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0460 SHOOTFLYING HILL RD
�..�.� �f '�I J 2 1 W "-i G-"r 610 o'14 1 N ' Town of Barnstable Building •. Post.T.h�Gard3So That rt is.Uisible Fromthe Street Approved Plans MustbeFRetamed on Job and this Card Musttbe Kept �; s6 Posted UCtilF'Final Inspection Has Been Made �� a P .eh Permit WheXAM ce a Certfi�cate,of Occupan y s Reged,such BIdng shallNotbe Occup ed untlta Firtaf Iectaonhas been mad'e � r �a.. Permit No. B-18-2218 Applicant Name: KEVIN O'NEIL A _ pprovals Date Issued: 07/13/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 01/13/2019 Foundation: Location: 460 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot: 213-008 Zoning District: RD-1 Sheathing: Owner on Record: BARNSTABLE,TOWN OF(BCH) Contractor Narfe , KEVIN O'NEIL Framing: 1 Address: 367 MAIN STREET Contractor Lticense: CS=�110257 2 HYANNIS, MA 02601 Est Project Cost: $2,000.00 Chimney: Description: BUILD 6'X7' LANDING W/SET OF STAIRS FROM PARKING LOT DOWN .,Permit,.Fee: $0.00 Insulation: TO BEACH _ z Fee Paid:" $0.00 Project Review Req: Date 7/13/2018 Final Plumbing/Gas Rough Plumbing: ;-,,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six"months after;issuance. All work authorized by this permit shall conform to the approved applicationYand,nit approved construction documents for which,this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall tie in compliance with the local zonmgbylaws a'nd codes. F Final Gas: This permit shall be displayed in a location clearly visible from access street or road.and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. At Electrical The Certificate of Occupancy will not be issued until all applicable signatures bynthe Build hg and Fire Officials are provided on this',permit. Minimum of Five Call Inspections Required for All Construction Work tr Service: 1.Foundation or Footing f g fi Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) ` 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy s�•- �1 Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. �. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). e Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final L ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0, Z �0� / Application # O ZZ �� Health Division T f � ,6�cpa to Issued Conservation Division syQ� ��� Application Fee Planning Dept. � ,�� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 40 S R6 oTf'LV//U G til 1-L 2 6 Village Owner 7I 6Q/J Of d3A"STA ITC.E Address ,3 6 7 YM AW &7 Telephone 150 $ 790 6 3 Z O Permit Request 13UIL1) 6X 7 ' r141J61 L. W S67- OF STRIA rkpYXI� PA-R-kj�AJZ E 0_r DO w,AJ 76 ` EAC4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type /Q6W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ 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: Zoning Board of Appeals Authorization ❑ Appeal #- Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use y V APPLICANT INFORMATION (BUILDER OR HOMEOWNER) .Name �9_11Z I,f d�/��fC Telephone Number q7 g 42-0 9 7`1 Address 37 S!YY I AJ V_ License# 1 0 26 7 VAQ Yt'l6U-nA MA 2( 7.3 Home Improvement Contractor# Email Mpg US Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %ooik OF BA-P-92A- BLt SOC i� G•JAs-STI & SIGNATURE DATE r - FOR OFFICIAL USE ONLY APPLICATION # I � DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Print Page Page I of.3 ,. Print this page ( ... . . ..... .......... .....1 • Owner Information - Map/Block/Lot: 213 /008/- Use Code: 9310 ' Owner Map/Block/Lot GIS MAPS' BARNSTABLE, TOWN OF 213 /008/ (BCH) Property Address Owner Name as of 367 MAIN STREET 1/1/17 460 SHOOTFLYING'HILL RD HYANNIS, MA. 02601 Village: Centerville Co-Owner Name Town Sewer At Address: No GIS Zoning Value: RD-1 Assessed Values 2018 - Map/Block/Lot 213 /008/-Use Code 9310 , 2018 Appraised Value 2018 Assessed Value Past Comparisons Building Value: $ 78,800 Q $ 78,800 Year Assessed Value $ 2700 f j $ 2;-700a- '2017 - $ 497,200 Extra.Features: 2016 $ 487,400' 2015 - $ 716,500 $ 13,500 $ 13 500 2014 $ 716,800 Outbuildings: 2013 - $ 687,200 2012 - $ 606,900, $ 404100, $ 404,100 2011 - $`697,600 Land Value. . 2010 - $ 697,60.0. $ 499,100 2009 - $ 460,100 ' 2018 Totals $ 499,100 2008 - $ 474,500 2007- $ 474,500i", 10 • 'Tax Info rmation'2018 -'Mao/Block/Lot:'213 /008/= Use Code: 9310 Taxes C.O.M.M: FD Tax (Commercial) $ 0 C:O:M.M.