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Assessor's'Office.(lst floor) Map / C Parcel( Permit#
M
Date Issued
{ram+
RnnrA o n.. !n_,c n-nn i _nn A.AGI Fee Engineering, ept.(3rd floor) House#
' S : RARNSTARLE. .
MARE.
19 iejq
rE0 MA'S
TOWN OF,BARNSTABLE' s
Building Permit Appli tion
Project dress
Village C&12-A�Vd�. 6
Owner�r-1Z S S�Q �' Address j CLtN►�
�. (fin Y02� 1� t ,
;Teleph one r Permit Request h��12Q 0I/7
'First Floor square feet —
Second Floor square feet `
Estimated Project Cost $ � fcJ 00
e
y Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type /
Commercial Residential /
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name 0 I'1 L Telephone Number 52
Address C11 nnj afLdx License#
(J Home Improvement Contractor# /12360
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /0 � Cj
BUILDING PERMIT DENIE FOR E FOLLOWING REASON(S)
• a'
FOR OFFICIAL USE ONLY
PERMI N
DATE I 3SU D _
MAP/ AR&L NO.
ADDRESS 9 VILLAGE
OWNS t
1
DATE OF I PECTION:
FOUN+ATIdN
FRAM
INSULATION
FIREPLACE ; ► t '
ELECTRICAL: r ROUGH FINAL
PLUMBING: ROUGH ;; , 1 -FINAL
GAS: ROUGH i FINAL
FINAL BUILDING
DATE CLOSED OUT ,
1
ASSOCIATION PLAN NO.
: The Town of Barnstable : r
NAM $ Departm t of Health Safety and Environmental Services
s� ` Building Division
367 Mara Street,Hyannis MA 02601
Ralph Crossen
Off oe: SO8-790-6Z27 Building Commissiol
F= 508-775-3344
For affice use only
Permit no.______ ,
E
Date
.AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
i
SUPPLEMENT TO PERmr APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,r*1ir,moderairation,conversion,
improvement,.remo%-4 demolition. or construction of as addition to any pry owner 00 ed
building containing at least one but not more than four dwelling units or to st uc= s which=adjacent
to such residence or building be done by registered contractors,with certain c=ptiotM along with other
Type of Work:
Esti: J IC25'
Address of Work: L `kc
Owner.Name: a Y b
Date of Permit Application: 1[� / /
I hereby certify that:
Registration is not required for the following reason(s):
Work aolawuded by la
_
_ob under SI.000
Building not awner-ooarpied
Owner pulling own permit
Notice is hereby given that: CONTRACTORS
OWNERS PULLING THEIR OWN PERMIT OR DEALING WrMUNItEGISI
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBrmATION 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..
Dat S��CM Registration No.
l��n
OR
Assessor's Office`(lst floor) Map" / Parcel bzq
P
Conservation Office(4th floor)(8:30'0:30/1:00=2:00) 1:t ate Issued
Board of Health(3rd floor)(8:15-9:30/1:00-4:45)
Engineering Dept.(3rd floor) House# SE
PTIC S ET BE
la mg p . (ls or/ 1 i . BI CE
e itive P ed b annin oard
ODE AND
TOWN OF,BARNSTABLE{TO REGuLATs® S
Building Permit Application
Projec Street A dress 1) i d
Village C yvk `-y►, ` -
Owner G / Address _ s 6 +11, ,L Q,i 1M I
Telephone
-Permit Request )MLAIv- a i Q l ]� '
t t
First Floor - square feet
Second Floor square feet
Estimated Project Cost $ (,
Zoning District QC. Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure )`7 -7 Basement Type: Finished
Historic House fk L Unfinished 1/
Old King's Highway
Number of Baths > � No.of Bedrooms
Total Room Count(not including baths) y First Floor
Heat Type and Fuel _ n- t V)L,,,�L- entral Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached A,d Barn
None Sheds
Other
Builder Information
r
Name U/ry Ip UYtr �-- Telephone Number -7 4P Q-- I S(Y�
Address License# 0
cx. D Home Improvement Contractor# 1013 7
Worker's Compensation# C, :qa o C�$
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
�0IGNATU DATE aVc)-61 1 ,5
6*Agn LzW11V I
BUILDING PERMIT DENIED FOR TH OLLOWING REASON(S)
i
,L
FOR OFFICIAL USE ONLY Y
PERMIT NO.
