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HomeMy WebLinkAbout0698 SHOOTFLYING HILL RD G9� SNo o Ht � � RD Town of Barnstable *Permit# 3 2014 'Regulatory Services ' 6,�ort>S� date rFee AB LE 16 chard V.Scab,Interim Director 3¢ Nlld� Building Division o► 11 i g Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma us Office: 508-862-4038. Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY L1 � / b4� Not Valid without RedX-Press Imprint Map/parcel Number /�''��"�Qc_7p7/_ PropertyAddress Yr �10 -F1 1Yl ®Residential Value of Work$ 3 3l Minimum fee of$35.00 for work under$6000.00 Owner's Name&AddressQ I . VV 1 Q2 3 2 Contractor's Name FLA 6HmstonnTelephone Number ���' ®�`�•� Home Improvement Contractor License#(if applicable) ®off�o /�� 'Email: Construction Supervisor's License#(if applicable) Q (0 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor t ❑ I am the Homeowner. I have Worker's Compensation Insurance ` Insurance Company Name �r—k) x Workman's Comp.Policy# I/rd el- 0 Al 9/0 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) m ff Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of root) ❑ Re-side Replacement Windows/doors/sliders.U-Value t 3� (maximum.35)#of windows _ #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&FIre Permits required. ''Where required: Lomance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ow4er sign Property Owner Letter of Permission. `'A co of H Improvement Contractors License&Construction Supervisors License is • _ copy P P� required. Y , SIGNATURE: TAKEVIN DSuildmg ChangesuM S RESS.doc Revised 061313 HOME IMPROVEMENT CONTRACT PLEASE READ THIS ��y )1 Sold,Furnished and installed by: Branch Nate:Boston North&South Date:LJ _f; THO At-Home Services,Inc, d/b/a The Homc Depot At-Homc Services Branch Number:31 and 33 909 Boston Turnpike,Unit 1,Shrewsbury,MA 01545 Toll Pree 877-903-37.68 Ftoda d ID#75-269$4W;ME Lic#C 02339,R1 COOL Lie#16427 CT Lie#HIC.0565522•MA Home lmprovJement C(o/nt�ractor Reg.#126893 Installation Address: [ b �1,111 n� d c�l Rel C'r)4e_(l1 1(1 P 11K' `�-- % T^!City State "Lip 7?urchaset{s): Work Phone: Home Phum- C M Phuue [ l [ l L J Home Address: (if different from Installation Address) City State Zip E-mail Address(to receive project communications and Homc Depot updates): ❑I DO NOT wish to receive any marketing mails from The Home Depot Project Information: Undersigned("Customer'),the owners of the property located at the above installation address,agrees to buy, and THD At-home Services,Luc:a The Home Depot")agrees to furnish,deliver and arrange for the installation(-Installation')of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any.applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): Job#:'aw-naaA-_4 Products- Sec Sheet(,,)#: Project Amount Rooting Siding Windows Lj Insulation $ 2"S-�l QGutters/Covers ❑Entry Doors ❑ 3 Roofing ElSiding 0 Windows 0 Insulation $ ❑Cutters/Covers[]Entry Doors ❑ Rwfin. Siding U.Windows U insulation $ ❑Gutters/Covers OEntty Doors❑ Roofing LjSiding U Windows Lj insulation $ ❑Gutters/Covers ❑Entry Doors ❑ Mmroium25%Deposto•CaotradAmountdoe upme.xrntim ofthi400nhad Maim P mchaseas myna deposit mote than one-third of the Contract Amount Total Contract Anmunt $ 3 I J Customer agrees that,immm ately upon completion of the worts for each Product, Customer will execute a Completion Certificate (one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer.under thus Contract agrees to be jointly and severally obligated and liable hereunder. 