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L.. a .1 t276 s ..,• , . . . , ., -\.... •-\..1 • • • • T. a ,, �.j ., ' a i x 5(. • • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION N Parcel ) Application Health Division Date Issued 1(-18 -(4 P g Conservation Division Application Fee Planning Dept. Permit Fee F' � Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address / /c:r S1: Village (3.--ir1-h�c Owner \11/41.11.,w, Sw,,;$►•- Address b'tc- Telephone 3Ga-57S1- Permit Request Vic.'tt- 'v iz .,._ k 7') ar/sj)t Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation yip- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family p/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Tie: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basert@nt Fjshed Ara (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Fu : existing new Half: existing new Num fer ofBedroom : existing _new Totaloorr Count (n acluding baths): existing new First Floor Room Count Heaypelind Fuel: riGas ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name-- Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 CSL-58633 HIC 169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ld l3I,Y FOR OFFICIAL USE ONLY APPLICATION# r'"Y DATE ISSUED i v • 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. Massachusetts -Department of Public Safety Board of Building Regulations and Standards C'unxtructiun Super'isur License: CS-058633 II♦ MICHAEL J MCCAR Y.►. PO BOX 52 • W DENNIS MA 6267 • o'-" ' 1 1I" Expiration Commissioner 04/10/2016 c _ P-,/he ea Fd .62/P771zm4ack el GJ- a. `' - . Office of Consumer Affairs and Business Regulation mid �_9 10 Park Plaza - Suite 5170 � Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 — --- WEST DENNIS MA 02670 _.—__.___..____._______ _ Update Address and return card.Mark reason for change. / ' ❑ Address Renewal LI Employment ri Lost Card sCA 1 20M-05/11 /.,.'/ • • • The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street ' Y site-- Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Btulders/Contractors/Elecfricians/Plumbers Applicant Information Please Print Legibly Mike McCarthy Construction Name(Business/Organization/Individual): PO Box 52 . West Dennis, MA 02670 Address: Ccll (508) 280-6%4 • City/State/Zip: CSI. OA3 HIC-169393 Are y u an employer?Check the appropriate box: Type of project(required): 1.10fI am a employer with_ 1 4. 0 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors • 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7. []Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers'come.insurance. 9. 0 Building addition [No workers'comp.insurance 5. ❑ We area corporation and its le D Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers'comp. e.152,§1(4),'and we have no 12.0 Rio°f repairs insurance required.]t employees.[No workers' • • 13.Q6ther comp.insurance required.] *Any applicant that checks box d1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy Information. lam an employer that Is providing workers'compensation insurance for my employees Below is the policy and job site information, Insurance Company Name: • •Ti• Policy#or Self ins.Lie.if: V V)C. Icy.)-tad h " /I Expiration Date: Job Site Address: I IL. S . 