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0304 OAK STREET (CENT./W.BARN)
. . .� .� �, �. .. V - o .. � c I � }. ❑ �., u, e ,S .. o .. o p .. �� .i .� � � � .. i ... � p ;. V p _ .. -j u o �. p _ ". '. , ., �, • � n ry z a ,. � s �.� -. � ss -. �.� :, _ -� .: -,. w VI - o � �. ': �. , � F� n . �' � � � 4 - ,. .. :. � ��e 1 �. ..� � c ,, t a - ,. F s _ w.. - o �I u 4 ., ,A � c c �- �. - r ,. C ... _y a r �. r _. _ a �G .e:, �..: - � _ � ,. :' _ -. .. -: � s o. o _ �. - e - °.j - � � .. �i 0. � a ,.. ., t, V ,,. �. '. e... o c :: -.. :: �, o .� -� _ , a ,. o .. .�e .. � '- a s � a - � - � nn a -' . . _,. ., .. -,r ,.. ,_ ,. .� �- .. .. o e ... ., � a v- - c ., u.. e o � � r. � ,. ;.:.' -. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �"� (�12 Parcel Permit# 7?04(o Health Division 8`I'I� i Y', C= S ,s �TASLE Date Issued 000q P s. L!u'� ? xg t- Conservation Division Y 9 7 PH j; 23 Application Fee q Tax Collector Permit Fee l rJ Treasurer SEPTIC SYSTEM MUST BE �7pSTALLED IN COMPLIANCE Planning Dept. 1MTH TITLE 5 �IiRONMENTl4l Date Definitive Plan Approved by Planning Board TOWN REGUL CODE ANDATIONS Historic-OKH Preservation/Hyannis 3.9ed(N^^sL. Frdw ro Vi s-4 ilnwn YIUJY o a+�C �0re u J1-7 QI 1 Project Street Address 3011 0 AV_ Village GC-7 tzT_1=R UT.LI.E Owner 5A1.L`f SyP�ALA Address Soy 04k Telephone 5of3 _ 2Z I — Xq 1 D Permit Request AbDr- ion FA*.r,1y room Square feet: 1 st floor: existing 1100 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size F Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cf' Two Family ❑ Multi-Family(#units) Age of Existing Structure I9 0-5- Historic House: ❑Yes ®'No On Old King's Highway: ❑Yes 3/No Basement Type: C(Full ❑Crawl ❑Walkout -❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2- new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing -6- new 6 First Floor Room Count Heat Type and Fuel: ❑Gas .dOil ❑ Electric ❑Other Central Air: ❑Yes ZrNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Coexisting ❑new size &.5F 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 - IfflTC-R A'z L- &AS?Mb Telephone Number 5'o a- Is/-CeLN 8 Address 22; 6-OS N611 7 IS i License# 077 8 4 6 HyAiow is , (n&4 e;zLoi Home Improvement Contractor# �3b�ZZ Worker's Compensation# ALL CONSTRUCTION DEBRIS`RESULTING FROM THIS PROJECT WILL BE TAKEN TO IBQu 94N E:= SIGNATURE DATE 5 6 la Y FOR OFFICIAL USE ONLY I _✓ PERMIT NO. DATE ISSUED ti = MAP/PARCEL NO. J ' 3 1 ' > ADDRESS VILLAGE , OWNER DATE OF INSPECTION: ' e FOUNDATION I'_ G�z�loY" L *, FRAME _ Ok ,?)I hl "rP INSULATION 9)hL lag.oa- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: RO % FINAL- tc 0 GAS: ROU'GI N FINAL N Ski FINAL BUILDING Xdk M 0 0 O DATE CLOSED OUT ►cu-• d m ASSOCIATION PLAN NO.M f The Commonwealth of Mas,sachusetts Y _ - Department of IndustriatAccidents' 6o Washington Street - Boston,Mass. 02111 Workers'..Com ensation.Insurance Affidavit-General Businesses �.• R name: _ {' �. address: m state i Y iQ"9 zlv'•®X&I phone# work site location full address : [�rI am.a sole proprietor and have no one Business Types (]Retail❑RestaurantBar/Eating Establishment working in any capacity. El Office❑ Sales (including Real Estate,Autos etc.) ❑I am an em to er with . etn to ees full& art time): ❑ Other rM /////%/%%//,.r��/r//%//1%/%//%%G/%////%%%/%%/%%%/////�//////////%%////% //%//////%///%%i 1 am an employer providin•-g workers' compensation for my employees working on this job. com"all •name:. >iddre'ss ••,s -fi *.,•' - :;'t::.•- •_i; =;c' - 1.4 VIA W/M •' :•hi'" . . .;<<+ "hone:#:• .fnsiiralice.cu + •t:+ '"• •� `�'`-" I'am a sole proprietor and-have hired the independent contractors listed below'who nave the following workers' compensation polices: ::• ' t.+ OM fin XIRM r. bhe address:. •�,.:,; . .'r.'. 1;±:,�': - fir:,: ^�p.:�• .. ':' insurance'co. - .•• ' '�• r %%///////%%�%/- cone`ail. n .. :• '. . . . .;• .. • '. . . ' . 1 address:. .r r^'J 7 IF .. j4•• one Ws :'1• C:•:}T)•: insurance:co:'+::'::,t• _ 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 g copy of statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification I'do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Date T-l2-6 10`f Signature � .• . • . Print name / C��G Phone# G? 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 D check if immediate response is required ❑Selectmen's Office []Health Department . contact person: phone#; ❑Other .. .(revised Sept 2003) - v Information and Instructions Massachusetts General taws'ch4 pter 152 section 25.requires all employers t provide workers' compensation for'their. employees: As quote&ft, the `law", an employee is.defined as every pens in the service o#`another under any contract of hire, express or implied, , 0 or.written. An employer is defined as an'•in 'v'dual,partnership, association, corporati n or other legal entity, or any two or more of the foregoing engaged in a•jo' •erprise,and including the legal represen fives of a deceased,employer, or the receiver or trustee of an individual,partner 'p association or other legal entity, empl ying employees. *However.the owner of a dwelling house having not more an ee apartments and who resides the ein, or the,occupant of the.dwelling house of - another who.erriplo3�s.persons to do. tetiance, construction or repair w rlc on such dwelling house or on the grounds or bugling appurtenant thereto shall no a use of