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I �4�, , , L'S!, , 1" 1 �Iii,,,I ;�'_-,�,,"i ��� .� � � � ::�.� , .. .�� ':l, �� " : i,_.�!�.' -1 , � 1 , .: , , - - ,� my '' oq t a 7ME Town of Barnstable *Permit t ' Fxpires nths rro ue date Regulatory Services Fee i • RAMSrnsr.E, « 3 14 Richard V.Scali,Director �� /&3�jy AEG MA't A e ` `�� P1'�L� Building Division . ��VV _ F 13ARN Tom Perry,CBO,Building Commissioner ® 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . EXPRESS PERT=APPLICATION - RESIDENTIAL_ ONLY '}c Not Valid without Red X-Press Imprint Map/parcel Number pC ``'� O Property Address Old 'tc7l 4 4, Z Residential Value of Work$ M' i um fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number M1 5 ;77/ Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am.a le proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name r Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. 4 _ Permit Request(check boy UI_RPurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr Owner must sign Property Owner Letter of Permission. c py of the Home Improvevient Contractors License&Construction Supervisors License is uired. SIGNATURE: QAWPIFILESTOMODSWIng permit forms\EXPRESS.doc Revised 061313 �f T[te Cornmoratwalth qfMassachusefts Depart of lidrrsaid Accidents - [ice o•f Investigations .. 600 Wash rigfan My-eet Boston,MA 02111 wtmmassgovldia Workers' Campensa.tionInsurance davit:$uildersfCantractors{Elec ticians/Plumbers Applicant Infarmation Please Print LegibN Name(llusine�i ationnhdividnal)_ Address-. �y` City/State/Zip: C:f ! Wane l Are you an employer?Check the appropriate os: TT.TTpe of project(required): 4. I am s contractor and i J " 1.❑ I am a employer with ❑ g 6_ ❑New oomstruefion - employees{fullandlor part-time}* have hired the sub-cantractofs. 2_❑ I am a sole proprietor or partner- listed on the attached sheet" 7- ❑Remodeling ship and have no employees 'Ilse sub-contractors have g- ❑Demolition WcAing any capacity employees and have workers' 9- ❑Building addition 'Comp_inciiaance Comp.tusuran�1 ed� 5. ❑ We area corporation and its 10_0 Electrical repairs or additions 114; a homes w er doing all work o�cets have exercised their 11-.❑Plumbing repairs or additions o workers' right of exemption per MGL myseS c_152, 1 ,and we hss a no 12.❑Roof repairs insurance required.]T � (� employees-[No woricers' 13_.❑t?ther comp-msumnce required-] *Any meawners appfi=that sheds boa r1 w ast also fM out the:section below showing their worlters'compensadion policy infntmadaL So who submit this affidavit ia&cstng they axe doing all vFuX and then hug outside contractors nm submit a new a133d3vst inXr�v sorb LGhatcactors thst rlleck this box mast attached sa additional sheet sbDwmg the mmne of the Wb- s and stets whether nrmut these esnities have e mployem Ifthe sub-ccontmaots have employees,they nutst provide their wwk-ess'comp.policy number_ I am art employer that is prm idirag workers'congm mntion imurarece for my ewpEoyem Beiotr is the pvHcp anal job sits informadam Insurance Company Name: Policy.or-Self-ins-Lim Expiration Date: Job Site Address: Cityi'StatelZip: . Attach a copy of the workers'compensation policy dr_xIaration page(showing the policy number and expirution date). Failure to secure coverage as requireduuder Section 25A of MGL c. 152 can lead to the imposition of'ctiminal penalties of a fine up to S 1,500-Oa andlor 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 aVdipt the violator_ Be advised drat a copy of this statement maybe forwarded to the office of Im esti ations of the DJAZx insurance coverage veriEcation. Ida hereby certify rl th,0 and aloes o that in,formdion provided abets is hyyua and correct Signature: Bate-77 ( d / lJ�,f trial use on[y. Do not write in this Area,to be completed by city or town off4'ciat. City or Town: PermitUcense# Iss inn Authority(circle one): 1.Board of Health 2.Building Department 3.Cityf rows Clerk 4.Electrical Inspector 5.Plumbing.Inspector 6.Other Cordtact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. .\rsuantto 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"" A , 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 as deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,emplo�ing employees. However the owner of a dwelling house having not more than three apartments and who resides th in,or the occupant of the dwelling house ofianother who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or,building appurtmant'th`ereto shall not-because of`such employment be deemed to be an employer." MGL chapter 152, 621:C(6)aIso'states'that"eves state or IocaI licens'g ageui shall withhold the issuance or renewal of a license or\permit to operate a business'or to construct buildiu4 in the commonwealth for lay applicant who has.not produced ac tli�i ceptabTe�evidence of compliance witIit••`e iasurarice.coverage required." Additionally,MGL