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0051 TRUMAN LANE
., � a - a - �' {` r .. I Department of Health, Safety and Environmental Services t� Building Division 1"9` �� 367 Main Strew,Hyannis MA 02601 Office: 508-790.6227 Ralph M.Cmssen Fax: 508-790-6230 Building Commicsior Home Occupation Registration Date: Name: V Phone . �11111 Adds: h --r-QAA V\�IP,N V I-L VMage: CZa kk kt Type of Business• V NgaPC 1 C�7J Map/Lot: f 2 IlVTIIV . IZ is the intent of this section to allow the resident of the Town of B=r=bI I to operate a home occupation within single family dwellings,subject to the provisions of Section.4-1.4 of the Za®g atdinance,provided that the activity shall not be discerat11 le finmi outside the dwelling that shall be no increase in anise or odor;no visual ait==to the premises which would suggest anything other titan a residential use;no increase is traffic above normal residential volumes;mad no incrca*p in air or girnmdwaterpofl dun. After registration with the Building inspector,a customary home aocupatioa shall be pe:misted as of ti&subject to the foIIowing caaditions: • The activity is catzied an by the permanent residue of a single family residential dwelling unit,located within that dwedinguait. • Such use occupies no moat thaw 400 square feet of space. • There are no aaaaai aiteratioas to the dwdragwhich are not automary in residential buildings,and there is no outside evidence of such sue. • No traffic will be geacated in emss of normal residential vultm=- • The use does not involve the production of offensive noose,vtluation,smoke,dust or other particular manes,odors,dec anal disnabance,heat,glaze,Inunidity or other objectionable effects. • There is no storage or use of ta=or hazardous mztetiais,or flammable or explosive materials,in excess of normal household gttia. • Any need for patid g generated by such vise shall be met an the same lot containing the Customary Home Occupation,and not within the reguired front yard. • There is no exterior storage or display of mataiais or equuipmeat. • There is no ooaamertiai vehides related to the Q=tsmaty Haame Oexupation,other than one van or one pi&-W truck not to es:ceed one ton capadty,and one trazler not to erred 2G fees m length and not to e=ced 4 tires,paziced=the sm=lot the Cusw=ary Home Ootupa=n. • No sign shall be displayed indicating the(may dome Oocapanon. • If the Cu=3at9 Hoare Occupation is listed or advertised as a business,the:street addre s shall not be �+ induded. • No person shall be employed is the Customary Home Occupation who is not a permanent residem of the Clyreffing unit.. I,the undersigned,have and with the above restrictions for my home occupation I am reastermg. Appli==- Date: Homcoc.doc i TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANTS YOUR NAME: N Yv I 1 Yv BUSINESS YOUR HOME ADDRESS: 5 1 `"'i—IZ t,�� TELEPHONE � Telephone Number(Home o Z -Z a x NAME OF NEW BUSINESS f C TYPE OF BUSINESS ? IS THIS A HOME OCCt1PATION? MAC/PARCEL NUMBER . _ ADDRESS OF BUSINESS When starting a new.business there are several things you must do in order to be in compliance with the rules and regulati ns of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerks Office (Ist floor-Town Hail). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual h een informed of any permit requirements that pertain to this type of business. Ilk 1 Authorized igna ure COMMENTS: C� c� G. 3` 1 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual h informed of th irements that pertain to this type of business. Authorized Signa ure COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (31113 FLOOR SCHOOL ADMINISTRATION BUILDING) This individual h informed of the licensing requirements that pertain to this type of business. Authorized Signature,- COMMENTS: �a