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HomeMy WebLinkAbout3861 MAIN STREET 5 , , , ti. 1 : Avail G .A : -1 Y ti A F„ : ,Y , ! t i plus im -a PON= ninwh . .... -, _.. ...-... .�..,. ... ... -. .�. tom,., .. .. -� , .,.,., ....... r 1... • ,..,� Moo ,,}i -.. ,.._.. .. Will __...,. .. ,.. .:.: ,.... .... ..:..... .... ..� ... ..:... ....... :{ QQ� 1.,, :1 .,s. ...... .......�.. .._._ .:: _:.... ....,-. . .. .:.-. .. ,,,. '.�..,+, .. ( ,..-✓�>;� ,..E ,,. ...:... .. .... ,.>.:,._. NJDW saw.Mat of woo sm"154 ivy DINER WN coo"! /. x:,.... r .:..... .. s,u� .:.... ...... ...... :�...... ._.._. .... -.:. ., .. -..:.. ,_, i 4 .. .... -t. .. .. ... 1. .rl. Y ,. , .. .... ... '..... ,. .-.. ... r ,.- :..!/ aa.. r �..t s. .. ,.. c. a ,:: '., ....,_•... n. .� loops- .-. >-,:� .... sh IPAT f .f , t,, S ! -. .. .. -. .':.. ..,. ,... .:, .. - ... ... •-.. ..: .. .. .. 1.... ♦> ::':- : +..::..�. !• • s rr 1A.. ... ., ... S k �S f - 1 r e �r e. Y (P 'ry k� d i` La K !R _ i.F .h .... �.., .... �...,: �..i, t,:.ov s, > '.. i ".�' - t,75 .4-•..,_.,� nSa:'., 'X - x..'w• wh...:.,._,.�., .,azw'.e+��eaLa�i;ai_SePdb,kl)d.,.,y-,��v.'�.�ru,�tai=zw*�',.�;Da;� a:,��,ed-"--���., ,. �•:�.._.�.e.,,..�...�. yc+-A+„� ,a,,a'A,kh::,m_...a.,,_,rsa,�n.,,' X-PRESS PERMIT Town of Barnstable *Permit#6?00 DO-L)� Expires 6 n:onthlLrom issue date AUG — 1 2006 Regulatory Services Fee � `5 TOWN'OF 6ARNSTA��� Thomas F.Geiler,Director Building Divisi®n 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 Not Valid without Red X-Press Imprint Map/parcel Number m �� �OCSC�O� Property Address 3 vb-C,( (, A residential Value of Work 00 y Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address \'�,�,y �/l/1/���-s-��L ter•`�� Contractor's Name l nr�dl \AA4 C. \J. Telephone Number. S70 b^ c f/w— OQ 7 Y Home Improvement Contractor License#(if applicable)_ 7 7-5e Construction Supervisor's License#(if applicable) j t kWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Q,11 have Worker's Compensation Insurance Insurance Company Name vre,r-c� t J C Worktnan's Comp.Policy# y 5 3 5 q Copy of Insurance Compliance Certificate must be on file. 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) ❑ Re-side rReplacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 r I GRANITE STATE INSURANCE COMPANY 91531-0000 WC 279-33-57 1?102 .............................................. 013-66-ogo5-oo .• . . . PENNSYLVAN I A MACDONALO I NDUSTRi ES INC. Companies of Member Com 26 FRANCIS ROAD p HARWI CH, MA 02645-0000 i American International Group EXECUTIVE OFFICES: 70 PINE.STREET, NEW YORK, N.Y. 40270 SEE NAME. AND ADDRESS SCHEDULE - wc950610 I LD# NIA UI#: e• e• CHAGNON INS AGENCY INC WORKERS COMPENSATION AND EMPLOYERS P 0 BOX 42 LIABILITY POLICY INFORMATION (PAGE 56 MAIN ST ORLEANS, MA 02653-0000 _ INSURED IS J PREVIOUS POLICY NUMBER CORPORATION NEW OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC9go61c) ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured'& mailing address FROM 09/1 4/05 TO 09/1 4/Q6 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy appliAs to the work In each state listed in item 3-A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1OQ,000. each aeCideht Bodily Injury by Dissaso $ _ S00.OQ0 policy limit Bodily Injury by Disease $ �100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A ITEM 4 The premium tar this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans, All informatlon required below is subject to verification and change by audit. Eatlmatdd Total Rate Per Estimated Clsssiflostlohs Code NUrnber Remuneration $1000F Re, Premium ® Annual❑3 Year muneratlon 7 Annual _J 3 YBer SEE EXTENSION OF INFORMATION PAGE WC7754 TAXES/ASSESSMENTS/SURCHARGES $175 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE BY STATE) $264 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM 4 248 It hdlcated below,Interim adjustments of prgmium shall be made Semi-Annually Quarterly Monthly DEPOSn'PREMIUM ENDORSEMCN'Cs!FORM NUMBER) SEE ATTACHED FORM SCHEDULE - WC990612 10/29J057 ASSIGNED RISK 66 NON, yJn �I issue Dstd (,/1! d `(� f1 N� Issuing Off!j N j Q ri i N l I'� 4'rl 11 AIV 3p�u I� t rl dt7 UU O1 r - i ne t ommonweairn vj mussucnua�e10 Department of Industrial Accidents Office of Investigations 600 Washington Street i Boston, M4 02111 V � V ,y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers Applicant Information, Please Print Legibly Name (Business/Ora nization/Individual): V`-1n `�o�CAI S"-- !,b o � Address: City/State/Zip:_1 Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.IZ I am a employer with J 4• ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors.have 8. 