chapte 152, §25C(7)states"Neither the commonwealor any of its pblitical subdivisions shall enter into any contract for performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting autho ty." , Applicants \ Please fill out the workers'compensation affidavit completely,by c,ecking the boxes that apply to your situation and,if necessary,supply sub-contractors names address(es)e d e pp y { ) q( ), s( s)an phon�numb r(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liabihfy,Partnerships(LLP)with no employees oilier than the / a members or partners, are not required to � workers com en�ation insurance- If an LLC or LLB does have 1 P �' P ,, - ��� employees, a policy is required_ Be advised That this affidavrt�jay be submitted to the Departn?ent of Industrial `� Accidents for confirmation of insurance toyer' C. AIso be sfire to sign and date the affidavit. 'T'lze affidavit should be returned to the city or town that the applica3t for the p it or license is being requested,not the Department of Industrial Accidents. Should you have any questi ns re the law or if you are required to obtain a workers' compensation policy,please call the Department at rth n er listed below. Self-iasme .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 print legi-bl The Department has provided a space at the bottom of the affidavit for you to fill out in the event the ce of Inv ,gations has to contact you regarding the applicant- Please be sure to fill in the permit/license numb w] ich will be us as a reference number. In addition,an applicant that must submit multiple permit/license applic.lions in any given ye need only submit one affidavit indicating current policy information(if necessary)and under"7 b Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has b official-ly stamped or mark e by the city or town may be provided to the applicant as proof that a valid affidavit is o filelfor future permits or lice s. A new affidavit must be idled out each year.Where a home owner or citizen is o g a license or permit not rela d to any business or commercial venture (i.e.a dog license or permit to-bum leav etclsaid person is NOT required to - complete this affidavit. The Office of Investigations would Ulu to th you in advance for your cooperati'o.,and should you have any questions, please do not hesitate to give us a cal \ `* The Department's address,telephon and number: ' The,CorrmmonW�alth of Mas'sa'cl uset#s Depaitmf,-fit of Ind al Accidents �t / Qffiee ofvestigat »s / 600 Washingtaa Street astau,MA 02111 Tel.A f 17-727-49GO i�)ft 4-€6 or 1-8 -MAS 'E Revised 4-24-07 Fax#617-721-77149 www.Fnas,3,gov/dia Town of Barnstable Regulatory Services 0­0 �oFt T�ryy Richard V.Scali,Director p Building Division D 9BARNhr MBLE. Tom Perry,Building Commissioner 1639. 200 Main Street, Hyannis,MA 02601 PIED A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: r c JOB LOCATI N: s eet jj�� `� village "•HOMEOWNER": C:FJ75 (J / name home phone# or phone# CURRENT MAILING ADDRESS: ciWtcrwn 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) v� ` The undersigned"homeowner"assumes responsibility for compliance with the State Building Codelan'td-'other applicable codes, bylaws,rules egulations. The unde ed"homeowner"certifi that he/she understands the `Town of Barnstable Building Department minimum inspection proced s and re eme nd th /she ill comply with said procedures and requirements: Signature of Homeowner �J - 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. � ` `s r 'HOMEOWNER'S EXEMPTION 1\ The Code states that: "Any homeowner performing workfor 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 act as supervisor." ~` Many homeowners who use this exemption are unaware that'they.are assuming the ponsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors Sec-tiion 2.15)lTh► lack of'awareness awareness . 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. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doc Revised 061313 °Ftt+e ram, � snxrrsrnsre. '9� � Town of Barnstable ArED Mp`l A Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner + - 200 Main Street, Hyannis,MA 02601ix f www.town.[iarnstable.ma.us� Office: 508-862-4038 ��`, � ,`�a `�`��`y ,a3c)508-790-6230 Property, Owner Must f 'i 'J Complete and Sign This Secti n If Using A Builder as O r of e subject property hereby authorize v to act on my behalf, in all matters relative to work au orized by this building pe t apphcadon�for: (Adds ss of Job) Si f Owner ate �Q v Lo Print Name If Property Owner is applying for permiylease complete he Homeowners License Exemption Form on the reverse side. QAWPFILESTORMS\building permit forms EXPRESS.doc Revised 061313 4 Town of Barnstable Planning Division Staff Report Thomas A.Broadnck,Director Planning,Zoning&Historic Preservation Appeal 2004-35 - Quilter Section 3-1.1(3)(D), - Family Apartment Special Permit r M Date: February 26,2004 C To: Zoning Board of Appeals Art Traczyk,Principal Planner Petitioner: Scott Quilter Property Address: . 