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HomeMy WebLinkAbout0051 OXFORD DRIVE �l G° �'�o.��C �� r i�v� � � i J � i ,,� . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel L4 lb Application# Health Division Conservation Division Permit# Tax Collector Date Issued I3 6 Treasurer Application Fee Co Planning Dept. Permit Fee $(90 Date Definitive Plan Approved by Planning Board Vu Historic-OKH Preservation/Hyannis Project Street Address 57 U)�/710 U , Village Owner z &J2&S ('ga&/_4�_ Address TelephoneZG Permit Request /2J /u S' CC /g f(Q �e 3Z //U6"yectlJ L/I A/Y IV Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /�� .(� Construction Type Lot Size�7 Dj� Sri .f�, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing �Gnew size&Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ == Commercial ❑Yes o If yes,site plan review# Current Use Proposed UseJ��'I!�/l 116�VOAVBTJER INFORMATIONName /� - � Telephone Number ��� Z � M Address Z License# fil /.1 `"� 7�, Al 6 Z& Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /V/9 �� 1 SIGNATURE DATE f FOR OFFICIAL USE ONLY PERMIT NO. , b DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER s DATE OF INSPECTION: FOUNDATION �t r A l r g r, r1l FRAME p� INSULATION "a � i FIREPLACE ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL 'r GAS: ROUGH FINAL FINAL BUILDING 6ft9AXd K 7llt ' a E. t DATE CLOSED OUT r ASSOCIATION PLAN NO. a r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations. d 600 Washington Street Boston,MA 02111 a SJs�e www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/]Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): /lklll' Z[ X/ ' Address City/State/Zip:/life �t'l� ����� Phone.#: 417 T 2 S Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a Y emP to er with 4. I am a general contractor and I 6. ❑New construction.. employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole.proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P t5' 9. ❑Building addition [No workers' comp.insurance comp.insurance. ; required.] 5.0 We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.( OtherLt�/!YI fIi l/,�lo QGZ 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is.the 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 expi 'on 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: ! �/ Phone#: 7 7 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the rPceiver_oLtrustee 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of. .Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom �. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding.the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant thatmust 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 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions.--= please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Inbstrial Accidents Office of Investigatim 604 W'ashingtari Street Boston,MA 02111 Tel. ##617-727-4900 ext.406 or 1-977 MASSAFE Fax##617-727-7749 .Revised 11-22-06 w.mass.gov/dia �e •i v T T is " Regulatory Services Thomas T,Geiler,Director ass $ sg9. F,� Building Division °lee Tom.Perry,Building Commissioner .200 Maio Street, Hyamris,MA 02601 Www,town•,barnstable,ma.us Face; Fax; 508-190-6230 508-862-4039 Permit no. Date 3 h AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION JYJGL C. 142AregL*e5 that the"reconstruction,alterations,renovation,repair,modernization, conversion, improyement,removal,demolition,or construction of an addition to any pre-existing owner-occupied - bm��g containing at least one but not more than four dwelling units.or to Structures which'are adjacent to Stich residence or building be done by registered contractors,with certain ce'ptious,slang with other 1equirements. • �(� Estimated Cost 3 Type of Work: 1 — Address of Work pyyner's Name. f Date of Application I hereby certify that: Registration is not required for-the following reason(s); []Work excluded by law ❑Job Under$1,000 C]Butiding not owner-occupied ❑Owner pulling own Permit Notice is bereby given that: OWNERS pULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT FORK DO NOT HAVE' ACCESS TO THE ARBTI'RATION PROGRAM OR GTTARANTYFUND UNDER IYIGL a 142A, SIGNED UNDER PENALTIES OF PtPJURY I hereby apply for a