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0215 MAIN STREET (COTUIT)
R 0114 qhl)�b gU1Lp�NG DEPT. Town of Barnstable Building Department Services SEP 0 2 2M Brian Florence,CBO 6� Building Commissioner TO N OF BARNSTABLE A�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 PERMIT# Za 2�66 FEE: $35.00 , SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village Property owner's name - Telephone number Size of Shed Map/Parcel# E-Mail a-(ej) QFr {��i C� gnature Date Hyannis Main Street Waterfront Historic District? ' Old King's Highway Historic District Commission jurisdiction? ' You must rile with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 * Legend + � � `1 Parcels C o T 023020 02.3014 - 023032 own Boundary 023031 -� Railroad Tracks #45Buildings ` `. ."... M Approx.Building. ,M1; Buildings 0230 „ Painted Lines 023015 Parking Lots #21 6 Paved t Unpaved Driveways Paved • e"a Unpaved Roads r ' Oil 023OU002 Paved Road k� l9 Ro K 207 Unpaved ad My Bridge Paved Median $123069 l Streams #35 Marsh - F t,s raa�<�"+ Y R Water Bodies 423Qp 023016001 ' 022070 022l�71i � #3 ' W,-�-"'"' t`~£h', �, �� ff ��•, ,tip "'.. 022077 �� y ��((ggC }.yy 02}2'�ed6 gp 2n y ' v#43w �23 , - #12 CFGyJp4[�i 5 p .. 16 02202 0i �r4�Pgj F _ F Map printed on; 8/31/2020 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. �prox.Scale: 1 inch 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us Town of Barnstable SEP Q 2 2020 WE Building Department Services ' Brian Florence,CBO W� 9F BARNSTABLE * BAMSrnaM • Building Commissioner MAM A�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 PERMIT# !�` `1 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village �� $V� -�R C 79 '� Property owner's name Telephone number (9 Size of Shed Map/Parcel# q �r E-Mail tore Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 MINE �-. Legend O 0 Parcels -- a2302g x .•- M-' , M .-i$ Town Bound ary — 23032 02,3031 A2; l Railroad Tracks Buildings 0 Approx.Building Buildings 023066 Painted Fines �'' Pa Lots Pa 023015. Paved #216 Unpaved M 3 Driveways Paved •'` N, Unpaved e Roads .mod r. k 0230g2 �. w 4KE116002 , Paved Road ..�..,.,�., �11195 `. Unpaved Road #207 Bridge Paved Median 023069 Streams ll ti Marsh 1 N Water Bodies WOO '2T;6 a #2.26 02,2070 022071 + #34 s 54 �.ni. X,. ✓ f,.W j ��, ,. 4 4 022077 4 022076 #23 022106 �' 0' 022.075 #43 #12 16 asawf,. k �# 02102 +, 1 Map printed on: 8/31/2020 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi +, 0 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: i inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us Carter,Jeff From: Carter,Jeff Sent:. Wednesday, August 29, 2018 8:15 AM To: 'CARENBERRY@GMX.COM' Subject: ViewPermit, Permit No:TB-18-2702 Good morning, This is a follow up to the discussion we had yesterday afternoon in regards to additional information to be included with your permit application. Framing Details to include the framing of barn door section, addition of any interior walls, and a description of current floor system and any framing that would be included in floor system. Plan for insulation to meet code for changing unconditioned space to conditioned space in existing structure. Feel free to contact if you have any additional questions, Jeff Carter Locallnspector Building Department Town of.Barnstable 200 Main Street Hyannis, MA 02601 508 862-4035 1 F i F 1 0® CE Company flame i .Phone Number ------ ®� S' Applicator Blame ;-- --� ° f j Installation Date - j ell Johsi-e Address P ,j __ - -+ ------ +__ A-Side Lot #'s ------- — en-nit Nurnber I - P B-Side Lot ;'T's --_.---- P - �ices� —� l 4 I X I I i i coc)-H E AT LO K.- I O , UMH ♦ ® ♦ Heatlok' is a two component,closed cell,spray applied, rigid polyurethane foam system.This product uses recycled plastic materials, rapidly renewable soy oils,and the blowing agent has zero ozone depleting potential. Heatlok complies with the intent of the International Code Council's residential and commercial building codes and is commonly used as a thermal insulation,air barrier,vapor retarder and water resistive barrier in above grade, below grade,interior and exterior applications. ASTM D 1622 Density 2.1 Ib/ft3 33.6 kg/m3 ASTM C 518 Aged Thermal Resistance(R-value @ 1 inch) 7.4 ft2h°F/BTU 1-3 Kmz/W See ESR 3210,Table 1 for additional R-value information ASTM E 283 Air Leakage @ 75 Pa @ 1" < 0.02 L/sm2 ASTM E 2178 Air Permeance @.75 Pa @ 1" < 0.02 L/sm2 ASTM E 96 Water Vapor Permeance @ 1.2" < 1 perm < 57.2 ng/Pa-s-m2 Qualifies as a Class II vapor barrier per IBC Section 202 ASTM D 1621 Compressive Strength 28.7 psi 198 kPa ASTM D 1623 Tensile Strength 46.2 psi 319 kPa ASTM D 2126 Dimensional Stability @ 158°F(70°C)97% R.H. (%volume change) (168 hrs,sample without any substrate) L/W/T -1.37/-0.42/+0.27 CA Spec 01350 VOC Emissions Standard Compliant ASTI,1 C 1338 Fungi Resistance No fungal growth ASTM D 2856 Closed Cell Content - 90% Surface Burning Characteristics, 4"thick Class I ASTM E 84 Flame Spread.lndex Smoke Developed 400 Ignition Barrier-Compliant with 2006,2009&2012 IBC and IRC,and ICC-ES AC-377 NFPA 286, Appendix X,for use in attics and crawl spaces without a prescriptive ignition barrier,thermal Pass barrier or intumescent coating. NFPA 286 Thermal Barrier-Compliant with the 2006,2009&2012 IBC and IRC,as an interior finish Pass without a 15 minute thermal barrier with Blazelok"TBX at 11 mils dry film thickness. ASTM D 1929 Ignition Properties(spontaneous ignition temperature) 932°F(500°C) Polyols Containing Recycled and Renewable Content 'zr -40% Renewable Content 1' ''° 13.5% Pre-Consumer Recycled Content In Progress Post-Consumer Recycled Content In Progress Total Recycled Content In Progress Cream Time Gel Time Tack Free Time End of Rise 0-1 seconds 2 -4 seconds 3-5 seconds . 4-6 seconds 3315 E.Division Street,Arlington,TX 76011 Heatlok Technical Data Sheet Phone(817)640-4900,Toll Free(877)33G-4532 Last Revision 5-5-15 Fax(817)633-2000,Info(1Demilec.com,www.Demilec.com page 1 of 2 r . Town of Barnstable Building -;„ .,..:., ;anr.'.�,a'•.e. tirY^*, "; �^�c ..u,_r's' "" ` ,eta, -u".w'"-'Wt."` "' - . Pot- .This Gard So Thatit is Visible Fcom the Streefi 3A roved Plans=Must be Retained on•J,ob;and this Card.IVlustle Ke,t ` ,: M tAItNSTAit.E, eti.t.* x+; ,' .z:-':d't+ y..,�,....':.4"2,.& ..,.+ N..., .,a',».:ti;"ir� :rt•- pp .�t`. i +x ..s .? F'xa'.c.F,.. aMa.;r "� :,:,f pg.. s. MAS9. 6 _ %...� .,'$sue`.rN,,,.. a. yipk`h�w; :nr :x�x. -.vw"'^- :m4 -: k a:'S'-, `^ :`tr�iiv": P: '•y,� ..`.t' ,' Posted Until, m <Inspection Has Been-Made.g » ..; ,, f, _.i$f .x .;. F.�x... . r65P ,t '� Fes. , ._.: _,O e yarn Wherela Certificate:of,Occu anc: ,Is.Re. ulred,Such=Buildmgshall:Not be;Occupied unt�I,a;Final lnspeytion has:been:,made. ej illlt :.