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2886 MAIN STREET
i� d i _ xr ,z y ACTIVE R.. ,t t ) r. S '" t+ z, t %:: t w r x w .. F rM YF n : nd o' xis : t YL i n, s r .d : ^ a r 4 x a. w 1. .. Town t� ow of Barnstable Permit# �i tips Expires 6 monthffrom issue date Regulatory Services Fee anaxsT,ISM 9� mass. $1639. Richard V.Scali,Interim Director �� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.baTnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY .� Not Valid without Red X-Press Imprint Map/parcel Number_ C/ Property Address 6 z v Residential Value of Work$ // Minimum fee of$35.00 for work under$6000.60 Owner's Name&Address IN L)� 6,4),U4_P—0AJ j Contractor's NameTelephone Number,, _ Home Improvement Contractor License#(if applicable) / Email: a,01 4 rtiJ & 142111 ftf-1'1'61k v M11- Construction Supervisor's License#(if applicable) '] -i T T]Workm Compensation Insurance Check /- ❑ I am a sole proprietor JUN 1 ❑ I am the Homeowner I have Worker's Compensation Insurance OF BAR TA�L'� i Insurance Company Name �'�4, 11'rJ 1 M-E;�14 iA 4 �1Jl-LA pt r f � Workman's Comp.Policy 2- 7— Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)/19 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 roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (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: 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 required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 I ;I THE lo Town of Barnstable Regulatory Services a' uss LA ' Richard V.Scali,Interim Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder I, M A J Utw ,as Ownet of the subject property II 3 hereby authorize N t�IU-�-!).fM C.L4 Cb d 5T, l to act.on my behalf, in all matters relative to work authorized by this building permit 2g�� (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are -er-f. ed and accepted. tore of Owner Signature of Applicant A LJ a 42V-e-f0"Ld' 411r. Print Name Print Name 5, Zd/ Date 1 Town of Barnstable - Regulatory Services - oFtt1F rgk�L Richard V.Scali, terim Director Building Pivision t BeaNsrasM itTom Perry,Buil ng Commissioner 9� i634 200 Main Street, ryannis,MA 02601 www.town. arnstable.ma.us Office: 508-862-40 8 Fax: 508-790-6210 HOMEOWNE LICENSE EXEMPTION r lease Print DATE: JOB.LOCATION: number street village "HOMEOWNER": name home hone# work phone# CURRENT MAILING ADDRESS: city/to state zip code The current exemption for"homeowners" as ex/be to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for whoot possess a license,provided that the owner acts as supervisor. INITION OF HOMEOWNER Person(s)who owns a parcel of land on whic heides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structur ay to such,use and/or farm structures. A person who constructs more than one home in a two-year period shall not be conside deowner. uch"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she se onsible for all such work performed under the buil& ermit. (Section 109.1.1) The undersigned"homeowner"assumes respo i ' ty for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that /she erstands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she ill comp with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings con ' ' g 35,000 cube feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMED IS ExEhIPTION The Code states that: "Any home weer performing w k for which a building permit is required shall be exempt from the provisions of this section(Sectio 109.1.1-Licensing of onstruction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowne shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities'of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness-often results in serious problems,.particularly when the homeowner hires u n nlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i The Contntonwealth of Massachusetts Department o,f Industrial Accidents Office of Investigations 600 Washington IStreet Boston.MA 02111 5 y wrvw massgov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricialis/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual)' AIiUelr Staruuck Construction Address: 766 Falmouth Rd., D�20 City/State/Zip:Ii Ishpee,AIA 02649 Phone# 503 39-It21 Are you an employer?Check the appropriatvbox Type of project(required): LIN I am a employer with 7. 