permit as the agent of the owner; • f Date Contractor Si RegistrationNo, OR A Date Owner's Signature Q;�,rpfues.forms:h�eaffidxY . Rev: 060606 RESIDENTIAL: SHEDS -POOLS—DECKS-OPEN PORCHES-GAZEBOS FEE VALUE WORKSHEET APPLICATION FEE: $50.00 BUILDING PERMIT FEES: ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf-1000 sf 75.00 $ >1000 sf-1500 sf 100.00 3 >1500 sf USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) - TORCHES x$30.00= $. (Number) IN GRO1 SyMIMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (plus above fee if applicable) PERMIT FEE ' S �©' Q:fomms-Rost pZV:063004 Town*of Barnstable P °^ Regulatory Services 9s _VT $ Thomas F.Gei7le�r,Director . �pTFD M1�{b1� Building D' i iUri Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Efice:. 508 862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hexeb7 authorizIA614 AL �Kt to act on my behalf, in all matters relative to work authorized by this building permit application for: /a- �IG,I (Address of Job) 3 G S' e of Owner Date Print Name Q:F0RW,0VdNER?ERMIS SIGN is '�`x..;.4t >: - -D• L 1 L, �s _:u -. _ �q t .. t `e. r .. - :i4 i Y - -- Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registratron: 128202 Eicp f r7 Lion: 3/1012007 t !` 4 Type: Private Corporation HOLIDAY POOLS WALTER ZUROSKY 53 CAYUGA AVE MASHPEE.MA 02649 Administrator f. ' - r f102 :]/1]/89 YFPAMil O7f W br+IK1 AM tatA70K M PIL7At : T74ANCI d,r\-G,-f I•a uuaA AA[.m Au,Av7ltt ••JAT TJK IF At YS0 to,YI I lmt. ;,P 3 CLAGONAL i ! Opt. ®ts Z11A !OR .. G RAo 1- `&RACEI rF]Is`°ut�R74j z• 9- 1 11 BRACEI _J . I 1 nN�ELGALYSfFfl STAR KY S.Nf Y D I LLBR.[{ t S-3/6AY.Ba75 BOLTS N7T75 YID20 YLT111OOE5$' gCT¢.f��/211/0 C / RAZE-ITBmuTED VRTL LNER ASSEA197 S-3/ee Y.BOt7'S- IwEFR�RE ,M E STAR LK NUTS ANC Wa9atLs l T TTP. 1 ; i , n 1�PRE-FaBRIucrEn 20 IBLITKtiDEs AR ASSEMBLY �n� NNTL LIIlT 8tA\R LwE CORNER R HIMEL STAR lR� s-yBYrenls co-G JIL STEEL Y1T5 AW 2 �S' We . WAs+EJa M EA SERIES 550 6 650 STAIR CORNER 7 SERIES 750 STAIR CORNER rz1 SERIES 850,950 FA 1050 STAIR CORNER /al \ n '�" PUwP A,1OI�ER F.11P AND 51Y,BF > > ON MOTOR UCTw+ YorDR ��•�\�---j_ - '��-- -Not---1y, •A'FRAME.$EYBLT :• S ��{ FLYER T , �i 1 FLTER � -f � - 2 ♦ LTYPIUL MoiE YIOrI i • ' 7+E1\WNENTLT' FITS ►---►- ► --� _RETURN s W rRAAME I I rnn�.E ETuww _ z TTP.fAL\ ,;��.. FERItYE.wT,7 T _ (s+uDED Frog 7 I; A a A `[2pi/� 1 �pgR10i6 i tL AREAS PI AT AAP 1 a i 1 "wC`s 5 YOTDR AN-DI 1 •m. a A I I Er PRESEMS AREAS m I ` AL T - I I . m._ 1• - lx� ARS ARE f !D G `---►- -� OR I -�- IP a 0 QAN SF SURF.ATEAA 2D]QGAL.r AACATED AT •I 1 S IAME m o 5¢EStoo �ba37�SF SURF.AEAL ZnjaGeLEAP ^I� v mw la.l1 SF S R AREAL2LiQ4_rJ1LUYO(Y2' - m 20i10'2yf SF S"ARFA S "900 GALCAP m 3 --- SERIES 2000 6 2050 INGROUND 2 A FRAME ASSEMBLY TYPICAL WHERE SHORN o sMEsoWN-le>'a4'is.aEs1RFJ7REAn24eoo GAL-CAP �'? •:rK o F\!P ANo TER - - PERf1A1EIM ATTOED YOTGR __ _ _ Sta11R5 ME OPTIC SAFETY LME � sc�~ E� SERIES 2100&2150 1NGROUND y. 5�sowN tnx•SB BT EL_Azs s.e sLA7iE AREA 1 /lr T 6 26928"L.CAP ARE PERYAREmLy 5' SERIES 2000 s 2050 INGROUND T10NAL J[TTAOED SAFETY LFE 5e- - ftY AREisM�J.r1- ��. 1 ,��� 'A'FRAME ASSEYBIT O G�(6 �rR L-►--_�.-J rvncu-04E SHOVM ,yaLE�� lg� 56T SF 91.E AREAL 20720 CAL_CAP ALSO A.AA E-M*xA1'713 SFSMEAREA.L249SS GAL.CAP _ ZN:: 6341 SF$URF AREAL 2=23 GAL CAP - SERIES 2100 a 2150 NGROUND FROM :WELL-BUILT POOLS FAX NO.. :15086799047 Mar. 21 2006 12:39PM P2 IMUU1/VvL 03/21/2006 15:26 FA% 15066748424 . B AG VI DAT1a iigl�iSlArM'nY1 A CERTIFICATE OF LIABILITY INSURANCE � OfQNF 20Ft0l144T006 �M THIS GoaLF 18 1I umo Ab A IueeR (g08) p90-'7367 ONLY AND CI�F'm NO RIGHTS UPON THE C®RTIPICATC ins. H4LD TMIB CE�TIFICA'I� DES NOT AAAEND, FLOW` OR �► ALTER THE C FvbRtJEi�B1P C30 48 State Ids 101URBRB AFFOMING C OVKRRGE' NAIL 140. g �fiYt - IN8uAB4A �t,STATE FIRE 6 CAS?lJ-y IN4Ur+En TALL 1 umw POOLS INSUREII a LIBMTY W3'[tAL 19$ SH?", S LOT I= nos a IHsuItYR 1lAbTsh XX 0277'7- IN ote g2w�m THE INSURED TH11TANDING ANY THE POUCWS INSURANCE�NDP`ION BUMOP ANY C�ONTAACT OR uED QTtIEFt DOCLIWiEW WITTHESPZ;OT T vmtM9 THIS ED ABOVE rm THF iCERTIFICATE CY PSRIOD pMAY E 105H u0 m OR MAY PERTAIN, R�INSURANCE AFFORWO IIY THE PO=ES DE6CREED HEREIN IS SUBJECT TO ALL THE TERM®, iD(CLUSIONB AND CONDI1TfSN8 OF SUCH POLICIES. A06RNc3ATf4 LIMI"SMWM MAY HAVE!!EN REDUCED BY PAI0 CtAVA. P p Y mum" OA i uMi Lam. TYMlcalN�aaaNO! 