DATE ISSUED • Y
MAP/PARCEL NO. — —
ADDRESS VILLAGE -
�. OWNER
c t J
DATE OF INSPECTION:
FOUNDATION f '
->> FRAME
prat J • ry f 1 4
INSULATION
FIREPLACE, s
ELECTRICAL: ROUGH -FINAL {
PLUMBING: WIUGIi> FINAL
GAS: UG FINAL ,
FINAL BUILDING
DATE CLOSED OUP `
ASSOCIATION PLy [�O.
---------- - -- - --------
COMMONWEALTH OF MASSACHUSETTS
`a DE'Ava*m TT OF INDUSTRIAL ACCIDENT'S
600 WASHINGTON STREET
�a�r►es: Ganpoef BOSTON,MASSACHUSEM 02111
�00,:-7'sslone• WORKERS' COM ENSMON INSURANCE AFFIDAVIT
ce; Haf 6
(1 ice n see/perm i ttee)
with a principal place of business/resid nce ar.
z- ) ( f t> 1
6a+ .k
(City/state/zip)
do hereby certify, under the pains and penalties of perjury.that:
*am an employer providing the following workers' compensation coverage for my employees working on this
061
Insurance Company Policy Number
[1 I am a sole proprietor and have no one working for me.
() I am a sole propiiccor, general contractor r homeowner circle one) and have hired the contractors listed below
° who have the following workers' compensation ' licies:
Name of Contractor Insurance Company/Poliry Number
Name of Contractor Insurance CompanyNlicy Number
Name of Contractor Insurance Company/Policy Number
Q I am a homeowner performing all the work myself
NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally
considered to be employers under the Workeri Compensation Act(GL C. 152,to= 1(5)).application by a homeowner fora license
or permit may evidence the legal status of as employer under the Workers'Compensation Act.
1 understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1500 q!^:na/er imorisonment of up to one year and civ9 penalties in the form of a Stop-Work Ordcr and a
fine of S 100.00 a day against me:. --- — -- --- - __-
d
Sig ne thi da o.' __ 19
• Y
1:J
Licensee rms 19V
Li nsor/Permittor
VCCn,1iA V 11 r , Ma 6,-& 3 �---
1
The Town of Barnstable
$ Department of Health Safety and Environmental Services
Building Division
367 Main Strut,Hyannis MA 02601
Ralph.Crag=
Office: 508 790-6n7 Building Commissioner
Faye 508 775-3344
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"r=ustruction,alterations,renovation,repair,modernization,conversion,
improvement,mmcnal, demolition, or construction of an addition to any pm-cdsdng owner occupied
building containing at least one but not more than four dwelling units or to s=ctures which are adjacent
to such residence or building be done by registered contractors,with certain exceptions, along with other
requirements.
T of Work: Est.Cost
Type
Address of Work: L.urn 1�an$ llYt c ( �a/►1 Le V Ur 1 140
Oaner.Name:
Date of Permit Application: O � c
I hendn•certify that:
Registration is not required for the following reason(s):
Work c mcluded by law
Job under 51,000
Building not owner-ooeupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH VNREGISTETIED 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
Da Ovyier e .
