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0036 MAGNOLIA AVENUE
I F h v ..mot ra Town of Barnstable Growth Management Department B `p�t'�TABI 1 TOWN Cl EIRK 9 p S�HF.I liJ i t file TIJ,, Barnstable Historical Commission wom,.towti.barnstable.ma.us/histodcalcoilimission NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application_A 21 Full Demotion Partial Demolition Building Address: ;& MAC4 NOLI h 6112-EE17 Number Street W&ST —`'� ^�NI ��.� M fj Assessor's Map#27.5 Assessor's Parcel# �2- Village ZIP Property Owner: C(Z^1(A L l e h �I�l..�e_ -1} SD Z-7 J-- 4448�o Name Phon # Property Owner Mailing Address(if different than building address) u.het�ca �r�le, 4, /�t y� j3 g Property Owner e-mail address: a(�(pE1►1 n o Com 2 , ne, - Contractor/Agent: vIzno(ze.Boi ti` a 1 I L4-1 ,n Contractor/Agent Mailing Address: & ' 6aj.)Qm; PJW_h j a�Sz�QS �' 1' st�� pOU q Contractor/Agent Contact Name and Phone#: 81& Name Phone# Contractor/Agent Contact e-mail address: 660-CAW-C99a�te,,y)C&&-r,ne-- Detail of Demolition Proposed: &"i ie�orl G-r- 6&Se*nefi-r Qn& test-FfooQ e Mince `rlTew:on_ &e-410 f 1 r1on *- 6 Bond► eu3 Sim ertrry �coJ�e�Q l itemsc`9 E ��� 5'ers�•�� - oo� "reel) aZL,4oh. Type of New Constructs Proposed: 016 t� Lem (20-IS rrdcr`o!1 QdL ielcier-e —`oll S` zd Q% C S� Provide information below to assist the Commission in making the required determination regarding the status of"the Building in accordance with Article 1, § 112 Year built: I © Additions Year Built: �Q . 0_0©0 Is the uild' g listed on the National Register of Historic Places or.is the building located in a National Register District? l' Yes Ll Prepay# -QwAer/Agent Signatur May,2014 ION A3AW1S 9 UNIU33 NION3 xol.eln�saa SARI -aa JLXVu r m® e Y ti wZ - Emo ® c zK Z o 'S' Leo wV LULU w z w VW'3odsluue(H 1XQ-C7 g S I a,Z anu9ny 9pou69W 9E m W 12 Um0 mWa g � ION u r � � e mq8 �tk gg15gpp� gal 91N. 12111. e®® $ SxSS g ryg g$ 88 gg q3 gg yq R � �-n � §k s g888 1 I ®� e c � I .sass M Ar14Gt s � 1 /- 301M 0 2 133NiS Nl0.Nl3 R w _mow I I I T�� o ! /7 1 — — y�'/� �/, I/ I �z W14.r �✓Q J> I 1 n \ \ � I � G I � 1 ZQramN ) ys4 km�� fm Zoz x i/v I i m/ N a e � cJ� ✓:*a �w I � � Zoo o / r 1 I -6 I c rn+w-_ct'w�3 •� _-OMQ+ 1 J oNW-s / pM _ G ----- - - - - - O 1 / �`1 i� 9O al,ZZ'06 3.06,L0.L1 N A I a7{`d' r zed^H -t e Q >G 4 / � I o h 1 /' ti2UQ mQW�4 . - �w+lmmamswiws•nlne.,mmm�nnno-�nornm�a .. l BAXTER NYE �' z F ZONING TABLE ENGINEERING& :! SURVEYING ' ZONIHO OIEDDCr(S):P01 y _ oWSLAY IN—:AP ROON IAEA .BI> __ ONVf PROP Iwl BOOR 2,]]0 SF Ond'Land S—).."I�Enfilnam ,v'U ON EOST USE: ES SINE FAWILY DNfl11N0 PROP 2nd FLOOR e 1,204 SF Z ENET TOTAL BUR01N0 AREA-1.DOZ Sr ...INS FOOTPRINT-260>EF ]B NaAh$haa!-]rd noon glVf j TAL P—AREA ,—SF NTannla,A(508) 11 7 02607 ttt���...yyylll OAVI/ PPONDm Phone-(606)7]I-7622 z \ ONNi/ LET APFA: 4].560 Sr 11,418 SF• F. - (505)7]I-]622 Li \ / FRONTAGE: 'OD PT 102 FT www.haslaP-n)w.cam BUI FT NO SERIAIXs D ZONE: 90E &.D 10 iT 20.]FT AMP AInP IBe,gZ• LOT COVERAGE(SIPVONRFS) \ 1Z`N001'IMq>B DDG'JO'IF MAX BLDO,NBCHT-CONFOR 2.5 STORIES OR 00 FT 2 SiOPIEfi/FT • \ \�qN Bp�Vq>fq OOq ryOV � �' _J. •PRE-E)aSTNG,NO-CONFOPMINO 3' NOTES: 1.OUI FANSIRUCIION PHALL RE PEPibRMm IN ACLDROPNCE WfRI MHD55,TPNN OPOINA4GE5. PEOVIRENFHIs.AVD SPECIFlGRONS. CON eU LTANT Z.THE CONTRACTOR sNN1 MARE OR TO THE ENCIHEm FOR APPROVAL BFFOPE ANY iABPICATION OR OEII\£PY OF PRODCTs ORU NAiEftlAtS. r —-- ]OEMWSH�pEMOW ALL EIOSRNO STRUC—ES.FOUNDATIONS,GONWETE PADS,FENCES AND APPURTENANT ITEMS UNLESS OINERWSE NOTED TO SASE,SALVAGE OR REEET. CONSULT