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0067 MEGAN ROAD
VE .�V� � . �� y s 1, �O i *, � . y � r ' + �� - r'-, H. - - ` � - -� Z�S h FAX r .� _ _5 _ _ _ [ _ - r - ,r - _ - _ ". - - - - O t /x' r _ , . r . — . a 96 z 6 t . = t? ' t - ` /. a g / �. a,.y . �. �" -- - ,- .,'. , -- I - , - . r : . . A"� - ^ _ O` - - ` _ e - J . �} !�� �� ,- _ = o � 1. _ � - .- ,I _ r 11 - -/A- ,..Z:;�,,�, ,�. _:--.", , i ---- - -�- - �-kw-,_-�--�-i_ T Y!'� LT .. e. _ _ _:: ;i = -t" _ - — - - _ ,-: y R :. _ _ — _� — _ _ - - —— y _' 4 E £ Ft � C 4 ", L o T 116 'As sfro'rn��v QEy .� ISF aF }`fit: A/ 11f 1S YV lL.�C WS; - F'�tZ . f AES_7AR. C SORV > cows- �Ta�vTs /�C.`, 1. T . __ x s TI. a avT'fr. �r '; s .: . % 1 �8Y C' RTl �Y', TM; T THE': 8-.urt-DIU, . , REG u-aND 5u � v � J 5 S 4 W N,, .O N : T H E S P.;L'K I S' ;L 0 CAT;E D O N ` t4U:ND =Ag SHtS:YVAL. HERE'© N A_ND T ! t T C ,D OEM :C O N O R M.> T.Q THE 1N ` ` E�;{VtK: BY'-SAWS OE TFfE. TOWN 4R1. -" ` � f. - -—S7"A®L ' . WHEN C0NS.TRuGrED. 1. _ . Iz !€RETi G . 1. � - w1 . 1. T r ht sT`a L E �. R V E Y C a N s u_�.rA N.rSt E N.G. . _ is ` _ - ` {IiG E S T_X A'R tut O U Efi, M:-A S:S '�`�? �" .` gay 7 �_ r :-: Assessor's map and lot number ....�. ........C). SEPTIC "SYSTEM c INSTALLED Sewage Permit number WITH N COMPLIANCE........... ............................... ARTICLE II -STATE- SANITARY FTNET��o TOWN O BtlR�AJ�� " i E9$HSTSDLS, i "b RIL® ING INSPECTOR am p Y APPLICATION FOR PERMIT TO ....... .......................................... ......................................................................... C�-� cl r�'r� TYPE OF CONSTRUCTION .......................................................... ........;........................................................... ......... ..•. ................... .....:.19 TO THE INSPECTOR OF BUILDINGS: The undersigned ereb applies for a permit according to the following information: r Location ...... ..... ............`..................... ............................ .................................... ProposedUse ... . � ..!�. ........ ?7/... � .............. ................................ Zoning District ....../. .............................................................Fire District .............. ../� f .................................... f AlAV Name of Owner ..�% {� ���.. ������s.,.Address ..�f0.......`....� �%�....J r VYA15 !'a /r /,.............. / Nameof Builder ....................................................................Address ................................................... ......... Name of Architect ..................................................................Address ..................................................... .....,......................... Z �® Number of Rooms .............. ..t...................................Foundation ............... ...................... . Exterior ........ ......�l..f�1.. i� . ..................Roofing ...... ........... OV- Floors ... ..y . /..`............................Interior .... . ..of J' �� .............................. ��� Heating � ....... /� =�rG...... �.�(�:......Plumbing .................................................................................. Fireplace ................../.............................................................Approximate Cost ..... �.r..`�... �............. ....... ll Definitive Plan Approved by Planning Board ____ __ L______19_23. Area ...1... ..< .. ...' . Diagram of Lot and Building with Dimensions Fee �' >Q� .. ........ ... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH jlez ry I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ ... . .... .. ... .............. i ...................... Dacey, William E. Jr. .N..o........1..63..9... ..permit..f.o. r ..........o one story . ................... siaqJa41y dwelling .................... ............ ...... Locatiok.q....%n..Road............ .... ............... nnis .......... .............. ................................................ Owner William E. Dacey, Jr. ................................................................. Type of Construction ............frame.............................. ................................................................................ Plot ............................ Lot ...............#126 ................. Permit Granted .........jUlY..13................19 73 Date of Inspection ..... ...... ........... .........19 Date Completed .... ..... ...2.3 ...7:1.19 PERMIT REFUSED ...................................................................19 ................... ........................................... ................ ............ ..................................................... .......... ................................................I .......... ..................................................... Approved77............................................ 19 ............................................................................... ................I'll........I.................................................. r , IME Tp . �°. The Town of Barnstable * BABNSCABM • 9� MAE&; ,0 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 �„ ;,. . �.r,. y: .t ,x�: _v �_ Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 ., Building Commissioner •-- ` PLAN REVIEW 9 Owner: ` Is ` , Map/Parcel: Project Address: �1� Vb"' Builder: J The following items were noted on reviewing: :;�La �� s "� _ 6L): �O VIs , ?\-Alk:�4s �i -C , Please call 508 862-4038 for re-inspection. 0<4v�4- Y• \ GIB k Date: 1 2, I V q:building:forms:review i r . 00 I Y y L3 05, N s w O O � y Af 1 l" '.ig c-S-v d ZGyc,�./. �l�� �� �-�`Uv► 6-Gr �G Z ���,7 i Z L. � L �' �� '-`� f H'S � �-r �.�� �- / c:>d to / � ti� ti K /'L d1 `'f� 4, n '1 � C -,.:.. —... �w ..�- i 3 L���� � / , _ for /) � ;��,k�h //Jrr��e �J S, -� �� �z � �c ... ... . :.. . .._.. . _ _..... _ s 1 1 1. y � � naa h-, k - - - _ _ _ _ � a '_� �`'t/� �- �D � --� �I � �.! . I, ��4✓t ��a �. �� �hrrlSt�� •dN. PJ 4` J1Gr/k.�! �C!/(/v �� �ZS�H �� rG 1y>% tf �C r ( 4� . rl 14 I 3 L Y!o G C �Y Gtf ev l� s 'loop Engineering Dept. (3rd floor) Map Z.r Parcel : 2 Permit# ' 5o6 2-4. House#• Date Issued ^ (J 0 QF p Board of Health(3rd floor)(8:15 -9:30/1:00- ) �,'7 �WYOeera Conservation Office(4th floor)(8:30- 9:30/1:00:•2:00) - 2- /s DO f1l .�5,. Planning Dept. (1st floor/School Admin. Bldg.) tHE Definitive Plan Approved by Planning Board 7 19 ' SEPTIC SYSTEM Iclf ALLED IN CO MAss g ��� �• �� - IT 039• .t TOWN OF BARNST MENTAL C ' D Building Permit Application ®WN REGULATIONS Project Street Address 7 IJ r- got Village fT y A f1 c S �. .' Owner ✓e,k t 6 ,5PV1'- C Address 6 rl' SS Cn 14 'Telephone 77 9- G 7 31 :Permit Request eonsity.-J S-J.(-01kR1>ri✓' �'� rya s��`� vvS2 f 1/�T 14It.t/S Y!GG k(� A[ -&, ew!V C pt���°K. Z /S^t(�/'!