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0026 GLEASON STREET
_ -� �� f . �-----_ _-._ _ _ _ 1. ,. . , lJ !j 4 ` ��`� ��- ��� �� ,6 �� R�^\` ' l/`'� \' I PRO -kC I' � e NAME: ADDRESS: { .. pit h PERMIT# PERIVHT DATE:_ 1VI/P.: �-- LARG..E. R.OLLE . PLANS IN: ►SLOT w . Data, entered in'MAP S1.program on: o BY: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M \ - ( � ap Parcel is ion # Health Division ` Date Issued -3 —1 y PP Conservation Division Z D� Application Fee l Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 26 1es4.soi✓ <S xc- ii Village 9—y/-}iyov I X Owner e&,oE Co.:) 1*407.10fOe Address 2-7 Srrep.T Telephone .4-v& r .2 7 V- 3 7e 2 Z%/may a a -Mpvt€ Permit Request AC-i'1 oy 4,7e v �d f c4e,4' Square feet: 1 st floor: existing-L proposed weer: existing proposed --a Total;ew Zoning District Flood Plain Groundwater Overlay Project Valuation 300. goo Construction Type X%3 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 Q 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 ❑ 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 c� �iT 11 - 2yA,1 ('� sri�,4,,,rTeIephone Number 5V6'604 0 - 0 Address JDS- J'oA sr,-e4r License# C:f- o G $ p ei 4A / a a o Home Improvement Contractor# WIA Email jrmin.4e,/l0 !ejA v c0�,isrl^,,c1'7o>v, cd." Worker's Compensa ion # .11 cm,* ovJ'°237 y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE (/� " �v131 a FOR OFFICIAL USE ONLY APPLICATION# r DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE:CLOSED OUT, A-a0OCIATION PLAN NO. 1 The Commonwealth of Massachusetts Department of Industrial Accidents -- Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 1211,+,1 cam'f-S Address: '0-5- �..r� ,ml-a-r City/State/Zip: Cry- �e Al,0r oL,1V Phone ZX)13 "S j &- C Are u an employer?Check the appropriate bog: Type of project(required): 1.LJ I am a employer with. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the 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 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I Q] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] f c. 152, §1(4),and we have no 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. 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: _<c—L f -271 t, eJ Policy#or Self-ins.Lic.#: 93�i0,4 0 o So Z ,/k/ Expiration Date: Job Site Address:-2-6 a 6,f1cn1 _f,a4-4" City/State/Zip: X,:;a ?et 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 under t/zep 'ns andpenalties ofperjury that the information provided above is true and correct. Signature: Date: ��Y Phone#: ;1a — Zv G-J?i S I— 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#: J�.{9 Client#: 1023866 RYANCONI /y� •60Rrru CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 5/21/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES " BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER I NAMEACT Kelly Grahn USI Insurance Solutions, LLC PHONE No,Ext:800-688-7256 ac,No): 978-688-5340 PO Box 3600 E-MAIL Kell Grahn usi. z ADDRESS: y bi � - West Springfield, MA 01090-3600 INSURERS)AFFORDING COVERAGE NAIC IF INSURER A:ABC Mass Workers Comp Self-Insu 199999 INSURED INSURER B: Ryan Construction Inc 505 South Street INSURER C Walpole, MA 02081 INSURER D: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED:BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS .OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR I WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S" CLAIMS-MADE OCCUR ' MED EXP(Any one person) $ I S PERSONAL&ADV INJURY $ ` GENERAL AGGREGATE . S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO- ECT J LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT Ea accident S ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY t DAMAGE HIRED AUTOS AUTOS Per acciden S • I $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS.MADE AGGREGATE $ DED RETENTION A WORKERS COMPENSATION ABCMA00502314 01/01/2014 01/01/2015 )( I WCSTAru- OTH- AND EMPLOYERS'LIABILITY y/N T Y LIMITSi ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S1,000,000 OFFICER/MEMBER EXCLUDED?. NIA; (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 r If yes,describe under ! i DESCRIPTION OF OPERATIONS below. E.L.DISEASE-POLICY LIMIT $11000,000 i f DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) . Proof of Massachusetts Workers Compensation Coverage. CERTIFICATE HOLDER CANCELLATION For Insurance Purposes Only 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 REPRESENTATIVE I y ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S12526648/M11377181 KXGCD f Massachusetts -Department of Public Safety i Board of.Building Regulations and Standards I r Construction Superj�isor, License: CS-060828 '! r:c 1 SCOTT D MITCfL9LL j 60 FAIRBANKS RD 1VIILTON MA 021,Y86 , ` I a ✓''�"' Expiration { Commissioner 02/07/2015 . I Initial Construction Control Document� u ent To be submitted with the building permit application by a 1 Registered Design Professional n � d for work per the 8th edition of the O7n! SV0 Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare 26 Gleason Street Renovation Date:8-20-2014 Property Address: 26 Gleason Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:New Exam Rooms and Office area renovations I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2014 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': x Architectural Structural x Mechanical Fire Protection x Electrical Other: f*r the above named project and that to the best of my kwwtedge, information,and belief such plans,computations and spccifications meet the applicable provisions of the Metts State Building Code,(780 CMR),and accepted + ineering practices for the proposed project. I and agree that I(or my designee)shall perform the aecewsmy professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requ' be construction documents. 2. Perform the duties for registered design profeioftlis in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stake ofconstruction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved . construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: = r` ' Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com MA Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x' project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Cape Cod Healthcare 26 Gleason Street Renovation Date:8-20-2014 Property Address: 26 Gleason Street Project: Check(x)one or both as applicable: New construction X Existing Construction Project description:New Exam Rooms and Office area renovations I Gregory B. Siroonian MA Registration Number: 9748 Expiration date: 8/31/2014 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': ' x Architectural Structural x Mechanical Fire Protection x Electrical Other: for the above named project and that to the best of my fledge, information,and belief swh plans,computations and specifications meet the applicable provisions of the _11usetts State Building Code; -CMR),and accepted engineering practices for the proposed project I unders=d and agree that I(or my desigwizi shall perform the necessary professional services and be present on the construction size on a regular and periodic basis t,r 1. Review, for conformance to this code and the d€srga concept,shop drawings,saw and other submittals by the contractor in accordance with the requi. &`Lfie construction docur . 2. Perform the duties for registered design professiw.wds in 780 CMR Chapter 17,as agplicable. 