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0111 OLD KINGS ROAD
� AC I IVE r - N Town of Barnstable *Permit' Fxpires 6 months from issue date X-PRESS PERMIT Regulatory Services Fee .� T o Thomas F.Geiler,Director OCT 4 3 �006 Building Division 0 TOWN OF BARNSTABEEn Perry,CBO, Building Commissioner, g 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint lap/parcel Number roperty Address CQ (:?c)" 137Residential Value of Work CJ Minimum fee of$25.00 for work under$6000.00 iwner's Name&Address 86 'yt 0 cr 1 He—i S C' 'ontractor's Name o���e,l2 Telephone Number [ome Improvement Contractor License#(if applicable) /l� cem-e#(zfappiieulrlej 21Workman's Compensation Insurance !' Check one: ` ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance ssurance Company Name Vorkman's Comp.Policy# 6 ,opy of Insurance Compliance Certificate must be on file. ermit Request(check box) 0-�Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *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 U=e vement Contractors License is required. SIGNATURE: 10 !:Forms:expmtrg .evise061306 r Department of-Industrial Accidents d Office.of Investigations 600 Washington Street Boston,MA 02111 °^M S�•Jy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers applicant Information Please Print Legibly ' ame (Business/organization/Individual):. Ilddress: C /� o x �( ity/State/Zip: -Phone#: -e you an employer?Check the propriate box:. Type of project(required): .__',1Tam a employer with 4. ❑ I am a general contractor and I 6. - New employees (full and/or part-time).�` have hired the sub-contractors ❑ Remodeling action ❑ I am a sole proprietor or partner- listed on the attached sheet. ❑ RemoJeling -: These Sub-contractors have - 8.. Demolition ship and have no employees - working for me in any capacity. ' workers' comp. insurance. 9. [] Building addition [No workers' comp. insurance.. 5. ❑ We area corporation and its required.] . officers have exercised their 101 Electrical repairs or.additions I am a homeowner doing all work -right of-exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. - c. 152, §1(4),and we have no 12:❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑ Other ;y applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `. )meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infornntion. m an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site 6rmation. urance Company Name: icy#or Self-ins.Lic. �(X 6 (71. Expiration Date: i Site Address: 1 (I t� l t2 City/State/Zip: o :ach a copy of the workers' compensation policy declaration page(showing the policy number and_expiration date). lure to secure coverage as required under-Section 25A of MGL c:.1.52 can lead to the imposition of criminal penalties of a up to$1,500,.00 and/or one-year unprisonrinent; as'we1l--as-civil penalties in-the form ofa STOP WORD ORDER and a fine .ip to$250.00 a_day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of -estigations of the DIA for insurance coverage verification. hereby certify u e pains=dNxaVIR of perjury that the information provided above is true and correct nature: Date: me#: 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#: $ z v r s r s..� , ISSUE DATE dC � 09/27� ` /06 « -%,sS - � d THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT,AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY 449 PLEASANT ST BROCKTON,MA 02301 COMPANIES AFFORDING COVERAGE " COMPANY A HARTFORD UNDERWRITERS INS CO LETTER COMPANY B LETTER INSURED COMPANY C FRASER CONSTRUCTION LETTER PO BOX 1845- COTUIT MA 02635 COMPANY D LETTER COMPANY E LETTER , Af .,.,u�a . Q L THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS; CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE (MM/DD/YY) (MM/DD/YY GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ PERSONAL&ADV.INJURY $ CLAIMS MADE OCCUR. - OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any One Fire) $ N ED.EXPENSE(Any one person $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS - BODILY INJURY $ 14 (Per Person) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per Accident) NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM - AGGREGATE $ STATUTORY LIMITS A WOR ERSCOMOENSATION F.ACHACCIDEN: $100,000 AND 6S60UB-794X6191 09/26/06 09/26/07 DISEASE-POLICY LIMIT $500,000 EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE $100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE '"- ���� e��w`.��. :,,�'„�� s�.��.� t,.���,��..., �.H�m<.:=� .,�� �� ?�.. .0 C�LT,A�ON,. .•.e>� "'�_ ". � a��� �� '';�'��x.:._,� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ERASER CONSTRUCTION EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO BOX 1845 BUT FAILURE TO MAIL SUCH NOTICE SHALT:IMPOSE NO OBLIGATION OR COTUIT,MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE 1'�Ss�-�£�iu7�725d�2 ?