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Home My WebLink About0008 WATERSIDE DRIVE �4 �+ r- • r e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��.b�. Parcel Application Health Division Date Issued l<: l� ��cf Conservation Division SVd/ Application Fee ` Planning Dept. Permit Fee lYv Date Definitive Plan Approved by Planning Board (oh-rlop�A Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner ail Address g �`� < < ! S,'�f r . Telephone I Permit Request e-in v r' a r cL (S l ti t e i✓.rk Vel) cdC 5 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 ❑ 9 Highway:No On Old Kin 's Hi hwa : ❑Yes ❑ No ( t v 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-doom Comet Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other a� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal she: WYes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existing,L] nA size_ w Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review-# Current Use Proposed Use APPLICANT INFORMATION POL-i i (BUILDER OR HOMEOWNER) Name 0 C/S I~ c O(e�ooN; 1pU n S Telephone Number p rr Address 0 CL4 L ` License # S t YD 5 7 TC J' ` Home Improvement Contractor# 13 q 0 9 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO h T � SIGNATURE DATE S - FOR OFFICIAL USE ONLY - - 271. r APPLICATION# ' 'r DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER DATE OF INSPECTION: -FOUNDATION 56 o (a 142A.n - n , _ --.-FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL - t -GAS: - ROUGH ' FINAL < , ji FINAL BUILDING DATE CLOSED OUT x - ASSOCIATION PLAN NO. •F G The Corninonwearth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AIfA 02111 www.mass.gov/dia Workers' Compensation Ingurance-Affidavit: Builders/Contractors/Electricians/Plumbers A licwat Informa.tiori Please Print Le 'bl Name (BusinesslOrganizationUdi AduaI): J C 4✓G/S e G t'0 V �t of S Address: 0�ac/ city/state/zip: c✓iTa,)d O C r)/� Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4• ❑ 1 am a general contractor and I 6. ❑New construction ployees (full and/or part-time).* have hued the stib-contractors 2. I am a sole proprietor or partner- listed on the attached sheet 7. ❑Rcmodeling ship and have no employees These sub-contractors have g• ❑Demolition employees and have workers' working forme in any capacity. $ 9, ❑Building addition [No workers' comp,insurance imp• insurance• l0. Electrical re airs or additions required_] S. [� We are.a corporation and its ❑' p . 3.❑ I qu a homeowner doing all work officers have exercised their 11_❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per Iv1GL 12.0 Roof repanirs insurance required.]t c. 152, §I(4), and we have no 13.❑ Other .Lf 5- employees. [No workers' comp,insurance required-] ' 'Any applicant that checks box#I must also fail out the section below showing their workers' compensation policy information. t Homeowncrs who submit this affidavit indicating they arc doing all work and thcn hire outside contrador5 must submit a nrw affidavit indicating such. tContractors that check Oils box must attached m additional sheet showing the name of the subcontractors and stair whether or not those entities have employees, if the sub-conbactors have cmployces,they mutt provide their workers'comp.policy number, I am an employer iltrd is providing vorkers'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: Attach a copy of the workers' compens2t70n policy declaration page (showing the policy number and expiration date). Failure to socure coverage m required under Section 25A of MGL c. 152 can Iead to-the imposition of criminal penalties of a fine vp to S.1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Bo advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for insurance covers e verification: X do hereby certi nda, e pains dd p�es of perjury tlt.al the information provided ah Date• lD �ve is�t]rue and correct- Si afore: v✓ D I _ Phone#: Official use only. Do not write in thin area, tb be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one); 1. Board of Health 2• Building Department 3, City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other' Contact Person: Phone #: Information and Instru.ctio' ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for th a tmpl�ces; Pursuant to this statute, an employee is defined as ...every person in the scrvic.e of another under any con , express or implied, oral or written.." An employer is defined as ' an individual,partnership, association, corporationother legal entity, or any two or more or of the foregoing engaged in a joint enterprise, and including the legal repres entativcs of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not wore than three apartments and who resides therein, or the Occupant o the dwelling house of soother who eno ploys persons to do maintenance, construction or repair work on suchg house appdrtena.at thereto shall not because of such employment be deemed to be an employer." or on the grounds or building MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall irithhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commourealth for any cc coverage required." applicant who has not produced.acceptable evidence of compliance wPith the insuran Additionally,MqL ohaptcr 152, §25C(7) states 'Neither the commonwealth nor any of its political subdivisions shall enter.into any contract for.the perf0rmanec of work until acceptable evidence of coropliznce u2th the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fdl out the workers' compensation affidavit completely, by checking the boxes that apply to your situation amd, i. . necessary, supply sub-contractors)name(s), address(cs) and phone numbcr(s) along with their ccrtificate(s)of insurance. Limited Liability Companics'(LLC) or Limited Liability Partnerships (LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance• If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit 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 retumcd to the city or town that thc'application for the permit or license is being rcquestcd, trot the Department of Industrial Accidents. Should you have any questions regarding the law or if you arc required to obtain a workers' compcnsation policy,Incase call the Department at the nurgber listed below. Self-insured companies should cntcr their self-insuranoa license number on the a ropriatc line. City or Towp Of>'iciab; Please be si zc that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tho affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/liccnsc number which will be used as a refcrcnce number. In addition, an applicank that must submit milltiplc.permit/licensc applications is any given year, need only submit onp affidavit indicating current policy information(if pecessary) and under"Job Sitc Address" rho applicadt should write"all locations in (city or town)."A cbpy of the aff davit that has been officially stamped or marked by the city or town may be provided to the ca applint as proof that a valid affidavit is on file for futuzc permits or licenses. A now affidavit must be filled out each year.Whcro a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or'permit to burn leaves etc.) said person is NOT required to complete this affidavit Tho Office of Investigations would hke to thank you in advance for your cooperation and should you liaYe any questions, please do not hcsitatc to give us a call The Dcpartment's.address, telephone-and fax number: M,, Commozlwe th of Mawrhuse-.ts Dcpaxtaent of In4ustr 4 A.ccidentS O-MCe of utycstigatues 60Q WasEnjTton Street $obtan, MA 02111 Tel: # 617•-7274C�0.0 cxt 406 t?r 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 YrYVw•Ma.SS.,goY/c)ia �OpV rp Town of Barnstable Regulatory Services vati .MASS& '$ Thomas K Geller, Director r�oMn�b Building Division Tom Perry, Building Commissioner 200 Main Street, Ryannis, MA 02601 w•tvw.town.ba rnsta ble.m a.us Office: 508-862-4038 Fax: SOS-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject Prop 1, J p efty hereby authorize to act on my behalf, in all matters relative to )Ork authorized by this building permit application for: (Address of job) e of Owner Date t Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th•c reverse side. . Tow)a of Barnstable y�v opYHE rqw�� Regulatory Services Thomas F. Geiler, Director * BAMSMSIX, ." MASS. $ Building Divisiozl PTfp 11��A Tom Berry,Building Commissioner 200 Main Street, Hyannis., MA.02601 A jyjy.twAn.b2rnstable.ma.us Fax; 508-790-6230 Office; 508-862-4038 _ H0112EOWNrR LICENSE EXEMPTrON Plense Print DATE: JOB LOCATION: street village number "HOMBOWNL^R": home phone# work phone# name CURRENT MAILING ADDRESS: state zip code city/town s extended to include ts or less a The current exemption for"home_owners"wa posse o a license,p ,v ellings of rrovided that the owner act pads to allow homeowners to engage an individual for hire who does not p supervisor. DEI+INITION OB IiOnIEOwNER person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to be, a one or two=family dwelling, attached or detached structures accessory to such use and/or farm structures. A considered a homeowner. Such