACT Rogers&Grayhis.-So. Dennis NAME: . Mar aret Young ae°No Ex1:508-760-4602 F 877-81G•2'156 434 Route 134 AIc No E-MAIL — South Dennis, MA 026UO-1601 _ sob 398-7980 INBURFRO)AFFORDING COVERAGE NAIC N —_ __ wsURERA:Peerless Insurance 16333 wsuREU INsuRERe: J Evanston Insurance Company Cape Cad Insulation Inc 455 Yarmouth Road INSURERC:Atlantic Charter Insurance — H arinis INSURER D.Commerce Insurance Company _34754 y ,MA 02G01 T INSURER E: JNbURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI$TI=o OCLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 13EEN REDUCED BY PAID CLAIMS. S ADDLSUBR TYPE OF IN9URANC[: POLICV NQ416rR MMIODy� MMIODNYYY LIMIT& A GENERAL LIABILITY CBP8263063 0410112012 04/011201 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY ENTEO �_ PIZEMI�ES -a.-Wrenm $1l)O OOO CLAIMS-MADE �OCCUR .MEO EXP(Any ona Pawn) $5 000 PER$ONA4tlkAOVINJURY $1 000 000 OENERALAOQREGATf $2,000,000 GEN'L AGGREGATE LIMIT APPLIQ$PER: PRODUCTS•COMPIOP AGG s2,000,000 POLICY PRO- LQC $ p auroMoelLa uA8IuTY 12MMBCKVMK 4/01/2012 04/011101 EO aml acD SINGLE LIMIT 1 UOO OOO ANY AUTO - BODILY INJURY(P.,person) $ ALL OWNEDHEDULED BODILY INJURY(Par acedanl) S AUOS X HIN-OWNED PROPERTY $ oss B X UMOCCUR XONJ453512 4/01/2012 04/01/201 EACH OCCURRENCE $1 000000 E)( CLAIMS-MADE AGGREGATE $1 ODU ODU Deo X RETENTION 10000 WORKt'RaCOMPEN9ATI0N yyCA0p5259U2 6/30/2012 06/30/201 X WCSTATU aTli. $ ---- AND EMPLANYPRy2OYEERSp''LIABILITY y 1 N EL OFFICER/ML GPOpEXG.00RECUTIVEa NIA E.L.EACH ACCIDENT 1 OOUOOO IrY68,(MatidaWry in NH) E.L.DISEASE-EA EgaPLOYEE $1 O0U 000 II yetl,deacApa UnOar DESCRIPTION OF OPERATIONS below E.L.DISEASE,POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Aaaah ACORb 161,AddIII.—1 Ro.—Iic uchedula,1(more apace la requireu) "Workers Comp Information Included Officers or Proprietors Certificate Holder is included as an additional insured under General Liability when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Cape Cod Insulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED REFORE THE EXPIRATION DATE THEREOF, NOTICE WILL )BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0198 -2010 ACORD CORPORATION,All rlghta resurved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo aro roglslered marks of ACORD #S83849/M83848 MFY The common , ,,.rich of Massachuseits Departrnerll o"i industrial Accidents W Office l l t estigations — W 600 Street Bost,,! . ALA 0211.1 Workc is CMUI) llsati011 InS111-mice Aliat,.:: 1: builders/Corltrt�clors/Y;lectricia►ys/.I''tur►.a1►�r, Ltllliiattt Lnfl►r[►iatic►n ple'tse Pril►t I..'egibly t �)rbantz. tii�►"1/.lndividuaf): " , l Q done#k: 6 - t C ruu an l•ulpluycC'? Check the appropriate box; Type of project (require(l): I un a r.ulployc r wild_.._ 4, .�_...___ El 1 alll a ',�'i,i::,l iOITh'ilC[Ol"and 1 fl<1V(. . 6. � Naw CGlltitl'LIC11011 ulttiuyc:Iss (full anii/or t)al t-time.),r hired the -h ,',w taclors listed on 7• 12cnu)cleliu� the atlti.11,::.l .Iwet. I� 1 and ult- t)mPlrietor or' Partnership 'These sui,.,: ,luractors have 8• ❑ Denic)[ItIQUI loin have: nu can f)loyees working for empll yc•_:uLl have workers' comp. 9. � Building addition nlr in any capacity. [No workers' instuanC,'. to, Elt:clrical rrpnirs ur additiuus CUIIII i- ) IIIStlratlCC cq LllrCll] 5. ❑ We arc:t,of poi ition and its ., officer, IrI,:. xcrcised their right of 1 L Plun•thine, copalrs ur additions l.lilt a houlr,owucr'doint; all wolk exempri,ni I,'i N1GL c. 152 5 (4),and 1.2. Roof repairs n(yst;lf. [Ni) workrhs' comp. we have lik,ci ployees. [No workers' 1 13. o tllcrc>cr�,�r�zcr�i�t IllSlll alll'C rC ltUlrCll.l .I_ comp. Il`,I:i:,In.'C IegUlred.] r r::,P1,hran(that Checks box 41 must also fill wilt the section below Sh,I,I mw ili it workers'compensation policy infcmiultiorl. — ii,ul<,.vur.Is wlu,sill:unit this u&Odavit indicating they arc:doing call wo,l..�,�,.i il�,n hire oulsido cono'acwrs must submit a now affidavit indicating 5t1Cll. i"Iltl;laon(hilt Check this box must attach an additional sheet showing(h, w,n:. ,lf the sub-contractors and state whether or nut those entities hav6 euifluyae,.11 .uY,.,,nu, .