1,000,000 A Wr umurY CLP5265976 03/lyd/200K OS/18/3007 EACHOGcuRRtN s TOR � $ zno,ctoo X. COMMEit0iA1-GEN£ ABILrTY P EpertfNtall A4E0 E%P �o S 5,000 CLAW Ilme OCCUR ehe 1,00 01000 PERSONA IN,B�Y ru�LA,�peaA� L,060,000 -- MWptCM.22W)OPAGQ0 1 000 000 WLAGQv_dATE LW APPLIED PER: PALICY Fl LOG AUH+eHtuz�LE LIA JTY COMI)INED SINME LOMrr a (Em amidrwm ANY AUTO ALL OWNS AArT08 / / / / 80OLLY INJURY i pw pmorwo soHEEILec AUTOR, HIRED AUT68 / / / / 800p-Y PLIURY $ . (par emdwiq NO444YNG0 AUTOS PAOPERTY DAMAGE (i 1P�r�idoml OARA98 UAMLITV AUTO ONLY-GAACCIOWT OTHERIFHAN EA ACC i AUTO ONLY' E7[ar�UllRli�tAL,AMI.ITY / / / 1 N $ .. ORmR F-1 CLAW MAOS A42REGATE S DEDUCTIBLE ReT>:NTIDN s - g woRt ATMAND WC6318351233-014 02/22/2006 02/22/2007 x EePLOYW UAWM 8,I.,EACH ACCIDW s _ 100,000 ANY PRORRIRin �wPARIIUa>�cunwE 500,000 oKFtC9RR eeElt E tC6Sf 1 / / / J F.t.nI A gmmoyrsIs Iryl�,aeec�eu+mw L 22M-fkoucyumftrda,oao SPi IALPRQV bebw orNsa WwLj; 10N OP QMiFmTl0NWL9GATK wWMK t. UWM ADDM DY faNDOR9EMlN'rr4FEpAL PROYI9ium 4 00MME CANCELLATKNII (508) 679-9047 ( — BxOIaD ANY OF THE ABOR DASCRiwo PMXMS BE CANCEU.ED 11PORE TNL EOWAT DATE THI PF THE tVMMG INSUFAk VA ENDCAdOAIt TO "R.IdM 10 DAYS wrlrr=wynce To TNR'c>t ipICATR HoLGRR NAKED To?Hit LPFT,BUT HOLIPAIX POOLS PALUAA TO DO 60 MIP081I omjcAr4m 0R LIAHLWf OF ANY.KW UPON THg INi4N rr8 R ATHv 35 »M AVINU rATIv rSASB> MA 02949- JICGIR�25(060'll0$) ACOR CORPORATION 1988 M02S(01M.06 ELECTRONIC LASER FDRMB,INC.-(W9PU-0W Page 7 QF9 N Cv j BOARD OF MULDING RE;ULJAION8 LT) Ucense: CONSTRUCMN SUPFRViSOR m Number.-CS- 087703 i '9 WrWates 06?28/1977 [mil l CD Ettp res;0W2912007 Tr,no: 87703 .. Restricted Q0. GARY 0 MEDE ROS I to LOCUST ST v L L RNSR MA 0272 9 * GomrnlMoAe"r f Lq m f`- O] CD - }0—ron iic►xrdofIfaz[Idiag Regulattleoa amd S�andard� Li0meorregistratioa vaU faa fudividu[us9 ar�ly HOME IMPROVEMENT CONTRACTOR1sWfare the expinm"n dePx. If found ret,rato: R"ist-aul:_142062 Board of$ui lo_ing RegaLatioras and Standards ExPir"rv. 311 V2W6 One A•snbujUlk 1 lace Rm 13a, � Ty : ©BA Wwtua,Nis.02,T08 weal-Built pools _ Gary Medeiros 1294 Locust Street J Fri.RiSrar, MA a2723 �` F 0 Adm�iaisfrabr R'e'-11;11ic1 without skgftatare 0 J I J J W 3 p <L ACAM CERTIFICATE OF LIABILITY INSURANCE. „ Gwosu ZnattraT,os a�,ay cF r usu�wr w� ap�ae�u►irar p0 8ou 1235 OIILY Al�1D G01�ttt6lt$ro Awa UPON ME CMUWWAT6 828 vtdtotd Strast H"ElLlW4,TM WWOIt O�ItM�'#+pWp�sm�g BEW Y. Laksvil2s m► 03347 �:S0$-3i7-$4d0 �;508-967-68�4 �OovEWLOE wok �ssoctst�d i�atriss mf 9% 02347 a CWM4A �. tNSTnu�� tisTEDe��stE�e�Rt�'�o ��s8A��'aLiRT�oat�p�ew7�D_WnT+�niarA,mtr� A�asaut tsnaaew�snoe�aAerooema�crosvnaTeooa�tern+�+a�ctYaw�a+T�tstTEr„r�aTsaOOR POLCM tA[�lT!� Aer perry rouc+�armxeaa+�suaacrTaAuTMs,easa +o�asNDaaaarn aFaJot1 POLICES-AQQAEQA1Et�t��N�NIt4TlfltVE��{ AY�A�7C4�IS. L POL"lAAiEER LW{A! LaR s X �cuLaam l�'A47$19 �Aacoal 6 30dQ00 04/14/06 04/14/07 ls0000 assa A ooaai rt UMP(Ag,ompomV s 5000 Pvl3cA &AvVWAWm f 5o0000 o�nTeLIWfAPp.��� �+tsesa�ITE ;100DD00 +oucv roc tr- �9 $1000000 UAMNAV Aw ALfl0 - t� aowalr uw t t4fl iYAUM mmvnmv • . latFpAy►pa aAlu►es LAMLtT AI,YAIRD 'AUIOdE.1F.GAOCDB,f t p � FAI= -f AI11pOiRT AM � �saAu►e+�anr OCdiR Q CLAM 666E [AQ110001Y!lBICd t Adt�EA►7E s s'. rasarrlo�I s �uArLen�� X s AAW;rn= t x ViPC60D8367D12006 04/16106 06/16/07 LLORCHsocW r � •100o0Q am Es.oa -a► 0100000 es.oWAW•1'Q=Lwff f 50 000 ar oreRAt�axT,tou►rlo�, zZaaVatinq M WMTE Noum 9ANClLLAr4tf gO,My aaxv AMr os nee roLx�rs ss�ra+�usoo�ue ne mom► a►�rtn ,s�tpuaaestauesot+ivateo�uuL 10 a.Ttsearra Holiday Fools +' TO IM COU nMMI,tUM WAM TO TM LTRTii{Flt UFA TOGO go vimL 55 Cayuga Avg AM M TworeRoawTaRrar+oittutw�traratnr a�uone Mu�au�nsrrtaw avnal�o �t fRDss(�eOT,Ql� owcoaa TMToss CORD. CERTIFICATE OF LIABILITY INSURANCE DATDDNYM e4 /1281107 PRODUCER THIS COMRCATE IS ISSUEDASA MATTEROF1NFORMAT10N ONLYAND COPFERSNO NGHTS UPONTHECERMICATE M cock Insurance Agency n c HOLDER.THIS CEFMF ICATEDOBS NOT AMF3�D,EXTEND OR 20 School ST, PO Box 437 y g ALTER THECOVERAGE AFFORDED E1:YTHEPOLICIES FLOW. C o t u i t, MA 02635 INSUFML !S AFFORDING COVERAGE NAIL'# INSURED INSURER A Holiday Pools, Inc. INSURERa