'Tice Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(,,)included herein,at its discretion,if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home,environmental hazards such as mold,asbestos or lead paint,other safety concerns,pricing errors or bucause work required to complete the job was not included in theOntracL t� Payment Summan. The Payment Summary# Octt 74C)�� ✓ included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign Do not sign a Completion Certificate(note.: there is one Completion Certificate for each fisted Product as defined by individual Spec Sheets)before work on that Product is complete. In the event of termination of this Contract,Customer agrees to pay The Home Depot the costs of materials,labor,expenses and services provided by The Mane Depot or Authorized Service Provider through the date of termination,plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS. OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LEVHTINC THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. AcceptanEe and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and superscxles all prior discussions and agreements,either oral or written,relating to said Products and Installation.This Agro went camiot be assigned or amended except.by a writing signed by Customer and The Home Depot Customer acknowledges and agrees that Customer has read,understands,voluntarily accepts the terms of and has received a copy of this Agreement_ Nted lam: • Sub •tted by: 4 - /-fit G� 16_ ` 6 •1q D 1 Customer's Signature Date Sales sultant's Signature Date X Telephone No. Customer's Signature Date Sales Consultant License No. _ CANCEI,LATION: CUSTOMER MAY CANCEL THIS (as 9pp]icable) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE ROME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS ` DAY AFTER SIGNING THIS AGREEMENT: THE STATE SUPPLEMENT ATTACHED WRET0 CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN cuSTOMER'S STATE NOTiCL:ADDXrimAl,TELSM,s AND CONDITIONS ARE STATED ON THE REVRRtiL SIDE AND ARE PART OF THIS CONTRAr..T "44 While-Branch File Yellow.-Customer . Td . WdST:b- TTOZ ZZ 'adti W-ZEEKBOS: 'ON XtJd- p26u,ef: W08A Il Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Superrisor Spechilty License: CSSL4)M8182 �* TIMOTHY P HAPOCOM._; 4 CIRCLE DRIVE Wareham MA W2 71 . ,,�...�J/r.�t . Expiration Commissioner z,. 06/0412015 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 -www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AUHCant Information PIease Print Leeibly Name usiness/Or �' ,y (B ganization/Individval): `1 /nb t h y 1? �( ns c o A _ Address: 011'CJz: b 1'l U e_ City/State/Zi : Qf e-h 0 0aS-71 Phone#:. 6-0 l 176e,?= 61 Are you an employer?Check the appropriate box: 1.❑ I am a employer with 4. I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors . 6. ❑New construction 2.W I am a sole proprietor or partner- - listed on the attached sheet 7. Remodeling slip and have no employees These sub-contractors have 8. E]Demolition working for me in any capacity, employees and have workers' [No workers'comp. insura ce comp.insurance.$ 9. Building addition 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 3a.❑ 1 am a homeowner acting as a employees. [No workers' 13.❑Other general contractor(refer to#4) comp.insuranCe mod-].Any applicant that checks box#1 must also fill out the section below showing their workers'compensatio4olicy 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: Policy#or Self-ins. Lic.