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0049 GOAT FIELD LANE
'{9 E�c�eld vim. _ _ _ — — TOWN OF BARNSTABLE 25630 .. Permit,No. _-------------- ----------=- I�n i Building Inspector Cash ""�~ OCCUPANCY PERMIT Bond _____.___ _____________ Bayside Building Co. Issued to Address lot #26 49 Goatfi.eld lane, West Hyannisport Wiring Inspector G'j � f Inspection date Plumbing Inspector A/r L� f Inspection date o , Gas Inspector ✓ - Inspection date Engineering Department j �4 Inspection date Board of Health ... Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. -' / 19.nY IAA �(' .' ��>_,, y:... ............... .......... �._ �......_... Building Inspector v Assessal's map and lot number .... ... . I=I'�I � �� IV s'It�, I r I33, y THE �♦ OF TO Sewage Permit number ....... ......zff fir]•?, INSTALLED IN COMPLIANCE WITH TITLE 5 t BAUST4DLE, House number ..f ............................ t 9 a C-NIVIRt:�,^IMENTAL CODE AND opo�16 9. 00 S �EI?OR M TOWN OF BARNSTABLE 4 BUILDING INSPECTOR 7*4� Lu ' cn APPLICATION FOR PERMIT TO �. .......... ... . . .................... .... ...... ...� ... x TYPE OF CONSTRUCTION �? ................................ ........ ................................................ ........ ✓ : , ............... TO THE INSPECTOR OF BUILDINGS: The unders gn erp-by appl' fol f ;ear it a cording to t e following inform do Location .... . ........ !.®.1.. : A �.)'�• 'V;,. ................................... ProposedUse ..... .. .. ..... ...''�.............................................................................. s Zoning District ........ ... �V........ Fire District ....Aall,�.. Name of Owner ...Y�.... �, G // ..��..Address ....../..4...�. ., ... . Name of Builder ............. ........ ...............:...........Address ...............� . Name of Architect ......�O....zl/ .... .............'....................Address .................. ... . .......... ...................... ........ Numberof Rooms ..................11...........................................Foundation .. ........ ....................... Exierior .... . .r...../2"ol.... .........................Roofing .......... ............ ... � ... Floors A i..........K .... ........ .. . . ..................Interior .... �, ..� i�fl! .,, ......1. ...f ��L l/ Heating ...../... .1 ..... ..................................Plumbing ..... ....��.. . jF-;�... u Fireplace ....... ..... .............................................................Approximate Cost ................� �. ti...................... ...1L Definitive Plan Approved by Planning Board ------- 19 Area �.�a Diagram of Lot and Building with Dimensions , Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �� '• ti . ^�� L • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction: Name .........0f!e&'t. .............................. Construction Supervisor's License ......`: ..�............ r BAYSIDE BUILDING CO. A Nok.26630.. ... Permit for ................ .....:..... Single Farm ............... g.............. ................... ...... Location ....A9..Goatfie.ld..Lane..... ............... .... ......... —et HyanniSpapt . ......................................... .................................... Owner ... --CO.................... Type of Construction ......Frame ................. . ................................................................................. Plot ............ ............... Lot ................................ �AMf:�.2 Permit,Granted ........... .....19 84 Date of Inspection ................. 19 Date Completed .-A-1. ....................19k:2, AID 0,X t. nub / t , � X .� Assessors map and lot number ......................... ........,..... THE TO Sewage Permit number .......;1....... fir....... Z MAUSTADLE. i House number .........................�2.... r MAaa f O 1639•Ar- \0 TOWN OF BARNSTABLE ' j BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPEOF"CONSTRUCTION ..................................2- ..... ....................................................... .... ✓ ...... a /. ..............le . ~ TO THE INSPECTOR OF BUILDINGS: The undersigned he5eby applies for a -ermit according to the following information:. Location .. .....�.,. :. . �� !� .1 ......�..A.)...... . Proposed Use ...... f'j?! �... . .r? r 'Lf•......f ?`,, r .. ........`........................................ ........................... /� f%�T a../.. ..:..r:..?.............................. .....�?`�. //l1. � .. '7.......................................... i Zoning District Fire Distract ..-� Name of Owner .... r•�r, �, f!(1J.& . .. Address .....,r!!�.j%. . .. �.......`::..f Name of Builder .............s1�r ='�rj` ..................................Address ................ k ................................................. Name of Architect .... ~':. j ...................Address ' �� ��� Number of Rooms ...................1.2...........................................Foundation ...... . '' ........................................... Exierior /f/1/ _ ?f / G'?.!'�:..........................Roofing .....................{ > !'�(: '- 1 ................................ ............................ .....,......... �� , Floors ......:.......Inter ior2G .fx1,�.... .. f....... /ila Heating ,C, ,/1 ..................... ................Plumbing .....�(ft..... ?fit'; /........lF..................... Fireplace ......... .............................................................Approximate. Cost .........y .' (2, � 4..... .......................�0,L Definitive Plan Approved by Planning Board ___________ ' -------19_-)-- '• ✓'Area � �. r Diagram of Lot and Building with Dimensions Fee ................................ ti 'SUBJECT TO APPROVAL OF BOARD OF HEALTH !7Eo AP � �..'�'--mod._..... __ _-�._..,._.....,,�,__.�..s.,_,.�..-•..---."�'_" SC)A 1 C.� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .........!` f :...1,JJr ;+ : :� ............................. Construction'Supervisor's License' `� . BAYSIDE BUILDING CO. A=247-198 No .2.6630...... Permit for ...lz Stogy'............... Y Single Family Stogy'............................... ....................... Location ..Lot..26, 49 Goatfield,Lane.... , West Hyannisport ............................................................................... Owner ....Btayside-.Burl.ding..Co.................... Frame Type of Construction .......................................... Plot ...........:................ Lot ................................ June 26 Permit Granted .....................i..................19 84 Date of Inspection ....................................19 Date Completed ......................................19 1 / 3 :R 1 x t• - t ,f GOT Z,S- i • '' 4 ' Z p l 2 6 d t ' I W Oil t /ao W i 0'77-f CERTIFIED PLOT PLAN µ" �p Of A4q� l r A • ` icy �0 7 Z6 �x U.4T � � RUBE`RT �/y,9 it/rV/ I„ VY. C�N�TRUCTI®N ONLY - ;,.., -TOP OF FOUNDATION ISo..._;.. FEET' ELoRE IN ti. �r a®®vE L®w POINT ®F AoJAc9NT a A AM 87fA ,L J6 Al ► ROAfit ry• a t`, aa y SCALE, P'_ ga'DATE tx l I CERTIFY THAT THE �dc—"v --rVp:�, u` CLeE " fi� RI �9I TER( Q �k, ,�. .,....�.. ffiHOWN ON THIS • PLAN 'I3 L�'OATEI) ,. B3adz'3L x y �a ® :.IlI�. ,....�.. .,�: 0'N. 'THE GROUND AS •INOtCAIM— AAOQ C VIL L. LAN®�.�,� I,t , :: F ,1 �N�tIdEER �uRVE1P ®R 'CONFOfi�7S TO TM ZONIN® LAi�tS,,�!r�',, . I j - - •- of 9A NOTABLE MT� 1 g T t 2 `M lli 1 N R E E T< f Ir, f.�Y� ,. .. CI, rr . ' N•YANRI.$ MA^SS f ` MEET 1 ®P�: pp pp ° ;,; CD6 �� � OF THE Tp� Town�of Barnstable *Permit# q 6 Expires 6 monosfrom�ue date Regulatory Services Fee 3 * anxxsTnsr.E, 9 Mass Richard V.5cali,Director �/�� rFD MA't Building Division . bad 446 Tom Perry,CBO,Building Commissioner "two? 200 Main Street,Hyannis,MA 02601 JUPV 6 L 'r4 www.town.bamstable.ma.us Office: 508-862-4038 7"Qft Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAP �]AIR Not Valid without Red X-Press Imprint �� Map/parcel Number —1 (. Property Address ti n d S [�Residential Value of Work��5 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (i► I wltaA 1t Contractor's Name &9AIQ . Telephone Number !�q?— 441/ Home Improvement Contractor License#(if applicable) 5.0 Email: Construction Supervisor's License#(if applicable) }3 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Lam the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# L J( to l l� 1/ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows/doors/sliders.U-Value 0.'�C� (maximum.35)#of windows '� �U �VCkV� #of doors: Ic ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILESTORMSIbuilding permit forms\EXPRES . Revised 061313 Hie Cbmmarinwafth o Vassitchusetts Department afliula.striid Accidents -- - 0,01ice of'-rm'e—shk ions 600 Mayhington Street Boston,M,4 02L11 waty inass-govIdia Workers' Compensation Insurance Affidavit:$ceders/Contra:ctursfElecfriciansfMumbers A:Pplicant Infarmatiait Please Print LegiMy Name Address: City/StatrlZip: 0-4-7 1 0/ Phow_- Are y_ an employer?Check the appropriate boy.: �--__�_.__ —_-._ T , of o'ezt r_ A-_ I atxt a. cz7nfractor and I 3�- P¢'_l, ���� h.. I am a employer with��_ ❑ 6- ❑New -on employees{full and/or part-time).* have hired the sub-rcmtfactors. 2_❑ I am a sole proprietor or partner- listed on the attached sheet~ 7_ deling ship and have no employees These sub-oontractors have g_ ❑Dem,olitioa w for me in an c ci employ and have woxkers' or�ng Y � is- 9_ ❑Building addition [No workers' camp_insurance comp_insurance, 5_❑ We are a corporation and its 10.❑Blectrical repairs or additions 3_❑ I am a horneouner ding all work oTwzrs hatiae e$erdsed(heir IT-.[:]Plumbing r-ep=or additions cif[No urorkM'0tP- right of eizemptionper MGL 12_.❑Rooft�s insurance required.]t c_154§1(4} and we have no employees_Wa workeas' 13_.