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0429 LAKESIDE DRIVE WEST
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'�" 1 &O I ! 0A fi � � � 110" � i�" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel (}D 3 Permit# Health Division 5 Date Issued 2 -Z Conservation Division 0 Fee �7 Tax Collector — I dl n � rJ 0 Application Fee Treasurer © ��& Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 1'o1 ` e--5 i �e I cs tte.. es Village C eve C , iq i\�e, _ ��h }-�� �p�C' v'1 Address � M Owner � �5 �1, I.� S1 Telephone C) L-�o � Permit Request \00 ", co an CIO o Q - 3 N) Ca Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Z Totaknew $ -.Z Pig1 Valuation Zoning District Flood Plain Groun water Overlay cn Construction Type B04-v\oa(+-) cn , Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure ;3 1 Historic House: ❑Yes 3<0 On Old King's Highway: ❑Yes C�o Basement Type: U f ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing L'`'�_ new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: GYGas ❑Oil 2'Electric ❑Other Central Air: ❑Yes a o Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage: ❑existing ❑new. size Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C4.40 If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name del� v�`�a �L Telephone Number Address a� 1^r�k�s; e l� �� -�-� License# Home Improvement Contractor# Worker's Compensatioonn# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I' rC:�CDM VC� e SIGNATURE DATE l 07 'o?® —00--- L FOR OFFICIAL USE ONLY , i PERMIT NO. DATE ISSUED 1 i . MAP/PARCEL NO. I I • t ADDRESS VILLAGE OWNER DATE OF INSPECTION: i FOUNDATION Z FRAME © l 1 ' INSULATION L� FIREPLACE ~ i ELECTRICAIfl� ROUGH FINAL I PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. Department of Iridasti ial Accidents Office.of Investigations, • ; 600 Washington Street < Boston,MA 02111' �•�' E www.massgov/dia Workers'Compensation Insurance Afffidavit: Builders/Contractors/.Electriclans/Pliun bers Applicant Information Please Print Lep-iilbly Name(Business/Organization/Individual)'J.)CA A\5 1 `•• �lc�i �-C C ✓1 Address: p City/State/Zip: C' k�\ Are you an employer? Check the-appropriate box:. Type of project(required):• 1.❑ Z am a'eraployer with 4. ❑ I am a general contractor and I ' 6. ❑New co'nstraction have hired the sub-contractors employees (fall and/or part-time).* 7. [remodeling 2.[] I am a sole proprietor or partner- listed on the attached sheet $ ship and have no employees 'These sub-contractors have 8. � Demolition working for me in any capacity. workers' comp.insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We'are a'coiporation and its 10.[1 Electrical repairs or.additions required.] officers have exercised their 3. I am a homeowner doing all work, right of exemption per MGL 1'1•❑Plumbing repairs or additions myself-[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees.[No workers' 13.❑ Other. , comp•insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforrnst'ion: ! ' t Homeowners-who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit anew affidavit indicating such. Contractors that checkthis.box must attached an additional sheet showing the name of the sub-cantradm and their workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees.'Below is thepolicy and job site information. ' Insurance.Company Name: Policy#or Self-ins.Lin#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and•expiratie.n date). Failure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1A00,.00 and/or one-year imprisonment, as well as civil penalties in ifie form of a$TOP'WORK ORDER and aline of u.p to$250.00 a day against the violator. Be advised that a copy of this statement may lie forwarded t0 the Office of Investigations.of the DI.A.for insurance coverage verification. I do hereby ce under the pains a penalties of perjury that the information provided above is true and correct. Si ature: GG�3'� Date: 07 'o�Q --06 Phone# _UQ o _ '7 Official use only. Ito not write in this area,to be completed by city.or town official City or Town: PermitUcense# Issuing Authority(circle.one) 1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 tequires all employers to provide workers' compensation for their emPloyees. ' Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." , association,Fnrporation or other legal entity,or any two or more An employer is defined as•'_'�mdzvitii�al,.partner tip•: .engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the the foregoing , , employees. HoW. er., .e• ofdnndu artners ' ,association or other legal entity,employing receiver or trustee of an m P �P Owner of a dwelling hous a having not more than three apartments and who resides therein,or.the occapant of the dwelling house of another who employs persons to do maintenance,construction or repair woikVu