ANT F�(•<�"'r \i 4.DIMENSIONS SHOWN MF TO OUTRIDE FACE OF FOUNDATION OR FACE OF CURB WHEAE {I I APPUGBIE _lJ 1 I 580 —B _CO�.. - O6'J I # 1o2.53• I I PREPAREO FOR: 7I I / 5 �1;•mT•a Craig Falkenham 3 Bayberry Lane q E-UNE I oasmin�Eec,wN,�w Derry,NH 03038 I I �aRP, / �� I I OECN d COI IL _ aNC PET.WAIT g I ,I ` Y I PMnaN �R�ArsR>,xoAnM EXISTING DWELLING((36 g PROPOSED AODfiION, I - '. /r JERALO U. IA REAL l TRUSF OF Ln I ceN"FNO Q INE MAGNOLIA REAL]Y TRUST I Ia I $ J 9 I Q Sv LC PLAN 15 PARCEL 225-ays-OJS I I �y_Tq� I a I g I I h I � Is SHED N]2'5241•W_ SHEET TITLE � 11 �E4e ?/ I L.. • La��yry`o�ut Plan .ST NO N/r VEP Y/Y.® —/ ]]fN T aAN ■/ U. \ - i • R]USI1Z'OF THE MAGNOLIA AVE REAL E.S.—,2, PLAN ZOI6 O aK 2744] 91 - ' T PLAN BK 34 PACE l \\ OAi10 10 20 - LOU 23 8 -242 PARCEL 225-643 _ PERMIT REVIEW ONLY-NOT FOR CONSTRUCTION GALE,•D,DB`"`E'"FEET FALKENHAM RESIDENCE 3S MAONOW STREET WEST HYANNISPOW.MA HE ED BE 11 OENEHAL NOTES: 5[tba RppN _ —_ _—_—_—_—_—_.—___—_—_— __——_—_—._—_llul ox —_—_—_—_—_—_—_—_—_—_—_—_ ------------------------ ________________________I.T _ _____________________J r EXISTING WEST ELEVATION -� - ARCHITECTURE♦DESIGN TFT E: EXISTING IXSTING ELEVATIONS .. -' _______________ ______________JT EX2. 1 k EXISTING NORTH__ELEVATIONS s�Le <' '� 2 .FALKENHAM RESIDENCE 36 MAONOIJA STREET WEST WANNISPORT,AAA GENERAL NOTES: .. . .. ._. ��n_m'r anon _ :—_____—___.—_—_—_—___—_—_—_—_— _—_—_ ------------ l I tJ-----------------7--� I 1----1 a IL'---------------- 9� —F1 o - —_—_—_—___—_—_�_—_—_—___—_—_—_—_—1 �_—_—_—___L—_—_—_i I I. L----------------------1---------- EXISTING EAST ELEVATION'"•--;-�'—j 7 NICHOLAEFF ARCHITECTURE+OESION - - —T I r--------------------- - ----------------------- 1 I TQLE: - I EXISTINOEIEVATIONS - I i--------------- 1 " • L______________________________J EX2.2 (EXISTING SOUTH_ELEVATION FALKENHAM RESIDENCE . 36 MAGNOLIA STREET - - WEST HYANMSRORT,MA ---------------- GENERAL.NOTES a —-—-—-—-—-—-—-— ri a '= .6• jo�.. . .7. unn„: '--- - — -- -�- �, �,�.% :Z•rt"' ,:L :.7'.. Y 'a'aa" mm w... Rate yJep6 -+---a-----T e PLO 2(L PROPOSED WEST ELEVATION aG e." +'p 1 NICHOLAEFF ARCHT(ECTL RE i PESIGN -------------------- Em --_-_-_-__ .. j ` I 777 I TITLE: _______. IJ_ __ —_—_y ,. I � _—___—---- I � '... ,NEW ELEVATIONS,.• I — --------Ir---- ------- rC�---�-4 I ---- -------L------------------ _—. I n F ________ --- --�--- ----------- ----- -- -- A2 01 EXISTING EAST ELEVATION-iUNCHANGED FALKENHAM' RESIDENCE 38'MA0NOLIA STREET peerreecrvn aa��d,oZ Lmee. a reoa�a WEST HYANNISPORT,W, •S�._—_—_—_—_—_—_—_—_—_—_—_—_ —_—_—_ —_—_—_ _ eece -mnr.ta,n .0 �\ —_ _—_ —_1i6Cc1,1TGwvv„•�.nN co�rx.0 pua�w,Tcn - GENERAL NOTES: E f v �r /ram *�,, _ _r _3� ` � ooper�eaa as 6J c�6 - -------- w.... .ems L ___J_ ______-__l 1S6y' H'4y rPROPOSED NORTH_ELEVATION---, / -* 1 NICHOIAEEF ARCHR RE,DESIGN an- .•oeo•e{—_—_—_—_—_T— —_—_—_—_ _—_—_—_—_—_—_ - - -------------------------- )r7n E — _ ar.,eo � _ _ �.,n f ---.------ — — — .mean;Re �a,a - --1p. p.o �a�ea ao.aoa rrp. _. r / - I _ __ __ __ _ _ t- —_—_— --- PROPOSED NEW ELEVAl10N5 -------------�—I -------------- -- c �I - a..ma 'PROPOSED SOUTH-ELEVATION— -4-1 -1 2 FWHE r Town of Barnstable *Permit 7 (fA ° Regulatory Services EFeeieresG rronthsjram issue date PERMITThomas F. Geiler,Director i6Sq• a•� s Building Division rFD N1°' 10 2009 Tom Perry,CBO, Building Commissioner ST 200 Main Street,Hyannis,MA 02601 TOWN OF BARNABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 3 6 Residential Value of Work 4 c7r7 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address << Contractor's Name < 6 i:! - Tele hone Number L ,, Home Improvement Contractor License#(if applicable) Z 'd Nworkman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name IZ f r Worktnan's Comp.Policy# � t'25 ~- Copy of Insurance Compliance Certificate must be on file. 