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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 6 Parcel 035 Application #0 �D�p2
Health Division Date Issued Z
Conservation Division Application Fee
Planning Dept. Permit Fee 0
Date Definitive Plan Approved by Planning Board P�
Historic - OKH _ Preservation / Hyannis
iProject Street Address 220
Village C
Owner ENU•S VID �- C�—�-- Address 50 ffi)m ` X^I-e—
Telephone
Permit Request t.2 C SI:k�( Z r �c j"7 t)4_CX
tz C_-OD-e-
Square feet: 1 st floor: existing/proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
��
Project Valuation Construction Type- �U`1
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Er"" Two Family ❑ Multi-Family units)
Age of Existing Structure Historic House: ❑Yes d7 No On Old King's Highway: ❑Yes �lo
Basement Type: &rull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sgwft)
Number of Baths: Full: existing new Half: existing new --�
C> � .
4 ..
Number of Bedrooms: _ existing new fry , �> ZZ
Total Room Count (not including baths): existing new First Floor.Room Cou,nJ
Heat Type and Fuel: ❑ Gas R'61-1 ❑ Electric ❑ Other
�i 4•'fi
Central Air: ❑Yes 4Pq_o_ Fireplaces: Existing New Existing wood/coal stove: o:bYes ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 existing'Jo new size_
Attached garage: resting ❑ new size _Shed: ❑ existing ❑ new size — Other:R,
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use rS ftLe, EZtMI(I :Y: kCV0-0— Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
NameZUv &(— 'Mon Telephone Number` —?fo 5 S
Address by-/y License # 05L9 , I
EAgl— SCto 0WCC( Home Improvement Contractor# G`y3 L F
� �55 0ZS3 Worker's Compensation # AkCWC;23q
4
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO,
SIGNATURE DATE el�7
{ :
I
_f FOR OFFICIAL USE ONLY
_ APPLICATION#
DATE,ISSUED `
MAP/PARCEL NO. f
ADDRESS VILLAGE
t ' ii r 'n • r
I .
OWNER
I ' DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL `
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
Town- of Barnstable
Regulatory S8ndces
r g f-.
Thomas F. Geger, Director
�tr�o69,;+•~ B TYLI dIIlg D1 YI510II
Thomas Perry, CBo, Building Commisnioner C�
200 Main Street, Hyannis,MBA 02601'
FP�w.to�n.barru-table.ma.vs -
'Offices 508=8624038 Fax: 508490-623C
PLAN REW
Dwner: C*—WL=LC Map/Parcel:
Project Address s LL Y L-1'� Builder- 0 7'
The fa lowing itex,were noted on reviewing:
C •C:o H k c_7zDRL T W E.(=7 N o '7v
A� po .
to S ',9��
G- U AdL�6
Date: ' _ r
oxt"E
• aexwsras�,�"
MASS.
639. Town of Barnstable
p��
Regulatory Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO
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
I SV ,as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
Address of ob
( job)
Signature of ner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc
Revised 072110
v
.� Bk 18461 R9240 0143016
' 12-•23-2003 & 12 2 00P
MASSACHUSETTS QUITCLAIM DEED
1,Ann Marie Smith of 30 Holly Lane,Barnstable(Cummaquid),Massachusetts 02637,
for consideration;paid,and in full consideration ofFIVE HUNDRED THOUSAND AND 00/100.
Dollars(U.S.$500,000.00)grant to A.Wallace Rockwell Hamerton,Katherine Rockwell Reed
and Edward T.Rockwell,Jr.,Joint Tenants with rights of survivorship,of 3 Whittier Terrace,
Boxford,Massachusetts 01921 with quitclaim covenants the following property in Barnstable
County,Massachusetts:
30 Holly Lane
Barnstable(Cummaquid),MA 02632
NORTHEASTERLY by land now or formerly of Allen F.and Charles W.Jones,as shown on
hereinafter mentioned plan,one hundred eighty-one and 37/100(181.37)
feet;
EASTERLY by land now or formerly of John F.and Margaret W.Jones,as shown on
said plan,one hundred ninety-seven and 27/100(197.27)feet;
SOUTHERLY by a private way known as Holly Lane, as shown on said plan, two
hundred three and 36/100(203.36)feet;and
WESTERLY by land now or formerly of Charles W. Jones, as shown on said plan,
three hundred two and 23/100(302,23)feet.
i
Containing 1.04 acres, more or less, and shown on a plan entitled "Plan of Land in Cummaquid-
Barnstable, Mass. belonging to Allen F. and Charles W. Jones Scale 1 in= 50 ft. June 14, 1962,
Nelson Bearse & Richard Law - Land Surveyors Centerville, Mass,", which said plan is duly
recorded in the Barnstable County Registry of Deeds in Plan Book 170,Page 123.