Commercial Account L%WRERC P 0 Box 61 INSURM a `- Mashpee, MA 02649 INSURERS COVERAGE'S THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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 LIHITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIt ADVI. POLIGYNUEABFR POUGYEFFM nw- .POLICY E(PIRDATEILIMInDAM AI10 LIMITS GENERAL L1ABfLRY EACH OCCURRENCE $ X1 COMMERCIALGENERALUABaRY PREMISES FaoaYrenoe s X CLAMS MADE OCCUR CIS 12 6 71.1.5 5/12/0 6 5/12/0 7 MED EXP Anpare pwspM s _ 5-0.0 0 PERSONAL&ADV RUURY 5 GENERAL AGGREGATE 5 GWLAGGREGATELTMITAPPUESPER: PRODUCTS-COMP/OPAGG 5 D �n C1 POLICY EEC LOG AUTONOBU.E LIABILITY COMBINED SINGLE LIMIT ANYAUTO (EaaridEft) $ AUK OANED AUTO BODILY INJURY - SCHEOUM AUTOS (PerP-0 S HIRED AUTOS BODILYINJURY 5 NON-OVWED AUTOS (PerWddw t) ' PROPERTYDAMAGE S (Per amded) GARAGELUBILITY . AUTOONLY-EAACCIDENT S MYAIJTO OTHERT({AN EAACC 'S AUTO DN�LTT. AGO S =ESSIUMBRELLAWWWITY EACH OCCURRENCE 5 OCCUR CLARAS MADE AGGREGATE S a s DEDUCTIBLE $ RETENTION $ g WORKERS C04PENSATIOIAND TU, EMILOVERS'LIABILITY S ANY PROPRIEFOPJPA2TNERfiXECUTI* EL.ERCHACCIDENT S OFFCERMEMEEREXCLUDED? E.L.DISEASE-EA EMPLOYEE 5 U�ae,Zcdhevrler — SPECIALPROVISI NSbobw ELOISEASE-POUCYLIMIT 5 OTHER D MCRFM NOF OFERATiONS/LOCA71ONS/VEH CLE8/EXCL UMNS ADDED SY EdDORSEMENTI SPBCULL PROVISIONS Swimming Pool Installation - COUIRCATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBECANCELLED BEFORE THEOMRAT10N Town of Sand.wich.. DATETHEREOF,THE ISSUINGINSURER WILL ENDEAVOR TOMAIL Tin DA7SWRITTEN NOTIC ETD THE CERTMATEHOLDERNAMEDTOTHE LEFT.BUT FAILURE TODOSOSHALI— IMPOSENOOBLIGATION OR U48ILMOF ANY KIND UPON THE INSURER,ITS WANTS'OR- REPRESENTA7IVES AUTHORI�REPR TIVE ACOFDZS(2001/08) IF OACPWCORPORATION 1988 .ter ..�_ ..�.... _.. .. . . i � } +� •.+f�- fq , � �. S�/116 N A"•AI;VuN� e W1LL1A I i . .. No. 1933t s / CE.2.7I,/'Ez:) A2.07 0,114Al^ r= CE.L T/�Y TWAT TfAS .�aG.4 Tia�c.� Cc�w T q s�sr,cam* Scat.. C- !o _ %� �fc3 fe rEr S�oE�C/�tiE;Ai✓P SETBAC,f:t P�CA.V i2EF'E..2Eit/C'� Wv��EMEN!�' of THE �wN4� 'C'.4 7EG, W/TiS�/it/ T•YE FLOoaPl.4/�f! .C�i �� C�.P4N'T' �_. � . � :// NYC /NC. y/.S' CoWT Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services Fee c ` `� •`� Z_._ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barmtable.ma.us ; Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �^' p`Not Valid without Red X-Press Imprint Map/parcel Number Vc�, y . Property Address j esidential Value of Work §l ✓ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address f / e Contractor's Name � Telephone Numbez+y ( � Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ®PRE met PERMIT ❑ I am a sole proprietor ❑ lamthe Homeowner AUG 10 2007 I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Worl man's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) V/Ce-roof(stripping old shingles) All construction debris will be taken to - A ❑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.HistoTtC;Conservation,etc. ***Note: Prope 0 r sign roperty Owner Letter of P�er; tisia�n A co y of e ome Imp vemen ontractors License is regtiire'd�. SIGNATURE: i Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UT. 600 Washington Street Boston,MA02111 www.mass.gov/dia Workers' Compensation Insuranceffi.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,— Please Print Legibly Name(Business/Orgaaization/Individual): . M�14� 7 Address: • a c City/State/Zip: Phone.#: Are you an employer?Check the appropriate box: Type of project(required):, 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I �Mn yees(full and/or part-time).* have hired the sub-contractors 6. ❑New nstruction . 2. 'sole proprietor or partner- listed on the-attached sheet. 7. modeling ship and have no employees These sub-contractors have g• Demolition working for me in an capacity. employees and have workers' g Y P ty $. 9. ❑ i Buildng addition [No workers'comp.insurance comp,insurance. required.] 5. ❑ We are a corporation and its I0.❑Electrical repairs or additions officers have exercised their 11.❑Plumbing '3.❑ I am a homeowner doing all work repairs or additions myself [No workers'comp. right of exemption per MGL 12.,V�oof repairs insurance required.]t c• 152, §1(4),and we have no employees. [No workers' .13.