person who constructs more than one home in a two-year period shall not be "horneowner"shall submit to the Building Official on.a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit, (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable,codes, bylaws, rules and regulations. certifies that he/she understands then Town °�B tsaid procedures and ant The undersigned "homeowner" with minimum inspection procedures and requirements and that he/shecomply requirements, Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required.to comply with the State Building Code Section 127,0 Construction Control. FIOMEO"ER'S EX-r,4KFTION The Code states that: "Any homeownerperforming work for which a building permit is required shall be exempt from the provisions of this section(Section Io9.1.,i-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work, that such Homco)vncr shall act as supervisor," Many homeowners who use this exemption arc unaware that they arc assuming the responftcn esu is a supervisor(see Appendix ulOarl Rules &'Rcgula'tions for ores unlicensed Construction nln this supervisors; sour section Boa d cannotproceedisl oagainstcthe unlicensed persona as would H�th a)iccnsedy when the homeown Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forrr✓ccrtification for use in your community. LOT 29 LOT 26 151.81' s N83 25'42"E tK 1 V SHED 2 LOT 25 HSE r a ' DECK 2 \ -. �DECK $55 52 o� LOT 24 Sfa. RES.. ZONE, 'lRC" This MORTGAGE INSPECTION Plan is For FLOOD ZONE. "C" _ Bank Use Only TOWN: _CENMUILLE --------- REGISTRY OWNER: RICHARD R. PROUT ----------------------------------- DEED REF: _ cert_104588__---____BUYER: REFINANCE_______ -------------------------=- DATE: _3�22�0 _______________ PLAN REF: _32�9_0_E=1 _ _____SCALE:1"= 40 FT. I HEREBY CERTIFY TO CAPE COD BANK& TRUST COMPANY_ ________ _____THAT THE BUILDING ''�'"� YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL SHOWN AND THAT ITS POSITION DOES _-__ CONFORM A. ,.CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE Me_FbTHEvv f_" _ . 143 ROUTE 149 TOWN OF BARNSTABLE-------------AND THAT MARSTONS MILLS, MA. 02648 IT DOES_ NOT _ LIE WITHIN THE SPECIA L FLOOD HAZARD � � TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED191 Con11L unit -Panel 250001 0008 C FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT A. MEI2ITH PLS SURVEY, NOT TO BE USED FOR FENCES, ETC. 32891 LM g � iVlassachusetts- Delrti tmcnt Bortrd of Buittlin(s °f Public Safch Regulations.and St; tndarils Construction Supervisor License License:,CS 80579 Restricted to: 00 JOSEPH W,POWERS `` 130 FULLER RD A; ` CENTERVILLE, MA 02632 Expiration: 6/5/2011 ('ummissioncr•------ -- Tr#: 17417 t�t�e Bt�C°d'h'3�F?i��n'sf4A�§g'��tion License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: s Registration: 139619 Office of Consumer Affairs and Business Regulation `. Expirationi°_`7f28/2011 Tr# 28621,5 10 Park Plaza-Suite 5170 ,.. TYPe��BA— Boston,MA 02116 JOE POWERS HOME RENOVATIONS JOSEPH POWERS, 130 FULLER RD< /. -- CENTERVILLE;;-MAt0263� i Undersecretary Not valid without signature ! r L - Ll Qr C`(tV f ggg 3 a t � • • y J r- 4 //SSww R fI {� r 3 Q. �. ,per i., .� �a .�.':`• ;� TO THE 'BEST OF MY ' /NFo�eMArloAJ le-NOW LEOG� AS BV�LT PLOT `PLAN The Town of Barnstable `KAM Health Safe and Environmental Services te�� Department o f Building Division 367 Main Street,Hyannis MA 02601 Office: 308-790-i227 mph a Fax: 508-775-3344 Building Commissioner For officD use only Permit no. Date AFFIDAVIT HOME IMPROVEMEI T CONTRACTOR LAW _ SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, remo,,al, demolition, or oonstruc tion of an addition to any p m+ exi8dU8 cw= oocvpicd building containing at least one but not more than four dwelling units or to strucxures which are adjacent to such residence or building be done by registered contractors.with certain cKeeptions, along with other requirements. Type of Work: Shed installation Est.Cost $15 7 9 .0 0 Address of Work: 8 K;;-terside Dr . Centerville Carer Name: R i.c i ar d P r u t Date of Permit Application. I hercbv certifv that: Registration is not required for the following rrason(s): Work excluded by law Job under$1,000 Building not owner-occupied _ V __Otvner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPRovEm NT WORK DO NOT HAVE ACCESS TO, THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR 7-b 5r Q) ,)"4 R 2. - Date Owner's name .�.r•._ ..,nr.+.•..eeti.i�.:v'..e� r. " - . i.r x... .F':iw.+s.��i.<.v Y M'.l:.... .r .+e�.�.,`.-:-.�Y- P^�w; _a. 06/69/1995 10:10 -6034342634 COLONY INS. AGCY PAGE 01 ------------------------------------------- ---------------------------- ---------- I C E R T I F I C A T E O F I N S U R A N C E 1 DATE 06/09195 (MM/DD/YY) +.-.-....................... ........ .. ..w-+------------------------------- _ _ _------- ---------*0--------------- ---_-----+ � I PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS I UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF ALTER I I I THE COVERAGE AFFORDED BY THE POLICIES BELOW. ! ! COLONY INSURANCE AGENCY INC. +-�----------------------------------=------------------:�..-�---------- : ---------------+ IP. 0. Bay- 539 ; COMPANIES AFFORDING COVERAGE I -------- --------------------- ------------------------ -----------------------+ I MINDHAM NH 03087- 1 COMPANY 1 ! ! A MERCHANTS INSURANCE GROUP ; ----------------------------------- . .___--_-------------------------------------+ I INSURED ! +----------- -------------------------------------- -------------+ I REEDS FERRY SMALL BUILDING, IN I COMPANY 1 3 Industrial Ave. ' ! ---------------—------------------------------ --------- -------- ---------------+ 1 Hudson, NH 03031 1 COMPANY ; I ! 0 I . +-- - - --------------------------------------------------------------------------------------------_—_------------__--------+. 1 COVERAGES I' THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1 INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 , CERTIFICATE MAY BE ISSUED OR *AY•,PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE I 1 1ERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, +---+--------------------------------------------------------- ---------+- ---------------+--------------------------------------+ I COI 1 ;POLICY EFFECTIVEIPOLICY EXPIRATION; I !LTRI TYPE OF INSURANCE ! POLICY NUMBER 1 DATE (MM/DD/YY)I DATE (Mh/DO/YY) .I LIMITS 1 +•__4-------------- ---------------+-----------------+---------------+-----------------+-----------.._-.-.--------+.-•--------+ 1 IGENERAL LIABILITY ; 1 . I ;GENERAL AGGREGATE ;$11000 000 1 1 A ;IXI COMMERCIAL GENERAL LIABILITY ISHL9656121033 ; ! !PRODUCTS-COMP/OP AG6 1s 506 0001 1 '1 ] t I CLAIMS MADE (1) OCCUR 1 ! Ob•02-95 I 06-02-96 'PERSONAL & ADV INJURY 30}000; 1 1( ] OWNER'S Q CONT PROT ; ! I ;EACH OCCURRENCE !f 10;000; !FIRE DAMAGE (Any one Fire)!$ 50,000! IMED EIP (Any one person) !s 5,000! +---+-----------------I------------ --+------ ----------+---- -----+-----------------+--------------_•----------+- -----+ 1 1 AUTOMOBILE LIABILITY I 1 I !COMBINED SINGLE LIMIT 35001000. ! 1 A !1 ] ANY AUTO 1 11 1 ALL OWNED AUTOS ;BBA0659051217 ! 10-27-94 ! 10-27-95 !BODILY INJURY ! I 1 '[I) SCHEDULED AUTOS ! ; 1 '(Per Parson) 's ; I 11 1 HIRED AUTOS 1 11 1 NON-OWNED AUTOS I I ! '(Per accident) !f I !PROPERTY DAMAGE 's 1 4...+---------------------------------+-----------------+----------------+----------............................................... ! 1 6ARA5E LIABILITY ! ! 1 ! !AUTO ONLY - EA ACCIDENT If It • I It ] ANY AUTO ! ' ! !OTHER THAN AUTO ONLY: I 1 ! it 1 1 1 ! 1 EA ACCIDENT 3 ' ! ;t ] ! ' ' ! AGGREGATE !f ! , +---N--------------------------^----+------------------+----------------+------^-_.--_--_-+--------------------------------------+ ( 1 EXCESS LIABILITY 1 ! ! !EACH OCCURRENCE 1f ;. ! A 11X) UMBRELLA FORM lCUP9062991 1 11-15-94 ' 11-1S-9S 'pp ggqq E If1 pp Q00! I ![ ] OTHER THAN UMBRELLA FORM ! 1 !R � �NE� LIMIT lf10;00�� +---+---------------------------------+-..---------------+----------------+-----------------+-----___-_ +-----------+ s 'WORKER'S COMPENSATION AND ! ! 1 !t 1 STATUTORY LIMITS 1 I 1 !EMPLOYER'S LIABILITY ! 1 1 . 'EACH ACCIDENT !s 100,000! 1 A THE PROPRIETOR/PARTNERS/ (x) INCL!70G0656129146 1 ppbb ypp-qq4 ' 6-20-95 !DISEASE-POLICY LIMIT !s 300,000: ; !EXECUTIVE OFFICERS AREi t l EXCL! 1 Ob-YO-95 ! �6-20-96 !DISEASE-EACH EMPLOYEE !f 100,000! +................................---—------.............+----------------+-_ .__ ----------+------------------------............... I ! OTHER 1 ! +---+-------------------. ------------+------------------+----------------+---_-_---.--- ..-+--------------------------------------f I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECTAL ITEMS ; , ' � 1 +--------------------------------------------------------------+--------------------.-_--------------------------------------------+ 1 CERTIFICATE HOLDER 1 CANCELLATION I .......................---------------------------------------........................