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Permit Fee:$ 35.00 } Location 291 SOUTH MAIN STREET Map Parcel 207085001 Town CENTERVILLE Zoning District SPLT Contractor PROPERTY OWNER Remarks 1Ox14 Owner: BOLAND, GILES W L & JUDITH M TRS Address: 481 FOREST STREET WALTHAM, MA 02452 Issued By: JL POST THIS CARD SO-THAT IS VISIBLE FROM T REET Town of Barnstable 'THE Regulatory Regulatory Services Richard V. Scali,Director MASS. . Building Division 1639. 3 Tom Perry,Building Commissioner4 - 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# U (�� «y FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200-square-feet or-less- Mel' -- — - - - -- ------ - Location of shed(address) Village . h , T4) f2 n Da f ttA C n,- 6ft i 4 ( c) 761 c 62 - 3 neq. Properly owner's name ' Telephone number YX Size of Shed Map/Parcel# Vd-A Y"44 9 ®� } Signature V . Date Hyannis Mam,Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? (� If over 120 square feet,you must file with Old King's Highway /� Conservation Commission(signature is required) �1J�C"_ I j Q VAC �5 Sign-off, our for Conservation 8c00=9:30- 3:30=4:30-- ' PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q46rms-shedreg REV:040914 Town.of Barnstable THE rq�� Regulatory Services Richard V. Scali,Director SrAB`E'KAM ' Building Division 90 3 9. �►��� Tom Perry,Building Commissioner " 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# U LJ �5� FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village s par;.. W. M.Vgfi ( c ) 761 d C1 Property owner's'name ' Telephone number �O x 190 Y / 013ff001 Size of Shed Map/Parcel# ' lei Signature U Date - ``' Hyannis Main Street Waterfront Historic District? 740 = =�' ri - Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) --Sign off hours for Conservation 8 00 9 30&3 3,04:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. ' THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg ' REV:040914 - 4 a, d bs- FX/ST/NG • � ��-+,° \ OV WALK29 DNEL IN TO NG D 5 4 P 1 1 1 �yi p utif .G O�// I .I .« I \ {�_ r �✓ " {-+'� 51. Awm 9` .. SYS- ` r+ 'A BVW1V I �1 . EXISTING H S w t,�„ 'I' a' 15 •\ _ NE a ., it ` �• �. , *!`'R\-•� y EXlsnuc j�—r 5� '85.01 \ ++ a a N• - } r r� m o- 'O A6ANW2 {u fL000ZONE AE fl 72 ' al `'.EX15L ING f'� c.• i - t I,rf nr� 1 \\SERVER\Land Projects 2007\14-241 STEPANIAN\dwg\14241 STEPANSAN.dwg,Model,6/11/2015 11:56:40 AM,Tabbid,1:20 , SINE Town of Barnstable Building Department - 200 Main Street BAMSTABLE• * Hyannis, MA 02601 MASS 16 9. , (5081862-4038 rFo�s Certificate of Occupancy Application Number: 87260 M CO Number: . . . 20070035 Parcel ID: 207085001 CO Issue Date: 02121107 Location: 291 SOUTH MAIN STREET Zoning Classification: SPLIT ZONING Proposed Use: SINGLE FAMILY HOME 1 Village: CENTERVILLE Gen Contractor CHRISTOPHERS,ROBERT E Permit Type: RC00 CERTIFICATE1,OF OCCUPANCY RES Comments: Pulldiaepar7tment Signature Date Signed NE t � Town of Barnstable Building Department - 200 Main Street BARNSTABLE, * Hyannis, MA 02601 9 MASS �p 1639. . (508) 862-4038 rFo nna'�a Certificate of Occupancy Temporary Application 87260 CO Number: 20060098 Parcel ID: 207085001 CO Issue Date: 08/11/06 Location: . 291 SOUTH MAIN STREET Zoning Classification: Owner: BOLAND, GILES W L &JUDITH M Proposed Use: 31 SUMMIT RD WELLESLEY, MA 02181 Village: CENTERVILLE Gen Contractor: CHRISTOPHERS,ROBERT E Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: NEED INSULATED COVER FOR STAIRS & TEMPERED SASHES - ORDERED 8 Zildein60epa/rtment Signature Date Signed Expiration Date TOWN OF-BARNSTABLE BUILDING PERiSIT PARCEL ID 207 085 001' GEOBASE ID 36657 ADDRESS 291 SOUTH MAIN ST..= PHONE . CENTERVILLE ZIP LOT 1 BLOCK LOT SIZE DBA _ DEVELOPMENT DISTRICT CO PERMIT 87260 DESCRIPTION REPAIR WATER DAM/INS/DRYWALL/FLOORING/KITCH PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: CHRI STOPHERS,ROBERT E Department of ARCHITECTS: Regulatory Services TOTAL FEES: $304.20 BOND $.00 �tME CONSTRUCTION COSTS $62,000.00 434 RESID ADD/ALT/CONV 1 PRIVATE -4,0_ 1 I * anwvsrABM Mass. BUI.L'DING}�/VISION BY( f -77/ 4?0,144 DATE ISSUED 09/30/2005 . EXPIR , ION DATE ,. TOWN OF"BARNSTABLE BUILDING PERMIT PARCEL ID 207 085 001 GEOBASR ID 36657 ADDRESS 201 SOUTH MAIN STREET PHONE CENTERVILLE ``'ZIP LOT I BLOCK f 8 fZF { DBA DEVELOPMENT ,� DISTRICT CO PERMIT 87260 DESCRIPTION REPAIR WATER DAM/INS/DRYWALI,/FTOORiNG/KITCR PERMIT TYPE BREMOD TITLE . RESIDENTIAL ALT/CONY CONTRACTORS CHRISTOPHER•S,ROB_ERT E Departmentf ARCHITECTS: Regultory Services TOTAL FEES $304.20 BOND $.00 ptr CONSTRUCTION COSTS $62,000.00 434 RESID ADD/AL,T/CONV I PRIVATE T*KU'�'�., * B"NSTABLE, Mass. I z639. ♦� I BUILDING DIVISION BYC %t�� � ✓ DATE ISSUED 09/30/2005 \ 'EXPIRATION DATE I 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 MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. o 024.9)M � s BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS D - Cam. r }jam 0 5' 8-9 C> (F 3d�o` 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT yoQ"�9'nP 2 /�_ C) ® L 13QARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL R� lea u�• Co Q �F7AA p�L, �s-C71-OSo WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BU. ILDING . PERMIT M TOWN OF BARNSTABLE s' BUILDING PERMIT PARCEL ID 207 085 001 GEOBASE ID 36657 ADDRESS 291 SOUTH MAIN STREET PHONE CENTERVILLE ZIP - LOT 1 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PE IT TYPE MRk*f . �F��EJIPTION EMBINGgA IT ADDITIONEXFANDING KITCHEN CONTRACTORS: GARY R STUBBINS Department of ARCHITECTS: Regulatory Services TOTAL FEES: $91.00 BOND $.00 p1U CONSTRUCTION COSTS $10,000.00 434 RESID ADD/ALT/CONV +► BARNSTABLE, + MAW 039. FD MA'S A -4L BUIL rDrrrING DIVISION BY DATE ISSUED 03/24/2006 EXPIRATION DATE ��� i � 1 TOWN OF BAl�k�9TAELE ` 'BB LDING PRRHIT PARCEL. IDi207 085 001 GEOBASE ID 36657 t . ADDRESS 291 SOUTH MAIN STREET - = PHOFE CENTERVILLE ZIP LOT 1 BLOCK: LOT SIZE DBA DEVELOPMENT DISTRICT CO (� IP` I"►N AA 9" ' A EXPANDING KITCHEN MET TYPE UN? ' 1I, �� �I�IG P MIT RBU N �. CONTRACTORS: GARY R STUBBINS Department.of ARCHITECTS: Regulatory Services TOTAL FEES: r $91.00 BOND L - CONSTRUCTION �S $10,000.00 4► 434 RESID ADD/ALT/CON'V * BARNSTABLE, MAM Ep MP'�A BUILDING DIVISION BY DATE ISSUED 03/24/2006 EXPIRAT ION_ DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN-11 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 MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. a • 1111111 1 • v BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL,INSPECTION APPROVALS 8 FOD Q9 03jud-h—, 1 V_Vb -P 1,6 1 r 'f Bt-R;M 0 &//3j0(' jtU_ BF-Tlu VWOLYO `1� - �-0 10 r - 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT � - q-C) B ARD OF HEALTH 3 �• P)//Ilk, �3 OTHER: SITE PLAN REVIEW APPROVAL dcc v�Ca9c2..� -4 Cv_0Ei O>; �l �vLSo�L 0 6-09-C(o WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- LINSPETIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX AN BE ARRANGED FORBYVARIOUS STAGES OF CONSTRUC- MONTHS OF.DATE THE PERMIT IS ISSUED AS ONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. BUILu NG PERMIT TOWN OF BARNSTABLE BUILDING PERMITAPPLICATION ` Map �1 O-1 Parcel 09 1 , Permit# � Health Divisionh2alur- -3 - = Date Issued Conservation Division qFeea�`�fb Tax Collector l ` � PTreasurer o o p Planning Dept. - Ll�nrrEQEYJ Ci 88MC SYST Date Definitive Plan Approved by Planning Board Approved By OFIMaIMMS Historic-OKH Preservation/Hyannis Project Street Address / 543[.A L,�_ G L �'• Village C ny"T Owner :Tj ,.A t: V` t Q;l Address 731 5(6&Vn rn I*r Telephone 991— '-35- q Permit Request DL", l t L c��c� r�+.-•.��;� 1���J !�c-t b,,�5.. ��+� �, f__i t-OL< quare feet: 1st floor: existing Proposed�e -End floor: existing proposed ku-� Total new J'Valuatio'nQ62-��_. 1 Zoning District Flood Plain Groundwater Overlay Construction Type W,e9yA Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(#units) Age of Existing Structure � < <N Historic House: ❑Yes XNo On Old King's Highway: ❑Yes fa 'fVo Basement Type: dFull ❑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 6V Heat Type and Fuel: /Gas it ❑ Electric ❑Other Central Air: ❑Yes X No Fireplaces: Existing New Existing wood/coal:stove: ❑IYes IiAo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑exiis"ting ❑new size; Attached garage:O existing ❑new size Shed: ❑existing ❑new size Other: = " Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial O Yes ANo If yes, site plan review# Current Use 15LL w.vt c d- �a s e - Proposed Use BUILDER INFORMATION Name &bn-� 1E_ c t S Telephone Number Z — Z` 2 Address,45"0 /1 f a sT C-Yr / 0 rW tc k YM& _ License# C- 021 Z 6 Home Improvement Contractor# f 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO FS 42 h STm G(e .I�t,.