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4039 MAIN STREET
• n 0:49,'",,,,, ,,,_, .. ., ,?,..f , ., .. . , ,„ . „. .. ,,.,,, , „: 4 S''..... A,,„,)f.i 9,,.4, ,„ [r. • 4 'T , i :,,,,„,,.; 1,e 4,1,. j' ,41.'toy, "".if Oi•,..„, 4/ 4-,,, ,,,,,,.4 ,,r^.' ,.,... 't.c i,;',74 )1. *''I-4 ,i ' f,,,'" ' ,,,, ' 4, ',,r t,' fl ),,,, ,.,...,.,,,,t k v,„• ••. ‘. ,'). ..,. .."1, .• 7" Coo "-:*'' '' , ,f:e'‘,".,P 4”,;1‘F rilk,' /41.'•'Pry 1.'";0O;.e.z".1 ; 7,1' •i',„,gr"/'. '''' 'P' di :4 )11-` 't til ''.', ;.t ' '- t./; ()t .---- ------.--- k ,....4. , " I 1 • •.. 1 .'-r ':', ;°',''•; ','111-...e- ''-i,',;I '':,' il.' il? ; ' i ' , 'II ,;' .•°...'-----. •r 0 <-,' a tr '.1.irr rt a-. 'a 4.1 lel . r 1 ihr I e ' ! ._, ...... ,........ 41 ) 11 1 i) ? ) / I i , ti ) , l' 1 I 1 -...„TO ...,.... .....„-,-...- A.. .....- „, -A. a �„tr.r,�.. S cave w(o )tvc�2 o Cora-bL t cte kN 0 ' Lc tT `N/'tS -Nacre .1:1 G ot - e el0424 ,sec yeititA d tJ iZ TvYZ-+) - -) " Fr:c( 3-7 N.-Jo voiir.10 NCI k 401 eil`" po.itL7-cs fiat~ (- ‘isc . clePe,6>v k cf L. Po S f-d- - Gofra lru-r-,Cb 0 t-bav►-t r t•S geA,N4,1, Pcit9 e r4L)v /LJ rPrw._ P 3e`,V 4La a tv 5 VLeULej Ste - �► , G 2 e S e,v, .ed, �-- o V- Deie...\;111--c � a 2, S-t'64 5 f a Sr' cor \A-t°'z - 4 e'1 O' f(orv& n • l a <<w. qo3 9 71(_..,0,g;frt • THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) v AGE DATA r El 33 1 - s 0 �� r Area Form%no'= FORM B. - BUILDING!, ` )- ' �i MASSAcHUSETTS HISTORICAL COMMISSION " 294 Washington Street„Boston, MA 02108 - - - - - - - - - - - - - - $ Barnstable (Cummaquid) '"� 'Town ddr s Hain t (R.tp bA ; Rcrnsto^''e s ; !*¢,„y .« C..e} ` ♦ f� d� , `14' �,�,i 'i(vy ' ric Name..:Cl-:pries C. t�Tr12�" h i1gyp` ti i r � : ;- �� ' = Original homestead nestead ,E,i l it 1 .-� +' y a :' „ ' ,'I f d . �� ')0141(". ";*--:4'4' , ,1 -i , Present pr�va p res; len^erY #, 1ye f pp *e z }.,'# 4 1 14`QryK Ua,rn i r Y'U,�kt ' ,,, , ,I r -1, F -'Y- Ji. Private in. at. n eft t = f 'l � r. P Ir Private organi ' � m ', Public A-` `' �, ' r.. f 141.k r v t for ginal owner T ff.',na s C: vc�ar k ' s T�A r.�. ( �� Fwda . �. �' 8 S:.r'�r k t.a• . ° > � : � t t 1 . ,q i' .t ., S yet[,t y - , *" 7 ;- ZIPTION , -r ' y r ;c189 • " ` ram '.w 4e ,;� 4 4'^nkGa`i 1;&i , S R'Cid's.yM° Style weer%: Anne ' Architect Cha s. C C. Ryder , . Exterior wall fabric woos? ..clapboeid ,iiiii .. . .Outbuildings large barn -(now artist o „¢Sj �a 0Q . stu.e io and gallery) Major.alterations: (with dates,) 3 Qa Moved = . r+ 1-et',Date r Approx. acreage car; on. Setting Ri ra , residential _ rhou se 'Recorded b ''` , y. f Organization ECa i.;issaolone x i, orzcai . ocate east`of Ciramaquad .post. •Office Cr„3 Date, an l9l#. �ati �G�V.� �� .., (Staple additional sheets hf e) 9.'`w _ tata '' n ' 'aV, its"'E' me"..' Vak,i.AYm"_$e;"3'A4F,.,x5$'k&? -A4 t. li `d '•.an..,. ,.w, h I 1-- - - Y ., n , , - , .. i... . , . 11 . . . ....,. . . f• ARCHITECTURAI.. 5IqNIFICANc (describe important architectural features and evaluate in terms of other'buildings Within community) . , This structure 'has ah irregrular roofs with r,,.-ables .forrntr- right ahisles and cutaway corners with.1/l and 2/1 windows. There ,it•ri a. small front porch supported by a Single column. Tr exterior wall '1.9.br1c is painted Woodeln clapboardi. This dwelling.. 'is locate in• a area wit,h many.,Greek .1.i9vial style homes and 9 .few GeorEian full-CapPs. . • . -. ,. HISTORICAL SIGNIFItANCE: (e..,T145%-n.:016:.x.Ole:pwnerS, pIayg4. in local or state history . , and,how the building'-relatas': to-.the development of the community) , . This property at one 'time belonved to the Lothr.op family c1800. -.-- , . Accord to,"Gi.A. .-F.,..inckley's notes there Was. a house on this. lend : which was: -a, "low 'd oulem .,(crol on ial term '7.cc47.. ...,one story, full-rape) . - • - i •,.-; .t .This hou....se however burned..down and subsequently in 18-95 Diary, A. .F.rasterbrook, wife of Thomas,. -sold the land .,to Charles C. Ryder. In • i 1896 Mr.: hider added„: to his 'rani: land r.4. .Parcel Sold to hiM by M. , I Davi .;„ heir of.'' Ansel' Davis. D;.1r. . Ryder bUilt; his awellins thereon and I farmed to -support hiS :family:. .The p.roperty:'was later owned and occi..lpi..ed .. ..:= 1 ..... , by his son, Warren G. 'Ryder,.: Who-,:stat,ed (as told t,o- him by his father). • •,' , ., t.re cost of the =1..th-aoor to build:the: house was $800. Warren Rydei4.8. first wif e, .,,?;arjorie, -was -Cumma.quid °s Postmistress for many years . .. ..u.hti.1 her reti•remeht in 1.565, The,- present 'Cummaquid, Post Office, .. - .- , .:•":-- - . , which viarren Ryder- built in 193'2 to use as si ..radio :Shop, is located just west of this -house. • ::::::1,':„..!:.:1''.'1'..:11;':...: 1 1 :'. ;--: .,' -+ 5+ -• J. t " . . . • ... _ . . ' . . • ....., -- - . . • . 4- ,,. - „-,.... , . . I UBLIOQRAPHY and/or •:REFERENCES . 1 st.1.-y- of, Deeds ,, BdrriStablE.1.• 'County Barn8tab1e County: Atlas,•, 1907 • - , „L, . _ E111CkleY-4 .:GUSi:AVi.7S4." .Note8-ard- Sketchy of 04c1: .aarnstable 171.0•08 $4-,,.",' 0: ..13.;,Iiieory' warren '0.'.13,yd'er- • -''. ::1:.,',.::4t.:,,,'J': .... . • ,..,.-.7,-,t-t,•&•.,,,-..vivi-i , ,„ . • -'•'..'••••:;:,4k1',4;,?'V'- • I ,.. • • 20N1-42t80.:: ?,,v.I. , . . . . ......„,: ,...,,...,'',,,,,-.=,.•-;:".-1,1;•!,,3-r-.1 ,k i • : ,• ..-•= = -,;,,,v.---- - I.," ..0, Li'.2"eoxe. .ArA;I:4-.. 4,xlizlitet,---;v441..,-.1m114.. ..,,,,,rewrziev,,74-47re*,-*. „',.7.AgVirk• 14.1F1451.+71,..ix,„-1V.17,M774%W.W.,A11‘ „;,,,M,14417,1E- : ::,;..„,:-*,,,,k-,.;$4- 1,•.,. . 61d-rCbi Town of Barnstable Building Department MUST COMPLY WITH HOME OCCUPA Brian Florence, CBO RULES AND REGULATIONS. FAILURE 1 Building Commissioner COMPLY MAY RESULT IN FINES 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date 3 I 9 Map '3 S Parcel la Applicant Information Applicants Name S+fA/Q4A CAA i it ofr Applicants Address LI03a AkV\ Email Address e9 VUt 1 SIQb CO a3 - c 3-$33 r Telephone Number � � 5 Listed Unlisted ❑ Business Information New Business? No Business is a registered corporation? Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? No If yes then a Home Occupation Registration is required—See Building Division Staff —Om- Name of Business &M*\€ 5 Lot\oorzkio iNA Business Address 1a3i h S`k—C' t Cwvkv► aii (Aid Oo' to34 - 044/ Type of Business t 6.AA.}11 V) uildip►g Commissioner 7fficey5e Only � IN a „Ol o 1 • ricA Building Commissio � /Mai"( i Date o\Do2� 0' �t• Or1` Clerk Office Use Only Town Of Barnstable MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Building Department COMPLY MAY RESULT IN FINES. (0FThE TOk Brian Florence,CBO Building Commissioner BARNSTABLE, = 200 Main Street,Hyannis,MA 02601 PliA&Si www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: ' HOME OCCUPATION REGISTRATION 9-0 Date: 31 Name: Sk ev' Cu\ 1 pVlC-r- Phone#: A3 `-a93- g33• Address: 9°3ct vk- cO Village: CiA-M'M 0.1 d Name of Business: 11.M.. 0).v,1 r5 L'�i�oC t? t-AA -1 Map/Lot: 3 3 b SS Type of Business: ✓l� aP INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke, dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. materials,or flammable or • There is no storage or use of toxic or hazardousexplosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the elling unit. I,the undersi have read an ee • the Bove restrictions for my home occupation I am registering. Applicant: Date: 3 ( r I 3 ( q' a�ao AR* CA1B C r `-tot nl1 our. C wIcl d , ^�R oato3� -o44 ( S Lk.k.lieliv,r am , R- cum 0-And so\•e. .e, ?loci ee of QLCAIAe is l.a.bo o - o u.,oc k .-"A 'N`y \10-m e 40 3a vv\o,,,.v\ 94- , A-vm q uic( , -Me ns LoLbt cads, -i5 +At.. bu41v iss o-f vv1a.Vi.v\3 cutA cl S. v.\,5 \t\ov,d - \made guj,1is . T' vpo d,k.cA. I-i q ui tis peA Ina9A-Vv1 , S a.\2S cm,µ.«-s R,LO Une . Anderson, Robin �"` 0144c S } From: Begreen, Caroline <caroline.begreen©morganlewis.com> bAtyvyl 4_ (.0 _ Sent: Tuesday, November 28, 2017 1:53 PM To: Anderson, Robin Subject: RE: Thank you, Robin. I appreciate your investigation into this issue and will pass the information along. From: Anderson, Robin [mailto:Robin.Anderson@town.barnstable.ma.us] Sent:Tuesday, November 28, 2017 1:50 PM • To: Begreen, Caroline <caroline..begreen@morganlewis.com> Subject: RE: [EXTERNAL EMAIL] HI Caroline, Please know that I reached out to the property owner last week. I am advised that the truck is driven by her son. He apparently has an arrangement whereby he is able to drop the trailer off at Shepleys while he is visiting with his mom. I conferred with the Building Commissioner about this matter to be sure before I responded. Currently,there is no regulation against this as the driver does not have a home occupation at this address. However,you should be aware that the Planning Dept. is writing a regulation that may impact this in the near future. It has not yet been completed yet or presented but it is likely expected to occur next year sometime(if I understand it correctly). FYI: I did ask the owner to have the driver try to be more discreet about parking(if at all possible). 