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HomeMy WebLinkAbout0156 HARBOR BLUFFS ROAD ��� > ��. i� 11 1 �� I:4 I � '¢y �j f. I' �� }! I �i 1 �4... if PROJECT NAME: CA- w �e L 5 -2��`��• W . ADDRESS: PERMIT# PERMIT DATE: -7 M/P: CD .BARGE ROLLED PLANS ARE IN, BOX SLOT C � Data entered in MAPS program on: BY: r • 40 t1, 07 20 o C Lo OF MASS " o ROBERT G B. 0 gpVVN1AN `r' v f40. 18887 / h"by' ;ry . PLO T PLAN OF L scq�E ..�.r,►ch= of = Ate. 20 p_ 9; E,"Ex SueV&y 5&,eV/ce�, /"c. 47 FEpE,2.4L -STi?Ec T �A L EM, MASS. 73 6-3 �P¢gis�¢r�Qc7��onc�Scirv�2yor` I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' -� Parcel i Permit# f�.5 7 �� Health Division -1�4 loltda 1373 Date Issued �(v Conservation Division 10 2 Je , vi es'watt Xe. Application Fee gs- r•,�'� NO= Tax Collector W dec.Svb)=e Wwl, Permit Fee 1S5-0 2S Treasurer co , ( . PPLICANT se.bS Planning Dept. CoNrJQ7,1 STOB7AW XIV6 i N PERMIT F A SEWM 3 f' Date Definitive Plan Approved by Planning Board cON `u oK OJ4401 $0 Historic-OKH Preservation/Hyannis Project Street Address 1 6 �o� B(yt�j tbq A Village vvaomwlt Owner Address l IN 01d `�a�- Telephone 08- 4210. Z Permit Request C AAotvAQ— -,v�A ` AQ-ek CnaIvic-�e X le � [4V 1A I I X Square feet: 1st floor: existing proposed 151 t 2nd floor: existing _ proposed !3 ` Total new2�_ Zoning District Flood PlainT�$.;2We.,ra�%"roundwater Overlay Project Valuation *2.50,00G,,O& Construction Type cif`' eAa&Z Lot Size 01—, �k-Z� Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family le Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 7, !n Historic House: ❑Yes 9 No On Old King's Highway: ❑Yes & o Basement Type: Oct Full ❑Craw( ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing ' — new Half: existing new 00 Number of Bedrooms: existing new �O Total Room Count(not including baths): existing 5 new C7 First Floor Room Count 5 Heat Type and Fuel: M/Gas ❑Oil Cl Electric ❑Other Central Air: 9 Yes ❑No Fireplaces: Existing �_ New 0 Existing wood/coal stove: ❑Yes 2<0 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size "IA Attached garage:&existing Cl new size Shed:❑existing ❑new size=1' Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Mut/No If yes, site plan review# Current Use �SA4: 1 P" Z'2 Proposed Use e� ,Q 1F g� �. - BUILDER INFORMATION ('j (O l (O Name &64AE J feu_ C r" Telephone Number Address 12 LS7 Old &Sf 1l/ License# (%S 0?'756, PJA�eT A'A M14- 00* qP. Home Improvement Contractor# Q G 9 3' Worker's Compensation# _ ALL CONSTRUCTI:QN DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A.H&A t, N®r+ ► VJI, }C► SIGNATURE DATE 14�1'/S-�� FOR OFFICIAL USE ONLY PERMIT NO. r _ ` 1 DATE ISSUED MAP/PARCEL.NO. t%. ADDRESS rj VILLAGE Po, r �..• r, ; � . _ , S OWNER DATE OF INSPECTION: FOUNDATION FRAME T a INSULATION t y FIREPLACE . _ ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL, , GAS: ROUGH FINAL, �- FINAL BUILDING J DATECLOSED OUT ASSOCIATION PLAN NO. w; l • f _ s- } The Commonwealth of Massachusetts • _ ,Department of Industrial At, , - Office aff lyesti9atians•. 600, Street Boston, Mass. 02111 `33 Workers' Com ensation Insurance AffidavitNO PON i Hama: f _ � • hone# J Oc�'.9 � 0.V1d1' 'all work myself. •I am a ho eowner performing . 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Y•.,:•}}:^::•. ., „•::Y{..n•::jf f}r%r::•,;.:::•• •:..nr.::•}:::.,.:.::?::£;•i::::•.::t•::::x•::::.:....r:::,..... !?3}::n•.. gaflure to secure coverage requirednnder SectionZSAof MGL 15Z contend to the imposition of criininalp enalttes of a thtenp to S1,S00.D0 and/or one pears'imprisonment as weIL as dvil penalties in the form of a Yo j O D�� n&a���tion.00 a day agauut ma I�deretaad t2iat a' copy of this statementmay be forwarded to the Office of Investig _ th�the-in ormaiian-pr-auidecLabnueaslcu an_d correct I do hereby-certifyu he�cAns-andpenalties-af-perjury f Date Signature .,. .,. , :" }r,..• , .. ��vaA - PrintHama' or town oMdal 'facial use only do not write in this area o b e completed by city _ . ,,•permif/iicense# ' (3B�ding Department - ❑Licensing Board dty or town: _ [].CelectZeze5 0Mc: contactpcnon: r Information and Instructions ir Massachusetts General Laws chapter�152 section 2e requires allyemployerseersoa' the serviceers' compensafion for of another under any contract playees. As quoted from the `law , an employe rY P . in .of hire. express or implied, or to er is defined as an'individual, Partnership, association, corporation or other legal entity, or any two or more of An emp y the Ie al representatives of a deceased employer, or the receiver or • the foregoing engaged in a joint enterprise, and including g ep 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 re d wed to be an employer.g house or onthe:groimds or building appurt on e enant thereto'shall not because of such employm MGL chapter'152 section 25 also states that every state or local licensing agency shall withhold the issuance br renewal in the onwealth for any ippllca�nt of a license or perrait.to operate a business� 1 ance with the insuranc or to construct e coverage r quir d. Additionally, ndthbrthe' h� not produced acceptable evidence of p to an contract for the performance of public work until enter in commonwealth•nor any of its political subdivisions shall Y Hance with the insurance requirements of this chapter have been presented to the contracting a�cyc�ptable evidence of comp _ authorsty' r .. .. .. .. r.- VMMV POP Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department,of �al Accidents for confirmation of insurance coverage. Also be sure to sign and r„ etume d to the or town that the application for the permit or license is- The affidavit should be rY , „ ' date the affidavit. questions regarding the `law or if yqu requested,not the Department of Industrial Accidents. Should you have any qu g �g being obtain a workers' cAmpensatim policy,please cte mlisted below:.ai ri nb are required to - •:;.�- • �; City or Towns _ { �,. Please be surd that theme complete and printed legibly, The Department has provided a space at the bottom o `tbe you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please;. affidavit for Y the eunitllicense number wliichwilLbe'used as a za_feience number. Tfie:affidavits may'ee r .: be sure. P em"ents ha made: the D artment by email of FAX unles s othei arrang ve been ep ; ations would like to thank you in advance for you cooperation and should you have any�c uestions. The Office of Investig. .:_ .,. ..., - please do not hesitate to give.'us a call. /cocci/ciao//io/ The Department's address,telephone and fax number. r _.,... - The'Commonwealth Of Massachusetts -Department of Industrial Accidents Once of lnyestlgadalls 600 Washington Street Boston,Ma. 02111 , fax#: (617) 727-7749 ii• (617) 727-4960 eat. 406, 409 or 375 ZHE r, Town of Barnstable 0 e Regulatory Services BAMS BLE, ' Thomas F.Geiler,Director 9 MASS i639 . A.� Building Division rED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: �r7r� Vl .,� �an Estimated Costi Z50. —001 Address of Work: 5zp Owner's Name: Date of Application: 10 i� oZ I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR ,0ZC Date OvmeCs i s :e J Table al 1h(camcb-od) $ )rocdI Fn�s ",ripttrs far6""d Tom+- tns'�7' Ssildlx;t Il4l[TM ;,;arC'nnling' MAXLmtjm WLU r Floor gsaam mtCCI Ffftdr QLang - R-Ynlucl R•tralua RrvsiLr� � F . .Arcs'(•/.) , ps�saa SN1 'ta 654C Hracta;D Ds� 6 j�stasl 33' 13' 19 lD . 6 N==-1 19 19 10 95 AnM R 12'/: Q52 30 iJ 19Is 25 !D ' j{otzasl T tS'/, tu6 . 31 • 19 ID ' 6 .lSAFLM 19. L! .I3'/, 0.46 33 31 25 WA ?vA ��E c.44 ' 13 � 19 Nomal ls'/, 0s2 3c 19 23 ?l!A VA U2 . 31 19 u WA td/A 0.42 3t 1 i 90 Y AFM 1E'l. 3 1g 1D 40AFUJ~ CC 31 1 10 6 19 • >2e •, TY , ,1•. �DRE55 OF�'ROYER , 2. SQUARE FOOTAGE OF ALL EX wAI,LS: 3, SQUARE FOOTAGE OF ALL GLAZING: 4, % GLAaNG AREA(#3 DIVIDED BY#2): SELECT'PACKAGE(Q- sea chat abavc):' ; S. , RE VED METHODS OF D G ENERGY QEMS NOTE: OTHER•MORE WVOL ARE AVAILABLE. A5K US FOR'IHIS INFORMATIOIQ. $UILDING IN-SPECTOR APPROVAL 'DES. q�forms•Eg80303a n F- rn [` 0. o n •o "o �'� � Gn w t- N 0 CJ ► D o '"� n n it. as a n w n G G C ' a �'.n ^ '► @ ' ' n d n. � p1 O `i •' �• .r n -1. � n ^ .�� Q •- �. •^-- -' to . . n .ry.w n 7a n"w oa' o- p p� a aq Ri tKI x : p " 7d '�.r• tl uv o .a 't 7d o p p n^.-�� o' •+� w' �► n a n ^ Gw. `1 •d F p<i 0. w 5 �C n G r5�- �• gay. n .i' n r� - "d• G't _5r y °= G �' _Yam• o { •nt (4• •-A ll► ri ti p �. W !n n .`t- •7 �• n 'O p~ O ^C.^ra N �`• _ M p rh [f w Npp' O rL w• p7 . rx � n °r R t`1, F1 `° ►w C •n ^ tr C n pp11 Er �r7tEl •d w n Q a .w� n rr c• a ,n �,_M F Q' n n I�i to F 'd a.,C- OO La w '� u� r-1] D3. ry n ^ n •,� � a a K n .