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0025 PINEY ROAD
G�a�/ / /� ,/�� I GROUP HOMES TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee f� Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation/ Hyannis Project Street Address 2- S �L/LYM_ JC ,4, Village 6.n4f+ Owner V t e3� k n i G;} Address Telephone �03� Permit Request wet Kew Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Sio oo,cv Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: r,1 �v9Lu11\1ci DEPT. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ SEP 13 2016 Commercial ❑Yes ❑ No If yes, site plan review# • o Current Use Proposed Use OWN OF BARNSTAo3LE - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mo 'lr'T- 4&YE3:� Telephone Number ���� F36-?f a Address P+ "'f"�+'�'1� W License # (:Z5, lc1 wt 1J.1 Home Improvement Contractor# Email �t� Worker's Compensation # 659ZCJ6gFF-24 mvlo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN T05wski,6 t SIGNATURE DATE 1`I/9Z11 FOR OFFICIAL USE ONLY APPLICATION # 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 DATE CLOSED OUT ASSOCIATION PLAN NO. fOffweOf BasIoj4 HA 02111 pP/ ► Warkers' CamwensaffwIusm-mom Affidavit Ilm-M Acldm= 9 7tojbt Are yv'II an=player?fhe&the appropriate ban Type of project{regmaed}_. i L❑ I am a emplace wih 4. ❑I am a general cadmcirw and I 6. ❑New c=sfr employ P f armor part-#ime)* e hired 4ze M*_CmmtadQm 2.J4 I am a sale orgsrtuer- fisted Onthe attahed•sheet ?- dmung ship and hn5 no emplayees Thew smb-consact=have 8. []Demolition wag fnrme is any capacity eWlayem andbave wad=- 9. addififla INa •gyp.;lsam a cosap_ I ❑B•uildiag -1 5. ❑ We area corporation.and its f ❑Elechi ei a d toous 3-❑ I am.a homey doing ag ware of&=Dave d their 1 L❑FbabiagMPahs or$d&ions ' ,ym!m END 'camp � Per MQ. 12❑Roofn'gais ias=ance rued.]Y c-l JI(4�andwe hwe� emplaT�,,pees.[ALTO WO&Mss` �-❑ wage k=mmmm required] ��ap�gF��isr�'�aa�l�t aisa fina�t��abe��ra�erased c��.�s,�.p,�g; ,m ACdutmCtm ��amebave4a�e saw r�sss si$daeie ig t�epax�dom�sg�ao��dd�I�o�ecan�.ct submitsaews�d�mdica�a�sack fut ebea tlgz bay wed sa-AM9 s1 shed ff=Ing fte Of the rob-off and store vdmfls ar=tfbum hay I out are errcp �sr tfi�is praucdiag�r�cr7Fers'av as irtsrirance or PAS` $ebw is thapaUcy and f ab site tx,�arruaidiaaa .. r Job Site A&m= Z� Aftach 2 COPY of the workers'compP,safim palmy dech ratim pap(shawkg the PoBcy, I er m d empiration date). FaAzm to secure coverage as reT iredun&r Sew 25t1 of MM c�I52.can lead to the impo6fi=cf csrn- peoaliaes of a fine up to$1,540-00 a=Vor use-yearimpdso as wa as civ2 peaahies in the fast of a STOP WDRX fRDERand a ffne of up to$25(LM a dap a aicst the violainr. Se.wh ised flint a copy of this stag=iy.be fcarded to the Office of Imtestigafiam ofthe DI&for fin=mce coveage vim' I do ha* Faks andpauzWes ofperjW7 thattlis�arma€iaa yrop ded abates is true and ccrreat OAI Phone �'/ aJftdaL usP_amFy. 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Rmof Pfth - �g.2) 12:1Z _ Mean RmFHalght _ (Fig Biding Wdffi,W (Fg 3) _{t ST Burldh?g Length,L (Fig 3) fr s ST ROcling Asper#Rana(I1t++ry (Fri 4) _ 's 3:1 NOt&rd Height oFTallest Dper mgz (Fig 4) • 1.� FRAAHNC CDNKECnDNS Gera(mrapr-Mnce WFh franl g cx;nnec6Dns_ (Table 2) 2-1 FOUNDATiDN . FoundaSDn WWls me:,-_&g raTkernent6-of 730 CMR 54D4.i - r __.__..------- -- .• —.-._._. ..__.._ . - - _ CancrBb-_Masonry...__ - - 22 .41,CHORA.-E TD FDUUDATIQX 5l3<Anr-hDr BDti rnbedded nr SIB`PrDpdebaiy-Mechanical Anahc rs as an aftemaffve in canateh_anfy - BDR Spacing,general-.__---------•----- -(Table 4) Batt Spacing from endrldmt cf plate Batt Ernbedmerrt-canes (Fig 5)--- BDIf Embedment-masDnty _ (Fig 5) s irL>_15" Phb--washer. CF9 5) --3`x 3'x V 3_1 FLODRS . FTDarframing member spans checked M CMR Chaps 55) Mwimum Floor Opening Pimensbn (Fig 6) - f{<lz Futl Height WaU Studs at F or-O,perfmgs less$Harr 2'fr=Ekfar r Wa8 Fig 5)----------,--= -- ----- .= M; nr�n Floor JDist Sef X=k6- = SuppDMm LDadbearung Waifs or Shearwalt (Fl-g 7) Maximum CantOmered FiDDrJdrsts Supparf 4 f.aadbearing Walls Dr Sheaneail (Fig B) —its d •FTaar.Brac:hg,t En CFg g) Flcmr5he af}ning Type _[per 7Bp CMR C&Vtf-r SS) Fl=Sheathing Thlcimess' -_(per 730 CMR Chapter 55) in_ FDDr Sheatffing FastB=- g - (Cable 2)_ d r mTs of in edge! in field 1!1.f WALLS wal Height . Laadb earing uratfsr (Hg 10 and Tabla 5) NDn-i oadbezring walk_ (Fig 10 and Table 5) _ft 2.T Wal Stud Spacing - (Fg I and Table 5) _irL s 24 Qr< %AW Sfar'y OfCszft Q.2 DCTH;~IQftWALLS= _ - Wood Sfuds _ •' f rradl��aringtiir3ILS CCaT�Ie�— • .mac - $ In. . Nan-r�adbeg CIEs _... (Table 5) Sable End,Wag Bracing t n — M Heigh Endurai!Studs WSP Attic Faar Letngth [Fg 11) ft E_W13 _ UYpsum CaMN L a"A Of WSP nDt Us4 -(Fig 1-1) _ft?:D-qw aid 2 x4 Con2=m Late!rat Brame Q 6 k D_c-(f-tg 11�_or 1 x 3=Uing fturing slips @ 16`spatmg4r&L WMi 2 x 4 spacung in end)afst or t tss bays D=66 Tesp Pia&'PUM Length _ .