0 gbin Robin C.Anderson Zoning Enforcement Officer 20o Main Street Hyannis, MA o2601 508-862-4027 From: Begreen, Caroline [mailto:caroline,begreenOmorganlewis.com] Sent: Tuesday, November 28, 2017 12:48 PM To: Anderson, Robin Subject: RE: Thank you, Robin. Just an update—this vehicle continues to be parked here—it was there on Monday. From: Anderson, Robin [mailto:Rabin.Anderson@town.barnstable.ma.usj Sent: Friday, November 17, 2017 2:31 PM To: Begreen, Caroline <caroline.begreen( morganlewis.com> Subject: RE: • [EXTERNAL EMAIL] Photos received. Will look into this next week or ASAP. egbin Robin C. Anderson Zoning Enforcement Officer • • o3 ,�� Anderson, Robin 1 To: Begreen, Caroline Subject: RE: Carr)irlet, �'t'-` HI Caroline, Please know that I reached out to the property owner last week. I am advised that the truck is driven by her son. He apparently has an arrangement whereby he is able to drop the trailer off at Shepleys while he is visiting with his mom. I conferred with the Building Commissioner about this matter to be sure before I responded. Currently,there is no regulation against this as the driver does not have a home occupation at this address. However,you should be aware that the Planning Dept.is writing a regulation that may impact this in the near future. It has not yet been completed yet or presented but it is likely expected to occur next year sometime(if I understand it correctly). FYI: I did ask the owner to have the driver try to be more discreet about parking(if at all possible). CRpbtn Robin C. Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA o2601 508-862-4027 From: Begreen, Caroline [mailto:caroline.begreen©morganlewis.com] Sent: Tuesday, November 28, 2017 12:48 PM To: Anderson, Robin Subject: RE: Thank you, Robin. Just an update—this vehicle continues to be parked here—it was there on Monday. From: Anderson, Robin [mailto:Robin.Anderson@town.barnstable.ma.us] Sent: Friday, November 17, 2017 2:31 PM To: Begreen, Caroline <caroline.begreen@morganlewis.com> Subject: RE: • [EXTERNAL EMAIL] Photos received. Will look into this next week or ASAP. Caber. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 02601 508-862-4027 From: Begreen, Caroline [n:ailto;carolin begreen@n organiew.s.com] Sent: Friday,November 17, 2017 12:46 PM To: Anderson, Robin Subject: • • 1 I r �" wr"ba ' ?yr^� ^ ' »� r } -•s a 'i + $r 8r ,,. y 'r"`mfx. r s• . R 2 p'. �i '� '+� �5f ;5 "7� te r, , R ` '� • '�`� a -:fir. ` .,. '14'"igkedit 1 ... ° . -t� i� i%• ' '•t�. r ' � Yap"�' � Y gg trt-' , yr P .. t 2 r y. ace .*� 'n 7 ` .."!F 7 �'" .�ir�. i «�,�'$'^f,‘`. a� d� 4 a .:� ,a^tcr•� 0 �Sw ':$ 4`d� � 'r 6 Ki .10 '• =,,Iiit40.;c'A;,,.1,,,,,,4^ ,"'..„„.„. 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If you have received this communication in error, please notify us immediately by e-mail and delete the original message. 5 About Samuell Day Gallery Page 2 of 2 • Alter e p+vmisin t.lti(n:ai; In c'a:IPE'(I in the Semiconductor r tl ,fr striEl `I� + ttka^ I pr+,fcsIt n 11'ith+ vo� t w rrt ' . . t n(sv 1.h Il b� lolh»un,her} .Ission .i i gla�-artist,he vMould lti,able.to rnalrc:ct li.v in. It ii u i li\s 'I ti;gl 'al tiduc.rtcri an t nt+inciT.}Mt was burn aI artist s<lVs Cii r).n."Pt tact,irrrlrortar.It to MC ui t[t LiFC my ,uas rrr�Bait. All,..}.. PLAN YOUR VI, 7 1 I,t:�lut:.fli��ti43,!>I;��care so I could t�.nrl:a_.lo furor da:�in the Inds ir\ \t I II -I nnhnn ° ,.� az '� i � \� ,'I s� �� t tIc �., A� �.��..,....r � 2 't ..<�„1�;�t"r�r'h',"' v t :::-.11,1,:;,,,: ;:i:i.::::.- :w b TM� ^E �b')Lt t y� *., • dGS hi l "�7ti 5 r wi ° 4 rA v ^ `hsE )11n 1 a , ��r l ' tn.li"t t ttt ' , � r( r a u= k '�t ncll ll:n q d �r t a � ,` t � i r '-K's r$, + r3�'4 �at`11�� �' '�''ifjY _ k ,r"t# { Se { ` z"MM,.,,.. +qro. ,v �.t, ^S«€ a`»?,p 'F +`r " .P i$' 1 a EFttt � �N �i� ^�n ,� t t _�,�r '��'c '�€'` �,i +t �,t k, o�rt kr Ire, ': `. 't ate""+ - >�' t xv, { t I@! 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F.��i.+ ii %- 7 l.'\., 4 030\ m&,n 3 'et.:5,,, 1/4.-....._. � a 5f)ii/j._ ci 2-- .c A (0 kl �k)6 \ z49 q \(��is°jJQxntr F http://www.samuelldaygallery.com/about/ 11/20/201 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0� B -{. - j Parcel (AD Application # . J G Health Division EFT Date Issued Z�2^!A . PA Conservation Division T FEBEB 22 2416 Application Fee 50.0 Planning Dept. OwN OF BgRNsr Permit Fee Lff•0 ABLE Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 11 3 / '' . S*• Village _� �rv�s\-e V) Owner f "T— 5.ywc.t( Address S`N- Telephone S 4574 C Permit Request k 10 it->1 � cc Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ti — Construction Type Lot Size Grandfathered: U 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: ❑ Full ❑ Crawl ❑Walkout 0 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 Central Air: 0 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 Telephone Number Mike McCarthy Construction Address PO Box 52 License # West Dennis, MA 02670 Cell (508) 280-6964 Home Improvement Contractor# CSL-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE )0,2-Jk. FOR OFFICIAL USE ONLY APPLICATION # _DATE ISSUED MAP/ PARCEL NO. A• • • ADDRESS VILLAGE ' • OWNER • DATE OF INSPECTION: N FOUNDATION FRAME ' INSULATION -t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING • DATE CLOSED OUT ASSOCIATION PLAN NO. r k`` . A a 1 . 'T.'own of Barnstable ` 1. ���E/p Off. � ., .. _ Regulatory Services Etat:MAME.- Richard V.Scali,Director MASS.p6k`�� Building Division Tom Perry,Building Commissioner 200 Main Stet,nyaanis,MA 02601 w ww.towu.barnsfahtc.ina.us . Office: 508 862-403 1ax.: 508-790=6230 . Property Owuer Must Complete and Sign This Section If*Us ne A Builder as Owner of t1. hereby authorize; I l G Crt `-� lu V'QQ e. CIO to act on my behalf, in all matters relative to work authorized by this balding permit application for: } (Address of job) I * Pool fences and alarms are the responsibility of the applicant. Pools are,not to be filled or iv ilir d'b fore fence is metalled and all;find inspections are performed'and'accepted. S C. a lire o plicant (-41 nef Cell g S 4 ; ( (- Prue Pnnt NN" ,. U Date Q:FOTN'L$'014'N RPFRIA7SSIONPOOLS 0 . u • I _ 1= 1 Office of Consumer Affairs and Business Regulation -f i0 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 • { Update Address and return card.Mark reason for change. • Address Renewal I_,i Employment 1 Lost Card SCA 1 C: 20M-05/11 '-±Ri' (C,'Ci)n ynoitwCao/tl c f?//(a kicede4e(t.1 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only --= OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: (.--e1= •Registration: 169393 Type: Office of Consumer Affairs and Business Regulation ��=��4;` Expiration 6/16I201:7 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCARTHY—,', MICHAEL MCCARTHY 6 RANGLEY LN. SOUTH DENNIS MA 02660 Undersecretary ` Not id with t signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 r I\ i) `2, £ '" MICHAELJMCCAR r.i PO BOX 52 W DENNIS MA 0267 , ` iF i " j1 Expiration Commissioner 04/10/2016 W. The Commonwealth of Massachusetts t C►G— cI ac�=tf/ Department oflndustrialAccidents ;flrf_ 1 Congress Street,Suite 100 - ' x1�15 Boston,MA 02114-2017 l'Ati;, www.mass.gov/dia \Yorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. . TO BE FILED WITH THE PERMITTING AUTHORITY.. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Mike McCarthy Construction PO Box 52 Address: Wect Dennis, MA 02670 City/State/Zip: Cell(508)#280-6964 CSL-S8 ' ' 1Ilr'-169393 Are you an employer?Check the appropriate box: Type of project(required): I•Ig'i am a employer with 5- employees(full and/orpart-lime)• 7. El New construction 2.0 I am a sole,proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 8. El Remodeling 3.O 1 am a homeowner doing all work myself.[No workers'comp.insurance required-]t 9. El Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ID Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.QPlumbing repairs or additions 5.0 I am a general contractor and i have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.i 13.❑/Roof repairs 1 6.0 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14•LJOther WC.f 1,„,,‘,/„` 152,§1(4),and we have no employees.[No workers'comp.insurance required.] •Any applicant that checks box NI must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am 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 stale whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. • I am an employer that is providing workers'compensation insurance for m y employees. Below is the policy and job site information. _ M Insurance Company Name: A,,-'/ t /--L „„I • I'- >_ Co Policy#or Self-ins.Lic.#: I/\,./L- ) c'c' (�G I7(,5�, -ateI,s/f Expiration Date: )2 ),s- I Job Site Address: City/State/Zip: Attach a copy of the worlcers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c:152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerh;/y under t a' s ,peennalties ofperjtny that the information provided above is true and correct. Signature: i' Date: Phone#: CSol;, WA,-6 f.4., 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • 7 6, -, DATE- • CERTIFICATE OF LIABILITY INSURANCE DA (MM/DD/YYYY) . T1E(M /2015 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 01962-001 NAIAE:�p�Tp CT Bryden&Sullivan Ins Agcy of Dennis Inc ws.x): (508)398-6060 VI No.: (508)394-2267 PO Box 1497 ill : ` So Dennis,MA 02660 INSURERISI AFFORDING COVERAGE NAIC# INSURER A: A.I.M.Mutual Insurance Company _33758 INSURED INSURER B: Michael McCarthy Construction Inc INSURER C: P 0 Box 52 INSURER D: West Dennis, MA 02670 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. IrY TYPE OF INSURANCE ypj'JR POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREMISES(Ea occuRencel CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JE �OC ` COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED (PReOPP PROPERTY $ AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ yyoRKDEERDg C�M��RNEgTEE7N�TIIOON $ y�gTp� T $ AND EMPLOYERS'LIABILITY X TORY LIMTTS (it NY PROPRIFTo RTNERIFXF Y/N E.L.EACH ACCIDENT $ 1,000,000.00 A OFFICER/MEMBER EXi CLUDED? c E y N/A VWC-100-6017656-2015A 12/15/2015 12/15/2016 (Mandatory(1(( flflddn in NH) ar E.L DISEASE-EA EMPLOYEE $ 1,000,000.00 DgSsCRIPTION'OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE e2b.Pee,(Lea_ ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION1 �� " J , , , , elquallivt„.. Map Parcel vc) -' 6 J co Application # Health Division a t7 0 Date Issued Z^ — 6 ' r 111.Conservation Division 9 �O'' ,A Application Fee • ?: Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board e Historic - OKH Preservation / Hyannis Project Street Address (ACZ l 1 ' 1 t `e. , In �.. Village ��ari�S`�'1�i+y1-- I 73 Q:�Y� (vLvz-��JJJ Owner03.W4n L YrtU ( Address (403G orlair\ sj. • Telephone 5U5' 2 O — `-c S(-C% . Permit Request L ' k\ CLt V Q. ��(��1�, s b` Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (Q3� Construction Type 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: ❑ 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 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes U 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 -.