3. Be present at intervals appropriate to the st a�ouastruction to become genera ` atiliar with the progress and quality of the work and to determine if the work is being performed in a manner cousistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. . When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet'or. electronic signature and seal: "'I0. S)748 . Phone number: 508 759 9828 Email: gbs@MEDCOMarch.com Building Official Use Only Qfd� Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If`other'is chosen, provide a description. Version 06 11 2013 Massachusetts Department,of Environmental Protection Bureau of Waste Prevention o Air Quality + / 100206362 BWP AQ 06 4'± Notification Prior to Construction or Demolition Asbestos Project Number# A.Applicability A Construction or Demolition operation of an industrial,commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP),Bureau of Waste Prevention,Air Quality-Division,under Regulations 310 CMR 7.09.Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city, town,district,municipal-housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? Q Yes Ev] No Type of Notification: Revision of an Existing Form Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable: Approval ID# 1.All sections of this - 2.Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection notification CAPE COD HEALTHCARE 26 GLEASON STREET requirements of 310 CMR 7.09. Name of facility Street Address HYANNIS MA 020610000 5082743982 2.Submit Original CitylTown State Zip Code Telephone Form To: Commonwealth of TERRYMITTEMORE OPERATIONS Massachusetts Facility Contact Person Contact Person,Title Asbestos Program 5082743982 TWHITTEMORE@CAPECODHEALTH.ORG P.O.Box 120087 Boston,MA Facility Contact Person Telephone Facility Contact Person Email 02112-0087 Facility Size: 5000 2 Square Feet Number of Floors Was the facility built prior to 1980? F Yes ❑No Describe the current or prior use of the facility: OFFICE SPACE Is the facility a residential facility? ❑Yes 0 No If yes,how many units? 2.Facility Owner: CAPE COD HEALTHCARE 27 PARK STREET Facility Owner Name Address HYANNIS MA 026010000 5082743982 Cityfrown State Zip Code Telephone TERRYMITTEMORE 27 PARK STREET On-Site Manager/Owner Representative Address Hyannis MA 02601 5082743982 Cityfrown State Zip Code Telephone Revised:03/17/2014 Page 1 of 3 Massachusetts Department of Environmental Protection 77 Bureau of Waste Prevention m Air Quality 100206362 . BWP AQ 06 Notification Prior to Construction or Demolition Asbestos Project Number# B.General Project Description(continued) 3.General Contractor: RYAN CONSTRUCTION 505 SOUTH STREET. Name Address WALPOLE MA 020810000 5086606261 City/Town State Zip Code Telephone SCOTT MITCHELL 5082085095 General Contractor's On-site Manager/Foreman Telephone C. General Construction or Demolition Description General 1.Construction or demolition contractor: Statement:If asbestos is found RYAN CONSTRUCTION 505 SOUTH STREET during a Construction Contractor Name Address or Demolition operation,all WALPOLE MA 020810000 5086606261 responsible parties City/Town State Zip Code Telephone must comply with 310 SCOTT MITCHELL 5082085095 CMR 7.00,7.09,7.15, and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. 2.Licensed Contractor Supervisor: This would include, but would not bw SCOTTMITCHELL CS-060828 limited to,filing an asbestos removal Supervisor Name License Number notification with the Department and/or a 3.Is the entire facility to be demolished? ❑Yes E No notice of release/threat of 4.Describe the area(s)to be demolished: release of a hazardous MINOR DEMO DEMO WALLS AND DOORS substance to the Department,if III applicable. 5.If this a construction project,describe the building(s)or addition(s)to be constructed: MassDEP Use Only RENOVATION OF EXISTING Date Received 6.If this is a demolition or renovation project,were the structure(s)surveyed for the presence of Asbestos-Containing Material(ACM)? ❑Yes R1 No 7.Was asbestos containing material(ACM)found? ❑Yes (J No If yes,who conducted the survey? Name Department of Labor Standards Certification Number Revised:03/17/2014 Page 2 of 3 i a I Massachusetts Department of Environmental Protection 4 ! Bureau of Waste Prevention Air Quality r 100206362 BWP AQ 06 j Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Nmnber for this address is: This project Ev] Construction ❑ Demolition is: 9/15/2014 11/15/2014 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) .8.For demolition and construction projects,indicate dust suppression techniques to be used Seeding ❑ Wetting ❑ Covering [ Paving Cj Shrouding Q Other-Specify: HEPAFILTER 9.For Emergency Demolition Operations,who is the MassDEP official who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP Waiver Number A Certification 1.certify that I have personally SCOTf MITCHELL examined the foregoing and am Print Name familiar with the information SCOTTMITCHELL contained in this document and Authorized Signature all attachments and that,based PROJECT MANAGER on my inquiry of those tle individuals immediately RYANCON responsible for obtaining the RYAN CONSTRUCTION information,I believe that the Representing information is true,accurate,and 8/27/2014 complete.I am aware that there Date(MM/DD/YYYY) are significant penalties for submitting false information, including possible fines and P.E.# imprisonment.The undersigned hereby states,under the penalties of perjury,that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised:03/17/2014 Page 3 of 3 eDEP -MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home l Contact I Privacy Policy MassDEP's Online Filing System Username:RYANCO NSTRUCTION Nickname:CONSTRUCTIONRYAN My eDEP1 FormsEd, Icy profiles Help! Notifications Receipt Forms Signature Payment Receipt Summary/Receipt d prl trecpt, ^Exit; Your submission is complete. Thank you for using DEP's online reporting . system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 680317 Date and Time Submitted: 8/27/2014 2:33:52 PM Other Email : DEP Transaction ID: 680317 Date and Time Submitted: 8/27/2014 2:33:52 PM Other Email Form Name:AQ 06-Construction/Demolition Notification Form Name:AQ 06-Construction/Demolition Notification Payment Information DEP code: 97977 Date: 8/27/2014 2:33:32 PM Amount($): 100 Payment Detail: MITCHELL SCOTT--AccountType--AccountNumber ****0244 Confirmation Number: My eDEP MassDEP Home l Contact Privacy Policy MassDEP's Online Filing System ver.12.8.5.00 2014 MassDEP https://edep.dep.mass.gov/Pages/PrintReceipt.aspx 8/27/2014 I -J RYA N C O N S T R Y C T 1 O N 505 South Street Walpole,N A 02081 508-668-6788 Fax:508-668-2455 August 28, 2014 Attn:Town of Barnstable Building Department 200 Main Street Hyannis,MA 02601 RE: Scott Mitchell Ryan Construction,Inc. certifies the above referenced employee is competent and authorized to apply for building permits with the Town of Barnstable MA. Per Ryan Construction, Inc. policy all associate files are maintained at the corporate office, 505 South Street, Walpole,MA. The personnel documents include the following: • Application and References • I-9 Verification(including supporting documentation) • Applicable Licensure • Applicable Certificate(s)of Insurance • Performance Evaluations • Training Documentation If you have any questions or need additional information you may contact me at 508-668-6788. Sincerely, RYAN CONSTRUCTION,INC. Thomas Downie VP of Operations r\ l Tow-AD of Eunsb Sze c,;331aT'ST.IELE, �- J;za� y, Thomas F.Ge:Fer,Director "® i6 j; - a Build»;D.IAsIou Toina Fear},Bu.Rdhig Commissioner 200 Main Street,Hyannis,NLI-,02601 F�a.b ap IistaT�Te.Trla,�s Office: 508-,62-403'a Fax: 503-790-6230 P rep eity Owner Ylus L COW-plIcte and Sign his SCIcti n if Us g ABulder T�5 f}' ,as Omer of the subject prcpe-t7L�.' l �gnt E'^nrSuc77d��' hereb aatlrorize — 