= Ki• • < .o o to G n n.w G,o w 'h.d n tix o p' t•� G d -� w ' •' 6' G o -{n+ 1-3 a �;, Pam' . - .n o n ur n ttv n-� • G " o � � � m '`' cc' p: `' p � p av a 0 9; �. . n W O �- o �. O n n n " a � � „ .d n �- �- R• p r y. °�' � n. a .at �� fS n -t C - n n .n n• M.n o .•-.- • O n a a n ^ O .._ G o G �. .-. a. ��' n r�r n < [i pq. o n v CT• to ❑ w �n n o t„ n ra- !i p p W" o w tr S•- to tj LA a C. `" Cam- -. -e, .� gw " M �a _n. C o fy `y n .�,-� ^ -Oi:�n n w �, o [3. _ X G sl n In .� r �n F .. ^ a .a a S b o o � n ?; �' a: o < n •ci Q. p' ~;•� F n `� ►+. [off Cl n off' C t7 e.n �' a ^ u• cn•�� a cr o n ►+, EV n p us s• get n`G �- paf- ,n, Q ``td�i L"�' Q. f�1 .;� GL ".. �t n 5 •� c6 n a n n �' t] < �n p n ~- N O o R. p n rr ❑' '+ t� tr• O- ^ to .� cn pp tv n p �,• < 'h• .� a " ^ n C n in fv fa • .0 U '1 Qq a U trot. M '1 p- n• [1. phi- PI u�i O- •_ - - �- fWi `[t n n n n [�f.'h • Ji-/�' p t►f• j��j- G _ O A � L n • .lGGy ^ n• n a n o .13 n n 'd lei qqqq o'p41 �• , C. n •d ^ 't naq t� W < <w ;� w-C7' p- a. - o Cl rle to`< •� ;�. n �i [a [� w o O- .. R. b`' '• o t•� w to p�pl� n o o p rpyl tr±' ,i y �y .-. �y R try fir' py y d 'C� p . •pi "' �, fp]' t� h '� d [f n ;h p�•Cm � QC �n pi n _H' R Rw n C7�'-'� o d'W qV a. n n C or• t„• 4 ; ' off• a- F-� a ! � � � w � •I(�)1 O �• tA n n �q• `G p G p n per* C+•t p ~ `4 �j rL �n Y o p'' 'b a 'i a. a► a n rna p _ pi r to. n• ~ n n n p `u o• �i�` uq n n 0 u .`• o a f o ° � a n na n Sr n o o c•� no qq �7 r� LYn� n o n K P. ti ►+. 5_ 0 a- Sr G ul rA n o'• m ' a a u` tn"}u, n t7 n GG R c: o d- o 't7 r..�• w 6 rL ^ in G n P! a w n O n n G a p, - L�,� 5 P, n � [� •t^. G o � n a oo t [L Permit Number M-Eccheck tompliaace Report Massa.chusetts Energy Cole MECcheck Software Version 3.2 Release I a Checked By/Date CITY:Barnstable STATE:Massachusetts HDD fil3 ` CONSTRUCTION TYPE: 1 or 2 Family,Detached. HEATING SYSTEM TYPE;Other(Non Electric Resistance) DATE: I0/I7/02 PROJECT INFORMATION. Renovations for 1VIr Robert:Bradley l 5.6 Harbor Muff Load, `. COMPLIANCE,;Passes Maximum LTA=402 Your Ho=!�399 0..7%Better Than,Code. Cross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor U_A Ceiling I'.Flat Ceiling,or Scissor Truss . 1543, . G# 3R.0- 39 Watt'1:.Wood Frame, IC"o.c. 2465„ 04 154 189 Window 1:Wood Frame,Double Pane with I.ow-E 243; 0.320. 78 Door 1:Solid 2.0 Q 490 10 Door 2::Glass t03 Q.340 35 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1151 0.0. 20.0. 48 Furnace l:.Forced Hot Air;78 AFUE COWLIANCE STATEMENT: The proposed building design.described here is consistent with:the building:plans, specifications,and other calculations,somitted with the permit application, The proposed building has been designed to,. tMeet%the Massachuw is Energy Code requirements in MEgo ck Version 3.2 R.eloase I4i The heating.load for this building,.and the cooling.load if appropriate,has been determined using the applicable Standard, Design Conditions found in the Code. The HVAC equipment.selected to heat..or cool the building.shall be no greater titan'1215%of the design load as.specified in.Section-s 780CMR,1316 and.AA Builder/Designer Date. to Ir rCrZ— M.ECelwck Inspection Checklist Massachusetts Energy Code MECcheck So"Version 3.2,Release.I a. DATE: 1-0/17/02, Bldg. 1 Dept. Uie Ceilings: 1. Ceiling 1:.Flat Ceiling,or Scissor Truss,R:738.0 continuous insulation f Comments: I I Above-Grade Walls: [ ] 1 1. WWII 1:Woad F'rattic,ib"�.C.,It I5(�cc�nu ,i�tioti 1 Comments: o 1 1 Windows: I.: 1. Window 1:Wood Frame,Double.Pane with low-E,,U-facton.0,320.. I For,windows,without labeled U-factom,describe featw= f #Pangs Frmne Type Therms Break? }Yes-€ No. I Cohnents: I 1 lltoors; j 1 -I, ``'Door 1: So.lid,U-factor:U_48.0 1. Comments: ( { 2. Door..2 Glass,U-€actor:0.340 1 #Panes Frame.Type Thermal$real-?[ I Yes.[ }No Cvrrzm : I I �s: I Moor I All Wood Joist/Truss,Over Unconditioned Space,R-20.0 continuous. nsulati_on I. Comments. . I Heating.and Cooling;Equipment.- [ I 1. Ftirna .I:Forced I vt`Air,7$AF. or.higher:. I Make.aW.Model Number I , 1 Air Le ge: [ : 1 1 faints,penetrations,_and all other sigh openings-in the building envelope that are.sources-of air 1 Ieakae must:tie.sealed l 1: When installed in the building envelope,,recessed lighting fixtures 1 .shall Meal.one of the following requirements! I. Type IC rated,manufact4red'with no penetrations between the,inside of the recessed.fixture. I and.ceiling cavity and sealed or gasketed to prevent air IeMagIt into.the unconditioned space. I 2. ty-pe IC rated,in accordance with Standard ASTM E 293,with no more than 2A efm(0,944 Us)air movement from the the conditioned space to tho ceiling cavity: TIko ligh Ling ti d e C sh all have been tested at 75..Mot I,57 lbs/M.pressure difkrence and shall be.labeled.. I 1, Vapor Retarder: 1 Required on the warm-in-winter side of all non-vented:€rained ceilings,walls,and,floors. G ( Materials Identification: } f Materials and equipment must.be identified so that compliance.can be.determined. [ } ( Manufacturer manuals for.all installed heating and cooling equipment and service water heating ( equips tt must be provided. }. (_ lnsuladon R-.values aid glazing Umvalues must be clearly marked,on.the building puns or specifications. ( ' ( Duct.ivaulatiacne ( } G I?ucts sliall be insulated per'Table I4, MI (; Duct,Construetions. f All accessible joints,seams,and connections.of supply:and retum ductwork located outside ( conditioned space,including,stud bays or joist cavities/spacus used to-.transport air,shall be.-sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation," I instructions. Mesh tape may be a omitted where gaps axe less tb 1/% inch.. Duct taps is tint por tteo. (; The H-VAC system must gravidc a means far balanein rand water sYAMS< ( Temperature Controls: } C `thermostats:are required€or each separate HVAC system. A manual or automatic means to �. partially restrict or shut off the.heating.and/or cooling input to,each zoone:©r:floor shall be.provided. I Heating and.Cooling Equipment S*'ing: }. I Rued output capacity of the heatipecooling systenk is�ot gteater than 1251%of de tgn,Load.as I specified in S.ectcons..790CMR 1310 and MA. I I Circulating Hot Water Systems: } Insulate circulating,hot-water:pipes to,the levels,in Table,1. } Swimming Pools. [ } } All heated swimming pools must have an on/off heater switch and.require a cover unless,over 20%a (: df the heating energy is.fiom nqn-*pletable so-weep. Poe}pumps,require a titre.clock. C (; Ffeaa�g aunt Cqubng p��Tawk m; HVAC piping conveyiog fluids above,120 T or chilled fluids:below 5,5 OF must be.insulated to the: I levels,in Table 2. Tabte L-. b tmum Insutaden. 71icknenfor arcutatiog set Sitter PPes._ Insulation Thickness in Inches by Fipe_Sizes Heated Water Non-eirculatins Runouts Circulating Mains and Runouts Te=erature f F) U_ to o P Up to.1.251, 1.5,11 to 20 Over 211 176-180 4.5.. 1.0 I.5 2.0: 140-160 0.5 OS I.Q. 1.5 1Q0.=13.0 O.S. U5 O.S. 1.0. Table 2: Minimum lnnsn kdan Tkicknessfor RVAe Pipes. Fluid Temp. Insulation Thiekrress.in inches by Pipe Sizes Pim System Tunes Range f F}. 2"Runouts 1:"and Less 1.25".to.2" 2.5" 4,11 Heating;Systems Law Pressure/Temperature 2411 254 1 k. 1.5- 1.5 2.Q Low.Temperature 120.-2.09 0.5.' 1.0 1`.0. 1.,5. Stems'_►condensAte.(for feed.w tern Any l,U. 1` t�.5: 2.0 601iug systems Chilled Water,.Refrigerant,. 40-55 0.5. 0.5 0.75. 1.0 and Brine Below 40. 1..0. 1.0., 1..5 1.5 NQTEES TQ FIELD(Bultdiug Dgpertment Use(3nty} t 5 • tV�`_ V� y • f� • • °e'. �' TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 325 170 GEOBASE ID 23957 ADDRESS 156 HARBOR BLUFFS ROAD PHONE HYANNIS ZIP - LOT 73 LC76 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 75721 DESCRIPTION REMODEL& REBUILD RES. PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 Ott CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE O * BARNSTABLE, MASS. 1639. RFD MA'S A BUILD ¢ G 771S ON /; BY DATE ISSUED 04/01/2004 EXPIRATION DATE ' }:I.' :1 N1+Y tx.1•"c.'. 1{ ,..1( - { ri`+ y, ^ F 11� •� � ., f� Ci+ }�'`r•Iti 1 s�Y;. .a r�.r,L: _ . 31: i 'r C";r„.R, 11T I UN s r�''�,i ""s,.L" : ,_ F rr'I' ,QR I t' ,y f I- H ;:11l 1 f t ) r r � t i ��,,• tt'/y t{' i P } p;} , . 9. • �'t'i.l�Y�.♦ .= 1.f f't �S:L ' t.�.�\��� r� I I,& t�Jj63t (tk':t°� 'ry fA F, Io,T 114",0A 'M p Department of 1 l/ Regulatory Services i h r rrl "a x,•,� �. iF N + BAMSTABLE, • MASS. 16g¢ � d BUILDIN_ G DIVISION ; E BY •,4. :}. a�i;'}:�•.�. as '1=f. :.,• IrJG FtrIL1'.F f•��.i'`i.��1 1=� "(.. - ..y . L + THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR.SIDEWALK OR ANY PART THEREOF,,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED.FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOTRELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND -WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. ANICAL INSTALLATIONS. 