❑ Other comp.insurance required.] . *Any applicant that checks box#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. ZC6ntracton that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providt;their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. 9� Insurance Company Name: Policy#or Self-ins.Lic.#: Exp lion 1V Job Site Address: City/State/Zip: Attach a.copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day a • the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the!)-- for'msuumzrcoveraLye2jerification. I do hereby ce er th a. . d pen es ofp4ury that the information provided abov is true ' it correct Si afore: Date: Phone# oe : Officia e only. Do not write in this area,W be completed by city or town o iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two.or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean 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 insirrance 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-contcactor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office,of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used�`as a reference cumber. 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 Mawa0huwfts Department of Industrial Arcidonts Office of Inv.estlgatians 600 Washingtoi Street Boston, MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia U ✓�ie_h�amimoouueal� ). !i(al d of BuiWin„RQpILt1011S all Slatld �(Ts HOME IMPROVEMENTCOHTRACTORz Regi�tratlan 114813 Explrahon=10/,�7[2007 Type ' CA JAMES D DANFORTH REMOD f. JAMES DANFORTH= � E 1105 OLD POST R64 c(MIT,.MA.02635 Admini-t rafor ESTIMATE i A James Danforth ry P.O. BOX 973 COTUIT, MA. 02635 (508) 420-5131 Jim Crowley 51 Oxford Drive Cotuit, MA. May 12, 2007 Roofing work to be completed on entire house and garage. The rear lower flat roof will be excluded. Remove the existing roofing shingles. Install 8" aluminum drip edge on roof edges. Install ice and water shield 3% up onto roof. Install 151b. felt paper over roof sheathing. Install a 30-year Architectural type roof shingle, using Certainteed Woodscapes, which is an algae resistant shingle. Install new vent pipe flashing. House and shrubs will be covered while work is in progress. Removal of rubbish. Material and labor $7,125.00. Extra cost of $425.00 if a ridge vent is installed across all roof peaks. Extra cost for removing wood shingles, from the right side of the rear dormer. Install felt paper over sheathing. Install premium grade white cedar shingles. Material and labor $630.00 � l r ' � 1 tr .. l Acceptance of Proposa • Signature* V e Date of Acceptance: h Signature: Town of Barnstable ,°� *Permit# %93 * BARNSTABLE, ; Expires 6 months from issue date MASS. ,.�' Regulatory Services Fee 16.19. MAt A Thomas F.Geiler,Director Building Division X ®Tom Perry, Building Commissioner 1 T Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 DEC 13 2005 Fax: 508-790-6230 V- rOWN OF g�gR�STA� .EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY SLE Not Valid wit/rout Red X-Press Imprint Map/parcel Number I YPro erty Address Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address S TAW Contractor's Name Home Improvement Co Telephone Number ntractor License#(if applicable) ZwOrkman's truction Supervisor's license#(ifapplicable) Compensation Insurance Check one: 4A ❑ 'I am a sole proprietor I am the Homeowner I have Worker's Compensation Insuranc e isurance Company Name am �� k, � ' 7011anan's Comp.Policy# opy of Insurance Compliance Certificate must be on file. smut Request(check box) ❑ Re-roof (stripping old shingles) All construction debris will be.take n.to........ .....__..... ._ -_.. -- e-roof(not stripping. Goias �ff g over existing layers of roof) Re-side �•r!/� � � � �S ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation, . ***Note: Property O etc. P rty Owner must sign Property Owner Letter of Permission. Home Improvement Contractors Lip. e is required. . .ature /e ms:expmtrg r s063004 .. .. . . , . 1. ►I- R'cl(!•I:s1.T-aTj( -) RuSg i:;liaiinn: 1On740 :'. : . �'• �y1.,r. }:,iivaic G�rl:»raiiall Expiraliorl: 6123/20DG CAPIZZI HOME 11APROVCMCNT, INC. Thomas Capizzi, jr. ---- --- 1 G9 5 Newion Rd. Coiuii, IAA 02635 Updmte Address mnd return Lard. hlar)t reason for cha.ngi �1 Address Ej- Rencwal M Employment Ej- Losi C: T ✓fi.0 Z�itronirswrtfueC�.GLI.