❑Other comp-insurance required-J "A-,,Y SpPUt duct cheers boa#1-aas#also fill out the section below showing iheir wuAersT compensation policy,,forum i� , Ho-meownets arho submit this affidavit indicating they are doing s1I Welk and dreg hoe aside conttactats nmsi snTagit a crew s davit incfir sar3z =Contractors thst rTscrl this box most attached au additional sheet showing,the name of ifie WbL-ems iri state whether orzcot these m ities have enpit yetis- Ifthe salt'-coutmctucs hire employees,they rum provide their workers'comp.policy number. I:am art employer iliat isprm,id ag it,orke--rs'compensvrtion insurance far my emp7ayee--, Helots is tyre polfcy and job site infot�trmtion_ . Insurance Compauy Name_ P�oliry 4 Cr Self-ins-Lie /u C �7l/o ExpiratzouI3ate. l nn n Job Site Address_ LYE/ C'O'd CitylStafelZip Attach a copy of the wGrkers'compensation policy declaration page(showing the policy numb and expiration date). Failure to secure coverage as requriredunder Section 25A of MGL c 152 can lead to the imposition ofcsiminal penalties of a foie up to$1,50D.0G andlor one-yearrmprisonment,as well as dvil penalties in the form of a STOP WORK ORDMand a fine, of up to$250M a,dray against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Imegigationso€ DIAfor insurance coverage vcrrEcation- Idux hereby c cinder tTre sand pen of thatthe informatian prat¢dd abase is.bus and correct si��: Date: Phone#- og� at use anty. Da not tvrite in fills area,to be completed by c4 or town offrciat City or Town: PerrgitUcense# Fss-ningAuthority{circle one}: 1.Board of Health. 2.BuildingDepartinent 3.CityfFawu Clerk 4_Eledtrical Inspector S.Plumbing Inslxector 6.Other Contact Person: Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iegal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict 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 anthoritv." Applicants — Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their cel`ancatc-(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 '11ie affidaSdt should be returned to the city or town that the application for the permit or license is being requested,not the Depari ment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obt__il-r a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter heir 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 is 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 may be provided to the applicant as proof that a valid affidavit is on file for futin-e permits or licenses. A new affidavit must be all.ed 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 NTOT 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: nt-,Comrmonwitan of Massachusetts Departrnent of Indal Accidents €}fFxee of kyest igatiox>_s GGO Wasbingtoa Street Roston,MA 02111 Tel.4 617 7-4900 W 406 or I-&� Revised 4-24-07 Fax# 617-727-�49 W .Mas�go,.T1dia e. cpanancuea�C�i a�Vc<�uitae�Ccc�eCi }.. Offi c_^t( er riff i�ac nasmess Regulation , I ) IcenSe or reg stration vaiid:for mL vitlul use only' e`' f fcund re irn to ME MPROVEMENI.CONTRACTOR �i before the exp ration dat, I ; 3 Office of Corsumer Affairs and Business-%egulation.. egistra}ion;- 100503_;, i TYPc� { 10ParkPlaza.-Saitc-51J0 Ezpirat�on.. 6/19/2i)14 ,- S uoplennent taTd I. ibos`or.,niA O�hf:6 } CARE FREE HOMES tNC i � I '1 DANA PICKUP JR 7 t t i .239 Huttleston ave i a_haven r1[A 02719.. Uridersecretai y i Not and'evrthout sign't re i 9 - Massachusetts -De Board of Buildin Department of Public Safety g Regulations and Standards Construction Supervisor Licenser CS-095228 DANA J PICKpp 239 Huttlesto Fairhaven Mn Ave ? t , A 02719 P-- UnreStrlCted- Commissioner Expiration Buildings ofY use contain less than 35 03/22/2016 060 �O°p which - ._..._.___...-...... _ enclosed s cubic feet 99 3 pace. lm )of Failure to possess a State Buildingn'rrent edition of th Code is cause for r e MassachuseM For DPS Code evocation pf g informatio this license. - n visit: www-Mass.Gov/DPS ... Client#:33723 -_ CAREF DATE(MWDDNYYY) CERTIFICATED LIABILITY INSURANCE 09/06/13 ,ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ,,?E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,A.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED ..cPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER . CONTACT Herlihy Insurance Group Inc. PHONE 508 756.5159 I 50 51 Pullman StreetINC.No Ell: arc,No: 8-751-5747 F-MAIL Worcester,MA 01606 ADDRESS; 508 756-5159 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA:Peerless Ins.Comp. Care Free Homes Inc INSURERB:EastGuard Insurance Company 239 Huttleston Ave INSURERC:Safety Indemnity Insurance Comp Fairhaven,.MA 02719 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 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. I SR TYPE OF INSURANCE DDL UB OLICY EFF POLICY EXP S POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY CBP8929704 09/01/2013 