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HomeMy WebLinkAbout4698 FALMOUTH ROAD/RTE 28,I i' i rt> 1 Town Of Barnstable *Permit# �AZ6006AJ Expires 6 mont/as from issue date - Regulatory Services Fee" �. 90 78b1g Thomas F.Geiler,Director ni'�ye dO NMO� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 4+ www.town.barnstable.ma.us Office: 508-862-403 „- Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY J Not Valid without Red X-Press Imprint Map/parcel Number.G / 6 s Property Address1� m�yi�[�l Residential Value of Work�g Poo Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �J :s 7 y"y 1 xze 6 r V-C_4 ITO Contractor's Name Telephone Number - p Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor { I am the Homeowner '❑-I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to 6 v-J �7 Ckn 6 111 S , ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 4 ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 The Commonwealth of Massachusetts U Department of Industrial Accidents Office of Investigations 600 Washington Street - J Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly A . Name (Business/organizatiowlu&vidual): - �-`e .6 Address: WYM 666 'City/State/Zip:_� ���, M A. 00%86 Phone#: 60-9 1 ' Are you an employer? Check the appropriate bog' Type of project(required): 1.❑ I am a employer with 4. Z rI am a general contractor and I 6. (]New construction employees(full and/or part-time). shave hired the sub-contractors 7.2.El am a sole proprietor or partner- listed on the attached sheet $ & ❑ Remodeling ship and have no employees These sub-contractors have [:] Demolition working for mein any capacity. workers' comp,insurance. g ❑ Building addition i [No workers' romp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3. F n a homeowner doing all work right of exemption per MGL 11.0 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' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinforrnation: t Homeowners who submit this affidavit indicating they are doing all work andtheu hire outside cofactors must submit a new affidavit indicating such. tContractm that check this box must attached an additional sheet showing the name ofthe sub-contradors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/state/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and exp.!ration 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$1,50Q.90 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 against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: a3 ture: D'ate;. R Phone#: 6Z )l �H:q Official use only. Do not write in this area,to be completed by city or town offCciaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of health 2.Building Department 3.City/T. own Cleric 4.Eleztricai 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 fployees. ' 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 comm -glib 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-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 or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents fir confirmation of insurance covese. Also be sure.to sipand date the affidavit. The-affidayit should g 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 eater 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.:0 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 wMch will be used as a reference number. In addition,an applicant that roust 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. Anew affidavit must be filled out each year.Where a biome 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 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-077-MASSAFE Fax#' 617-727-7749 Revised 5-26-05 WWtiV.i732SS.¢OV/Clio RightFax Norcross 4/21/2006 9 : 06 PAGE 004/004 Fax Server ANCmk4619me RR�. �V f.. ! �F\ , DATE(MM\LID\YYj :. .: PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON . THE CERTIFICATE BRYDEN & SULLIVAN INS HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 485 ROUTE 134 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. PO BOX 1497 SOUTH DENNIS MA 02660 COMPANIES AFFORDING COVERAGE COMPANY 75BKG A CONTINENTAL SUALTY COMPANY INSURED COMPANY MONGEAU, MICHAEL B 77 TRADERS LANE COMPANY WEST YARMOUTH MA 02673 C COMPANY D 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. Col LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE=OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND A EMPLOYER,S LIABILITY (UB-480X760-9-06) 03-04-06 03-04-07 STATUTORY LIMITS THE PROPRIETOR/ EACH ACCIDENT $ 100 i ilil PARTNERS/EXECUTIVE NCL DISEASE—POLICY LIMIT $ S 0 it ililii OFFICERS ARE: X EXCL DISEASE—EACH EMPLOYEE $ 100 0( OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP. COVERAGE. :GERTIF..1CATE HOLDER CANCELA71aN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 4698 F & OUTHLAUR E HAYES LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 46TU FALMOUTH RD LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. COTUIT MA 02635 AUTHORIZED REPRESENTATIVE ACORD-Z5 S.(3J93) N�,ppiMEfp��� The Town of Barnstable . BARE: Department of Health Safety and Environmental Services --- Y MASS. x t6}9• �0 �'" x PfEOMP�0" Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection p Location 'f 6TR F'11AA t7f Permit Number 4/-7� . � l Owner Builder L4,Q I'M f FF i P !� One notice to remain on job site, one notice on file in Building Department. The following items need correcting: AM r d k Please call: 508-862-4038 for re-inspection. Inspected by Date ,t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# '/ � _ Health Division Date Issued d 12 100�t Conservation Division U 00 Fee r Tax Collector, SEPTIC SYSTEM MUST 6E Treasurer ---4 - - �� INSTALLED IN COMPLIANCE # WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND TO Date Definitive Plan Approved by Planning Board N REGULATIONS Historic, OKH Preservation/Hyannis - Project Street Address e-`Ji 99 Village Owner G vr-cf� G- e ' Address e— Telephone Permit Request QU Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cos ex, Zoning District Flood Plain Groundwater Overlay Construction Type (� Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use /BUILDER INFORMATION Name °�e— ? �` e �'` Telephone Number �U y� r Address License# G S'�s � Home Improvement Contractor# /12 ��Z Worker's Compensation# I/6� ALL CONSTRUCTION DEBRIS RE ULTING FROM THIS PR JECT WILL BE TAKEN TO ' v rh � �.