(c,n have ontploycCs, thCy must provide their workers'coup ,i„r number 1 out tit employer that is providirt7;r workers'compensation How,'inive fur my employees. Below is tlle•policy and job site ntluruuttiun. Itlwldiit'r Colt parry Nance: � (� � l(°� �f a,� .__,�L nQ Alr-C- Expiration Date: City/State/Zip: a(tach a cupy of the workers' cornpensatiou policy declaration pat;,i.;l,,wing the policy numblir and expiration data:). 1•011u,':I„XOCIIrc CUV01*1,16c 03 a'GttlnrCCI lllldCr Section 25A of MGL c. I i.'i,nl Mild to(Ill;imposition of clinlinal pCrndtics of it fior tit)to$t,50Q.00 alld/ul nnc-gC l nulll lsuullwIlL.as well as civil penalties in the form of a ST01)\Ci rR li ORDER and a fine of up to$250.00 a day against tl'le violatur. Be advised hail;,copy of this>tutclllelkt rlla c l'orwurded to the Office of lnvesti .,m,•,,:;,ti the DIA for insurance coverube verificatioo. 1 do here c if under the , iris and penalties o1'pl i.lioy that the inforulation provided ub vet s true aril correct.� Date. L?�ficiul a.)e only. L)u not write in this area, to be completed of ,,iv or town official laity ur Towu: I'crmit/LiCense# Ls Lull Authol•ity (circle one): 1.hoard of Health 2. .Builtling Department 3.Cit)/'I octii Clerk 4.Electrical Inspector S. I'lumbbig Inspector o.Uther Contort Person: phone#: TOWN OF IBARNM2.-11 F CAPE COD INSULATION 212NGV'-6 PH 2. FIBER GLASS SEAMEE5S SPRAT FOAM SUSPENDED - BATTS "UTTERS INSUtANON c""N05 r• " �n _ 1-800-696-6611 'DIV11;IOINI Town of Barnstable TA Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work'at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building pen-nit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village hen + 4 vie . S 1 lay)ell gyU'am L-aiie- ' ceA4?,f v, Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) (. ) ( ) ( ) ( ) f Floors Walls Sincerely He y E C sidy , Pre'sident = Cape Cod nsulation, Inc. - . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel o r y Permit# Health Division o o?- � t." Date Issued �) -�,5 _0 3 Conservation Division YJ 3 Application Fee Tax Collector Permit Fee " SEPTIC SYSIM MUST BE Treasurer a'� 11d CORIPLIANCE Planning Dept. T111.E S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANL d T01174 REGUUTIDN'S ���ar Historic-OKH Preservation/Hyannis 3��iacw►S o✓II , �leeclf S:o t� CEO" dr► y Project Street Address L `4v�j f a w e Village _C e u-t pe-U .I/ Owner QnO, -50'11At4 Address 4y 6"ct,ni Lrtive C'eurpvvdle Telephone Oj 1.2.F jyc3Z - .'� 6 z4,3Z Permit Request ad ! ,4i0 9 OP1 C'X fs/ n c. h v u -R (e X 3j-, - -741Cte tei I 13edviceni � giant 1y koor!? A4eW Q l2d�P�'r/ a 6Us�yr�aw.f ' Square feet: 1 st floor: existing proposed f' 2nd floor: existing / proposed Total new Zoning District 5 Flood Plain Groundwater Overlay Project Valuation `1000, CC Construction Type `C/L Lot Size �$ Grandfathered: ❑Yes ZNo—If yes, attach supporting documentation. Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Structure �/ cl i) Historic House: ❑Yes No On Old King's Highway: El Yes ❑ No Basement Type: O Full Crawl ❑Walkout , ElOther Basement Finished Area(sq.ft.) 4/14 - Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new i = `�11 Half: existing new Number of Bedrooms: existing 3 new Z) Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: U14as ❑Oil' O Electric ❑Other Central Air: ❑Yes UAo Fireplaces: Existing New Existing wood/coal stove: ❑Yes W/No 6 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-` J o h N G W -e uL Telephone Number S_0-0� ela P ,. Address u ys ✓ Q.m L License# L s y 27- qVJf� M t' l(� ; m.,, v to Yt Home Improvement Contractor# Worker's Compensation# `�r3 ,¢ y X Z,�-3'I4-03 . ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RkJcJvc.O- ere _TevLht-e. 1Z1J N M07 SIGNATURE DATE q"0 3 FOR OFFICIAL USE ONLY PERMIT NO. . DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: .� FOUNDATION FRAME INSULATION .FIREPLACE k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH? t•; FINAL GAS: ROUGH,,-i ', - FINAL FINAL BUILDING t- e. s 0 r DATE CLOSED OUT ASSOCIATION PLAN NO. �OpIME,p� Town of Barnstable ti NAP Regulatory Services ' Thomas F.Geller,Director HAM 9`bArFo3;.