��,,�� pp❑ If yes, site plan review # Current UseW-I Proposed Use I 1 \(1) . APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name \\I' reV Y r Telephone Number 1)S '�3�'" ' 13 (-( ss P�'� iJt, tM9. ��� License # �J01 ` CM\MOUVAI t ' MJ 6 2110 v Home Improvement Contractor# 1 `0 1,R I jo Email "ChaN 1C\el t\A%61 OJi Y1 , . ® Worker's Compensation # �W—kW—(00-1 4 'Yl `CRC ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A)c.:1) -k- Se6- I 'NeW V3e61-kk61- SIGNATURE DATE Z�`"2,2 FOR OFFICIAL USE ONLY • APPLICATION# • . DATE ISSUED 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. ® A�o14/15 DATE(MM/DDVYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/YYYY) 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: Thompson Insurance PHONE FpX (781) 335-9782 m No.FXR)• (781) 335-1890 AIC,No): and Financial Services ADDRESS: JJTins@Comcast.net 389 Union Street INSURER(S)AFFORDING COVERAGE NAIC# Weymouth, MA 02190-316 INSURER A:Travelers INSURED INSURERB:AIM Mutual MT McMahon and Son Inc. INsuRERc:Torus National 19 Fieldstone Way INSURERD: Plymouth, MA 02360 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. INSR ADDL SUBR POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSR WVD POU CY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LINTS C GENERAL LABILITY Y NPP8082574 8/26/15 8/26/16 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY ELT LOC $ A AUTOMOBILELIABIUTY BA 2C882729 8/31/15 8/31/16 (CEaacccidentSINGLELIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per accident) c x UMBRELLALIAB f OCCUR 80313L140ALI 11/24/15 11/24/16 EACH OCCURRENCE $ 1,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ B WORKERS COMPENSATION VWC-100-6014109-201 12/8/15 12/8/16 TnRysl ATU- X OFR AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N • E.L.EACH ACODENT $ 500,000 OFFICER/MEMBER EXCLUDED? E NIA (Mandatory In NH) E.L.DISEASE?-EA EMPLOYEE $ 500,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Renarks Schedule,If more space is required) Insulation installation and carpentry. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE John J. Thompson CLTC ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: • DEBRIS DISPOSAL AFFIDAVIT In accordance with theprovisions of M.G.L. c. 40, s. 54, BuildingPermit # was issued with the condition that all debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L c. 111, s. 150A. The debris will be disposed of in: ABC Disposal Name of Waste Facility 1245 Shawmut BLVD New Bedford Address of Waste Facility 111.5 Debris: As a condition of issuing a permit for the demolition, renovation, rehabilitation or other alteration of a building or structure, M.G.L. c.40 s. 54 requires that the debris resulting therefrom shall be disposed of in a properly licensed solid waste disposal facility as defined by M.G.L.c. 111 s. 150 A.Signature of the permit applicant, date and number of the building permit to be issued shall be indicated on a form provided by the Building Department and attached to the office copy of the building permit retained by the Building Department. If the debris will not be disposed of as indicated, the holder of the permit shall notify the building official, in writing,as to the location where the debris will be disposed. 780 CMR-6`h Editio "Alb ROW ermit Applicant 7/11 t) Date ` '` 4 , Massachusetts-De artment of Public Safet �-_- Office of Consumer Aifau's&ausiiieib Regulation `�' Board of Building Regulations and Standards • 11;;Tsilsee: OME IMPROVEMENT CONTRACTOR ° • Construction Supervisor „' • *„ 1et egistration: q 61816 Type: i License:CS-068111 _ - .1 i v:rl•. • Expiration ,-11/24/2016 Private Corporatic• .• ,,.. �''.. L `� f tr-`��, ,,i f MICHAEL T MCi1A1i0 .i�,*i'r • •MtCHAEL T.MCMAHON&SSON I�NC �19 FIELDSTONE-VAN I'�.� ri � ' i' PLYMOUTH 1VI.M 02360+ \; MICHAEL MCMAHON r f1 r �� 19 FIELDSTONE WAY'a e12,''r g ', `' PCYMOUTH,MA 02360 • ,,[,,,, �1J�Ge Expiration Undersecretary . OS 17/201d `' Commissioner • .• �'`-- \ Unrestricted-Buildings'of any-use group which• - i�4 contain less than•35,000 cubic feet(991m3)of . f'• L •es, or registraiion valid for individul use only =- before the expiratio.,date. if? ;ind return to: a enclosed space. i Office of Consumer Affairs and Busiiii i;ieoiilntion • 10 Park Plaza-Suite '170. - _ "- • Boston,MA,02116 ! ' / • Failure to possess a current edition of the Massachusetts i State Building Code is cause for revocation of this license. • For DPS Licensing Information visit: www.Mass.Gov/DPS . , Not valid'without signature 1 , The Commonwealth of Massachusetts • ° Department of Industrial Accidents l= j Office of Investigations =�1 1 Congress Street, Suite 100 1,1 1=: Boston,MA 02114-2017 •'41M 5v www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): M.T. McMahon and S011, Inc - Address: 19 Fieldstone Way City/State/Zip: Plymouth , Ma 02360 Phone #:781-831-1234 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 9 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. III New construction listed on the attached sheet. 7. ❑ Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p tY 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.11I Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization 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 who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :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 employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Aim Insurance Policy#or Self-ins. Lic. #:VCW-100-6014109-a 201 Expiration Date: 12/08/2016 Job Site Address:1..\etc • 1. J l City/State/Zip: $ 5 ,10(-e, 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. I do hereby certify • 1 ai,�nd i• 'es of perj that the information provided arove is true and correct. Signature: I Date: C,/ 2;2,1 1CO _ Phone#: 7818311234 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#: i evi.rr� Town of Bari stable 0- Regulatory Services . • Richard V.Scali,Director i( mAsc.4)439.4h., _Building Divisioa 1 Tom Perry,Building Commissioner 200 Main Sued,IUyrannis,MA 02601 w►-w.tovrn.barnstable.ina.us Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section Jf 5ifig.A. Rwldct- I, CR1/ji . _S a y i u C(,L as Owner of the subject{prop,ny hereby authorize hI. l <9'. / to act on my behalf, y.: in all matters relative to work authorized by this building erniit application for: Lf0 3 e) i tt ill Sly?-6 )- TGu kvi n�0 c,ci i 4 NIA o 2J 3 77 • +(Address of job). "Pool fences and alarms are die responsibility of the applicant Pools are not to be filled or utilized'before fence is installed and all final inspections are perforrned and accepted.: • �. S' c.. S,i, tore o pliant PA '.� �..�,?.v�:, LAG.._ print: ame Print N .Date Q:FORMS•OWNFR?F ISSJONAOULS u /r f r` Contractor Registration No 8188 4.111 .RISE Engineering RI Contractor Regtatratton No 120079 Li/ PIS A division of Thlelsch Engineering • CT Contractor Registration No 820120 ENGINEERING 5 Dupont Avenue,South Yarmouth,MA 07.664 CONTRACT 508-568-1926 X-6613 FAX 508-568-1933 Page 2 PROGRAM UM CONTRACT IS ENTERED INTO BETWEEN RBE CLC-RCS ENGINEERING am mu cusTonml FOR WORK AS DESCRIED•BELOW CUSTOMER PRONE DATE CLIENTS WORK ORDER Caryn L Samuell (508)280-4548 12/04/2015 194985 00003 SERVICE STREET BUNG STREET 4039 Main Street P.O.Box 441 SERVICE CITY,STATE.ZIP E UJNG CITY,STATE.VP Cummaquid,MA 02637 Cummaquid,MA 02637 JOB DESCRIPTION CRAWLSPACE:Provide labor and materials to install(650)square feet of 6 ml polyethylene over open ground in designated crawlspace%arthen basement areas. $500.50 CRAWLSPACE:Provide labor and materials to install(550)square feet of R-21 closed cell spray foam insulation to the crawlspace perimeter wall sill and band joists. Then install a spray applied ignition barrier over all exposed foam. Any cxawlspace access within the perimeter wall will be weatherstripped and insulated to R-21. Any present crawlspace vents will be permanently sealed. $3,025.00 INCENTIVE:RISE Engineering will apply all applicable eligible incentives to this contract You will be billed only the Net amount. Currently for eligible memos the Cape Light Compact oars 75%incentive not to exceed$4 000 per calendar year and an incentive of 100%for the Air Sealing measures. For the safety and health of your homes indoor air quality we will be conducting a blower door diagnostic of the available air flow in your home both before the work is begun and after the weatherization work is complete.We will also conduct a diagnostic assessment of the combustion fumes in the exhaust flue of your heating system and water heater.This has a value of$90 and is at no cost to you. $90.00 • Total: $6,252.94 Program Incentive: $5,049.08 Customer Total: $1,203.86 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE PATH ABOVE SPECIFICATIONS.FOR THE SUM OF "*One Thousand Two Hundred Three&86/100 Dollars $1,203.86 UPON FINAL INSPECTION AND APPROVAL BY RISE ERW, O.CUSTOMERAGREESTOREARAMOUNTDUEGIFULL.INTERESTOPT%WILL BE CHARGED MONTHLYONANY�C 1 UNPAID BAIANCEAFTER30 ems.SEE REVERSE FOR INPORTANT SG<ORNATION ON-GuARANTEES,RIGHTS OF RBCBION, CONTRACTOR REGISTRATION. / DO NOT SIGN THIS CONTRACT IF TH A1�NK,SPdCF-S • • AUTHORIZED SIGNATURE-RISE EngbIes1 g ,..CUSTOMER ACCEPT NOTE:,HIB CONTRACT NAY BEWRHDRAWNBYUSIF NOT EXECUTED WnHOI DATE Cf ACCEPTANCE ACCEPTANCE OP CONTRACT-THE ABOVE PRICES,SPEC6TCATTONS AND CONDITIONS ARE 30 DAYS. SATISFACTORY TO IS NM ARE WREST ACCEPTED.YOU ARE AU HOR®TODOTHEWORK AS memo.PAYMENT WaL BE mace AS OUTLINED ADORE r - • • Town of Barnstable *Permit# Expires 6 months from issue date - 4 Regulatory Services Fee a naa�riarr. t $� Thomas F.Geiler,Director PERMIT Building Division • Tom Perry,CBO, Building Commissioner 15 2012 • 200 Main Street,Hyannis,MA 02601 FEB www.town.bamstable.ma.us Office: 508-862-4038 .ti. , •�:LE EXPRESS PERMIT APPLICATION - RESID � �' 183/2„-- Not Valid without Red X-Press Imprint Map/parcel Number 33,510 sU Property Address I d 3 C\ V I $-rrEC 1 CAA- g-au I w1/}. C)Z6,3?