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0014 MADISON AVE
• " 4 „ h' x • , r � , �P t � f �Cse�. a '� � ��`.''T � w�� - ,� , . . • - h a S 2.,. 1 r y,a,a n. •ry ` ` �b .. ,r 5" - $ .�ry '{� ,F f� i ,�v r7tF t,1 � { ,}� ill •{ '' •y'. .., ! i!1 � ' ,, r, _ ' r 19 ma-di-5,6-n AJ Ce ` 41 '.. i _, a nov p 1. , � � ., " 4,? r•, •r.. E 7J r ;p t ./ - as r h 1, u ' 1r iC '.i 1 ; s • M,, •t �. a t , 27 _ UK, .t. ( _ n ,.• .. i w Y. r f -. .., ..,, ,' z. C 'Yt F C' rY' - u M 5` F t i V aa t , G ' 4 r + L^ r,' �.;�� - i-i" ,. ':"4. ,t,. .:i4, _ ,,4 ,y,• �k.}'a fr r � . , r , s , n n , f r M : t , a. L „ � r ,j. v , f !I, Ix! l r, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel " Application # Health Division Date Issued Conservation Division �0lij1 13 he C1s4*ga,_+-o �06}kWl Application Fee Planning Dept.' Permit Fee lL Date Definitive Plan Approved by Planning Board ire 10 I3o�l3 Historic - OKH _ Preservation / Hyannis Project Street Address Gt� `� M&d l S or, A J 2 Village Owner So�,•) �v�.y�-II' Address SAna Telephone Sod - 79I IOs I Permit Request ZIT_ Square feet: 1 st floor: existing proposed 2nd floor: existing - proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes &I(No On Old King's Highway: ❑Yes ®'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ®� Basement Finished Area(sq.ft.) Basement Unfinished Area k8, Number of Baths: Full: existing new Half: existing `*' Mw w Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 4 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION h - - - (BUILDER OR HOMEOWNER) , Name scar u1 Lt'FL Telephone Number 598 7 71 c'Zy 1 Address 2-41 b License # �0? ���ti►2.���IlE LAA o 2_1:37, Home Improvement Contractor# JrA 0 b c"I ComWorker's Compensation # LA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /o -l1 - 13 C ` FOR OFFICIAL USE ONLY APPLICATION# 't DATE ISSUED ` MAP/PARCEL NO. ADDRESS VILLAGE - t, OWNER . f , DATE OF INSPECTION: FOUNDATION_,,: d �(S (4�S�a> FRAME �• 6 INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL 4f FINAL BUILDINGZky)jq DATE CLOSED OUT 1' ASSOCIATION PLAN NO. '`' - The Commonwealth of Massachusetts ' Department of IndustrialAccidents Office of Investigations ' 000 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): cc Qui L_ ;(L Address: a 4 1 S hrc b N I 12C� City/State/Zip: Ck:rj T-ia y Mt __ MA v 2-0 3 z Phone#: 505 -7 71-o L%-/I Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.01 am a sole proprietor or partner- listed on the attached sheet. 7. �emodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity, employees and have workers' [No workers'comp. insurance comp. insurance. 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their l 1.❑Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers comp. 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration 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$1,50.0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains and pen ties of perjury that the information provided above is true and correct Signature: Date: /C 'It r 1 Phone#: 511 S- 7 71 -0 2A] Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 0 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 requires 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." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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 enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the 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 returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be.sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."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 affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to 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. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. '''he Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 640 Washington Street Boston,MA 0111 Tel.#617-727-4900 W 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov1dia Cy/fie�pona��aoracaecrl�o/ ajaCcc/weCLi. Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: :,;132691 Type: Office of Consumer Affairs and Business Regulation xpiration:i--Wik 15 Individual 10 Park Plaza-Suite 5176 5 . Boston,MA 02116 SCOTT QUILTER SCOTT QUILTER Wf -' 24�STRAWBERRY HILL RD = g � *4— CffNTERVILLE, MPt,O?632`' Undersecretary Not valid without signature i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor ` : .. License: CS-078000 SCOTT H PO BOX 727 ' W HI'ANNIPORT MA 2G h J Commissioner Expiration 02/03/2014 o . Town of Barnstable Regulatory Services r RARMSTA f - M►as. $, Thomas F.Geiler,Director 1659. ' ' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, J-0 s"� �'2n�f�r ,as Ownet of the subject property hereby authorize '�o o-H- ©L)i L+e v-- to act on my behalf, in all matters relative to work authorized by this building permit h 1 Si Fcu.Ob Pill QvA➢ Can t.V i t (Address of Job) I *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S' tare of �` ' tore of Applicant Scot 0 L+cie- Print Name Print Name Date Q:FORMS:OWNERPE WSSIONPOOLS 62012 Town of Barnstable Regulatory Services `* Thomas F.Geller,Director rMM . Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street ! village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occuvied 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 supervisor. DEFE14MON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building.0$iicial 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. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persou(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot' proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that 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 form/certification for use in your community. C:\Users\decollilc\,kppData\Local\Microsoft\Wmdows\Temporary Internet Fnes\Content0udook\QRE6ZUBN\EXPRESS.doc Revised 053012 r' \ k f '^ 1J r v IV # ti SS FLO 7— 1 � ) MCA C�� f�r• ICJ yaT�. `��2;;��1 G9 ^. s!/'l," /.wJl g •:trot' `�' /�j 'I f�^J. �`� 1 i Y ar _ � t ,1 s , 1 le-Ro6 r P I" , ze 47 dirt t� N .'t \ f A�4 t f�,PPn r� d i < 1 Press Fl F 14- GSP�c t { - i i - ,ndfes , 3 �o Ce I - t Town of Barnstable *Permit# .Expires 6 the om dare egulatory Services Fee BARNSTABLE, • � nsA 'R 2 6 Thomas F.Geiler,Director p i639- 0 90 1 3 Building Division N A��4 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax:.508-790-6230 EXPRES5SEMM APPLICATION - RESIDENTIAL ONLY Not VaUd without'Red X-Press Imprint Map/parcel Number s f 1 f so Vr Property Address .r�' esidential Value of Work LLB> Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name f' t'�^l r Telephone Number Home Improvement Contractor License#(if applicable) ®l Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance e:Checas sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. . Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris-will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors [placement Windows/doors/sliders.U-Value a (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope Owner must sign Property Owner Letter of Permission. A co of the Home Improvement Contractors License&Construction Supervisors.License is re red. SIGNATURE: - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT.CONTRACTOR before the expiration date. If found return to: egistration J'32691 Type: i Office of Consumer Affairs and Business Regulation xpiration.__3l23Z2015 Individual 10 Park Plaza-Suite 5170 4 Boston,MA 02116 SCOTT QUILTER '- f,; � i 1 SCOTT QUILTER 247 STRAWBERRY HILL'RD . C15NTERVILLE..MA 02632 Undersecretary No valid without signature t Of public Safety p n epartment cards Massachusetts- Regulations and Sta wilding Board of B Su cry isor cons -r8000 License: k.r•t S SCOV IQro f W IiYAredfwowy , � y 0 Expiration 02103120" r�mmissionef y � 7 - ze �Po��vmoazcuea a104&aadccdeCY�- ---- — _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: istration: e i a 9 ;�h2691 Type: Office of Consumer Affairs and Business Regulation xpiration:ti 3/23[20-15 Individual 10 Park Plaza-Suite 5170 ® Boston,MA 02116 1 SCOTTVQUILTER SCOTT QUILTER . a 247 STRAWBERRY HILL CENTERVILLE,MA..02632 Undersecretary No valid without signature ent of Public Safety s pepartm lards Niassachus Reg Board Of Bui ulations and Stan T ` idiny isor Su n' : •„. CunstructioCgiS-078000 License: �� s I��� SCOTT H Q E oy YO BOX 721 y Expiration 0210312014 mmissione, The Comsx ompea th of assachusetts Dipffhnent o, Industrial Accidm& Office rrf Investigations 600 Washhv n Street Boston M4 62111 . Wnw.innsL gav/diaa r urkea-s' Compensation Insurance Affidavit RuilderslCm#ractnrS/Utct dMsfftunbers App icant Info� Le Please Print L — Name(Bnsinessnzanizatiow1mRvidnal): U A.d&ess: city/Statefz* (> eM Phone Q Are you an employer?Chi the appropriate bon Type of pr3,�(required): 1_❑ I a m a employer with #. ❑ I am a general ctmtractor and I [6- ❑!dew t cfaon emplo (fall atgdtor part-trm�e)-* !rave hired the sub-con#�acbois listed on the atached sheet 7- L Qdeling am a sole proprietor or partner- These sub-contractors have ship and have no employees S- ❑Demolition. w Q f©r me is employees and have workers' �o �y c��Y- 9. ❑Hrticiiae addition INo vtof1mrs'commp insurance camp.iosMM x�I required] 5. ❑ We art;a eorpontiou and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised flmir 1 I_❑Plumbing repairs or additions right of esempii(m per IYfGI, myself [No workers'comp. 12-❑Roof repairs insurance reqc&ed.]T. c.152,§1(4),and we have no employees-[No worken, 13.❑Other comp.imsmam required.] *Any applicmu that cbecics box#1 mast also fill oat the sectiaa below showing their waiters'camper-ssfihn policy infi n1a61n3 I Homeowners who submit this a€fidavd indicatM9 they aze'doing aftwca*and then hue Outside contC m mmst submit anew a$dwit iodicsMg sack tContraaars that check this box mmi attached an a i- nst sheet showing the sore of the and state whether ar rot Those entities have employers. Iftbe sub-aMaaats have employee.%they Motpravide then uiurke&romp,policy number. I atn art eurp�tar flint ispt�vidirlg tvankc�rs't;n.�rsrzsrrfitm irrsurrurc-e for rril'tzarpiny B�aloty is�a pt�iicy ante jali site in�orr�rat�rr. . lnstTrmce Company Name: Policy#or.sself-ins.Uc. Expiration Bate: Job Site Address: Cityfstate�4 ' Attach a copy of the workers'compensation policy declaration page(showing the policy mt nber and expiration date). Failure to secure coverage as required under section 25A of MUL c. 152 can lead to the imposition of criminal penalties of a fine up to S 000 flu arrdffor one-gear imprisonment;as well as civil penalties in the frnm of a STOP WORX ORDER and a fore of up to$250-00 a day against the violator. Be advised dart a copy of this sb dement may be forwarded to the Office of bxvestig&c=of fire DIA for mmzrance coverage veriSmdan— ' 3 do hereby cergft a the and pe flTiat the i*rmazYmn pms ided is 6w- and correct $i Date: 000, Phone#: ©mat use only. Da not writs in this area,to be complated by c*or tamer oyiaiat< . Ci3y or Town: PermitUceme# i swing Anthori ty(circle one): _ 1..Board.of Health 3.