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0796 SOUTH MAIN STREET
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" "�'�4 �If .ip. t Wit' p W I 5 p+ q ip 4 ) y p A V Y t p0 `'i r x 1s� P I p 1 1� 4 t ' .. p: `;' l Y o 4 v ;` �' or 1 pl 1 j V A ;4 tx . f 1 Yp' 1 1' ! yp, p , r . s 1 :,f it �. �, : * dl 'T•ppIs )EJ rE e " p .a' '.�� 1T 'jn s 1 i } Town of Barnstable *Permit ii ' 00?o� q Z C l rpires a 011111sfwrit issue date Regulatory Services a 1039• o� 9 2Q�� Thomas F.Ceiler,Director rFn PRNS-�Pg1.E Building Division N �� 8 `Tom Perry,C130, Building Commissioner �QW 200 Main Street,Hyannis, MA 02601 www-town.barnstable.ma.us Office: 508:862-4038 • [pax: 508-790-6230 RXPR F SS PERMIT APPLICATION - RESIDENTIAi., ONLY Not Valid without Red X-i'ress inrprint• Map/parcel Number f Property Address_- d 9 lQ S /I I >1 IE-Residential Value of Work V Miuimuur fee of$25.00 for work under$000U.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License it(if applicable)_ , 10 3—7 1 Construction Supervisor's License it(if applicable)_ 02-10 '3.�2,S' xWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ 1 am the Homeowner WI have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy iR_ I) Qj 1.1 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) P�-Rc-roof(stripping old shingles) All construction debris will be taken to i ❑ Rc•-roof.(not stripping. Going over existing layers of rood ❑ Re-side ❑ Replacement Windows. ,U-Value (maximum .44) 'Wherc required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conscrvation,ete. ***Note: Property Owner must sign Property Owner Letter of Permission. Home hrtprovc nt Contractors License is required. SIGNATURE, - Q:Porms:cxpmtrg Rcvisc071405 ate, 5/24/2007 Time, 11156 AM Tor @ 9,150842045S5 Dowlinq 8 O'Neil Pagel 002-003 Ciie t# 9989 2CAZEAULTPA ACORD. CERTIFICATE OF LIABILITY INSURANCE o5Z4,`;°°"YYY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J.Cazeault&Sons Roofing,Inc. INSURER B: 1031 Main Street INSURER C: Osterville,MA 02655 INSURER0: INSURER E: COVERAGES 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 IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, PO TE NEYVUDD/�YYVE PO ATE N�i�AIIDD/YYI LTRnON NSR TYPE OF INSURANCE POLICY NUMBER LIMITS A GENERAL LIABILITY NPP1082452 04/30/07 04/30/08 EACH OCCURRENCE $1 000 000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY a o=rrenc $50 000 CLAIMS MADE Q OCCUR MED EXP An one person $5 000 X BI/PDDed:1000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 00O 000 POLICY I I JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT § (Ea acddenl) ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per eccidenl) NON-OWNED AUTOS PROPERTYDAMAGE $ (Per accident) GARAGE IL LABILITY AUTO ONLY•EA ACCIDENT 5 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILM EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S a DEDUCTIBLE $ RETENTION $ WCS 8 TATU• OTH• WORKERS COMPENSATION AND FR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECLRNE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE s U es,dEPR"OVIS a underIONS Allow E.L.DISEASE•POLICY LIMIT $ CIAL PR OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul J.CaZeault&Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL ,n DAYS WRITTEN ROofing,inc. NOTICE TOTHE CERTFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville,MA 02655 REPRESA S. pPRESENTATIVE ACORD 25(2001/08)1 of 2 #47754 LS1 ACORD CORPORATION 1988 The Commonwealth of Massachusetts Page 10 of 10 ;� �!! Department of Industrial Accidents Dalf Office of Investigations 600 Washington Street art; o Boston,MA 02111 r www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print (Legibly Name(Business/Organization/Individual): P19 U L Address: 10 31 a 1 n s� City/State/Zip: Q 5 T (-V I i �e M602(o GS Phone#: Are you an employer?Check the appropriate box: Type of project(required): I Z I am a employer with t Z 4. ❑ I am a general contractor.and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t �• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 L❑Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4);and we have no 12.®Roof repairs insurance required.]t employees.[No workers' 13.❑Other comp.insurance required.] .11 *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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. --� Insurance Company Name: Taql Policy#or Self-ins.Lic.