#y Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).' Failure to secure coverage as required under Section'25A of MGL c. 152 can lead to the imposition of 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 under th pains and enaldes of perjury that the information provided above is true and correct . Si a Date: Phone#: Ofj`ieial use only. Do not write in"this area, to be completed by city or town officia[ 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#• f E • 4 cL C� - Office of Cons � e � Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement:Contractor Registration Registration: 126893 . Type: Supplement Card THD AT HOME SERVICES, INC. Expiration: 8/3/2016 ANDREW SWEET 2690 CUMBERLAND PARKWAY SUITE 5.00:~ ATLANTA, GA 30339 = — -- Update Address and return card_1•Iarlc reason for change. SC^' " 20hi-ost;1 J Address �_� Renewal i^-; Employment Lost Card `•� �i�c' (f rur rnnrrrrrYi���r jr'•lfI/.lirir�ii�r•�%i. Z. Omce of ConsumerAffurs&Business Regulation. License or registration valid for individul use only �_ I,(_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 126893 Tape' Office(if Consumer Affairs and Business Regulation •--=_�= ; ' Expiration: Bra/2016 Supplement Card 10 Park Plaza-Suite 5170 Boston,iiW 02116 ' z-un�T unnnc croinncc :tni�! rHE HOME DEPOT AT HONIE SERA/ICES 1 ANDREW SWEET 2690 CUMBERLAND PARKWAY S =kG<;cam.�?• fi The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' I Congress Street,Suite 100 Boston,MA 02114 2017 w" 5y0y www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): HOME DEPOT AT HOME SERVICES Address:2455 PACES FERRY ROAD City/State/Zip:ATLANTA, GA 30339 Phone #:774-265-2139 y an employer?Check the appropriate x: Type of project(required): am a employer with 20 4. I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees (full and/or part-time). _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑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 3.0 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers comp. 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no WINDOW REPLACEMENT employees. [No workers' 13.Q Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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:NEW HAMPSHIRE INS. CO. Policy#'or Self-ins. Lie. #:WC049101882 - Expiration Date:3/1/2015 Job Site Address: ( qg I'h J11 R city/state/zip: 14 w)l [`Q�rnnr Attach a copy of the workers' compensation po cy ddlaration 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 agains4Pce ' lator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under,t s a en the information provided Uvetrue and correct. i ature• Date: ` Phone#: 401-714-6399 J2 I 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#: CERTIFICATE OF LI' SILI t y INSURANCE' t^lLC + THIS CERTIFICATE IS ISSUED AS A MA I , BELOW- ATETHIS DOES NOT s�FFIRMAnv��oR KEGAnv��Y�AAMEEN, EXTEND o A:EZ'THE COVERAGE AFFORDED Y.TtiEPOLICIES @EI-01tY THIS GERT1:=lCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRA-T E;:7,pl THE ISSUINGAF tt�1S;:�By.ISL riE I REPRESENTATIVE OR PRODUCER,AND THE C i - ERTIFICA')E HOLDER '•�'Slj's-s'IT: the termm and=nC ak'ns of u`ia poll t- - - 1c._i:•i•'.'l(:rSi.rc s`-E 2::��ig if SUER;-'>3A .40W IS c=: `. Cd,s ei wui r7.7:I.:i2s,-1s ap re'qu a ar't endo +__� r" :}•a�� _U M? -cc holder in Ilea of such endorsement(s). 'ei `+ +w 51dc-:tali Cif it is Cei fi(icaLe does not Curlier r yi,is i0 the PRODUCER ,'ARSH USA,ING COEA NO ALLIANCECEM----R { PHONE[ U._ FAX A • U ?rot E 24CO ATLANTA,G?3W E areal 35: ?�=•ram-t�'•--�--=-t?1= .. INSU.�E315)Am�R:ItIG CO/=�7AG'c j LwuRED — - le THDAt-HYAE Ur-SURE B Law rm. `v'v DSA THE HOME DEFOTAT_hok EScrR'i10ES INSURER C:NeaHc�pshatr Ins Co 2455 PACES FERRY ROAD ATLAN A•CA 30339 INSURER o-Minas P1aLanel Ms�2xe Cu try i23�!7 1NSUFtER E• —1'vi•1 i r=-�-•�' 1 S IS TO^ RM T'ri1 +-+.. I�i i"4r T _r IhtDICA"EED. NOTVIiTit(ST L iiC_ �T�r •-C - ANDIMr-AR'Y REOUIRE)AEN7;TFJ2h1 OR CONDITION r1FA,yy C c Ferric:rEF:V=CERTFICATE MAY T3E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES-CONTRACT OR HERjDOCUrE IS SUBCTPTO ALTo L THE TERTHIS tY1S, EXCLUSIONS APID CONDITIONS CF SUCH POLICIES.LIMITS SH00%MAY HAVE BEEN REDUCED 8y PAID CLAIMS. iNSR' L Lit TYPE OF INSURANCE . J PoucY Numsect- PDL1p EFF OLIC S(p A k IERAL LIABILRy IGL04EM14.04 Lmm nx 1 I03J01/2014 031DiP�01• COMMERCIAL GENERAL UABILnY { 5 6iCrI C�CUR4E.