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0021 OAK STREET
f� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division �C Conservation Division Q i3 �u�)GLu�� .• Permit# Tax Collector Date Issued Treasurer Application Fee _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board U�/'� � 0� Historic-OKH Preservation/Hyannis i Q I Project Street Address Village 007z4 T• Owner /C�w 114iC# Address AW, 47.*W4 Vot4d oe l -r. D � Telephone 7M Pyo?'' all Permit Request .4,WAA0 V0 A&w4r yy 0 Aco Je/O 6b 7*0?7- v-. Square feet: 1st floor:existing / proposed 2nd floor:existing proposed Total new Zoning District Aor Flood Plain Groundwater Overlay - t_ Project Valuations Construction Type Lot Size Q 12 '� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. If Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �� Historic House: ❑Yes ff o On Old King's Highway: ❑Yes Flo Basement Type: lull ❑Crawl [Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /(P20 40 Mimber of Baths: Full:existing new CP Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing 7 new First Floor Room Count Heat Type and Fuel: R(Gas ❑Oil ❑Electric ❑Other 44a&b Central Air: &(Yes ❑No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes a No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size f I Attached garage:❑existing id�new sizeA�� Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -Comrnercial-❑Yes -- ❑No-- "If yes-, site plan review-#- -=— ^- Current Use Proposed Use BUILDER INFORMATION Name Ax Telephone Number Address f O Ak( ✓05'�' License#— *!5b S7 a Ua< A4f 02.&3j,� Home Improvement Contractor# �4rJG6�P Worker's Compensation# a13 M71 dv"0'f oG ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 400MAW&C SIGNATURE DATE g�/0 0 4 FOR OFFICIAL USE ONLY � / \ �� , T NO.PE61 DATE ISSUED MAP PARCEL'NO.' ADDRESS ."VILLAGE OWNER.- OF INSPECTION: FOUNDATIO FRAME '2/0 6 - /��- . \ \ . ` \ . INSULATION \ �/ z FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL\ FINAL BUILDING , ` �/ % .\ w � / � /\ DATE CLOSED OUT ASSOCIATION PLAN NO. lz��eo�-1 IIII IIII ' �11 CA 3 CAR GARAGE R r " FIRST FLOOR PLAN C i rl Ii A 0 5� Z e # 1 _i P `J0J9 TC At 'n'1 'Pit I , ---------- ----------------- -- --- , t 1 BEDROOM LIVING BEDROOM :4- .. 1 BATH I , t ----------------------------------------------------J SECOND FLOOR PLAN 114^=r-(r IFTTII rm RIGHT SIDE ELEVATION 1/4 1'-(r - - . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map .�1,� Parcel � D� Application# Health Division Conservation Division �� Permit# Tax Collector Date Issued Treasurer Application Fee$50 a6 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis , Project Street Address Ar` G Village Owner �Z//� 1�11 � : . Address �t>c-r�����c, �, ✓ Telephone �7 3 2 Permit Request �i�/� �U'�iC .Idz' Q �✓�� � c� Aev/J Square feet.�l st fhr:existin proposed 2nd floor:existing proposed i Total new Zoning District A_ Flood Plain Groundwater Overlay Project Valuation o t� —� ,©tl�� Construction Type Lat Size- Z 1 Grandfathered: ❑Yes ❑No If yes, attach supporting-document on. o r Dwelling Type'"Single ,amity Ll Two Family ❑ Multi-Family(#units) f CD r*; Age of Existing Structure Historic House: ❑Yes ❑No On Old King's High ay: ❑Tes ❑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:0 existing ❑new size Pool:❑existing ❑new size Barn:O existing 0 new size Attached garage:0 existing ❑new size Shed:0 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 Named 'Telephone Number Address �� / X License# d�oyJ�7 (f0- 1/ve1;, 4-07 y-�k 3 f Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY 7 PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE L' f OWNER ', f` DATE OF INSPECTION: J FOUNDATION 50IUDS (t -Z 7--0 FRAMEol INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3 ' b7 o L r DATE CLOSED OUT i I ASSOCIATION PLAN NO. `I f f The Commonwealth of'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, NIA 02111 41 www.mass.gov/dia Workers' Compensation InsuranceAffidavit: Builders/Contracto s lectricians/Plumbers Applicant Information Please Print Le ibl Name (Business/organizationadividual): 3 � Address: City/State/Zip: o ' Are you an employer? Check the appropriate box Type of ect(required): 1.❑ I am a employer with 4. ❑ a g eral contractor and�I 6 El New nstruction employees(full and/or part-time).* ha ired a sub-contr, rs+, 2.❑ I am a sole proprietor or partner- ; ted the attached sheet Remodeling ship and have no employees se sub-contractors have 8. ❑ Demolition working for me in any capacity. wo kers' comp. in ce. 9. P uildin addition [No workers'.comp. insurance ❑ e are a corporation d its ' required.] officers have exercis their 10. \ Elec 'ca repairs or additions 3.❑ I am a homeowner doing all work right of exemption per i l..❑ in ', airs r additions myself. [No workers' comp. c. 152, §1(4),and we have no 2.❑ o r insurance required.] t employees. (No workers' i3 Oth comp.insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensatiospolicy tion' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must t anew davit indicating such tootractors that check this box must attached an additional sheet showing the name of the subcontractors and th r w ers'c policy information. I am an employer that is providing workers'compensation insurance for my employees. Belo ' he policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL.c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500..00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day 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. 