-o y [-Residential Value of Work 71 00 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address cA-Rtm L 5 awl(,(L L(.. • • 4o3° T & I,u A-ay. 14 VM- 0 2b 3 7 -0 4 LE II Contractor's Name Telephone Nurnber Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Worlanan's Compensation Insurance Check one: ❑ I am a sole proprietor Q"I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name A L°A 010 1 Al S L f 44 GP__ • Worlanan's Comp.Policy# W C 20^,O-O O Z e 7?- o I Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to • ❑Re-roof(not stripping. Going over existing layers of roof) e-side #of doors ❑ Replacement Windows/doors/sliders."U-Value (maximum.44)it of windows •*Where required: Issuance of this permit does not exempt compliance with other town department regulations,in.Historic,Conservation,etc. 0 ***Note: Property Owner must sign Property Owner Letter of Permission. A cop of the Home Improvement Contractors License& Construction Supervisors License is w 'tired. -i-� tWPFII..ESIFORMS\building permit formslE.XPRESS.doe • ' The Commonwealth of Massachusetts . - ti a9w_ ` 1,/ • Department of Industrial Accidents n—TVl= Office of Investigations- �' ����-= • • 600 Washington Street ' _. Boston,MA 02111 -'-� .r www.mass.gov/dia • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . • Applicant Information Please Print Legibly • Name(Business/Organization/individual):. (/)fL ,4 S A vw G( E t t_ . • •• . •Address: 0 3 q i Al .g I. . City/State/Zip: �vv�vvi A-c -k t. ( D WV} Phone.#: S✓b 5 2b d `�J7-f G Are you an employer?Check the appropriate box: - .Type of project(required):: • 1.❑ I am a employer with .4. ( 'I am a general contractor and I * have hired the stab-contractors 6. ❑New construction . • employees(full and/or part-time). . 2.❑ I am a"sole proprietor or partner- listed on xhe'attached sheet 7. ❑Remodeling • • ship and have no employees • These sub-contractors have g, ❑Demolition . working for me in any capacity. employees and have workers' 9: ❑Building addition • [No workers' comp.insurance comp.insurance.$ • required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ officers have exercised their ,I am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs • insurance required.]t .c. 152, §1(4), and we have no . . employees. [No workers' . 13.al-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 who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :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 . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. . . • I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. .. Insurance Company Name: a A %. ' t,t 24 A' 4 ir . Policy#or Self ins.Lic.#: 111PrC._ • !V-a-0 '�• O 2'a /7 0 :xpir,.on,o. Job Site Ariciress: 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 DTA f�c„rance coven..= 'i lit ation. I do .. , - _'.• . ,er else 'a •, %p y ''perjury that the information provided above is true and correct Signature:, •` Date: Z . e#: 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#: 1 BTS FAX 2/15/2012 10:09:20 AM PAGE 2/002 Fax Server tr Massachusetts Workers'Compensation Insurance Plan Acadia Insurance Company Administered by Berkley Risk Administrators Company,LLC PO Box 1100,Mpls,MN 55440-1.100 222 S 9th St,Mpls,MN 55402 Acadia Insurance` Phone (605)945-2144 Fax(866)215-8118 Toll Free (800)634-4589 NCCI Carrier Code 33391 CERTIFICATE OF INSURANCE 1.The Insured: WCIP Policy Number:WC-20.20-002877-01 Andrew Konovchenko Tax ID#: S XXX-XX-4173 27 Anchorage Lane West Yarmouth,MA 02673 Policy Period: From: 2/12/2012 To:2/12/2013 Date of Mailing:2/15/2012 The Certificate is Issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend,extend or alter the coverage afforded by the Policy listed below. This is to certify that the Policy of Insurance described herein has 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 Policy described herein is subject to all the terms,exclusions and conditions of such Policy. !!;s:::;m„•,,,i;ui:,:p;r:n?•!:::::::!ixr.,::,..,;..:I!j!;!x:,,:,••!e!!a:a:::,!,!,,:�:�-'?!fy!g4:: •!•:�;::•!ua!!,!!! ,•;,,., �,=,t:i!a?a?:!3!!!ii.!iFlli??a?!ta!ni!sk!!L�i::,:Ea�!!!!er?s; yiiiam:..::,..•:,.:::u!:vi.: r.::•J.:.:.,;,a..cL'!i!i!li!?i!!d'.::;:d!ii9?tik!if!3i!'.1^tOI!ii?:.,.:. i,r.;}!!i:. .:.,i!i!:aWi?!:!L`?!Et!;�?!ifL'!"!??iiH!L'!?!!E:i?!!i!!L'I@!!!!i!iii Coverage Part One (5) Workers'Compensation Statutory MA Part Two Bodily Injury by Accident $500,000 each accident. Employers'Liability Bodily Injury by Disease $500,000 policy limit. Bodily Injury by Disease $500,000 each employee. Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. AIt,Enhltles/lnsureds: Certificate Holder's Name and Address: Konovchenko Election Election Caryn Samuel) Category Status Name 4039 Route 6A Sole Proprietor Indude Andrew Konovdienko Cummaquld,MA 02637 • Date Issued: 2/15/2012 Miller McCartin Inc Dowling&Onell Ins 973 Lyannough RD Hyannis,MA 02601 Signature_ .x: - . BA 3140 `"' • - Town of Barnstable THE r . ' , ,r, * Regulatory Services t BAR , : Thomas F.Geiler,Director • �b 0.619. ofr 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 • HOMEOWNER LICENSE EXEMPTION . Please Print , DATE: 2_ - 1C —I -2— • , JOB LOCATION: 4 6 IAA 3�i k 1 &-) S-rr e c1 at(km.IAA taut 1 6 . numbernn street village V"HOMEOWNER": )1 4 t V&l l L—U b U c2.,cej v yc-C{ V name home phone# work phone# CURRENT MAILING ADDRESS: V CD_ Y dC' U 1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (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 uncle _.ed"hommywner"certifies . ?e understands the Town of Barnstable Building Department minim .. '_.:-i J p ced�.:a. ..-i is and that he/she will comply with said procedures and ... / Si •I.: o .- owner + 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 hire to do such work,that such Homeowner 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 unlicensed 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. Q:forms:homeexempt "'fit , R r of Ta�ti Town of Barnstable '' •..• .911 Regulatory Services p �►aq $ Thomas F.Geiler,Director ' 11 Eo, \ a Building Division ivi sion . .a', Tom Perry,Building Commissio-er , • 200 Main Street,Hyamrit,MA I.;601 www.tQwn.barnstable. . us Office: 508=862-4038 Fax: 508-790-6230 r i - 1 roperty • e'r Must Comp` -to and S'gn This Section Usin• A Builder • 1 r' F. ; I, . as Owner of the subject property hereby authorize to act on ray-beh2lf, in all matters relative to work autho d by ,. building permit application for: . • ( dress of Job) __: Signature of Owner : y . . .. Date •• Print Name a :a • If Property Owner is applying for permit please complete the ,Homeowners License Exemption Form on the reverse side. y : . .Q:FORMS:OWNERPERMISSIOIQ z { Caryn Samuell Sign violation Samuell Day Gallery 4039 Main Street Cummaquid, MA Previously emailed gallery right for her website but could not obtain copy. After continuous complaints about signage I issued her a written warning and sent it out by certified mail on 9/4/15. 9/15/15 Caryn Samuell called. We discussed the sign violation notice and what is and is not allowed. She understands and has taken in the sign. She provided me with an email address for future use. Csamuell@hotmail.com (The C is underscored). c SENDER COMPLETE THIS SECTION ,COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete. .. A: Sign ure '•,%,.., item 4 if Restricted Delivery is desired. lv • Agent II Print your name and address on the reverse x / ❑Addressee so that we can return the card to you. rceive. y(Prin Name C. D to o Delivery O Attach this card to the back of the mailpiece, n t, or on the front if space permits. "7+'' S` , T f' deliveryaddress different from item 1? es 1..Article Addressed to: I If YES,enter delivery address below: CINo art, h 34m0eI `6(14Vitit I 1 PAV (24 I I thi ub3 f Ri tti O cI-Yfrf �t t,r'3 3. Service Type ','z4.. ',• Gu tma i vw`1 O r 1 11431 0491 ❑Certified Mall® Priority Mail Express' IDRe istered,:- ❑Return Receipt for Merchandise. 0 Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) 0 Yesi 2. Article Number ? (Transfer from service labeO �'s i7014, 1200 00.01 ,0358 572„ j PS Form 3811,July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICEal Did P OVID'ENCE ' ", ,►i�stag ees P, id • Sender: Please print your name,address; and 2"Pn this bo 04I10,0_ "Ow WI IPviS{ 0V 2-06 Oa veil ►'✓14 626 I .Postal" MAILTM M1 Domestic Mail Oni ;No lnssir nce Coven's.e Provided DI `F,or;deiivery,information;visit our website at www.usps.com® co 0 F F I C 1 A L / s E,,,. . M Postage $ Q sEp-4�015 Certified Fee r� Postmark In Return Receipt Fee Here 1I 0 (Endorsement Required) c Restricted Delivery Fee LISPClo 7 I (Endorsement Required) Io - .. fl.l Total Postage&Fees r4 Sent To av _ � wi v r i f ea (ifs 1W. I O orStrPet,Apt.N. -I 0,3q ct'� r�„r,4- � or PO Box No. 31 �r�r�' C;ry State,ZIP +l �� 4 T- o1Li 1 � wit�ayvic �/I PS Form 3800,August 2006 See Reverse for Instructions Certified Mail Provides: a A mailing receipt Air a A unique identifier for your mailpiece' a A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail is not available for any class of international mail. e NO INSURp�NCE,COVERAGE IS PROVIDED with Certified Mail. For valuables pleasefconsider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for edu duplicate return receipt,a USPS®postmark on your Certified Mail receipt is �:. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement'Restricted Delivery". a If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a.postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. t IMPORTANT:Save this receipt arid present it when making an inquiry: 'I PS Form 3800,August 2006(Reverse)PSN 7530.02-000-9047, is TOWN OF BARNSTABLE BAR-W 9088 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager '.,rL4n ,_., /,4 '/ / Address of Offender % /7)4ft) 3 MV/MB Reg.# Village/State/Zip Business Name ( S,itUe;. t AV a I .,,4 am/pm, on 20_ O i � {{ Business Address 40 " i VA Signature of Enforcing Officer Village/State/Zip m &qU( [HA 44147 3 J - 044 Location of Offense'), M4's, cr. t. 1.`,/ ,7,44, id... 11k_ 1J 1.✓ Enforcing Dept/Division illOffense1 1 . i ( 24 - (. 1 a -S ►; '` iCteri4. t. I () 9_ ,� `�" ti Facts ,,.. I 0 i cA.((e AwfC yjC _..._ J 1 ell;kill cki iI s 7 t cJPc+i i-d i a , I .< f . c,. f c D(c t i �. F . c�_` i 1 `a (+4 This- will serve only as awarning At this time no legal action has been taken. It is the) goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Reg uilations. Education efforts and warning notices are attempts togain voluntar,; compliance. Subsequent violations will result in P Y appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. iM4 ,4 DATE: 3 /3 /S Fill in please: ;_ geg W` , , APPLICANT'S YOUR NAME/S: IGete5 ('O'02 kV r Z.J BUSINESS YOUR HOME ADDRESS:/GP J�i9L.0 ,i )''7' RI 6 )/ ' A_:tc34#t s 3 x I e-A/ttrev� ,, p ' 0 TELEPHONE # Home Telephone Number 7 7 NAME OF.CORPORATIONi: . . , . . r NAME OF NEW BUSINESS c5/4-VtVU&ZL -D li r#4JI8RsL TYPE OF BUSINESS &;.9-ii'4 / IS THIS A:HOME"OCCUPATION?:' YES NO ADDRESS OF BUSINESS y0:3 r iiN w g I`!p` MAP%PARCEL NUMBER. . O (Assessing), When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S FICE This individual has bee ' ed of permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: • YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S , YOUR NAME/S: ►J/1.2 EL 1 F 0 R17 • , P r :241 41 BUSINESS YOUR HOME ADDRESS: 6 7 S t=x!- 5 T . APT A--i-1 1-Y Y1 IV A)15 , /Y 0240 � ,z • � 'V (5V$)362 -0175 (6rfb) 2-36 - gItt . ¢ � TELEPHONE # Home Telephone Number • nai NAME OF CORPORATION.n. "_ NAME OF NEW BUSINESS a TYPE OF BUSINESS 1) A' IS THIS°A HOME OCCUPATION?Y YE NO k j Q .' Z b 3 0 MAP/PARCEL NUMBER ADDRESS OF BUSINESS : .":M -f.i < . ses ' When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO. ER'S O- IC This individ al ha .y-rr-info :: of a y .- mit requirements that pertain to this type of business. i a Q �� ihorized Sig ...re** COMMENTS:x� c a'(1 dQ epD .it) rYl-e_ Chi _or 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,S 6jfv dish g2a Map 33 Parcel ®�8 r' wt Permit# �''R'i . T 3/p 3 Health Division �_ '�� , � /7" Y I Date�ls��Ed �/ l 3031 'it �� l Conservation Division _ �a 0� f 4 P4$piili�.tion Fee `- Tax Collector . s Permit Fee • ; Treasurer �_,_...Li/'��^~�� �` SYSTEM f"isUST EF'" Planning Dept. INSTALLED IN COMPLIANCE WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis ToyvN REGULATIONS 3 geefrooAtf brexI Project Street Address lid 3 9 Ha i / Village / ,6A-2N g 4b [ C' Owner 6 Pro ��1 e/ / Address Telephone `6 6 2 — O /7 6--- Permit Request K,' e'h'4, 4i14d 6a,'7-4 pot-, AekiiiOele! Square feet: 1 st floor: existing ?DO proposed e, 2nd floor: existing 6®O proposed 14 Total new Zoning District Flood Plain Groundwater Overlay Project Valuation AceepO Construction Type �c9&,Q • Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family IS, Two Family ❑ Multi-Family(#units) Age of Existing Structure AOC, Historic House: 14 Yes 0 No On Old King's Highway: Yes ❑No Basement Type: y1' Full ❑Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) G,cc)r) Number of Baths: Full: existing 2. new i Half: existing new Number of Bedrooms: existing 3 new QD` Total Room Count(not including baths): existing `a. new 73 First Floor Room Count 0.3 Heat Type and Fuel: kGas ❑Oil ❑ Electric 0 Other Central Air: ❑Yes &No Fireplaces: Existing / New fl. Existing wood/coal stove: ❑Yes iNlys Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - Commercial ❑Yes- --❑_No If yes, site plan review# Current Use Proposed Use • /� 1 l BUILDER INFORMATION I"_--C`_ s—Dl ��t9— 3 76® Name P f1-eu 4/f24k� Telephone Number �-2 a33 P cr Address v i'X. o L e — License# Q 4 6 9 7 2 S'• (0e V4' `5 Het Home Improvement Contractor# //D 6.---C) • ( )2 660 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT ILL BE TAKEN TO SIGNATURE DATE 6- _ ®3 1-. ;- - - 1 - f ' •,, FOR OFFICIAL USE ONLY . . . - . ; ' •..., . , PERMIT NO.} _ . •, '-'• "-- , - ---(' ,• , _ • . . -. i _ , --I!, .,..- _,,, ..... r e • 'DATE ISSUED , , ,_ _ ..... • , ...- ..r.- , - • I4 l" MAP/PARCEL NO. . , . • s'1 .." 'v. - esi , .„,_ ,r) — -• '• , ..„,,,, e -•- -", ;•1 -,,. . ... ...': • • le - ....". _ •)., t - "...- I" ,.• ---- • .-- '1' ••.• . t • . I ',. /,/ ...-• , ADDRESS k:' , _ :- ,- VILLAGE "" ...,... --, , ; .` ' - ) _ —7*- • s - . ... ' r OWNER „4;1- _ - , , • , .. /,'• . •., t/ : . .- -- -, - -- it ------ .,- .. DATE OF INSPECTION: ..- . .;.„-• . • FOUNDATION -. ...•„,.. - . ,- •• "I A'' FRAMEi - - _ . A.,..-r —1 \ . - -...- ,. . . FIREPLACE (- . t7 . .•. ELECTRICAL: ROUGH FINAL .,„..* - PLUMBING: ROUGH FINAL - / ,., ._ -, . 1 • 1 .., ,...• ./.-1 GAS: ROUGH , i; FINAL - 1 .,-. r . • t.-: tj 1 ' - FINAL BUILDING • ••••• ..-. • • • .- _-. • ./... . •- - 71 F•4 '. I -..: , ( .../"`• ,,,, • 1. (' ) /i.) -.1.... ,..•• / . . .r•, ,„., C r DATE CLOSED OUT • t 3 .__1 1 '......1 ' r . •-- ‘ e t,. :,....) • , , ASSOCIATION PLAN NO. . .t. , . ,.....• % , /"" t. s A .,4't i . • t L r ` �_ The Commonwealth of Massachusetts IT'! --:::::; Department of Industrial Accidents = Office of Investigations 600 Washington Street ' • Boston,Mass. 02111 �— Workers' Com ensation Insurance Affidavit name: 19 :A./. `t 0 Ki ' location: 15)k 3 2.2 city 7 . ....15" 714.. ®2 46 0 phone# erDa —T•LY'_41✓-r ❑,I am a homeowner performing all work myself. 1! I am a sole r rietor and have no one worky in capacity ❑ I am an employer providing workers' compensation for my employees working on this job. .?.? ??.. . .::?:. ....... .:............. ...:..:..:...::. . . :::.}':;'::: {:::•::::::.???.:+.:.:::i?::�v::<:ii?.i'4':'.i'.�:.;::::.iiY.i.:'•:f^l:':::•??:vi:•::�.::::••:• :.:.:.��:::v::::::w:.�:.�::::::::.�:::•::::::::v::::.�.:n.. .::.::.:i.;:^';''.:.�;:..:,.:::�':'i:�::::::'i?'i;:}i::?'.::i:::?";'v:::,'i:'?�.:::;:J�:.::":�:.i:'.: ?-•:;.•:'��''�" :'�':'•:�''r,'Y;:i::v::�::�i`:�i:�i::i;:;i:;:j:y::y:�::�'iiiii:•:!. `usur n -folic #`. '>` ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation polices: : :. :. address... . .:. ..:... . . ..... . . : . ........... rn ..........:.::::........:.::. campanv n m :itiiUTanC . oli Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as dvil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c certi under the pains and penalties4x;,:::T:. ______- of perjury at the information provided above is true and correct Signature $Date_ Print name s` / e G Phone# 6' Y 92 0334 >< official use only do not write in this area to be completed by city or town official city or town: permit/license# • ❑Building Department ❑Licensing Board 0 check if immediate response is required ❑Selectmen's Office OHealth Department contact person: phone#; ❑Other .......---"---.....-.....-............................---.....,- a -..-:::: ?.,:,...::<n:a:::. ....-. .-..- s?fi.-rt�,.,..'.?0rag�4�'•?x-�F2gXtYy-.%-t�.T9fi"r.r::,1.y:.:.::.wx^-..r,-?--:rti�o:.r:?:.,.r:.:nr._....---- ........-r,v:.._-.ti'r-v: ::: .:::.......vim....... . .. (revised 9/95 PJA) 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to rovide workers' compensation for their employees. As quoted from the"law", an employee is defined as every per on in the service of another under any contract of hire, express or implied, oral or written. An employer is defin as an individual, partnership, association, core ration or other legal entity, or any two or more of the foregoing engaged in joint enterprise, and including the legal rep esentatives of a deceased employer,'or the receiver or trustee of an individual,pa ership, association or other legal enti , employing employees. However the owner of a dwelling house having not mo than three apartments and who res. es therein, or the occupant of the dwelling house of another who employs persons to' o maintenance, construction or epair work on such dwelling house or on the grounds or building appurtenant thereto shall t because of such employm t be deemed to be an employer. MGL chapter 152 section 25 also state at every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a busin ss or to constructbuildings in the commonwealth for any applicant who has not produced acceptable evidence of com lance with the/nsurance coverage required. Additionally,neither the commonwealth nor any of its political subdi ' •ons shall e ter into any contract for the performance of public work until acceptable evidence of compliance with the ins ce re •rements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affida •• completel by checking the box that applies to your situation and supplying company names, address and phone n; bers along ' a certificate of insurance as all affidavits may be submitted to the Department of Industrial Acc.i ents for confirma on of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be r 'ed to the city or 'own that the application for the permit or license is being requested, not the Department of Ind I .. Accidents. Should\ou have any questions regarding the"law"or if you are required to obtain a workers' compensa►on policy,please call the epartment at the number listed below. City or Towns Please be sure that the affidavit is com• ete and printed legibly. The Departmen has provided a space at the bottom of the affidavit for you to fill out in the:ev-, 'e Office of Investigations has to contact .0 regarding the applicant. Please be sure to fill in the permit/license nu r ber which will be used as a reference numbe . The affidavits may be Ietun e-d Ttn the Department by mail or FAX unle.s other arrangements have been made. The Office of Investigations would L.e to thank you in advance for you cooperation ands,ould you have any questions. please do not hesitate to give us a c. . The Department's address,telephone and fax number: • The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 , • r.,1.