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0066 ROOSEVELT ROAD
� ACTIVE _ yy ;. �� _ Town of Barnstable °� . ` Post This Card So That it is'Visible From'the Street=Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made: \. o►u•�i :_ Where a Certificate of Occupancy is Required, such Building shall Not be Occupied until a Final Inspection has been made. it Perm Permit No:_.. B-17-4298 Applicant Name: STEPHEN DUFF Approvals Date-Issued: 12/14/2017 Current Use: Structure Permit Type:,'-Building-Siding/Windows/Roof/Doors Expiration Date: �06/14/2018 Foundation: Location: 66-ROOSEVELT ROAD,COTUIT• Map/Lot: 039-134 Zoning District: RF Sheathing: Owner on Record: HERBERT;ELLEN L TR Contractor Name: JOSEPH A RENNIE Framing: 1 Address: 66 ROOSEVELT•RD Contractor License: CS-086728 Z COTUIT, MA 02635 Est. Project Cost: $ 14,000.00 Chimne Y: Description: Re-Roofing(Stripping old Shingles). Permit Fee: $71.40 Insulation: Project Review Req: - Fee.Paid: $71.40 Final: Date: 12/14/2017 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall:be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All.work authorized by.this permit shall conform to the approved:application,and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall'be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall,be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on.this permit. Service,:. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation orFooting 2.Sheathing P Ins ection Final: 3:All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection tow Voltage,Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low voltage Final: Health Where applicable;separate permits are required for Electrical,Plumbing,and Mechanical Installations. - Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons.contracting with unregistered contractors.do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are.to be available on site - Final: All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT i G) t►,E Town of Barnstable *Perm �* 10� ilding Department e 6monthsjrom'suedate • snxxsrns Brian Florence,CBO 9 �� Building Commissioner m 'OrFn 39. A 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY d Not Valid without Red X-Press Imprint Map/parcel Number I Property Address / �, [ �sidential Value of Work$ fT ® Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addresses Contractor's Name � [ C-e Telephone Number. S Lb-7� 4>2-Z��7 Home Improvement Contractor License#(if applicable) �62eL3�� Email: S4-��>4C� Construction Supervisor's License#(if applicable) ass I&& M11 c4 2 . Dworkman's Compensation Insurance Check one: ❑ I am a sole proprietor r141l ❑ I am the Homeowner /OTC ®'"I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# bj �• t�6 Q 9 '77.�-U 0 Copy of Insurance Compliance Certificate must a company each permit. Permit Request(check box) D—Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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 equir'ed;��-� SIGNATURE: QAWPFILESTORNIMEXPRESS2017 STEPHEN DUFF Customer: CONSTRUCTION LLC. 3G Address: /a ,s N-ez:le Lzl.I- d� BARNSTABLE I-A.02(330 508---3(0 707 P SUFFGOG�Y.a.HOO.G01"1 Date: For The Amount Of: j ze- ID I z L to Id Z Chi BJ rn !/Y23 � gm ing j ii b r: C!a LdTL�� — C/1LG 4A ,- yam -fzu �� ,�, — G ial,6 #=I {MA -k !4-c Ld,/ Q 1 l (l l �,�1r.,�.� ��;Ba,O ,L� fa�t� f :,i �,�?�n.�ir_ IIA oo jA l� — , c — Payment So edule: Stephen Duff Date Cu Comer ate G - Is �"v f Co rp° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/yy" DUCER 12/13117 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION wan Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 Main Street HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Haverhill MA 01830 INSURERS AFFORDING COVERAGE NAIC# INSURED Stephen Duff IN URER A: Associated Employers Insurance Compan 1586 Hyannis Road INSURER B: Barnstable MA 02630 INS RER C:INSURER D: COVERAGES IN URER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ]NSA DD' TYPE OF INAI FOANCr POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTER 1 CLAIMS MADE L] OCCUR m MED EXP(Any one aornpn f PERSONAL•&•ADVwJURY �? GEN'L AGGRWATE LIMIT AP S PER: GENERAL AGGREGATE $; POLICY PRO. LOC PRODUCT3_bc. MPIOP AG6 :'e, AUTOMOBILE LIABILITY ANY AUTO COMB�INQDtSjNGL@ LIMIT ,S; ` ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per person} NON-OWNED AUTOS I BODILY INJURY (Par-vldenQ 'S1 PROPERTY DAMAGE E (Peraeadw) GARAGE LIABILPry ANY AUTO AU T_ONLY-EA ACC#CC $ OTHER THAN AUTO ONLY;EXCESS I UMBRELLA LIABILITY OCCUR C�CLAIMS MADE EAOH OCCURRENCE Ap�REGATE S DEDUCTIBLE . S RETENTION $ ` WORKERS COMPENSATION AND EMPLOYERS'LIABILITY x Q STAM . OTH- A ANY PROPRIETORMARTNER1p, cur r N WCC5009775012017 02110/17 02110/18 OFFICER/N1EM9ER EXCLUDED? NN E.L,EACH ACCIDENT $100 (Mo.Idatery In NMJ It as,daaMlDe under E Ia v bn L.DISEASE'LEA EMPLOYEE $100,000 OTHER E L.DISEASE-PO ICY LIMIT $500 000 IESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/$PEry,AL PROVISIONS bilding Dept. �arpentry contractor, .ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE VESCRISED POLICIES DE CANCELLED BEFORE THE EXPIRATloN 200 DATE THEREOP,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 100 Main Street Barnstable � DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOE E LEFT,BUT FAILURE TO DO 30 SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABIL OF ANY KIND UP E INSURER,ITS AGENTS OR REPRESENTATIVES- AUTHORIZED RfiPRBBENTATI FaX 908 79"230 CORD 25(2009101) o-i'988-2008 AC ORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Comraromvealth of Massacltruets Departmerxt of rnd=hial Acciderr& Off"of IMVXd9afi0= 600 Washington stmet Boston,AIA O2I11 fvronniass gov/dia Wmimrs' Campensation Insurance Affidavit:Br ildersiContx-a:ctarsMecEricians/Plumbers Applicant Infarm,afan rr ( Please Print> 'llly yes I �' i:�4 AA4w ail Ciiyft�tt=1 �+ Phone - C,2-Z�cJ-] Are you an employer?Check the appropriate bare: ' Type of project(required): I.❑ I am a employer u*h. 4. ® I am a general contractor.and I 6_ ❑New oonsizncfiion employees(full andfor part-timed* have lxired the sub-cmtmt-f� 2. I am a sole prroprietor orpartner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sub-contactors have g.,❑Demolition woddng for me in any capacity. etxtlrlayzew and have wodcers' [No vvd rS�comp.