��✓lQ,t�d,,U.r/tuae�.G \ Board of Building Rcnulaiions and Standards License orregisfration Valid for indivwn)use only HOME IMPROVEMENT CONTRACTOR before bneapir2tion d2te. If return to: I+--' Registration: 100740 3302rd ofhiilding Regu)ations and Standards rtonnceRm 130)PI)=rpiration: 6/23/2006 OneAshlm Type: Private Corporation Bosion,X2-02308 CAPIZ7-1,40IME 110PROVE10-ENT,I %omas C2pi3i,jr. 1645 Newton Rd. i Cotuit,h4A, 02635 Administm-Lor loot valid wirthou b Ito"r BOARD OF BUILDING.RE_GULATIO_NS License: ,CONSTRUCTION S'I _ X'• ' j Number_;;CS 057032 ` Blrthdate -fl9/26/1963' ;' Exlres 0�/2612007 !. ` RestncYed 'OD "" ' r '�• r �'i 1 THOMAS X CAPIZZI ♦? 1 1 Bs`{� 1645 NEWTOWN RD. 1 COTUIT, MA 02635"' Commissioner t CAPIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPER TY �,OCATED AT O[� ��"/i IN I v �� MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: ` OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: 68 CA IVA I APPLICANT'S ADDRESS: 1645 NEWTOWN RD. . COTUIT, MA 02635 APPLICANT'S TELEPHONE: 5081428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: F ACCEPTED BY. DATE THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL # Town of Barnstable FtHE 1ph�O Regulatory Services Thomas F.Geiler,Director + BARNSTABM 9 MASS. $ Building Division ArED 39. A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PIV PERMIT# �0`J `� \) 4 FEE: $ SHED REGISTRATION 120 square feet or less ^n// Location of shed(address) Village. Property owner's name Telephone number �3 1 Size of Shed Map/Parcel# C3 . v 1, � ature Date Cc Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? C J Conservation 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 REV:121901 t N i F,✓v, } , L•�3 � �GT G9 � a t WILtIC. AM 49:M iV Y H :ca ,A No. 19334 0 No.sutcv CE.2T / CE.eT/,,c7Y TN.�7' THE c- .�aG,a Tio v Co�-v T-- ., .SHoW 1145CE4u/C"PG YS W1rho SCA L E- / Go op 0A7 ANP SETBA Cl-e. 7-,4/6' T.20WA ,o,LAIOl/Q ,2EA dSoeA=-A10E } iC OCA T,E.O W/T'h�/�4/ 771E F.LoaaPG4�.i! ��i✓GS G.�4N`T'"' '. Z71 oG. SG �.4XT�246 4,0VyE /NC. TiS//S �,CA.t//S�t/OT BASE"Q D.�/ mot/ .eEG/STE.2E0 .!�/O SU.e .S' Asses:, 's office(1st Floor): Asses sc 's map and lot number Board of ealth (3rd floor):f&I-3*7 Sewage rmit number / / Z 13AHd9TLELZ i Engineering Department(3rd floor): Al- C r }S rnsa House number '� J 1 °o 3639• \®�" Definitive Plan Approved by Planning Board 19 - �0 MA-4 a APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION { 44� � 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use ' Zoning District Fire District Name of Owner �J ��x( / Address • Name of Builder /�`/i� �dpd Address ( f()/ok4jy Die 1721Z#A�Z C Name of Architect Address Number of Rooms Foundation ✓1 )f� c.c �'C��� I �/d' `��F �'/1 Exterior -Z>A6-POfe5 Roofing Floors ��` 7�/r��/ '7)P0 Interior /,IKJ�-,--uj JYno Heating Plumbing '1115 Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee/7lJ1 l 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. n , Name , Construction Supervisor's License 0 Is n-10 f CROWLEY, JAMES A=021-048 �33� 087 Permit For Enclose Deck Single Family Dwelling Location 51 Oxford Di-`m Cotuit Owner James Crowley Type of Construction Frame Plot Lot. #6 9 Permit Granted July 21, 19 89 Date of Inspection 19 Date Completed 19 r i� - Assessor's map and lot number .......5 ' `.. x f �%THEtO Sew�age`�Permit number , °df ! ..� ._ e`"Q� ♦� F _ Z BA"STABLE i House number ..... ......'..�......... K ?.................... ...:.... riva �°p 039. \0� TOWN OF BARNSTABLE BUILDING INSPECTOR . x �(� .........: APPLICATION FOR PERMIT TO ....... ,................... ......... ......... ......... ...:................. ..:.........:.... TYPE OF CONSTRUCTION ................ oyt ................. ..................... ..:................... ........................ ............. ....19 a`;f" TO THE INSPECTOR OF BUILDINGS: .The undersigned hereby applies for a permit according to the following information: r location ............. .:. OY. fC-f�1�.. �i!ti,!.!J �:..........C- "� il c ( fhtg; S �iKr ...... Proposed Use ....... . "` .? .E c O 1 r>.... :...... ............ .. Zoning District ..........!l. .L4�.1 c.fC1....`�..,DFire District ...... b..l...29 "............. 