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Home My WebLink About0019 DANIELE STREET Y i J `M, ly f i f f n a Application number 1�,�, snRxsrAst.E o ® �I Date Issued...... A... .k.J...1... r- % 3 .t a� SEP 2 6 2019 Building Inspectors Initials..... TOWN 1A 8AHNS IABLE Map/Parcel........OA.7.......UZ......................... TOWN OF BARNSTABLE �S5-06 EXPEDITED PERMIT APPLICATION: ROOF/SIDWG/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: J C-1 t� .�;c le �✓f. �6 4 NUMBER STREET VILLAGE Owner's Name: (''Icy �i ��- Phone Number 5 o{-6,4c - 02 i Email Address: -('o�„�(�e .�� cnrn Cell Phone Number Project cost S�./�(p -= Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: S e r A— ,2�� 0, :-{r4 Date: TYPE OF WORx lD Siding i 7 J Windows (no header change)# 3 ❑ Insulation/Weatherization Doors (no header change)# Commercial boors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name �(�Ci/1 `7e niti5c✓1 - �p/i'hP�� AJ � (F,5 Iev4 4./1 n GLOW S Home Improvement Contractors Registration(if applicable)# 17 3 Lq_5 (attach copy) Construction Supervisor's License # b j S 7 07 (attach copy) Email of Contractor Ct$-,Jee�9 q5 ' I. C bM Phone number �(0/- 2 Z ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR 1F THE SUBJECT PROPERTY IS 91AV1 A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Onl-Yx Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X. Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number. Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures; specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date PLICANT9 S SIGNATURE Signature Date 9—,Z All permit applications are subject to a building official's approval prior to issuance. I Renewal Agreement Document and Payment Terms Andersen. dba:Renewal B Andersen of Southern New En and Y P� Mary fowler Legal Name:Southern New England Windows,LLC 19 Daniele Street RI #36070, MA#173245,CT#0634555,Lead Firm#1237 Cotuii,MA 0263.5 WOO. NE uCEYENT 10 Reservoir Rd I Smithfield,RI 02917 C:(508)648-0211 Phone:401-349-1384 I Fax:401-633-6602 1 sales®renewalsne.com Buyer(s) Name: Mary Fowler Contract Date: 09/11/19 Buyer(s)Street Address: 19 Daniele Street,Cotuit,.MA 02635 - • . Primary Telephone Number: Secondary Telephone Number: (508)648-0211 Primary Email: mfowler@mutter.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement. Document and Payment Terms,any documents listed in the Table_of Contents,and any other document attached to this Agreement Document, the terms of which are all agreed to by the parties and incorporated herein by reference(collectively, this "Agreement"). _ Buyer(s)hereby agrees to sign a completion certillcaie after Contractor has completed all work under this Agreement. Total Job Amount: $4,104 By signing this Agreement,.you acknowledge that the Balance Due;and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $p Balance Due: $4,104 Estimated Start: Estimated Completion: Amount Financed: $0 October 25, 2019. October 25, 209 Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. Notes: 1/3 down on credit card.- 1/3 at start and 1/3 completion Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations.from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyers) 1)has read this Agreement, understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign: YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/14/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT Legal Name:Southern New England Windows;LLC dba:RerVindersen of Southern New'England . Buyer(s) Signature of Sales Person Signature Signature John Harrington Mary Fowler Print Narne of Sales Person Print Name Print Name i i UPDATED: 09/11/19 Paget / 11 . 'ham ��1�?�� .��'� !L. �,��:�� `✓SIT� . Office of Consumer affairs and Business Regulation . 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Horne Irnprovement Contractor Registration - -_ Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LLC Registration: 173245 10 RESERVOIR ROAD Expiration: 09/18/2020 SMITHFIELD, RI 02917 - SG11 20M•05/17 Update Address and Return Card. ci ' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoplement Card before the expiration date. If found return to: Reaisl:666n Expiration Office of Consumer Affairs and Business Regulation 1Z3245,= 09/18/2020 1000 Washington Street-Suite 710 SOUTHERN NEW ENGLAND WINDOWS,LLC Boston,MA 0211 'C7 BRIAN DENNISON 10 RESERVOIR ROAD SMITHFIELD,RI 02917 Undersecretary tiv� without signature - Common ealth,of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards. Constrp_�# 6n i upprvisor CS-095707E4 pires: 09/08/2020 BRIAN D DENNISON 8 BLACKWELLtDRIVE CHARLTON MA ;01507 Ml Comrrdssioner The Co maw nwealdt of Masstwlsusetts Department of Industrial Accidents I Congress Streets Suite 100 Boston,MA 03114-3017 www mass gov/dia SYorkers' Compensation Insurance Affidavit.-Bullders/Contractors/ElectriciansMumbers. TO BE FILED WITH THE PER-,*IITTLYO AUTHORITY. Applicant Information Please Print Legibiv Name(Business/Oraanization/Individual): S emz f'h e r y, lieu t-,Q Jct yt„� ID I n t i] Address: U ev Vol rCity/State/Zip.S M t—HIA eQ 7?1 Oz917 Phone#: 401—ZZ r— Are you au employer'Check the appropriate box: Type of project(required): 1. I am a employer with ;ZO+employees(Cull and/or part-time).* 7. ❑New construction 2 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] ❑ a 3.01 am a homeowner doingall worts myself 9. ❑Demolition y [No workers'comp.insurance required.]' 4.0 1 am a homeowner and will be luring contractors to conduct au work on my property- i will 10 D Building addition ensure that all contractors either have workers'comperisation insurance or are sole [l.a Electrical repairs or additions proprietors with no employees. ❑5.[31 am a general contractor and[have hired the sub-contractors listed on the attached sheet 12. Plumbing repairs or additions " These sub-contractors have employees and have worken,comp.insucance.t 11❑ of repairs 6.a We am a corporation and its officers have exercised their ri of examp tion per MGL c 14.U vuier1.A;1 eq,✓ 152,¢1(4),and we have no employees.[No workers'comp insurance aired. *Arty applicant that checks box#I mast also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside ccntracters mast submit a new affidavit indicating such. Vantractors that check this box mast attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employee& If the sub-contractors have employees,dW must provide their workers'comp.policy number. firm an employer that is proldding workers'compensation insurance for my employees. Below is the policy and job site informadion. Insurance Company Name: rfn6wa/ ►[(— a - O A Policy#or Self-ins.Lic. #: UXA,31.alcR 7-02 Expiration Date: Job Site Address: C1 l n i e S City/State/Zip: Co /1.14 r., Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. I52,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisbnment;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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby ce Under the p ' d penaldies o pequry that the information provided above is true and correct i Dat / Phone#: Q nT�7�?_�9 M) O fficialuseonly. Do not write in dds area,to be completed by city or town official: n: Permit/License# ority(circle one): Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: f AC.0� CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) lk.� 12/28/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER OONT CoBiz Insurance, Inc.