329 Old Craigville Rd.,Centerville,MA Assessor's Map/Parcel: Map 247,Parcel 096-001 Zoning: Residence B&Wellhead Protection Overlay District Filed:January 06,2004,160 day extension Hearing March 03,2004 Decision Due: September 10,2004 Copy of Public Notices: Scott Quilter has applied for a Family Apartment Special Permit in accordance with Section 3-1.1(3)(D) to add 450 sq. ft. above the existing garage for a family apartment. The subject property is located as shown on Assessor's Map 247,Parcel 096-001 addressed as 329 Old Craigville Rd., Centerville,MA in a Residence B Zoning District. Background: The subject property is a 0.23-acre lot located on the northwest corner of the intersection of Old Craigville and Strawberry Hill Roads in Hyannis. According to the Assessor's record,the property is improved with a one-story, 2-bedroom single-family dwelling with a living area of approximately 1,417 sq. ft. The dwelling was original constructed in 1975. The property is located in a Residential B �— District and in a Wellhead Protection Overlay District. It is serviced by public water and private on-site septic. According to the application,the petitioner is proposing to add a second story over the existing attached garage and construct the family apartment m that r d�(55 rea. The apartment unit is to be on a eastmng 25 feet by 22 feesift.). The apartment is accessed from the outside of the dwelling and has a small back open deck. The family apartment is to be occupied by the applicant's father-in-law,Ray Cafolla. The petitioner is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D) of the Zoning Ordinance. Family apartments are allowed in all residential zoning districts as a conditional use,provided a Special Permit is first obtained from the Zoning Board of Appeals. Staff Review: From the materials submitted,it appears the family apartment meets the following requirements of Section 3-1.1(3)(D) of the Zoning Ordinance in that: 0 the apartment unit at 550 sq.ft. is under the 50% area limitation, I Planning Division-Staff Report • according to a Mortgage Inspection Plan presented with the application, the structure complies with all setback requirements of the zoning district. • According to the application, the family apartment is to be occupied by a family member and the occupancy of the family apartment does not exceed two (2) persons. • 'scaled'pla.ns,of the proposed family apartment have been submitted to the file. The property is within a Wellhead Protection Overlay District and subject to both the 440 nitrogen loading and the Town's 330 Rule. The existing on-site septic disposal system is that of three connected cesspools that,according to the last 1997 inspection,were in proper operating condition. It appears the system was originally designed for three-bedrooms,however,both the septic inspection and the Assessor's record cites the home as having two bedrooms. The applicant should check with the Board of Health regarding any improvement that may be required to add the one-bedroom family apartment. Special Permit Findings: In addition to meeting all of the provisions of Section 3-1.1(3)(D), the granting of a Special Permit requires the following findings of fact to be made by the Board (as required under Section 5-3.3(2)): • that the application falls within a category specifically excepted in the ordinance for a grant of a Special Permit, (Special Permits pursuant to Section 3-1.1(3)(D) -Family Apartment-are permitted in all residential Zoning Districts provided all criteria are met)and, • that after evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. Suggested Conditions: If the Board should find to grant the relief requested,it may wish to consider the following conditions: 1. The family apartment,shall comply with, and be maintained in accordance with,all restrictions of Section 3-1.1(3)(D) of the Zoning Ordinance and shall be the primary year-round residence of the family member residing therein. 2. The family apartment shall be developed and maintained as per plans presented to the Board entitled"Garage Apartment for Ray Cafolla",Plan Number 1562 as drawn by Kenneth Sadler Associates dated 1/2/03 and consisting of two sheets, showing floor plans and elevations. 3. The maximum number of bedrooms permitted on the lot shall not exceed that permitted under Title 5 of the State Sanitary Codes, and the on-site septic system shall be sized and designed to meet the Requirements of Title 5 for the number of bedrooms without variances. 4. This special permit must be recorded at the Registry of Deeds and copies of that recording submitted to the Zoning Board of Appeals file and to the Building Division at the time an application for a building permit is made. An occupancy permit from the Building Division must be issued prior to the occupancy of the apartment unit. In the occupancy inspection, the entire dwelling shall be reviewed by the Building Commissioner and Heath Agent for compliance to Title 5 and the maximum number of bedrooms. 