----------------- ------------_ 1 - !SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE ' 1 !THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR 1 ! RICNARD PROUT !TO MAIL 10 DAYS WRITTEN NONCE TO THE CERTIFICATE HOLDER NAMED I 1 $ MATERB)DE DRIVE , 110 THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 1 ! 'OBLISATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS ! 1 CENTERVILLE NA 0202 IABENTS OR REPRESENTATIVES, I I +----------------------------------------------------................ s !AUTHORIZED ENT E I ' 1 ! +--------------------------------------------------------------+---- -------- --------- ------------ -- ___-----------------a •------------------------------------- ------ c h �a,{,� .#�` � �:.a >.'t e= < � �r�aSr �'�+�`® ��ti,� •k �., ; �� -m�t'r,�zrd, �� ,{,x'` Ay{��.� x.,r� `>pw c.�Y � ,�_ 4° � d r _ A� `�! 3:._+.. .-.;�•we-,�-•.. .e-.F-� .,+..,,.�anas-=. ...=wci.s 'in.�" +'Vs'»r�-�....#...•.$;.,a,.,;.�`.:,•.Py..`�+_.,-,et....-..,•. ,p '4� �r, e a 7 � m . r ♦ y[ 't r fie. 16, tl � ��iiy�'�"" > -. ."awry{��t-�"'. a �1F1 G til 'rf'- 5i��•r1 A y S{1,.�.5* •�'a .r ��wr k J,; _ s�-,yam r `.,�.�an`" '^ rs.k � .� �,:{y�: � ��'�.�^+�"�;; ""sue �.��f. y� ,v x.. � •�� ' .�.+.� sue. x��. #'n w tri r e 1Fia �' a aV ,'S :a x "c T ..�.q�g�;t +,� =� r.k '' -":s �"��, .: A �.,' ' •� r t � c r,; ��V/v�4•��""� �"r�e" a t ` ,,� �' �� '�ya p ,3 •'y �� 7 K vL ^ N• `•y f q 0 INC_ Family-Owned & Operated Since 1960 THE AMERICAN � S A� _ r F i 8 x 16 Classic#6 Stylish and practical, our American Classic is the perfect solution to your utility shed or storage needs. This budget-fitting style has been the popular choice of customers throughout our 35 year history. But we're always improving and adding so,be sure to review these standard features currently available (below). This style available from 6' x 8' to 12' x 20'. STANDARD FEATURES AVAILABLE WITH ALL REEDS FERRY SMALL BUILDINGS: 1. 2 x 6 Pressure-Treated Floor joists, 16" on Center 2. 5/8" Top-Quality Flooring max' CLASSIC 3. 2 x 4, 16" on Center Framing ~ ROOF 4. Tongue &Groove Siding o 5. Heavy-Duty Roof Trusses, 16" on Center ; LINE 01 6. Roof Sheathed with 1/2" Exterior Grade Plywood 7. Aluminum Drip Edge „ 8. Asphalt Roof Shingles with 20 Year Limited Warranty 9. Aluminum Louvres with Screens 10. Three Light Window Hinged to Open 11. Window Box&Shutters 12. Solid Pine Doors Diagonally Braced with 2 x Ts and three 6" Heavy Duty Zinc-Plated Black Hinges See Page 5 for 13. Black Bugle Head Screws Available Options, Custom Design, and PERMITS ARE THE CUSTOMERS RESPONSIBILITY WHERE REQUIRED Model Floor Plans. THE COUNTRY SHED s_vY x .(a nTautik u' *wYk+Ml.�fw •. n ._ +r"f !— *"',�. �R��_- �- ...,,cs*....:».,.�..-'ate •.�. z �ro s d dr c 8 x 10 Carriage#3 Fromthe charming slope and protective overhang of the carriage roof, to the quiet, traditional styling, you'll love your Reeds Ferry Country Carriage Shed. In addition to its obvious eye-appeal, this style features a full 7 foot.front wall and is available in sizes ranging from 6 x 8 to 10 x 20. O O 9 O, CARRIAGE ROOF 4 UNE- §. 13 n O = 12 O See Page 5 for Available Options, Custom Design, and Model Floor Plans. ( very Reeds Ferry Small Building is hand-built by New Hampshire craftsmen who take pride in their trade. All Reeds Ferry Small Buildings are pre-fabricated for easy access to your property and I on-location assembly. Buildings are delivered unstained, ready,for your personal touch. Roof shingles are available in a wide variety of colors. What's Your Pleasure? Would you like to add a window, move a door, or. . . create your own "custom design"? Just select from the 3 basic styles,use one of the 6 Model Floor Plans below and choose from the list of available options. For example: The American Classic, Model 4, 8' x 16'with an additional window on gable end and an access ramp. Consult the price list for sizes and further details. s _P7, s .r ` `'isg MODE, ' " - .- ,�..: '� "• � i` ,G xn,y' s �f - MODELF�L®OlZ<P S.- �. t-` � �All�three;vasic,styles.arera�va lau.te,tft y MR af�these�models.r H } x �rj;4 1�' . � � O . , MODEL 1 v M _ y• Classic 6 x 8- 12 x 20 Classic 6 x 8 - 12 x 20 Classic 8 x 10 - 12 x 20 Al, Carriage 6 x 8- 10 x 20 Carriage 6 x 8 - 10 x 20 = Carriage 8 x 10- 10 x 20 Gambrel 8 x 8 - 12 x 20 Gambrel 8 x 8 - 12 x 20, , Gambrel 8 x 10- 12 x 20 ,4/ �# .Ss �w�4.+�'�� ,'f�s�'^ '^r� '- _•_ �_ �',*� � � 'tea z ', t Z'°ltwuidow,3IVdoor � � _ �: ,15,doorw�indow 5' door~ TV Classic 8 x 12- 12 x 20 Classic 8 x 16 - 12 x 20 Classic 8 x 16- 12 x 20 Carriage 8 x 12- 10 x 20 x Carriage 8 x 16 - 10 x 20 Carriage 8 x 16 - 10 x 20 z Gambrel 8 x 12 - 12 x 20 Gambrel 8 x,16 - 12 x 20 Gambrel 8 x 16- 12 x 20 g. # 2windows.5 door '� `��;# �„ � ,�. k r�:� � -� t,�,�� =wmdows.3' dooms �" 5t d doo wmdow;�3' door, oor ail Options Available on All Buildings • Pine Partitions • Dutch Doors 3' only • 2 x 8 Pressure Treated • Additional Window (s) • Additional Wall Height Floor Joists • Additional Door(s) 3' or 5' • Custom Hole in Floor for Pool Filter • Pressure Treated • Custom Windows • Ramps Plywood Flooring • Arch Doors 3' or 5' • Cupola • Loft • Black Wrought Iron Hinges • Window Screens Reds Fe Small Buildings, Inc. manufactures high f quality custom-craft Ferry g , g q ty ftled wood utility building and pool cabanas. Established in 1960 by the late Hobart D. Carleton, the company boasts over 35 years experience. The company was originally located in Reeds Ferry, New Hampshire. In 1969, the company relocated to a new, modern facility in Hudson, New Hampshire and still operates in this location. Today, the third generation of the Carleton family continues to own and operate the business. From day one, Reeds Ferry Small Buildings, Inc. has strived to give its customers the best product for dollar spent. The best then, t is still the best today. Some of the many uses for a Reeds Ferry Small Building STORAGE SHED FOR: UTILITY SHED FOR: OTHER USES: • TRACTOR • POOL CABANA • SMALL OFFICE. • RIDING MOVER • POOLSIDE I?RESSING ROOMS • STUDIO • SNOW BLOWER • LAWN &GARDEN • MINI STABLE • SKIMOBILE • HEAVY EQUIPMENT 9 WORKSHOP , • MOTORCYCLE • FIREPLACE WOOD • ANIMAL SHELTER- • BICYCLES • ROADSIDE STAND REPAIR SHOP • GARDENING TOOLS • SPORTSMAN'S CAMP` • B-B-Q EQUIPMENT • GUEST HOUSE • COLLECTABLES • TOOLS&SUPPLIES .and, of course,your.special.needs! 3: AUTHORIZED.DEALER: EAGLE FENCE CO. p D OF FALMOUTH N C_ 570 E.Falmouth Hwy. (Rt.28) E.Falmouth,MA 02536 3 Industrial Drive, Hudson,NH 03051 Phone(508)540-3161 For Dealer Nearest You: Call: (603) 883-1362 9 Fax: (603) 882-9566 EAGLE FENCE COMPANY of FALMOUTH 570 East Falmouth Highway • East Falmouth, MA 02536 + (508) 540.3161 ,. t1► '-c/x� . i0 -d Z8iQ OtG 90 Department of Health, Safety and Environmental Services Building Division K � 367 Main Street,Hyannis MA 02601 1659. A./ Office: 7 Ralph Crossen Fax: 508-790-6230 Building Commi&Fion: Building Permit Procedures for Sheds & Decks ( 1. ) Plot plan ur mortgage survey required for zoning compliance. Placement of structu: must be sketched in, and distance from boundary lines indicated. The location of the sewage disposal system should be shown as well. ,,' -Old King's Highway Historic District Commission approval required prior to construction/demolition for any properties located in the Historic District(north of the Mid Cape Highway). 3. Application sign-off must be obtained from: Assessors Office(1st floor Town Hall) Conservation Department(4th floor Town Hall) Health Department(3rd floor Town Hall-8:30-9:30 am & 1:00-2:00 p.m.) , Engineering Department(3rd floor Town Hall) 40' One set of plans 8.5"X 11" or 8.5"X 14"(cross section and framing schedule) must be provided. Pre-fab sheds require factory brochures and specifications. 5. Construction Supervisor's License & Home Improvement Specialists License copies are required for a shed to be built on site-or for a deck. A copy of the Home Improvement Specialist's License is required for a pre-fab shed. (Unless the homeowners are applying for the permit in their own name). 6. Home Improvement Contractor Affidavit must be submitted. (Unless the homeowners are applying for the permit in their own name). 70 Workers Compensation Insurance Affidavit form must be submitted if construction is to be done on site. Homeowner's License Exemption form must be submitted if the homeowners are acting as the general contractor or doing the construction themselves. Permit Fee to be paid before permit is issued. - PERMIT Rev 2/13195 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION pemao�Q.tw�a.msm®®as�rr�a®a�ur�000�oo�o�a6�rarr��eassoom�virs os��mOCmQOC®OoaloOa®o®. Please print. DATE ...:. . JOB LOCATION 8, Waterside Dr. Centerville Number Street address Section of- town "HOMEOWNER" Richard Prout 508-775-6235 . same Name Home phone Work phone . . PRESENT MAILING ADDRESS 8 Waterside Dr . Centerville Ma . 02632 City/ own State Zip code The current exemption for "homeowners" was extended to include owner upiec dwellings of six units or less and to allow such homeowners to engage a►n in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of lard on which he/she resides or intends to re- s ide, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be consid4red• a homeowner. Such "homeowner"- shall submit to the Building Offic: on a form acceptAble to the Building Official, that he/she shall be res onsi} for all sudh work performed under the building permit. (Section 109. 