-CO PANE` PWONE 1401 Lawrence St., Ste. 1200 t. 303-988-0446 A/C No:303-988-0804 Denver CO 80202 E-MAIL COMaiI cobizinsurance.com INSURE S AFFORDING COVERAGE NAIC Y INSURER A:Acadia Insurance Com an 31325 INSURED ESLERCO-01 INSURERS:Flremen6lnsurance Company Of A.D.C. 21784 Southern New England Windows, LLC, IPsuRERc:Homeland Insurance Company of New York 34452 dba Renewal by Andersen of Southem New England 10 ReserviorRd INSURERD: Smithfield RI 02917 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:787175890 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE INSURANCE ADDL SU R . POLICY EFF POLICY EXP LTR POLICY NUMBER IMMIDDIYYYYI IMMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPA3158728 1/112019 1/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO REN PREMISES a occurrence $300,000 MED EXP(Any one person) $10,000 PERSONAL&AOV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑JET LOC PRODUCTS-COMP/OP AGG $2,000.000 PI 0 OTHER: $ A I AUTOMOBILE LIABILITY CPA3155728 1/112019 1/112020 COMBINED SINGLE LIMIT a accident $1 000 0 0 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY AUTOS AUTOS (Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ $ A X UMBRELLA LIAR X IOCCUR CPA3158728 1/1/2019 1/1/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,000 DED I X I RETENTION$ $ B WORKERS COMPENSATION WCA315872924 111/2019 1/1/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? Q N/A If b NH)nd ;. E.L.DISEASE-EA EMPLOYE $1,0 mall If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,0o0 C Pollution Liability 7930073340000 1/1/2019 1/l/2020 Each Occurrence $2,000,000 Gaima-Made Policy Aggregate $2,000,000 Retroactive Date 08/20/2013 Deductible $25,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FOR INFORMATIONAL PURPOSES ONLY AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD S�L// pFtNE Town of Barnstable *Perm()1 767 p� Expires 6 months s e Regulatory Services Fee v47 -1 + snxxsr�st.E, v� , ; Richard V.Scali, Director Building Division ' Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY rAlap/parcel Number �� 7 Not Valid without Red X-Press Imprint // / C i PropertyAddress S�: J Residential Value of Work$ . �S®� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address v17 Contractor's Name/!10C� ��,/� /7yr��.sL Telephone Number Home Improvement Contractor License#(if applicable) ��U 7 Email: 45 C—C�, G /- c,19(j,7 is Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance nEQ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance APR,2 2 zo14 Insurance Company Name Workman's Comp.Policy# RNSTABL Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �Re-roof(hurricane nailed)(not stripping. Going over�existing layers of roof) l u Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***NotZquired. Owner must sign Property Owner Letter of Permission. f the Home Improvement Contractors License&Construction Supervisors License is SIGNATURE: QAWPFILESTORWbuilding permit forms\EXPRESS.doc Revised 061313 `f. The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations J 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C540A_Ae_L_ Ls Address: City/State/Zip: ��t��` s l 0,K Phone#: sb� ,�- Are you an employer?Check the appropriate box: Type of project(required): 1.7Ia employer with 4. ❑ I am.a general contractor and I yees(full and/or part-time).* have hired the sub-contractors6. ❑New construction 2 sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. [],Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no - employees. [No workers' 13.❑ Other comp:insurance required.] a" *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$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$250.00 a day a amst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the or insurance coverage verification. I do hereby certi der the pains and penalties of perju rmation provided aboveis true and correct. Si afore: Date: �T Phone#: Official use only. Do not write in this area,to 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. F Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where 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. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia o�TME * &MMSPA1314 t Town of Barnstable Regulatory Services , Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,-MA 02601 www.town.barnstable.ma.us t Office: 508-8624038 Fax: 508-790-6230 Property„Owner Must Complete and Sign This Section If Using A Builder I, , as Owner rof the subject property hereby authorize v��/(vv 7�� y' �`�`s�` ' L toa t on my behalf, in all matters relative to work authorized by this building permit application for: ✓tJ l (Address of Job) Signature of Owner, Date CWI.� 74- ram Print Name , If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the e reverse side. . Q:\WPFILES\FORMS\building permit forms\smokecarbondetectors.doc. Revised 050412 Town of Barnstable Regulatory Services p�F Richard V.Scali, Director Building Division * &&RN1ffABM Tom Perry,Building Commissioner KAM 1639. 200 Main Street, Hyannis,MA 02601 Eo www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual 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 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 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 State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and 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. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner 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 the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed 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 form/certification for use in your community. � . f n n s,: at i.. u�e� • s B essRg \ ' .. ., z . e uia � • usio e of p9sumeTon Af /Cpp1Toc'f o' Type' r Office 1MpRovet Eo 16165� e9tstrat�on 1?J2p1� 111 r Coo r a NOES. �; r' NOCTOR SN eC$ee�eta� . AN k d \. E UD 16 OXFORO RD Mp 62537 E• WC SANp IN, z P Y ° Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1 &2 Family License: CSFA-098257 SHANE T HOCTO 16 OXFORD ROAM It EAST SANDWICH MAC 023 )r,t►A` Expiration ` Commissioner 07/29/2015 a�oac%�caeGt 1 License or registration valid for individul use: y (J�e �vrn°°uuea G�a� Regulation ss before the expiration date. If found return to:ulation I ice of Consumer Affairs&BusinCTOR ME IMPROVEMENT CONTRA office of Consumer`A5170 and Business .eg Type. l0 ParkPlaza-Su► gistration: 161657 pgA Boston,MA 021 6 piration 121201 &T HOMES ; CTOR o i Not valid without signature RD. CH,MA 02537 Undersecretary + r, < ,r r: , , ,rw . 4 fy �. •.F .. t.�. �Y` }{ xx }+ : '..l - I {p+ # rrs + 3 p( r f :.4" '�wi � .A�, '�'w'y �'�s� 3 � J��' �} 6' Y t44 1 ,*by, a1�,'iy ;+' _ 3 A• y �� n� <� ��_ � € �; jz-' a ,may.: y�S.,. `�� '� c�,� ,j•-.e f� '�kd.. t i &�>G��.: �".'"� ,+ - .� sag"� �. '�' ^� -}`�F' .t '�. � "�'� '3°' •Y bra r ' E �� ] �€ _ .... _ _ �•_A ~a Jr q 3 FF -ROU �i, 1 f,r �� °_�"� § � v! � F �' � � j•,s � c. .'� x�. �. {"F '�� ,fir� Cs �Y�$¢� � .�� T`i .-,' +� °�. � ,� .L� f. ti Y �, i � � ,.�� 1�'i it a', � 1 w,F' •1; !� , I + L y w• : ,,yT}.� i�1 . Lt ° ' s ,�. ✓i�` .} ,r.. .w .,w w„` • y r ' ai -, �,e• +� �y X � ;."'y7+� �, r' � t` r� #!'Arq ��✓,, � ., 'f� . / #fr`'!'.. ,:l,tr�rPJP rw•r i'� �=r �',},,`�-� �F;m�'"}et�.:m�r ,y�,s"�`. "'t`w +r}.n _ r �v illi — - pf ,F .. w }� V mow•"'^ ITAI Icr gr �,��, � a o � >.. ♦ � w�� .�� r ,mow, i.nY, �� =.;dIDi Y W All te _ _ , u• , 6 3� 38 40 f41 q2 I 44 4if ' - .. - - f p a'. .fit.4 dy—&•3•h.. .eT�F ti ��" '_�� e4 �:-a - ti.+�„ ��t '`� �-� ;` ..�, •'�Cam`�` :�� *-` �t x .t�'.. i".�,M+......_. �A n, d A'PIK >•. � � � "'.'w-.� � � ,cam �,�: � � _ �. ��i M.,��•r�3'"'F �� t .. - y�• �.'�y�� may% st+y„ a' 1 � Y z w: y z 4 �y,� n v i4 y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO Maps 6ar1 Parcel 07� TCW;;I TABLE. Application# ., � Health Division rr n11 r-,. I Conservation Division lE I Permit# Tax Collector . Date Issued LION D� Treasurer Application Fee 1 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /9 ,/ i e A_ s;: � Village �- Owner %VA.,4 Ri&y-t c.2 Address Telephone CHI ,Sd5— �2_ —,0 ya,L6))50 9---)90--e5y-,23 3:�3%-)V Permit Request I g�w c cui Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District A F Flood Plain Groundwater Overlay GAP Cm Project Valuation" 60 Construction Type Lot Size A Lie_#" Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure It Y4-9& s Historic House: ❑Yes UNo On Old King's Highway: ❑Yes ❑No Basement Type: [(Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name W Telephone Numberld Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a / �rSIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t 'MAP/PARCEL NO. i ADDRESS, VILLAGE OWNER DATE OF INSPECTION: } FOUNDATION O!� ;N 12 FRAME y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL -" PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. Departme7ft of Industrial Accidents Office.of Investigations. 600 Washington Street Boston,MA 02111". - M ,�• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name. (Business/orgamzationandividual): Address: City/State/Zip: Phone#: ►re you an employer?Check the,appropriate box:: Tape of project(required):- 1 am a employer with 4. ❑ I am a general contractor and I employees(full'and/or part-time).* have hired the sub-contractors 6. New construction ❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp, insurance 5. ❑ We area corporation and its XIequired.] officers have exercised their 10.❑ Electricalrepairs or additions amahomeowner doing all work right of exemption per MGL 1-LD Plumbing repairs or additions myself [No workers comp. C. 152, §1(4), and we have no. 12. Roof repairs insurance required.]t employees. [No workers' ❑ comp.insurance required.] 13.