�s,.,•�, Permit No. B-18-2702 Applicant Name: BERRY,STEPHEN M &CAREN Approvals Date Issued: -09/13/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 03/13/2019 Foundation: Location: 215 MAIN STREET(COTUIT),COTUIT Map/Lots: 023m001 ^ Zoning District: RF Sheathing: Owner on Record: BERRY,STEPHEN M&CAREN s Contractor Name` Framing: 1 . � Contractor License. Address: 72 OXFORD AVE 2 a'a s` BELMONT, MA02478 Est-Projectx • Cost: $50,000.00 Chimney: Permit Fee: $305.00 Description: RENOVATE ATTACHED BARN INTO FAMILY ROOM 'WITH-BATHROOM ON FIRST FLOOR.SECOND FLOOR OF BARN TO BECOM MASTER r Insulation: v'i c rcoo2 i �I+ Fee Paid:, BEDROOM $305.00 xaDate 9/13/2018 Final: Project Review Req: �q d F t Plumbing/Gas ( � r Rough Plumbing: Building Official Plumbing:Final _ or Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorised by this permit is commenced within siz months after;ssuance. Final Gas: All work authorized by this permit shall conform to the approved appl ation`and theapproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning byklaws and codes. Electrical x * r a This permit shall be displayed in a location clearly visible from access street orroad and shall be mamaintained open for public inspection for the entire duration of the work until the completion of the same. v � Service: r The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: Town of Barnstable sfi PoSt This Card So;That it,';is U�s�ble From;the StrBuilding eet,Approved Plans;Must be;Retamed on.Job and.th�s Card:Must-be Ke t ak uni7tl.iw .Po11�,Ci r+1 v ru�,u,vnq Pi :wig. t 19';. iia qw i q �iar r.0 ni,• �ia0 .�i ��,�., m v Y r r ^+rxi Posted Until Final lrispeion Has Been"Madera �" x *� . _ ` i °,"'+ A, �d�+,,.�^nx � y�m „re p Bu�Id�ngshalLGNot be Occupied until'a„Final'ilns ,ection has been made: .- ��l 1111t . Where�aCertificateofOccu ,ate.FYssR4%!red,sucx �: x .pa� :� � a.., Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT a -7-7 �r r z iwv fs a 3 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Zl� Address: �I ynr- � �� _Ile City/State/Zip: 0 z,& Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. [�'I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ ew construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. . Remodeling P P ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P �'• # 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.] *Any applicant that checks box#I 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. lContractors 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: �i Job Site Address: / ,Y�'I!¢'Ci-IN 37� elzk_ _ City/State/Zip: CoA-101- /-119 6 Z bJ 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 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 certi under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: 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. 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 per6iit 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 carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be 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 i' CO 4 ``GC MAP InstalledSuilding Products (350) PO Box 1309 PROPOSAL Sagamore Beach,MA 02562 (508)888=3599 (508)888-9609 FAX i Customer Address Job Name CAREN BERRY .2`15 MAIN ST f RENO 215:MAI.N STREET Job Address COTUIT,MA 02635 / ✓ 215 MAIN STREET Ns'Jvr J-tL;9 �eGm-/ COT,UITA. :MA. 02635' Date: 9/6/2018 Job: .4024729 Work Area InvenforyIltem Phase: 8754882 ]A PO: , Ceiling R=38 16"k 48'-,Kraft-Wood Framing: Ist Floor Ceiling 0 11-19 15"x 93'-Unfaced-Wood FramingF�c^4�c 2Nd Floor Ceiling .Rr38 24'x 48"-Kraft-Wood Framing 2Nd Floor Ceiling TV(rr+�}�(` K- A6"x.48'-KraftF-Wood"Framing. Air-Infiltration Sealant Draftstoppng.Package Air-Infiltration Sealant FST9206WD TNS`W&D'.Foam Sealant Air-Infiltration Sealant FSTS24G=I[24 OZ Gun Foam"""Fire Block Orange Air-Infiltration Sealant AFB31548 3"x 13"x 48"Roxul Rockwool. Phase: 8754899 '19 pp, Slopes To,Plate �7 t dg 4�' Demilec Heatlok Soy.Plus 13=200 4"R-27.00 Closed; Walls tr Cell Foam 11 �`'�, Demilec Heatlok Soy.Plus B. 3"11=21.00 Closed Walls Cell Foam -x Demilec Heatlok Soy.-Plus�BwM 3"R-31 00 Closed- Work Ared Notes iMAS'TER Cell Foam Blockers And Runners lle vlec,'Hd'atIA Soy Plus"B-2003 R-21.06'Closed- Slopes To Plate Cell Foam � tad Demilec Heaflok:Soy.Plus 9-2005"R-33.75`Cl6sed. Work Area Notes: MASTER Cell Foam' OP'I IDN:BATH WALLS QZ,ADD$1'25.00 TO PRLCB BELOW. We propose hereby to furnish material&labor complete in:ai:cordance.with thetabove specifications,for the surn.of: Terms:Net 15 Days,.1:5%late,payment chart e,on balancgs"outstanding"more"than 30 days.from date of invoice'(78%>annum). s u7 i ni6n_o 18 Page'!61 2 MAP Installed Building Products(350) PO Box 1309 PROPOSAL Sagatnore Beach,MA 025,62 (508)888-3599' (508)888-9600 FAX' , Customer Address ;Job"Name' CAREN BERRY 215 MAIN ST/RENO' i 21.5 MAIN STREET 1 Job Address. COTUIT,'MA 02635 215'MAIN STREET CO.TUIT,MA 0265S. .'.Lot: I Date: 9/6/2018 Job. .4624729 . i Work Area Inventory lfem; j_ Phase: 8754992 lA PO: Ceiling R=3816"x,t'-Kraft VC!ood Framing � I st Floor Ceiling d ne,/ R-1915"x 93"-Unfaced-'Wood'Fi'aming 2Nd Floor Ceiling R-38 24 z 48' Kraft,Wood,Framing 2Nd Floor Ceiling IK a�?}'Q R M 16'k 48' Kraft-Wood Traming Air Infiltration Sealant Drattstopping Package Air-Infiltration Sealant FST$20GWD TNS W,&D Foam Sealant Air-Infiltration Sealant FSTS24G-1124 OZ Gun Foam,Fire Block Orange, Air-Infiltration Sealant . AF931548.3"x:13 x,.48"Roxul Rock-wool } t Phase: 8754899 11 PO " Slopes To Plate Htw{el Demilec Heatlok;Soy.Plus 8-200 4"R-27.00'Clowd-° Cell Foam Walls 0�Ft` Demilec.Heatlok,Soy Plus 13=200 V R=21.O0 Closed i Cell Foam Walls 7(/l� f Demilec Heatlok Soy Plus B-200 3" -'21.00 Closed- Cell Foam ; Mork area kow:.M.4STER Blockers And Runners Demilec'Heatlok Soy.Plus B-200 3"R-21.00 Closed Cell Foam t Slopes To Platet Demiled Heatlok Soy Plus B=200 5"R-33 75 Closed-: : Cell Foam: Work Area Notes: MASTER y OPT�N:BATH WALLS QZ,-ADD$125:00 TO PR(CE BE[OW; We propose hereby to furnish material°°&>labor-complete;'in'accordance with the:above specifications for:the sum of- $8J 0.0 Terms:Net 15 Days,1.5"/6 late;paymenf c6arge'on halances.outstanding.more than 30-days.from dafe of invoice(t8%annu.m): t i j t 9i6rzola Page;I;of2: i F MAP Installed Building Products(350"); PO Boz 1369 PROPOSAL Sagainore Beach,MA 02562. (508)888-3599 (508)888-.9609 FAX, Customer Address Job Name CAREN BERRY 215,MAIN ST/•KENO. 215 MAIN STREET dub Address COTUIT,MA 02635 215 MAIN STREET COTUIT,MA D2635: Lot: I Date: 9/6/2018 Job: 4024729 1.the customer representative hereby subjects themselves..personaljunsdistionta the commonwealth of Massachusetts. I All material will be as provided in.thc attached description:All work,will be completed"in a workmanlike f isl ion"in accordance with'the standards of the industry.Any. alteration or,deviution from the above specifications involving extra costs will be executed;only upon written orders andwil11 become an extra charge"over and,above the estimate(s).All agreements are contingent upon strikes,accidents,acts of dod:ordelays beyond our control.bwnerto carry fire;and tornado insurance and other:insurance that may be required by law.Our workers are"covcred by workers'compensation insurance to the>extent required.by lawn i We do not warrant against and shall not be liable for-any damage or injury,including but not limited to mold accumulation,when due to any of the fallowing causes;the failure of the:builder orc intractors(other than our Company)to follow the instructions and'specifications ofthe insulatiop.manufacturer,faulty or improper instaliaticn;or maintenance of drywall brother wall covering;usb of aecessones orwall.prepar ti6h materials that do not properly receive':the insulation;and corripliance with applicable building codes or other goy6mment regulations relating fosufface preparation,wall coverings;required"materials orrriandatory procedutes:. ANY WARRANTIES IMPLIED BYLAW,SUCH AS THE IMPLIED WARRANTIES OF;MERCHANTABiLITY AND'FiTNESS FOR A PARTICULAR PURPOSE, ARE HEREBY EXPRESSLY DISCLAIMED."WE SHALL NOT BE LIABLE FOR ANYICONSEO1lENTiALjDAMAGES"OR,INCiDENTAL DAMAGES for breach of any warranty associated with the insulation.Our liability shall in no event exceed the cost of the materials set forth herein.We cannot and shaftmot be.liabie to,you:focthe breach of any other express warranties,such as those given to you by.other dealers,contractors;applicators,distribuwrsor manufacturers.Your;exclusiyeremedy with respect to defective"materials provided by us shall be repair be replacement,at our option,of the defective materials: Note:this proposal may be withdrawn by us if not.accepted Within 30 days. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory an ereby ac, pt ou;are authorized to do the.work as specified. DATE: SIGNATURE: Sales Representative: Peter Taylor: DATE: SIGNATURE:. . Customer Representative: Printed Name l itl'e. , { I 9/6/2018 Page 2<of 2 Carter, Jeff From: caren berry <carenberry@gmx.com> Sent: Monday, September 10, 2018 11:01 AM To: Carter,Jeff Subject: Fw: Re: ViewPermit, Permit No:TB-18-2702 Attachments: Building Inspector Notes.pdf, Flooring Notes for Builiding Inspector.JPG; Scan0174.pdf This has the correct attachments. Sent: Monday, September 10, 2018 at 10:53 AM From: "caren berry" <carenberry@gmx.com> To: Jeff.Carter@town.barnstable.ma.us, "caren berry" <carenberry(a Cimx.com> Subject: Re: Fw: ViewPermit, Permit No: TB-18-2702 Good Morning Jeff, I'm attaching the information from the insulation company that you asked me to provide for the R Values. Also I've updated the home drawings to show where the new walls are. The exterior barn doors will only be decorative. And here is the information regarding the description of the floor system. Barn walls pressure treated 2 x 4! T—� '� �' -S , Plate Use sill seal and 2 1/2 Hilti fastener system 1/2" plywood first floor existing 2" x 6" x 10"' each side with 3/4" plywood and has vapor barrier with 3" foam insulation i Second Floor consists of 2 x 10" joist and 3/4" plywood. All new walls are 2" x 4" x 8' x 10" also triple LVL 2' x 10"width structural hangers. Thanks, Caren Berry (508) 472-9588 Sent: Friday, September 07, 2018 at 9:50 AM From: "caren berry" <carenberry@gmx.com> To: "caren berry" <carenberryqd)4mx.com> I Subject: Fw: ViewPermit, Permit No: TB-18-2702 � I Sent: Wednesday, August 29, 2018 at 8:15 AM From: "Carter, Jeff' <Jeff.Carter@town.barnstable.ma.us> 1 To: "CARENBERRY@GMX.COM" <CARENBERRY@GMX.COM> Subject: ViewPermit, Permit No: TB-18-2702 Good morning, , This is a follow up to the discussion we had yesterday afternoon in regards to additional information to be included with your permit application. 1 . ApplicationNumber: ........v�. ........ .................. Pmm!tFee........ ..... . ................Od=Fee........................ A&G nr� .................. OWN 0'lz �, 23O'� Total Fee Paid.................................................... • TOWN OF BARNSTAB'BEe Pew ApprovW by................................On..........c....:........... BUILDING PERMIT �Z . p .........(. ��... Mv...................... .. APPLICATION Section I— Owner's Information and Project Location Project Address 215 r' QAt3 ��*�- Village C 15?y r- %'I - Owners Name 0-afrin Owners Legal Address �l� Pin State W16 Zip 0 City (fit ,. . . Owners Cell# 412 E-mail Oaf`s 662, Section 2—Use of Structure Use Grroup ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet dSingle/Two Family Dwelling Section 3—Type of Permit ❑ New Constriction ❑ move/Relocate ❑ Accessory Structure ❑ Change of use j. 'Demo/(entire structure) ❑ Finish Basement ElFamily/Amnesty ❑ Fire Almm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar �Renovaxion El Pool El Insulation Other Specify Section 4-Work Description jab, +vx�y-� La 41-) 6�h 4om Ts,ctmvkhed_219MI9 r Application Number.................................................... Section 5.—Detail Cost of Proposed Construction Square Footage of Project Age of Structure o Dig Safe Number # Of Bedrooms Existing �j Total#Of Bedrooms(proposed) 110 MPH ViTmd Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics [Jf Wiring ❑ Oil Tank Storage [„ Smoke Detectors 1 Plumbing [ Gas .❑ Fire Suppression 2/Heating System ❑ Masonry Chimney U Add/relocate bedroom Water Supply Public 0 Private Sewage Disposal Municipal ❑ On Site Historic District ❑ Hyannis IEstoric District ❑ Old Kings FFighway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? c Ye ❑o s No Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. D O� LI T1 Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard ' Required Proposed _ Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Logimaated 2/9/2019 Application Number............................................ t Section 9—.Construction Supervisor Name Telephone Number Address City State Tip License Number License Type Expiration Date Contractors Email Cell# I understand m re onsr'bibties under the rules and re . Y sp regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Budding Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your EUC... Signature Date Section 11=Home Owners License FAemption Home Owners Name: (� Telephone Number Cell or Work Number f2LkM 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 constriction inspection procedures,specific inspections and documentation required by 78 the Town of Barnstable. � 6 Signature Date I' �a APPLICANT SIGNATURE Signature 'Y' A Date /7 '� Print Name 96 Tel hone Numb - 7a� 4F ep er E-mail permit to: eel? C®1.1,9 T.,•w.....A..a�a.�mnn�o Section 12 —Department Sign-Offs Health Department ® Zoning Board(if required) El Historic District ❑ Site Plan Review(if required) Fire Department 0 Conservation For commercial work,please take your plans directly to the fire department,for approval Section 13—Owner's Authorization L , as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name j i a j i i a Last=dit&*2/M018 i � � I JJ vv d --; � 7o j 1 � . I � R } I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. _ DATE: a Fill in please: its APPLICANT'S YOUR NAME/ BUSINESS YOUR HOME ADDRESS: /5ui2 ✓�e'� TELEPHONE # Home Telephone Number. JDY 2So b' NAME OF CORPORATION: NAME OF NEW BUSINESS s Sw TYPE OF BUSINESS 6— IS THIS A HOME OCCUPATION? E NO 7� ADDRESS OF BUSINESS W 0o2&55-- MAP/PARCEL NUMBER—(—2 +� V _(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. MUST COMPLY WITH HOME OCCUPATION 1. BUILDING COM ISSIO ER'S OFFI, RULES AND REGULATIONS, FAILURE TO This individu.I e i for d f ny it ents hat pertain to this type of business. COMPLY MAY RESULT IN FINES. Aqt orize ig atu,r-e OMMEN fm t� T i (.C•G!/ _.. 2. BOARD OF H ALTH This individual has been informed of the permit requirements that pertain to this type of bu iness. �' 1 Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: i own of .5arnstaDie Building Department Services 1 fTHE T 1, Brian Florence,CBO Building Commissioner tBARNAMZ om . 200 Main Street,Hyannis,MA 02601 9� MASS. 1639• �� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-62 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: Phone#: Address: /�� 227I&/J � el Village:_ 10 Name of Business: aohw U cS 0'7 r IType of Business: � es l n Map/Lot:�� INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • -The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • ' Such use occupies no more than 400 square feet of space. • There are no extemal alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigns have rea and gree with the above restrictions for my home occupation I am registering. Applicant: Dater Homeoc.doc Rev.06/20/16 t. f TOWN OF BARNSTABLE Board of Appeals I dIA...1......A....SE' L&..........FRAZIER Petitioner ............. 