#: 0�/ b Expiration Dater q V G Job Site Address:- S M 1 dlyl2,d� f�1 � City/State/Zip: f7`V2_Cd_n Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 er the pains pen 'es of perJury tlt the information provided above is true and correct Si at ---.Date: 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#: i - . 7'j- -P Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2008 PAUL J. CAZEAULT & SONS, INC. Paul Cazeault 1031 MAIN ST - OSTERVILLE, MA 02658 Update Address and return card.Marls reason for change. [] Address .I Renewal ! j Employment Lost Card DPS-CA1 0 50M-05/06-PC6490 �ce �art7,woxuiealU o�.�.aaaac/ucaelta Board of Building Regulations and Standards License or registration valid.for itldividul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards Expiration: 7/9/2008 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 PAUL J.CAZEAULT&SONS,ING. Paul Cazeault - - 1031 MAIN ST OSTERVILLE,MA 02658 Deputy Administrator Not valid without signature Board of Building egulations One Ashburton Kam (gym 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 026325 Expires: 10/20/2007 Restricted To: 00 PAULJ CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 Tr.no: 7696.0 Keep top for receipt and change of address notification. PS-CA1 u 5OM-04105•PCO698 ✓!:e�a-n»�r�uuealU v�✓Gfaoaac/iuvP,tt BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 026325 Expires.: 10/20/2007 Tr.no: 7696.0 Restricted:,00. PAUL J CAZEAULT`. ;:.. 1031 MAIN ST OSTERVILLE, MA 02655' Commissloner A =J oo�irY) va NE B S -> � DATE PRODUCER -THIS CERTIFICATE IS ISSUED,AS A MA. TER,O INiLr.) ccvu.; ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOWLING 6 O NEIL INS ACC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND"OR 222.WEST MAIN STREET. ALTER THE COVERAGE AFFORDED BY THE POLICIE, BRm n I!_. PO BOX 1990 HYANNIS MA 02601 COMPANIES AFFORDING COVERAGE COMPANY. 22LGR' A TRAVF,LERS PROPERTY CASUALTY COMPANY OF' AMERFI A INSURED COMPANY PAUL J CAZEAULT 4 SONS INC. 9 1031'j1A.IN STREET COMPANY OSTERV I LLE 14A•02655 • - C COMPANY D . •t c IYJY,t•:.. R YY E. G:ifi�f. ....,!:;,'aY.F.:::.::, •ems.!:,.;:. ....-.. • ,;. :nor::^•;. THIS 15'TO CETiTIFY THAT THE POLICIES-OF INSURANCE LISTE17 BELOW HAVE BEEN ISSUED TO'THE'INSUREO NAMED'ABOVE FOR THE POLICY PERIOtZ' '- INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND-CONDITIONS OF SUCH POLICIES.LIMITS'SHCIwAW MAY-HAVE BEEN REDUCED'BY PAID CLAIMS.- ' CO TYPE OFINSURANCE POLICY NUMDER POLICY EFFECTIVE POLICY EXPIRATION ' LIMITS LT R DATL(td:ADD\YY) . DATE(M0M0U%YY).• " OENE;tA LIABILITY GCNERAL AGGREGATE g C"MAAEFi(.TAL C,ENhHAL1.lA1lILIIY' PkbbuCI;f-CIJMYIUI°Ado. ' CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY g OvYNt4('S a uJNTRA�TOR�PROT. EACn OCcunmce. . 6 FIRE DAMAGE(Any one tire) g MED..EXPENSE(Arty one person) f. AUTOMOBILELIABWTY . ANY AUTO COMBINED SINGLE _ LIMIT ALL OWNED AUTOS BOPIEY INJURY_ SCHEDULED AUTOS (Per Person) 3 HIRED AUTOS NON-OWNED AUTOS BODILY INJURY 3 (Per Accident) PROPERTY DAMAGE• g OARAGE LIABILITY ONLY:EA ACCIDENT' g' ANY auto OTHER THAN AUTO ONLY: .....:......:......:....::::. EACH ACCIDENr, i AGGREGATE s EXCESS LIABILITY EACH O ccunRF,NCE . g JMDRELLA FORM AGGREGATE : OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND -- --- A EYPLD,YERSUABILITY. (UB-0095B64-A-06) 08-10-06 OB-10-07 STATUTORYLIMRS N/p`'''j THE PROPRIETOR/ EACH ACCIDENT g ` PARTNEF&EXECUTIVE " INCL DISEASE-POLICY LIMIT = OF EXGL DISEASE-EACH EMPI.OYEE100.on g THIS REPLACES ANY PRIOR CLRTIFICATC IssuED TO THE; CERTIFICATE HOLDER AFFECTING VIORIffiRS COMr COVERAGE. : .>•. Sa. : .. :G :.F1Ci.: QL x :............ `,i'ivy..,.,.....:rv']n. .%i J...a.. .•4•v:i:i .T. i.., ..k Cam:.:::. .F . ..,.n,..:. .n•.,.ir.�.: ..n •i`•c.` ,n t't I..:..o'i:•i:,•::i?;^:S>.v:i::t..i�:'S �j.•.i::�q..in. :.n•t:„;, :.. .. ... ,.; ..:;.5,:.....:nay.•.>':i::...n.>rii.::,..:in1:..n:,J.7.i;::fn.:ioF,1%.?:S:f.'.i:.%:.;�,:'�h+':'. " ---- SHOULD ANY OF THE ABOVE DESCNBEO POLICIES BE CANCELLED BEFORE THE Paul J•Cazeault&Sons EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Roofing,l Tc: LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 1031 Mai,Street LIABILITY OFANY-WHO.UPWA THE CO✓Irw,j,iTSA"W6ac►RVREWMAXIKS.. OStervillo,MA 02655 AUTHORIZED REPRESENTATIVE .. � '•t' LS:: ,i:I'".+tit:?;: CG'f:.t:$:2:':7f,'i?.`':Y:;;.,.t, :•:e;i$:G:i:>:.'