such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." employer." chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the•commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its'political subdivisions shall performance of public work until acceptable'evidence of compliance with the insurance ' into anycontract for the p P „ enter ter have been resented to the contracting authority. Iequirements oftis chap P Applicants Please fill out .the workers'compensation affidavit completely,by chnec�km'g sth along with apply to your sitiaf on and,if. necessary,supply sub-contractors)name(s),address(es)and phone () B with no employees other than the insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L•LP) members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retarned.to the city°r 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' compensationpolicy,please call the Department at the number listed below, Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ict of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the appl Please be save to fill in the permMicense number which will be used as a reference number. In addition, an applicant that mast submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'tire applicant should write"all locations is ' (city or tom)"A copy,of the%affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a.valid a%davit is-on file for•fatare permits•or•licmses..A new affidavitmwt be filled out each year.Where a home owner or citizen is obtaining a license or permit not related t o any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit like to thank you in advance for your cooperation and should you have The Office of Investigations would any questions, Please do not besitate to give us a call. The Department's address,telephone and.fax mmben The Commonwealth of Massachusetts . Department of Industrial Accidents 0ffi-ce 9: n.estdga#0jaS 600-Washington$treet. . Boston,MA 02111.. Tel.#617-727-4900 ext 406 or-1-,877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www,mass.gov/dia Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 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.ofWork: Reuel e 1 s bQ-ChC r''l Estimated Cost 6?7 -0 CO,00 Address of Work: qa 1 t-.Coce Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law ❑Job Under$1,000 Building not owner-occupied er 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. Dat Owner's ame Q:forms1omeaffidav Town of Barnstable Regulatory Services Thomas F.Geller,Director *s63 Building Division q•3 �e "�Ect a Tom Perry,Building Commissioner 200 Mait Street, Hyaimis,MA 02601 www.town barnstable-ma.us Fax: 508-790-6230 Tice: 508-862-403 8 HOMEOWNER LICENSE EXEMPTION Please Print j DATE C C tX D � 010 3 ' �e�c� JOB IACATION� I�� C�P✓1 \ street village number sQ5—`7'7�IrY?l �/ "HOMEOWNER": 1 n home pbone# work pbone# name CURRENTMAMWCT ADDPMS: city/tows state zip code The current exemption for"homeowners"was extended to include owner-occuuied dwellings of six units or less and to allow homeowners.to engage an individual for hire who does not possess a license,provided that the owner acts as Me-M-AS 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 dwelling,attached or detached structures accessory to such use and/or farm structures. A thaw one home in a two-year period shall not be considered a homeowner. Such person who constructs-more "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be On onsi'ble for all such work uerformed under the building hermit. (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 jjnspeCII0,procn dares and requirements and that he/she will comply with said procedures and re sgnature of Hoaxowa 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. HOMOWNER'S EXEMPTION Tye Code dates that; "Any homeowner perforating work for which a building permit is required shall be exempt from the provisions of this section(Sectian 109.1.1•Licensing of construction Supervisors);provid ed that if the homeowner engages a persons)for hire to do such work,thafsuch Homeowner shall act as supervisor." lvlar y homeowners who use this=mptr"on are unaware that they are assunnng the res➢onn'lrilities of a supervisor(see Appendix�� Rules do Regulations for Licensing construction Supervisors,Section 2.15) This lack 6f awareness often results in serious probleass,p y when}the homeowner hires unlicensed persons, in this case,our Bo�.c Supervisor. The homeowner aanot proceed against the unlicensed person as it would with a licensed meowner acting as Supervisor is uldrnately resp . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the pernat application, that the homeowner cc-*that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a foruveertification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc I 00 3 Permit# Health Division 0 Date Issued Conservation Division /8 (J J fo�7 ` , ZC Fee Tax Colle r 5e— 0 y�-V IC SYSTEM MUST BE Treasurer `� H\1STALLED IN COMPLIANCE Planning Dep WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan'Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis 'NX ° Project Street Address \�r! _T Village -Owner \,_a.c 50(-A Address S oLrq L Telephone 925- 0'�q Permit Request -k- R6r c�\ 6(-61 y �lD rl X d 9/ �- lj�)rno oat `Uio'linclf-00/ 7 �i'rC,r�✓� �U���e acS PXo s-f1V1U �J✓1 c��C�'l - �SS F=-eK St'�n� d� a.In 5�CA Square feet: 1st floor: existing proposed 2n floor: existing proposed 04fc Total new o?/D �f Valuation ��1 Zoning District Flood Plain fU0 Groundwater Overlay Construction Type A2 Lot Size i 3o"? .re.� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family. 9( Two Family ❑ Multi-Family(#units) Age of Existing Structure 7 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes kl�o Basement Type: Urfull ❑Crawl 24alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Y�Or\e. Half: existing h CM c, new hOo P� Number of Bedrooms: existing'- new 1V0 h P� . C)65 Total Room Count(not including baths): existing new none, First Floor Room Count 5 Heat Type and Fuel: ❑Gas ❑Oil S Electric ❑Other Central Air: ❑Yes YNo Fireplaces: Existing a New ►10ge, Existing wood/coal stove: ❑Yes &<O Detached garage:❑existing ❑new size 0 Pool:❑existing ❑new size © Barn:❑existing ❑new size 0 Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes & o If yes, site plan review# Current Use �e, 7_4aVn i Proposed Use rO C �n BUILDER INFORMATION Name \ - 61 ZLU. \a "CO . Telephone Number Address CNCPr IC_ License# G' S 01,50� � yna rs 5 Yn , S 1'f'�Kl �a (�'� Home Improvement Contractor# I 15aZ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO .3 GA CQ na& - C' ' s Y IGNATURE 1 DATE �� L//() 1777 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' _ MAP/PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION, FOUNDATION 4 FRAME ) INSULATION t FIREPLACE ' ELECTRICAL: ROUGH =` FINAL t PLUMBING: ROUGH;`4 FINAL GAS: ROUGHO rs= M FINAL FINAL BUILDING -: :F in *; +i) � C DATE CLOSED OUT rr! Q ASSOCIATION PLAN NO. °F SHE T° The Town of Barnstable ( • BARNSTABLE. - "9:�:���` Regulatory Services Mv�° Thomas F. Geiler, Director ` Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax" 508-790-6230 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: Lyn�p��imQ fm.k a6l hen 1•&rmers Pore� Estimated Cost 7Y,oao, a --- --__ :—Address of Work: 4 a'� L.O_Ve5,Cie br l y C f4 (e n kPC`u ti e. m 19 Owner's Name: a)e in Y,:s dA-.►v,&a,�_a('Sr)n Date of Application: �1, �[7t� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under ---------- - - ❑Buildjig not owner-occupied LHO'wher 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 f Date Owner's Name q:forms:Affidav Contract Pella Windows, Inc. BELL TOWER MALL 1600 FALMOUTH ROAD SUITE#9 CENTERVILLE, MA. 02632 Phone: 508-771-9730 Fax: (508)771-8270 Customer Project/Ship-To Order Larson,Linda Larson,Linda Date P.O.Box 702 No. 429 Lakeside Drive West Need Date 09/12/2000 Acton,MA 01720-0702 Centerville,MA 02632 Sales Rep.Name Dan Landry barn BARNST Prepared by Dan Landry Payment'Perms Deposit/C.O.D. Linda Owner: Architect Bus.Phone: (508)778-4049 Bus.Phone: ( ) - Dist.Order No. Bus.Fax: ( ) - a Home Phone: (, - Cellular: ( ) - Comments: Outside View Item Qt3�. Description Unit Price Extended Item#10 Qty: 1 Vent-Equal Sash 50:50 Top:Bot Sash Split Double-Hung,Frame:44-3/4 X 459.39 459.39 Location:DINING AREA 62: Architect Series Classic,Clad,Model 2,White,5/8"'InsulShld IG Glazing, R.O: 3'9-1/2" X 5'2-3/4" Half Screen,White Hardware, 3/4"Rem Trad(muntin pattern: WallCond:4-9/16" 4Wx21-I/4Wx2H),Fins(per design) 4c saM e. � �j4-t- \o-e Mope L u.�wn r•P,^a� e 1c� .. Notes: - 7=0mQA4po"i Tsbi4&=( el p igtira PaeicaM for Qaa and Two-family Raidasdal Baildlag Seaad with Foal Fade MAXIMUM lOMmumm 11V1 at GIs Ceirn wail FkW. 8amment 315b a� �'CA) U-vaiue= &vahwl R4211le- 1GvaiueJ wall PIS �°�� Padmge Rrvdua' &vaid 5701 to 6600 Heads;Degeee DSW ' Q 12Y. OAO 31 13 19 10 6 Nommi R IrA OSZ 30 19 19 •10 6 Nomsal r _._-85 AFUE S 12•b 0.50 31 13 19 10 6 T 15% 036 31 t3 25 WA WA NOMi U 13% OA6 31 19 19 t0 6 Nmmsi 13 SUM w fsss aszM30 19 19 10 6 Is'�E x IV/. o.3Z13 21 WA WA Nem�al Y IVA -&4219 2S WA WA Normal Z 11Y. 0AZ13 19 10 6 -___90AnM AA 11'/. 0.5019 19 t0 1 6 90 AFEIE 1. ADDRESS OF PROPERTY: Lake s;A e l�r uaesl . fuwlb 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: � I'. 