°FD'Tax (Residential) $ 0 Town.Tax (Commefeial) ? $ 0 Town Tax (Residential) $ 0 Fiscal Year 2018 TAX RATES HERE so http://www.townofbarnstable.us/Assessing/printl.8.asp?ap=0&searchparcel=213008 7/11/2018 ' Print Page Page 2 of 3 • Sales History - Map/Block/Lot: 213 /008/- Use Code: 9310 History: Owner: Sale Date Book/Page: Sale Price: BARNSTABLE,TOWN OF (BCH) 1951-08-15 790/409 $0 • Photos 213 /008/- Use Code: 9310 • Sketches - Map/Block/Lot: 213/008/ Use Code: 9310 'W x AsBuilt Card N/A • Constructions Details Map/Block/Lot: 213 /008/- Use Code: 9310' Building «Details Land Building value $.7.8;800 Bedrooms 00 ` USE CODE 9310 Replacement Lot Size $96051 Bathrooms 0 Full-0 Half 0:78 Cost (Acres) Appraised. $ Model, Ind/Comm -Total Rooms Value 404;100 RestRoom �. Assessed $ Style Heat Fuel., Electric Buildings M Value 404,100 Grade Average Heat Type Elec{Baseboard http://www.to,wnofbarnstable.us/Assessing/printl8.asp?ap=0&searchparcel=213008 7/11/2018 Print Page Page 3 of 3 Year Built 1992 AC Type None Effective 18 Interior Minimum/Plywd depreciation Floors Stories 1 Interior, Walls Drywall Exterior Living Area sq/ft 421 Walls Wood Shingle Gross Area sq/ft 476 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Crop • Outbuildings & Extra Features - Map/Block/Lot: 213 /008/- Use Code: 9310 Code Description Units/SQ ft' Appraised Value Assessed Value PAV 1 PAVING-ASPHALT 5000 $ 13,500 $ 13,500 , FOP Open Porch-roof- 55 $ 2,700 $ 2,700 ceiling 4 • Sketch Legend Property Sketch Legend 1132N Barn-any 2nd story area . FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area SOL Solarium (Finished) BMT Basement Area FUS Second Story Living Area SPE Pool Enclosure (Unfinished) (Finished) BRN Barn GAR Garage TQS Three Quarters Story CAN Canopy (Finished) GAZ Gazebo UAT Attic Area (Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) ; FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area (Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story 1 (Unfinished) FOP Open or Screened in PRT Portico WDK Wood Deck Porch PTO Patio http://www.townofbarnstable.us/Assessing/printl8.asp?ap=0&searchparcel=213008 7/11/2018 Massachusetts Department of Public Safety s Board of'Building Regulations and Standards ., License: CS-110257 Construction Supervisor ' KEVIN O'NEIL .. " 37 SKYLINE DRIVE .'WEST YARMOUTH MA,J2673' II " Expiration: Commissioner 04/47/7020 SdCI1A E)SSVW APofiiM :39sIA UO1;BUUa;U1 BUIsU.ao:-j Sd :asuaaII SI41;o UogeaonaJ jo;,asnea si apoO 6ulojlne ajelS suasnyaesseW ayl;o uolupa;ua»na a ssassod o;a* q 'ageds pesolqua ;o(sialaw oigno 1,66)lea;oigno 000'SE ue4;ssal ule:;uoa yoiynn dnol6 osn Aue jo s6uiplin8-papu;saju.1 y °01 pa;ou;sea Y JosuuadnS,uol nusuu r„ s r��ndstr�ction S��pervisor Restricted to: Unrestricted ' Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. ". Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. V' UPS Licensing information visit:V.VM MASS:.GOV/DPS �TME Town of Barnstable Regulatory Services BABNBTABLE, MM& Richard V.Scali,Director i639 FaMn�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder j IStephen Sundelin as'Owner of the subject property hereby authorize Kevin O'Neil to act on my behalf, in all'matters relative to work authorized by this building permit application for: 60 Shootffying Hill Road } (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. { r Sign ure y canerSignature of Applicant } i [_6 VIAI 10 kEd(_ Print Name Print Name D4 to 4. Bend .. � Parcels Town Boundary Railroad Tracks a`Buildings pm Painted Lines m Parking Lots ��" $ ".- 4c1 �� " �c Paved Unpaved a 2 s n Driveways =Paved .'Unpaved Roads ��423 �, Paved Road - `° Unpaved Road Bridge Paved Median Streams .+ ° Marsh Water Bodies ;AS, AWIN 40 C, \ _ s D` r } � X. j 1✓ rx KAIr� z �'' ; In 2��K�, �� � d` +•+ - g r Map printed on: 7/11/2o18 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are ram Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367,Main Street,Hyannis,MA 026oi O 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us . , I wGA, i N_ldAnjD. A,_.I. R__ rt2/2 .4 ."TQ. , rI Fl�ND_,_�.v�l�_ O I. �..� � I t 4 ; i � { I i Foo � v l �-5P , I 1. p 1 } I i I t 4 , f �aco i i a i 1 i 4 t. i i .r. QUA UTj c j I y r f r .___--.__ I , I 1 i 1 I I _ I ` I 1 , I t I r txio:: � • 1 i + : t i i t j ' ( 1 r i_.. .,._ I i F j i i I I Town of Barnstable_ Building •`�n`�';'.' Post:This: and So That it is Uisibte From the Street_Afnf roved Plans'Must be Retained on";Job and,athis Card Must be Kept �. lARSQf3I'ACid.