4�� _to act on my belaaY, ixxl all matters relative to work authorizcd bythi-building permit apphcation for_ (Address of Job) Signatu,�of Oviamr aye Print Marne �e�� meris applying ia��pe��itple2se �o�pie� e I 3r-y- e s%-- Exemption Fo Ow fe reverse side. 1 Q:F0nU3:QVYUM EPI219SIoid TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map �' Parcel. Application # G (Olt Health'Division Date Issued l "1 os Conservation,Division Application Fee l J Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic- OKH Preservation /Hyannis Project Street,Addrr/e//ss .5,,Aj S� Village Owner Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay X)roject Valuation 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) " v Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new - 4 Total Room Count (not including baths): existing new First Floor RALI Countc Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood/co I stove'❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑exis ing ❑ 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 REO L Address j ZUr��Y�� License# Home Improvement Contractor# Z Z Y-50 Worker's Compensation # ? f/� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO "h-, -k, 'Di.Sr7o56- < n SIGNATURE ;� �� % DATE Il D Y t f FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. `ADDRESS ► VILLAGE OWNER ' r DATE OF INSPECTION: . 4 FOUNDATION FRAME INSULATION c FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT I ; ASSOCIATION PLAN NO. Y i f , V �s J r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lejibly Name(Business/Organization/Individual): Address: Sv - City/State/Zip: (,v Phone.#: 38.E F9 o 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction .2.[] L am a sole proprietor or partner- listed on the 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.[:1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised.their I I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no 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. tContractors 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: Policy#or Self-ins.Lie. #: °Z!2 4_ Z—((D �3 Expiration Date: Job Site Address: ,26 (91,,4-:y" 54, fFSli9-ems . 5 City/State/Zip: S e6 . 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 under the pains and penalties of perjury that the information provided abov is true nd correct Signafore: . c Date: �! _ Phone#: �6 $ �g� ��6 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased emp yo er—or ttie receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable:evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and.phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 .. Revised 11-22-06 www.mass.gov/dia f MID CAPE ROOFING J 11 RUSSO ROAD WEST YARMOUTH,MA 02673 508-775-3799/508-385-8801 Barry Merrill Paul Merrill Job Site Address Mailing Address Name .Ss E> ybv Name Street Street City C/d A, S city Telephone► Telephone We hereby propose to furnish all.the materials and all the labor necessary for the completion of: roof replacement,of the dwelling at the above address. Mid Cape Roofing proposes to remove and di s e of the existing roof. The roof will be replaced with 30 year certainteed woodscape Shingles. Aluminum drip edge will be installed along the gutter line. Ice &water shield installed on bottom edges to protect ice back up. 15 pound felt paper will also be applied. The shingles will be installed using 1'/4 inch roofing nails. New vent collars will be installed as-needed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of the attic space. Certainteed warrantees the materials for a period of 30 years. Mid Cape Roofing guarantees the workmanship for a period of 10 years. All walls and landscaping will be protected from damage;.the property will,be raked and cleaned of all debris. All material is guaranteed to be as specified and the above work is to be performed in accordance with specifications submitted for above work and completed in a substantial workmanlike manner for the sum of. $ 1,2,3 75 oo -All discounts have been applied. Payment made as follows: Iva Deposit of. $ 0 the day the job is started and remainder to be paid on completion. Any alteration or deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner. Respectively Submitted by Mid Cape Roofing NOTE: This proposal may be withdrawn by Mid Cape Roofing in not accepted within 30 days. Acceptance of Proposal. The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid Cape Roofing is he authorized to perform work as specified with payments made as outlined above. Accepted: r A TRAVELERSJ WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY RMAT16N PAGE 1NC 00 00 01 P AR IP.lFO A)( TYPE POLICY NUMBER: (GKU8-975?A42-4-08) 4 15KU8-9754A42-4-07) RE NEWAL L OF INSURER: THE TRAVELERS INDEMNITY COMPANY 1, NCCI CO CODE: 1124T INSURED: MERRIlL, BARRY & MERRILL, PAUL MARSHALL K LOVELETTE INS DBA MID CAPE ROOFING 33o MAIN STREET . i .RUSSO ROAD PO BOX 836 WEST YARMOLTH MA 02673 WEST YARMOUTH MA 02673 Insured is 'A PART NE RSHI P r �d identification numbers are shown in tha schedules) attached. Other work places and d 2.:The policy period is from 03-2�-Cs to, 03-24-09 12 ct A.M. at the insured's mailing address. 3_ A. WORKERS COIVIPGNSATION INSURANCE: Part One&the pc!iry applies to the Workars Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy aupl:es to work in each stato listed in item 3.A. The limit$of our liability under Part Two are Bodily Injury by Accident: 00000 Each Accident Sodiiy Injury by Disease: .$ 500000 Policy Limit Bodilylnjuryby Disease: s. :00000 Each Employee C. OTl1ER:STATES INSURANCE: Part Three of the poiicy applies TO the states, if any, listed here: �-= COVERAGE REPLACED EY ENDORSEMENT WC 20 03 06A D. This policy.includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE The premium for this-policy willbe determined by our Manuals of Rules, Classifications, Rates and Rating Plans. Ail required.information is subject to verification and change by audit to be rnEde ANNUALLY.. DATE OF ISSUE: .02-2i -08 WC ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 4 PRODUCER`. MARSHALL K LOVELETTE INS 26F4U • Engineering Dept:"(3rd floor) Map �a / Parcel r�?Q T 000g p Permit# �Z(O d I r1� House#' � Date Issue Board of Health(3rd'floor)(8:15"-,9:30/1:00-4:30) _ - FeeAnUCANT <� Conservation Office(4th floor)(8:30-9:30/1:00-2:00). I f CONNg g CB t A BNG1N8Bg� fit!p8011 1'88 Plannin Dept.(1st floor/School Admin. Bldg.) iuct 8 D ini ' n Approved by Planning Board 19 ' BARNSTABLE. MASS 39.a`og TOWN OPBARNSTABLE.' Building Permit Application P ect eet Address ` Village Owner (( Address E Telephone 77( •Permit Request IZP 2P CLk�c 0 � �� Sw►-� n First Floor 7_.:S square feet Second Floor square feet Construction Type W o ci!. F,(' V"e. Estimated Project Cost $ (01 Q 00 ' Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwe g Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Exi Structure Historic House ❑Yes ❑No On Old King's High ❑Yes ❑No Basement Type: 11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.-ft..) Basement Unfinishe Area(sq.ft) Number of Baths: Full: Existing 1. 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 ectric ❑Other , Central Air ❑Yes ❑No F' places: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size Other Detached Structures:p1?ool(size)� ..