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 ofMGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify rt d a enaules o.f perjury that the information provided eve is true and correct. Signature: nei/pa)t Date: I2.1/Y. Phone it: 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#: • AC RD CERTIFICATE OF LIABILITY INSURANCE DATE o iMMID ,arn 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If 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 certificate holder in lieu of such endorsement(s). PRODUCER 01962-001 ACT Bryden&Sullivan Ins Agcy of_ ��}� o.Dennis Inc Ext): (508)3984060 W.No.: (508)394-2267 PO Box 1497 EgS{IEss: So Dennis,MA 02660 INSURERS)AFFORDING COVERAGE NAIC# INSURER A: A.I.M.Mutual Insurance Company 26158 INSURED INSURER B: Michael McCarthy Construction Inc INSURER C: P 0 Box 52 INSURER D: West Dennis,MA 02670 INSURERE: INSURER F 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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ,INSPR we POLICY NUMBER (IaIl S( Y) (0 9 ,) LIMITS GENERAL LIABIUTY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY RO- UECT I [�'C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS • (Per accident) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ pRKDEERDg pM RETENTION $ yy�gT TH $ AND EMPLOYERS€LIABILITY Y/N • x TORY LAaS OER A ONYICER/MEMBER/PEEMI 3(ECUTivE Y N/A VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.L EACH ACCIDENT $ 500,000.00 ((Mandatory In NH) ED E.L DISEASE-EA EMPLOYEE $ 500,000.00 mani a RI ON OF OPERATIONS below — E.L.DISEASE-POLICY LIMIT $ 500,060.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE dee-aa- ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD , 37S2 11. • OWNER AUTHORIZATION FORM 1, /1/.. ( ' g , S (Owner's Name) owner of the property located at Fill Op tto 54Pee_i- (Property Address) --1?0t1/51A-g le . 7n/4- 6 G 3o (Property Address) J r hereby authorize /1c N `� ,A S I'( (�G+/ O,U �C , (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. 0 ner's Signature 1 C11 (1L( Date • - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map w�1�1 Parcel Application #i d ' Health Division Date Issued 4 Conservation Division 0(j Application Fee Planning Dept. Permit Fee 1 0 Date Definitive Plan Approved by Planning Board P� Historic - OKH _ Preservation/Hyannis Project Street Address da$`f 1 " \ 1:1- ► w 64 a eel' Village 13 1"4-a'us4-12' Owner Mot `Ps 1' rttacD n. v 1#0 h t.3al(z d 9 & car is sa 81- I 1Y1 A- i S`(' Telephone 5 CASs'3 4,a- ot 14 Permit Request n r��1 -e.Mo u-e z 1 A 1 ii ec 1.4 et Square feet: 1st floor: existingproposed 2nd floor: existingproposed Total new p p p p Zoning District Flood Plain Groundwater Overlay 44 Project Valuation Q 4� Construction Type l Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Er Two Family 0 Multi-Family (# units) Age of Existing Structure 15t2t. tS Historic House: 'Yes ❑ No On Old King's Highway: Ul'S'es ❑ 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 ;m r Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑ems ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 existing rb new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size Other: ` cn 9? >2 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r' Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION '� (BUILDER OR HOMEOWNER) Name kfv,ti)c-I A %. a/0,w 1174�f 13 , �h tt- Telephone Number CbE 'dG 2 -C 7 c1•), Address a S4 I rn ► K., 61 License # r+alk --444 M 6a Lo.3 O Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 'S CDATEma f 6 L z FOR OFFICIAL USE ONLY - AIPLICATION# DATE ISSUED MAP/PARCEL NO. . i - ADDRESS VILLAGE i , OWNER'' • DATE OF INSPECTION: - t,' FOUNDATION OPos%0 it-' y Z 61 ifio gH�`'6--- FRAME . INSULATION -,` FIREPLACE _ - ELECTRICAL: ROUGH FINAL '' PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL ' FINAL BUILDING 1 - DATE.CLOSED OUT . t ,ASSOCIATION PLAN NO. A 4 • ' ' The Commonwealth of Massachusetts _ • .Department of_industrial Accidents Office of_investigations • 600 Washington Street , 8 • Boston, M_A 02111 .4‘.NO www.inass.gov/dia Workers' Compensationinsnrance Affidavit: Builders/Contractors/Eiectricians/1 Iumbers Applicant Information e i(S I-f(.�Please Pr' t Legibly Q Name (BusincsslOrganization/IndividuaI): tY�. "�1 iv d v\ • Address: rai ktfl m i I,t._ . City/Stai:e/Zip 401us (. 444-da(Fa 6 Phone.