After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A_business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you .permission to operate -you must get that through completion of the processes from the various departments involved. �3S The Town of Barnstable Department of Health, Safety and Environmental Services HARWABM = Building Division NLAM 65���� 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: !Y l A 15 , 12 9 L Name: A/I Lo e W)ti d a w ([ ea-o;a qLe r V i c e Address: 5l -Trum in La Village: Type of Business: W l ti d o u-) 1 Q111y ,17 u _Map/Lot: / of INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor; no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: / Date: Engineering Dept. (3rd floor) Map 3 9 Parcel 12-ot Permit# T!✓ House# Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) �� ee Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) L d/ Planning Dept.(1st floor/School Admin. Bldg.) SEPTICPAITIONS, UST BE Definitive Plan A ed by Planning Board 19 INSTPUANCE 5 f TOWN OF B RNSTABLE E �Rp N® TOWN t i Building Permit Application \ Project Street Address l 0 IM Cv►n� �(h�N ?, J ✓ Village CD,�U Owner E- L a u r t tJ Ll/t� S u G IG 1 Address 4�-1 Tr u v►n,i. (D T V Telephone U Permit Request Z�.x 1.6/_� /1 0y,-$101d' . / (.ft/C'-�� MAC-Yt ✓ ���.Q �►- /�t/eLUC lrn r(GSC( I 11"',eSGi rlr�s mad First Floor / d2 square feet Second Floor 79- square feet Construction Type Estimated Project Cost $ 61, do y 7- 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 �lo Basement Type: UdFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1.2 Y? Number of Baths: Full: Existing New Half. Existing New No.of Bedrooms: Existing J New Total Room Count(not including baths): Existing 6 New First Floor Room Count 6 Heat Type and Fuel: Etas ❑Oil ❑Electric ❑Other Central Air ❑Yes dNo Fireplaces: Existing New Existing wood/coal stove ❑Yes (llo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 9"Attached(size) 16 d S y_J/J s`Z �x I ► ❑Barn(size) U ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes YNo If yes,site plan review# Current Use Proposed Use Builder Information Name !�2G A�Oj d Vl—, 6 In t a S 0/ Telephone Number o�g -7 3 Address 7 Pv-ma m Ail 2 License# ,, 04 Joy 7 / Home Improvement Contractor# lag 7 C07'U l`b ytl 026 Tr 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-9 �, ',',L zd DATE S✓ �! BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS - - VILLAGE - OWNER t "•4 DATE OF INSPECTION: FOUNDATION FRAME INSULATION •FIREPLACE ELECTRICAL: ' ROUGH FINAL + = 3 PLUMBING. R�IGH FINAL GAS: §,-J G c. r FINAL + t FINAL,BUILDIN � I s r,'w ! <aLif rare i DATE CLOSED QU-'Q e" ^' ASSOCIATION PLANO. � = �arcd. 1 039129 q ,�r vz- 04 ,x N � V V � 1 07 z8 ) �(S RICHARD c'y 4F JAMES V,i O'HEARN No. 27871 y CERTIFIED PLOT PLAN /N SURvJv E/�`` - BRNSTA BL F MASS. I CERTIFY TiyAT THEFVV_*V0 7_10A1 RIC14A)RD U. sgo1NN oN Ty/S PLAN /S LOCATED /9/ MAIN ST. (RTE. 28) ON THE GROUND AS INDICATED AND WEST DENNIS ) MASS . COvvFORMS To THE ZON/NG LA WS OF�,4�2^/STBLi MASS. DATE: 9//5'B SCALE: 9AS 76 /i,'1 JOB NO. 78-21 CLIENT./ -L,a4wrs/N ,� ,E! DATE -/'a LAN&_SURVEYOR DR. $ Y �P A/ SHEET / OF �_ s ellg{ ,1 HOME IMPROVfiENT CONTRACTOR= ;: �,. ReS1366tion' f08799" k' Ty�Ae =��INDIVIDUAL Ezpuation� 08/)9'/ DONALDC`AHPBEtI Donald fi�CaObeI A`l9 Putman,Ave/PO ADMINISTRATOR r r u� 1 L 1, BOX w1311 ,, �Y���;� ,3�� Cotuit�MA O�b35a1 0.a,�a:.ga4�54a-As�l•', 1£. ``�"�3i,.�.,�r�.. rr� fi <-. - .�.. � ✓/ze -�air�rrwruoP,czl� a��G�uacLuuteCl.� DEPARTMENT OF PUBLIC SAFETY , CONSTRUCTION SUPERVISOR LICENSE Number:, Expires: Restricted Tol 00 DONALD G CAHPBELL -R ert-o 479 PUTHAN AVE/PO BOX 1371 COTUIT, HA 02635 �n+e 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 IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. �Type of Work - -� Est.Cost �U d Zdress of Work: Vim/ Zner's Name CA,�, ,-- ate of Permit Application: -;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 agent of the owner: Date 'Contractor Name Registration No. OR Date Owner's Name 1 ,i• `�-•'• tile (,!