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
' HOMEOWNER LICENSE EXEMPTION
Please print. -'
DATE
JOB LOCATION 9 u",a t-4 Kc ._e_
'Number Street address Section of town
"HOMEOWNER"
Name Home phone Work phone
PRESENT MAILING ADDRESS L omJuA A
City/toWn State Zip code:
The current exemption for "homeowners" was extended to include owner-occupi,
dwellings of six units or less and to 'allow such homeowners to engage an in!
dividual for hire Who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER: t
Person(sj who owns a parcel of land on which he/she resides or intends to r '
side, on which there is, or is intended to be, a one to six family dwell iag
attached or detached structures accessory to such use and/or farm structure ,
A person who constructs more than one home in a two-year period shall not b
considered a homeowner. Such "homeowner". shall submit to the Building Offi
on a form acceptable to the Building Official, that he/she shall be respons.
for all such work performed under the building permit. (Section 109.1.1)
The undersigned "homeowner" assumes ,responsibility for compliance with the
Building. Code •and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Department minimum inspection procedures and requiremen-
and that he/she will comply ith said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Nate: Three family dwellings 35,000 cubic feet, or larger, will be requirec
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER'S EXEMP ON
The code state that: "Any Home Owner per orming work for which -a..fiuild:
permit is requir shall be exempt from a provisions of this section
(Section 109. 1.1 - 'censing of Constru tion Supervisors) ; provided that
Home Owner engages a son(s) for hir to do such work, that such Home
shall act as supervisor.
Many Home Owners who use th exempt'on are unaware that they are assumi
the responsibilities of a sup rviso (see Appendix Q, Rules and Regulat!
for Construction is rs, Section 2.15) . This Pack of awz
often results in serious probl sr Particularly Home particularly when t Owner hire
unlicensed persons. In this case ur Board cannot proceed against the
inlicensed person as it would wi icensed Supervisor. The Home"(hmaer-
as supervisor is ultimately 'respo s le.
To ensure that the Home Owner is fully are of his/her responsibilities
communities require, as part of a pe 't application, that the Rome *Ow
certify that he/she understands a respo . ibilities of a supervisor. 0:
last page of this issue is a fo currently ed by several towns. You t
care to amend and adopt such a f rm/certificat for use in your commun:
BRB FAD
IT
M '
M 000/
� S ofol
�0
`3i *569 BRB FAD
o
-'\
r.
\/ ECK 2 STY
OAR
7�T, 13 0�
16928 f SO. FT. �sr �agy1
N0/ 9
�sso�,�?, / NO TE
'�if F 1 EL D CHECKED AND UP
TOWN OF BARNSTABLE ZONING
DATED ON JUL Y 9. 1993
BY-LAW DATED SEPT. 14, 1989
ZONE RC
SETBACKS :# I CERTIFY THAT TO THE BEST OF MYPROFESSIONAL
FRONT 20'. KNOWLEDGE, INFORMATION AND BELIEF THE STRUCTURE
SIDE t 10' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS
REAR 10-' OF THE ZONING BY-LAW,FOR THE RC DISTRICT.
PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C
WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0015 C. DATED AUO. 19. 1985.
PLANS OF RECORD AND~DO NOT
REPRESENT AN ACTUAL SURVEY ON
THE GROUND. ' I -
THE STRUCTURE DEPICTED ON THIS PLOT PLAN
PLAN WAS LOCATED ON THE GROUND ' f
r " INi�
BY SURVEY ON JAN.r 29, 1991 AND " Y3
EXISTS AS SHOWN AS OF THE DATE "' QAMT'AAE♦ M4$S.
1,
OF LOCATION. u! z� f HYANNI S
SCALE. I "•40' JAN.29.1991
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND NOT FOR EAGLE SU1tVEx1NG A, ENGINEERING.INC.
RECORDING. DEED DESCRIPTIONS. 1D'Seaboard Lane
ESTABL ISHING PROPERTY LINES, 11ya"I s. Ma. 02601
OR FOR CONSTRUCTION PURPOSES. (508) 778-4422
0 20 40 80 PROJECT NO. 91-204
�n�slw-tt 1:. �`:-^i'v. ...-.r.,..aw.f,iy.cc ...FS.;�T�2:jfgy�:4-.�ch'A4c'•s+!"�,':;'eer`q�fiA•tw.^^k""�'."*f+��+r`^ r"1{*_-� v.+w T -a•�^.' .s`.