5. The locus shall comply with all State Building Code,Town of Barnstable Board of Health and State Fire Prevention Regulations. 2 ` J Planning Division-Staff Report Copy of: Section 3.1.1(3)(D)- Family Apartments D) Family Apartment subject to the following: a) Not more than one (1) family apartment is provided. b) The family apartment is within or attached to an existing residential structure or within an existing building located on the same lot as said residential structure. c) The residential character of the area is retained as nearly as possible. d) The family apartment contains not more than fifty percent(50%)of the square footage of the existing residential structure if being proposed as an addition thereto. e) All setback requirements of the zoning district within which the family apartment is being located are complied with. f) The property owner resides on the same lot as the family apartment. g) The family apartment is occupied by members of the property owner's family only. h The occupancy of the family apartment does not exceed two (2)family members at any one time. P Y Y P i) The family apartment is the primary year-round residence of the family member(s) residing therein. j) The family apartment will not be sublet or subleased by either the owner or family member(s) at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been-submitted by the property owner or his or her agent to the Building Commissioner and the Zoning Board of Appeals. 1) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Commissioner. n) No such occupancy permit shall be issued until the Building Commissioner has made a final inspection of the proposed family apartment. o) Within sixty(60) days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Building Commissioner to inspect the premises. p) In addition to the provisions of Section 3-1.1(3)(D)(o) above, upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further inspect the premises upon which a family apartment has been vacated at least three (3)times per year for three (3) years consecutive from the time of such vacation. 3 Ale cz Z�- t-3 'X> C.— Ito _1P I�11 ILAILMAE KAS& TOWN OF BARNSTABLE Zoning Board of Appeals Application for a Family Apartment Special Permit Date Received For office use ni Town Clerk's office: Appeal# 72 Hearing Dat 7 Decision Due The undersigned hereby applies to the Zoning Board of Appeals for a Special Permit for the development and maintenance of a Family Apartment in accordance with Section 3-1.1(3)(D) of the Zoning Ordinance, in the C manner set forth below: r_ 177-i Applicant Name: P one: Applicant Address: I Property Location: Property Owner: Phone: __�S�a L 2 2 4 Address of Owner:1 If applicant differs from owner,state nat re of interest Assessor's Map/Parcel Numbed l 7 Id / Zoning District: Number of Years Owned: !7 (4:fAA Groundwater Overlay District: The Family Apartment is to be developed: ] wOin the existing single family structure % as n addition to the existing single family structure Sdrn existing accessory building [ ] other-please explain: The Famil artment.is to be occupied y the following family member(s): Name: Relationship to Owner(s): FS�e�, C�2 Name: Relationship to Owner(s): Does the property have any existing Variance or Special Permit issued to it? Permit No.: Existing Level of Development of the Property- Number of Buildings: Present Use(s): Existing Gross Floor Area of the dwelling'. sq.ft. Existing Gross Square Footage is found on the Assessors Field Card which can be obtained at the Town of Barnstable Assessors office,Town Hall. Application for a Family Apartment Special Permit-Page 2 Proposed Floor Area of the Family Apartment:_ sq.ft. Proposed Gross Floor Area to be Added (if any): sq.ft. Description of Construction Activity(if applicable): 1 Attach additional sheet and plans if necessary Is the property located in a designated Historic District?...................................................... Yes [ ] No [�^ If yes [ ] -Old King's Highway Regional Historic District Date Approved (if applicable) [ ]-Hyannis Main Street Waterfront Historic District Date Approved (if applicable) Is the building a designated Historic Landmark?.................................................................. Yes ( ] Is the property served by public Water?............................................................................... Yes [ ] No [ l Is the property on private septic?.......................................................................................... Yes rl 'No [ o [ ] If yes, does the present on-site septic system meet Title V?...................................Yes ] The following information must be submitted with the application at the time of filing. Failure to do so may result in a denial of your request. • Three(3)copies of the completed application form and Family Apartment Affidavit, each with original signatures. • Three(3) copies of a certified property survey(plot plan) and one (1) reduced copy(8 1/2"x I V or 11"x 17 )showing the dimensions of the land, all wetlands, water bodies, surrounding roadways and the location of the existing improvements on the land. • Three (3)copies of a proposed layout plan for the family apartment with dimensions shown. • Three (3)copies of a proposed site improvement plan and one (1) reduced copy(8 1/2"x 11"or I V x 17"), if applicable. The applicant may submit any additional supporting documents to assist the Board in making its determination. Signature: Date: Iq/0 el plicant's or Representative's Signature Representative's C Phone: Address: i,� O Fax No.: Town of Barnstable Family Apartment Affidavit being on oath, depose and state as follows: 1. 1�reside at67athat I have owned since CyT7—, and which is my domicile and principal residence. The property is shown on Barnstable Assessor's Map and Parcel / 2. On ,the Zoning Board of Appeals, in Appeal No. , granted to me a Special Permit to develop and maintain a Family Apartment in accordance with Section 3-1.1(3)(D)of the Zoning Ordinance and in agreement with the condition(s)of that Special Permit at the premises above. 3. The following members off my family will be the sole occupant(s) oft a Family Apartment Unit: Name: 4r"nni e7.r Relationship to owner: -1 Pr /t1 La r= -_ Name: , Relationship to owner: understand that the Family Apartment: * shall only be occupied by members of my family who are persons related to me by blood or by marriage, * shall be the primary year-round residence for the identified family members, * shall not be sublet or subleased to any other person(s), and * shall at all times, be in compliance with all conditions of the Special Permit issued by the Zoning Board of Appeals, including plans and commitments made in the application and approved by the Board. This affidavit shall be filed annually with the Building Inspector's Office and if the unit shall be vacated by the above identified family members, I shall within 30 days notify the Building Inspector's Office of that and shall immediately proceed with the removal of the Family Apartment Unit. In the event of the sale or transfer of ownership of the above property, I shall notify the Building Inspector's Office and shall surrender the Special Permit for this Family Apartment. Sworn to under the pains and penalties of perjury this day of Signature: -Ai Name: (Please Print) Phone:, CS 3/& Mailing Address: -�' Parcel Detail Page 1 of 2 W lA� Et i d - �LtS, Logged In As: Parcel Detail Tuesday,Janu Margaret Rothman Home Application Center Parcel Lookup Parcel Info Parcel ID .247-096-001 developer Lot ,LOT 17 Location {;329 OLD CRAIGVILLE ROAD Frontage 124 Sec Road H Frontage Village ;CENTERVILLE Fire District Owner Info Owner QUIETER, SCOTT H &CAFOLLA, DONNA Co-owner CAFOLLA, DONNA A Streetl IGVILLE RD Street2 .......... .. city ';CENTERVILLE I State MA Zip 02632 Country :US Land Info Acres 0.23 Use `Single Fam Zoning ;RB Nghbd 0105 Topography Road Utilities Location Construction Info - — - --- w-- --- Building 1 of 1 Year 1975 Roof Gable/Hip AC .None ,m Built Struct! T ype -- ---- Roof Bed Effect 1417 �Asph/F GIs/Cm 2 Bedrooms Area —� Cover Rooms Int style ;Ranch Wall Drys walk Rooms '1 1/2 Bathrms ti 3� Total �n ooms Model ;Residential Rooms 5 R fr . Int� ... ... Bath .... ... . ..�``.�� ' � Grade !Average Minus FloorCarpet � style Kitchen n tories Style Ext iAsbest Shingle Heat iOil Batn !1 Full+ 1 H Wall �gle Fuel I split -... . Heat ._ .... Found- Type[Hot Air ation Poured Conc. �► Permit History._..__..., __. Issue Date Purpose Permit# Amount Insp Date Comments http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=17416 1/6/2004 Parcel Detail Page 2 of 2 1994-08-01 B36993 $1,800 1995-01-15 CE REROOF 1993-06-01 B35961 1$35,000 1994-01-15 CE ADDIT' . . . Visit History Date Who Purpose 2002-07-17 PT Meas/Est 1994-06-15 ME Sales History Line Sale Date Owner Book/Page Sale P 1 2/4/1998 QUILTER, SCOTT H & 11205/306 2 8/15/1996 CAFOLLA, RAIMONDO R 10348086 3 7/15/1993 CAFOLLA, RAIMONDO R & 8675/153 4 CAFOLLA, RAIMONDO R 1569/62 Assessment History Photos http://issgUintranet/parcelinfo/ParcelDetail.aspx?ID=17416 1/6/2004 V i MAP 247 \ \I \ I , 098 2 if 24 \\\ \ �1� # C� >s , 9 7 MAP 2 25 1 3 10 1 i i # 86 4: 63 di �21�51 �2 7 O \\ #27 MAP 247 097 MAP 247 247 #42 CD MAP t.. p n88 0 10 < +, I ' 08 47 --O #293 " 7 f —Y_ ' 0 MAP 247 #68 2 ✓ ® \y` 72 i 0 1— - MAP 247 MAP 247 62`� - 0 0 3. #0 2456 #6 #7 'Q . 2 112 47 66_; 09 I. 39 �_ _ 7 8 — — -------- M2 6 �( 6 9 01 MAP247 47 6 tJ " -__ _ # 20 0 _ # 2 �7 — 47 r' 2 7 2 1 I 2 7 � 6 002 �. 