�a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-4038 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: a ���,�� a� Estimated Cost �d/0 0 d Address of Work: Owner's Name: Date of Application: `� —0 � I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law MJob 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 braermit as the agent of the owner: 0 Date Contractor Name Registration No. OR Date Owner's Name �r. epluyr•� RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE aZ� b x.0031= square feet x$96/sq.foot= 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) 6 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= STAND ALONE PERMITS Open Porch x$30.00= 3 (number) Deck x$30.00= ` (number) e Fireplac /Chimney x$25,00= (number) Inground Swimming Pool $60.00 Z Above Ground Swimming Pool $25.00 U Relocation/Moving $150.00 (plus above if applicable) 2 4 Permit Fee The Commonwealth of Massachusetts Department of Industrial Accidents Office 911NIVO 9890os _ 600 Washington Street r Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workin in ca icity I am an employer providing workers' compensation for my employees working.on this job.: : ::::: :.:.:::::::::::::::::::::::::::::::::::::: :::::::::.:::............:............::;:.;:.;;::: <.;:.;;:;:.;:.;:.. :..::I•:i1'�'' .. t:::::i:> :i'. ):::.: :iii:.?:::::.^i Ji?i::S.::iiiiiiii:•i:i}iii::iii::•::::::p::::::.:::w:::::.�:n . i."'iii:........... ... .. .:: .......... ... ... ......................::..:::.�::::.�:::: ::•:::::::::.�:::::::•::.:::•.�:::::•::.;}iii;?{4:iii.4i:•i:•ii:•:•:i:tih:vi:i campanv name• :.:... address:>:::::::::.....:..... . . ...... ......... X. .....................:..:..:... :::•: •:.X. :•.�:::::::::. ... .....:••:.�n.v::. -:::.••.L............ .......:....:.::•:: ... :....:. ::::::::::::::::::..............:.::::::.�::•::::::: •..lY:.:...�: :...::::!•:: ::::.�::::.:.:•.............:::...:•::::::...�:: :•i:i:ii:i.{..::::::::::•.:::::. •:. :•:: .:-:.. :.::.�:ni:.::::.:�ii:�ii: div:. �.:'�.. ....�.........:.. .. .... .. . :. .... . . phone# ::: .. . ...:.:.:.::......::.. : .:...: : :. �.W .: . . :: �� ::::,,,.::. •d:.:.:,.:..::.::.._.:.::.:.:�::.:::._.............. olicv.#..._......................... ....... ........:... . ,. ... . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed b ow who have the following workers' compensation polices. X. n"iiam comae D ..........:.... ... . ......................:;::::::::::.. .. .......:....................................................... :i:<vi:{^:•:ii.�:C:3: ::�::ii:i::�ii:`:;:;:}!.:is{i:i :.. .::. •' .:.::• :..::�. ...:.:: ...:�... ::::•:•::..:':::::;.:•:.:::.:.:::..::..':�:•>::•:::-::::L:<•:r:;:�:<::Fr:;�::`::ai:•::::�::�:�:is�::�:�Y:`:+;:?�i:�::.:•::f:C;?�i::�::�ir:;::;::::::'+<`isY:S:;�:-'::':�:�i':�i::�::`:�::>;:ti: ,;::y:::ii<:: :: . .........:::%:':; ::S:L;::•ii:•i:•ii::•i:;•i:•i:•JJr::-;:+•:.:>:-::;:::::::%.:::;:::: < one _ _ ...... ......:.J.. . :iyy,;:�},�i`'''r,':;:5 r}ii?rill::};:;:;:i,:}isi{:`;+i:;>:;::':ii:`:4i:i"{`J:ii:ii:? :^:•4i:^:i�:::i•i:ii:ii;:i^: :::.::.>:::i.................................:....v......:::::::::::::.................., J{:.............,:._:::v: :.:::.0::::::::::::::•.�::•:.�:b:i:v,�i ' .:�.vv!!h::}:;:�:.::_:::.;::i:?;n};i`::::v!.�:�:::�i'l.:i::^i:?ii:!!::•::::;: i��aran ............ ........ adticessr'- ;.. do .ww �} ??:`%r'•r:;:�a 'nsnran /. AMINO Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify p ' enalties of perjury that the information provided above is&w..and correct Signature Date z Print name '.J d /1l C B 0 ¢N f)•(d phone# 5�0 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; ❑Other (levied 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compe nsation for their �° a person in the service of another under an employees. As quoted from the "law", an employee is defined as every p Y 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, construction 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 section 25 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, 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and &t' 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. City or Towns 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. 