#: `J7Jt'•.)6a -c .75) Are you an employer? Check the appropriate box: • . Type of projeet(required): 1.❑ I am a enoploycr with 4. n I am a general contractor and I 6 l�Iew construction . employees (full and/or part-1. me),* have hired the sub-contractors listed on the attached sheet. 7. []Remodeling 2.❑ I am a'sole proprietor orparhier- These sub contractors have ' ship and have no employees 8. Demolition . employees and have workers' working for me in any capacity. 9. 0 Building addition [No workers'.comp.•insurancc c insurance.$ aired] 5. n We are a corporation and its 10.E-Electrical repairs or additions. 3. •Tama homeowner doing all work officers have exercised their 11. Plumbing repairs or additions • myself. [No workers' comp. right Of exemption per lv1GL 12.E Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.v Other vec. - comp.insurance required.) . • *Any applicant that checks box ill roust also fill out the section below showing their workers' compensation policy inforrrution. • t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a.new affidavit indicating such. I-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 . Lluployncs. If the sub-Gontractors have.urploycctl,they must provide their workers'comp.policy number. • Xam an employer that is providing-workers'compensation insurance for my employees. Below is the policy and job site ' information.. •Tnsurance CompanyNamr: .. . Policy# or Self-ins. Lie.#: • 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 ofMGL c. 152 can lead to•the imposition of criminal penalties of a fine tip to S1,500.00 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.D0 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the bIA for insurance coverage verification. X do hereby certify under the pains•and pena.11tes of perju that the 'fir'formation provided above is true and correct. • f • .�/C>2�iYJ 1 ) 1�, / !/Utell �- Date: / _ Phone/#: SCDS‘` Z Co.)-1 C 1 Cc-2_, . Official use only. Do not write in this area, fb be completed by city or town official City or Town: • Permit/License 11 Issuing Authority(circle one): 1. Board of Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6, Other • . - • Phone #: Massachusetts General Laws chapter 152 requires all employers to provide workers' co p atioa y r the.contra loyecs; . Pursuant to this statute, an employee is defined as "...every person in the service ofanother express or• lied, oral or written_" r any An employer ' defined as "an individual,partnership, association, corporation ort f legal deceasedn ,eomp oycr, or or rhemore P of the forcgoin .engaged in a joint enterprise, and including the legal representative's However the receiver or tzuste of an individual,partnership, associationor eA�er legal and who entity, les thee ing employees,in, or occupant of the . • owner of a dwelling Ouse having not morc than three ap� dwelling house of ano..cr who employs persons to do not �n�Ge of s�h employment be deemtruction or repair work oed to bcdan employer." house bu .•ng appiirtt.nant thereto shall or onthcgzo�ndsor . MGL chapter 152, §25C(6) • o states that"every state or heal licensing agency shall withhold the issuance or renewal of a license or perm i o operate a business or to constructbuildings ild ngshe iin the commonwealth mm nwea required' • applicant who has not produce. •eceptable evidence of omp rice with Additionally,MGL,ohaptcr 152, §2' 7) states 'Neither e commonwealth nor any of its political subdivisions shall enter.into any contract for,the perform ce of public wor,until acceptable evidence of compliance with the insurance requirements of this chapter have been p,,seated to the cc ntracting authority. Applicants Please fill out-the workers' compensation affida ` corriiiletely,by checking the boxes thatapply to your situation and, if . . necessary, supply sub,contractors)name(s), addles (cs and phone numb (s) s P ;along with with i employees catificate(s) of than the insurance. Limited Liability Companics.