__ . _ , CEng 13- nd Table 6) �4WCT Uuide to Wood if-tndAreay: RO MPT, �tfrd Z1=e ' r 530I? - Massachusetts ChcckUst far Cvmp�AIIce inn c mR ) Lnadbsaring Walt Crannecf hm " - Lahwl(no_of 15d common rmL—) (Tables 7) - N 1+Valt Carrnections LataNal(ne_�15d cansmon nos) (Table 8) lead Bejur g Way Openings(=ord.largest opmmg but du=k all openings for coltspbnce to Table 9) Homer Spam (fable 9) : sr7 Plat--s (Table 9) _$ In.511 _ Fuy Height Surds (nrL of-sliJds) (Table 9) o for cam Gang to Table 9) N=Anad gearing Wag Dpenrx (n rvd largest apenhsg bfrt diedc a1f pen¢ugs p _ Header sp n e ___ - (Table 9) _ft• irL 51z S-II Plate Spans--- (Table 9) FLA Height Sfvds(no.of studs) (Table 9) Fxi3ariDr Wall SfseadhIng to Resist Upfdt and Shea[Sitrn aneat►sfY4 _ fXffd =BtAdng Dimension,lei( Nornhiai Height ofTatfest Dpenine Sheaffiing Type_ - ldge Rai Spacifig _ (Table 10 or nDb--4 If less) m_ Feld Rai Spacing (Table 10) - Shear Connection(no_of 16d rmmmon nalls)(Table 10) _ - Peirc:mrt FuII-I-leight Sheafhbg (Table 10) -- % orml Shwd-dn for W& w� g>--WW(Design C,oncep�) _ 5%Adder g �� , mwdmrmi BcuUcfng Dimension,L - Nprrirtsalt Height ofTanest Dpening� ��__------------------ ,---=-5 f;6' Type— note 4 EdNaHSpacing (fable 11 ar not--4 if less) In- ge Feld Nag Spacing (fable 11) _ m- Shear connecSDn(na.of 15d c:om m nabs)(Table 11) % _ _ Perced FUII-Height Sheafhing (Table 11) - • 5'%Add gonaf Sheal►ing for WkP wfth'Opening}Wr(Design Concepfs) Wa6 Cladding - Rab�d for Wind Speed? - 5-1 ROOFS RDof frarning member-spans checked? (For ltdfb�!m use-AWC Span TDoL ses BBRS Webs ) - knDf Overhang (Figure 19) _ f !9 smaller of 2:or L13 Truss or FaftBr Connecfiki>zs at l-Dad marmg VVWL- - Proprietary Connectors Upot: _ (Table 12) - U= P� (Table 12) _ _ P� _ Shear (Table 12) S= _151f- _ Fddge strap Canner=56ns,if collar ties not ftsed per page 21__ (Table 13) T- Pff Gable Rake OuffoDker__ _ (Fgure 2D) -- fits smaller of 2`or LIL ' Truss or Rafter Cannecfions at Non4nadbearing Walls - Proprietary Conners (Table 14) �- UpIiit— lb. Latest(nc,_of t Bd cornmmn r�rls)_(Table 14)---------— ----------=—I-= ;- _ RDof Sheering Type (per7-30 CMR Chapters 53 and 53).___----- . FzD Shearing Tfudmess - - - _in.?Tf1 f"WSP - RDaf wing Fawning -(Table 2) _ This chadcffst shall be met in ifs enfirety,rxfucfmg the s-pectlic excepfion noted in 2,to comply with the r-ecluuetnents of 73D CMR.5301.Z 1.1 item 1. ff the chemist is met in rTs enfrety than ff�s fbPVWing metal straps and held clowns are not regUied per tiles WFChd 110 mph Wide: -- a. S ed Straps per F►9ure b- ' 2b Gage Straps per l3gura 11 - ; UpMt&imps per Figurm 14 - d_ All Snaps per Figure 1T • � f�rtrer Stud Hold Doxns pet Figure tBa and Frgcrre 1Bb .' . _ E=epf5am Dpening heights DfUp to,a it sf as be pommy when 5%fsS added to the pert full-height sheathinq 'requirernerds shci m in Tables 10 and 11. The bottom_-9 plate in exfi!rior waIIs shad be a n*i<=2 fn_nDrrsirral thickness press jm ireat5q#24-zid ± ' ` �I FF`C Gtcide to �3'bad Cans ucr err h7li fr fPuzdAreas_110 mplr f rrrd a�ze . . Massachusett Checker for Compliancy ggn,cKRsaf11�_i)t 4. _ - a_ . From Tables 10 and 11 and IDrafion Df v mR Wig and 131 n7ding moo,d�rmirte percent Ft�t1-Height- Sheathing and NA Spacing raqufr=mnts� b. WDad Sfturdural Panels Shall be rniffh.un thickn—, of 7fi 6`and be azsi�lled as folioows: - L Pangs shall be InsWed VA sfrangth axis paralieI fn studs, � _ FL M hD )Dins shall o ur over and be tamed 4n framing. m_ On single story mnstumfiDnl panels shall be afiached fo bafk m plates and fop inwnber Df iha double �p PkiF-. - lv. On hm story Dz.,tipper larjels shalt be armed to the tDp member cif the upper doubla top plats and fa band)oW at bothm of paneL L3ppe affadrrmmtof bwarpand shaII be n ado tD band joist and lmeraffachmett made to lowest plate at fast hoar'tmning. v. Horbmnfal rrA spacing at dQrible top Plates,band jnisfs,'and grrdess sha-be a double row of ad stagg=!4 at 3 Indies on setter per futures below:Vmfmd and H=tmn al NaMhg for pane!Attar merrt 5 Clazhg profecSom a new house Drhorfmrrfal addi5on-rem lfprD)ed#g_ i mrle Dr dasartD shore(9eneral�%south of. Rfe_ZH Or riDr D#Fde S) _ b)verfid adcMDn-nDt requbb4 unless there is ran mr4mn fo the first tlDar c)MphmmentiyMdcws-needs energycDns=vattDn mmpGamc:�-only(gip gg) 6.Wood Frame Cmis ucBm Manual(VNFCM)for 110 MPH,ExpD_�B may be Dbfa-mad from the American WDDd Councr7 (AWb)v - t O LI .1 ri • U a i it l i ' F ti I lr or 11 it t ti I[rz _ t f i��- i_ it r • t i .. I7 .Ii� 114 Ll v T 1 1 f lrr i. it :S Ix u i - i k ![ t rb�t i i a`'is MW Sea Dafra on Raxf Page - Vmfflcsl and HmizDrrtai HarTmg Oesail• _ for Fates Attachment ' v�rliG at, I fafrrd$I Nar7u�g Town of Barnstable d` Regulatory Services HAM' � Richard V.Scali,Director. ►�� Building Division, Paul Roma,Building Commissioner i 200 Main Street,Hyannis,MA 02601 ,f www.town.barnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I I N- _ .- Owner of the subject property hereby authorize 4S5'7'r"'L7 -- —to act on-my-beb4 * - in all matters relative to work authorized by this building permit application for. . os-• (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or-utilized.before, fence is installed and all final inspections are performed and accepted. Signature o er a of Applicant Print Name ' Print Name Date Q:FORMS:OWNE"ERMISSIONPOOLS Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division t sAJWs� ' Paul Roma,Building Commissioner , 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less.and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who.owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our.Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 V. I I I CSfC i '•ac= e9 1 L.IcDT LA i 1� �E� nnF3ER 15, I` D,� to _ I 1 1� Z 9zo rn ZZ /ha• 'Kv o\ s '`0 3C `pox C'� ,c / ��� / ` �'ay-►, / ' 1 9 ASV �G 4� ` FN� �� �5�� lye C SA qoa / a � 9s71 � jr 17 iy 'S'q s N lv 1 .QGIE'C MlNrMunA Af!eA 99 .z50' F'zvNTAGf \�i �P 1,147E: -XtS7-/^/G ;a4i Noti/- Cotr-0001-ie/6 LDT �S�anuSfr4-b -�� T'lzc�S�-:N�' �il...oJ� v�� St��lc.rc_S rrs l5°73 P�rz,r+,�•7�Tz.5�rz.v�Y SPEC/�L jJ�r2m/r HSsu.tiED To /�� Prn PLAN fdH= Z731r-6,7/ . AS EKrSreev�. r.or tlND6�. PEn n'-6, Rar. nr, //15t'✓l,-zzr,.A-2 S/.uGt� owN�s�rr F�A� j3o�y�../� aF /3�a��c.:' :T� 1�71rr► 7 R lJ1J/770 a t3 os 2 3 ���T F2.vn UN�F'Fi�FD 1 LEGEND y(�- EXISTING SPOT (ELEVATION Ox0 �`�°�j" �F.,°r.