%r/arS ;rk, (,.G/ /✓ 4 t�tr /-4C ^First Floor ,l 2 2J h� arts/<�iy square feet Second Floor �Uss�'"� square feet Construction Type0 �1 `aa Z Estimated Project Cost Zoning District Flood Plain Water Protection 140 Lot Size 1 •), S Grandfathered ❑Yes ❑No � o Dwelling Type: Single Family UR'� Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 6- '�' Historic House ❑Yes Uk<6 On Old King's Highway ❑Yes fro Basement Type: ®'Bull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /2G Number of Baths: Full: Existing New f Half: Existing New No.of Bedrooms: -Existing New Total Room Count(not including baths): Existing New. � First Floor Room Count oy f r.s Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air ❑Yes ff< Fireplaces: Existing t/ New Existing wood/coal stove ❑Yes plqo�- Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) f2' one ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes lBrlo If yes, site plan review# t� Current Use +i�;��1 /���%�S I/i�tvlt Proposed Use Builder Information Name �r � /; Telephone Number q 2, Address 13 C,Y l License# U I C/ l/ L o S Home Improvement Contractor# j�10fl Z 3 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES rON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3 4:11 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) A FOR OFFICIAL USE ONLY PERMIT NO. �- w DATE ISSUED h y MAP/PARCEL NO. ' ADDRESS ° VILLAGE -�• � _ - - - < OWNER DATE OF INSPECTION: FOUNDATION • FRAME;� ~= I�'� l `D�r • •� . ;, ' _ •_ ._ " ♦_ ._/ _ • 'INSULATION x , FIREPLACE ' ELECTRICAL:., ROUGH = =FINAL + PLUMBING: ROLI ' FINAL j Y GAS:. ROLTGI FINAL FINAL BUILDING DATE CLOSED OUP t c +/ASSOCIATION PLAN NO. - j �_`_ "� I The Commonwealth of Massachusetts . :-:_ I -- Department of Industrial Accidents afJfce 0/10e599atinos = t 600 Washington Street .1 Boston,Mass. 02111 Workers' Compensation Insurance Afridavit �///////////////�//O//�//////////////�O//////////////////%%%%//////;/ name* .../I.1. A'.�S l pk ly I"-c location: b 2 M'1 j'r-h 4 ' city 6 A"4 a S . r44. of 6 y phone# 2 7�- - C 73 ❑ I am a homeowner performing all work myself. . ❑ I am a soleI'll netor and have no one worlds in acttq Tam an employer providing workers' compensation for my employees working on this job.: . :: .::::::::::. :: :. : :::::::.::: :::: ..:.::.:... ...:::r.: ::::: c .. .:::: . :.,...::.:.: :.._:::::::::.:::,::::::::.::::::.::.:::.::::._:::.:::.:::::::::::::..::.:::::::::.:.:.:::::::,::::::::.:,:::.::.::::,::::.,.::, ... --.v name ,::. ..... . . ...... ....... :....:.....:::: . :.:::::.:..:.....:::.:..::.::::.::.......:.......................::.:..X.::::::::::.::..::::::::::.:..:::::::.:..::.:...: :.::::.:::::....:.: .rrtldress•:::..::.,.;.:: ........ :. -- :: ... ............. .... . s:::.: :: :;,. tv :.:. ..::.. t. .:::::. . :::. . .:.:. ............................:.::...:.::::.:.::. ::::::::::.A.:: .. .:::::::::. .:: .................:::::::.:..:..........:..:::::. . :::::::..::.:::. :: :.:::.::. ::::::,::.:::.:::.:::...:,:::..:....... . :. :... : ..:: .::::::.::::::::::::::::::::::::::.:::::.. : .: .: :: :: ...::. :.::::::.::::::. ... ... .:::.:;;:.;:I .:;:: : :::.:.:: :.:::..:::. :.:::::. ::::::::: :::. . M . .: : .: : : -. ::::::: :. ..., .... ........ .. ;. . ,r Insurance co.. .. :..: ..... t ::......: .::.... olio.#.•_.... ..... ...:.. ::::... . ...:.. .,....::.............,., ' ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation poX.lices: comaanvnante.... ::: ......:.;:::.:.:;.:.:;:.;:.:::;:.;:.::.; :;;:::>:<: EM: a dress.:.:. .. _. __... _. 1. ...: :....::•::::.:..:..:::.......:.::::•::. ... ....:.::::......................................................::.::::....,................ ,..... ... ............................. No" :;:i:::i:<:;::::isr::::::5:2;::iiii::;:;i:::::::i:;: 3yy��:..:::::.::::::a:a:•:::;:::;:;h is i5:::::`i:::::::.:.. :::•:::::....:;•::::::;:<;: :;:;_:'' 2;:?:::::.:::::::::::::::`•. ...:.....:.:.:...........:;`'z:':4lLtln :#•: ' 41 ...... .. ........ .... .: .. ... ............... :.t.•: .................................... ................................................... ......................................... % • ............................................................................................ 5.............:.:::::•::. .::.�.�. ::•.;:::•:..�.: .. .............. ........................................................::..:.:..±::::vv::x;,, .w.:�:::v:::v::•:::....... ..... n.v... ,wt w•ri;v.J:;i.:•:♦:....:Xi: .: :: ::::::•;:::..�::::::::::.�::::.�:::�::.�::.:�::::::::::: ::..�:::..::::.::'::::::::::•::i.}ii+:<>4:;r;??:<:v::::: .::Mr.i:� i:i Y.!: r.:..::.;.?i::::nisi:.:}i?:;?ii?:;_.iii:'.i;:r;:::�.•.:::.:::'::::.:{.:_:is^:;:;i:;i:i.: hsnrance.co... .-:.:...:.::......... .. ......... ........... ... ty1i iiii c anvrame:. .. ;.::;.;::::,.;:.;:. 1. :;:::.::: -.-::.::::.:.:; : ow adiiress. :. ..... bhbne. .. . :.;.;:.:::> ..... ::.. :.,.......................................::..:::.. ........................................................................................................ ......................................................... .. :::::::•:.::.::._::•::.::.:::::.::::::.:: ::.:......................................................... ::•:.:::•::::::•:::::•::::::•:::.:•::::•:::::.:•:::::.::::::::::::::::::::::::::::::.::....................:::.:•:::::::.:.::::::....... .........................................::.•.:..::.. .....::•::::::::::•:.:.:.:::::.:...:.......... :::.>:.::::::•;:.:::....::....:::..,:>........................:.:.....>..:.;:.:::•:;•:•::;;::;.>:.:,><:>: 11- in�arance:co ,.:.:..:.....:.:... __. oli /. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crlmiosl penalties of a tine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a lhze of S100.00 a day against mG I understand that a copy of this statement may be forwarded to the Oiflee of Investigations of the DIA for coverage verlflcation. I do hereby certify the pains p f perjury that the information provided above is trw.and corned � � Date ��/fr/� signature — - Print name 1 11) C �s Iyyc_ Phone# qa- fe 5-7 oiflcial use only do not write in this area to be completed by city or town oiflcial city or town: permitilicense# ❑Building Department 011censi ng Board ❑checkif immediate response is required ❑Selectmen's Office __ ❑Health Department contact person: phone#; ❑Other (devised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 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 buildings inthe 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 mto,any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' f compensation affidavit completely,b checking the box that lies to situation and comp � Y�� Y ecldng applies Yam' supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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 retuned to the city or town that the application for the permit or license is Should u have ions re the"law"or if you being requested,not the Department of Industrial Accidents. S you any questions regarding y are required to obtain a workers' compensation policy,please call the Department at the number