(LLC) or I:i.�•i-d Liability Partnerships ( ) members or partners, arc not required to carry workers , ompensation insurance. If an LLC or LLP does have employees, a policy is required- Be advised that this a oh...vit may a esub rid date the tted to the Dffi ardabnentt. Zhe a�dayit Industrial should b Accidents fox confirmation of insurance coverage. Al.o ' ure tgn bo returned to the city or town that the.application for.risepe ►.'t or license is you are beingequthe Department of Industrial Accidents. Should you have any questions garding 'e law or i_f yrequired to obtain . compensation policy,please call the Department atth.; number ' ed below. Self-insured companies should enter their self-inRuranCro license number on the appropriate line. City or Town Officials • . Please be sure th• at the affidavit is complete and print d legibly. The Del); anent has provided a space at the bottom, of the affidavit for you to fill out in the event the 0 it c of Investigations h to contact you regarding the applicant. Please be sure to fill in the permit/license number winch will be used as are .cncc number. In ad davit indicating current that must submit multiple permit/license applications in any given year, need policy in formation(if necessary) and under"Job Sit.Address" the applicant she Li write"all locations in (city or town)."A copy of the eflidavit that has been offici. 'y stamped or marked by the ci;or town may be provided to the applicant as proof that a valid affidavit is on file for ! hue permits or licenses. A nc-maftidavit must be filled out each year..Whoro a home owner or citizen is obtaining a ccnsc or permit not related to any ,usiness or commercial venture (i_e, a dog license or•permit to bum leaves etc.) said .erson is NOT required to complete this affidavit The Office of Investigations would hate to thank yo in advance for your cooperation and should you have any questions, please do not hesitate to give us a call.. • The Department's address, telephone and fax number Tao CQmmomwe-a.lth Qf Massachusetts ]err f.intrAt'of Industrial A,ccidpnts Of xce 6f L[.t' es{7.�ti as • • _ 600 Washington Street Boston, MA 02111 - • Tel; # 617-727-490.0 ext a06 or l $77-MASSAFE • Fax# 617-727-7749 Revised 11-22-06 v{ww.rna ..gov/di a • • • • Town of Barnstable (cl-THE s rOIyY t, .ass.,; • Regulatory Services • ° TA Thomas F. Geller, Director • BAHI�STAB[.E, �� 1,tAss. Building Division PTFa rd7-S �� P n Tom Perry,Building Cotn;;rrtssioner • 200 Main Street, Hyannis., MA 02601 . wwu'.town.barustable.ma.us . Fax; 508-790-6230• Office; 508 862 4038 --______ - ---- -_ -----HOMEOWNER LICENSE EXEMPTION Please Print ) CAT10N: street Soc, Avillage number "1-10/ABOWNER":—-LaCQQEDCD home phone N work phone II name . Ca: CURRENT MAILING ADDRESS• G 4- ,oa C qt. ws--k-vokr (e > +jaSS 6):C0,30 city/town state zip code • ts or less a d The current exemption for"homeowners"was extended to include caner-c!ec a license,pd wei sided thix the owner act na to allow homeowners to engage an individual for hire who doespossess supervisor. DEFINITION OF HOMEOWNER • e, on which there is, or is 1' • erson(s) who owns a p?zcel of land on'which he/she detached structures atccessory tos to �auch use and/or farm 4vctures,d,4 ed to• be, a one or two-family dwelling, attached or uch person who constructs more than one homeOfficial in a on.aar formrladceptable shall ot be to the Building Official,homeowner.ered a t he/she shall be "homeowner"shall submit to the Building , res onsible for all such work erformed under the buildin ermit, (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 undetandhe Till comown ofBarnstable