0 Demolition working for mein any capacity. workers' comp.insurance. g, ❑ Building addition o workers' insurance 5. ❑ We are a corporation and its � comp. 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.(No workers' comp. c. 152,§IN,and we have no 12.❑ Roof repairs insurance required.] t employees. (No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners wbo 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: a;:,� Policy#or Self-ins.Lic, #: `� 3 Expiration Date: Job Site Address: �� ( �► � x City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certi under the pains and penalties of perjury that the information provided above is true and correct. signafore: Date: FS o Phone#: !�o eta' ��y 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.I°taambina 3nspvCt or 6. Other Contact Person- Phone#: Information and. Instructions ., .r Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two or more Of the.foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or . renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any f coverage required." t who has not produced acceptable evidence o compliance with the insurance co rag r q applicant P P Additionally,MGL chapter 152,.§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit.is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitIcense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you 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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,lA 02111 Tel. T 617-727-4900 ext 406 or 1-0077-MA SSAFE Fax r- 617-727-7749 Revised 5-26-05 ww v.mass.gov/c'iia of Ns, Town of Barnstable °* Regulatory Services v $erg Thomas F.Geller,Director 9. ��. Building Division. �r Toro Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 W"Aown.barnstable;maxs office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and $ign TWs SCction. If Using ABuilder ty� ,as Owner of the subject property �� �. — to act on behalf, . herebyauthonze %. � ' .�1.� �L._,� mY in all matters relative to work authorized by this building permit application for. . P • v` _y > �O/ /' r@��1 ✓� A IL-C (Address of Job) 0 � S a of Owner ate Print Name Q:FORMS:OWNERFERMISSION i ✓fie �orynmzooeiuea� a���,aaaae`�uraP,tta_� i Board of Building Regulations and Standards License or registration valid for individul use only 1 HOME IMPROVEMENT CONTRACTOR j before the expiration date. If found return to: Registration:.__ Board of Building Regulations and Standards 111795 r Expiration 2/3/2007 I One Ashburton Place Rut 1301 Boston,Ma.02108 Type Private Corporation MAC DONALD INSTALLER WING, TODD MacDONALDi 26 FRANCI S RDA HARWICH,MA 02645 Administrator Not valid without signature r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a - Parcel Permit# Health Division 20 o'.26 Date Issued // o Conservation Division Application Fee o0 Tax Collector c^ ® FC — N L ` ' �Q/(�p� SEP'fiCr6 C an ens ST Treasurer IC �- j I (p��j INSTALLED IN COMPLIANCE VMN TITLE 5 Planning Dept. ENVIRONMENTAL CODE ANL Date Definitive Plan Approved by Planning Board TOWN REGUUTIONS Historic-OKH Preservation/Hyannis Project Street Address a.i n 6:We4:7 CJ Village ; Owner f Address f Telephone F3 3 Permit Request R,14cho dC n P F e I 1 namr l e�,,a is i--% re neu) inbrjoK Ukiiiiigaili!F- Square feet: 1st floor: existing proposed5jV 2nd floor: existing proposed Total newx< in_� Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type amoc� L Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. 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: mull LkCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) d o L)=�e_ 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 7 new First Floor Room Count L Heat Type and Fuel: ❑Gas SOil ❑ Electric ❑Other Central Air: ❑Yes E o Fireplaces: Existing I New Existing wood/coal stove: ❑Yes U.Ne-- Detached garage:❑existing ❑new size �^ Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: �— .Zonina Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 5-Pdo If yes,site plan review# Current Use 0 Proposed Use r5W / C BUILDER INFORMATION Name �, I_ �-i'1'L1('~�j(7d� Telephone Number Address � 0�Y )� License# 66�0 , Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN-TO ��r11�, It SIGNATURE & 7LJ _ DATE - � �- -�.. FOR OFFICIAL USE ONLY PERMIT NO. _� t DATE ISSUED MAP 'PARCEL NO. _ " / t ADDRESS � f s '~ ) VILLAGE -'_ tr - - OWNER DATE,OF INSPECTION: - `+ FOUNDATION FRAME - 1 INSULATION FIREPLACE s ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH r-: i-; FINAL GAS: ROUGH-4 L f FINAL FINAL BUILDING DATE CLOSED OUT' ASSOCIATION-PLAN NO. r- o RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25:00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE ` square feet x$64/sq.foot= 3 0 D. x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031=, STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost The Coni•monwealth of Massachusetts ,department of Industrial Accidents _ - Offfce olhyestf98t1ans . 600 Washington Street . .Boston, Mass, O2111. Workers' Com ensation ------------- Insurance Affidavi� /1/1 FEE / r T)h location: - � � • one# am a homeowner pesfozming all work myself I am.a sole re rietor and have no one workin in ca aci�y y %� � n%/%nt�fob%%�/%////%%//%%//%/////y%//%��///�/%/�%%/%/, / OY ,a' •:s ^c. •4'•;:1:'•�:^^•'n;4:;•• ; _•2'I•. {�. •{. �3 COmnnensationfozmpv :.ro: ?li}Fv{.,,}rkxSCYti: .;2`:k:•z:,; .:.,•';:2, ;ti?+' y;':;r;.r.rrri..°# wOzkeIS i...., :...:.Si::•:,,: Y;:;S...;:F,R¢ j;.F,vr,,.::>:,nJ!)ri+?o:.L•:,#:,;:'i•v£%T•r Y.{}#sin,}?i:Y• .•;x• }� > ^:!''•:`c: er_ rovldzng y}c7artY;f^`r:?, t:r:n<...:. 25f}!}::.}:{;.}+r•.vna.}• rb:.. :Y':fii:.l.j«. :r.}>.r;Yj...}:2r'~�rjE}k..p an a lap :ara^5}:LS.<:::}'St%;}2:::<+.-R•'r'$#e• ::.p;j;.} . 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Itmders{soa�Qisit a' one yeg= P be forwarded to the Office of Investigati orthe DIA for coverage ;r - copy of this sfatementm+p _• :d corre�+ - ' ` .e' -an enaltlas-of-perjury-that-the-information providerLab nue_isttr�ais I do hereby e Date Signature. � . '�•• ,t. . ,' .•5� ' . ,a..' - Phone 746 _ print name do not write in this area to be completed by dty or town official ofH.clalWeonly - QBundingDepaztnent _ peanitllicense# ❑LicewingBoard M, city or town: - QSeleCjne:ma's OMC5 Yi:Gfi,.4j .. contact p ers on: Information a Instructions aclmusetts General Laws chapter 15.2 section 25 requir s all employers to provide workers' co ttheT nun for their "law,,, an empoayee is.de ed as everypersoninthe service Y. oted� m tb hire,' ress or imp' .,e , oral or as iation, corporation or other legal entity, or any two or more of pn employer is defined as dividual,Partnership, oc _ the foregoing engaged in a jo', enterprise,-and inclu ' the legal representatives of a deceased employer, or the receiver or trustee of an individual,pLer association or er legal entity, employing employees. However the owner.of a ... elfin house having not more three apartments and who zesides therein;•or the occupant of the dwelling house of dwellingk on such dwelling another who employs persons to.da• ' enance, co �0n°fib repair to bean employer.house or on the�roimds or building appurtenant thereto'shall not,be use of sac employment MGL chapter 152 section 25 also states that a ery tate or local licensing agency shall withhold the issuance br renewal ,.,... oarealth for any of a license or permit.to operate a businmes I ance onstruct the insurance coverage in the r qu red. Additionally,neitherthe a h� not produced acceptable evidence of co p ; commonwealth•nor any of its political subdivisio•�s enter into any contract for the performance of public work until table evidence of compliance with the to cnrance r ements of this chapter have been presented to the contracting authority. NE 6 Applicants ithat cking the box Please fill in the vvbrkers' compensation affidavit completely,b ecertificate of insurance as all affidavits may be suPP1Y °0��y names, address and phone numbers along _... _ submitted to the Department.Of Industrial Acc� c;xts for con$unati of insurance coverage. Also be sure to sign and date the affidavit, The•affidavit should'be returned to the city or to that the application for the permit or license is of Industrial Accidents. Should yo ve any questions regarding the'lad"or if yQu being requested,not the Department erit it number listed below:. 'atici x olio lease call`tlie Dep ob}aui.a Ftorkeis caMpens p Y,P City or Towns � vided a ace at the buttom off_die Please be sure that the affidavit is complete and printed est igations has to contably. Thi �yo regarding the applicant, Please, affidavit for you to fill out in the event the Office of Investigations "' davits may'b'e'r t� {� t}ie.permitllm�cense number w'''chwilLbe used as a refeieace:numE;'er.