•.aP . SIGNATURE DATE i FOR OFFICIAL USE ONLY w PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION c FRAME G�% �..^ 7- INSULATION FIREPLACE r .ELECTRICAL: ROUGH R FINAL PLUMBING: ROUGH FINAL GAS: ROUGHS FINAL N ` FINAL BUILDING r3 0� 6k FotTEA C0 tqc Arne- ACLESS 0 'reo%vejeE4 wccN pw-JLs t�1 c � >. DATE CLOSED OUT A ASSOCIATION/PLAN NO. r' _ The Commonwealth of Massachusetts Department of industrial Accidents ' Office.of Investigations, ' 600 Washington Street Boston,MA 0.2111' www mass.gov/dia kw. j Workers' Compensation Insurance Affidavit:'Builders/Contractors/Electx icians/Plumbers Applicant Information Please Print Legibly -_R Name (Business/0rganization/lndividuaD: F 0 °�c� C �J �t ee S. Address.• S T . F Y-T 43 Ci /StatelZip �� tc� Q: -.Phone ty •-• Are you an employer?Chieek the appropriate.._bor. Type of project(required): 1.❑ I am a�loyer with - 4.'L4�1 am a general contractor and I 6. ❑New construction employees(full'and/or part-time).*, have hired the sub-contractors ner- listed on the attached sheet 2.0 I am a sole proprietor or par $ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any'capacity. ' workers' comp.insurance. 9. ❑ Binding addition o workers' comp.insurance 5. ❑ We are a corporation and its [N �'10.❑ Electrical repairs or.additions required.] .officers have exercised their 3.❑ I am a homeowner doitrg all work right-of exemption per MGL t 11.0 Plumbing repairs or additions myself:[No workers' cot c. 152,§1(4), and we have no 121-1 Roof repairs insurance required.]t_ a employees. [No workers 13:❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out'the section below showing their workers'compensation policy information t Homeowners who submitthis affidavit indicating they are doing all work and thenhire outside contractors must submit anew affidavit indicating such tcoutractm that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:;policy information. I am an employer that is providing workers'compensation insurance for my employees."Below is the policy and job site, information. Insurance-Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: .' City/State/Zip: policy de claration page(showing the policy number and iratioaa date). ion o Attach a copy of the workers compensation p y p .g ( g P y �P . Fame to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine u' to$1,500,.00 and/or one=year imprisomnent, as well as civil penalties in the form of a STOP'WORK ORDER and a fine of .P to$250.00 a day against the violator. Be advised that a copy of this statementmay be forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certi under the ins and enalties of perjury that the information provided above Is true and correct: Sigrintare: �^ Dater —0 .Phone#: official use only. Do not write in this area,to be completed by city.or town official. City or Toren: Permit/License# Issuing Authority(circle one): ' 1.Board of Health 2 Building Department 3.City/Town Clerk 4.Electrical Inspector{5.Plumbing Inspector 6.Other Contact Person: Phone#: formation and Instructions. s.. Massachusetts General Laws chapter 152 tequires all employers to provide workers' compensation i o contreir act of hire, Mass person in.the service of another Y p�suant to this statute, an employee is defined as"...every express or implied,oral or written." ,association, rporation or other legal entity,or any two or more An employer is defined as-:!;-a Mdivi4A2 -P erslup to er,or the' of the foregoing•engaged in a joint enterprise,and including the legal representatives of a deceased emp y partnership,association or other legal entity, employing employees. Howov.,er.tlze receiver or trustee of an individual,p of the owner of a dwelling house having not more than three�o maintenance,ms construction ohoresides r repair woik'on swelling house dwelling house of another who employs persons or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." "every state or local licensing agency shall withhold th MGL chapter 152,§25 C(6)also states that e issuance or renewal of a license or permit to operate a busit►ess or to construct buildings in the�commonwealth for any quire applicant who has not produced acceptable evidence-of compliance with the a ssuorancce olitical sueragebdivisions shall Pii tg 152, 25C states `Neither the commonwealth Y P Additionally,MGL chap ,. § (� enter into any contract for the Performance of public work until acceptable,•evidence of compliance with the insurance Iequirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the bonxestth t apply too yourth their situation and, necessary,supply sub-contractors)name(s), addresses)and phone nun () g insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships insurance. L an)with or no employe does haves e than the members orpartners, are notrequired to carry workers compens ent of"Indiistrial employees,-a policy is required. Be advised that this affidavit may be submitteddate he afflida�vit. Ile affidavit should Accidents for confirmation of insurance coverage.. Also be sure to. gn be returned.to the city or town that the application for the permit or license is being requested, not the Departmeirt of if you are required to oltainAVOT)ECTS' Industrial Accidents. Should you have any questions a number listedhl below.. S lf-insured companies hou3d r tb err w or- compensation policy,please call the Department at th self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botan of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the aPP licant' Please be sure to fill in the Permit/license number which will be used as a reference number. In addition, an app that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under Job Site Address" applicant should write"all locations in • (city or "A co of the affidavit that has been officially stamped or marked by the city or town may be provided to the town). PY applicant as proof that.a valid affidavit is on file for;f iture permits•or'licenses..knew affidavit mist be filled out.each year,Where a home owner or citizen is obtaining a license or permit not related �e a thiseaffidavis or ��cial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT requiredcomp let like to thank you in advance for your cooperation and should you have any questions, The Office of investigations please do not hesitate to give us a call. The Depar Inent's address,telephone and.fax number: The Commonwealth of Massachusetts . Ilepartment of Industrial. Accidents ..Office of jhyestigations f. b00'Washington•Street . Boston,MA 02.111.• Tel. #617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-727-7749 Revised 5-2645 7;-, w,mass.gov/dia f oF, .E Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director �fea Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied -------- -. - - - --- building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other- requirements. Type of Work: Re, V_�®j'el \ ' Estimated Cost O® Address of Work: ` [� A 6L t a S C L Owner's Name: 7u kL 1 1,,_ G,i le s o ki c� ' Date of Application:_ -2-6 r® 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 a int of the o .