_1111`124 Nx;. .-t.. 206 t"bR-W1 RP('fu 9&.6! ✓/xe -Pomnwncuea� o�✓�aaoac�i�elta ._ Board of Building Regulations and Standards License or registration valid for individul use only HOME IM,�R,OVEMENT CONTRACTOR befori the expiration date. If found return to: .�; Beaf 'of Building Regulations and Standards Registrall'b _ 12536 W, One::�shburton Place Rm 1301 Xpi i�'Fl�72312007 z� � r-f Boston,Ma.02108 �P_= A �T, ERASER CONSTRIJC {f7 P DEAN FRASER � � _ 71 TARRAGON CIR° ,i :OTUIT,MA 02635 Administrator Not valid without signature i I I Fraser Construetlon Roofing & Siding Specialists P.O. Box 1845, Cotuit MA. 02635 Email: fraser constructiongyerizon.net www.fraserroofing.com Phone 1-508-428-2292 & FAX 1-508-428-0123 RE-ROOFING PROPOSAL DATE: September 22, 2006 NAME: Alan Donheiser PHONE: 508-428-1252 MAIL ADDRESS: P O Box 213 Cotuit, Ma. 02635 JOB ADDRESS: 111 Old Kings Rd. Cotuit, ma. FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED XT AR- 30: 30 Year Warranty, 5 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, 3 -Tab, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. Color: PRICE- $10,700 Initial Supply and Install - CERTAINTEED LANDMARK AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Layered, Architectural Style, Fiberglass Multi-La Heavy Weight, Self Sealing, Y Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. �y Color: '/t,r PRICE- $10,850 Initial G:J Supply & Install CertainTeed Winter - Guard: (ice &.water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply 8s Install - Roofer's Select Underlayment Paper (as recommended { by CertainTeed) �. Supply & Install - Hick's Ventilated Drip Edge. Supply & Install - Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent 'Ridge Vent (as recommended by CertainTeed) w� RA - /rq Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability Insurance on the above work. P, DATE OF ACCEPTANCE: komeowner _ Fraser Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- i t �rMap T�� Pa/rc/I Permit# �_ Health Division 'Z 6JV AOk MDate Issued ® !� Conservation Division ( QC�of Fee • SF-PT`IC SYSTEM BUST DE,: Collector LNST LLE®IN CC PL6 N . Treasurer a (�1 WITH TITLE 5 �S, ENV1,10NMENTAL CoD Planning Dept. TowN RECiULAVo. <J Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address (%� be al Village C00 1Y Owner C l n_ q_ Owls r, Address l l 042 11-114G 0 - Telephone C_20 Permit Request ,I' ,—N r -T,/ t-l" , Square feet: 1st floor: existing pr os 2nd floor: existing Q proposed d Total new S Valuation © oning District Flood Plain Groundwater Overlay Construction Type yr' Lot Size _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure qO MOP storic House: ❑Yes )(No On Old King's Highway: ❑Yes ❑ No Basement Type: XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing `2 new V Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ,Electric ❑Other Central Air: XYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 610 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:*existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes )(No If yes, site plan review# Current Use Wi t Proposed Use9 BUILDER INFORMATION Name CNQE�& • Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO iMA90Pff•'Zu1Q CVA/l F'= SIGNATURE DATE } { FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL•NO. ADDRESS . VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH: FINAL ! GAS: ROUGH- FINAL FINAL BUILDING a t DATE CLOSED OUT ASSOCIATION PLAN NO. ,t f oFIHETpy� The Town of Barnstable '• BARNSTABLE Department of Health Safety and Environmental Services MASS. o 039. PTf0 MA+a Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: ChyY S SC fP •YV RY-) Map/Parcel: I f Project Address: I� 1 V I C/I Kvi q.S 1 Cd Builder: J The following items were noted on reviewing: r-- J $rIeL Ai I im n s 3� G Ulf 7�►�CJI o Ct 1 .�� &/h )s 'AC 2-z o nC �-o SC`. . n ain CAJ 101t;L101 1: 1 --) jl'vvi -Wj— Reviewed by: A Date: 10 l a )61 • i q:building:forms:review The Commonwealth of Massachusetts -=•= Department of Industrial Accidents 600 Washington Street --- Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name 1 ��•� f:� ��®� , A nhone# I am a homeowner performing all work MselE I am a sole etor and have no one worldn in aav EMW,,,.,�;,,,,,, 1 vpnF ' ensation for on this job. 