�': �.; Posted Until Einal"In,spectwn Has Been Made �� £ 1 .R Where artCectoficate a#Ocewpancyss Required;such Building shall Not be-Ocepied unt3ilaFinal Inspection has beenrnade � Permit No. B-18-2218 Applicant Name: KEVIN O'NEIL Approvals Date Issued: 07/13/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 01/13/2019 Foundation: Location: 460 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot 213 008 Zoning District: RD-1 Sheathing: V. Owner on Record: BARNSTABLE TOWN OF(BCH) s Contra tor;Name ,KEVIN O'NEIL Framing: 1 t Address: 367 MAIN STREET 3ontractor LicenseF CS 110257 2 HYANNIS, MA 02601 �w= Est Project Cost: $2,000.00 Chimney: 73 Description: BUILD 6'X7' LANDING W/SET OF STAIRS FROM PARKING LOT DOWN Permit Fee: $ 160.00 TO BEACH � �' Insulation: Fete Paid $0.00 Project Review Req: � �Date 7/13/2018 Final: c �30 � Plumbing/Gas Rou - g FnagPlulmb�ing x �'-.Buildin Official r g Rough Gas: This permit shall be deemed abandoned and invalid unless the work author zed by this permit is commenced within sizem"onths aftersuance. g All work authorized by this permit shall conform to the approved application atheapproved construction documents for�whc tfiis permit has been granted. Final Gas: All construction,alterations and changes of use of any building and str"uctures shall be in compliance with the local zoning by taws and codes. This permit shall be displayed in a location clearly visible from access stre to or road and shall be maintained open for pub l c inspection for the entire duration of the Electrical work until the completion of the same. , x Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are•provided on this permit. Minimum of Five Call Inspections Required for All Construction Work. 7.: s"x Rough: 1.Foundation or Footing IF, 'fir "" "� 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) .6.Insulation Low Voltage Final: 7:Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel dpfA�_ Application # (:P 0 6 Health Division Date Issued �5z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address � � - Village Owner Address Address pvol_�r Telephone ?Zo Permit Request ,, eya•po.a T• A' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a2.arou: Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Vr Historic House: ❑Yes td No On Old King's Highway: ❑Yes I 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: Q 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: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review # Current Use �iC4y Proposed Use Aaw,.A le,C APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name AXZ ,,, .14u?,onO Telephone Number J7V Address 0an�� &rCA4:,_ License # 11",lwo --�/q 02(. ou Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /� / � yfi FOR OFFICIAL USE ONLY /APPLICATION# r DATE ISSUED MAP/PARCEL NO. 4 L T - i i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL 'll PLUMBING: ROUGH FINAL I � GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. y Department ofindastrtal Accideift. Office of Invesggations - 600Pashington Street . Boston,MA 02111 >+".mass.gaml to " " Comp ensafion Insurance Affidavit: Builders/Contractors/Electricians/Plumbers 'Workers'. . P . . Applicant Infornoiation Please Print Le>nblY Name(Business/Orgmization/tndividuaD: FA�d'T a;Be.E ' •Address: .. d?l0 ®''i�.� �� - •. . City/State/Zip:. >��3 Phone.#: �i�rP�> o.— 61 3 2 6 Are you an employer?Check.the appropriate box: :Type of project(required);. 4. I am a general contractor and I 1.❑ I am a employer wifh''. 0 6. ❑New construction . employees (RM and/or part-timel.*., have hired the nb-bontractors 2:❑ I am a sole proprietor or partner- ]fisted on the'afiached sheet 7. 0 Remodeling ; ship and have no employees These sub-contractors have •g• Demo3itioh wo for in zq capacity. employees and have workers' g Y ?P. ty 9. ❑Building addition [No workers comp insurance comp,msmrrance. 5. [] We are a corporation and its 10.❑Electrical repairs or additions required] fficers have.exercised their o : 3, 7 I am a homeowner•doing all work 11.❑Plumbing repairs or additions right per MGL myself [No workers of exemption 12:0 Roof repairs • insurance required]t c. 152, §1(4),and we have no - employees.[No workers' 13.❑ Other comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compmsation policy information. t Homeowners who submit this affidavit indicating they are doing all work and the hire outside contractors must submit a new affidavit indicating such. ntra$Coctors that check this boi.