Being the same premises conveyed to the herein named grantor by deed recorded with Barnstable
County Registry of Deeds in Book 4962,Page 55.
t V � i v x' i L] W a G.
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III
Bk 18061 Pg 241 #143016
Witness my hand and seal this �"rr day of C=CTc.,s��=► 2003.
Ann Marie Smith
Commonwealth of Massachusetts
Barnstable,ss: �c3C2 ,2003
Then personally appeared the abovo•named Ann Marie Smith and acknowledged the foregoing
instrument to be her free act and deed before me.
III
Notary Public: Robert T.MacNamee
My Commission Expires 3/20/2009
PROPERTY ADDRESS: 30 Holly Lane Cummaquid,Massachusetts 02637
BARNSTABLE REGISTRY OF DEEDS
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�pFTHE, Town of Barnstable *Permit#
E spires 6 months roar is I
' I
Regulatory Services Fee
BARNSTABLE,
MASS. Thomas F. Geiler, Director
ATFD MA't A
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstab le.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
N nlid without Red X-Press Imprint
Map/parcel Number `r1'�5 '
7Pro sty Address ,S O
Residential Value of Work ! Mini I rnurn fee of$35.00 for work under$6000.00
A
.Owner's Name& Address /fi SAM(f-
Contractor's Name A d' 0' T_GP a' e T lephone Number
Home Improvement Contractor License#(if applicable) /' (> Vi IC3S_ e
Cons/Iction Supervisor's License#(if applicable) /a V 5I/CX-PRESS PERMIT
Work Compensation Insurance AUG _ 3 2010
Check one:
❑ I am a sole proprietor TOWN OF BARNSTABLE
❑ am the Homeowner
I have Worker's C mpensation Insurance
9 T/V
Insurance Company Name t°i
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
❑Y
ide
/ #of doors
Replacement Windows/doors/sliders. U-Value d� 's j (maximum .44)#of windows
` *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License& Construction Supervisors License is
SIGNATURE:
c�^
Q MPFILESTORMSIbuilding permit forms\EXPRESS.doc
Revised 070110
A HOME IMPROVEMENT CONTRACT
PLEASE READ THIS
f Sold,Furnished and Installed by:
Branch Name: Boston Date: 'G• -!! THD At-Home Services,Inc.
d!b/a The Home Depot At-Home Services
345A Greenwood Street,Unit 2,Worcester,MA 01607
Branch Number:31 Toll Free(800)657-5182; Fax(508)756-8823
Federal ID#75-2698460;ME Lic#C 02439;RI Cont.Lic#16427
CT Lic#565522;MA Home Improvement Contractor Reg#126893
Installation Address: f §1` ��' � t-�r} �* j
�/ v j, r ` _ 1 c l ? �l t
City State Zip
Purchaser(s): Work Phone: Home Phone: Cell Phone:
Home Address:
(If different from Installation Address) City State Zip
E-mail Address(to receive project communications and Home Depot updates):
❑I DO NOT wish to receive any marketing emails 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,Inc.("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#: (Intemei Reremnce) P•oducts: Sec Sheet(s)#: Project Amount
❑Roofing ❑Siding Windows ElInsulation f'
❑Gutters/Covers —]Entry Doors ❑ r $
❑Roofing [-]Siding ❑Windows ❑Insulation $
❑Gutters/Covers ❑Entry Doors ❑
❑Roofing ❑Siding ❑Windows ❑Insulation $
❑Gutters/Covers [-]Entry Doors❑
[]Roofing ❑Siding ❑Windows ❑Insulation $
[]Gutters/Covers ❑Entry Doors ❑
Minimum 25%Deposit of Contract Amount due upon execution of this contract Total Contract Amount $ ( C31
Maine Purchasers may not deposit more than one-third of the Contract Amount I 1 '( J
Customer agrees that,immediately upon completion of the work 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 this
Contract agrees to be jointly and severally obligated and liable hereunder.