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 Replacement Windows/doors/sliders.U-Value [J (maximum.44) "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. t SIGNATURE: Q:\WPFILESTORNIMbuilding permit forms\EXPRESS.doc Revise020108 Public 5.ttict� iartmcnt of Intl St�►nd.u'tls. husctts- Dcl .tul.►tious' NI.►ss.tc guildin`.-Rc� or License of ervis Bo•►C nstruction Sup } CS 56340 • License • Restricted LO' 00 WILUAM L SCHULZE1 y PO BOX 2"" 02632 CENTERVILLE,NIA Expiration: 1012g12010 r' d II i # , ti 5 � ,roe. $a P - - {` s W x Bo� f--ilring rgutatio an tandard License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registrat on: 112049 Board of Building Regulations and Standards Expiration 2/19/2011 Tr# 279960 One Ashburton Place Rm 1301 Boston,Ma.02108 I rType _DBA I SCHULZE BUILDING-CO.,,LC "{ WILLIAM SCHULZE , r- /-- 65 SAWMILL RD MARSTONS,MA 02648 Administrator 4Not valid without ' nature i . License or registration valid for individul use only R before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.02108 I . ii Not slid without sign re l I i e THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA 75190-0000 WC 641-30-37 13889 _-------------- —013-82-0508-oo. •.,• 104110 . P OOOXBUILDING 888 CHUB BULD I NG COMPANY LLC Member Companies of CENTERVI L LE, MA 02632-0000 American International Group EXECUTIVE OFFICES: 70 PINE STREET,.NEW YORK, N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 I.D# MA UI . . .. PMC INSURANCE AGENCY INC. WORKERS COMPENSATION AND EMPLOYERS 50 CABOT STREET LIABILITY POLICY INFORMATION PAGE PO BOX 920179 NEEDHAM MA 024 2-0002 , INSURED IS PREVIOUS POLICY NUMBER LIMITED LIABILITY COMPANY RENEWAL 006838930 OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - wc9go6io ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address - FROM 05/11/08 TO 05/11/09 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500.000 each employee k C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI ITEM a The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $100 of Re. Premium Annual❑3 Year muneration ,❑X Annual O 3 Year SEE EXTENSION OF INFORMATION PAGE-- WC7754 TAXES/ASSESSMENTS/SURCHARGES $550 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) ,$ 1 8 MA MINIMUM PREMIUM $500 MA - - TOTAL ESTIMATED PREMIUM - $10 7 8 If indicated below,interim adjustments of premium shall be made: Semi-Annually Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS(FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 03/24/08 PARSIPPANY 82 Issue Date Issuing Office Authorized Representilive WC 00 00 01 39%7 The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): rJj ✓s, Address: 'City/State/Zip: Phone.#: Are you an employer?Check the appropriate box: Type of project(required): l.V I am a employer with 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hued the sub-contractors .2:❑ I am a sole proprietor or partner-' listed on the attached sheet 7. .❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp,insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no 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 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. xContractors 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 subcontractors 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.