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): Sec- Q+I+Q the PAL.) (A)ir)A&A) s f cc NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J -� C Footnotes to Table J51-1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyli , and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gro.s wall area,expressed as a percentage-Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative Sias may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999,glazing U-values must be listed and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRQ test procedure, or taken from Table J1.53a. U-values are for whole units:center-of-glass U-values cannot-be used ' The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 S insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(If used). For ventilated ceilings, insulating sheathing must.be placed between the conditioned space au,1 the veu•dlmd p�wort of the Mof. - 'Wall R values represent the sutn of the wall cavity_insulation:plus..:in�gyshenthiag,(if used). Igo-not include exterior siding,structural sheathing,and interior drywall.For example,an R I9'requirement could be.met EITHER insulation.- lus:R-6,insulatin sheathin ,Wall,requirements apply..ta b R-19 cavi insulation_OR1t�ILcavity.__ - - -_ p g & :. y tY wood-same or mass.(concrete,masonry,log)wall eonstntetions,but do not apply-to metal-fraate construction. `The floor requirements apply to floors over unconditioned spaces;-(such as unconditioned cmwlspaces, basements,-- or garages).Floors over outside air must meet the ceiiling requirements. `The entire opaque portion of any individual baseme�;waU with'an average depth less than 50%below grade must meet the same R value requirement a;-7aoove'Srade_,walls--Wmdows� and_sliding,glass doors of conditioned basements must be included with the ether-glaaug. Basementdaors must meet he door U-value requirements . . descn'bed in Note b. 'The R-value requirements-are for unheated slabs.Add an additional 11=2 foi'heated slabs. - `If the building=utilizes vl ctri 4esistance heating-compliance.-approach 3, 4;or.5. of you plan to install,more than one piece of heating equipment or mot than.one piece of cooling equipment,:the equipment with the lowest. efficiency must meet or exceed the e$iciencyr;gp td by the:selected package.'For Heating Degree Day::requirements ofthe closest city or town-see Table.J5,21$ - --= NOTES: a)Glazing areas and U-values are max=umacceptable.levelsAnsulationAwalues.are minimum acceptable levels. R-value requirements are for msulation-only and_donot:mclude stru -com onents: b)Opaque doors in the building envelope.must=have a_U-value no,greater,dm 035.Door.U-values must be tested and documented by the manufacuuerWm axordaacswith;the NFRC-test procedureor taken from the-door U-value in Table J1S3b. If a door contains glass and anzaggmgate U-value rating°for thatdooris not available, include the glass area of the door with,your windows_and use the opaque_door_�_U-value.to-determine,.compliance.of the-door., w. - -- One door may be excluded from thrs requuetrietit'(U may have a U=valueTgreaterthan 035) c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies---if the-area-weighte&average-R value-is.greater than,or..equal-to.the R-value requirement for that-comp==L-Glazmg=or___door_components comply.-if,:the;.area-weighted average U value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 ESTIMA TED PROJECT COST WORKSHEET r IVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= t/ PORCH square feet X$24/sq. foot= o7,g6rQ, " DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value '7�r,OGb,00 For Office Use Only Inclusionary Affordab/e. 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D. .f ikl ' N �' h x< , J PI ON s: ri ,I 4 i�7 X n RAN r i;+ L ds r sup &NI OR moot y..,'�•rW . �e rs. e Sxa� �t� �F ., .77 Aj � 020 77 - 1` � '- ' � r,- � -:� { � l r4'i}a » k'�4.y: ,1 r£�'�eM'i� 'i+} `. ;�r•t�.. ��� YA }..�+r :� �' "' r +fir:?4ir r-- 7 r r,.' 'SY� �t7 i; .f.' t.(f y4)'r-}� f:+►C�'��j. f AL'q•5 wix' - t":.� r q,'4�,, ��e - e i - ( t`" r s" .,e•�.` :u yy 4 3 ; e n7� L`w3 sy „} 'e' •�C' t - ,7' rs?. 4 u- '.�r•'+tt' �Y'`u'F �'� ,rt ,•�'.� '"�'. y� _r...tis L v t..� ( vrY#•k r ,.2ni'" K`'' r G..` y r r vQ< Y:. 1J r.> r yCT q Y lz 1i� a x Ps : ICE! { . ; �" ` 1 I►a k r r r_f - f171 .7rti (, r, / .. s,-a 4 J+ a •?'. i Yr. rF! fL•�D � !�?� r � r�H= � ! - J] .. _ _ •� .+,-moo ,. ���"� '71 - - L 'T�jCtGN '1 5�fa.' !T j _ -- �.—_ _-- ---•-------•�i - �. ` __��- - _-••--_._ ._. _ -S� i yam::• _, -- boe _ r Landing Point i Shirley q ti y ♦ % lawls g ` �•B 1 Island Nt Pb�d °•. Shall f INCH 20 FEET pG ��/�` • " 20 40 BO Av v Stoney Z p P do Gooseberry s Is L olslend �� t Puller .e I Mayes 7 d Pt .f Pt G 10 UK rest P.t arm ♦ •o '__ ------- NOTE: ESSOMME AREAS FLAGGED BY.• 95 STATE ROW BUZZARDS BAY, MA 02532 �•�� A SEE LAND COURT CASE 20239 Q SHEET ! 3. DATUM IS NGYD BASED ON TOP BOARD IN THE CUL PERT @ PHMNEY S LANE. EL. a 33.75 y � i . ��SHOFMgsss a� PAUL °yam Sz2 • R. m o RYLL u No.32448 y A if0 0 SITE PLAN PREPARED FOR SULLIYAN ENGINEERING, INC. LOT 3, LAKESIDE 17RIYE, BARNSTABLE. MA SCALE l' - ,PO' ✓UNE !, 2000 CANAL LAND SURVEYING 306 OLD a YMOUTH ROAD, SAGAMORE BEACH, MA PR0✓ECT NUMBER 00-062 20 O PYEOUAOUET ' LAKE A GREAT POND r o p a4 0 .. .ate.--••� �`-ice"-- .._. 