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 Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Imlesduadens 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 f a' BOARD O "'W) DING"REGUt ATiONS y Ucense CONMV-U(.CTI6W§,WPER\(I§OR r, " Number CS 014224 a' aBlrtlida a W4/08/195:4 t Expiresa 04%08J20iO4 Tr:no: 21666 �� -�Restiictedt 00 i ; JOHN C BOWDENx� F -' s` u 2 YSLIPPER�LN, LN,• �' ;,4�V , , x � MARSTONS�MILLS, MA-02648 -" " A'dmm►strafor 2 ' ' � ✓/re �airr„naiu �✓fj�naaadu . Board of Building Regulations and Standards i } = HOME IMPROVEMENT CONTRACTOR Registration • Ib5737• `Expiration 7/20/2004 .Type: Individual JOHN C.BOWDEN John Bowden - 28 Lady Slipper Ln/PO Box 26 Marstons Mills,MA 02648 " `"' o a °F�►+Er�, Town of Barnstable Regulatory Services i BAnNsrABLE, = Thomas F.Geiler,Director MASI , s619. Mp`lA,� Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4638 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I S e p`� Q l� S p r f CI.h , as Owner of the subject property hereby authorize 6 n/ C-. 8 0 W P 0'-/ to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) -Z am *Signaopffner ate Printe W CMR AppaxUx J Table J5.Zlb(continued) Prescriptive Packages for due and Two4sunily Residential Buildings Heated with Fossil Fuel , MINIMUM MAXIMUM W Wall Floor 8asesneai Slab Heating/Cooling Glaring: Glaring Ceiling Equipment EfFicien Anew(Y.) U.value= R-value' R-value R-valuct Ralu Perimeter, � Pachge , 3101 to 6 00 Heating Degres Days • 0.40 f` 38 13 19 , 10 6 Normal Q 12% Normal R 12% 0.52 30 19 19 10 6 6 95 AFUE S 12% 0.30 38 13 19 10 N/A Normal T 15% 0.36 38 13 23 WA 6 Normal U 15% 0.46 38 19 19 14 85 AFUE V 15% 0.44 38 13 25 N/A N/A 6 95 AFUE W 15% 0.52 30 19 19 10 Noal x 18% 032 38 13 25 N/A NIA rm Normal }( IS'/a 0.42 38 19 25 N/A N/A gp AFUE Z 18% 0.42 38 13 19 10 6 AA 18% (M 30 19 19 IO 6 90 AFUE 1. ADDRESS OF PROPERTY. .t4 q OL vl -e— t/V n4A 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �' vA e t 3. SQUARE FOOTAGE OF ALL GLAZING: - ° 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ETERM NING ORGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS BUILDING INSPECTOR APPROVAL: YES: NO: g4orms-580303 a 780 CMR Appendix J Footnotes to Table A2.Ib: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and e th basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. m a building design with 300 fl of glazing area. For example,3 fl of decorative glass may be excluded from g gn . z - ues must be tested and documented by the manufacturer in accordance with 1 1999 glazing U val After January , g g Aft azY the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation pl us lus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between ' the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 3 The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elearic resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable Ievels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envp elo e,must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value " in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r LOT 10 183. 70' - 585 43'21" R = 485.52'I L = 23. 05' W o LOT � DECK O -=HSE.- W 04= LZIO O __24.4'=p0 O 6 N87 46'31"E 189.05' LOT 12 RES. ZONE.- "RD-1" This MORTGAGE INSPECTION Plan is For FLOOD ZONE'.- "C" Bank Use Only TOWN: _CK1VTER_LY44 -------- REGISTRY OWNER: ROBER�A_ Bc EIJZ_ABETH� TALERtLi_ DEED REF: _C_T _JB33,2t_______BUYER: S3E1°FIEN �._ _�N�VVK E_._SELLANE__________ DATE: 5 19/97 ___--__,___ PLAN REF:_,2Z 7_ C _________SCALE:1"- 30=-_FT. 035 I HEREBY CERTIFY TO SANDKCH COOPERATIVERA�VK SANDWICH COOPERATIVE BANK__THAT THE BUILDING OF YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS .�� � ^y CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ — CONFORM PA.L 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERlTFI TOWN OF v_BARNSTABLE __ ----AND THAT Na. INDUSTRY ROAD IT DOES_N0�' LIE WITHIN THE SPECIAL FLOOD HAZARD .