1 do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Signature: 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 1.Board of Health 2.Building Dmartment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1, 6. Other n � Contact Person: Phone#: 1 3 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 g r 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 o s in the commonwealth for any t operate a business or to construct buildings renewal of a license or permit p g 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 for the performance of public work until acceptable evidence of compliance with the insurance enter into any contract p p eP 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 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. 1617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 ww-w.mass.govidia Board of : B uil ding Re gulahons an d S to n Bards HOME IM=OVEMENT 1;'CO ieNT ensRACTOR a or registration valid for individul use only Regf®r 'stra before the ex 1,09606 piration date. If found return to: } +` Q24/2008 Board of Building —ter( rporation B ne Ashburton Place Regulations and Standards Pr1-Vate Col3tn 1301 ! -4I Boston,rqa.02108 A I ENTERPRISES a PETER POME ! �-� 140 LITTLE RIVER l COTUIT,MA 02635 `�� Ad G Deputy Administrator + •�" Not valid without signature_ g ature ` r 12.8a3 59' o° i i I 1 \\ I I 1•_20 DFLAIL I I I I \0 1`` 1 \ ♦s.:�' ems' G!�°,�-.. •.t:; I \ R ( nn�,, Location Map Cl) 1 I / l ''� I AEG! I 1_-Z0! (4/1 p�,Vofe ( e E woy' ASSESSORS REF.:. Det°7 Ab°w)` R Map 18, Porce1(29-07 ♦:l 1(6500 g°Ilon I. °derl / ( J yth w OVERLAY DISTRICT: Parcel A I $. 45ep tied p1 2 !1 I I I I 45,331.*SF "� p¢1 ` AP —Aquifer Protection District I l_ ,txa= \ As Shown on Plan Entitled /zp. %p' \- "Revised Groundwater Protection I I m I I ( 2263'I l /'°pwq' ^k/ I'+9"' \ Overlay Districts"- April, 1993 ( I r! j / / i '' I SI I / / F21 D° _ o I ! ( l / 2 fly If t !10Q Y°" a celbk. / FLOOD ZONE. D�ellin! I 1 9 Zone B. C dr A11(el.11) jo 3 Z. Community Panel No. prop°sea\ \ Probosea / f250001.0021 D d I n 3 m I ! I / / t °d O�ck any G°m9e / July 2, 1992 O �j 11 \l✓/ " ZONE. O 11 T-i - i I I � / Rdocote hed % �.�?m�iRF --__ O� _` Area(min) 87,120 SF RPOD __._ _ _.__.__.__.__.__ �� Frontage (min)20' IF,.d 1 a° width (min) 125' Setbacks: Front J0' Sid/ I I I f\♦ I / I 1\ \\ .zua I MA. �� Reoe 15 15 / I ♦ N 1 1Fhd 0 10 20.30 40 60 80 FEET 1 n IN 1 F'EMA od Zone Lines F.1on \ l N I Z Pand��2S0001kN \\ \ Scale: 1"=40' l zI r Lev JNIy$ 19920021 D \\ rn \ 1 \ TTLE PREPARED BY: PLAN DATE; December 23 2005 eptiC System ade`` PREPARED FOR: NOTES; Upgr Sullivan Engineering, Inc. CapeSuN p 1')fie property line hformetien �A�21 Oak St. P.D.I?ex 659 Peter W Evans 2)mlpd enslning shucturescshom/rvetlocoted by Osternlle MA 112655 7 Porker Rood OsteMile MA 02655 CapeSury by an on-thrground survey Performed_ (508)428-J344/428-3113 fax (508)420-3994 420-3995fox 960 Main Street ar between 05/DEC/OS and 07/DEC/O5. �f EcatMlt) Mass. copesNrvoc°p.c°d.net J.)n,e ne.bu9drpg kretpr+nt eho.n woe Prodded by. x COW MA 02635 Narthside Design. �, om,: u k•a x C-"s., 4.) The topographic tnform°tion was provided by CO'":nu •ti .I the Town of 9a lable GIS �zEfi Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ice: 508-862-4038 Fax: 508-790=6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MG 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.adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. k:e.afVJ �0"'/V-T fg Estimated Cosh �,006 0ypar ��� �� Address of Work C2/ Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law O7ob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING W=UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORE;DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNTP EN S OF PERJURY I hereby apply for a permit as the agent oner: 1)- 14 c! M� Date Contractor Name Registration No. OR Date Owner's Name o Sao Fu • FULL BASEMENT = SCREENPORCM ABO VE Ir --ll vT I - • ' SCREEN PORCH _L Z LU FOUNDATION PLAN y0. _N - O U SCREEN PORCH / ROOF DECK Z 'Oa z w • rya ¢ U • WTE 1]N1N8 . Al - 3 • - F � - U F<o - I U 1 I SUNROOM - I BEDROOM I 3 NJ t A+ SCREEN PORCH g II'IL- ROOF DEC K BATH ___________ -- _____-_ RCHEN DINING WD DEC STOR. nBEDROOM - - - y 53 . 4 ' n Z O L-4- g FIRST FLOOR PLAN REVISIONS SECOND FLOOR PLAN REVISIONS S LA j J Y O O' Z y LL W e � w w DATE 1=1= SCALE:I-- • oRAw1NGm A2 - 3 m� o =s wo ® ® a MHMH U �z 0 'I'III town m. -0 FH v_o. YL•.3 airs �,�.� 9 REAR ELEVATION _ y MH I-- - HH J w Ft I J zs Z a lu W c W . � w • .LEFT SIDE ELEVATION ow.E 1m1ms . S E 1pb17 A3 - 3 _ �--- _— -——�..._.. --- I ,i�h # ,�� �z 1 � � `� � << �, I � � !� ', } t e —��� T 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ®® / Application# Health Division Conservation Division Permit# Tax Collector Date Issued 5 c S Treasurer Application Fee c Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 3$�► `"' Historic-OKH Preservation/Hyannis w� Project Street Address Village Owner e 10In WG,A5 4 Address S 3 ' Telephone 93 c)— 1 69 A 6 ?/7 ar"�%/1S'l� Permit Request 4Co✓XI-e �' a Gi at7 (f %-5//n PS_r ef7Ce QP?d l'U C, n&Aj 3 (26-- ' ?-4L 9 e- cdi•AA d L5 above Square feet: 1 st floor:existing /Y/oL proposed 2nd floor:existing& O proposed ®01 0 Total new 070 Zoning District Flood Plain Groundwater Overlay Project Valuation C9 02 Construction Type Lot Size 415r 3 3 J cs� �7 ` Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 104 e G-"'S Historic House: ❑Yes 9l0 On Old King's Highway: ❑Yes 00 Basement Type:^Full Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) o, Basement Unfinished Area' (sq.ft) Number of Baths: Full:existing new Half:existing (� new Number of Bedrooms: existing new 7 Total Room Count(not including baths):existing 7 new /77 First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑Other %%T �/LYL0 Q-/ Central Air: kes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes kKo �"Detached garage:garage:❑existing Wnew size�ool:❑existing ❑new size Barn:❑existing ❑new siz j�Attached garage: existing ❑new sizeo 43hed:❑existing ❑new size Other: l�indd�/ Zoning Board of