/ ru cuuu llllSlaCrLU--Ct/•I• •l "� 5�,�j t �••� DeparlinezJl of IndimialAcridents Ofllc�all�esrlgallaas t'1 "•' i•�' 6011 It ushing-ran Street Workers' ComTlcnsation Insurance Affidavit l; :rite informatititr -�� _ Please PR11V'T'Te^ibi�„� T Inrttinn � t�� �/7�' �'l�?`Na 12t �y�• Z7 am a homeowner performing all work:myself• I am a sole proprietor and have no one working in am,capaciry ................ _ _ __ ...t.. .....,..,.._._ I am an empiover providing workers' compensation for tm•emplovees working on this job. enr►rrranv name! atitlrrcc� • �iit'• ^ifOnp�!• • Inctlr'Inrr rn. ijh•{/ l am a sole proprieto .�Campens:rion homeo��•ner(circle ottei and have hired the contractors listed beiow who ^a. the following workerses. cnrnn7"r narnc� .W, 4ee�Ue �� 3l a (/Va tirirrcc• cit�l/74/i C �� Q Q.IQ l�l/�(� nhnnc N• S—a 01 incnr�tnrr rn. noiicv0 cmmnInv natnr- r"e• -itt• /y l9li v�.1►J! t / nhnnc tf• �G -7 �/ J ncursnre co Wolin• 1ttichadditio_naisheetifneeesiarv• •.. 3•c•�- •• --+�"•'�`�'••�r "'• •�r. '•..• -,i.. +..:...•.aws.� r..•_�.��•�_ 'a,iurc to;ccurc cnvera>;e as req,ru ed n er tiecnon 3A of AtGL ls3 a�d o the impos,tion olcrimtaal penalties of a line up to SISOO.UO AUror ne I cars'imprisonment a. even as c»'il pcaalties in the form 0172 STOP AVORK ODDER aad a fine ofS100.00 a day against me. t understand that a OM 411 this-statement mar be forwarded to the Once of lavestittations of the D1A for coter:0e verification do hereby ccrr7if•)tinder the paitrs and penalties of peY ju7 lbar the inforntation prmided above is rrue and con err ^�atun /ter=ter 1�� �1>,C� pate 7�•7 i 'Tint name i '/OYyre Cry Phone Z nfricial use unit• do not write in this area to be completed by city or two ofrciai • cin•or torn; pIf tnitllicense if rttluildiur Depatratcut Qt.icensiar hoard L. G Cheri:if immediate response is required Q,eleetmen's Olrtcr ►- Otlealth Department F contact Pcrcnrt. phoactt• r<Other�_ Information and Instructions r- •Massachusctts General Laws chapter 152 section 's requites all employers to provide workers' conipcusatic employces. As quoted from the -law".an entplurer is defined as every person in tic smicc o1;trtcitltcr und: contract of hire. express or implied. oral or written. An empinrer is dcftncd as an individual. partnership, association, corporation or other legal cntit%. or any tw the foregoing en`_a_ed in a joint enterprise.and includinL, the legal representatives of a deceased employer. a: recci%-cr or trustee of an individual . partnership. association or other legal entity, employing employers. Hoy owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of ft dwelling house of another whft o employs persons to do maintenance, construction or repair work on such dtivc or on the mounds or buildingappurtenant thereto shall not because of such employment be deemed to be an e MGL chapter 152 section =5 also states that eti•cr}•state or local Iiccnsing agcncr stall withhold the issuzn: rcrictiti•:il of a license or permit to operate a business or to construct buildings in the cammomi•caltlt Car:: applicant who has not produced acceptable ch•idence of compliance with the insurance coverage require. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for d performance of public work until acceptable evidence of compliance with the insurance requirements of this c. been presented to the contracting authority. Applicants Please fill in the %vorkers* compensation affidavit completely, by checking the box that applies to your situatie supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the afrdati•iL T1 affidavit should be returned to the city or town that the application for the permit or license is being requested. not tilep Department of Industrial Accidents. Should you have any questions regarding the "law'or if you are r: to obtain a workers compensation polic.