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1690 SANTUIT-NEWTOWN ROAD
i �c� d S�}b�i'u �'r-- N I��a� ��-. . _ _ ��� i �CE'� ��j�� �p�—S �� t i s • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I, Map P&cel Permit# 33 Health Division d ID Z`f VASLE Date Issued �� Conservation Division NO IV j 0 Pil. j: f Application Fee Tax Collector. Permit Fee Treasurer SEPTIC SYSTEM MUST®E Planning Dept. )XISTALLED IN COMPLW, WnH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANC Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address L, Village Owner baA -�t CI.� ��,i�c � - Addressl: 0 Snv��v .\ TelephoneCS Permit Request v S cam ' a � �-: Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1011000 Construction Type Lot Size y ' l A -. Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family 10'� Two Family ❑ Multi-Family(#units) Age of Existing Structure Qo y -s a U Historic House: ❑Yes ❑No ' On Old King's Highway: ❑Yes 0 No Basement Type: ❑Full i 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 �d Oil ❑Electric ❑Other Central Air: ❑Yes ENO Fireplaces: Existing i New Existing wood/coal stove: ❑Yes Q"No Detached garage:Vxisting ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Z No If yes,site plan review# Current Use rz5 Proposed Use BUILDER U LDER INFORMATION �f Name nn \ cJC � // A v� p►J a 1�C� Telephone Number Address Z O w4 k- License# VV\ Home Improvement Contractor# 0 d�,G 3 j Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,Q� v DATE�:11710&' FOR OFFICIAL USE ONLY t ,T PERMIT NO. •DAT&ISSUED MAP/PARCEL NO. ADQAESS' - VILLAGE A -- OWNER ' DATE OF INSPECTION: FOUNDATION FRAME �69 M ® k PJat c/d INSULATION r FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH , ' FINAL ' s ' FINAL BUILDING DATE CLOSED OUT , • tom ASSOCIATION PLAN NO:- . w The Commonwealth of Massachusetts Department of Industrial Accidents Olflen ollayesf y2f offs 600 Washington Street � Boston,Mass. 02111 Workers'.Com nsation Inrance Affidavit ����/��/���/���������/�/������������������ su name n location: V , cily - vhone# r q,,kAIL I am a homeowner performing all work myself. ❑ I am a sole Prc net or and have no one worlds m' ca achy I am an em I(�Qer roviding workers' compensation for my employees working an this job. ❑ ••J .........r n::n.+n. .v.Y G.}w.}x.},;:.x:v.?:•}}:•Yf..}:{..... �{.}••:::..'+n':i:Y:•;ni:•r }n}:.•�•.:4}}YR}::}•+.v.+•4':i}'x :• P .�........ .... .......::: :•:..,..n...:..............:.,n..:.,•,�•n•..:•........,.........::•:.:!..:.,.. ,•.r.,•..:}:n•.\•::• 4:....Jrz;� r..........n...nn...:......r.......... ... .r:. :h.n..........n .....h.,..,.......4.......n..,...v• ..........r....�r........ .............n..{..........:rn.x... r� v......:.....r...............v......+. .r ,................ ].....,................. ... .......}.... ,. v n......... .. r:;: :. ...... ...r.....+.......................r...,.{.. rin..n...+...... ........... ,.....,.....•.......... ... ,.......n...n.. .... ........:+:.}:;:n....., v n.v:.+';`.•{:r.};hy}vti•K}}�$$:•�i:•F: .n....•..n.+.................{...:. ...5.... .. ..........:n............•:.....::::nv:.�...n......n..4.....n:•. .}•w::x,.......... ............... ........v.... :.}Y n ..... .. }..n.... .. v...J... ........,.v.....n...t{•.•4r::w;:.:.v.:.......v :.......::n:w:vr::•:::.Y{•%•}fir$:h:;]{:}:;.. ..t,}. .,..........,.,.,........... .. .,n..... .:, :...�. ,.t...h...................... .,.....,..r.... .:,•;}:r,:{•Y.x.}•.}.+,.:::Fr .F}:K}::::.v.••+. .r L.,rn•.. ,t{K•• ^;+;{h}^.'{}.}::.;:}:•]:•} ..Y}... .J...:•M:r:•.t........:n.t.4.:....:.:r.: i.... .$n.; ..}.n•-::.:v•:.:•...:.+4n:.$n,! 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R N.,.x•'•r:;•�'%x:F.'•FY' ..n.. x.:., rn.;}.}h,F-••nava}:•Y•-•:: t �'� r:\;;R •.i?r.:v}{ti•'�n 2:. ..h{:{v 4fi?.b�x'a;}}?}'a`..S.;.J,{.}... ,v... , .... .t?....::•7}}h., / .n�nraace:cni}:$Y�:}}}.::.t••:;., n,::•.,v!