1.1) The undersigned ".homeowner" assumes responsibility for compliance with the Si Building Code rind othez applicable codes, bylaws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement: and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE __J2,�" APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to eomply with State Building Cade Section 127. 0, Construction Control. i :.may DOME OWNER'S EXEMPTION The co`EW S tate that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1. 1 - Licensing of Construction Supervisors)Home Owner engages a person(s) for hire to do such work, thatosuchdHometOwne: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see A for licensing Con$truction' Supervisors, Sectiond2.15) .HuThis lack es and eoflawaren often results in serious problems, particularly when the Rome owner hires unlicensed. persons. In this case our Board cannot proceed against the e$ inlicensed person as it would with licensed Supervisor. The Ho as supervisor is ultimately 'responsible. me ' ►ner actin To ensure that the ._.R=e owner is--fully aware of his/her responsibilities, communities require, as part of the permit application, that the HomeOwnerar certify that he/she understands the responsibilities of a supervisor. pri the last page of this issue is a form currently used by several towns. You m care to amend and adopt such a form/certification for use in your community. Y l Assessor's officf(1st Floor): �S too Assessor's map and lot n6mber �� ` O C Ck�.;r�` � ��'��g� �Oti THE tp�1 Conservation(4th Floor): � �^^� So`�� IN'fA r �S °w Board of Health(3rd floor): ��-i • l ; � � 1 (C' 1; D�SJ7TLDLE Sewage Permit number �. _ '��, �`.s `E '��• � � rya 1eso: d° Engineering Department(3rd floor). /Q Y � ^,J y� ,, -House number 6 /O �� 3 Definitive Plan Approved by Planning Board 19 P�E1 uv c.LN O APPLICATIONS PROCESSED 8:30 9:30 A.M.and 1:00-2:00 P.M.only TO OF 13ARNSTABL� BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build New Single Family= Dwelling TYPE OF CONSTRUCTION NEW ' OCT 4, 1994 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location LOT # 2 Route 6A Cummaquid Proposed Use Single Family Primary residence Zoning District RF-- 2 Fire District Barnstable Name of Owner John& Carol Conway Address 249 B Stevens Street Hyannis, Ma Name of Builder Address Name of Architect Andreas Strikis Address Riverview Lane Centerville Ila. Number of Rooms Nine Foundation loured Concrete 3000 PSL. Front: Red Cedar Clapboard Exterior Rear & Side: IThite cedar Shingles Roofing Asphalt(IKO ALM Seals) Floors0ak Hardwood / Carpet/ Tile Interior Drywall / Pine trim Heating Gas Forced Hot water 4 Zones Plumbing Type L Copper water piping/ PVC waste Fireplace Brick Approximate Cost $ 150,000.00 AreaINV a Di gram �and ding2itr4 Di ensions Fee ®I Ioi aAIVIT fill -s i � s 5 zr- ,1 r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Ban table ega ding the above construction. Name Constructi n Supervisor's License l CONWAY, CAROL & JOHN nap 35"'/ -ooa -cea No Permit For 2 STORY _ - Dwelling w a Location Lot #-2 , 4190 Route 6A C'11MMLi a id Owner Type of Construction ' y Plot Lot W Permit Granted. 19 1 Date,of Inspection: t Frame ' � 's 19 Insulation 19 - Fireplace � 02 Q� 19 - 4 Date Completed = 19 'tJ 1 I 1 Assessor's Office(1st floor Map / O Lot ermit# FYI Conservation Office(4th floor) iC)79 q) Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) AS Fee g '' Engineering Dept. (3rd floo ) House#1,/ �� IWO Planning Dept.(1st floor/School Admin.Bldg.) C B ARNSTABLE. ` Definitive Plan Planning Board iNSTA 19 `- MAS P 16 TOWN OF WITH TITLE ffi BARNSTABLE ENVIRONME14TA.CODE AND Building Permit Application TOWN REGULATIONS Project Street 8 Wa t e r c-i d e Dr . - Village Centerville Owner Richard Prout - Address 8 Waterside Dr . , Centerville Telephone 508-775-6235 m Permit Request (d I S Total 1 Story.Area(include 1 story garages&7- 9 6 square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ $15 7 9 . 0 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of�e3rooms, Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information YL d Telephone Number Name Address License# 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 PER T DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY - PERMIT NO. _ DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER - DATE OF INSPECTION: FOUNDATION - FRAME INSULATION ' FIREPLACE •EL'ECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH. FINAL _ FINAL BUILDING a r DATE CLOSED OUT ------------------ ASSOCIATION PLAN NO. t A /J /�•' Assessor's Office(1st floor) Map .. '"fib /I /' Lot.//J r,�/P r it# I Conservation Office(4th floor) ./ � ., lo�, ,1,s q)Date Issued ri.- /a 9�r Board of Health(3rd flooi)(8:30-9:30/1:00- 2:00) 4,111, ,per lz&h Fee' Engineering Dept.(3rci floor) House#1 Planning Dept.(1st floor/School Admin. Bldg.) BARNSTABLE. Definitive Plan Approve�d-.by,Planning Board 19 6 �r'i��(.r -' -•...,`"".`. FD MKS� TOWN OF:BARNSTABLE Building Permit Application Project Street Address 8 Waterside Dr. � +Village Centerville Owner Ric-h;4rc3 Prnut Address 8 Waterside Dr. , Centerville Telephone 508-775-62351 t- Permit Request a . Total 1 Story Area(include 1 story garages&d cks) 96 square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost 1'5 7 9.0 0 - � Zoning District a Flood Plain Water Protector', Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded` �' Current Use Proposed Use'' Construction Type ' �. Commercial ` Residential Dwelling Type: Single Family Two Family Multi-Fani* Age of Existing Structure Basement Type: Finished. r+ Historic House- Unfinished Old King's Highway Number of Baths No.of Bedrooms . Total Room Count(not including baths) First Floor w Heat Type and Fuel ' Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None _, Sheds Other Builder Information Name Telephone Number Address License# ~ 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. ' f , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , f /SIGNATURE �/ � DATE 7111 BUILDING PERMrIT DENIED FOR THE FOLLOWING REASONS) l r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED � # ;• , �. MAP/PARCEL NO. ADDRESS ' VILLAGE i OWNER DATE OF INSPECTION: — r' FOUNDATION FRAME t I INSULATION FIREPLACE ELECTRICAL: ROUGH s FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL t FINAL BUILDING — DATE CLOSED OUT t ASSOCIATION PLAN NO. f ` Jf-sN-13-95 TUE 11 :09 AM EAGLE FENCE CO FALMOUTH 508 540 5182 P. 02 COMMA ? NZASS. CHUS .'TT DFSAm NT OF U uynuAL ACCiD 'S 600 WASHI NvGTON STREET Cam oe► BOSTON,MASSACHUSMS 021111 ,. 0 �:ss�one• WORKERS' COMPENSATION INSURANCE AFFIDAVIT RF F17fi FERRY Ualil, -511-ILLUTIU . (licensee/permiatt) with a principal place ofbusiness/residence 2t: 3 INDUSTRIAL DRIVE HUASONrN.H. 03051 (City/Sute/Zip) So hereby certify; under the pains and penalties of perjury,chat: ;) 1 am an employer providing the foliow'�ng w6r6ts'compensation coverage for my employees working on this ob. MLECHANTS 11,SU_R_UCE 7wc 65612 nsurance Company Policy Number (j 1 am a sole proprietor and have no one working for me. ( ) Ism a sole proprietor,genersl contmeter or homeowner (cudc one) and have hired the contractors listed below who have the following workers' compensation insurance politics: Dame of Contractor. Insurance Cotnpmy/Poliry Number Dame of Contractor lnrarance Company/Policy Number Name of Contractor Insurance Company/Policy Number d ) am a homeowncr performing all the work myself. NO7 F.r Piaui be tests that while bomro"en who employ pcmaj to do w&,;nttn&,bC4.construction or mpair work 64 it dwdlins of not Mare tbaa three Units is which the homeawaet also re la"Of an the ltoucds appttmasat thtrtto are "t 8tarral]y eontideted to be amplgvn under the vorkin,Comprtu►ation lint(CL.C 152,wL 1(5)),applicstaoa by a boMtowuer for a been►e or prrmit may evidence the 1#0 slats of as emplaytrt under the Vorktt+'Compeaaadon Act 1 underttand tltae a copy of this suteMtrtt wiu be (or*ardcd to the of Wumnea for covcm;c . verifiutioe tvttl that fail.ute eo acute cAvtrt�c at required undrl Section�SAof MGL lS2 can lead to thr impo:icon of vimina!pt:na3ues oontirdn6 of a Fint of up to $1500.00 md/or itttpriionmmt of up to one year and civil penalties in the form*fit Stop Work Ordcr and a . rine of$100,00 a day alalntt mt. Signcd this day f �J—. I 5 I.iCCnSeclrCrmiRcc Licensor/Pumittor n I COMMONTwEALTH OF MASSACHUSETTS =F �r�I'f,I:�'� LT Oj 'Dt?STRI.ti? ACCIDF�TTS James Ca--Z'DO c%v7 ,sstone, WORKERS' COMPENSATION INSURANCE AFFIDAVIT (l i cc n s cc!perrn i tree) with a principal place of business/residence at: - MA o (City/ScudZip) do hereby ccrtifj; under the pains and penalties of perjury;that. j J 1 am an employer providing the following workers'compensation coverage for my employees working on this job. Insurance Company Policy Number j ) I am a sole proprietor and havc no one working for me. [ homcownc (cirdc one)and havc hired the contractors listed bdow I am a sole proprietor, genera] contractor o who havc the following workers' compensation insurance politics: Name of Contractor Insurance Company/Polio.,Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. VOTE- Plc:sc be :M-aze tb:t while borrcowrcn w�o employ persons to do maintenance,construction or repair work on a dwcliIng of not raorc bran three uniu in wbicb the borncor mcr also resides or on the grounds appurtenant tbereto arc not generally cons;dcrcd to be craploycrs t�dcr the�✓or'.crs' Compcnsaion Aa(GL C. 152,sect- 1(5)). application by a bomcowncr for a license or pc,r,it m:y evidence the IcgJ st:rus of 2-n employer unccr the Gorlcrs'Compcnsatlon ACL I understand that a copy of t;,a st:temc nt wiL be fo.