�`Z 6_ 77 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav r �1ze -�omvnzovw�ea ��/ e�cuaelta ; Board orBuil(ft Regulations and Standards i HOME IMPRGV MFENT CONTRACTOR sir i 1433\ 121-006 R'OBERT E.CH f ROBERTS. CHR 50•:MAMIS STREET EXT G -• . N HAtT11ilCW, MA 02645 3 BOARD OF BUILD'JNG RECyUU►kTZO'NS„ License: P. MONSTRUCTI!ON SUPEReV41c�OR< NurnbeTwr RQ'BE'RT E GHRI T s` !Z1 x 50 MAIN.STREET. EXT �V HARWICH, MA 021345 Ad in'is r rto All Cape Insulation & Supply. lnc Estimate Box 645 357 Hokum Rock Rd OP E. Dennis, MA 02641 508-385-20411800-626-9276 t SUPPORT LOCAL B,USINESS' NAME ADDRESS DATE 6/17/2605 Robert E Christophers Builder _. SO Main St Ext CITYfTOWN STREET N Harwich,MA 02645' 508-432 2921/508 360-100-1 Cel Weaver/Main Centerville,MA TERMS, 'Less 10%o COD Ceil(2nd fl) R 30 Krafft Batts: *Ext Walls(lst&2nd f1): R1.3 Fritfin:FEt Bans/PoIy Stairwell(Ist fl): R-13 Krafft Batts Bsmt'Ceilt R-19'Krafl Batts Crawl: R-19.Kra Batts_ Cath Ceil:. R:`30 Kraft Batts;. Cath Ceil: R 21 FrictionFrt'Batts/Poly Ca ffi Ceil: V .Sheathing: 2nd fl Mopes to KW 8a Plate_ R-21.Friction Fit .Poly 2nd#1:Slbpes to KW Plates("Ist fi)- R=1:3':Kraft`:Batts Knee Walls: R-13,Kraft Batts... Cath Walls: R-13 Kraft Batts, Stair Runner(lst fl): R-19 Kraft Batts Rear Entry Ceil: R-21 Friction AW Batts/Foly Rear.Entry Cell: 1"-`Sing, Crawl(rear emery): R 19 KraftBafts l st.fl Ceil'to 2nd fl.KW. R-30Kraft Batts Y, Veit Chutes OPTIOAI#1 If Bath-Walls:(lst&:2nd fl)are done witlr.R-11 batts for sound add$174.00 to-price. OPTION#2 If Between Flows are done-with.R:.19 batts for sound add,$595 00 to,price. OPTION#3: :If ExtWalls'! are.done with SPIDER S: -i'5 'add$270.60 to 0jice. Pt.EASE ASK ABOUT SPIDER INSULATING SYSTEM SUBJECT,T0, 101A DISCOUNT IF PAID ON DAY OF COMPLETION- . ro-30 ftys: Estirmte Tow 144'772.00 WE PROPOSE to'furnrsh material and:labor,.c�Wlift is ac nce.mM.abm.specifications,for the sum of ($ 3,Payments:to bernade ass follows: Contract"Milesnan . Acceptance by Purchaser-and Title costs,will be executed above specifications involving extra alteration from. ab . only upon written orders and beeorrfe an extra charge over/above. All agreements contigent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and,other necessary insurance: �,t Town of]Barnstable Reg*toary Sorvices � - rho r.rr,nar Balding D on Tom Perry, lknlftg CommiWouer 20014k Street Hya d%MA 02601 ` wrw WWA bmrnst&ble,tus-W Offl . 509462,4038 F= $0$.794-6234 t PMecty OWner Must Complete and Sign TWs Section If Using A Builder } �O�-Prti atri all=&*!E3 ral ov a to WO&arathorized bg,d*bm ding p gTli=ti=fe r. __ �• �JI t� i 1\1 -sv t v l L C C (�4 (Address of Jab) Splature Of Ovao Daft c..L Z0 3Jtid Hii(in' QNd-109 8TTZSEZ18L L0:90 S00Z/8Z/80 i (b C.B. FND. t 0� cl O O \ a� O FND. ` P to \ P �19, 520 S.F. ± UPLAND 4, 253 S. { WETLAND 5 D \\- 3,773 S. F. TOTAL \ 10 Y liousc CUf Nr J tl G' 4r. /. �N �� O\ C - �, V - / - - o\ C�G�V a5•p\ 2E/ ; Pp�E� � i QT m �`? 14, 839 S.F. ± UPLAND O�SE 3, 015 S. F. f WETLAND N 5%= 7, 854 S.F. TOTAL o�K C.B. Q A 167,2� 259 FND. + rS7c '7 58W 8? C.B. FND. N,vOLLY Iti co C.B. FND. `'.` 9 c, �c o FND. V� ppJ ,' 197 520 S.F. ± UPLAND` rn 4, 253 S.F ±WETLAND v 3,773 S. F. TOTAL ou �Ep i 4\ Q l 130.3 ; t74 x m 14, 839 S.F. f UPLAND U56 ! 7, 854 S.F. TOTALK ' C.B. �1 ,L 5 9 + FND. 8? — C.e. FND: N':Vol ZY . I,I C ASSESSOR'S MAP NO. W*7 -PARCEL 6 sS $ E W A G.E PERMIT NO. ! rlWt I VILLAGE _tom,e cat►kk6 I N S T A LLER'S .. • NA-ME i ADDRESS ,r t U I L D.E R'r' OR ` OWNER 911 DATE PERMIT ISSUED Afire c�,q f(q9-(o DATE COMPLIANCE ISSUED �2 2 � 1 .. i I f SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 29180.Main St Centerville Owner: Donaldson:927 Regency Dr.Marston Mliis Date of I nspection:111100 SKETCH OF SEWAGE DISPOSAL SYSTEM: Include ties to at least two permanent references landmarks or benchmarks locate all wells within IO(Y Pr 6a`k .. Z?. AA 3u c DEPTH TO GROUNDWATER Depth to groundwater:12 feet method of determination or approximation: USGS Maps and Charts (revised 11115195) 9 I i _J. 40 1 C ' CA ,f � !A V4 N OF s FAIRVIEW MILLWORK 4 9 -WHITE' S PATH SOUTH YARMOUTH, MA 02664 Phone: (508) 394-2219 Fax: (508) 394-8448 ?age 1 SPECIAL ORDER TICKET Ticket# 58047510 PECIAL NOTES Ref# 58047510 Time:15:47:55 T 379 Order Date:08/10/2006 alesperson Gerald Carey NO.:CURLEY CURL Today's Date:08/10/2006 >old: Bob Christophers Ship:TEMPERED SASH To: 50 Main St Extension To: N.Harwich, MA 02645 Phone: (508) 432-2921 Phone: (508) 432-2921 F:fairw 'ustomer No.: 5003465 Job: Customer P.O. Ship Via Customer Pickup Order Ship Unit Item No. Description Price Extension 2.0 EA >CURLEY000043105 MI 27 1/4" x 40 1/4 1/1 WHITE VINYL REPL 89.25 178.50 SASH TEMPERED LOW E . 1.0 EA SOCOM By signing below I acknowledge that the 0.00 0.00 sizes, quantities, colors, and all other specifications on this order are correct I also acknoweldge that special items contained on this order are non- returnable,and the deposit for those items is non-refundable. Signed X Sub.: $178 . 50 Taxable 178 . 50 NonTaxable 0 . 00 Tax: 8 . 93 Total: $187 .43 $0 . 00 Amount Due: $187 .43 )ue to the special nature of some orders, the buyer agrees that in regards to special orders the order is correct and ION-CANCELLABLE and the deposit is NON-REFUNDABLE. SHEPLEY WOOD PRODUCTS, INC. 216 Thornton Drive Hyannis, Massachusetts 02601 Telephone 508-862-6200 Fax 508-862-6012 www.shepleywood.com Page: 1 of 1 CASH INVOICE Invoice# 11593154 RECEIVED IN GOOD CONDITION,SUBJECT TO THE TERMS BELOW BY: Driver T 359 Ordered: 08/10/06 X Shipped: 08/10/06 Checker Entered By: Paul J.Carter PJC Ordered By:ROBERT Weight 1:001020068 popsh658 Sold To: ROBERT E CHRISTOPHERS/CASH ACC Ship To: ATTIC COVER-BOLAND 15 PAYSON PATH WEST YARMOUTH, MA 02673 Customer#: CHRROB 00001 Customer PO: Ship via: Customer Pick Up ORDER i SHIPPED * 1 ITEM# DESCRIPTION f PRICE AMOUNT 1.00 i 1.00 EA MMSTCVR FOLDING STAIRCASE INSULATED COVER 96.56 96.56 OSM 30-1/2"X58" S H 0 P M A D E I 1 I i i i I i I i It e I i) I i ( i i i i i i I of I i My s � ' � i *,. ' .ti elivery Instructions Check#2099 96.32 SALES TOTAL $96.56 Discount 4.83 MISC+FRGT CONDITIONS OF SALE SALES TAX 4.59 ock items returned in original condition within 30 days of purchase are Total applied: 96.32 abject to a minimum handling charge of 15%and must be accompanied TOTAL• $96.32 f a copy of this bill.Non-stock items may not be returned without special )proval.Claims of shortage,damage or unsatisfactory condition must be ade within 48 hours. 2 - Customer Copy IIIIII I'lll'III IIIIII'I'I)IIIII IIIII IIIII IIIII IIIII IIIIIII III IIIII IIIII IIIIII IIIII III I"I 0 0 V 4 5 4 0 0 1 0 N 6 1 5 R F. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map-�1. Parcel (� �� ®� Application# Health Division "A(z c36110 3 /4 t Conservation Division 10 / s c)(O Permit# V SEPTIC8,Y6TEM PAUST BE Tax Collector tNSTYL ULFD 114 COMPLIANT" Date Issued Treasurer WITH TI m LE 5 d ���qq Application Fee Planning Dept. � , ;; Permit Fee f Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis nr4 Project Street Address 'L9k\ 5oUI:A M,&iv,. 5►� , �-t'1T � ����ti AlA Village C.X N'1 iZ 9W IL L L "V4, , Owner ,�Uoiz�. i�®�-�!'�� Address 15g1_5J-w•kt-c dZ� W -LL5 1_TN V4* Telephone V3 1 a-1 65 Permit Request U i�� P+ '� lit 14.`» -yIU-tA 0:xPAr+OiTt 6 K I-re-WI TA Square feet: 1 st floor:existing f I (O proposed 2nd floor:existing q!5 proposed O Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O� Construction Type C0\NA) oN00_ "rik**m- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation: t {J r f Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) � Age of Existing Structure (930 5 Historic House: ❑Yes ', Jo On Old King's Highway: ❑Yes> No Basement Type: Aull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 12s&b� Basement Unfinished Area(sq.ft) Z Number of Baths: Full:existing S new O- Half:existing m new O Number of Bedrooms: existing_ new n _ Total Room Count(not including baths):existing new First floor Room Count fD Heat Type and Fuel g6as ❑Oil ❑Electric ❑Other Central Air: ❑Yes � Fireplaces: Existing �_ New Existing wood/coal stover ❑Yes _Ihtltl'o 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❑ i Commercial ❑Yes k<O If yes, site plan review# Current Use _.Proposed Use BUILDER INFORMATION Name —,wRa it1.S Telephone Number f5o 09 Address LIt-1C.oCn17t &V License# S �� -} ? 0 tilA, 6Z.b0 Home Improvement Contractor# 1-7 Worker's Compensation# (a K y b -o-77 9 0b -0 -05 ALL CONSTRUCTIO BRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE% ' ? FOR OFFICIAL USE ONLY n PERMIT NO. DATE ISSUED MAP/PARCEL NO.' ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: FOUNDATION a y 1.,0a6 2. 8 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL j r PLUMBING: ROUGH FINAL w GAS: ROUGH FINAL a ,4. FINAL BUILDING 4n , i DATE CLOSED OUT j ASSOCIATION PLAN NO. �\ .-.�Y yV......-Y.I.IYwAII Vl r.rtiYYAV.