7 #33' 1 P7476 - -10 ------ - 47 � - r------ , 1 0 47 #33 _ MAP r1�47 1154P-T 0 6 7 I F # 2 + ' [— #391 �- l -- 07 47 012 + 1� 3 --- 2 \ 247 16247 1 4e / 016 3 I 247 /`\ # Q 10 �9 MAP 2471. 6 - �#358 MAP 2 7 152 'T➢ 7 2 I \ 62 M 24 1 t� �•#389 4-U } 198, C� 47 47 - 01 #372 136 1 2 \ 7 20 382` �;-•' 247 #1 1 13 MAP 2471 MAP 247 4 1 206� --.'L17 47 #151 1 80 . 3 MAP 247 ` 124 398 2118 1 \ i U 7 ,L47 2 1 1 1 61 nA /100)4 MAP 247 PARCEL 096-001 n— � W � SCALE: 1 -150 E WITH 300' BUFFER S *NOTE: HanimW to raphy,and **NOTE:The parcel lines are only graphic representations DATA SOURS: Plammetrics(man-made features)were interpreted fiom 1995 aerial photographs byTheJames vegetation were mapprto meet National of property boundaries They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps � 1 LO-T 1 6 . LOT _15 9'S LOT 17 _ o0 CONC PAD -- -- ----------- CONC. _—=__-__= - PAD -_______ HSE __ �' _ - _____ f329_-.- q5 / __ - L v� w ; LOT 18CD o / 00 o_ �Y / 50 29 . V a�1 � ,RES. ZOIV�''- 'This M"0-RTG At�'E­'TNS-PECTIO N Plan is For FLooD zoNE c Bank Use Only `.TOWN: __E=fi_V_lLLZ__ — _ — REGISTRY OWNER: RAIMONDO R & .ANTOINETTE C. CAFOLLA DEED REF: .150162- _ — -BUYER: -REED N� DATE: �7% _ _ _ PLAN REF: 118A33 I HEREBY CERTIFY. TO TtIE BQs7QN�lf �F�'T��A1N_�,S_8AN1C c� YANKEE SURVEY THE FIRST_AYE-PICAN .TITLE INS. C0._THAT THE 'BUILDING N OF iyq SHOWN ON: THIS PLAN IS LOCATED ON THE GROUND AS , �� ���P ss�� CONSULTANTS SHOWN AND THAT ITS POSITION DOES -__- CONFO.RM � iA1tL, � }' �. 4013 (SUITE 5) TO THE ZONING LAW SETBACK- REQUIREMENTS OF THE S� A"ERn_HEw _ y INDUSTRY ROAD TOWN OF B�h'NS�A.$�E_____________AND THAT � nIQ. 32pp8 �� IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ��y a� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_ ?�,9Z__ TEL: 428-0055 Co unity-Panel # 250001 0008 D FAX: 420-5553 THIS PLAN NOT MADE FROM AN '1148T UMENT ��.. i �•rmrTf n nrn ----- trrrnrrr.v rnrn mr. ... 1>^l'7('1 DIC'r -TOWN OF BARNSTABLE LOCATION 3 I[� Grw S u; ( c (9 . SEWAGE# r VELLAGE CL ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 3 L S h o J S LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER ' PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: . Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If.any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist i within 300 feet of leaching facility) z Feet Furnished b� ( ��-�"" s Y A n 1 Ll" i --' Or E.Atl _ �. , r -- HI t L. —A �f �, L1 • 1 _____ . _. _____.______.__.. 1 •• LEFT ELEV�.TION i�\FONT ELEV/i.TION_ 10 in ID � . � - IL 11 --__- _ y 1 _ �o ° _ _ sEgo 1 L1 L: Ll, . 1.-____:_.._______________ 71 ___-_____...__.___.. DRAYYING mo o ¢ 3 m x 2 O e Z e 13 s � i 0 C { E i � 1 � ............ I i <I u , � J • 1 I w� C i I � 4 E T-FLoo�PLP.N ! 1 y' s gill r , — --'— --' r-- ORA) r_s a � • TROY WILLIAMS SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (505) 365-1300 19 Hummel Drive South Dennis,MA 02660 COMMONWEALTH OF MASSACHUSETTS j EXECUTIVE OFFICE OF ENVIRONMENTAL DEPARTMENT OF ENVIRONMENTA ECTION p` ONE HINTER STREET, BOSTON, MA 02109 617 $50 e O f� 144 -.. WILLIAM F.WELD p l9 1 VNUDY CORE Governor �Bqp. '� Secretary ARGEO PAUL CELLUCCI °EOl � 99� v B.STKUHS Lt.Govcmor SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTI M Commissioner PART A CERTIFICATION g g Property Address: .3? `I G« C' dd ess of Owner: �� cc,7e, Date of Inspection: la- y /5 7 (If'different) y Name of Inspector: Troy Williams 3� O�� C--*.y "� if /z-c 1 am a DEP approved system inspector pursuant to Section 15.340 of Title S(310 CMR 15.000) A Company Name: Troy Williams Septic Inspections ��+ �"«`�' t�`r M Mailing Address: 19 Hummel Drive, Snuth Dennis , MA 02660 6�2 32 Telephone Number: (5 0 8) 3135-13A 0 CERTIFICATION STATEMENT I certify that thave personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: Passes - _ Conditionally Passes _ Needs Further Evaluation By the Local Approving Authority _ Fail Inspector's Signature:. ^L�%� Date: The System Inspector shall submit a copy of this inspection report to the Approving Authority within thirty(30)days-of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the Department of.Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. INSPECTION SUMMARY: Check A, 8, C, or D: AI SYSTEM PASSES: � l have not found any infomation which indicates that the system violates any of the failure aiterfa as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. COMMENTS: BI SYSTEM CONDITIONALLY PASSES: One or more system components as described in the'Conditional Pass'section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health, will pass. Indicate yes,no,or not determined(Y,N,or ND). Describe basis of determination in all instances. If'not determined',explain why not The septic tank is metal,unless the owner or operator has provided the system inspector whit a copy,of a Certificate of Compliance (attached) indicating that the tank was installed within twenty(20)years prior to the date of the inspection; or the septic tank,whether or not metal, is cracked, structurally unsound, shows substantial infiltration or exftltm'ion, or tank failure is imminent The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved try the Board of Health. - (r—i..e 04/2S/97) - ray• 1 of 10 i G SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Cafolla Date of Inspection:December 4, 1997 B] SYSTEM CONDITIONALLY PASSES (continued) 1V�/9 Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health). Describe observations: broken pipe(s) are replaced obstruction is removed distribution box is levelled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C) FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland"or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IT APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system (SASS and the SAS is within 100 feet to a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well. The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance (approximation not valid). 3) OTHER (revised 04/29/Ql% ;j SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: gay Cafolla Date of Inspection: December 4, 1997 D) SYSTEM FAILS: N/Ia You must indicate ei;,,er "Yes" or "No" as to each of the following: I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. Any portion of a cesspool or privy is within 50 feet of a private water supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. El LARGE SYSTEM FAILS: N14 You must indicate either "Yes" or"No" as to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area -IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 04/25/97) Pave 3 of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST 329 Old Craigville Road,Centenille, MA Property Address: Ray Cafolla Owner: December 4, 1997 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or"No" as to each of the following: Yes No 4 _ Pumping information was provided by the owner, occupant, or Board of Health. _ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. As built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. _ The site was inspected for signs of breakout. _ All system components,excluding the Soil Absorption System, have been located on the site. f!�� The septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material-of construction, dimensions, depth of liquid, depth of sludge, depth of scum. —The size and location of the Soil Absorption System on the site has been determined based on: The facility owner(and occupants, if different from owner) were provided with information on the proper maintenance of Sub-Surface Disposal System. /�L� Existing information. Ex. Plan at B.O.H. _ Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) 115.302(3)(b)] (r.vi..d 04/25/91) _. ., SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray Jolla Date of Inspection: December 4, 19917 FLOW CONDITIONS RESIDENTIAL: Design flow: 02d,,V g.p.d./bedroom for S.A.S. Number of bedrooms: o2 Number of current residents: Garbage grinder (yes or no):�J° Laundry connected to system (yes or no):�S Seasonal use (yes or no): /x/O '/ Water meter readings, if available (last two (2) year usage (gpd): y3 clod 000 Sump Pump (yes or no): /✓� Last date of occupancy: 6 c-c-—10 c °� COMMERCIAUINDUSTRIAL: Type of establishment: Design flow:_ allons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or-no) Non-sanitary waste discharged to the Title S system: (yes or no)_ Water meter readings, if.available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information:( �+ L�S 'lO���nt u/O/./�X 7 ✓S r. o✓ �bt✓ /2. Tca 77ibh� ! 0 ✓� System pumped as part of inspection: (yes or no) C S If yes, volume pumped: .2 000 ttallons Reason for pumping: 1177 /a �✓ �-s �—cy �t� TYPE OF SYSTEM Septic tank/distribution box/soil absorption system Single cesspool VOverflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) VATechnology etc. Copy of up to date contract? Other APPROXIMATE AGE of all components, date installed (if known) and source of information: o t� a �J�✓ �/�✓ v�,t� l+e U/�✓ L S f�.s d ) w fiY�- c. d d Sew4e odors detected when arriving at the site: (yes or no) A16 (reviud 04/2S/971 --- •� SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address:Owner: 329 Old Craigville Road,Centerville, MA . Date of Inspection:RaY Cafolla December 4, 1997 SOIL ABSORPTION SYSTEM (SAS):, (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number:_ leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number:Q<- 'X 'o j e.-,�/d,✓ s Sp e v /. Alternative system: Name of Technology: Comments: (note condition of soil, signs of hydraulic /failure, level of ponding, condition of vegetation, etc.) a< I,CESSPOOLS: V/ (locate on,site plan) Number and configuration: vr,. : r, c S S"o 0 0 S Depth-top of liquid to inlet invert: Depth of solids layer: ', �� Depth of scum layer: Al PA/E Dimensions of cesspool: 6h, s y'eS'' , s Materials of construction: C c...5 Sao . Indication of groundwater: N0 NI-- inflow (cesspool must be pumped.as part of inspection) �' . c oD 1 C I.