1969 FACTS and DECISION Petitioner XanbI......�:....S�.8:�..:1.�.....�3^Azi. X.................... filed petition on ���'.�......����:�....:.. 19 �9, p . . requesting a . eiee-permit for premises at ....................Xai]Ci........................................................ Street, in the village of _...............%=t.1jJ.t......................, adjoining premises of_.-RAY.-lid.Ead....D......&....l~iwandalyn....Grawl.ardp Mary �ygMadeiros,s Marjorie S. Greenwood, Carl Sampson & Marion $•elr•'WN +IL }.�9M+,p...» •W�......�.�......�y,....d�y......Y 9. •r.El..�.•"4✓'.fr•.... Q�.�I+G i.....:.........:.................................... for the purpose of o33. Ltd tt .aGig.....prjxj4.$iLan.... .t�:....va.Ity.....��Qa?.fag...b.�F.-� alteration of a portion of an existing dwelling for use as a gi-ft.....sho.p.a.....:p.&"•P.mlski s.....liJcat•$d....L313...:Xa1]1....9t....0.....Sant.ui.t.,............................................................._.......... Locus is presently zoned in ..., .si.denGo:....W....area........................................................................................................... ......................................................._..................................................................................................................................................................................................................................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town .of Barnstable was held at the Town Office Building, Hyannis, Mass., at ........11.90...............E P.112. ....Ztt..................... 19 69 upon said petition under zoning by-laws. Present at the hearing were the following members: Robert E. -O'Neil Jean Bearse Buford Coins _............:.............»...........:.......,............ ....................................................................... »..................................».......». Chairman ».................._............................................................. .................................................................................... ..........................»........................._........_.._. _._ . ,l At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ................................. .................................................... 19......... the Board of Appeals found` The: Petiti r , e + ook ted that -xr* Frazier i did,refinishInS. ef.,furniture and smal 1 . Items. and_ that. his, i�te�t �e� �� tie► ' i fr.ont hem of this- existing .welling, for, the. purpose of displaying and: selli4tho. items. It Is the Petitioners' lntontlon to Aw all the t gmselyeq,:and.there ll: be. no .other. employees. on the pr _ za. The Attorney stated that. the Petitioners own apP oxil- t23- � mod. ,that. there Is ample room for off« atreet parking, The, prp t dwel Sing la set ba+ p x tee ©# :r tie 'ad It W060L VAS ePWAA of fir. Bee fier that he preposed. we s in keeping with, the typo of zoning In, this area,. tie ees premises W the Opinion of aegift shop Vould UQt be detrimental. it 16. oVated .i'a & :znnin dis riot in which 'l imo s type of busineee .1 a permitted by special. pewit of the Bard of :appeals. The Board ba..# acted faverably on similar applieations this generea area. The Ord voted mausly to grant a Special Perti.t . for the purpose of operating a. igif t. shop Restrictions imposed: Distribution:— Board of Appeals Town Clerk Town of Barnstable Applicant Persons interested Building Inspector Public Information ..........By O ........... . . .... . ....... Board of Appeals Chairman ftbi t t.* s i BAHASTAUX o y NAB& 00 i639, `e�® a MAY A" TOWN OF BARNSTABLE PETITION FOR UNDER THE' ZONING BY-LAW SPECIAL PERMIT To the Board of Appeals, Hyannis, Mass. Date ...._....March..26..................... 19 ,69„ The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter sett forth, the application of the provisions of the zoning by-law to the following.described premises. ,. Applicant: Francis L. and Sheila D, Frazier, Main Street, Santuit, Mass. ......................... ....... ................. . .. .. (Full Name) (Winter Address) same Owner: .................................... ..... ..................................................._................................................... ... (Full Name) (Winter Address) Tenant (if any) ...... ..........:.............:.............................................................................................................:............................................_......................_........... ...... . (Full Name) (Winter Address) 1. Location of Premises Main Street Santuit .......................................... ..................................................................................._ . (Name of Street) (What section of Town) 2. Dimensions of lot ..... ..132!... ...........................................2.. .0.1...... ... Area ..........22s950................. ............... (Frontage) (Depth) (Square Feet) 3: Zoning district in which premises are located.............R...D...2.................................................................................................................... 4. How long has owner had title to the above premises? ..from„1964.,,,,,,,,,, 5. How many buildings are now on the lot? .three (3) (1 house 2 eml outbuildings) 6. Give size of existing buildings house 37-1/2 ft x 20 1/2 ft, shed 7 x 81 playhouse ..6..x 7' Proposedbuildings ..none.........................._............................................................................................................................................................... 7. State present use of premises ........residential..................... . ................................................................................................................. 8. State proposed.use of premises .................Gift....sho ........................................................................................................................................... 9. Give extent of proposed construction or alterations: ....Sma11 alteration front room only. . ..................................................................................................... .... .........._............�.................................................................................................................................................................................................................................................._............... 10. Number of living units for which building is to be arranged .........no change ........................................................................... 11. Have you submitted-plans for above to the Building Inspector? ..........no 12. Has he refused a permit? ..........i.........................................nO... . ................................................................................................................................... 13. What section of zoning by-law do you ask to be varied? Special hermit sought under Section ........ ....................................................................................... _ T ( RD72) to alter single front room into small antique-gift sho develo�in .f t. home-craft uses. 14. State reasons for variance or special permit: Petitioners are husband and wife. and wish to .... ........ ...................... ............................ ............... ....... develop a small business in home crafts, e. .t furniture and gift specialties, ..................._.......... . in a location where them is ample room for off-street parking, and little or no .............................. ............................................................................................................................................................................................................................. traffic problem,,,,,,.„Small advertising s n„would ,conform to requirements of Section W. 3(b)- of the -by-law._- �' ........................................................................................................................................................................................_.._... .............................................................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................................................._..._..... ..............................................;............................................................... .................................................................................. ...... ............ ... .....................�..�....l.'....... ....... ... .... Respectfully submitted, / 4/� ✓ '� .r :....�i:, �ti:�CS4�i Petition received by .................................................................................(Signature) ".°.�e./"-v .........................._.... (Address) ....Main...Street,. .Santuit............N........ N M N Hearing date set for ... ...................................................... 19. ........... Send mail to: • Filing fee of $required with this petition. Joseph H. Beecher, Ff�.q, • This form may.also be used for Appeals. 149 Main Street (Over) Hyannis, Mass. l Fr The following are the names and mailing addresses of the abutting owners of property and the name and address of the owner across the street, according to the records in the Assessor's;Office /fat the date of this application: Q `�, d�.9�. � • c�� �� c�, ��t�ctnnf`���, O.e.c��� '� �o a-cX . ��.Gc.c�u� �eSS 7 f kF 41(( I�xal" Verified by Assessor's ,Office. 1. . Ass ssor I There must be submitted with the within application at the time of filing a plan of the land, in duplicate, (or two prints) showing: 1. The dimensions of the land. 2. The location of existing buildings on the land. 3. The exact location of the improvements sought to be placed on the land. Applications filed without such plans will be returned'Without action by the Board of Appeals. I t Town.of Barnstable *Permi of Tom. P O Expires ;mont s fr -pall Regulatory Services Fee 91 saxrasrnare. Richard V.Scali,Director TED MA't A Building Division . e Tom Perry,CBO,Building Commissioner JUiil 19 200 Main Street,Hyannis,MA 02601 e www.town.bamstable.ma.us 0W Office: 508-862-4038eQ 9-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL RLE� Not Valid without Red X--Press Imprint ' Map/parcel Number b'}-?2 Dc> Property Address IS' MA 1 0-101 S T C04-c;t_ �_ , y1 d-SS ®� s [L�'Ii,esidential Value of Work$ C90 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address e S — ✓ 2`-e-� Contractor's Name M y Telephone Number J-16 97 H $ R0 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑�, I a sole proprietor " the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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 0-1�e_-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ 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. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: ` Q:\WPFILESTORMS\building permit forms\E Revised 061313 l xe C0722ttxarlrjt�L ltl of3fassarchiaetts Deparftne Et of fidustrid Accidents 01TWe of_&Vet a iGnS 600 WayhingtomMi-eet Boston,MA 02I.1I wt*�tY ynasmgorrdia Workers' Compensatian Insurance Afiidavit:BuilderslContractors{FAectricians/plumbers Applicant Informatian Please Print Legibly Name(Ptis��!( n�zahonlFndic�idnai): ��'�wr;�S 1. �r✓tZ �eY AAdre.ss: GWStatziZip: 0(9 Phone Are you an employer?Check the appropriate bo= _ _ —Typed#pa'oject(r+exlnued=- A. I am a confr�ctor arid'I 4 ❑ _ 1 ❑ I am a employer witf� ❑ f IS_. New oomsfriic#ori employees(full and/or pa tt-#ime)* ha°emred the sub'-coIItraclors listed on the attached sheet 7- ❑Remodeling ?_El I am a sole proprietor or partner- These sub-contractors have ship and haze no employees S_ ❑Lemolitioa w for me-in an c ci �_ employees and have workers' offing Y aPa � _ ur $ 9_ �$uilding addition [No workers'comp.insurance Comp_msant�_ ed] 5_El We are a corporation and its lf3_�]Electrical repairs or addhions 3_ I am a homeowner doing all wadi officers hmm exercised their I I_Q Plumbing repairs or additicm myseM[No workers'comp right of exempfioilper MGL 12. afrt gaits insm-anre required_] e_152,§1(4},and u*elias-eat> employees_[Na workers' 13_❑other comp_insurance required:j tray applimm that checks boa-1 Yan also fill out the:section below shoring ffi&a oaaeis'compensation policy iuRxmafiva #Homeowners vrho submit this affidavit iMir«+img thhey am&ing 311 wo*and them him outside coutraemm nmsY stal�m3L a seta affidavit indtr o sac}i =f ontmctum bast ches3c tfiis 6 ax must attache an additional sheet shoo—8Fe name of Ste sutFt s afld sYatrs whether oenut thns-E M=Ws have anplayees- itthe sub-coattxctors hare employees,they*a nst piuvide their warkess'comp.policy number- 1 am an empltryer That isprnlidiag workers'c-ongmn rr ion irm4rance for my employees. Beloar is thepalicy and}ob site imfotmati4aii. ' Insurance Company Name: ' Policy 9 or 3e1f ins_Uc-9 Expiration Date_ Job site Address: CityfstatelZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as reg6redundu Seetioaa 25A ofMGL c 152 can lead to the imposition ofcriminal penalties of a fine up to$1,500.00 andlor one-yearimprisoanheut,as well as civil penalties in the,foam.of a STOP WORK ORDER and a fine ofup to$250_00 a,day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of Im eutigations of the DIA far insurance coverage verffication_ -T do hereby certify under the pains and'penatties ofpedury iliatthe infotmatian prat¢ded abase is.h7w and correct siiniattzne: Date- 4 fq /. Phone i#- —o Af'Z o (e Offacial use only. Da not irrite in this area,to be completed by chfr or town official City or Town: PermitUcense# I.ssning Authority(circle one): 1.Board of Health 2.Building Department I Cityffown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iocal Licensing agency shaII withhold the issuance or renewal of a license or permit to operate a business or to construct briildings 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-contractors)name(s),address(es)and phone number(s)along with their ceriificate(s)of insurance. Limited Liability Companies(f..LC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required- Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of msurance coverage. Also be sure to sign and date the a,$davit '111e affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Departrent 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/licease number which will be used as a reference number. In addition,.an applicant that must submit multiple pennitllicense applications in any given year,need only submif one affidavit imdicaung 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 gilled 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 Commonw4ealth of Massachuaotts - Depar(ment of 7nclustrial AcfcideMs €}flee of Xuvestintims 6-00 Wach__ingtan Street Boston,MA 02111 Te1.A 617-727-490a w 406 or 1-9 MAS WE Revised 4 24-07 Fax#>ti 617-727-7749 WWw-mass_jo1p ddia Town of Barnstable • �� Regulatory Services Richard V.Scali,Director t Building Division RARNSTABM Tom Perry,Building Commissioner KA-Sr 9 ��� 200 Main Street, Hyannis,MA 02601 m AIED"�'y a www.town.barnstable.ma.us is Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ( /f 17 JOB LOCATION: y S VQ-►w � vc number street village "HOMEOWNER-: /ter�^-� L�,�rra� 5-'c1;0F5 y ;Z k Tro G N name home phone# work phone# MAILING ADDRBSS: 'CURRENT C. 