% please call the Department at the number listed below. City ar Towns Ple-se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the be the a aat•it for you to fill out in the event the Oflice of Investigations has to contact you regarding die appliczr be sure to fill in the permitilicense number which will be used as a reference number. The affidavits may be r t. the Department by mail or FAX unless other arrangements have been made. ?lie Office of Investigations would Iike to thank you in advance for you cooperation and should you have any qt please do not hesitate to _give us a c:i1. . .. 7. �». .. Tice Deparnnent's address. telephone and fax number. . ` The Commonwealth Of Massachusetts Department of Industrial Accidents _.. Office of lavestigatfons 600 Washington Street : Boston,Ma. 02111 �L•r 1t. tr.i-n '777_•'749 ,;.,, _ //�(,IJII'N[tin n GLms tiJ :)/llS.11lCAll.ZL'l�•� Depart,"Mit of IndiwrialAcridents . �. ;: . :1� Oflfccallayestlgalloas t =1 ; 611011 arlrirr.;tun Strcer �:�• � Buxturr..4tusx 92111 . Mforkcrs' Compensation Instlrancc A>Tdavit atinlic�nr infol-matitim - � _ .. Please 1'RiN'T''Te�'�jv T name- cin 17 1 ant a homeowner performing all work-mvself. 1 am a sole proprietor and have no one%vorkim_ in any capacity I am an employer providing workers compensation for my employees working on this job. f•nnfn:rnt• nnmrr afifirrce� . flit•• nhnnr�' ' incnrnnrr cn, nniin•o [, ► am a sole proprietor. general contractor. or homeowner(drdle nrle)and have hired the contractors listed below who ^a. the following workers' compensation polices: cmmt?nnt' nnrnr' '7�®er t o(o ( ,'. 6 /,-L7, 1✓1 C adtlrrce� y .i(�. �Qx 'Q / - s- Z incur-incr rn /�G� �.lL°rJ 1�✓�,1 L f� nniict• /��Cr 0�2�S� cnr??nint' n!rinr' aridrrcc• �� j�J /QU�k 7'er i �t'�P ��e, n�ur:rncc r nniirr� lttach additional sheet if neee=_sary. i �,1i'�:..•• ......•...�. •..• ".j.r +...��•���+� •+ �••� ���^�� 'riiurc to�ccurc ctrt•eragc as required uA er zieetton 3A ot111GL 13Z can lead to the iMpOSWOn Of CrJMlnal.PeUSISieS Ora line up to SISflO.110 andfur nc t care'impn%ftnment as tt•cil as civil penalties in the form of a STOP WORK ORDER and a line ofS100.00 a dar apttinst me. 1 uodetstaad that a OP)'of this statement mad be furn•arded to the 01171cc of Investigations of the DIA for coveRge t'erirication. r10 hercht•cerr7ift•)under the pains and prijaaly=oJped uurr Ilia'the informarion provided above is true and coru rr :=.^.aturr // ZIUAAe� �� C -•-/'Le Date 2 i- 57 'Tint n=e �D�vet f �d _Gt d o f) Phone# �"4 �Z 7 -Z 'ofrciai use univ do not write in this area to be completed by city or tun. Oiticiai city or town: ltermittlieense tf MUstilding Department ❑licensing hoard L. check if immediate response is required Qseieetmen's O)Tce ►- C311t2lth Department F contact Pcrcnn: phone#: nOther _ � �, •f. ;:{•:::fi:{• c t?. DATE M"A 0 :k :opk4: .i' Yo•:+•::iA:a't4S�•.33#t RPM Ydz: ::ti`•.::<.::is.`;:::: S:;k::f:::::`::'.::;'.,::<i{:'/,:i::c2;:::..•:..::.:.........::::::.:.......:. .. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER INFORMATION Dowling & 01 Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THEE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 COMPANIES AFFORDING COVERAGE Hyannis, MA 02601 COMPANY ATravelers Insurance Company INSURED COMPANY Bortblotti Construction, Inc. B PO Box 704 -� --- �--�------ Marstons Mills, MA 02648 COMPANY COMPANY D ...........................:w::r:::::::::::r:::::::::::::•;'t4:^:{^:•:isiii:4ii:i:^;ii:vi:4:{{J:{{•}}:4:•iORRE {•:{•:•::%{:.::J::..;J...r••::::.v•.v...........::•...... .::::::�:x:v::;:.•Ji:::{t4ii:C:i:•ii:'�:i:•ii::iY:•i:•iii:4:4ii:^:{4::•:L:•:q:i:•::{Ji:::t$;i}:.... r .....r.::5.. ..Jr......n..rr:.,{:r..................n.....