� m ARSTONs MIL1S, MA 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_W2�92__ ". � G1SfiEtt�s3�r TEL: 42B-0055 Co unit -Panel 250001 0016 D � EMI FAX 420-5553 THIS PLAN NOT MADE FROM AN 199TRUMENTT PAUL A MERITH PILS SURVEY NOT TO BE USED FOR FENCES ETC. 20844 SHA °f`""°�� The Town of Barnstable WP O* h BARNSTABL6. MASS. Department of Health Safety and Environmental Services . '679. `ee p�fGMP�� Building Division 367 Main Street,Hyannis,MA 02601 .e: 508-862-4038 508-790-6230 PLAN REVIEW Owner: S. S P 1 I 1 Qn e-• Map/Parcel: //,, r Project Address:`f-4 Ci am' C Builder: t ►J C)Lcz �n The following items were Inoted on reviewing: ' f 2 Pr uv 1 e l c n u C h ON 40-e IrC RA(Z Reviewed by: 0 C4",P-A 0J Date: ! ♦ • The Town of Barnstable . • wtHsr�atc. • . 9 059. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION MA Location of shed(address) 1vi Annu Ilk & Property owner's name Telephone number FVZO 1 0 1 -1 Size of Shed Map/Parcel# Signature Date J Hyannis Main Street Waterfront Historic District? � Old King's Highway Historic District Commission jurisdiction? k Conservation Commission(signature required) nQ THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg LOT 10 183, 70' S85'03'21 "h' R = 485. 52' L = 23. 05' o LOT � 11 ?113 35'f c = ----- DECK - -HSE. #44-_- O __--- O ==24.4'- o N87 46'31"E 189. 05' LOT 12 RES.. ZONE. "RD-1" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _CEIVTERVILLE _________ REGISTRY OWNER: �BERT A— & ELIZABETH_M. _TALERMAN DEED REF: _ CTF. 133321 _______BUYER: STEPI1EN A._ 8c_AN�VE E_._SPILLANE----------- DATE: _51�97------------ PLAN REF: _37478 C ..,.,-----SCALE:I = 30'___FT. I HEREBY CERTIFY TO SANDWICH COOPERA(_k BANK .jH� OF- ��r YANKEE SURVEY _SANDWICH_COOPERATIVE BANK__THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL CONSULTANTS SHOWN AND THAT ITS .POSITION DOES _ CONFORM ��AiT�iEyy 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE "° No. � @ INDUSTRY ROAD � TOWN OF ---BARNSTABLE-------------AND THAT IT DOES— NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD 2A`w�� `STrR�Q�q�e MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_�2�92 __ ."I LAD .r TEL: 428-0055 Co unit —Panel 250001 0016 D FAX 420-5553 __ _____ THIS PLAN NOT MADE FROM AN INSTRUMENT 20844 SHA PAUL A. ME fTH , PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. Assessor's Office 1st floor Ma Lot to `'����� Permit# Conservation Office 4th floor =,-7 S J� Date Issued Board of Health 3rd floor ��i�J Engineering Dept.�(3rd floor) House# ;,!�l / °p � Planning Dept. (1st floor/School Admin.B1dQ.): i ," , s Definitive Plan ADmved bv Planning Board 19 PTIC SYS KAw BE o TALLE® 'N �AN( �A licati roc WITH TITLE 5 ENVIRONMENTAL CODE AND TOWN OF BARNSTABER , - Building Permit Application ; Project Street Address / L_/r 71� - Village Cp1 75�Y� li� L (-Q Fire District Owner ��PL7L / .),/�/e lr j"a / Address y It L. a k gal ce 4, 1 yr Telephone s T 0 :3 Permit Request: 4L D:sz Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proppsed Use pe Construction Ty L�A r6/ Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure 124 Basement tvpe Historic House Finished Old Kin 's Highway Highw4y Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) S First Floor Heat Type and Fuel z=L2:� AL 4�La S Central Air Fireplaces h( n Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other a C.-1�—� X f lP Builder Information Name ('-.4 V V Am 4.2 A ec C—n Telephone number 3 lo 2. 7 Address e - p l off,, License# 0 1 8 9 91 4 ye IZ1`L�-P �� 0;L lO 3.2 Home Improvement Contractor# /) 01 0.j Worker's Compgnsation # G D 2yS�Ldhc4 Co 'Ya< 4 AAnej-w'CA 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 BETAKEN TO d 1- iam Project Cost d o Fee /a SIGNATURE C DATE 42 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 5/1/95 FOR OFFICE USE ONLY 167.016.017 y ADDRESS 44 Liam�Road </z VILLAGECenterville r Robert Talerman OWNER w, r DATE OF INSPECTION: FOUNDATION } � - I FRAME INSULATION FIREPLACE r r. + n a ' ELECTRICAL: ROUGH FINAL ' PLUMBING: `� ROUGH FIt4AL GAS: i ROUGH FINAL FINAL BUILDING: + DATE CLOSED OUT: FIZZ_ ASSOCIATE PLAN NO. ",< . ' f' 'z f 11/02•'94 17:02 V61 7 7 27 7122 DEPT IfiD ACCID ^ r (Lo1ju"17.141e,aLttL of Alaj-iachaietb 2apartmeni o��ndu�friaL�ccfden4i 600 1N-Ju-nijton Stmet James J.Campbell ,Dolton, 916-m tta 02f f f Commissioner Workers' Compensation 'lusurance davit 1, with a principal place