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 work='corn#,policy number. ' I am an employer that isproviding,workers'compensation insurance for.my employees. Below is thepolicy and job site information Insurance Company Name: Policy#or Self-ins.Lic.# Expiation Date: Job Site Address: City/Stawzip: 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage yeri cation I do hereby certify under the pains-and penalties of perjury that tha information provided above is true and correct Si Date: P hone Offccial use only. Do not write in this area, to be completed by,cdy.or town official City or,Town: PermitlLiceme 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#: ' -or o a nd. I.s ruction Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation.for iiieii employees:7 Pursuant to-this.stalufe,an employee is defined as ...every.person in.the service of.another under any contract of hire; express implied,.oral or wit ten. xp or� ed, 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 enterpri e,and inchiding tine legal representatives of a deceased employer,or-t1ie...-........._ ..:_.. -- receiver or trastee-of an individual,partnership, association or other legal.entity,employing er oyees. .However tht owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the 'dwelling house of anothef who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any app4canf who'has not produced-acceptable evidence of compliance with ihee-insurance coverage required." Additionally,MGI,chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the perfomaance of public work imhl-acceptable evidence of corli:aiice-irith the insurAnce requirements of this chapter have been presentedto the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-coutractor(s)name(s),address(es)and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial ' Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit_ The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-iced companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to.contact you regarding the applicant. Please be sure to fill in the perinit/license number which will be.used as a reference number. In addition,an applicant that must submit multiple pmnit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations is (city or town)."A copy of the affidavit that has been officially stared or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining ning a license or permit not related fo any business or commercial vent nt (ie.a dog license or permit to burn leaves-etc.)said persoli is NOT required to complete this affidavit_ ' The-Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do riot hesitate to give us a call The Department's address,telephone-and fax number: DTaximmt of kdust6al Arr Dist MCC Off luves:f.boas - 600 WaffiiagtC6 Stmot Bostgn, MA 02111 Td.# 61 7-727-4•900 ext 4.06 U 1- MASSAFE i Fix#617 727,7749, Revised 11-22-06 WWWM=PV/dia f - .�� �. Taws;of Barnstable Re ato SeirYices � rY ; t MAM . Thomas F.Geiler,Director i659 iOrFn � Building' Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.as Office:. 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, � '7�✓ �a4vty� , as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the ibili ons resP of the applicant'. Poolsec .responsibility e are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature ff Applicant UZo�/ Print Name Print Name Date Q:FORMS:OWNERPERIZSSIONP00LS_62012 Town of Barntable P �* Regulatory Services R1RN.Q1�Rr.A « Thomas F.Geiler,Director MASS. Building Division.,._ r� �R Tom Perry,Building Commissioner - 200 Main Street, Hyannis,MA 02601 . wwwtown.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 :. HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: - number - street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town. state zip code The current exemption for"homeowners"was extended to include owner-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 OR HOMEOWNER J r Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building_permit (Section 109.1.1) The undersigned"homeowner."assumes responsibility for compliance with the State Building Code and other, applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official , Note:..Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S,EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions y, , 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 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 Y, 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 ofhis/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of.a Supervisor. On the last page of this issue is a form currently used by m several towns. You may care t amend and adopt such a for/certification for use in your community. Q:forms:hofneexempt f 4- ass,ichusetts- Department of Public Safeh ,Board of Building a Regulations and Standards. Construction Supervisor License License: CS' 65007 BRYAN E LAUZON' 18 LAKEVIEW ST POBX 125 S CARVER, MA 02366 ."' f` Expiration: 8/23J2013 ('ummissiuner Tr#: 1839 4 TOWN Of BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel, Application # Health Division' Date Issued Conservation Division ?.Appl!cation Fee PlanningDept. Fee Date Definitive.Plan Approved by Planning Board Historic - OKH Preservation Hyannis L11 Project Street Address 'T�a 360 Ir Village r Owner T-0 rirpss v ? Telephone 50 329 Permit Request r\� Square feet: 1 st floor: existing—proposed '2nd floor: existing proposed Total new Z6ning District: Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: LJ Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family Q Multi-Family(# units) Age of Existing Structure Historic House: LJ Yes 13 No On Old King's i g h w a L❑3 Yes U No Basement Type: L3 Full LJ Crawl Ll Walkout LJ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq. Number of Baths: Full: existing new Half: existing Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor Room 0 unt Heat Type and Fuel: Q Gas L3 Oil U Electric LJ Other Central Air: LJ Yes L3 No Fireplaces: Existing New" Existing wood/coal stove: Ll Yes LJ No Detached garage: LJ existing LJ new size_Pool: Q existing LJ new size Barn: LJ existing Ll new size— Attached garage: Q existing L3 new size —Shed: U existing Ll new size Other: Zoning Board of Appeals Authorization C3 Appeal # Recorded Ll Commercial 0 Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � Telephone Number SO 9/_ Z Address Y�3� V � License # 2 766 C_ O+UA� A � — Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ..........::.................:";................... SIGNATURE DATE ry 3 pA Y FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION i f FIREPLACE 'I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL l FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents °�' ► +r Office of Investigations I- 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1 Please Print Legibly Name (Business/Organization/Individual): FA 0-4_� � d L Address: �!? 0 ( CJ City/State/Zip: C�)b_ka MA- 6oQ0_5> Phone #: 56 9' Yag ' oA2 '� 9o`\ Are you an employer?Check the appropriate box: Type of project(required): 1;,2�_I am a employer with_� 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: d'Z-J Policy#or Self-ins. Lic. #: U - 0 3 q I N 6 — 0 d Expiration Date: Job Site Address: Ll S �4 C�_ 12( City/State/Zip: 6_AA" 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 certi the nd pe lties of perjury that the information provided above is true and correct Si ature: Date: _1 Phone#: �Q Yoe 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#: Rightijax C2-2 10/1/2008 1 :00:56 PM PAGE 2/002 Fax Server ISSUE DATE t = ..................................... . ;, 0/0 /08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING COVERAGE 449 PLEASANT ST BROCKTON MA 02301 �AR"Y A HARTFORD UNDERWRITERS INSURANCE CO INSURED COMPANY B FRASER CONSTRUCTION LLC LETTER PO BOX 1845 COMP C COTUIT MA 02635 �ARNY D THIS IS TO CERTUTY 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 AFFORD®BY THE POLICIPS DESCRIBED HEREIN IS SUBIECC TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN RIIDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE MM/DD M/DD/YY GENERAL LIABILITY GENERALAGGREGATE $ PRODUCTS-COMP/OPAGO. $ ❑COMMERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY $ ❑ CLAIMS MADE ❑ OCCUR. ❑OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE $ ❑ FIRE DAMAGE(Any One Fire) $ MED.EXPENSE(Any ouc person $ AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $ ❑ ANY AUTO BODILY INJURY ❑ ALL OWNED AUTOS (Pu Persmq ❑ SCHEDULED AUTOS BODILY INJURY ❑ HIRED AUTOS (Per Accldem) ❑ NON-OWNED AUTOS ❑ GARAGE LIABILITY PROPERTY DAMAGE $ 10 EXCESS LIABILITY ❑ UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM . STATUTORY LIMITS X A WORKER'S COMPENSATION EACH ACCIDENT $500,000 AND UB- 09/26/08 09/26/09 DISEASEd'OIICY LIMIT $500,000 0341M55"8 EMPLOYER'S LIABILITY DISEAS&EACH EMPIAYEE $500,000 OTHER THE PROPRIETOR/PARTNERS/EXECU7IVE OFFICERS ARE INCLUDED. DESCRIPTION OF OPERATIONS/LOCATIQVSNIDRCUM/SPECIAL I7100 THE INSURED'S NIA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES DVSl1RANCE ENDORSEMENT AUTHORIZES THE PAYMENT OF BEFITS FOR CLAEMS MADE BY THE INSURED'S MA EMPLOYEES IN STATES OTHER THAN MA.NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN ANY STATE OTHER THAN MA IF THE INSURED HIRES,OR HAS HIRED,EMPLOYES OUTSIDE OF MA.THIS POLICY DONS NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. Tm REPLACES ANY PRIOR CE RTIF1CATE ISHUIID TO THE CERTIFICATE HOLDffiR AFFECTING WORRRR R COMP COVERAGE FRASER ENTERTE"MSES UC SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORBTHE PO BOX I" BXIMATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COT( MA��35 LD DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE HEFT, BUT FAHAIRE TO MAIL.SUCH NOTICE SMALL BNPOSE NO OBUGATIONOR LIABILITY OF ANY KIND UPON THE COMPANY ITS ACSMS OR REPRESENTATIVES AUTHOR VJIDRBPREWNPATIVE AQUA C07M.-c9i3lLEN ..................:......................................••--•.............._................_... ....._..._..............._........_.... �*��yy����.. :.}_::. itititi•}:•}.:ti:•:titi.}}li}::{:•}:{tii:;:} :}ti:�:ti::;::•:•::ti;:ti:.{::ti::}::{tititi�:ti�::.}::_}:•}:ti}ti:n}v:}:::::::'riti}{:•;{;:ti:�ti:sfiti:!::ti:::�:' - - _ - -- {BRaltd Alt$yitd P' nl ions,and S'tandand''s r4anPexariscie LSilcense � � tpiirati %rza011• TO 9,76.08 wool r.. DEAN FRASER 10,4 TWIN NtjvIEW, LP WE / -: - �F ✓ EAST FAL•MOUTH,-MA, eZs36 Commi:�roner ,3a RUCYNON Fraser P.O. Box 1845 Construction', LL� (� _ , Cotuit MA. 02635 Email: fraser construction verizon.n 508-428-2292 www.fraserioofin .com et #9766828-0123 HILL#112536 � ONLY,RE-ROOFING PROPOSAL LABOR (� pjAME: Towns (of Barnstable Structures & Gro pgONE: 508-790-6320 c/o James Amara unnds Division ADDRESS. 800 Pitchers Way Hyannis, MA 02601 j013 ADDRESS: Covell's Beach Cann lie ua peas s57 ,shoo lIle leach Rd. Centerville ,MA gaaet Lake Ca� g�us ��® shoot Flying ffi{nlfl Il�do Ce Loops leach i Ca pans 281 Ocean View Ave. n au Cot °t, MAnterville, MA JFIl3ASM CONST1RuCTION hereby proposes to perform the following and Professional essio manner and in accordance with the m g services in a neat and local building code. anufacturer s -Remove and Haul-Re-nail away all of the old roofn all plywood sheathin g as nee g material needed. Prices are for labor only DumpI Fees Permits —1) Covell"s .leach Campus 857 Crai9ville .leach Rd. Ceuterville, MA Cz- $1,500 $� permit $150 Ixai$aal 2) Wequaquet: Lake Canapus 460 Shoot Plying .l-'ill Rd. Centerville, 1i., $1,750 permit $150 Initial 3) .LOOPS Beach CaMpaxs 281 Ocean View Ave. C ®tuat, MA lWaanfl baugld(gn9 PRICE- $901D & pOn°nna.i$ $15® a.i$iag Dut Building PRICE- $450 & permit $150 Initial Fraser COAstructionn recOmm,ends re-roorIang loth roof �— tiraae t®avoid the �eranai$ cost $wice< s a$ )Loop Bch at the same I i i QeWn Remove - Debris from work area daily. NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD - VISA-AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials 8v Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$55.00 per hour, plus materials, plus 15% overhead mark-up on total extras. FRASER CC1%`STIz j(,'TI N Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. Any deviation or alteration from above specification will be executed upon written orders and will become an extra.charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: LLC f ✓/ze i�omUrreo�zcuea,�l/ o�,/ ac�ucaP,lta • Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 112536 Board of Building Regulations and Standards Ekpiiatioq3%23/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: DBA` Boston,Ma.02108 FRASER CONSTRUCTION C.O. DEAN FRASER a, 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Administrator Not re 671 le BoaXoMiXlfing e661alons an �taRar One Ashburton ]Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 112536 Type: DBA ERASER CONSTRUCTION CO. Expiration: 3/23/2011 Tr# 281021 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card CA1 is 40M-08/08•DBSLIFORMCA108212008 t�r Town of Barnstable',"'Y'~�'� � Regulatory Ser, ces�3 � a�rtsr�t�, • Thomas F.Geiler,Director • 9� MAMMS 039 Building Division .