-AYNIY . Department ofbidustiiaFAccidents ' Office of Investigations,.' ' ' 600 Washington Street • . Boston,MA 02III' f www.massgov/din • ' Workers' Compensation bmui'an�a Affidavit: Builders/Contractors/.Electricians/Pluriobers ,pplicant Information Please Print Legibly came (Bus ws/organiution/Individual): �.�� � 1S1'V5K!3 i&S rcc�.V-i o lsNI 4,1 Ni b Lddress• " \ Li N Lu: UtA ,ity/State/Zip:"14 tk IS k4 2 j�0'\ Phone#:�r 4��: 1Cj 0 re you an employer? Check the appropriate • a::. 'hype of project(required): I am aemployer with 4. I am a general contractor and I 6, 0 New construction (ftff and/or part-time).* have hired the sub-contractors • I am.a sole proprietor or partner- listed on the attached sheet$ - ?• Remodeling ship and have no employees These sub-contractors have a. El Demolition working for me in any capacity, workers' comp,insurance. [No workers'' comp.insurance 5• El We'are a corporation and its 9' '� �' g addition • required.] officers have exercised.their 10.0 Electrical repairs or.additions ❑ I=a homeowner doitg 0 work- 7 right of etemption per.MGL .11.❑Plumbing reps_as or additions myself.[No workers' comp, t-152, §1(4),and we have nq 12.❑ Roof repairs ' inSIMnM re�ed.]t employees.[No W6*ere comp.insurance required.] 13.0 Other iy applicant that checks boa#1 must alsp fll out the section below showing their worker;'compensation policy information: +� omeowners who submit this affidavit indicating they an doing ell-work and then.him outside,contractors must submit a new affidavit indicating such • mtrac'tars that check this.boa;must attached an-additional sheet showing the name of the sub-contractors and their workers'comp:policy infmuwtiom m an employer that is providing workers compensation insurance for my employees.'Below is the policy and job site rormation. ,mrance•Company Name: TtZ"tst,�z S n.S u RAK L Q t��,P dl t•�y licy#.or Self-ins.Lit#: Q' -o-1 I.G tsl 4 — Q-o S Expiration Date: C/ f Z 1 6(o b Site Address: .7 q 30 tTT-V _toot— City/State ft: U L-L•t,r tack a copy of the..workers' compensation policy declaration page(showing the policy number and•eaplratitnn date). llure to secure coverage as required under Section 25A of MGL c. 152 caii lead to the imposition of criminal penalties of a Le to$.1,500,00 and/or one- ear 1; UP Y 3miPnsoamen as well as civil penalties in tfie form of a STOP'WORK ORDER,and a fine up to$250.00 a day against the violator. Be advised that a copy of this statemenf mite forwarded to the Office of vestigations of the DIA for insurance coverage verification to hereby certi u der the pains a penalties ofperjury that the information provided above-is true and correct k—A tare: Date: Zp() (o lone#: �?.fficial use only. Do not write in this area,to be coin feted p by cityor town gfictaa City or Town: PermitUcense# Issulag Authority(circle.one); L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: information and Instructions to e workers' compensation for their employees. ` ;saghusetts General Laws chapter 152 tequires all employers to provid y yuant to this statute, an employee is defined as"...every person in the service-of another under any contract of hire, Tess or implied,oral or Wri{ten." - ' .1, ,. .' " oration or other legal entity,or MY two or more employer is defamed aS•`'` 3t� d 'p�m*'''association, p ., in a.joint enterprise,and iacludnig the legal representatives of a deceased employer,or the' Ole foregoingengagedassociation of otherlsgal eatity,,employmg em&yees' HOWOVer, .C lver or trustee of as individual,partnership, iv of a dwelling hour a having not more than three apartments and who resides ttierem,or,the occupant of the e ,Aer yelling house of another who employs persons to do maintenance,construction or repair wor'xmn such dwelling house thereto shall notbecause of such employmentbe deemed to bean employer-' on the grounds orbu:.dmg appurtenant , CsL chapter 152, §ZSC(6)also state,that"every state'o`r local licensing.agency shall withhold the issuaztce'or• , in the commonwea permit to operate a business or to construct buildings lth for any ne"wal of a license or duced acceptable evidence�of compliance with the insurance coverage required." )pllcaut who has not proP dditionaIly,MGL cheiPter 152, §25C(7)states"Neitherthe connnonwealth nor any of its.political subdivisions shall lter into any contract for the performance of public work until acceptable evidence of cou�kance with the insurance �qoements of this chapter havt been pres ented to the contracting authority." Lppucants . ' co •ens ation affidavit completely,by checking the boxes that apply to your situation and,if. the workers trip ertificate s of 'lease fill out: along with their a ( ) - Mcessmry,supply!snb-contractor(s)name(s),addre5 unit and phone mnnbcr(s) g to ees..ather.thaa the iabi'li Companies(LI.Q or Limited Liability Partnerships(LU),w th IIo emp Y have nsurance. Limited L tY members or partners; are not required to carry workers' compensation insurance. If an MC or LLP does employees,apolicy is required. Be advised that this affidavit-MAY be submitted to the Department OfIndustrial for coafirrnati ou of insurance coverage. AJso be sure to sign and date the affidavit. The affidavit should Accidents be returned cation for the permit Or license'is being requested,not the Depar#meir t of to the dtY or town that the appli Industrial Accidents. Should you have any questions?egarding the law.or if you are required to obtain a workers'.. oli lease call the Department at the number listed beloW, Self-insured corz;panies should enter their car*ens ationp cy?P er on the appropriate line. self-insurance license mmlb City or Town Officials A i Please be sar0hat the affidavit is complete t the Office oandprintedlef Investigations has to contact you.regarding the applicant of the affidavit for ypu to-:M out in the. even cense nnmbef which will be used as a reference mnmbcr. In addition, an applicant'' Please be sine do fill in the perrnitlli need and submit one affidavit indicating=Tent that submitmultiplepermitllicense applications in any giv Yeats Y policy�rmatiou(ifnecessary)and under"Job site Address"'the applicant should write"all locations in (city or of the•affidavit that has been officially stamped or marked by the city or town may be provided to the awn) A COPS! davit is�u ffio for;future P eranits•or'liceoses..A new affidavit must be filled out each applicant as proof that•a valid aft . . . . year.Where a home owner or citizeA is obtaining a h nor NO`T T tined tocomplete this affidavit or errs al vanture a dog license or p ermit to burn leaves etc.)said p . lions would like to thank you in advance for your cogperation and should you have-any questions, The Office ofbvestiga -- � •� � please do nothesitate t4,giveus a,call., w The Depmtnenfs address,telephone and.fix numbW. The Commonwealth.ofMassachusetts" . ' 'aLAceidents • : . . of Ind�stn t . . _ . ., :;. � '. •IIeP..����Investagatiops . a• f: ' U. .6OQ Washington Street . `►: Boston,MA 02111. Tel.#617427-4900 ext 406 or 1477 MASSAFE fax#617-727.7749 Fxv1 ed 5-26-05 www,mass.gov/ali 1 ._ - Town of Barnstable- *Permit# 0q qY Expires 6 months from issue date Regulatory Services Fee Ll I t CZ� Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner X-PR��� 200 Main Street,Hyannis,MA 02601 PE' www.townbarnstable.ma.us Office: 508-862-4038 MAR j TO OF Fax: 5 - 6230 EXPRESS L— PERMIT APPLICATION - RESIDENTIAL ONLY Bq�NSTgg�E Not Valid without Red X-Press Imprint ap/paz 07 D9� 0Dcel Number / roperty Address-- � I J®L�T C., ma [ t�1 5 ( , e t k l-ra r, 0 U p1-P V LAG t Residential Value of Work]] Minimum fee of$25.00 for work under$6000.00 wner's Name&Address G) l _e s Q t✓l r ontractor's Name &(IgI7 E. Telephone Number ome Improvement Contractor License#(if applicable) 7 -3 Construction Supervisor's License#(if applicable)_ G S V �j ❑Workman's Compensation Insurance Chec ne: (+ 2 1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance urance Company Name orkman's Comp:Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner mil t sign Property Owner Letter of Permission. . e Improv Contrac License is required. ' SIGNATURE: Q:Forms:expmtrg D Revise071405 /! �� r w. f Tows. of Barnstable Rotatory Seances Tom Pem, Duming Coffer 200 % H MA 02601 '' evwbrtownbaatrbiame.a�4 .a. Me: SON 38 )F= 508-790-6230 y'�• 4i F.