4.'FINAL INSPECTION BEFORE OCCUPANCY. §: • � � � � ® ® : s ® MAIN is BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS /ELECTRICAL INSPECTION APPROVALS Ct 2 l"—.v � 2 j+��� B� /a 2 t.'`(•�- Jr- " r • �Iu� ���. ���/fib-/C -�� 3 c�` 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ft 2 BOARD OF HEALTH 4 / 3/ o �'A "fS OTHER: SITE P AN REVIEW APPROVAL WORK SHALL NOT OCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS'NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC— MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. •it I `3 n / s iy �1] y w oor ap `% Parcel Conservation Office(4th floor)(8:30-9:30/1:00- 2:00; Date Issued C Board of Health(3rd floor)(8:15 -9:30/1:00-4:45). CO�� ._ S UIJ ff CON 'E'RING E 1r Y. Engineering Dept. (3rd floor) House# /13 C&w �'TRU �IVyy�QN�RO THE A min.Ft g BARNSTABLE. 0 19 _ MASS. 9 ta7P `e� TOWN OF BARNSTABLE s Building Permit Application Project Street Address 4 H Al V3 Q o, 1 u = Village Owner J 0-e ( (.,Ne-P.dr f Address � , Telephone Permit Request r0„u )7 h v i Ai 1l 1 ,0 ?R-e nox-F rt r\e aaa h W A,0 a to I W s 1K- GyEtt-, A NS- E0 13i1t0 col- S'GuEile iar7k it, " Rq.ihvg A-u0 P 14 �T• '�eE 11+ti � First Floor square feet ) '0 v Second Floor square feet Estimated Project Cost $ X 6c 0 ,' Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 'nrhe4T-ro Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths 3 No. of Bedrooms 3 Total Room Count(not including baths) First Floor J Heat Type and Fuel elgej�j,t.. Central Air ✓ Fireplaces Garage: Detached Other Detached Structures: Pool t Attached 0 ri t d,e,l AJ Barn None Sheds Other e Builder Information Name M k e kA f 1 1, Telephone Number` f c/,p Address .3 8 ) e4tWAlf tJ ,J&,,j4e License# (2 n 1 P.al f it JU 0 2 6 3 Z 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 j'61d v o r RfAAIJ1i b),e IjaA) n 12V SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) +S FOR OFFICIAL USE ONLY P MIT NO. D TE ISSUED - AP/PARCEL NO. ' DRESS « .4 VILLAGE a OWNER , - r � DATE OF INSPECTION: FOUNDATION FRAME INSULATION,t;? FIREPLACE? ELECTRICA- ROUGH FINAL _ PLUMBING��o. ROUGH j FINAL GAS: {�yryryr?-ROUGH FINAL i FINAL BUILDWG' Y - ` 1 � DATE CLOSED OUT -i , Y ASSOCIATION PLAN NO. 4 R wessor map and lot number Oe _ A.•. +� /���✓_ 75" C/ 4 r - A SEPTIC SYSTEM MUST' a Sewage tPermit number .. ... 12' Z... S WSTALIa`C BE WITH: C° ,AI_I.a°lVClo =A _ RTICLE,�� If STATE :. �QyoFTWEro�o TOWN - OF. BARN .'�1``FRl�LEND TOWN C i 33AWSTADLE, 9 o 9 BUILDING ' INSPECTOR' Op 639 a� 4µ� APPLICATION ..:J U/G,D.. . TGUO... To.. r` ' .......................................................... FOR PERMIT TO �� Af s TYPE OF CONSTRUCTION .... 4.9Lc ............ .. .... ........... ...( ............. .........................V...7..........19.?6 TO THE INSPECTOR OF BUILDINGS: The unde re lies for a permit /according to the following information: Locati n .... ". � 7.3 ....(..!...�.�3..L...�....IJL LJ F:�...... �.�.��.r)....................................................... .. ..................... ProposedUse ..........w _L.....h/..�.................................. . ................................................................................ ............... Zoning District ..... ................................................................Fire District Name of Owner ./,"<I.� raL.... T�1S� S..............Address Nameof Builder ............. .!�� L.......................................Address ............................................,....................................... Name of Architect / �1'ER / 0 ��/'�fid 'l..SfDee'�ivC..Address .1$- ..'.1 X`.S 1.....57..�6�.�! ....�................. . f..� Number of Rooms ......... .. ...........................:............................................Foundation �U L��=s�C.�Q�/� ..................................... .. f G � Exterior .....T../—.�../..............................................................Roofing .19.w!! ! ... ........................,.................................. p Floors ....../..1. . .. ...................................................................Interior 5.15� i i?o f7 Heating ................................................................Plumbing Fireplace .......��. ....................................................................Approximate Cost ..�/. /.......................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area �1�.. .................... 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 Stasinos, Michael 18226 two story, No ................. Permit-for ..... single family dwelling ............................................................................... Location Harbor Bluff Road ................................................................ Hyannis ......................................................... Michael Stasinos Owner ................................................................ 'type if,Zt6nstruction ..... frame..................................... ................................................................................. Plot ............................ Lot ............. 7.3............. Permit Granted .......March 9.......................19 76 Date of nspe&ion . ..... Date Complete 19............... PERMIT. REFUSED ....... .19 %< ........... . ......... . ....... ........... ...................... ........................................ .......................... .................................................. 7, Z% ............ .................................. ................... Approved ................................................ 19 ...................................................................... ............................................................................ r� o-+rrrw asAta TODD K BALIGKI awd rrerw Nl txiac nro."Owiw.rt�t �aD a `:m wrmw "i yneotmta:.era 7 ra wd�oyt.arrewws e... p.� 'p". ..anarat wcaw,.aw m �g'�°py pyrwrfOre almennp tyalF ` 8 Saar J m aW wsi 4ik�`m s Y m O m '�a�o EIm yern��tw Qn�f OC 1Y Q Ia r"" r�'•e o p�rmnaww � "auax,ea-tye< . e I.tnaa.n bA���B" .w ..na.am •• w.rre.t�nw�%�raewa �^ �;�3 � rt� aanrge.wwwmrm�n. Manic BeN 59���R� [��� •uproar era*twrw Loft eepaeaueawwmtnp.�aptwp � ____ .. 1 `o r•oyar � a�� e'n•eat doom �.nr�.aµ a,op t� � (n �� 4 y L m m a n.tee.e °_ u�i ba w..r.pwue eat w'maaa�z� t w ..m�•a:wri. menava.aem`aranuuvnwm exbtln91ullBaseman[ mtnapvaeecerc.new a.e 61 If BNlding Sectbn ' g BUILDING 5ECTION Sa F auM A401 10/16/03 Revlsbns W Lona4actlon DraWngs TOOP Y1.BALIGKI �EfD e� no, 00 � ..mp G9g•°g I m a Oe O � ®O 00 NIH, _ e� 1- 4 MIN aIN FRONT ELEVATION s3 aQ sE 4' O v a m O Q E O C L N m cxtcr orsalmor LEFT ELEVATION Scale:1/4'-1'-0° ppva°1on` A500 1 O/16/O�Revl°lon°to Gonetructbn Drawing° A � � ay A > e m O O y > Z O � Ji D:= z I i ( o � o I u r `s a; E Reef ReelCy Lid B j PROJECT: ewi�t""m'..me>bm+w.u.>atw 24 School Street renovations to a residence for p.,..nn,.�a.a..w,a...baa sfF a .ep�nMPrmaitxwn` Dennls,Me58.02638 (%.B g d �• "�- Mr.Robert Bradley (SOB)394-3090 g �ACef 9 €eZ 6 Q �.� J#K�A Desi n GrQu sa8 9".U1 FLocATIO� 156 Harbor Bluff Road signirc28n HyannlsMassachusett5 e . . m . ! > C, ; m . � 2 � z � ( . N_j 77, . { / § q o `| ; ] m � �Z m »! . � 2 AI |,| . ! . : ( HI q! Reef ( . | . � .. | � renovations to.residence� �k j !] > ¥rRo Robert q 7A-�_^ �q • # | � o ! UXATION' TADmnG9U o , e&__Bluff Road �( _�mm, ~� . { ! J G � . | . . . 2 f , .� I I! , E4 / 2 ) I . &9 /2 h\/� , ■ _ � , .' �• : . \ } ! % § � ! |i; . } § \ ( ( o r | • & | ` PROJECE Ltd ___.»a__�� , %� >_ krs.a� — — bReff k-SOgO , ! . %]! ) 13 o .__: T A Design G S up o . ' ear_Bluff Road Hyannl _�__, t F-7- - 00 � s �"F I� g339�g g98g E65 p6S . E� 6r i o � S7 • D R - z 9 G .w...erawm,.m r.eP. Reef Realty Ltd PRIME renovations to a residence for 24 Sawa street FS �,.,"vtrmteewnwcl weMmy Y^` T i ame pm,ns qo,roex,wi�� Dennis,M...0]638 q 6 Y UO D Mr.Robert Bradley a�, ,e P (500)394-3090 v Q $ LOCATION: TKA Design Gr4U Q 1 56 Harbor Bluff Road �°^•"°^• Profe„Ion0001"111-lam 9aT a"tj� F HyannlB,Massachusetts ,w,,,`µ,',�• "°`e`ntlel•fommerG,l Ti I 8� �s we`;eo'seoe s . 4 1 VI I 's S s m S q os s 's 8 a«a i u `sv a s. _ y Em a - a �s �s 4 F g Spc pc °1 ; a to o M � T C •€ p Q z PROTECT: vr �rm.M Reef Realty Ltd T �. renovations to a residence for 2a scnaol street g q... m"wcm.,rwi ws�wwy T 1� 7 y me."ae en.q D908)gq4-Sogo i6it 1 4 0 p Mr.Robert Bradley "'".;,m„„ (3oe)394-3090 p LOCATION: TKA Desi n Greu �:p78F:i� �' i O 156 Harbor Bluff Road o,„ ,�"°'^"°" P'ofa9slonelaullmng veeign F aFFl51 Hyannis,Massachusetts ,,,,,,,,,,.,,,,,,,,,",,,,,,.,,,,,,w r+e`Ix"wl'c�mnKrw" s f It 68 c� 7— 9 T„E, Town of Barnstable *Permit# p '1' Expires 6 montlu from issue date Regulatory Services Fee + BARPWABLF. - Thomas F.Geiler,Director 6 9 b.