� i6 � �0 Tom Perry,Building Commissioner{ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERNnT# 1 FEE: $ 2 SHED REGISTRATION 120 square feet or less t'1 C, Location of shed(address) V Village JoW�. d� �arn5S ,d t Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? wv Old King's Highway Historic District-Commission jurisdiction? �°►® Conservation Commission(signature is required) / a 0 S' 7 s�fei� .> (O 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-fo=-shedreg REV:121901 NOTICE OF LICENSE I,Paul Niedzwieki,Assistant Town Manager of the Town of Barnstable,New Town Hall, 367 Main Street;Hyannis,Barnstable County,Massachusetts, 02601-3907, 508-862- 4610, for and in consideration of the mutual covenant contained herein and the payment of$1.00,the receipt of which is hereby acknowledged, hereby give notice that I grant permission pursuant to Section 4-3(g) of the charter of the Town of Barnstable to the members and quests as provided in the by laws of the Cape Cod Rowing Club, (hereinafter referred to collectively as "CCR") c/o Brett Fournier, President, 1175 Old Stage Road, Centerville, Massachusetts, 02632, 508-428-0728, for the following: Permission is granted to CCR,through Brett Fournier;to place a prebuilt shed (hereinafter referred to collectively as the "shed") on the land shown on Town of Barnstable, Assessors map 213 parcel 008 (hereinafter referred to collectively as the "site"), and in the location on the site map as provided By Brett Fournier and attached to this license,upon the following terms and conditions: (1) Permission may be terminated and withdrawn at anytime by the Town Manager at his sole discretion,but in any event shall terminate no later than January 1, 2009 if no action has been taken sooner by the Town Manager or if the club ceases to use the facility. (2) CCR agrees to gain all of the appropriate permits and approvals, at their own cost, from the Town divisions with jurisdiction over activities related to setting up a shed in the Town of Barnstable at the "Site". (3) CCR agrees to keep the square footage of the shed below 120 sq. feet. (4) CCR agrees not to permanently affix the shed to the ground. (5) The club is responsible for maintaining the "shed" and obtaining written approval from the Town Manager prior to undertaking any maintenance, expansion or improvement activities to the shed; (6) CCR will place a small sign identifying the owner of the shed along with a phone number of a person assigned to monitor and manage the shed and its contents in such a way that any other person using the public land will identify that the shed belongs to CCR. (7) The club shall not allow any other organization or individuals other than its. members and duly invited guests and any other organizations to use the shed; (8) The club will be responsible for maintaining adequate insurance on the shed and its contents and providing proof of said insurance to the Town naming the Town as an additional insured.. (9) Neither the permission granted nor recording of this Notice creates any property,prescriptive, adverse possession, or other rights to the shed or site in the club, its members or any other person or entity, the permitted area at all times remaining the property of the Town of Barnstable held for public purposes ;and (10) Upon termination or expiration of this license, the club shall leave the site in the same condition as exists as of the date of this notice plus any approved improvements. (11) Upon termination or expiration of this license,unless other written arrangements are made and agreed to,the club shall remove the shed. Failure 0to remove the shed may result in the Town removing or disposing of the shed and its contents at the expense of CCR. WITNESS my hand and seal this aAA4day of.D&zh-He0,2004 Paul Niedzwieki, Assistant o�anager Town of Barnstable COMMONWEALTH OF MASSACHUSETTS Then personally appeared the above named Paul Niedzwieki and acknowledged the. foregoing to be his free act and deed before me. QPublic My Commission Expires /00/da�0� OFFICIAL SEAL Claire Gden Notary Pudic•Mass. Commonwealth of Mass. My Comm.Expires/a/ /d i i Attention: David Anthony . RE: Cape Cod Rowing, Inc. plan for shed location .at Wequaquet Lake Town Landing From: Breft Fournier 508-42 -0728 J , AS LOT 7 SHEDS oll,' � . 