$wing Department 3.Cityrrown Clerk L Electrical Inspector S.Plumbing Inspector 6.4t>rer. of n+e ram, P� ti • BARNnABLE, q� �: ,�� Town of Barnstable .. pTEb MAC A Regulatory Services ' Thomas F.Geiler,Director. Building Division Thomas Perry, CBO Building Commissioner 200 Main-Street,, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder V4 e-Al s Owner of the subject property rize to act on my behalf, hereby autho in all matters relative to work authorized by this building permit application for: (Address of Job) f� Li C1 �` S' tar of Owner Date -n>°ZT1 Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form onjhe reverse side. : Q:IWPFILESTORMS1building permit forms\02RESS.doC _ 'THETom,, Town of Barnstable 0 ' Regulatory Services snaxsr LF Thomas F.Geiler,Director nsass. Building Division ' Tom Perry,Building Commissioner 200 Main Street,'Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE E MPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city wn state zip code The current exemption for"homeowners' was extended to i clude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for.hi a who does not ossess a license,provided that the owner acts as supervisor. DEF TION OF HOMEOWNER Person(s)who owns a parcel of land on whit he, resi es or intends to reside,on which there is,-or is intended to be, a one or two- family dwelling,attached or detached strut s access0 to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be conside ed a ho eowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she all be responsible onsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibi ' for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/sh un erstands the Town of Barnstable Building Department minimum inspection -)rocedures and.requirements and that he/she will omp with said procedures and requirements. Signature of Homeowner approval of Building Official Note:. Three-.family dwellings containi 35,000 cubi feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNE IS EXEMPTION. The Code states that: "Any homeowner performing work for which a b Ming permit is required shall be exempt from the provisions of this section(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner en ages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assu 'ng the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for L censing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a I tensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that 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 form/certification for use in your community. j n.��mr�i rnrnn��c�i...aa:__�e.._.:�r......1DVDD CCC Anr . .. .. .• .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `7 Parcel 0 Permit# F-) 9 Health Division 5-P Date Issued 0 S_ EXISTING SEPTIC SYSTEM Conservation Division I A ED TO OF BEDROOMS / 2 . 25 MiT Tax Collector � - A 06-0 0� Treasurer B i n y Planning Dept. Checked � - � Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address l L faOw/so ,i < Village 6.f '� Owner Joni 8L294��,tf Address- a:7 A`� Telephone o' Permit Request _ _'_X_a �` b0rn Square feet:_1-st-floor.:existing 917- proposed 3- 2nd floor: existing .r proposed Total new Valuation, ; � .3 (0 0 Zoning District 46 Flood Plain Groundwater Overlay G>y� Construction Type �- 4-4-dtr Lot Size 013T A Grandfathered: 0 Yes ❑ No If yes, at supporting documentation. Dwelling Type: Single Family M" Two Family ❑ _ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Ck o On Old King's Highway: ❑Yes Basement Type: Jr�ull 0 Crawl ❑Walkout Cl Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �o� Number of new Half: existing Baths: Full: existing g new Number of Bedrooms: existing. new Total Room Count(not including baths): existing new. Y First Floor Room Count ' �n Heat Type and Fuel: l(Gas '❑Oil 0 Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New b liD Existing wood/coal stove: ❑Yes 2 No Detached garage:0 existing ❑new size Pool: ❑existing O new size Barn:0 existing ❑new size Attached garage:❑existing O new size Shed:2/existing ❑new size SpOther: Zoning Board of Appeals Authorization' O Appeal# Recorded 0 Commercial 0 Yes ❑No, If yes,site plan review# Current Use . .ti - --- _- Proposed Use- BUILDER INFORMATION -Name Yed 9. Qu t ult-rl Telephone Number war) 77/-02-y l Address 441 b r License# eS 078000 &A Home Improvement Contractor# `/3,Z 61?/ Worker's Compensation# nV/a4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO gAg UStA_bI� 112 SIGNATURE DATE tj s FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS-- - VILLAGE OWNER DATE OF INSPECTION: 3 FOUNDATIO FRAME ( INSULATIONS FIREPLACE �- Gr t0:r 1T1 ELECTRICA�:g ROUGH FINAL a M C PLUMBING: 0 ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. — °FSHEr°t, Town of Barnstable ° Regulatory Services '"' Thomas F.Geiler,Director 5& Mass. 039• ,e�� Building Division pTfD MAC a ' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date i s rr 1 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 adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost ` 4Sr GUC) j Address of Work: 26-7 STYAW664,-W HILL /Lys ek,&L-u U!r U5i MAC 02 632_ Owner's Name: JC kA) Date of Application: 7-/I-D,' I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby a ply for a permit as the agent of the er: 7016 Date Contractor Name Registration No. OR Date Owner's Name Q:forms:hameaffidav nO CUR APPw k J Table JS.Z.1b(eentlnued) prsaeriptne packages for due and Two-Fam{ly Residential Buildup Heated with Fossil Fuels MUM MINIMUM Ceiling wail Floor Baseament slab HeatiuglCooling 7Z".) Quaog Wall pesimew Equipment EfIlciency' U•vaiuc= R-vela R value' R-value° A value R valite� package 5701 to 6500 Seating Degree Dave Normal 6 Q• 12°/a 0.40 38 13 19 10 6. Normal R 12Y. 0.52 30 19 19 10 6 8sAfUE s 12% 0.50 38 13 19 10 Normal 38 13 25 N/A N/A — --Normal— -- ----- I9 10 U... .. 