<•sF.;:•:t:e::::t.S'.: � .25.3t 3d43'• .;f4� •i•�a:•ywY•h� ..i� <,,, ,?.:. ..t.:.::,:;:: . driAratltN�:1993<: property Owner Must Complete & Sign This Form If Using a Roofer 1 Builder. as Owner / Agent (print) v' of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job Signature of Owner Mailing Address of owner Telephone# Date � G Please return this form to Cazeault roofing along with you signed ro' ettthank you)fax#508-420-4555It is needed for us to obtain the building permit required by your town, to complete your roofg p 1e TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANTS " q, 3 YOUR NAME: - 4� BUSINESS r YOUR HOMErA E-SS; �r 7 l L A -( TELEPHONE y Telephone Number Home NAME OF NEW BUSINESS ,- � TYPE OF 77 BUSINESS IS THIS A HOME OCCUPATION?: ADDRESS OF BUSINESS: _ ti +' MAPIPARCEL NUMBER ov 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. Once you have obtained the required signatures, listed below, you may appl=INSPE ess certificate at the Town Clerk's Office (Ist floor-Town Hall). 1. GO TO(ual ILDITaofa FFICE(4TH FLOOR TOWN HALL) This'indivi has be inforrne pe�iquirements th t pertain to this type of business. u orized Signature COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the p rmit requirements that pertain to this type of business. ezr Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual h b 9rmed of the licensing requirements that pertain to this type of business. /;�c gg,,, /1, Authorized Signature < COMMENT . After obtaining the required signatures you roust return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. a : ' v s 796 South Main Street (R185-006) Centerville, Ma B&B By the Sea Owner occupied B&B Not to exceed three (3) guests Tennis courts offered as an amenity for the guests and/or personal use The owner occupant shall confer with the Building Dept. when considering increasing the number of guests or otherwise offer commercial use of the tennis courts non-guests. I . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel 44-9Permit# Health Divisio Date Issued C-4- 71* Conservation Division P, L Fee �:� Tax Collector SEPTIC SYSTEM MUST BE Treasurer = .� INSTALLED IN COMPLIANCE �s� ENVIRONMENTAL C®® F Planning Dept. I:AND Date Definitive Plan Approved by Planning Board ®WN REGULATIONS "�/ k Historic-OKH Preservation/Hyannis ,. a Project Street Address So "�� VillageryT / Owner C' JZ o�I Af%' ICT N C ' Address 7 % d n C Telephone Permit Request Square feet: 1 st floor: exi ting proposed 2nd floor:existing proposed Total new Estimated Project Cost Ue Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Ll/ Two Family ❑. Multi-Family(#units) Age of Existing Structure 1 O ° Historic House: ❑Yes O40 On Old King's Highway: ❑Yes ❑No Basement Type: 5a�Full ❑Crawl ❑Walkout ❑Other t . Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r' 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 D new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Ow 1A elr BUNTER INFORMATION Name Li!e Neb (A4. Telephone Number S a a-) Address G A CA i n License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,in h SIGNATURE i e DATE o a FOR OFFICIAL USE ONLY s PERMIT NO. _ DATE ISSUED, MAP/PARCEL NO: a ADDRESS `';k c VILLAGE — n OWNER DATE OF INSPECTION: FOUNDATION ` U�, - ,s FRAME `j + r INSULATION - a FIREPLACE ELECTRICAL: ROUGH i FINAL PLUMBING: ROUGH` t FINAL' I i GAS: ROUGH., r�9 ' • FINAL z , FINAL BUILDING DATE CLOSED OUT d ASSOCIATION PLAN NO. r , • °FTMF T°y� , The Town of Barnstable r : a,�rervsrasrE. 9 MAM $ Department of Health Safety and E IIvironmental Services t659' •• Building Division �'D�Eny 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 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. pC � Type of Work: a , �,1,{ S Estimate Cost Address of Work: Owner's Name: Date of Application: Lo I hereby certify that: Registration is not required for the following reason(s): [3Work excluded by law F]Job Under$1.000 []Building not owner-occupied [Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PST OR DEALING WITH UNREGISTERED ORK DO NOT HAV CONTRACTORS FOR APPLICABLE HOME OR GUA T IMPROVEMENTWFUND UNDER MGL cc.. 142A. ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: - • Date C"erl tractor Name Registration No. k)O V�J 4Date s Name q:forms:Affidav The Commonwealth of Massachusetts srl-ice =� Department of Industrial Accidents OUR 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance davit // � name: location O �p hone# eD city U G I am a homeowner performing all work myself ❑ I am a sole rietor and have no one is anv /� for employees�°°rlang on this job.::.::::::.: .:.,.:::.:::::::.::::,:.,..:.:... . workers msatitm my lover dmg :,,:.::-.::.