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Foamto secure coverage as required cd under Seon 2SA of MGL 152 cm kad to the impodtlaa of edmioat pemltles of a lhte up to 51.M00 and/or I undesslend that a one yam,Imprisonment as well as civil penalties in the fora of a STOP WORK ORDER and a tine of 5100.00 a day against me. copy of this statement maybe forwarded to the Once of Investigations of the DU for coverage verAatloa I do her y p ' and pmalties ofp�'� i"for"ihr ation provided above is trw.and coned Date 10 , - signature Print name Ph=# 6os. L�, I oindai use only do not write in this area to be completed by city or town oid" permdNicense 7coBulldlnt pepsrlm� city or town• Licensing Board • ❑Sdecnnen's OiQce checicif immediate response is required ❑Health Department phone#, — ❑Other contact person: - Ueviva 9195 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation tortheir employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied oral or written. .4 �t- , , ,.1 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 repiesentauves 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 aml such dwelling house or own&grounds or shall not because of such employment be deemed to be an employer. building appurtenant thereto MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,nestherthe commonwealth nor any of its political subdivisions shall enter into any comdz=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. j Applicants Please fill in the workers' compensation affidavit completely,by checidng the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confimrat'on 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 Depart<neat of Industrial Accidents. Should you have nay questions regarding the"law"or if you are required to obtain a workers' compensation policy,Please call the Deparnaeut at the number listed below. City or Towns Please•be sure that the affidavit is complete and printed legibly. The Department has provided a space at t .he U of the affidavit for you to fill out in the event the Office of Investigations-has to contact you regarding the app be sure to fill in the permit/license number which will be used as a reference number. The affidavits,may be rcturh d t^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to give us a call. t The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlestleatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 r THE Tp�� . The Town of Barnstable • anxrisreec.e MAS& g Regulatory Services 1639. `0 Thomas F. Geiler, Director, A ED MA � Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 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: �� �'� Estimated Cost Address of Work: It 0L0 VAN � 40 + Owner's Name: � tP� ✓ p � � Date of Application: to° 10, 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 [❑ rlding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT R GUARANTY FUND UNDER MGL cE.142A. ACCESS TO THE ARBITRATION PROGRAM O SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR : Date Owner's Name lI q:forms:Affidav:rev-070601 ti The Town of Barnstable t�r�`erg Regulatory Services f �p i639• ,.�� Thomas F. Geiler, Director rE0 MP'1 Building Division Peter F. DiMatteo, Building.Commissioner 367 Main Street,Hyannis MA 02601 i Fes: 508-790-6230 Office: 508-862-4038 ! HOMEOWNER LICENSE F.XEMMON Please Print DATE: Q I 10 : 10B LOCATION: strcet -village ber _ n r "HOMEOWNER": home phone# work phone# name CURRENT MAILING ADDRESS: ( J 1 zip code city/town grate units or The current exemption for"homeowners"was extended to inclurheoo o e no cu secs a license,a ova that less and to allow homeowners to engage an individual for hire P the owner acts as Supervisor. DEFINITION OF HOMEOWNER or is Person(s)who owns a parcel of land on which h tshe resides or intends to reside,on which there accessory to such use•andlor intended to be,a one or two-family dwelling,attached or detached structuresperiod shall not be considered farm structures. A person who constructs more than one home in a two-year p a homeowner. Such"homeowner"shall submit t for all such woing rk cialverfo n a f und the acceptablebuildingto the erTnit. Building Official,that he/she shall be res mnsible (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. ng The undersigned"homeowner"certifies that he/she understands the Town ofthat h shBarnstable a I comply h said De men nim inspection procedures and requirements an P and ments. e of om wne 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 permit is required shall be exempt from the The Code states that "Any homeowner performing work for which a building p 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." Macy homeownersti ns for Litcensing Construct exemption arc ion Supewarervisors.ors.Section n 2.they are 15)assuming lack the oof awareness often e results in e Appendix Q,Rules&Regina serious problems.particularly when the homeowner hires unlicensed persons. In this case.our Board cannot proceed ageing[the communities require.as p unlicensed personas it-would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsib e.art of the pernut To ensure that the homeowner is fully aware of his/her responsibilities,many age of this issue is a application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last p _ form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN LOCATION OF PROPERTY LINES MAY NOT BE ACCURATE STANDARD LEGEND NOTE:not all symbols will appear on a map q-ZZ) GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES --- -^ EDGE OF BRUSH MAP 22 r _ J ORCHARD OR NURSERY v-v-vV EDGE OF CONIFEROUS TREES MARSH AREA .63 AC - - EDGE OF WATER DIRT ROAD -------- _ DRIVEWAY E--PARKING LOT PAVED ROAD — DRAINAGE DITCH - - PATH/TRAIL PARCEL LINE MAPiio - MAP# 21 E PARCEL NUMBER #1e60 HOUSE NUMBER 2 FOOT CONTOUR LINE 30 10 FOOT CONTOUR LINE - Elevation based on-NGVD29 11 >/4.9 SPOT ELEVATION ti MAP 22 <=X=Xo STONEWALL � -X—X- FENCE #1 11 1,1 RETAINING WALL 1 1„ I 1 AC I 1 I- RAIL ROAD TRACK STONE JETTY MAP 22 L SWIMMING POOL O L ' PORCH/DECK 1 `�1 0 BUILDING/STRUCTURE - / If\1 tJ l �� DOCK/PIER HYDRANT 6 VALVE O MANHOLE 0 POST 0" FLAG POLE T O W N O F B A R N S T A B L E 6 E 0 6 R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T a SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET *NOTE:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James ® 1"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE m TOWER " E 0 25 50 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to.meet National Map Accuracy Standards s I INCH=50 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2001 Town of Barnstable Assessor's tax maps. O LIGHT POLE O ELECTRIC BOX APPROX.21'-0"(MATCH WIDTH OF ROUSE) �a ' EQUAL CL EQUAL CL EQUAL rg, EQUAL a LED 12 X 112 BEAM 4 AROUND S' " .� o PERIMETER in ;�.t' Fao � TIT ap a oo e µ a ALIGN FACE OF DECK WITH q EDGE OF HOUSE z (BOT'H SIDES) 2 12 g` X2 JOISTS 12O .) w " _ RED INDICATES PRIMARY SUCrURAL t 7TF3��R LRjCIOZE6 CONSIST.O XX" Po U 2" MORI ALOIS L1UPPORT NSISTS OF SINGLE 12"X 12" z DECK FLOORPLAN JOISTS 1/4"a 11-00 4 X 4 RAILING POST \F/ - _ e T llnF J10 a A DBLE 2 X 12 BEAM N e ABOVE GRADE N A H BELOW :; . 10"CONCRETE .; : 6 X 6 POSTS :;`• _ z -GRADE TUBE FORM 4 "' 'a; ; i; M Ca ■ ■ COMPACT. GRAVEL 3 EAST ELEVATION (TYP. SCALE: 3 A 3 w lessor's map and lot number ...... '`.......... u�THE T ...... ...... P� 2 u avage Permit number .......lhro. v ..Wllr.!.?. Z BARNS LE, i �lNouse number ........................................................................ 1{ a No a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........A ? t�- ............................. ..... ................... ................................................. TYPE OF CONSTRUCTION l�� �, '............................................................ .. .............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............(.?....:.................. .'S........./..�........... ,,,,............................... ................................... Proposed Use ...... 1. ...7i;% „c.I.......CJ� / „� iisc7.L-............................................................................................ ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ? P..:!....!! :... 5 !. a...........Address A X.kaZ S.....�,1�:..'...Cc'......................................... Name of Builder .!4!`? .. :.. <. .........................Address!'.`?.hlfia�a.,-,�... .Name of Architect ..................................::..............................Address .................................................................................... Number of Rooms ..............f.................................................Foundation .... >..L.....-.-..... ...t ....... /*1 ..... Exterior ..... .... Roofing �4 Floors -? n...............................................Interior ..... ' �.: .ram!: .................................................. Heating .......... ,.t..t?.d..d ......................................................Plumbing .......... d. ......... Firepp ..Approximate Cost lace ..:....... G>�.r..�..................................................... ....... �.......................................... ` Definitive Plan Approved by Planning Board ---------------_---------------19--------. Area .�' ','` ..... ....... ...... ............... k rl �Q Diagram of Lot and Building with Dimensions Fee "�'r........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S" I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.,�,). . r'. ............ E No ...... Permit for ...Siklgle..FaMil.y... Dwelling ........................... .................................................. Location .......Old Kin............. g .......................... ...................... -U............................................ Owner ........RQbQxt..W.....Eldr.ed...................... Type of Construction ....Fr.ame........................... ....................................... ........................................ Plot ............................ Lot ................................ Permit Granted .... ..JanUar.y..1.4...........19 80 Date of Inspectio ....................................19 Date Complete ......................................19 VPERMI'T REFUSED ................................. .......... ..... ......... ... 19 ......... t. . .... . .. ...................... .......... ......... .............................. ..... ........................... ............................. ................................................. ............................. ................................................. Approved ........... .................................... 19 .................................................................I............. ................... .......................................................... 'Assessor's.map and lot number 207 / � e2X I /�..................................... i THE T0� Swage Permit number ...... � G�.,✓Zz 4 1'f T G = BAUSTADLE, i House number ......................... vY,1 G r MAB6 {,°o *43s. `00 9 EMO, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........lQ ?......9,%1..... .. ............................................................................. ' W ........ ..-�-, -�..( ........................... TYPE OF CONSTRUCTION ............. .. ..:............................................ ....5.. .................9.6J TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: S Location .............U..C.................NG .............C�. .............CQ ��1 ...................................................................... Proposed Use ...../�J�. 1/..%�O.iJ....... !,���/01.6 L .............................................................I.......................... ZoningDistrict ........................................................................Fire District ............`...././........................................................... Name of Owner .%.... :. ./�. ...........Address ..��1..�.4—A..!�/.�l(-�.....�:..'..Co Tu/..�...... Name of Builder �.! �?'1 :..1..\ LG°,lt!........................Address ..- .Name of Architect ..................................................................Address .................................................................................... Number of Rooms ......................Foundation .... ....-- Exterior ..... . ... .'v .............................Roofing ........44e .L=z................................................. Floors ............ f�. .................................................Interior .....�...... .Ll4.,r............................................... Heating ........... :.(..Q.x_j.e......................................................Plumbing .......... d. s :...................................................... Fireplace ..........,y�.!Y..................... ...............................Approximate Cost ....... .Q..��.�......................... Definitive Plan Approved by•Planning Board ____________-__--___-________19_______. Area s' . ....... ................................ Diagram of Lot and Building with .Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH - Al,i 171 r' - G I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... �... .... ...... ROBE RT ELDREL' v -6- 1 6 No 21 ........ Permit for ....Single..Eamily.:.. r I?rae7.l a. Location ...Cld..King!.s.-Road............................ ..................Cet.Uit................................................ Owner ... ................:........... y 1 Type of Construction F.rai112..........:............. .......................... .......................... Plot ............................ Lot :............................... e _ i r A Permit Granted ............19 80 Date of Inspection ................................ ...19 c Date Completed ..... .. � PERMIT REFUSED 19 ............................................................... r ....................................................... 3 ... ............................................................ Ap �d ......:........................................ 19 � I . . ..... ...................................................... r .................... ......................................................... I t Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARNSTABLE, y MASS. SS. .�; Building Division �pTFD.19. A, Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 31IS1sy� PERMIT# S 2 FEE: $ �% SHED REGISTRATION - 120 square feet or less n_ ,l � l Old /�7 's &d (� � 7 Location of shed(ad ess) Village Property owner's nam Telephone number Size of Shed Map/Parcel# Oda Opy 61 (� / I Si ature Date Hyannis Main Street Waterfront Historic District? ��n Old King's Highway Historic District Commission jurisdiction? N Co nservation Commission(signature required) 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 , RFV:l21901 - t 02 3 g 95 1 AP 02 00 ... I I ; MAP 022 # 72 3 CI IN # 131 MAP 022 119 0� ...\Desktop\Conservation.dgn 3/18/2004 1:40:43 PM