�� Building Division /J J ' �D H1A Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6239 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY ram, Not Valid without Red X-Press Imprint Map/parcel Number Property Address (t�)k 4AF; �;C—A AL,,JN 1. Residential Value of Work L�l oo Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address c� �' Contractor's Name (a I � Telephone Number lz_xe 5 e 5 Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Che one: I am a sole proprietor (s, (� ❑-I am the Homeowner -PRESS PERMIT ❑ I have Worker's Compensation Insurance Insurance Company Name OCT 10 Z��B Workman's Comp.Policy# TOWN OF BARN-STABLE Copy of Insurance Compliance Certificate must be on file. Permit Request(c k box) Re-roof(stripping old shingles) All construction debris will be taken to_?i, J PJJ G, NJ ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.44) "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATU Q:Forms:buil d ingpermrts/express Revised 123107 ✓fze �o7,vrrao,ziuea�� a �� ' License or registration valid for individul use only clzuaeC j Board of Building Regulations and Standards j before the expiration date. If found return to: g Board of Building Regulations and Standards HOME JMPROVEMENT CONTRACTOR One Ashburton Place Rm 1301 Registration;' 1.44226 Boston,Ma.02108 Expiration`. i 9/1,712008 Type: DBA DESMONE BUILDERS r DAVID DESMONE — I 62 EAGLE DR t v id without signature P Y . MASHPEE, MA 02649 ') ut Administrator IVlassachusetts - Department of Public Safety Board of Building Regulations and Standards Construction'Supervisor License License: CS 63756 Restricted to: 00 DAVID J DESIMONE , 62 EAGLE DR `` r MASHPEE, MA 02649 Expiration: 9/17/2010 Commissioner Tr#: 3655 E . Licensee Details Page 1 of 1 The Official Website of the.Executive Office of Public Safety and Security (EOPS) Public Safety Mass.Gov Home DI PS S Home EOPSS Home Mass.Gov Home State Agencies State Online Services Department of Public Safety Licensee Complaints License Type Home Improvement Contractor License# 144226 Restriction Company Desmone!Builders Name David Desmone Address 62 Eagle Dr City, State, Zip Mashpee, MA, 02649 Expiration Date 9/17/2010 Status Current No complaints found for this Licensee. Back To Search http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=HIC 144226 10/10/2008 Find a Licensee Page 1 of 2 The Official Website of the Executive Office of Public Safety and Security (EOPS) Public Safety Mass.Gov Home DIPS Home EOPSS Home Mass.Gov Home State Agencies State Online Services Department of Public Safety Licensee Lookup The list is current as of Wednesday, October 08, 2008. You can search/filter the licensee list by any of the criteria below. License I Businesses I Individuals Select a License Type IHome Improvement Contractor Search by License Number 1 1-_4..4. 26---___._ Search Select a License Type IHome Improvement Contractor Search by Business Name Search by Contact Last Name C �� First[_ Search by City _ Zip Code [Search Select a License Type Select One ^ ., Search by Last Name _^_-- First _ Search by City� Zip Code mm ' Search Search Results .... . ._......... ......_.. _.__ ._._... .... ......... E ............ ..._..._ ................ ' ...._. LICENSE TYPE BUSINESS NAME CONTACT NAME LICENSE RESTRICTION ADDRESS STA' http://db.state.ma.us/dps/licenseelist.asp 10/10/2008 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 Lezibly Name(Business/OrganizationAndividual): MQ� ��� L� �j�':a co Address: CeZ LV�i 1Ua M Zi-I .Mf�c 026A 9_ City/State/Zip: Ah& 0< 02,1_,,;, Phone#: 508 3 8 5 8Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. �a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.ji400f repairs IKS{ZtD--i- 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 cut the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. f Insurance Company Name fi4NC;T!�ZR Policy#or Self-ins.Lic.#: �29 Expiration Date: Z- Job Site Address: 14&1301�2_ �City/State/Zip: HYA N NW5 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her y ce u der the pains and nalties of perjury that the information provided above istrue and correct Signa e: Date: �0 - 1 ' C Phon #: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other `' Contact Person: _ Phone#: ' The Commonwealth of Massachusetts Department oflndustrialAccidents W Office of Investigations ' d 600 Washington Street �� Boston,MA 02111' �w ,�•�' www.mass.gov%dia ' Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �A �v�.. �V�V J �UU Address City/State/Zip: Ve Phone.#: �� -73 Are you an employer? Check the appropriate box: .Type of project(required):. to er with 4. [] I am a general contractor and I e construction . 1.❑ I am employer 6. New ogees(full and/or part-time)•* have hired the sub-contractors 2. I am a'sole proprietor or partner— ship and have no employees These sub-contractors have g, Demolition 'vvorkin for me in an capacity. employees and have workers' g y p tY 9. []Building addition [No workers' comp•insurance comp. insurance.$ required.] 5. [] We are a corporation and its 10.�Electricalzepairs or additions 3.❑ I am a homeowner doing all work . officers have exercised their 11.[]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12• roof insurance.re repairs required.]]t c• 152, §1(4), and we have no employees. [No workers' 13•l?J Amer comp,insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or-not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site information. Insurance Company Name: I — cJ -7 3 Expiration Date: �7/ � 0 ,) Policy#or Self-ins..hic.#: ••�� �.�� � 1 Job Site Address:�l�><D ��� �.Jl�+o ✓ City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy nu ber 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 tip 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 MA for insurance coverage verification __-- _— I do hereby r ' h ains and penalties of perjury that the information provided above is true and correct. Date: •� PO—0 g. Si Mature: — Phone#: 7Aut only. Do not write in this area, to be completed by,city or town official n: Permit/License# hority(circle one): Health 2.Building Department 3• City/To'svn Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: Oct 07 08 11 : 34a Mitchell & Desimone 6177378390 p. l 4 Town of Barnstable _• ems. _ '"L Regulatory Services Tbomm F.Ceder,Director Building Division Thomas Perry,COO Bauffftg Commholoeer 200 Main Street, Hyannis,MA 02601 www_towe.bam tablaenaAs Office: 508-862-4033 Faz: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize .• lu� GO. to act on my behalf; in all mattccs relative to work autbo=ed by,this bwlding pezmit application for. (Addtm of Job) Signature of Owner Date Pzint blame Q.Famms:bu1dunL%irw sle�ress Revised 123107 f TOWN OF BARNSTABLE DEPARTMENT OF HEALTH SAFETY AND ENVIRONMENTAL SERVICES BUILDING DIVISION STOP WORK THIS STRUCTURE AND/OR PREMISES HAS BEEN INSPECTED AND THE FOLLOWING VIOLATIONS OF THE BUILDING CODE AND/OR ZONING ORDINANCE HAVE BEEN FO . 1) 2) 3) 4) YOU ARE HEREBY NOTIFIED THAT NO ADDITIONAL WORK SHALL BE UNDERTAKEN UPON THESE PREMISES, OR THE PREMISES OCCUPIED UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. ANY PERSON REMOVING THIS NOTICE WITHOUT PROPER AUTHORIZATION SHALL BE LIABLE TO A FINE OF NOT LESS THAN FIFTY, NOR MORE THAN ONE HUNDRED DOLLARS. Address Date Building Comm' over �oF� ratti Town of Barnstable *Permit# C�3 Expires 6 months from issue date BAlMSTABLE, Regulatory Services Fee r7 f7,MASS X aj 1639. Thomas F.Geiler,Director �b Alf D 1"A`A Building Division A Fe e Peter F.DiMatteo, Building Commissioner 20O Main Street, Hyannis,MA 02601 /0 t�j p�r 5� Office: 508-862-4038 °t Fax: 508-790-6230 )(.PRESS EXPRESS PERIVHT APPLICATION - RESIDENTIAL ONLY AN 3 2002 Not Valid without Red X-Press Imprint Map/parcel Number O .TOWS OF BARNS Property Address as ' Residential Value of Work iry 0 Owner's Name&Address Q o�_e_r Contractor's Name D CC ,4 b6d O Telephone Number_ Home 6provement Contractor License#(if applicable) C _A%ction Supervisor's License#(if applicable) ni q $ ® 5 7 r(_, ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name CQ2 .,e4-C -0 V )( q 6 0 V Workman's Comp.Policy# I r�.�,e 1 c,(S I ��[v�,\A-x E K(j67 CjX f Oa t O j Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side . Replacement Windows. U-Value je•t./d (maximum.44) Other(specify) � .o�>'>" ® *Where required: ilssu ce of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 'l P,,oFt NElati Town of Barnstable *Permit# 3 Q Expires 6 months from issue date 1 sAxlvsrAstt: Regulatory Services Fee �, SO y MASS. o4 16J9 ,0m Thomas F.Geiler,Director pTED"'A`A Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 ,: Office: 508-862-4038 '� Fax: 508-790-6230 )(.PRESS PE RM EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 2002 Not Valid without Red X-Press Imprint BILE Map/parcel TOWN OF S-Map/parcel NumberI A �Q ` BARN Property Address (LO'(, Q'{ p, r 'Residential Value of Work_�. !