*grams comp.nzaranmi g- El�IItld2ng addition. required-] 5. ❑ We are a corporation and its. 10❑Electrical repairs or ad&H= officers have exercised 3_❑ I am a homeowner doing all work • ' 1 L❑Plumbsagrepaixs or additioms myself[No work='comp- right of ememgtion per MGL 17_❑Roofrepairs insurance fequized,]j c.152, §I(4�andwe have no employees_(No workers' 13.El other coop_insurance required-] 'AFiyzW5c=ff=tchedmbosIT1Estdwfmoutthese,cdmbekwshavdngdu&viu&eWcumpenmticaporieyi aa- Hameuerwnwho submit dtis aESdwa imdxatmg ftyaxedGmg Oval=4dmbae auto&cont<acmtsmast s*nUanewaffidarst iadicatino sMdL FCoat<actmiff prE-becYiMsboxmastattsrhedsaaddiliains2sheersb=ingthenmeofthesub-centwA¢,=dstatewhethecaraatfnseeadtinhaw employees.Iftbe sub-cad. have mnpIoyee%dwymusr provide dieir wurken'tomp.palicg number: I ant an earepIay�er fleatisprotzrIi�r�g�varkers'cottrJrerrsa[rixre inszirarrca for iuc}*enrpla}�ees Relviv is ittepaUcyi and job site informadan. Instmnce Company Name: olicy*'or Self--ins.Iic.,* Fxpiratibnmte: 2— Job Site Addre fr'U rr r" . � Citp/5#afel�.tp: Attach a copy of the workers'compensation par-y;declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL a 15 can lead to the imposition.of criminal penalties of a fine up to$1,500.00 and/or one-y{ear imprisontuent,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 maybe fkwarded to the Office of Rrvest gations of the DIA for insurance coverage verification_ I tfo lieretry con5,murder the pains and parlaahies of perjury thattfre infarma iwj protzrled aabm a is bare and correct Date- Y, l�c= 1-I Phone O,oxcial um anty. Do rrat mite in tlris area,to be completed by city rartown ar,fj4crut City or Town- PermitUcense if Issuing Authority(tdrde one): L Board of Health 2.DmTrfing Department 3.CRyfrawn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r ormation .Ana Mstructions Massachusetts General Laws chapter 152 rmlaiies all employers to provide WOII S'compeasa ion for their employees. Pm-sriarrtto this sty,an errq?Ioy=is defined as. every person.in the service of another under any contract of hire, cxpress or implied oral or writtcn" . An mnplayer is defined as"an individiA partnersh�p,associafian,mrporaiion or other legal entity, or any two or more a deceased I er or the es of , of the faregnmg engaged as"Joint eateapxise,andmchidmg the legal�reseaiatry emp oY receive"'or trustee of an individual;partnatship,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides fhmmin,or the occupant of the - dwaffi g house of another vw.o employs persons to do maiabenan.ce,conshuc4ion or repay work on such dwelling house or oa the grounds or budding apparteaain thmr-to shall not becanse of such employment be deemed to be an employer." MOL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold ffie 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 c6mp ianm with the hmmxance coverage re.quired." Additionally,M(H-chapter 152,§25C().stairs-Neither the comm on:veatth nor fiy of its political subdivisions shall an into any contract for the pexfan=ce ofpublic work until acceptable evidence of compliapace with the iusm-an ce._ reT=ements of this chapter have Been presented to the 0013h=�authDI*-" Applimixts Please fll Out: the wonicers' compensation affidavit completely;by checking ih"e boxes that apply to your situation and,if necessary,supply s•ab-cont[`aCtor(s)namgs), addresses)and phone numbe (s)along with.their mrtficate(s)of amn-a ce. Lfi ited Liabi ity Companies(LLC)or l imited LiabMty'Part ac sI4s(LU)withno employees other.than the members or pmtam-s,are not rimed to cagy woxkm-s'compensation ins2 m= If an LLC or LLP does have employees, a policy is required. Be advised that this affida. it maybe snbmiifed to the Department of Indurs[rial Accidents for confnmaiion of mi mzai coverage Also be sure to sign and date the affidavit. The affidavit should berstamed to the city or town that the application for the permit or license is being regats•IxxL not the Department of . Ln-das F wI A ,d dmfs- Should you have any gnestions regarding the law or if you are req=-ed to obtain a workers, compensation policy,please call the Depmtmjm¢at the number listed below Self-rosined companies should enter their self-ins ce license number on the appropriate line. City or Town Officials t _ Please be sum that the affidavit is complete and primed Iegiibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigation has to coldact you regarding the applicant P leas a be snn8 tD fill in the peamitllicrose nu,nber which will be used as a reference number. In.addition,an applicant that must submit multiple permit/license applications in.any given year,need only submit one affidavit indicaimg run ert a oli cy inR)roation(.f necessary)and undo`fob Sits Address"the applicant should wxi e"all locations in (city or town)."A copy of the"affidavit that has been.officially stamped or inmiced 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 Anew affidavitmust be filled oiit each year.Where a home owner or citizen is obtaining a license or permit not ielated to any business or commexcial venture (Le. a dug license or permit to bum leaves etc.)said pm-son is NOT required to complete this affidavit The Office of Investigations would like t D thank you in advance for your cooperation and should you have any questions, please do not hesitate to give ns a call- The Department's address,telephone and fax number: Comma ttlt of MassachmeM . IIegar�atinfi of Irides Aceid�nt� . =ce of D,Ve9frgafimm -04 VashingiQn Br?stau=11�A EMI I� . Tc,-L 4 617' -49W ext 406 Qr 1-.9 MASSA E Revised424-07 W .mass, fdia. Office of Consmuer.;Affa►rs&Business Regulation �c �Ltcense or registration valid for individual use only 6 r "" before the expiration date: If found return to: HCR.EylMIsRt7VEMENT CONTRAC11 TORe: `�Office of:Consumer Affairs and Business Regulation Registrarlon 1-59942 Type: Ear{ rt at'on, 6/1�%2018`'' Individual IA Park Plaza .Suite 5170-;; -Boston,MA 02116, JOSEPH RENNIE: `F; _ 9 i JOSEPW RENNIE.` r- �--, 4 WAYSIDE LN=. - SANDWICH,MA 02563 Undersecretary;, t of valid without signature a • t� �5�'Y+ .......+.+"•.f.da..,�.w6:,.:..-.z.s...V,.._.-,..,._.....au.-......,..,.Y:'... ...+.y..W_a..n..c_t ....._a.-.�, - k`..._....._ ..___..`-._—...•.._............_ ....,,o-.�..... ..._.... - - _ Commonwealth of Massachusetts Division of Professional Licensure �� ' '� Board of Building Regulations and Standards Constr,446t", 5 _gvisor CS-086728 gpires: 1 2/1 6120 1 9 JOSEPH A RINIE, 4 WAYSIDE L'i4NE ` •` - SANDWICH MA 42563 1p s . Commissioner C14 '' � ;�sirri�zaizrcea�f'�a�✓�r�1.o,��3ell-s ;' ° Office of Consumer Affairs&Business Regulation F r. HOME-IMPROVEMENT CONTRACTOR' TYB orporation Re-gist- 'on Expiration, t } 8886 D911'112019 - n = ' STEPHEN DU ICON TRUZ✓TION LLC t STEPHEN DUP f 158ti HYANNIS _...-..BARNSTABLE MA=02630` L i Undersecretary '. `License or �• - _ Off=ce of Consumes er Affairs&Business Regulation ) registration valid for individual use only ' HS 'E 11Y1t'ROVEMENT CONTRACTOR ; before-the-expiration date.' If found return to: t i ""'Officemof_Consumer Affairs and Business Regulation # Registri(ion�59942 TY_Pe: g Exp:rafio� *6(11`/2018 Individual 10 Park Plaza-_Suite 517Q , Bostonj MA 02116, JOSEPH RENNIE p r JOSEPH RENNIE 4 WAYSIDE LN. { SANDWICH,MA 02563 Undersecretary: of valid without signature .3 t Construction Supervisor re Unrestricted-Buildings of any use group which contain € less than 35,000 cubic feet(991 cubic meters)of enclosed j space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license pt Call(61��7)�7727-3200 or visit www.mass.gov/dpl. Office of Consumer Affairs&Business Regulation. f: HOME'IMPROVEM ENT CONTRACT:OR TYF�E'aGorporation ReQlSitlOn\. ---- Ex iration 188860 09/11/2019: STEPHEN DUFF ION,LLC , cONSTR t STEPHEN DU _ jTIir of y 1586 HYANNISRp- 13ARNSTABLE, 02630"h L� cx� •, i W�-5—n Unders ecre* ',' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M e�3 a Parcel �� Permit# p � Health Division 9I l L� 61L Date Issued �b Conservation Division (� Fee Tax Collector (01 Treasure G t�Id[ ` INSTALLED ��T�,SEPTIC LLE IN COMPLIANCE YSTEM MUST BE D Planning ept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board �c��t? S, NTAL CODE APED Historic-OKH