77 Name of Owner ......................................................................Address ................:............. ........ . ............................. F Name of Builder ?ni ';�e ... .:�'�! „A�t ?(��.!" �............Address .. I' ) C�7"�rto .... Name of Architect ....... -» ........Address Number of Rooms ......... ................................ ....................Foundation .. Roo. .:(lc),../tr,r>�. ....... -! r ... ^ Exterior ............ ? ?........ ! ..`��.�..!"a.. ................Roofing ..............fA5.ff,AE kj................................................ Floors ........ e ) , ...... .... . . ..:. Heating .........:'EFr T.. �..'. •....................... Plumbing ........ ... L�a Fireplace ' ^ `u�- . c� :..... ......................................:,....................Approximate Cost 7f't•nf.:a c C7 Definitive Plan Approved by Planning Board _ ____'L ---------19 _ Area .!`� < . p ............. r - ... Diagram of Lot and Building with Dimensions e Fe r`� �3" a ... SUBJECT TO APPROVAL OF BOARD OF HEALTH rE r . � e Loa a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name. ..... r........ ... .. .................................... ................. COTUIT BODEN REAL TRUST A=21-48 Two Story No'�26389.......... Permit for ..................... .......... Sar3J�e.F '..Dwelling....................... Location Lot 69, 51 Oxford Drive .................................................. Cotuit ............................................................................... Owner ...Cotuit Boden Realty Trust ................................................ i Frame Type of Construction .......................................... Plot ............................ Lot ................................ Permit Granted ...Nl�Y..4.!........................19 84 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's office 1st Floor): Assessor's map and lot number ��� ® INS Board"Of Health(3rd floor): f Sewah f�. 'Permit number �.�1� ° , 9 � l� DO Engineering Department(3rd floor): �,� + TO e_ r�bA9 House number � d9TSDLL r EGu L Definitive Plan Approved by Planning Board 19 MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only TOWN_ OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO aa��147— TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 6 o.x 'e P11) 6 61 Proposed Use��(A fip Zoning District Fire District Name of Owner V Address Name of Builder( )—7, 0_-9W�)9,000 Address L�� ( 'r)1��y UJie 1p)ZfA 6� Name of Architect Address Number of Rooms Foundation Exterior `y Ky 1��� �X� �1�Z'"�-� Roofing /9 FloorsZS6!zIi % c�P�� Interior M,,'U Ft*-tJVC/yCO Heating /v/ Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee �6 ©� 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 Construction Supervisor's License IIE CROWLEY, JAMES 9 I No�'�334.87 Permit For Enclose Deck Single Family Dwelling 51 Oxford 1'C� 7:= Location - ' .6� Cotuit Owner James Crowley s: Type of Construction Frame .s Plot Lot #6 9 '+A Permit Granted July 21 , 19 -8 9 Date of Inspection 19 ' Date Completed 19 +F •mota a { i bi4O f per' �� 1 l �� � � t �_ ��� :- p � ��,� i ._�.__,__...�.�.�...,��_�_._____ .�_ _�__�_________.__---__-_-- ����� � . / , 4bF.� Jam., �� " � 5 ,L x � ��� �' _¢, L �cb aX8 oe_ r � � 111 q i � I �:..�-;;�•: .: -: ;� � �X fz--�,, ,� ��ek- ��..�l�l r- �•K �._3��t_��L�yam_!' � ----_ -- ------ . • ga�� i r � ���7• '••>o`� TOWN OF BARNSTABLE Permit No. ----------__-------------- Building Inspector cash -----I ------— � YY� OCCUPANCY PERMIT Bond ____-___—____--. l��r Issued to Address Wiring Inspector Inspection date Pl=bing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date 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. ....................................................... 11)............ ........_........................................................................................................ Building Inspector 1 FROM �— OWN AF BARNSTABLE �. ♦ �t➢'t,w w-rt•w.�;r.w..,'• y�s.!♦ BUILDING DEPARTMENT- Mr. Francis TTahteyne MplV STREET H 1NYiQl MA 026M Town Clerk . "iu.at�+PY!i•4�i++M wn a•.er BwY tK.a+•r•`a? _ , Phone: 7761120 SUBJECT: FOLD HEREDATE - : . MESSAGE -� ... .. t-fir tv''§t'4e4,,-+P"S"?b'Mi'�W SeF'#�1',IE*�.