�Zd-v 0 Owner's Name&Address Contractor's Name P} CCTelephone Number 5 6 8 S Home improvement Contractor License#(if applicable) G,_ action Supervisor's License#(if applicable) M.4 C'S ® 5 .7 516, ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name y y g 607 Workman's Comp.Policy# I +Y��c� I n t n,\�'J 6 r U b*77 cj X J Q 3-(Q Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) Re-side . Replacement Windows. U-Value (ma imum.44) Other(specify) 0(1 C/ *Where required: Iss ce of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature `e Q:Forms:expmtrg Revised121901 {,r,`.P t0 September 30, 2002 Conservation Commission Town of Barnstable Is the Conservation Commission aware of the work being done at 156 Harbor Bluff Road, Hyannis that is clearly within 50 feet of Lewis Bay? Heavy equipment has been in this area and new construction appears to be being done beyond any existing footprint. Ai SEP 3 0 2U IOARNSTAPIE CO',!S,ERVAT N EL® -o ®F RRCD R T-v [LO N E5 N®"T R E STANDARD LEGEND N1OTE�not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH ORCHARD OR NURSERY V—vw EDGE OF CONIFEROUS TREES MAP 3 _.S MARSH AREA EDGE OF WATER __= DIRT ROAD DRIVEWAY E—PARKING LOT PAVED ROAD DRAINAGE DITCH ————— PATH/TRAIL PARCEL LINE** wiio-E- MAP# 21—PARCEL NUMBER #1860 —HOUSE NUMBER \ / / 2 FOOT CONTOUR LINE 10 FOOT CONTOUR LINE Elevation based on NGV029 ` / ;• 4.9 SPOT ELEVATION STONEWALL —X—X— FENCE !4 — RETAINING WALL RAIL ROAD TRACK STONE JETTY " SWIMMING POOL \� PORCH/DECK I! ] n BUILDING/STRUCTURE DOCK/PIER t HYDRANT 6 VALVE o MANHOLE o POST p`P HAG POLE T O W N O F B A R N S T A B L E ® E O O R A P N I C I N F O R M A T I O N S Y S T E M S U N I T o SIGN ® STORM DRAIN N HNNIED SCALE:IN FEET *NOTE This map's an enlargement of a **NOTE The pamal lines are only graphic mprresentatiors DATA SOURCES:Planimefia(man-made features)were interpreted from 1995 aerial pdretogmp hs by The James 1"=100'scale ma and may NOT meet of mr.Topography and vegetation were interpreted from 1989 aerial pk4mphs by GEOD MLITY POLE n TOWER ' ,r �— �..�= P Ply bourLIaries.They are not tno locatiar;,and W.Sewell Canpa w ° 0 r 10 20 National Nbp Aowmty Standards at INs do not represent adaal relationships to physical oweds CoryomNon.Plardmehiq to)Tphy,and vagetallon were mapped to meet Ildmal Map Aowmty Staff ¢ LIGHT POLE O EIECtRIC BOX INCH-20 fEET* enlarged scale. on the map. at o scale of 1"=100'.Pool lines were digitized hem FY2002 Town of Barnstable Assmi s tax maps. FAdgnlconservation.dgn 10/04/02 01:21:34 PM L,l-ita17't:34c6_ 9;`lis_`4`�`' a•�.+1'ViCt]t J �, .��� ��``r' i+ �. .°,: 'a.3+. +f L .3Y^' t t 4 W* a a a z � C n u n S r y ss r.`c 1 1 C 0 K`air it 2 + o /a A r. r r» z r► z� 3 w` 4�91N iHADMU LOac`;butt / y t ! 1 t , 1 !j (�'�"•ti-ram". _ ^,rr �i �� �k �� `_•-... � £b'YI!'YC,rr1:Ci1 1 :n, vic j \ I 6GKG4 5101 f t 1 M 900 j r�c:• + i:. vs 1'Yy.: # n � f +€ � � } ��4 ..c ;' - - I f 1 4Y•ffts2S!y+is:° 1 :611?d i if k;r;b t-L 0,1LITIOP 19EEZ f 3 i •�jr'. •.;f`51.Ati�r CJh_Y+0:1 C tf•�b ' QJL ��yp.-��+�y. �j��yy,.�,�y(j ��r.�y .�y.��{�pyp��p��+. �y .._._._.___ _■■ _ ,.._ _ _ .��x} �j_� :!. ,y� ��yp q�++��,r �",F .gy�.�� f�ff�$.�}7]�'p7 77`` �(j{�(y fXy(�• r4('}�f-��j &.J - v�'T'►� IS .T &,5'�!'. E. 111 QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 10/09/02 PERMIT NUMBER 63286 PARCEL ID 325 170 156 HARBOR BLUFFS ROAD PERMIT TYPE BROOF BUILDING PERMIT ROOFING DESCRIPTION STRIP & RE-ROOF REPLACE ROTTED WOOD CONTRACTOR PERMIT FEE 102 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 750 GROUP TYPE APPLICATION 08/23/2002 EXPIRATION VALUATION 25000 . 00 DATE ISSUED 08/23/2002 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P)REVIOUS/ (C)ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F)EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT fk y { 4 \ ^ 4, b '3�"•�_fw Ali'v to_ ! 7' T tt':� i' �?T:� 4 Se � #��.., .,s, ->'k,� M ��, 3• K Robert M. Bradley 156 Harbor Bluff Road, Hyannis map 325 parcel 170 Darcy Karle—Agent 10-04-2002 12:35 pm 4 Al - , � ; N ;PY L l h. �W��` �4Gi 11, VWI l M % Si p A,NT, i4i Jry r 4S, 6 � 1 i I . �Ik Ift 7fk VIA sa to.X� Ir io V I% # a°' •>:;:�`, ^,� ,.ha '."r5~f.: (�' `ate ,7„?k`�-.•e de �t3 '+1 � y� .lrka. - is DIN Alk, re4 J!k7 mp-- 4 V Vif IN, A ..N Lit In 4 Z-e ,klr r P.yo*j q A:7 Ov O-Z 0 lk— MOW tool'RI 118dy SHdy pool IINn S19.31OVISNSVB 30 NMOi \� n � � I � ` � i � � � � I a , f , 04 T)i Z 0 DEP File Number: t Massachusetts Department of Environmental Protection = Bureau of Resource Protection - Wetlands # �..._ tl1tTIT J WPA Form 9A — Enforcement Order � UL ; Provided by DEP Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 "�°r,,1 AND TOWN OF BARNSTABLE ORDINANCES ARTICLE XXVII A. Violation Information Important: When filling out This Enforcement Order is issued by: U forms on , use �= � Computer, use �n C0YnMj55r CY) oG'� CJ, Zabz- Conservation Comm—isssiio='n(Issuing Authority) �I i- only the tab Date key to move To: your cursor- do not use theKO)2CY 1 e \ return key. Name of violator I 1'Y11Q ®Z 6 � ICI Address 1. Location of Violation: ver Property Owner(if different) tS(o oar Street Address + 1 VA VG 1rn Yl) YV1 A 6ZC�D 1 Cityrrown Zip Code myi vo zS; ncDQ 140 Assessors Map/Plat Number Parcel/Lot Number 2. Extent and Type of Activity: heck eke i-Dv1 oh I s4 nej ZA^ -Pj(V .ec,�5 1rJork w`,�h ;/y G,•,s1 � B. Findings The Issuing Authority has determined that the activity described above is in violation of the Wetlands Protection Act(M.G.L. c. 131, §40) and its Regulations (310 CMR 10.00), because: the activity has been/is being conducted without a valid Order of Conditions. �/❑�the activity has been/is being conducted in violation of the Order of Conditions issued to: Name Dated File Number Condition number(s) WPA Forn 9A Re, 0210G Page 1 of 3 DEP File Number: '-n Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 9A — Enforcement Order Provided by DEP Massachusetts Wetiands.Protection Act M.G.L. c. 131, §40 .y B. Findings (cont.) Other(specify): ro ow inP/ oul o, -V less b v` «a#' m d. J rod- 0n1 r7A e, D CAL . C. Order The issuing authority hereby orders the following (check all that apply): ❑ The property owner, his agents, permittees, and all others shall immediately cease and desist from the further activity affecting the Buffer Zone and/or wetland resource areas on this property. ❑ Wetland alterations resulting from said activity should be corrected and the-site returned to its original condition. Complete the attached Notice of Intent. The completed application and plans for all proposed work as required by the Act and Regulatio s shall be filed with the Issuing Authority on or before Date �S Su6rr,;44u4--0 L4,t 1 to No further work shall be performed ntil a public hearing has been held and an Order of Conditions has been issued to regulate said work. ❑ The property owner shall take the following action to prevent further violations of the Act: Failure to comply with this Order may constitute grounds for additional.legal action. Massachusetts General Laws Chapter 131, Section 40 provides: "Whoever violates any provision of this section (a) shall be punished by a fine of not more than twenty-five thousand dollars or by imprisonment for not more than two years, or both, such fine and imprisonment; or(b) shall be subject to a civil penalty not to exceed twenty-five thousand dollars for each violation". Each day or portion thereof of continuing violation shall constitute a separate offense. VVPA Fo'r SG. Rev.0=0 Pave 2 c.'3 • DEP File Number: Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands +Ri4: WPA Form 9A — Enforcement Order Provided by DEP Z??.... Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 5 ` D. Appeals/Signatures An Enforcement Order issued by a Conservation Commission cannot be appealed to the Department of Environmental Protection, but may be filed in Superior Court. Questions regarding this En orcement Order should be directed to: Name Soy 66 Z - �Dq 3 Phone Number Hours/Days Available Issued by: Conservation Commission In a situation regarding immediate action, an Enforcement Order may be signed by a single member or agent of the Commission and ratified by majority of the members at the next scheduled meeting of the Commission. Signatures: krzA F Signature of delivery person or certified mail number **This Enforcement Order will be -discussed at the Barnstable Town Hall, QCm[Gn1. Room, 2nd Floor, OC-4/� Zl�OZ starting at 'Qa O AM. during the Conservation Commission hearing. lou are welcome to attend. WPA Fom SA Pa;�3 c� Re-, 02100 i NAME OF OFFENDER 03 Al BAR 65928 TOWN OF ADDRESS OF OFFENDER crA 28 01asIn BARNSTABLE CITY,STATE,ZIP OO DATE OF BIR H OF OFF DER nMills 2G Z Op INE Tp MV OPERATOR LICENSE NUMBER MV/MB REGISTRATION NUMBER OFFENSE IIAX AA 4. k:, ' W ,p ,,� SI e 3 Z s� o rED MPS A I W TIME AND DATE OF VIOLATION LOCATION OF VI TION /�/` W NOTICE OF USqA.M.1 .Nl. ON SIGNATUR ING PERSON ENF RCING DEPT. BADGE N0. Uj VIOLATION � , CID Cn o OF TOWN H EBY ACKN LEDGE RECEIPT OF CITATION X a ORDINANCE �nable to obtain signs•ure of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $,56,00 ~ ate mailed � I w OR YOU HAVE THE FOLLOWING L RNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL d DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION `� (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The.Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature i t 200 Main Street,Hyannis,NLA-vLov t Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERIVIIT NUMBER (Permit required in order to process inspection) •'Toddy's Date D' •�� Requested Date of Inspection 'lo ��ll f"klC�4 A A Vl hereby request an inspection under Massachusetts General (Electrician) Law chapter 143, section 3L and 237 CMR 4.02(3). // / d14XAW/,%SThe installation is complete and ready for inspection at 156 xldxo6��'6`� (Property Location) Type of inspection requested: (] Temporary Service ❑ Service Re-inspection ❑ Excavation Rough Re-inspection ❑ Service Inspection ❑ Final Re-inspection ❑ Rough Inspection for ❑ Final Inspection for Other Owner or tenant Licensee's name,address, and phone ) qr2� 3 S --e ) n License number j 5 r)Sl0 Licensee's Signatur This section to be completed by Barnstable Inspector of Wires Inspection date []Approved []Not Approved n/ This work was not approved for violation of the following Articles and Sections of the MA ElectricalI' Code: QUERY PERMITS: QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 10/09/02 PERMIT NUMBER 62354 PARCEL ID 325 170 156 HARBOR BLUFFS ROAD PERMIT TYPE BEADALTR WIRING-RES . ADD/ALTER DESCRIPTION ;REWIRE THE ENTIRE. HOUSE' CK 2068 CONTRACTOR PERMIT FEE 125 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 07/15/2002 EXPIRATION VALUATION 0 . 00 DATE ISSUED 07/15/2002 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P)REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A)RCHITECTS/ (V) IOLATION/ (E)XIT QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 10/09/02 PERMIT NUMBER 60763 PARCEL ID 325 170 156 HARBOR BLUFFS ROAD PERMIT TYPE BPLUMR , PLUMBING - RESIDENTIAL DESCRIPTION• ; 16 FIXTURES CK 51894 CONTRACTOR PERMIT FEE 205 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 05/01/2002 EXPIRATION VALUATION 0 . 00 DATE ISSUED 05/01/2002 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT . _ The Town of Barnstable NAM g Department of Health Safety and Environmental Services Building Division 367 Main Strut,Hyannis MA 02601 Ralph Cmssea Offroe: 508-790-6227 Building Commis F= 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME.EMROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"roconstruction'alterations;renovation,repair,modernization.conversion' improvement,,iemo%%L demolition. or construction of an addition to any pre-Odsting owner oaupied building containing at least one but not more than four dwelling units or to structures which art:adjaft to such rmideace or building be done by registered contractors'with Certain exceptions, along with other requirements. Type of Work: 'W k D h k 1) W A k w at Cost U On Address of Work: 15'(,, 1'±A i> b e a A, B ` y g T Ovmer.Name: -1 0-e N Q R AI •, Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work caciuded by law Job under S1,000 Building not owner-occupied Owner pulling o m emit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR PERMIT OR DEALING Wr1I;UNREGISTF.R£D FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the(miner. a Registration Na Date Contra OR ' n,.e Owner's:tame �}Yfr I • \I �,k�� ""a 4 'h *fir e^ �s �� �i `�t,•'rESTk Z7'Pi(p.:3 a'.�- ' x �a e-s o as. rn i,3cat-t`4 ►-a r r .cc+ ¢ -t 3 s -.^G3 s a'3ip _E _ rn v a V,iaa M"A r— x r— m •-r � p a,'�`�zca"� .: 5a.p 7V:C n-�.,.-1 �R `An . a r-a m m b f,.0, zT Q•{I"C OD Ate. rwv ►c-� m '< na ��x'`4''.0{�{ tF^''ti o .+ t, I �t�+r��.t^a n'*.s,r sc�-"`�t^' �'t •,qa'$ •tss.. �. •wtti.Wa%+`9Y52�'��FY1.=JYr?-.." ., _ ,. w r) '"i•"' ` The Conum nivealth of Massachusetts - - Department of Industrial Accidents � , _ . � OfJlceolloyost/gat/ods 600 If ilshington Street ;�\�.�;+• Boston,Mass. 02111 Workers' Compensation Insurance ARdavit 4e�niieanf'In formation� Ple se PRiNT1e lv name: S A k Q h Xe location- 1 S (o Irk AR 13 G B• 19 till, Ni )%J AA./,V•1 1 Phone# ❑ 1 am a homeowner performing all wort:myself. �.I am a sole proprietor and have no one working in any capacity ❑ lam an employer providing workers" compensation for my employees working on this job. campnnv name: (�^1 \A, t t 0+1r n V tom, address: dty: C®.,V'*'fKt/ V �tA AA phone#: incur""re c_n_ noficv# ❑ I am a o e ro rieto general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation police com"nm•name! address: cih•• Rhone#e insurnnce r� nnlier# i���-- .,.--.�!:.-•- — .:_ i.cnr:i;..t7:.:.aawn-r s�,—,,••.�17�"'fr!*/�y��—'=.ram. _ __� '!l�:�t%""%!�!�pAa"a%"'T+'-'��'S�!'''-`�'•�" r�ram•name• - address: city: #" incnr�nra rn "Offer# .Attach additional'sheet if tiecessa :•,�. w:� �- +'„'-,+,"'•p•r '`'`•;='t�►�•' "' ', "' ';rs`y Fnilurc to secure coverage as required under Section 25A of DIGL 152 an lead to the imposition of criminal pe naldes of a fine up to$1.501 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine ofS100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification I do hereht•cerdfj•under the pains and penalties ofpedury that the infomutdon pmided above is true and correct Signature r M - ate Print name e (L A-e 3. 1[ o.&J 2`% Phone# �'�1— ��C, J' o;Cial use only do not write in this area to be completed by city or town oMdal City or town: pexmitilfee.ase# nlluilding Department pLicensing Board ' 0 check if immediate response is required QSeleetmen's Once Cliestith Department contact person: phone#; "Other M Information and Instructions Massachusctts,General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an emplgree is defined as every person in the service of another under any contract of hire; express or implied, oral or written. An empinre.r is defined as an individual, partnership,association. corporation or other ';.gal entity, or any two or,more of the form-oing 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 dwellin�= house having not more than three apartments and who resides therein, or the occupant of tite dwelling house of another who employs persons to do maintenance', construction or repair work on such dwelling house or on the'!-!rounds or building appurtenant thereto shall,not because of such employment be deemed to be an employer•. MGL chapter i'S2 section 25 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 buildin;s in tits commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of comp liance,with the insurance requirements of this chapter have een presented to the contracting authority. •�wn�-.�+ .��nw.,,.•: .�•rt•:V:'•e.. .,ijrJ�...1'i a.; .y.w rim -•.••.�C:.; _I,��y U_.�•t��..�'vl r�%�4`5`=p"' `:±w t. •.1•:^ .'--. ...•..-. / ..:+►t!!:'T7.,SL. 1+•,w. k _ �.•• 1.'i. .t A,pplicants 'lease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and ;upplying company names, address and phone numbers as all affidavits may be submitted to the Department of ndustrial Accidents for confirmation of insurance coverage. Also be sure to si;n and date the affidavit. Tile iffidavit should be returned to the city or town that the application for the permit or license is being requested, -lot the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required :o obtain a workers' compensation policy,please call the Department at the number listed below. M� :itv or Towns 'lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of he affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please )e sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to he Department by mail or FAX unless other arrangements have been made. The Office of Investigations would Iike to thank you in advance for you cooperation and should you have any questions, )lease do not hesitate to give us a call. tom.:. ... .,. ...•.: _ � _. �. .i.--... ••ere%:.wc<...•••f'rf�iO+: iw�:�.. •.ti.c�..'r�r�«:'•�++ :j�'m .e::�':•'.:�. .-he Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 77 w.. 600 Washinbton Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 Y �yx 4 P.''