�it�� � • SIGNATURE DATE -Z lg�--Z,�v FOR-OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS 1 VILLAGE OWNER' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH _ .4 FINAL PLUMBING: ROUGH FINAL GAS: ROUGES FINAL + FINAL BUILDING, fi Val lon 1 DATE CLOSED OUT W a FIV ASSOCIATION PLAN N(#,,l n =� r ..;>..;�r,-•..�.^-'^...�"'ti,.--_!.!-'--..-.Y�-�"'^.s}.-...'4.-,-....^ti..-..,..vw.. "`,..r..._��--y.y,,,.,,v-r�-.-...v—..-.-.�,-....rr-^.r"��'..�.�.��.-...�:....�.-�--...-��-+.-._r- -."ti� � �--�v Assessor's map and lot number . . . . ........ ....... ,.,. Tel _ IMST"BE INSTAL-LED IN COMPLIANCE Sewage Permit number ........ /!` Zh�.���� f' `. .1 UATE IT'Ii ,q T -. SANITARY I At Q TOM *TME TOWN OF BARN i. BAMSTADLE, i 9� oAG Y y_ BUILDING INSPECTOR l r APPLICATION FOR P'I:RMIT TO ... 4-h....../ . .. ............ rTYPE OF CONSTRUCTION ............ ..... .......:.........................:....................... .�v ...........19. (� •� 7 TO THE INSPECTOR OF BUILDINGS:- The undersigned hereby applies for a permit according to the following informati n: Location .....�.:E.... ... .f .Q.................�` �... Lam...... Gt...n.. .........:....................................�. ProposedUse �J.... ................5- .....................................................'............................................. Zoning District ....... ................ ....... ....................Fire District ... .................................. --#- Name of Owner .l� Address ...... K .............c... ................................................... Name of Builder '...,...... -.F ... ....... ..1�. ..................Address ....a. ...................................................... Name of Architect .................Address ........'.—`� Number of Rooms .........,......................................................Foundation .110 .......:....................................... /�4). Exterior S., Q.Q V.-.. ..............................:...Roofing .... ... r W7W Floors ...... ......V........... .... ...................... Heating :..... '.':.:.:.:...:........... —..... .............. ..Plumbing ....� ...: ..................................................... Fireplace ..... PP k p — Approximate Cost ...... Definitive Plan Approved by Planning Board -----------_-------------------19________- Area .. .......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' � I G / �s -� --77--- I hereby agree to conform to all the Rules.and Regulations of the Town of Barn . le regarding the above construction. Name .. .. ... ...... .............. Bernard Kelley No 17382..... Permit for ....... .......................................................... . ........ Cotui t Location ........R±,...28.......R.t...13Q..Wit....... Owner ........RPxxxard...KeUev........................... Type of Construction Frame . ........................................ ...... .................... Plot ..MarV,..j0....L..7.. Lot ................................ y Permit Granted ........................................19 Date of Inspection ................ ...................19 Date Completed PERMIT REFUSED •^► r , .....................................or.J:...........:.7....... 19 74 -t ............................................................................... { Y .................... .......... .. � '+. ............................................................................... _ l ................................................................................ t s . f Approved .,............................................. 19 ............................................................................... Assessor's map and lot number Sewage Permit number .. ....... _...C, !(� .,. Q °`T"ET°�y } 4 TOWN OF BARNSTABLE i H9HBSTADLE, 9� o Yae BVILDING ,INSPECTOR ,7� r � I y. APPLICATION FOR PERMIT TO ..... - ...... .. .....�......... ..... ......... ......�........................................ TYPEOF CONSTRUCTION ..................................................................................:...........................:...............:....... .........::.. ...t.'df...........�.............19.2.. _ TO THE INSPECTOR OF"BUILD1NGSi The undersigned hereby applies for a permit according to the following information: Location ..... .....�... � / r:..... J .✓f : .......ti!. :..... ! ................................................. Proposed Use �c Sr...................................... .... .................................... .......................,.................,....... _ r Zoning District . ....Fire District ...... .......... Name of Owner ... .................Address Name of Builder ........ ` r � *..................Address Nameof Architect ..................................................................Address ...........................................................:........................ Number of Rooms J ..........Foundation ............................................. ......................................... r 'C.. -^ .` ...r c ........ t l L�e� Exlerio. ..............................Roofing ........:�. 1me Floors .Interior ....................: .... .: ! '.............................................. Nedfi g '. ..:::.: . ..:.:::..... " :' ....:..:... ..:: : Plumbing ...... '.`::�`:..:�R: : .. . ...... .. ... J F: y � i Fireplace ...7... ...................................................................Approximate Cost ..... .. .................. ....................... : .3 Definitive Plan Approved by Planning Board ________________________-------19--------. Area ..............`.`'.�....:................ Diagram of Lot and Building with Dimensions Fee � . SUBJECT TO APPROVAL OF BOARD OF HEALTH kill _ •- hereby agree,to conform .to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - �,.- Name ......�-: :.. ... .`;^.. ...................... .................... * n• Bernard Kelley i D - 7 No ..17.38.2..... Permit for ?tel:eca•te-B-1•dg......