-e-. Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) T< 5 Lj c ire<//<- -1— !11/L.rT7 ✓7 c /� 4'o --.A 0 S /V h r O b G.-- L.,,,L.,,, N "1-/ I �G✓ L L S S �O b PRIVY: I✓//Y (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 04/25/97) Page t of 10 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 329 Old Craigville Road,Centerville, MA Owner: Ray - Date Own of Inspection: Ray Cafolla December 4, 1997 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' (Locate where public water supply comes into house) CA/ i}G. • f Gt�S fwov f . (raviaad 0{/7S/97) a Page 9 of 10 F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ �� Parcel Permit# 0'4'�-- Health Division Date Issued Conservation Division Fee Tc;,eo �0 Tax Collector c. Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis s 4- uF Project Street Address _ Village �aL� Owner Address Telephone Permit Request S MP o. Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type "1- Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#uZ�On Age of Existing Struct a Historic House: ❑Yes Old King's Highway: ❑Yes p o Basement Type: Full ❑Crawl ❑Walkout ❑Other i 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: VGlas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ; O Fireplaces: Existing ew 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 U No If yes,site plan review# Current Use flomh_; Proposed Use BUILDER INFORMATION P Narn Tele hone Number 17.E 6060 ,a v/ Address M1&±k&)kVW W Lr License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 5khli, !� SIGNATU DATE �, I FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP/PARCEL NO. A ` Al ADDRESS j I'VILLAGE OWNER. DATE OF INSPECTION }� FOUNDATION z FRAME INSULATION f FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • i a GAS: *ROUGH FINAL e f FINAL BUILDING, y DATE CLOSED OUT ASSOCIATION PLAN NO. Assessor's office(1st Floor): / i Assessor's ma and lot number / + Pic INCTHE off. Conservation(4th Floor): Board of Health(3rd floor): " - • Sewage Permit number � rua Engineering Department(3rd floor): 'o +a)o• \�a° House number �o YtaT s• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M and 1:00-2:00 P.M.only t OF BARNSTABLE TOWN BUILDING SPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION " , 19 TO THE INSPECTOR OF BUILDINGS: �— The undersigned hereby applies for a permit according to the followinginformation: Location q�7'ie 0/-,� L ef[ lTt)/s-in I//Z- Proposed Use 1 Zoning District J_/ Fire District C� Name of OwneJ �F//Zo N l/� J` �1��� /� Address I�IoJ�i Name of Builder J Address Name of Architect Address Number of Rooms Foundation c�- Exterior Roofing �� Floors Interior Heating Plumbing Fireplace Approximate Cost Area 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. Na Construction Si ipervisor's License CAFOLLA, RAIMONSO R. LNo Permit For Re-Roof ' s Single Family Dwelling Location _329 Old Craigville Road Centerville Owner Raimonso R. Cafolla Type of Construction Frame Plot Lot ` Permit Granted August 30, 19 , 94 Date of Inspection: - Y Frame 19 Insulation 19 ' Fireplace 19 - Date Completed 19 + i f Assessor's office(1st Floor): p / CIO/ �.s r�SYSTEM Assessor's map and lot num " `�� s! �' LLD I�Co Conservation — _F 3 WITH Board of Health(3rd floor): / i' [L-NVIR ����TA� Sewage Permit number /(J sr�tt . Toviro Engineering Department(3rd floor): House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 6:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARN- STABLE BUILDING I. SP CTO APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: .� The undersigned hereby applies for a permit according the following'nf rmati Location Proposed Use w 67 Zoning District Fire District a ' Name of Owner Address Name of Builder dress �' Name of Architect !1 G� Address le 1` Number of Rooms / Foundation Exterior Roofing doors �" Interior I �rae=ft Heating �' Plumbing v _ 04 Fireplace ® Approximate Cost Area Z©y Diagram of Lot and Building with Dimensions ��— ®� Fee � —f � ba ! � Gc V e s Q OCCUPANCY PERMITS REQUIRED FOR NEW DWI LLINGS '� �V7 c�fQAu56v O /1 RAW I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. c Name Construction Supervisor's License ,CAFOLLA, RAMOIND — -- --- =- r No 3 • 6]. Permit For DUILD ADDITION . Single Family Dwelling Location raw erry ad Owner Ramoind Cafolla Type of Construction Frame E . Plot Lot Permit Granted June 14 , 19 93 Date of Inspection Date Completed ^ ! `V19 O/L!-�-� r Irv'`, i i r r , f 1v � r � f ' 11" r , r r i rr err - -- ----- i IL f � 30- 0" I 19'- 51/2" DO- 31/2" � 't+. -- -- ---- --- -- ---- - - - _ ti N7 c- '� r _ rr r f 1 _ i f rr - --- - -- T -------- -- r i - Ij li I � I _ C\\ f