. To sZ f o '.oAil t N I o 'R 0 P.c 3 � trx � i Q t. 'so 3 Q-A91 R. t Ile co ,,j ) , _.. 0 � ' c CAPE COD HOME JOB HOME IMPROVEMENT SPECIALISTS SHEET NO. OF 25 Iyanough Road Route 28 HYANNIS, MASSACHUSETTS 02601 CALCULATED BY DATE (617) 775-2815 CHECKED BY DATE SCALE ..... ......... ........... ....... -i_.. --- ;__. ... ..... .. ... ..... .......................................................... ... . ... ...... ......... ...... : .... .i.. ................ .. .... ......... ........ i..... j.. ...... ................... ..... ...... ..... ..... i ... .', +:......... .... .......... i........ ..... ....... L..... .... .... ..... ...... ......... ...... .. ..... ...... ......... ..... ... ..... ..... .... .............. ........................... .... ..... ....... ........ .... ... ..............! !.......... ...i.. : ...... .....{ ...... ...... ... .. ........ ..... ........ ........ ...... ... i ........ ......... .......__:. ..... ... ... ..... ..... .... ..... ... ............. ... ..... ............ .... ........ i...... :..... ......i ..... ..... .... ...... .............. _. .. ..... .. ..... PRODUCT 204.1 ees Inc,Gmtan,Mass.01471, f/ -� Assessor's map and lot number .........:c............................... , � �C�`� Sewage Permit number .............. '! v - 7HET° TOWN OF BARNSTABLE i SAWSTAIME, "6 9 AUILDING INSPECTOR y ' APPLICATION FOR PERMIT TO .... Cl! ) .0.G``� ..r� � ......... ......... ..................... _ . ..... .............. ..... .................. ...... TYPE OF CONSTRUCTION ....... �.�:�..../' �M ............... ........... ..... ... .................. ...........l 9.m TO THE INSPECTOR OF BUILDINGS: The undersigned hereby--applies for a permit according to the following information: Location ...........:.................................................. .............. ...........................................................................:........,,,..,......,,.,.,. ProposedUse ..... .. .................... s.................................................... ................... ........ . .. ... . Zoning District .... :........................:...................................Fire District ll7ri /,S Nameof Owner ............... .............:.......................................Address ............................. ......... .... . ,. Name of Builder '" .................Address ' Name of Architect .........................................r7 Address 1`s'. i�( �?-�.................................? .... S Number of Rooms ..........................................Foundation ` .....................` t f� • Exier for ...... .............................. ............................Roofing .. `2 �'"f1G T" ' , Floors < - : ,4"£ T/Q �► . .........../..........................................................................Interior ...................................,,...............................,..;..,. . R Heating '. !........I...... ........................................................Plumbing ....f........................................................, 40 Fireplace ...........`...`.................................................................Approximate Cost Q, .. ................ Definitive Plan Approved by Planning Board ----------------_----------------19________. • Area I.. .........................................`.. 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. • Name . _ .. .. .. ...... . . . . J � Stao1000, Michael A=325-170 . l8226 two story, �o -----.. Pe�m� for,--------.. --. single ___ ..fam _dwmlllng_______. . . ' Harbor Bluff Road Loco�on� -------_—__—____-----. ' Hyannis —'------''�----------------'''' Michael Steniooa ' C}vvnar -----____________...____ frame Type of Construction ------_--�---' ` � . ' ^ = __---,.-------.�-------'_---. . #73 Plot ............................ Lot ................................ ' ' ' Permit" Granted ^=^^^` , ^ . ' Date of Inspection -- lV ` ' uo/e Completed . PERMIT REUSED . ' . 9 � ,..— ------. ' //^� ~� / � ' ~'—'f'��''�'/«'—�--'{./- ^�----__. . � . —..-----.^-----.—.,' ..—~..-----.. ' ' ----.--.----..—.-- -------.--.. ' - . . ' . Approved ................................................ lg ^ -------.------------------- . ' -------'-----------,—..----,. ! ' Assessor's map and lot'nu er ... �� �f��..." f ! � � CF THE t0 - !L l Qy �♦ Sewage Permit number d� o� .. .��/`?r.� ••mow .. ..... Z BABB$TABLB, i House number .. `' >✓ rasa �p t639. E M tr` TOWN OF BARNSTABLE BUILDING: INSPECTOR ....................... APPLICATION' FOR PERMIT TO ' ... ... . :�.. ........ TYPEOF CONSTRUCTION ..................::: .. . ..............:.................:...........:.......................................................... ................19. � i. . ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... Glr�.j�:. �1� i1 �i�a G fi....... R ? 1 ,;/N ta E`r^ ice;- ;.` tX. . 7. ...................................... Proposed Use ........... .....:.................. Zoning District ......................................... ,Fire District Name of Owner .... ........... Address Name of Builder" !�{nn,c. �, r�, r— s .f f -� %r�r,- � `rn a ..sv¢- �,n�Address t,if f}�.. t f-f ✓tt,$ f+ r;a ......... .. .................................. 4.. x:> .5. s'-o'c •.-:t w...,.,.. j $ Name of Architect N,j . ... / ........ ..................... .........Address ................... ......................... ............................... Number of Rooms ......................1..........................................Foundation Exterior .........>'.�J�?�C!lf�...rc '�A6Z �r� >nitc �.%.`.?....Roofing ........A:: ! ; ....... ? r?..... i r�s"�;�°:�r......:.I .., Floors .......... i —.�. f�.. . :' �?...M.- .G T..:�..'.l � �.f .� ... ...... .Y,'. .Interior ........`?.� a. ............................... Heating ..........................A/. .i . . ....................................iP ...................�. lumbing ................................................... Fireplace ...:..:......................... ✓.......................................:Approximate Cost ....................................................... r.. Definitive Plan Approved by Planning Board -----------_______-----------19 ........... ... Area ....`.. ......,.... ........ Diagram of Lot and Building with Dimensions Fee I. r :. .`..... .............. SUBJECT TO APPROVAL OF BOARD OF HEALTH �49 / Z 5 j ��'�u• )�_..!.�. � :.I(� Nt� ''tom a> v"C"�v•J N /i� 57 z l t e� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 I hereby agree to conform to all. the,Rules and Regulations of the Town of Barnstable regarding the above construction. Namet�ir SAVINA, FRED A=325-170 24633 ADDITION No ................. Permit for .................................... I Single Family Dwelling ................ .............................................................. Location ....156 �Harbor Bluff..Ro d .............................4............ ................ �nis ..................!�YJM................................................... ,.,,,Fret Savinall I Owner .......... .................. iType of Construd-tion .....Frame.................... ....... ............................ ......................I............................ Plot ................... ..... Lot ....I.................:.. Decelber' 10, 82 Permit Granted I......................r...............19 Date of Inspection ........ ..... 19 Date Complete ........... ..19 C0;ii•1ON1q'EALTH OF 1,1ASSACHUS3'TTS DETERMINATION OF APPLICABILITY OF THE WETLAND PROTECTION ACT G.L. Ch. 131 sec. 40 DATE: December 9, 1982 TO: Mr. Allen M. Williams Home Improvement Specialists 25 Iyanough Road _ _ _ Hyannis P�a�s 02601 RE: 156 Harbor Bluff Road, Hyannis (sunroom) Pursuant to the authority of G.L. Ch. 131 sec. 40, the BARNSTABLE CONSERVATION COMPAISSION has considered your request for a determination of applicability together with the plans submitted with it and has made the following determination: 1. ( ) The area shown on the plans is not subject to the Act. The entire area shown on the plans is subject to the Act and shall require a filing of a Notice of Intent. 3. (XXX ) The area shown on the plans is subject to the Act but shall not require a filing of a Notice of Intent, provided that: All of the construction work necessary to construct th_e_proposed addition is done by hand_ — 4. ( j Only the area described below is subject to the Act and shall require a filing of the Notice of Intent: 5. ( j Tlie area s' ;n or, the plans is subject to the Act but the proposed work is not dredging, filling, removing, or significantly altering. Therefore, u Tnte nt. is not required. 6. This determination does not relieve the person requesting the determination from complying with all other applicable federal, state or local statutes, ordinances, by-laws, .and/or regulations. 