of business at: (?lea's f � is�zta) do hereby certify under the pains and penalties of perjury, that: () I am an employer provid"mg workers' compensation coverage for my employees working a this Job. C � Sa 3 � - 1 uranck Company Policy Number () I am a sole proprietor and have no one worsting for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have tired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () ( am a homeowner performing 2II the work myself. I cneer.Car,G; a cory of&,:s s_tement will be fo-rzrded to&-e Once of investi�tions of cite D1A for coverage verification and that failure to s{c ccve-age Zs ree_:,-ed under Secuon 25A of MGL 152 c:,,leld to EM Imposition of criminal penalties eonsistin¢of a fine of up :o S 1,500.00 ane/c years' imFri<cnment u 1l as rnil penalties in the fortr.cf a STOP WORK ORDER and a fine of S 100.00 a day against me Signed this - day of 19 G 0 Licensee/Permittee Building Department Licensing Board, Selettmens Office Health Department 7, (F l TO VR1F"V COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 The Town of Barnstable peg Department of Health Safety and Environmental Services BuiIding Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossett Fax: 508-775-3344 For office use only Permit no. Date AFFMAVIT HOME 1MPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMITAPPLICATION MGL c. 142A requires that the"deconstruction,alterations,renovation,repair,modernization,conversion, improvement, remrnal, 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;I a--n ss which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Est Co U dd C,)j Address of Work: � Owner Name:_L/� .16 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Budding not owner-occupied Owner pulling own permit 1 oticc is hcrcby given ONVNTERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE H0ti1E IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION.FROGRAA1 OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner. 1,2? /7 5- c D je Co nor name Registration No. OR Date Owner's name a I I I I j I X_12 I { 71 j , 11 i I I I G ' E 1 t I I �uA m I � + a a I r 1 t f I I i -- LOT 10 S85'03'21»W 183..70' - R = 485.52' s M L = 23. 05CIA o A LOT o tzl_ 11 35'f DECK -HSE._ O O O 1 N87 46'31"E 189. 05' LOT 12 RES. ZONE. "RD-1" This MORTGAGE INSPECTION .Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: _CU_=?VILLff________ REGISTRY OWNER: STEPHEN J._& DOROTHY D. ZALOGA DEED REF: _ CM'_ 14564 ____-_BUYER: —R0,UZ9Z J �c I'll 'TH.JL. _54------------- DATE: l _____ _3 0/�2 ________---- PLAN REF: _37478 C _______SCALE:1"= 30'__FT. I HEREBY CERTIFY TO ABJIVGTOIV S UING -RALYK&__ YANKEE SURVEY .FIRST A_M_E_R_I_C_A_NT_IT_L_E _IN_S_.__CO. _THAT THE BUILDING -kA of M, SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT ITS POSITION DOES _-__ CONFORM PAUL TO THE ZONING LAW SETBACK REQUIREMENTS OF THE o A. 40B (SUITE 1) MERITHEW Z;g INDUSTRY ROAD TOWN OF _ BARNSTABLE --------AND THAT 0 No. 320e8 Q IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ��F qF �o MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_�?r,1�9_2__ \"'p/ �iSTER��Q� . TEL: 428-0055 Co unit —Panel 250001 0016 D SAL LANDS FAX 420-5553 _____ THIS PLAN NOT MADE FROM AN RUMENT 14245 DPG PAUL A. MERITH PLS SURVEY NOT TO BE USED FOR FENCES ETC. Y t�. .• . 9'may` • �^ TOWN OF BARNSTABLE Permit No. _ 4,37-- z . . Building Inspector - r' i »>t Cash 7 039 - f079• �Gp1pY OCCUPANCY PERMIT Bond � d "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a i certificate of occupancy has been -issued by the Building-Inspector," Issued to GYE.'eTli)1"ier Corp. Address . Bo%-S 10 Centerville loft.41.E 44 T iam TAnp. ('pntp.."ri l p Wiring Inspector � � r Inspection date Plumbing Inspector,; � Inspection date g fCrtas Inspector _ ��n "- Inspection date X Engineering Department Inspection Inspection date /,/i y 9 A 6 fir' 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. +� ............................................_, 19_ _.. Building.Inspector Assessor's map,,_and lot number .. .r.. . ......1..f�:!:......... r� THET�� Sewiage emit number '"....s9 R::.•Year`................................ + d``Q ♦� > x Z MARNSTa M i House number .......� .......................................................... 9�p NABeS 1639. E TOWN -. OF BARNSTABLE BUILDING INSPECTOR h' i s � 'may'/ f c 1/t'v 1f t i' / • APPLICATION FOR PERMIT TO �.�. t '' `� TYPE OF CONSTRUCTION ......................................................... �.`�.................• .. .... .�.................. ..,. .. . . ... ............... :.. .... .... 19�!... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .�'..�r .......w..... � .f...... r'.!;��?.. ... ,: ............��-..`.......��,!...... . ............... f ... ProposedUse ................................. :: .�2!„ ....................................... ........ Zoning District ...................i� .. -..{....................................Fire District ...................... Name of Owner .............. S' �r,'�.{ p` .....Address ................... !.....�s.�..�?....... ' Name of Builder' i�r� ...............Address Nameof Architect ..................................................................Address ..................................................................................... Numberof Rooms .......................... .................................Foundation ............................................................................... Exterior ....... . !,,::�.. .... .`7. 7. .CB ......:/.. ...' Roofing .......... •� �! 'j• :��...... ..`� ..................... Floors ............ :: .i2 ..'' c .... ` �.. ., .. ...........Interior ..............�5:!:x '� . `.d.......................... '? .......... Heating .............. ~.. , P. ...... J. �..........................Plumbing ............... Fireplace ............................. ..............................................Approximate Cost ............... Z.1. ��. .4�- ..................... Definitive Plan Approved by Planning Board _______.__ ___________19__Zr__ Area ......,....%............................. , Diagram of Lot and Building with Dimensions Fee ( S......: .................. . ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH t ✓ f 44 'u t 1 t �C OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS / t I hereby agree to conform to all the Rules and Regulations of the Town f'arn le re arding�fhe�a�v ' construction. i'�/ ✓'J� v Name , /` ,' ,` GREENBRIER COR> . 167-16 7 No 24371 permit for One Story ... .�. .. .................................... ........5a xigie...Zamply..Awel.l.in.g............. Lot , Liam Lane, II Location ..................#11.................44............................. Centerville Owner Greenbrier Corp. Type of Construction ,,,Frame Plot ............................ Lot ................................ Permit Granted ..Sept. 14 , 19 82 Date of Inspection ....................................19 Date Completed ......................................19 J � . I F T Assessor's map and lot b numerXZ; (((fff ... � /. . ® THE l7� �' Sewage ?Permit number .... r I . . .................. ..... ' h `�� � �,► House number ... ........:....................................... ,��rryy�� ;q��ypp I4lp�a'�" TpfR�'FC�yp B esaSTsnLS ' TOWN REGULATKYP a• TOWN �OF BARNSTABLE - BUILDING INSPECTOR 0.1 APPLICATION FOR. PERMIT TO .........C� ./.... ................... l `, ............. � .,.............. TYPE OFCONSTRUCTION �i,�y�-............................................:..............k../'�!.............................................................. ....7.. ...........I gir TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informa/tion: / Location ........................ .................�.(.��r... . :r% /1.............. ,. ......... ProposedUse . .......................... ..!(!! .1.. ..................E ,111. f/..............:............................................................. Zoning District ...................1.-................................................Fire District ....................... ....... . ................. . . .. . Name of Owner .............. .�� 0- air. .lod(: .....Address .................... ....... ... .. .....<.. � Nameof Builder. .......................... : ................Address .......................................... ......... ............................ Nameof Architect .................................................Address ................................ ....:................................................................ Numberof Rooms ........................... .................................Foundation .............................................................................. /^ Exterior ......... 4......f� `7.'.f2 .`Ie.......f. ./ .........Roofing ........, 5. ......................................... Floors .✓��: /. .......................... .. .............Interior ............:......, o� C l' .................. R Heating .W. ... �7�..........................Plumbing ............... �c....... ........... Fireplace ...................................................................................Approximate Cost .................. . Definitive Plan Approved by Planning Board ---------- -----------19__ Area _..... �................................ Diagram of Lot and Building with Dimensions ��� 0/L._ Fee "� �' �� SUBJECT TO APPROVAL OF BOARD OF .HEALTH 'a x. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town f r di h d con truction. , Name ............... .. ............... .... . .. .. ................. �� 0 GREENBRIER CORP. 24371 One Stot.-4�/ ,AH0 ................. Permit for ...................... ............. S*ngle Family... ................ . ......... ....................... ... . .... .. .. Lana,, ..Location .,,Lot...fl;lf.......4.4....Liam„a.m...L;an.e... Centerville ............................................................................... Greenbrier Corp: &wner .... ............................................................. • Frame Type of Construction ..................... ................... • ................................................................................. Plot ....................... Lot ................................ Sept. ,14 ......19 82 Pe6it Granted ...................... Date of I Inspection ....................................19 Date Complete I /�lr..... 9 �-z 16 . f S-7 4-1 8 132.G9 , 0 J U1 rr r o 44 a M i ' • Icy 80 . �, 46s sz A:23.os i 5o"w1DE.. L LQM L,q,V E OF bqs 2c,o0o S.F - 125wu„- ' N �►No ����,r CERTIFIED PLOT PLAN L.C�T- 11 L I A M LAQ-E= ' C-P�� -V I LL.1= NEW CONSTRUCTION ONLY TOP OF FOUNDATION IS 3.,-8 FEET IN ABOVE LOW POINT OF ADJACENT SAINSIA -L 24M ASS* ROAD. SCALE: I11= 5& DATE , LA E`®GE ENG1 �E' I t3 I CERTIFY THAT THE �u�no►-� CLLENT EGISTERED REGISTERED SHOWN ON THIS PLAN IS LOCATED ; .NQ;; ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYS DR,9Y�.' '.-.. OF ®ARNSTAB E, v4ss. R E CH.�Y� - e- ► 9_ �P �_ 712 M A I N S.T ET H YA N R I S, MASS., . 3NEXT �.OF I lA € hp . LAND SURVEYOR w s u`c a D Q Q v' '9 m (arir�noN) O W Z O 2'a" 8'.p 4,-61 � n a 3 O POW x 6'6u w \ w I d e lo �'< w ————— —————— JL c4 _o r4 9 6'•8"t �O r c• � � � vN ell v ^ NEWZ 13/i',49_I/2'!LVL', � a > tl �X II I� 1 t� Z: N L� —73 N � o o \Jn z a X Al iI a Imo__ I x -0 M -0 z > z - z Ewsr. '—I �, _ O -�- o o r �. — a -innmmm � Q �g �� � z fix' QoD m � zO �No� N -Q�-�ni I m -1 � 2 -�IOS� Q z � md . < m 713 M a � I p0 mn � � 1X aCr = CA � Z .-q �� Ewsr Ewsr. m = z co x MM 0 � vomm -i > m --�-- � � O (EXISnNG) Z D O M � Omcnm0m M -< R -imzm v -jO � m > O ° NEW ADDITION FOR: r �Ia DESIGNED/DRAWN BY: ANNE & STEPHEN SPILLANE 43 BREWSTER ROAD . N7 N 44 LIAM LANE CENTERVILLE, MA c5A8s539-2699A o2649 cMArcriEwsnr� 0 E Ed I Eli S ® C`REEEE ACC ACC � C'CC 77 — o o777 ® ®® z < - y --------- O �® � (MArcnEwM) (MAIOJ Ew� a a NEW ADDITION FOR: DESIGNED/DRAWN BY: COTUIT BAY DESIGN N ANNE & STE PHE N SP ILLANE 43 BREwsTER ROAD z Z o MASHPEE ,ARIA. 026�49 [�,' `� N 44 LIAM LANE CENTERVILLE, MA (508)539-2699 c wolncr» -------- __ __ D ------------ —\--�:\\\=\\\�\--.`\\\QS= ----- \_Q\_: �t ----------- 1 .G�- AZT > (rnarcflEwsnW) V-011 o NZ N z �4 7 nit Q �si pn �r, CVEfdFYINPIELD) C 15 7Q41 @ .- C O Q �C�p1N\Na CR � IJ>jSQs�O m 64 m_ "3i N `nC �• ~ O ' ��yBA G (Eg •^fir yRa x � x �� � � � g a -i � 61 crwrclaEwsnNu) S1 Z NEW ADDITION FOR: DESIGNED/DRAWN BY: 2- C� Oz l�I B N ... ANNE &STEPHEN SPILLANE- - 4°BREWSTE ROAD N 44 LIAM LANE CENTERVILLE MASHPEE,MA. 02649 , MA (508)539 2699