such.en-ployment.be de d to be an employer: MGL chapter 152 section 25 also•states, t very state or local licensi g agency shall withhold the issuance or renewal of a license or permit to operate a bus...s o to construct buildings n the.commonwealth for any applicant who has not produced acceptable evidence of co�li,� e with the insurance overage required Additionally;neither the otitract for the performance of public work until coirnYionwealthnor.any.of its political subdivlsi hall enter into any c p p .. .. le evidence of compliance with t e ins a requirements of chapter have been presented to the contracting . c tab ac ep � ,. authority. Applicants please fill is the workers' eonpensation affidavit complete l � `ecl#g the box that applies to your situation..Please supply company name, address and phone numbers along wi ficate of insurance as all affidavits may be submitted to the Department-of Industrial Accidents-for confirmation of' nce coverage. Also be'sure to sign and date the affidavit. The affidavit should be returned to the city or town '; a application for the permit or license is being requested, not the Department of Industrial Accidents. Should ou ' e any questions regarding the"law"or if you are required to obtain a-workers.."•compensation policy,please call e D t at the number listed:bplow. City or Towns . Please be sure that the affidavit is complete andprinted le ly. The Dep has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Inves ' ations has to to ou regarding the applicant. Please be sure to iilln the permit/hcense number'.which will be ed as a reference n :�The.affidavits.may.be returned to the Department by.mail or FAX*less other•arrang have been made. The Office of Investigations would like to thank ybu in dvance for you cooperatio should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commo wealth Of Massachusetts. Departme of Industrial Accidents . oilmtestl�atlens . 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 phone#: (617) 727-4900 ext:406 i Ttac:M%e�PPn'd ! cattttau gcsxflI<urlx , Txbte X5„2,;ft( gatai xI . a far bus sstd Tt+'¢'�'�t1Ey�Idxntixt Httltdltt2p , prrsarlpi�ye Pzekxg ca 'AcastnglCraling� C1I'L aor 1:gwtPmcrtc E[ c-mi tXAXfiri '�ldl � Fc� CSi�dng �lazits� �y�jc►ct �•��{ �(,yxlttes A��� . &Y'�1�' • p ssso 6101 to 6�aQ gr�tiag I3cgm I�xn' Nacmul t3 Ig IO � xarrtuct IZ`!, 0.40 38 i9 I4 14 6 1S AFUTi Ix'h 0.32 30 13 t9 14 Namtal R txYl, 0.50 3� 13 NIA bA Nams�1 15Tl, 0.36 31 19 ig t0 �A 15 AFtJE 7' 15Y. 0.46 11 1 23 NIA & ' t�AM V 15'/a o,44 U tg Ig 14 Norcis�I 041 30 NIA WA rtam%l tgy, 092 31 9 NIA N16A 44 AFU9 X 1gy� 0.43 3g 13 tg 14 @4.1tiFCT Y tg'h 0.42 9E 19 ig I4 1� AppgESS Ok�PROPER'I'�1 • TERf,OR V�ALLS: • . SQUARE FOOTAGE OF ALL 3L! , 3, SQUARE FOOTAGE OF ALL C}LAZI' . aka,OLAZWG ARE AIt 03 DIMED BY #�) ' 5, s�LECT PACK�c3E CQ Ap,.see ahem abava}: g,C}Y REQULREMENxS OZ F;: OT FR•M ORE I VOLVED METHODS OF DETER Na� ARE AVAILABLE, ASKUS PORTHISO V�D�O�S�'EC 10R APPROVAL: ' G YES q.farcns-fl80303 o��NE Town of Barnstable P� "o Regulatory Services Thomas F.Geller,Director 1619• �� Builffing Division Tom ferry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 Office: 508-862-4038 permit no. ' Date AFMAVIT ECOME r2RoV MENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the„on or construction onstruction of an addition totructioti,alterations, RAYp e�"isting o�wr�.eor-occupied Son, improvement,removal,demohti , biding containuig at least one but not more than four dwelling units or to structures which are adt scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �. Estimated CosC Type of Work: + - - Address of Work Ak GT . A 0, Owner's Name: Date of Application: S ��� �®� • I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under S l,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN T?ERNIIT OR DE �N CONTRACTORS FOR APPLICABLE HOME IMPROYEMENT WOTp ACCESS TO THE ARBIT>kTION PRO GRAM OR GUARANTY F'(7ND UNDER MGL c.142A. - SIGNED UNDER PENALTMS OF PERJURY Thereby apply foi apermit as the agent of the owner: Co-5A� n ac or�Iqa RegishationhIo: Date OR r_ e Owner's Name 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 pc 3� square feet x$96/sq.foot= Or12-O x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE —square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00. >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) aC Y3 Permit Fee a 7 projcost Town of Barnstable Regulatory Services snxxszest . ; Thomas F.Geller,Director v MAss. �* 1,639. 1k Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 Pr operty e Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby au .orize ��Yl i e.F1a ` CrG.s, o�t' to act on my behalf, in all matters relative to work authorized by this building permit application for: '30 Lf 6(4k ST v'�1� (Address of Job) J2-6 Lbg Signature f Owner Date Print Name P Q:FORMS:OWNERPERMIS SION v� v ti 0 6 6 y .. / .7 4k`� {. ! y j'-i e„'{�e� � i��,,��i$ar`���')� -�.,,�r rF r��.'��' -5.L4,^k., i.•.. ;: ,DT l � rv. a r: �' R 66 )fi it �. n d .Q W 1 r1` �vss Lit 13.sr6o. .�. IS— 'gip rs�is s� � RTIFIED PLOT PLAN X. BE T BRUCE =�+' E:1.GRED 4 ! IST SA J11 I S fA2 L V A.S. So /me G•o':l . `'J' l« .i✓ I CERTIF F�cII%D�!.7tn� " .: Y: THAT TrIE LAN 13 EO 81 ':I~REID R OISTERI:;Q �`` ;; :SHOWN oW t THt3: P OCAS' �b'Y':.l: > +;. _: JoW;N .r. 9._ 0 .G7' :OIL TH.E:''4R.OtIND'AS INDICATED AX0' Ot\VIL: ' L�► .CONFORMS: TO 'THE XONINO LAMS EER SURVEYOR ; , OR�<�Y� . �'' `Nj ' ,• Y,. --"" �OF'.BARNSTABLE, BIAS A I:N S T R E.ETa'4 CH,SY�f' Y.AN�IS MIAS'S.