Appeals Authorization ❑ Appeal# MIA- Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION _ Name Rr=-Alk n Telephone Number- P `�` AddressP 26,1561 License# 7 6 Home Improvement Contractor# Worker's Compensation#65-5c7V;6 9 94/? r -ab ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ()l'nI aoled and Itir?e0/ 1V 4 eZ- /t/�)&nah . SIGNATURE DATE FOR OFFICIAL USE ONLY c r= PERMIT NO. DATE ISSUED r MAY/PARCEL NO. ADDRESS VILLAGE OWNER f DATE OF INSPECTION: gsoH FOUNDATION v'o - 1 V FRAME INSULATION 6V� it t �jS FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 08i16/06 15:38 FAX 973 41.0.4698 WILLIS NJ Z 001 �. ��yy pp 1 :. .ate' till! 437�-Ft�l'.v`IA��� Keen T. Walsh 574 Stangle Road 201% AUG 16 Fri '10 04 Martinsville, N.J. 08836 August 16,2006 Mr.Tom Perry Building Commissioner Town of Barnstable 200 Main St Hyannis,MA 02601 Fax 509 790 6230 Re:Building Permit 21 oak St. Cotuit Mr.Perry: l , I understand form Peter Pometti that you are interested in the reason I an including a refrigerator and sink in the living space above my garage.I may also like to include a stackable washer and dryer.It is strictly for convenience.1 come from and have a large close family.I think it would be handy to be able to have beverages and/or snacks for the people sleeping above the garage as they will be a long walk to the kitchen. If you feel a need to discuss this issue,I will be happy to talk to you about this. I can be reached on my cell (�732 236 4235. T evin 1':Walsh . i r +� Q ii i - I Town of Barnstable ► �°* ' Regulatory Services XAM L w8 = Thomas F.Geiler,Director ' Building Division.. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 wevw.town.b arnstabl e.m a.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. •If Using A Builder I, e l a IS ,as.Owner of the subject property hereby authorize An A act on my behalf, in all matters relative to work authorized by this binding permit application for. Oo d (Address of Job) r 7 M10(,o Signature of Owner Date Print Name Q TORMS:OWNERPERMISS1014 ' $0Jtl�Af t9ill�sp.t61�gu WIOIA��nt�r�e '` ` I oMF_IMPROVEMENT CONTRACTOR RW _ ;sf F*WeAIENTERPRWe, PETER PONE 140 RIVER RD COTUIT.MA 02M Admtnkn%ar Flo,� ``�� BAAIRD�OF'BUILDIt REt3UUt770NS� ` .. � CO.fc�nsi cONSTgUCT10N SUFERYiSOR Number" E4plri x,�#t1�i`yDS fr no 21737 ►; 1� �t2eetfi6ted`�Op� or� � a PETERhM NIETft F COTUI>T M¢.02635 , �,' $, Commissioner ;I n I II 12.&3` 59' \�\ °b 4r$M 1 I "J \ l °r Q O 0. r p.fUP ° v 1 -QFTA1., oft Location Map. i i �+ I I - / O I .. � `bind R��. I � 1 - r•=z.000t' ASSESSORS REF.:, Map 18,'Parce1129-01 3 iw /.I '.--� �'��:` I . xr• :!) (srepep Detad Abdro) I! 1 I I / : >9� 2 {6t 500 o-b I r s OVERLAY DISTRICT. \ •�\F ?' ExMNh9 Fi 2 Leath Chambers oar a)~Rr . -'`�Septa sysf �ItSfh Stone -1✓ I I I Parcel A I �y 7°�e Rema ed / (126Tr59') �� AP - Aquifer Protection District pQ ��� As Shown o Plan Entitled 1 r 19 I i I I 45,331±SF I `>`���";c .,1aaz \ "Revised Groundwater Protection Overby Districts' - April, 199J II i' a I 71 I I I /pPpepdl he i e; I j i D osed 21 wQ'YN. R mAY FLOOD ZONE: / 2 ty w/f n'° 1 :,yy ed - ' - Zone B. C& A11(el.11) _jl ill a' I 21I I '/. / - \ Dke\ng d rrs v..Tz• / Rd R Community 00211 No. D ' -a .Z, �I I / /' I \ \ os 4a / July 2. 1992 e_3 Ad peep k a to;d, C`9 d ZONE: . m o I it I - / / \ — \ •\ . .•y - RF. Add / Relamte hail: I ^o=� - Area (m ) 87,120 SF(RPOD) I•i �� ,I i / h Wood 4° °� m- Frontage (n m�20, r Width (min) 1 5 a T / r -rs s�.ra,d s.l - 1 T� / a Setbacks: .d 1 1 1 - I \ o Front 30' _ I I O • 8�n . Side 15' •- \ su4s' 1 f, � , 2 \ - Rear 15' Fd I Qww N// { \` \E1r:abeM /.sa I>dt e I \ mT I 14877)L137 1 \ \. o 0 10 20 30 40 60 80 FEET \ 'a:. • `.�'.'� - a IN 1.FEMA Faced Zone unee Scale: 1„=40' \ 1 D I Z 1 P-.)B 5000 R0021' N cn v July$ 1992 \ ^' - \ \ \ \ SHEET TITLE PLAN DATE: December 23 2005 PREPARED BY: PREPARED FOR: NOTES: Se tic System Upgrade- '•) Thep property line ile.. d Shawn was g g Cape S U Peter W Evans z. Piled hating Vtroll` shown r fa nae;an p y . P9 Sullivan En ineerin , Inc. >The exishn st uafYrea Shawn re laaated by P.O.Ba 659 7 Parker Rood C e5ury b on -the-round sure °p Y 9 Y performed O f2 Plan At 21 Oak St. Osterviile MA 02655 Osterville MA 02655 o or 6etwe°n 05/DEC/OS and 07/DEC/05. 960 Main Street (808)428-3344/428-3115 lax (508)420-3994/420-3995tax _J.) The new building footprint shown was provided by cdp°survOcapecodnet w 'e Northside Design. Mass. Cotwt MA 02635 opographic information was,provided b Barnstable -�riCtMlt .pp tth'u°iro of 9amstable CIS 7 Orak:p C-613.t Y s PERC TEST 11,t92 ❑T PEISO..Bx gILL[VgN ENc I _ Finish Grade ITNEssm.n Bvl BESNAR "Min 1. Water 'Supply For This Lot is Municipal Water. 9 i i 3'MAX - „ - Filter HOLE - 1 2. Location of Utilities Shown on This Plan Are.Approx. -TESTNEO BY LE E ENc Compacted Fill Fabric PET.TEST BEC 01,zoo At .Least 72 Hours Prior to Any Excavation For This z Min .:_B °LE:VS-;°d.E" Project the Contractor Shall Make the Required P.. t 1e Notification to Di Safe C1-888-344-7233)` .. .. Pea Stone A urER IBYRf/e _ � g•, ` « 3. The Contractor is Re uired'to Secure Appropriate O ® E LAYER'IBTRY/3 r 3 0 0 0 ] L M:IVY Permits From ,Town gencies For Construction 0 0 0 0 0 4 • . B Defined b This Plan. 2' 0 v :: y "_ �6 Lug 4, Install Risers to Within 6'' of Finished Grade. CS Req,) _ NEpNN YWO ^ 3/4 -.1 1/2• ERE 1E5 5. All' Structures Buried => (3) Feet or Subject. " n Double Washed i ,.a„°,°N°per_I_ - to Vehicular Traffic to be H-20 Loading.- Stone • . NO GMLINOVAIER ENEWNTEREO 6..Septic System to be .Installed in Accordance With ° .. F---4'-10' y TEST HOLE - 2 310 CMR 15,00 Latest Revision and the Town of REIN!0 BT .Barnstable Board of Health Regulations..12'-10' BEE u,zow 7. ALL. Piping to be Sch. 40 PVC. CROSS SECTION OF CHAMBER a A ER BEEUIPOMI) 8. Wherever Sewer" Lines '.Must Cross Water Supply • .'