listed below. ;f City or Towns 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 peimit/license number which will be used as a reference number. The affidavits may be retimmedin the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. , � . A The Commonwealth Of Massachusetts Department of Industrial Accidents Ottice of 11,0esduadons 600 Washington Street Boston,Ma. 02111 fax#:;(617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 °F 7FIE The Town of Barnstable • BnRNsrnsr.E. • Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date 1 L� f f—/o,0 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: ��L�s+�/ 2 "'o_w yp Estimated Cost � i Address of Work: b I'lr9 43 All #6 C h n d5 "e.. Owner's Name: V Date of Application: 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: i 7 jl sloes 13 1-0 4P.C,-S4,V iC,ae,z 3 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav I - _. _._.. ._- ✓i(es TDari�isrtig4[Jiea�ll�i 0/✓ 4ra6a04"46 la BOARD OF BUILDING REGULA'pONS i License:_CONSTRUCTION SUPERVISOR Number:ES 014112 Birthdate:-04725/1956 EVires:-042 9f2 o --- RestricWl To: W- WILLIAM W CROS3ON t 51 SUOMI RD .r HYANNIS, MA 02601 Administrator HONE IMPROVEMENT CONTRACTOR Registration: I00023 Expiration: 6/B/02 Type: OBA BILL CROSTON BUILDING CORI YILLIAN CROSTON �c�nc o ta/ 51 SUONI RO ADMINISTRATOR HYANNIS NA 02601 I vv h J y i f 4 i l z7 :. 0 S11010313® DOWS 00 �' ',j L� F-�''S� /-r a'��' ���w'"1 G 7 (� v� a.h .�✓� �Jr q. n h ' S i I .� rvlsc�� •a Yj-�5407 ✓lal 4 L � " } y , i j, >40 !� �tif6�u1-� � ZYh V4 Z yra /C 7G.L Z Y/o f-G `G yhS�(c✓ 7� ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= above a construction) �U square feet X$96/sq. foot= ( avers g (average construction) square feet X$57/sq. foot= GARAGE (UNMMSHED) square feet X�$25/sq. foot= eet X$20/sq. foot PORCH square f = DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value qo V �g 0 I f i 790 CMR Appnmd=J TablsJ1=(cued) ftneiiPtivs packages for Ons sad Twe-FszWy RsafdesaW$ �° P Seated with Fouil Fuels MAXIMUM. g� HeaIIag/Coolia8 FlQftow oor Buono Elnd� Ate 'M) uwifoe R� & � Rrvaiad Wan all Pfam:e� Rrvalid R"hd Par�sre 3701 to 6W EtesdaS D DsW Normal Q iZX O�iO 3= 13 19 10 6 19 19 IO 6 Normal 30 R 12% 0�2 6 ES AFUE s IrA 010 M u 19 t0 25 MA_ N/A Normal T 13% 1 613 Normal U . 13% O.Aa 31 19 19 to 6 � 13- 25 N/A � N/A ES AFUE v 139G 0.A4 6 13 AFUE W 13% 0sz 30 19 19 10 Normal 13 25 MA WA X lE'/. 022 wA Normal Y 19% OA 3= 19 25 N[A � 13 19 IO 6 90 AEVE Z IVA O�i2 6 90 A1VE AA 18% Mo 30 t9 19 10 1. ADDRESS OF PROPERTY: C^W-7 S 4 . 5LF1,4 2. SQUARE FOOTAGE OF ALL EXTERIOR WAL & C7_Z 3. SQUARE FOOTAGE OF ALL GLAZING: 2 Z 6 Z 4. %GLAZING AREA 03 DIVIDED BY##2): 7. 19 /o 5. SELECT PACKAGE(Q—AA•see chart above}: Q NOTE: OTHER MORE INVOLVED mMODS OF DEFERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q.forms-080303a rr - rv"�'rt..ry.rt..e..�i..,W< -a„w.... s. <:.., ^ie,t�'S,,,. a tY'w'tr 4v-�'�=x.<.kn,� �' :;.,,�_....m�p .�'4!+^r�",.+.,�.,,�`W�• ., „s'!J�....�erw.�.n.. �THE Tn. The Town of Barnstable * anxxsrnai.E, • Department of Health Safety and Environmental Services 101Eo��" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 t-^ e^L t/1 Q �� Building Commissioner PLAN REVIEW Owner: ` S Map/Parcel: Project Address: O "--D' Budder: �� k"`' The following items were noted on reviewing: r u ,r•� -- 6 yVI A 1 .3 ) \k1 1-"L-r,7 ST IR G ()(L A.S� Please call 508 862-4038 for re-inspection. cEted°bt� �10 y: Date: q:building:forms.review