` y;M LAND SURVEYO r"w.:..w:-.. 1"1:v- .. ... .:..' ...' .. .••.. ti.1.:...uY2:: .. .'.lief:.,..... ...:.Y•`.... ... .i � .., ✓4 ol,��l Board of Building Regulations and Standards HOME IMR�VEMENT CONTRACTOR Reg�straafo"�i` 1 j6522 _ Efrl�ratOn !/?r004 J t _ e^r Iivdual MICHAEL BENJAM4N G g, A; J MICHAEL GASPA.p 67 PINE CREST MASHPEE,MA 02649 Administrator � - ✓l��/ I; lze �jonynea�i a� a BOARD OF BUILDING REGULATIONS I.License CO NSTRUCTION SUPERVISOR Number-CGS 077846 I� }, 06 Tr.no: 87462 + Red MICHAEL B GASF 22-5 GOSNOLD SITAlmm HYANNfS, MA 02601 Acting C j''mis orier it . . . R-T�I1oII,� .I 3 `II• I 6S'2 6 _ . e s 6 aI. � , 1! 0 FSxL�S, � T4 cITki T SLT aEa xTAUl rFS ROOM_ -_-___ -El 3 IAi b TO 2 Doo SMOKE DETECTORSO. R E_ . .,,. BUT - i j L.Dti�1G DEFT. BA. N I— fi - - ' --- I I f 1 l rtoo� FR1MzNU `.� ` 1�aP► 1oN ; I 1 I I � I f i TLx TuRF 24 s i � � 1 i ' I '• 1 I � i I I Zy,m VT E A M I ' I ! I F O ! cq C4 I r ! I I ST - - -= 1 - _--------- - i j # i ;- { So I , I I 1 ' ! It I , ----; - '- _.! G�NTH R�IUIE "N f rr —1 ( 1 I I , —I — I—� — -- -- ---— — -- .._— — Ra�F SN�A�►�tT �� , N�R0.\c,ANE C-LT-9S `Iz P1 scoaE i 1 I-x 4 r 0 STQVs 6 oc, 13 ' =NS�t,►R-c'toh f DAk 64AKE o I 1 , f L , 2 y K P4�Q E -®-----fir, X PT I Oc i I 1 SoNA `Tv4E aa ( ; I b 30 �»FOP T , r , I The Town of Barnstable RA Department of Health Safe and Envi MASS. ; Safety ronmental Services 019. �Eo►�� Building Division 367 Main Street,Hyannis,MA 02601 508.8624038 508.790-6230 PLANT REVIEW Owner: & rim\cL Map/Parcel: 00 - 0 '7 Pro•6ctAddress: .3�y Oak S�- � Builder.._ The following items were noted on reviewing: Ro i iu , S ram ea r ( 5 r 1 O c� �b 'P ��►. a t� F ` o \\ co Joe r 4 r,o �- oor eCsy S 0.� i-T7 0 RS. `` t 4'1 • ursu c��+� � is N..�e+[�" Reviewed by: Date: 6)31 oy 1 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 194 001 012 GEOBASE ID 12089 ADDRESS 304 OAK STREET PHONE CENTERVILLE ZIP LOT 15A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 80064 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT 077046 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: MICHAEL P GASPARD Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �TME CONSTRUCTION COSTS $.00j.� 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE . * 1AMSTABLE, • MAW zbg9 ED Mpl a � 1 BU DIN,G DWISI N BY DATE ISSUED 10/21/2004 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 194 001 012 GEOBASE ID 12089 ADDRESS 304 OAK STREET; PHONE CENTERVILLE �� :. ZIP LOT 15A_ BLOCK 'LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 77.046 DESCRIPTION 13'4"X 24' ADDITION W FAMILY RM & SUNRM PERMIT TYPE IMBErr TITLE BUILDING PERMIT ADDITION CONTRACTORS: MICHAEL P GASPARD Department Of ARCHITECTS: Regulatory Services TOTAL FEES: $145.23 BOND $.00 CONSTRUCTION COSTS $30,720.00 ,f 434 RESID ADD/ALT/CONV 1 PRIVATEBAMSTABIA MAM 1639. RFD MAr a BUILDI.NG DIV.JSION BY 11 DATE ISSUED 06/04/2004 EXPIRATION DATE C7 "' -- __. /1.���' ems' ,.. � {�__�. r � . .. .r r. e .. ^ . •4 V TOWW OF BARNSTABLE BUILDING PERMIT �] PARCEL�.ID 194 001 4012 GE BASE ID 12089 ADDRESS 304 OAK 'STREET � PHONE CENTERVI+LLE �.' ZIP . LOT 15A BLOCK L6T SIZE DBA DEVELOPMENT DISTRICT CO PERMIT ( 770 DESCRIPTION '13`4'"X 24' ADDITION W FAMILY RM & SUNRM PERMIT TYPE `BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: MICHAEL P GASPARD Department Of ARCHITECTS: <r' `` Regulatory Services rt TOTAL FEES:```- $145 23 ! ti BOND $.00 CONSTRUCTION COSTS $30,720.00 434 RESTD ADD/ALT/CONV 1 PRIVATE I OT' * BARNSTABLE, + FD MP'� R _ BUILDING DIVISION BY i %1 DATE ISSUED 06/04/2004 EXPIRATION DATE t v 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 BE'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 M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE `ANICAL INSTALLATIONS. 3.INSULATION. CH- OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 ,Sd)PLO 1 1 r- o 2 2 Oph';.® -?h4loy ^ 2 �r bofi� C'411 y �bl_ 3 BeT'^' (0/24b, 'L" 1 HEATING INSPECTION APPROVALS ENGINEERING DEPAIfTMENT 2 BOARD OF HEALTH OT R: S TE AN REVIEW APPRO AL , ��.p�/ u�y� con `��=✓ �11Urs"A c�o�ftCacting �.. Ala b not have access to the guaranty fund SGus w � (asset forth in MGL c.142A) WORK SHALL NOT PROCEED UNTIL PERMIT LL BECOME NU FL 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. 2 �� • 71 BUILDING PEH�� MIT l 3' ♦1 ~ v� v Ol � o J o 6 � FI " FwT Ita t 40 66 d ' 1 A t3 ,r 6g 2z ..F._::. �';.,:. .. fro 4/'u-y•� E'/u✓ 760. .�, r kf f _ I CERTIFIED PLOT PLAN •.:. �� ROBERT: CIEW ✓/LX. E BRUCE V,zv ELDRED �rcA t, SAJIS° S fAlj!a ` 1k.� S IST .