� Property Owner Mmt l= �. �lete and Sign This Section If Using A Bui1der [ig t 'S> YA r as 0W=of tw 5W)m propRmy W act on n3ybehaI4 in au mhtin to ovok=horiwd byt6 buiidiq perms appUcadon for. _ � o vkL a�. 4eAA CA ,, I : Dme o 0 'A :i Zl3 k %�T g0W-2T-� �'d L4 ��0LT�It� TO 39Vd Hiianr GNV-109 BTTZ9EZT8L Tb:9T 9OOZ/ZT/TO . 11 cations apd Stand r ft Board ofBuilding Rem TRACTOR HOME 1MPRDYEM ENT CON 14 17j2006 A jyKIWal ROBERT E.CK F ROSFRTS. f' ^5O•N 'STREET 02645 Admdldst►'ator N HAfI MA' `� _ r - r Jae T�o�svrreo�wrea/�/ a�� ac�iu ` BOAR©OF BUIL©ING R olff-GULAAalOIJS. License; ONSTRUCTLON SU IUIS,ORt- Num-1 08'1320 i I Biro80 3 Rey I 50 MAIN STREET EXT N HARWICH, MA 02645 Administrator zf y pU'THEri Town of Barnstable Regulatory ServicesBAMSr - i i MAMasi'Eg" Thomas F.Geiler,Director �p .s6;q �0 �E1639 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: n IhA Estimated CostA16600 Address of Work: Z9 1 `SO K\A-1N ser Cr_ z f 1 L L l: V-4\ , Owner's Name: Date of Application: `L'L iM1h-Ck- -LoL,,�,p I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 uilding not owner-occupied ❑ er pulling own permit Notice is hereby given that: OWNERS PULLING THEIROWN 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 P NALTIES OF PERJURY I hereby apply for a permit as the agent of the, Z G/& PJ Date Contracto Name Registration No. OR Date Owner's Name Q:fomnslomeafdav gFSIDEN IAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.0.0 Residential Addition $50.00 Alterations/Ronovations $50.00 Chango of Contractor/Builder $25.0.0 FEE VALUE WORKSBEET -NEW LIVING SPACE ' 1 2,5 - -square feet%$96/sq,foot=I Z000 x.0041= pits from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq,foot- x.0041= plus fiombelow(if applicable). 9ARAGES'(attached&detached) square feet%$32/sq,ft= x.0041= ACCESSORY STRUCTURE>120 sq.ft.. >120 of-500 sf $35.00 >500 sf-750 sf 50.00 . >750 sf-1000 sf 75.00 >1000 sf- 1500 of 100.00 >1500 sf-Same as new building permit: , square feet $96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck 2. x$30.00= (number) FlreplacelChimneY x$25.00 a (number) I,nground Swimming Pool $60.00 Above Ground Swimming Pool $25,00 Relocation/Haying $150,00 (plus above if applicable) Permit Fee I Twe inch(eoa+tlaned) Prneslplire puka8d for das aad Tiro-FAndly Residential Evildia�p Ba3sd�dth 8'oiat(l�'ueL MZ1I�'1 � 'HC3Liti�'(,OCiitij� • Cilis3ng Cilazlag _Callus W8H Floor .Bas�mi Slab Arrsi�'l.) L1•vals2 R•valuea A va1w� 1 Yaiv Will PaisaetesPmden ' R:ya]uof R'ti''dtiet Pie 3f01 to$500 Sntia Degree Di . 3B 13 No 19 I0 b tasal R IZY• 0.52 30 • ' _19 19 10 b' IZMA' 0.10 3S 13 '19 10 b •i3 8 MEMO 3E 13 25 N!A NIA 31 y;f.' » k•13'!. • DA - sa • 13• • 25 MA 30 �► . .lS'!• 1�A Narasal• . X 18'l 033•'" 3a• ''I# 2s MA I�arttsal y • Isy. ' 0.42•. 3a is: 23 MA N!A Z., •18°i• 0.42 38 13 19 10 b LA ]8'/• bi6 30 19 19 10 90 A 1.-ADDRESS OF PROPSRTZ'; Sout'1� V•'hA•.,•t ' - . . SQUARE FQOTAt3E OF ALL 3 TBmoxwALLL'S;:` r -��ia'.''• ------- ' .•3. SQUARE FOOTAGE OF ALL'OtAZINC4: 4, °/a L3LAZIN4 AREA(#3 DIVIDED BY#2): &M- -1 5L .) r . 3. SBLECT PACKAGE(Q--AA-sea chart above); .. 'NOTS:. OMERMM WVCLYED METHODS-OF DETERMDiI 0 ENERGY REQUIRMaNTS , ARE AYAILABLE. ASK US FORTIES INFORMATION, BUILDING INSPECTORAPPROYAL: q-facnis-98G3fl3a 780 CMA,ApPendlx . • assemblies u:cluding sliding-glzss doors, Skylights, and Footnotes to Table J .2.ib: a a doors)'to iha gross wall t Cilazlug area is the ratio of the area of the glaz3ag V-value requirement. yrmdows If Iodated m wads fleet enclose conditioned space,but excluding op Qu basemant area ma be excluded from the ressed.as a percentage.UP.to 1'Of the total glazing Y eras. axes,exp le,3 ft�of decorative glass may be excluded tested and docuraen ed b the rgimufacturer In accordance with For examP sin;U.values intfst be t a i After 3anuary 11999, gl tat procedwe, or taken from Table 31.5.3�. U-Yalues arA or . the rlatioaal Fepestratlon Rating Council (NFRQ • whole units;center-of glass U=values cannot be used• If•the insulation achioYes the fdl of assume a raised or oversized Truss conshvedon, be anbs�}ad for R 38 8 The.ceiling.R values do•n o compression, R 30.insulation m4y: . insulation 3ckness over the'W9n0r �'�Is' -49'-insulatibn: C4eftiagR-xaltieg present`tl�e-sum•o caYityr•._- R�3 g nsu���i'oa may b `stib ' itsd'fo R' latia sheathing mu�.44Placed between . insulation as used)r For venntilated t;eiliags,luau g insulation plus insolatiiig shta g(lf. . , ,.., . the call toned space and the ventilated portion of they oa plus Insulating shozdh ,g'(lf use .Do not iacluae - slues represent the sum.of the wall cavity F ,exam Ie,an R-19,regahMent eould•ba mkt EI'I'MR all R v atl. P 'to '� in .and intoner dryw. ll rz meats apply • sheath ,. Wa idin , stivctumI $ Plus R-6 insulatmg sheathing. 9�. exteriors g insulation OR R 13 cavity insulation p e construction. by R 19 cavity 10 wall constructions,but do not apply to metal Tram e+or mass(concrete,masonry, g) " aces,l5aseinarits, Wpod fraril l tb floors over unconditioned spaces(such as uncondidoned crawisP ► one floor requirements al y de must or ganges)•Floors over outside air must meet the ceiling all With an Average ass doom of conditioned. tie Opaque portion of any individual basementde waall$, �Tindows and depth less g j0o. below grade The en a nor,U.jalue requirement meet the same 'R value raquirement'as abov ag• Basement doors must.tne4t•tt} d • ba,emonts must be, included with the other described in Note b• Add an additional R.2 for heated slabs. -a plan to install more s•The p valve requirements are for unheated slabs. use coin liance approach 3,4;or 5•• f 7 �t with the lowest the building utilizes elebtria resistanoe heating . P If iece of heating equipment or rnore,thin one piece of cooling equipment,the equ Pm . man one p uiredby•tha selected package•.. .• ,e cieney must meet.or exceed the a ciencYercla`sest city`ci town see-Table 1511a ' minimum acce table-levels. NO•t'IS° and•V-values are maximum aoceptable levels:Insulskion,R values are P a) 4lazing"meal and do not include structural components' R value requirements are for Insulation only. es b)Opaque doo rs in the building envelope must have a U-value no�st rroceedure or oaken fromutha doorbU{value ' and documented by the manufacturer�accordance with the P U-value�ratin8 for that door Is not compliance of the door, in rabla.11,5.3b. If a door contains glass and an Aggregate aU-value to d ter determine co ea of the dear with yc�wind°�s and use the opaque door U-value to determir► p glass ar uirement(i.e„may havegreater One door may be excluded from this roq ° crawl$ ace wall component includes two or more areas with c�If acetiing�wail,#iaor,basemagt wall,slab-edp, t p greater than or agtial to ulation levels,the component complies if thed°or omg on ants comply if the aro-eighted avarage U- different iris s or doors is less than or equal to the U-value requirement(0135 for doors), the R•Yalue requirement for that Component.G amng or , yalue df sU window • 43 ip A. Townof Barnstable Regulatory Services ' � � Z7�a�nes k.ceder,�ectc�r . Dullffin Dion .i Tons Pmn7, BuOd3ng Color 200 Tv7m StteGL Hy am,MAO=I Wvw.twn bermubleams.es C3 Zce: Sfl&8d a 8 Fox: 508.744- M t 5�; a� Properly Owner Must 1Complete and Si S Section sd, If U3ing A Builder kC ' Evnxer of the=b ProPeny hemla rim . � '` 4S�U 1>�1 to 30 OIL mybe6lf y ra in all '. WM va vmrk mthor,'�d by this big pemit gglicaatioa for. . CA' ,<A4 CS)-�� 'U C1 s9 tAd dmv.5 of JO02 :r tl:o S'g i ref Owner W.�,... .tom{I 1 Y}� q tl1.d �Vai �-©1. TO 30VJ HlIanr aNtl-lEg 8TTZ9EZT8L tP:00 9OOZ/ZT/ZO 1 • Y , 77 ' 1i1 �t 1,1�;s.r�t�prr� �4 H� R� i7 ` pR �. 1^ rrtssl@� c rsfY":tQoll t-alrcl Eor iad►i?s�trr!first se I. # 3 3�{ ` 6i Iv 221 .. f4tlrid ri(u'+>i inns and tn,, Standarus. r 1 �h 8 II � 6ARY.R .STUB j .GARY STUBB1N3,r F�, •� " .fit Y � � � �. i i 12�L[N�OLN. .y7 r I. ` kY l A Q601 { { i i Ell �►z na:. 28333 � i s�2e6�mL'�IIf�V,�Q�,l� ��• � . ' � ���.__ `t.✓ C�mrinissh�omer �'� s s a 8:/1%:2=E L1:54 5E84280-74 EIZAAM A 3dk2.L PAZ ©: AGO-K t CERTmeATE OF LUI uTy INSURANCE omo i THIS C6Nna1CAIN 4;ai6UIM AS A IEATM OF WMMIM ONLY AND COMMS NO MCHTS -SPOT{THE CEVf;F"M — ?dvead A. r s.l [t►tura�eze !