-a:&e to the Dcp::zmcnt of IndustriJ Accidents'Office of)nsumncc for.eoveraze - •cion o min2l cnJtics vcnfrc:tion and that failure to secure covcrgc :s rceLi,cc under Scction 25A o. ?J,GL 152 czn lead to the impose fsv p ccnsiscrnc fmc o u to S 1500.00 �.n&OT i pri earnc::c�c�to c.c yc : :rd uvi pcn:.lties in the form of a Stop Work Order and : fine of S10 0 : d: ag ',nst mc. Signed this day of �C� , 19� Licensee/Pcrmittcc Licensor/Pcrmittor rrE FAi�1 rLy d r3ED20WS 5!4t=Efi NO. G,1iLr3AGE �(LlIJDEe. R Y • I' �n =Tr a►� Q4vx t sD =cz,0 PD 5 Pt.d,�� a l' f3a c�, I E(zCoF L�r1c�1 Iet I Soo Cam- , — L°T 2 QouTr Co a t uFiLTmTcaS U t � -f o•So GAE-/sF/v�Y ggC�SF' -. ?� �/a" �t'( OW A2F-A DESIGN PEV1o4�Trvt� PAR-- c — 12 pyc pal � OF ��q INPlLTrZ4Tb L5 OF o�� s IE AIL- OF. �ifSPOSQL '11=L .� RXHAW r PETER 3 a o SULLIVAN •�► AM w y Naa�oaa r No 29733 x cMr �3 pe►sr :_•+n-p e Mtw.c+*�r ,,.. 11 h FAt ETj ,) �• 4r'�~E p FSSjOAIAI E�G�P _` w Ocf'b W Y-.+.r, L 2 . P-6306 it ' q777 �{nl.� 3%25�14�VBzrFl�� P loci TF tw-=•l l o . wG �y �Le pf t _E >a r-ra �Nv t3 , t to "'STd�l6 TA14V- Slt A k ` r 1 Pci✓ :E r 'J11 LncATI oN _�. rJo way. SCa�.r=- t . _ c+ a a.�,,ems•�.�- 'I. G E� I�"'l� � �,�,,� �� T T•u6-�i.vEt.LiNL, PL---a "i1•IE -S IDEL'IN E of THE Tows OF'gARtJSTAfiil.� �AtJb I�, �C_v(-ATEr) un-ru IN 'A Fc�oD NgZdl r # � Zoi1E, ;x5 t'e0FE5SIo a� LAID SuevEyorC . ��o�-SSIONAI. 140T BASED AQ IP6T12utitE►Jr 5u2VE�( CIVIL I��JIo�tJt�=fLS ear- SETS SI OL)�p tq �F �. a- MASS rSTi1��<II 170 Ce-r oT BC uSEp osTElZViLL Tv , Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS. Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs . accompanying this application for: CHECK CATEGORIES THAT APPLY:, 1. Exterior BuildingConstruction: g ❑ Addition , �] New Building Indicate t ❑ Alteration type of building: $$ House Garage ❑ Commercial ❑ Other 2 Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 4/28/9 2 ADDRESS OF PROPOSED WORK 6A Cummaquid [-p-}- �_ ASSESSORS MAP N0. 351 OWNER John C . Conway—Jr. ASSESSORS LOT NO.#2 Lot 2 HOME ADDRESS 68 chickadee Ln. Centerville ,* TEL. No. 362-6508 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). James T. Reimer 26 Medinah Drive YarmouthPor't , Ma. Jason Robbins 45 Cove Ln. Cummaquid Bertrand French Main St . Cummaquid Massachusetts Audubon Society AGENT OR CONTRACTOR John C Conway TEL. N0. 362-6508 ADDRESS 68 Chickadee Ln Centerville DETAI LED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. B,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Construction of a new colonial style• house with red cedar clapboard front , natural white cedar shingle sides and rear, and white trim around windows,doors and exterior corner trim. Also a wo car garage facing of the right side of the homer.. Signed V✓1 1 y h4/� Space below line for Committee use. Owner-Contra r-A#ant Received by H.D.C. Jam he Certificate is hereby . .Date c, T�� / ti �1 1, 'A"OF BARNSTAaL A 1NKq3WN& If Certificate is approved,approval Is subject to the 10 day appeal period Disapproved ❑ HRHDC provided in the Act. r -tJt:.�i - !`� - �, r, � QLD KING'S ElGnrlAy.. 9RIC DISl- _jICT r Wt i ,b 2i�PM�4�hP _ r r.r 4 rY FoundatioT- Ypej' 1'YPical Poured •concrete wa 11 s 8• f t . . Siding T �Yp y cedar° clapboard /white cedar shinoR n 1 L4{fyf atural C n'unney brick- chimn .e r { w + Color red Roo r f Matezial As halt shi 'ry''��r•�Ef,r• , � In Iles - Colo . . r .` -• Pitch :10b ' `412` r brown Windows ;A ' nderson doubly ". , a huh 283I0 \; s, Size. 2 ' g" b 4 Trim Color wh3 t=e .;; ' orS. W n r Cal Or white , uttezS wood utters aluminum deck re ,. 'P ssure.-treated � � farmers porch Pr. ssu natural' in color dec3t�r �` re treated •with white rail ' rag , '�, e Doozs wooden ings .and n fi�a�s five atural Color red cedar es Fill out c c aniD_ letelY,..,: inc'l " r.e copies or uding measura*rents this form are and iaateri �3 TWit ' threescopies' eac;•� of for. submitta als/colors P .::,when`aoolicables, . the plat to be used. l °= an aPP a•P Plan'.ne 7 Plan; lazcscap lic=ticn, t cale:' '^' ed`-noG�`be.` "Certified" a Plan and eleVat4on NSTAe ` . �RCa4/EI"�y but should snow all structures 1 HWAIYF, '.a>: ores on'the lot TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE ; JOB LOCATION L11 1T 0 Number Street .address Section of -town" "HOMEOWNER" �CS��q �ph� Hoone �Wo�rkp��o ��ne PRESENT MAILING ADDRESS �� 5-�- T ity town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sY who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures._ A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"' shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1.1) The undersigned "homeowner" assumes .responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Dep tme t minimum inspection procedures, and requirements and that he/she will co p y th s 'd ocedures requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFI I Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION " The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that, if Home Owner engages a person(s) for hire to do such work, that such. Home Ownez shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and.;Regulations for . licensing Construction Supervisors, Section 2. 15) . `,`.This .lack of awarenes often results in serious problems, particularly when the``Home Owner hires unlicensed persons. In this case our Board cannot proceed against the ; . inlicensed person as it would with licensed. Supervisor. The. Home"64ner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her, responsibilities,.-man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. :' On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification -for use in your community. A r , ' Application to •� /� ¢' pNs�E�S1E P�G� '7`0pE'!f HE�P p11` Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of.Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs- accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: M New Building [] Addition L] Alteration Indicate type of building: House Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards. ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 4/28/9 2 ADDRESS OF PROPOSED WORK 6A' Cummaquid LOT ASSESSORS MAP NO. 3 51- OWNER John C . Conway Jr . ASSESSORS LOT NO.#2 Lot 2 HOME ADDRESS 68 chickadee Ln. Centerville TEL. NO. 362-6508 FULL NAMES AND ADDRESSES OF\ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet'iflnecessary). James T . Reimer 26 Medinah Drive YarmouthPort , Ma. Jason_ Riotbins 45 Cove Ln. C,ummaquid Bertrand French Main St . Cummaquid Massachusetts Audubon Society AGENT OR CONTRACTOR John C Conway TEL. NO: 362-6508 { ADDRESS 68 Chickadee Ln Centerville DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do'not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Construction of a new colonial style house with red cedar clapboard front , natural white cedar shingle sides and rear; and white trim. around windows ,doors and exterior corner trim. Also a wo car garage : facing of the right side of the home Signed Owner-Contrac r-A nt Space below line for Committee use. Received by � H.D.C. / D U U n The Certificate is he y ate l TO D I F BARNSTABLE Approve 43P6CEONT: If Certificate is approved,approval is subject to the 10 day appeal period QKIHRHDd provided in the Act. Disapproved ❑ . r ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an,approved Certificate of Appropriateness. b. Temporary signs for use.in connection with any.official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign, of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. r RED CEDAR 33 Colonial White 2T-15,9T-15 Form "A-1" f t OLD KING`S EIG'n'nAY HISTORIC DIS i KICT - Spec Sriae.•t= ' Foundation Type Typical poured, •c'oncrete walls 8, ft . F Siding Type red cedar clapboard /white cedar shin OR natural Chimney Type brick chimney - - Color red Roof Material Asphalt shingles Color brown _ Pitch 10 by 12 Windows _ Anderson double hung #28310 Size. 2 ' 9 by4 ' 1 ' Trim Color white Doors _- 'Wood front /steel rear door Color white ' Shutters wood color white -- Gutters aluminum white Deck . rear dock pressure treated natural in color farmers porch pressure treated -with white railings and natural deck < . Garage Doors wooden five panel Color . red cedar Notes: Fill out cor,.o_ letely, including measurements and materials/colons to be used. Three cople5 Of this for-'.., are required for. submittal of an application, {� `U('alrons wit' three copies each of the lot an lan d U if - P P1 scape plan and elevat;on C D°•�=`a-.:.5,�tt4ineR aDD11CaDle. . � � I *?!at� Plan need not be "Certified", but should show all structures an'the lot. 