�N �;f tr n'�vylx; o StS� ..,., _�. SCALE> > "=lqd ' DATEI / Z /sr;I:F19 OWN GIaEPIT �cp CERTIFY.; THAT. THE F00014 77 + BI TER�p R�OISTERI:D 'v SHO�fN ON `THIS: ' PLAN IS t OCATEO x Nk.,,GiV:IL' LAND `� JQR WO :49 -0 G7' :ON "GROUND-AS INDICATED A91) R k., ter r ;`CONFORMS Y.TO THE ZONING LAWS �NO.INEER SUR1/EY,OR , OR, BYs `4—„A 11 - '' y, OF '":BrARNSTALE , mAS M A I:N STREET r ; �- . A N f�1 S M >, DAaTEE� RE®. LAN SD UR.4Ei' < a Town of Barnstable *Permit# LELin— Expfres���V is edate Regulatory Services Fee rsassB g� Thomas F. Geiler,Director �4jpT i639 1� B11iYC11I1 Division FO t g Torn Perry, Building Commissioner X-PRESS PERMIT 200 Main Street,-Hyannis,MA 02601 Office: 508-862-4038 APR 2004 Fax: 508 790-6230 LTE EXPRESS T�Pw�haullted�zmprint Not VaPressIRESIDMICO fVSASb_. Map/parcel Number ©(� Property Address Value of Work 6500 (residential Address 4�, Owner's Name&A 0 //� ` Telephone Number Contractor's Name-------- Z. Rome lmp rovement Contractor License#(if applicable) A o ervisor's License#(if applicable) � Construction Sup �! Workman 's Compensation Insurance (A Che k one: z LY1 i am a sole proprietor I am the Homeowner _ _ ry p`t► [� I have Worker's Compensation Insurance _ W r rn Insurance Company Name Workman's Comp.Policy# Permit Request(check box) []'Re-roof(stripping old shingles) All construction debris will betaken to p ,t•. i� �J�ti��'�S Going over existing layers of roof) Re &e-roof(not stripping. (] Re-side' �Replar menf Windows. U-Value_ _—_-- (maximum.44) *Where of this permit does not exempt compliance with other town department regulations,Le.Historic,Conservation,etc. regwred Issuance ***Note: Property Owner must'signProperty Owner Letter of Permission. Home Improvement Contractors License is required. Signature - ., Qxosms:expmtrg i w - e i i - i BOARD OF BUILDING REGULATIONS I' 'License. CQNSTRUCTION SUPERVISOR r� Number, 077846 f i i M 7 3e Tr.no: 87462 er ResI rtICHA�L B GAF 225 GOSNOLO ST j HYANN'IS, MA 026-�4�,= I Acfin C�'mis�one� I TNE Town of Barnstable �OF TO�� O Regulatory Ser vices BAMSPABLE. ` Thomas F.Geiler,Director 9 MASS. .639P. 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 4 r,c-toll , 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: (D263 2- (Address of Job) gna f r ate Print Name. Q:FORMS:OWNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .. 9 Map Parcel © 1 0 Permit# Health Division Date Issue d Conservation Division /111—/ �• a f Fee Tax Collector J O.Zn r Treasurer a Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 D H C--d l�, 5f(- Village Owner eav /?7 Address Telephone Permit Request lroLrf0 r_C4 l� � I to on 'Son 0 T S Square feet: 1st floor: existing proposed 9 2nd floor: existing proposed Total new �9�5 Valuation !000 Zoning District Flood Plain Groundwater Overlay Construction Type 49&) T eG r—q Lot Size 1 . d. L Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 4,"Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No r 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 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 ❑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 L Pine Harbor ViPood Pmduc�ts Telephone Number 344 Yarmouth Road // ""ss Hyannis, INK 02i8ol License# 07.i&UJ 1-800-368=7433 Home Improvement Contractor#1-508-7.71=5007; Worker's Compensation#ONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ATURE • DATE FOR OFFICIAL USE ONLY _ PERMIT NO. co DATE ISSUED a y D CD MAP/PARCEL NO., ADDRESS VILLAGE ' OWNER - - � _ � - .) _ � _ �• . Y l DATE OF INSPECTION: �' t FOUNDATION" FRAME INSULATION FIREPLACE _ ELECTRICAL: ROUGH FINAL t a � PLUMBING: ROUGH FINAL f GAS: UGH F NAL -� --' FINAL BOIL o C ' DATE CLOSED OUT = Y . ASSOCIATION PLAN NO. " rymIN The Commonwealth of Massachusetts IM W Department of Industrial Accidents 1 "'OxceoJ/evestlOs�lois i 660 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit �- Q- I name: on 3 cation• 1 am a homeowner performing all work myself. I am a sole proprietor 2r.d have no one working in any capacity C3 I am an employer pro%iding workers* compensation for myy employees working on this job. •com an name: ro ¢` en' , `•��A ' ' `—r rbo_ � address:3 l 1 (fit , '\! i)t // d anf LR&tbrWi tiri•• �� 1j ,l phone#•. insurance co rnmu ^�o V�{ (��' R4�Y# H I am a sole proprietor. Zeneral contractor.or homeowner(circle one) and have hired the contractors listed below w ho have the fol►ow ina workers' compensation polices: camRanyname: ddress• V city phone#• insurance co policy# --- company name: SlIY _pbout#• insurance co. # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the isppoaitlon of criminal penalties of a due rap to S1*500.00 and/or ` one years'imprisonment as well as civil penalties io the form of a STOP WORK ORDER and a dnt of S100.00 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. l do hereby ce9v•under the pains a ties of perjuty that the in ormadon provided above is true and eomeet Signature Q j� _ Print name ai�Q t° /L6 ra Lh Phone# �® official use only do not w rite in this area to be completed by city or town ofticial city or town: YARMOMIJ _ permittlitense# r•1Building DD�d �Litensiog 0,check if immediate response is required 261 ❑Selectmen'Health Dep contact person: phone#;_ (508) 398-2231 ext. rtOther w„ The Town of Barnstable r • 9� Department of Health Safety and Environmental Services '�Ea�,,o►° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Y: Ralph Crossen Fax: 508-790-6230 Building Commissioner 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 00 L�t)64-L �� `�`''' Estimated Cost Address of Work: Owner's Name: �,.��r �/r ! Date of Application: ` I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law E]JobjJnder$1,000 PB'uilding 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 emit as the areowner. ,5 �3a9 � Date Contractor Name Registration No. OR Date Owner's Name L Board of But i 'Re utations One Ashbu rton PTat:e 1301 BiosbDn.' Ma 021084618 License: CONSTRUCTION SUPERVISOR LICENSE BhOulat e: 03114M 970 Number: CS 073655" EEcOMW.031142002 Restricted To: 1G 1ANT-S R MCGRATH ,n W M-M.