arnsply with s bd procedures and minimum insp ction procedures and requirements and that r irements, CSigra utut rc-of-Homcowr icr • 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 of this section(Section 109.1,1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for•hirc to do such work, that such Homeowner shall act as supervisor,"'• Many homeowners who use this exemption aie ware that 1they) 7arcs lack onf g the reeponslenlrcies of isn serious peMspr(sec problems, Q, Rules h Regulations for Licensing Construction Sn this case, cannot procccd against the unlicensed person as it would with a licensed se our BoaFd person s. In this ca , when the homeowner hires unlicensedsable. Supervisor. The homeowner acting as Supervisor is ultimately resp°n part of To ensure that then°h�he understands ds the responsibilitieer s of a responsibilities, or.many On the last page of thisaisssue is at form rcurrently rrurrit n ly'used by that the homeowner certify that • crvcral towns. You may caret amend and adopt such a form/certification for use in your community. 1 i • oFYHEro Town of Barnstable 'will; 91 Regulatory Services $.ARTISTABt.E, ' Thomas F. Geller, Director htAsa � prFn �"�� Building Division Torn Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.m a.us Office: 508-862-4038 �• ' Fax: 508-790-6230 • . Property Owner Must . Coin►�Zete ana Sign This Section • f Us"lag A Builder • ) I r' X , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by th, building permit application for: • • (Address of Job) • Signature of Owner Date • • Print Name If Property Owner is ap'plying for permit please complete the Homeowners License Exemption Form on the reverse srd'ej SPECIFICATIONS W. B. Smith 2841 Main Street Mahogany Decking lx4 12'X 28' 336 sg. feet Railings 36"h X(8 Sections) 4"Space between Ballusters Railing bolted on Deck Framing Joists 2x10 X12' Pressure Treated (21) 2x8 X 28' Pressure Treated Double Girt(6'X16') 4x4 X 10' Pressure Treated Posts(6) Ledger Locks, 6", 2 per bay, one up, one down(2Bks 6", 1 Bks 8") Joyce Hanger Stimson, 2 each stringer(42) 10D Stimson nail Simpson Stand Off Base x H2.5 (5) 4X4 Connectors, 2 each side, (10) Sona Tubes(5) Spaced 7' apart x 4' deep Quik Krete (4)bags per hole x 5 20 Bags Post Sleeves(9) Caps and Skirts(9) Plastic Covers(9) Deck nail, Stainless steel(lbks) Rails screws, stainless steel(1 51b Bks) Galvanized 12D Nails(1 5 Pd Bks) II ...6( N / . I, ! t r o IL T it --H--- 1.___I \ °� �l n�- ' 1 Y1 f 1,-----r---7-w-4- , Gl�fd�N,, , , i . all Ota1_t u n 'I' c. mot,. I ililitli —_ Id Lii to , sr...vi.tt 3(D" F4 t i ' �nti i�vl gyt (NA A 4K., •-.6AUL,5 mqe 4 11 J f LCD e Dot o2$(v --� _ , _ _. ' I _ : 4 ± : ' — — _ _ — � 6n� le I v S TiTi —— ,a_ i_ ,,Ii LI---- . . • 1 • 1- II c r , ,:....'..7";',7)--.':.. .. liirlir. ._ II 1 •J /O 61 CI _ .7.- , ....___;,:— 1 1 —YI _ ,.�\ l St I —q 1 ---. 'pcovG(e C.ei T ,ax8 r i t a45 1 log' m'(G- 1 X ( a'l S. .7 ' Jb '`(i l y IC a/, 5, /'7? jy /0 " ill/ /G x a/. rc 3.3,.. kitc- /'4 '`1' 61 a) '2o`Z '_ ,SL1z, C1Gj 9-36 Cd &1,- sue.1 a 7 gcs ,( s, )r o?� 37 42.... ., • 1,440Be , i bli <,.._.....# , Ftv 0 44 2 Pxv ''' ILI PI Li 'tit 40,. c.b vwfvectoro„ \, ..„., • Cu4. 50W.)Vh ot '511.)trb C4, 1 • Map ?age 1 of 1 Town of Barnstable Geographic Information System New Search I Home I Help Parcel Viewer Custom Map Abutters Mao Size ' 20DT Out O I i Alin 43 a tvh (R :L ! — oir, 2-4 riii.xtem kisi 15 a g=3PG Map: 279--- --'Parcel: 057 Full Property Into ff002 __ °°" Location: 2841 MAIN ST./RTE 6A(BARN.) 9282tNA, 1 1 Owner. BROWN,MARCIA LEE& NIT j Location Information_ i 1 L b Nap&Parcel ___ .279057 ___..W_ __.__ 1 i �� € Location 2841 MAIN ST./RTE 6A(BARN.) i 1 1ii Acreage 0.49 acres Current Owner 27�53001 tj\ �� .