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I ` r i,11-1�� .J, �,� J .sY�l 1, t•6Ii. q� k RM-f•J 'i- K S 7 u�� I `i >I�Ri.[? _ ., ._ _---•1=-::._=,e .st ..iV: z�.. - _ S Ts rr: r Ii41 L4%k1gfneedJ0Wt.(3rdfloor) Map afb Parcel Permit# _ � i- r ✓ [/ House#— � - Date Issued Board of Health(3rd floor)(8:15 9:30/1:00-4:30) Fee, 0?�• ` Conservation Office(4th floor)(00-00/1:00-2:00) r. " Planning Dept.(1st floor/School Admin. Bldg.) THE =reetAddress Planning Board - 19 { BARNSTABLE, MASS. TOWN OF,BARNSTABLE 'E°" '�� Building Permit Application Lu&D—t4i 5;,vow Ole Village Owner t C�.c � Q2p 0-�- Address Telephone -Permit Request aiel -}y�,�p First Floor -' square feet Second Floor square feet Construction Type Estimated Project Cost $ d®a8` Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name PAZA /) Telephone Number Address `71 7i9A#9-5eri. �'fQ License# CO 4-C44� M/9 . Home Improvement Contractor# 4 Worker's Compensation# Gve.13/5 C/f 2 :3 d3 0 7 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 /MdZ,/ SIGNATURE ___( < DATE A�%g BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) A t FOR OFFICIAL USE ONLY PERMIT NO. Z41. DATE ISSUED MAP/PARCEL NO. - ~s + � " VILLAGE 1 s '_ •� 1 , � �: : _ . ' " ~' ADDRESS — J _ OWNER — — _ DATE OF INSPECTION: f E FOUNDATION FRAME r e INSULATION ' FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL - r • , e FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. , The Town of Barnstable ' 1e$ Department of Health-Safety and Environmental Services Building_Division 367 Main Street,Hyannis MA 02601 f Ralph Crosse.^ Office: 508-790-6227 Building Cc='* Fax: 508-790-6230 For office use only Permit no. Date 94Aq- AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, moderni=tion, 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 Address of Wont: B Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following renson(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: PERMIT OR _ OWNERS PULLING THEIR ABLE HOME MORODVEMENT WORK DORNOTT HAR CONTRACTORS FOR APPLICA 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. Da Contractor Name Registration No. CIIIIIIIII)IIII'CIIII/I of:I fassIIchuscirI '� ''0' •%t;;' i-_-�.;_ DeptIrl"Iellt of 11 dmi-trial Accide Its 9MCCnllayeSt/9a11ans ��j=;�:{ :__; ,• 6XI JI a.v1lirrhruu Sircrt _ Bustulr. .9lu�:z: f13111 Wori;crs' Compensation Insurance Affidavit Apiic •nt infnrntatinn Plc'tSe PRINT I-iiiiv narl �G4tti.) C �./LC�-�� • nc-•inn• f G� Clt� ��7'�•C� i /f� nhone I am a homeowner per ormin_ all work myself. I am a soie proprietor and have no one working in any capacity'014 I am an empinver providing workers' compensation for my employees workine on this job. cnn(niny time �i(Ct - /� ��/V`St'"" � Cr✓� �tirt rr<c• cit,• nhnnc�• in<nr nrr n nnlirr s`! [ I am a zoic propriemr. ecnernl contractor, or homeowner(circle orrc� and have hired the contractors listed 6e:o« +cc the 'oilowin^_ wcrkcr-�' compensation polices: c'nrnn:inN n:iinr- 1(I rl rr«• _ I ci nhnnc a• nnlict >� <L cnn•••^:n� �ntnr. .jrWrr< rlft' nhnne 0' nnlicP� � intnrnrr n �+-- AttZch Ulditionai slice:if nec=3.try Fnuurr in sccurc cin-crnac ns required u tier=tton=°A of NGL 1 S_can lead to the imposition of criminal penaiues of a line up to 51r500.UU anuru: unc cars' imprisonment :t, well as cis•ii pCn21tiCs in the form of a STOP WORK ORDER and a fine ofS100.00 a dad•against me. r understand flies rop. rf(ttis ,taicincot mat be funrarded to (he orrice of Investigations of the DIA for coverar,c verification. !«o here:;r cer."fr rurrier r/rr,wtins mid penaltics nfperjun•char the injormarion provided above is.rrur artd correcr. Datc g - —7 Phone 9 rtt�i'ciai U unls do not write in this area to be completed by city or town oRcial 4� t gin nr town: permitilicense FO r;Building Department C:Uccnsinc Board tieicctmcn•s orrice _ cnrci< if imincdiatc respunse is rcuuired LTltcaith Department . phone it• �Uthcr�— .- :cac:c: -rr.nnr Massac!iusctts Geneml Laws chapter 152 section _'S requires all employers to provide workers* Co III en:nlm•ccs. As quoted lrqm the "law". an ewplt lrcc is defined as even, person in the ser-Vicc of :InUther eoc;tr.:ct of hire, =.*pres5 or implied. oral or written. An emplimer is do-mcd as an individual. partnership. association. corporation or other Iegal entity, or any M o the forc_ci►1u cn fuau,-•d in a joint cmerprisc. and including the legal representatives of a deceased emplover, ar rccciver or mtstce of an individual . pannership. association or other legal entity, emploving.emplovecs. Ho-Nev. owner of a dwellinu house havitlg not more than three aparrments and who resides therein. or the occupant of d%%cilinu !louse of another who employs persons to do maintenance , construction or repair wort on such dwei or an the _rounds or building appurtenant thereto shall not because of such employment' be deemed to be MCi_ _h::pier ! section _5 also states that e1'eri' state or local licensing ngency shall withhold the issu sage W at' of a license or hermit to operate a business or to construct buildings in the contmonii calth far :r 1 is::nt tivlto lists not produced acceptable evidence of compliance with the insurrncc coverage rcquirc:i. neither the commonwealth nor any of its political subdivisions shall enter into any contrct for a:e of""public work until acceptable evidence of compliance with the insurance requirements of this ci:as begs: ,^,rc�:::::tcc to the contracting authority. al�jiiic::nts P! :Ls :iii in :he workers' compensation affidavit completely, by checking the box that applies to your situa::c:; su7:7i\,in_ _otnc-noy natncs. address and phone numbers as all affidavits may be submitted to the Department of for conrirrtlation of insurance covem^e. Also be sure to sign and date the affidavit• Tire i:cuid be rc:urned to the ciry or town that the application for the permit or license is being requested. t;e::t of Industrial �ccideats. Should you have any questions regarding the "law" or if you are cornpc::sz:ion policy. please call the Department at the number listed below. C.n" ,r Tu.� n5 P!=- ;e _Lire :ita: :he aff7 is complete and printery legibly. The Department has provided a space at the boss: the . aa� it or ,,Cu to f111 out in the zvent the Office of Investigations has to contact you regarding the appiican:. be _ : to fill in the permit/license number wilich will be used as a reference number. The affidavits may be -e:u= ,:ie D:o:.r,,ne:;t by mail or FAX unless other atrsn`cme.^.ts have been made. Tire ]Ifncc cf'tl% estigar,ons would like to thank you in advance for you cooperation and should you have :rt}' que=: do net !1efita:e M us a cell. Tire :e�ar,;,e^r'� address. tele-dyne and fax number. TIte CommoniveaIth Of Vlassachuserts Department of Industrial :accidents -• Office Of Investigations 600 Washin"Mn Street Boston, Ma. 02111 fa% T: (617, _-_7749 :§r"u 1 V , MW �b YOME GIMP' , Boardo fkROVE(�EfVr CONTRACT' uil�d'ztRe �t , � RS i3$ ` EGISTRAI' ; W n"ik f a 0 - zeAshburt npla _ ? sanc!Stan g aar'� _. Ro:)'Ifi l#a o f, y HOME a .. IMp �ROVEMEN �3 � % k �Ra9istraton 3�25gCONTRq TOR Y pe. s �t Td 3 x r; 36 �) '� z ��` a t O ++`{ �imir; fit.}4 )lni� ' Y4 t`l+.Y 4F J wn fW a. �� - �FRASER-iCONST �' ' � � *"Y RlJ z t DEAN .0 > CTIOM � � # j ERASER r >>1 TARRAGOfV 3 }� > ;§ = COT i tiSN, tt 5 ,s sV2635 a5 < g � 3 pi 7"Eyr 4igey � x�th J / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 . Pa rcel 4Permit# �'k ' Health Division Date Issued t Conservation Division AA ZAcJ i - Fee ` r3c�i- i Tax Collector50 Treasurer �� d. l SYSTEM MUST" BE r liNSTA"LLED IN COMPLIANCE Planning Dept. " WITH'TITLE 5 Date Definitive Plan Approved by.Planning Board ENVIRONMENTAL CODE AN TOWN REGULATIONS . Historic-OKH Preservation/Hyannis Y Project Street Address 8- Waterside Drive i Village Centerville ' Owner RIchard Prout Address 8 Waterside Drive , Centerville Telephone (508)775-6235 Permit Request 4 ' x10 ':Kitchen Extension; Remodel Bedroom L& bathroom 8 ' x21 '`_Deck, Enclose and add on to breezeway Build Computer Room over garage Square feet: 1st floor: existing 1356 proposed 200 2nd floor:existing 728 proposed 398 Total new 598 Estimated Project Cost $75,000` Zoning District• RC Flood Plain Groundwater Overlay 'Construction Type wood/Re'sidential n Lot Size 20,000 sq.ft : Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single.Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 yr 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 2 new - Half:existing new' .1 Number of Bedrooms: existing 3 new.- 0 ' Total Room Count(not including baths):existing 6 new i First Floor Room Count 4 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:W existing ❑new size 2-carShed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ 'Appeal# Recorded❑ Commercial ❑Yes. ❑No If yes;site plan review# Current Use Residential Proposed Use Residential - BUILDER INFORMATION Name E.J.