�:,;. CERTIFIED PLOT EXISTING CONTOUR --- 0 --- i o�' LIP ,F155GSSoRS MAP 3y., PARC--, FIAMISHED SPOT ELEVATION EINBERG Piv�Y /�oAp }_GNU/T FINISHED CONTOUR 0 .p No. 366 O IN APPROVED + 80ARD OF HEALTH °,�`�c/sTE�``�.�-•><' - FSS10NAl • Y��iC DATE AGENT SCALE, /"=�' DATA v��pFM J. / --� ! GC .IN "L DiQ£DGE E/ti/GIN�i- on,'s/rE o��``� CLIENTi;tcg�Ap a I CERTIFY THAT TH.I EGISTERED REGISTERED Joe N°' 9z 3 = BUILDING SHOWN ON CIVIL LAND - y �f CONFORMS TO THE Z0 ENGINEER SURVEYOR DR.By$ OF BARNSTA LEI/) MA CO$:8Y$ �o sum _b 712 MAIN STREET ol,i3 83 �— wviltj 4IC' MASS suer? r . nQ Z ...�.. . �.., ACORO® CEhTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `-� 09/09/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Christine Davies DOWLING & O'NEIL INSURANCE AGENCY P"C"o 508)775-1620 FAX AIC No AD RIESS: Cdavies@doins.COm 973 IYANNOUGH RD. INSURERS AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: -LOPES ALESSANDRO INSURERC INSURER D: 9 TIMBER WAY INSURER E: SANDWICH MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBER: 83600 REVISION NUMBER: 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. INSR - ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEINSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR - DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- T POLICY FI JEC LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINEDSI GLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident AUTOS AUTOS ) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION /� SPER TATUTE ERH AND EMPLOYERS'LIABILITY Y/N - . ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACHACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED7 NIA NIA N/A 6S62UB9F82402716 07/09/2016 07/09/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,'Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance. The status of.this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/Workers-compensation/investigations/. LOPES ALESSANDRO has elected coverage. CERTIFICATE HOLDER CANCELLATION " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPR ESENTATIVE Hyannis MA 02601 �- Daniel M e CPCU,Vice President-Residual Market-WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved.. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD � r ",fit£ ��„ `•� �;,. S6 7 1 l.•�"^: � ;;� ;&fie. f„ '�I„�2 I r.� �'zti!` 7s, t�A i �`e�, E__ ��� �i��\.. fSy z,•� �� �47 *� �n � "r.a .::6+y,a �', d� �. e N E5 i 4. �d J p 9/ I a �p C 0" � Z^ v` V li �L9 a�I 6 ti N BUILDING DEPT s SEP 13 2016 o a, TOWN OF BA,914STABLf ti pFIKErp� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee snxwsTnsze, t"''9°1639. Thomas F. Geiler, Director AIEn MA`I a Building DivisionPERMIT Tom,'Perry, CBO,' Building Commissioner 200 Main Street, Hyannis, MA 02601 SEP ` 3 2010 www.town.barnstable.ma.us Office: 508-862-4038 TOWN P WIAA _-T LE EXPRESS PERMIT APPLICATION ' RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number < <( r Property Address / t'n f PJ E Y X Residential Value of Work �5 �Q Minimum fee of.$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name � Lac k 4 ,1i Win, CP F,/�,49V t 10,�/Telephone Number - Home Improvement Contractor License# if applicable) Construction Supervisor's License#(if applicable) �a&A 1 /kl t/QNuWl t ❑Workman's Compensation Insurance Check one: ' ❑ I am a sole proprietor ❑ I am the Homeowner . I have Worker's Compensation Insurance Insurance Company Name A/✓l`t Workman's Comp. Policy# Copy of Insurance Compliance ertificati lust accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed) (stripping old'shingles) All construction debris will be taken to 0 Re-roof(hurricane nailed)(not stripping:' Going over existing layers of roof) Re-side #of doors - ❑ Replacement.Windows/doors/sliders. U=Value (maximum .35)#of windows *Where required:.Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License &.Construction Supervisors License is required. SIGNATURE: - Q:\WPFILESTORMSIbuilding permit forms\EXPRESS.doc Revised 072110 ,p ' Ther CoortiftIOJrrt'eralih of qassrrchu:sef s42, �. p .a Depart n ` F-- DCe 0 �J71�Sa�(J�IOT]S' s tGrs'tl°Tdarass.gOY✓'ran Yorkers' Compensation'Insuiaace �ifii�la�zf. $t ilrlei /+Conti;ctoaslElectric :tns/P3uinbers 1>Er.:�nt Iuformt on y + �. xx Please P7°int Na22�e (Ba�sineOrganizntzon.'L�drvidr�al): f' V VOL C� i�/( �l ' m CtyJStatelzip_• SOU Are you an employer? Check the aypropTznt�boa ofprojeet-(requi� 1..❑ I am a employer with � � I am a geuernl contractor and I *� r:*shave:hit-ed thec�xtractors ".o D hTew constnrctyoa 2_�eaT oyees(full and/or par t=tune)..; I am a sole propnetar or partxi'er 'Irstrd ott'tlie attached sheet.. �. [ Remode,ng These s1rb-contr actors has e m slrpp and have no enrpl'oyt'rs - 8., Detuolttion .Y i tirrarking':for me in:any capacity, emplOy es°and#rave barkers' � ":a � corn tnsurauce t � Building advjition [No workers' c©mp.insrrr ace- p'. �" F s required-] �. ❑ �rr`e are a torpor�ttoa arrdtts tri '1 repairs ax addihans t a, 10 Elec 'ca u 3.❑ .1.am a.lwmeoimer doin.g.all�vdrk ` officers Have e•Kercised their,y 11 O Plumbing tepau's or$tlt€dlo s t x thyself,,[No warkffs comp. right of exeuiptic per t�ICrI b 12.�rRoofrep rrs' c insurance requind.14 c�°15? §1�4) and.rye}aa�e no . w erngloyees".`[,No orlrers ,', 13 'Other ., 77 caszrp:":insurance regrxiied.