�TTie,a'ff�i �. be sate.to ??m , ,�• flier arrangements have been made:' -4 unless o or FAX , mail . . - e D artment Y. • , .,,: .y, . .,, . shoul d ou have an estions, e for ou co eration and y •, _,_Y.�?. ou in advanc y op The Office of Investigations would lmkc t�t�uti y ,., •• ' .. ... .. ,. , please do not hesitate to give us a call. 4. _ The D artment's address,telephone and taxnumber: M: - The'Commonwealth Of Massachusetts Department of Industrial Accidents atl a layestlgati office at 600 Washington Street . Boston,Ma. 02111 , far A. (617) 727-7749 registration valid for indiv idol use only Board or Building Regulati gad St ndnr f� License or red. . before the expiration date. If found return o: 13 ONTRAC`OF Board of Building Regulations and Standards ' HOME IMPROVEMENT� T�= One Ashburton Place Rm 1301 -` 'i Registration: Ma.02108 . gyration: 911110 Boston, ovate Corporatiol- A&T CONSTRUCTION INC 1ERYL ARMENIO-STAZINSK ' !•_ COURT ST. r ., t valid without signatur CO -- -- ,LYMOUTH,MA 02360 Admini-�ratn+' . ;�j!4 (n0Y1LI11.00LU/Cn��r/. 0� I I BOARD OF BUILDING REGULATIONS .` License: CONSTRUCTION SUPERVISOR x Number. CS 061852 r ' Expires: l f/25/200 no: 19737 Res r c e 00. CHERYL A ARMENIO STAZINSK 57 TURNBEP.RY DRIVE PLYMOUTH, MA 02360 Administrator IME ratio Town of Barnstable y Regulatory Services `* sAaxsz'ABLE. ' Thomas F.Geiler,Director 9 MASS. .639. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date ll 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: afm_ 12_e�oy"O� Estimated Cost b— o0c) Address of Work: Owner's Name: &0, AoNt:- + �-- Date of Application: l k 1 O� I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied El 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: --� J Date v Contractor Name Registration No. OR Date Owner's Name Q:forrmliomeaffi dav, Assessor's map and lot number ....` -�� �. —.. ..:........ C'�J SEPTIC SYSTEM MUST BE INSTALLED IN oFTNero� Sewage Permit number .................................................._ .F- WITH TITLE; 6 Qy�♦ ENVIRONMENTAL C BAUSTOLE, House number ...................... .{ .. :�..................... T��WN 1�5, t� t ' _ 90 �639✓ (% : .. TOWN OF BARNSTABL BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ..... .. ...........................................��N�.� .A...... TYPE OF CONSTRUCTION ............ !y`..../... :.?, :................................................................................... 1................................I9.ff TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �4, /J IG�t'!� �f: clef ............... ........... `................................................................ .......................... ProposedUse .... !:/ ..... OQ//t.......................................................................................................I......................... Zoning District ........................................................................Fire District A&4.107, -a................................................. Name of Owner .... . ..........G(1.0M.......................Address .....�q.d'.)Y-4................................................................. Name of Builder .LLB?. .....- 9!► !vUa.J .............Address ...4�S � 1'!v.Y ...........kJ`.�!: vv/ ........c'� Name of Architect ....:? �[.. ..............................................Address Number of Rooms �...................................................Foundation / ............ . .... "Ov1W../0.(c.............................................. Exterior "G"..S�k. L;j� ...............................Roofing ........ !1�� ............I................................ Floors � p.................................................................Interior .......P. / Y j� _ Heating ....... .G ......................Plumbing ......... ........:......................:.................................. Fireplace ............ ....L.. ............................................................Approximate. Cost ........12�..a©v:...................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... �t.......................... ........................................ Construction Supervisor's License ...........sss3 ...... [� COWAN, JAMES ..No ................. . ... Permit for ADDITION .:a.......9in.gle...Eamil. . D.WeUin Location ...3.8.61•,UEA n...S.tre.ef:....... ........ 