#: �./c 6 41 � y�J > 7 Expiration Date: Job Site Address: , /� w ���=''�— City/State/Zip: .�1. Attach a copy of the workers'compensation policy declaration page(showing the policy number an 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 tip to$1,500.00 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 un the ins and penalties of perjury that the information provided above is true and correct Si Lure: Date: 0 `� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 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#: r 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 engag m a joinventerpnse a—nd mc-l5d ng the legal-representati �f deceased employer;orrthe- -- 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 fok 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-contractors)name(s),address(es)and.phone number(s)along with their certificates)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 t the affidavit is co lete'and printed legibly..The De artment has provided a space at the bottom ease be sure that P.Please mP PP P 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 permittlicense 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 maybe 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. The Department's address,telephone-and fax number: The Commonwealth of IMassach=tts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 i. Revised 11-22-06 www.mass.gov/dia Town of Barn-stable Regulatory Services HARNSTABM KAMThomas F.Geiler,Director 1619- a�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 - www.to w n.b arnstab l e.m a.us Office: 508-862-4038 Fax: 508-796-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject 1 property hereby authorize l/' i,/�i.,•;� , ..z_ to act on my behalf, in all matters relative to work authorized by this building permit application for: r L .(Addfess of Job) St#Znf Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O WNERPER.MISSION Town of Barnstable ywP o� Regulatory Services r swaxsrurX Thomas F.Geller,Director Yq,P 1' . ��� Building Division rFD 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 EXEMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhnwn state zip code The current exemption for"homeowners"was extended to include owner-occupied 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. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use 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 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. 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 person(s)for hire to do such work,that such Homeowner shall ad as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsrbrlities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awanmess often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware ofhis/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/certifi cation.for use in your community. Q:forrrs:homeexempt I `X-PRESS PERMIT Town ®f Barnstable *Permit#ol�D��� Expires 6 months from issue date APR 21 2006 dZ Regulatory Services Fee 9 9 1 1-7 �1 TOWN OF BARNSTABLE Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 4 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number oZ Property Address [residential Value of Work ' Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1- Contractor's•Name jPGr 111,1U/ /At e4f( 0 J/Diti 6 Telephone Number Horrt Improvement Contractor License#(if applicable) t Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ �am the Homeowner I have Worker's Compen(s�ation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) / 0?' e-roof(stripping old shingles) All construction debris will be taken to �72q.I s �UJ �.I'la/ ❑Re-roof(not stripping, Going over existing layers of roof) ❑ Re-side r ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc, . r ***Note:� _ Property Owner must sign Property Owner Letter of Permission. 