- Jaxtimer, Builder, Inc. Telephone Number' S08-778-4911 Address 48 Rosary lane, Hyannis License# 003251 - Home Improvement Contractor# l l 06o9 Worker's Compensation# wc69502R - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r7 comber' s Dumpster SIGNATURE DATE 7 3v O A T f < " ; FOR OFFICIAL USE'ONLY g— PERMIT NO.� DATE ISSUED cz MAP/PARCEL NO. 1-4 ADDRESS .,:.._ VILLAGE b ! OWNER t — DATE OF INSPECTIOI�i- FOUNDATION FRAME INSULATION.. `t FIREPLACE , ELECTRICAL: ROUGH FINAL - `PL•UMBING: ROUGH FINAL GAS: ROUGH •- y FINAL •s - 4• FINAL BUILDING DATE CLOSED OUT $ ASSOCIATION PLAN NO. a - i p�'Of THE The Town of Barnstable 6AR`Aq-9 H. - Department of Health Safety and Environmental Services 9 NASS. 0a f 39• �0 �'prEOMpya. Building Division i• 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 s PLAN REVIEW \ Owner: Map/Parcel: Project Address: �1 CIL> GR(tJl�Builder: �fT�� "�— w �. The following items were noted on reviewing: 'l y y ya LJ l inn e� � \ """" C , �V � Vf �''►� �,.../� � �� .�. r f ' c Reviewed by: = 1 Date: q:buiI ding:forms:review The Town of Barnstable do Department of°Health Safety and Environmental Services •. �A .,sbg,9• �0 rEb,n+a't a Building.Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 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. TypeofWork: Remodel Wahk E. sign Estimatedcost_s7s .1000 Deck, Enclose Breezeway Address of Work: Owner's Name: Richard Prout Date of Application: 7/25/01 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- 7/25/01 E.Jaxtimer 110609 Date Co tr r Name Registration No. OR . Date Owner's Name " r q:fomis:Affidav The Coninwnwealtli of Massachusetts _— :- Department of Industrial Accidents �� -�� •+ Olfic�olln�estf.�aljons >~ 600 Washington Street " Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit RAW VON E. J. Jaxtimer, Builder, Inc. name: location: 48 Rosary Lane Hyannis MA 02601 hone# (508)778-4911 citV❑ I am a homeowner performing all work myself. ❑ I am a sole prolDrietor and have no one working in any capacity ////////////////////////////////////////// x "' QIamyan employer providing workers' compensation for my employees working on this jot, P .. W. co m aa. n name �•` Jaxtimer ' $oil address.. 4$ Rosa.r Larre Hyannis MA 02601 p_hone/#: olicv ast ern Casualty # lnsurance,co. f 7Q dA/l l / I'am a sole proprietor, general contractor, or homeowner(circle one) and nerve hired the contractors listed below who have the1ollowing workers' compensation polices: com an •name: addl•ess: hone#. dW. lnsurancetco71 PREMIUM/ IWA address.,:.;;. .; hone#: .. 7. i.T.;.:t•4:•.ii•[•:I::4i}i`•:is:i:ii:A:{: i............ . rene' co gafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal p enaltles of aline up to 31,500.0o and/or one years'..l urlsonment as wen as civil penalties in the form of a STOP WORK ORDER and a One of 3100.00 a day against me. I understand that a copy of this statement may be fa to the Office of Investigations of the DIA for coverage verification. Lp J ry d correct I do hereby certify pains and penalties o er u that the information provided above is true Date - SiMtureH Print name E. Jaxtimer. phone# (508)778-9 _ -- glig ornclai toe only do not write in thls +,• to be completed by city or town official permlt/Ilcense N QBuilding Depattrnent city or town• -- QLicensing Board QSelectmen's Office ❑cheek if immediate response is required Qliealth Depa�nent phone H; QOther Other- contact person (revised 9195.P1A) in td I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I 1 Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 7-26-2001 DATE OF PLANS: 5-9-2001 TITLE: New renovation/remodel PROJECT INFORMATION: Jan Carine Waterside Drive Centerville, Ma. 02632 COMPANY INFORMATION: E.J. Jaxtimer 48 Rosary Lane Hyannis, Ma. 02601 NOTES: MaCheck by Cape Cod Insulation INC. # 2165 COMPLIANCE: PASSES Required UA = 232 Your Home = 189 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 299 30.0 0.0 11 CEILINGS 306 30.0 0.0 11 WALLS: Wood Frame, 16" O.C. 280 13.0 0.0 23 WALLS: Wood Frame, 16" O.C. 909 19.0 0.0 55 GLAZING: Windows or Doors 41 0.340 14 GLAZING: Windows or Doors 80 0.310 25 GLAZING: Skylights 12 0.490 6 DOORS 38 0.330 13 DOORS 40 0.270 11 FLOORS: Over Unconditioned Space 363 30.0 0.0 12 FLOORS: Over Unconditioned Space 220 19.0 0.0 10 HVAC EQUIPMENT: Furnace, 83.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Seceions 780CMR 1310 and J4.4. Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 New renovation/remodel DATE: 7-26-2001 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location [ ] I 2. R-30 I Comments/Location. I WALLS: ( ] I 1. Wood Frame, 16" O.C., R-13 i Comments/Location [ ] I 2. Wood Frame, 16" O.C., R-19 I Comments/Location I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.34 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location [ ] I 2. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I SKYLIGHTS: [ ] I 1. U-value: 0.49 I For skylights without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location ` I I DOORS: ( ] I 1. U-value: 0.33 I Comments/Location ( ] I 2. U-value: 0.27 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-30 I Comments/Location [ ] I 2. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] I 1. Furnace, 83.0 AFUE or-higher Make and Model Number ' I AIR LEAKAGE: [ ] i Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating I equipment efficiency must be clearly marked on the building plans I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or i joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I HVAC PIPING INSULATION: i HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-l" I 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- � L 30roposal Cape Cod Insulation, Inc. 455 Yarmouth Rd. Hyannis, MA 02601 508-775-1214 Fax- 508-778-5735 DATE ESTIMATE NO. 1-800-696-6611 7/26/2001 2165 Insulation,Gutters,Suspended Ceilings SUBMITTED TO JOB LOCATION E.J. Jaxtimer Co. 48 Rosary La. Carine Hyannis MA 02601 JOB SPECIFICATIONS PRICE Ceilings with 10", R-30 Kraft faced batts with proper vents installed at eaves. 3,100.00 • Exterior walls with 3 1/2", R-13 unfaced batts with polyethelene vapor barrior. Stairwell with 3", R-13 Kraft faced batts. Basement Ceiling/Crawl Space with 6", R-19 Kraft faced batts with support rods. Slopes with 8", R-30 High density Kraft faced batts with proper vents. Kneewalls with 6" R-19 Kraft faced batts. Exposed ceiling with 10", R-30 Kraft faced batts. Plates and runners with 6" R-19Kraft faced batts. Garage ceiling with 10" R-30 Kraft faced batts. G.H. wall with 3 1/2 R-13 Kraft faced batts. Bath walls with 3 1/2 sound batts. CONTRACT PRICE $3,100.00 Xekh`ftssswood Avaposal is-good for 60 days unless otherwise noted. Work will be performed in a professional workmanlike manner. 7obsites are to be kept clean and free of any work :.hazards. Any alteration or deviation from the above specifications involving extra costs will be executed upon written or verbal orders,and will become an extra charge over and above the estimate, All agreements contingent upon strikes,accidents or delays beyond our control. Our workers are fully covered by workmens compensation insurance and we will furnish you a copy upon your request and your signing of this proposal. Owner to carry any other necessary insurances. One third of payment is due upon acceptance of this proposal with the remaining balance due upon completion. All invoices unpaid after 30 days will be subject to a 1 1/2%monthly interest charge. Thank you.1or the opportunity to bid on your project. Acceptance Signature (no Apptwant-.. Richard R. Pr—KF o r z6 �h too$ r rn9 , porch . Na M A VV .deck 69ara el qz) i 35.73- z tve7 tp fililvnf certlf j dkit ffkiplau fw 1w. u rYyancif o� PAUL �a Bork, S r a�' Thrasher A,Bd 6N Five rrts V�ng"S"8 � _ T to dunning town 'Ott&lei,wt f qll fifa sywigl FENA OOC�1K�u1� GROvER H .� No.3131l Mul tti K all,cf)(Ichiv date 0 8 /9 85 a u�..tf)e lout fort �fte dwdlit tC'Clk / srcR � does caftnn tv � load zo)utg by U.- i,l effect u �c��rn - . uR wide r t to 6iori"' Ital dinkrniot l r uirizrtwttts:�15-P"1 was r ' nuulc jrr rvlll r Ti -use 0 unrui deed descr4t or llel fiial�imof r tnrilci 1,oratrotis Jlrv}�¢r tz ute diirvmior ,*noes or lot' : /4-16-dy- mtfWtuv&imi may W aaor 18,fia1 alb 1 rut accurt�W insfriamtr-auwy �ra:3Z6189 rlwy rfieddi ffemif 4ol-rt "v) Uut w6af is slicnm (telwn' co.LomAL, Lxr)b scitive t ncT COMpa"Y, 1 • �lx�t�E 61 • 28•?t�6 617.8Z&"7-5 269 �N�O 12 sc{2EEK, fwxm ►2,cre�ss. o2339 1 7 8 F'avC -L'-------'--'--- ---------- SFILLIiR'S Board of Building Regulations and Standards a One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 110609 Type: Pritra4e tion piration: 11/03/2002 E J JAXTIMER, BUILDER, INC. Y i ERNEST JAXTIMER ------ --- 48 ROSARY LN -- - -- -- -- HYANNIS, MA 02601 - --- -- ---= -- Update Address and return card.Mark reason for change ( Address -; Renewal Employment Lost Card ' I � Y i Board of Building egulations One Ashburton Place, Rm 1301 Q Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISO _ICE'" Birthdate: 01/14/1956 Number: CS 003251 xpires:01/14/2002 Restricted To: 00 ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS, MA 02601 Tr.no: 13740 Keep top for receipt and change of address notification. I? k 1 • Xa z�. II D. x -- a a, q !' 