•r•�•. .),•::::•:?x•{{•::•::t<{;•^•:{{•:r:�::•,:•:.:•::•:::•::••.:•:•::::•............:.::.....:....:..:,..;..,......;...;,..,....::r.• :n:Sr4•:::::::::...........................:.:.....:...:.................. ........... ....THIS IS TO CERTIFY THAT OLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIOSUCH POLICIES.UMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS C R TYPE OF INSURANCE POLICYNUMBER DATE(MM/DD/YY) DATE(MM/DDffn A GENERALLUBILITY BINDER122558 03/07/97 03 07/98 GENERALAGGREGATE s2 ,0001000 X OMMERCIAL GENERAL LIABILI PRODUCTS-COMP/OP AGO$2 000 000 CLAIMS MADE III OCCUR PERSONAL&ADV INJURY b1 OOO 000 X DWNER'S&CONTRACTOR'SPROT EACH OCCURRENCE b1 00O 000 FIRE DAMAGE(Any one lire 6300 000 MEDEXP Anyone arson $5 000 A AUTOMOBILE LIABILITY BINDER122554 03 07 97 03 07 98 COMBINED SINGLE LIMIT bl,000,000 ANY AUTO ALL OWNED AUTOS BODILY INJURY b (Per person) X SCHEDULEDAUTOS X HIRED AUTOS BODILY INJURY b (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE b GARAGE LIABILITY AUTO ONLY-EA ACCIDENT b i yS,.rJ• .ti• OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT b AGGREGATE b 0,1000 A EXCESS LIABILITY BINDER122560 03 07 97 03 07 98 ACHOCCURRENCE AGGREATE bl 000 000 UMBRELLAFORM b OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND BINDER 12 2 5 5 5 0 3 0 7 9 7 0 3 0 7 9 8 I STATUTORY LIMITS { EMPLOYERS'LIABILITY EACH ACCIDENT $100 000 DISEASE-POLICY LIMIT b500 000 THEPROPRIETOR/ INCL PARTNERS/EXECUTIVE E DISEASE-EACH EMPLOYEE $100 1 000 OFFICERSARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Operations performed by the named insured as provided by the terms and conditions of the policies . •rr:.:•:. r.:•> :::.....::.:.:::::•::..,..r r,:...:..,...;,;....,.{...... .r?• .;:�9� •r•,.t:.. .....rr.::x•::::::x•:::•:�::•r.,:.{.::•.: .... �y�+� $�}•..:�. fi ��4iS{�{•is4:<±<.:::•ist{Li:v.v::•.$$$�Jf.'•:Y}G$$$r:.t�{: y:.'$$:•:•:•$•'C$�.'iC:'Lf .,s,':i ! ?!!:........ ifS$Jrd iF 17,.:fi'J d 4•:::•5:22:$$5$$::?!•::::>::::::•;::•:•r.'{:$$:::i$:$<:::$$$:ii$$:.... $r:... �M� ....: SnoUl_U ANY UFTIIL-ABOVE UCBCRIDGU POLICIES DE CANCELLED DEFORE THE Town Of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL - w, JAL DAYS Engineering Deptment 367 _Main Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LU1BILtTYr' i ' Hyannis, MA 02601 OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESjVNTAT4YE . J :•.Sv{ THE Assessor's map and lot number ...... ....... Q . Sewage Permit number .1.....`�`��...................... . SEPTIC SYSTEM MUST B �o`` ~°► INSTALLED IN COMPLIANOR = HaHasTeDLE, House number ....... ......................... ..�../............ WITH ARTICLE 11 STAT3 sa rhea SANITARY CODE AND TOWS �'�oynva,�e�' TOWN OF BAA1RW °BLE BUILDING.- rIrN�SPECTOR APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ........................................................................................::................................:.......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: q Location ....... .. �..................................................................... ProposedUse ..... 1. .C- 1. ,/...`. .. .................................. ................................................... ZoningDistrict ......:... ...��..................................................Fire District ................................................. Name of Owner . �Wv v Address 04 f'4j Nameof Builder ..................�-:�er...........................Address .........c—' /�r......................................................... Name of Archite "�. Address .. 11�F�.�.✓.r .,�. .................... Number of Rooms ..amp./.� . ���'�' ...................Foundation l Exterior .... ...s:..........Roofing .. P7 / 4.......................... Floors .....�f.'9. 6W...C..