❑ Other ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: iomeowners who submit affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such >ntractots that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information . tin an employer that is providing workers'compensation insurance for my employees"Below is the policy and job site Formation. ,urance Company Name: licy-#or Self-ins.Lic..#: Expiration Date:" b Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and Expiration date). ilure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e up to$1,500,.00 an one-year imprisonment, as well as.civil penalties in tie form of a STOP-WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of ' restigations of the DIA for insurance coverage verification. 'o hereby certify under the pains and penalties ofperjury that the information provided above is true and correct: mature:. r Date: 6 " one#:. Official use only. Do not write in this area,to be completed by city.or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Ins pector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and Instructions fassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employee. arsuant to this statute,an employee is defined as"..•every person in the service of another under any contract of hire, xpress or implied,oral or written." ,n employer is defined a ..,an individnal,,partnershrp association,caiporation or other legal entity,_or any two or more 1 . f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership, association or other legal entity,employing employees. Howev..eT the wner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik-on such dwelling house IT on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." AGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or -enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall ;rater into any contract for the performance of public work until acceptable evidence.of compliance with the insurance -equirements of'this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; 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 or the permit or license is being requested, not the Department of be returned to the city or town that the application f _ Industrial Accidents. Shouid you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their. self-insurance license number on the appropriate line. - City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to nll out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in (city or town)."A copy of the*affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on file for:future permits.or-libenses..Anew affidavit must be filled out.each year.where 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office*of Investigations would like to thank you in advance for your cooperation and should you.have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents Office of Investigations .600-Washingfon Street Boston,MA 0211 L Tel.#617-727-4900 ext 406 or-1-,877-MASSAFE Fax#617-727-7749 evised 5-26-05 wwwmns.gov/dia yoil"Elp� Town of Barnstable Regulatory Services r • saaNsznsi.E. ' Thomas F.Geiler,Director y 'Hsnss. � `gyp 1619. 6.0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement;removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with-other requirements. , Type of Work: 1^1 ® Estimated Cos . ��V Address of Work: ie C Owner's Name: Date of Application: 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 Building not owner-occupied wner pulling own permit r Notice is hereby given that: - OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Signature Registration No. •- OR "'Date Owner's i ture Q:vipfileshrms:homeaff day Rev: 060606 m LD STANDARD PANEL LAYOUto T. _ .. CD CD - 4 � _ a OPT10AlAL m ST W Ul -- & L X a m m - OEM ROPE 2{I'aJGt{f = - —. snmL . STEP SUP _ A.. e 0 - - USE 9ACTf8RACE AT PANEL axT s AS SHOO DMAKEa X) CO C /0 71 POW a'- WATERLINE n — - -— � ::6'-10' s` #B0029,500 meter 9-2" �_ BELOW POINT 'a" Pool Type 3'-0 pacity Pool - - -- 4 - T 15-g+ •13'-e' allonsEEL__- ^ _� _ - - - -__ - --- --- -- � _ - --_ - _ -- __ _ _.______ . _ - - D.. : m Meets "Sl/NaSPI--5 & '99 BOCA-codes _ m.-' -� 20' x 40' RECTANGLE 6„�? RAD Page 1 of Z _ -- ST 223 Y is ..r tj LOT 24 l k N LOT 28- - 07 09 ID ga , r s J �. .,14, t -aa 65645 SF (TOTAL.) oa ,� ,�� co 30 ` CERTIFIED TO: CAPE COD FIVE CENTS SAVING$BANK . f=tood nazArd zone t,�barn aetann;ned bar pied is not n=a,==r"y 4000RArat.. Undl giatirriti,ne Plana Wo"Om*d by HUD andfor a verb Fs astdonned° a�ct nn t b. of survey P� �adotse eanr,ot ba daNMmflrtad. ]�fDPBlr ?his mortg�JtssPedti07►toga �rtoww pe� 1%wm at aa a laIId 7id 'IOftI!•thf ! trnaonlrnsF� �p dAC bi/th< ft Board of iooaliors_and v ets a:e dOHN Viers Md Land ft an Mom Loco"ota yrotwrd and .�. �aute that fe° � ophtton that ° =- Ow natfm t8e arms anown= �t tha Toast arty and d=»ae to ttrswt. sFdotae ]owl ael8aott m at dhe time ittenb- A0a00� 1+t pnnetssan�at JC L CR tD erb or i°��0� 7O� wocnd siohts X /�btme is am! !toad Bmrmat QI aad GmWr o1 ssaoftt and Q 8 tia a 1°tmd=dna< Ali ��4 1�atn leftet jwvcd Aced NUN& Nam _ f.. ti. , ere, a`•,.r.,.�.ti.,�+*-Ys:1a� a-c. ... -,.p�, s ,.«. '•,-� �"+'�:''0(�p+rj�M��.3a°a.aM'�+a�!(!�rk': Nw.'�•:�*;ss'rX+.�. �y.is.f: �� ir. .� � „�;•.e� 't+ A r#z $.,.I}' i• ._ ... ,:.p ... '''''�. 'R '��''�c ri�}2!x;3n�3 ,� ,L+' !.'4ry `Y-�f4'� r", �, SALES AGREEMENT ORDER NO, BENNETT Fully Insured - -- DATE IIIIIII�''''' FENCE & ARBOR, INC. 377 Whites Path • South Yarmouth, MA 02664 �dIIIIIIIII 508-398-9992 • Fax: 508-398-5154 / /�� NAME SHIP TO STREET STREET CITY STATE ZIP CODE CITY STATE ZIP-CODE INSTALLATION _ HOME PHONE BUSINESS PHONE TELEPHONE NOTIFICATION " STYLE N0.OF RAILS HEIGHT ON YOUR PROPERTY IN ACCORDANCE WITH QUANTITIES AND LAYOUT SHOWN BELOW QUANTITY DESCRIPTION UNIT TOTAL r- ' / l C 7/rV/ SA Ilia a11+41 1012Y ' 37.�"I r S"" TOTAL SALE DEPOSIT XN' �� 406 ESTIMATED TIME OF INSTALLATION TAX BALANCE � TOTAL On Completion ONE HALF WITH ORDER BALANCE ON COMPLETION 1 . f \33' ��J All quotations subject to conditions beyond our control.CUSTOMER IS RESPONSIBLE FOR establishing property lines and fence lines,and conforming with local zoning by-laws.Bennett Fence is not responsible for damage to underground utilities,septic systems,drain pipes,or propane lines,unless notified in writing by the Customer as to their location,before work is started.This quotation does not include costs met in extraordinary conditions-striking ledge which may require the cementing of posts or the use of a compressor for drilling and pinning posts,or clearing trees,brush or other obstructions from the working area.This contract embodies the entire understanding between parties,and there are no verbal agreements or representations in connection therewith.All fence materials remain the property of Bennett Fence until final payment had been made.By signing this agreement the customer gives Bennett Fence permission to enter the property and remove any or all fence materials if final payment is not received. BY J ACCEPTED BY On accounts over 30 days,finance charges are computed at a periodic rate of 1 1/2 per month-Annual rate at 1 B%-Plus any additional costs incurred for collection;including reasonable Attorney fees. ` Town of Barnstable y�Q�pF THE T�~�.n Regulatory Services swRxsrner.E Thomas F.Geiler,Director 9 MASS. 1639• ,m Building Division ABED s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: i o ii x�;10 " JOB LOCATION: number street village .HOMEOWNER": �i Vh ��C e jGr-C- ya1-oy kG 56-ir-367- 323d name J ^ home phone#G work phone# CURRENT MAILING ADDRESS: 3s city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual 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 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 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 l09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ' Sigrdture of Homeowkej f 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. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner 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 the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed 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 form/certification for use in your community. Q:forms:homeexempt Town of Barnstable � a Regulatory Services NAM i.E Thomas F.Geiler,Director p,E 639.. � Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �l Map/Parcel: 00- 7 — 0700 Project Address N CCE J Builder: The fol owing items were noted on reviewing: //US'TI�z G &,a GO G S 5� !`fNA 'mil S7 1V9:j!5:7-- t .Sif X-65 (� o �L o U� oc- D • S /3 G !Z 6-- Co (22 - - K A • { �� Reviewed by: Date: Q:Forms:Plnrvw Assessor's Office(1st floor) Map 607 Lot Permit# Conservation Office(4th floor) g� 1�9-.