3S � ------------------------------------ -------- ---------------------- ------- E06E OF AI�EMENT LAKESIDE D IYE 40, aw ----------------------- -------- --------- ---- 1 P. it 95413-0- TEO LOT/ 3 .f 4500*IS.F. TIMBER 1 m 41 ' 4 *4429 40 � 1 � EyrTSTINs � S es 1 0 ~ y 3G r 40 _ EpEK ENCE 1 . � 3g LAW DOCK BEACH boo S4PA4 3G P 3a WEQUAQUET LAKE r (A GREAT POND I BOISE CASCADE-BC CALL rm 2000 DESIGN REPORT-US Friday,October 06,MW 14.48 Triple - 1 31 x 9112" V-L SP 2900 Fi le Untitled Job Name (ARSON Custom - Address - SPeciffer - Designer - Charles Coombs city,ate,Zip Company - Wood Structures Inc. Code Reports - 1CB0 551Z BOCA'9B-5Z,SBCCI98M MNc: Member Diagram FLOOR BEAM 9anArd Loaif-40 PSF�10 PSF TAhd3ry t2-0DOD 2MMLL 2mftLL bsol 7wftlL Taal FlaAmrdal Length-1I-W-W General Data Load Summary Verses: US Imperial ID Description Load Type Ref. Start End 'Live Dead Trio. Dur. S Standard Unf.Area Load Left OD-00.00 11-00.00 4OPSF 10 PSF 12-OD-OD 100 Member Type: - Floor Beam Number of Spats 1 Controls Summary Left Cantilever No Control Type Value %Allowable Duration Loadcase Span Location Rigtd Cantilever - No Moment 9287 ft-lbs 47.4% a 100% 2 1-Internal End Shea 2891 Ibs 30.0% @ 100% 2 1 Right Slope Q/12 Total Deflection U489(0 20 49.0% 2 1 Tributary 12-00-OD Live Deflection Ll5(0.211-) 57.5% 2 1 Repetitive We Max.Deft. 0.27"(Litnk V) 27.0% 2 1 Construction Type n/a Span/Depth 13.9 1 Live Load 40 PSF Dead Load 10 PSF NOTES: Part Load 0 PSF Design meets Code minimum jU240)Total bad deflection criteria. Duration 100 Design meets Code minimum(U36D)Live bad deflection criteria. Design meets arbitrary(1")Maximum bad deflection criteria. Disclosure Minimum End bearing length is 1-12". The completeness and accuracy of the input must be verified by anyone who would rely on the output as evidence of suitability for partiadar application. The output above is based upon building code-accepted design properties and analysis methods. installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes."To obtain an Installation Gum or if you have any questions,please call (BOD)232-0788 before beginning product installation.For glulam inquaies,please call(BOD)2374013. Page 1 of 1 BCI9 and Versa-Lary are registered trademarks of Boise Cascade Corp, BOISE CASCADE-BC CALCTm 2000 DESIGN REPORT US Friday,October 06,20W 14:44 Triple - 1 314" x 11 718" V-L SP 2900 File : Untitled Job Name - ARSON Customer - Address - Specify - Designer - Charms Coombs CRY,fie,Zip - Company: - Wood Structures Inc. Code Reports - 1CBO 5512,BOCA'98-52,SBCCI 9W2 Misc: Member Diagram EDGE BEAM 3 2 I L _r 'j I I I , i I I I I -__�L I 7LL�L I I I I Ms x d Land-40 PSF 1 10 PSF-Trib�y 060DOD 2=MLL 2W msLL 2M bsEX ZiB6 aa0. ToW Hcrinx4al Len0h-1510.00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf:Area Load Left 00-MM 15-104M 40 PSF 10 PSF 06-MM 100 Member Type: Floor Beam 1 Unf.Lin.Load Left ODMM 15-10-00 100 PLF 60 PLF n/a 100 Number of Spans - 1 2 WALL AND GABLE EN Unf.Lin.Load Left 00-00�00 15-10-00 0 PLF 150 PLF We 100 Left Cantilever No 3 Unf.Lin.load Left 00.00-00 15-10-00 25 PLF 15 PLF We 115 Right Cantilever - No Controls Summary Slope 0/12 Control Type Value %Allowable Duration Loadcase Span Location Tributary 064)000 Moment 2D135 ft-lbs 67.4% @ 100% 2 1-Internal Repetitive n/a End Shear 4451 Ibs 36.9% @ 100% 2 1 -Left Construction Type n/a Total Deflection L294(0.6447) 81.4% 3 1 Live Deflection L a�(0.36L") 86.7% 3 1 Live Load 40 PSF Max.Deft 0.644"(Limit:1") 64.4% 3 1 Dead Load 10 PSF Span/Depth 16.0 1 Part toad 0 PSF Duration 100 NOTES: Disclosure Design meets Code minimum(L240)Total load defection criteria. The completeness and accuracy of Design meets Code minimum(Lr")live load deflection criteria. the input must be verified by anyone Design meets arbitrary(1")Maximum load deflection criteria. who would rely on the output as Minimum End bearing length is 1-10. evidence of suitability for particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788'before beginning product installation.For glulom inquiries,please can(800)237401 a Page 1 of 1 BCI@ and Versa-L.amV are registered trademarks of Boise Cascade Corp. Engineering Dept. (3rd•floor) Map Parcel r: ®o�'' Permit#- _I q (0 © '. House# �/?�� Date Issued Board of Health(3rd floor)(8:15 -9:30/.1:00-4:30) Fee, 3/ Conservation Office(4th floor)(8:30-9:30/1:00-2:00) , Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 RNSTABLE. t MASS 19 TOWN OF;BARNSTABLE' Building Permit Application Project Street Address 4�9 A Village v/j Owner ]�JVh�—'�j /gyp,pssax I - Address `~f���1 Telephone �� R 'Permit Request (��` 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 Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑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 �a Builder Information Name Telephone Number �f f Address 3 License# A = Home Improvement Contractor# Worker's Compensation# /aZ 2Q d' o 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 SIGNATUR DATE BUILDING PERMIT DENIED FOR THE F LLOWING REASON(S) Lo�le��r 1 •' � ri FOR OFFICIAL USE ONLY PERMIT NO. .DATE ISSUED' - MAP/PARCEL NO. ADDRESS - r t i VILLAGE OWNER DATE OF INSPECTION: - FOUNDATION • FRAME - INSULATION _r FIREPLACE ELECTRICAL: ROUGH a FINAL PLUMBING: ROUGH FINAL w GAS: ' ROUGH FINAL # FINAL BUILDING �,� " v V {`�✓�, R DATE CLOSED OUT - ASSOCIATION PLAN NO. "4 �pTHE r4 - : . . The Town., of Barnstable • aUsrre ABM • 9q�p 039. Department of Health Safety and Environmental Services rEo,�.�• Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commi., 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 Address of Work• Owner's Name /�Un'/� Date of Permit Application: /17 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 hereb apply for a permit as the agent of the owner: Date Co ractor Name Registration No. OR Date Owner's Name T& Cullriiiu it Alt/l hf�Ilussuc lusetts I*1"ails ' kt eNtts¢ �� p . .. `�'Dc�purtnrr�tl`�jludfi. R I-Ai tdems ,i �_ , _F 011fceo_l/_Ayes1/9atlons{ , �• %16fi Street '�i y .`: '`,:. • r p.��11��/�i�fa.u. "i.(12111 • i;:. ,dt �! _ T ., Ir 1Wiit•ke"l? Comptnsation lnauranceAtfidavit t ,;r�l #��1,. ,•,� _ Atinlic.int information': Please PRINT ler jjjjX. 74 """`""""" name: a , F ...:..•.. ± .. VJ ,t'rtxx. �t<r'.i,4' ° ,at:`.� s. .. - M1' {•S,J P3�it, -q,. : . . t qA location. tl'« < S: f>•i'. . ! '1: `e ,i°:.i . .� .,�'� "t 4f9��"���J�z�a+�efp3aiiM«'S,•,r ,4;,i �Ct .. � i:`�a ���.a ♦.i� i� {-:'�.. •�`�' - Citv I t i Y'ir qi r w.s rFaf•eta'a... •.>tn ..... i nhnnc g .l:am`a homeowner,performinc,.. 11twork•-myself C] I =.a sole proprietor and_;;have yno;onpworkln-jil:anv�capac�.tyG;,t�„ . �•,`.. ;...., -..--..- :.� p..:�=.A�v»s'1r�14.L...:::,.m•. _ -=�...,..w—.w!�7�w-��t,-!!�+•-ww-�....�,�•.._....-_....,:. I am an emplover providing workers' compensationrfor my 76hiployees working on this job. comnanv name: Pa4,1 �7. t3=•��pyAfj 36J� t. , . .w �. . :. ;ati.... >•r,,'k. :y',.:ir tf 'tt# ♦}t e �"±1 +cA '.' r?+,Fr '.")�'F�.11✓:' s it. lclress. P_n_ 'Rnx •,9'1n r.,�A... , .. .. ♦ ta' ..;,Ri ..r � .a js fq4 of } P t: .{. _ 5... ,,. .. S�tN'�.ai•,t�,����j������t �.",� `���b.:� ..,t'F 1 i•,.:}��Yf+ ;' #".. •• ,. city: Mars tori .Mills MA---D26'4 428-1 177 — insurance co. CYedit t^anor;41 Tng, , (In nolicv SWC 1 70059'00!' ,4 1 am a sole proprietorgbeneral contractor,or`homt:oHner,(circic`otx)and havt 'hired the contractors fisted below who have .,.«;;...+.wro.wrMiW.p..»+r.ye,.�::.,*..w�e.:..tn .» .�... ..�✓�...wn�,,• the following workers' compensation polices: comnanv name: address: s ;3:,ys,.,��p(�'1 s , , city: nhnnc t!• Fl Alt s, �diA.,� insurnncc cn. 'nolicv#' � _..._._.... .._ .____....._. �cr=..:��.. .vwr.• .°.r:iw..�,.ti.:�s'-- �.—i. conipanv nhtne: nddress: nhnne ot! r.�- 'ti�,,w5: ivy ,�i ,-M#al'i c incurnnce co. �. sir. : nolic�• Attach addttio_aal sheetlfaeecisa'ry,7:,,_. •.�_� t =�!r.�r�f !?i: , .�, ,� -, �•�a.`���..,.�y..y,,`� , Y y�� �•�i�Y� Failure to secure coveraac as required under Section 25A pf 111G,L I$2 ca.t Ieadwtu,the,Imposition of criminal penalties of{a fine unto SI.500.00 aadiur one years'imprisonment as well as civil penalties in the for of a STOT)�'ORK:ORDER and a 6nc of S100.00 a day a�ainst me.1 understand that a cope of this statement niav be forwarded to the Office of lnvcsti0ations•of fhe DIA,for coverage verification. i'x.lr t-a �'I�`t4�i;."1_; : sit•. . 1 do hereby cenift•tinder the pains and •"allies ojperjurr tit at tltc injormation•provided above is true and ccorrrect. Sianaturc >, Data--_� F� 7�! Print name r " Phone>r 428-1177 ° ... �5�� rr�.F•P^Y M13M'. .. �tab ' official use unh do not write in•this area to bctomplcled t» cit) oc;to»n officially +'. }•. , ��„`'�.s*�`?�°d��r*.x R:. Wit: city or town: nermiulicense tt riouilding Department Licensing Board • 0 check if immediate response is required c3selectmen's Office „ C3I1ealth Department contact person: �� pho a#:st" r iOther a"Y DATE(MM/DD/YY) A008 CERTIF"[7-A E C)� Lill h " NSURANC 2 08/06/97 PRODUCER . "r'� �>>THIS-CERTIFICATE IS ISSUED AS`A MATTER OF INFORMATION d f ONLY AND`CONFERS NO RIGHTS UPON THE CE tTIFICATE Drake, Swan & Crocker HOLDEWTHIS CERTIFICATE DOES-NOT'AMEND:EXTEND OR 14 Lot's Hollow Rd: ,PO Box 429 F " (ALTER THE COVERAGE AFFORDED BY-THE POI ICIES BELOW. I Orleans b�A 02653-0429 _COMPANIES AFFORDING C_OVEF AGE -- — David D Rust COMPANY P1�5i,,Nc. 508-255-3212 FaXNo, A Assurance Co. of Americr INSURED afi'. ..-,COMPANY - - B Credit General 'Insurance Co. Paul J. Cazeault etal.DBA Paul COMPANY J. Cazeault &. Sons Roofing C F 0 Box 2781 zit COMPANY Orleans MA 02653 p _. CCVERAGES THIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE I OLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION:,OF,A CONTRACT OR OTHER DOCUMENT WITH RESPECT -O WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYjHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL' HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.,LIMITS SHOWN MAY,HAVE•BEEN REDUCED.BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER a POLICY,EFFECTIVE, POLICY EXPIRATION Li ZITS L7R a DATE.