4t. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Board of BUildm `�2aaza�uaeG g Regulations and Standards HOME IMPROyEMENTCONTRACTOR I icense or registration valid.for mdtvit3ul use only Regis -1—N- �286 before the expiration date Board of Buildin If found.re to. Exp{Eation g Regulations and Standards "<. � 2212007 r yfjea bq 'Uate Ashburton Place Rm 1301 T 3oston,'NIa.02108 I RLT CbNST ING, ISLA`- S'IPING&ROOFIN RONNIE TAYLOR =-W y 31 MANNI CIRCLE11:71 CENTERVILLE,PEA 023U ! ------ -_ Administrator Not valid without t nature` -- . ..- i I Island Siding and hoofing - a div&ion of RLTConstnxtion,Inc. March 28, 2006 �' Craig Falkenham Re: 36 Magnolia St. W. Hyannisport. 3 Bayberry St. Derry,N.H. 03038 We are pleased to submit the following specifications and estimates for reroofing: Scrip existing red cedar shingles and copper[lashing. Install new copper drip edge and pipe flashings Install 3 ft. Ice & Water Shield to eaves, valleys and interwoven w/step flashing on cheeks, skylights and chimneys. Install Typar 30 roof underlayment to remaining roof Install 18" red cedar shingles using stainless steel fasteners. Install 1x8 red cedar board cap to all ridges. Clean up and haul away all debris to landfill We hereby propose to furnish materials and labor—complete in accordance with the above specification, for the sum of. TWENTY ONE THOUSAND NINE HUNDRED DOLLARS PAYMENT TO BE MADE AS FOLLOWS: $21,900.00 To be paid in full Upon Completion All material is guaranteed to be as.specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents, or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction, Inc.carries General Liability and Workers 'Coi-npensation-Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: L Signature Start Date: Signatures" .. 31 Mand Circle • Centerville, Massachusetts 02632 Telephone 508.420.5243 and 508.833.5249 a Fax 508.4201776 • Emifcaperoofer@caperoofer.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ZZ Parcel j 2- _ Permit# Health Division H9 90G Date'Issued 2Oco Conservation Division i'l 00 Fee Tax Collector O7/O0 p� ' � "d'I W&W N V Treasurer ..: EOTIr -• I BE @f STiAL'U[_ LIAN Planning Dept. �� ref :..t 5 Date Definitive Plan Approved by Planning Board L ®®EAND TOWN R0 ULxr,oN_ Historic-OKH Preservation/Hyannis Project Street Address 3 G` ""A&Kj D u A ' A-UC- . Village W 5T' H Vl A �,A N 15 P6 Z T' 'kA/A ( 'Cex/—t,6wv/4�=�) Owner L 4ZA'1 CS' L1 S W !A L KEt j t-F 1 s - , 3 -e)pr�, -BE TZQ2 , L1q KJC Telephone DcTza 1 ti 0 30 3 Permit Request IBC�0 Da L. t<ITL+-i aN"� R�►7�.w Cr ! E _P L,, _P0i2C 1R i��u l t,p F-ATI-2 iZ f o`i`--,) 5F/A u t L !� -2, Db Q7 Ki F_2 5 Square feet: 1st floor: xisting proposed _� 2nd floor: existing proposed Total new A Estimated Project Cosf-2-y 000 Zoning District Flood Plain Groundwater Overlay Construction Type ��VkA� . IIZ-3C, 5 �T Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family •Two Family ❑ Multi-Family(#units) w Age of Existing Structure Historic House: ❑Yes �J`No On Old'King's Highway: ❑Yes C�rNo Basement Type: LrFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new ' Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: LrGas ❑Oil ❑_Electric ❑Other Central