1s'/e 0.46 38 19 N/A 85 AFIJ$ : :..:15% 0.44 - 38 13. . 25 N/A tS 8s AFUE W 1s% Os1 30 19 19 10 Nammal 13.. 25-_ -N/A N/A {8/0 0.32 38 N/A Normal EAA 18% 0.42 38 19 13 19 2S NIA 90 AFUE 10 6 18% 0.42 38 t1 90 AFUE is% 0.50 30 19 19 10 1. ADDRESS OF PROPERTY: r SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. �) s 3. SQUARE FOOTAGE OF ALL GLAZING: ` 4. %GLAZING AREA(#3 DIVIDED BY#2): • 5. SELECT PACKAGE(Q-- AA-see chart above): X ER GY REQUIREMENTS NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING EN Q ARE AVAILABLE. ASK US FOR THIS INFORMATION. / 4" de?-aj l ECTOR APPROVAL YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: + Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross 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 fl of decorative glass may be excluded from a building design with 300 if of glazing area. 3 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. 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 constriction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 3 8 insulation•and R-38 ii►suyation may be-subidtuted` fo R-49 insulation: Ceiling R-values=represent the sum o!,cavity. --..--... insulation plus insulating sheathing (if.used). For ventilated ceilings, insulating sheathing must bo placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass ,doors of conditioned. basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. if the building utilizes electric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest .efficiency must meet Or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see Table J5.2:1a NOTES: a) Glazing areas and.U-values are maximum acceptable levels.Insulation R values are minimum acceptable•levels. R-value requirerrients are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test.procedure or taken from the door U-value a door contains lass and an aggregate U-value rating for that door is not available, include the in Table J1.5.3b. If g glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,of crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing 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(0.35 for doors). 43 RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 0,0, V Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= -�.A x.0041= Plus from below if applicable) ' ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from.below(if applicable) . GARAGES(attached&detached) square feet x"$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf , $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS 'r Open Porch x$30.00= (number) Deck x$30.00= 3o d-o (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee ` Projeost Rov:063004 IKKE ram, Town of Barnstable Regulatory Services S URNST"BM ' Thomas R Geiler,Director y Mass. m f 6 9.�p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder 13,ne ,as Owner of the subject property hereby authorize 5&.977" to act on my behalf, in all matters relative to work authorized by this building permit application for: /6e (Address of Job) ' 4' 'Y Date h,17 Print Name Q:FORM&O WNERPERMISSION k r mr-16 Gn1 I �A �,'fe VlSdR . OR, UiILpIN` SUPER CONSTRUCTION License 078000.. ., Numb e§t - ' 27.E t QUOLTE t �e IT �i PO B®X 727 rpctin9 \N Y'ANNIBP4RT, � ' a Regula si tions and Huard.of din TRACT,OFi MENT co f, E IMPrROVE j HOM �4,^ 2 2007 _ �idu3I ,CoTT aul 1 SCpTT QUILTER� TRA °\ y WBERR� D mum :247 S MA 02632 1. CENTERVILLE, , e L_C3C^-F1C) P4 "Q.F PRC) PEMY AA T E AL(;/tu STANDARD LEGEND NOTE:not all symbols will appear on a map 2 , 9 GOLF QURSE FAIRWAY EDGE OF DECIDUOUS TREES E C E W E /M AA D4 .......... EDGE OF BRUSH ORCHARD OR NURSERY J U L 1 8 2005 EDGE OF CONIFEROUS TREES MARSH AREA BARNSTABLE CO SERVKti0 EDGE OF WATER DIRT ROAD DRIVEWAY PARKING LOT PAVED ROAD DRAINAGE DITCH ————— PATH/TRAIL PARCEL LINE mApflo— MAP# PARCEL NUMBER 21#1860 —HOUSE NUMBER 2 FOOT CONTOUR LINE M a . i 0 10 FOOT CONTOUR LINE Elevation based on NGVD29 P 4.9 SPOT ELEVATION a 7 STONE WALL 257 X--X— FENCE RETAINING WALL RAI L ROAD TUCK #\1 6 2 6 5' STONE JETTY P4 0 � OOL SWIMMING POOL PORCH/DECK BUILDING/STRUCTURE DOCK/PIER HYDRANT e VALVE @ MANHOLE 0 POST 0" FLAG POLE T 0 W N 0 F 0 A R N S T A B L E G E 0 G R A P H I C I N F 0 R M A T 1 0 N S Y S T E M S U N I T SIGN 18 STORM DRAIN PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James V=:100'scole map and may NOT meet of property boundaries.They are not true locutions,and S_Ij Company.Topography and vegetofion were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE TOWER E 0 is 30 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mopped to meet National Map Accuracy Standards t a scale I INCH 30 FEET enlarged scale. on the map. Ec. of 1"=100'. Parcel lines were digitized from FY2003 Town of Barnstable Assessor's tax maps. -0 LIGHT POLE ELECIRIC BOX % �r � IN: C 4i— 'emu r4' ; !' r�• I • � � II , i�, ] t � _ if j ace 5 1 , s , _mot ........... ...... ....................... .................... . I � I I I - ' I i I . i j -- _ .. f �. � I f i j �• ! m ....... .._ . - __....... .. - ----. ........-.--.� ..._.. .-... ......._ EA I �,i �--- ;�."_..`. .�`.� �".WI".�`_"`.�•_`.� .______R�_....n��.�.- �` _._._ .fir, ;�.R ..i�� __ __ ��-/ { P rI 11 it P s 1 ' 6 i ij ��..i�L�..�d- 5 .. /�]� � i �Li tr'�yr�,y P+..'�4.r✓L�-e..`�,.' II : : I I r : .........._..........._..__.........................,.........,................__.-_........__._.-..._ E _ C. flrr FE XL l.v' r 1--..t P 4pin<:1) llon aP-6r arrinC.". M. L ? . _ �..___�_.... .��.__..�.