• ............................................................................... �67u%�T Location .. ..i R g......... t..140.....8.�,�t......... Owner ........Bernard...Ko.1.Z.ey........................... , Type of Construction ......Frame ............................. ............................................................................... Plot ....N P...10:...L..7 Lot ................................ Permit Granted 74 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ Approved ................................................ 19 ............................................................................... ............................................................................... , Assessor's map and lot number .../ .... ..../..................... :StPTIC STEM MUST BE yoFTNEjo� Sewage Permit number ............. ................. itALLED IN COMPLIANCE ............ � a , WITH TITLE 5 ' BARNSTABLE. House number ...:.....'7.t0. .F)'�4 ?20U�1?4, ENVIRONMENTAL CODE AND r M�a .......,...................................... s o \eag. 39- ia°° �GULATIONS °'�oeAYa• TOWN OF`,-BARNSTABLE • r, j: BUILDING IN,S'PECTOR APPLICATION FOR PERMIT TO ..t........ a� - - XC s �� U .............. ......................... ................ ........... ......... ...... 31 �(�( TYPEOF CONSTRUCTION ..........................:..:........................................................................................................ 4-: • ... ... .` ............19..i.?. TO THE INSPECTOR OF BUILDINGS: The underrssiigned hereby a(p�plies for a permit according to the following information: Location1�_�iC�' 1. ....��.`'.!.... 5................. .... ....... ` L t..................... ............................... ProposedUse ............................................................................................................. ........................................................ �L-.� .. t Zoning District %� ,�/ Fire District/ f� r Name of Owner ��. `.T. � l� ......Address "T�' s ��!����� �✓....... V F01 .../� v.�. ........y... .... .......... ' Name of Builder /..P.00�1..12 .-&(' ....Address 4� �l -l."�...`�.�t.....�(J!�X!!JU�c Nameof Architect ..................................................................Address ............................:........................................................ Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ......................... :..................................................... Fireplace ..................................................................................Approximate Cost ..... se 7 Uv Definitive Plan Approved by Planning Board -----------------------------4 9------• Area �, i Diagram of Lot and Buildingwith Dimensions .Fee ..... �t�.!............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Construction Supervisor's License t�� Za KELLY, BERNARD 25572 REMODEL & Move No ................. Permit for .......................I............ Single Family Dwelling .......................................................Road ..................... 4698 Falmouth Location ........................................... ...... .................................................................. ............ �BeK-nard Kelly Owner ........................................................... Type of C6nst-r Construction Frame n ..........................................cme .. r -E- . .............I....I................................................................ Plot .........-6................. Lot ................................. 'e- Sept. 2 3, 8 3 Permit Granted ... ...........�e..... "19 X Date of lnspectic)nf .........-. ..19 -L ate Completed F..... 19 72r "I rN IN Af 114 Assessor's map and lot number ... ............✓...................... THE!0 Sewage Permit number ............ � �-'�^.;'��.7,5yy../.........�..^./�.. t BasassnL TB, i .. House number ......... 9� l ! D�>//y � !✓ . y NAM.......................................................... t639- TOWN OF BARNSTABLE -- BUILDING INSPECTOR APPLICATION FOR PERMIT TO '` LX15 C, c�7)e,U C T UWF ....... .................................................................................................................... OA f�,( VD Vt-t-C,,,Q (��- -. b �_70 tL-Ck-CU t,1 (3l � i 5w,(:C.-.1--4ia TYPE OF CONSTRUCTION ....................................................................................................................... ..:........... 5'"r)i:eX,i°r .i 61T, ;tom. <Nt,e. .............. �........r'� ............19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... ..:.y.......................................................................................................................................................................... ProposedUse ............................................................................................................. ... ........................................................ Zoning District Fire District Name of Owner ..... �'D...../.<1.`.-r':`(.. .....Address .:..!. !a ..F'- ,y`��� ).............. Name of Builder .........�>. f .. ? L . �...�. .Address of ..J„ ( ... �!.... 1X. .............................. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ...........................::..................................................... Fireplace ..................................................................................Approximate Cost ..... ............I................................................. Definitive Plan Approved by Planning Board ---------------------------- Area /h/n9-A�`..... Diagram of Lot and Building with Dimensions Fee � i ................. SUBJECT TO APPROVAL OF BOARD OF HEAL-H Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................... ce..........,........ ...................... Construction Supervisor's License .................................... t KELLY, BERNARD A=10-7 25572 REMODEL & MOVE No ................. Permit for .................................... Single Family Dwelling .....................................................................nn......... 4698 Falmouth. Road K�C ag Location .................................................