6• loll .07 \ice 32,�f sq/ft � / � / . ,)D loll ' \ � e �� \ / \ 'o i i • Building epaztin Complaint/Inquiry Report Da�e: Rec'd by: Assessor's No.: ��- Complaint Name: i Location Address: WP Originator Name: Street: vtuage: State: Zip:- Telephone:D/C _ Complaint Description: J Inquiry Description. 424L- For Office Use 0JdF Inspector's S Action/Comments Date: I Inspector.� � � �v tA,,,J e -2-0 ow u _ roll PCC r Action � �Q Addidonal Info. Attached copy,Distribution: White-Depament File Yellow-Inspector pink-Inspector(Return to Office Manager! I EMNS s �.� �+ � 11 / I 1 / I•l I / I I s Boom RM • I I 11 i JI : 1 1 1 1 1 , 1 1 • . :111 11•I11-• •• 1 a /�I/ 11/111 1 I "U/. 11 ' ■ 11 • � • • • / •I .11 / 1 ' 11 /11 "1 /.�11 11 .11 ✓.1�I! 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I understand that s copy of this stswnmt may be forwarded to the OIDee of Ia►atiptians of the DIA for coverage*affiatim Ida hcreby certify mder the pdw mad p=kia of pmjujy thor dw infommdmr pnvvided above is truer and comd Signature Print name Phcme# -------------------- oincLd we only do not write in this arcs to be completed by City or to ota" city or town:. permitlllame it OBuadiag Department [3I.1eessiag Board ❑cbeckif lmmediste response is required E)Sdeetmen's Onice • (3Hvd1h Department contact person: phone 0; — (]Other (Cnuw 9/95 P1A1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 12 J-3 Parcel 009 r ' Permit# Health Division (n . Date Issued Conservation Divisions r r -sciel Fee Tax Collector Treasurer.--,, , Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Ak P, u P /1 O0-r ` H 2 bc-, ' Village 02 k-1(L, I [(Q— Owners Address Telephone ','76 A C) 11 Permit Request L, ,40ce 51 c° h k_, P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑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: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION BB Name t-�" 1' ° t `A Telephone Number 2_2_9 Address ( 1�t� fr (D License# �o TA14, b 2:3S1 Home Improvement Contractor# Worker's Compensation# 72l5'�20C9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE D FOR OFFICIAL USE ONLY PERMIT,NO. �(� .. . . DATE ISSUED 4 MAP/PARCEL NO: ADDRESS t: . VILLAGE + OWNER ' DATE OF INSPECTION: ` FOUNDATION FRAME + INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING j DATE CLOSED OUT ASSOCIATION PLAN NO. F t Assessor's office(1st Floor): 3 Assessor's map and lot nun)b �Pyo*TIE to`` Conservation —(o _ SEPTIC SYSTEM MIDST BE Board of Health(3rd( _or): INSTALLED IN C IOMPLIANOLT ' Sewage Permit number - WITH TITLE 5 I ' '::� Engineering:.Department(3rd floor): �,ff ENVIRONMENTAL TAL CODE;�;,ND House number t9 TOWN R �° �`OX50 Definitive Plan Approved by Planning Board 6A '� pt ®� a:.a 1 �c a, ,1 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR j APPLICATION FOR PERMIT TO 261 TYPE OF CONSTRUCTION YT I')— CST 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 r Location L A--4� WL��U eX r SWO L Proposed Use d^'®j&A-e gd-74}/L U410 .S L� �Gum s , -��d�, �r2f Zoning District (� �`-'/ Fire District G��J Tl,�✓�i✓/I�GG� Name of Owner TD(AJ n/ d r "AVs Address _'74 7, / 41W 3-7- yy-lh�tj o s Name of Builder �r p Address r Name of Architect 5 TLF(i A_a--7'f' _ Address S !A /Y"fli,s Number of Rooms Foundation G A-,C- 7-2� Exterior C I L f _ Roofing A11yVA6 7-, Floors Z.> J G lL C T�� _ Interior w yd� Heating d Plumbing Fireplace ° - / _ Approximate Cost a U d 606r Area W` �G�LE.S Diagram of Lot and Building with Dimensions Fee sTD�� L-1 4Le_, 340 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name L ,! 6�30� Construction Supervisor's Licens TOWN OF BARNSTABLE 1;4 No 34893 '`Permit For BUILD BATH HOUSE. ` Location Shoot Flying Hill Road ► Centerville Owner. = Town of Barnstable Type of Construction Frame Plot Lot Permit Granted March 19 19 92 • k Date of Inspection c�, 19 - Date fCo let @ ` � 19 4. - F n �1 r'ayyz Y 1 n,. r r , • � r r r I r _ W COMMONWEALTH : DEPARTMENT OF PUBLIC SAFETY OF., 1010¢OMMONWEALTH AVE. MASSACHUSETTS BOSTON,MA 02215- LICENSE EXPIRATION DATE 07/31/1 95-t SUPERVISOR CAUTION EFFECTIVE DA FOR PROTECTION AGAINST RESTRICTIONS : TE LIC-NO, THEFT, PUT RIGHT THUMB Ott 1/1992 058307 PRINT IN APPROPRIATE <... BOX ON LICENSE. F STEVEN -M LEBA! r1; - - BLASTING OPERATORS 54 `MONTA�UE DR MUST INCLUDE PHOTO. F'H07 NG OPR ONLY) FEE: W. YAf,MOUTH MA 02673 NOT-VALID.UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER .. 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