4: .E 1 am a general contractor and 1 6. ❑New construction employees(full and/or part tone):: have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner= listed.on the attached sheet:,* T Remodeling. ship and have no employees These sub=contractors have 8. ❑Demolition working forme in:any capacity, workers'comp insurance. 9 Building addition [No workers' comp.insurance 5.. ❑ LW are a corporation and,its required.] officers have exercised their 10'.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work. right.of exemption;per MGL 11.❑.Pltunhing.repairs or additions myself. [No workers' comp. e. 152,§1(4),'and we have i o I2,❑Roof repairs insurance required]t employees. [No workers' 13 Other comp insurance required,] - --- *Any applicant that checks boz'tfl must also fill out:thi;scctiun M6,4 showtn�[heir wo kcrs'compensation poliey information. Homeowners who submit i its aftidavit.indicating they are'doing all work and:then'hire outside contractors'must subm..it a new ai idavit indicatingauch. Contractors that check this box must attached an additional sheet showing the name of the.sub-conitactors and their Nvorkcrs'comp.policy inforn atioti'. I am an employer that is providing worke"rs'compensation insurance-for my employees. Below is the policy and Job site injortnation. insurance Company Name:_ Star Insurance Policy#or Self-ins. Lic.#: —WC 0220915 Expiration Date: 03-27-201 Job Site Address: Text City/State/Zip: ,,.,.,...,>, Attach a copy of the workers"compensation'pohcy declaration page(showing the-policy number and expiration date).. Failure to secure coverage as.required under Sectiop,25A..of MGL c. 152 can:aead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties iii 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 he forwarded to the Office of Investigations of the DIA for insurance coverage verification:. I do hereby certify under the pains and penalties of erjnry tii[#i the information provided above is true and correct. 'Si nature: Date: Phone#: 508-539-1124 Ofjicial use only. Do not write in this area;to be coinpleted,by chy.or town.offic aI 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 C Other Contact Person: Phone#: �r<lc�ic ,icense or:registYation valid for individul use.only Austdess Re ulat�on Office-of Consum6i-Nda�rs& g. before the expiration date. If found return to: OME IMPROVEMENT GONTRACTOR Office of Consumer Affairs and Business Regulation registration; 116373 Type: �, 10 Park Plaza.-Suite 5170. ; t� 4Xpiration 10/20I2014 Private"Corporatic 7 Boston,lVLA 02116 MILLER RBUCK CONSTRU.GTION,;INC c W. PHILIP MILLERJR '� � 40 MILL POND WAY t,. ° :/ � �� /��KGR--yr9�Vic- FALMOUTH,MA 02536, Undersecretary IVotvalid without si natur 1 •R{ Massachusetts -Department of Public Safety Board of Building Regulations and Standards Co114tr.uttion SUPerciNbr �t License: CS-043338 PHILIP M MILLEJW r. PO BOX 726 FALMOUTH MA 025 1 Expiration Cornnaissioner 03/14/2015 . r MILLSTA-01 HCLEMENT ACOR� DATE(MM/DD/YYYY) l✓, CERTIFICATE OF LIABILITY INSURANCE F615/2014 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(ies)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 CONTACT NAME: Gwen Vosburgh Mason&Mason Insurance Agency,Inc. PHONE 781 447-5531 FAX 458 South Ave. A/c No Ext:( ) A/C,No): (781)447-7230 Whitman,MA 02382 E-MAIL A D DRESS:Gwen@mmins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Main Street America Assurance 29939 INSURED INSURERS:Star Insurance Company 000063 Miller Starbuck Construction Services,Inc. INSURER C: PO BOX 726 INSURER D: Falmouth,MA 02541 INSURER E: 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. INSR I TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FXI OCCUR MPF1100Y 12/01/2013 12/01/2014 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident F 1 $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE N/A WCO220915 03/27/2014 03/27/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Barnstable,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 17-1 Parcel P it# - ®6-ol U — 06 Health Division Date Issued 3 Conservation Division Z'01 Feed Tax Collector SC_ ' Treasurer APPLICANT MUST OBTAIN A SEWER f r `t i ENGINEERING DIVISION PRIOR TO NNECTION PERMIT FROM THE Planning Dept. �03 D car ,� o ,� ENGINEERING, Date Definitive proved by Planning Board ..t CONSTRUCTION. ;, Historic-OKH