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Richard V.Scali,Director • �' Building Division MAY 0�'2016 i659. 10 No midi Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 TOWN pF BARNSTAB�E www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 033 PERMIT# FEE. $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less. PlAw Location of shed(address) Village fl ►RY 1OUG6-77-67 50R - 3 _d/`g Property owner's name Telephone number 1O'x la ' 031 - C --1 Size of Shed Map/Parcel# "),/9„/(904 Signature Date • Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign•off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITT THE JURISDICTION OF ANY OF THE ABOVE COMIVIISSIONS,THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A • PLOT PLAN Q-forms-shedreg REV:040914 Town of Barnstable Geographic Information System April 14,2016 258002002 02444 238005 02560 238005009 #2448 *2446 237021 0 2160 238005002 02462 267003 5 #2504 237027 0 257002 #2426 #2456 n r 1111 257001 1WIf Ito #2440 27026 4 2414 #2414 . 237026 #2400 ' '4C (\).1. . tllAlMyT/17p6A 0 4011111#.11. 0 267012 237022 2570.14 #2,463 #2370 #2447 0 49 Fe aIP323907024 02 . DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:237 Parcel:027 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner.DOUCETTE,MARY L Total Assessed Value:$310600 Selected Parcel 1'=100'may not meet established map accuracy standards,The parcel lines on this map are only graphic representations of Assessor's tax parcels.They are not true property Co-Owner: Acreage:1.13 acres Abutters - ..---i :?::: irt boundaries and do not represent accurate relationships to physical features on the map Location:2426 MAIN STJRTE 6A(BARN.) ' such as building locations. Buffer • jgrop,) • 4. iver Town of Barnstable *Permit#20 OOfi5 0 Expires from issue date m 6 monthsilt Regulatory Services Fee (.i0f 6 2016 k Richard V.Scali, Director NSTABLE Building Division Tom Perry,CBO,Building Commissioner 200 Main Street. Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 0 Not Valid without Red X-Press imprint Map/parcel Number L/ Property Address 62. --ac(). Mai s4 troct 04‘l F2 Residential Value of Work$ /3 _p3 q 7. Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addrdss poue6 7 . 029),(o Shaee 11- rfiStag 6qs( Contractor's Name Baker&Associates Inc Telephone Number5°8-362-2445 Home Improvement Contractor License#(if applicable) 16260D Email: info@bakercape.com Construction Supervisor's License#(if applicable)_009714. _ IWorkman's Compensation Insurance Check one: 0 I am a sole proprietor 0I am the Homeowner id I have Worker's Compensation Insurance Insurance Company Name AasaciatesLEmployerilaurance Workman's Comp. Policy# wcc5005002454204,5A_ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(cheek box) 0 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 0 Re-roof(hurricane nailed)(not stripping. Going over existing layers of root) ?..4 Re-side F.: Replacement Windows/doors/sliders. U-Value (maximum .32)#of windows 16 #of doors: 0 Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance.of this permit does not exempt compliance with other town dep.irtment regulations,t,c 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 re aired. SIGNATURE: 11 - • CAUsers\DecollikAppDatalocaP,Mierosoll\Wintiowslcinpnrlity Internet Files\Content Outlook 21901 DHR,EXPRESS,doe Revised 040215 s-, • • Authorization