�4 ❑Attache size ❑Barn(size) ❑ e ❑Shed(size) ❑Other(size) Zoning Board of Ap als Authorization ❑ Appeal# Recorded❑ Commercial es ❑No If yes, site plan review# - Current Use Proposed Use r Builder Information Name Telephone Number ��l^i � 3 •3 Address Z(.5- 12-yL) Yi't( )Za _ License# .2" - y 0 1 e-W S N-1 W A (i �-6 j/ 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 DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i DATE BUILDING PERMIT✓ E IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED. - MAP/PARCEL NO. ADDRESS? L + VILLAGE- OWNER + 1 A Jl DATE OF-INSPECTION: FOUNDATION FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 .te�.ee ! r: • PLUMBINCut ROUGH FINAL ` r GAS: , °= OUGH + FINAL FINAL BUIL DATE CLOSE%p y � ASSOCIATION PLAN NO. t i ' r T11 L• C(1111111(11l 11-CQltlt of.-Vassuch usctts t1 --_= Dc�purtnrcrrt'of Industrial Accidents :_ ', ;y 'l� ONCZoflmrest S11,ons 608 !f'ushin,,u)ir Street _ 4�_z;_•-''• B(lstun..ltusa: 03111 . Workers' Compensation insurance Afridavit `llinliennt inforntatinn (/ name \11`ey 4d- Ll e t r t rJ I� �r.,tinn I am a homeowner performing_ all wort: myself. am a sole proprietor and have no one worl:in_= in amp capacity _ ....� .-7 -•- I ani an enipiover providing workers' compensation for my employees wonting on this job. cnrtnt•t v nnme- add rrcc- frrt" AI10nP#' + incur-inrr rn Holier•# _ I am a sole proprietor. general contractor, or homeowner(circle one)and have hired the contractors listed beio%%, who a the Following .vorKCrs' compensation polices: cmmMtnt• n1mr• mirirrcc• ftr— fl11nt1C�' -- incnr••-trr rn nniiev if - ..., -_ -"-- 'x• �-r- _ sue—:�-�i:T••*_^^"a: - -T.• �. cnmrim n•trnr- arlrlrrcr tiny• nftonc rf• -- incur^ncc rn - Hello•to ,1tt2ch additlonai sheet if necesiaPF --�i� •• --+�'.,..,Y _.:� .•.... :.r'...�. •...._-,_.,.�........r„�.—s" -'---�.�--••.._._,�.� _.�._... - ...r.-�- :are•-•- •••.w..�_:: Fmiure to,ccure cnt•cr-ice as required under tectton_SA of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.U0 anutur unc tears' imprunnment a. %%cil as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a dad•against me. I understand that copy of thi,Nl:ttctlJCJlt mat be funt•arded to the Once of Investigations of the DIA for covetare verification. uo i,ercnu ccrrrit rr' t r rrirrs and penalties ofperjurr that[lie information prorided above is true uud cv clr. Si^_naturc Oau: / f L Prim name J �`�� k e---f y 7 Phone* i' ofrlciai use unit• do not tt•ritc in this area to be completed by tiny or town 0lrci21 tin.or tntt n: perntidlicense# r"itluilJing Department Licensing Board [. Sdcctmen's orrice 1" �. Z cl—k irimrncdiatc response is required (211c2tth Department E is phone contact pel-Non: tY• �Uthcr c information and Instructions Massachusetts General La-tvs chapter i52 section 25 requires all employers to provide workers ctnihpcnsttt,itirh emnlm•ccs. As cluOtcd ircim the "la��". all emlplui-er is defined as every person in the service of another under coturact of hire, express or implied. oral or written. An empinrcr is defined as an individual. partnership. association. corporation or other legal entity•, or an%• M-o or the fore_oin;_ enumucd in a joint enterprise. and including the legal representatives of a deceased empiover. or tlic rccci%cr or tntstce of an individual . partnership. association or other legal entity, employing employees. Ho«•e,.•c o%viler of a d%velliih__ house haying not more than three apartments and who resides therein. or the occupant of the d%%cllin�, douse of mother NVho employs persons to do maintenance,construction or repair work on such d%vc1F11_ or oil the __rounds or building appurtenant thereto shall not because of such employment be deemed to be ::n 'v1Gi_ chanter 1 52 sccticnh 25 also states that evcn• state or local licensing ngency shall withllold the issuance o, l of a license nr permit to operate a business or to construct buildings in the commonti-ealth Cor any ic:utt tif•ho has not produced acceptable evidence of compliance witli the insurance coverage required. .you.:ionnlly. neither the commonwealth nor an• of its political subdivisions shall enter into any contract for the periorm;.:,ce of public work until acceptable evidence of compliance with the insurance requirements of this ch��:, he= prczc::ted to the contracting authority. Applicz,nis Mt:nse Fill in the %vork-ers' compensation affidavit completely, by checking the box that applies to your situation a:: suc—ivin company names. address and phone numbers as all affidavits may be submitted to the Department of ncustrial .-accidents for continnation of insurance coy crags=. Also be sure to sibn and date the affidati'it. The should be returned to the cin• or town that tine application for the permit or license is being requester. r :he Depa:tme:a of Industrial accidents. Should you have an,, questions regarding the "law"or if you are re o �bt�in a �.ari;ers' compensation policy. please call the Department at the number listed below. City sir Fwxns Ple�re ae urc that the affidavit is complete and printed legibly. The Department has provided a space at the 5ot`cr- cite for %,cu to fill out in the event the Office of Investigations has to contact you regarding tine applicant. F be _ -, to fill in tlhe permit/license number which will be used as a reference number. T7he affidavits may be return: ':le 'Departine:ht by mail or FAX unless other arrangements have been made. Tile 'Dfticc of investi=stions would like to thank you in advance for you cooperation and should you have any ques:: piense do not hesitate to us a call. The Depar-unenrs address. teiepihone and fax number. TIhe Commonwealth Of Massachusetts Department of Industrial Accidents =• Office ei Investigations 600 `Washington Street Boston, Ma. 02111 fax : (61 i) /Z7-7749 rihone =. .61-) -27-=900 406. 109 or 7 ■ �' , � i� . � � :.ram ;� AA y w♦ r , • I , i V: ry , i i I , • l.. 1 Li` i i i f i r j i � E - Liv Ji 67 Iv rl 1 1 i : i i i r r r. NOTE -- TAPERED CAP THIS DETAIL IS FOR INFORMATIONAL PURPOSES ONLY. EACH INOMDUAL DECK FRAMING DESIGN SHOULD BE CHECKED BY A REGISTERED STRUCTURAL ENGINEER TO INSURE IT'S iX3 TRIM BOARD SAFM AND CONFORMANCE TO THE LATEST = 2 — 2X6 NAILER REQUIREMENTS OF THE MA SSAMUSETTS STATE BUILDING COOS 2 X 2 BALUSTERS 4C MAX. CLEAR SPACE BETWEEN 4X6 WOOD POST AT S'-.r O.0 MAX. b i CONTINUO'IS TO FOU.YOATION h � 5 1 2" SOING 20 OZ» ALUM. FLASHING 2X6 NAILER 4X4 ALUMINUM PLYNTH SLDCK SPACER 5/4 DECKING "f r OtAM. LAG T5 i A 2'Z Q.C. T' 2 - 2Y.9 SEAM STAGGER J THROUGH BOLT TD EACH POST 1' AIR SPACE Leg OECK JOISTS AT 11T' O.C7 �- MfTF+ TWO 3/� OIAMEfFR BOSS SHEATHING LLom HEADER METAL JOLT HANGER AT W H ENDS LINE Of BUILDING iX8 LEDGER SOLTED TO SOLID BLOCKING EJ1QH JOIST W[ 3/4' LAG 13MIS 2'- STAGGER O.C. STAGG SEAL BOLT HEAD � CONTINUOIJS 4X8 WOOD POST 20 OZ ALUM. FLASHING 10'-D• MAX. SPAN c W V b I Z •• I ALL DECK FRAMING TO BE PRESSURE TREATED O METAL POST ANC40R O Ir DIAMETER CONCRETE BASE ALL HARDWARE & NAILS TO BE GALVANIZED MIN. 4'—LT BELOW GRADE 2 bD I I LINE OF GRADE s L� RECOMMENDED DECK CONSTRUCTION ►W r To SGJLL[ 3/90 _v....._. _ __ ._ ,, _ .. . .... .. . . . . _ _�� -_ �-. � ..- (""'' � � � � �_ '� I __ . .. __ .._ ,� .. .---- � � � - �� �^ � � ; M i �- ..... .. .. . -..___._ -._._�� �._.� .�.-__T_.Y. _ _ .. .. __�.,.._ � r' r� s �. __. � ._.� �t . . S `��- -- '_ ...: _ _ _ _ ,�- i _. __ � � / D J'I --. I �- - ; _. . � j .- _ � � _ E j -- ^ ���, - I� `��� { _ .. .. i �ry 1 .. __ _� .. �. _ .. � ,.. � ' .. _ _ _ _ 1 ---._ _. __....._ _ _ ' - - i _ ,r, • _ _. Qaa oaaa aQa ; - 215 Run Hill Road Brewster, MA 02631 : (508) 896-5333 Jeff Hennemuth u• !� DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: j Restricted.To. 00 JEFYREY C HENNEHOTH 215 RUN HILL RD BREWSTER, MA 02631 6NF qq t r. �ie�oom�ows�aalGG ✓uaaaacvjuaella HOME IMPROVEMENt CONTRACTOR Registration 106821 Type -.PRIVATE CORPORATION . Expiration, 07/27/98 t DECK MAN, INC. Jeffrey C. Hennemuth t,215 Run Hill Rd ADMINISTRATOR Brewster MA 02631 Assessor's Office(1st floor) Map _> . Parcel Q Permit#-. Al 6, O Conservation Office(4th floor)(8:30-9:30/1:00- 2:00) f Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:4501 QWJ S,: w Fee' 05'6 b-Z) ' Engineering Dept.