-MEEN LANE BREWSTER MA (P-63I Tr.no: 73853 ...._. �P�trtraenadpt seed e�seege of oeielerss ee�fe . az u. a dwj e& Board of Building Regal ons and Standards '_ . One Ashburton Place - Room 1301 Boston, Massachusetts 02108 - Home Improvement Contractor Registration Registration: 1212935 Type: Private Czirporauon Expiration.:. '013112002 McGRATH POST & BEAM CO. JAMES MCGRATH -- __._._ ..... ._... ..___ 259 QUEEN ANNE RD. HARWICH. MA 02645 - -- -- ----- Update Address and retard card.Mark reason for chanage — r#ddnsa '-' Rcncwul Employment .— Lost Car /N: 1....waie�c�rusy►/// rJ.'f t�L:nrlilrl!' —_- Bu2rd or Building RepAtions and Standards License or registratbu valid for individat use only 140ME SWROVEMENT CONTRACTOR before*a espirstioa date. u foamd return to: ' Board of&tildiap Re ftntations and Standards Registration: 132935 One AsLhurtoa Place An 1301 Expiration: tOV IPM2 Boston,.Nla.02108 Type: Mr,GRATH POST&BEAM CO. JAMES MCGRATH � 259 QUEEN ANNE RD. -. HARWICH.MA 02645 . Admintarator ` NotvaUd 1 .1.out signature I RhSIDENTIAL: SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) t/5120 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—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00. $ ABOVE GROUND SWIMMING POOL $25.00 $ r K: RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) I PERMIT FEE i Q:forms:dkcost eff:082301 P»�GYI ,4 / " r 45 �x sn n ,Q .... .� Vic, Plywood y- ..... a AS"Ro�1tl`Sa`1 tb•C• - � o°° A�ti� x _ .. ;"To fzfl ite. N � _.:.. .. �+ ....Purltn5 i x .. .-:-_ .... ....... ... _ .... .. .._ _ ........... _. _ - ... ... _. .. .._ .. ... ... ... -..- cn r ... /B CDK r n s ey r TreVAaA I2 r . � _ , fh ..... .......... E ....... . ... .......... ..__....._... ....... . .... .....,.. ........ . ............ ..... , :_ .......... ........ ..... .... ......:...... .... .......... ......... .. .......... ...... ................. .......... ........... .. ........... ..................... _ ........ ................................__.....................:.... ........_.......................... ............. J y ... f° ., TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map'_-- Parcel 001 0 1 a Permit# �3 ,yealth Division �y �/3 ������- Date Issued - 2 (�2 Conservation Division I, Application Fee Tax Collector Permit Fee0 � Treasurer -QPT" :AY'vT u1 MUST BE Planning Dept. 11_27 LLE 11% COMPLIANCC- Date Definitive Plan Approved by Planning Board VA d FI TITLE 5 i+aVa N 2i'JTP,L C0Mmi', NL, Historic-OKH Preservation/Hyannis TOE e � ?f .�A TiOnm Project Street Address 6 - Village Owner ` Address Qca; Telephone = cnl_X� C-; Permit Request Rr�u,��It Ck \��� `Y -ee�x cc L — k/"1A 10 (A\g' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation • - Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑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 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 ❑ 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 (tea �t i►Mc&+a Telephone Number c4Q� _ q S03 Address fi(4 1 7S4, License# 0 O 1 q! Home Improvement Contractor# _I �O Worker's Compensation# (UM (0.2 6 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �v�s ;�� ur `�) SIGNATURE DATE ( k FOR OFFICIAL USE ONLY a — S PERPMIT NO. DATE ISSUED +. MAP/PARCEL NO. 7 ADDRESS VILLAGE ,. OWNEjR •f i f _ •. DATE OF INSPECT-ION: FOUNDATION -FRAME INSIbLATION FIREPLACE ELEC MICAL: ROUGH FINAL' S PLUMBING: ROUGH FINAL ` GAS: ROUGH FINAL FINAL BUILDING ES, - DATE CLOSED OUT ASSOCIATION PLAN NO. ' 1 P`agAHE Tp The Town of Barnstable BAR E,ASS. Department of Health Safety and Environmental Services T MASS. 0 �p �679• �0 rFOMa�N. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: (I SxR�"/4 L Map/Parcel: /9y/40/- �1/Z Builder: tO T 6 �j (felVr, u t rfin� �C//!�� o//1/."w- Project Address: � �4 /�W , The�following items were noted on reviewing: (,� �Gr✓z �DA/1i17 Y41n S'/ 457 7-/4 d� .L qG D/,4, �Yf u e�5/VECl7 A�0-r4I `roP C 0 6 5;/L lJo rTarn r- bLl) e/Y. /f rr T �( " Fit 6 ep ,':--//V i s 0-z> /L Reviewed by: Date: q:building:forms:review -Q CAT-_to._N O. - O P R•TY L 1 .- E s AA Y OV O T-B E..._..A STANDARD LEGEND ------------- Q _� _``^�• NOTE not all symbols will appear on a map GOLF COURSE FAIRWAY AP EDGE OF DECIDUOUS TREES - EDGE OF BRUSH r._ � - - ORCHARD OR NURSERY / -.. — / ,.....,}"...'.` EDGE OF CONIFEROUS TREES - - MARSH AREA EDGE OF WATER DIRT ROAD 1f DR Q Q � E IVEWAY KING LOT AR _ 1 PAVED ROAD Q/ E— i C1 Q 8 ( �•� J ILJ o DRAINAGE DITCH }i J 0 ----- PATH/TRAIL 1 L� Q i ij /1 PARCEL LINE / MAP 110 F-MAP# MAP 19 21 ebo PARCEL NUMBER HOUSE NUMBER 801 ! 88 \1 1I ie - 12 - �C f 2 FOOT CONTOUR LINE AP 194 77 O4 M "T —}B— 10 FOOT CONTOUR LINE Elevation based on NGVD29 i/4.9 SPOT ELEVATION 284 o x-c STONE WALL Q Q 8 8 0 3 -X—X- FENCE RETAINING WALL RAIL ROAD TRACK -_=__-=_- STONE JETTY QQ A P D D LSWIMMING POOL PORCH/DECK C� 0 BUILDIN TRUCFURE D OCK/PIER ;..." • HYDRANT / e VALVE O MANHOLE o POST OF" FLAG POLE T C3 W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .o SIGN. ® STORM DRAIN IN PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James UTILITY POLE ❑ TOWER 1"=100'scale map and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD w e Q 30 60 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetiia,topography,and vegetation were mapped to meet National Map Accuracy Standards o ELECTRIC BOX : 1 INCH=60 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2002 Town of Barnstable Assessors tax maps. O LIGHT POLE existing building hangers and lagged to building R build existing rott A deck Syrjala Job match f otprint 304 Oak StreE Centerville 2 8, 1611 C. o D ck less than 30' above ground railin to ma h exist ng 2/ 2 X 8 girt on.sonotubes 4' in ground. 