}}.{J}.. ...................... .:.::::.._:::<.;:.:;::;:;.:};:<.;:.;;:.;:: '::.::; ::::>:::::::><::<::<::::;:: :::«: >::>:>:::;::;::>:::<:; :::: I am Pam...... {. ::>::;;:::�::i•:::?:::;�r:'-»'-;::::•::::::::....:::.�::- ..vp}�aa{v.. ..... .... ...:.::::.............:............ ... ......... {}':%x:?::i•'.{:•.:is�{::•,:;:;:.:;ri:;{:i;i:j:5::iTi}:i:i:i`:{:;:>::}5;:;;:i;�..:::::.::::::.:::::::...::::<::::::::�:::L:::::::::.::................ :...:+.�..:."� ............::.............v:v:v:::{?}:J'{.:' '..JYa{:•• .xhifx?ti........ i ..S'i�::::?ii:`i::T.i:y;i]:;i:it;}]::Y.4:{v}::{::w::::::::.�::+•.:3 .....................:............... . .. . .......... ....................,.. ...ti xr•ua:,,v(..::v}..w::;;::"':w:::'ar.vr•S:v.:}••w:,{:•]:��]]:;}}}:+.}:•iS:J:iv::::::::n:::::::•-:.:::::::::::'v:'�:i::•::.................... ............... ........... f.•::r.};{••.,v,a:w::....:-:vv., ::••.:nil}:•`.•:{:.x:• ten citv�'.. :...::.... ............. ....................... ...r..:::::.; :. ...lieu � ::: :::><::>:;';:;;::>;:::>;:>:<.:•:::::::»�<:::<:;.:;..:;.:.;;:>:.:... insurance ctr.;:;:,;;:::::,.;:::::.;.:,.....:.:::::,...:.. cle one and have hired the contractors listed below who homeowner ❑ I-am a sole proprietor,general emwactrr.. have oh • ®ration - . 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I tended that a one years'intpri omnent as wen as eitvD p of the DIA for coverage vesiite atiaL copy of this statementx*—beforwarded to the()Mm of InvestigEdons 1 do hereby ceJ tfy u>sder spaces ten dp ufPal�'did die infomnation provided above is trn.and eorred Date9. O — Sima=e- Phone# Print name =. �1� otIIclai we only do not write in thisarea to be completed by.dty or town ot8dal . perndocense# ❑Building Department city or town: QLicensing Board ❑Selectmen's otHce ❑check if immediate response is required []Health Department phone#; — ❑Other contact person: (rowed 945 PJA) Information and Instructions Laws chapter 152 section 25 requires all employers to Pm the servicevide ers' compensation for thc1r of another under Massachusetts General any o emplo yees. As quoted from the"law", an employee is defined as every Person of hire. express or implied, oral or written. An emplover is defined as an individuaL partnership, association, corporation or other legal an, w the or mo iz or cr the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,p Y trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house hating not more than three apartments and who resides therein, or the occupant of the dwelling house of maintenance, construction or repa ir work on such dwellinghouse or on the grounds or another who employs persons to do building appurtenant thereto shall not because of such employment be deemed to-be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuancelica o who has of a license or permit to operate a business or to construct enewal buildings in the commonwealth for any apnetther the not produced acceptable evidence of compliance with the insurance coverage required. Additionally, commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the conrrac authority. Applicants Please fill in the workers compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone members along with a certificate of insurance as all affidavits may be on of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Accidents for canfimoati or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city regarding the "Iaw"or if ou being requested, not the Department of Industrial Accidents. Should you�� y questions g ding are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns legibly. The Department has provided a space at the bottom of the Please be sure that the affidavit is complete and printed legs y. ham. Please affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the app be sure to fill in the permidlictmse number which will be used as a reference number. The affidavits may be returned to the Department by maid or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Deparunent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents office of InYestlDallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 