Form: )(laic- L i , as owner of the subject propert , hereby authorize Baker & Associates to act on my behalf, in all matters relative to work authorized by this building permit application for : Address of property: 2426 Main Street W. Barnstable, MA Signature of owner: 7 1 r„vrity avyr Print Name: ry 4 Date: /341/110— '• I Client AKERAS ACORD., CERTIFI ATE OF LIABILITY INSURANCE DATE(MIADIX YYYI _ 04r22l2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. i IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the poiipyiles)must be endorsed.It SUBROGATION IS WAIVED,subject to _•_. the terms and conditions of the policy,certain policies may require an endorsement.A Statement on this certificate does not confer rights to the m certificate holder in lieu of such endorseent(s). PRODUCER +�a T Dowling&O'Neil !Ho�� m Insurance Agency A/C E-MAIL rttl;soft 775.162Q A/C,No-"5Q87781218 973 lyannough Rd., PO Box 1990 ©DRESS: ' INSURER(S)AFFORDING COVERAGE NAIL e Hyannis,MA 02601 ' URER A National Grange Mutual insuranc INSURED ItaupEp e:Associated Employers Insurance Baker&Assoclates,inc. F ;I :w PO Box 923 ow:lC: rBURER°' Centerville,MA 02632.0071 1t1SURER E_: ?ISMERFt COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE!BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ZANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED!BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAV4 BEEN REDUCED BY PAID CLAIMS. LTpR �q A 0LS BR TYPE OF INSURANCE wisp ma) POLICY NUMBER (MW rn'IPA MY Y): _LIMITS A GENERAL LIABILITYT f MPJ7223M 1 04/19l2015 04/19r201 fa EACH OCCURRENCE f 1,000,000 X COMMERCIAL GENERAL LIABILITY f Ip 9 we) 4$500,000 I EMFS[ CLAIMS-MADE ' X I OCCUR I PE D EXP(Any INJURY U $I0,000 uRY f$t 000,000 GENERAL AGGREGATE $2,000,000 GENT.AGGREGATE LIMIT APPLIES PER: I G `$2,000,WO POLCY ?!ET'. LOG I AUTOMOBILE UABIIJTY COMBINI D SINGLE LIMIT" (Es accident) ANY AUTO BODILY INJURY(Per person) ,$ ALL OWNED ;SCHEDULED i _AUTOS AUTOS E BODILY INJURY(Per accbe ti) S HIRED AUTOS '_NON-OWNED { E PRO EFITY DACIAZIE —" . _ '(Per acchjentl. $ I. 8 UMBRELLA LAB FOCCUR ' : EACH OCCURRENCE f EXCESS I.IAB I CLAIMS-MADE: i �y AGGREGATE $ 0E0 I.__ RETENTION S _ pi. i WORKERS COMPENSATION YJC STATU• _I... OTH 1$ AND EMPLOYERS•LS TION WCC50050024542015A 04/23/2015.04/23/201�X Y/N MAY LIMITS EEL 'ANY PROPRIETOWPARTNER(E ECUTIVEI i OFFICEWMEMBER EXCLUDE . E t EACH ACCIDENT f5OO,000 N Nra ; mandatory In NH) E L_DISEASE•EA EMPLOYEE.,$500,000 I!yes.describe under . DESCRIPTION OF OPERATIONS below ow EL DISEASE•POLICY LIMIT ;$500 OOO • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(AIMS ACORD 101,ANdltlonil Remits Sedodula,B mots apace Is required] Insurance coverage is limited to the terms,conditions,exclusions,ogler limitations and endorsements. Nothing contained in the certificate oft Insurance shall be deemed to have altered,waived,or extended the I coverage provided by the policy provisions. I i CERTIFICATE HOLDER CANCELLATION �� , ;SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE ThE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ___ ACCORDANCE WITH THE POUCY PROVISIONS. AUTIORIZED REPRESENTATIVE . 4)1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered;marks of ACORD 49149786/M149785 MER r C A —�5--/c , p /3 735 • of Town of Barnstable *Permit# ~'s� Expires 6 mo f o 'sue t : Regulatory Services Fee • BABrtsrABLE.