The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s)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 because
work required to complete the job was not included in the Contract.
Payment Summary: The Payment Summary# "_) 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 listed 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 Home 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'
LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS.
Acceptance 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 supersedes all prior discussions and agreements,either
oral or written,relating to said Products and Installation.This Agreement cannot 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.
Acce ted by,; r Sub tted by: J
X 4 ,lam ( U 1 �t X `i 7� ` El t L_
Customer's Signature DAle 1 Sales Co�isultant's Sionatuiree Datte� 1
X Telephon11e No. 0 D :5) Cy 7 'T
Customer's Signature Date Sales Consultant License No.
CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicable)
AGREEMENT WITHOUT PENALTY OR OBLIGATION
BY DELIVERING WRITTEN NOTICE TO THE HOME
DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING THIS AGREEMENT. THE
STATE SUPPLEMENT ATTACHED HERETO
CONTAINS A FORM TO USE IF ONE IS
SPECIFICALLY PRESCRIBED BY LAW IN
CUSTOMER'S STATE.
NOTICE:ADDITIONAL TERNIS AND CONDITIONS ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT
nn 1 11 1NL.H.,—Q.nn.•h eae Vellnw_Ci iefnmor Piny_Ralac r:nncultaM
Assessor's map and lot number ...:. %... I �..................... ?y�f IN E
Sewage Permit number .!....! ........
.. /`��� ✓� d� °�
Z BAUSTABLE, i
House number ............................... ,........ + L-t---/ I`�rta 9 Mnea
�p 039. \0�
�0 OR a
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO dC��.................................................................................................................. ..........
TYPE OF CONSTRUCTION ........................................c ..1 `...I.-.................................................................
....................11.1 l...I......19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to
the following information:
Location ............C:YY................C................................ .�`. :....L �., ..................................................
ProposedUse ............�� V5-;g.....................................................................................................................................................
Zoning District ..........('f ....`...........................................Fire District ...... .
Nameof Owner .... . ..........................Address ....................................................................................
Name of Builder .......5 .. .V� U.�:':..................Address ....................................................................................
Name of Architect ..... .. :...�� J.....................Address .......` j.WW Yv = L�.....
.... ...... .............. ................ ...........
Number of Rooms ... ....... Foundation ........CkC. e .....................................
Exterior ......L?sv5�..�i-�7a.+r..2. .....Roofing ......... J� ................................................
1
t
Floors ............................. ..C�e'ZC�-_. t Interior ...............
Heating .......................`... .................................................Plumbing .............. ...........................................................
p ...............................................Approximate Cost ii V..i�`J ...........................Fireplace ...............L..
Definitive Plan Approved by Planning Board ---------------_---------------19________ . Area .17. ....... .. .......
Diagram of Lot and Building with Dimensions Fee ,0�D'.t7
SUBJECT TO APPROVAL OF BOARD OF HEALTH
�2-
1����
s
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 .........° � C OL� .............`................
Construction Supervisor's License'.C.I.`�...
. . ........................
JEAN, R. J. A=336-35
A:A
No ... Permit for ... ......
Plk Uin.g...(.Q.a r a 9.ed.V e s;k)......................
Location Hqjjy..Lane
...........................................
ti
......... ti........
............................................................
v
Owner Jean..................... 1� Ilk
N
Type of Construction ...F-rame............................
. .................... ...........................................................
Plot
........................... Lot ................................
Permit Grant 984
ClY
er i 'Granted ..899M�t...I....................
Date of Inspection .................................. I9
-w- Date Completed ...............
.......Ag
lei
-IN
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W
J
Assessor's map and lot number .......................................... a
11GT Ale* e c �
' Se a Permit number .........,. .
tia ,��1d�r�o�a��
T"Er =" rj` TOWN --- OF BARNSTABLE
n i BASH§TiABLEJ: 2 ~61 0
In
"6 9 BUILDING ` INSPECTOR
n APPLICATION�-"FORr PERMIT TO � �... .�j., �t,�5, t,�...... �..... .........
N TYPE OF CONSTRUCTION .... .... ............................. ................................
.. ...k rl.................19 u
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ap�s for a permit according to the following inf rmation:
Location ... 4� ?4A ........ .......................... .�t .