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 f Honleowner 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. i Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r s * * * * snxxsrwsc.E. ' ,�� Town of Barnstable ArfD MA't a Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 s www.towu.barnstaW.ma.us Office: 508-862-4038 - _ i Fax: 508-790-6230 Property Owner Must, Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WHILESTORMS\building permit forms\EXPRESS.doc Revised 061313 'DEE 023068 _. #191 023015, s^I .. F ,yQ ----- ~ 02300? Z 1 S� ,'' #207 D23069 df - 023001 r2;15 K NO t + 022070 02#0�16002 #34 k 1893 - '�022071 .. #54 �16001 tom " #226 �.: ��r ` f MIT t 02.2077� _. t.. �., i z� $, .ACCESSORY. USES -(b) Permits shall be issued by the Build4ng Inspecb 1 '. Accessory,buildings or rises located on the same .ldt who•may request information in the formof drawiU aid the building to which it is accessory and customarily 1n specifications, details, or photographs as necessa before issuing a permit. cidental to any of the uses permitted in a particular resi- ' denee district and not detrimental to a residential neigh- (c) A permit shall become void if the sign for which it h borhood•, shall he permitted in that particular residence been issued is not erected within ninety (90) da district.;. • from the date. of issuance. „USE, REPULATIONS — RESIDENCE DISTRICTS . .A. No building shall be :erected or altered and no build- ipg or;premises shall be used for any purpose in the fol, lowing specified districts.other than provided for in this section or in Section P. Raeirlanna 'A Ti + +. a a Wthe..:•..ddw-elling. �i�ex��e �iicat. qj `L �' k �lwelling• Adopted March 8, 1949, approved July 5, 1949 �,: Iicntiiag:xoo�aso Gs—not•more•than-,six (.6) lodgers by Amended March 6, 1951, approved May 24, 1951 ram ; ao„+ +u ave11#r Tir '�—�a� g• Amended March 3, 1953, .approved Aug. 25, 1953 3. Residence B District. Amended, March 3, 1959, approved May 27; 1959 Detached one .family dwelling, Amended March 7, 1967, approved April 27, 1967. .b• ...ltenting .rooms for. not more than six (6) lodgers Amended March 6 and 7, 1969, Approved July 8, 1969 by a-family resident in the dwelling. 4. Residence C District. a, .Detached one. (1) family dwelling. HOWARD W. SEARS, Town Clerk. 5. Residence C1 District. ' a. Detached one family dwelling. b. Proi essional or home occupation use. See Paragraph 14..f6r definition. c. Renting rooms for not,m.ore than six (6) lodgers by. a fainily, resident ill the .dwelling. 6:. .Residence D District, a... .Detached,one,family dwelling. �. .Residence.D1 District. ., a. Detached.one. family dwelling. b.; Renting,of rooms for not.more than six. (6).lodgers b fa i] resident-in—the y $:. nP• Y g, I.-, Resid:Oub`e D2 District {► 'Detached o-ne,famijy dwelIinB bz 1'rofessiPnal PT 4,0 oc�vpak, use.; See Paragrap ; 4 for definition. ' e. .Renting of rooms.for not:;more;,than"$}x (6) lodged by a fai$ily :resident iii a'he eiwaelliix Page• 4 Page. 2g,. Y+t �>rti>• The Town of Barnstable--#-YYa 25 Department of Health, Safety and Environmental Services suml l Building Division c" h 361 Main SUret,Hyannis MA 02601 ID ewer Office: 508 790-6227 Ralph M.Cmssen Fax: 508-790-6230 Building Commissioner Home Occupation Regis=don Date: - 7 � 0c> Name' rjj rl�'ti &one!#: Address:— 5"T-)'-5�-,�wItT- MA jd6-35-- _ViBagm Tze-010 ell, Type of Business: fll i, ►�O,l h)ul -ft-vl",AV M 4 : o�3e�l INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home oavpanon within single family dwellings,subject to the provisions of Section 4-1.4 of the?.oaring ordinance,provided that the activity shall not be disoarmble fiom outside the dwelling; these shall be no increase is reuse or odor;no visual alteration to the premises which would sutg pn anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or pmndwaterpollution. After registration with the Building Inspector,a customary home occupation shall be permuted as of right subject to the following conditions: . • the activity is carried on by the permanent resident of a single family residential dwelling toil,located within that dwed'mgumit. • Such use occupies no more than 400 square feet of space. • There are no enernal akeratiions to the dwellingwhich are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in ezoess of normal residential volumes. • The use does not involve the production of offensive noose,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,h: tuidity or other objectionable effects. • 'There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for panting generated by such use shaft be met on the same lot containing the Customary Home Oocrpation,and not within the required firm yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Cunomauy Home Occupation,other than one van or one pwk.W truck not to exceed one tan capadiy,and one trailer not to exceed 20 feet m length and not to exceed 4 tires,packed on the same lot contaiuingthe Custo®aty Home Occupation. • No sign shall be displayed indicating the Customary Hoare Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Hoare Occupation who is not a permanent resident of the dwelliugu niL 1,the undersigned,have read and agree with the above restrictions for my home occultation I am registering; Applicant: Date: �U V Hc==.doc a�tt,E T luwn Ui 13ALILOL"j..s.. �j Erpirrs,6 onondis%roni isms 00" K ` N/ Q• �0"\'1 Fee Z a,�artsr,►et�.,•• Regulatory Services - - `ea'a Thomas F.Geller,Director prFo��bw Building Division , IIe ( Peter F.Di\iatteo, Building Commissio 367 M. ain Street, Hyannis.MA 02601 0 1 g Office: 508-862-438 NOV � 3 200 . Fax: 508-790-6230 S�A�L�' EXPRESS PERMIT �,PPLICAITON - ��E�� O�� Not Yaiid 3vithoru AW X-Fress INFli" Map:parcel Number ProP erry Address 2121(esidential Value ofWork 00 Ownei s Name&:address 4— ti C i S < Oe ' Contractor's Name .r �� ' Tek3hone Number Home improvement Con=ctor license 4(if applicable) � C Construction Supervisor's License=(if applicable) r QWorkman's Compensation Insurance qe5yeane: I am a sole proprietor [j I am.the HomeoSmer I have Worker's Compensation Insurance Insurance Company Name Work n=*s Comp.Polio•. Permit Request(check box) roof(stripping old shingles) ❑ Re-roof(not stripping. Going over existing layers ofroof) Re-side Replacement Windo«s. U V �alue � -44) Q Other(specifti) *where required: Issuaace of this pamit does not exempt compliance with other towe.departn=t regulations.i.e.Historic.Conscr"Inon.::=- Signature Q:Forms:expmtrc:ra*417060l d.. r - = Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR 1 Registration: 119983 Expiration: 09/27/2003 ` ,Type: DBA f 1 SHON A SCHOFIELD HOME MAIN. !?HbV'SCHOFIELD C' 34 HAMPSHIRE AVE � HYANNIS,MA 02601 Administrator Assessor's map and lot number ...... j...... /...., j SEPTIC SYSTEM MIDST BE Sewage Permit number ....:��, - INSTALLED IN COMPLIANCE 'WITH ARTICLE II STATE :. yoFtNEro� TOWN OF . BAR E--- `�, �' Tows •,=� Z B9SH9TADLE, i � •<. . 