`] i +Any a&ppli�csut that checks box C.must elm 571 out thz se�lian below sliomng,their Work en'.cowpcvsatieu pv�li.cy infoi-rIaiian 1 Homeowners who subruit this afilda�vsl indi6iing they are doing all woA mid theti here autsdde contractrirs anus submit.a slew aff dat tt irulicating szvch � °�C'a'nlractors that check this box»test attac:h9d an.additional sheet 64owiu91M tame of the zuh-eontractvrs su.d'stare whe&e or not those entities hay e,-, *5 .. e doyees. If the sub,-contractors hive employees,the insist ' vide their wurkcrs'coos o" number. ~ mPY PTo P P5' I affl an �ttptoyar that is ptroiltdfrr ttrork�rs'cone rertsrrliari rarsatrrirrca fog r ty c�igrplvyTc�es.w De ow is tits po'Z cy rrrrd jots sitR' •iaifarrairrti"air.• �, ,:k ���. � x k Insurance Company N-3- e_ r^l Policy#or Self tits.Iac # Expirat7on Date (/ tvttylslfatei tp Iabtz� dd :. v t Attach a copy,of the a`orkers' cornpens9t, polrc-y_declstratton page(stro tiring the policy trtxmirer and t~ pn atio'ir d9te).A Failure to secure coverage as required under,Section�.jAcf ItIGL.c. 2�� caw lead to the i*osition of crun al pert�9.lties of a: fine up to$1.,;500.00 andfar at�e=year i priso tuent,as.we,l M,ci'�nl penalties in tine fornr of a STOP���017E ORDER and a fine Sof up to ?50.00 a day'ag9i'tast the violator. Be advised drat a copy:of this sLatemenG maybe forwarded to 6,',( ffice of Investigations of the DIA form- surance coverage-verification r I d'o Itby�certify rifrilsr tlae pants and pQatailfias'nfprjttry drat the iiiforrttaliari'ptm�rrlerl abot�v is tiara afial correct. r .: w , ,a Si atme: •. # IJate=•' � r .14 Phone O,,j ridl►tse ontl'. Do nt?t lfIrite hvthrs aro^ to bo-coirtpletod by ciii' of tote n o IcraL t" Cit} orToli'n: }` "Permitllicense# ;: _ b.luingAuthorit3,(C.by.le one) x� 1,Board of Health ?.B.uilding Department 3 C�t�/Taltrr°Clerk:. # Electrrc�IsInspector:; s� Pltimbing�•Inspertot 6. Other Contact Person. Phone'#. R r r . of TKWEr w BARNSTABLE,MASS. Town. ofBarnstable Regulatory Services Thomas F. G.eiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town,barnsta ble,ma.us Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete aid'Sigp This Section If Using A Builder I 1 as Omer of the subject property . I I S hereby authorize I�(- f � V�� ,Ce P 5l ZU C'v y to act on iny:behalf, in all matters relative to work authorized by this building perrmt application for: - C-11- (Address of qb) . . . _ c Signature of ner '. Date: >4A Print Name if Property Owner is applying.for permit, please complete the Homeowners License Exemption Form.'On the reverse side. QAWPF1LEST0R,MSIbui1ding permit forrns\EXPP.M.doc. ' Revised 072110 ofwrl Town of Barnstable Regulatory Services * 1 °`j�ST"B Inss, Thomas F, Geiler, Director �Q �,, ral,,H� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rns to b l e.ma.us Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER" name home phone N work phone N CURRENT MAILNG ADDRESS: city/town state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-yearperiod shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109,1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. QAWPFILESIFORMSIbuilding permit formslEXPRL-SS.doc Revised 0721 10 _ M&. :�chsisetts apartment of Public S.fetl, Board of Building Re��ulations and Stun(lards Construction Supervisor License License: CS 103199 Restricted to: •00 EDMAR LIMA 68 ABBOTT ROAD SOUTH YARMOUTH, MA 02664 Expiration: 10/17/2012 ('u mill issiuner Tr#: 103199 Office�f Co mer'�' r�s&)iines" aTion License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ts<159506 Type: Office of Consumer Affairs and Business Regulation Expiration 5/2l2012 Individual 10 Park Plaza-Suite 5170 — s Boston,MA 02116 B" RIVER CQNSTRUO�TIQAt 44i: EDMAR LIMAi- 193 FAWCPT LN HYANNIS, MA 02610 Undersecretary Not valid without signature C _ . f CERTIFICATE OF LIABILITY INSURANCE =o10 D/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER UUNIAGI NAME: Schlegel & Schlegel Insurance Brokers Inc PHONE FAX (A/C,No,Ext): (A/C,No): 34 MAIN STREET E-MAIL ADDRESS: _ PRODUCER CUSTOMER ID#: West Yarmouth, MA 02673 INSURER($)AFFORDING COVERAGE NAIC# INSURED INSURERANGM Edmar Lima D.B.A. Blackriver Construction MsuREReGRANITE STATE P.O. Box 1062 INSURER C INSURER D: Centerville, MA 02 632 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR A POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS (MM/DDIYYYY) (MM/DDIYYYY) GENERAL LIABILITY X MPI0785Q 08/31/09 08/31/10 EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY AMAGETOFRENTED PREMISES(Ea occurrence) $500 r 000 CLAIMS-MADE.. OCCUR MED EXP(Any one person) $5,000 - PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,00 0 POLICY JET LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS - - PROPERTY DAMAGE $. HIRED AUTOS - (Per accident) NON-OWNED AUTOS - - $ $ UMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ _ $ WORKERS AND WC007422977 06/23/201006/23/2011 X ORYLMITS ER AND EMPLOYERS'LIABILITY Y I N B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ ZOO,000 OFFICERIMEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-PA EMPLOYEE $ 100,000 If yes,describe under _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES,(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - THIS WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR EDMAR LIMA ADDITIONAL INSURED: MILLER STARBUCK CONSTRUCTION INC. CERTIFICATE HOLDER CANCELLATION MILLER STARBUCK CONSTRUCTION INC. PO BOX' 726 P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FALMOUTH, MA 02541 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FAX#508-539-1125 ©�88- 09 ACORD CORPOR TION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACOR i o� � Old LO Assessor's Office 0st floor Map 21 Lot j 9 g C, Permit# t Conservation Office Oth floor) ----—A 1 Naval Date Issued I Ih Board of Health(3rd floor) 53'3_ 1�i y 1 w� ' - � Engineering Dept. Ord floor) House# Planning Dept. 1st floor/School Admin. Bldg.): IrrASM KAM ' _ Definitive Plan A roved b PlanningBoard-, 1 �® - (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) �� �� ®�® �Q r TOWN OF BARNSTABLE Building Permit Application Project Street Address RPD Village Fire District C6 T& T Owncr IL 222E-235T(� t.1tii6WE Address Telephone S(OV (� 4eJ"-1� A-�So l Permit Rcauest: � Pr (t 'tor\ Tee Sf. p wacbk>�- 0-FL 1 j,Pa-\,kfzodv� Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization A-114 Recorded Current Use . Proposed Use Construction Type �(-— Existin2 Information, o 1 Dwelling Tyne: Single Family L// Two family � ` Multi-family �G Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached /, Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information D � Name © L�, Telephone number 4)Z—S 10 3 Address License# t),—1 Qk— r Home Improvement Contractor# t a 1 Worker's Compensation # tJ� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. en ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .:diA5T"tu( Project Cost P(avoo ®o �, Fee .�0 SIGNATURE 8'�1{Y��'L /l DATE QV BUILDING PERMIT DENIED FOR THE FOLLOWIN`. REASON(S) 17 BPERM T FOR OFFICE USE ONLY �3`f-619 ADDRESS 17 Piney Road VM.LAGE Cotuit } Robert T. Knight OWNER DATE OF INSPECTION: FOUNDATION 'FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: `i-`ROUGH. - FINAL ,p FINAL BUILDING: a® t DATE CLOSED OUT: ASSOCIATE PLAN NO. coint)WIzweaa o/ majJack-tieth eLJeparfinenf o��ndu�fria��ccidenf9 'e 600 1/Vailtin5fon Street James J.Campbell 12oefon, VaiiacLetb 02 f f f Commissioner Workers' Compensation Insurance Affidavit 1, �►�.� ����� ate\ (rcensee/parmitcee) with a principal place of business at: C9 -� (Gcy/Snce/Zip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number 1 am a sole proprietor and have no on O p p h e working for me in any capacity. - r I am a sole proprietor, I eneral contracto or homeowner (circle one) and have hired the contractors listed below w o ave t e following workers' compensation policies: Contractor Insurance Company/Poll Number v �c NA- 4>"S Cb ^6-1U6 41 k,g4Vi3 Contractor Insurance Company/ ,olicy Number Contractor Insurance Company/Policy Number O l am a homeowner performing all the work myself. 1 understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to 51,500.00 and/or one years'imprisonment as well as.civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 'ghed this �j� day of ®cam. 19 Licensee/Permittee - Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 40S, 409, 375 HOME IMPROVEMENT CONTRACIO: Registration 114073 ' Type - INDIVIDUAL Expiration "08/02/95 k RONALD R MONTAOUILA RONALD R. MONTAOUILA Aon,wisTRAroR 192 SANDY VALLEY RD MARSONS MILLS MA '02648 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY `—� I Fdllo *�oaaOYtl�At. OF ONE ASH13ORTON PLACE' Asrrr�!�.!t�st MASSACHUSETTS •BOSTON,MA 02108 + oftwIJOMq- L I C E N S E CAUTION EXPIRATION DATE CONSTR. SUPERVISOR' 1 1 /02/1995 C': EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS ��u� ` THEFT, PUT RIGHT THUMB NONE 09/30/'1993 049072 � PRINT IN APPROPRIATE o BOX ON LICENSE. , RONALD R MONTAAUILA 192 SANDY VALLEY R D BLASTING OPERATORS-, 91D3A.RSTONS .MILLS MA 0164 m _ STIDEHOTp.J) F A +. PHOTOABI,ASTING OPR ONLY) 2' / - _ �+ •00 y NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY AUG w �/�w� HEIGHT: - STAMPED•OR-SIGNATURE OF THE COMMISSIONER 1 i�Ji 7 . 0 ''''''��''--������---��� THIS DOCUMENT MUST BE « « SIGN NAMLL�ABOV �R2E LI .k_pi \\� c r_n.c, RE OF LICE".S__ THE HOLDER WHEN EN r QTIRSrUMB PRINT GAGEDINTHISOCCUPATION IONER ��'(T4E T��✓ P The ToWTI Of 11011lnCni:31 `"^;E.D i��e,:' IiUI�l31I1� ��I�'1J1Oil 367 Main Street,Hyannis MA 02601 Office: 508 790-6227 Ralph Fax 508 775 3344 Btuilding Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW h SUPPLEMENT TO PERMIT APPLICATION ' MGL c.I42A requires that the-reconstruction,alterations,reno%ation,repair,modernization,oo improvement, r+emo«l, 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 requId'ernents. Typeof Work: WDIDWrI.-I (O` Est.Cost (p0 D L) Address of Work Owner Name: )V\ 1�I �.• �C� 1� a Date of Permit Application: a 1 D - (g C( I hereby cerdfv that: Registration is not required for the following rc2son(s): Work excluded br law Job under SI,OW Building not oancr-carpi Owner pulling omn permit Notice is hereby given that: OWNTERS PULLING THEIR OWN PER.,-,TT OR DEALTNG 1i7T1-i UI,'REGISTERED CO;-,'TRACTORS FOR APPLICABLE HOME 1NTR0\T`"7--N'T WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAI.1 OR GUARhN7Y FUND UNDER MGL c. 142A SIGNED UDDER PENALTIES OF P£R.IURY I hcrcb\-2pph-for 2 permit 2s the 22cnt cf t,:Cm-,.Cr: Date Contractor name Registration No. OR Date O"ner's name �uT— Z Assessor.'s map and lot number .;....�........ ...... .. ..:..�.. / I�G GU�I( /� pl J�C«fiG C t Sewage Permit number ..................... ............:......... ............. °`T"Er°�y TOWN OF BARNSTABLE HAiff &DLE, x, i "AM 69 pY Or' .11-MILDING ' IH'SPECTOR .. AY APPLICATION FOR PERMIT TO ............. �?.�?..e.'� .................�... I ...... ... ................ ................................ TYPE OF CONSTRUCTION ..........�!Q .... f�.` `` ! ........................................................................................... ....................��,(.1. .... 7. ,r....19...,�7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............. i/E ..Li i .. ..........................,......................................,n ................................................................................................ ProposedUse .............. ............... ................................................................................................. Zoning District " .......................Fire District . ... �.. J ~ Name of Owner ... <?Z.F�'% ................ Address �..!�y ���.... :............................ Name of Builder �� .;yk� fU�C;...... �/ !�� ................... C�e i���///.� Address ...........�✓.-................................................................. ,Name of Architect ..:.................. .............................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior .........:..............:............................................................Roofing .................................................................................... G e. �� Interior ..... f� Floors ............................................ ........................................................................... Heating ..................................................................................Plumbing .................................................................................. �t Fireplace .........................................Approximate Cost ....Z Definitive Plan Approved by Planning Board ________________________________19________. Area .f fr}...... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ' s LP I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... ................................... s Knight, Robert T. 1 No 17235 permit for ..,, add porch to single family dwelling .................................................... Location ...... Piney. . ...Road.............................. ........ .. ...... ........ Cotuit ............................................................................... Owner Robert T. Kni. .ght .............................. ... ......... ... .... . ...... Type of Construction ...........£tame ............................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........,7113'..�5...............19 74 Date of Inspection ....................................19 Date Completed 19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ........................................................................ ............................................................................... i f Asse*or's map and lot number .. ... -..,. .. ...... : y�F TH E ....� , Q� f Sewage Permit number . ..—�y�...... ..� ... Z • h BIHHST LE, House number a i CO TOWN OF BARI` 9qtoN �N�,� � U OI G AIN S P R APPLICATION FOR PERMIT TO ... ........ ........ TYPE OF CONSTRUCTION ' ...........................�' .4.......19..0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . T Location ..........�.7.....�!.�IUL�....t.!!.f; 14P.........C.0 .it..�.. !t.:.............................................. ................................... ProposedUse ....:QW-4 ..... /L.C......... ................................................................. .I......................... Zoning District ......t\F...................................................:....:Fire District ......C�. 'lT Name of Owner 44%..4 ae-77.�..... r.......... ...Offr�'.(N�����'Z�L�� Name of Builder QI :�JI ... IUL/. '// ' ..............Address IIdU6E�......................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ......... ....................................................Foundation .....GOdv...C{............. .......................................... Exterior ..C� ..C.. .00.Y-.4���/U6L�S.....Roofing ..... ... ............. f. . Floors C !:G1..... ... Lm........................Interior ......SfrL�/! «...................... . .��. .:. Heating ...61116.................................................'....:...............Plumbing ...... ....... . Fireplace ....... 4>!- ...................................:......................Approximate Cost -/. .. ..... '? - /7 Definitive Plan Approved by Planning Board -__---_-+----------------------- --------. Area ..........� .. ............ Diagram of Lot and Building with Dimensions Fee �.!.!`�! SUBJECT TO AP ROVAL OF BOARD OF HEALTH %V OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f Town f Barnstable regarding the above t hereby agree to conform to all the Rules and Regulations o the ow o g g construction. 4 Namev. .................................. KNIGHT, B0BERT T. m� 34938 ADDITION . . ................. Permit for .................................... Single Family Dwelling ' --------------------------. . i ioLocationl7 ^ ^^�z ^~°�`^ Cotoit ^ --------------------' . Robe zt ��. Kuiobt - ''- ----------------' -' Frame Type of Construction .......................... .......... . --'-----------------------� , . - � ( ` plo! ---------. Lot ................................ k � ' - Permit G,onh*6 .....J\�zi�l_I2��___.]y8] - , Date of Inspection �-----� ----]P uo/e Completed � 19 ' . ' ~ , ( � ' ' . . ` ' . ' . . . . ` 33AUST LE, TOWN OF BARNSTABLE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 'Name of Ownor ,. ~ r ---Addns o ................................... ' Nome of Builder. i �' )/tZ� .�L/�) ----.A66res —.^ —. — ..------- . - � Nome of Architect ----------------------Ad6res -----------------------.--'—.. Number of Rooms ---.�� ----------------Foun6otion —'/..J/�� ......................................... ' ) Exlehor ' '/` .~�' —.�RooGng —' ....... '! Floors ..... .........................Interior —' ------' Heating '�/ -----------------------P|um6ing ....../��.7'�,t�--.�...*+�.//��—. Fire| |ooe ....... »��-------------------Approximote Coo —.��� .................................../ � Definitive Plan Approved by Planning 800nJ --------------------------------l9--------' Area --�����...