oF1HE rho Department of Health Safety and Environmental Services ' Building Division snitxsTABLL ' 367 Main Street,Hyannis MA 02601 t►ASS 1639. ATEp�{� Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Pdnt DATE: JOB LOCATION: `7 itv I numb street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-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 responsildlity for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations: The unde i d"homeowner"certifies that he/she understands the Town of Barnstable Building Dep ent um inspection procedures and requirements and that he/she will comply with said or edures and rq ' eats. Signa omeowner Approval of Building Official Note: 111ree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Constriction 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 consauctiwt Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall net as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicemad 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN STARBOARD — se - v • ��c x A. � k- � v t A J f V \ t y . 1'- 1`! : tip // �- �• 1 O V C � 1 ao r K n > i�� �y� a3^ • F+ ODI h g, .� N-+ 10 y. lopo pa. s - •. S' 'mom ' O " 1 S- f cn .0 a on 10 �- 1. C ,.., T� t 50-Y� luko 4-v a 6 r ZLDfiO -Z1z� �( � S I t STANDARD LEGEND NOTE:not all symbols will appear on a map » Q=::Z GOLF COURSE FAIRWAY `r�^^ EDGE OF DECIDUOUS TREES MAPAlQ I,&5 EDGE OF BRUSH ORCHARD OR NURSERY v—v— -V EDGE OF CONIFEROUS TREES #,,,7RQ V O MARSH AREA — -- EDGEOFWATER __ = DIRT ROAD / 1 DRIVEWAY' MAPI V J --PARKING LOT AA Q[ PAVED ROAD \ -{� DRAINAGE DITCH AA 1 [8J # /7 82 ————— PATH/TRAIL MAP 1 PARCEL LINE** 6 MAP t to E---MAP# 21 E PARCEL NUMBER 796 #1860-E HOUSE NUMBER 7 2 FOOT CONTOUR LINE —E+B~ 10 FOOT CONTOUR LINE Elevation based on NGVD29 `• 4.9 SPOT ELEVATION �o STONE WALL MAP 185 / -X—X- FENCE \ RETAINING WALL '61 / � RAIL ROAD TRACK 7T 808 —" STONEJETTY SWIMMING POOL PORCH/DECK BUILDING/STRUCTURE DOCK/PIER HYDRANT e VALVE O MANHOLE \\� 0 POST pFP FLAG POLE T O W N O F B -A R N S T A B L E 6 E O 6 R A P N 1 C 1 N F O .R M A T 1 O N S Y S •T E M S U N 1 T .tr SIGN ® STORM DRAIN My PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James fy�$� 1"=100'sale map and may NOT meet :of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE TOWER W+7,�p�E 0 25 50 National Mop Acamry Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and ve vegetation were mapped to meet National Map Accuracy Standards enlarged scale. P p p Ys I p0 pP p ry G LIGHT POLE O ELECFRIC BOX a 1 INCH=50 FEET* A on the map. at o sale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's fax maps. \sitemaps\Pub1ic\m185p6.dgn Aug. 08, 2000 14:01:09 717 MAIN 9 8 8 DD 2 i F . 36 Xlt MAoC,_ANY !X� ----p,,,; /�, `j—Ib O coPPER FtASN�N G .ro►sT NANi4S JAG oR UND Lr�/AL 21 10"'SAUNA TURF �2 ��X12��a�rI�P�3C.oc0� L COURCUESNE P.OA. THE WooDWRIGtIT 7017 MAIN 5 7- c EN 7-4,k 1//G..t J ' O :z Ln .ZL_ 1 � � o IyyI s �l --I r L. CoUR CHESAlt a- A�,A, T 14E woo©WRI U S Jp 1 S I S fi`T f-,C©© R p r S7- FlV DS f}S7'C N ,�4 ( POS TS l►' X 7 ' ©,c, I',, = I UUU psi L = 1.,300,000 psi 1 I�ic.�.il v,llues I•UI• S0utlie1-11-YcIIUW Phie #2 (Pressure 'J,reateci) Exterior use (e.b. decks) Joist Size - .Ioist Spacing 12x6 2A 2x,10 2x.1.2 12" . 8-6 1 1 -;' .14-3 17-4 1 G" 7"4 1 U-U - �12-4 15-0 20" 6-7 8-11 11-0 13-5 .24 6-U 8-2 :lU-l. 12-3 (��FN AEG rr l s 3c 01 -rrYElqrEl� 990V, OR �,OIST N � N �X k t, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map /�j Parcel OG C�= lam 'SEPTIC SYSTIEM 11�L���C2 INSTALLED IN Health Division ���,'�, gy��¢��gryl�t�pN�[�I,�TIA T_IT9L�_bate,l�sue'{J�� ENVIY YO dME%g i 110 kJ`h' •1 k'30 i1,icJ c� Conservation Division id ® ry_;,;Fee T-Tax Collector' °~ � .. �K�' 30 .'io�� . Treasurer� _.' �,,��,evr�J2 :>!30 r2 ' Planning Dept. Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis Project Street Address Village. (M R2_ Owner Yie1 d c<:E% Address v(a MIX 1,44 Telephone Permit Request41J i VA fy f V1 S f��l ,�N 1�k Z C I's� W 1 V►�� Square feet: 1 st floor: existing 6D proposed 52(a 2nd'floor: existing qa> proposed Total newer L Estimated Project Cost a Zoning District Flood Plain Groundwater Overlay Construction Type ii ae c�- Lot Size •Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family(#units) Age of Existing Structure l 6-0 C' Historic House: ,❑Yes ANo On Old King's Highway: ❑Yes PIo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /0'40 Number of Baths: Full:existing 7 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 9kOil ❑ Electric ❑Other Central Air: ❑Yes -allo Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes allo Detached garage:[existing ❑new size Pool:❑existing ❑new size - Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: R Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes O[No If yes,site plan review# Current Use b U1KWZK Proposed Use BUILDER INFORMATION Name tlAA, Telephone Number Address ,al h License# r Y Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING,FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY _ PER NO.'. - DATE ISSUED MAP/PARCEL NO. ` "ADDRESS VILLAGE `T ? OWNER rr DATE OF INSPECTIO,yt : ._ FOUNDATION 'i FRAMES, INSULATsION FIREPL°ACE,- � / r ELECTRICAL: ROUGH FINAL r ' PLUMBING: ROUGH FINAL GAS- ROUGH FINAL - ' FINAL BUILDING ° -• DATE CLOSED OUT ASSOCIATION PLAN NO: •y ". 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit name: location' city t ' hone# ❑ I am a homeowner performing all work ntysel£ ® I am a sole etor and have no one worldn In anv caPacit� ❑ I am an employer Providing workers' compensation for my employees worlang on this job. :::: .. ...... a ::::::..:......................::. .:.: ............. ::.::::.::.:::::.:..:::..: :::....:.. :••:.............. insurance co. � ... ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation.polices: 1 ' ....................= ii i .; : comoanvj8IIC } address::;;;<< < :< < <> :i.:.iC . .. ..::::.:..:::.:.:................r..........................................n......w::.•r:w::.:::................... ::.::.............::.:�:::.�::v:::v::w:::::.:�:::.w;; .........::w::....:...v.......• nv::.�:...:.•.:.........:.i •:i . ....... •r.::?::<?•:::?•;:::�:i:�ii::;:',•'�:::i:;:::;::•.':::::::%t`:S:::ri:;?:;:^%�«i:;:::?':::2r:::;;;=:;;:�'�::�':'<::::'::;�::r::::::?:�::::::?•::.:::?..:;.vv;?.v;., , Inlraranceca... ........... ............................................,... . c an amp address: .. city- 3 one :..... ::.:'..w;.: in9nrance-co::.... :.::..::'::,:;;.::.:,.:,?:.�.,.:,::::..:.:::::::::..:,.:::.::.�::::..:.;•:. ::::::,..:.:..::,..:.:•..:........... olicv ,:............... Failure to secure coverage as required umdtr Section 25A of MGL 152 can lead to the imposition of criminal penaides of a fine up to$1,500.00 and/or one years'imprisonment as well as chn pmaitin in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verincatim I do hereby certify under the pains and penalties ofped ury that the information provided above is&w and correct Signature Date Print name Lj( ' Phone# -OL 775 Va— WIN official use only do not write in this area to he completed by city or town official city or town: perndL2cense i! • ❑Bnfiding Department Micwing Board ❑checkif immediate response is required ❑selectmen's Office _ ❑Health Department contact person: phone#+ ❑emu' lined 9/95 PIA) r • � Tabla.LSZ.2b(eaan�aoed) .. 1h'eseript(re PseJvz�ss for Qae aad TwvF'amilt►tlafdmdal Baitdla�Sntsd*�Fob Fcs� MAXIMUM I 111�1autm; wall floor 9a� rCm'�s Rry��) .valos� a+ 11 Rrva Blau P� R Vahl6 5101 to 6SOD Hnda;Decree Dam Q 12% I OAG I 3E 13 19 10 6 Novi & 12% I GM ( 30 19 19 10 6 Nary S 12% I Gza 31 13 19' to . 6 S AFUE T ls'Xi 1 035 3E a 2s WA WA No�ai U 13!S 1 OA6 3E 1- 19 19 10 6 Nommi ' IS AFUE 13 WA 95AEUE w 13%. I am 1 30 i 19 19 10 • 6 �[ Isv. I aaz 3s 13 23 N/A WA xo:ma! Y 1 Ms I 0.42 I 3E I 19 2S wA WA Narms! Z IE7. I Q42 I 1s I 13 19 10 6 AFUE AA Ims ( OJfl 30 19 19 10 6 40 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED 13Y #2): S. SELECT PACXAGE(Q—AA-sea ch=above): NOTE: OTHER.MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIRE:tiri�J I'S ARE.AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPEC i'OR APPROVAL: YES: NO: °p THE T�,I The Town of Barnstable • anxtasTnai.E. i63 9 Department of Health Safety and Environmental Services A . �0 rEo►�•+' 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. • P Type of Work: Estimated Cost Address of Work:_? Owner's Name: Date of Application: r f I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law E]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. 3 f Date Contractor Name Registration No. s . OR Date Owner's Name j glorms:Affidav i ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH 6 76:::, square feet X$20/sq. foot.= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost a990915b ✓/ee Teo�rtmovuoea�/ o�/�,cueacfivaelta • BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 075903 j Expires:06/23=03 Tr.no: 75903 Restricted To: 00 WILLIAM P DEVANEY _ 115 MAIN STD % CENTERVILLE, MA 02632 Administrator _ r gm-9 td mg-o f'N -?. 1 aw vw• a+>-NWe � N3� Y O�iIHOZId ` IV NNdI TOA IdDq ]H 714 gEa ,a I ri ! 16 a' 9 I. ° Ie f L 7 `a }} 8 � U �v a N a , v 33 8 ° Hilly ynq9 p @J �a�5 SR �Sm��S 8G6 < 'I'll 1� �8 ��G k: CCC aelSgAdfl dC �d ew:9��A�.1 U. �d PP4 a I THE FOLLOWING IS/ARE THE BEST , IMAGES FROM POOR QUALITY ORIGINAL (S) I m DATA erne:.t+UMMUNWE LTH Uk- &lA.--'%AL=1JS1X1S ' SOttrd of Bnildiag Regalations sad S aE ardS Taasacz=No. One AShbnrtoa Place-Boom 1301 Damn,Mnca�ad";' sgm 02108 ' P.Coa Lion Na AppIIcatton for Regl Undon as a Pdetsive.Due Home Improvement Contractor cr Sttbmatrsctor MGL Chapter 142A,C=780.E Due FOR OFFICE 175E ONLY Dale 3138 Frint the name of the individual or bumilm app" the M="—(pot both) Z Mailing Addttss 0 �I Iup Area Cade&Teiepnoae Nuance 3 cry 0 z� 4. SUM Addmu(u dM=t) Pebtf-feet and Number(P.O.B=not acceptable) MY State Zip S. Applieat type ® ladividual Q DBA Q nwmc a C1 Tea- Q Pelvate C=p=urm ❑ Public Cotparuion (See untsuaioas on back regarding cadosingya�city or toaia sego rafio�n tmdtr the name err"desitious nam law MGL c 110.sa S A t7 ii (ace instructions) T. Number of F=pioyees �1 8. individual:tzpoasible for Home Improvement Coataas htt Flea Ml 9. Title of individual rtspoastble for Home Tmpzvrmtmt C=trasts_(I, Uj Y1Y1 11W 10. Does the applicant or rdpotnible individual held asp other mmteWOn edsted state;dW,,town Ganges or tsgisnatk=t If ym complete the table below Un addWand papa U aeotsaaeI Yes No Type iiomse or stgistratioa hood By Lotmse or Name of L.1c ase Holder I� reghnadon numbw Date . II 11. Ust all parmers.Ifrt:= o0lozs.dit=m and=a*awaees(10%err grata of awsashipj of an AWIC at pasmaship or aorpotatioa below. Use additional paper it ne==Iy.(See aft back) Check htse if yea ad:b to tLez114 in appftrioa for addttlon 1 M eatds for tcy persons.0 Lau First. Mae Wild We in Appliemt B-e— %Owner Address I� - 0. "!. ` - - I. j r . / , , 9 i ;\. ,i ,Ib:��,;.l:.I�.i�,.I..:..:,.;..�I::. I. S. ,I( I. i:\\ ` .- °->.� 1tI/ /sue i`�� \\ ' . __. n ` ,, yj �^ is ,1 r m� ', 01 :I i mrl f/ - �` `� n` v i :: E �l� , / ` ,,, tt ;' �f \A yes y mod: ,: \, �. \ 1 1 Cl1 } r ' 11 el to i�ros ) I �" J �,� s/„f s %'' --� , / a o / \ / t\ / / i C- V :•.: r. ; — Y: 19 ,6 '' /' / t{ r' ( j i \=r_ j Nam, __ '\ .x., I i sn`/ /� %J-'':i tf x ji Y P • / ' Wit: :, 0 �. _ ,... _._— ` :i ,,'f �:'' ,- // i i au In>' ✓ ,/ ! 40 e / �' :, wln ,� `` i'-.- , j l j ,n i ii 2 �,Q/ / 7s �~ ''/ o , /� 4 •4 0tV. -- �,,i 4J.Aj V 7 �p /lo/'% %t ,' ' r, �i% ;[ <r,`�� CentervLlle Harbor --6'3' // I ., . dales p 2 i/ ,/ '' ( 50o1 xo / .//// ' f / p .. / / j / /��� / '//// f /� .. / ! .._ .: ... . . �/ / ///::. .. / . . . . . . E4ineering Dept.(3rd floor) Map Parcel Permit# � _ House# Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ' Fee as- O p conservation Office(4th floor)(8:30-9:30/1:00.2.00) Planning Dept.(1st floor/School Admin. Bldg.) THE Tpy r �.� Definitive Plan Approved by Planning Board 19 ' e t • FIAR AS&L ' TOWN OF BARNSTABLE' 'E°" '� Building Permit Application + Project Street Address 7 S. Village 6 6.Uj/ f�,4,6 f Owner tA,4 01-YW h?10VC,5 Address Telephone ,t'0 77f ` 7-2/-X ^Permit Request Vaal) /D "Amoy /' _41C G /;:dW TG,I/�l//d' f00 t✓// — Q,( EDfIO�/f'�D F t First Floor \ square feet Second Floor square feet Construction Type Estimated Project Cost $ o. ®O Zoning District `�, Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑• Two Family ❑ Multi-Family(#units) 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 No.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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) _ ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name ��E/� Telephone Number Address /�D,E' lf�l _ 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 r AJIZI(:11 SIGNATURE DATE ART BUILDING PERMIT kNIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY , PERMIT NO. 3 DATE ISSUED MAP/PARCEL NO. ADDRESS _ '' VILLAGE r 1 OWNER ; F DATE OF INSPECTION: FOUNDATION t a FRAME = INSULATION - _+ w FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH '' +' FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT- - 'ASSOCIATION PLAN NO. 8.8 8 4 #1 SUBDIVISION PLAN OF LAND IN BARNSTABLE N Nelson Bearse - Richard Law, Surveyors April 26, 1961 'i I i 4' '>I E', / /p0 44 I ds,C i •9stp3 � i 1 N.03.10 Wt. a� 8 3 is , p/a� t103 f der 3°' ,42.15 38.34' Fcrr• l0•zo2� ._y 79'°3/'40'E; • .r• j—h, �6' 20.13 ems. 6'e 1-3 �' /56 ?4.64. S 118'69 o ' u; '7 / feet nidP •�61 ' h 16. c N. 77'03 3o'E 1 k` tr o y �.r�. I P/9n 8884 B e,1 . W 39 :,o 178. 