3Db. �..I . �oA Y i , r v' II r i �e ,p •4Ip s(I F�=,;� , p c yt �{ f ii. 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'I III�....� .-.-I� - n�d> �' } 35g R AL TrWATFON54APi?F� Assessor's office(1st Floor): y� g ��" yx - Assessor's map and lot number O - INSTALLED COMP o`TM C To Board of Health(3rd floor): eWa #� WITH TITLE 5 Sewage Permit number ENVIRONMENTAL CO LE i Engineering Department(3rd f0A loo): g �House number: TOWN REGULATI Mbs}9• Definitive Plan Approved by Planning Board 19 r.. APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF "BAR BUILDING INSPECT °. APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ram s 19 P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location G�f �Sl•FJC PI-I v- . Ci► � �t( GJ'T �e 2_�s Proposed Use J, ��C� �� Zoning District Fire District Name of Owner Vd*Y- !` •,W // Address B4/*V49ce.51A ' 907AAZI "V I'1 Name of BuilderZA a Address �`Z Name of Architect zVowe_ Address Number of Rooms Foundation 1 Exterior tl/!� j RoofingC`-J �g Floors / 2x. Interior lit�V�•D c'jJ•e��ls� � s��. Heating 5Xl.I !!! Plumbing "� ° Fireplaces Approximate Cost' Area 41q Ar,4 Cb//6t Diagram of Lot and Building with Dimensions Fee 5 0 34 4/4 114 � G i /G .�J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi h ve constr ction. Nam ConstUUction Supervisor's License �c�0 PROUT, VAN & RICHARD .f4 ' £` No 34919 Permit For FINISH BASEM NT ' Single Family Dwelling t. Location 8 Waterside Drive . Centerville Owner .Van A Richard 'Prout Type of Construction Frame Plot Lot Permit Geanted March 31y, 19 92 Date of Inspection 19 Date Completed 19 � a ,3 c'' ` + wl }°' fq, M ice ® Assessor's map and lot numbe / 7...........,�................ Cf THE tO� Sewage ,Permit, number ..... -3....... /..:... r~-� d`� +► ligS 'AA L g Z B` STADLE, i House number ..................................cJ...........................:..... L3 Its �$ L@ s nea mac ' ITH TITLE 5 �'VxfAr`0� • '' ' � C MPS L CODE Ai%a l �TOWN� .' OF , rBARNS� ,�� 4S DURD,ING INSPECTOR .APPLICATION' FOR PERMIT TO . ... .... . ..��. ... .....:•.l..l� �.. TYPE OF CONSTRUCTION :................ ............... ... . ..I................19v.. TO THE INSPECTOR OF BUItLDINGSr,,,,,'. The undersd hereby applies for a permit actor g to the following information:, Location` 1✓� t �[/,................... / ......................... ..�/-....� ...�P.. ...� .......... .Jr' D .. . . .... . . . . ..A 1.. ,. L•......................... Proposed Use ... �� .... � :.......................... .... ........................... . ..... Fire District 0 , Zoning District .................... ........................ .............q1MA ..........:... Name of Ownelo`�... .Q �!V17....f`�,1 .. 1VC:�...........Address � .. :... ..... �l•K..> Name of Buildef ..[/��1 ........Address ....M � :. ........:.....t�.................. Name of Architect :......... 1...::...............................:.Address ...... .•................................................. Numberof ooms ...........................................................Foundatio. .............................................. Exterior .. .I..........:...Roofing ..�. .....:...� �� . ...................:. � 1 .. NvoiQ ... . l•11.I�X ...................Interior �. doors ... .. ........... . ..... ... ................................................ rieating � 1< L1. ................. ........Plu. Bing ... ./ .... r /Y:! Fireplace ............................................Approximate Cost CJ ............................... Definitive Plan Approved by Planning Board ______________________________19________. # Area ... ......r Diagram' of Lot and Building with Dimensions Fee ............../... ..................... SUBJECT TO APPROVAL OF, BOARD OF,HEALTH ✓JQ �, A)4_. OCCUPANCY PERMITS-REQUIRED FOR NEW .DWELLINGS r I hereby.-agree to conform to, all the Rules and Regulations of the Town of Barnstable regarding the above construction: _ Name ��-,�...d:........................ Construction Supervisor's License O`��.. �•- Vow- +'inT ;i1M!1,1G LANDS, INC. i to No 2..9�....... Permit for 1........ .. ................ - Single Family Dwelling .....^. `.... ...... ........... ............ ..`.. ............ Location .. .....25�......8... .. ... .. . . yLot Waterside Dr ... Centerville..... .. .. i Owner .Wyoming..LandsL....Inc.'. f t Type fof Construction. ....Frame..............:.......... ........ ................................:.................................... ;Plot Lot ................ .......... , April 22; .,=� �`� 83 Permit Granted .................... .:.:..19 Date of Inspectio :!! ... /........r19. �3 Y. ,Date Completed ...... 19 �7 ^ TOWN OF' BARNSTABLE Permit No. 24987-------___---=- sAUnm -- Building Inspector cash ---------------- M r two �e�o '�toYPt OCCUPANCY PERMIT" Bond X Issued to WVaninq Lands, inc. Address y` Lot 25, 8 Waterside Drive, "Centervill-e Wiring Inspector Y=--- ` Inspection date Plumbing Inspector _ �,r;` Inspection.date r Gas Inspector ' ! 2nspection date r� d .--� G 4'-.._-�.#'Y ,t..+.-�ta r.l doe e a)T Ca Engineering Department., Inspection date /' Board of Health (;�: ;% 1 Inspection dater,f" ,• THIS PERMIT WILL NOTE 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. 0 4 Al ..................................................., ..........................:.,..... ..........................,......... i Building Inspector TOWK OF BARNSTABLE BUILDING DEPARTMENT t ssaa�r : TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 e'f i MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building,authorized by BuildingPermit $k._ ..._.....2�,% .�_....__........................................................_.»....»............._»» ._»..........»..»�»»» »».. issued to ....................... 0 "7e—l'Siole? �7r/d-e C.�,✓ t�" Please release the performance bond. II 1 - .1 f 1 11 i I — ill ,I71, I Al j Iil� �II l � it —� `s i V, # 1� ^G• -.( iI I I � � 'L�a 1 IS I lei a i Y7 vrww I , E -- L .-�w- r. ��.� � �� o-� � ��`� ��-� _ � � �� ,, �_a �_.�_ r _ � � _ 1 of T' f; l C1 uu� �J h pall 90 i IE'7 i TO THE BEST OF MY' �� /AIFOREMAT/ON ) AdAJOWL&OGE /qs �VILT PC-Or PL.AAJ AA/D 6EL/EF THE GE� 7"Eic C//G.L_ 4F- , MASS. T/ON o i 2S .Z. C. SHOWN OAJ THIS PLAA/ HAS R. 47. OW AAA ) 1 A C. � Re Ls ) Pes BEEN LOCATED OAJ THE 1348 GI20UN0 AS /NOIGF9TEO. EAST OENA!/S 3, MASS. DATE --_-- JOs Ava J/ DATE / iEEG. G SllQVEYOp G/2. By $H&a7- OF 71 Asse7ssor's map and lot d�f Ci7............P............. Sewage Permit number ....... .5......................... 33ARN9'TABLE, House number ................................... MAG& ............................... . ;or 2639- a MAX TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .6<....... W................................. TYPE OF CONSTRLICTIONSXDL��. ,.... ........................ ii TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according cording to the following information: Location ...... .......... ....... ...... ......... ProposedUse ..4",�A ................................................................................................... Zoning District ................... ....................................Fire District ..................... ....... ............ ...... ............................. Name of ..............Address Nameof ........Address ................................... Name of Architect ............. ,N ..........................Address ................................................... Numberof ooms-.,5...........................................................Foundation ..kl,�An.............................................. Exterior . . .2(c�. .......................................Roofing � ...........-<VC, ... .. . ..... .. . . ................................................Interior S.. .. . ...............................................Floors ... Heating ...............................................Plumbing ........ k I .............; ff ......................... �-w $ Fireplace ... .....................................................................Approximate 'Cost �............................ ........ Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... 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 offthe Town of Barnstable regarding the above construction. Name . 1r. Construction Supervisor's License .................................... WYOMING LANDS, INC. A= '7- ' No 24987.... Permit for 1�.....Story............... 5ingle...Fami1�..Dwellin. F Location 4ot._2 .r..... 8- W-a�e-rside Drive .. Centerville Owner Wyoming Lands, Inc. .................................................................. Frame t Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...April 22,.............19 83 Date of Inspection ....................................19 Date Completed ......................................19 �N Co,Nu�cav .le. , l� OF Ad t. O4 r r , # t 4 qq 1 q�0 q t' 1 "Jos., fjo OF ° PETER �' 4 U1 o SULLIVAN No. 29133 . 17wl PIZ G 08 S/ONAL n eLuuG N OF iV 0 A. BAXTER to 7� h�g �-r4►y -- JU a �� (� � '.. � •f' .:1. � t .. ..V 1 r e 1/t=TLAN D. I