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J 4�v, of r +N 4, .A A li'.,..�_'3,r,1{- v M. .. >v....u. -I\_...— 6 § � T The Town of Barnstable Department of Health, Safety and Environmental Services Building Division MAO&. $ 1679. 367 Main Street,Hyannis MA 02601 Fo ru►t� Office: 508=90-6227 Ralph M.Crossen Fax: 508-?90-6230 Building Commissions: Home Occupation Registration Daze: Name:_ LNIt Ufz�S P Phone #: � Address:3f LIr-ry�'�� �����c- : � A, MT fly 0�6_� Type of Business: 1'� Ti�n'1 Map%Lot: ' INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4.1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no incrense in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit.located within that dwelling umL • Such use occupies no more than 400 square fees of space. • There are no external alterations to the dwelling-which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration.smoke,dust or other particular matter. odors, electrical disturbance,heat,glare,humidity or other objectionable effects. • 'There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in c.Ycess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation.and not within the required front yard. • There is no exterior storage or display of materials or equipment. • These is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet is length and not to exceed 4 tires,parked on the same lot contain*the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • O No person shall be employed in the Customary Home cxtrpation who is not a permanent resident of the dwelling unit. I,the undersigned.have read and agree with the above restrictions for my home occupation I am registering: Date: Engineering Dept.(3rd floor) Ma �(� Parcel 6r/ � Permit# P _ House# ��,��% Date Issued Board of Health(3rd floory(8:15 -9:30/1:00-4:30) Y q a8i Feeew Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) %`e� � Definit Approved by Planning Board , 19 TOWN OF BARNSTABLE Building Permit Applications Proje t Street Address 3 S e fr., G VillageP�-d,' Owner —1 om'gS %Eurns (61extls) Address -;Q e�/iti► Ci Telephone 7 d 0 P/ Permit Request — / To 2 tm e./ 7�•ec//m*- First Floor /f4'0,0 square feet Second Floor q square feet Construction Type ��2��AA d&,e Estimated $ Cost Project ProI' N 3 i Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family [► rl�' Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House ❑ t ❑Yes 2" o On Old King's Highway Yes ❑No Basement Type: ca-full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing 15- _New First Floor Room Count Heat Type and Fuel: 2"Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name�i c�i V. J��9e�D Telephone Number 2 75—- 3700 Address //� f Sep �o License# D "S 0 Home Improvement Contractor# li/d-J `?"7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FO OWING REASON(S) FOR OFFICIAL USE ONLY r r PERMIT NO. DATE ISSUED ' f .; -.' '7 ' -. y , r 'hF - ,- _ r •ter - t MAP/PARCEL NO. ADDRESS VILLAGE OWNER + DATE OF INSPECTION: FOUNDATION FRAME0��4 i R INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL', PLUMBING.- `Z b�UGH FINAL GAS: y GH FINALE R' i� ,tom' f�a,, •t, � � - - _ + ` .. .. I ' FINAL BUILDI'N0i, � •,y - , 'DATE CLOSED OUT- 4r, ASSOCIATION PLAN NO. Assessor's map and lot number - ..." et& Bp*THE t0 Q r Sewage Permit number /?�!?..c +.: _ .. .,.., d........... Z BASHSTA ILE, i House number .�A..ln......................................................... 'o "6& . tJ � �,o,1 39 e ' �Fa MAI Ord TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ..... `�!+�'r�' �e14-1.................................................................................................................. .....:....�1.!.....:`.i9.....................19.Z::�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information::+ Location .. ' f!/1....... (/ �C � ' : /l�°........... ProposedUse ........ ......................................' � ........................` ` ................................................................................................... Zoning District .................. ............................................Fire District ...............(2� .�J.................................................. ... Name of Owner ��,�QI/1 i�`.. �,llb ........................Address ..................`................................................................ r 1......j... ...J��.. �F Jl Name of Builder !/I 6ri.`.�.S....1.16' ...............................Address ` ' ,? j < li�� �!!.: �r t•� �1 E' : :... Name of Architect ..................................................................Address ........................... C 0!)C/--e �� z'laC Numberof Rooms .................................Foundation .............................................................................. Exterior ...° �7 /,1'��.,o.'.....:.................................................Roofing .....' `3�?'l3 ...`5 ............................................. Floors �..................................................................Interior .......... / F y!yv` /......................................................... Heating .......'. .........................................................Plumbing Fireplace ..../?.©./?..` ................................................................Approximate Cost ...... ....................................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ....... ................ Diagram of Lot and Building with Dimensions f Fee � �................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH :z .Df 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 ..... .. ......... .................. 3 ' WELBY, FRANK � `A=1 9-54 24025 Build �Ad itl- No ................. Permit for ................................ ... Single Family Dwelling ....................................................................... ....... Location ....38 Lietrim Circl .......................................... .... ........... Centerville Framk Welby Owner .................................................................. Type of Construction :.....F ZAMP....................... (' Plot '....................:...... Lot ................................ Permit Granted ......May...10.l................19 82 Date of Inspection ................. I Date Completed ......................................19 ' NI l'o� 1 _4 /I A s _ Assessor's map and lot number .