(MMIDDIYY) DATE(MM/DD/YY) GENERAL LIABILITY yr#:,e k Y�". GENERAL AGGREGATE $ 1000000_ A X -.OPAMERCIALGENERALLIABILITY CFP25552812 05/01/97 05/01/98 PRODUCTS-COMP/OPi. ;G $ 1.000000 CLAIMS MADE I UOCCUR PERSONAL&ADVINJUR $ 500000 _ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500000 _ - -_— FIRE DAMAGE(Any one It ;), $ 50000 MEDEXP(Anyone persoi $ 10000 AUTCP•90BILELIABILITY �.•. COMBINED SINGLE LIMI; $ ^.NY Al)Tt,, - L OWNED AUTOS BODILY INJURY $ :SCHEDULED AUTOS (Per person) ''IRED AUTOS BODILY INJURY $ ION-OWNED AUTOS (Per accident) i - ---- -- PROPERTY DAMAGE $ i jGARAGE LIABILITY ; AUTO ONLY•EA ACCIDE" i $ "Y AUTO OTHER THAN AUTO ONL` EACH ACCID! VT $ + { AGGREGATE $ I EXCESS LIABILITY EACH OCCURRENCE $ U�?BRELLA FORM - '"e AGGREGATE> - - $ ------ j OTHER THAN UMBRELLA FORM . $ I 1;, W'C STA7U. -R WORKERS COMPENSATION AND r _R TORY LIMITS �_-.I I EP.?P!OYERS'LIABILITY EL EACH ACCIDENT $ 100000 I - --- — $ THE i`ROPRIETOR/ INCL SWC17005900 < 08/09/97 08/09/98 EL DISEASE•POLICY LW $ 500000 -- PART:!•I ERS/EXECUTIVE I OFFICERS ARE: EXCL ? :.F; EL DISEASE-EA EMPLO'3E $ 100000 OTHER }¢ I i (DEC:^AF':^N OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS Roofing CERTIFICATE HOLDER CANCELLATION I PEACOCZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC 'LLED BEFORE THE 1 EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL E!DEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS AGENTS OR PRESENTATIVE& :z AUTHORIZEOORE ATIVE -- r I ACORD 2"(1/95) " C4ACORD CORPORATION 1988 .. _ •VO 2 �- 77 ¢ f ` Assessor's map and lot number .:�.i��.....:.........-ate••••••••• ty ' rN S 1"tC SYSTEk! MUST BE IRISTA4•LED IN COMPLIANCE':` ht Sewage Permit number ......... ....... ....... d8 N RTICLE It 57AU R i SANITARY.CQDE AND TOVdAI ! �FTHEr ♦1�® N V F BARtN �{F� r i MA"STADL i �'1�j9� 70 Y M. 'rev t •yQ iq�9 _ 4Y `C � Q-tl^�1•�\ by :} ! wk.- �yy ' jg Y APPLICATION FOR PERMIT TO ...4'�(/ .i �,1 -C-. •••••••N��'K, •.tail �f..P fly ••••• t• ` TYPE OF CONSTRUCTION ..C,</!rV 1�..:.. , ........ . :. r TO`,THE .INSPECTOR OF BUILDINGS:+ -e following information { z The undersignedhereby applies for a permit according fo th r t, r Locition / ,E.FL�U.G,,.... �llA ..... Gt/.T12-�1�1!1�1 .. §I'�!�5'.�} N Prop osed Use A94..5r..,l�JF-N.G*.F................ .... .. •• pp Fire District .:.r'reflT (�i�!!AK.......�`�.T (/� �. ' Zoning District :. K... ..p /•••• �'--ll•L!A-�1//�- ITN ; � ��q } Name-of �!�• "� .....:...: .. . ...Address Q!d.� Go.T..., ,111h k1.TV41...�A/.:t'A9...h.4-A. .P ss ...tad........7 _460.7 .,.-47.4F/=:•. y _ P si Name of Builder .l�C✓../�f �, ?T" :. �P4!rT !/..vG.Addre Name -of Architect �Afl5,�..k.... ..�/.�/3/.Al. �........:Address ... �..... •��{ OP ��, ...Foundation fA:�,ll.fr.� i Number of Rooms ........ ............. ... 1.......... 1111 }5 :f i L : . . �fh''vGr�f..for ....Exiei ID....... .. ... ......... ...Roofng ...... Q l4 i� Floors r � .T.......Q�l/. k!c�p,P. ...... .InteriorY...1�.�/}Ll.. ..:.... .. { ,. Heating .:.�.�.F.G�T.�?:l:�....... .... ..... .... .... ...Plumbing :. ; Plumbi ......... �f - j�ii ... .. ...... .......... ......... pro" . A ximate Cost :. Definitive Plan Approved by Planning Board _____________19 -___ Area .�� ••�`' • r *70 Diagram of Lot and Building with Dimensions Fee ...:: .•"'��•••••. 2 SUBJECT TO APPROVAL OF BOARD OF HEALTHpp-I Ile, fr � f ZZU Fey j � a �' T�N . } t r, r i hereby. agree to conform to all the Rules and Regulations of th own of Barnstable regarding the above construction. jows il ri 0 / Name . l : ti _ „ qq Vash, Lillian & ArthurPermit #17111 tway t Hyannis 412 ri C(4 May 30. 197 Y i v uj C� , ,,"Assessor's map and lot number .. .1��........ .................... SII M SYSTEM MUST BE t� INSTALLED IN COMPLIANCF. ........Sewage Permit number ..........P� o�� d ....... ITH ARTICLE 11 STATE ........ SAMTARY..CODE MD TOWN . PyOFTNEtO�` TOWN OF BARN ' :: i • y MAZO e"a LE. o 39'a�•� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...�. il/ ..1'-'I (1. ....... ............................... TYPE OF CONSTRUCTION :...... ...................................................................................... TO THE INSPECTOR OF BUILDINGS: The e undersigned hereby applies for a permit according to the following information: Location ....../-/ r.'Faz.....PA/11E............... 1P�-47......... ................................................... ProposedUse .........it'iil„��A,lC.% ..................................................................................................................................... Zoning District ....... ..............................................Fire District ..:� tfl?' �1:1f ...'�5��"7 (//Gti ..... 4!4/-IAVX 44y#.,/P Name of Owner .; ......1!.