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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 rs:):`A business certificate ONLY REGISTERS YOUR NAME in town (Which
you must do by M.G.L.-it does not give you permission to operate.) Busm ss Certificates are available at the Town Clerk's Office, 1"FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
}} - DATE: Fill in please:
qP�#s t �3tf ya > e APPLICANT'S YOUR NAME/S:
BUSINESS YOUR HOME ADDRESS: Z /jrx. c 1 9 TELEPHONE # Home Telephone Number G�
NAME OF CORPORATION:
NAME OF NEW BUSINESS TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO 94
ADDRESS OF BUSINESS U e v-, MAP/PARCEL NUMBER 1A7 Z - d (Assessing) M
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended"to assist you in obtaining the information you may need. You.MUST G®TO 200 Main St..- (corner of Yarmouth
Rd. & Main Street) to make sure you have-the appropriate permits and licenses required to legally opera a your usiness'n this town.
1. BUILDING COM ISSIO ER'S O CE
This individu I s e n ir4br d an pe mit requirements that,pertain to this type of business.
va
Aut rized Signa
COMMENTS:
2. BOARD OF HEALTH
This individual ha e I
infor ed f th rmit r uirements that pertain to this type of business.
`Authorized ignature*
COMMENTS: '
TZAPPM NATMAtS RC-fa�JlJ�TI^,�;�
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has b&n in=of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
;
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel (� �� Application #Zo I 1
Health pivisioh Date Issued C)
Conservation Division Application Fee
Planning Dept. ' Permit Fee
Date Definitive Plan Approved by Planning Board �1�/IaV '
Historic - OKH Preservation / Hyannis '
Project Street Address I b qs D .l S K
( �� @/
Village U � 14-
Owner L:1 ' 1'0U rr, J Address ��Z ��( l qq �l !►+ 1� r44
Telephone 3 — 7 ci
Permit Request Ou e&0 k0i
Square feet: 1 st floor: existin bs c
q g� proposed 2nd floor: existing proposed _ b taWew
c� C>Zoning District Flood Plain Groundwater Overlay -
Project Valuation ''fi�nn -0� .®✓�� wtif� Construction Type v
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supportinpocEQientation.
co
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) co
CD rn
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway:[]Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑.existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed:, existing ❑ new size _ Other: pimp koi �z Q P
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)Al 4
Name AL Telephone Number J� + ��- 2`"
Address NO G i�` f License #
Home Improvement Contractor# 0 (P'D(p
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL B TAKEN TO
TOa � �
SIGNATURE DATE
I
FOR OFFICIAL USE ONLY
k. APPLICATION#
+r D&TE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
_FIREPLACE
ELECTRICAL: ROUGH `4 " FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL Y
FINAL BUILDING -
DATE CLOSED OUT -
f
ASSOCIATION PLAN NO.
a
assachusetts
• The CornmonwealtJi ofM
Department of Industrial Accidents
Office of Investigations
+ 600 Washington Street
Boston, AM 02111
��• www:mass.gov/dia
Workers' Compensation Insurance Affidavit: Build ers/Contractors/Eie'etricians/Plumbers
Applicant Information rT Please Print Legibly
Name (Business/OrganizatiorAndividual): t FA/�r,��' Z 1 r
Address b ve/
City/State/Zip: coly+. f 1,: &43 .� Phone.#:
Axe you an employer? Check the appropriate box: Type of project(required):
1.'�[► I am a employer with.. . 4. [] I am a.general contractor and 1.
have hired the stib-contractors 6. ❑.New construction
employees(full and/or part-time,.
2.El I am a sole proprietor ofpartner-' listed on the attached sheet T. 0.Remodeling
ship and have no employees These sub-contractors have g 0 Demolition
workingfor me in an capacity. employees and have workers' 9 Building addition
. Y P tY : t g
[No workers'.comp:-insurance
comp..insurance.
5.°[� We are a corporation and its 10.[] Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work offrcers,have exercised their ME] .mbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.)6 Roof repairs
insurance required.] t c. 152, §1(4), and we have no.
employees. [No workers' 13. " Other
comp. insurance required]
J.
*Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy infon-nation.
t Homeowners who subnut this affidavit indicating they are doing all work and then hire outside.contractors must submit a new affidavit indicating such.
xContractors that cheek 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 f
Insurance Company Name: •r�' 7 '
Policy#or Self-Jas. Lic.#:' 45S10 6 0.17 Cow jq 2 - q_ xpiration Date:
Job Site Address. 5 9,4_ 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 crimirial penalties of a
fine up 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 for ins covera e verification:
I do hereby ce nder`the ai and penalties of perjury that the information provided above is true and correct .
Si afore: f lDate. ®l D
Phone , . ,. ,: .. •� .
Official use only. Do not write in this area, to be completed by city or town official
City or Town: Pern-it/License#
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector
6. Other
C'.nntart PPrsnn Phone#:
Information and Instr°u ti®us
Massachusetts General Laws chapter 1S2 requires all employers to provide wor rs' 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,
Cxpress or implied,oral or written."
An M..�C'6 er is defined as"an individual,partnership,association, torpor on or other legal entity; or any two or more
of the f egging engaged in ajoint enterprise,and including the legal representatives of a deceased employer, or the
receiver or tee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwe L g house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of`• ther who employs persons to do maintenance, GoOnstruction or repair work on such dwelling house
or on the grounds or g appurtenant thereto shall not becausepf such employment be deemed to be an employer."
MGL chapter 152, §25C(6) Is states that"every state or Ioca�lflicensing agency shall withhold the issuance or
renewal of a license or perms operate a business or to construct buildings in the commonwealth for any
applicant who has not produced- ceeptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §2 Mates"Neither th-®commonwealth nor any of its political subdivisions shall .
enter into any contract for.the perfo c .on\o
public work ntil acceptable evidence of compliance v2th the insurance
requirements of this chapter have been p s the co tracting authority."
Applicants
Please fill out the workers' compensation affidavit coil •ely,by checking the boxes that apply to your situation and, if
necessary,supply sub-conkactor(s)narne(s), address(e�s)and one number(s) along with their certificate(s)of
insurance. Limited Liability Companies(LLC) or Limited Liabi ty`P erships(LLP)with no employees other than the
memSers or partners,are not required to carry worke s'compensatio Enate
e. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be sud to the Department of Industrial
Accidents for confirmation of insurance coverage. Iso be sure to sign the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is br-'' g requested, not the Department of
Industrial Accidents. Should you have any question regarding the law or if you a'e required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self- ed companies should enter their
self-insurance license number on the appropriate lime'. \
City or Town Officials
Please be sure that the affidavit is complete'and pr' ted legibly. The Department has pro\cscjace at the bottom
of the affidavit for you to fill out in the event the O fice,of Investigations has to contact ying the applicant
Please be sure to fill in the permit/license number hich will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applicati ns in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under`Job ite Address" (he.applicant should write"all locatio in (city or
town)..".A copy of the affidavit that has been oflialially stamped or marked by the city or town maybe pr vided to the
applicant as proof that a valid affidavit is on file permits or licenses. A new affidavit must be filled out each
year. `Nhere a home owner or citizen is obtaininglorfuture
a license or permit not related fo any business or commercr'al venture
(i.e. a dog license or bum leaves to bu leaves etc.)sd person is NOT required to complete this affidavit
t
The Office of Investigations would like to.thank you in advance for your cooperation and should you have any,quo
please do not hesitate to give us a call.
The Dep a tment's address, telephone-and fax•number:
The Co mmnw th o Massachusetts
Departmen`a dustriI Accidents
Office llof nvestigat ons:
600 W\ hing>on Stle.et
Boston,MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax# 617-727n7749
Revised 11-22-06
. www.mass.gov/dia
7
fI
IHE - Town of Barn-stable
` Regulatory Services
r
axxxsresr.r Thomas F. Geiler,Director.
�Enr ` Building Division
Tom Perry,Building Commissioner
.200 Main Street, Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: S08-862-4038 Fax: S08-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I► J'�' TO. 2 as Owner.of th� �2i4-<.7 c subject property
herebyauthorize O -
f�7� P G� �� act on my ea bhlf
,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
g /6`j6
Signature of Owner, Date
L t)Pti;f,'J
Print Name
If.Property Owner is applying for permit please complete the,'.