` , Mailing Address BROWN,MARCIA LEE& 11 828J$ ' ��✓ 6 ? SMITH,WILLIAM BROOKS � 27 aA PO BOX 1021 rl 112$41 273073001 f? - I 82847 - 1 t BARNSTABLE,MA 02630 A2340 Appraised Vatue(Ftii 2030) Extra Features $3,300 -,,i�N Out Buildings $10,300 T .., Land $302,400 __ ' '� i Buildings $240,600 c ' '_ v Total Appraised $556,600 AO t Assessed Value(Fl 2010),__. y a=3 -et ( Extra Features $3,300 j —`i Out Buildings $10,300 .� _.,,d _ _ Land $302,400 Buildings $240,600 Set Scale 1"=53 . I Aerial Photos - I MAP DISCLAIMER Total Assessed 1556.600 Copyright 2005-21110 Tavel of Earnsabie.MA Att rxshts reserved.Send questons or congnents to 018 Pamstabls?'1A v1,2.36c5 au;tk nt http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=279057&mapparback= 4/1/2010 t ADDITION o�TNrro. TOWN OF BARNSTABLE( Permit No.32422 BUILDING DEPARTMENT I ""n I TOWN OFFICE BUILDING Cash r ,ra.,+ HYANNIS,MASS.02601 Bond N/A CERTIFICATE OF USE AND OCCUPANCY Issued to MAUREEN /PARRISH TERROSI Address 2841 Main Street Barnstable, Mass. • USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 5, 19 89 Building Inspector • • • • • • • • . ,.. • . . ., ,8,/ .... . . rr _ ,, w /CJ, l • 1 , .4 :. '-i5e--...Ae,PH,,t-AO.MC . :-.".•,--- ///��� � I 'r ,r 1. • t • til\/ -'�.:.- < I t . rp A. O -1 . - f AAss ssor's offioe (1st floor): ��p� ?ME Assessor's map and lot number . e ��� ��_,��� °� rO� Board of Health (3rd floor): • SEWER 1 ,�, `� ylIST CONNECT TO TOWN l 7 Sewage Permit number t BABd9TLBLE Engineering Department (3rd floor): � y� / �'K' '(' V O i639• \0 douse number ''�o�aY a• 4APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00. P M. only • TOWN .OF BARNSTABLE • BUILDING - INSPECTOR APPLICATION FOR PERMIT TO . 1. P,.oS.�.C4T PAO .)?rA To.....axas..t..l i...14605E TYPE OF CONSTRUCTION Ca DOD 1 -ti:. 013 N)0e t3 O 10/3 .........t .Q.`z' 1988 • TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2841 vitN.A4.3 d i3�Q-��� (—� Proposed Use l DP 111 O -17 I t .r i]� Zoning District Fire District Name of.Owner MAC P. E? ... 5 4 tc.e.ers kddress Z4341141N1 �� Wt Et4r.i•.S a(. Z2 Name of Builder `P--t 1 Address SA- E- Name of Architect ��A Address Number of Rooms 4 Foundation .POOH Ce-:s: Exterior 1i.1 �1.L< �..iGi-• b5 Roofing 4-69t4A LT Floors 1:10-100. .. E ` ....�.cif9 k Interior De./ A L(....0 Heating “WT .M Plumbing CL) 0LO /PVC, OAST Fireplace % icvr3E Approximate Cost 251000;Od 2 c C.1" I..i vi Definitive Plan Approved by Planning Board 19 Area ce 40T( TY Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 \,C \ �o • OCCUPANCY PER T REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Construction Supervisor's License o431134 . - . 1.. .. . • . TERROSI , MAUREEN PARRISH i t , ... 4 , . ., • . . i . • .- '...„.'$4--,N 0 32422 Permit for Addition Single Family dwelling . - , • , _ ' __ .. ...-- • - . Location 2841 Main Street . - - -- — it ' ... - 1 .. r- , ..,_ _... Barnstable ._. — ... . ;-. . e — . . ,. ..., Mauree:o. Parrish Terrosi ..._ , -... ... _--. • _ Owner i -...: , . .. . . ..I .. 11 4 . -.,,•-L Type of Construction Frame • . - - . . • - . . _. - • --•> ,,, . ...... .., . I .o. .. . i... ' ......---- . ... - . Plot Lot - :-:--- Permit Granted -. • , ;,,--- . • -, . w: .. _ , • . .._ , .... - . . . . November 7 , 19- 88 77.: . .. .1- i•-- - . - - , -• Date of Inspection . a „q/- 9"9 , ( ' - 19 &el" ,-• 1 / 9- 19 # % ... _ F- Date Completed, i .-1 . .4' 0 Pr: ,/f/ef r.- . ..s, , C , —3 . . s. — - - .. C.., ._ . -... .... -..f . . 7 — . k i ... . ..-.. ' cD ._, . I . . • ",, - . 1 l'.... -,.... ... .— ..- ' -- r • - ... '• . ;IS..... . . IC , ,. . - (...' .., ...4. .-• Ck...) .... .... •----- . • \ 1 .-, . ' - • ' f 1 . • .• . r-..... ....., . ..... . ... I • , .... . . ,. . t *..) '''''' •. . , ,... 1 , . - ...* el.:•' .. 4,- .. k.,.., f' ..<:). . j .• . '..., .7". 1 . , :' 4 • ., • (r , .. t . .... .... ,_ . . - . , .