�grney, Lf+a. HOLDER.'MIS CERI R"'M DOGS NOT AMEND EXTEND OR P.O. 30X 237 ALTER COVERASEAPPMWD6V THE POIJiGIEsBELLOW. mamtens Mills, MA C2645 INSLUiA14AfFORBfcA�V6RA0E N,uCp mue� e�ak Safety ILlsurence.G pp_....... ... ... v Rr+e�:Gem Fotmdat:vn Ce.' lac.. !wu�a�a avaxs Psort1&�ssuattty_._ _...43 I41nfm��yyes take ¢wPw?c a covER�i,oea .1rerouc r -s u`rmeeue�Nre�B'IssalFam7ltEEst'c3wvJEDJ18LtvEToaTMF�luerr�rwo)u�r�►'�.won�nlar�Mews J11r nBDwrre4utmd 6r:-ToLI ex oo►er"9N eu,uw aawnuC'on oTr@Reb:R,B�If WR1e iiEIPEL'rT01V•16s'M!CIP�►ICA�E Wl7�691!£O GA Y4r°EFl� T►i?RLgYY,IDf� aYLei!PX CEl LQl:dNeEO XERf33J1E 1t7A.LTK7"L_^.c.L6MMVOLAfaT4NSQFMM- Mxi� Feu,neacwnw►reve °wnaouefr�►�Locw►es eousTauute, • r I awn aaa�uarry ;iv�axoea{�w�epw�ia � 1,t{{1�DuG,L07_.. �(•-EO�f�Cwx,.1M1 {Pil'Y 4 aArsx 8 caui 3F ?COMM MOMS � 10/95i'C-S . _ .. i2FtiaKfeO�V.(E_•_• a ��(v1V0� .._yy_,,nn. too • 5%lilwlOvIOARI.M foCWf9tI i•OOOCC78•C�i_�E►�1e]'s�]K!I.e vx•�- AY4ta1�1,LWIlTf CCYIIiniKii►Yf i • - :4f1' 'ilQAelDNf93 �T NY1', .$tgwmc 9fOa QMewar a ••..Iema4xca LA-3 m$awmbAJm m O I. O WailYdf.7r Aals6�•�/�LNf i - _ f Ale:iCtLAm 2 - cc 00 'MoLav -wMYfwVlwin • R 'AJfa,pe,:17vAJwt{[v/iaaoyp.E iL�eYA Ifit yT t—�.ti1�.1_AN. , g owTa..em�isa,a x M0153: &/0:/06 ELr+fi,aa.•�s,�._ a ioC.dc9- .. a ,r .Lae acr .� of � wraawaan<ieaviaaumisaee�awe�;�aec.es•cv+a,olaamtssntoawVart:oe4utw�aadaaa a cti N CONCELLATION O N Gary StUbbdns orwHeorse.�oeto�eaiorwmaiawru�we�as uearu>ca 126 L113so11D ToA3 Dare rofnsf.�we:runa�.e..s.alrerieo, rwrl a°ea�rroi d; Hym>Ltis, AL'►02b01 •.••nsTonraa�vstoto:ewmmaecsr.avr=A�eara:es;siwL _ wag a0g1fa-Im m LAMM zF HT my o_-d"9w51 :L$eiP'a ca 9w111®INwIl. . .Ylw PMi0wA1wE . � AL:cRansaaoa+ma K/ O CDIIOOOR?OOAT1Dwte9a Engineering Dept. (3rd floor) Map Parcel�(�, Permit# � C�� House# - as Date Iss J / -9,7 Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) "��' lot Conservation'Office.(4th floor)(8:30-9:30/1:00-2:00) o Planning Dept.(1st floor/School Admin. Bldg.) �1HE Definitive Plan Approved by Planning Board 19 • BARNSTABLE. rFO MAC agog TOWN OF BARNSTAELE Building Permit Application Project Street Address I il t � tj Village Owner Gem ,u &tA W LAVO Address 31 SQM/htT 0GtL 5L5`t' rh IA Telephone Permit Request 1 D A-3 1?4 k 1-J1JV(a LOBO S Oyu�' First Floor square feet Second Floor square feet Construction Type LTD Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family,(#units) Age of Existing Stru ure M D S ❑ ❑Historic House Yes No On Old King's Highway Yes /No Basement Type: lull ❑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 3 New Total Room Count(not including b ❑ ❑s): Existing New First Floor Room Count ❑Heat Type and Fuel: G Oil Electric Other Central Air ❑Yes �To Fireplaces: ExistingNew Existing wood/coal stove Yes No 8 ® ❑ Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Yl ched(size) ❑Barn(size) e ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use � 11 Builder Information 2 J p Name u�,P6V!-b Gam!A V61i Telephone Number Address 2,5_3hWkN,,L P _ License# 0®S • k36J _�'1g—CA8( )re)A Home Improvement Contractor# 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 FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - PERMIT NO. - DATE ISSUED — MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION- ' FOUNDATION FRAME - INSULATION k. FIREPLACE ELECTRICAL: ' ROUGH FINAL PLUMBING: ROUGH FINAL' _ y ' Y GAS:a ROUGH FINAL ' i I FINAL BUILDING DATE CLOSED OUT ,i� ASSOCIATION PLAN NO. �TME The Town of Barnstable ELAIUWAEIM , NAM �,0�' Department of Health Safety and Environmental Services �o Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: Est.Cost/Z.�•� Address of Work: 191 Sot,c_ k A Aj e,EAIr&zi- iLL,E Owner's Name I)k Ga tES 1, \1"21A t.Ji—A-.l Date of Permit Application: I hereby certify that: Registratiodis 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: gt.,"(C, A&,,.C, /0 9tiS`/ Date Contractor Name Registration No. OR Date Owner's Name w Thr Commonit+calth of Massachusetts Department of Industrial.4ccidents . � r Atli 9015tves11ya11o»s 600 If'ashi►rgton Street ,4` � ''. Bustutr, A1uss. 02111 Workers' Compensation Insurance Affidavit �lililic:int information: -- Please PRINT name: lym L N A\)5lJ location: sit. �, AQ/VS�ArQ( )'►'t A phone if Sd$'36z-$� F �I am a homeowner performing ail work myself. I am a sole proprietor and have no one working in any capacity • 'vr. �.P_ .... -���..11l.vllui-s 4rK7n'w�wi�.Ij�r;aT.���+����.��w�.wiu�y�+w.-r•�;�+�.w �.��.�.^-...�-....... [1 I am an eniplover providing workers' compensation for my employees working on this job. cortrnam' name: aticlress• yin•: phnne#- insurance co. (folic\•# [I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnam• nnrnc: address• cirv: nhone#• insurnncc ro. nolicy# 1 _ ., •'� '-.. V•`T.-- - �-..t...._:..._.._- _ =ram.::�^t4 iT"l!1nw.y .��T._.�._ ...p..y....C.�.�..._..+_ cmmrinny nnine: address- yin.- llhnne#: insurnnee co. polio# Attach additional sheet if neceiiaty_ ::... r��rw.� + �!__ `��• ..— �- �••^ �- ����"`"•• ..y..vs '_" ':��' Failure ttf secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of line upto S1.500.0andiur one years imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement may be forwarded to the office of Investigations of the DIA for coverage verification. l do herehr cerrift�under the pains and penalties of perjury that the information provided above is true and correct Signature Date .V 0 7 Print name � k AQFbd Phone# '+official use only do not write in this area to be completed by city or town official w Y� yin•or tnwn: permit/license# riguilding Department Licensing Board check if immediate response is required OSeieetmen's office C111e2lth Department contact person: phone#: flOther_�_ r. information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for the emplovecs. As quoted from the -law-. an emplitree is defined as every person in the service of another under ally contract of hire, express or implied. oral or written. An cmplitrer is defined as an individual, partnership, association, corporation or other legal entity, or ally two or mor the foregoing engaged in a.joint enterprise.and including the legal representatives of a deceased•emplover. or the individual , partnership. association or other legal entity, employing* employees. However tit; rcccl+c.r or trustee of an indi p p S owner of a d+vellm house hag vin not more than three apartments and who resides therein. or the occupant of the � � P d++rcllin- house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hot or oft.the `wounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section 25 also states that even•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 11 been presented to the contracting authority. Applicants Please fill in the +vorkers' compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require-- to obtain a workers' compensation policy, please call the Department at the number listed below. City or'rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o: the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plec. be sure to fill in the permit/license number which will be used as a reference number. Tite affidavits may be returned t the Department by mail or FAX unless other atran`ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to �_ive us a call. r•ry..•. ....�..� -..vim-r•nr'• ._ .. .. .r.-..� _ -..+w..�•.,►.+.•r-+��•. •• -..-. ... .:ter .. � :`]'.-. :s' - Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts r Department of Industrial Accidents , Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 20EO N 10'2 x UP 1 .^ _ ��..�..... -. � `.�..��4 '1.°�:s •'_._ Nt.. - ,h. .. o - :T.� .._ }. Y`t.,y A�_4 i tw Assessor's map and lot number �Aewage Permit number ........... tlill�, l 33AUSTABLE, i House number ......::............................................................... 6 9. 3 �0 . b '.rr, • ' ��AIPY a' TOWN OF BARNSTABLE BUILDING ; INSPECTOR . APPLICATIONFOR PERMIT TO.....:............ .......... .......................:. '. ...............:.......................................... TYPE OF CONSTRUCTION ........... .f �r �j ......