09/0112014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEIT PREMISES Ea occurrence $100,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $15,000 X BI/PD Ded:250 PERSONAL&ADV INJURY— $1,000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 _ POLICY PRO- LOC - $ - (, AUTOMOBILE LIABILITY 6213850 7/01/2013 07/01/20.14 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ $ .. RETENTION..: " B WORKERS COMPENSATION CAWC471104 09/01/2013 09/01/201 X wCSTATU- OTH- AND EMPLOYERS'LIABILITY Y r N SJER .ANY PROPMETORIPARTNERtExECUTNE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? E NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000 11 yyes,descrlbe:under DESCRIPTION"OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space is required) CERTIFICATE.HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Barnstable. ACCORDANCE WITH THE POLICY PROVISIONS. Buiiding Department 367 Main'.Street AUTHORIZED REPRESENTATIVE ':Barnstable;MA,02601" m 988-2009 ORD CORPORATION.All rights reserved. ACORD 25(2069109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S63734/M63712 . AqG ffil j1O '� CARE FREE omes ..znC. 239 Huttleston Avenue Fairhaven, Mass 02719 Telephone 508-997-1111 Fax 508-997-1297 Website: www.carefreehomescompany.com To the Town of.- Job Address: G - n 1, �.� � !�►'�(.�iiv►n� , owner of the home Customer Name at the above location, authorize Care Free Homes, Inc. as my agent to obtain all necessary permits and to, perform all home improvements to my home as stated in the accompanying contract and application. R . Customer Signature Date F f TOWN OF BARNSTABLEBUILDING PERMIT APPLICATION Parcel �� �qMap Health"Division Date Issued Conservation.Division Application Fee A SO Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis OtAb roject Street Address q Village vv. Owner '� 1' Address. 15ps Telephone Permit Reque' t i Square feet: 1 st floor: existing proposed 2nd oor: existing proposed Total hew Zoning District Flood Plain Groundwater Overlay Project Valuation�4&eeD Construction Type Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure C ? Historic House: ❑Yes Z/No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) cPOO 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 � e: Central Air: Yes ❑ No Fireplaces: Existing V New Existing wood%coal stove: Oyes ❑ No Detached garage: ❑ existing ❑ new size—Pool: Ly existing ❑ new size _ Barn: 6"existing_❑ new size_ Attached garage: [existing 0 new size _Shed: existing ❑ new size _ Other- LI' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 00 cr,, ^� Commercial ❑Yes C"No If yes, site plan review# cn Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nam p (,� Telephone_ .�z �c-avrn. hone Number Address License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM T IS PROJECT WILL BE TAKEN TO 01 SIGNATURE s ��/Jrr�r.� DATES F.� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS , VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION f FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: HOUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION-PLAN NO. ,per 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 A licant Information Please Print Le bl Name(Business/Orgmizatian/Individual): • Address: � ®® - t` ��� City/State/Zip: employee's and have workers'one.#: 6 Are you an employer? Check the appropriate box: Type of project(required): 1.El am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2❑ I am a'sole proprietor or partner- listed on the attached sheet 7. .[]rRemodeling ship and have no employees These sub-contractors have g, F]Demolition working for me in any capacity. 9. ❑Building addition . [No workers' comp.-insurance comp.insurance.# r 5. We are a corporation and its 10.❑Electrical repairs'or additions officers have exercised their I LE]Plumbing repairs or additions 3. am a homeowner doing all work 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 511 out the section below showing their workers'conga nsa4cn policy infmnatien. t Homeowners who submit this affidavit indicating they are doing RE work and then hire outside contractors must submit a new affidavit indicating such. tcont actors 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-contnactors have employ es,they must provi db their workers'comp.policy number. I am an employer that is providing workers'compensatiort insurance for my employees. Below is the policy and job site information. Insurance Company Name- Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Statemp: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sectnx coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine rip to$1,500.00 and/or one-year imprisonment,as well as civil penaltiu s is the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the viohttar. Be advised that a copy of this statement may be forwarded to the Office of _ Investigations of the MA for insurance coverage verification. I do hereby certify u der the pains•and penalties of perjury that the information provided ab v7zZ and correct Si e: Date: Phone t- 17 — 'U 01 Official use only. Do not write in this area,tb 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 employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the . owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house. or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGLohaptcr 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 aZth 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-contractm(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-ins rangy 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 ono affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city,or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lilm 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,tzlcphone.and fax number. �. The C6mmonwea.M of Massachusetts , Department of Indus dal Accidents Office of Investigations 6.00 Washingta n Street Boston,MA 02111 TO. #617-7274900 ext 4•06 or 1-977-MASSAFfi Fax# 617-727-7749 Revised 11-22.06 • www.mass.govldia °F T Town of Barnstable Regulatory Services vMASS. Thomas F.Geiler,Director rEew ° Building Division Tom Perry, Building Commissioner. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 5.08-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sigri This Section If Using A Builder I Ot/l� 1 t?---Ctz, , as Owner of the.subject property herebyauthorize G i �C :�ft� to act on m behalf, �— Y in all matters relative to work authorized by this building permit application for: Ad (Adetless of job) Signature o Owner ate P t am If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. +/ Ii Town of Barnstable ,*'THETOwti Regulatory Services Thomas F.Geiler,Director 9q, AM 1' �� 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 krfDATE: . JOB LOCATI ` number W 22�CA— street / village 2 "HOMEONE �� /�I•t•LL�iVt ` J name home phone# 00— w rk phone# 'IaoCURRENT MAILING ADDRESS: V`i® 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. DEFINPPION 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 strictures. 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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Horneovfher 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 pernvt 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 helshe 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. qr I Y. fF 5r ------- ' 1 ` y r it ' � 1,' `;� '1 ./ ',1 1:LtvY A• CDT 40 z`PQ 1,0 �t��, Wiz' � � o� --. •, . �` = sg J. •;,'.,4r /D;9'wiDTll _ SN Of M4s� CERTMEQ PLOT PLAN 40 7- Z6 GT OA FIC—I- o� ROBERT �.. ,_mlrwl, CONSTRUCTION ONLY�' aRucE f HYA AIAII S TOP OF FOUNDATION I3_.,.,_,_, FEET' ,� IN ► . ;ABOVE LOW POINT OF ADJACENT. � .TF O R.O.AD. , - 3CALEs /"= ga'DATE� '},i , •$�4y',rl;oE `: .,,.�,, ALIEN' '• 1 CERTIFY THAT THE �`ovwo�rro:.i;r }{•�; i�38T`Et�Efs ELAN ERED) SHOWN ON THIS . PLAN 'f8 -l.dCATEB •1�� ABb: B3_ ,z� O.N. 'I'Hi: GROUND Aa IAtOtCAT�I3�'AAIO CIVIL, D ,:;:. ';. COMfORI�IS TO TffE 20NIN0 .LAWSa!;N®{NIlI'?R Y DR',13Yi iA OF SA N8TA®LE, t t 2''M 41 N:.'S"T.R E E T X.I3Ys -H-YA N�l9:5,,-MASS 8MEET 1®I=:� DATE �—�-- ---- D AT E RSA, ANn o��nvrvr,w Assessor's offioe (1st floor): ��17— SEPTIC SYSTEM MUST BE "THE O Assessor's .map and lot number .................. CF T INSTALLED tip C®PA PC Board of Health (3rd-floor): Sewage Permit number �./;.......... .: I DAMS AM E, i Engineering Departure t (3rd floor): JfPJs ENVIRO�`� °'CODE A r�° MAIL `.T House number TOWN REGULAMNS ° t639 aye .................................................................... mo APPLICATIONS PROCESSED .8:30-9:30 ,A.M. .and 1:00-2:00 P.M. only (/ TOWN OF F-BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......Can-.,aT u,n.........5(_)n....Raoxp—N:......�. .X. .L.Ia................ TYPE OF CONSTRUCTION .........W.O.O..CJ...... �Q.Y►'1.. ....:......................................................... Yf, . ..(......................19�ra. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ��7— Location ......f.....1..........IJ.ao.T......F1..e..L.CX........1;,../lf W H T AWA11-5.... P6.1.. ..M-A..... ProposedUse .....: .....R..Q..a. .......... .......... ................................................. ............................ ....... ZoningDistrict ..................................:..................................... ire District .............................................................................: Name of Owner .114f 'M6.... .1. .P.f[/S,. ��.U.��ddress .. �..•6•. srr7 .. i.�1.r.4..�....., or Name of Builder :U.(..D.. .,..1 .i .hZl�/L.GO..o,TAddress .. . ......C..s�.n.-Tn.T....L.�!1..... .T..v..�. .1?1G.; Nameof Architect ....................................................:.............Address .......................:............................................................ Number of Rooms ..............Q../1. ......................................Foundation ....L3.1- ?.4.. ...............,..:................................ Exterior ..l�l�.t�.�. .. ..... ....... .. .l.:r>.Cy.�.c.S....Roofing' ...C4.�.�. 4�.�. ......t'i..�i. ►rS:1.w S.s..:..:..... - (it. .U� .O.CII Interior ...: .....:5A. Floors ...... .. .t'CJ.� ! .�........ ....................:................................ Heating ..................................................................................Plumbing .........................................................................:........ 'Fireplace Approximate Cost ..a .Q. ................... ..:......... . Definitive Plan Approved by Planning Board _______________________________19________ . Area ........... ........................ ©o Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 3o 5Un Rao rn + 11P' to 01 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform.to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name . Construction Supervisor's License ....04 Q..2..2... Ferullo, Mr. & Mrs. Richard 30221 add sun ` No ................. Permit for .................................... room to'dwelling _ ...................................P...................... .......... Location 49 Goatfield Lane ............ ., Y'It�l�....T.T-c'�' a `F. Y..... ............... s Owner Mr. & Mrs. Richard Ferullo , .............................................. '. frame Type of Construction .... .................. .f ................. Plot ............................ Lot ................................ Permit Gran ed November 24,,...•19 86 t (`/ , k Date of Inspection ....� `. °..... 191'cty Date Completed ...................................... ..... .............. .. . .19 # V' -71 "" a CIO aim - - - Assessor's offioe (1st floor): , �?y7— I�� � Assessor's map and lot number Q OF YNE Toy♦ Board of Health Ord floor): fO� Sewage Permit number ..... /3 � :. (/ : BaaaST!►DLE,s� Engineering Department (3rd floor): --/1L! JS \ 039. ear House number `77 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only f/ J� TOWN OF BARNSTABLE � BUILDING INSPECTOR f APPLICATION FOR PERMIT TO .l.. �...... o.C.?.5..1.�-u2,;ml..........�. un.....��. noxo )........1A.,x.).ta................ TYPEOF CONSTRUCTION ........L-0 00D...... ............................................................................. l�.•� .. ------------------19. r!.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (�- - Location .....1-3.........( c.r'.....T...... .G. .. ..r.,.........1.... ...........(<(�.,....f�. � ��.n.�.� d".C'�.r. ..... ProposedUse ....... ......R..a..C_...AA...................... ...-:............................................................................................ ZoningDistrict ..............:...................................................Fire District .............................................................................. pp / Name of Owner .►�7 J111 S 1 .Cx.��!�...�C�..dl(Address Name of Builder Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms ..............n./?. ........................................Foundation .... >_ ,.In.0 ......................: Exterior ..(..,t..?.h.c.7 c......C. � .r..... ...... .. .1.•�.J.�......� Roofing ...�.4.1��. .c-....1.. ........t`- •., ✓c..1..�.....S...s.......... Floors ....................Interior Q (;.-.... . Heating .....................................................Plumbing ................................................. Fireplace ..................................................................................Approximate Cost . .1.. d............ :.. Definitive Plan Approved by Planning Board ---------------- � ----------------�9-------- . Area �Q Diagram of Lot and Building with Dimensions fee SUBJECT TO APPROVAL OF BOARD OF HEALTH FiteLd rr , ol �Q �f f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ••Name Construction Supervisor's License .... /.�� ... �.. ... Ferullo, Mr. & Mrs. Richard A=24?-198 30221 No Permit for ....,,add sun room . ................. ....................... ....to dwellin9............................................. Location ......49..Goatfield„Lane ....................West Hyannispor.t....................... Owner .......Mr.......&.Mrs,....Richard,.Ferullo. Type of Construction ..........fJ;a mv...................... ............................................................................... Plot ............................. Lot ................................ Permit Granted .........November. . 