19721
• TOWN OF BAR.NSTABLE '- Permit No. _ ;!
B10ding.`Inspector h
!r Cash
C. i ♦ 1 39 -
AlOCCUPANCY PERMIT Bond
r_
uilding nor structure shall be•erected, and n,o land, building or structure shall be
;�• used 'for a new, different, changed, or enlarged use without .a ,Building `Permit therefor t2
( r:! 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:)'Y
h
p� ,< Issued to-.-' .-Tally!Iio Farms, Inc: , . Address ,
'10V#13 XtImbert Mill Roar! Centerville
`y r° a �eee •.r. t" x tJ• ry+ b-_e,
r WiringlInspector Inspection date
P1drhbtng,Iui0ector ^ ' t.i'. 1•. ` ' a ,- Inspection date
Gas Inspector, r a`✓� .axiyr, ° . r"� Inspection date`s « :§�
ra A r
> n z
Engsneering Department:: fl j�� r 041
S`; t ' Il�spection date sr a
c, 'THIS PERMIT.WILL,'NOT BE VALID 'AND THE 'BUILDING $BALL''`NOT'>BE, OCCUPIED :UNTIL
GCS -SIGNED BYi'TBE,.BUILDING 'INSPECTOR UPON SATISFACTORY COMPLIANCE`•'WPPH TOWN
°r 'REQUIREMENTS.- :'
�T �'-/y L//� / J/, //
- •�i1'a a1 ! 19� / '� ! 4H. l �.�/�/ �/ /// /1 .rylJ i,r•f
( Building Inspector '
i
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`k'sessdr's' map and lot number .:. .... :-7, ,'•
SEPTIC SYSTEM
INSTALLED LIV C MPST BE
G 7 - fa ` LI
Sewa a Permit number ................................. ,NVITH ANCE
F g .. ......
RTICL STATE
ANITA�y Ell
*INE. - TOWTO� o f
® B ARJ � r
i BAHHSTABLE. 41,
y 639• :r BUILDING ` INSFECTOR
i�p 639 6� "` ,
0 MPY A'� tr v w4
. y
Sri '<, • S `
Y r
APPLICATION FOR PERMIT TO .......... 2 . c....r...................`................: ......:.......................:...................
TYPE OF CONSTRUCTION �....�.Z.!�. r. ...;...l�f�"!1'1.f..1.. ...../ -W.C.L-La.ALL.::........................
-� ....... ..C.� Y.. ...................19.7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following .information:
Location ..... .... ....... ....... .....a..........f.*. ................................
ProposedUse ......................................................:...... .. ............................................
Zoning District.......
... ...L...................................................Fire District ..............................................................................
Name of Owner .LC }..r..F .4.... �'►!l.S:�...1.41:..Address ..... ........SA_&....�.T .........�� . .. .eSJ..I..S,-..
Nameof Builder ....................................................................Address .........................................................:..........................
n
Name of Architect .'4A.L.1C. .... Q ...Address ..............G.O.SnA...................................................
r `
Number of Rooms ............:...........................................:.....:..:Foundation ...:.6.........PA_Q.t.c.&......C.��.G���...............
Exlerior ..... .... !�:5.... ..........it ...'............ ....!..........Roofing ......:./`C. ... ,..
Floors / Interior ..... .�!:........ .(r�................................
i
Heating ......:..... .........................Plumbing :...............�J�. :r.� 5....
3�.Fireplace ..................................................................................Approximate Cost .:.... .. �. .. . ..�.:............. . ...
" -7
Definitive Plan Approved by Planning Board ________________________________19________. Area .3.3.0. 0.../...S-7.—PA .........