9,o 0 39. - BR] LDING_ INSPECTOR r. APPLICATION FOR PERMIT TO �?' !!C�l,,... �� .T`.... �Yy��...................................... TYPE OF CONSTRUCTION ...... .............. �: i• ........................ .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�per'mit according. to the following information: Locationf?..... 7�� e-7z...:.. .��4. ............................................................................................... ProposedUse ..........����! .....7` .f�............................................................................................................ ZoningDistrict .............��.�................................................Fire District .............................................................................. Name of Owner Address ,ll!rP.avrt.. ..... ....................................... Name of Builder ..111.4 !r°..........:......Address Name of Architect .........s�e.........................................Address ...............sQ4.. .'Pt................................................... Number of Rooms ........�......................................................Foundation -X.......... Exterior ..... 71-. /11111.................................................................Roofing .........Q f.!J ai ....:......................................... Floors0. ...... ..............Interior Z;Z�x......... c. .................................. Heating .....,��J............................................I......................Plumbing .........%l1Q................................................................. /J/ ..:...........................................................Approximate. Cost ............ �dt.� Fireplace ................................................. Definitive Plan Approved by Planning Board ______________________:_________19________° Area .... .2....4................... Diagram of Lot and Building with Dimensions Fee ... d l.'..<. -� ...... . .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I V • mam/ �f hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .. .... .. ...... .................... Frazier, ' ' ^ ' / ' No . 5—. Parm� fo; —. ..��..emtry � . ..................................... Location .' Street __.. ' --------. \�.!----.. . .- Owner ----.Mr...6^ Mzw� Francis Frazier ' . -- ---- -----''r---'' ^ Type of Construction .........frame...................... . . . _..---.--------------------. . . . . , Plot ............................ Lot ................................ � ' . ' November 30 76 ' . Permit Granted -------------.lg Dote of | l� ' . /mp�xxu'/ ----------. . � . . ~—~ Completed�— -------'~'~~--'' ' ~ ' ' . ' ex& ' PERMIT REFUSED --.--.--.----------.--. lV � . ----..---...,--.-------------- - . . . . —_----.--.—.--------------. v . ^ `—.------.--......--.---,.—.—.---. .-----.—.--.---..---.----^—.—..�— l ' / ,v Approved ................................................. 19 --------------....----..--~--. / ................... . ^ ^ � ^ .r. .,y,.,7�,•,.. ... +�•V"^b .-. .„...•. ,y ..,.,..- . .. �;� ,,,_� r,..,.,„a.......... �„p. ..._ '-ems ;� "'^1/.WA;� i.}n -- �rfl:arti:,w`C'-'.."wi.,. .. -• Y ,�;•.w;x'.n_+-�.-r.:+cq,�-r.r«,^•»;.-^,` Assessor's map and lot number .......................................... C �� Sewage Permit number .... ?.�.�!a�!./� ! :�s ....... T"Er°�y� TOWN OF BARNSTABLE I BASISTABLE, • 16 9 BUILD-ING INSPECTOR APPLICATION FOR PERMIT TO .:.. ..': `.................................'�� TYPEOF CONSTRUCTION ......f''- ...................... .l ............................................................�........ ....................... r / .............................. II'E TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location / r ''1 rr''. �........:,x:.. ...................''�r...................,............................................................................................ ProposedUse ..........: ':.. ............................. :!` .............................................................................................................. ZoningDistrict .............: ?!`'.................................................Fire District .............................................................................. Name of Owner •�/..c .G�,�-�,r /"� ���/Address ..� .....:........';�..................... Name of Builder ..:f?, f,� , 'li ,.r�r:,•_ +' ................Address ... Name of Architect .......... <'�.:,. .........................................Address .... .............................................................. ...... Number of Rooms Foundation �..�' ` � ...�� �" f �.+-- .. ............................................................ �, ............... Exterior .......... T/��................................................................Roofing ......... .r'<r ,. .................................................. o Floors .'. ............:.1: . f ..............Interior :-,," . o ,mac Heating :�f/1�..................................................................Plumbing .................................................................................. T Fireplace ...........................Approximate Cost ............. G?C ..................................... f,..................................... �. Definitive Plan Approved by Planning Board ________________________________19________. Area .... ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH -77 s e / t F I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....../r -' .,.......... °;....;...... ._-„a'................ Frazier, Mr. & Mrs. Francis A=23-1 y .4 r 18845 garage and entry No ................. Permit for .................................... ............................................................................... Ci/5--- Main Street Location ................................................................ ............................................................................... Owner Mr. & Mr Francis Frazier .............................. ................................... Type of Construction ... frame .... . .......................... Plot .................. ..... Lot ................................ Permit Grante November 30 19 76 Date of Inspection ............ .......................19 Date- Completed ......................................19 PERMIT REFUSED .............................................. 19 r .. ................ ................................................. ............................................................................... . Approved ................................................ 19 ............................................................................... ............................. ................................................. Assessor's map and lots number ................. ...L:.'.�.:. T �T I-C T BE • � P�EJ CE Sewage Permit number . �,03,0,4 ✓ ............... Sf THE r TOWN OF BARNS A ME Z 'BAUST"LE, i "b MaY .e� BUILDING INSPECTOR a APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ............. Lr! ! . .................................................................................. ...... ..........19..��7. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......1041 ... .:........aedv f.......ffc .t.................................................................................................................. Proposed Use .....qAI.4...... ...... .r&7 !. .............