Preservation/Hyannis Project Street Address Roqve Village Owner Lew t 01Iry h vv-6i Address 1Ro ieve N 'RJ , Telephone Permit Request .,/_ siu0A C�fi ��- to waa �yesw% Square feet: 1 st floor: existing 1324 proposed d4W 0, 2nd floor: existing proposed Total new 41 q 0 Valuation Zoning District Flood Plain Groundwater Overlay Construction Type WOOY.s Lot Size 2 R 3 7-r Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. f 'IDwelling Type: Single Family 4-" Two Family ❑ Multi-Family(#units) Age of Existing Structure 117 Historic House: ❑Yes C,o On Old King's Highway: ❑Yes ®'No Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) W'�D Number of Baths: Full: existing new "' Half: existing new Number of Bedrooms: existing .3 new Total Room Count(not including baths): existing new — First Floor Room Count to Heat Type and Fuel: a- as ❑Oil ❑ Electric ❑Other Central Air: ❑Yes UAo Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes Weo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O existing ❑new e Attached garage: existing Elnew size -CX?S, Shed:�isting ❑new size $ �Z IJ Zoning Board of Appeals Authorization ❑ Appeal# Recorded SEP 1 7 2001 C,*mercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name , PV lt�- 4 tA-L Y Telephone Number �Of- L XX? 3' Address i t "ri 6, License# as '7 %::_� VQ f 06 6NA Home Improvement Contractor# I Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L oc iI f� i SIGNATURE (2) DATE FOR OFFICIAL USE ONLY PERMIT.NO. DATE ISSUED a > MAP/PARCEL NO. ADDRESS . VILLAGE OWNER-- - i DATE OF INSPECTION- `t FOUNDATIONr� FRAME �, � d/ �zh ; 4` i INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL k PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ,e DATE CLOSED OUT ` ASSOCIATION PLAN NO. i P r l f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00h d, Alterations/Renovations $25.00 Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW LIVING SPACE 1�0 square feet x$96/sq.foot= � 4 0 x.0031= L plus from below(if applicable), ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 2-b x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.F >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) / Permit Fee projcost FEE VALUE WORKSHEET LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot (less than 2000 sq ft) /-7 0 square feet x$96/sq.foot= ' Iq 3 26 K4 J, -0 l q[ �7 (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH square feet x$20/sq.foot= DECK _square feet x$15/sq.foot=1� 3,1 f7 �• ALTERATIONS/RENOVATIONS OF EXISTING SPACE . . . . . . . cost=. . . . . . . . . . . . . .. . Total Project Fee Value 01 i , . I Office Use Only Permit Fee projcost �� - tJoZT-1! �z.IFuR<1o�.1 _� Fzlr�1't4Ziva �Sn,Slccs Sl.;.�IPa Ise klt Sfc7 l\�I.r Sky l�g4t �X�p . 19ry-8 � �,w l z� _ �t�Il tMSUI Jj 3I1P� ��' ' ASS Iv Full 8' � to }Fect$r�'.ZT �aDI7iD" 6P\Ly �oti0C2v PEW �9n ITI ew) toOe ' F�b�t les1s I'\++a`\T1Oa SN IM�IQq 1 � s' r r LP' E i �I -- i pp l �f•1•ER3���- � l�"�o t� � �� � �� I ' \ j dry'• .� .( 1 EruB'�'�al '(Zoom ' ���,� �ec� '� \1.\ :-.__ • �. 6�+aY.- .D��«eve i .\\ �� _ ' tJDZTN �ltzvq�c,o�.l +y`t Fzl(vraZiow� - �,`�IaK �Sl,;.�Ua sky l,�►t Sky l 94t J*o iz-3o �u y 2-19 �MSVI no ,o Ib 'J E 5 r GPaY !�S ii 9ev Sovy� ' PEW - — 4 II LiC,Ae 6-AA, 34 --- - - V CATMED , i ETL3�TZ-r 1ry'' �. .( ' E�•�s��h� Zoo,K I f�x,sf��_ ' �eo.n ;j \`\ , .All 0 J to 44 Q -;r, ►tom..._ i I N L (tip -T- STk�' !, o� STk 331 FNu. c.s. PKO ' 0 =LOT i NoTE'. T'HE BLOG. AS LOc_WvED DOES COTUIT MA C.ot.NFORItN. Tc� i I E DARNSTA(iL� LOc�4Tso�V:_ ZotAk t-1c� SEA• dAck RE©v�RBMEWTS. = 3 o/ a,4rC: FAR. t �`� .� -THt Lo-F DU5ELLtNC-\ ARE NOT ,eeFe'eC.vice: BEING Lo-i" 32 ^� L: C: F. tl,CoUS� C- W tTt{try f� Ft._oc•t3 HAz.AF=D zoNE. P�cHR1zEt� FOP.: EntuAtzD Gn 0 Ar,)t Cq.�OCJ.VD .�75 �f-•`OW.�/ HE.Ct'o�tJ. y�.•¢a'OAK�q, `, E''OCJ,TE Gs�^-yR�,CMOCJTs•,/, Mg35. x�ara- - ,��. w� NOS The Town. of Barnstable 9 Department of Health Safety and Environmental Services r • Budding Division En� 367 Main Street,Hyannis.MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Comtnissic, t Permit no. i Date AFFIDAVIT HOME MOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERNIIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units onto structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. M Type of Work: ,'*PAm-s iovi Estimated Cost 41�d� Address of Work: 7z� � se— Owner's Name: k BA F—1,10" gey 4eJ Date of Application• I hereby certify that: Registration is not required for the following reason(s): Work excluded by laws OJob Under S1,000 E3Building not owner-o=upied Downer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR-GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as,4he agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name j n q:forms:Affidav ,1�• IISSQC 1 . �1 The Commonwealth 0 useLa Depn of Industrial Accidents . ent 600 Wasisington Street Boston,Mam O2111 ce davit ��,f.�,�� Warkers' Comaensation hasaran ///%%%/%/%%��ir.:�.:/���•,;%;< . riln=n ; name T) Af location hone if city I a homeow�P an work inps . anv , b one I am a sole t>z�n ave no �� .... :•. {..., ..::..:::::::.................... ...: :::....::.,........ am an employer Mf=far ME :.: ,, , �: .>:� « .: :}• ..r................. .:v::.,{.,n.?::n:•.x:r...... x.h .. ;^hf• 1$�q %:} v• {y(:,::x Xrr:;:v:;iY{:;} .�.;;.:;i'•::::.:;i:•: .:::i.... ..:......:::�.......y.:.:}:r}..::?Yiij;:,:w,.vMv}r::. ....::::::::.}:ri.;r:?iii{{?•::.::{t.....;::: FrN} -0470�0,C940.. p ..:..:......:.. ...:n:... .. ....: .......:•:..• C ,! ..:..:....+... .. •... ........ .. ... 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'}}r�r?{aa�}{:�i?cJ},}:;{:.};.y}:::'�� :�;::r:?:':>;:;:;i�:;r;:�::;:;:rk .. ................:..::•::;...' ».{sL;c;?c......`,o-..•L..'�L.{:::-:}::T:.•,repo ..+.+.�cg:•..;..:. .. ........ v ..... ... .. .. :. .. nw..v $''yy•r� v �:..{.yf.»..• i:.-: .-.f.}, r:..:::::. .....;::::•>:�:.�;:;?-::�::�::;•:.: .................... .:4., a•%.......¢•:T.'r. .. ?-}r;{:}C .. .,..r.}J...rf ••,/RS'}::::r:.;•.:•::.;.,vi:.;;y . .., . ....: :�... :90� 4:"... .• ♦.. :. t:,(fr{ny,:fi,."•::{a•;isitifx?:}}:}}:i:;$is::•:$:;:}}i;:ji.�.vriti:�i:::yi:•i::J::•::j:;':�>":::'.... address ::. :.,v..,::{.::;::e :.. ., :•.? .. :� � {.,}. ........:v::::.... cdoy.L.�F.�. ••• •�!.4�Y.:j,::.s.,r..f•:�?• CIL�'. ........:vw•'.•2Vi!�+:S2H!!Y•{fiv,.xv, { . .. .::..r 'M',:{:.;,.Yit...x•.,. •:.}... 17 L Y•: :�.::•:..,4.��•�.�.:J.:-.