-e LEAVES NOT TO SCALE a I R'LAµR•I— Lines, Both Pipes Shall Be Constructed'of Class 150 Pressure Pipe And Shall Be. Pressure Tested To• S 5 E..LRYER IBYRS/3 P _ - ° ' `°""s"" " Assure Watertightness. ` I - B LAYER 10YRS/6 • t 3^ LaA_B_ 9, The intent of this drawing'is for securing , . B° L IAYFA LSY6/6 IRa ' � 12B ,,En�A„o 'BOH permits and is not for construction, ... _ _ - Na GRgWpVAIBA EN—m. " ^ - Design Data TOF EL 21.0' - - - , .. Single Family - 7 Bedroom s - Daily Flow = 110 x 7 = 770 GPD T PC EL 20.0' t Sae Not.4(typ.) - ' �` - s-Not.4(typ.) F.G.EL 20.3' See'Nai.4(t)V.) Septic Tank' a °-Ba.'. D x 200� 1t540.GPD. 7 ,t _ H-za h Me,Fabfa Use 2,000 Gallon, Septic Tank .f t PROPOSED/NYERT —�— J �' �'" T'4.' ;; :-'TOP E7. 17.3'.(Min.) I,.. 1: »' -- ---- oe000 �1 Leaching Area Z Ica. ss EL 1e.a o c o 0 0 /770 GPD 0.74 = 1,041 SF - 20Do ed - Fro»EOadizers Mona 0 . Sept T k Baffle- A.Re arse - .., - SF Re uired -- - H 20 _Hot.E7. 14-]• Q u leach @mmbers Sidewoll = 287 SF 2x(12.83'+59')x2 Baddmy. -r.. •u•.. (6)5oo 9aIt- ..Bottom Area = 757'SF (12.83x59) FWNDA nON C - •. :5, -' &Bartel. t • - .. 1,044 SF Total Provided R ove ^�-Yri7 � ' os Per Tftle 5 "-20 - If Encountad Rem @Replace BY _Z OTHERS .� c�.�r"�c'^ _:..y,r¢,r. v ,. All Unsuitable S.R.within 5'of � lo• The Outs Pert—ter of Th.s,.tem Leaching Chamber t Ground-f-O V.25' Desi n .. _�_ - D' Per r.D. cw- op. All P�6)S. to be chedule 0Charribers PROPOSED SEPTIC SYSTEM PROFILE `<: In a. Washed Stone Field-as. Shown.- NOT TO SCALE _ Check: (1,044 x 0.74) ,= 773 gal- SHEET TITLE - - -PREPARED BY: - - PREPARED FOR: /� Septic System Upgrade � Sullivan Engineering, Inc. CapeSurV ` Peter Evans DATE: DEC 23, 2005 _ 2o f/ P.O.B..659 7 Parker Road L Plan At 21 Oak St. 00—ille MA 02655 Ostervine MA 02655 960 Main S"et SCALE: As Noted 1� (508)428-3344/428-3115 f.. (508) 420-3994/420-3995fa. - - Barnstable, tcotwo Mass. COW MA 02635 .. 25aN D Po K .bba.CNG1 PROJECT A 25044 L .:R I � JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 28 Bamstable Road HYANNIS, MA 02601 CALCULATED BY DATE '0 r. TEL./FAX:(508) 790-4686 CHECKED BY ZN ra- T c 7 -r SCALE ft InT - _. _. — — — .__..._.._ ..._......` —. .... — — ..... ...... - s .......... ;.... -.;... ._.... -- ...... .._... _.. _.___-...-...-.. ....... .._..._.._.._...__.______.._.._.____.__.._ _ i- - _ - : - ....:.... ........ f- W t : / t -- ....._ .. ...._ __. s ..... --- ...._. -........ ---- ..........._...__._. -- - ..._ .... - - - ._.___._.._:.. n.__ ... .. .:- ....._.._ . _ ........: ..... _.. _-... _ ..... _ ... _,._.....__. ._._ _ b. ..� :. ... .._:_....._z- .... _ _ _ .._ _ . : i :............b... .n ._..._._.__..........._..._............. _._._. .... Z...�c�. 0---- _ _..... ._... _ _ ...... - - -.... ....:.... — .-.. __ _ ..... . ;a..c•3 .. -` ..ter_..__._;................._: .._ _. : _. ....._ _......_ _. _. __ ..... ci ... . i .1.. .... ...; ... ..... s - coo : :....: ........... . - . 1 \� 1 `� N . ._._ �.a Z... 4P. .. ... t .... c1. -2r _ . .. . � N • JOB ^ l ( TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 28 Barnstable Road HYANNIS, MA 02601 CALCULATED BY DATE 4 TEL./FAX:(508) 790-4686 , CHECKED BY DATE TAG P SCALE . Pa ... __. Ls/ . �2 40 Lq. IV V. r�r-'. .. 3E_. . ....... 7 C g . lej C . r - _._5. _ .... JOB kgk&j. 31=L /f\11dJ!_,�l �f TAYLOR DESIGN ASSOC., INC. SHEET NO. _-S OF 28 Barnstable Road DATE 4 HYANNIS, MA 02601 CALCULATED BY TLL./FAX:(508) 790-4686 CHECKED BY DATE SCALE ............... ........... .............. ............. ........................c ............. .......... ........... ............ ........... ............ .......... ................................... ............. ............... .................. ......................... c'8-At P�--- .......... ..................... ... ........... .......... ............ .............. ............ .......... ............ 412: ........... ............... .... ............ ............. . ........... ........... ............ .......... ............ ................... ...............--A. ................1........ .. ....... ... ........... .......... ................ ........... ................... ................................. ....... ................ ............. ............ ............ ---- ....................................................... ........................ ...... ........... ............ ......................... ............. ......................... ............. ...................... .......... ............ .......................... .......... ............. .......... ................. .................... ................. ............ ........... ....................... ............ ................ ---------- ... ......... ------- ........ ........... ................... ........... ..........z . . . . . . ........... .............. ............ .......... ..................... .............................. ............................................... ....... ........... .......... ......- . . . . . . ............ ................... ..............- ........... ................... .............. ......................... ........... ........... ............ ...... .............. ......----- ........- .................... ............................ ................... . ............ ----------- - ............ ...... ........ ........... ..... - ----- . ....... ............ . ...... C01 ........... ........... .......... ff ................ ........... ....... .............. . ............... ......... ... ............. Tb.... ------ ---- ...... ........ ...... ilk 4.......................... ............ -Ar ....................... ..............................- ............. -2 4� �Z> 4L ...........co ..........J i ................ ...................... .......... ........................ ............ 7--44 ........... F.- .............................. ......... .............. ........................ .........c .......................... .................... ............. ............ 1 _ JOB �//�� ' TAYLOR DESIGN ASSOC., INC. SHEET NO. `�"'- OF 28 Barnstable Road HYANNIS, MA 02601 CALCULATED BY �-� DATE 4- TEL/FAX:(5O8) 790-4686 CHECKED BY DATE SCALE .� _ ; .......... _ _ ... ............. ._._. .._ - .._ 77S ./J _......4. ..-...___ .. - s--- - -- ... Zf . __ .- . - - I �. ' t J_ �C:� - __ JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 4® 28 Barnstable Road HYANNIS, MA 02601 CALCULATED By �� DATE TEL./FAX:(508) 790-4686 CHECKED BY DATE SCALE _. .s. ... - - - .. - - .. - — _.- -- --. —- F: ..?_....- �r ...... ............. .- .. _ .. . . '� -- _ L ._.............._._.... ........_.- - ..._ : 1 " lv -f - .J I G� - -I- C3 a e c _..- x ..... ..... ...... ..... - ......... ..... - _. ..-. ._-. __.--- .... .... ..... --.-..:..... " 30 . ., _ ------ ._..... --_......... - - _- ..._ ...........' - _... _...-.- _.._ ....._.. n ... -..... -.... ----------- -- .. __._ __._.-......._. _.__.__.. ----- ._.. - -.. - - - ... ...;.... c� r __....._..._ ->- . ..... _.._ _ .... ..... - --- - --- - ---- ---- <... ... .... .... _.. ................... ..... ....- ..... '-,.. .' _...-.__.. .................- ._...... - c .. .. _ ..... C� . ;� / ......tom.: JOB TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 28 Barnstable Road HYANNIS, MA 02601 CALCULATED BY �� DATE TEL./FAX:(508) 790-4686 CHECKED BY DATE SCALE ✓.1 _ .. ........... .. _.. .. _.... i .._..... ._. .. _-------- ...... _...._ . ....._ _ - - - ...............= .. _ ...... .... ....:.... : .. .° a�. .. .. ............ ..... w......_ o, .... ....Y _.__..`_.. _......._ ._i .. .......t_` .._ c_........�_ - ....._..... ..._._...._._._.. .... ... .._ .... _ .. ......... s , Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Project Title: Kevin Walsh Report Date:04/24/06 Data filename:C:\Program Files\Check\RESchecklReports\Walsh.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family, Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 14°/a Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor. 21 Oak Street Northside Design Assoc. Cotuit,MA 141 Main Street Yarmouth Port,MA 02675 508-362-2210 Compliance� Passes Maximum UA:,604 Your Home UA: 598—1.0% Better Than code(UA) Assembly • • �•• Ceiling 1:Flat Ceiling or Scissor Truss: 2237 30.0 30.0 38 Skylight 1:Metal Frame:Double Pane with Low-E: 15 0.330 5 Wall 1:Wood Frame,16"o.c.: 4232 19.0 19.0 123 Window 1:Metal Frame:Double Pane with Low-E: 439 0.330 145 Door 1:Solid: 20 0.098 2 Door 2:Glass: 160 0.330 53 Basement Wall 1:Wood Frame: 200 19.0 19.0 32 Floor 1:Other:Over Unconditioned Space: 200 1.000 200 Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. a eating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Desig ions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of th esi r(lo d as pecified in Sections 780CMR 1310 and J4.4. wilder/Designer Co pany Name Date Kevin Walsh Page 1 of REScheck Software Version 3.7.3 Inspection Checklist Date:04/24/06 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity+R-19.0 continuous insulation Comments: Basement Walls: ❑ Basement Wall 1:Wood Frame,7.0'ht14.0'bg/2.0'insul,R-19.0 cavity+R-19.0 continuous insulation Comments: Windows: ❑ Window 1:Metal Frame:Double Pane with Low-E,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight 1:Metal Frame:Double Pane with Low-E,U-factor:0.330 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.098 Comments: ❑ Door 2:Glass,U-factor:0.330 Comments: Floors: ❑ Floor 1:Other:Over Unconditioned Space,U-factor:1.000 Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. Kevin Walsh Page 2 of 4 ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. 1 Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. Kevin Walsh Page 3 of Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Kevin Walsh Page 4 of 4 ACOD CERTIFICATE OF LIABILITY INSURANCE 07ii,/2006' PRODUCER (508)775-5830 FAX (508)775-6688 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Horgan Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 44 Barnstable Rd HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 250 Hyannis,. MA 02601 INSURERS AFFORDING COVERAGE NAIL# INSURED AI Enterprises, Inc. INSURERA: Nautilus Insurance Co. P.O. Box 2056 INSURERB: Cotult, MA 02635 ' INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE DATETI I TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY NC533313 02/16/200 02/16/2007 E H OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ 100,000 CLAIMS MADE I OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: W PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY I PRO- JECT LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT _ ,ANY AUTO. (Ea accident) ..- __........ _ _ _ ,Y.. .,_ ...._..,w..._... .,..,,t t�.. ...... .... ALL OWNED AUTOS ° JI "1 r e. BODILY.INJURY.--_r�._._ $ SCHEDULED AUTOS (Per person) HIRED AUTOS VBODILY-INJURY a U BODILY_INJRY $ NOWOWNED AUTOS_ _ _ _ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE $ If yes,describe under i b .. SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER ' DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS orker's Comp. cert. to be sent directly from CNA. - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 367 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2001/08,) �,, � ^ 'Is,C}���G�� ORATION 1988 RightFax Hartford 7/20/2006 12 :52 PAGE 004/006 Fax Server ........ ............ ....... ............. X Y) ....... DATE(MM\DDY ..... ...... . .. ........ ACrOffili. OF NUB k ..... . ....... .......... ............ E —" ..... ...... THIS CERTIFICATE'lt9MD AS-I '........ MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HORGAN INS AGCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 44 BARNSTABLE RD B ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. COMPANIES AFFORDING COVERAGE HYANNIS MA 02601 COMPANY 28xBF A CONTINENTAL CASUALTY COMPANY INSURED COMPANY A I ENTERPRISES INC B PO BOX 2056 COMPANY COTUIT MA 02635 C COMPANY D ......... ...... .......... .... ...... ....... ...... ........... :..:............... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 86E2N-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. CO POLICY EFFECTIVE POLICY EXPIRATION LT R TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE(MWDD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ --]OCCUR. $ PERSONAL&ADV.INJURY CLAIMS MADEF OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 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 $ 1 AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND STATUTORY LIMITS EMPLOYERS LIABILITY (UB-7847A26-4-06) 07-18-06 07-18-07 E 14 ACCIDENT $ THE PROPRIETOR/ snn'non PARTNERS/EXECUTIVEINCL 41SEASE-POLICY LIMIT $ sno-,non I OFFICERS ARE: EiCL I DISEASE-EACH EMPLOYEE $ soo.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ........... M........E..R........ .. ............ ....... . ............. ... CANOE*U.....A..l.... .. . . 1 ...... ................. ..... ................ .. 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 TOWN OF BARNSTABLE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 367 MAIN ST LIABILITY OF ANY MIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE .......... ............ .........-........ .... .. `,:, \ ::,' 9�3 ............. ......... ....... .......... r e uommonweairn ojiviassacnuseus Department of Industrial Accidents Office of Investigations 600 Washington Street • y4 • Boston, MA 02111 �i www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/Individual): - Address: Lo Bdx o705(o City/State/Zip: ��7 U�T, /n�L, as Phone Z;� �c3-L Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a to er with 4. ❑ I am a general contractor and I � Y 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no erftployees These sub-contractors have S. D Demolition working,for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its officers have exercised their 10,.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner ldoiTg all work right of exemption per Md 1 L[I 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 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy_and,pob site information. Insurance Company Name: CcnJ11-)et) ;&Zd M Policy#or Self-ins.Lic. #: c>5 91113-1&5 70fo?� ^V-O& Expiration Date: Job Site Address: City/State/Zip: G a, I A 0,2635 are f ,� 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 ce fly under the Agins and penalties of perjury that the information provided above is true and coarrecr. Sign afore: 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 a.Electrical Inspector 5.Plumbing Inspector j 6. Other . I i Contact Person: Phone#: i I Information and Instructions � r 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 permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s) of insurance. United Liability Comianles R T.C)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 valid affidavit is on file for future ermits or licenses. A e affidavit must filled u applicant as roof that a s new a us be out each � PP P P 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, lease do not hesitate to give us a call. P b� telephone and fax numb The Department's address er eP The Commonwealth of Massachusetts Department of Industrial accidents Office of Investigations 600 Washington Street Boston, MA 02111 'l'el. _ 617-727-4900 ext 406 or 1-o77-MASSAFE Fax i-;617-727-7749 Revised 5-26-05 w-a�-w.mass.Gov/diia ' RESIDENTIAL BUILDING PERMIT FEES p APPLICATION FEE New Buildings $100.00 1 Residential Addition $ 50.00 Alterations/Renovations $50.00 �_ b Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE �7 00 p ,` p /O Q0 square feet x$96/sq.foot= 171 � 5 x .0041= / .`f-o plus from below(if applicable) ALTERATIOpNS/RENOVATIONS OF EXISTING SPACE ® square feet x$64/sq.foot= 13 x .0041= �S�P plus from below(if applicable) GARAGES(attached&detached) square feet x$32%sq.ft.= 30,70 0 x .0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50:00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number)J 2� Deck I x$30.00= W e (number) Fireplace/Chimney x$25.00= r` 0 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving 5150.00 (plus above if applicable) Permit Fee 7 Projcost Rev:063004 OFZME Tp Town of Barnstable do . Regulatory Services B^ ASS'iE Thomas F.Geiler,M Director y rsnss. g � 039..�a�e Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / �/ Type of Work: {^e�'IDf�� 70Y� D�CL Ci aG L Estimated Cost !Mao; Q 0 Address of Work: ow. e� Owner's Name: Le V /7 W,01C_`S Date of Application:_ aDo� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied El 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 agL01 owner: �,/ �(, A:e 1?�— /,) 9(,J-6 . Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.fonms:homeaffidav Rev: 060606 Building Detail Page 1 of 1 x Logged In As: Building, Detail Monday, Augu Parcel Lookup Parcel Detail Building 1 of 1 M Qt 4 x ' a - Code Description Gross Area Effective Area Living Are. BAS First Floor 1378 1378 BMT Basement Area 1184 118 FAT Attic, Finished 1120 560 GAR Attached Garage 528 185 WDK Wood Deck 200 20 Extra Features Code Description Units Unit Price Year Built Value Commen FPL2 Fireplace 11.00 3,000.00 1999 $2,800 BRR1 Bsmt Rec Room 120.00 10.00 .1999 $1,100 Out Buildings Code Description Units Unit Price Year Built Value Commen SHED Shed 36.00 8.00 2004 $300 http://issgl/intranet/propdata/BuildingDetail.aspx?PID=645&BID=671&N=1&NN=1 8/14/2006 ! a SMOKE DETECTORS-REVIEWED —IMPORTANT UPGRADE REQUIRED j - STATE BUILDING CODE REQUIRES THE UPGRADI G OF SMOKE DETECTORS FOR THE ENTIRE D'NELLI EN t BARNSTABLE BUILDING DEPT.. � ONE OR MORE SLEEPING AREAS ARE ADDED R ED. c ----- ---- ----- -—-—-—--- N NOTE: A SEPARATE PERMIT IS REQUIRE FOR THE - - ---- _- IN OF SMOKE DETECTORS-THE ELECTRICAL_ t•FIRE DIEII11IIi1II PAI1IIII1I R TME�NTw.u.