Diagram of Lot and Building with Dimensions °
Fee .. ............................:............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1
.g r
hereby agree to conform to all the Ru'Ie"T and Regulations of the Town of Barnstable regarding the above
construction.
JName ell— .. . ........
,Tallq-Ho Farms Inc /
197Z1 � � •
7 o .....•........... Permit for ..IDw�. �. ................
f
Location-... .1UID.bexZ..Mi11..-Rd........... ,
f
....... ... .........` en t.'e" lke. .................... � r 1
...... _ s •� �-. �
Owner Tallx-Ho .am. IPe.................
_
• ' Type of Construction 1?7CsiAG.......................
_
.. ............... ...... ....... .... .... X ..:....... .. �.
Plot ..... . ......... lot . ` .•1.46-27...9h..
Permit Granted .. Nov z.........19 77
Date of Inspection. h�...1 ..19 ti
Date Completed ...... .. .......19
1.
PERMIT REFUSED
.............. 19
ST....... Cog y
................. -
' .................., ��! ...............................' •.• 1. ••...�•. � � s ... • • r . • ✓ ,` 4. • ,
• .. • .....• _ -
11
a •...................................................
Approved ........................................... 19
............................................................................... • • . ,
fssessor's map and lot number ...,........f?............j�......
171
i Sewage Permit number .......................................
h yOFTNET�b TOWN OF BARNSTABLE
Z BARASTADLE,
6 i L4i
" 9 a w BUILDING INSPECTOR
� aY°'' r'
A M -
`" APPLICATION, FOR PERMIT TO ...........................................................................
TYPE OF CONSTRUCTION •.......... .......... .................................
.............1.b..... .a...................l 9.
r
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following
, ' information:tion:
Location ..... � Q A-!1........( .............. ........ A ........ 2.............................................................
.Proposed Use / Al/ - -! ?,+, , :............................................................................................................................
.,....✓/.. .....................................r.........................Fire District .......C... ..0...................................................
Zoning District ......!!.�...�.................
Name of Owner i s.!..[ F (n /1 /1 Mtn < . !nll..:Address .....f CT;1�. „ti rk ? ..�...........
'. .................... . ,.............'r' . ......... .................e. ..
Flameof Builder ...............................:.`...................................Address ....................................................................................
Name of Architect Address .............t�31`,C !Z?
Number of Rooms 0...............................................Foundation ....!h......... ......( C,n, d g rfr_
.................................
Exlerior �L. ........ . ( ........................................................ .. .. ........................ .. A fg .......Floors �S .. D X 1 S� ....U. ..!I'. A 1�.........� !� �..� .t.�:.�.�:.�.................................
�.:.......:............. ......���.:..... Interior
�C
Heating .............(?.( !. .... Plumbing{
Fireplace i Approximate Cost ��.................... .., � �
. .......... .......
Definitive Plan Approved by Planning Board ________________________________19--------. Area !0... .<.?y! K.........
O �
Diagram of Lot and Building with Dimensions Fee 1
SUBJECT TO APPROVAL OF BOARD OF HEALTH
t
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
r=7 Name.. �. ...
U11Y_H0 Farms Inc.
'R 7
No ,19721..... Permit for ....Pell m..............
r
............ . �. .... .. .........................
Location .Lumb .G..kj 11.Rd...........
Centerv. . � .........................................
................
Owner ..... .
Type of Construction ...Frame
..........................................................:......................
Plot ............................ Lbt 14.6.,nV.....Qh.......
Permit Granted ...............: .. Nov..I.......19 77
Date of Inspection ............... .....................19
Date Completed ......................................19
PERMIT REF
........... ........ 19
............... ............
........ .i,�, v................. V.... . ................
....................... %`.'..........................
........... .. ...
Approved . .. . .A.. ......` ..r�.!... 19
...............................................................................
...............................................................................