`:CE I g 9CilL1,CfC 1 r7AdlA , eM I i i.^.L:::: .'...-:;'t- .�...wvl# i 'r_�•(ti.�a.r .tiw� L`�kSS- ! _ .�_ IS 1,10,00D I $. ICY•SitC ,�rl:'F.t?:R.L . 1 • � - ! j .. �Pc'iSGr•L�L d Ai>V INSUn'Y {5 `�.W'+�.lt3 G6V7AGaRECsATcUMrrAPPUcSPEIL-. GENEi'ALAGG..EGA-1E jS 9,000CCO X POUCY I.EC 1 1 LOC ( PRODUCTS-COI9PIOPAGG S 9,8GGOL'0 B I AUTOMBILIC UAgIUr'f �-nAP x��'3 1 i s 29 lout 1031D1201S tAhmx u EU . + 1,C00,000 r .�.tTr7S3?:i:7 i =i•IEvirL� ice-,r vr•r• — 'e-3� Pf fp[ C.. tk`.S ':g DEL OX--u�i^AI•e4v �r r - I i -HIRED AUTOS HON ON:+,� WUTOS I 'PROPFitTY DAU,AGE I t m S UMBRELLALIA9 OCCUR Is EXCESS LIAS CAS!$!AgDE EACH OCCURRENCE is 1-11 DED RETENTIONS AGGREGATE IS I I:.IrcOemorsw:aaa.... j n Ws_:r �_: _ .:=.;_ `.��:: . I s AIvY PROPRIETOR? i ii _i• t v 4�i t A•inl*RFSxS,_iJTN:� ira:U•iaw.w+-�::n.�w'•,{i;;; :•.sue....... L_�L�fL&! E i Q OF:ICEROEUDERMMuibm? N t( mu; NIA I .I El_EgCIi ACCIDb1T S :� (Mandatory In NHi WCQ49701883IR) �030t2014 IM)201S L' -:� If Yes.desrtQle under E I DISEASE-EA EMPLOYED S 1.OW.o00 DESCRIPTION OF OPERATIONS below ` C WORKERS COkT84SATION EL.DISEASE-PITLIC'Y UMrr s 1,0w.wo WC0491818M(KY,NC.NH,VT) 103/MlrzM4 031Mif1015 IELI UMrI �vCOessoss N� 1,etnaco t ) iW101014 03.DIrz015 L.Sv:,{:T.:;::C�•R'Y.al�.�:t'S!W't�n.e i.ri l•JF.i.:�ls=>ln.wtZq - "-`_--.�_.� •___ EVIDENCE OF INSURANCE / . CEt c e iFICATE HOMER - CANCELLATION. FTLqJTP, ERVICES,INC. EPOT AT HOME SERVICES ' SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE RY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED R4 3M9 ACCORDANCE WITH THE POLICY PROVISIONS. a;3iarstt UtAI m. i Ulanashi Multhe e I ACORD 25 20101051 The A 151988 201 0 ACORD CORPORATION. All rights reserved. CORD name and logo are registered marks ofACORD t e .................. Massachusetts Department pt Environmental Protection 112979- 1 Bureau of Resource Protection—Waterways Program Transmittal sRP WW 01 Waterwafs License of Permit: Non Amnesty RRP WW 02 WaterWays AI111eaty Moose or Interim ApproW BRP WW 03 VI OWWays Amendment to License or Permit General Walermys Application aee 1i ei"`lien'on Project Information poll i piton sompliling soellorq A•11 of 1. Which permit category are you applying tor? 7.' Project description: thii form BRPWW01 O BRPWW03 This p ro' ect is to licen$, ,,,.,.,,,•.,. ........ ....................................................... ❑ BRP WW 02(Amnesty) and maintain a privat.q,,......................... 2. Applicant: seasonal pier within.•,thQ..................... 1"Ii. ba.el....J.......McrGui.re.............. waters...°f....Wecuauet...Lake.................... Htme ....... ........ ............ 698 Shootflying Hi•11...Road.............. at"r'"0A°0r�s 8. Description of existing and proposed use(s): Centerville ........MA..................... ................................................................ Sbre cr►y�ro The pier„i s used t o gain,,,,,•,,,_ 4.508) 790,-,577$..:..................................................... .... ..... ................................... ...... ............................ . rebpnone(home) (*V+*) access for recreational 3. Authorized agent(8 any): boating, fishing and other Q.aq.ta.l....Cons.u.l taats water dependent activities ....... ...... ......................................................... P.O. Box 99 ................................................... ��f•••••••••••�•••�•••••'•"'•"'�""""""'`' 9. Is this application for an Amnesty Interim Approval? Onset MA 025$$ ...• O Yes 10 No ciyAownswi .. H°Yee",:aubmil plans prepared in accordancA with. (.5.08.).....2.95.-.9009........................................................ Appendix A. IMrp9one 10. What is the approximate total cost of the project(Including . 