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
Town of Barnstable v -
Regulator Services
y T
swxxsrwsrE Thomas F. G iler;Director
tt,�ss.
Buildin, Division
PrED a Tom Perry,Building Commissioner
� g
200 Mait-Street, Hyannis,MA.02601.
-_.. _. _
vrww.to Tn.barnstable.ma.us
Office: 508-862-443 8 Fax: 508-790-6230
o _
HO)\'IEOVijNER LICENSE EXEMPTION
Please Print i
DATE:
- i . .
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 xtended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an mdMdual or hire who does not possess a license,provided that the owner acts as
supervisor.
D FINITION-OF HOMEOWNER C
Person(s)who owns a parcel of land\hic he/she resides or intends to reside, on wliich there is, or is intended to'
be, a one or two-family dwelling, attached , detached structures accessory to such use and/or farm structures. A
person who constrgcts more than one home ' a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building f6�ial on a form acceptable to the Building Official,that he/she shall be
responsible for all such work erformed un er the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes re onsibili for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulati ns.
The undersigned"homeowner"certifies tha he/she undersNLuds the Town of Barnstable Building Department
minimum inspection procedures and requirements and that h he vill comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger be required to comply with the
State Building Code Section 127.0 Constriction Control.
JOMEOVNNER'S EXEMPTION
The Code states that: "Any homeowner perfomring work for which a building perrnit is requirefthall be exempt from the provisions
of this section(Scetion 109.1.1 -Licensing of crostructl Supervisors);provided that if the homeowner rngagcs a person(s)for hire to do such
work,that such Homeowner shall act as superrisor."
Many homeowners who use this exemption arc unaware that they are assuming the responsibilities of Nsupervisor(see Appendix Q.
Rules&Rcgvlations 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 personlas it would with a]icrnscd
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 currrntly used by
several towns. You may care t amend and,adopt such a forms ertification for use in your cormnunity.
Q:fornu:homccxcmpt
.A
RightFax C1-2 8/17/2010 7 : 17 : 28 AM PAGE 2/002 Fax Server
ACORDb - CERTIFICATE OF LIABILITY INSURANCE DATE MMIDD/YYYY 08/17/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE
OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the
terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
PHONE FAX
HORGAN INS AGCY INC (A/C,No,EXt): FAX
(A/C,No):
44 BARNSTABLE RD B E-MAIL
ADDRESS: ,
PO BOX 250 PRODUCER
HYANNIS,MA 02601 CUSTOMER ID#:
28XBF INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: CONTINENTAL CASUALTY COMPANY
INSURER B:
A I ENTERPRISES INC INSURER C:
INSURER D:
PO BOX 2056 INSURER E:
COTUIT,MA 02635 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED
OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE
TYPE OF INSURANCE POLICY NUMBER (MM\DD\YYYY) - (MM%DD\YYYY) LIMITS
LTR - INSR WVD -
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED $
CLAIMS MADE OCCUR. PREMISES(Ea occurrence)
MED EXP(Any one person) $
PERSONAL&&ADV INJURY $
GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $
POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $
AUTOMOBILE LIABILITY COMBINED SINGLE $
ANY AUTO LIMIT(Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULE AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS PROPERTY DAMAGE $
(Per accident) _
rr�-+
UMBRELLA LIAB .. OCCUR ' } EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE Z
DEDUCTIBLE
RETENTION $ %71:) O
WC STATUTORY LIMITS. - OTHER �#
WORKER'S COMPENSATION AND (>0
EMPLOYER'S LIABILITY YIN US-0276M742-10 07/18/2010 07/18/2D11 E.L.EACH ACCIDENT $ ).300,000
ANY PROPERITOR/PARTNER/EXECUTIVE N _ E.L.DISEASE-EA EMPLOYEE $M ;_9b0,00o
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-POLICY,LIMIT 0,000
If yes,describe under - „
DESCRIPTION OF OPERATIONS below co 11'
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/RESTRICTIONSISPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. (ram
RE]OB:1095 OLD STAGE RD.CENTERVILLE,MA
CERTIFICATE HOLDER CANCELLATION
TOWN OF BARNSTABLE, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE
ATTN:SALLY WITH THE POLICY PROVISIONS.