�............. Owner . Bernard Kelly ................................................................. Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ..Sept, .23, 19 8 3 Date of Inspection .....................................19 Date Completed ......................................19 Ko Assessor's offioe (1st floor): _ O SEPTIC SYSTEM MUST we Assessor's map and lot number ..... .....� WSTALLED IN COMP Board of Health (3rd floor): CC Sewage Permit number .........I.... .6.. . 2 ....: ..... 11DLL, i Engineering Department (3rd floor): VIRONMENTAL OO House number ...............................f 8............................ TOWN REGULATIO 0YPYa`e APPLICATIONS PROCESSED 8:30-9:30 A.M,�and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING ` INSPECTOR APPLICATION FOR PERMIT TO .....:. �C.' J'`M-� 'q 2-��f 2 C I/.. ......^...................... .............. :........ TYPE OF CONSTRUCTION ..........2.. f''4 i 2 A-E .................................................... ......................................................... ............... -1.f�.......................19... �1. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Co a.N rJ e rc �C. 2� dr -� 2�f l o............................................................ Location ............... .....ti✓.5:......�.................�....�..................�...................................... ProposedUse ......... .!K.r!tiCci!i.4........2 ........................................................................................................ Zoning District ...............................:.........................................Fire District �`�"U....... L............................................ Name of Owner c ......................... 385� 6--)1 U61j S4.:...Co. 6A--+-�.fv4blcc. I Name of Builder Q�>~LA f'` � �''`�.`�,'.........Address .... ....... .. ...................f. �` ........... ............. `�-�- .. .......... Name of Architect 5 �- ............Address Number of Rooms � ! .5.......................Foundation ...!a?� ��� � .�. ...................Roofin l'� Exterior .................. g .............. t�.•... ..—.... .................................................... ...................... ........ Floors ..............:�.................................................................Interior Heating ..l1�...v.............t...............................................Plumbing .......... ...�.............�...L.....$........-..........'..'.......... Fireplace %% pp 94V—w o �...'�............ i.l .............................Approximate Cost ... l�© ........ ................... ...... ... ... Definitive Plan Approved by Planning Board ------------------------------19-------- Area .1/CX.� .......`... .. Diagram of Lot and Building with Dimensions � �Q �- Fee ..�.... ...r... .......................... SUBJECT TO APPROVAL OF BOA D OF HEAL-H a �f 1 � tl 1 ti OCCUPANCY PYMITS REQUIRED FOR NEW DWELLINGS I hereby agree'to conform to all the. Rules and Regulations of the Town o Barnstable regardingthe above constructi�• Name ...... C;....... ... ...... 0 ................ Construction Supervisor's Licensxe�.v`... ..... . ................... HARDY, EDWARD No ... Permit for ....URAIR...FIRZ...DAMAGED 4 ...............Commercial..Bldg................... Bld.g.,. .... ....... .. .... .. .. .. . . ................ Location ......4.6.9.8...R.te....2.8.... F,.t e...13.Q... ....................Cotuit ................................................. ......... Owner .....E.dwa.rdjA... a.K.dy............................... ....... .... Type of Construction- ........................... ............................................................................... Plot ............... ............ Lot .............................. • Permit,Gran,ed . Jan...........��:�Y... 88 ��Date of Inspecti ' ,2.- .................19 Inspection Date. Completed .......... ..........19 M rj VY Assessor's'of f ioe (1st floor): assessor's map and lot number ....... �� - .... ��"eTO�j .......:............. ............ . Board of Health (3rd floor): Sewage Permit number ...........,.. . ....... �........0 B9SII9TSDLL. S Engineering Department Ord floor): 1639 a�°o +639• House number ` APPLICATIONS PROCESSED 8:30�-:9:30 A.R.and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR �///� t APPLICATION FOR PERMIT TO ....... G( W r42. ......................../........... rz ....................... . CX( '`1R TYPE OF CONSTRUCTION ..........2. 'J .'`.�..X..:.......1`.,.'.�.E.........�.�?^^ `\.1.k....t�061�F.rlpl.hE..................... .............../-l..y.......................TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �Or2v�1•`�✓(.......�.piorL ......................A- ) ... ...Z ...."t.... 7f.......3. ............................................................ Proposed Use L....... 2 4 A �-- ZoningDistrict Fire District ........ .+........................................................... '. ...................................................... Name of Owner wA Z1) ���ti• 3�S (.�J���a,J �`( �. �J�n-iS�I4 ...........................................I ........................Address .................................................................................:.. Name of Builder ...................... ` '.........Address ............... ..........f. .......... Nameof Architect ............... ..................................................Address .........................:.......................................................... q Number of Rooms 1h.5.......................Foundation ...l:l....,....CTI1Q.:......................................... U-.' Jxie for . ......��..:............................ ...................Roofing ......!... .... k.................................................... ......Interior # "'-^� Floors ................................................................... ............. S � 'l_' • l .�...,.....p........................,................................... Heating t-,.t'..t.�lJ..........................................................Plumbing .._.......�...:�:: " -... G� ...../ ...........I.��.