�}' .f ...........................Address S�.�PltZl� ..AL 4l.. ,f/2R1�...41A..aV57 Name of Builder P4 Address ...1.'j...F.'TedFY... iFl. /....44-44rf/7 Name of Architect ��fll.��,�..W..�.�..�1.8,�/.dl..�.:.......Address . ........ Number of Rooms .......17................ D}?oaX,s ..........Foundation ....4 9Wfil..fr.t........................................................ Exterior ....:WZI.r.�D...... d:.......................................Roofing Floors .....�%r.�RI�F.1......0�/........Ae©v ....... .....................Interior .... ..4*.,- .L..................... ..................... Heating ....... .........................................!..Plumbing ... ......M-.7/r/:5 Fireplace ........A.......................................................................Approximate Cost .. ' �d...................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ;?.!` ..�SIIR F ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 30i0® t90 O A ff 0 !,Olt V \ 1 h reby agree to conform to all the Rules and Regulations of th own of Barnstable regarding the above construction. Name . ....A—,....... J r� a. Vash, Lillian & Arthur If 17 ..............111... Permit for ........ single farp .. .. ly d-,,Tell' ........................................ .... ........�N................ Location ...............L....akeside !)rive ............................................. ....................... ..............................Centerville..........................Owner Lillian & Arthur Vash .................................................................. Type of Construction ..............frame ............................ .............................................................................. Plot ............................ Lot ................ ............ Permit Granted .........May. 30 19 74 �; .............Date of Inspection Date Completed' . PERMIT REFUSED '(J e4 .................................... ...... 19 ...................... 7� ............................................................................... ............................................................................... 7� ..................... ...................... .... ............... ................ 44 Approved ................................................ 19 ............................................................................... .................. ......... .................................................. A10 FEE go °° TOWN OF BARNSTABLE, MASS. a pbY� 19 o eo THIS IS TO CERTIFY THAT A P IT IS HEREBY GRANTED TO U .. � __.....................»............................ ________._ __________...._........._.................................... .................................................................................................... _ (PROPERTY OWNER) (ADDRESS) vV11 cis To _... ...._................................................................................................................... (BUILD) (ALTE (REPAIR) V A a h O 45 O (TYPE OF BUILDING) IAPPROXIMATE SIZE) •r op LOCATION ................._......._............................_............_.._................_............._..._ ..._.................................................................................................... _......_..._----------- y )STREET AND NUMBER) (VILLAGE) NAMEOF BUILDER O R C O N T R ACTOR _._...._ _......._..............................................._............................................_...._....._....._........._............ d o'Q APPROXIMATE COST d w bo03 1 HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN A E OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. d oWoa U� h (V y (OWNER) (CONTRACTOR) �rCIS o V O U ................._............... .._...._....................._....._............................................................................. U Ci BUILDING INSPECTOR Subject to Approval of Board of Health. � � ��a �. - `"'k.r�.(fir �' .d-,�.M•Y$ .� a ,,,_'"-,� 'Y;''-4 ,� �t;.r �'L'��4• �:.L -?'lrx +'" 'L°�;„art. =f �..v: 1.t3,�L➢ �`- - F Q F 4 �" • A - Y r 4 yyyrrr d g Y F •,+ III r J' M F II r4 �-a. k.'"ems ,��•r .� ^ Y+3. - « } • ' e "«is* ,oat r f *• " M1 r .t • t . • i 1. °' �: ' C ."�" ^t, - 1 � { � s wr-...err-, oit 00 SCJL. a . \\ t _tti • � '� akJ[tc NA _ •1--( t' '�44\e52 is/ .f� • t 1`4.. �. •i`+-.y.... fi � I t y+�' ..� '�•��p�y,J , /,/ '� .:3 •�f ..:�� TP �$ t � s `�. .r� . YL+j L . " , (• ���i��G%►'T+.�l/I At�(fT'1�/-� �t f� ,`} _ � -.. ' ~ 1 V i l �- 1 a 4+4t �o / t•^� .r 7p t x � x `ITa.i ` ,' v - 'f �3"C �q { � 'r rir. .. N...�,F - ��„ �.�� � •set ,� ��'nr�x . f r r �'f. t ::�R�1 �'.I,•"��� -• - ,_r � , t •phi { c' K a f. • rt 13'Y` 8 +•_ 1 k:+ a ..... s ?;. ��#^ 4,. •t r -r --+ .. .. _ .r� . .-.r t.�': r 1 6. ,� t ' ` .# .5•' t."'Xi y+'.}....,a �r.f�..•.r - ,4 t •,r . ..„t..,,^ i `f.... 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