`i � f rtnss ' y�i639mid�� a Richard V.Scali,Director ,,,,,,, De ' 1) Bu iilding Division 44/110 '2 Tom PerrycfCBO,Building Commissioner I 0�D/ 200 Main Street,Hyannis,MA 02601 474is� www.town.barnstable.ma.us Office: 508-862-4038 041,8 f kFax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a "/ 02-i' Property Address 0 a Le Ma k A 5 / b k' "(1 Stab in R esidential Value of Work$ I 3/53 Co Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address cur- D 0 u e,Q e > k4 2 LQ M Gl\ l Bo.ir n -k- 0)01 e ; Contractor's Name Baker&Associates, Inc Telephone Number 508-362-2445 Home Improvement Contractor License#(if applicable) 162600 Email: info@bakercape.com Construction Supervisor's License#(if applicable) 009714 j]Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner a I have Worker's Compensation Insurance Insurance Company Name Associated Employers Insurance Workman's Comp. Policy# WCC5005002454201-5A Copy of Insurance Compliance Certificate must accompany each permit. Permit Reques (check box) AaAe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Vat,moU, '1irtaiskr ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows 7 a,�G✓�J / // 0 /� i J, f/W #of doors: �7 WJ l� ❑ Smoke/Carbon Monoxide detectors 4 floor plans marke• with red S and inspections required. Separate Electrical&Fire Permits required. *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 r uired. SIGNATURE: /e /,j ! o.,r/t C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temp ary Internet Files\Content.Outlook\2P101DHR\EXPRESS.doc Revised 040215 • Authorization Form: Qty.Qty . L 6®vc e* - ,•as owner of the subject property,hereby authorize Baker & Associates to-act on my behalf, in all matters relative to work authorized by this building permit application for : Address of property: 2426 Main Street Barnstable, MA a Signature of owner: a L vU !Print Name: Marry 1 , - b a vc a -He Date: __ /.0/ 7/1, Engineering Dept:(3rd floor) Map Z 3 7 Parcel - (2(a 7 -gam Permit# House#.. a 4 a f=J,t Date Issued a17/-9 Cr Board of Health(3rd floor)(8:15 :9:30/1:00-4:30) - Fee 4,7', o? Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) - '-�� Planning Dept.(1st floor/School Admin.Bldg.) Definitive Plan oved byPlanningBoard 19 BARS NNSSTA` : TOWN OF BARNSTABLE, � ' Building Permit Application Project et Address a`I 2+ 4. f9 Qa/2NS1o • Village ECV A S - sr Owner \J p k 000 CCtta, Address .97. Y- Co % L;-) Telephone ` Permit Request IZQ 2 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /c 5 0 — Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes Li No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑'Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ['None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Ce« F2 A e R Telephone Number Address `7// T ff 6,1 rir1 License# (Y'i i . . _ Home Improvement Contractor# 55-3 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. / ,(�J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (.0/1/l��{ �l SIGNATURE (DW) DATE /c5- $1:k. ��y ► ' .4,ev I 6�.,t E j 1 ' TH.I OLLOWING REASON(S) t I 4 - FOR OFFICIAL USE ONLY . PERMIT NO. _ ; - . . DATE ISSUED MAP/PARCEL NO. { ; • .. • f Y f I c , y I r _ :. ADDRESS VILLAGE 1 . _ ;: 1 t i t y.. # t ; t f »,� a , 4 . 