•..v.r:vh•:::a.;•}y;•.2;•YY:{t.:;{.h{.yy;.;}•}}:•}7::•%v...].;Y,...::..: . :: Faibue to secure coverage as required under Section 35A of MGL 15E can lead to the impostflon of ctiaiinal penalties of a Sae up to S1,500.00 and/or one yeah'hnpri+onment ar wen as civil penalties in the form of a STOP WORK ORDER and a Hoe of 5100.00 a day against me: I understand that a copy of this statement may be forwarded fo the Office of Investigations of the DU for coverage verincation I do hereby certify under the pains and pen of perjury that the information provided above is tn*surd cforrect si tore Date Print name 1ii j bc W , Phone# offtcw use only do not write in this area to be completed by city or town of sal city or town: perruittlicense# ❑Buflftg Department ❑Licensing Board checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; Clother ��9ros arn� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more.than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or enewal who has of a license or permit to operate a business or to construct buildingsin the commonwealth for any applicant w � ere aired. Additionally,neitherthe not produced acceptable evidence of compliance with the insurance coverage q commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 4 Applicants please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,*address and phone numbers along with a certificate insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of*insurance coverage. Also be sure to sign and �;- date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernutllicense number which will be used as a reference number. The affidavits may be retnrhed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . E, Town of Barnstable °* Regulatory Services '+ aAaArsTAai�E ' Thomas F.Geiler,Director v MASS. �Ar163 9. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEIVIENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r � Type of Work: � 5 ecz 5� � `- -1� ` ��1 Estimated Cost 1 C1�0 Address of Work: AL Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ®'Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. - j �[/ Da a Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 _ Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE Imo-square feet x$96/sq. foot= I W32 x.0031= S plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.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 proicost Town of Barnstable v FAME Tp� Regulatory Services . ; Thomas F.Geller,Director bUss Building Division 9� a6�9. ,o�. • pTED �� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ice: 508-8624038 Fax: 508-790-6230 HOMMOWNF.R LICENSE MAIPTION Please Print DATE: © I 101f/0-3 OB LOCATION:. 9 l 0 1 so,y"�_:e N Y j '�•'`� �J'�� number street ,) village "IiCMEOR'Iv'ER" kckv%� � ��CJ�1 '�- V 4L�'S— S `� name home phone i# work phone# CURRENT MAnZG ADDRESS cityltown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellines 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 andlor farm,structuies: 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 world brmed 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.., minirrn�m 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. n _ HOMEOWNER'S EMeTION 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 persoa(s)for hire to do such work,that such Homeowner shall act as supervisor." - Many homeowners who use this exemption ire unaware that they are assuming the responsibilities of i supervisor(see Appendix 0, 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 halshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. 'iron may care t amend and adopt such a form/certification for use in your community. -oN ISO O OHOW e;ROn :l)'aches �State� aiI"ding -� y =" The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructinglinstalling a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions jo,an existing house (780 CMR, Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing,but rather is only intended to assist homeowners in becoming aware of some of the,important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructinglinstalling a"sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential. energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing e Insulating value • Solar heat gain • Frame materials Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings e Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.23.1,..requires that the actual property owner (not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this docum nt oncemmg sunroom comfort and energy conservation. Signature of Actual Building Owner Date o Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number Engineering Dept.