�+ 4;e o Issued (o to 70 Board of Health(3rd floor)(8:30-9:30/1:00- ) . a(J Engineering Dept.(3rd floor) House_#1 St SEP`Ti �� Planning Dept.(1st floor/School Admin. Bldg.) �►. �� Definitive Plan Approved by Planning Board 19 EoVI ONME iE AND TOWN OFBARNSTABLEMM REGuu°��®�� Building Permit Application Project Street Address t 9 1) o i e,e- si. Village &A,()I+ Owner tr` C(L�� Address r- Telephone q2O Sty .Permit Request Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Vo cigt G cat3e l cX A61 Commercial Residential ✓ Dwelling Type: Single Family y/ Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House No Unfinished ✓� Old King's Highway Li Number of Baths cZ No.of Bedrooms :3 Total Room Count(not including baths) ffa First Floor 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. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Alk SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #4174 DATE ISSUED June 6, 1995 MAP/PARCEL NO. 027.078 ADDRESS 19 Daniele Street 5Y; -IN VILLAGE /'Cotuit, MA 02635 OWNER Christopher J._ Olsen IV DATE OF INSPECTION: FOUNDATION FRAME , t INSULATION FIREPLACE.' - ELECTRICAL: ROUGH:; -FINAL , PLUMBING' ' #ROUGW-' -FINAL GAS: ROUIhM ;:.' "FINAL T F(INAL BUILDING i i . may. ,A • e DATE CLOSED 0.40t ASSOCIATION AI'NO. I ; c am '�� '� P,pF THE ipy,� The Towel of Barnstable BAN`18TA6LH. : MASS 0a Department of Health Safety and Environmental Services 9 . i639 �0 "lFo Mai Building Division. 367 Main Street,Hyannis, MA 02601 . Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: 0,6,5tr%-*�ef OlSern Map/Parcel: Ca Project Address: Builder: r�Wrte(- The following items were noted on reviewing: �j. 0��r d��►,6��=. n,u�?- en�e►°dr� 46 � r�a'�n s rv��sr� �enc� �r�J-i. $ �i ,54L 1 e1 rrvl�� m�lvr-1 f0 vac IEx.rnir Q(N&r coyicrck- 5k6s (,®!'. , 3 : '.. W be-C inn, s3-rUcA-uM\ -b\-C-e-k M"s-t' irc,.r►' e_ P Ar- n e e r; ® 4 L, 4 c-e-S5 rwo 5 A-- be- �v v e d e� ove-f 5A-o ESPR� C'ng i e-N 0i0kc P. and c 16r-,, e imp ors — SUnrooryn (-103. ql L 1 bl (�S G re5J I-� �f A l�� enCca4chm2ni' Fin 'Set" bac..K �eci�1�'r'e.r�-�e.n�-- cs�ov m�s 1 f�C�f yC. 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Tt •te•:it<:. .......:..............:.........:...a....rr...:..............:,....,....:...:•..:�..:.•Y:{r..;..i::.,x,.•„{.^,:.:;}!} 2.,;�.,:+'•±:•::.:.r:cfh•Ya:.t•:::;.•QLi -:��'t:,••::y:.:.......:::..... :::]:;{•>ft•:. •{•:{•r;::.:,.:.;•.:•:r.•.i:+::...:.}•i3 r.:•:^•#,tr.?•:,:!•:{Lr.+.;.....;;?:•::......;.:•:..c.....r......,r.,.,•r..:..r::'•�:±.:J�})r•: :••}::..•x{':�$F::r;e?f:�:$•'.:;3$;7.{i:i:`J;,yi;F{V rr t::.,r......, .,...r•c}••r::.... ..:::..: :1TiJuY87fG Coy:;' i;:?a:x•f::7r:{{:•±::sf• i?t:],:,:., {::$::7:;:::<•. ,•:::`;?±}: enslties or-$neap to si soo.00 and/or Failure to secure coverage su req edunder Section 25Abf MGL 152 cari]rad to the imp Rauction of criminal p one years'imp�sonmc weIl vil penal es in the form of a STOP WORK ORDER and a fine of S100.00 a dap againstrne ItmdersLandthat a' be f ed to Ofnce of Investigations of the DIA for coverage verincation. copy of this s{aterneat . • _.. , . • '. thy-the-in ormatian- rouided_abnue.islcu�aisd.eorrect I da hereby-e wins- d- enaldes-of-Perjury• f P - 63 Date w � Signature ... .,. , •" }�,.. PFione# ' Print riame . afSdaluse only do of to' ea to b e completxd by city or town offldal _ ,,i .' - ••'permit/license# �Buflding Department v f city or town: Q S el eeeCL-ling B Ce cantact persoru L .T.nformation and Instractions Massachusetts General Laws chapter1 a section ee s.fie as employers all eery a soa ME the serviceers' compensation for of another under any their rlovees..As_ciuoted from the `law , an employee d every P .. .of fiLire,'express or inxPlie or or e Partnership, association, corporation or other legal entity, or any two or more of An employer is defined as an individual, li hip _ the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee o£an individual,partnership, association or other legal entity, employing employees. However the owner.of a ... dwelling house having not more than apartments and who zesides therein; or the occupant of the dwelling house of another who employs persons to do maintenance,construction o �d d to be as employer.work on such dwelling house or on.... Founds or big appurtenant theretd shall not because of such employment MCrL chapter'152 section 25 also states that every state or local licensing agency shall withhold the issuance br renewal of a license or permit.to operate a business or to construct buildings coveragee quired�Additionallyth for any pneithbrthe� h� not produced acceptable evidence of compliance with the insuran e commonwealth•nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. / 01 i ... , Applicants on an(f please fill in the workers' compensation affidavit completely,by checking the box that of insurance as lies to affidasvitstrmaybe pplg companq names, address and phone numbers along with a certificate _ _. �bmrttedto the Department,of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The'affidavit should*be returned to the city or town that the application re arr Illeding the"lawcot if-yQu being requested,not the Department of Industrial Accidents. Should you have ay questions g aie required to obtain a iiorkeis' compensatidnpolioy,please cill;the Depaitmerit aathe number�listed below:. NAM City or.Towns be sure that the affidavit is complete and prirtted legibly. The Department has provided a space at the bottom' ' te Please regarding pp affidavit for you to fill out in event the Office of Investigations has to contact you re ar the applicant. P ......rmit"%license nil nbei wliichwill.be used as a reference nvm�'ei.�Tlie affidavits may'Eie're `_"t�•,. be Buie. yemaiT of FAX unless other arrangements have been•made. ' r:• . , . -ti the Dep _. _., ,.• :r• . 5. r ations would like to thank you in advance for you cooperation and should you have any�uestions, . The Office of Investig. . _. �,. .... please do not hesitate to give us a call 'Dw Department's address,telephone and fax number. - The•Commonwealth Of Massachusetts ,-Department of Industrial Accidents _ • ptflce of inYesilgatlans • ^��; 6N Washington Street Boston,Ma, 02111 fax ff:'(617) 727-7749 "",no 41• e6171 727-4900 eat. 406, 409 or 375 °FtHE�° Town of Barnstable Regulatory Services RAWMnsX, Thomas F.Geiler,Director 039. �� Building Division lED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, e-existing owner-occupied improvement,removal,least ut not more ction of an addition to any thanfour dwelling unit or to structureswhich are adjacent to building containing at least one b such residence or building be done by registered contractors,with certain exceptions, along with other requirements. �-1_� D Estimated Cost o off° 00 Type of Work: fir � Address of Work: 9 Ni�� _ r �- L Owner's Name: In n1 OZ sr nl Date of Application: 3 I hereby certify that: Registration is not required for the following reason(s): nWork excluded by law ❑Job Under$1,000 Vilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED OVEMINT WORK DO NOT CONTRACTORS FOR APPLICABLE HOME OR GUAR T�'FAD UNDER MGL C 142A. ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ' Date Contractor Name Registration No. t a Date Owners_.arr_e prsscsip�+' s py�cstss for d"sad T s=uh Sai1dlsts tad��°assS F� UM MAXIMTim �,� �Ivoc Ssaam�a� 53� & a� Ce • Qlaring . Glaa.aS zlin� R-��i Firvxlu� RWAU A Ain' p sga 37US 1.6500 . 33. 13• 1Z.4 0.40 3 19 19 I0 Es A M2 1J I9 10 ' — 525. . S•a-- — u ��- Now - 1J T 1S%. cis. 31 19. S9 10 6 EJAFLE Tl •15'/. 0.46 is 13 ?S VA WA ZS AFVE • y 1S/. 0.4•� 31 10 i w 13Y, 03Z 30 19 14 75 ?1lA WAt X f E'/. 