-V4................................................Interior .................................................................................... Heating ......Plumbing .................................................................................. .........................A Approximate Cost ...... ... Fireplace ..:.......��/ ............................. PP �c..®;................................. ...... Definitive Plan Approved by Planning Board ________________________________19________. Area ...... ....S.............. Diagram of Lot and Building with Dimensions Fee ....�� SUBJECT TO APPROVAL OF BOARD OF HEALTHon�d, a� NO �O I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. " �..j..- `. 7lt!.. Name ... �� :.:��( �.j... /P- ktmirrC° k14'�� ` *Tidewater Realty Trust -20558 one story NoPermit for .................................... single family dwelling ............................................................................... 51 Truman Lane Location ....... ........................................................ Cotuit ............................................................................... Tidewater Realty Trust Owner ................................................................ Type of Construction .............f r.am e.................. ........................................................................ ........ tr 01 Plot ........... #27 .................. Lot ................................ September 8 78 -Permit Granted ......... 19 Date of Inspection ....IT ./.1.7.V..19 Date Completed .......pleted ... 7 7.......19 ,* * 0. to PERMIT REFUSED ................................................................. 19 .............. ............. ....... ....................................... . ........ .. ... ........................................ .. � /........... .... ............... ...................... ' tii !�, l'i ^~ �f a .'!! ..........[/1.. .. ........................... Approved ................................................ 19 ............................................................................... ............................................................................ 'y e Assessor's map and lot number ........ ..•........:r"�..t......�....... � ofTNero Sewage Permit number ............................ i BARNSTABLE. i House number =- MAG& 039 MPY AF' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO-..: ............................................................................................................... TYPEOF CONSTRUCTION ........................................................................................:............................................ i ....................... .... ..............19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........`..'... Y:. �' -+syr -* ....../f r,7^.e.•ter...............:........:... ProposedUse .....`.........�J.r. .a.r�,.;�� ��/. � a./r�c............................................................................................ ZoningDistrict ...........-��......1 .................................................Fire District .............................................................................. Name of Owner ..t'.» ;....ts -rf ' . ... ?�r -'..Add >..........................................................ress ..L:;lr�./ ar 1 . ' ` .1:..... Name of Builder ..........................-t'- .............................Address ........ rf- .................. Name of Architect_/-'�� ..��^-� ,':?:—:�".�'-` '...Address .- ................. Number of Rooms ._ - - �` L,. ?�!f ................Foundation ............................ ............................... Exterior _ .. . ..-•,,..... �t ...ar.,. .. .........Roofing ...:!�._1.r eC y 5`.<t.. Floors ........................ .�,�r r................................................Interior .................................................................................... . ................. Heating ...................r' �:...