7. ,a4 lure to corip_ly with this determination and with all related statutes and other regulator) mc :sures shall be deemed cause to revoke or modify the said determination, tion until all appeal periods have elapsed. 8. No work may be commenced under this D e termina ISSUED BY: L. �� Chairman., Conservation- Covun.ission _ _ r�,G LG..a%L — ------ —._------------_--- --_ I Where the Department of Environmental Quality Engineering issues a negative superseding of your right to a formal hearing provided it is made determination, you are hereby notified days from the date of the supers=::rang determination of '-he: Department of within ten (.10) y Environmental Quality Engineering. AS`4ssor's map and lot!nurriber .. ...........................'� . .... THETO� Sewage Permit number ......... �ZdrL ... ....... BAHBSTADLE, i House number .....................: ..................... °oMee. ♦� TOWN , OF- ;'BARNSTABLE BUILDING INSPECTOR al* APPLICATION FOR PERMIT TO .............; �G!�.......A � ..................................................... TYPE OF CONSTRUCTION ..............� .1.(.4?.................19..` TO THE INSPECTOR OF BUILDINGS: s The undersigned hereby applies for a permit according to the following information: Location ............ .......... e:.�..V1�.............. T:� r.........4.?.:............ ..... Proposed Use ........... .!•:j..7 i-i-A........ .G .......�..�.►J'.:1! t. ...1^'�z�, r!v�.r.:.............:.................................. t- , ZoningDistrict .........'...............................................................Fire District .......................................�....................................... Name of Owner .. .h ...... .y ....................Address ... ..... .. .:...... Name of Builder'{-�ocu�r=u ?rzovf l ^I �...`��� !(1.4:9Address ...... ... s . ./ /f?Af-CAa...7.�1?./...!:,`W,�.1�4:Cj Nameof Architect ............ .� ......................:...................Address. ........... .................................................................. 11 � Number of Rooms ...................... ...........................................Foundation .aU.,z :.,] �� � ....... Exterior ......... d►�!`" � .......� ......n!.!G c....Roofing .......j4 .......... Floors ......:................................... .'.....1.4 c�� , '.....�.��.. ' Interior .........ra.1K ,� . Aj Heating �f�. ............................ .....Plumbing .................. .l ..................... 1 Fireplace ................................. .................. .................Approximate Cost .. .. . Gl..'.:...`C....................................... Definitive Plan Approved by Planning Board -----------_______------------19_ . Area ........�'�...f ........... Diagram of Lot and Building with Dimensions Fee �......� SUBJECT TO APPROVAL OF BOARD OF HEALTH A � I � I 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 PV49 4. tZ 7-- SAVINA, FRED 24633 ADDITION No ................. Permit for .................................... .......Si]ac Dwelling............. Location .1.5.6...H.a.rb.or...Bluff...-Ro.a.d.......... . .. .. . ..... .. .. ............ ............................................. Owner! Fred Savina .................................................................. Frame TYpe-of Construction .... ...................................... .......................... ........ ............. .................. Plot ............................ Lot ................. .............. 4 "December 10, 82 'Permit'Granted ...... .................................19 -V . ... Date of,'Inspectio .. . .... ....... :19 Date-,Completed .........(tr ...n19 07 INC A T e Town of Barnstable n OF 6ARNSTA9LE. Depar me t of Health Safety and Environmental Services ' - 2679• �0 PrEoya Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Noticec'i��Y, ''� Type of Inspection Location�� /,�� � ��permit Number Ownern2 -f� Builder One notice to remain on job site, one notice on file in Building Department. j _rt The following items need correcting: �mil rs /01 i tea✓' S�2/� .�1/�l� ��S 1 !� tG' ��_S ,��/s0� ��ys/ rr t Please call: 508-86248" for re-inspection. p ! Inspected by �� � j { Date J , a r 04 ZOE -31 A� �I� !! ..-...� __"__ ______._ ..__:. •tom !-tu.5sf,{Q PoR4� (Jweisd �• � �,,, ._._., _�" 1.Rsv���^ .1. ~Y�, r-� j 1414zri r r _ - r t '�^_. w.ew.-aY' M•4a^4evlaw�•+..nR-aa-n'�w�vR,d4°�+S?� ��` .•�Sw+'�11�� � r ,�� '.' __:. ,_ �e 3 , 4 1 • i 4 _ , ( i ,,,,.....r yam,,.,• _'� �,�' ,'.`-':.�.� "_ { � _. _ .._.. ,. '��_ .z-�.-_._ '®" w"'�t s« .... _.__. ._... a �'�. __4� __. r i �_�.1�-�.�- _ } - f , , t , .r - ep IT 77 � --- vrw � h3I - + r , } E i I .fill . f }�.. >'.. ,_a .,_ow-•:ca�,.._m_..- _...__.:Jffi._v..- -a-„+++_'d•'2...• sn.:.'ir_,• t'.3O-3s��.labie�vw.eVaarm _:f:` •. 4' Vtl^LL._V. VC....TInLL l VOIL.._.1/"�Jl #11 OLD FISH HILL ROAD i ASSESSORS MAP 325 _ / N/F REVISIONS: PARCEL 97 — _ — GERALDINE DUFFETT REVOCABLE TRUST NO. DATE DESC. __ _— __ #18 OLD FISH HILL ROAD /) ASSESSORS MAP 325 — -____UP - \\ _\ GO OH _ PARCEL 174 — 1 � ) \ 85,35'5092EOR _ . Q \ c EXISTi -__ 90.00' V / BITUMINOUS // \ _ \ I NG POST & FENCE — L V PAVEMENT — ° ' \ °y�\ j ) I ► I t 'Ioff W S SMH R I AI Iro rv%10 CD � LEGEND _ : . _ _ �� ► °°a °tip, \ I I / 5.2 X SPOT ELEVATION C.B. o CATCH BASIN OF,y,�a DMH DRAINAGE MANHOLE ' " . WG • _ . )) I / FLOOD ZONE C / 50.1 ell +1c S PROPOSED SEWER LINE / / I / /\ / / N D► y FIELD SMH Us SEWER MANHOLE - I I l \ / / / NO.38039 TMH 4 TELEPHONE MANHOLE ® PROPOSED DRYWELL FOR RAIN RUNOFF us LP LIGHT POLE GRAVEL UPL� UTILITY POLE / LIGHT DRIVEWAY : : ( i� WALKWAY WALKWAY UPLT-) UTILITY POLE / LIGHT & TRANSFORMER O UPT UTILITY POLE / TRANSFORMER _ \ / l yw UP UTILITY POLE I ) —OW — OVERHEAD ELECTRIC LINE / 1 i \\ I PROFESSIONAL LAND SURVEYOR DATE o EHH' ELECTRIC HANDHOLE cw `~ \ / I II ® GMET GAS METER —G— GAS LINEGv rn 23.4 \ I GAS GATE \� \\ \\ I I I WG ® WATER GATE _ _ _ _ _— _ FLOOD ZONE B \\ \' I ( io N/F — WAR LINE � ) �W— KENNETH SIMMONDS T1-1 TRANSECT LINE ONE 0 \ 1 ) I #160 HARBOR BLUFFS ROAD BVW BORDERING VEGETATIVE WETLAND WG N UPPER LEVEL RIDGE LINE \ I I ASSESSORS MAP 325 WF 2 BSC WETLAND FLAG NUMBER : : : It \ 1 I PARCEL 95 SITE PLAN # 10 o VIEWING DECK \ 1 I EXISTING TREE LINE : _ _ ` z `� 1 I I o-4- OF LAND N/F 1 1 1 N FLOOD ZONE C NANCY L. JOHNSON PRIMARY RESIDENCE TRUST 1 1 1 #156 #137 HARBOR BLUFFS ROAD BITUMINOUS 1 \ \ \ ASSESSORS MAP 325 PAVEMENT PARCEL 119 HARBOR BLUFF ROAD _ 1 \ \ \ FLOOD ZONE 11 \\ \\ \ 20 I N LOCUS INFORMATION Al2, EL 12 \ DECK 19—�� \ \ -- -- DECK HYAN N I S WALL `\ CURRENT OWNER: ROBERT M. BRADLEY — - `\\ \\ \\_ r MAS SAC H U S ETTS TITLE REFERENCE: CERTIFICATE 126000 ��._ _ BARNSTA COUNTY) _- BLE PLAN REFERENCE: L.C. PLAN 7615—B � DECK __ _._ .. \ FLOOD ZONE B ASSESSORS MAP: 325 _ . _ -.\ \\ '�14 EXISTING PARCEL: 170 a 191 \_ �� E SING CONDITIONS . \ \ 13 ZONING DISTRICT: RB \ \Of 5.8' / SETBACKS: FRONT 20' SIDE 10' REAR 10' GRAVEL 1�6 ap' / /� 11 NOVEMBER 12, 2002 MINIMUM LOT SIZE: 43,560 S.F. �j DRIVEWAY WMETIO N,� —\ — . / EXISTING TOTAL LOT AREA: 10,256f S.F. _ \ — TOP OF SLOPE_ ——— ———— — _ _, — —/ �-\ FLOOD ZONE - - =- ————— — / / 9 Al2, EL 12 NITROGEN SENSITIVE _ \ - -- - - ------- --- / ZONE: NOT A ZONE II �_ —.� � - -- - — - _ v FEMA FLOOD -- - - - - ------ -- ---� EXISTING HAYBALE LINE \ ZONE DISTRICT. C,B & Al2 ON PANEL #250001 0006 D, DATED 7/2/92 ——— ——— ———————— —— R OF OVERLAY DISTRICT: AP {-- \ — — - — — _ _8 —'/ R H Lj- 6 P R O EI LE .J --_ _ _,_ PREPARED FOR: 50 / � '�,� "-` OCC DEVELOPMENT, INC. —6 �i - ,_ AL Mr. GEORGE MAUTNER 1 // FLOOD ZONE \ _—_ _ _ 1287 OLD POST ROAD V15, EL 15 \ A. 1 \ MARSTONS MILLS, MA 02648 AIL -� _ AL AaL AL 'roll 4OBSC Oul? EO 'tom/ N/F \ \, \ KENNETH SIMMONDS & ROBERT M. IBRADLEY \ \ AL 30 _ #159 HARBOR BLUFFS ROAD \ \ \ \ FLOOD ZONE 657 Main Street, Unit 6 3 0— ASSESSORS MAP 325 \ \\ \\ \ V15, EL 15 W. Yarmouth Massachusetts PARCEL 94 \ \` IN, \ 02673 < NI-1 IN, �� \ 5087788919 20 � -�/ 1 O \ �� �\ AL \ TOP OF \ N I @ 2002 The BSC Group, Inc. SLOPE STONE LEW1 S BAY \ !`� \ / � � / SCALE: lot = 10' REVETMENT \ � 0 1.25 2.5 5 METERS ELEV 10.1 SALT \ \ AL � 0 5 10 20 10 HAYBALE MARSH \ FEEr N/F NOTES: u PAUL L. & JEAN F. SEVIGNY PROJ. MGR.: C. FIELD AL 1.) FLOOD ZONES SHOWN HEREON AREA BASED ON CURRENT #183 HARBOR BLUFFS ROAD FIELD: D. GAZZOLO / J. MaCARTIN AIL ,I FEMA MAPS. ASSESSORS MAP 325 - DATUAI ELEV 2.) THE PROFILE SHOWN HEREON IS TO BE USED AS A GRAPHIC PARCEL 180 CALC./DESIGN: K. HEALY 0.00 REPRESENTATION. IT DOES NOT REPRESENT ALL THE STRUCTURAL DRAWN: K. HEALY ALO A MEMBERS IN THE DWELLING AND DECKS. � N CHECK: C. FIELD FILE: 8482—EXC.DWG DWG. NO: 5403-01 SHEET 1 OF 1 0+20 _ 1+00 __ _ JOB. NO: 4-8482.00