Air: ❑Yes k No Fireplaces: Existing New - . Existing wood/coal stover ❑Yes Lt]'I�lo' 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 Lf No If yes,site plan review# Current Use Proposed Use S Z= BUILDER INFORMATION `Name 5 l l--V 4ti 5 t L--V l kli Telephone Number -7 Z�Z�2' Address 6 5 License# C-'� -Home Improvement Contractor# 1611P i Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO q�llja f- SIGNATU E DATE lI-a-00 FOR'OFFICIAL'USE ONLY 'PERMIT NO. M r .. • , . : i _ -� . � r _ _�: ., - ` <.. DATE ISSUED' MAP/PARCEL NO. ADDRESS VILLAGE OWNER ^ DATE OF INSPECTION: ' f FOUNDATION FRAME' �� f 200 f t s F INSULATION FIREPLACE t 5 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH y FINAL GAS: ROUGH' �g: FINAL 'u• i z r{ k :� F FINAL BUILDING - DATE CLOSED OUT T ASSOCIATION PLAN NO. # i °F IHE The Town of Barnstable 9�MUMSTAB a g Department of Health Safety and Environmental Services 165 Ec rust Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 + Building Commissioner 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: Estimated CosA/0414Daron Address of Work: — lzamelj Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s) ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Co ctor Name Registration No. OR Date Owner's Name q:forms:Affidav 4 a �- ----------------------------------------------ru � I 1 , I � ------ - -------------------- ti �•1 I --- ------- I I - -- - -- - Nib 7t !P,- o' ®�d 6 e :i�lll •'�.� sees.. � "�`IIIIIII IIIII�' Cjlllll ,►��.�anii=i I III ���Qj IIRIII� IIII tllllll� ���tll -_� ..� IHIM C �� L.IIIIII �Mimi 1 HII =t Moons IIIIIIIIII sees. — — _---_� -,._IIllll_ _ seem.��._ sees. —� 1111161E•, ..------- ■■■ •IIIIIIIIIINIII�llu1 == I i 4 m i i I i� I I I ' 4 ---•------ r-- --- -----� -------,- -- - 1 a I I B 1 ------------- 1 +I I� I I , !� _ u ►i S I , i •.I I I� � �i i I � - � � . it 111 7 i 1 , 1 , 1 , I I I I Nil I Hie 4 -- ---------------------------------- ---------- QI ' I! Miff H.Ml . ��"��I,II�;IIII'I•`II IIII��I I I I � •. ---- — — --- -- --- • is „ „ I „ f 6 i , S , q q ` I i r 4 I I I I I I I I I I I I I I III I; i i I lu I 11 ; it II I , II iI II I I ! l! l 1 11 I • j I 1 'iII � II I1 i I • I�.illi' I I I I I I I I I I I j j j I I I I i I I J i 1 1 I I ii I I I Lj Am I it Ail �ri1ii l I I i i � I ! I i i i i I ill ` i I ; i �ii� I IIi I I i i --- --- .I i i �II li j I II i t I i i i n---� i I ii ii I ii I I I I i I I , I 11 j ii ; I , i I I i fin t PM 1!10 3 I . -,---------------------------------------------- _ ------- -- --- CI BOO B BOB BB©B IF i • i : 4 • . off"; :� I ......... ? � : Assessor's office(1st Floor): Assessor's map and lot number s . /�/� of �+At T Conservation `�jw » me i� Board of Health(3rd floor): i s • Sewage Permit number rntt Engineering Department(3rd floor): _ •moo bra \�d' House number IJ ..�'i}y� �4siur Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30.-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR Apollo � APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ �� / `y) i 19 k TO THE1NSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (� LocationApt !�l'1 C d!Y7 J �. !i�/�✓�� ��16c rl/7 i�� tl d/' Proposed Use �111'a �0 Zoning District `� Fire District C4 'a '44 !y/ Name of Owner 2//-1417 T>A.( �� Address J (��Q ILA Name of Builder t �t( �� S ��//� (/� Address,- ! � �I►'1 Name of Architect Address Number of Rooms FoundationC— Exterior Roofing --- Floors Interior "y Heating e Plumbing Fireplace �6 Approximate Cost �l aC'� Area Diagram of Lot and Building with Dimensions T Fee r i w� v is OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name a,&7 r' � Construction Supervisor's License G' t( � DALBY, ALLEN A=225. 