�.n• DATE ATEDOES _�—Pt�Ew_Rwi— MtIT-D�OIIIIIII1 ESIIIIIiIJ N¢OrmTw Srrn~AooTonIrsS,c,*iF Y.1JT1IIII1IiII HIS REIIII Q-.m�e U�.IdRJ.IIIIE�•EM BOTH SIGNATURES ARE REQUIRED FOR PERMfMNG ------�w-_-iILFN--T",rra ew.--a.-mmu.cv-•-'A-.--"n-I�:-u,.e•—m�rf-amam°v_.-nm...-+xAaIII.c-w nr—a�u ua.i�IIIin�oP.-. -°-I°----'I-I1IIIIiII iI1jII;�•��'2.•6°! 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Z J�L Q ROOF FRAMING PLAN c ecu. - m � W� II�mII'II�—'II}� an.,.m~w♦L`s�.orTO.mwn�"e�neo. §_ o `pF HEtp The Town of Barnstable BARNSTABLE. • Department of Health Safety and Environmental Services MASS. `rFOMP�& Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Locationa( Q&:- e S)° �(�,�T Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: ✓ ltisr��14-r1v n) .?3 Please call: 508-862-4 ,for re-inspection. Inspected by A Date 2/Q? 107 P�ppTHE Tp The Town of Barnstable BA LE.MASS. • Department of Health Safety and Environmental Services 9 MASS. C6 t679• �0 w , pTF0 MP+A Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location a( OAK- �7= Ls7' Permit Number RQQ� Z �O 2— Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: / p / 0 '70A-- ®� r7 l'�f�ULa L -U _ _ v x76 jo� A)F 7u ki AJ� 7; GuAI /k 6t-u� S'ri-rKw 1�/ > �c> w.l V�� I /07 J (� o- Please call: 508-862-4LM for re-inspection. Inspected by / ` Date y�l 1 LO-2 `Assessor's o'ffioe ,Ust floor): �FTHET� Assessor's moo .and, lot number ... . .:.�/�...:/.�Z.r...��/.. Board of Hdalot� (3rd floor).: ro Sewage,:.Pe4mit Purr ber .........:....................................... 2 BAHd9TODLE. AGIL .... Engineetiof,, pt n nt (3rd floor): .. M6 9 e� House nY�rnr liv APPLICATIONS'!I'PR'OCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Yp TOWN OF BARNSTABLE 4 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....CONSTRUCT A " SINq, !g..Ff4MILY,"•R�SIQ�AfG, .. TYPE OF CONSTRUCTION ............I. z...STOptK...M�IOpj.�....FI B!! ......................................................... .......... 4.%c7. .E1Z P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ' d LOT.�. QAK:57r... .. ...........................-.... ....... . ProposedUse ............. .............................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner Rp?KT.A.H .W. W;0 ...........Address 5Q.GMAT.RNAN �O.R1YA_-f./.SHPU MA O2Gt(-q Name of Builder DOMA5....P.,..L#KA7..............................Address x�t .IW.,FALMnUTN.�..MA....U25�'�........ Name of Architect .....IRA.L. ..a.'P.AAM..................................Address 3.9... !?I�A1�.P��. .R1!( .I.A!1/.Mf9g..AIA...(�z( Number of Rooms ...6... iU5..$tlVN..R..QO..M.......................Foundation PN.Relp....GGNC(ZE,Tt ... I Exterior ......C.,LO?6WRaA...&WPOP.544101.0 4!95.................Roofing ......AlWHA.4T....�.514.1 vt .C5.................................. Floors ....QAK.k.L.J.09 nPuM.A.G..A RMT..............................Interior ...........PRYIf.VA1.,L...................................................... INLFET WATEQ GorPEQ PIPRAJ Heating .....0.10L.rlI-. ...tAQ.T.V.VAT ......:..::................ g Fireplace .....�1 f).�. ..L�. A.T.l1�A'1'9.1...............................Approximate Cost .... .11.. �.Y 0.0.1......... . . . ........ .................. 1*7f:L II$4 " 04( SUN QOOM� Definitive Plan Approved by Planning Board --------------------------------19-------- . Area -2119F�....6$.4....... ToTAL?4463 Diagram of Lot and 'Building with Dimensions Fee SUBJECT TO APPROVAL ;OF BOARD OF HEALTH, r 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 v' Construction Supervisor's License .......................... LEEDHAM, ROBERT & HELEN A=018-129-001 '31491 11 Story No ................. Permit for .................................... Single Family Dwelling ........................................................................ Location'. ...JaQ .. ........21 Oak Street ....... .. ................... ..................GO. L7 ............................................. Owner .....Robjk� rt.....& Helen Leedham Type of Construction Frame y .......................................... ............................................................................... Plot ............................ Lot ................................ December ll ,• 87 Permit Granted ........ ...........................19 Date of Inspection ....................................19 Date Completed ......................................19 r f F ( I 1 Assessor's off ioe_11st floor): Assessor's moO and, lot number R Q�O.....1�.7..!..V � yoF7NEToy a Qom , ♦ Board of Haloth (3rumber � � �-1 L� r ;DESIGNING ENGINEER MUS e� ' Sewage Pe4mit ; µ l NSTALLATION AND'CERTIFY neenn �Bv�'�9 LE, Engi )I' altmnt (3rd floor): FJS 11.11E SYSTEM WAS INSTALLS House n�c r� .... ............ .� ......... ...::.. . " ' ACCORDANCE TO PLAN. C NPY APPLICATIONS 4'1ZOCESSED 8.30 9:30 A.M. and 1:00-2:00,P.M. only TOWN OF ,. BARNSTABLE BURDIHG" INSPECTOR APPLICATION FOR PERMIT TO ....CQAt5TRVC`T A...��I �t�^ .. tLY RL �Q AIC... 1 �2 �-�o� TYPE OF CONSTRUCTION ............... .......IOo� F f�.AM ......:.................................................. .....�4..1987. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location t�QTP i I MA.5 s. LoT Q .OAK.� � .............................. ............... ....... �... r.................. ProposedUse .............. .............................................................................I......................... Zoning. District .............. .4..