(3rd floor) House# �4"/�U; THE d� Planning Dept.(1st floor/ chool Admin. Bldg.) � BARNbTARLE, � Definitive Pla d ,y Planning Board 19 MA TOWN OF BAIZNSTABLE ' Building Permit Application Proj t Street Addr 64-e 11 SIA Village -/?/)/�° Owner �9 6an4oaoe Address -Telephone .Permit Request 064* First Floor square feet Second Floor square feet o® Estimated Project Cost $ _3 min Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use 0, Proposed Use Construction Type Commercial , Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished f-?�.r Historic House ? Unfinished Old King's Highway no Number of Baths 4.° -, No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# U df C 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 SIGNATUR5EV BUILDING PER DENIED R THE FOLLOWI REASONS) L s FOR OFFICIAL USE ONLY PERMIT NO. `DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' - DATE OF INSPECTION: " } FOUNDATION ; FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL _ GAS: r ROUGH FINAL ' r FINAL BUILDING DATE CLOSED OUT ` t. ASSOCIATION PLAN NO. wi �'y0f TN[TQ`o fit: The Town of Barnstable ,.. Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner August 11, 1993 Paula A. Connolly Jane E. Yoo 26 Gleason Street Hyannis, MA 02601 RE: A=327 207.00A 26 Gleason Street, Hyannis Dear Property Owners: I would like to take this opportunity to thank you for your prompt response to my letter of June 29th. The site has been inspected and the proper marking has been provided for handicapped parking. Very ruly yours, / haicrd Bearse Building Inspector RRB/gr cc: Town Manager f - �N[ •`�y. The Town of Barnstable t iMtf R G& : Inspection Department ' 1619. ,ww NO ' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner June 29, 1993 Paula A. Connolly Jane E. Yoo 26 Gleason Street Hyannis, MA 02601 RE: A=327 207 .00A 26 Gleason Street, Hyannis Dear Property Owners: This office is in receipt of a complaint re the handicapped parking space markings at the above address. An on site inspection revealed that the space was not properly marked as required by Section 2 of ARTICLE XLIII of the Town of Barnstable General Ordinances. Enclosed for your convenience please find a copy of ARTICLE XLIII. Please contact this office immediately re the above matter. Very truly yours, Richard R. Bearse Building Inspector RRB/gr cc: Town Manager enc. i TOWN OF BARNSTABLE ` BUILDING DEPARTMENT �`�' ti�,�`•. ti COMPLAINVINQUIRY REPORT �7 _dB , AssessorooLast Nam ORIGIN '. f ATOR rK` r own _ S .., Te 1 e ho ne: HomeFor -/ � lv Description � LAINT r 6 -.INQUIRY Y G ao yjt Requestor's Signature ft C LOCATIINT 7Street Ad res k t,w l-cilia s?iS 'f ?�1�'��cKi.��t 1 ��`•, t OFFICE INSPECTOR'S Date ����/9ACTION/. usE oxl,x ; Ins �W.COI�IIKENTS _ E t FOLLOW-UP �z _ ACTION ADDITIONAL, ' INFO- ATTACHED is ' COPY DISTRIBUTION: WHITE - DEPART MENT FILE YELLOW PINK - INSPECTOR INSPECTOR (RETURN TO OFFICE MGR. ) y 4t R327 207.00A LOC 0026 GLEASON STREET CTF 07 709 400 BY' KEY 427622 "—WEINO AVVRESS------- FCA 3431 FC6 00 FR 91 FARENT 24SO98 CONNOLLY, FAULA A X MAF AREA 0790 JV ATG 0000 YOO, JANE E sp.Z SPLI, SF3 26 GLEASON ST 07i UT2 SQ FT 160.1 HYANNIS NA 02601 AfB 1977 EFB 1977 GOB CONST 0000 LAND imp 99400 OTHER ----LEGAL DESCRIPTION---- TRUE MET 89400 REA CLASSIFIEV BOLDGM-CARV-1 9 09,400 ASO LMV A9V IMF 89400 A90 OTF OUT UNIT A BLDG i DESCRIPTION TAX YX CURRENT EXEMPT TAXABLE OPL 26 GLEASON ST HYANNIS TAX EXEMPT *COMMON AREA 25.4% RESIVENT'L *26 BLEASON STREET CONDO OFEN SPACE IRR 0605 CONMER&AL S9400 89400 89400 INDUSTRIAL WIT 31591 EXENFTIONS SALE 04190 PRICE I ORB 71321104 AFV I B LAST ACTIVIrY 03115191 FCR 14 R327 207.00A LOC 0026 GLEASON` STREET CTY 07 TOS 400 BY KEY 417622 ADDRESS------- FCA 343i FC8 00 YR 91 PARENT 24309S CONYOLEY, FAUCA A X MAI AREA 0790 jv MTS 0000 YOO, UAWE E Bpi S p 8 p 0, 26 ice, EASON ST U71 SQ FT 1601 HYANNIS MA 02601 AVE 2977 EYB 2977 089 CONST 0000 LAND IMF 09400 OTHER ----LEGAL DESCRIFTION---- TRUE N&T 89400 REA CLASSIFIED #BLoo(s)-mon a S9,400 ASV ENO ASO lop 89400 ASO OTH #UT UNIT A BLDG 2 VESCRIFZION TAX YR CURRENT EXEMPT TAXABLE OFE 26 GLEASON ST HYANNIS , TAX EXEMF',','' ICONNON AREA 25.4% RESIVENTIL *26 GLEASON STREET CONDO OPEN SPACE ORR 0605 -CONNERCIAL S9400 S9400 INDUSTRIAL SPLIT 31591 EXEMFTfONS SALE 04/90 FRrCE 1 ORO 713 fir'104 AP V 8 LAST ACTIVITY 03115191 FCR N {I �crss O�er.�•T ,--r,�l�„':.;a,LFcwHI• �/�'� l+la LL (6.LfL4'`� �•'�jal ciT. /" t� - r .�vEpc' D��• �.--(}pNG. �TEFr,•O'-J PaC r/'IU= .?TKP�`�J� ALICarJ !-V ELYaE oc a,,U. - � x��'\.. �x���.,? f_��a�,ti jam, x Y� �• ,-+!2'oG 1, �h ✓' � .v ,�}, "l x ti'� �� �� N'r/ ; .°Olti�' 4✓x r Flh1}fi'}��y�(�' 'N7, 'Sf.�'y,r" li rVr;( l 't , �4,.Y� •„"fl r� j,�J? r t •.y Xa r\ "; l{�},� rr` .✓�,r� y. ,7 fr-,^ ��, r.yr e Y?�r,�; y „� r r)!�•1.L�, ,� i a� f '� �� � � y4�a Ir f'y,61j�,}9�f1„��„�,.Y���'.�,✓lam r a' �. tii'{�i'.�1� �`/ ' ' � �..�.� x '�� T''rf��'f y•r{ry``rrj�7c KJ+,.} ���.+..ry'1,r�r'� 4 >- S J�y� 4` •�� �r'.' 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GZ�IrNo!t_Y �t = cLshea+t �eagtr ccwql* -a- r C� ,a p ,�,h;► owroUtC 28,.liftit 4 i r rgaeas i76fei _ .508- 7 Assessors map and lot number ........ ...,1.....:......... ���yQ;/,C.:, of 7"E To Sewage Permit. number - yew • . tw.J IiN EEC SYSTEM Q.. 0 ��O IN � E, i House number ...............:...............................�.........:.............. WITH TITLE Me AA a 0m� ENVIROWAENTA,L. Cf. TOWN` OF ."-BARN-STABLE�r DUILDIHG INSPECTOR APPLICATION FOR PERMIT TO .C.Q/V,�F.R.U..�r:T .....::.Z.....0..Ff.,�� ��a�........ .fI/QP...�T.�O .�....:......:.. TYPE OF CONSTRUCTION .W.P.P..0...Fiefill?.0............................................................................................... ..O.cr...zo........................19B..0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. .....G.L. v........5..!/.C'.46F,.,....HY CV1Jl/.s, ...... ...........::........:.......................................... Proposed Use .2......4>0.CT..Q.9.5.......Q.F.il1C.C-�.............................................................................................................. ZoningDistrict IQ..................................................Fire District WM/UN/.S........................................................ Name of Owner Ag....{9l&4/.401....CA.N.IN.C.I.I..Y..........Address zlo....G.G,cfI.'O.Aj... Name of Builder ...../..M.4.....Address .bl.2-Al R/./11....,S,T.....� Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .../..S.........................................................Foundation �T. .. Exierior ...T..'...//.l .................................Roofing ......4.4 S-...L ..................................... Floors ...C4.R8 .l.................................................................Interior ............................................. Heating - .H.4T...I`.1/ .........G/4.5:.....:..................................Plumbing . ,ol° 'k .. ...C.l.4 r../..,C., 1............................. Fireplace .0.............................................................................Approximate Cost ......................,. Definitive Plan Approved by Planning Board -----------__________________19________. Area ..,/..�..0-0... ... ................... Diagram of Lot and Building with Dimensions Fee . ...-� 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�� •........................................ i i CONNOLLY, DR. WILLIAM No .... Permit for ...APPITIM............ Professional Offi ge.. ................................. ... ........... Location ............ ................Hy4xmls............................................ Owner Dr......Wi.11i.arq...CQ nxj0jjy............ Type.of Construction. ...FXaMe.......................... ............. ..................................... .............................. Plot ............................ Lot ................... ........... Permit Granted .....October 23, -19 80 do, Date of Inspection ..................... Date Completed ..................... .. .19 f PERMIT REFUSED ................................................................. 19 ............................................I......... .......... ............... 9..P.L;...................................................... ........ ........................................................... 20 -1 C- Apprc" ............. ...... 19 1-1............................. .......... ............................................................. ............................................................................... Assessor's map and lot number .........,............... ..........,......... OFTHET� Sewage Permit number !r°n�a� -s7�'/-,� . ` e r,`�Py� �♦� Z MAW STAXLE, i House number (/J........................................................... 90o NAM 1 MAY a• TOWN OF BARNSTABLE BUILDING INSPECTOR S ECTOR APPLICATION FOR PERMIT TO z. ar-. C _ �` a�.�,%:/ /C er.1 3 TYPE OF CONSTRUCTION l�c.nC =�c'Nx�1i ...................:..................................................... 1.<..?.....'..!?.........................19 :': TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..j..�......f: !—.............:............ Proposed Use 2......., ?r>f.7r /' r.......... C( .5 Zoning District ...................................................Fire District �fr' ' : n„/ r ..................... ............................................................. Name of Owner 11k.... ' Address ..... :zrf 111 r7 ! far..............................F J �.114 SS Name of Builder.tia. ..'!i .%...` !�;i�{ ..,�'r l.......?.�.tr......Address !��,�r ¢r !!ts T i-�ri1 L ti /'!�.. art c Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .. ..t.:.........................................................Foundation .!f:... ,. •rtc."Fr .................................................................. Exierior .. ...Roofing '.{t.�tr � ... .rF...................................... ................................................................ ..... r .. Floors rLA.P/= iJ pit' T nc .....:..........:.....................................................................Interior ..._........:,.._._...............,................................................... Heating " . ............... Plumbing rstr .. .... .....`.T.........:..:.n...�.............................. Fireplace /"a .........................Approximate Cost ...:�: ':.!' r? ..:...................................................... ........................................................ Definitive Plan Approved by Planning Board -------------------_-----------19________. Area % �/�...'.../JN '.:................ Diagram of Lot and Building with Dimensions Fee f -2......... f...� ................ 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. fi T Name............................. �............................................. J ' CummuLLx, DR._:-W£LI,IM4 207 No ..22-8.09, Permit for ............. ' ^ ..{�f-ftca..Bnildiog Location .3.6_(�l���.���_8t���et______ _____ ............................................. Owner ...Dr�_VVi.11i���..{������llv___. . Type of Construction ..�������--------.. ' ` rk ' Date 2 Comp|eied . / PERMIT REFUSED ----.—..—.--....--------. 19 > j 7go.M.!~ap.....~,~~.]r.... .................... ........................... " . ' ~---------~—^'~^^^^^'—^'^—'—^--'-- � Approved ---------------- lA -----^-------~--^~^'----^---' � -----------'~---'---^^—^^^'--^^ Assessor's map and lot.-number ...............:........................... Sewage Permit number ............... °fTHE T TOWN OF BARNSTABLE 89HB9TADLE, i "6 BUILDING INSPECTOR 0,,�0 waY a• ,. APPLICATION FOR PERMIT TO .....:�� 5 .............................................................................. . TYPE OF CONSTRUCTION .................... .................... ........................................................................................... .......lJ................19/. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli a pe it accor d'ng to the following information: '�f r Location ...............1.. ................ ... :............ .... ........................ ... ... . .' ...........:......................................... ProposedUse ../.......................................................................................................................................................................... ZoningDistrict ......................................................`................Fire District ..................................... �,yy Name of Owner ......� ..... l..... dress ....� .I-'� 1.:.. ....................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulation of t o of B stable egarding the above construction. cfe ..... .............. ..................... ............................. Cape Cod Surgical Assoc. 17432 demolish No ................. Permit for .................................... building Location 75 Park Street ................................................................ � t Hyannis ..... Cape Cod Surgical Assoc. 1 f Owner .................................................................. Type of Construction frame } f Plot ......................... .. Lot ................................ i Permit Granted ......Noyember..8............1 q 74 a Date of Inspection ..................................../ 19 Date Completed �.�J..........................7S19 PERMIT REFUSED ft T ................................................................ 19 i ................................................................................ ............................................................................... ................................. 1 I Approved ...................... d ............................................................................... i ..................... ......................................................... Sewage Permit number .... ..................................................... � ^ � THE ������7�J ���� �� � �� �J�� �� � �� �� �� | TOWN�� |� � �]� BARNS TABLE �������� �� N0 0 � �� @ �� �� N ���� ���������� �� � ��0� NN-NNN ���� N ������0�0mNNN �� �� �� � ���� � �� �� � �� ��� ���� � �� �� APPLICATION FOR PERMIT TO -' -----------.. TYPE OF CONSTRUCTION ................................... ............................................................ ...................... � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies-forn] the following information: Location ��.��--��--./..k^�.!'�!�-.. -.----.. ..................................................... � ProposedUse ------------.------------------------.--.------.--.--------. . Zoning District ------.-------------. Fire District --------------_____.. ______ ~ � . Name of Ovvno,`/,- .�r��{���`������!����-������Addmmo -..=-=-...�J -------..�--�.~- ----- / Nome of Builder ----------------------'A66ness --------------------.------- Nome of Architect ----------------------A66ness ---------------------------- Num6e, of Rooms ----------------------Foun6otion ----------------------_-__ Ex1orior --.-------------------------.Roofing --------------------------_- F|000 ----------------------------..