200 MAIN ST AUTHORIZED REPRESENTATIVE
HYANNIS,MA 02601 Dennis Chookaszis
ACORD 25(2009/09) 1988-2009 ACORD CORPORATION. All rights reserved.
. 1
lk� Massachusetts- Department of Publ:c Sato%
Board of Building Regulations and Standards
Construction"'
License
License: CS 50457
Restricted to: 00
PETER M POMETTI
PO BOX 2056
COTU IT, MA 02635
o--
Y
Expiration: 4/19/2012
--------------
(nmmisxioner Tr#: 214M
Bua License or registration valid for individul use only Y
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 109606 Board of Building.Regulations and Standards
One Ashburton.,P4ace Rnt=1301 '
Expiration: 9/21/2010 TO 274229 Bosfon,Ma.02108
„'Type;':Private Corporation
A I ENTERPRISES INC.
PETER POMETTI
140 LITTLE,RIVER RD;
COTUIT,MA 02635 Administrator Not valid without signature
t�
. ' j- a •_ '
1-
R
Town of Barnstable
�FZHE Tp�,
C Regulatory Services
+ Thomas F.Geiler,Director
* snxxsrA1314
9MASS. � Building Division
�prFD MA'1 A Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 ax: 508-790-6230
PERMIT# FEE:(� $
SHED REGISTRATION
i 0 square feet or less
1
Location of shed(address) Village.
c e C�/
Property e na'e Telephone number
Size of Shed Map/Parcel#
w o
6
Signature Date X„
Hyannis Main Street Waterfront Historic District? co
o + It
Old King's Highway Historic District Commission jurisdiction? '
Conservation Commission(signature required) ° so' 7 xc Y
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Q-forms-shedreg
REV:121901
r
�;;._ �, �
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6y - 14
i
d SUBDIVISION PLAN OF .LAND. IN BARNSTABLE 3867/
Down Cape Engineering, Surveyors
February 20, 1986 - p
et oI
Four
vier
•
42
CIO CO. `N 21138 I 22
roil
Ge c���`��h— h
24 ti h
V. ti c - C o./z `
e.00� Mce
39
/O
0 3 ��
I/ 1 �47o�eroE� o
N 23 54 p3 svro/$rb ., so Co `3B0//)11..
--140o�\
-00 Pond
w_523036 55
50
� 0
Ali 4700
O .►\ Cronberry Boy
�. 0 h
/2
/,,ry t: 2y qr fro
\S20o2520 W
e I
i _ os4 �� •S? O
/8 s ��f 39 i•
/9
20 0
h
CA
Subdivision of Lot 23
Shown on Plan 38671B
Filed with Cert. of Title No. 98858 ~`
Registry ,District -of Barnstable County
Separate certificates of title maybe issued for land Abutters are shown as on
shown hereon a 40ts.. 4..pRd.,25...... .......... . original decree plan.
8y the Court. ) Copy of part of plan
filed in
LAND REGISTRATION OFFICE
....APR ... APR. 18, 1986 Reco e . Scale of this plan 120 feet to an inch
pG Louis A.Moore,Engineer for Court
Form LCE-S-3.3500 3•14
r
The Town of Barnstable
1RNSTABLE. ' Department of Health Safety and Environmental Services
MASS
�FDMPyN`e� ` Building Division
367 Main Street,Hyannis,MA 02601
508-862-4038 ,
508-790-6230
PLAN REVIEW
Owner: I� J U rl�l .Map/Parcehl l 3 , 6 D
Project Address: b�1 D�� S� Builder: D h0-
1r'
C
The following items were noted on reviewing:
)00 JALUA S�-
Reviewed by: C _
Dater "63
Assessor's Office 1st floor a Lot . ;E Permit#
Conservation Office(4th floor) C --A/LA Wwqy �' eA Date Issued
Board of Health Ord floor)
Engineering Dept. Ord floor) House# d 0 9-S
stp"TIC S1fS1V� d
E
PlanningDept. 1st floor/School Admin.Bldg.): E®IN4.
Definitive Plan Approved by Planning Board 19 V11TH �IRONMEN(Applications processed 8:30-9:30 a.m.& 100-2.00 p m) er ; .
TOWN OF BARNSTABLE.