—=----- Diagram of Lot and Building with Dimensions Fee ....... . ^ SUBJECT TO APPROVAL OF BOARD OF HEALTH kv � . . - . | \ �\ r � ~ OCCUPANCY PERMITSREQUIRED FOR NEW DWELLINGS , | � \ ' | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , ma . ./ .......................................... KNIGHT, ROBERT T. A=34-19 24938 ADDITION No ................. Permit for .................................... Single Family Dwelling :.......... .................................................... Location . L Piney Road .............................................................. Cotuit ............................................................................... Owner ... Robert...T. Knight................... Type of Construction ....Frame ...................................... .......... ..................................................................... Plot ......................... .. Lot ................................ Permit Granted April 12, 83 Date of Inspection ........................... ........19 / Date' Completed .......................... ...........19 O I&k kv Assessor's office (1st floor): ORP71C IRV27 f 9 =97 RE Assessor's map and lot number .. .. ... . "', Q 4 Board of Health (3rd floor): Sewage Permit number ...... "" g e ° . .-7/(�..,c. iZ. V"V...�. bid At. ARNSTABU. o Engineering Department- (3rd floor): .# C� ;� 9vo .039• \®mom House number ...................................:. ............................. i°� �• c nay Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only- TOWN OF ID' AID N5TAIDD L1E 0 � R010 2 02PFC�VO2 APPLICATION FOR PERMIT TO ......... ........ ......... . Ail TYPE OF CONSTRUCTION ....:.... .....d • �� �. ... 19 ,1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information: Location /.........e ;........ V 1 ........ ProposedUse ...... �/,::................................................. : ' ................... Zoning District ...... ../.........................................:................Fire District ....................................................:................. . Name. of Owner ..fiC��Lt/•'........... n.�, ........:............Address ...C.. ..1 /!. .IJ..!.:..;.....4?....�...... ... � Name of Budder ....... :. -/��..0.................................. .........7 ..Address . J Name of Architect ...:�e.6........ .. •J.°�fC/—.'.........Address .LC/.•O..•• 1.�� S y �!0 �(J •..QG[�9 . Number of Rooms ...:............./ .:............................... ..........Foundation .. .. ............................................... Exterior .thy. .f.. .......l...Q.�l�/•7.......... Floors ......Le^.ec.l.. ............................:..............:....Interior. ......�`f..�........4—.�U.P�C KJ................................ Heating i`! ....A/.. .......................................................Plumbing ..................V.,".. ...................... Fireplace ...............................................................:...............Approximate Cost ............ ... ......................... ....................... Area ... ... . Diagram of Lot and Building with Dimensions Fee � S:ems D0/07` 014V- /f OCCUPANCY PERMITS REQUIRED FOR. NEW, DWELLINGS I hereby agree to conform to all the Rules and Regulations of the To of Barnstable regarding the above construction. Name Construction Supervisor's License ..�D..LL. ....... KNIGHT, ROBERT . No ;:3"1915 Permit for ....BUI•LD`GARAGE ......... ::.Accessory.:.t4...Dwellinq.............. P - - - R Location ......Pinev.:.Ro•ad.......:.................... Owner. Robert Knight ..... . .. ..... . ... .......................... _ ., Type of;Construction ..Frame ri ............................... ........ F ....... Plot...... .... Lot ............... - r ` M Permit Granted a-X:....:1-9. ...19 .88 { Date'of Inspection .....................................19 • rate .Completed :... .:. .................19 - ". •_ .. _ . IT i - - - G Assessor's office (1st floor): Woo` To THE Assessor's map and lot number Y.......0...1.9..... o Board of Health (3rd floor): Sewage Permit number ...... ........... 31ARN9TAMLE. Engineering Department (3rd floor): MAJ1111111L t 039. House number ............................. Definitive Plan Approved by Planning Board --------------------------------19-------- - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only 'fl TOWN,/,"OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......41.1...................... e................................ TYPEOF CONSTRUCTION ......... ..................................................................................................... ........................196... r. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit achl j cording to the following information: --' yc ' ...................................Location Ale 2� ...... .......... - .................................................................... ...... Proposed Use ...... ......................I................ .........................................................Fire District .............................................................................. Zoning District .......� Name of Owner ............. .....�Irep........... l..y. .. .........Aciclress�ik6-1611 el,- ............... 4v e 5 6 Apt Nome-of. Builder 67 .......C ..................................Address .......................................................... Name of Architect ........ Address J .. / . .................. Number of Rooms ..................................................................Foundation ..� ....2.............................. ................ Exl6rior tee.,6)'.. f.......Ci?.AAA.........S. X.0;q. ............Roofing .... ............................................................... . ................................. 7 .................................................. .interior ..... ........C elf.. ..... Heating ........NOX.