%h� � .e0 . of Y e roe v' �Sewage Permit number .. SEPTIC SYSTEM MUST BE s BA9'HB Lt. House number ..... .. ........................................................ INSTALLED IN COMPLIANCE 90, 1639 !!IT.H TITLE 5 o war aye r TOWN OF BA 'IV E � ,tip �. L BUILDING INSPECTOR 1. A APPLICATION FOR PERMIT TO ...... ?r1�./ ... G�� �/�� / O �i �Q a �- .......... ......................................................................... G✓ o� f`Q� e TYPE OF CONSTRUCTION �...........f1:....................................................................................................................... �....zo....................19.. —,'TO—'THE 'INSPECTOR OF BUILDINGS: The undersigned,hereby applies for a permit according to the following information: ` Location ......................................�............................................................................... ........ ................................................. � ProposedUse ........ ............ ............................................................... ................................. Zoning District ........... .............................................Fire District Name of Owner el . ............................Address ..... .... Name of Builder" ...0 .�/A 5.... ................Address /...... < .....! :... . ....... Nameof Architect ..................................................................Address ................................,....................... . ........................... Number of Rooms Foundation •••C O/)C /--e / e e/OC, .......................... *—...**"**................... ................................................................. Exierior .�" i�J�/-e.5 .........Roofing .....�!f-5, .�11 % S�//j� rj�C 5........................ .............. ......................................................... ...................11-.... ....... . ..................................................................Interior ...... �,-,fIt....a.................................................... Floors /�/a Heating ..... o .... i%.. ................................................Plumbing .....!7®/?. . ......................................................... Fireplace h 'f ........Approximate Cost / d 4-ad f...................................................... Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ....... !?.. /.................. Diagram of Lot and Building with Dimensions / Fee ./..a'�.� SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 b �s ^^V6 6d i 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 .............................`":......... ...... ......................... �4ELBYI FRANK 24025 Build Additi No ................. Permit for ................................. .. ,*,d VIi t Single Family Dwelli g ............................................................ng....... ..... ... ...... .... Location ................................38 Lie . im .Q ;Lr.Q.I. ...... ........ ..... ....... -Centervi ....................................... . J.Q.................. ............ Owner .....;.F.r.an.k...We.lj�y .. .. .. .... .. ..... .. ................. ........... Type of Construction Frame............................. . .... ....... ............ ...................... .......... ................................ Plot ............................. Lot ............ ................... Permit Granted ......May....1.0...................19 82 Date of Inspection ....................................19 Date Completed ............ 19 2 w - The Contntonlrcalth of atassachusctts •rri -;- �•�:- Department of Industrial.4ccidcnts t QWcE-Of lmrest/gatlons •�\..►';" :.-r:;' 600 !f'a.ybi»rtott Street •: = Boston.Mass. 0 111 orkcrs' Compensation Insurance Affidavit i li •tn inf rot ion• 171iiTTPRINT MY - cat' n• e t1 /ew,zl e � �7S 370 9 nhnnc� lmm a homeowner performing all wort: myself.a sole proprietor and have no-one working in any capacity [1 I am an employer providing workers' compensation for my employees working on this job. enumanv name: •tddrres• city• nhnnc#• incurnnce co nolicv t! [] I am a sole proprietor, seneral contractor, or homeowner(ct(cfrcle one) and have hired the contractors listed below who h� the following workers' compensation polices: comnnnv n•tmc- •ttl�irrtc• cite•• nhnnc • nniicv d _ incur�ncr rn _ _ ., . y.....-� _ 'T' - r - -__-=r�. �ZL��...r!•►.w•5... � .SS _ .--.err -f•�-...-_ comminv n•tmr• •tddrecc• tit+•• nhnnc tt• incur-ince Co. policy a Attach additio'n21 shert if ncccssi =••..'_ •::� ,_..* _^+:':"y;i:au .'..-=- - ' ^"": '`_:' :_.�u,:.-......: .::_:. Failure to secure coverage as required under Section:SA of 11IGL 152 can iead to the imposition of criminai penalties of a line up to S1.500.U0 andru: one+cars' imprisonment as+veil as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a dayagainst me. 1 understand that Copy of this statement may be forwarded to the Oflicc of Investigations of the DIA for coverage verification. /do herebr ce ' r tutdcr tRe pains and en its of perjun•that the information provided above is true and correct Si=nature Datc Print name P/vd—/ Phone .rr•r�rrrr _ official use uni% do not write in this area to be compacted by city or town ofrtciai permit/ticense if rIBuilding Department L city or town: :2ucensing Board I:check it immediate response is required OScicetmcn•s Uffice ► �. C311catth Department ` phone is• nUthcr r � contact person: - _- • Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their employecs.,As quoted from the "Ia%\`. an empleiree is defined as every person in the service of another under any contract of iiiot: express or implied. oral or written. An enrph rer is defined as an individual• partnership. association. corporation or other legal entity. or any two or more the foregoing cn�_a�_ed 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 tine owner of a dwellin�_ house haying not more than three apartments and who resides therein. or the occupant of the d��cliidt__ house of another who employs persons to do maintenance , construction or repair work on such dwelling hour ar oil the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. viGL chapter 152 section 25 also states that ever , state or local licensing agency shall withliuld the issuance or -clic"•al of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence of compliance with the insurance coverage required. \dditionalk. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the ,erfornTance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha :een presented to the contracting authority. .pplicants ;:ase fill in the workers compensation aff idavit completely, by checking the box that applies to your situation and 1pplying company names. address and phone numbers as all affidavits may be submitted to the Department of dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The -tidayit should be returned to the city or town that tine application for the permit or license is being requested. )t the Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required obtain a workers' compensation; policy. please call the Department at the number listed below. t-\' or Towns :ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at tine bottom of affidavit for you to fill out in tine event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. i Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. .ase do not hesitate to give us a"call. - e Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents r i _ Office al Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 i 36 IP FND Z U 154.75 m Q L0 DECK r l� 50.8 O o N0. 36 26 1 STY. O J N 14.O 14.7 c. 22.1 w 104.75 LIETRIM CIR . MORTGAGE LOAN INSPECTION MLIS52 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.=. 40 FT. P.O. BOX 2.8 zµoFM SAGAMORE BEACH, MA. 02562 DA OCTOBER 19 4 "J,,9 (508) 888 8667 a T110MAs 10 C. N I CERTIFY TO PLYMOUTH MORTGAGE COMPANY,. INC. ao FONT PIANO w THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS 4 NO.34314v TO THE ZONING OF THE TOWN OF BARNSiABLE (CENTERVILLE) �gottessloo ' I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD 1"0sunvt ZONE AS DELINIATED ON MAP 0015C COMMUNITY NO. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: PLAN BOOK 223, PAGE 139 LOT NO.: 37 PLAN BY: THOMAS E. KELLEY BUYER: DATED: AUGUST 19, 1968 THIS INSPECTION NOT MADE FROM AN INSTRUMENT SURVEY AND IS NOT TO BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. d,tne . . °: The Town of Barnstable 9 MUSS 16,39. g Department of Health Safety and Environmental Services �°r� • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissit For office use only 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/v� ��� Est. Cost , Address of Work:i,'�� Owner's Name Date of Permit Application: 3� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 thrrkwner. PI 3� �. ate Co tractor Nalhe Rigistration No. OR pq Sh. 4er 2 6 jtx 7 , gucl IL d b $_,j_j - - :� N, s ' �, n o oNTaLi n 5r „ 3 .-9 7 a;� � t 3T�ik FL ►is� C) RA F, l e`` C, i 00 LIVING AREA r THE TOWN OF BARNSTABLE MARISTAR& MAM 1639- BUILDING INSPECTOR a MAI APPLICATION FOR PERMIT TO ................... ... .......... ..................... TYPE OF CONSTRUCTION ......................... .. ............ ZQ—��. . . ......(e.c.?. ......... ..... ... ................ . df �l°.. .... .................19J.,z_ TO THE INSPECTOR OF BUILDINGS: St? The undersigned hereby applies for a permit according to the, following information: ...... ............... . . ...1:1?......... Location ... ........ .......CA,., ............................... ..................... ProposedUse . . .................................................................................................................... Zoning District ................. .........Fire District Name of Owner , .4--..Address 41 Nameof Builder ....................................................................Address .................................................................................... /< 29 Nameof Architect ..................................................................Address .................................................................................... Number .of Rooms ... . ....................................................Foundation ........ .......;'00 .......... �7 Exterior ... ....cz.44 ................................Roofir .....Ig .. .... ............................................ a Floors ..... r ......4,. ..... ..... .. ................................................. .................................................................................Interior .... ..... Heating ... .. .......****....................................................Plumbing ......./...................................................................... Fireplace ........ .......................................................................Approximate Cost .... ........................................... ��Difinitive Plan Approved by Planning Board -------------------------------- Diagram of Lot and Building with Dimensions (D LL 0 a. z 5 Nz < < Ld Cr_ L�u > 0 c LU n. Z < x LU W < < LLJ z Mo La.0 a Q �00 wi;Z IL U7 < UpQ,. Z J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ........ Dacey, William E.. Jr. 15041 one story No ................. Permit for .................................... single family..dwelling.................... Lietrim Circle Location ................................................................ Centerville R ..........................................:..................................... William E. Dacey, Jr. Owner .................................... ......................... frame Type of Construction .......................................... ................................................................................ Plot ............. Lot .37 I Permit Granted ....19 I Na ...11 7 Date of Inspection ............... ...................19 Date Completed ......................................19 I PERMIT REFUSED l ................................................................ 19 .................................. ......................................... r P 1 t ............................................................................... f ............................................................................... 1 Approved ................................................ 19 ............................................................................... ...............................................................................