92 Cert. IS42 ems• �•,hb� Q� , �lLat /2 P/an.8894 M I A. 1 with Cert /7034 C. P/an 8753 B z Cert, 940 h ti o° `o Celt. /7475 •26.68� //2.// S. 800 58' 20" w oster�,ire a S T A T E H / G H W A Y M.H� Note.= /indics�`es C.B. unless otherwise narked Subdivision of Lots 8 & 9 Shown on plan 8884 Filed with Cert . of Title No. 17034 Registry District of Barnstable County Separate certificates of title may be Issued for land shownhereon as_Lo1s /4, {5, /6 -and _8_________ By the Court. Copy of part of plan filed in LAND RE6/STRA T/ON 0MC£ � � ✓ULY 27, /96/ ✓UL Y - - -� y �I- '� : 27,_ Scale of this plan 80 feet to an inch MCA --- -- - ,. Recorder C.M.Anderson, Engineer fOr Court✓� 1. Assessor's map and lot number ... 6............. Sdwage Permit number .......A.A.,..... C //k/) ypF TOWN OF BARNSTABLE THE BARNST N63 LE. AG 1 Ar. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ ................. ....eA .......................:7�................. TYPE OF CONSTRUCTION ................ .6.......................................................................................... ........ ...............................197 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............... ..............I-S 0............... ....... ...................... ..... .............................. ProposedUse ............................I................................................................................................................................................ 0-5 7— — �-��.................. Zoning District .............I.?...D=1.....................Fire District ........................................... Name of Owner .......... Address ....?%....... ........ Nameof Builder ............... 2 .............................Address ..................................................................................... Name of Architect ...............S:O�A".6...............................Address ..................................................................................... ............... ... .... Number of Rooms ..................................................................Foundation .... ..... ....... .. Exterior ..................Z— ..Z-Z./............................................Roofing ........ 7. ......5.- e:74.L................ Floors ............................ ......................................Interior ..................e....A C.2�......................................... .. D Heating ......................./-Vpj�/ ......................................Plumbing .................. . ....41....................................................... Fireplace ......................... ......:.............................Approximate Cost ..............�2-e)...(-)........................... ............. ....... ... Definitive Plan Approved by Planning Board --------------------—----------- Area ........................ Diagram of Lot and Build' s Fee • SUBJECT TO APPROVA OF BOARD OF HEA6) D . 7i �9c� _ -i I hereby agree to conform to all the Rules and Regulations of th6 T n of Barnstable regarding the above construction. Name .................:T7...!r ...... ... ......... L]%lNSv DO0ALD G. - � . . ' No —. Permit for .. -- -----'---.,-----------.-----.. ; ���Location ,�~..S...1L%jn.JSt°............................... ` ( -----������..����,—._----_----- > \ / ~ Dvvna, .]}QXA1d.G�.� / Type of Construction .....P.M=--------.. ----..--.------------------. ^ ] ^ Plot ............................. Lot .6............................ ` � � \ ' Permit Granted . ' - '- . ' Date of Inspection Dote Completed ...................................... ' � . ` PERMIT REFUSED '----'_—.----.--------- 19 ( . ^ � ^ --------------------------. � * ' —_----..~----------,------- ^ \ . ' ----.--------------.—.------ ' � '---------^-----^—~'^---'----' ' ! -`' � � Approved ................................................ 19 - ` ^ -------'-------~--^'--------' - -------~----------------^^— ��� .