24 19 86 ...... . ...... . Date of Inspection ....................................19 Date Completed ..19 Assessor's office(1st Floor): SEPTIC SYSTEM i UST BE Assessor's map and lot number aZ/'7- 98 INSTALLED IN COMPLIANCE Q�pF THE TO`` Board of Health(3rd floor): WITH TITLE 5 Sewage Permit number , Engineering Depart �nt 3rd floor): EN IRONMENTAL CODE AND En t DASd9TODLL i g g ( ) TOWN REGULATIONS � YES House number °o +aso• Definitive Plan Approved by Planning Board 19• �����s• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only " TOWN ' OF � BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO a�u/�a TaJ Q Y Ot�{J p� GiJ/wl/�V� ADO C TYPE OF CONSTRUCTIONi(/CYr�e l/1 /V 5,9 19 yI TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 7 �Og fs pZ� Proposed Use skllniiwy Zoning District A9' Fire District H1AU+y�S Name of Owner A kICIIA vC/ rwwvzzo Address '/17 4v4�u"1 Sf McQ1 oeo MA Name of Builder 4 C4,0;1 YOO.4 Address IV-3 z&�Drorl V-12f Name of Architect Al Address Number of Rooms Foundatione- Exterior C-14VCVd(f Roofing Floors 6A Interior tl" V,)(L Heating y/ Plumbing M/14 Fireplace Approximate Approximate Cost Area 3��6 ao Diagram of Lot and Building with Dimensions Fee 501 J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and.Regulations of the Town of Barnstable regarding the above construction. Name y q�3 Construction Supervisor's License 4o ,� a FERULLO, A. RICHARD ' 34.259 Permit Build Swimrr� ng i Poolh. 2 t For No Accessory to Dwelling Location 49-Goatfield Road _ y Hyannis Owner Richard A. Ferullo dY / - fi Type of Construction condret0. al ' Plot Lot • ti Permit Grfanted April 10 , - 19 91 pife of Inspeption 19 r k- 'Date Completed ,19 k r M, a. e 00 V r t:• } r, i j _�fN����� �,f�':�rl'. 1 .+Y.�Fl7+z^;r�^c'n.`rteiy7r,..,,,,6 'r^�dev ;„awC...r��' .R.re..., •a e'-.v.•N"..'ar.,'�^r'..,',1..vi.,�.-..t'tiY N ra -«•�„y i..��i r:. ��( • it. s.iii'"'"""`yy.r Assessor's office(1st Floor): Assessor's map and lot number o>Vy � r Board of Health(3rd floor):Sewage Permit number LIT 7D Engineering Department(3rd floor). Z D�Hd9TKDLL House number rlua yQ oo 16r3 9. Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN '.' OF BARNSTABLE BUILDING INSPECTOR w J APPLICATION FOR PERMIT TO 6u/zdj —TAJ qY-,0 00, S'Lf!/�y/�tJ� ��O f/ TYPE OF CONSTRUCTION �O PVC rr E' v1 As Z- 199% .t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the following information: Location A .04 Proposed Use Stylmlli g P d ,/ Zoning District R` �g Fire District V V OkName of Owner h WiC< A I'd ."'u.4/-LQ Address A146 um S,74 {2Jtoar o rC #41A Name of Builder flI1lc'�IeY Y-'odL Address �y�0!2*-(Du4U/J� w%'.v�v/SDO�� Name of Architect A///4 Address AIIA '5 Number of Rooms r Foundation Exterior 61211,(JCr�f� Roofing A ` _ .Floors Interior I//t,Jl Heating Plumbing Fireplace Approximate Cosy i` Area / fir' .i,:.. �� p✓ ' Diagram of Lot.and Building with Dimensions Fee j t 1 0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and:Regulations of the Town of Barnstable regarding the above construction. Name i ' Construction Supervisor's License o � FERULLO, A. RICHARD / A=247-198 No 34259 permit For Build Swimming Pool Accessory to Dwelling Location 49 Goatfield Road Hyannis Owner Richard A. Ferullo Type of Construction Concrete/Vinyl Plot Lot Permit Granted April 10, 19 91 Date of Inspection 19 Date Completed 19 PERMIT r,= .% COMPLETE /0 / �� Assessor's office(1st Floor): q Assessor's map and lot number / �oF THE to`` Board of Health(3rd floor): .SEPTNC SYSTE �� 40UST BE Sewage Permit number �L'� INSTALLED IN COMV"LIANC . a 1 IMUITaILE J Engineering Department(3rd floor): 41'29I`H T�"Ij°ii E 6 rua House number ENWRK" MCI j ` j '"�'")lE AND "�o Definitive Plan Approved by Planning Board 19 y+4' '=tF�� �" ^ ,[y�Vy� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF ; BA,RNSTABLE BUILDING ANSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION !2 Lao- d.�,D% 'k 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according.to the following information: Location ' L Y1 n f S Proposed Use \ Czzn M-r) �A Zoning District Fire District 'Y1 Name of Owner4\1\u-b, y`S ��������2����o Address �� �` VCk \� Name of Builder ,� � jk Address Name of Architect +ram �.Vk� V ► Address ��l `►� t Number of Rooms Foundation Exterior Roofing Floors , Interior � Heating Plumbing Fireplace Approximate Cost 1 ®00 Area �- CD Diagram of Lot and Building with Dimensions Fee 4 1> 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License f FERULLO, RICHARD A. rYf r _. No 3417 Permit For Build _Tngrou_nd. Pool Accessory to Dw 11 ; ng Location 49 Goatfield Lane ' Y Hyannis Owner Richard A. F r ul le - Type of,Construction Frame k? u Plot Lot Permit`Granted May 1 , 19 91 d E Date of Inspections=� �!'f�/�s � 19 date Completed le. > • 19 F „...-•"..... .;.::_ ;...::..,.y,vw '!.q h.w-^'w�Zr•.=:.wvr-I�'t+-f±+.t...+....5*.vt1^'-"rim:c'gt.rt�tikr�•:..�y„'"W'rl.... _.. ",o`er..:. _. I �'Fti„�l�f•-.'�'F v�r�•��”' k.l�f'l�•�"-\+Lr-•'`T1�4M1.s_.R-+--ry�Gt�.