�. to S2S00.00 andior instlrsncete:<;' : �� 2SAotMGLlSte� toWeotaio�slpmaitinota�aeQP thara Failure i required to secure eorerate sceII asdrII pmaitles is tba toim Of IL STOP� Ogg stall a tbse otSi00A0 a day ataiast tn� i� d one yeas'tmprjsomnmt n to the OIDea otlare�tlt Of amwAfor eamaio copy of this statanmiany be to:war ojjOve is tnti rowed o crj—Y that Ike informaion Providrd 1 do hrrcby certi drr the yams Petoltits f p 4q — Date Siffiam= zriat name u orto ld oMdal we only do not write in this am to be wmpletsd b7 7 enoffi a E3Bugdittg Decarunent Penn"cense ❑j,iceming Board city or town: ❑Sdectnten's OTC, ��response is rsgttiizd QHeslth Dep�ttent check if inn Q Qtlter��- pbmre 11; contact person: Information-and Instructions Laws ter 152 section 25 requites all employers to provide workers compmsaII�I°� Massachusetts General La � person is the service of another under an`- c=z: zinplov-PPs. Voted from the"law",an emPloyee 1S defined as every P . of hire. express or implied, oral or�vrittea. corporation or other legal entity', or and•rwo or mar: . defined as as individual,p u ° of a deceased emplo�•er. br the =: - loser is - . n emP the rep he foregoing engaged in a joint enterprise, employees. How the o�ae:oI a le eatity, employes�? P P • c uustes of an individual,partnership, association or other gal or the occupant of the d�•..lun_ho,is. not more than three aparaneats and who residue theta �P dwelling house hail , cons' or��wo&an such dwelling house or on the grout= c another who employs persoas.to do be deemedt+abe an employer. building appurtenant thereto shall not because of such employment state or local 1•iceosing agency,sban withhold the issuance a:rer e- applicant wnc .._ that states every v also an �MGL chapter 152 section 25 or �nstrnct buildings 1II the commonwealth for �r the Of a license or permit to operate a business d. Additionally nw P produced acceptable evidence of Compliiance'wifb the � e of public work u..=.; not pro subdivisions sba��rmto any co;nrnonivealth nor any of its political snb bave been p1eseated m thr coati - oftbrs- ,. acceptable evidenceZ.of�p�w�the i is - authority. a - /r /r/,M,r,,�/,.,,r .. . ///ii/� ' kppiicants the baacthat applies m your smmaon rnd rkers' edn>�ensattm affidavit a�b�y LC1iet $ as all atadavits mar as lP the wo Wlu► of su�iving company names, and phone mmzbers alnag a afmsata Also be sure to si7n Tnangn .. su emitted to the Department Indasn =for ar 'thatbe app�aticn forthe pem�or ucease IS affida vit should d reta lAcci the LShcWd ym�=W m �" "law"or date the affidavit. Tl� ..y being requested,not the Department of IadustrialA caUtbe D atthe member listed below. a workers COmp�satcon.po �s P"""� are required to Obtain :. : ..,..: /%%i/. �ry�.r•......., City or Towns t bas provided a space at the battom c: h� The D " that the aff davit is c�l� p y �applicant. plesse o,P P be sure contact rcPr&— r eveattb ,0$tce of may be remmed T^ davit for to fill out is the number: The aff daviu amaa 3'0u a member wbichw�Ibe used as ar�eferm= . be sure to fill in the perms ®�b=bee =2& rite Deparaneat by mafi or FAX unless other==11 _ _ is m fawn aoz�pezadM and should you have any questians. Tne 0fnce of Investi_aations would Iilce to thank you --- - '�,,;sP do not hesitate to give us a call. ,y,M,,,, ,,,,, ,• VEM Tne Deparaneat's address, telephone and fax number: The Commonwealth Of MassachusettS Department of Industrial Accidents . Otflce of lnxestigatlons 600 Washington Street Boston,Ma. 02111 far 0: (617) 77.7-7749 (617) 77.7-4900 ext. 406$ 409 or 375 na cMR Armda1 TabLJSS.lb( .geared wi0<Fo:s4 Fada psesesip Paelcage for Qae muW TwO4mml*Rnideadal Baildiep 1N4Jf311' m Floor 8a� SLb Pocung m Glazing Ces�iag Wall.. dead U Wait P=k= Rai to 1rm ilmda4 Dep'ee 6 Nonaai Q 12�5 OWO 38 � 19 10 11=01 8 IZ'K 032 .- i0. 6 !3 AFUE S 12h OJO is „�19 Noma! 1139 NIA NIA T I % 036 9 10 6 U i 19 =S AM Or44 A 13. NIA WA h -- AFZJE v Is u .. s 032 30 119 19. 10 13'K Noemal ' :_NIA NIA X 1E'h 032 31 13 Norval 19 NIA NIA Y IVA O1i2 6 90 AFUE 10 Z I 0A2. - 3i 6 _ 90 AFUE _-- --AA 19 1E'h 0.30 M - 1. ADDRESS OF PROPERTY. �� _✓�-�.�+ S�Ism!��" _ - .. . 2. SQUARE FOOTAGE OF ALL EXTMOR WAI ... °3. SQUARE FOOTAGE OF ALL GLAZING: pia GLAZING AREA(#�DI BY - 1 4. _VIDED • _ - S. SELECT PACKAGE(Q—AA we cat abfaver ' NOTE: OTHER MORE INVOLVED METHODS OF D G.ENERGY REQUIREMENTS ARE AVAII.ABLE. ASK US FOR THIS IIVFORMATlON• BUMDING INSPECTOR APPROVAL: YES: NO: q•fO=s-f980303a ' 780 CMR Appendix J Footnotes to Table JS-7-1b: assemblhes (emeludiaS sliding_g� doors, skylights, and Glazing area is the ratio of the area of the glazkg g opaque do=)to the gross wall basement windows if located in walls that enclose mmd�ed�y t exclurr"I be excluded liven the U--value require:acnt area,expressed as a pe:uxatage.Up to Ilya of the fatal fig 300 fl of glazing area- For le,3 fl=of decorative glass may be en d f=a bnildmg design in accordance with s After J anuary 1, 1999,Slang U-vahm must be tood and documented by tie the National Fmesnation Rating Cotmcil (14= On Pr'DCCdat'e, or takes frg= Table n.53a. U-values are for whole waits:center-of lm U-values cannot be used. < the insulation achieves the full ' The ceiling R values do not assume a raised or°vast °n' be subsdutted for R 38 R 30: MsY insulation thickness over the euerior walls without mom+ the sum of cavity forR-49 iamalatioa. C=Twg R-values tt pt�eseat insulation and R 38 insulation may be i►eatilated�� ;ngnblin g must be p�bG1vveea insulation plus insulating sheathing(if used)' . the conditioned space and the ventilated oftba roaE Do not include 'Wall R-values represent the sum of the wall caviW4nsttlathM P�msa g - and intai�&JWBlL For uotsmple,an R-19 cot en�be met E nTIER exterior siding, insulation O=ucmral� R 13 � ksulatioa phis R-6 mwlstin °s. Nall t+equiremee� apply to by R-19 cavity bat do not applyto nteml-frame�snuction- wood-flmne or mass(concrete.masonry.loS� ed cmwlspaces,basements, The floor requirements apply to floats over uaeon iomed SpBCGs( as °n or garages),Floors over outside air mast mat the ces?mg less than 50%below grade must •Tl;e entire opaque portion of any kdhvidlW bias®hit wan with as ows w depth less doors of conditioned meet the same R value requirement.as above�l walls. Wiadavvs and sbdmg glass br_;ements must be included with the othier.glazing. Basement doors most meet fire door U•value requirement bed in Note b. d_sca X" sdoual R-Z for heamd slabs- 'Zbe R-v at alue requiremeats e for� g VW�pliance approach 3,4,or S. If you plan to install more ' If the building.udlizes electric resistance the equipment with the lowest than one piece of heating equipment or more thaw ame 1�°�°D0���'. . b must meet or exceed the efficieacYliquhr-dYthe selected pacir$ge. eff ciency artown we Table J521a 'For Heating Degree Day requirements of the cldsat city NOTES: s• aft minimum acceptable levels. a)Glazing areas and U•values are maximum k levels.7amlezioa R�� R-value requirements are for insulation only and do not mchtde snvemrat Door U-values must be tested b) opaque doors in the building envelope must have a U-value no gtmta' a�taken ftom the door U-value cc with the NFRC test procedory and documented by the U-� g Or door is not available,include the in Table J1S3 e ffa door contains glas��dwaggre te door U-�to�me�pliance of the door. glass area of the door with your windows ( ffiy heave a U-v dw �035)• One door may be excluded from iftis requirementmcludeS two or afore areas with c) If a ceiling,wall,floor,basement wall,SIW"dM m'uxawl�wan compost inclo Rrvalue is than or equal to different insulation levels,the component complies��ateawetght��� door�p�amply ff the area weighted average U- the R-value requiremem for that component to to the U-Value meat(035 for doors). value of all windows or doors is less than or equal � GTE-P��, a�i a�✓�aoaaclu�aelt � ' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR �4 Registration _114561 Expiration 7.1`0104/2003 Type `Individual DAVID GADY CARPENTRY : i David Gady } 121 Timber Ln Marslons Mills,MA 02648 Administrator r J {j {,y L•� 1£�x�r?i,���-F.:r:.l'.a:�.1`�`t,W:.dX.�s>...:Na4f�'i..:�o-y++.'