4. Property owner:. materials A labor)? Same $ 4, 000. 00 . Nerve(Y QrOaenr Irom�golrca�q ...._.._............._..____..........___................._... ._... ....._ ___.. laBofj) 6 s,ber►oian 11. List the name and comptetr mailing Iddrisi of itch iMst 698 Shootflying Hill Road (oachaddkional sheets.Inecessary); torsempn.Naa°rau) Lot 46 KAthy A. Faulk,Tr Centerville Rarnsatab c — uy�own ,ry 150 Federal St. 12th Floor Boston, MA 02110 6. Name of the Water body: Wequaquet Lake Michael A. VAlerior, Jr.24 Tern Ln ....... ..................................m...................................................... . 12. 'I�i�V� r.�li 'd��oj� plar��►taa6t�t�c�With the Instructions contained In—% 6. The Water body at the project site Is: O (check 1 or more of both a b) Appendix A(tor Interim Approval applications) a. D Tidal D filled Tidelands io Lake Pond D Appendix B(lot Permit Applicationt) D River/Stream D Uncertain JAppend'a C(for License Applications) b. Natural D Man Made D Uncertain Appendices At begin on page 7 0l that�pplicelion :.:................................ Alamchaspof papas so(o1 fnrtrpamantal PrPIPPOpa bureau of Resource Protecdorf-Watprway;Program Transmittarl MS. RRP WW R1 Waterways Licansa or Permit; Itcn Amnesty RRP WW 02 Waterways Amnesty Ucenve or Interim Approval RRP WW 03 Waterways Amendment 10 LWOnse or Permit General Waterms Applica IOR • tC,ertil�F,�lipn t'M;f�type Pr p11nt AlertY ill All opplicant;,property pYmori fad pulhorlled apart;mu$t;ign thl;pope.All future application corrospondence MAY be �ttgrmldon of nod pY the outhori:;d;pent fllonl pprfni�t4 an the loan• 'f hereby make Application for f)p;fmil or(icensu to ............................................................................................................ sc 4 authorize the act'ryities I hove 04. r.Ib 1d heroin.Upon my jignature,1 agree to alloW the duo authorised fepresentatiYo; ....... ........................................................................................... _ .... p(tha jylassachu;efts Department oft nVironm;ntal Protection Rae pnd the Massachusetts Coastal Ion;Management Program to enter upon the premises of tho project silo at roasonable times • ••............•••••..•"" . ........................................................... .. . . for the purpose of inspection. ProPe�b owners slpn�Nre(udr0e�@mrnan aovricanq 't hereby certdy ttiat the Informotion iubmittod in this ..............._..................................................._..I........._..............._ application Is true and Accurate 19 tho west of my knowledge.' pare • .. , ...... Apenrs sonsfuq(d?P C011 ..........� / . cx�co.....................I.......................... .... DO W00t of y; PrPoging A00pndum P.O.BOX 99 ONSET,MA 02558 1• f foyide a description of the drudging project. .........N/A.......................................... ... .............. .. ................................. ............... . ......................._........ . .. 2. Whet is the purpose of the dredging? 3. What l;the volume(Fubi&yards)4t materiel to be drudged? 4. What method Will 09 E!;ed to ofoop? 0. pescabe the disposal method that Will be used and give tho disposal location(Include 4;eparate dispowl;lte location map): ..................................................................................................... Massachusetts Department of tnfrfrmfitorttal protedlon ( 12 9? j Bureau of Resource Protect/on Waterways Program TransmNt "RP New 01 wit WOVO lWOW 0� pnrmit� Non Antttesty ARP ww watt ► ys A,nnaty license or interm �prnvnl O"P WW 03 watorwnys Amendnlsot to-li nnsn or Permit General Waterways Applicatlon ' Municipal toning Certlllaat Please type or Michael J McGuire - . _. _... _.. _._......_.__ ._. ___ . _ _ _. ............