14' IZ\ The Commonwealth of Massachusetts --� - Department of Industrial Accidents -_ Office offMMOS119211VAT - _ 600 Washington Street Boston, Mass, 02111 ` Workers' Cons ensation Insurance AffidavitWOMEN / ; name: location City El I am a homeowner pmfo=dng all work rmysel£ I am a sole ro rietor and have no one working in any capami ationfor mp ens lopees working on this fob. 1 .. 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Failure to secure coverage as requiredander Secticn 25A of MGL 152 can ILL to the imposition of eriminalpenaltiea of a lhtenp to S1,90a.00 and/or one years' ec=c onment wdl d penalties in the farstt of a STOP Wotm ORDER and a Pine of S100A�a dap agaiiutme Ivndersfsmd tliait a' - ed to the Office of Investigations of the DIAfor coverage vesiticatiort. copy of this Statemratmsp be forward. rrriataofperju - Idherebyzerti&a -th ars-and-pen thythe-info n pravided�bnue�slcux id corre� - - .. - Date l �tJ Signature ^7 - ,c, � • ;;•,r, . 5• .i,, .ti, ,,,..'• � �oZ� ✓���� �•:: 1` T�X,1 'Phone # get name (1 1 Ll�w� ^ �nl�au - - - afncid W a only do not write in this area to be completed by city or town OMdal - pexmitllicense# C3Bi&ding Department city or town: - ❑Licensing Board❑Sdeztz -'�'s OfSce contact p ers on: r information and Instructions usetts General Laws chapter 1S2 section 25 requires all employers to provide w r eeof comp�under anytion for tcheir or<tract Lassach 'jaw"," an em lO ee is.defined as every person the s ees._As quoted fr mtbe-`law '- P Y FLxe,'express or ' p e , oralor artners , association, corporation or er legal entity,_or any two or more of ,n [Oyer is de .\d asap individual,>j _ ie foregoing engaged in a joust enterprise, -and including the legal representative of a deceased employer, or the receiver or rustee of an individual, artaership, association or other legal entity, emplo ' employees. However the owner.of a .. �F ellin house dying not more than three apartments and who resides ther ' ' or the occupant of the dwelling house of lw g i . mother who employs persons to do maintenance, construction or repair wo on such dwelling house or on �roimds or wilding appurtenant thereto' not because of such employm.eatbe de d to be as employer: thhold MCTL chapter'152 section also es that every state o local buildinnsi g agency shall ia the commonwealth fort.he issuance or reniival any appliec t who has Of a license or permit.to ope ate business or to constructgthe of rodu'ced acceptable evi ce' compliance with the insuranc coverage ��for tlie1rerfoAunan a of public w unto. . er n p l its o 'cal subdivisions shall enter into y P commonwealth,nor any P deuce of compliance the in urance requirements f this chapter have been presented to the contracting / •. , Applicants e fiu ja the workers' compensation affsdavit c pletely,by checking the box that applies to your situation and• y Pleas company names, address and phone numb oag with a certificate of insurance as all affidavits maybe DPP tment of Industrial Accidents for, ation of insurance covexage. Also be sure to sign and submitted to the Dep 1 date the affidavit, The•affidavit should'be returned toAthe or town that the application for the permit or license is Acczdets. d you have any questions regarding the"law"o _i...YQu being requested,not the Department of Industrial atihe ni�mlier listed below:. obtazn a yvorkeis' campensation policy,please c e Depaitiri •aie requu City or Towns •.. lets printed Legibly. The Dep eat provided a space at the bottom. Please be sate that the affidavit 00�a Office of Investigations has to co 1t y?.. egarding the applicant._Pleas e affidavit eat .. _. ,.. `. to fill out inthe event _ may . for you , '' a used as a reference nuaier,� a afbi nits yi"e'r a: { pemutllicense nwnber whichwilLb -. . , besui•e,to �b mail theiartangeirientsliavebeenmade. •r.,. -4 artrn y or FAX unless o .. ,. the Dep `7 . t` advance for you cooperation\d should`you have any�uestions• . of Investigations would like to#hank you in y .. °;_, r• The Office please do not hesitate to give'us a call. \ �.�, rtment's address,telephone and fax number: The Dep a: The'Commonwealth Of Massachusetts Department of Industrial Accidents ;.. • �tllce�t lnyestlgatlatts . a ngton Street I 600 Washington . °pIME Tp� Town of Barnstable ti Regulatory Services BARNSrABLE, ' Thomas F.Geiler,Director MASS. 9 se39 a Building���' ,e DIVISIOII TEo 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. n OR Type of Work: 1��1�t���cX, Gk\S4ki Estimated Cost o2e� YP Address of Work: �J� ��`� S4 Cr0 "P�°\ Owner's Name: 1M�' `rex Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1t/1 LA 7 J Date ` - Contractor Name Registration No. OR Date Owners Name Q:forms:homeaffidav, I CTI Board of Bu'Iding Regulations and Standards .y�� License or registration valid for individul use only HOME If1Pl2QVEMENT CONTRACTOR before the expiration date. If found return to: � Board of Building Regulations and Standards Re`istrab n, 11��g0 One Ashburton Place Rm 1301 �. x13 ro 8f2312004 Type:. F IN!dual Boston,Ma.02108 WILLIAM LIIMATAI#�1E13�1LDlR WILLIAWI LII-MATA��G��� 541 FLINT.ST . ^� MARSTONS MILLS,MA•02648 -7.tor 677 Pomvnaonuiea `7 ac�uu�aelZ$ ' B'®AtRD OF'BUtLDI'MCv RE-GUILATIOUS n. a a# License: 0NSl f�I�CTIO SUPERV SOFt Nu l . OG1'414 .. I' mb�lf��C y p " yr 1VI 21 12003 Tr.no: 16657 a . i WILLIAM LIIIVIAT�IN1 541 FLINT MARSTONS MILLS, I�IA`D2648 Administrator s /__. p tHE T _ .