� ....... (3 A _ 1 Fireplace ��� a� ..:.....Approximate Cost .... �,QC...........A. .....................:........................ ........... j. /... Q0................ .. ./..... pp Y 9 19-------- . Area -Definitive Plan Approved b Planning Board Diagram of Lot and Building with Dimensions Fee /..d ..... . ��- ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH �4 t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree.,to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................. .....................:.' I................. Construction Supervisor's Licens—e" al.................... HARDY,. EDWARD A=010-007 t No ..315.76.. Permit for ....Repaix...Zir.e...Damaged Commercial Bldg............................. Location ......4 6.9.8...Rte... &... te...1.3.Q Cotuit ............................................................................... Owner .......Edward...Hardy............................ Type of Construction .......Fx.ame...................... ............................................................................... Plot ............................ Lot ................................ Permit Granted Januar 29 ......19 87 Date of Inspection ....................................19 M Date Completed ......................................19 I t { I j t ry f ' TOWN OF BARNSTABLE BUILDING DEPARTMENT G HOMEOWNER .LICENSE EXEMPTION.-, Please print. DATE JOB LOCATION _ t�`� � L b lC ` V�1 `TU Number Street Address Section'Of Town "HOMEOWNER" �.A�12� ���Tr ' ✓�oZZS' Name (J Q Home Phone Work Phone PRESENT MAILING ADDRESS I" ' UD oc'� 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 such 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 to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that -he%she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or 'larger, will be required to comply with State Building Code Section 127.0, Construction Control. MIScs o s HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work fo . Permit is required shall be exempt from the provisions of rthiscsectionlding r (Section 109. 1.1 - Licensing of Construction Supervisors Home Owner engages a persons) for hire to do such work at provided that if Owner shall act as supervisor. " . hat such Home Many Home Owners who use this exemption are unaware that t the responsibilities of a supervisor (see Appendix they are assuming for Licensing 'Construction Supervisors, Section 2.15) Rules and Regulations awareness often results in serious problems ) • This lack of -Owner hires unlicensed persons In this case pour 1Board lcannot procy when the eed against the unlicensed person as it wouldlicensed supervisor.P ed Home Owner acting as supervisor is ultimatelyhresponsible The To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application that ',H Owner certify that he/she understands the responsibilities of tervisoe On the last page of this issue is a form currently used b sever You may care to amend and adopt such a form/certification a supervisor. Y al towns. community. for use in your Assessor's office(1st Floor): - Assessor's map and lot number` Cam' %7 �s7� � PyOi THE>O`` Conservation(4th Floor): Board of Health(3rd floor): i • Z D,DJOT�DLL • Sewage Permit number c rua Engineering Department(3rd floor): vo,.�039.�\�,D House number ? 0 Der Definitive Plain-Approved by Planning Board 19' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF BAR, ' STABLE ;BUILDING - INSPECTOR APPLICATION,FOR PERMIT TO Bit& �GQ : r TYPE.OF CONSTRUCTION......,_......... �('a' _ _ 19 q TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies'for a permit according to the following information: Location A on t Proposed Use. f P Zoning District r Fire District �C'� I., X Name of Owner Lau r l e— � ' sCzk� Address ��o�� �C�cYYf O�,UL��( �O ITy)a Name of Builder Address ' 4 Name of Architect Address Number of Rooms , Foundation Exterior �I YI t!_ Roofing PS P . /1�, - -_ Floors I �— Interior Heating K) Plumbing N Fireplace 1V P'C Approximate Cost n I Area /70� Diagram of Lot and Building with Dimensions Fee Coo` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name aVA tZ Construction Ss ipervisor's License SCOTT, LAURIE J. No 36783 Permit For REPLACE SHED Location 4698 .Falmouth Rd. Cotuit } Owner Laurie J. Scott d ,Type of Construction 4 — Plot Lot Permit Granted June 13 1 g.. 9.4 _ _ - Date of Inspection: Frame 19 ' Insulation 19 f r Fireplace 19 Date Completed 19 - 1 i S } N { The Commonwealth of Massachusetts fin --  Department o Industrial Accidents P, f , office 01/nYe508 ions _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit f l name: P location: V-e.4— ci hone# ❑ I drn a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workiz in ca achy I am an employer providing workers' compensation for my employees working on this job.: ❑.:. . com an name:: .. ...............:.:.: address.. X. .. ci ;';:; .... ... _ hone# :':: `` _ ulicv. ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comuanv name•: .::: address..: i:::: :'.:`...:;: : r:: :a:ii::::::::%'%:::i::::::;:::k .:::; ::.':...;..o`.......i:.,>::;:yi::;Y•i;:i:::::;:::+'::i;::k:ii' ;:i5:>;:;::?:. _ .. ii'i '.:is%.'::;'.}i.::::::::::iiii::.i::':'::i:.iii::i:.ii:4'vv:i:i::':ii:i:::'':iii•i::::::i:::':;::;!}:i:: :; i ........................... :i ?:i:::is i::is ii:;. :.�. :.:: 1 _ ::. phone# ca anv name.': :;:::>::>:::: address _. .__. .::.:: '::. ::.. Be: .... .:.::..::.:.:::::..::.::. city- nh 3 Failure to secure coverage as required mtder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a flue up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincation. 