__. print ckary all N�mt wsvwrcznr Inlormstlon provideeon 698 Shootflying Hill Road this form. f'w/ed:heel adores: • Centerville... ___............................ ...._... � ctry/I•own _ . - Wequaquet Lake Warenfa� . This project is to license and maintain a private, seasonal ........................... .............................................................. AeSCHp#on o/ProPosed use or change In use pier The pier is used to gain access for recreational fishing ............ .... ... ............ . ........................ , ;boating and other water dependent activities. aitki�b'Nti�t:2�LNt�4C<3t:QL�;}1�Vlifh$�N1�kiA\Af:.iiR'NIF�<+n\i\d:i;•M+t�'�•• To be completed by municipal cleric orapproprfato municipal offlclal: '1 hereby certify that the project described ibov6 end mote fully detailed in the ipplicant'0*aft*yk licene 60011citl6h end plans is not in violation of total zoning ordinances end bylaws.` ...................... prfnf Name d Munrerpar(Xfiral Slgaafunt o/Munidpe Oxce . _.__......_................_......_...._....._.._ . Clfy/Jo" Rate................. pflpd 4 of A Rev.7/93 ........................ Massachusetts Department of fnolronmintal proteCtlop � 2 9�91 Bureau of Resource Protection—Waterways Program Tiansmhtall Nbn Amnesty BRP WW 01 Waterways License or Permlta , BRP WW 02 Waterways gmnes#y tic rase ar InterimApproval BRP WW 03 Waterways Antntt rent to license or Permit General Waterways Application Phase typo 0l Print Munic.fpaI Planning Bongo Noillicat on. dearly alllMortna• Michael J Mc. -�� von provided on the :........ . _._. tOrrrl. Adn�e d�pllcanr MolleetoAppllettnl: 698 Shootflying Hill Road ThisMurdclpal P*dsf met aadmss Planning Board NoliOationmcdon Centerville _..__..._......... _._ _ »-»----_- must be tubmlaed ........................._................_........... ..,........ along with the City/Pown original application materials.It It W quaquet_Lake — cannot be ilgned by _ the appropriate WarerKay municipal official at CretlmeotdelNery, This project is to license and maintain a private, seasonal the aPDllanl should ....... . ....... .............................................. wait unlit an or the V suiDGon d DmDaw use a change In use receives the Bier _facility-,--_ Thy pier is used to gain access for fisher g executed signahere , before Submitting boating and other water dependent activities _ the completed —•— __ --- -- appllpuon package to DEP. O �::.::':'tit:Sic::'t�f<::iSS::;:y.•`:;;•^.:': ''G''{ ;�: .ae4'''2i'w`'`iiif@fia«Yae'3'Fi£etaaa '�4':•'%i`a•%'Cii2••'F•2S%i'i'\i Vis%::'t'+'•i'�<i.Q':Hsi\ifi•'h'•.V''��'C2<�•%<is:S�A.''.'f•%�C<�«..:'�'.�2C:f`n To be completed by municipat.clerk orappr..opriate munlcipal.officlal: 'I hereby certify that a copy of the completed Waterways license tipplication and plans described above 1Nd5�ubrniNbd by the applicant to the municipal planning board. _........................................................ f31nf Kane ' sprwun ofYuNdp$Ancw Flo __..._._. ___._._...._.. . Clly/lown Pape 6 of ll Assessor's offioe (1st floor):. '_ ` / ` / ! 7 CF TN E t0 Assessor's map and lot number ..... .... ......... ... Board of Health (3rd floor): Sewage Permit- number ......... .....Ago—...............�......... Z D9Dd9T4DLL i Engineering. Department (3rd floor): rnea House number., o �679 jkl APPLICATIONS PR�QCESSED 8:30-9:30 A.M. and 1:00-2:00, P.M: only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......r—.!�1.. I!�-t ....—m �J. ........................................... TYPEOF CONSTRUCTION .........�✓1 .1�...................................................................................................... ...........................................19........ —7(�YI166d s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: p Location .........6.9.F..........