ProposedUse ........ ...................................................... ............... ...............................................
Zoning District 1. ..................................Fire District .... .
..... . . .. .
Name of Owner `t ,�n��\ �,. `` ........Address .-����.. ....\ � , .
Name of Builder W� ....... . ... . . �M. .. / ..
Address ........... .. ,............... ti3l,v
Name of Architect ..... .....................................,.......Address ................ .......
. ................................
Number of Rooms ......... .......................................................foundation ...........`.. 4......
Exierior ....... ..Roofing `-
Floors .................... ............Interior �, ........ \J..
............_..,..
Heating ..... ,.r...............................................Plumbing .......... ,. ' X......................
Fireplace ..........'*)( ...................................................................Approximate Cost .....t. ........ v.�..4.1`1.0.....
Definitive Plan Approved by Planning Board --------------------------------19_______- . Area j.r ....._... �...... , ,
Diagram of Lot and Building with Dimensions Q p Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to 'conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
NameV \\ ... `...... .......... ...............
Malone, Mrs. Nelson
add to single
No .... Permit for ....................................
n'
family dwelling family ......................................
Co ..cation Y20 Holly
......... .. ............
.............. ....... . ..........
Owner ........Mrs. Nelson Malone
........................................................
Type of Construction .............fr 1 ...............
........................................ ....................
Plot ............................ Lot ...... ......:N................
%
November 19 75
.Permit Granted .......19
Date of Inspection c:2
Date Completed ...... 19
PERMIT REFUSED
...................... ............................. ............ 19
..................................................................................
.............................:...........
•
................................................................................
...........................................................................
` �- • _ - _j,
Approved ................................................ 19
........................ ........................................................
...............................................................................
3 3 6 - 0�
Assessor's map and lot number ..........................................
Ole
Sewage Permit number �-��^ 7G/ ......................... ...................................
Qyo*,0.if TOWN OF BARNSTABLE
i 88SBSTAISLE, i
9�p 16 9. BUILDING INSPECTOR
MP
APPLICATION FOR PERMIT TO ...... ............ ....`.I!......... .......................
J
TYPEOF CONSTRUCTION .... .. ..... ^rv` ............................................................................
�0..............19). .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the follo g information:
:� . ., - ...................................
Location .......... ........ ....... ....... ..... .......... .. .� . ..
ProposedUse ......`a(..�l, ;ac;� . ......................: ......................... ................................,................ ........
o
Zoning District ..................Fire District ............ . . .. !V..
Name of Owner �,-�-. A� ..... ......... .............:.' .. ..
Name of Builder .'>�........ .................Address\,r.1.1.c ,. ... ................ .... ........
Nameof Architect ...............................................:..................Address .................................. . ...............................................
Number of Rooms ............. ... ...............................................Foundation ........ ...................
Exterior ... ... %. .........................Roofing ...... <.. ... ..........................................
! .
Floorsv . . ............ ........... ...........................Interior ...
Heating ........J....�.r..x.... �. .. ...,........1. ... V '�Plumbing ................ ...............................................................
Fireplace ..................................................................................Approximate Cost .....1.`...�..t.?.1�. .. .................................
Definitive Plan Approved by Planning Board ________________________________19--------. Area ....�..r).Q'.... ���l�.........
60 CI
Diagram of Lot and Building with Dimensions Fee .......` .- �-....................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .........:At,Y ...................
D�aIoruev Nra° Nelson '-
17007 �
" Permit for /
^=°^i^�' dwelling `
--------,~-----.---.. f—.----.. `
Holly Lam ^ �'
Location -------.----.--------.. �
`
----------------..,�~`.``,�.+~=��e .
D���. Malone .
Owner '----
---.--------------.`---..
frame {
Type of Construction ---------.----..
----'—^----------------.---- (
'
Plot ............................ Lot ................................
Permit ----..lV 74
/ � ' |
Dote of Inspection —��L���f�
/ | '
Do�a Comp�\ed ��/--_--]9
| ' '
`
^
' PERMIT.REFUSED ^
� .
--'--'_—`~—^—.—,_—'—._-- 19 ~ '
--.--.--~------------------ .
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---,—..--'---....'._—.—.--.—..---
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.—.--.------.-----.--.--.-----
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Approved ................................................ 19 �
�
� --------------~.-----------
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