0.31 3E 19 u WA A 3>< 90 ARM 0.4Z 10 i:. Y 1El. QAX 3t� 13 19 f AFU$ to A1+ 1 EY. OJO 30 1 ADDRES5 OF PROPER'n- Ca �'� ��3 EFUOR WALLS: Fsf- 2, SQUARE FOOTAGE OF ALL - T 1 3. SQCIA$.E FOOTAGE OF ALL GLAiNG: 1 S 4, /6 GLAZ AREA(#3 DIVMED BY SELECT PACKAGE(Q.. AA-sac chin ataave): G ENERGY'REQL�M�ZS NOS: •OTHER MORE INVOLVED YXMOD S OF D , ARE AVAILABLE-'ASK VS FORTMS WOMYL T1ON. BUILDING INSPEcToRAYPRQVAL: ' No: • YEs� . , 4;{o�ns.g?803�3a , Footnoie's to Table'J5.2.1b:' I Glazing area is •the iatio of the area of the glazing assemblies (including sliding-class doors) to thelgmss and basement windows if located In walls that enclose conditioned saw but ezcld d.frnm the U-Value requirement. area, expres5pd as a percentage. Up-to 1% of the total gl=z nng area. For example;3 ft' gf`decor•ative glass may be excluded front a building design with.300 fls.of glazing ! After January 1, 1999, glazing U-values-must be tested and docUme'n d b}'the taaaufacturer in accordance wive the Naclonal Forieswation Rating Council (NFRC) test Procedure, °r taken.from Table 11.5.3a U-YalucS are for whole units:'ccntcr-of--glass U-values cannot be used. I full The ceiling R-values do dot assume a ralsed,hout campor oversized tr W construction. If the cube substituted for insulation thickness• over the exterior walls wit . rrssi°ts; R 30 insulatioa may itisulatian and Rry -33 insulation may be substituted'for R�9 4wAatlott. Ceiling R-wal a use t thebe S-d b rween insulation plus insulating sheathing (if.used). For.ventilated cxe!Ungs,.iz tmg. the conditioned space and'the ventilated portion of the.roof. shy, king (if used). Do not include 'Wall R-values represent the sum of the wall cavhy.iasulation plus insulatrng ent could be met EITHER exterior siding, structural$heathing, and iiiterior'drywall.For exataple, as A 19 z tau nquiremens3 'apply to by R-1 cavity insulation'OR'R-13'cavity �tion plus &-6 ��appl°�me�:�e construction. aso to , i ass concrete*is ar5'� � emcees, -frarize or m ( ces has od a �'�'O 'ed =s such as uac-ondittoned erawlsp , to floors uncanditton spar •e e floor're uiretnents apply • Th 4 . e' eats. or garages). Floors over�outssde air must meet the ceiling r�cquireni . 6 Trt:e entire opaque portion of any individual basement wall with as average depth leas than s below of conditioned me_t the same R-value requirement-as above-grada walls. Windows and s ding door oors a requirement bc,ements must be included d+ith the other glazing. Basement dears mu st m d-scribed in Note b. ' The R-value requirements are for unheated slabs,Add an additional R-2 for heated slabs. to ' if the building utilizes electric resistance heating use compliance approach 3; , r 5. If yc-quou menanwith the lowest' than one piece-of heating equipment or-more-than one pie of Iext� g� P efficiency must meet or exceed the effi' ieney required b?' e. 'For'Heating'Degrec Day requiremdnts of the closest city or town sea Table 352-1a. , NOTES: a) Glazing areas and U-values are maximum acceptable.levels.Iwulation R-Values are minimum acceptable levels. R-value requirements are for insulation only and do nqt include str==:rZ1 eamP°neats. than,035. Door U-values must be tested b) Opaque doors in the building envelope must have a U-value no greater c �c or taken from the door U-Value and documented by the manufacturer in.accordance with the aluc test fp:r r that door is not available, include the d'obr contains lass and an aggregate U-Value rating the door.- glass 11.5.3b. If a g e com fiance of in Table o U.value to determine p glass area of the door with your windows and use the opaque door , one door may 6e excluded from this wall, ��zdgr.'or cM have e w�comui ponent includeser than two or more areas with c) If a ceiling, wall, floor,basement , to different insulation levels, the component complles if the area-components.fted comply i the tarewo9ghted m°elv -value re' uirement for that component Glazing or door doors . . the R q meat 0,35 far ) the U-value u value of all windows or doors is less than or equal to �q , _ 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ✓New Buildings,Additions $50.00 Alterations/R ovations $25.00 Building Permi Amendment $25.00 r' FEE VALUE WORK ET ✓NEW LIVING SPACE 371Q) square fee x$9�.6/s�.foot= 3�Z�8 x.00 plus from below if applic ble) ALTERATIONS/RENOVATION OF EXISTING SPACE square feet x$6 sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 5.00 >500 sf-750 sf (728) 5 . 0 50.00 >750 sf- 1000 sf 7 0 >1000 sf- 1500 sf 1 0.0 >1500 sf-Same as new building pe t: square feet x$96/s foot= x .0031= i I STAND ALOE PERMITS Open Porch i x$30.00 30.00 (number) Deck x$30.11= (number) Fireplace/Chimney I x$25.00= Z5.00 (number) Inground Swi g Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee -1•ti9 projcost L The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print -e DATE: W7978159 Z I Z�. 002— JOB LOCATION: 19 Nmlc-. Cnrorr number street village "HOMEOWNER!': iSAVPHP%j •1-CAIWL O"CM f5ok>20•5005 Lf 3b2 331 Z name home phone# work phone# CURRENT MA=G ADDRESS: 19 AAnlgtE e smee;ET CMIT MA 02b35 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual 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 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 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 State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department m;n;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. SignaEuurre of HWKhner 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. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner 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 the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed 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 form/certification for use in your community. O:FORMS:EXEMPTN 2 k '.16663. P:9.19.9 4'r.3934 ' s...� DEED RESTRICTION II of WHEREAS, 1dill r (owners name) MA (address) is the owner of 1 � '` Cn �'^�% ACt- located (address) at MA (hereinafter referred to as and.being shown on a plan entitled "Subdivision of Land in ��ur, iurf� ©a AST-a I L —MA, Properly of .l o N A • ,e�� , et al, duly recorded.in Barnstable County Registry Of Deeds in Plan Book .,240: ' , Page S�s.��v/5�o1►�. �3a8 Or on Land Court Plan Number WHEREAS, L5fA as the owner of said lot has (owner's name) agreed with the Town of Barnstable Board of Health to a restriction as-to the number of bedrooms which can be included:in any home built on said lot as a pre-condition to obtaining a disposal works construction permit incompliance with 310 CMR 15.000 State Environmental Code, Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage; WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a disposal works construction permit for septic system in compiance a with 310 CMR 15.200,,State Environmental Code; Title V, Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing the issuance of a building:permit for the,construction of a single family home on this property, is requiring that the agreement for the restriction on the number of bedrooms in any house constructed on the lot be put on record with the Barnstable County Registry of Deeds by recording this document, deodr NOW, THEREFORE, 0R)4TM4-- I (44 L does hereby place the (owner's name) following restriction on his above-referenced land in accordance with his agreement with the Town of Barnstable.Board of Health, which restriction shall run with the land and be.binding upon all successors in title: 1. I9 17Au)5iF _,4r. 6g;,1n MA �.� may have constructed (address) upon the lot a house containing no more than r qOd (3) bedrooms. OLSrI,! agrees that this shall be permanent deed (owner's name) restriction affecting ' q located ebT'u r MA, and being shown on the plan recorded in Plan Book 2870 , Paged '95, Or on Land Court Plan For title.of 19 PA S'r see the following deed: Book 698 , Page r Lad ourt C 'ficate of Title Number Execute as a eat d u nt day of � J O sign re Owner's s nat re z Owner's signature �)> o<m mom COMMONWEALTH OF.MASSACHUSETTS � Ago Then pe s nally ap eared't;e above- ' m, known to me to be-Ith <person who executed the foregoing instrument and acknowledged the sam be free act and deed, be re me, Notary s y My commission.expires: ri,E a�� r era _ I�� (a1AM E.6�'Pi'1f�4� UT, (date) xoTjR.YPuBqLpIC ' �r Fis _t.+ x - t��CiY'h7fYUJJ1U1,WUew lLD.13,� deedr BARNSTARLE REGISTRY OF DEEDS e yx 43= as z iyx y ,rc. 2�n a 8 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 3"1'9 square feet x$96/sq.foot= x.0031= 1ti plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) �jtoec,�� GARAGES(attached&detached) 11\0o square feet x$32/sq. ft._ Lid.6J9 x.0031= I yq t ACCESSORY STRUCTURE>120 sq.ft. >120 sf=500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS OD Open Porch I x$30.00= 0 (number) Deck x$30.00= (number) of Fireplace/Chimney i x$25.00= � (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) 13 Permit Fee �� 15.0' 47.0' z z FOUNDATION v, 00 o EXISTING 15.2' °O oo o " DWELLING - 38.10' o� v, 0 f 0 HSE.N0.19 125.00' N 32012'12"E DANIEL STREET V certify that the foundation shown on PLOT PLAN OF LAND this plan is as it actually exists on the LOCATED IN ground and that it conforms to the town of C OTUIT MASS. Barnstable zoning regulations regardin yard setbacks." OFF PREPARED FOR �� r VIRGINIA LANDRY o CHUARLES �\ ATE:JUNE 1912003 SCALE: 1"=30' date.June 19,2003 C-D SANlC<. APE & ISLANDS ENGINEERING flood zone [non-hazard] 28085 danielst19 MASHPEE,MASS. GygL LAND Si' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �227 Parcel Permit# U r� Health Division g "l I a Date Issued 03 Conservation Division �? ;- .; 1 I Application Fee v Cab Tax Collector Rn 0 a rj k — Permit Fee I i 3 Treasurer _ � = 3:.'