�?.kC?C? .. / ..L.!!� ......�Tx�.//......../..`..0 ............1., e f'..�ht-4!.l.L'` .............. Proposed Use ................. .. ./. �a ......................! /y.........� .t.11. l--e......................................... ZoningDistrict .............................. .......................................Fire District ......................C...0.../!./................................... Name of Owner ...!!1..�?..�.. ..,� ��r.K.. ...... t9.i. j�P ....Address ...�..�J..4P........�7o�(..y....1/.�� .........f. • Name of Builder' ...lCo.. ......... .. �":.5,� ....Address ..�.. ...... 0/c/ ....ro.UFt.r �'.. !h,Y... ..<.���A•�' � Nameof Architect � ................................................Address ........................................ .......................................... Number of Rooms ............. ........................ ..............Foundation .....C�a�r.4- ?. ,......................... Exterior ....:M.f..:.................::....................Roofing ....`............................................................................... Floors .....................Interior ....................... t Heating ...................................................................................Plumbing ............. .......................................:. 57 0 Fireplace ..................................................................................Approximate Cost ...:../...-?.. .......................................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of.Barnst_able regarding the above construction. r Name ...... ...... ..................................... C,/ S Construction Supervisor's License d..l..........�......... .... GARRET, VINCE & JUDY A=193-047 No 31615 permit for ....Build Addition Single Family Dwelling Location ....698...Shoot Flying Hill Road Centerville ............................................................................... Owner „Vince & Judy Garret Type of Construction .....Fr.ame ............................... ............................................................................... Plot ............................ Lot ................................ Permit Granted February 18:, 19 88 Date of Inspection ....................................19 Date Completed 19 t _ Assessor's offioe (1st floor): // (�? Assessor's map and lot number .........� (�.../... ..... you THE rO�♦ Board of Health (3rd floor): © .. Sewage Permit numberSEF... .... ./<l ..Q..�S..... ... . / ' I...D • ��LL • Engineering Department (3rd floor): "`' 1 �,. �? "�� CO ,tam House number ...................................................................'... . °'yTLE 0 YAV APPLICATIONS PROCESSED 8:301-9:30 A.M. and 1:00-2:00 P.M. only i�,.,:'�NAENTA L CODE A.,jo TOWN GULATIOINS A P P R © V ETOWN OF BARNSTA-BU #34>tlsstable ConserVptioA Gomm�i/ssPILDING INSPECTOR �, dATION FODaZERMIT TO ........ V.LA l .:E....,.lL�!/QS,,,Q. ........................................... TYPEOF CONSTRUCTION .........i r��..l...J/...................................................................................................... ...........CAL ..�.(��......................19Q... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: p cJ � Location ........ �.........5.�1.0.(�0.��,?�..).. .......�.7:.t.//.......J..`7a/..........a,-A! .�L!` ............... Proposed Use ....................5./..(,.? k.......�!�.�!!.�./Y........... C..�........................................................ � �� Zoning District ..............................�......................................Fire District ..................... ..........J(.! Name of Owner ... ./..1'l..G. ...1�6f 4/./Z .e.�....Address ...l..f>/a........?a�/� Name of Builder ...�..4�k�.......1 J�/V!��...5....f.'U....Address ..�./......................C.4.li..Fi.I.