` ..:......... .............................. ....................19..... .� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .Q�.......... e.....� .�� ..- 3. .. ......... 5..`�...................... .,. _ . �.. ProposedUse ..... ....................................... ZoningDistrict ..................�..�:....�..:.....................................Fire District ......... /. ...................................................... Name of Owner ..�t...;+'.�.. r T..`^.,... . ..'Address ... .. .�.....fl�r...:�'..�> .I N. C���1.1.T�-�, .4 L L Nameof Builder ..............................................`.,.................Address .................................................................................... Name of Architect `......................... `...............Address f Number of Rooms ................................Foundation Exterior ........... .. �� /� a�.era - /"/ .4 C>f 1e55 ............................................................ ...........Roofing ......,...,�:.....,.... ....1..........................................�'.'1.......�... Floors ;' ..............................................Interior ....., f ...lal.. :....... ............................................... �.e ....� ................................................Plumbin i Heating ................ .... g .....1�!.Q..A...k......................................................... Fireplace ...........IV. �.................................................Approximates Cost ..........�� ICE' Definitive Plan Approved by Planning Board -----------____---------------19_____f Area ....... .:L. .F................. Diagram of Lot and Building with Dimensions Fee 9V SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ... ,.....�-!-1...`'`'...................... Construction Supervisor's License .................................... T BEARSE, GIIBERT E. A=207- 5 A=2/07.-.1..5 No ...2 073-.. Permit for ......... .IT ....... .... .................... Single Family..Dwelling Single........... Location 291 South Main Street ................................................................ Centerville ............................................................................... Owner......Gilbert ............................. ......... .. .. .......... .. t Type of Constructn F?�aio ..ng-.............................. ............................................... ........ ........... Plot ............................ Lot ................................ Permit Granted Febru.a.-ry'..1.4. 19 84 ............ . .... Date of Inspection,....................................19 Date Completed .................. .................19 O V 1 A"ssessor's map-and lot number . IIJJ ... ......... . VAewage Permit" number ..:... .... .. .... :.: :... � d�P� �♦� of o 1 Z EAR33TAMLL • House number .........................:...................:........................... ro Naas � u po�%639. 9 E t 'E0 MAY a� TOWN ' OF BARNSTABLE BUILDING IN.SPECTOR . .,APPLICATION FOR PERMIT TO .......... ... ............................ ...............:...............:.......:.. TYPE' OF CONSTRUCTION: ................ ,• .. .........� .... ........ .. .... .............................. °. ... . ..... ..... .................19..... `. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....,�..���...........4o...... .;. . : �..........n&:,�..:5............" ......... Proposed Use ..... ... ... .. .do.Af.C.L:..................................... ...... ..........,.............:............................... , ZoningDistrict ................................................Fire District. .......... �...................................................... Name of Owner S.E.Address .... /V.��.�:I�l.�L } Nameof Builder ....................................................................Address .................................................................................... Nameof Architect v.i .,a. .............Address............................................. .... ..:................................................................................. Number of Rooms `......`......./ :............:Foundation .t�.G7LV..C.y...../�.a4�.�..�:$..................................... .................................. ............................Roofirig ......,r'j�.....j.. .... fit....:... f _ ! 1•. Exierior ........................................................ % ��..:� ]fi-�.,�12`:� ^� 1..�.f.�3..�.'.a.�' I°`ys Floors .o..y..J.......................................................Interior .....r� h a?1? Heating ............ .... .............................. +...::::::........Plumbing .... .........................:............................... Fireplace ........... 0 ..r................................................Approximate. Cost....c,f '......................... ........................... Definitive Plan Approved by Planning Board ________________________________19--------. Area .......1,!::1............................ Diagram of Lot and Building with Dimensions Fee ® SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS , I hereby agree to conform to-all the Rules and Regulations of the.Town of Barnstable regarding the above construction. Name ............................................... Construction Supervisor's- License .................................... 'BEARSE; GIIBERT E. 26073 , ADDITION No .....- Permit for .................................. Single Family Dwelling . ................................................................................ Location291 South Main Street . ............ ................................ :......... .......... .................................... ....Centerville.............. .................... ... Gilbett,E. Bearse O�vner ................................................ .......... Type,of Construction' Frame Y ..............................;........... ......... ................ ............. ................................... 43 Plot ............................ Lot ................................ q: February 14 j 84 < ..Permit broAted .................. .........:.........19 ........Date of Inspectioni.......................... .. 7' a CIO D6te -Completed .. 190 V`7 01 v, A� ry Is 7 rw V '-N u ..., - = N _ .,s o- � .'""- ' '���� kK ; a yl.�S. _•a -t .Ar :i�i Fly e�' , s `' - - _ •--"==.fir- .. `.,�^-'.+... .:.:..T• �v. '> ..d •w• �r-ir'v ee- ok ��N C - < Tr r• r 1 5 IE ,n ,.. t -J C. B. FND. .N 9 o - `\ O � i\ FND. �191 520 S.F. ± UPLAND\ \ 41253 S.F. {WETLAND\ v \ ay3,_773 S. F. I TOTAL \ O \ .c \ DK �• �Q Z� •r —-- M- ti 010 a5 X QS �. \ m m 2c� 14, 839 S.F. UPLAND Ho \� j �. . 3, 015 S. F. f WETLAND N -/' 17, 854 S.F. TOTAL ECK C.B. Q ^ r `67 27 25g + FND. \ S79 _ 37_.58w 87 C.B. FND. CON,IVOLLY THE TOWN' OF BARNSTABLE HAR35TADLE, i "6 9 un� ��� BUILDING INSPECTOR a• ! dP— APPLICATION FOR PERMIT TO ...,6014.,o...... .... fT 0,FA ......... .o.p..y..�......:.............. TYPE OF CONSTRUCTION ......b1 00 6........................................................................................................... ....................... !.0.......19..J� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....If..9/........,5.Q.N....rl*'......no/-tv........5r,j,.......0 f-A/T.Q.?..V.14-1%-Art.....410%4" ... Proposed Use A• ..Ae �/ jaQ,��/...... d. $' ,�r .r ., `. ...... .. ....".....�'�,��..,�................ Zoning District ...r ...................Fire District .k�r,E �•/•• �«./j! / R �`�4�` Name of Owner .640..,04-Rr...j`.a..6. ..Address /� .�..� AA / s r Name of Builder .....5. ., ... t�i .......................................Address .....14* kt 7--A........................................................ Name of Architect ....�. '.M.....�i.....................................Address ..... ....All . :.................................................... Number of Rooms .../..........................................................Foundation ce'l-C.errf...........J010.4-ft..5 for Exterior 7tX-T!?*k......//./...A.y...I!✓..� ..........Roofing ....AUT 174.y.....Wool)......... s •- Floors .......f)t.T.4.......,/` ,4.y..W0V..J0..................Interior .. Q. .. ...................................................... Heating .......4►1"Ow. ...........................................................Plumbing ...... !o!'' ."