1 do hereby ce the pains and pen Us of perjury that the information provided above is true and correct Signatur DateA4 , Print name �-- Phone -------------- official use only do not write in this area to be completed by city or town official city or town: perndtAicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; Other (rmsed 9195 PIA) x Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`haw"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been.made. The Office of Investigations would like to thank you in advance for you 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 Oftice of imlesduatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 7$0 CMR Appmda J Table J52.1b(contlnned) "eriptive Packages for One and Two-Family Residential Buildings Heated witb Fossil Fneb MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Besemeat Slab Heating/Cooling Area'(%) U-value= R-vaiu6J R-value' R value' Wall Petimeta FgWpm= �a� FPwjkMaj9e R value5701 to 6500 Hating Degree Days'12% 0.40 '38 13 19 10 6Normal 12% 0.52 30 19 19' 106N0�12% 0.50 38 13 19 10 6 is AFUE T 15% 0.36 38 13 23 MA A Normal U 15% 0.46 38 19 19 10 6 Now V 1S% 0.44 38 13 23 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18'/e 032 38 13 25 NI N/A Normal Y 1 Yt 0.42 38 19 25 A N/A Nomml Z 19%\ 0.42 38 13 19 10 6 90 AFUE AA IV/. a 0.50 30 19 19 !0 6 90 AFUE 1. ADDRESS OF PROPER 2. SQUARE FOOTAGE OF ALL EXTE R WALLS: 3. SQUARE FOOTAGE OF ALL GL ING: 4. %GLAZING AREA(#3 DIV D BY#2): 5. SELECT PACKAGE(Q— -see chart above): R NOTE: OTHER MO' INVOLVED METHODS OF DETERMINING ENERGY QUIREMENTS ARE AV ABLE. ASK US FOR THIS INFORMATION. r BUILDING INSPECTOR APPROVAL:.. YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J6.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fF of decorative glass may be excluded from a building design with 300 ft'of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. "Me floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of,conditioned baements must be included with the other glazing. Basement doors must meet the door U-value requirement dscribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. • b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 °F THE �. ~°: The Town of Barnstable • snfwsrA13M • M Department of Health Safety and Environmental Services 1659.�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which .are adjacent to.; such residence or building be done by registered contractors,with certain exceptions,along with other requirements. . Type of Work: - Estimated Cost � . Address of Work: 14v Owner's Name: Date of Application: ` I hereby certify that: Registration is not required for the following reason(s): P ❑Work excluded by law . F ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR'APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. ¢ SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. D e Contractor Name Registration No. OR Date Owner's Name q:forms:Affida ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X S551sq. foot (UNFINISHED) square feet X S251sq. foot= �� GARAGE (LJNF ) . PORCH square feet X S20lsq. foot= DECK . square feet X S15Isq. foot OTHER square feet X S7?lsq. foot Total Estimated Project Cost j } i j ,9909t'b f Stephen&Laurle Hayes 4698 Falmouth Rd. i w 3-1 _: —- 67 20'4— y Cotuit 02635 i' uP Il — I � o i WORK SHOP GARAGE DECK I � N I I I 12'1 I 3Q _= • i t veh y 14p, I zit Y Z� 1 �y `I i 9. r • . I I , 4 T I E j -I -F .. I � , Li { I , -- 4_1P j Ll ---1_4 I t L4 r i _ a I I i - I i l 1 i � 1 � i f I 1 � 4 i 4- I f i -� - ' fi 1 i !! 1 f ' I e - r STANDARD LEGEND NOTE:not all symbols will appear on a map ` — GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES - \ EDGE OF BRUSH / t_ ORCHARD OR NURSERY V v v v EDGE OF CONIFEROUS TREES \ MARSH AREA EDGE OF WATER 0MAC 10 DIRT ROAD i 6 . � _- DRIVEWAY #42 it. PARKING LOT PAVED ROAD I I 1 — ---- DRAINAGE DITCH PATH/TRAIL QMAP 10 PARCEL LINE 4676 Ilaeno� - MAP# O I I MAP-10 21 E PARCEL NUMBER *taeD HOUSE NUMBER I T", I 1 2 FOOT CONTOUR LINE 1 1 � 10 FOOT CONTOUR LINE �..: Elevation bash on NGVD24 4.9 SPOT ELEVATION 1 I STONE WALL I � - -X=X- FENCE RETAINING WALL -I r F-;- RAIL ROAD TRACK STONE JE11Y SWIMMING POOL PORCH/DECK \ � O"MAP 10 ❑}yI � BUILDING/STRUCTURE \ 3 , �VIAP 10 9 - DOCK/PIER T # 28 HYDRANT 81 e VALVE O MANHOLE MAP 10 . o POST pv' FLAG POLE T O W N O F B A R N S T A B L E O E O O R A P N I G I N F O R M A T I O N S Y S T E M S U N I T o SIGN STORM DRAIN n PRINIDUENFEET *NOTE This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES:Mani nehia(man-made features)were interpreted fiom 1995 aerial photographs by Tire lama ❑ TOWER 1'=100'scale map and may NOT meet of properly boundares They are not hue loamio%and W.Soul(nmpony.Topography and vegetation were interpreted from 1989 aerial pletogmphs bP GEOD o UTILITY POLE w e 0^ 40 80 National Ma Accuracy Standards at this do not represent actual relationships to physical objects Corpomgon.Nanlmetriq fair mphy,and veget*n were rapped to mad National Map Accuracy Standards t INCH=>m FFEi* enlarged sale an the map. at a scale of 1"=100'.Parcel lines were digitized from 2000 Town of Barmmble Assesso(s tax maps. ¢ LIGHT POLE o EIECfRiC BOX IBarnlsitemaps\Pub1ic1m10p7.dgn May, 05,2000 09:48:28 r GT1. Pond 9�, z"da t j BOARD OF BUILDING REGULATIONS Vcg�; CONSTRUCTION SUPERVISOR Numbe�'`CS� 048502 BitlfidaleB74958 . .tom.—.`T'ti• x_'_; q _ la/ t �+ _• ;. �� 0�/g8I2001 Tr.no: 11294 _ d',,To: 00 EUGENE P FRIEH MARSTONSMILLS, MA 02648 Administrator 110 E �IPRQVEMENT CONTRACTORH R _ EU�ENE P,,fRIEH'� s '� %M 4465 RIVER RD r TOSS M lLS MA 02648 MASHPEE BARNSTABLE NOTE. REAR AEEUTTER APPEARS TO BE USING THE TRAVELLED WAY AS A . MEANS OF ACCESS tta�elled 5 Op , 7 Ov O b iw 40.6'-- ARKING AREA NOTE NONCONFORMING R 40 4' : cr y 2PpE 107 8 = 81 g3 �� 4A_ - 74•pp 1 TE 2 73 RES. ZONE.- This MORTGAGE INSPECTION Plan is For FLOOD ZONE.• "C" Bank Use-only, TOWN: �'OT�1lT_ — _ — REGISTRY OWNER: EDWARD HARDY DEED REF: 41 3Q _ _BUYER: _LAUBIEJS=—& SSEPHEIY HAYL".�' _ DATE: _L232_ _ PLAN REF: 2481— —SCALE:1"= 50' __FT. I HEREBY CERTIFY TO PLY�DSIL_LtQ7��� -------- OF ----- THE BUILDING a's>��'> Mgss9�'�• YANKEE SURVEY` SHOWN ON THIS PLAN IS LOCATED ON THE. GROUND AS PAUC, SHOWN AND THAT ITS POSITION DOES __ A. CONSULTANTS __ C NFORM p �� TO THE ZONING LAW SETBACK REQUIREMENTS-OF THE MERITHEW� N 143 ROUTE 149 TOWN OF BARNSTABLE___ ___AND THAT No. 32098 c a �o MARSTONS MILLS, MA. 62648 AREA AS IT SH WN ON HE H.U.D.E MAP DATED 8 SPECIAL D9H STER 85 RD �F`�sio�CI �S�Q�`` TEL 428-0055 Co unit -Panel # 250001 0021 C Nat iallo FAX 420-5553 _ ___ THIS PLAN NOT MADE FROM AN INSTRUMENT W-PiS -- SURVEY, NOT TO BE USED FOR FENCES ETC. 8573 K.IH MASflP�'E BARNSTABLE NOTE' REAR ABBUTTER APPEARS TO BE USING THE TRA VELLED WA Y AS A . MEANS OF ACCESS \ tra�elled Aa CL 72.4 0 e i Sher! s� , cr x 62 t 40 6 RKING 29_9V-7 6 PA AREA yi5E�g9:= g8 ' NOTE- PRE—EXISTING � 40 4, - 12„E 10?