(3rd floor) Map 02-4 Parcel 6>3 T 1510Eamit# House# l0 Date Issued `j Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee WO , Conservation Office.(4th floor)(8:30- 9:30/1:00-2:00) 6 C- Z / olyn Planning Dept.(1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board 19 SAWMAOLL MAPA TOWN OF�BARNSTABLE ', Building Permit Application Project Street Address M O A �J&UMW IQ `1 is (/(���' ZD 7 A Village COTOI T . r Owner 7�i,406W- tom Address —SA*4 Telephone 142 g_ 6 rT5_7_ Permit Request 6-ArZ A&i M GA50 Z,i t-j6--- ©? ,c' 30 First Floor /✓ �— square feet Second Floor °� �*- square feet Construction Type t> Estimated Project Cost $ I 4:� , Oo `-� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ®'No On Old King's Highway ❑Yes (3No Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing ® New 0 No.of Bedrooms: Existing Z, New 0 Total Room Count(not including baths):Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes )J No Fireplaces:Existing Existing wood/coal stove ❑VP- No ,Garage: ❑Detached(size) 144Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None 'Tr�j ���jyyGLN �—: ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use 0,2 jeLe— Builder Information Name l>6A ®`PcxV,4,C-" 6L1Yc eU . Telephone Number -12- Address Po /&I'lC 00Z_ License# (2 35 49-4;6_/7$' 1117410—:5r07%5 0�'�Ll_5 / /Q a Home Improvement Contractor# /®00-32— Worker's Compensation# / /D NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FR THIS PROJECT WILL BE TAKEN TO SIGNATURE Y� DATE BUILDING PERMIT DENIE OR THE FOLLOWING REASON(S) -. FOR OFFICIAL USE ONLY ..P_ERMIT.NO. DATE ISSUED MAP/PARCEL NO. d� ,! • ' i ' ADDRESS VILLAGE. OWNER . i l • _ DATE OF INSPECTION: FOUNDATION 9 J 7 FRAME INSULATION Gi• a.' _ ti. _ } J 11c; FIREPLACE = - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL.BUILDING DATE CLOSED OUTL 3 f # ! + ASSOCIATION PLAN NO. V: Assessor's offioe .0st floor). THE T Assessor's map and lot number ..... .� .?....h. .... e�Q o Board.of Health (3rd floor): Sewage Permit number ......C ..:............. aaa9Tsn 1 B LE, Engineering Department (3rd floor): Me M"0a House number ............................... .: 1639 .. ......: �.. .. ............ ' /" e YAY(� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only,: TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......AcUk+( ........................................................:...................................... TYPE OF CONSTRUCTION �o r7C . ................. .. ..........---..,9 r s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /�!0 Location ...........................���.�..........L4-� �Z�1T /fir+ (90 �Q_� .................................................................................................................. Proposed Use ...... ..��.N.��............/�XJ ......... L.!�rf-:. .........1.... ................... .................. Zoning District ......................k..!...f.....!.................................Fire District .......... ...... .................. ................................ [p Name of Owner . .r &AMN bLA-Nc f ; /(,'7� AJ w-m;-jAJ ..Address .......... ............................................................ Name of Builder .....J.:6. ... L S�.(2V.k.S.............................Address ........................................... ........................................ .. ....... Name of Architect .....AL..... ...............Address ......'.V1.................................................... ...�..� 1 � f Number of .Rooms .......................... ......................................Foundation ....S.�....�..-�........�.b�-�.../�..........IC70,(� Exterior ....t.. . .1. ......................................................Roofing .....: .... .'`.�� -� ...................................... Floors c OA .....Interior -ujoo ................. ..................................... Heating ...... ............................................................Plumbing ........ LO Fireplace ....,� ...........................................:........................Approximate Cost .......�.J�.0.... ...� �� .Definitive Plan Approved by Planning Board ________________________________19________ , Area /............�... .........,....,... Diagram of Lot and Building with Dimensi°s Fee /�. SUBJECT TO APPROVAL OF BOARD OF HEALTH i ti1 �i • 15"� t 7,? 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 ..............a....l_ .............0....................�a.5..... Construction Supervisor's License ..I,?/��."...1 /!\..... w BLANCHETTE, ALAN & SUSAN A=024-038 No 29584 Permit for ....Build Addition .... ......................... Single Family Dwelling ......................SQ��[/i- -............................... Location ...1690 Newtown Road ................................................. Cotuit ............................................................................... Owner Alan & Susan Blanchette .................................................................. Type of Construction ...Frame . ............................ ............................................................................... Plot ...............*.......... Lot ................................ J ..30.............19 86 Permit Granted ............. une..... . Date of Inspection ....................................19 Date Completed ......................................19 t Assessor's offioe�(ist floor):, SEPTIC SYSTEM MUST BE STALLED 114 COMP Assessors map=and lot number ..... .�w� � = @WOTH TITLE Board-of Health (3rd floor)-'' t Sewage Permit number .. � Engineering: Department' (3rd floor):. `�r/� GULA STAB a`�� House number ........ ...... ..................... ........ Y APPLICATIONS PROCESSED 8:30''9:30 A.M. and -1:00-2:00 P,M only} - TOWN. DF, {BARNST�ABLE BUt.LDING� INSPECTOR APPLICATION'FOR PERMIT TO .......... .......... m TYPE OF CONSTRUCTION ........ LJD 0� a- .................................... ........ TO THE INSPECTOR OF, BUILDINGS: The undersigned hereby applies for a permit according to the following information: ; � ! Location ..... .. . ..... +................ Proposed Use GPIK 1��� �.iv)N Lam .. 14 lTG f` I� ?�.:................ Zoning District .... ... :.m<...1...:.ti... Fire District .........: / /j........... Ed Name of Owner . ....�-c !.£.. ..:.. L !/C! Address .... V 4 ::../v E�t1?U1. .............:...a.'..`4.�.1 Name•of Builder .... L 5�- s .................. Address ...................:................................................ ...... Name of Architect ..... .... � ( " ..... .........Address .....�.K1..t.�...°.... f (- 1',, Number of Rooms ..........(... ...Foundation .... .1 �K�GV�:. Exlerior ....� �. ................... .� Roofing ....S.�.ln....'.� .... FloorsJ ". ! =-..................:.....::...........................:.........Jn,terior ........ ......... .00A..................... .............. f Heating :..... Q. ........:............,.........................:....:...:...Plumbing ........ ............................... . p -QJ� ppoocJ........... 00 Fire lace .... .... .....................................:........................:`...A roximate Cost ........ V...... .: .. ... . . Definitive Plan Approved by Planning Board ----------------------_----------19________ . Area_ ... ... ...... ; . . .. ° j Diagram of Lot and Building with Dimensions Fee SUBJECT•TO APPROVAL OF BOARD OF'HEALTH r s r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. � Name ...... 4L.... . .................... ........ Construction' Supervisor's License .. . .. BLANCHETTE, ALAN & SUSAN No 2.9 !8..f Permit for Build Addition ` .................................. Single Family Dwelling .. T Location .. .1690`fiOto n.Road..".....F .......... f o ........................................ Owner ..,,Alan & Susan Blanchette Frame r f i Type of Construction .................. ^, . ..... �: .. .......... ., Plot .. Lot ... .... ......... Permit Gran!ed June.....30.'. 1-119 86 Date of`Inspection&!..-^� .....W- ..19 NI- Date Completed .......A��- ..... ........._.19 �l + t#, � _ � !1 .+•- !� .. •mil 1+i, •. s. � � . � � r _ • ` , .9 i ==1 t f f •� �- - !yam �' h ✓' - - , , s� w;i;17 _ t { s-`Tx . . • - .. .. :.