�:� %.... / ' !'/`.....- af�.......Plumbing .................................................................................. Fireplace ...........:.:'..................................................................Approximate Cost ........" ....c...ac ........................................ Definitive Plan Approved by Planning Board ________________________________19_______. Area ............. ............................ Diagram of Lot and Building with Dimensions Fee ~..........:................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . tr! I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name.,?t?r r /irl/f ..� y9..{ .x::-.........:.:.... _: ^ single family dwelling � ----~'~—^---------^--------'' 51 Truman Lane Locohon -----.----------.-----.. � ` . Cotoit —'—'~^'----------^-----------' ` � Tidewater � Owner �� ',- Construction ........ � ................................................../............................. Lot ' - ---------' — � September 78 Date of Inspection PERMIT REFUSED 19 ' ---- ` .....^ ---- � ' ...................................................... ----' \ y ^ � / ~ Approved -----r—./-------.. 19 -------------'—'~~---^~^^^--~' -----'-----''--^-------'—^~—^— | ' / - w � .� TOWN OF BARNSTABLE Permit No. ----_------ -- ----------- t smn.>< Building Inspector cash eO'r0 YPY�' OCCUPANCY PERMIT Bond ---—------ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to ilciewa er i'eaity TrusL Address Girm St. , liurlin�ton, Lulu. Wiring Inspector Inspection date . Plumbing Inspector � Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ......................_........................................_.... ... _....----._._ � Building Inspector IL - Q3 9 f a �- L) �� 0� �`' f h Y V"c ^- 1 LIP r �I M . `V p V , N iFUT(/RE GAR j (� V I� l� '\ �L 7- Z8. P`Z H•OF,{� ��E gsfs RICHARD cti 4� JAMES O'HEARN • No. 27871 y 40 RJ-: °�/ CERTIFIED PLOT PLAN /N SURvE � -- 8.4l�iVsTA�:BL F,._MASS, I CERTIFY THAT THE FOUNOAT/ON RIC14ARD L/ OWEARN, R.L.S., R. S. ShU WN ON THIS PLAN /S LOCATED 191 MAIN ST. (RTE. 2 8) ON THE GROUND AS INDICATED AND WEST DENNI S , MASS . CONFORMS TO 714E ZONING LAWS OF ,g eNSTaL;:-MA 5.. DATE: 9��/5� SCALE: 9%s/7B � j JOB .N0. DATE REG. L.gyk SURVEYOR DR. 8 Y: Ale SHEET / OF�_ r 4 e -WE B yo WAY DR I U E A-33.06 - - - - - 7y. g7 — N bo --/03 P w o sr `. -PRO POSE b 9 rj 97 J -- 3 _SEPTICT.4NK— T So/C TEST A . i 10_'DisV�a._ _BoxT 7002�_FUTuRE CEAC.HIN_CT-p-I.T_. If . EYPA 5i " \\ A � ---— _ 1 /60.CC) c \ -- - - LOT 26 No TE CX l Td /2,E^17,4/A/ eFS SE/Y Th'F y �_�Y, OF `tN OF I..., -- , RICHARD �y� . RICHARD`\ JAMES n'¢ JAMES A! O'HEARN I O'HEARN - No. 27871 y No. 694 H LEGEND �� %TEF�op� �FcTsty EXISTING SPOT ELEVATIONS OxO � Ftv .-'SA ]TAR\ s EXISTING CONTOUR - - - 0 - - FINISHED SPOT ELEVATIONS O.0 FINISHED CONTOUR 0 PROPOSED PLOT PLAN - APPROVED: BOARD OF HEALTH - COT U I T MASS. cr7 _ AGENT LOT-27 _EIS1= HOWER ?)RIVE t I CERTIFY THAT THE PROPOSED R. ✓ ©rHEARN, I/vc RLS, RS BUILDING SHOWN ON THIS PLAN 191 MAIN ST. (RTE. 28) CONFORMS TO THE "ZONING LAWS WEST DENNIS, MASS . OF BAR,tisTaII!E F+1 A S DATE - - 711202 78 SCALE: _- _ �''� 30' I Z. 22° 78 / JCB NO. �-267CLIENT: McLAUCNL/ ._ I 'UA E— EviS T E.nf D L �D SUnVEl'CR 6 r) ' / �� Z -R -R 1 — C . ------- t f iNpc�l JIGn C-��.1 +{�'!8• HANUF',AtiIT- y,#'T'. N% � 9 �rt'P4' � �'.D.""�i4%4 i LQ,�. . :OM *.) $T1 Q —i�j. { ,i. ail'!0 L13 f " j OA ;��►t���€Z.''" G �K ,A iJ- Wtt�b�ha� �h. �J ANt.� f.° �� i , 1, , +i F: , Al2,CL; /f i tffi / p! /.•—... N�•y, G i t, i 1 '} •••F"? 13Y t,��/4'"� iu h' ,yi` -t 1 I ' I _ 'X_ T !. I� 'I i �� I o t 1t ,6► fx;._... .GC ��..- i ��:.:�:c-.._di 1•{�i 11{} ..__..._., ._..._..,r.__.v_ ..,_...._._._.--�..—.—.. ' ! l 4 , �[ l t4—� i I# � yr- �' .• �, (t � � 4G ZQ r.Q=t�A kFlx AY.11 , • t 21 rx.+r,,�<Z!► „ Gr:.' 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