1 ................Cu?n?nagu .d................ ........:........ . f Owner .......James CowaXl.............................. Type of Construction ....F.rame -' -` - ................................................................................ Plot ............ .....'`•. Lot ............ s : ✓ - - -. r � April 85 Permit Granted ...8l..............1.9 Date of-Inspection ........... :19 Date"Completed ..........r'.19 ' - • as ' • / '� �� k j T N 6° 4 9' 40� E304.45 21.40 -z----�. sIj 0- LOT 21 c TO3IN ,-WAY-- 33 WIDE WALTER C. SCHAFER ET UX a ' Assessor's map and lot number ` .'-�....p............`... �,/iSEPTIC SYSTEM MUS 1 H � 3 STALLED IN COP,lIIr�dla�ti��".I: oFT►+ETo Sewage Permit number ,/hw. �r WITH TITLE 5 `P o Vv, �,y!, rs. ENVIRONMENTAL CODE AND t BASTA,LE, t� W<ouse numbs/er .................... .3 N6...�1�.1.n!... .? ........... TOWN REGULATIONS 90o 039, �01015 eA/i-7 T`ff �E0 MA-4 a' TO APPIR AL 0� TOWN OF B A R N S T A B�Lr�BLE COIVSEFtl9ATICN M�S.c�>� �5,r-3QQ• COMMISSION BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ........... % ................................................................................................ TYPE OF CONSTRUCTION ...... N..O N ................................................................................................. ............ / rfo�.... ................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby/applies for a permit according to the following information: Location ..........R`1-E...k' ........<��Y........ !!✓?. ....... df ............... cl....-� f1 C�LuiO:................................. ProposedUse .... .....FOP........:�`................. ,..�............................................................................................... ZoningDistrict ........................................................................Fire District ................................................................................ Name of Owner . `� �5..... C�+,�,��► -q Address sS�x 373 CrJ�i'"'/{ Z� �Y ............... ....... ...... .... ................ .................. ...V. ....................... ....................... Name of Builder .. ......... .....Address ...3.1...... ...`97Rl��'T S�, t, vT7( /11f}SS .......................... ...... Name of Architect .../�.6teA.l��Q�!..... cl!.v. .. 2.. .. .Address ����e� ............. . .............. ................................................... Number of Rooms .....i/"� ...................................................Foundationi .... P�{- ...... ...S�f ..................... Exterior ................. .... `p./.�.................................Roofin ........ ...... l Floors ....` ... ��' ......to'.��WE-1)O-�................................Interior ...*....................................................................... Heating ........... ...........................Plumbing ....... f .............................................................. Fireplace ....... .... i........... .. �i p /��� � ..� ' ��.[�.�!v,.....Approximate Caste...... 7/� v' ..................................... Definitive Plan Approved by Planning Board ----------------------_---------19________. Area ..M .....C.S . .. ..... 4o Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH TO b0v r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..........� l.. ..................... COWAN, JAMES F. JD. , . . ~ No '3�,58.3— Permit for .����!?D.E�-----. _ _./Dvve -&...J��{�.��l��.------- Location 386I..Main ..St���et_.'__..___ Curnimaquid -------^--�--^--^—^--------- '� c James F. Cowan, �� Owner .................................................................. ~ Frame Type of Construction ......................................... ....................�------------------- - ' Plot � �� ----. ----� ----------' ^ October 23^ ' 31 Permit Grahted ----------'--.]g � ~ ' ^ Dote of Inspection �x..�������................... A Dohs Completed ...................... lA . - ~ . � ��k��U� ������� . . ~� --'_----'-------------' 1g > ' . �:7 ' ^ ~--~----.------~----.------.. , 7 ^ ...................................—.—.—.x.^.-------- c� . � - .,--..—.—.-.------...°—^.^-~----.. - �...�-------.-- .-.--..—.--.—..--.— , � � l9 ` �`pp "`=" --'.—'-��''.----'^~~^^-^ .................................;1. —.--..�0—...^--~. . ' --------'--'r-------`—''^~~—~^' . | ~ | | |