•tHE 1p � Town of Barnstable �, bs'. °, Regulatory Services , Regula o y wws ABTA ' Thomas F.Geiler,Director 9`bo;p.�A`�� Building Division . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 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. cle Type of Work: kr ` ek 0.--4.147 ee O�e/ Estimated Cost / '49 a' Address of Work: 410 3 9 , `di/4,- 5 7 C Gattii of ftef i`(iL Owner's Name: k4 rye,(/ S-' 14.7!,el Date of Application: = 7- ®3 I hereby certify that: Registration is not required for the following reason(s): • • Work excluded by law ❑Job Under$1,000 DBuilding 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 TEE 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: r— 7-63 574_ 4.e#Y 0,CV' fie65D Date Contractor Name Registration No. OR . Date Owner's Name ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 �S : O O Building Permit Amendment $25.00 FEE VALUE WORKSHEET • NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus om below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE j®® square feet x$64/sq.foot= x.0031= 41,--/2 5-1— plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt • >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 x.0031= square feet x$96/sq.foot= '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 ,j 9. .S.2 projcost L • g%re Vra7znwnuiea or,/faaoacAivaelta Board of Building Regulations and Standards C� 6 HOME IMTROVEMENT CONTRACTOR e;—=l��� Registrafron 110650 • Ex_pira 99 141/ /2004� e trl piidual STEPHEN M WHA�,L�.,,t-NuNgttO DF STEPHEN WHAISENc r_7 ' 77 EISENHOWER COTUIT,MA 02635 Administrator • die (panvntanwee of_.taa ezde oeaa BOARD OF BUILDING REGULATIONS "^= ;°j' License: CONSTRUCTION SUPERVISOR Numbert;C 046972 ( eJ f81 Af03 I Tr.no: 2880 Res riOlefilirtAg 1 STEPHEN M WHA sEN j ,,.. PO BOX 322 � �, S DENNIS, MA 0266 a,�r a °/ Administrator May 10 03' 08:39a p. 1 05/88/2003 13:51 5084280338 STEPHEN WHALEN PAGE 01 Town of Barnstable 4\ Regulatory Services i ..war a Thomas F.Geiler,Director +' of Building Division Tom Perry, Building Commissioner 200 Maio Street. Hyannis,MA 02601 Fax: 508-790 6230 Office: 508 862 4038 , Property Owner Must Complete and Sign This Section If Using A Builder 1 Ct it, ,��,r21/e // ,as Owner of the subject property 7' hereby authorize Sr e 4)4 e to act on my behalf, in all matters relative to work a rhorized by this building permit application for(address of job) I o sr` Psi erv+of �'r q nue of ner Dare, (1' ,' S4&.it :l� Print Narrnt .1... ,A't'.0 1 r :) r0 4 s% I Q}CAMS.. Wt ERPERmIssu N • _- -- ■ - ■■ ■■ ■ ■■ ■■■■ a - Illmr111111% 11! , 41S1111 . I Alir TEEM ., I i 1 --/) 1 _ ■ ,.,i.. I 11 _ M'''I 111o. ■ ass -,-aw ■■ ■■ ■■ a ■ - ■ . ■ ■■■ T ■■■ _■■ ■■ ■■a■ _ ■■ �Y ■_ _■■■■ ` ■■■■■■■ Q 4 0,.6d��&' ■■■ _ ■ 0 ox�- �■■■■■■ ■ _ , �� tthe ■ _ ■ n . ■ ■■ ■■ ■■ 1IIIII ■■■■■■■■ ■■ ■ ■ RE ■ ' ■■ -■ ■ _■■■■■■ ■■■■■ a - ■ ■■ as ■■ ■■■■ I - r ■ '4 -- 1. 1 1 . - 5- Ai 1111 * 1 , -111 _■ ■ i Ig, ■■ I _ ■ ::1 : i1 all - t°17-74- 4./' II III . -7---0' '' _ - - - -� • ■■■■ i 2_x.e'■■ 1 _L _ - IT, _ a ■■ ■ I ( ■ ■■ ■ _a ■ __■■ ■■■ _ ■■ ■■■ _ ._- ■ 9 iLe �-,,�� i. ■■! 1 !iiI . ■■ III!H . 1!I ! : ':! ________ ___ ._ .-_- - - ---_- _-_ _ i_�_ _______ __ _ _ _ .- --- .. __-_ . _ . .. .- _ . ___.__ 1. -..... l _____ , —. _ _ . . . - lac_, - — __.� _.._ _____ _. _.. . t 1 L r 1 1 r co ,.. . . - . -... ---... ..r..... ... -., I._ ____ _ — —— — — -- e_ • —— T ____ _ ____ _ __ _ _ ______ ___ . _44— ---- — - -—— .....—- e ) May 08 03 07: 33p p. 1 05/08/2003 18:51 5984280333 STEPHEN WHALEN PAGE 01 Town of Barnstable Regulatory Services auwas•ats. Thomas F,Geller,Director wise, . �e�a ro Building Division Tom Perry, Building Commissioner 200 Main Sweet, Hyannis,MA 02601 Fax: SO$-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder 1, ecti; Al � 4.�t[s e // , as Owner of the subject property 5/eeeiv 4144.4 4/ co act on my behalf, hereby autho�azein all matters relative to work aorized by this building permit application for (address of job) 4403 Y' ,W 4JM 5 -- vis g 'ol pfii• of:.tore c1If• 4 (trier Date a� C$K 54ve// Print Name( � e4,1 r -) TC 'C QFORMS:OWNERPERM1SSION i . h*4.5 1 tmE r Town of Barnstable *permit# 73g ,Z 3 e -.4,,, 94' Expires 6 months fromis ue date ( (BAB; BLE, Regulatory Services Fee �' Thomas F.Geller,Director t639• �� • Are)ash Building Division Tom Perry, Building Commissioner X®P '° ~ 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 �t U 1. 8 UO3L Fax: 508-790-6230 N D EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLFI'BARN:, t. -. Not Valid without Red X Press Imprint r Map/parcel Number 3 3S' 0 �� LOT Z ( d>��Gct-4.s Je Property Address 4 0 3 l Wi A )AJ cS �fi r • _ — . ,� jm_ 0 Z 6 3 7 41 090 [ Iesidential Value of Work 0 0 0 Owner's Name&Address e.FI RAT.) S,4wl u E A _ L.v so., vA.A I 1.) S- 02-4) 3 7 Contractor's Name i-C A2 LL S Telephone Number 5? 3 b Z 017 S- *-.) Home Improvement Contractor License#(if applicable Construction Supervisor's License#(if applicable) ['Workman's Compensation Insurance . Check one: 0� I a sole proprietor RI-am l am the Homeowner . 0 I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# • 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) ErRe-side• 5vvi Sew ON To Pfi \2 ❑ Replacement Windows. U-Value (maxim) um.44) . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ` ope • Owner must: gn P operty Owner Letter of Permission. H. •..r.• mei Con' •ctors License is required. Signature �—.....AdOPP NW Q:Forms:expmtrg Revise053003 ` EnginecT r) Map ���!�_" Parcel n�� Permit# 32 0_ House# 460 J, Date Is ed Q t �-' 9 8 - Board of Health(3rd floor)(8:15 -9:30/1.00 -. .) 7_ 19) /rlfre/e r eh _ Conservation Office(4th floor)(8:30- 9,30/1:00--2:00) -8P4k ,- 3`'it a Vl/ sei Admrrr:Bldg.) ° C...y a" °` a.�>�t.LANCE nS TOWN OF.BARNSTABLL iOO �N ' 1 Building Permit Application Projec - address 0 3 c i 4I4? ' *4-7- . Village (.1„, 13a( fc(b I-e Owner �' �. Address . / O i -q/ 4 . r1 'Telephone �-0 S) 3 e 2-- 0 / 7 C Permit Request 16 t X ' -2--t 7'(2l4v cs . . • First Floor 11 p 0 t tX 2-2) square feet Second Floor s square feet ° Construction Type L)ti m 0. ' Estimated Project Cost $ ft 310 0 0 ‘9-0 Zoning District f F 2 Flood Plain Water Protection Lot Size Grandfathered Li Yes ❑No Dwelling Type: Single Family ErrTwo Family ❑ Multi-Family(#units) Age of Existing Structure 0 Historic House EI'es ❑No On Old King's Highway 'es ❑No - Basement Type: ErFull ❑Craw ❑Walkout ❑Other Basement Finished Area(sq.ft.) A)O Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 2_, New ® Half: Existing New No. of Bedrooms: Existing 3 New 0 _ Total Room Count(not including baths): Existing 7 New 0 First Floor Room Count � . Heat Type and Fuel: ❑Gas Uatil Li Electric ❑Other Central Air ❑Yes ®'No Fireplaces:Existing 0 New Existing wood/coal stove ❑Yes p'Ivo '' Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) arn(size) I 2-a[�(1Vone ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Li Appeal# Recorded❑ Commercial ❑Yes Ergo If yes, site plan review# - Current Use Proposed Use Name ON /vegBuilder Information Telephone Number ' Address License# 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 DE ESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGN DATE eV7—F g BU ING R D FOR THE FOLLOWING REASON(S) ° ti—Ctie) c , fT 0 £ Cm f ,. . ,. - . , jJ .ram' . FOR OFFICIAL USE ONLY _ _ PRMIT NO. r. P; + �,� , Y •r . ; ff� t' ,ter .`~ _ r _ J' DATE ISSUED. y s' • ' -' _ _•, MAP/'PARCEL NO. is ti '..- , - - + 4 •. t^E _ .�- • No t t ;� e..-t , Y4 1 .._� + '.' - f t. ' a i - ADDRESS i �' VILLAGE' > Kti y': ;�'� , 4 `: ' t r ,r3 / _, �+ � • c t • I • I. is x. ` OWNER t .• f rw; r �� r- ` , . , •f .-f; ' • L'� t - ffs f Jr ` `. J'fi i ) , . A •1 it DATE°OFINSPECTION: _ ; FOUNDATION �S.�P' {ti: J .'._ • -. ..1 ' - t .mo FRAME I• E _ • + i INSULATION , 4' ,. , j!' i FIREPLACE % - _�, ! -, ELECTRICAL: : ROUGH .•"' FINAL: 4 ,,' N ,} + 1 - PLUMBING: ROUGH ' --`t FINAL • , ,� _ - _ — ,, ;� :; GAS: ROUGH `' FINAL ,` ' f' , _ t,r•'' ,. FINAL BUILDING _ I i(23( � _ t t . ` ly , z • + • f • �\, i + r� . . l • DATE CLOSED OUT _) . .. - i f -.- • 1; • ASSOCIATION PLAN NO. • ' t' ,.- • j _ f C t t I . - 1 I', I . r i , I . y L i - - TOWN OF BARNSTABLE . , ` , SIGN PERMIT PARCEL ID 335 058 GEOBASE ID 24747 ADDRESS 4039 MAIN STREET/RTE 8A ( PHONE BARNSTABLE ZIP — .•r LOT `; 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA PERMIT 29237' DESCRIPTION GLASS WORKSHOP (6.5 SQ.FT. ) PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 \ — I BOND ' $.00 CONSTRUCTION COSTS $.00 4, *k,S I 90 753 MISC/. NOT CODED ELSEWHERE ; i ; * BARNSPABLE, • MA83: ‘1639.1���� fro Mid BU DTL ING DIVISION - _-DATE ISSUED--CW04/I998_ PI-RATION -DATE- he Town ®1 liarns '�� ,t .\ talOLV .--- !I Department of Health , Safety and Environmental Services ' . .T .