4 t '_' , ..Y .. . OWNER ? t , , 3 DATE OF INSPECTION: r : t t " FOUNDATION 7 `f. ' • i - J. a-I , I . t r i_ • ! I FRAME Y s t INSULATION t _ r - ,w a FIREPLACE ' e r ELECTRICAL: ROUGH FINAL + — _ _ - PLUMBING: ROUGH FINAL ' • __ i , GAS: • ROUGH FINAL ' • FINAL BUILDING J< —t?—?.?--/ • • . e ' ' 4 = DATE CLOSED OUT } - I , , 4- • 4 , ASSOCIATION PLAN NO. _ . _ - i I r ' ' ! t . 4 , t _ e 1 i r �,i - ' t i r 4 i e - • p r ! {" I ,. t ' . .. . cosuer • �� °: The Town of Barnstable - • i' Department of Health Safety and Environmental Services -7kra hue. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cross en Fax: 508-790-6230 Building Commiss: For office use only Permit no. ' ; Date -3I.-3#� AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: 42.iece Est. Cost /caZ Address of Work: 8(/ fe f / /9- ecv s Owner's Name TJ b h Om) o Date of Permit Application: �/a 3/sv I hereby certify that: Registration is not required for the following reason(s): • __Work excluded by law __ Job under$1,000. ___Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: a 1 �C I1. .6 Da a Contractor Name Registration No. -x 1/ - se'ssor's offioe (1st floor): // o F TNE r fi ''Aisessor's map and lot number 687" t� /...,61. f Qu o• .♦ - Board of Health (3rd floor): !/ 10 Sewage Permit number --" Z 411), il<1:SALLED IN COMIP _iki, ; _ ;° ' WITH TITLE 5 Z BAB219TOME, Engineering Department (3rd floor): rasa House number Z n.� ENVIRONMENTAL CODE AEA"_ '°,�,o�pY'a�e� APPLICATIONS PROCESSED 8:30 9:30 A.M. d�00 2:00 P M. only TOWN REGULATIONS . TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO QG i Id' S ci h/ f) ..c/E TYPE OF CONSTRUCTION i le i1'rI e- S , fr 19 3-7 TO THE INSPECTOR OF BUILDINGS: i The undersigned herebyh applies /f� ,for a permit�` according to the following information: Location . 7 G ki �/f' r •401r�lI AB Le-- , Proposed Use b.e. .4- /0 /C / Zoning District �- l Fire District u /� Name of Owner ...V..�........I�J..o v Cgrre Address ..g.y.a6 �$/w s / • l3/w.t a . Name of Builder .r /T' '1I L C C ci• /iv<, Address . 4 if/rb ✓1 Pam✓ 6 ). row at',rot Name of Architect /1✓//4i Address Number of Rooms / V / Foundation s • Mi - l a.,!K1. ',,,s Exte�for /V in Roofing A./ , • •Floors / V t/ 4 Interior AL/il - Heating /N / 4 Plumbing ......../1 ...f..,,t � / O a v/ Fireplace / 4 Approximate Cost 7 0 0. Definitive Plan Approved by Planning Board 19 . Area /c7 O j ,„ , , Diagram of Lot and Building with Dimensions47/0- Q,.X/ Fee 60 "— 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 €114,1 . ..... .4..4:: ) Construction Supervisor's License 00 YG 6 0 •.r,_ <'IUCETTE, J. r = • I ,b. 30802 Build Deck "' No- Permit Permit for • Single Family Dwelling . Location 2426 Main Street • • Barnstable - - Owner J. Doucette • Type of Construction Frame / . Plot Lot . , - . ,-/ 4 Permit Granted June 2 , 19 87 , ,_- :� . Date of Inspection - ` 19 Date Completed ,,( ,7 19 «1 : . a • • • y ' - - • i i • . r • 1 • a• ^ - A 'exrr''20O J i l // . O Customet /�/1 ^� fQlRS �dSE`Oh uo��,E77E Date �/F�7 i Kitchen • 02 �a(p �//?/A) S / . Phone 11..2— (o/'/(o • ,Vr1v.s . : n "1 Address AMERICA'S CABINETMAKER'" Planning Sheet r n Merillat Industries.Inc.,'Adrian.MI 49221 By /,' RAID-! LG, /h/Q• Sheets, Of Sheets . .- . 2 •0 4 6 8 10 12 14 16 18 2p 14oltiid f Z �tot'SL I I I• SYEr Q • • 2 —5":45.-----jH. • . . • . i ; .. - ' 1:i.:11: . • I Si) , 6 s • 8 • • jai s r.r- L. 5I--70ck s�wr i • / ' ! • • • 10 l..;... . : • -a • I 1 i 1 , . . . . : • i I i .12 !_ i ��r 'I-14 Z vc•