- REGULATIONS BOARD OF BUILDING license:.C.ONSTRUCTION SUPERVISOR Number:-6S 057540 Ti Birttulate 12 W1955 Expires 2128/2001" Tr.no: 12336 - --- Restricted To� 1G DAVID J GADY 121 TIMBER LANE •. MARSTONS MILLS, MA 02648 Administrator . k p`OF 7HE,p�� The Town of Barnstable N O+' 9AR STABLE. Department of Health Safety and Environmental Services 9 MASS. 0q s639• �0 prFUMP�a Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection1�1P/! Location rah z5Q ill!' I,t+ Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: y',ca A Please call: 508-862-4038 for re-inspection. Inspected by `-W& Date s Assessor's Office.(1st floor Map Lot :L �' Permit#= 9-F �02 /Conservation Office(4th floor) �Lj pI� Date Issued /Board of Health(3rd flo (8:30-9:30/1:00-2:00) , Fee d /ngineering Dept. (3rd floor) House#1 ��0 Planning Dept.(1st floor/School Admin.Bldg.) �&� ��C RNSTAR Definitive PI ppr v d by Planning Board 19 ?0 ' �/J MAfi& ' TOWN ®F �ate, BARliTSTA�LE ���� �% Building Permit Application ✓Project Street ress /TO�' Z�illage SOwne Addres /Telephone Permit Request i • r Total 1 Story Area(include 1 story-garages decks v�"y� square feet Total 2 Story Area(total of 1st& 2nd stories) square feet Estimated Project Cost $ Zper. Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type + Commercial Residential / Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway 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 Named::Ur—x9 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �2 SIGNATURE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #9849, DATE ISSUED August 22, 1995 MAP/PARCEL NO. 039. 134 ADDRESS 66 Roosevelt Rd. �rG - VILLAGE Cotuit, MA 02635 OWNER • Mr. & Mrs. Lewis A. Herbert DATE OF INSPECTION: FOUNDATION P FRAME a INSULATION ; FIREPLACE- ELECTRICAL: ,.ROUGH FINAL PLUMBING: .," ROUGH _ ' FINAL GAS: ' Rn-UGH`? ` FINAL n 'L p � ' • FINAL BUILDING ' * . DATE CLOSED OUT ASSOCIATION PLAN NO. E CalmnaiuvaA. o f Mamach"dead ova trrt�,rl o��sduafrial.JOQadaa s 600 U .4k#mS mi [3 &n, aaa ,ulnas,�.C=Pbeq ac�ressl�a 01!!1 Commissioner Workers! Compensation Msmnce Affidavit fir whit a principal place of business L do hereby certify under the pains and penalties of perjury, that: () I am an-employer providing workers',compensation coverage for my employees w this job. , Insurance Company policy Number () I am a sole proprietor and have no one working for me in ally capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have 161 contractors ilsted below who have the following workers' myensadan politer. Contractor a Insurance imp/Policy Contractor losurance CQUIPWlPolicy Contractor lnsuranee Company/Policy I atn a homeowner performing ail the work myself. I undenCne.chat z ccWf of Ltis set= M will be fo:mded to dox 019m of ImmdWft=of dsa DIA for am me verillarion and this cue qe as nG::td under Suction ZSA of MGL I S1=lead to the lrapoaWOn of e'aubw pawn amshdat of a fine of up to S1,:; ytasa' imFt Q-.:r..&m as well as mdi penalties in theur:fo of a STO P WORK ORDER;nd a floe ai SI00.00 a d:y opirut roe. C Signed this i�j , day of V r/ ef g BU Wb �eparattent Uc' =t ensee/Permuee I,iceasing Board Selectntens Offuce _ Health Department 4 he Town of Barnstable . T Department of Health Safety and Environmental Services Building Division 367,Main Street,Hyannis MA M601 Off= 508-790-62V f Ralph Crosse Fax: 508-775-33 Baildiag Con 44 For office use Doty . Permit uo. AFFIDAVIT HOME 51PROVEWNT CONTRACTOR LAW SUPPLEMENT TO PERMU APPLICATION ' MGL a 142A.requires that the"reooustruction;alterations,renovation,rcpair+modetnirdtion,eoavenion, n=w% 1, demolition. or construction of an addition to any pte-edstiag owner00 ed building containing at least one but not more than four dwelling writs or to stsoctates which are adjacent to such residence or building be done by registered contracto-with amin c=pdoas, along with,other / Type of Waric 6� Let FSL Cost Address of Worir Owner.Name:� is A Date of Permit Application: o / I hereb}•certify that: ' ft&tration is not required for the following Temn(s): Work excluded by law —Job under St,00o Building not oww—occupied t Owner pniftown puza Notice is hereby grata that: „ OWNERS PULLING TFER OWN PERMIT OR DEALING WITH UIVREGiS'I'ERED CONTRACTOR FOR APPLICABLE HOME IMPROA�TFIJND WORK , UNDEIt MMGL C. 142A�" ACACCESSTO THE ARWRATION PROGRAM OR AR M SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Comractor name Regastranon No. OR ' Qwner s name TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE. :.., JOB. LOCATION y XHOMEOWNER/��,;� Number Street address Section of town Name Home phone Work phone RESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as su ervisor'. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 Officia: on a form acceptable to the Building Official, that he/she shall be responsibl( for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes .responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, 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 comp with said procedures and requirements. HOMEOWNER'S SIGNATURE ` APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger,, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION -NAr'•ne'.r. The co'ft'state that: "Any Home Owner 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 a Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the. responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wrier- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. °� '�`�►� Department of Health, Safety and Environmental Services Building Division AJ= ' 367 Main Street,Hyannis MA 02601 KAM Office: 7 Ralph Crossen Fax: 508-790-6230 Building Commissioner Building Permit Procedures for Sheds & Decks APlot plan or mortgage survey required for zoning compliance. Placement of structure must be sketched in, and distance from boundary lines indicated. The location of the sewage disposal system should be shown as well. 2. Old Ki 's High ay stori ist 'ct Co ' sion ap val requir nor to co Ct1 n/de oliti n fo any pro erti loc ed i the stori i the Mic, ape way). 3. Application sign-off must be obtained from: J Assessors Of ice(1st floor Town Hall) Conservation Department (4th floor Town Hall) I Health Department(3rd floor Town Hall- 8:15- 9:30 am & 1:00-4:45 p.m.) Engineering Department(3rd floor Town Hall) t' 4. One set of plans 8.5"X 11" or 8.5"X 14" (cross section and framing schedule) must . be provided. Pre-fab sheds require factory brochures and specifications. 5. Construction Supervisor's License& Home Improvement Specialists License copies are required for a shed to be built on site or for a deck. A copy of the Home Improvement Specialist's License is required for a pre-fab shed. (Unless the homeowners are applying for the permit in their own name): 6. Home Improvement Contractor Affidavit must be submitted. (Unless the homeowners are applying for the permit in their own name). Workers Compensation Insurance Affidavit form must be submitted if construction is to be done on site. S. Homeowner's License Exemption form must be submitted if the homeowners are acting as the general contractor or doing the construction themselves. 9. Permit'Fee to be paid before permit is issued. PERMrr Rev V13195 Post-It brand fax transmittal memo 7671 +w of peq.a ► From • Ca Co. : Dept. Phone N FOx N Fer Y +1 I7Y ..9 .. �) ti T LU 7- 3 ^^'' Aj .