��#� .- .-- .. �.� •' -- Work has'_Y:Iepn ccx 3eted' d r Permit 26389 (Cotuit B6den Realty Trust • 'a V�ll'9P'g•#•L• T-r'F W•• #s.}p x a.�...,4 r•.,M-'E'•r'4"•d a+'.++rr•1 a.Ei h....af+.*Y...it•^My o W+h a*,.•E fie•ate'.��v •'3..3 u.s M vex MW L.. - Please reYease } ' dr to of 44 R•4'/t•#aeok rr"Sr�k'i'.-•is.�,sa>+r iP. ` . f ' - SIGNED 'DATE a REPLY Ne7-RMI • - a - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A.. SENDER: SNAP OUT YELLOW COPY'ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. r " `Asses or's map and lot,number ........./- .". ..... *I NE Sewage Permit number .............. � �'... ........... ....:.. - ewQ °� �:�• ARIST4B i er ................�.........�lG ..... i I +po 039. a LE House numb `r SEPTIC yP ' ,�C Ey CEO YpY Or.i TOWN OF_ BA NSTABL'E ENVU BUILDING INSPECTOR APPLICATION, FOR PERMIT TO ........ �?C21.!� .......®! ..... � T C.`r...... 6.t..................................... TYPE OF CONSTRUCTION .. .......!410 .... ` ....... ' ................... �A..................19. T tiro ; € TO THE INSPECTOR OF BUILDINGS: The undersigned .hereby applies for a permit according to .the following information: Location ............. r.. ....... SC �Tj...�€�1.1� .......... ���' �.! ........�..h!``CCx�. '�4 . ................... ProposedUse Q '> .l�- s .............................................................................................. ZoningDistrict .... .!l.i ..C[.!E4��f`Ir. . [? Fire District ......... !` :...................................... Name of Owner ....L.t.obv- T' 1D.10 �':. � :!i.�'�! ��ddress .....P1 4 n.�.��'� �......��5�.(.�'..:'...`..!.�.1........ Name of Builder- . D ... � �a.C:g ............Address .....d.:.©.w�BK �g�.........��uP.F.........IA.P....... Name of Architect ....` ......................... ........Address ................. ................ ........................................... Number of Rooms ...........(......................................................Foundation ..... .POD A '� .... t�%t?Lrt� ................ Exterior ..... ...�k.. .....................................C- ........ ...........Roofing ......... . ANAA.1............................................ Floors. .........10A.�..... ....040 pV.�..................................Interior ............. ................ 4: Heating ..........46'r...../.k........4..................... .�...........Plumbing ........... A ��....�... �' r : .,,r.. Fireplace ........ `?.. �'v�-�......................... .A Approximate Cost /I��PQr?��t .� ` ' y ..... . .. pp Definitive PlanApproved by Planning Board _______ __________19 _. Area F a Diagram of Lot and Building with Dimensions — SUBJECT TO APPROVAL OF BOARD OF HEALTH b rl r o� it_ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding a above construction. � � �Z` ­/`­`�`­­`._�.. �................... .................... f 005UIT BODEN REALTY TRUST s, No ...2638� Permit for . Itao Story.,•.., ...•„• Single,Fami-117.. � �1X?g..........:.:.......... s Location .....Lot. 69� 51 Oxford Drive �� + cobuit .................. ........................... ............................ Owner .Cotuit Boden Realty. Trust Type of Construction ...Fri........................... _ 44 Plot ........................... Lot ................................ Permit Granted y.4' '19.84 ,� tr ; y Date of Inspection�,/�.`3`'............ ....19 # Date Complet d .......`....... 19 a j 1 r ol r3 T. c� WILLIAWr G•� t . ' , t �o N y,E 19334 �; f • r k / CE,eTi,�Y TfNAT Tf/E c, r. ,ram ,LoGQTioc/ .Sf/oW 1�/E,eEGLI/C"pLYS W/Thy SCA/__Z - / �rGo 0.47E / '31/4:;� 7`"NE X14t eo.0 le 5 A//O SETBA C/- Tf/�' 7722 WA of X/CE C4G'AT.El�, W/Ty/�/ Th�E F.COaaPG4/�f! /i✓GS 6.�4N'T" = �, BA XT, :oe NyE /xif ' TH/S O,C..4.t//S�t/oT BASEQ D,v �i/ �2EG/STE.2E0 L,42/O SU.eV6y2�g D�.�S'E'TS syGl,✓/j/SfbC/!.p .tIOT B� ; !/.SEA 7'-4 O�'T�.�-M/.t/E .�.OT�./��� �IP�.L/CAi�/`� �.e�E�/�� 1�4L1�� ' •;�- � r s ,, }. ,..�.4•..-.. a ..' i• t 4L FAMIt_Y .�� a4JC) GAIZBAGE 6WND62 7'.S DAaIL�{ FLOW - 110X 3 - B306•Pp 97 9G•8 _JSPT%0 TA► l< = 330x15o% = -491G.P• �Yy•�Z'' a�.Z�� E USE %000 GAL. D15Po5nL PIT u5E 1000 GAL. 5 D.>i�lA�u ARCt► = I�o•PS G z7 f G.P.R Z7 RE o 5.F• � 5c 5.F x 1. 0 r 5o G.?C� 7U -ToTAI••. 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