� artio� The Town of Barnstable ' of Health Safety and Environmental Services BARNSTABLE. Departmenty 9 MASS• g PEED na+° Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Ft Location -4 (�a!2_ Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 4- 7- 0 Please call: 508-862-4038 for rein pe n. Inspected by Date �OFIME ram, Town of Barnstable ,A ST"TZ, Regulatory Services. v$ 1M M iOrEc,,�r A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 2,00 Main Street, Hyannis, MA 02601 Office: 50'-862-4038 Fax: 508-790-6230 September 10, 2002 Mr. Raymond S. Syr ala PO Box 765 ; Centerville, MA 02632 Re : 304 Oak Street, Centerville Dear Mr. Syrjala: On September 4, 2002, at 4:20 p.m. you were transported to Cape C—od HQspital by the Centerville-Osterville-Marstons Mills Fire Department rescue. Mile ret'ngving you from the residence, the deck stairs collapsed. No one was injured. I was notified by the Fire Department of the situation. Inspector Ralph Jones inspected the deck, and the entire deck needs to be replaced. This deck has been posted as an unsafe structure. Please notify us of your plan to repair or replace the deck as you will need a building permit. Sincerely, Tom Perry Building Commissioner TP/lb Qk0910a SEP. 06. 2002 (FRI) 07!22 CENTERVILLE FIRE 5067902385 PAGE. 1 r ::' :g it i i CCNTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVTCES { 1875 Falmouth Road,Rte,28 Emergency Number: Centerville,.MA 02632-3117, q I 1 Business:(508)790-2375 dol:n M.Farrington Facsimile:(508)190-2385 Chief of Department FAX COMMUNICATION MESSAGE DATE: September 6,2002 TO: Building Department PHONE: preset 16 ATTN: Ralph FROM: Sheila A. Long(.-way WE ARE SENDING TWO(2)PAGES INCLUDING THTS.COVER SHEET. PLEASE;CALL('508)790-2380 IF YOU DO NOT RECEIVE..THE TOTAL NUMBER OF PAGES, CONFIDENTIALITY NOTICE: This fax transmission may contain confidential information belonging to the sender and sucli information'ls legally privileged and, is intended only for the use of the individual or entity named above, Any copying,diselos6re,distri'Jution or dissemination of this information or the taking of any action based. on the contents of this communica.ti.on.is strictly prohibited. If you have received this transmission in error,plea.se notify us immediately by telephone and return the original transmission to us by mail or delivery at our address above. We shall cover the cost of retum mail. Thank you! SEP. l76 2002 (FRI) 07:23 CENTERVILLE FIRE 5087902385 PAGE 7 r CEN'rERVILLE-OSTERVILLE-MARSTONS MILLS ^z FIRE-FIESCUE DEPARTMENT 1875 ROUTE 2$ y L GEIITERVILL.E. MA 08632 U r UNUSUAL. INCIDENT REPORT 1 rtcmo: m_ I Pfano: A. (&&'Rescue Call a - /6 S Date: ��ti,�`� Military Time: !61 ZOO Hours ( ] Fire Call# _ �. Location: [ ] Other: Other persons involved, if any: Witnesses: _, B. PERSON(S)INVOLVED: N Patient: j ] Patient's Family ( J Bystander�>q Member,COMM FD/Rescue ( D Member, Samstxtble Polies Delft- [ . [Member,othef FO/Pasom [ )Member other Police Dept. [ ]Other C. TYPE OF INCIDENT: [ J MVA involving Dept,apparatus [ j MVA invaMnq membees private car ( ] Accidental injury [ ) Assault by patient I )Assault by other ( D Animal bilel-cm c�hj i ] BUM ( )Smoke inhalation [ )F13 in eye [ D Insect sting/Nte ( ]Studs by used needle '] Outer S"Tfl +X> T-u /'� r o//, Ve D. DEFINME OR POSSIBLE EXPOSURE TO: ( J-toxic material [ ] Gorrtrrluni.came disease ( D Tetanus [ ]Poison Ivy/Oak/Sumac Ate. ( 1 E- METHOD OF EXPOSURE: [ J Dinwt Contact [ J kdrect comam [ ]Inhalation [ D Ingestion [ ] Contaminated materials ( ] Mouth-to-rnwlh resuscitation [ D Skin puncture/open wound [ D other n F. DESCR7I�BE INCIDENT: lC��r�l +rf �r o ✓ r r "TU r- , Signature G. FOLLOW-UP: ( j Immediate cWQ given: ( ] Rescue Report done; if So.Reaare Call s --- - [ l seen by physician. Dr. at Careli'reahnent received: [ ] Hospitalization required: Admkod to: Date: Diagnosis: Dr. Discfiarge date: Recovery Dale: ( ) Time lost from work- ' [ ] Howcompensated-. C-0-101 form 0 135 /�f ------------------------------- BILL INQUIRY --------------------------------- 1Action: Find Next Prev Browse Output History Detail . . . 1 (Query the receivables file. 1 Year Type Bill # Cust # Notes/SC Bill Name Ph 1 1 2002 RE-R 26251 93623 N SYRJALA, RAYMOND S & 1 1 Parcel ID 194-001-012 P 0 BOX 765 CENTERVILLE, MA 02632 1 Prop Loc 304 OAK STREET 1 I I I I Int Date Billed Abt/Adj Pmts/Credits Interest Unpaid bal 1 11 12/01/01 869. 61 . 00 869. 61 . 00 . 00 12 05/02/02 869. 59 . 00 869. 59 . 00 . 00 13 I 14 I 1 Fees/Pen: . 00 . 00 . 00 . 00 . 00 1 1 Totals : 1, 739. 20 . 00 1, 739. 20 . 00 . 00 1 I I 1 JAN 1 Owner: SYRJALA, RAYMOND S & Due 09/05/2002 . 00 Per Diem . 00 1 Int Paid . 