• B NONCONFORMING = 819�, N74 00' O U�,E 2 73 25--` R RES. ZONE This MORTGAGE INSPECTION Plan is For FLOOD ZONE "C" Bank Use Only TOWN: —00=l T REGISTRY OWNER: EDWARD A. HARDY DEED REF: 419W30_ — _ _BUYER: _L4U_RE J S�Q7T� S-T.EPHEY HAYES _ — _ DATE: REF:. PLAN REF: 24�81— — —SCALE:1"= 50' __FT. I HEREBY CERTIFY TO PLYMQ11T1'———————— ——————— ��� of M YANKEE SURVEY _COMPANY' ____THAT THE BUILDING 4'>�.P qss t, SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS `� PAU[, cy�� CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___— ;CQNFORM s. A. ��� MERITHEW TO THE ZONING LAW SETBACK REQUIREMENTS—OF THE N� 143 ROUTE 149 TOWN OF BAh'NSBLE___ A ►�o. 32osa ei __AND THAT �o MARSTONS MILLS. MA. 62648 IT DOES_1�01'_ LIE WITHIN THE SPECIAL FLOOD HAZARD "Fss�9�cisTER'°°Q�`` TEL' 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED 819�85__ Nat la<aos FAX 420-5553 Community—Panel 250001 0021 C 0 _ __ THIS PLAN NOT MADE FROM AN INSTRUMENT LAUL A. 1RI� W—PIS --- SURVEY, NOT TO BE USED FOR FENCES ETc.. 8573 KJH 9 i one Wells Fin.Attic Iwo Fixt. Bath - -- ------.... _ Floors era INTERIOR 'FINISH Lavatory Extra ---- --` mt. F ✓ 1 2 3 Sink...-. ...... -- — -� --- I/: 1/4 ✓ Attie Plester Water Clo.Extra EXTERIOR WALLS Knotty Pine Water Only uble Siding. Plywood No Plumbing Bsmt. Fin. Af :,�1 ogle Siding. Plasterboard Int.Fin. � - • ;-t l • p,6P-Shingles ✓ TILING ��. S ne.Blk. G F P Bath FI. Heat ce Brit.On Int.Layout Bath Fl.&Weins, _ Auto Ht.Unit Veneer Int.Cond. - Bath FI.3 Walls Fireplace m. Brit.On HEATING Toilet Rm.Fl. plumbing lid Com.Brk. Hat Air Toilet Rm.FI_&Weins. _—— Tiling Steam Toilet Rm.FI.&Walls lanket Ins. Hot Water �'a ✓ St.Shower /�•', of Ins. Air Cond. Tub Area Total Floor Furn. ROOFING rs.v +/ COMPUTATIONS y sph.Shingle Pipeless Furn. (� 3 e. i�/ -- S.F. ood Shingle No Heel S.F. Al!j'/ sbs.Shingle Oil Burner // O S.F. �// late Coal Stoker S.F. �e$ ,[/%e Z;� A ��n.L Si+v L(� Pu ii,G ile Gas S F OUTBUILDINGS ROOF TYPE Electric S.F. 1 2 3 4 5 6 7 8 9 10 1 2 314 516 7 8 9 10 MEASURES' -- able flat fp Mansard FIREPLACES S.F. Pier Found. Y Floor'M :1 ambrel I Fireplace Stack v Wall Found. ✓ 0.H.Door LISTED FLO RS Fireplace 1 ./ Stile.Sdg, l.' Roll Roofing one. LIGHTING Dble.Sdg. l� �Shingle Roof ✓ / DATE erth No Elect. Shingle Wails Plumbing ardwood ROOMS Cement Bill. Elecirle PRICED sph.Tile Bsmt. 1st !- Ay./ TOTAL /r/ �/_ Brick Int.Finish r ingls 2nd,3' / 3rd FACTOR REPLACEMENT 7 S� OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep• PHYS. VALUE Funct.Dap• ACTUAL VAL, WLG. 799 3 .3�s'Jr S- ? 2 S r�i S _ if �� / �'3C7 3 5 -- ----- ----- — t 7 t. 10 TOTAL RESIDENTIAL PROPERTY P NO. LOT NO. _ FIRE DISTRICT SUMMARY 10 7 STREET 4698 pas mo h-Rd-:0Te ; Santuit � i 73 LAND 9 Qv BLDGS.03 OWNER TOTAL 7S LAND Q RECORD OF TRANSFER DATE SK PG I.R.S. REMARKS: 2 BLDGS. -h 1 5Q-, -747... ._549 TOTAL s� 9 0 0 Lock ,.Derr. . &,-Marion-G&";. "^"^'""" LAND Kell Bernard & Ilona. ) 11116170 1490. 824 , �T BLDGS. (/ r �'! f TOTAL. - LAND - BLDGS. e),3 a -c.t�P_ o�ro o �Pwrn &•" ( TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND TERIOR INSPECTED: BLDGS. � 11 ,,� /' TOTAL 4TE: ,. J( - < 1 � LAND ACREAGE CO PLJ�TATIO S BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL SE LOT ��`7C�� O v —3 d /�f�D a LAND BLDGS. BRED FRONT ' 01 REAR - - -- TOTAL ODS 8 SPROUT FRONT 2O OOb LAND REA t" �/ • ZSav �� c) BLDGS. TE FRONT TrT- TOTAL REAR ✓ LAND BLDGS. 7 01 — TOTAL LAND / 7a d O1 BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL RONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND WAIMI ... �sugrc: cuiu aj �'� — Description--Code-- Appraised Value Assessed .Value '0 BOX 535 ESIDNTL 0101 44,550 44,550 801 :OTUIT,MA 02635 SIDNTL 0101 300 300 Barnstable 2000,MA OM LAND 0325 34,700 34,700 ccounz4Y1 Plan Ref. u. OMMERC. 0325 44,550 44,550 Tax Dist. 200 Land Ct# COMMERC. 0325 300 300 er.Prop. 0SR VISION Life Estate DL 1 Notes: DL 2 CIS ID: lotali , __ ?,r'_ k 'ra➢: �zr.,,' c - .,tt y z xc-:. .J' 1: {, ":' � '�r \. '�Y ,a. �s., �.w:xr; .,- .. e-�'��'usx a p.�a�_... FTri r. Code Assessed Value Yr. O a Assessed Value Yr. Code Assessed Value TARDY,EDWARD A 7562/280 06/15/1991 U I 100 A wu , , IARDY,EDWARD A&SHARON A 4191/305 07/15/19 U 1 0 A 1999 0101 44,5501998 0101 44,550 CELLY,BERNARD&ILONA 1490/824 Q 0 1999 0101 3001998 0101 300 1999 0325 34,7001998 0325 34,700 1999 0325 44,5501998 0325 44,550 , ota: 142,4UU is signature a now a ges a Visit y a ata O ector or Assessor ear ypel escription Amount Code Deschplion Number Amount Gomm.Int. Appraised Bldg.Value(Card) 87,400 Appraised XF(B)Value(Bldg) 1,700 o a: Appraised OB(L)Value(Bldg) 600 �'�`4, 5- RA F. , r' ;� < Appraised Lan Value(Bldg) 69,400 Special Land Value Total Appraised Card Value 159,100 Total Appraised Parcel Value 159,100 Valuation Method: Cost/Market Valuation et'l'otal AppraisedParcel Value , Permit ID Issue Date lype Description Amount Insp.Date Yo Comp. Date Comp. Comments Date ID Ga. Purposemesull 1136-7153-- , B31576 1/l/88 AC 100,000 0 O REPAIR B25572 9/l/83 DE 0 0 O B17382 10/1/74 0 0 O BLDG VI Use Code Description Zone D 1,rontage Uepth units Unit Price L Eactor Y.L G.Pactor Nbhd. Aaj. otes-Adj15pecial Prtczng,�,, Aaj.U nit Price -Land;Value ., o es: , 1 0325 TORE/SHOP RF 2 1 0.75 AC 23,400.00 1.00 E 1.00 C017 0.59 PCL(.75,Ull)Notes:11 1RE15 13,806.00 10,400 k arceotaanerota ar an , 30' ' Stephen&Laurie Hayes I`— �— •-- -- ! 4698 Falmouth Rd, 3'1 k - ZO'4 Cotuit 02635 ---—- ;. I - 1 r i 1e • i WORKSHOP GARA GE i i i I DECK I' I i i i I •--——_------- R—---- t T 11 ---- —=� t Yt .............. ... .. ........... . Y-: i.: b. I cc�7 `7-yl. ro Y Ab U66 er�trn aQ h 9 t � 4 A=010-007 OF 9 ire • canm 64 HIGH STREET JU l � ��/ COTUIT, MASSACHUSETTS 02635 � LY� EMERGENCY PHONE: BUSINESS PHONE: 428-6526 428-2210 a� r To: Laurie Scott 'rJ From: Chief Paul Frazier T Subj.: Previous use of 4698 Falmouth Rd. . (formerly "The Homestead") Date: April 24, 1992 Attached is a copy of the fire report filed with the State Fire Mars`haIl following the fire which occurred 4/19/87. May I direct your attention to Line. and Line K which indicate the building's use as a gift shop and business.Wl I am providing this information for use by the Building Commissioner which indicated his need to have documentation of this type. This report is not to be used for other purposes. Let me know if I can be of further assistance. Massachusetts ORE Fire MASSACHUSETTS FIRE INCIDENT REPORT WTrA Indent t DEPARTMENT OF PUBLIC SAFETY OFFICE OF THE STATE FIRE MARSHAL /����11�Reporting,,.... 