|nterior --------________,___________. Heating ---------------------------.F1um6ing ---------------_,_______,___ Fireplace ---------------------------.Apprux)mote Cost ----------____.________. Definitive Plan Approved by Planning Board lg--------' Area -----------,--' Diagram of Lot and Building with Dimensions Fee _______________ | SUBJECT TO APPROVAL OF BOARD Of HEALTH ' . � I hereby agree to conform to all the Rules and Regulations -of the-f-o-wrilb"f Bq�rstable r)egarding the � � � � � . ' ` , above Name 'r` ^'--------------------'~ � ` 3J 7 —,90 7 Cape Cod Surgical Associates 17432 demolish No ................. Permit for .................................... building.................................................... Location ................75 Par Street .............................................. ........................Hyannis....................................... Owner ...........Cape„Cod..................................... Type of Construction ..............fr.ame .. ....................... Plot ............................ Lot ................................ Permit Granted ,,,.,,November... ........8 19 74 ......... . Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... Approved ................................................. 19 ............................................................................... �1 ?a �- tea Assessor's map and lot number. ... ,J............................... (� �C/G .— ��42 , 7 - ,,� fifi r SEPTIC SYSTEM MUST BE .. .: 1.� �� INSTALLED IN COMPLIANCE -. Sewage Permit number ... - - - WITH ARTICLE- II STATE y0 7H E Tp�y -1 TOWN ®� L �l 1, W,TO1Lv'a �L wit P r c! Z EAHBSTAIILE, s °oDYae�� 4t - OUIL .INK : INSPECTOR . - _ APPLICATION FOR PERMIT TO OF^!f 8 tC lG TYPE OF CONSTRUCTION ..........W,OO..D...:�I�Zo4/N ................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the (following information: 4.Location .................6...E'f1;S0!tl......�rT'.................../T:I.. .....i1.L.S ................................... ............................... ProposedUse ........ ......13441 4-VIAl q......................................................................I......................... ZoningDistrict .......... � .. .....................................Fire District .............. ... ... .......................... Name of Owner Name of Builder kt' t.(./.f,D./A/A. ......Address 0P.'X..�0.... �, C t!I/.. ...!"<.' ......... Name of Architect s./4'. �h �!4P. ..:1.�.:� 'r'. .......Address ......:............................................................ Number of Rooms '............................Foundation ..O ... Exterior .f.01.!,�.$......................................Roofing .../q.Q+JPLr.... ................. Floors .... ,01.?f2 •..................:..................Interior ....... /.��-�,�!�2i ilG7............................................. ......................... ' Heating6.9,5....A- .(2....¢.A.C.............Plumbing .................................................................................. I Fireplace ...! ..................e....................................................Approximate. Cost .......L?.IC ................................. Definitive Plan Approved by Planning Board _______________________________}9________. .Area .....................` Q.•..Fr.. Diagram of Lot and Building with Dimensions Fee ..... �a .!............... 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 ...K/. ................. ..... ... ...................... Connolly, William M.D. 18912 office building No ................. Permit for .................................... ............................................................................... Location ..........0.9AA9R.Atrje.At....................... 47 ......................... ....................................... William Connolly, M.D. Owner ................................................................... 0 frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ January' 12, 77 Permit Granted ........................................19 Date of,inspection Date Completed .......................................19 PERMIT REFUSED ......................................................... ..... 19 .......................................................... ............... Y es -0 ......................................... .............. ................... ............................................................................... ...........................................................J.................... Approved ....... ....................................... 19 ............................................................................... ................ ......................................................... ... ., _ - ,_..� -_ . _. �s-....r -,�._.,r.. .� �-.:.J...::. ,.........i...,�T•w..�..— ,-,..%^''t,.��.'•x�l�R .,t.:K�`�a-.:�-.a•..:�+:^""yid.... +y�.e+�'i.:�:.s,..,>-v.r-..--"' ^.^1u.,..�="`✓'-^... - Assessor's map and lot number ...... / �� �/2CIA — J-/,;2 ' 7 7 < Sewage Permit number ��%�! i /�, /`I/1'1C THE T TOWN- OF BARNSTABLE Z BAflB$TADLE, S "6 BUILDING ' INSPECTOR D No a' APPLICATION, FOR'PERMIT TO .............................................................. TYPE OF CONSTRUCTION ltj0002�r�r�' JAkil-W21 7/7 ................................................19. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to-thhe following information: �7 yffN%�/S Location .................( 7L6-/4S0Al -57, ................................................:....................................................................................................................... ProposedUse ..........::....::...... .................................. ................................................................................................ Zoning District ...........� .. .....................................Fire District .............� .......................... Name of Owner ....y............ t`/Z! n .................... E Name of Builder ......Address � A 9C '�.....O..Name of Architect .! ' .l :. ...!..1. ..........Address .................................................................:.................. Number of Rooms ..................................................Foundation // .......Roofing ... ` ...SN/Gl� !,: C Exterior ..�./.h:!?_�..:�.... ,���..�............................... ....... .... .............. ........................ C/ /7Gr .Interior ....! ��cC�30�}�� Floors ............................................. ..... ................................................................... .......�.................................. Heating � A/a- -I' A C, . "+� ......................................... Plumbing ......................./.......................................................... Fireplace .....................................................Approximate Cost �h i� U.� .. Definitive Plan Approved by Planning Board ________________________________19________. / . Area ...� :..FT.. ..... Diagram of Lot and Building with Dimensions Fee ...... !1"./!. . ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH j s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....j 1 //,!. ........... .1........................ Connolly, William M.D. A=327-207 s V 18912 office building' ` o ................. Permit for ...,................................ �— ...................................:........................................... tY7 � Gleason Location ......................................Street:.......................... - r^ ...EIyalmi,s............................... Owner .........ill.Law... ......... Type of Construction ................frame............... c 00 Plot ............................ Lot ................................ G� January 12 77 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed 19 -------_ PERMIT REFUSED * ............6 t . e17 .....................................:.. .................................. . l :pv'Y ............................................................................... a J Approved ................................................ 19 ............................................................................... � 4 Assessor's map and lot number ..... .. .. ........ .... SEPTIC SYSTEM MUST BE INSTALLED H MPLIA Sewage Permit number ..... ARTI — WITH C� NCE . ......:.. . CLE 11 STATE SANITARY E AND TOWN yo`T"Eros TOWN - OF BARNSTENRU . - M 4 BARN " ` 9. 5 . BUILDING INSPECTOR r �'0 ypY M� r a APPLICATION, FOR`PERMIT TO ��� ....... ................. ...................... .......... .... TYPE OF CO.'NSTRUCTION ...w� ...�...... ....�............... ....... ................................................19 e L-' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..l� iCif'...S�. �1 ' �/!S .................................................................................................. ............................................................... ProposedUse .. nC'.......Oi`'�'/C�:.................................................................................................................... .......... Zoning District ............... Il fi .....................................................Fire District .... .................................... . .. ........................ ",ems 57- ~,O�r ss Name of Owner .. /��//i� ....XA..4rG/11/1f��Address .................................................................................... OFiAr o!'t, Name of Builder APXV4.40...- ...S..L ....................Address -4�!�ITE.�Iv�L���.ly `SS......o zG 3 Z Nameof Architect ...��1......................................................Address ..........4/ ................................................................ Numberof Rooms ......T.........................................................Foundation .... ............................................................... Exterior ...... ...................................................................Roofing ..........Al/ .................................................................. ...Interior .......$�!EEToC Floors ...!�'.��..................................................................... .... ................................................ Heating /ti�C7j. � .... ..-" .............................................. Plumbing ......CiFST /ftG%v............................................... Fireplace '......................................................................Approximate Cost ......ea..P.. G.... ...t.`................................. Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area ...�.�`.®� Diagram of Lot and Building with Dimensions Fee 4? '...... ..... .................:............. 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. Nam - .'. . ... ...................................... Connolly, William J. M.D. ` ` No ...�99- .- `Permit hfor .. rmo���� .���&cm ---. .~ � . . - —.----.—..�--.`—..--------.----- . ' ' ' Park Street Location .---.—.--~------~-----... ' Hyannis --...^----...:—._--.--.--------- . ' `. William J. Cx�xnollp* M.D. Oyvner ----.��--___.�______.�.__— ^ r . . � . Type of Construction ..........�rm Construction --wmm--'------. —.—~------.-----.,----------. � Plot ............................ Lot ................................. . , . _ ' January 24 ' 78 Permit Granted ---.. � --]9 . ' Dote of ---.]9 ' , Dote Completed /..���--._—.]9 . ~ ' ' PERMIT �REFUS0D ' ` � �9 � .----_—',.---._..^.—.----,. ' ,----..---.L.. ................................................ � r - ............................................. ^ , ^ ----'^^~'—'' -'^'`` .— c�. '' r~'`'~^.~' ~^'^^^^^—^^~—^—'~'~^`^~—^ ' . ` ~ ` ----.-------.—.----.--.—..�—.—.- Approved ................................................ lg . . -------'—.----.—.~....--.—...—.~... � ^ ������������'������������,�' / ` | | ' � Assessor's map and lot number .....!..r .....t lX +......s. Sewage Permit number ��� "........f...�" =�? ' �� ..... ......... .......... Q�o*THETo�♦ TOWN OF BARNSTABLE Z BAE39TIBLE• i 1639. D Y BUILDING INSPECTOR �FPY 0'' f APPLICATION FOR PERMIT TO Z� rY , TYPE OF CONSTRUCTION ... . t9..7.�'.................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..{.;A.f'.:......5 r......�Y�......tJ/5............................................................................................................................ ProposedUse .../ r,........ F /C........................................................................................................... .................... ZoningDistrict PRA.....................................................Fire District .....!.................... .................................................................. Name of Owner ..1i/✓///,�fyJ T. �!C�fi IJIJ//_}'/�1'f�Address .................................................. ............. .... .... . ....................................... 0,cf C e1rA 1LreV11e V614' Name of Builder rf'•2!!! ?//?....:7 .....S/L/,///I...................Address . .. Nameof Architect ...11/�4.....................................................Address ..........n�h?................................................................. Number of Rooms Foundation .... ... {........ ............. ............................................................... Exterior ...... J�9...................................................................Roofing .........if........................................................................ Floors ...�..i,/. .........................................Interior .........�NFI! .r r^C•! ............................... .......................................................................... Heating ...........................Plumbing ......!gA .............................................. Fireplace ' /'' ...........................................Approximate Cost ......:'n �.« ............................................... Definitive Plan Approved by Planning Board -----------____---------------19_______. Area �' n Diagram of Lot and Building with Dimensions Fee 3.. .............. . .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ri`N I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........::...: '�:...................................................... ';j Connolly, William J. , M.D. A=327-207 f 19916 rem®del office No ................. Permit for .................................... r Park Street . Location ................................................................ Hyannis ............................................................................... William J. Connolly, M.D. Owner .................................................... Type of Construction frame t EPlot ............................ Lot ................................ January 24 78 a Permit Granted ........................................19 f f Date of Inspection ....................................19 t Date Completed ......................................19 � PERMIT REFUSED ............ �1. ........ ....... 19 .. ...... . .... . ..... : ..................... ......................... ..................... . ...................... ..................... : Approved ................................................ 19 i ............................................................................... i i