- .. ,.- _. y :. ` ' "4S' 5 > c a ,• r� r :.t - - t r { k - r u• 1 - t :. .. _ ... .. ;..— r ' ti ...1 .L -.-:. 2 -:V -1 _ jjam� '_ �� N :. _ q - 'c . t _ - \ 4 t �' t �JV �t _ -t jy ,r•37 -, :, :: .• . - : , .. . ; A ;:. :m .: _ _ - - "'� - .. . c,. �b • a P O L A1VI�N L;. 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Slll W�dFA4 wii „ J l0 iD TC 'pOORf ' r Y�-111/cN ;Y i» T 9 •^ Al- 7. + �.v "8tr9Z0 dW SUNSUOlSAey' 801Vli1SININ o� O 9ZlZ09 ��,. ul ano X G �•�; = t�-.` ;`a�anob+0.�`f•semoyl{x3 �"�gg �� ,f.- 00 9NIOlIng DOOM � � f 86/80/90 uotJeatdz3 a p;r a0137d�b1N 3 . 34311001 AWON { _ �j"yy � (++a{ a r ..,.+ k7 �goyl:3�•th r jky 4 "�` �'3`��r�7 Yby��r}kd'`1 �a�*ter r//t3s�. �*��4�i t�.�^.�.Wt r+,. ;+�1�`'Y.S�.�'e• �^.a., i - h�ar,.r^'Ysu .m �,.r�-rrt:c-..4...aic:ii�° ..,?;✓��tdios:.�.,e3:.e...v...�..t�Y-r_'�w.;_ • ' ( Bfi9Zv� tiii 's'� ira sNOdsd'?W,�, ZQ9 I03 aa'IaOij STGj 0 li0i}P.JOAdI I0; aSU3 ST X ' . s9;it080 P 51?nJit� t '; l apa0 hi;�pl:;nh a;P,�s s��asayaPssF}; ' + � rr a '� ayj f0 aOt114 saL w hi;u.e4 Z t :suidxg 1,.�; IaGnny aa01i - 00 asii30Iq asImais b0I'13fiilZSii00 ; 69L9S Laps 31"And 10 IiirailOd'3O • 0: .'OJ. pa�Oil'�Sag � y�� f�7var"u°` ioG1. �� � '( �t�ai'm�nvPv o 2 uiv r7 . . The Conntronsecalth of.1fassachusctts l Department of Industrial.-�ccidcnts - pfticP nl/flyesLlgallons "4.,. y. ' ,;? B(iston. A1ass. (1211 ' Worhers' Compensation Insurance Affidavit JiPiicitit inforniatitin PlC_; PRINT name Inc.-ition I am a homeowner performing all work myself. ��iE w`g 1-0 c19z1 I am a sole proprietor-andhave no one working in any capacity "yv. - _ ........--_ --- �n..wM•r. `_•n _ 1 [� 1 am an employer providing workers' compensation for my employees working on this job. en imn• name• �ZC 8, /o - �d rl rcn city nhnne#: inciirnncc co. I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed below �ho hz Q P P the following workers compensation polices: cnm :,n• nntne, atitl resr. city hnnc a• incitr•,nc•c rn nniicV# �_ ' ter. ''—^.•-- — !�'.�.:" — --- —' -n....�..L.T . S. — -.�:.i�a:Y_•_-- cnm nnV nntnr: addre�r. ritV: hnnc i#• incurnnee c . _ _ niic•# Attach addititi_nal sheet if neccsiary ::!' _.,;�:..;y._�;�_ �_�`�:,�, __ •- ••••�+•�— Faiiure at secure cuverace as required under Section:SA of,11GL I53 can lead to the imposition of cnmtnal penalties of a line up to S1S0U.UU andiu: unc,cars' imprisonment as%�cll as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against toe. I understand that n copy of this statement may be fun,•arded to the OfTicc of InVcsticatians of the DIA for coverage Verification. 1 do herehr cerrifi rrrrrlcr t/r• s a d p• !ti• o , rjun•that the information provided above is true and correct. Sicnature Datc Print nameoe Phones '! O L official use unky do not„'rite in this area to be completed by cit,•or totcn ofrcial permit/license i# I'1Building Department city or town.• (]Liccnstng Board � (]selectmen s Of6cc (] check:if immediate response is rcyuired 011c2lth Department phone i: nQthcr k contact ncr�nn ___ ___ �ZFIF rpy,_ . -I'. The Town of Barnstable L►aivsr�r.E. • Department of Health Safety and Environmental Services iOTEo '' 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 IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. p` crG Type of Work: &41e44?C 5Y P Est.Cost 1 cp 000 e Address of Work: `d-�?d /��"7.c)mz e>.< ,�> 7V! - Owner's Name 43LtOlC/-le77� Date of Permit Application: 9 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a owner: f /4�m 13z- /bati Contractor Name Registration No. OR Date Owner's Name , ............ � ol 14 / a f� e ,> _____,�. __..._.. _ .. .:..:;-,� ems. •--- - �11 • r ._���' c: �- a '.-• � V�\V���•c - � �.� i tt 9 F ^ LA QWd�R1g o : J.+�T Gam• �-�' -� '� S [( a•G-INN • l v , _ �: . /ram-rri of s:`� � � ��3;.'i� •�_-t-----' --- ,. 1 f ` i •5 V1'tf7 � �"�' t l,_F � ` � 3 � I � ? M GQ i �:;_5�,�¢ w' i E Nr- Air Li 33 \Nc";3t d it a � l Vv �CPO L -_ ., ,.-__.__ c i s _ �4— ir a • VA, I i . k eCIRON a PIFF LOP - t w' { IRON � AWE GAR- PROPOSED LIl 'llllNf>AAGE 7�OV05 (TO RE .. SHEDSE S 3' LOT EN GRE HOU25 D 7L T � 1 tp LOT 26 LOT: u� . h - F i aC�s - ara:.±sy:...r.w�'a3n