Preservation/Hyannis Project Street Address Village NS' 4 Owner Address Telephone Permit Request o m I tnL. Y Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuations G-0-400 490Zoning District Flood Plain Groundwater Overlay Construction Type Lk"D it Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 9f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 2�Yes ❑ No c� Basement Type: 4 Full tYCrawl ❑Walkout ❑Other v Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) oNumber 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 0 Heat Type and Fuel: ❑Gas 9fOil ❑ Electric ❑Other 2 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 Cl Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use n' NCW BUILDER INFORMATION Name AAM15 LON uYMN CN")AD 1-VOF TO? , Telephone Number C- 'fit ^�T_� Address * lb VE License# DS }YA-N N& q)( O zip 1 Home Improvement Contractor# 1 3� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE , — a o— C) -4, 'f , FOR OFFICIAL USE ONLY w PERMIT NO. S +� DATE ISSUED . r MAP/PARCEL NO. rt ADDRESS ;VILLAGE OWNER°�1 DATE OF INSPECTIONL FOUNDATION F F FRAME Lc_) s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL GAS: ROUGH a FINAL 01 FINAL BUILDING 4 S DATE CLOSED OUT... 1 ' ASSOCIATION PLAN NO. S S FEE VALUE WORKSHEET LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot= (� (less than 2000 sq ft) JV square feet x$96/sq.foot= (affordable housing) square feet x$57/sq.foot= (40B or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH square feet x$20/sq.foot= DECK square feet x$15/sq.foot= ALTERATIONS/RENOVATIONS OF EXISTING SPACE . . . . . . . cost= . . . . . . . . . . . . . . . . Total Project Fee Value Office Use Only Permit Fee projcost M CMR Appends J Table JS LIb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated witb Forsii Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Aces'('/o) IJ-value' R-value R-value' R value' Wall Perimeter Equipment Etliiciency' Page R value° R valud 5701 to 6500 Heating Degree Days' Q 12% 0.40 38 T 13 19 10 6 Normal R 12% 0.52 30 19 . 19 10 6 Normal S 12% 0.50 38 13 19 l0 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A WA 85 AFUE W ,15% 0.52 30 19 19 10 6 85 AFUE X is% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 7 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 1 Pa /b 5. SELECT PACKAGE(Q--AA-see chart above): . t NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: n1fp NO: q-forns-f980303a J MR A 780 C ppendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2NAfter January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with they"N�ational Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole'`uciits:center-of-glass U-values cannot be used. ' The ceiKhing R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compre sion, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 ins lation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated c dings, insulating sheathing must be placed between the conditioned spgce and the ventilated portion of the roof. 'Wall R-values rep esent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structur,k sheathing, and interior drywall. For a ample,an R-19 requirement could be met EITHER by R-19 cavity insulatio OR R-13 cavity insulation plus R insulating sheathing. Wall requirements apply to wood-frame or mass(conc te,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements app to floors over unconditioned paces(such as unconditioned crawlspaces,basements, or garages).Floors over outside • must meet the ceiling re irements. Tl:e entire opaque portion of anyN* dividual basement wal with an average depth less than 50%below grade must mczt the same R-value requirement�'as above-grade wa s. Windows and sliding glass doors of conditioned basements must be included with'the`other glazing. Bas ment doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheate labs.Add an dditional R-2 for heated slabs. " If the building utilizes electric resistance he ing use co pliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more one p' ce of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency re q . ed by a selected package. 