��X...��I.,Y.....�.�.ex"R•-�� Nameof Architect ..................................................................Address .............................................../.................................... Number of Rooms .............6,...............................................Foundation ....� .....�3 ......................... Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating g ............. ............................................................. ....................................Plumbin Fireplace ..................................................................................Approximate Cost ......� .�� J. ............................................. ..... Definitive Plan Approved by Planning Board ________________________________19________ . Are �G1.... ..'..T-�?-./....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..... ..... ' Construction Supervisor's License ay...... GARRET, VINCE & JUDY No . 31615 permit for ..13gi1d Addit on �: , . S.... ,Fami.ly g ......... A Location ..................Q ant Q.r.v. .......................: At r Owner ...Vince.. &. J°udy .G rret v � Frame Type of Construction ..... .................... cv � ,+ Plot ............................ Lot ................................ -, �;7 -'-_ February 18 , C 8Y8 'r'- Permit 'G_rgraecl .......................... .... q FDate of Inspection .....................................19 ` Date Completed ...................:..................19 1T�A Cl .00 1 tk - O ve 10. bi o - i and°rl a/N . i: f HEREBY CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND REG- ULATIONS OF THE REGISTERS OF DEEDS OF THE COMMONWEALTH OF MASSACHU SETTS. REGISTERED LAND YJRVEYOR DATE HILLSIDE DRIVE ......::::"` " SITE PLAN �.�NDING ii.:;:... ...: : :W,E'QUAQUE'T GRAPHIC SCALE :..... V' ti ;;::;::;>; >;:;:'i:::;>;':ii:;:i::;:::ii:::;::i::;:: 0 o zo ao B0 z ;:;....:.:;.:;:STONEY"""'; 2: ':.':::::::::.. o ANN ( IN FEET ) N PT ROE :LEWIS I inch = 40 ft. ................................... LOCUS MAP.(N.T.S.) 192/20 CASEY �oJS� / J . 4�; G� N CA cr00 Np8 24 ��, / o01 00 rrl BARNSTABLE ASSESSORS MAP/LOT 193/47 a/ N/F FAULK CA W } 0) 192/21 �J 000� N F "li MCAULIFFE m y,. 4 �? 04 SURVEYOR: o�`" M QUAQUET ■�` � � A� LAKE ���� OF s A 0 -�'�®�a® 19; F� a KENZIE & ENGINEERING ASSOCIATES , 74 N . 35037 695 WAREHAM ST. FfSS10a� MIDDLEBORO, MA. 02346 SUR`�y� (508) 295 5505 PLAN ACCOMPANYING PETITION OF MICHAEL J. MCGUIRE FOR LICENSING PROPOSED PILE SUPPORTED SEASONAL PIER 698 SHOOT FLYING HILL RD. BARNSTABLE, MASSACHUSETTS SHEET 1 OF- 2 9-12-00 HEREBY CERTIFY THAT THIS PLAN CONFORMS TO THE RULES AND -REG- ULATIONSREGISTERS ULATIONS OF THE OF DEEDS OFJHE COMMONWEALTH OF MASSACHU- SETTS: REGISTERED LAND SURVEYOR DATE GRAPHIC SCALE 0 0 20 40 6o Aim oil to ! ( IN FEET ) W 1 inch = 40 ft. ���• `�� M lwAPE UA UET OF LAIKE PR PkED PIER ENZIE �G o. 35037 317 0 SS\o�y� SURD PLAN VIEW N24•y 0"E ' t� I LE . GRAPHIC SCALE. PIER P RO 8 0 4 6 IN FEET ) . 6" RECYCLED 1 inch = e it.. PLASTIC DECKING 2" WELDED GALVANIZED ALUM. FRAMING _ FASTENER EL.=35:0 . ................. ................... .................. ................ ......... WATER LINE MUDLINE ADJUSTABLE STANDPIPE FOOTING. ' 2" ALUM. 1' X 6" GALV. ' GRAPHIC SCALE CONSTRUCTION4 U 2 4 DETAILS - .. IN FEET ) 6° RECYCLED PLASTIC DECKING 1 inch = 4 ft. (5) PIER SECTIONS AL WELDED STRINGER (1 ) PIER END . . .... .. . .. WITH BENCH 4' :.. 4' ....... ... :.... ...... ... .... .. ... ..... .:. .... ... ...... 8' 4' PLAN ACCOMPANYING PETITION OF SURVEYOR: MICHAEL J. MCGUIRE _I FOR an= i ems• EYING LICENSING PROPOSED PILE SUPPORTED '&NE GIN ERING SEASONAL PIER ASSOCIATES 698 SHOOT FLYING HILL RD. 695 WAREHAM ST. BARNSTABLE, MASSACHUSETTS MIDDLEBORO, MA. 02346 SHEET 2 . OF 2 9-12-00 (508) 295 5505