1010 Commonwealth Avenue Boston,Massachusetts 02215 4 MER&Syatem Department Qq 10 FDID Revised FORM/y * O� Report FP-32 �� s: If Exposure �,/ Day OfV,vl Sun 2M�lon 3Tue mT rivalTime 9aekmServ3ce . . Incident# Fire omy, 7 �; Week 4 Wed 5 Thu 6 Fri 7,c at `' " • . } ,, Z 11 ❑ Structure fire. 17 ❑ Outside spill with fire SEE MANUAL �- 0 Z Z 1 ❑Extinguishment 5❑Stand by MUTUALI r 13❑Vehicle fire 16❑ Other fires not classified FOR OTHER Z 0 W 2 ❑Rescue or Assistance 6❑ Salvage © Q 14❑ Brush,grass,leaves d7❑ Chemical spill CALLS �Y 9 1 Rec'd r 0 15❑Trash,rubbish 44❑ Power line down j ,> V Q 3 ❑ Investigation only 7 ❑Ambulance y❑ Given U. 16❑Explosion.No after fire 45 C Arcng electric equipmen t Q)" 4❑ [ILRemove Hazard 8❑ Fill in.Move up N/A Z y � n FIXED P OPERTY 11SE(Occupancy, IGNITION FACTOR P���l��r� GiFr �I�cSIP ' �//6/�G-r�ijNED z D CORRECT R5' (.Up to mea'xfrnum of 21 characters) Zi COD CENRUS TRACT V E :. <4 OGCtJPANT NAME (LAST FIRST MI} TELEPHONE h M orAPT ILASZ WT MI) ADORES. TELE.?. METHOD ALARM CO INlcT CTION NO.FIRE SERVICE PERSONNEL NO.ENGINES N0.AERIAL'APPARATUS O 13 i Telephone direct O RESPONDED RESPONDED RESPONDED 2 Municipal alarm system N 3 Private alarm system 4 Radio SHIFT HAZARDOUS ATERIAL PRESENT? NO.TANKERS NO OTHER VEHICLES 5 verbal RESPONDED RESPONDED: 6 No alarm recd. YES N00 � 7 Tie-line(911) SUBSTANC 8 Voice signal municipal alarm NO.ALARMS USE FP 33 signal FOR ALL ' 9 Not classified above CASUALTIES 0 Undetermined or not reported Special Equipment Used? FIRE NUMBER OF n NUMBER OF NUMBER OF NUMBER OF.,. ' ..RESCUES O 2O SERVICE INJURIES FATALITIES INJURIES FATALITIES �F - TH_ER 0 ' O MOBILE PROPERTY TYPE VEHICLE STOLEN? Yes O No❑ 0 11 AUTO,VAN 22TRUCK UNDER 1 TON ESTIMATED TOTAL Insurance C 12 BUS 41 BOAT,UNDER 65' DOLLAR LOSS✓vLv/`i J r�`��+ r Ri 13 MOTORCYCLE $/ .� 21 TRUCK OVER 1 TON 08 NONE r,Total Insurance / fD9�Claim Paid $' YEAR MAKE , MODEL COLOR LICENSE NO. .: VIN# t 30 t7. m IF EQUIPMENT iNVOLVED YEAR MAKE MODEL SERIAL NO. 40 IN IGNITION , O COMPJ.EX67 ORIGIN /4 ri , EQUIPM�NT'IN VQ�D IGNITION © FORM QF EAT IGNITION MATERI G ITE vw / - ' METHOD OF LEVEL OF FIRE ORIGIN Number of Stories ' CONSTRUCTION TYPE OEXTINGUISHMENT 1 ❑ Grade level to 9 ft. 1 ❑ 1 story 1 ❑ Fire resistive 1 ❑Self extinguished 2❑ 10 to 19 feet 2❑ 2 story r 2 J Heavy timber e 2❑ Make shift aids ' 3 ❑ 20 co 29 feet 3❑ 3 to 4 stories 3❑ Protected noncombustible 3❑ Portable extinguisher " 4❑30 o 49 feet 4❑ 5 to 6 stories 4 ❑ Unprotected noncombustible 4❑Automatic ext.system 5❑ 50 to 70 feet 5❑7 to 12 stories 5 C Protected ordinary 5❑Pre-connect hose/tank only 6❑Over 70 feet 6❑ 13 to 24 stones 6❑ Unprotected ordinaryl C 6❑ Pre-connect hoserhydrant draft standpipe 7❑Objects in flight 7 ❑ 25 to 49 stones 7 ❑ Protected wood frame . 7❑Hand-laid hose/hydrant draft standpipe 8❑ Below ground level - 8❑ 50 stories or more 8❑ Unprotected wood frame m 8 El Master stream device 9❑ Not classified above y 9❑ Not classified above 1 (n 0❑ Undetermined 0❑ Undetermined or not reported O EXTENT OF DAMAGE Flame Smoke DETECTOR PERFORMANCE ' >; SPRINKLER PERFORMANCE -: 1 Confined to the object of origin 1 ❑ Det.in room or space of fire origin—oper. 1 ❑ Equipment operated 2 Confined to part of room or area of origin 2�Det.not in rm.or space of fire origin—oper. 2 ❑ Equipment should have operated- 3 Confined to room of origin 3 Det.in rm.or space of on in—no oper. ., did not : ;, r 4 Confined to the fire-rated comp.of origin 4 ❑Det.not in rm.or space of origin--no oper. 3 ❑ Equipment pre but fire too small O 5 Confined to floor of origin © 5 7 Det.not in rm.or space of fire origin but to oper. 6 Confined to structure of origin fire too small to oper. 9 ElNot classified above 7 Extended beyond structure of origin 9❑ Not classified above 0❑ Undetermined or not reported 0❑ Undetermined or not reported 8❑ No equipment present(N/A) 9 No damage of this type IN/AI 8 ] No detectors present(N/A) 1 ® IF SMOKE SPREAD MATERIAL GENERATING 77MOKE FORM I dl j -�f C j) TYPE ` BEYOND RO OF ORIGIN OM �I•r ^ AVENUE OF SMOKE TRAVEL 7❑ utility opening in floor ®. 1 ❑Air handling duct 4❑Stairwell';t-, `9❑Not classified above 2❑Corridor 5❑Opening in construction 0❑ Undetermined or not reported WEATHER 3❑ Elevator shaft 6❑Utility opening,n wall 8❑ No avenue of smoke travel(N/A) CONDITIONS Entries contained in this report are intended for the sole use of the State Fire Marshal.Estimations and evaluations made herein represent"most likely"and"most probable" cause and effect.Any representation as to the validity or ME B MA.rGREPbRT p 7E accuracy of reported conditions outside the State Fire Q Marshal's office,is neither intended nor implied. FIRE MARSHAL F.M.—1 ❑Yes 2 ❑ No ORIGINAL:FIRE DEPARTMENT CARBON COPY:STATE FIRE MARSHAL o � cA 0, r ,ter i LOCJ4699 ROUTE 28 CTY-Tol TDSJ 200 CT BEY 2491 ----MAILING ADDRESS------- PCAJ0311 PCSJoo YRJOO PAPENTJ 0 HARDY, EDWARD A NAPJ AREA]08CC JV.1332571 MTGJ1001 385 WILLOW ST spil SP2] SP3] UTIj UT2J 1 .75 Sty FTJ 2718 P BARNSTABLE MA 02668 AYBJ17339 EYBJ1970 OBS] CONSTJ 0000 LAND 47000 IMF 139000 OTHER 400 ----LEGAL DESCRIPTION---- TRUE MET 186400 REA CLASSIFIED #LAND 1 27,000 ASD END 47000 ASD InP 139000 ASD OTH 400 #LANV 3 20,000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG(S)-CARD-1 1 69,500 TAX EXEMPT #BLDO(S)-CARD-1 3 69,500 RESIDENT'L 126900 96900 96900 #OTHER FEATURE 1 400 OPEN SPACE #PL 4698 FALMOUTH RD COTUIT COMMERCIAL 89500 89500 99500 #RR 1388 0110 1389 0250 INDUSTRIAL #SR ROUTE 130 *HOMESTEAD GIFT SHOP EXEMPTIONS SALEJ06/9.1 PRICE] 100 OREJ75621280 AFDJ I A LAST ACTIVITY-110121191 PCRJY