-__` `' ,j;.,:.,.,i'. . �' 1 -SEPTIC SYSTEM MUSTEE L, st C i' Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL COOS AI L Historic-OKH Preservation/Hyannis TOWN RECULA,ImId'S Project Street Address 19 1:�4mYgL5-E 5-rg6eT Lw mrs 2W , 25 + zi- Village ro-ru11- Owner C44 P,I=W99 + 1'4W L 0 Dill Address - _0 bf rWag Sjg6eT • CMIT Telephone ko f1 ) q 20- 500.5 Permit Request &N11'lojj OF f�IMILY IZOOM tc rfH -riglo 64a 6ASi&S-, WITH S-roRA67E LOFT �2 ► 720 Square feet: 1st floor: existing IZOO proposed 1ID0 2nd floor: existing BD0 proposed Total new Zoning District Flood Plain ZONE G Groundwater Overlay Project Valuation Hb' onD Construction Type Woob FRAME Lot Size 6.5i 6oO 1.56 ACt2Es Grandfathered: ❑Yes I#No If yes, attach supporting documentation. Dwelling Type: Single Family 9 Two Family ❑ Multi-Family(#units) Age of Existing Structure 1) �EM--'> Historic House: ❑Yes ;V No On Old King's Highway: ❑Yes A No Basement Type: ;A Full 2§Crawl ❑Walkout Other U- ��c�Co�b� c�2pw�Cµ�w Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) 12..00 379 Number of Baths: Full: existing 2 new 0 Half: existing ® new 0 Number of Bedrooms: existing 3 new 0 _1 Total Room Count(not including baths): existing 7 new I First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes All No Fireplaces: Existing © New 0 Existing wood/coal stove: ❑Yes 04 No Detached garage:Cl existing size - Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing 4 new size 2b X 26 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes JW No If yes,site plan review# Current Use fZFswri-riAL Proposed Use R�Si► raTtAL t rd rn evcOh r" BUILDER INFORMATION .7 7-a3-3 Name 049i S 1 e PH g tQ 01-5F U Telephone Number 1 500 q20- 500 5 ---Address I9 pAm I ELr= 6T' License# coT u1T 40 A a26 3-f Home Improvement Contractor# l Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 __SIGNATURE / . DATEn L, FOR OFFICIAL USE ONLY 'ors PERMIT NO. DATE ISSUED " MAP/PARCEL NO. - — may• r ADDRESS- VILLAGE r OWNER DATE OF INSPECTION: , FOUNDATION L G FRAME lei OS Llj- 7!'jil :� G 6 3 •r FIREPLACE_M Zhqlu C � ELECTRICAL: ROUGH FINAL r - PLUMBING: ROUGH <; FINAL GAS: ROUGH) •. ?t ` FINAL FINAL BUILDING � d i � � ` • , DATE CLOSED•OUT %. i ASSOCIATION PLAN NO. ' , r I, TOWN OF BARNSTABLE 33427 � .Permit No. . Faun Cash BUILDING DEPARTMENT TOWN OFFICE BUILDING ($5.00...0.0.).. rj'I3f10 ... . . . . I ''taut" HYANNIS,MASS.02601 Bond t CERTIFICATE OF USE AND OCCUPANCY Issued to Christopher & Carol L. Olsen Address 19 Danielle Street { Cotuit, NgSs. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June b, 90 .......................... 19..................... ..... ...... Building Inspecto THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M AC L DATA TOF B { ARNSTA t(_E, MASSACii- ZTTS DATE 19 i A •APPLICANT PERMI T T, NO. ta: . ADDRESS (STREET) PERMIT TO 1;lli+d iwWC j„� ir; ICONTR'S LICENSE (TYPE OF IMPROVEMENT) (—�) STORY '.i':.. �W:.,�. ^, ;, NUMBER OF - -�� N0. (PROPOSED USE) DWELLING UNITS 2" AT (LOCATION) (N0.) '(STREET) b ,.t.ri�. ZONING' �1 BETWEEN DISTRICT—_ • (CROSS STREET) AND, SUBDIVISION (CROSS STREET) . LOT BLOCK LOT SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT, IN HEIGHT-AND SHALL CONFORM IN CON$TRUC7i f I ; 10 TYPE USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: 1.1 :t;'f i'r (TYPE) AREA OR41, �y /' d 7LUME '34 )� l�ll s : J� (CUBIC/SQUARE FEET) ESTIMATED COST PERMIT' UWNER i.i2C'i.1 =iib1 FEE 1:_. 1.1 WJDRESS ii ill) i�r-i v• " .. ;r t . '' �'• BUILDING DEPT. BY ( i lr�� }') ' Y t THIS PERMIT CONVEYS NO ERM AN ENTLY. RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR. ANY '.PART THEREOF, ,• p ENCROACHMENTS ON PUBLIC PROPERTY,a04Ep :JURaS01{ )p ;;: TREH7 OR- NOT SPECIF gq�rL�y PIER )I 'FROM THE-DEPARTMENT ALLEY--GRA-D�E-S--AS WE - MIT.TED-UNDER. EITHER TEMPO.RARILY`OI OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLIC13 IANTNFROMDTHE CONDITION F ANYAPPLIGABLE SUBDIVISION'RESTRICTIONS. T 'ANEfLOCATiON'GF'?UBCIC SEWE'F�$'Mg1.�E-0BT7CINC', _�ttCUST 9F•e•p N,INIMUM OF' 'THREE CALL J! JSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE N Cy } ^'.L CONSTRUCTION WORK: ~" CARD KEPT POSTED UNTIL FINIAL INSPECTION HAS BEEN APPLICABLE ,SEPARA.��' FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF PERMITS AREA RE r ':.'PRIOR-.rTO C V-EKING SS-IN C,T U.P AL REQUIRED FOR MEMBERS(READY 70�LATH),. FINAL QUIRED,SUCH BUILDING SHALL NOT EjECOCCUPiED UNT MECHANICAL INSTpMBIATIONS.D a OCCUPANCY.iSCy CTION BEFORE FINAL INSPECTION HAS BEEN MADE, POST THISCARD SO IT IS VISIBLE ` BUI iD NG INSPECTION APPROVALS PL FROM S T R E E T UMBING INSPECTION APPROVALS 444517 ELECTRICAL INSPECTION APPROVALS - G 2 I n Q 1 Plg� 2 l 23_9p l� I 1 N HEATING INSPECTION APPROVALS r ENGINEERING DEPARTMENT s � i OTHER P� 'S 7.. h •�P,f 1 I ^�.3 ,, G 0 BOARD OF HEALTH � r Q.I/�.7. • WORK SHALL NOT PROCEED UNTIL THE INSPEC- PER i fly ECOME TOR HAS APPROVED THE VARIODUS STAGES OF W O R K I S N O T S T A R T E D NULL AND VOID IF CONSTRUCTION CONSTRUCTION. I T H I N SIX MONTHS 0 F DATE THE INSPECTIONS INDICATED.ON THIS CARD CAN BE PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN J} NOTIFICATION. 1 i � •� +."�. :xr< :,��. A;z `.'',�w.r x a,„.r"`'�Y z'.�?. � R � �+� •s1"+w �6"4��I..p,• - �� "�W% �, F BARNSTAOCE,'MASSACHU M S *. l4 ' rz t DATE 19 PERMIT NOa z. "rat APPLICANT 1e I 3 " ADDRESS y #ems*F�34Ti1 �" . +..ate v _ - (N0 ) (STREET) A• J PCONTR S,LICENSE) - PERMIT TO 1l3ZIC� dweZlb`�), ( `_'1 ) STORY > !. t.3 t.''•" dw 11 !.,!,L NUMBER OF . ^ i a] � r � "...`- 'i;�-•� .141`" (TYPE Of IMPROVEMENT) NO. DWELLING UNITS - �` a. (PROPOSED USE) r ]( 'AT"(LOCATION) ; •�tj9 ..� C:- 1.; .`I i �:.. .. ... t 1. -<'-1; f tCl.'li;.' ZONING'.';.; (NO.) (STREET) DISTRICT � _ -W:. BETWEEN - AND. , • (CROSS STREET) :. (CROSS';,ST BEET) SUBDIVISION` LOT'*'1 s✓ °s 4-: LOT BLOCK SIZE AI BUILDING IS TO BE FT. WIDE BY FT. LONG BY 'l FT..IN HEIGHT AND SHALL CONFORM IN CON STRUCTIC I O TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) . y 1 S��V:�� AREA OR M VOLUME } 1.384 :iC7. PERMIT ESTIMATED COST $ FEE(CUBIC/SQUARE FEET) - DINNER y Sur w Dr ik I d i i]f.r 40DRESS�-r a } j `i: l)... (�4`--+' BUILDING DEPT.' wu # ..THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR AN 'P,ART THEREOF.EITHERygTEMPOR"ARIL'�Y,,O }* rERMANENTLY "ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPE.CIFICA"LLY PERMIT-TED UN DE:R.TH.E�B.U.ILD.IN E' .7_U:R#Sii FG =IG/1.="arTR E E T"OR-'TiL-L EY "G R'A DES-!i$ W E-cL—.A9--L}2-FAT H'7CN"g'-(_O C A T i O N-'O"P"?V Q LI C�:S t w ,S-j�TAE p gT-a C S ✓Y OM TM£ DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT..DOES NOT.RELEASE THE APPLICANT�FRsOryt=THE CONDITION F ANY APPLICABLE'SUBDIVISION RESTRICTIONS. NPNIMUM,>OF. THREE CALL-- `INSPECTIONS `v �i�' . REQUIRED FOR -"� APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE ;SEPAR;�"�, si_L CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINIAL INSPECTION HAS BEEN PERMIrs-'ARE'+REQ'URED PpOR+ FOUNpq.J.IONS OR FOOTINGS. ELECTRICAL, ,'PL'UMBING KND� - OADE. WHERE A CERTIFICATE .OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONSb `'PRIpR' OV'E-RING1,$-LRUCTUPAL U.LRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL a c MEMBER' l#EADY TO LATH) Y �. •3.,FINAL"-INSPECTION BEFORE,-" F DE, IN HA BEEN MA it $ �."OCCUPANCY. - 1` POST THIS CARD SO IT IS VISIBLE FROM ME' BUI ING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS - q 2 ��QL P15, 2 11 . A ` 1x 2'3.9 O (/ �' HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT n,. at#c .90 io { f l OTHER /ter'7�OG (- 2 r"� ] BOARD OF HEALTH g a r+ r WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION , TOR HAS.APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN B CONSTRUCTION. PERMIT iSISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR-WRITTEI NOTIFICATION. i "" 2 r � F BUILDING PERMIT 90. 3 a7 DnTr�/��Li2 ASSESSORS' PARCEL NO. 79 CONTINUATION OF ROAD BOND 1 The undersigned owner/contractor hereby agree to maintain their road bond in, I force until the following work items are completed to the satisfaction of the Engineering Section of the Deparent of Public works: loam and seed shoulders as. soon as' �. ##' weather permits: bother (explain) LOCATIO::: SIGN "PiEp l CO':TPAC'OR) / (print name i 4 n E .GI_3Ez .�G .AC"" �' �r.ORI _ON 7 i'x "3"r :. �+ a �u4'"- a 5• t»aa^alb: Rom, 't � h � .