Building Permit Applicatioa>~ '
Proiect Street Address
Village Fire District _ ��A t L L Z c �
OwnerIAENAI Q.d ROT14 17� , :YLk-n-1r.j.A AddressP.b.-Goy 562 146 PJAp RCd., �
Telephone �i L g, L 4 i
Permit Request: Pamp $(`('!;D Fo 9, ( )4 tL). ( T�O&
Ra PQ 5ED 01 AcR LN EQV Sfg AG G U i t_A IN a C l a
} nn
Zoning District IK (� _ Flood Plain Water Protection
Lot Size Grandfathered
Zoning Board of Anneals Authorization Recorded
Current Use Proposed Use
Construction Tyne
Eaistin2 Information
Dwelling Tyne: Single Family Two familv Multi-family
Age of structure Basement type
Historic House Finished
Old Kings Highway Unfinished
Number of Baths No. of Bedrooms
Total Room Count(not including baths) First Floor
Heat Tyne and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name Telephone number
Address License#
Home Improvement Contractor#
Worker's Compensation #
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN' (AS BUILT) SHOWING EXISTING, AS.WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
Proiect Cost
Fee ./®Ll
SIGNATURE ADATE 1,3 1'
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
r BPERM T
A=17 3-8 6-2 FOR OFFICE USE ONLY
Permit # 12-05-94 `
ADDRESS 1095 Old Stage Road VILLAGE Centerville
OWNER Henry R. & Ruth B-. Junnila : - i
DATE OF INSPECTION:
FOUNDATION
FRAME
t�
1
INSULATION '
FIREPLACE s
ELECTRICAL: ROUGH FINAL '
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL ;1
_ t ♦4
FINAL BUILDING:—k '
DATE CLOSED-OUTS` 6 /yn 1/� ~
ASSOCIATE PLAN NO. t
i r t
11
4 ♦ i f
F
1
THE CLASSIC POST & BEAM GARDEN SHED EVELAND CONSTRUCTION
209 Iyanough Road
Hyannis, MA 02601 t
(508) 778-5667
FRAME - ALL LUMBER TO BE FULL DIMENSIONAL PINE
2 X 6 FLOOR JOISTS, RAFTERS, COLLAR TIES. @ 24" O.C. -
4 X 4 CORNER POSTS
2:.X 4 STUDS AND PURLINS
IX VARIOUS WIDTH DECK, ROOF BOARDS & SIDING
ALL VERTICAL SIDING TO HAVE 112" X 2" BATTONS @ SEAMS
OTHER SPECS
SOLID CONCRETE BLOCK FOOTINGS (POURED WHERE REQUIRED)
ALUMINUM GABLE VENTS
ALUMINUM...PLINTH- POST FEET
ASPHALT' ROOF .SHINGLES, UNLESS OTHERWISE SPECIFIED
1 X 8 RAKE BOARDS; 1 X 6 FACIA; 6" TEE HINGES; LOCKING HASP
ALL HEIGHT DIMENSIONS APPROXIMATE
{ 4 I
7`3"
_ ` I
SUBDIVISION PLAN OF LAND-IN BARNSTABLE_ 38671
Down Cape Engineering, Surveyors
February 20, '1986
t �
F .. EI Ql.
�.
7 Four°ler E I
230
R• oy ce g1138 22 I
GerclA
24
- £tee
3gp0�
N 230 354 55
3ISIJ*"otb�,y°�`o•,r/3B�//
C.B. `� B 4p00
f_s`*%oe�o w
��
�\ O`
4..00
Nt ��' 2N
25
e
3
t ay\
i .0 C N� Crone�rry• Boy ! IR
/2 b —
/4
N \ �
52002520 a e4'f Q
;FAs� O
/g
20
ti
Subdivision of Lot 23
Shown on Plan 38671B
Filed with Cert. of Title No. 98858
Registry District of Barnstable County
Separate certificates of title may be issued for land Abutters are shown as on
shown hereon a 4ola.. 4..oRo'-,25................. original decree plan.
By the Court.
j/u copy of part of plan� � fledfn
-
W� n LAND REGISTRATION OFFICE
APR lB/9 6 ................... .... . APR. rs, ise6
Scale of this plan r2o feel to an inch
MPG LOUIS A.Moore.Engineer for Court '
Form LCES-3. 3w 3•M