� �. r'1 ' x N Son Al t ' CERTIFIED PLOT PLAN Zh Of )+,s� F' e'r ., RosBRT NEW CONSTRUCTION ON— f E _ ELpAE E ..� IN TOP OF FOUNDATION IS--..- FE y + .4LY.4 ,UASIL ABOVE LOW POINT OF ADJACENT ' ROAD. No SCALD, Win DATE, 911914-3 8AY ZiOE I CfRT1FY THAT THE '��'"�•'" �� DR�D6E" FNGI E£ l I:D. N CLIE�i7,,._--�. SNOWN ON THIS PLAN 15 LOCATED rj�!-G13T :EDP RE3ISTSRED JqC No, 93 1 ? 1 ON THE GROUND AS INDICATED AND CIVIL LAND COKFORMS TO THE ZONING LAWS SURVEYOR DR,By A '—M-:.• OF ARNSTABLE , MASS ENGINEER CH.>i , 7�.4. 7t2 MAIN STREET "" H YA N R 1 S) MASS. SHEET.1 OF 'DATE REG. LAND 3UltYEYOR 11, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION continued SKETCH OF SEWAGE DISPOSAL SYSTEM•: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100 ' _ ��\�2S I / SePtu. 101K, 1 / 5L!v, DEPTH TO GROUNDWATER l 2 depth to groundwater' method of determination or approximation: t _ 4 oe,I(ot 13A1.. p LtM1 "r> S o t 1. 'Sd(J-W G$ O 6 Q ytM b A/A y4l- (jjtJ649V W T1a-&t;;9 t K) I Z. JZ0 Q-t NG S i x C r• I •s 4. Engineering Dept. (3rd floor) Map Parcel Permit# 17 4' House#' -/ Date Issu d _ :��z7� Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ''mow i Fee S�, " Conservation Office(4th floor)(8 30- 9:30/-00-2:00) J Board® s Tovvn®f BarnsfablO 3 Planning Dept.(1st floor/School Admin. Bldg.) P.O.BOX 534 tts 0260i Hyannts9 .° � DefilOvelklan Approved by Planning Board 19 ; BARNSTABLE.p` tED 39.a�a� TOWN OF BARNSTABLE Building Permit Ap ication Yct Address Village - P Owner 61 Address , Telephon�r440 Permit Request O / o o ',First Floor square feet Second Floor square feet -Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1,,,2, 1 ,d i Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: u11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_ New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not incl ng baths): Existing� New First Floor Room Count lO Heat Type and Fuel: CoF Oil ❑Electric ❑Other Central Air ❑Yes ireplaces: Existing New Existing wood/coal stove ❑Yes l � r Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) Ce�2_ ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number — Address License# Home Improvement Contractor# 10 9 7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE - BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) t IN FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. + ADDRESS ° ` VILLAGE 'w OWNER + DATE OF INSPECTION: ` FOUNDATION FRAME ; INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS:'. ROUGH FINAL FINAL BUILDING Al DATE CLOSED OUT + ASSOCIATION-PLAN NO. The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME EuROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,alon with other requirements. Type of Work: Est.Cost Address of Work: Owner's Name p / Date of Permit Application: O a6 l� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IIV[PROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR, 8 ab , _ nwner s Name ri 1 Post.lt'r brand tax transmittal memo 7671 #of pryr. I,To Co. Co. Dapt. Phon.p FAX N Fox r i ` z 3 T +1 I Q 1 C n e.. Al 6 O ' fir'Q '' ys/ c� /V `J 3 i c C£RTmED PLOT PLAN of HIs�,� GR 77- poo:iE f d l— �. r � R06BRT NEVI CONSTRUCTION ONLY ' BRUCE TOP OF FOUNDATION IS FEE CwPt: A80 YE LOW POINT OF ADJACENT � Ea►��4 ������'��'�`� ��`�`� ROAR. how" $CA1.E� I"r �'? DATE., 4J BAr S�a6, 1 CERTIFY THAT THEa� 0"06 ' ENG! E'E' 1NG Ct7. N CLIENT___.---.� SHOWN ON THIS PLAN Is LOCATED E{i19TERED REGISTERS JOa N0. ..93. 11 ON TMf GROUND AS INDICATED AND CIVIL LAND C014FORMS TO THE ZONING LAWS 'A ,M EN EER GIN SURVEYOR A OF ARNBTABI,E , iMAS ��. CIS.jjYj :. �,��.._ 712 MAIN STREET ' HYANRfS, MASS. SHEET, /OF�... 'bATE REG. LAND SURVEYOR Even Pitch Design 6' X 8' $ 840 8' X 8' 880 8' X 10' 1 ,080 8' X 12' 1 ,220 10' X 12' 1 ,460 -- 10' X 14' 1 ,700 10' X 16' 1 ,950 12' X 12' 1 ,680 12' X 14 2,060 x 12' X 16' 2,380 Custom styles and other sizes are available. Payments are due IN FULL the day of delivery, 'Credit card sales must be processed before delivery. -No exceptions- (Standard 10'X 12'Even Pitch Design) Please check with your local building_ All sheds come in natural pine. f ®" �r� We recommend staining after construction to preserve the wood. department regarduzg perrrut , — - requirements,setbacks and other regulations that may apply Because we precut all We ask that you.please"prepare the ~- lumber at the shop, site location on which the sized is to installation time is usually be constricted 'Trees;shrubs, and only one day at the sight. miscellaneous items should be 1 r (8'X 12'Salt Box Des[ removed before we arrive to do the L t Design) building. . 1 a � �I Please notify us in advance if the site sx . you have chosen is not accessible by Y truck, or is in excess of a 50 foot distance. Sheds are built on location for your convenience. Salt Box Design g. 6' X 8' $ 770 n 'n 8' X 8' 810 ®® 8' X 10' 1 ,000 8' X 12' 1 , 120 10' X 12' 1 ,360 4 x} 10' X 14' 1 ,610 f ' 10' X 16' 1 ,840 12' X 12' 1 ,570 12' X 14' 1 ,890 (8'X 12'Salt Box Design with optional extra window and cupola) 12' X 16' 2,200 With your own landscaping, your shed will start to take on your personality. 1 n } � I' v �I io rT J PANE f000Fto ifZD; NcsTE Prc L wonb IS ,µme�L Z Y N - �Imc-NsI00nL ?I NE • 0 U- s►�E�s N�vs Louvras ax e��aa. ,nos y CNU, SNpwN� q x i j ' ccx)cjre1c 6- L) � Te Al, 185 0 - DEPARTMENT OF PUBLIC SAFETY 58550 ONE ASHBURTON PLACE , RM 1301 BOSTON , MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 1G JAMES D MCGRATH ` p Detach bottom, fold sign on PO BOX 708 -back, and laminate license card. S DENNIS, MA 02660 Keep., top for receipt- and change, of address notification. HOME IMPROVEMENT CONTRACTOR ; ` Registration 109374 Type - INDIVIDUAL Eipiration ' 09/11/96 1 PINE HARBOR BUILDING CO.,INC. JAMES D. MCGRATH jf lnaO BOX 708/120 61 WESTERN RD AnawisTFtAroa TOERRIS-MA 01660- ' u,, .,. sTe77. k rLt 1.x L i,.yl 4a •f r _ y ,o 's r a f �, s-,,. r� ,5 L a' CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: DATE - JOB LOCATION PROPERTY OWNER CONSTRUCTION SUPERVISOR LICE2iSE NUMBER 95I �r ADDRESS PHONE 760-4 LICENSED DESIGNEE (IF ANY) 2 . 15 Responsibility of each licensee holder. l 2 . 15 . 1 The lice. respor_sib1e fo license holder shall . be f 1 r all work for which he i ul Y and comDie,zeI responsible for seeinc that s supervising. Bu i Idi ng ' Code all wor:� is done ,- He steal i be �_ and the drawin s as Pursuant to the S`a=` O�ficial . g approved b 2 . 15 . 2 Y the Build�nc r The li cease holder Shall construction r 1 be responsible de o1'i ; reconstruction, alteratio to s`pervi se the t-on _nvolvfna the n, repair removai s uctures Onlystructural elements °= appl_cable L_` Pursuant to the State Build °= bu'la-ngs a"d ma ' s of the Commonweal ing Code and all other holder, is not Commonwealth ever though contr� the perm_-- holder but only he, the lice".-actor to the per:«it holder: Y a subcontractor or 2 . 15 . 3 The lic ease holder °==icial in wr' Li _ shall irunediatel ng of the di Y notify the bui`1 covered by the bui scovery of any viola o�'� lding pernit . ons wni ch are 2 . 15 . 4 y licensee who 2 . 15 . 1 2 . IS . 2 shall wi11fu11. or 2 . 15 . 3 or any other sectionsyviolet` Subsection. re alations and of t. any procedures heses rules and. revocation or suspe.