�i� AM BUILDING PERMIT NO M334 ate: " DAT:: ��%2 " _ ASSESSOkt. P�IRCEL NO,' �� —O 7� +� , x , CONTINUATION OF ROAD BOND k 'kRN } w:The untie signed owner/contractor hereby agree to maintain theor' road bend; in zi s ,_. a force" until. the following work items are completed to the satisfaction o= `the" Engineering Section of the Department of Public works: _ t , y 5� loan and seed shoulders as";;soon'. Y weather permits: (explain) Sla ED 7r s LoCATIO:: 'eF,r..,. J ^�-.'�w-�..' $� '� .._ .� •"i. '��: #'.a y�r3N^N' k �;s' £ 1.0 �' .�•>$, �r ��,� ,':.� } }^ F.aw -C .j 'eta v-. ¢t W SIG;.t.: zrN /CONTRACTOR) / (Print name xY y y p 'y"t �< *'4k� bg . '16 ;G 'AU7H0RI _ON F x 'A T ...... br 1 { t F-1 yr---I--I i --�r-»'-- {`^ E�j t i +. } t r t i ' ' ' t { ! r J I 1 t' t• , i d t a k r t` t ., r - -r { '`^. '1 i �•'.-.#:.r r L �"-'J -t—"":_" .� 1t r i t •-} x s 4r T s ) ._J,_1_-;:.�,. .. �-.}-, ' � I�1 r "l", t E=1 i •�`} �'r 4 = 3 t-�� .. .TJ" 2 1, ••j� iT 4 a } y r -29 i t. f- { i ..1 7 „ n 4� 4 t t ' .(� ..1;._f'.' ,i_.1"-t 4.. I }"i r r^j.r lrri -(-t-Ta r-"{ - i�•'> ,.. i/, �`� ,. .. ' 1fij .Y i � t •,�....r.._.1 ,�.,., 'F--F I. # ' i.'' #I t•�7. f :,.t.- _ t •�I ..' .��`�i `•�i-i N ` .Ij � � +, .# f +. a y-'" +� t I w � , 14 4! f':i �" ,ip `7 Al � }�{ r i�•E t + "�`r r .{ 7 �.t h� fi , K �r 1 1 l � , # f t 2 , { ,,..•�-+ t 4" .+'...'^.9"'t•...�.,.}--b-ur-..:=v.- 4 :;1`. ,d,a[�,. :,a ,�q,j,7.t 1' #'.� F ,. }-. -.i '�w'l rT ( W i Ll 1-4 a�•�,Y{ �.rt � �'{_�' I ' �'j „1 � f- � j r i_��F� t ', �--r �� ~' t .� t } ' d s �_ . �.. _ t ��n.trc� `�'-�; t.1 t ,--} -!-•fi 1 y i� t �--!T lyr: � t • '. ��'7,' �- �-•�'1 Ir'--�a, a- -t--t k--4 k-3-- � y � I• A_ t � „F ' t t�� + � -rYf # � # � t. �rlSjE `�it'r` , 1 t t +' r 1 t Y + « 4 {A747/1� ��aanonl LOC,4T/O�/ !tl�� co c1S .OWN yE�2EO.f/COtiI,dL YS Gfi/rh! /WALe-1 ' SETBA Ck c 9Cq T,E'�,�fyjTy/�V Tye .c.CoctaoG4%y - , �bT' Z9 ,�/� Z�-• �. .t y/Sl,.�lt%yS 7-. .E�AXTE�2E { _. B.4SE"p �N 4Xq i /✓ST,eljtf��T �2EG/S7"E,eE.p 1 _ SE :V TOWN OF BARNSTABL.E BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION N, P,l.ease print. DATE' �a�.t3l8g JOB: LOCATION I A -�-11)7 um er treet aaaress ection o T town "HOMEOWNER" CN�Qr�ToP�5,4 OGSfN '177- oa33 S9R��rAsc v�uq�f »� ame n ome p one Wor o pne PRESENT MAILING ADDRESS P,o, Sox 5S7 of `(sir V� Qf VO.}T,,. MA Iss �tlst, k i ty town ,? a a ipcoe The: current exemption. for "homeowners" was extended to isnclude :gwner-occupied '> dwellings. of six,.units :or. ess an o allow such �homeowpers; to en a e a nin- ivi ua for hire, who. d.oes not possess a license; provided that the owner ' acts-as supervisor. (State Building Code Section REFINITION OF HOMEOWNER: :Perso'n(s-) who owns a parcel of land on which he/she resides or' intends 'side, on which there is, or is intended to be, a one to six family dwellin , i.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 BuildingOff' on a. form acceptable to the BuildingOfficial, .official, ,for all such work performed under te buiidin that he/she shall be responsible g permi ec ion :The undersigned "homeowner" assumes responsibility for compliance,with•th Building Code and other applicable codes, by-laws, rules and regulations. e State ;The uhdersiqned "homeowner" certifies that he/she understands the Town of Barnstable Building Department %inimum inspection procedures and requirements land that he/she will comply with said. procedures a^d rcquir°ement , s. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,'`or'lar ,er 1 .to comply with State Building Code Section 127.0, Construction Control. be required Control. { 8 _ I ) HOME OWNER'S EXEMPTION The Code state that : Permit Is re that: °Any Home Owner performing work for which a building q shall be exempt from the (Section 109.1 .1 — Licensin provisions of this section g of Const'Home Owner engages a ruction Supervisors) ; 'provided that. if a shall Person(s) for hire to do such work, that such Home Owner act as supervisor. -, Many Home Owners who use this exemption are unaware the responsibilities of a supervisor (see Appendix that they are assuming. for. Licensing Construction Supervisors, Section 2.15) . This lack of aw • ss often results In serious � Rules and Regulations Unlicensed problems, particularly when the Home Owner hires. . Unlicensed persons. In this case our Board Person as It would with licensed Supervisornno The rHome dOwnernacting . ervisor Is ultimate) ._._--_„_ .. y respons I b l e. To ensure that the Home Owner Is fully aware of his/h communities require, as part of the e,r .responsibIIItles, many certify that he/she understands the responsibilities of a supervisor Permit application, that the.•Home � Owner last page of this Issue is a form current ) care to amend and adopt such a form/certification for use i On the Y used by several towns. You may n your community. •'��s � \\ � A6PHA T ..r✓��r ,. 4"ticoF GH ffEMI - _- -- . --- -- _ 7-,z I _ II W�C. BHIIJGLES - QJ -_v 2♦I _ - - -- - - -- LEFT SIDE ELEVATION I'-O" SEAR ELEVATION \2 E��-J EHf 'oVl Pof(AH� ASPIiA LT i �y Xb YJ AMS DENTAL MOY ZD ^pF f TCH - - I .>•Y.TCI'l.2ta31'�'>•r'R'rTT.TTt-T _TT1"l'rl'fTC1. -_--1?'r- ---- � .•.. -.tT4 -t 1:1TT1T IIr-1r�-I��1I IIII-�IIII- 1 Lt -- r. �Vfli a_na i �r 2 446 P. - INIE _ __ - CV'f'.C.Ohf1D.5 C111PL'OAR'UC -._-.. -- _- _..-_- _-__ _ i -- ____-- � �-- / -�,.�R•<=s _ --1L ( l FRONT ^ELEVATIQN �{'° 1.-O" 21GHT SIDE_ELE VATION �y"` I 0" _— —_ FARMrrS f CUSTOM CAPE,-- w PORCH OLSEN , CHRIS 9, CAROL - � � V,LAIJDQy N 17,023.:• `I'7'7- 8153 1 ELEVATIONS SHEE) .LDf 3 �F J � _ 1 I i • � �� i ... DECK pveswrc�ttd. 38'-O" 10'x la' 3B'-O 2442 2442 - 11432 3'.y� i 1 (( (�-� MULLioN co NrOR SrovK L.��'wKl chouTCn_- ��•-:-'.•; ]N• 36" Y'�r.. I. 9rr�n: _—1'wt.f - CLo i C10� LtoFAGE Y� j.PAM B'Y - 1 BEORaoM ess - KITCHEN I O DINWC QOOM _ c• - P I U` 'SNC LVGS' S:; _ I. o 1ox17 13'x 14 IS' 48 ' y 4 OATH -- { `x PATH 7-11 —_ 2/b (-' _ ,.7.8, - b 2/1 m FC�fN _ - O v,,,waV -. Lip �DN - I FRs Wvice v1Ac6 YYY ac .ao...� � - r urvir m n r �,_ _naeA .�. 16•�" - ,. 1 OD SfuOY ci0 --- - - ° BEDROOM • I C,O. -- 9 x 15' 0 12'x 16 LIV INC.ROOM �. -_i.� --- ------- 6'•o O 2442 o 2441 2. -TVP)nS 5 S -Im./,-x �NIEID _ 04 uY BEAM' - 124H6 IL, C) . - 94,E " VORcH 6xIB' YILs 6'AB' O C O M FAMILY IZAOM 12'-O 19 x 13 1-N"x6"aEAMS CATNEV"L CEILING w/RIDGE VENT' u/CATNEDfu1L -- CEILIAIG crew Y, .. 7_NI6 204b �. SECOND FLOOR_ '1'4 AF-11 .$0.Sq FF m�cN To crcwa nDOVCr FIFZST FLooiz. ' 3 8Dti'M. CUSTOM CAPE wV PQFZU14 OLSEN CWZIS ROL v.LANfi�'y �f71-0233 --FLOOR PLANS - 5HL-kT 2of�- ..�.. ..,..,...,. -_..f... .. ,w„:.s.,,..,.,.r,.r.»-. -a_ ...,.. _..^ - w:. ..•...-k.. ». ......«,,..;r,...�.,.. ,,..,o.,- .v'-r.. -- r.•e...............,.•...«.�......f�.._..,,... -..,r...� . , ,.,.-..�...« ...�... .» +r ..«-.M...,.*q, ' ry ' f I Y j 1 < i MEAGER II. fir_ IF IIb,-6•' I � oolz,>7rr; oJrnlL� , 10"Aooc FITCH I 1' 1 — -4^.. r I•L�,V�J''�Li3_.r�.=��_.4_s.�� _. a v��u... ..4 � - — 1 I , nitl'A I-HULK 4LAp 10°4ucf GT<H )l'IaGE LAUUVRJ AReA ' --- - _ I1 I Pl'I�. I I n 1 0l �°\..��,,`,` 6�.y•' 6�-4° I "b-9"• I. _ '��'��_. . '6�.1/° _ '. ']/4 L—iA Ft, 1D S i -TA I N f r-ram OVERHANG I I' 13I2'IAL.O�L ' R 2'X 13, ' - 1" 4"SIIoc 1 W1W 7 y" I r . _ N O'I READS _-- T' I_------, ~-- _ -- _ ,. _ MI.'I'/2I'k15F R5 3�2'I COL. — 0 o I t FRAMING DETAILS �`+�_..r.l�...,�'I ` %. \��4'1 I\I.�/J-G.1•`��'�I1,r(1 1//�( r-'P�—,.;(fi.-I,r.I_..✓�....,�..,//- �...,,.,,%u�.. /r<�.!fZ-I Y S"`.✓'•� 961I-'- 2H42 w H ,�.lfl 5YRcfMTc.Ac JaSA.N. 1M5E SL`IUVOWS ANDE25E1J T-A—ANC / 1D �-. —12'•O�I 9ga17GN 2.35 GTG vj'l 6A10521.132 (1)- 2H46MULLION DINGAM FOU N14D '-A pT „I ON PLAN OIN o -- -F \ I- L_ 36, STEEL RNTK � r f`-7 II{'7I}I'I I II y TAYAR Imo/ .t 9 I•II�I I+ (' .II1J1 I W ^i i1 iJ J" 9 LITE Y fl' I ( -ILSEnJ CEWQ WINUOW� L. L�li) 1...I11Y!��, (sTANOAAo) sexl1" CUSTOM CAPE w/PC)QCN g+ I/ 3- AIJUk L ni»,-�B l�.JllJitnun.rnum�zs� _ OLSE1.J 1 CHRIS 9,CAROL , �a3"-'' "' .... -.I <• �5 V.IFInJGRy Ha'),02.33 FQAMWGJFOUNDATION 50M30f3 1 P - I _ Lo7 5' 3/ 2,, - O �r Lo .29 o. 20,6;C 5 sue. rl". FUYUKL' 1' AQI A 00 OL 2,e-//tSc/ 1.�1 I L} 1-2��.