-ALL- �I i E A -i jLa ULIR ---------------------------------- --------------- ............. �lc di sh IT I . J 0 65 The Town of Barnstable P`OF tME TpyY� BARNSTABLE, ` Department of Health Safety and Environmental Services . Y MASS. i63q' �0 PTFDMA'�� Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: .). Q Map/Parcel: Project Address: 2 5 � +4tl ' Builder: Sc,n-�+ (=;Ull The following items were noted on reviewing: , n 1 c)In C� tLL Q- --re � P -9 -0 ry\t 0. �e u uo V 0--4c ,/-k p\r 2Ylo Reviewed by: g� Date: q:building:forms:review r i n-80 CMR 3609 / ROOF COVERINGS 3609.1 GENERAL 780 CMR 36093 ASPHALT SHINGLES / 3609.1.1 Application: The provisions of 780 CMR 36093.1 General: Asphalt shingles shall be applied 3609.1 shall control the design and construction of only to solidly sheathed roofs Asphalt shingles shall % roof coverings for all buildings. Roof coverings be applied according to the manufacturer's printed shall be listed for their intended use. Materials for instructions and 780 CMR 36. which listing is not available shall be required to be approved by the State Board of Building 3609.3.2 Slopes of four units vertical in 12 units Regulations and Standards in accordance with horizontal (33% slope) or greater: Asphalt 780 CMR 109.3.4 shingle roofs shall have an underlayment of not less than one ply of No. 15 felt, applied as required in 3609.1.2 Requirements: The roof covering shall be 780 CMR 3609.2 and Table 3609.3.4. capable of accommodating the loads indicated in 780 CMR 3603.1 and provide a barrier against the 3609.3351'op"less than four,units vertical in 12 weather to protect supporting elements and the: units horizontal(33%slope)but not less than two structure beneath _units vertical in 12 units horizontal(179%u slope): -. Nominally double-coverage asphalt shingles maybe 3609.1.3 Roofing covering materials: Roofs shall .installed on slopes as low as two units vertical in 12 t be covered with materials as set forth in 780 CAM • ;units horizontal(17%slope), provided the shingles 3609.3 through 3609.9. Classified roofing shall-_, are approved self-sealing shingles or are hand sealed -o� conform to UL 790, as listed in Appendix A, and and are installed with an underlayment consisting of shall b installed when the edge of the roof is less two layers of No. 15 felt, applied as required in R e ,, than three feet(914 min)from a property line or as :780 CW 3609.2 and Table 3609.3.4. The two '? required by city or tow ordinance or bylaw. The layers of felt shall be cemented together,in addition roofing materials s forth in 780 CAM 3609.4' to the required nailing,from the eaves up the roof to through 3609.E concrete slabs may be accepted overlie a point 24 inches '(610 nun) inside the• as Class oofing. ' interior wall line of the building. Asphalt shingles` shall not be used on-roofs with slopes less than twos ¥ 780 C IR 3609.2 DECKPREPARAMON units vertical in 12 units horizontal(17% 3609.2.1 Supporting construction: Roofing shall= be applied only when the supporting roof 3609.3.4 Fasteners:— Asphalt shingles shall be construction is clean and dry. fastened according to the manufacturer's printed instructions and Table 3609.3.4. 3609.2.2 Single layer underlayment: When a single ply of underlayment is required, it shall be 36093.5 Valley flashing: Roof valleys shall be laid parallel to the eaves with a two-inch(51 mm) flashed by one of the methods listed in 780 CAM top lap ,and four-inch (102 mm) end lap nailed 3609 3.5.1 through 3609.3.5.3. Asphalt shingles sufficiently to hold in plate. shall be applied according to the manufacturer's printed instructions. 360913 Multiple layer underlayment: When two 36093.5.1 Sheet metal: Open roof valleys may layers of underlayment are required, they shall be be provided of not less than No. 28 gage laid shingle fashion parallel to the eaves with 19- galvanized contusion-resistant sheet metal and inch (483 min)top lap and 12-inch (305 min) end shall extend at least eight inches(203 mm)from lap,with end laps located at least six feet(1829 min) the center line each way. Sections of flashing from end.laps in the preceding course, and blind shall be jointed to provide an adequate w_ater lock. nailed sufficiently to hold in place. 9/19197(Effective 2/28/97)-corrected 780 CMR-Sixth Edition 591 a t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ParcelJ ,} Permit# Health Division �4Z �`�"' �" �� r ate Issued - (� � Conservation Division fr�•f /03 )?aN /OtAx��Q?y /�:.-., Application Fee lax Collector" '\ Permit tO Treasurer -*Y EE'Ji MUS T ST BE Planning Dept. 1 - ^P•.uLED IN COMPLIANC Date Definitive Plan Approved by Planni oard '" VATH TITLES'M6 'AL CODE ist'oric-OKH' r ervatio /Hyannis ` - irZIaGULATIONS *Project Street Address X Village Owner Address �'r�f`7� �5111; Ave, Telephone '77 Permit Request � Cf err erp a If/ 4(2z5 1- , W4 b It A5a.s kr OA/r Square feet: 1st floor: existing 0 proposed 2 d floor: existing ��� proposed Total new Zoning District Flood Plain �� ` Groundwater Overlay Project Valuation Construction Type �-- Lot Size o. 39 )4. Grandfathered: LYes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family a,", Two Family ❑ Multi-Fam' (# nits Age of Existing Structure a 7 yP5 • Historic House: ❑Y GNo On Old King's Highway: ❑Yes 63'No Basement Type: U�ull 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Baseme tfinisd Area(sq.ft) 47, ,4e.%r Number of Baths: Full: existing new isting . new y Number of Bedrooms: existing new Total Room Count(not including baths): existing new f First Floor Room Count ' Heat Type and Fuel: 9Gas ❑Oil ❑ Electric ❑Other Central Air: ZYes ❑No Fireplaces: Existing 0 New Existing wood/coal stove: ❑Yes I No A/a,ve Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size t, Attached garage fiexisting ❑new size Shed: a existing ❑new size 8`k/y Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number v 0 7 2 Address License# e4 4wa t �2 A? Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO oo /Z—// SIGNATURE DATE L _1 ` FOR OFFICIAL USE ONLY :1 PERMIT NO. DATE ISSUED MAP/PARCECNO. S 3„f•f - . ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: ' FOUNDATION r FRAME .- t , INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL , FINAL BUILDING DATE CLOSED OUT i +:t + ASSOCIATION PLAN-NO. r I Y N Town,of.Barnstable, *Permit# ' 2 Expires 6 months from-issue date. ` •n :. Regulator Service Fee. 9 MASS 059. Thomas F.Geiler,Director AIfD MA'I A, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA X-PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 OCT 2 2 2003 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Presslmprri�ntTOWN OF BARNSTABLE Map/parcel Number Property-Address �/Glm- 02-43z AS o� Residential Value of Work �� Owner's.Name&.Address JO&) �UrL�tll ' JJ 7 dui -- O Z63L t.. Contractor's.Name;kaltz !//LA—L—X Telephone.Number ('JV 171—O Z Y1 1` a Home Improvement Contractor License#(if applicable) 13269! Construction S.upervisor's.License.#(if applicable) CS 078ODO ❑Workman's Compensation Insurance Chec one: [ am a sole proprietor ❑ I am the Homeowner ❑. I have Worker's.Compensation Insurance. Insurance Company Name Workman's.Comp.Policy# f Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [1 eplacement Windows. U=Value . 31 (maximum.44) Hop *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Histonc,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home mprovemen i Contractors License is required. s ignatur Q:Forms:expmtrg Revised121901 i .: o ✓fae�omvino�uueau� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR j RegtstratiQn� 1�2691 Ezp�rain 312 312 0 0 5 fM` � jipe Intividual SCOTT QUILTER`�, SCOTT QUILTER`,,,\ 247STRAWBERRYHItLRD� {VIA 02632 Administrator CENTERVILLE, a. i r THE, Town of Barnstable yP�oF ����,� Regulatory Services BA"sraBLE. * Thomas F.Geiler,Director MASS. a 9°oA %639. A g 10� Building Division lFD ru•'+ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I Jplj,�/ �2N� ,as Owner of the subject property hereby authorize SG'd r!`� DU/L1 � to act on my behalf, in all matters relative to work authorized by this building permit application for: 7 JfI'GZGf/��%YL`� tll C.:Ei✓�` ,�'� o Z-6 3 Z (Address of Job) Sign e of Owner Date JOhAl AUI.VAt' Print Name Q:FORMS:O WNERPERMIS SION / c� A�,'.sessor's map and lot number / o?`r .. .. � .!tC. Q �G�/Z- `O�.Z- _7 ( OF THEtG SLge"Permit number ........................................................ SEPTIC SYSTEM taU �/� 0 IHST�,,�w COM 9TA-ME, i House number � /"!al�dsayJ k��"� ''`�� �Vn/ a ............. ....................................... VAM �9. \e�0 TOWN OF BAR " CZATIO., CODE N S P I� BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .................. ..,..............X....................................................................................... TYPE OF CONSTRUCTION .. © ' one -...........:f.....191f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: " Location ./ >gDIS�n/ �.... Zr'o.`'.L......:.............................:...... .......... ....................... ............................... ................ .,... ...... Proposed Use ... ./�I/G .. f... D.� 311)A..........................................................:...................... ............... Zoning District .................... .............................................Fire District . .............................................................................. �ohn IV, �c.G.P." 7T Name of Owner �LI!Q167 � /3L/RA✓49-/...........Address �-,/IA)�se-Al 4Y� � �L1GL ............ ................................... ........................ .�.... ................................. 0 /? �j', Name of Builder ..."... .....:�.:...�✓-1 .................Address .........�.... ..................................................................... .Name of Architect ....' ........Address............................................. .................................................................................... Number of Rooms ..................................................................Foundation 7.... �: {!l. c�C��f2..�f�F Exierior ......... ...........................Roofing ......!........................./.... .......................................... ............................................. Floors .................. ....:.............................................................Interior .....1//7C'G� G+✓l��l bt5 ........................................................................... Heating Cfi�il77 dirT�lsibl1�.................................Plumbing n�� Fireplace GJdt�L�s7b✓e 027 1Ca',- h..............................Approximate Cost ......... ............................................ ............ ............................... Definitive Plan Approved by Planning Board ----------------------------------------------------19--------. Area ..... ..................:... ............. Diagram of Lot and Building with Dimensions Fee ` SUBJECT TO-APPROVAL OF BOARD F HEALTH c i I P ;0"xsi� I hereby agree to conform to all the Rules and Regulations the Town of instable regarding the above construction. Name ................. .............. ............................ . . . ..... .... - ' ~ � | � It � I . » 14 Madison Avenue \ � � . � . . Burnettframe (' / * | �~ ?g �� | PERMIT REFUSED in \ . � . , � | � / \ ' � lA � \ rn ^ 1 ............................................. --- . ` . .............................................. .......................................... . ............................................ . 0 rn S ^ ��—..��-----------. lg ~ ^ _' �� M 0 � ` . -------------.--------.~---.. . . . ...............— ......... .................................................. .' . / &c` ' Assessor's map and lot number �d�.7 � .Qi,� TH E tp�I Sewage'Permit number ........ ...... � :oOB H L`E0, House number ................./ ... M"& 0........ .................... i639• i TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO /I?..........`..m.... Ga)v TYPE OF CONSTRUCTION a ....4 d.ln e.................................................................................:.......................... ................................................19.71� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /'7i.}7�lSDn..... '�T�.2✓�L L.. ,.. ..... Z 3 7r ........................................... .................... Proposed Use ���aM... ���lTit7 ... .......................... ............................................................................................................................. fie. !/�� - Cas� �, /%_ ZoningDistrict ..e�p ... ..... .....................................................Fire District .............................................................................. 9, 1941'&AI T7^ Name of Owner 4Au11),57...��.....�36!,eA1�T Address ���/"/„�L� 5t1s�/ 4vc � Z'ILG� ................ Name of Builder ...... ...n 'rye .................Address Nameof Architect .....non............�.................................................Address .................................................................................... Number of Rooms ..................................................................Foundation 1 ................................ r.. ...... T �i � s��a/ s 'Exlerior ...........................Roofing ................................. .... .......................................... Floors ............................................. Interior �c'i/77P� �tldl/bl.�d r .. .................. ........................................................... GrbrlyJ dir ,rP.Y '/JS�d7?) ..............Plumbing ..?ewe. Heating ............................................................. Fireplace lvgo�l s ye 477 /7CdrTh Approximate Cost ........................................................ ............................................................. Definitive Plan Approved by Planning Board -----------_-------------------19 - -. Area ,....................� ........... Diagram of Lot and Building with Dimensions Fee � ' "..` r SUBJECT TO APPROVAL OF BOARD OF HEALTH 4. 1 161 zo T ' r r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �'' Name ................................................................... Burn6tt, John S-. & Laurie S. A=247-220 No Permit for add to dwelling e............. d ILI M& ,::o ....................... .. . ..... a , 0.1 Location ...... ...;��...................................... .... .. Centervi le ............................................................................... Owner ........John S.—&. Laurie S. Burnett ........................................................... Type of Construction).............f.rame................... ....................................... ........................................ Plot ....... Lc .................. .. Lot .... ............ Octobei� 29 79 Permit Granted ........19 bate of Inspection ....................................19 Date Completed ...............j...................19 PER ,/1T REFUSED .......................... ..................................... 19 ......................../......................... ....../ ................ ... ...... ... .. ..... ...... .............. ......./� /................... ....................:7.......................................................... ............................................................................. Approved ................................................ 19 ............................................................................... ................... ........................................................... a� th /c/-i -752 � t t { � -. i An;) + /oo •00 • .� ��Or L1�S MC:HARID) A. { L{AXTER 40 ` �fFjy SiTt��4 �I Cc- ni±iet� `P`Qr PAN Locti-n c*,N MASS Pn&a 7e>--.v,*r e it r O 5 T 6ZV i LLM 1w1 A S� Al or&map and"lot numb . 2�7 ....�.�.�. ' O� �� � 7� Sewage Permit number ........................ ....tJ.. ................... > �*4HETG TOWN� OF BARNSTABLE In Z SAHB9TODLE, i (11 ?9 HILDING INSPECTOR '--1 .h 02 U: u, APPLICATION FOR PERMIT TO ........:.............:.................................................. ...............:............................... Tj TYt�,E OF CONSTRUCTION : -........ ...................................................................... y .................. '..2 .......19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...yl�........!••••�.E•...................................................................... ....7�......r�........ ...... ..... ... . ProposedUse ...................... . ........... ....................................................................................................................................... Zoning District ................(4... ..............................................Fire District ........«i2w'l -. ' Name of Owner ....:... . ............ ....... .......�.....Address ....<.z. .....1... ........ . . ... .............. Nameof Builder .................................................:..................Address .................................................................................... t Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .....................................:............................Foundation ........ ... .... .. ..................... e Exterior ..� I { ...............................Roofing Floors .................C.......... .....................................................Interior .................................... . Heating ................F.:".:..A�..............................................Plumbing ............................................ Fireplace .........................: .......................................Approximate Cost .....L .......................................... Definitive Plan Approved by Planning Board _ __________________19_ - Area .....7..Z.............: " Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Z I � v N j I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. L"J Nam .....................J.— .................... ............. � ^ ' ' ^ Danielle Trust 18446 1 1/2 story, _ ~i~a~= ~=~il� ,Aw=l^i=s � ---------r--'-------- Locotion`----- B1�� ��a� �~~~--~~� ' ~ ' . �� .------.,.—.------ ' Centerville ........... ' Danielle Trust Ovvne, ...................................... Tvpa of Construction ........................................... . ` . . ' r-----------------''�--'----' /pk� �p�` ............................ Lot ........JJA................... ~ ' 'Permit Granted — A 76 ' Date of |nopaction 19 Dote Completed --.�lV ' ' . ' ^ . . . � ' ' . PERMIT REFUSED . ..........................' . ---------.----------------.. ' . —._—.--~-----.------..'------. ~ ^ '—.—.-----^---.--------.-----..'. . ---------.---------------~... . ' , ~ . Approved _-------.------' lA . ' --------------------------' � ^ � -------`-------------.—.--.,. - |' �- Assessor's .map and lot numb!,rx ....................................... � Sewage',,Permit number .............................`.:�........................ °`THE.T 'TOWN OF BARNSTABLE �Q o� • 1 33 STSDLE; i 1639. =' BUILDING INSPECTOR' APPLICATION!FOR PERMIT TO ............................. • � Ir TYPEOF CONSTRUCTION ............. ................................................................................................................... .....................ra._....... .........19.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................................... ............................ '?..... .... ............................................................................................ ProposedUse �< .......................................................................................................................................... /-� Zoning District ............... ,.(. .............................................Fire District ........&171.............../ .. ` Nameof Owner ...................................-...................................Address ...::....... .............:................................ - !.............. Nameof Builder ...................Address................................................. .................................................................................... Nameof Architect ..................................................................Address .:...........................................:..................................... Number of Rooms ..................................Foundation ........ ............................................... T i I i C ...Roofing / .. Exterior .............. ................................................................ ............................................................ Interior Floors C ..........fd�. - `t !................................. Heating ..:".........................................................Plumbing. ............................... Fireplace .lam ` ....................................Approximate Cost ..... .: Definitive Plan Approved by Planning Board __---------------19_ Area ...4...-7................................. Diagram of Lot and Building with Dimensions Fee ... `.. .. SUBJECT TO APPROVAL OF BOARD OF HEALTH -2 v( /V, JN d I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q�,� .Z � Name�............................................................... . ............... Danielle Trust A=247-ift--( 1�ited) 72—�C) 18446 1 1/2 story, No ................. Permit for .................................... single family dwelling ..................................................M �A..... ...AAJC'S Location .... .... .......................................... .............. Centerville . ............................................. ........... .................... Danielle rust Owner ..................................... ............................ rust frame Type of Construction .... .......... .. ............... ...................... ................................................................................ #_ Plot ............................ Lot ............................... 9 0000, Permit Granted 000000 9..................1976 Date of Inspection ...................................19 Date Completed ... ..................................19 PERMIT REFUSED ......................................./.................... 19 ..................... ............................................... I... ... .. ... ...................... .. ...... ....... ................................................ .............................. ............................................................. ................. Approved ................................................ 19 . ............................................................................... ................ .........................................................