-C. ...............................Plumbing ............X.0/� f..................................................... Fireplace ............... ................................................Approximate Cost ....... ................................. Area ...(P.. .................. Diagram of Lot and Building with Dimensions Fee ........1-5-0 .................................... 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. A Name............".... ..... ......�,(�.. . ...................................... Construction Supervisor's License ....... KNIGHT, ROBERT ' A=034-019 No 31915 Permit for ..Build Garage Accessory to DwellincJ Location .25 Piney Road............................ Cotuit ............................................................................... Owner ...Robert Knight Type of Construction ...Frame . ............................. Plot ............................ Lot ................................ Permit Granted ...M.5.y....1.9.....................19 88 Date of Inspection ....................................19 Date Completed ......................................19 L s --r's map and lot number L E�1 �GUA/A/w Sewage Permit number ..!�! ...............................�......:..... . TNETO�i :r TOWN O F, B A R N S'T A B LE Q BASH9TOIILE; i T'` � 9 1.11LDIHG INSPECTOR . o . . elf - i APPLICATION'FOR PERMIT TO ..:.......... o b.t'.! .. ............ ..............I. ....................:................................ TYPE OF CONSTRUCTION .....!'.:..D.®. . .. . .........�..................... ................ .............................................. .....................TU. . ...19...7 ,_TO_THE-INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..............�7........PI Alfy.......�� .�,�............�4.�.U.`..�.................................................................................. �.... �....R.o a... ............:. Proposed Use ...............SCI..!tll.� ..... ............................. � ......................................,......................... i\ ........................Fire District ..�Q,/ !/// Zoning District ........ .................................. ................................................................ Name of Owner ... O.. f'/i%....`:.... . /.... Address .. ...7..f.:� .y, ... �F� Name of Builder ...... ...................Address .....1�Z Knlllle.............................................. Nameof Architect ................f.(............................................Address .................................................................................... Number of Rooms .................�...............................................Foundation ................................... Exterior ......... /. �.L. ................................................Roofing ....��. / ...�..................................................... Floors !/ ......:......................................................Interior ..... ® ................................................................ Heating ..................................................................................Plumbing ................................................ Fireplace ...........................Approximate Cost ....1..���J ...:................................................................................... .................. Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ..Q.1.0..�,.,....................... �q r- Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .. ..... ... ......................... Knight, Robert T. In 17235 add-pazch. to single family dwelling Cotuit Robert T. Knight frame .............. ' 9G�.. Lo� ----------.. ` . , - * � Permit Granted ............J.TA I v_2.5............lg 74 � Dotaof |nupection ------------lQ Du�� � . g . , ^ ' � - - . . � . . . ^^ � PERMIT REFUSED " / . ' ' --..—.-.--.---.---------.. lV ' / . � . � --------------------.----~— . � '-._,—'--_~.^...—...---------.--.--~ . . ^ � � -..--...--..-----.—~.---.—.—.---.. —_.-------..--..----...—.—.---~. � . ' . � | . ` _--------------. l� . � � . ---------------~...---.—.—.-- � � . ---------------------..--..' . � - � / r m AREA _ • Q 21, 021 +/- SF �L (0.48 +/- AC) ROgD oD , 92.03, PROPOSED GARAGE 2 6•ov �XISrING '9HF4CING 'LP 5 186.33 To 5�✓ __Exi sTi r-tC.N sEpTic s�sT���t # 86-519 CERTIFIED PL 0 T PLAN LOCATION : PINEY ROAD COTUI T SCALE : I " = 40 ' DATE : 05112188 REFERENCE : PB 273 PG 71 PREPARED FOR-- I HEREBY CERTIFY THAT THE STRUCTURE ROBERT KNIGHT SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of 4 A4 sS9 /cam' JOHiJ ys down cape engineering inc. A�cELV�cE �, CIVIL ENGINEERS 6.3360 / G LAND SURVEYORS RTE 6A - YARMOUTH, MASS. DATE /�aAtU#N95 J.RVEYOR � y r O 0 A` rr o �\ z I li re'}y certify that this plan shows the property ihat are the lines of existing ownerships, and the line, - ��/� —" \ of streets and ;ads shown are those of public or private: / streets or v.a s already established, and t',at no new lines for division of existing ownership or for new way, are shown. G Date .July G, 197� Registered Land Survpyor :/ 01) 4. �! 1 } 223815 SQ.IT: i : I.P. rj. ,off U. W � 11 R(jnd once l,�� i 7-0r P f�l. N N C,Q,v VV o LSON \ . ?SJ ►' P 1- AN <0 :F L A N 0 I N u ,ter C QT.:U I T` BAeVS7A6LE- M A cJ5 . /2 �p6 � HA� p E-�- E Q J ., ERT RUb E R' . DoBDAY A a �JCALIE I IN. 30 .Fr; JULY 5 'I'373 SUCLV&Yaa.S ' �' a rm wr 'vt-' U Lt. 6674 - _ . _ .__ _ .,._._._ .�'.�:"'�+,..r,�::. ,''+.- .,y3�. � ., "� d, st)rY•k�;' �'�..,J` �i� S�'�'- § :�'�'-'xa„'" �' _ 'a.-a i'�; ;��` �l -t• w y..a ,t i."'' y- ....... _.._. - __._. ... .. ,, -. x � . 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