`........................................................... Fireplace ........ ........................................................Approximate Cost ....AlQ.o. ................................... Difinitive Plan Approved by .Planning Board ___________19---- Diagram of Lot and Building with Dimensions As I42 At 5 P _ 0 -z: �- w 3y 1 ow IV jig ..3 it L� g�; pas LJ Ljj ffVV1HH` d l air hereby agree to conform to all the Rules and Regulations of the Town of Barnst ble regarding the above constructio . � r Name .. ....4cj...... ............... ` - Bearoe" Gilbert E | . Y��� � � ���� �� i y��� \ - - ^�x « No - - Permit for -_. .bcux��. ' ' --.------------------.----.^ � . Location ............2qI. ..2��io.. __ ' � .............................. ............................ � Owner ................ ............ ..� .. ' -----� '- ---- i Typo of Construction ............fzAzue................... ^ ` � -----^--------------------' ' { ( Plot �� ' ---------. ----------- � ^ � [ February 22 71 Permit Granted ........................................ ' .. � Dote of Inspection ------------l9 ( ' ~l �«� .~ Dote Completed --.�^--�--././---lA ' \ ! � ^ PERMIT REFUSED y -----_----.--.------- lA ' � ----.---....----------------. ~' � . . � .......... � ----.---------....----.-.,.---. � ---------^---'`-~^^~^-----'-^'' \ . , ry / / ~ 1 ~- ^ / /��T�� 19 � . ,,-.-- .--._-- ----- -- ' ~ ........................................................`......,,',,,...' \ ` -------'_--.-.----.-.-..~...-.- \ . . Py0F7NET��♦ TOWN OF BARNSTABLE i EARNS LE. i ` a pYa� g +, DULDING INSPECTOR P / APPLICATION FOR PERMIT TO ..... /................................................................... TYPE OF CONSTRUCTION .�r��f ........ .................................. . ...................................................... l .�..... ......19...:%;L, TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit a,,cccording to the following information: Location ... .J... '6f!�Px.. !11...r!�/�JS......... .r�d�o as. y is x.......................................................... ProposedUse ... .. . .. . ..... .......................................................................... ..................................................................... ZoningDistrict ........................................................................Fire District. ........................................ v Name of Owne � ,P.....Address �� ft ff /f Nameof Builder ....................................................................Address .................................................................................... Name of Architect .......?......................../................................Address ............../ ...............................:.................................... Number of Rooms ..................................................................Foundation C��'1 ��. ...��� ..................... Exierior ....... ...........................................Roofing / _ . ..M44- 1 Floors . ... . . ............. . ...................................................Interior ...t ...................................................... Heating Plumbing-- l/................................................................ Fireplace ...././.............................................................. 1 I i i'hV U��. Difinitive Plan Approved by Planning Board ---------_-_AN.D__ARAINAU.15 HEREB" `E­D �-- � s Diagram of Lot and Building with Dimensions TOWN OF BARNSTASL�, "BOARD OF HEALTH �f -- W-J e 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Bearse, Gilbert No ... Permit for ..........add to..single .. .... .. .. .......... family Ay���. .................................... Location .......2q�...South Main Street. ............................................... Centerville ............................................................................... Owner ..........Gilbert Bearse ........................................................ Type of Construction ..................fzWw.............. ............... ................................................................ Plot ............................ Lot ................................. Permit Granted .......March..23.......... .....19 72 ........... .... Date of Inspection ......................... ..........19 / y Date Completed 19 �/T PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................. Drawings for permitting only, All construction rust meet Mass, building codes, REVISIONS Any structural analysis must be performed by an licensed, architect, ZONE REV DESCRIPTIOM DATE APPROVED J r Rear Elevation Rear Elevation SIZE FSCM No. DWG NO. REV Gary R,Ttubbins SCALE 1/4"=1' SHEET Drawings for permitting only. All construction rust meet Mass, building codes, REVISIONS Any structural analysis must be performed by an licensed architect, I ZONE REV DESCRIPTION DATE APPROVED i Right Elevation Right Elevation SIZE FSCM NO. DWG NO. REV Gary R, Stebbins SCALE 1/4"=1' SHEET Drawings for permitting only, All construction must meet Mass, building codes. REVISIONS Any structural analysis must be performed by an licensed' architect, ZONE Z - DESCRIPTION DATE APPROVED . r - Left Elevation Left Elevation SIZE FSCM NO. DWG NO. REV Gary R, Stubbins SCALE 1/4 =1 SHEET REVISIONS Drawings f or permitting only, All construction rust. meet Mass, building codes, ZONE REV DESCRIPTION DATE APPROVED Any structural analysis must be performed by an licensed architect, Existing 8r Basement 24'x30' Access Hole I— — — — — — — — — — — — — — — — — — —— — — — — — — — — - L 4' Craw! space I I. Dust Cover I I 9 I I L - - - - - - - - - - - � L - - -- - - - - - - - - - - - _. F 14, F-oundatiori Schedule Foundation SIZE FSCM NO. DWG NO. REV Gary R. Stu bbins SCALE 1/4"=1' SHEET. . Drawings f or permitting only, All construction must meet Mass, building codes, REVISIONS Any structural analysis must be perf ormed by .'an> licenseoi architect, ZONE REV DESCRIPTION DATE APPROVED Ridge Vent 2'xl2' Kd, Ridge' 2'x10' Kd Rafters 3 Tab Asphalt Shingles #15 Roofing Felt 2'x6' Ceiling Joists R30 Insulation Sophet Vent Reuse Existing Door and Windows White Cedar Shingles 1/2' Sheathing R19 Insulation 2'x4' Kd Framing 3/4' T&G Sub Floor _ t 2'xl0' Floor Joists R30-In sulation 2'x6' PT Sill 8' Concrete Wall- 4' High Dust cover 12'Hx24'W Footing Front Schedule v rar� in S he c dul e SIZE FSCM NO. DWG NO. REV R Gary R. Stubbins SCALE SHEET r Drawings f or permitting only, All construction must meet Mass, building codes, REVISIONS Any structural analysis must be performed by an licensed architect, — ZONE 7ZT DESCRIPTION DATE APPROVED - C w 3 2'x10' Kd .Header r r T _ r s Front Schedule B-B Framing ScheoUe : E SIZE FSCM NO. DWG NO. Rom/ Gary R. Stub bins SCALE SHEET Drawings for permitting only,, All construction must meet Mass, building, codes, REVISIONS Any structural analysis must be perf ormed by an licensed' architect, ZONE REV DESCRIPTION DATE APPROVED f Hang existing floor joists to header with 2x8 joist hangers r Existing House PIn new wall to - . ext. Foundation t. Left .Framing Schedule M-z Lf]I Framing Schedule SIZE FSCM NO. DWG NO. REV Gary R, Stebbins SCALE SHEET REVISIONS Drawings for permitting, only, All construction must meet. Mass building codes,, ZONE REV DESCRIPTION DATE APPROVED Any structural analysis must be performed by an licensed architect, Existing House ` IL Roof Framing, Schedule Roof Framing Sch'edWe SIZE 15CM NO. DWG NO. REV Gary R. Stubbins SCALE 1/4"=1' SHEET REVISIONS ZONE REV DESCRIPTION DATE APPROVED t. Existing House Kitchen _ _ D B - B Proposed Kitchen Addition W 4'-6,, 3 Moset 14 A - A floor plan Drawings for permitting only. All construction must meet Mass, building codes, SIZE FseM No. DWG No. REV Any structural analysis must be performed by an , licensed' architect, Gary R. Stubbns SCALE 1/2"=1' SHEET REVISIONS' ZONE REV DESCRIPTION DATE APPROVED C ti Existing House Kitchen \ _ B-B 4 _6 6' W Proposed Kitchen Addition 4,_6, 3' Closet - 14' floor plan Drawings for permitting only. All construction must meet Mass, building codes, slzE FscM No. DWG No. REV Any structural analysis must be performed by an licensed architect, Gary R• Stubbins SCALE 1/4"=1' SHEET