` j Building Division 367 Main Strew,Fiyan*►is MA 02601 ''Office: 508-790.6227 Ralph Crossez Fax: 508.7 90-6 30 Building Commission:: If C7Q'9a 3 '7 Application for Sign Permit 641 ` � 3 Sr - 65"Applicant: 0 J /+wk. c€—t I Assessors No. Doing Business As: (,J© 2(c c H- Telephone No ) `7S- Sign Location °zi 5 r Street/Road: 4 0 3 1 ^� 3 r ec T- e� Zoning District. R t^ - Z Old Kings Highway? 4*k To Property Owner 5- ivi,e -— Telephone: (666 ) 36Z ®t 7S Name: CA 2e.�r) Avv Address: 40 3 Vv fI (e 5 Village:_ C° - W1 V('i A q LO Sign Contractor Name: Awn r o� �- Co •• Telephone: ee 'S - c'S-(, ( 3 7 b t 3 o Village: 5 c.7 t<-E( Address: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn an the reverse side of this application. Is the sign to be electrified? ( /No Mote:D`'j=, a rviriag Perim'tis required I hereby certify that I am the owner or that I have the authority of the owner to maize this application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable ' Ordin Signature of Owner/Authorized J' Date:,g- 44, q 8 Permit Fee: of 5- • °� Size:, O ' � '� �A 6-P � 3 i D 6 1 Sign Permit was approved: Disapproved: Sumamre of Building Ohiaal: 4/et- 76_,-// d. Date: -3 J 9F . .. e AnA,N L. . • 4,03et wi A 1,) $ r . , . eA,0" vt,\.4 1 vt , 0 viikk 0265/ Vivq-f, -1,4, 133 S 1 . Go r I Z(.6° 41.3411;114,j_Ai 3(0,1 S4ACIELL MY GALLERY t tat • FLUE CC.AFT5 0 C -AS , CI LAS5 WC Rk5140P ) L . --F-jCterk.-Olir 00"d e_61.0R., i I 1(74,1/1-1- 6.40111C.A.M"1461ke P; Malf 0(Pr (-6411.'101h eterCenIMS II 1 a ALF' I = 1 n 6-vpv:::1,i1Ei AMIDON & COMPANY INC. 376 Route 130 P.O. Box 681 Sandwich, MA 02563 (508) 888-0565 ' Fax (508) 833-0786 . 1--- • ‘,. „. 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'. :41'2-.:.1.. :•'.'•'!.!,•'1:1.'I.,:IF,:. .•'. : '. . ,': -':. ..,.'[.., .'•...!:'‘.... ...'• ; ., .. % . ..'''':r. •r:1-..''.'.-;•.'.,..:•'...•;:1••'::. '•• • ' '.'•:'• i::':'.. '••'.''....•..' '_ . * 1AAA Ah"t ... •'I..• ' ., . ,.,y, .',,.,.:......N!.i.,.,'.::.:21.1,'.' ' , ‘";.,1 II:i.','. -,-':•':' .. -'' ' ' :..• 7:':..•':•Z.''7'.-.',.;':f':'Y. ••-. ' ' ' -.-..,, ._.:f . -; .:' . ' ...''..1.:',''.;.[I::.;5'..r&-',-''''''.•' --' . 2 . ..'.'''-'. ''''' ' .. ...i....;,. ,';''...:''''''''''. '•' .• • • 4 TOWN OF BARNSTABLE . CERTIFICATE OF OCCUPANCY PARCEL ID 335 058 GEOBASE ID 24747 . ADDRESS 4039 ROUTE 6-A (BARN) PHONE Barnstable ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BA ( PERMIT 24034 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: �TNE BOND $.00 I, CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P't ' . * BARNSTABLE CARYNNopg19. OWNER SAMUELL, EQMil ** MASS ADDRESS 4039 MAIN ST CUMMAQUID MA BUILDING DIVISION BY DATE ISSUED 06/26/1997 EXPIRATION DATE _ , __ __ ' . . -. TOWN OF BARNSTABLE - - " ' - - • • P- ,.:,, • ' rCERTIFICATEOF OCCUPANCY : . s: - . • ' , , . • PARCEL,rb 335 058 GEOBASE. ID 24747 • . . ADDRESS 4039 ROUTE 6-A (BARN) PHONE • . Barnstable ZIP ' . - . . . ., . •.. . . D1TA''' . ' 2 ...,_, ' BLOCK . . LOT sIzs , . DEVELOPMENT ' = - DISTRICT BA , . . PERMIT 24034 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO . TITLE ' CERTIFICATE. OF OCCUPANCY -;-, . . • CONTRACTORS: .. • . . . • . . • . Department of Health, Safety ARCHITECTS: and Environmental Services •. TOTAL FEES: . . . •. . - 0 1HE s BOND • . . . - $.00 . ' -, .CONSTRUCTION COSTS' - Al.00 • - ' 7, rosi, '91S • 91 . . . . .. . • - -7 5 6 - CERTIFICATE OF OCCUPANCY 1 ,. • ' . . PRIVATE P i ). ,,,,,, ii,- I • ' STAKE, ,'F' . • • . . . • MAS11),f4/ - • • - . . . . .. . . . . . . - . . . • • . 1639. % -; . OWNER SAMUELL, CARYN :: . ' . .- - . . ; • . %). • hi h . ADDRESS - - 4039 MAIN ST • • . - - - • . •ED ist4 . BUILDING DIVISION CUMMAQUID MA .. - . BY . DATE ISSUED 06/26/1997 EXPIRATION DATE. ' • '. - . . , • . . . , . • . THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' MINIMUM OF FOUR CALL INSPECTIONS REQUIREC FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS ' THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,.PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE ,FROM STREET BUILDING INSPECTION APPROVALS 1 PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 . . • 1, , . 1 . . . . . . . . . , . . • . . . . • . . • , . . • • . . . . • • . . . . . . , . ' . . .1 2 2 . . 2 . • . . . ' . • , • 3 1 . HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT . . 2 . BOARD OF HEALTH 1 . ' •'i. OTHER: SITE PLAN REVIEW APPROVAL . - , WORK SHALL NOT PROCEED UNTIL PERMIT WILL'BECOME NULL AND VOID IF CON- ' INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. - NOTED ABOVE. . TION. , . . . . . . r- . ... ' . '''4••.'"•-. -'• ii.4. 1'4' 1 ,,=,..-. •.• .3-'4•".'* FrA ' VT,1 'i..‘I''' '''',... .' 3-• .' ••,,, .. ,T., zp.... 5-'1-15-""— il:1111 ., :.• '',, '' .3 . ; 3,4•41 til. 1-..; '334'' .,,,,,r "..,,e,s.' :,.• ,I.,"; 4, T' ' 'IC,,,!, 4.4., ,:i.4 ... = 4`• ,.' .., ,V ,,A .:14, •,,...,;.= L' -r-, - ti 001 ' Imaispii ,...,-t • Engineering Dept.(3rd floor) Map ff Parcel ;.4: 4'dJ '7l1`14ermit# 3C House# D,3 y �Date Issued G2(i0 ; 7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee 02- Od Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) • r Planning Dept. (1st floor/School Admin. Bldg.) ppfl/E 11Ci- � ,e , Definitive Plan Approved byPlanningBoard 19 "" as /� a 1`^' Pp i BARNsrABLE. ` Ci f \ 0 I� rFOMP�a`� �.Q,`� �./ TOWN OF BARNSTABLE _ 1 Building Permit Application '�/ 13e— Project Street Address 410 3 9 'L (,19 (fl 'i,.v 5 T J ��J 4., ( e•T#� Village 6101ii'd'1d4 el/0 / 1t J Owner . , t v1 --C title Address C - ---9-..„ Telephone 5`'BM 'Af, D/7S Permit Request A, . 30 P First Floor : square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family erTwo Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Li 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) Li 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 (=...44/.., Telephone Number Address 7! 7791 -&.Svv► Ci.it License# ap: z OM- ; Home Improvement Contractor# // 5-36 Worker's Compensation# ( X/ 3/S (.9a ' - c/,e NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Va,2, t SIGNATURE ACI o^ 0.--- C.-ei-c.--7 DATE ]/( ') $ `-) BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) am%' FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ - MAP/PARCEL NO. - .. . 4• s • ADDRESS I VILLAGE OWNER , - 1 A s• DATE_OF INSPECTION: } FOUNDATION • FRAME -� INSULATION FIREPLACE _ ' ELECTRICAL: ROUGH FINAL - -' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING Q(24777 71 , DATE CLOSED OUT ' ASSOCIATION PLAN NO. • , 4,k TOWN OF BARNSTABLE BAHISTABL • Office of the Building Inspector riva b Date June 21, 1995 Fee $10.00 Permit No. n 0q T N IS HEREBY 1 PERMIT TO EREC S G GRANTED TO ` Caryn L. Samuell DIBIA GLASS WORKSHOP LOCATION 4039 Main Street, Barnstable, MA ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building Inspector r °ft"'F The Town of Barnstable permit no: '( 's'- 9: Department of Health, Safety and Environmental Services ABM ; Building Division date ' 02/ 679- A,� 367 Main Street,Hyannis MA 02601 fee #/D.Od (o4.54i Application for Sign Permit Applicant: 014-k i\ L. SA IAA u C L Assessor's no. 33 S--S v Doing Business As: G L -S_5 3 0 2 K j t-t 0 P Telephone (SO ) 16 2 - 0 1 7 S Sign Location street/road: Lk 0 35 " I Ai ST O gox 4`( / OA‘ 3 Zoning District eiNtic R cr3 Old King's Highway District? yes c/ no Property Owner Name: C.fi 2 4 L. SA w► mot. 6 l.L Telephone SA-- e Address: S P _ Village ei-4444 wi,/ 14 i 0 Sign Contractor Name: Telephone Address: Village Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. Is the sign to be electrified? yes ✓ no (Note: if yes, a wiringpermit is required) � q ) leire L „tel I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. -2 1 - 5 S 6)/7/- Date Signature of Owner/Authorized Agent Size (sq. ft.) ei- Permit Fee /4 - mil/ Si gn gn Permit was approved: disapproved: o -,Z/- 95 �� Date Signature o . mg cial - r . I • . _ 1 , t.c'T 4+ 0 5 g • 1 • CO NE L) 5 i c ,k1 1 ..'a.( 0 e: z(,,:-/)27_.-4 wig! g r. e- 1,-i s,,/,./.,-- :-:-/e- •,...' /5 NV , . C t,c o/-2 i AL .57.;Pil Li/Lc. de P;/;;', 4 i/if 4 T., .e-rX/Jrif / /.1 4;A/I Co e o 1 0 F a . . — (........„,---- • o I r , ., c • •• . t - ' • ; •,'' ?, , 1 I .;pi: W 0 AKS jilir 0 2:11 ri .4 . , \ , ) CLASSES * SUPPLIES \ ' -...- p CUSTOM DESIGN 41 41/ . . .... ‘ , •-• . .), 4 oh Oily . i ,/ ,. ......- _.....„ ,, .• , i :.....:. ... . . ,.., t ' 1, - e I e'. , ',.‘• \ .. \I s..,7.14'4 ... _Ilk 4. • , i <ilk S I4 N i,1 .\tti&:i. '• '171;'-,i • )t 1),,,'' 'il I . 12. E : R.0"TqLL X 3o " LJ 1 0 r i ,•• - ...;A -,,, Id samr sizE Is ExoriN5 stiAl ": e, '14 ; ..'.: r--• ----' lk-',-. 'VS '' • /---- ik ''::-tail,ti•1 , , . - , . • : ,,, . • ..‘, ),..-.•••___ :„.,. „ • • - , ..i. . o,.. , A -.,• .1_, •__ p . .....,, 4 w• .. .0,,, , •-.To.Tys..N 1,...4• . • .. • po5,7 1 0 PE snAJDFD PRIP$160 Odb. .,--" t•:- ' '4 / - :.;*. $.*:, ' ' '4.' - " FAINTED 0 Lac fc (Ex(Srtniq --.,`,.'1 ; ' ' • - .;;.- o . _ , . , - , i , Coe-ok-) ,,,,e"v - - F:i . ti„ , :: Tr) ee re.sTorect ) 1' ' ''' 16' • IP' 7411845/te ,iffie ' ' - ,...,:::-A - u_51-4 r I x T iii KC ‹-r 6 nt n W it" nf F A niI8 - .5.. - . e I Assessor's Office(1st floor) Mar' Lot �d81 40 Permit# W-7`7 \,f - Conservation Office(4th floor) + / //' ' Date Issued S) 179, Board of Health(3id floor) 7''" l.{`9V r� s li (, op IME Ps, Engineering Dept. (3rd floor) House. - • '4 O3 ii 1%J J ss, �G_ Planning Dept. (1st floor/School Admin.Bldg.): . ,SEPTI tM y.nv., -rx z >' a 1; ,ST BE Definitive Plan Approved by PlannmgBoard 19 'INSTAL ��rLr '�� A.•licatioi- t:ssed 8:30-9:30 a.m.&'`1:00-2:00 slit V ti'f MENTAL CODE AND 17.REP-0 P,Tic.:47k!3 ., ,� :TOWN`--OF BARNSTABLE { `I _r Building Permit Application a ',' 0 t--- �t Project Street Address "'1• +�. �ANI�• `3'�` �ray ��j,�/ j o� Z), Village C.(),A/t.