�..............................................Fire District .... .. . ................................................. Name of Owner ...........Address ... Q.�� 'T.Qi1�[Ee�7R�!1 ,�1/�j�15NP .f� .f12E1 �j r .. Name of Builder ,ITI3dmA.S.....P�.�-iJK/A`.� jQ $�1V1�tF/1LMOU�41 H�/� '1 ...............................Address . ��i.l.... .............I............����............. Name of Architect .....Kd-f RAM..................................Address 3......�?SAT.P.�!`9.�5.17iZlll�. .!!��..�PF�.. !q, "Number of Rooms ... ?...r1o..Wk.9904..................:.....Foundation PQJRIGI.....GO�iC!2 .`f ..........................:. Exierfor ......C4APOCAQ... 00.�.rslllnJ(��.i= ........?`........Roofing ......C�1��. .1- ..��t�l � �✓.................................. ` t Floors ...UAK,.1.lAQLFLUN►..$CAIRlhrc.`T..................:... ?......Interior. .........�RY1f��AL ......,.......................................... ..... � F INLF-, wATee : eorpea Wiaq hieatin �bi.L.. R1 t?..MT N'�T� - .' --.....Plumbin g ............................ g ..... 19 t'�(it,...`...... .............:.............. .... ...... Fireplace .....P�.r.F A:7.19ATI.LA K:............................Approximate Cost ..... -4-5.1oaq.. ................. .................. 07FL 1194 +(i4S 6uN Definitive Plan Approved by Planning Board ----------------_---------------19_______ . Area 2!p! .....04........:Ttngf q.. Diagram of Lot and Building with Dimensions Fee / ®s� 7 1o9a SUBJECT TO APPROVAL OF BOARD OF HEALTH LT 64, s 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 .......... / /_jn4z..................................... ,Construction Supervisor's license ®CR_N�.\�............... — �� W169EEDHAM, ROBERT & HELEN W. No ... Permit for ...Story............. S ly... ........... ....... ..... ... Location #A,._....21 Oak Street ......................... .......................Cotuit ........................................................ Robert & Helen W. Leedham Owner ................................................................... 41 Type of Construction F.ra.m.e............................... .... .. .. ................................................................................ `' `} r r Plot. ....;n..................... Lot ................................ Pefmit-'Granted ....December 3:1 Z? .......................... ...19 87 4 Date of-lnspectiong*,-o.,.&-.-,5! r..'."n......✓119 Date Co pleje, 41- 19 CO 0 CO 0 cc Ca t: M M 020 M M _fitCa 0 M tr t/ M 0 IXMWS ir M THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM ^� C DATA TOWN OF BARNSTABLE, MASSACHUSE;,TS r BU I LDI IVY �PE•R.M r:=018--121 o 7 T 3114 DATE t PERMIT fb APPLICANT fl,+• =`1 - t;i ,. ADDRESS p U tf ,` L''ti) Lir-l(-)U T I1 -- (NO.) (STREET) (CON7R'S LICENSE) - PERMIT TO 1� NUMBER OF STORY_ 1.1. LJ t•;-'j y T r'- UMBER'DWELLING UNITS -(TYPE OF IMPROVEMENT) NO. IPROPO(SED USE) 1' AT (LOCATION) ZONING I0;,' (NO.) (STREET) DISTRICT "- , BETWEEN` AND (CROSS STREET) (CROSS STREET) (`SUBDIVISION LOT LOT BLOCK SIZE — - sG. _ UILDI IS TO BE FT, WIDE BY FT. LONG 8V FT. IN HEIGHT AND S:'ALL COPFORM IN CONSTRUCTION TO TYPE .USE GROUP BAS::MENT WALLS OR FOUNDATION (TYPE) y"-y REMARKS: AREA OR 1692 _�C t1i1U. PERMIT �}• . VOLUME ESTIMATED COST - ``" - ) (CUBIC/SQUARE FEET) FEE OWgiR { i�) `1 '.:<.•.(. rrsat_ ., BUILDINGDEPT. ADu7ESS BY -/�THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILIY OR- (,)PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- : PROVED BY THE JURISDICTION.'STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM "OF THREE CALL APPROVED PLANS MUST RE RETAj4E ON--<106-A•t4n--THIc-=_JH�wc :r f INSPECTIO.N.S'REQUIRE_D FOR _ _ — _ z - -. - R"" =• t. FiO F0S cU N' IL FIIJAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE, WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INST-ALLATIONS. _ 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. ' 3. FINAL INSPECTION BEFORE g,Ljs - OCCpPANCY. ' PO T. THIS CARD SO IT IS VISIBLE FROM STREET BUILDI G INSPECT PP OVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 --- o a r v v 7,Vn 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT +S OTHER ---- BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONS7-DATETHE 'rr TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX, MONTHS OF INSPECTIONS INDICATED ON THIS CARD CAN:BE CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. ' r �� �+rt*;e.,.,.*'......., lC,.��,.•«...;- ,_r,--...�-.�.;.........:,.�.-�Ys.:"°'^s�,,..`,TMis��a,+�v*srw+sr'°•T�*:,.�';.'�'r-?�.c�w�=,«�;.,, ._, ,�_.� � _ --...-. .. ,.f....,p,,. .�_. .-*rye.��-war..; 5 ,FtNEro TOWN OF BARNSTABLE Permit No. .:3.1:4.g.1...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .....:... .... ... HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Robert & `Helen W. Leedham Address Lot #A, 21 Oak Street Catuit maAG USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL- NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . June 2 19........ ....... �,...... !! ................... Building Inspector a'fy�•�'� TOWN OF BARNSTABLE BUILDING DEPARTMENT t »iSTADL ' TOWN OFFICE BUILDING rua 9'w�i6jq'M�� HYANNIS, MASS. 02601 0�Y MEMO TO: Town Clerk FROM: Building Department DATE: a/J Ig''�� An Occupancy Permit has been issued for the building authorized by Building,Permi"t vl$k. . .. .......�.`....�... .. .................................»._..................._...................».......»».....................»..... issuedto ;NQ/ 1. �C !' / ..................................»..........».. »...»..»»» .....»».........» ».»»».» Please release the performance bond. I UM UUNUNt I It 15 4,000 t'.5.1. I tb I . 1 ¢ 70.00 E�kio-0 § 23■7 22. t3 t 22x9 T A 45331± SF 22 � f - D ,it C ) 1 4 fir:• .. �Y I w. _1.0 20 21x0 H2O 0 LOT N SEP mm z/ Qsco �o Q 16 r G` tttno 6 Prr►J� r /4 14®4 14ai y y /2 . EL= II' /4 o B 0100 ZONE A'.`. /O ■7 A 6A/ sacs �. 5>,7 Pp `O MP �