00 1 2 of 16 1 -------------------------------------------------------------------------------+ `k� S oa. 04•A'- �1 3 %37 S { ems' CD 'C7 r CFTHE . The Town of Barnstable * 1ARNSTABM • 116A399� `0�e Department of Health Safety and Environmental Services ArEDMA'tIs Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Property owner's name Telephone number Size of Shed Map/Parcel# e " Sign re Date Hyannis Main Street Waterfront Historic District? _dam Old King's Highway Historic District Commission jurisdiction? I-Z20, Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg % " G d y � 11 � 40 , 1 A , F ,x R tfZ 9, moo , w ¢ t ' CERTIFIED PLOT' PLAN OF MAt`f,N "? r 00BERT: .BRllCE { jty' v F:LUNEq U� N SCALE, �{d DATES I CERTIFY....THAT THE . 04 . �...` Cil►IF.NT=-�....��.. .'.4H0lN�l ':QP� -' TNtg: PLd�1P� !� 4 sr^ ��' sg „E81$T,EREID R9AISTER O o_ G/y 0� r Ep C(Vll. LAN1?.e ----- OAS THE AROU D'AS INDICATED �is��' rwS N01NE~E'R pIR�®Y�.: 'A � , .C4 Sys— SURVEYOR !vj NFORAA3 "TO 'THE XONIPlA 'L�3 a1F ;0F IAA R N S TA B L E , M A S ,? , 7t2 ':MAI-N;STRcET s Cli.®Y� � � HYA►Nf(IS, MASS. f w ._... r. "' -- DA`' R.I .@. LAND SUR � .Vgn , Alt r - _ Y y Assessor's map and lot number,.,..,,,.�.. �. '... �., ,. ... �; a *THE r0� Sewage, Permit- number .........:Q......: ..�..v... .... .... $ SEPTIC SYSTEM, i y q T. c' a�k�� psP1* USTBE Z BAMS'TA House. number .........:....... .�.. ................ PLIA 90 VJ'r, � R g"C pow 16 3 9ry . �0 TOWN OF BAR�NST�ABrLEa�=� � s. BUILDING INSPECTOR ' APPLICATION FOR PERMIT TO ......Q ...1:.,-, E W.! .................................. ;TYPE OF CONSTRUCTION ��� �t �.................... . - - wl 3,. .. t.... .............................................. a - ...... .........................19.� " TO THE INSPECTOR OF 'BUILDINGS: The undersigned hereby applies for "a permit according to the following information: Location ...�VT......-.[l.........O .... 1.....:: —.:.... ... ... 1 a..... :........... Proposed Use k �. ..... �XI:.: .T'�.�14�. .... ........................ ....... Zoning' District ......... 7 .....................................................:.....Fire-District .......... .. ... .. ...k.7.. .... Name of,Owner ... ,. .............:.:....Address ::.......�'?-1�..... ... ..... ��1' Name of Builder wi....Address.............................. .................................. Name of-Architect ... A } .. ........Address .............. . lam ..:........ Number of. Rooms ...... .Foundation ..g. .0�(, (J�?►r lilof X BUD 1( ,... Wit: i . Exterior .............................Roofing. ..........a5_G.......f° Ttg` ................................:..... Floors ...... .. M ��.�1..:�..�f.N.r..�. ..�...��'1'•:�a... ... .................Interior.;.. ...�1:'6G'�.t%'C ...�....V.��1�, II?I!M. ' ''Heafing .�..i. ...... ..... .. ry.. ..........Plumbing ...FG...... L0 - ..........................- Fireplace ... ° -".. � ......... r1., . ....................Approximate. Cost .......10It.�. ... ................................ Definitive Plan Approved by Planning Board,-_________________________19________ . ^ = Area ....... .......... . ... ............. p . ` Diagram of Lot and Building with Dimensions Fee "�— SUBJECT TO APPROVAL OF BOARD.OF .HEALTH J OCCUPANCY PERMITS REQUIRED FOR,NEW DWELLINGS x 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 . .>.1.f............... P'1CYMN, JOI-iN C. . !I N027383.. Permit for .One Story.............. Sin le Family,• Dwelling... .. ... r� Location Lot 15 3 4 Oak S Qgt - Owner JOB G• r1GP-S?n ~ , 11.. Type of Construction` .....Tram......... ' ......... Plot ...-....................... Lot".! r Permit Granted Ja uary, 3, ....'S ....19 85 i), ,Date of Inspectiorr,�....*/ .. .I✓..:.� .19 _ Date Completed � � 5 .19. _ ^ � ,_t. � �- '� ,�.�''�'�"" • � _ :^may' � r 1s IS, / F �,0 bi 6 1.� .. •.. - x ` Y nt_ 1 ' t t q� r q ,i 39 a K '}7'14rh'' p fi? t � i; 10 P u #�4;;:� 4`�� ,'Sri� • � � - II � .. v rib Y AA U12 C' n k '8 LZ olllb ., "sle4h` 77 } 7 Y;,', f W " l'qF uT :f; CERTIFIED PLOT PLAN 0 / K C U R4B�RTz o�•, . s S w , k# 4 3g K �. i`Z!+ r j,`ssro, r ssz°,ky x ,�c,i,T'� s �,�.LtiR L� r 1V d Y r., t Z �" f� ti��>u� t .a rj? 1 ra .� k .,,.:� `i Y t ��`�/: ,'•€ ., At x $CAS, AJO o,-CERTlFY THAT ••T�tE � $/ay�� : �r� °E�4 Q y'{`�jj ® ®,*~ -x --r �p�JM® 1,,XAA a���y :. P�.AN(��] 13 OCa Ep ' r .Gyl tl 11� 3 ,� J..• pe ;'eq i.k 1+f"' .�_] 9♦ «��.� TH,l'Fd �:.N'P�96" �� ��M''.p�p �g g@ * '. t M�IN:EER .' ' �E� Y R . . `$fr ivk- 0xf `, ;`. �CONFORMV,,V0 ` •f;HE 'Z�AI1 Q` A `,:`: ,. �'it ' m Vs ,'A,`Q{1� h Y a I� V�.� " �,. 1 ;' �` 4♦ ,r�' T,�"y Y,4' �1 Ta;� 1.V�. �t ^�i�.J t 2 $• p ,�.�C�" �"9y �.Y., ay, 2 �'a!�, 6 ��• �rT�.}� � ���� ff:� .�� �-�,� � . 'l;- r�/¢� � (%/.� �p�w�t� � p , �,.�p�,r.--P- q� !l�^.`�.. .pp�� /� ,1 1` f• '4 f !6 �e.�,Y....., i Y .$F 1;�! - y'y ,�4�./tleaa,�'e'_' a � �'� ,� •��.���� x � ..��S,y�ImI/p�y� ��r'"s'y-�.�.� '� 3rT,T,Y.7';. ,��� �:7�'Yrn ^�L�� �,�% ^'w_,.'---------...��° .z .r TOWN OF BARNSTABLE Permit No. i ? ______- .ARIn,u Building Inspector cash ...� ------ °b +ego• OCCUPANCY PERMIT Bond Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... 19............ ........................................................................................................._....... Building Inspector ��P�o '�•�� TOWN OF BARNSTABLE r BUILDING DEPARTMENT ! saaaeT : TOWN OFFICE BUILDING HYANNIS, MASS. 02601 F. MEMO TO: Town Clerk FROM: Building Department 's . DATE: An Occupancy Permit.has been issued for the building authorized by E Building Permit # _c?` ` ..1.._............................... . ._.... ._..... ... ...................... �f �r..... issuedto ........ .... .... ..... .... ._....._......».._....._...............� Please release the performance bond.