+ (Sr- SA)\,6' r �` Fire District • Owner Cl.r i -1U /N,U icL.. Address 101 ( t '1/ 3 , Telephone 21 `6 7,5--1;�3� ' 1 Permit Request: A 9 1C -t-TW .A- 1 to 1-91 (NV Cr y'TrueVW�T - GC I iL) , t 0 t2,( .ZZ' W , v 1 NSvt_tQ cf-1' iti +7rOJ4t e t,i arm R,' lG7vt 1-4i P i t• STvD1a VN S-I-r-c.- J c arX4.JS ck. v 1 i Mfikiki �, Zoning District Flood Plain Water Protection Lot Size • 79. / __ Grandfathered Zoning Board of Appeals Authorization 5' > 4 5 Recorded Current U e f 1 G-411-4..431Qk Proposed Use 5 xi-Lg. El Construction Type' L- _ -e Existing Information Dwelling:Type: Single Family Two family Multi-family a Age of'structure - Basement type --- ,c C4j. Historic House Finished ' Old King's Highway yE-5 Unfinished )D Number of Baths No.of Bedrooms 3 Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces t }S' Garage: Detached Other Detached Structures: Pool Attached Barn ° ;j Z ZX'Z-E None Sheds Other Builder Information Name S kA- 11 . CG/'^S I ►°UU(X elene number 5 - ES Z "2k.C t 7 Address Q-C.5 G-Rcu S 1 8 License# 0I 54 '' �T): AA 4 c\�C� Home Improvement Contractor# 1 11 6/ 5- 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 DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N kie73'` �_ -TRANSWi .t .�ril`rt�JV Project 1 t IT 2c ( ,,, Fee - fez SIGNATURE0,/, DATE -7" 4( BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T #8778 FOR OFFICE USE ONLY 335.058 ' ` } Cummaquid '- ADDRESS 4039 Route 6A (Main Street) '" '-'� VILLAGE MA 02630 t , a OWNER ` Caryn Samuell o �, •- -� _ ' DATE OF INSPECTION: " - FOUNDATION - ,- p. c t e := 1 _ Tom,. .- ,.., + .... _ A f y 4 •••• FRAME �� �. •I. . .. ,•••., . _ . INSULA•TION tN iL �' t 6R t FIREPLACE - I _ i ELECTRICAL: 'ROUGH FINAL , • PLUMBING: ROUGH FINAL ' GAS: ROUGH - FINAL ) _ • FINAL BUILDING: _ 0�10 Q {2� o -j ` - { �Nt•Q o� 1\- 1 3-9 �- r DATE CLOSED OUT' l Q'� I 9.I' i t , ' :.�" • r i «�; a,� •E r I { ASSOCIATE ;:" ---` 1 _ j, - PLAN Nan: 1. .�, . : ..,.. i + - i .1 .r s • , c } I. e ' s.,4 I + = R 1. 'Q.... EAGLE WINDOWS, INC. \\\ / MAIN OFFICE: / .1-800-621-5551 . FAX 413-247-5810 j MAIN OFFICE WORCESTER SALES BOSTON SALES EASTERN NH SALES VT/WESTERN NH SALES EAGLE136 Elm Street 38 Lexington Road P.O.Box 168 20 Benajah Drive P.O.Box 95 Hatfield,MA 01038 Millbury,MA 01527 Boxford,MA 01921 Barrington,NH 03825 Bernardston,MA 01337 WINDOWS. RS ASCO COMPANY (413)247-9628 (508)865-1900 (508)352-6167 (603)664-7522 (413)648-9498 I — I I I I � _ i i i ! �i i AcA :. T f ! I I i.._._ F i I j 1 I i j ! I I i t - i i i { I j ! } f �jT :pi i i } — } — — E ——_ -- -- -- 1 I I • , I s i i I I 2—Z1ll� i I..... { 1 f I 1 ! - 1 1 1 I I { ! I Jr 2x 6t:406 i I i I j C ! I ' it �. o ..0 i i Zz.1.0 i Z I— ! — — i 1 i I I ! r f i ' ! • { 1 . I 1 i 3 I ijrI i L i 11. 1 a -Zxw ? I LJ31`J { ! 1 I 1� I I I 1 I 1� l ! 1 I ! i ! 1 1 , 1 . I ! — ! • 1— ' i i.. , I i �3 I # i , { j • t 1 l i • ; ; 1 • I 1 I, 1 i 1- I I i i i • 1N 1 tY .i i I j, I i I i ! • i { ? I ! 1 ! ( i 1 I 1 1 I 1 1 _ _ 1 ; ! 4 i ! _ a — i i I �.._ I II ' I ! . I i I • I " _ _ — F t 1 ! i 4 E — I 1 I ` 1 ! i liiii I 1( I ! ..t i .. I _ I -._ . I i i k ! i t-. j 1 It i i - 1 ! 1 i - 1 I i _ 1 i I I i ' 1 ' ! � I I E I1 ! ! { ......-..i. i I I I I 1 i 1ill •- -- -4 —= 1 i a I I i I I ! I 1 1 ! _ ._... _. _ i _.— I I 1 3HH 1 I 1 I • /,,/ EAGLE WINDOWS, INC. /�, ' MAIN OFFICE: 1-800-621-5551 FAX 413-247-5810 j \ . MAIN OFFICE WORCESTER SALES EOSTON SALES EASTERN NH SALES VT/WESTERN NH SALES EAGL' 136 Elm Street 38 Lexington Road P.O.Box 168 20 Benajah Drive P.O.Box 95 Hatfield,MA 01038 Millbury,MA 01527 Boxford,MA 01921 Barrington,NH 03825 Bernardston,MA 01337 wtmpo mas a COMPANY oRS (413)247-9628 (508)865-1900 (508)352-6167 (603)664-7522 (413)6.48-9498 1 ? 1 ' I k . --- - _ — 1 ;;?- °' ' ) i j! ii j i I 'I_ _._ — i s I 4 I 1 i 1 i I , 1 i 1 5— ' 3! I ! =A' — 1 I ; ! i I I ' 1 1 I 1 E ; E _ } • !) I 1 J . ' r C-� II, i 1 \ I Q ,t i ! , l � 1 I i ! L _ s 0. • ,. , \ i I i 1 1 _ — cs4J^ —--- — 1 i e----_1__ ` ' ivt,.— —! �__..._.- '.ram, 1 ! I 5 _ 1 i ? t) ' 11 1 S —- ' k1� f._ �; 'Calf b ,j i \ i ' --2-ZXs. 1 i ; 1 1 f ' I- I ! } ; o' ���'VL j .i € ! �' 1 �Z I i 1 i ' • i I _ , I g-4.:..., • ! G' `' ti,___ __ _._._jam- , •Gt^� — 1 _Lk.......,..\I t T •cpe. _ 1 � e 1 i13t, T • • r n>+xsI The Town of Barnstable n / Department of Health , Safety and Environmental Services '' Building Division 367 Main Stet,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner SITE PLAN REVIEW *** + I CE TI 'ICATE OF REVIEW I certify that Caryn L. Samuel.l, for The Glass Workshop, has submitted a site plan 5P-46-95 pursuant to Barnstable Zoning Ordinance, Section 4-7, and that such site plan has been reviewed and deemed approvod. Building Commissioner May 11, 1995 dat-e. of action SO10191K THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) " AGE DATA -- , i -k, ' '."'-• . -. ...- ,..• .„. ..er...- LP ••t- if . ..\\•"jo c, ,, . .i-,-- $.•1.- . i •`. ill 4 i •-- •..1' **.s-1 ... ... 3; .,-.- w .•26 • - \ \ 14 ‘ .,,....,• ..,. .e,c' i 4' A 'T,N .1- . \ ..: P ,•I., • A % ij I Q. , • , 1.\ .0.) ••vii . . .., ".".)fl._'. ,' i ,./•'''..fi3 . l *•••.„.. 1 ." ‘..-).. 1:31 . 1 I r-t--,t; - cl.5-4,- ,. -,-• ..-- •. 4 tr. ' .2. . ' / c' ‘1i •-, ---.3 4,z, _3_5 7 .. • ....../ . ,. P . ..,-.3 446'9 ` It ' 0 , . ., - i'l• , ' ........, NJ •izsi . • CA 0 1;...4 0 4N 111 , • k•Il • N . \il .., \ , .:• .. ! '- \•,,, . ,-:- - - • -.-,...t.-_,_-_-_—_ :-:- - . . .±-1.-rma —Ia.° '', .' - -3'3/4- ::".--" : •(,1 • g, • ... . ; A- ).-1.‘i . ,. . • 1 1111) • , ...21 . , /..-- '4- ‘4) 19 4, , . . , . \ . , ...J — *... 1-- .... -;7 e5.' e':-.. '..C)A../ ef:3.4.....- .-...Y'..ed "r"›.‘ZP ki ..5..\ Z. ' . •, -; \ .. . 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Attached Copy Distribution: V67ute-Department File Yellow-Inspector v:..L r ,e .,. /non,m in Office Honorer) c. - Assessors map and lot number ��77 THE Sewage Permit number ' w 4039' : Rt-G. &min/A-Quo = 8AHSTADLE, i! House number • ‘,4:::6196-.0,TORT OF BARNSTABLE • • BUILDING INSPECTOR ' APPLICATION FOR PERMIT TO. ES 17) U a�' v 1�p A-r-t i ` I 1 RE • TYPE OF\CONSTRUCTION' '` Fl\'"'' ' • r filp� 19A 4 TO THE INSPECTOR OF BUILDINGS: . • The undersigned hereby applies for_a permit according to the following in rmation: . Location 144:2534—1 '...- -t--� 14 MA- 170 I, ti O• Proposed Use R-l`, CoPrLLE-. �: * • r• Zoning District ' RF Fire District Name of Ow • ner EDUJf (LIB. Y�(1'OL: S Address LWI l (QC- ' m t- R.i e-' - p O NLE. 1 11 (TYll-reinalirtiName of Builder 4) 1�,, Address ...�1� IN ... Name of Architect Address - ' Number of Rooms Foundation Exterior` vv q- 1 1 E �ebe� �. . Roofing• (3\42l y t , Floors. k`e U'.tO IS `in/ w?Interior R E E. 1 O Qt: EG-LBookr_ Heating Plumbing • , 1.S'' `Fireplace Approximate•Cost ..... ,4000 ' _ . Definitive Plan Approved by Planning Board - ' 19 •. Area a" ' 'c2 •,6�' ' , Diagram of Lot and Building' with Dimensions' Fee"1 5� - SUBJECT TO APPROVAL OF• BOARD OF HEALTH " ; to , • _ , . - ,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. '',ae.'t.'4-' Z--)€"4 — . Name, - Construction Supervisor's License 0 07 ..3 MOLANS, EDWARD �� �D(,�$ 2- RESTORE No Permit for BARN Location 4039 Route 6A, Main Street cumma d S cz,_,—/NS.. (' Owner Edward Molans Type of Construction Frame Plot Lot March 2 , 83 Permit Granted 19 Date of Inspection 19 Date Completed 4:413 19 JOSEPH ir:�� ALUZ TELEPHONE: 775.1120 Bu�Iding Commissioner EXT. 107 • TOWN OF BARNSTABLE 3 9' 197 aw-tt) BUILDING INSPECTOR 5 j— TOWN OFFICE BUILDING HYANNIS, MASS. 02601 ' • August 25, 1982 • • Mr. E. L. Molans Main _Street . Cummaquid, MA Dear Mr. Molans: On September 2, 1976 the Historical Commission approved the _parking lot • area on your property, as outlined_in.red on the enclosed plan, with the stipulation that no trees be removed. My attention has focused on the fact that you have cut .down the trees in front of your parking lot. Now that you have created a violation of the Act you must either replace the trees or make out another application and appear before the Historical Commission. Failure to follow either avenue will cause other legal measures to be taken. I trust compliance will be immediate. Peace, Joseph D. 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'., -•,.;.:-'-‘.... .:•'..17..:- :..- l'. .;._.", :...,%,',..s.:,....:-....,".,-,:•..,...„2....-.L.L._:,. .._.:: ._ _Ii.E.1-...... __- . ,. . - .1 Assessor's map and lot number 33.5 to•r sr. (re' ) (8/012TILAB.j: THE tp�Sewage 'Permit numberHouse number 4 oN rn 1 T Cf k039. Or -1Fp BPY TOWN OF BARNSTABLE r". BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO E3.1i + `- I) EG' (i j S 6 Li_ tia 1-i° °DO Q). TYPE OF CONSTRUCTION AJ 00 P 3.1J q 19.7.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ®........nut..tRL C .,1 Mr l i..0 kn lc) ' Proposed Use (7 Zoning District .a S L-E. Fire District 6..6#S 3Ti 3 Name of Owner s.fi In.1k........ f1 Q Address I+Q3Cirn i ) Sr CA) nes nv:1 Qv Name of Builder W LJ V J T Address 13r3 R fJ$ T I I3 t_e 3&a_1/4-t O0Z Name of Architect c) Address K 0 Number of Rooms Foundation ...and, 1 Exterior Roofing .. ..SP if n LT* .±Li..11 6. , Floors tht 0 0 Q Interior S.11 r-r ef3(K- , qr G Heating i ® Plumbing k1 0 Fireplace 0 0 Approximate Cost g Definitive Plan Approved by Planning Board 19 Area 1 3, _x D. 0 c 3 0 Diagram of Lot and Building with Dimensions Fee .. F`o V SUBJECT TO APPROVAL OF BOARD OF HEALTH __ ••-�-- • ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 1 - , Barber, Samir 21482 deck I ' • . , No Permit for Location 4039..klain...Street i Cummaquid ; . . .. .... Samir Barber t - Owner 1 _ Type of Construction frame Plot Lot I . .. . Permit Granted July .1.9 19 79 Date of Inspection 19 Date Completed 67. .4°27F—C) 19 .., . . . . . 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