-.wr�.y-� Assessor's office(1st Floor): (� Q, Assessor's map and lot number / CJ poi To` Board of Health(3rd floor): eWP y ♦w Sewage Permit number Pee PCPWu .w� Engineering Department(3rd floor): House number /. °o f639. Definitive Plan Approved by Planning Board / 19 � P ^ APPLICATIONS PROCESSED 8:36-9:30 A.M.and 1:00-2.00 P.M.only TOWNh,, -O,F� BARNSTABLE C' BUILDING INSPECTOR4 APPLICATIOII FOR"PERMIT TO`� C-evit g C'v v' 1 �t vMW V TYPE OF CONSTRUCTION is L'O L�M e \Q �-^ 19 J 1l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following'information: Location� �� �- r► Y) Proposed Use y\ � �_r Zoning District Fire District Y1 ''Name of Owner'N\u AYtS N- _������� Fl2rOkt o Address 4t(:1 f Name of Builder 1�c� �� � ,a��,C Address . �r .t t Name of Architect ea C.- V 40,-£ ! �: Address ��IW G�1 `R CS 4 Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost ,®©© Area d Diagram of Lot and Building with Dimensions - Fee � Z OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ��, Name 1C•1� � a / Construction Supervisor's License . FERULLO, RICHARD A. A=247-198 07 -/Y?' No 3431 7 Permit For Build Inground Pool Accessory to Dwelling v i Location 49 Goatfield Lane Hyannis - Owner. Richard A. Ferullo Type of Construction Frame Plot Lot Permit Granted May 1 , 19 91 Date of Inspection - 19 Date Completed 19 L-RMITCOMp LEA`, DIRECTION TO JOB: 1. , �?t�Ca • 1 POOL SHAPE:C +`� REFS. NO.: -. R X �` X DEPTHS: �TO: < < .. 2. SIZE. y C� -� "- 3. TILE: 6x6: MOSAIC: ���-- 4. DECKING: - --- - � 5. CAPACITY •f -1 GALLONS 1 (a ~ C) Q 6. FILTER TYPE: SQ. FT.: 7. RAILS: SWIM OUT: V�- �GGRAB: .• 8. UNDERWATER LIGHT: j VOLTS: WATTS: _�_, +•«w�M � r.•f �„��( 9 DESIGNER BEAM: ! 10 LIGHTY. TYPE: 11. SKIMMER: - � 12. INLET FITTINGS: \ .. f•�� © ems` 13. MAIN DRAIN: 14. NELSON DEEP HEAT -=� NO. OF JETS: 15. MARCiTE: . r 1 �..-- .•'_ter (� ,' "� ,,. � )t' , \ 16. AQUA SWEEPS: (AUTO CLEANER) 17. CHLORINATOR: ems„ Cj �!-�C ., ! a. '"t 18. TIMER: --Z-- C. L)�� 19. ELECTRIC: "K � i A 20 TEST KIT. 21. BRUSH & POLE: �/ \ , ,r l i 22 UNDERWATER VA b � ,r�� � 4 � - �* 23. HOSE FOR VAC: 24. SPA DESCRIPTION: !`�1 a i 25. FENCE: 17� �..� 4� 1 {ems 1 O �i 26. DIVING ROCK - ` 27 WATER FALLS: t-.`tVY\�` 28 LANDSCAPING: _ l + " 29. ADDITIONAL PROVISIONS A, CIO 3233. r« 34. 35 Ak 36 37 40. 4 a� 1 -- 2 9 ° TO p - ^ 43 AN te- 1 44: _. -- - - - � - - . _.__:�._ � - �.:.�....:�,:�...._,_".___ _.�_.�. _._.�,._ �,,,� � •`1,� �,s N�N .�- O ♦ Y C_C_'E S.S p e• + i1 YI ' _ . .. Ina. OWNER t u TO DETERMINE of APPROXIMATE ELEVATION OF § POOL ON DAY OF EXCAVATION 1 POOL AREA TO BE FENCED BY OWNER PER COUNTY OR CITY ORDINANCE GATES TO BE SELF 1 t� \\ CLOSING AND SELF LATCHING DO NOT TURN ON POOL.. LIGHT WHEN POOL IS EMPTY. �REc/jsT Tc ov♦nP ( F` T�L I GEl.►E2HL NnT�S t GOPw.Xs AV Town AT•G ��-tiL7 reR,l=D {�JII _ 1 PSPt.14 b SHGWN SCH CM AT1CAl.lY AW I �t SVRMc.L' SL'IMMCQ TZ.�T'`rRll Llvr¢ PRtGOST S"wll et ixaL CT,{YLCuC P. C OR cor,uG UN�tSS GT.+G�vISC �♦OTtiS L1 _ THE EXECUTIVE 0 ULtr 2 504-1NA E M BE R POOL CONSULTANT 33 YRS EXPERIENCE r IT�I U W/'.l-�f2 �A/CS pF ,�JfCQ Mt-'011�T L^ Crl r,�t' F�\t�GT SY'E(- 6,,q5S.♦..LL LAP ^ MIU- eF So � c ^ POOL ORIENTAL POLYNESIAN POOLS, WATER FALLS, 3 c.E orstcu IL eA�DOu A aaAuun2 FFv. ARCHITECTURAL LANDSCAPING, ROCK DESIGN, lSail , %'r♦ LOSS T"Aq,Y Io% %ILT FORWOOD BRIDGES, CUSTOM SPAS 41ATtQ Sr♦ALL trx%.%T VAT"I'j TM�-9ca^I�D _ 1 y LIMITS OF Tr{CC+.Y.L) ( �jTE.PS �IMTn l CDSuT 4�pt.^jp M.TM 4 Ko SUQC H ARjGt+ t, 1 TG ADD IT Ip�I LO.�1' �.y', MNifl�t= .•.L� A'It JD SHALL CY.IST 4 Mwj 4•O' Of TNb b'1ALLO - ��J r"r%T F1 V%AA Ttr� IZ- G C. Ervn Ost G'-O' F-�p..n TMC DetP CVD WA K (b►T 101.7A1j I SH Allow +-+tt6ilfJV wtATHCR. •'a \ ..l '�y 'r fib` �IQ vt4T,cAl zT�l 5 T"t ar_o_ nnvZT ,ac ,ttrT- Futil QanUU NATIONAL <c S'er tL,p _ SPA & POOL NAME c>s ) ` wv►eSslop6o ABM.-Y FRdn rHt u „- s�y e c oC INSTITUTE FRCt FORM 1/4 locti PtQ, FpQ'[ • T • t �( , �� ° eat ADDRESS t NOR,.L_01 hl sTtIL ^����-LY ��•1�� �atTc ew� Consulting & Designing Created in the Tradition l!+..�e LN Od�Z 1L1l.acT S"ALLOw tuo sNN.,L HAvt h U^TL-£ Ccp T -r NOT GRb• v •....t 1 CK Achitectural Landscaping of Beauty and Craftsmanship� ) �;Q iz-o.c ThAu aYz Gnls r,te sr�.K er crw�twrr T.« pr )MM bQ nrtP Ct1p C�3'-c') "M To DE opt PnRT TO Fy.�. ttrrgelttan CITY -__ t PHorvE[� •7 OW 'NEt TMr+osAl To IRR14AT1o.,. co.rrn,u° o -- R,�,�� , ,fie �Ag ���� P�gPCQ�'Y. design _�BSDC. eta. lafR r L`To 2a• Ou ` ♦+'J ! t2"O.C. �i 14/AT2=R y.KbPLY 8Y OWLtSzS C�I.RC�tJJ r•O`,t �b^+Y E1D + C c" ,u AY SUB. tOth. I 2S'�O 5=0• ou �!. MAN L='Mwty. T-7 co�rRt !MALL .y�oRG, aRACR oR_i. R�"•- S obGep Ev0 ADTKCUT LTCY.JCT rRGS AS Rtq U1L,�D I3esigcter & t�uilaer LOT __ ___._ BLK il,iF FILL GRoup �.G6ECS ,=0" PuGv..ATU, � © G �/lAL.L S�C1 i7►.I Mwlitn �.,�e�� s..A�l L� �c Building Since 1958 CUSTOMER'S SIGNATURE -_ 12.TNL^ Ft>M+P IS CJ\Fy�OLE' OF �1SCH+�RG,✓C. Tom+•- __-..____ WATERFALLS, BRIDGES, WOODWORK, STONE � TYPICA'� S�'CT'i0i.l b D W N B Y 4'0,. DATE ,"' '' ; ' C H K BY