'For Heating Degree Day requirements'of the closet ci or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptabl levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not Jude structural components. b)Opaque doors in the building envelope must have a U-v ue no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance Pith the FRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-v ue rating for that door is not available, include the glass area of the door with your windows and use th'e opaque do U-value to determine compliance of the door. One door may be excluded from this requirement(Le1,may have a U- lee greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall mponent includes two or more areas with different insulation levels,the component complies if the area-weighted a ge R-value is greater than or equal to the R-value requirement for that component. Glazin or door components co ly if the area-weighted average U- value of all windows or doors is less than or equal to"the U-value requirement(0. 5 for doors). 43 ,v l J >_ , Irf. •. r ron.lopriaLl Nam . . - `�" 'ti. �t��7 f t # >� 131c- - 6 �. = O PRDlICE 8•W P1�RED_fa.ICRETE FdAJDI.Tp.�uWFil! - { i l ] ' - ... + �. .� . A � DbvEb%7J'Dr KCYED�F'+af cYURETEXTLLl4 {� � '�y (• '.:. .. .•... � � >� �P.wctnro f4l hT.TBDrLY��:.,�� �.� �.. ^1 -I - — -- -'_'--' F'Ro.•o6'Xn)a 44Lw NRrs EOLTS-.LF S ) '+ ?I ?s'.o I { i•.o. 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M .cK f r c'r fNE T� I. t rP Na 1In'' T I - . _. k-i T oN-(aSt TIN Z 1,101)-27-2000 11 =c FR01"1 - r ^ �,v -:�" .v,� - i✓r' LLJL -.u«�c:.n cic r�. �uL . 1t1L . 1�-G`.�v-i-Gu/ti•UVVV F•' Vl 20 o 0 6 UNREGISTERED LAND Mx NU3BS14 110100 __ DEC BOOK: 1093E PAa>r;21 _ ArmRNLm: P TER J. LEyE>;QCJJEC98-12 _ PUN HOOK: 130 PACE:87 T LENDER:,_NEW EHCLANQ CAPITOL MQ1TCACE PLAN NUKBER:— OF 1956 p TERM do MAUREEN E. LE1iERONI R-ECISTERED LAND APPUCAN'I'. SAMIL — RECISmATION 900K PACE: DATE:-IOj16/98 scALh:• 1+-50' __ -- CER I'IIr ICAT"P OP T ?U: _ FLOOD HAZARD INFORMATION ?LAN Nam " - LOT($), FLOOD HAP C0wNTt'Y NO,: 25DO01 ZONE:C ASSESSORS MAP PANEL: 0003D DAM:_07/02/92 UAP:— BLOCK: PARCEL: MORTGAGE INSPECTION FLAN 2686 MAIN STREET, BARNSTABLE, MA 1� 6.16 N/F. PHILLIPS 72.21 'O� _ LOT 2 Ll1 i� � 9 LOT 1 N/F WHITEHEAD ° CO 20,014 S.F. f --_----- �- N F HU6BARD - -- =' 6-7 RY- CREEK MAR 2� HOUSE I s�AB�E i OwN wn OF BAR NN 121.00 1 K�� RT`GAGE LENDE CONCUTE 80i D CONCRETE BCUKG O�D ' MAIN STREET USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT � LAUIUD OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE ��LA ^� p� INSURANCE COMPANY AND A80VE LISTED ATTORNEY AND LENDER. � & /�SS. ESQ it 1N WEST STREET, WALPOLE, MA 020E THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL•:(80))287--8800 FAX.:(508)668--451 DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ?ONE. MARIO DOMINIC 14 THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER MANDANICI � WAS IN COMPLIANCE WITH THE LOCAL ZONING BY--LAWS IN No. 18641 41 EFFECT WHEN CONSTRUCTED (WITH RESPECT. TO.STRUCTURAL AFC15Tt0� SETBACK REQUIREMEN TS' ONLY), OR IS EXEMPT FROM VIOLATION �A l L 0 ENFORCEMENT ACTION UNDER MASS, G.L. TITLE VII. ,CHAPTER 40A, SECTION 7. GENERAL N07£S: (1) Tho doclarctions mode obovo ore on the bass of my knowledgo, informvtion, and betief os the re o mortgoge inspection tope survey mode to the normal stendord of core of registered icad surveyors procticing ;n MO890c' (2) Daclorationa arc made to the vbavr namcd client only os of this dote. (3) Thfs plan was not mode for recording pt for use in preporing deed dtv_ripVonS or for constructions. (4) Veri;7cotions cf property line dimensions, bUllding offsets, rr lot conficurction mov be cccomplishod onfy by On ocmrate instrument sJrvev. The Town of Barnstable ' BARMAT,%- E,�` Department of Health Safety and Environmental Services MASS. 0 t619• �0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection CIDM yP P Location �,(�� , Permit Number _ � ( Owner Builder Rk�4QC)WPJ a One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: . � C k Please call: 508-790-6227 for re-inspection. Inspected by Date ' Mortgage Loan Inspection HAROLD A. DONAHOE JR. REGISTERED PROFESSIONAL LAND SURVEYOR 18 NICHOLAS RD. - BRAINTREE , MA. 02184 Date ; `'j- �S_�? ( 6 17) 843-0905 Job No. 9 Land in �/� /�S��ICr Owners): Title Reference k 7274 S Registry District \ \ z- L 2P � ti � J SCALE: 1 ��- 4 e' FOR MORTOAGEPURAOSES ONLr--Not to be used to determine property lines or to construct fences,or landscaping,etc. Y ' I CERTI