*�sion of the lice.menaeQ, shall use b be suDjec: _ to 2 . 16 y the Board. All building Pernit applications shall . s_cnature and 1_ca �nse r" contain the na.-ne toy supervise num°e_ of the n those engaced' "uct On Supervisor ' oast_ alteration r in construction ^ _ who ; s repair , re:nov� i rec 109 . 1 . 1 of ._ or. demol_4—, °ns�-ruction the Code an these_ as regulated b ' taa� such lice o. is tales and regulations . Y Se.,�_on r licensee no longer In the � n. s lai l imme e1 supezrising said e re__t immediate y cease until a Per.°ns , the wor'� substituted on the records of the buildinssdepa . license hol-der; `is g r�:ne:�t. I have read and - regulations f unaersLand ,mv resDonsibilit or licensing co 1��. under the r'ales and with Sec-ion 109 . nstiuct_On super-r� sons construct 1 . 1 of the State Bu; l ; _ - ` on inspecti - a-ng Code . I un1 accordance called for by °n Proceaures and the e specif, s��nd t e buding officyal c i1qspectfor_s as LICENSED CONSTRUCTION SUPERVISOR i Ii _ I i Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use Only NAME OF CITY/ITOWN Permit No. D=S Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGLc.142A requires that the"reconstruction.alteration,renovation,repair,modernization conversion inprovement removal demolition or construction of an addition to anv pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. On pe of Work: DCQ2<=i t�� Est. Cost dress of Work Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded bylaw -_ _Job under $1,000 _Building not owner-occupied _Owner pulling own permit _Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A k. Signed under penalties of perjury: I hereby apply for a permit Mgen, Re ow r: Date nt a t r Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: Date Owner Name -- z PLOT PLAN FOR LOT Indicate location of garage or accessory building Additions with dashed lines-------------- Sewerage disposal (cesspool) well ` (Lot....................ft.. re ar) -- -- t A& Abuttor's Abu='s Name Name Lot * Lot f(��p Rear Yard j . .. a if this is a If this is a i s come. lot, corner Lot, 'C MTlLC in write is 43 name of name of other street. Sideyard other street. Sideyard HOUSE ft. Set Back :..'..............ft. - - R _ 41W (Lot....................ft. frontage) 1 --------------------------------=----------- (Name of street) Information Supplied by Mark North Point smolt iveauji oj ivi assac i usetts Department of Industrial Accidents Office offirvesUgations 1 � �— 600 Washington Streei `� Boston, Mass. 02111 Workers' Compensation Insurance Affidavit licant'mfiirriiati n: r r :'.. _-^� �,,,.�,• -:,: ��P o Mk:..� Please'PRi1VT� e�ihly• �: � �4�•-r ,,,-- _ name: location: city hone 9 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer provtdtn�worl.ers' compensation for my employees•worl.tnQ on this fob address: . city: L—'QKC>U ohone#:. insurance co. � �/ ✓� --� I)Olicv _ /11 (fit I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed belowwho have the following workers' compensation polices: company name: address: city: .. phone#• insurance co. policy company name: • address: city: .. ... .. .. phoneR insurance co: policy# Failure to secure coverage as required under Section 25A of\IGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 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. I understand that a copy of this statement may he forwarded to the Off-tee of Investigations of the DIA for coverage verificatibn. 1 do hereby certify and tl a pai s d It' o rjury that the information provided above is true and correct. Signature y� /� Date Print name 1 I�.iC�� Phone official use onh• do not write in this area to be completed by city or town official I_ cin.or town: permitAicense ti n8uilding Department Licensing Board C]check if immediate response is required Selectmen's Office Health Department contact person: phone#; r'Othcr` lrevned;l95 Pt.0 - .. tT ' ti Assessor's office(1 st Floor): ©`3 -� SEPTIC SYSTEM MUST BE Assessor s map and lot number of TN E to Board of Health(3rd floor): pr INSTALLED IN COMPhIAN Sewage Permit number �� w . Engineering Department(3rd floor): / /�, ENVIRONMEN*AL 6ODE TUILL House number (l �` l TOWN REGULATIONS 1639. Definitive Plan Approved by'Planning Board 19 � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2d:00 P.M:only A p P R 0VToOWN OF ' B,A"ANSTABLE $arastable Conservation'Gommi19V L D I N G INSPECTOR 3 Ol- C n ,. w R PERMITDTAe V cJ fil V 00 •1ni 1 �/ TYPE OF CONSTRUCTION rO S ` ;U e v S Cl Iil as Le-L s' R 004- ate 19 - TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 10 C7 k() D s C. /C-L k D Q� Proposed Use L X i Vq L f i Q V e d Zoning District— C--7—t-7 Fire District / / Name of Owner !"! R . Q D e_ Address 6 /�D 0 0 je k P L L �f Name of Builder U � �- Address Name of Architect Address Number of Rooms Foundation C©vC r>°7i� e- E0 h ci Exterior �� s Al, Roofing �'1 Interior 1 n P Floors Heating I ' Plumbing Fireplace h o K e-- Approximate Cost Area Diagram of Lot and Building with Dimensions / ` Fee Lot 33 Lot 3 0 ► 5 e t1C T4ti ` ExiS�1h� n iS �y 0 / 0US 6Cse Ll ,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 © 0 r � LAIMBE, MR. `r No 34539 Permit For ,ADD s TI ON Single Family 4Dweilkng Location 66 RooseN. elt- +R ad 1. r- ' Cotuit Ki Owner • Mr - L amb a 0 Type of,Construction S- Plot _ Lot Permit Granted September .)+3 , 19 91 Date`pf Inspection��/Yt2 - 19 w l Y --i bate Completed 19 _ 01 ot f9C In 00 a ( J Nb -F 66,( Aci d (Oil l I ' Q ., f 'Acid-, LI 1 Q /......!.1. %THE ssess is map and lot number 4.:.... Sewage Permit number ...� .���.. ..... .. ( '/�" SySTF � I' GE ew INSTALLED IN Yea `qrl 1,AN�CS 1 BaBasT&ZLE : i House number ........ .... .�� . .`:.............: ...................... r 9 a WITHI TITLE ;1 i 39- 9 C MAY Ar TOWN OF BA � A,RLE�1 E BUILDING INSPECTOR �. APPLICATION FOR PERMIT TO ... ��' .�T.........�l.l1Sk.ic....Feuw.`.. ......... ............ TYPE .OF CONSTRUCTION .......W....001....... 4+u 1.Q..................................................................................... ........... ........l. ........19. , TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......LQ.1-.......�a.........�.Q.��ell.�.�....A�cX.c............... .............................................................. ProposedUse .....�.1 Si P °�15. e......................................................................................................................................... ZoningDistrict ........................................................................Fire District A.T....................................................... Name of Owne ....Address ............. � Name of Builder ....... .v!k!�.......................................Address .................5. .. ......................... ............... Name of Architect ......sS.....E)..........FJT>.. .................Address .................0`J...l. ....................................... ............... Number of Rooms .........(A�.:...................................................Foundation .......F..,d:1,)-ar.� .... Exterior ...... ........+......C.(GL c142. :............Roofing .... .v�.�1..6'.`A.I.. l................................................ Floors ...................... ....... ..... /l/..N;y. .......................Interior ......... �/�.1! �......". s'�c Heating. ........tiff., ........ - .5..............................Plumbing ........../.1.....v .....C.� � .�.......................... Fireplace .......... .k..... ........!.. : .......:...:..Approximate Cost ........... ......................... .. ..... Definitive Plan Approved by Planning Board ---------------_—-----------19________. Area ...l... .� :.. . ........... Diagram of Lot and Building with Dimensions g 9 Fee .......� ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ® - 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 . L....L...... .................... Construction Supervisor's License ....t✓.d. .�2..ySr. rAY-SIDE BUILDING CO. 4 25576 One Story - R Ncs... .c.......... Permit for ..................... .......... '. ...Single...Fami.ly Dw li ........... k_ r. ...... Location Lot 32•f.. 66 Roo e el,t Road :,, COtuit �t de Buildin Co Owner ... ........ ........ ..... .............. Type-of Construction ....Frame....................... . r ... - ..`..................................................................... r ��4 ! i. ./• .r_• - �1 -�''�' .J " Plot ..................... Lot .......... f . Permit Granted ... .eptember 2 3,19 83 ; Date of Inspection/-V—. :?.......�..........:•19 Date Completed - 5 ....... 19 X •s • - +t �l _ •% r F`r o - FROM TOWN '4F TaBtE BUILDING DEPARTMENT Mr. Francis Lfite 3fia MAIN STREET HYPANNIS, MA 02601 Town clerk Phone: 71.5-1120 . SUBJECT: 5 FOLD HERE ' DATE _ February 6, M E S S.A G E. Work,bas been completed under.Bu ld ng Permit #25576 (Bays de Building.CD.).', Please release Bmd. + SIG DATE wM}w j Y -. - - SIGNED Ne7-RM1 - 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. ro f 9 z SE 1` it y 1a'o' '+t F t �3r r , $ p p 4D k/ -73 r CERTIFIED PLOT PLAN -vH OF MSS cy - 32 NEW ` CONSTRUCTION ONLY BRucE TOP OF FOUNDATION IS- FEE `. EL, RE IN ABOVE LOW POINT OF ADJACENT ,0AINST, 11LA4,WASSJ. T Vti O� ROAD. uRj SCALE, /"- 40' DATE D D E ENG &F ING COlAfCJe�r s'bE I CERTIFY THAT THE m L OAi CLIENT SHOWN ON THIS PLAN IS LOCATEO EOISTERED RE®ISTERE® S 3 9 ON THE GROUND AS INDICATED AND CIVIL I LAND J09' NV.'�....,...,.,. ENGINEER SURVEYOR R DR!By CONFORMS TO THE ZONING LAWS i ARNSTABLE, MASS 712 MAIN S T R E E.T ✓ % ___- H YA N t(I S, M AS S. SHEET' /,,,OF.,.! A E - REO. LAND SURVEYOR I t ""v t • TOWN OF BARNSTABLE 25576 * Permit No. -------------------------- . L 7t Building .Inspector cash f•71.` OCCUPANCY PERMIT Bond _ ----------- Issued to Bayside Building Co. Address Centerville, MA lot #32 66 Roosevelt Road, Cotuit Wiring Inspector �� ./�/ Inspection date Plumbing Inspector � A Inspection date Gas Inspector �� � -�,a Inspection date 4&» A 4— "Engineering Department,,'jl3s` fix'CP G2rY.� �.¢ Inspection date� -'Board of Health � ''Inspection date,4-/ C � 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. - 3 7- 19_y ., . .....Buidng Inspector.... :; .,o ., �GJ..� 7uT^'i1�+>- i. -.,' ,r•Y ..w.,.,-.s•.:_nrr-•,.w i,.w,..zfT'n•w�ti.t'i'!^':`}d?w�.n'+r., ,OY{rysT'1-asyJ"'`(`.rrC4`"n""r�4f,�yi••.*Yd'T'.1:+,_... r,.,.,�F*r`:rR"F"'e"„ rz^i4A'G�'..!!t �%h ' �'.' Assessor's office(1st Floor)*."" � Assessor's map and,lot number of TNt to r Board of Health(3rdjloor): ' Sewage.Permit number - -- -� i ssaas•rsnt,c Engineering Department(3rd floor) ' . House number. ,� oo ►a.}o. `,�' n" Definitive Plan`Approved by Planning Board 19 Rio MAr d APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00>2:00 P.M.only TOWN . Of , BARNSTAB.LE F. } BUILD!RG INSPECTOR L APPLICATION FOR PERMIT TO F. • (,J. (/t, y'1 O® -YV1 TYPE OF CONSTRUCTION l Gt e'h° �' V� �G�p L r (° z e as 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �( . Location (D C� A 0 5 ✓�L R x.. P�G� `' 4 ,` '~� U L Proposed Use_� '` CI 11 . a el �' :s ►.. ' f 4' Zoning`pistricf Fire District ✓ i Name of Owner 0 ISM b �, Address {a b O®,.5e Name of Builder V; Address �d h�] 41 •z ar Wt' (v ;r i Name of Architect Address '"--"� F r st Number of Rooms Foundation Co hin r ei e. .So aQ X . Exterior C fie)e_4 1� i rr d' _'Roofings ' —TAP z to Floors oleo Interidr Heating Plumbing Fireplace 1�10 K Approximate Cost x Area �� A Diagram of;Lot and Building with Dimensions Fee . J�► "`-' fi 8 h ' -BOA Lot 31 I g. .1 a —I' rT f I - 06SC 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. Name I { i Construction Supervisor's License Q�� LAMBE, MR. A=039-134 No 34539 Permit For ADDITION ' Single Family Dwelling Location 66 Roosevelt Road Cotuit t - Owner Mr. Lambe Type of Construction Frame r ,� Plot Lot 1 September 3 , 19 91 ` Permit Granted ` i L Date of Inspection 19 , i Date Completed 19 4 r � i A r. TOWN OF BARNSTABLE ' --- �� 0 � �� INSPECTOR �� �� ��NNNN| N0 � ���� N �������=�� � N� �� �� �p � ���~ � m��� wmm��m ���� � �� �� APPLICATION FOR PERMIT TO .... %/y\~�}�U.r-�..---��[/l�^\��- J. ^_�N ( ^_._.. ` /\ U `/ ~ ���� �� .-..V^����U(..-.��k����^&l--.--_.-.----.----,,.,.....-.-------.-...-' � �� �rrr � � �����'^~~~' ~'f��^'~^~'~^''~~' / . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location -.. `o-[.-..~~ .......... Z � ��V �� -.LA^.............. ^ ..........-..~....---.-.-....Proposed L� Use -..�lY�!� ` ��.�� .---.-.---...-...-...~--~...-...-~.......-~-.......-.----- `-r T- Zoning Di�h/� ......-...-.-..-----------.-.Fi,e D�hicf -�/= ./,L/\.^..-..-.-.~--.--~---... Nomeof Owner -- �-...................................Address ............. .................................................... ^� Nome of Builder --'~� ���'i4�------.------..Addreo .................~ --.-..--..--.-.... Nome of Architect -- «�-..��--.. fp-----.A66reu -----. ----------------- � Number of Rooms ---� Foundation --�� -..-.--_-------------. ............. � E*erior -' . J�/----.� RooGng -- �l� �'.Y~---------..--.-..- - / ' , v\ i7 Room --. -. .,-------.| ei"' --.. ------- � -'- /�-�Yx� - /, Heating --.�--�.�����...-.�:^x�...,----------F1um6ing ..--..'...�..�-....�� ...................................... /` /~ . �/ �� Fireplace ---. /.>^.�.�_-��-..^���*�����^_----..Approxin�pteCom -....�«, ..................................... � Definitive Plan Approved by Planning Board ^ lR----. Area ......................... ---' -�� Diagram of Lot and Building with Dimensions Fee ....... ............................. SUBJECT TO APPROVAL OF BOARD Of HEALTH ' ' ��^ \ Y\ ` � / ` ` z 0� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � � ^ ` / | hereby agree to conform to all the Rules and Regulations mf the Town of Barnstable regarding the above construction. . / Nome .�=����...�. .�.��............................................. � r � � Construction Supervisor's License .... rBAYSIDE BUILDING CO. A=39-134 25576 One Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ...,Lot 32, 66 Roosevelt Road ................................................... Cotuit ............................................................................... Owner ...,BaXside Building Co. ' Type of Construction ......Frame k ................................................................................ Plot ............................ Lot ................................ September 23 , 83 Permit Granted ..........:...........................19 Date of Inspection ....................................19 Date Completed .......................................19 0-0 r