012 No 34744 Permit'For BUILD ADDITInJ Single Family Dwelling L� 1-r?6 . ci/ a... SQ Cp r? l Vim, Location S t_ Owner. Allen Dalby Type of Construction Wood Frame Plot Lot , Permit Granted December ' 13 19 91 Date of Inspection ' 19 Date Completed 19 , + PERMff COMPLETED��j s Assessor's office(tit Floor): _ SEPTIC SYSTEM U_ Assessor's map and lot n mbar - E ') � ��� TMc�-'� t� / -p a p� �p �'p r,���a � j0 2�L1�ED RK,coati,�14A CE Conservation " y y�� ---�13 I��c: kt lvrr Board of Health(3rd floor): . w Sewage Permit number. l -t' -q/ �, ENV'1,- l ' '' 'f:: �® s�y Inc • Engineering Department(3rd floor): _ �o ,639. \�d° House number .5 15 i �0 Mal Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only TOWN - OF BARNSTABLE .- BUILDING INSPECTOR APPLICATION FOR PERMIT TOf TYPE OF CONSTRUCTION _ /� �f'a -e 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: > ° ? , -- Location Proposed Use Zoning District 1C. /J `� Fire District _ 'Q hi! K, Name of Owner / �i� ,'CJ�/ Address Name of Builder 1. &I 'r re,S PV//,�L t\ Address.,_<--7 Name of Architect Address Number of Rooms Foundation a j�fas,j G Exterior �� G��,4"�' Roofing Floors Interior �- Heating Plumbing Fireplace Approximate Cost Area 702 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Z� Construction Supervisor's License f DALBY, ALLEN No' 34744 Permit For BUILD ADDITION Single Family Dwelling Ve ,. Location t h rv, lle _ Owner'' 'Alen Dalby Type of Construction Wood Frame_ .- i { ! t Plot- Lot ot f l + u -Permit Granted December 13 1991 Date` of Inspection J 19 Date Completed 19 , ' ,•� I ` ' 1 w F K: l { I 3 wt4 �,o G F ertified Plot Plan in Barnstable Ma, e ared For Silvia & Silvia Associates Assessor's Map : MAP: 225 PARCEL: 012 Baxter, Nye & Holmgren, Inc. Community Panel Number : 250001 0008 D Registered Professional F.I.R.M. Map Zone: C . Engineers and Land Surveyors Plan Reference Plan Book 64 Page 33 & as noted 812 Main Street Deed Reference: Book 12805 Page 322 Osterville,'MA., 02655 g Phone — (508) 428-9131 Fax — (508)-428-3750 Owner Craig J. & Lisa Falkenhoom Job Number: 2000-95 Scale : 1" = 20' Date October 31, 2000 CB FND. , BROKEN �J w'4p• 1 / < 0 � Fo N L / IN. r0�23 EXISTING \ cOR0F0 �Y) / DRIVEWAY S 60 / � 063 5.0 GARDEN N/F CUKER pORCti 8.2, / EXISTING HOUSE z / F.F.E. = 20.9 . / / BASE. FL.= 11:8 -yw / 0 /EXISTING . Of m GRAVEL R VEWAY' 0.26 ACRES F- 9. zQ 'z � o� CB FND �I /w 4/ 0° 1' DOWN / N o 3 z / 700 l g 2 S2 LAWN N M o / SHED O0.00+ / 2 o z � R fC a OR0e0 NSF CB FND GOLDWASSER HELD BRUSH EL=14.52 _ NGVD SEE ALSO: PLAN BOOK 37 PAGE 53 DEED BOOK 12890 PAGES 322-323 (DALBY TO FALKENHAM) I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE BUILDINGS SHOWN HEREON ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN, AND ARE NOT LOCATED IN A SPECIAL FLOOD HAZARD AREA, :z v�q .. . -.. . ..�• Cam'I ^ 6-L C9 C. 1 , (C � REGISTERS PROFESSIONAL LAND SURVEYOR DATE .wr� 11^esl -oo I � cn , - .µ 1D Ur rpo" pop oll Ci PH h V r 't }r�l e ,, I b , p h ,v r , n, Fr. r r. r;. .. .n .. .: .. :q:. !. a., ,na.• :., ::.:. f, .- ., v. 5 4., ;..:ml �.F x-' �' .. ,.'x ,` ,.,,�► � !• f ..- , � - tag � , r IA l ve ,. k n, It POo rz , VIA OF lip I Ash / 2 OIL.) { lip k • t r_ T Qom, r i r�IK�Vft F � A ,.. ,',a<. ,..... � •.r ! , "' .�qr." .w�a.IMI�, '+1'.rw...^'.'a .. ..i"k..'�++,,,�w!'ti� ".:. °.'F; 1.` #4, Y i .. r ,e '..::rz, ;.. , ',,:a�� �,,:'- '..e. .'.r .-.• .,.. A', ti M1 ^.E 4�a -t ��ci R!„ .1'.",:yy ^7 d