FY THAT THE BUILDINGS ARE LOCATED AS SHOWN, AND CONFORMED TO THE ZONING IN EFFECT WHEN CONSTRUCTED E EPT AS NOTED . � ry AA4A�, •� as may, laa THE PROPERTY LIES IN HAAflII? ZONE C AS nttruAIIoFJR. N u SHOWN ON THE NATIONAL No. 1941 bat( FLOOD INSURANCE MAP. �s�of�i its Q '. D Tu y Z. 199E c TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date " y 7 Rec'd By- Assessor's No. Last Name First Name ORIGINATOR Street Village State Zi Telephone: Home Work Description: COMPLAINT 4 r INQUIRY A(l/ Requestor's Signature COMPLAINT Street Address LOCATION A= G�� OFFICE USE ONLY INSPECTOR'S Date 9 9 7 Inspector ACTION/ COMMENTS FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR. ) �J MT Sf`1 g �Engineerin Dept. (3rdoor) Map Parcel Permit# House# Date Issued _a B .15 -9:30/1:00-4:30) Fees, mWrMSFRi�Fo0r)(8:30-9:30/1:00-2:00) T poolAdmin. Bldg.) INE►p;_ anning Board 19 BARNSTABLE. MA 9. SS. TOWN OF'BARNSTABLE, Building Pe it Application Prole s Villag Owner Addre Telephone — /c3� —G �`��'� ?a d 6l*lek, -� Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District ��joZ Flood Plain Water Protection Lot Size Grandfathered ❑.Yes ❑No Dwelling Type: Single Family �wo Family ❑ Multi-Family #units) ) Age of Existing Structure Historic House ❑Yes lko On Old King's Highway 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing le New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 0<0_� Fireplaces: Existing s-New Existing wood/coal stove Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) o2 ❑Barn(size) ❑None 0'S�e (size) ?/ 7ro Other(size) �u Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use R Builder Information Name Telephone Number Address License# h Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��' DATE BUILDING PERMIT DENU9WOR THE FOLL WING REASON(S) �a 4 f �•� FOR OFFICIAL USE ONLY _ PERMIT N�O. DATE ISSUED- _ s�MAP/PARCEL NO. ADDRESS - r VILLAGE, ' - ' • , OWNER f. _ DATE OF INSPECTION: FOUNDATION i r FRAME INSULATION - +; FIREPLACE ELECTRICAL: ROUGH t FINAL - + PLUMBING: ROUGH FINAL GAS: °' ROUGH FINAL FINAL BUILDING = = DATE CLOSED OUT ASSOCIATION PLAN NO. t S } t s � Cdx)et a,-- MORE EVERYDAY THE KRAFTMAID CHOICE IS AMERICA'S CHOICE J c��.�I"1G _ - T e Designed I 3 DESIGNED FOR: JOB LOCATION: Z �' t'— -��'''l ADDRESS: HOME PHONE: BUSINESS PHONE: INSTALLATION BY: Style: C7 Each i 1 ; Hardware: 'A S uare a 4 s.. f ANAPip 1 U�\ .`� C)i� ;"n C " Ip x� M�o1 c10 cri f --_..---•-...J i I/2-�i�':t��)r�t>iy, "�i' �-i �'.� � . . , I t .r r�• � 1' .;'.•, �, i .. I 1 I I ! i I �l f I l r t + 1 _CLov C C �,: �:, , b 'MG�L''C K_ I c rv�_i. Cu u i .i a_ L , I } \51-oQ,\ p•1 y�' �C7llr \ i,.c�:!L?.;� j C tj' 1 k !.,1{, TOTAL 1 TAX I : GRAND APPROVED BY. DEPOSIT I BALANCE �. KM 9892303 Rev.1-94 - - ,1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION AI Map 7 Parcel l Permit# 3S?O- Health Division Date Issued f I)-Lv000 Conservation Division Feer ,`� f1 Tax Collector Treasurer Planning Dept. Date Definitive Plan A roved by Planning Board Historic-OKH �' reservation/Hyannis Project Street Address Village ise"vz_ILI:�,-r" (4 Owner L `Q'-�� Address Telephone i Permit Request �e I '� F h o" �� e7'`' Square feet: 1 st floor:existing InO= ,proposed 2nd floor: existing is�U proposed Total new u Gre—K Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size- _ZL a C w' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2 Two Family ❑ Multi-Family(#units) Age of Existing Structure d a Q g Historic House: @-Yes' ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout' 3 6ther Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft))/� Number of Baths: Full:existing new Half: existing. fea_ new Number of Bedrooms: existing new Total Room Count(not including baths):existing 1 C) new First Floor Room Count Heat Type and Fuel: ❑Gas it ❑Electric ❑Other Central Air: ❑Yes 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:S'existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name C, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "Dui 3 SIGNATURE DATE ti FOR OFFICIAL USE ONLY , 4 PEhMIT NO. TM DATE ISSUED ,,: MAP/PARCEL NO. ` r ADDRESS VILLAGE r OWNER DATE OF INSPECTION.:,y - F FOUNDATION • , FRAME t INSULATION FIREPLACE - Y ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL ' FINAL BUILDING A DATE CLOSED OUT ; A ASSOCIATION PLAN NO. _ q i