� ` Q,2 3 3 SCALE", ,I 10 1 C;'� - ---------- - - - Q ------ - PA 1 -/ L2_... CT n S >p a� 90 �A Y Z I -�4qC \s4S, Or \ 2A O 25 n• `� / tdf Cr O9 r l N I 30 AC I C I 20 F a y o.. .. b 0 I •��q C '�C: �07: Ss5-SM NT SQ fr A3, 7o1 O 31 '96 So ---- - V / /O .y6 s ' 137�10� fig, (,y$ TOTAL =QFr -1 ' , 1 C 3 SE ASSE;S�hE/�T (2 �� q�IR�47 tdf5 300 FEET E►RX*TA5LF _ ASSESSo� 1. ,q Assessor's office(1st Floor): r ��7 �� }y ,� 0�� 0 THE Assessor's map and lot number �� 0 7 y 0* Toy o Board of Health(3rd floor): "r- �. Sewage Permit number 89-(a8 "' _ _ F4``V �� ®'I Engineering Department(3rd floor): / c'TL tb,°' House number _; � �, �91"9' ��®� Definitive Plan Approved by Planning Board — 19 .. '� 6 E LC pv 11M REGU ATIom's APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ti � TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ),I2 A 5IN F E / v TYPE OF CONSTRUCTION WOOD 19 i TO THE INSPECTOR OFBUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 19- C7AaI ELL E ST COT017 AlAsS o 02635 Proposed Use ROE 51 EWTIAL. Zoning District f Fire District 66-ryt" Name of Owner CHQ5 0Fh1;k J. +CAZL L-OL5&)J Address 40 9' SU DP_IyX AASNPEE AIA, OA19 Name of Builder SELF Address Name of Architect SgLF Address Number of Rooms is Foundation &&RED CQNCO-Erg' Exterior WW0 —SHIM6'1,96 JE GLA9139A1DS Roofing ASPHALT 614106LES Floors 'T LE + CAgi?10% Interior 514atgoas Heating 6AS FiZijp )VtNogi(f Plumbing T'V G 2 Fireplace MONI�7 Approximate Cost 69 0,00 / 44 Area Diagram Lot nd Building with Dimensions I Fee ��(/yy � �� So®. OLOT 080 CR 55 AC I taT•51, AC 1�/2G�Nf��ff �1 LOT 078 fi "f 7 AC NOTE; LOTS COM I F'D f3 !J O+ I FUTURE CO�I ST r T UTE GARAGE AReA I ONE SUILOWG LOT 0 ±Zl' FUU?400N i2 f2! T- � aoRcH�— LoT 07 q19 76,— LOT 077 Q 3 hi > onaaxE2 90.0 tc�eohone a25,0 12 5. o OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 9 IIA W,t t LLE 57^ . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name dn',, n, Ami 6t"a Construction Supervisor's License OLSEN, CHRISTOPHER & CAROL L. I No 33427 Permit For 1 z Story Single Fam; 1�, Dwelling 4I Location )a PA M QX* 5; :y Cowrr mA45 6PZ3s Owner. C-M)5T®P34--k J• I CMOL.L, OLSE1.7 Type of Construction WOOV MRAAE C4P9 Plot Oil Lot Of30 =s r 0 r December 27' e'19• � Y tr Permit Granted , c3 9 _ r� I ' e Date of Inspection y 19 . Date Completed�/ /�/ 19 # _ UNITED STATE *Xif '' t a � " �, 9�A« P"osta id • Sender: Please print your name, address, and ZIP+4 in this box • I 10WN OF BARNSTAWA "DING DIVISION , 9YANNIS*MAOMI ,►s,ti��ti,�,�!! x.., COMPLETE • ■ Complete items 1,2,and 3.Also complete A. Signature P Item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X` ddressee so that we can return the card,to you. B.-Received by(Printed Name) C. 6aq of elivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. fit""�d�l" D. is delivery address different from Item 1? teh 1. Article Addressed to: If YES,enter delivery address below: No s�Y 3. S rvice Type rtifled Mail ❑Express Mail c "````❑❑❑❑❑❑Registered PRetum Receipt for Merchandise S J ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) ![!j!1{7 0 0 6 0810 0 U0 0 t i 3 5 21 i7�15j i I - PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-rsao; Postal u7CERTIFIED MAIL. RECEIPT ra (DomesticOnly, RJ art m Postage $ M Certified Fee o M Return Receipt Fee PgHe rreark (Endorsement Required) O Restricted Delivery Fee r9 (Endorsement Required) O ca �y pti O Total Postage&Faes $ 0 p Sent To > . , l.Lll1 _ _ ----------- ---- - r- treat,Apt No., / j orPOBox . ... . �.. .�1.�_. s[ C ity.Sta ,ZIP- GaIYO� PS Form :00 Certified Mail Provides: (asienad)sooam+nr'ooes�++�oi5d s A mailing receipt ■ A unique identifier for your mailpiece { A A record of delivery kept by the Postal Service for tvYti i l �. 4Vortant Reminders: o Certified Mail may ONLY be combined with First-Class Mails or Priority Mail® ■ Certified Mail is not available for any class of international mail. += 11 NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3e11)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". let If a postmark on the Certified Mail,receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. _IMPORTANT:Save this receipt and present it when making an inquiry: Internet access to delivery information is not available on mail addressed to APOs and FPOs. I Town of Barnstable Regulatory Services • MUMSTnBLe. MARS. Thomas F. Geiler,Director 1639. Building Division 'Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 16, 2010 Timothy Rice 19 Daniele St. Cotuit, Ma. 02635 Dear Mr. Rice, It had come to our attention that the following pool permits lacked final inspections. Accordingly, final building inspections were conducted and the following permits were found to have numerous deficiencies. Permit# Address 200704588 58 Acre Hill Road,Barnstable, 200804959 Abegale Snow Road,West Barnstable 76939 212 Elliot Road, Centerville 77953 108 Althea Drive, Barnstable 77899 19 Daniele Street, Cotuit 78694 32 Stallion Way, Marstons Mills 79329 81 Jasper Road, Marstons Mills 84843 415 Race Lane, Marstons Mills 87648 437 Cotuit Bay Drive, Cotuit Failure to resolve these deficiencies by October 31, 2011 will result in this office taking further action to ensure public safety.These actions will include; but are not limited to, filing a complaint against you with the Building Board of Regulations and Standards. B Order, ey . La on Local Inspector (508) 862-4034 `�7s•i..ir 3w ,�« 1i + .•r..a Nw..�" . �r r..r:rt � j X�t�c?'ti� ;'°-' Y. i.�^. If if77-e4 Assessor's office(1-stfloor): d>f G��^ -,1 � �" 1NE Assessor's map and lot number �T C>�9 �^/� O �C✓/ of To � r Board of Health(3rd floor) Clf— Sewage Permit number P /6 ©t + Z BAH3ST&BLL i Engineering Department( rd floor): _ rasa 'House number 1 _ W; °o 1639. Definitive Plan Approeed` Plan ng Board _ / -.5 19 L! ��pY d• APPLICATIONS PROCESSED 8 0k 9.30 A.M.and 1:00-2:00 P.M.only r ,- TOWN OF BARNSTABLE. a w, n g 6U�� SING INSPECTOR ry o a - r APPLICATION FOR PERMI$O Ej 1%�''A S 9AMILY - .'i J3IF0 VQe)AA TYPE OF CONSTRU JION W,00V Q,,4A g: _ f 19 89 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location #4•.•- [9A N nE LE SP" COT U IT CIA 55 026 3 5 + Proposed Use k'F51 J25t4TIAL. a Zoning District !Q f Fire District Co-ruIT Name of Owner C140570049:12, J, +CAFbL 1- 01-59 Address - 4 5URr. D121uE . MA 51 PF9� MA, O=G Name of Builder 515LJ Address Name of Architect 15 1Ll Address Number of Rooms Foundation P6139Fl� "(3me arTP" Exterior I W12 S141Ie)6L�S t- CLAP130gP-25 Roofing ASPHALT 514110ALES 4 Floors 71tr -t CA►2PE�, Interior 549&ilirizaCll Heating GAS P1129D vi.F r a.,s 1 i.s Plumbing •P y C 2 RQT44 t, Fireplace 04ji: 4 Approximate Cost 591mn Area` 4w5--7 Diagram of Lot and Building with Dimensions Fee J/CJ , WT 080 .55 AC 51 'A c I l f. -rho-,, 01 N LOT 078 a q7 AC 3-LdTS 10/ylsloev 0 I GAOGi^ CON 5TITUTE is, I AREA I ONE 13UIt-01I'.!G I.0-1 0 31' Fi,,UNCATIoN t 5(.' .� 9 POItc_Hj- IoT 07g Ia' !� Lor 0711 I � 3 �In +I I a MAaKER +gyp ho e 9io•a 125.0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 19 DA N ! ! L ST'. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License OLSEN, CHRISTOPHEIR & (�CARpOL L. A-027-078` - , No 33427 Permit For 121 Story Single Family Dwellinq Location 19 24jU)ELL..E !97r COMM CIA 55, 02 o3S Owner cµRbSTo J, -t OROL 1.,OLSCN Type of Construction W002 FRAME C4M 027 0178 7 Plot 02 Lot 080 ©27 ©TV Permit Granted December 27 , 19 89 Date of Inspection 19 Date Completed 19 eat A& PERMIT COMPLETED 1/1/�, 26 LOT 25 - �N ' F.4 xLA 1 z o L O T 24o- LOT 28 m . . • 314T$ ze k� • LOT 2 .- C7 / -- -� OEM ' LOT 31 _ .;a ISWMANT \ . LOT JO ' a MORTGAGE INSPECTION plan For FLOOD ZONE. "C" ,-- LONE RF This V� Bank Use-only l'1: --� =44W �LE _ REGISTRY OWNER: & OM Q��Y; .DQl� . REF: , L BYER — — . PLAN REF: 280j25— —— -- — — —SCALE:1"— BO_' _FT. �A REBY CERTIFY TO BANCNEWENGLAN�J iUORTGAGE C IN THAT THE BUILDINGS OF Al WN ON THIS PLAN ARE LOCATED ON THE GROUND AS �`�' '9 YANKEE SURVEY ffN AND THAT~' l 'E ZONING LAW SETBACK IRE REQUIREMENTS OFCONFORM �� PAUI.A y - CONSULTANTS Y a OF ��R1ITSTA�LF Q M o ITH 3209a 143 ROUTE 149 AND THAT No 32ose i'. DO NOT LIE 'WITHIN THE SPECIAL FL00� H/A7ARD TONS MILLS. MA 02648 I % n c cunWT►T nN TtT. T-T TT T v A n T%A TL7T R 19 tZ `.�.,. „aP` J TF.T: d2A-0055 SWGE f W A)V , W 5'F �2O -rOTA I- 1 4 ) , ) — FROPJT ELEVAT100 2 -- F:0MPAT)0 (NEW) I - AN31V2Oo SE(ZIES (AND, 3 P FLOOR PLMJ /svkRM, - �A11� XI�SEF\j �AvV 5t21 E5 (ate D. .) ),{ LOFTI FLOOR PLA k,J _cUh TA C _ _ 19 - 2t4 q D H 2,l1l t 5 - 12EA}2L VTt Bf t -AJS_.M �.:1�. _t_-. 08_-_ '7_?:-__ :.2 �` . 12T, S.{DE ►� VA°fi"3o �f 1 -- 203 (AND 7 � SUmkM PR,gM.� �/�/�3 (!.3�510 �.L7_�- 3 2t414 6 MARRO 'l jF/9dui - GAkAG /L4iT FRAM - I �'" - 3 2 'x p C ��' /C-sm r 9 �" L EST" S 1,p� 1,E VATI O)J -- �- 2�3 ) o NA R 1?0,, .I fQ �b� BEAM ►Z a .H - ,MIC it, 1�0_mtbBD5.ArzouNv WINDOWS _ - WI Sf�,ir��r_ES t5R .CLA��,i9RS75 &0 MAT44 1,,X 1.:5T)4V G WITH Ir Ti13 A u©7ED pflCH I J A V P T �_ _ . w,a►via t�5 • 5 2y,� Si-1i��J.GL. LA N �j 03 (rf�OrQT. CON U 9 OVEfZ.i3AtJG;,. ;- i CAR P$oAnUS \jf r� f F -- 1.t — -- __ H0U S_� - --_-- _ __.__ ____._.� __ ._ _� _ o ___ ___._. IA ti M ii FT-------- „ o 0 �! 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