�.................... r-- Zoning District ............` .............................................Fire District ...................................... Name of Owner r`.rc?it4..Address ......IMIW.....5Y$ :........ 9.i?X4,./.7............................ Nameof Builder .............('.W/.r!IDA......................:...............Address .................................................................................... Nameof Architect ..........A4 N.c..........................................Address .................................................................................... Number of Rooms .................I...............................................Foundation ......: ....&,�rk- ............................. Exterior .............53 IAl. 3....................................................Roofing ........f4tpAAhl ....................................................... Floors .............. ...........................................................Interior ...........fT/® ............................................................ Heating ............lf.m. .........................................................Plumbing ............!1.4i!!e......................................................... ..................................A Approximate Cost � Fireplace . ............��?!'.'EP....................... pp ............... ............... ...................... Definitive Plan Approved by Planning Board ________________________________19________. Area °o Diagram of Lot and Building with Dimensions Fee .... . ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH vse 1�O � a R � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ��, ..t � ,� 1 �....................... Frazier, Francis L. & Sheila D. No ., 17400 permit for add to dwelling .......... ........................ ....................... r Location3V�� Main Street n`�"N ;M �""� ............................................................................... Owner Francis L . & Sheila D. Frazier Type of;C-onstruction frame ................................................................................ Plot .............................. Lot ................................ ,' Permit Granted ........ c.tn.her...2.9...........19 74 Date of Inspection ... . �� ...,... Date Completed � a PERMIT REFUSED ............................................................... 19 E :...............................................................: 7 • 7........................................ ....................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... t .T.. .. -.-W_ ,. - r.-1" a '_^^'si-"nr"s '+'+..P"•"*}rv�sx ...y.,a'�rr-��•.,,,,,,,,,X;;,..; ._,.,.a-rM�,,...>-.�e.•..*...,�_.,--. -.r..i'+°"."�. Assessor's map and lot number . Sewage Permit number .. �+r,,..A.... .? /.............. TNE.? TOWN OF BARNSTABLE Z SAUSTULE, i "6 a Mar a BUILDING INSPECTOR I APPLICATION FOR PERMIT TO .....i .......y�.l .��.....,� r -�y?.... ..�> .............. �....... r .. TYPE OF CONSTRUCTION ..................�.......................,..................................................................................... ......:./��.�o.la c°2....�...�..........19.. ....... .... ......... .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ............................................. .....................................:............................................................................ Proposed Use .....CXiq.e. �rIpSP St�a«....` Pf�s�o �:...Un� f�aw7�{.`�... ............................ Zoning District ............. .............................................Fire District ........... ! ' ...................................... Name of Owner —!(i�7(�/) �. Gr .ShP/. .... nrziP2..Address /?>IG/>,t St• �»�r>/'` ................................... .................................................................................... Nameof Builder ......................`............Address .................................................................................... Nameof Architect ...........ltln!v ...........................................Address ..................................................................................... r :r' Number of Rooms .................................................Foundation ......... r!i.�� 4' 1,�Gc�'S ................... . ................................................................... Exierior .............?j�1.!' ./rS.....................:.............................Roofing ........�S7P / /IJrY) ................................Interior N�000 Floors ........................... :....................................................................... Heating ............4nJY&...........................................................Plumbing ............*6.1,l _ /y° . . Fireplace ............/1!i,. . '..........................................................Approximate Cost ................ ...."..;......... Definitive Plan Approved by Planning Board _________________________ - ------1 9--------. Area ...... ............................. 60 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH f $ I , y f vse W � s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. "" Name ... l t.r ...... ,�..:T.0 t -,....................... Frazier, Francis L. & Sheila D. 17400 add to single No ................. Permit for .................................... family dwelling .................. ............................................................ 6Main Street Location ...................................�..../. ........................... ...................... ........ ...................:.Y...... ........... Owner Francis L. & Sheila D. Frazier. .................................................................. Type of Construction ..............frame ............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... 3��y�SN��rHs��n nrnnr� - i n w 1 ZN'� ICLcwI� 2 NCO L r Bamstabie Bldg.Deft. Aiygroved by'- qp2&sr- 0 2. permit IM: l �r DETECTORS REVIEWED SMOKE a i2 N, AB E BUILDING DEPT. BAR �.f DAT DEPARTMENT G " FIRE I71N � 807H q,GNA7URES ARE REQI1►RED FOR PE -girls ;Nl�F9 30 mmo " I - I - Fo y d , Bamstable Bldg. Dept. Approved by: Penns SMOKE DETECTORS REVIEWED . BAR STA LE BUILDING DEPT. DATE Zile FIREbEOXRTIVIE-F'-�7 DATE BOTH SIGNATURES ARE REQUIRED FOR PERMIT/NG - S ;f sabsstable, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO fiy fW c ^jFV,f t TYPE OF CONSTRUCTION rsL.i±.^19, TO^THE^INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location Si.X.R..&.fe.X S.d./S^..X.S?..\.^. Proposed Use Zoning District Fire District .Qaiu.'..."!; Name of Owner fTXX.^.f.X.C..Address Nome of Builder Address Nome of Architect Address Number of Rooms /.Foundation Exterior Roofing ,.SA Floors Interior Heating Plumbing Fireplace ^..9.Approximate Cost Difinitive Plan Approved by Planning Board 19 3"^^ Diagram of Lot and Building with Dimensions ~ ) < A.' o C V -1 ns' /t ^^'^'TARYWatfp OF opo,.-,.. V (?£- construction. hereby ^gXe to cTnform to all the Rules and Regulations of the Town of Bornstoble regarding the above Nome Frazier,Francis L. No Permit for sJSSSE® bj^di^g <P/5^ Location ...C.,i^r3.ir Owner Type of Construction jCjjaJBft. Plot Lot Permit Granted 19 Date of Inspection ..J./..7:,.J..^..19 ^^ Dote Completed ..A/y.!?.19 7/ PERMIT REFUSED 19 Approved 19 o\^W>\Cs ^ir-\k5 0\r^ \* V D