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HomeMy WebLinkAbout0092 MEGAN ROAD . 9� �.., ��� ,, �, a YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 ears A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission t--o• e—rate.] You must first.obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: t' 1 l Fill in please: APPLICANT'S YOUR NAME/S: cc %f s BUSINESS YOUR HOME ADDRESS: 7 t,f1ts_ is• )Yrrj �21� � =CIS �a Uo�rini 5 ✓�► L, Z(�r; irU•'.1 ` �`�'9"''•ir4' 'aV11L, TELEPHONE # Home Telephone Number k ,iL'�l�vLzr�:d r� �,;;•i.:. ,i^;r�r,�•c :? E—MAIL: trYt}� C11e2— Ll+ � ''� NAME OF CORPORATION: NAME OF-NEW BUSINESS -n 6 e..rl ea al k2_K l Qc.h1% opp gn .TYPE OF BUSINESS IS THIS A HOME OCCUPATION? . YES NO ADDRESS OF BUSINESS. . MAP/PARCEL NUMBER 02 a y (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regufations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your usiness in this town. MUST COMPLY WITH HO"'." ()CCUPP.TION 1. BUILDING CO IMISSIO ER'S OFFI NS F" This individ al h s ee 1 form f a y rmi e uireme is t at pertain to this type of business. RULES AND REGULATIOa = FAILURE TO COMPLY MAY RESULT IN SINES. �� Au orize ig ature** " MMENT • t 2. BOARD OF ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTFIDRITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . f town of isarnsime Building Department Services .f pFTHE tp Brian Florence,CBO Building Commissioner . � w ' B� . ' 200 Main Street,Hyannis,MA 02601 MAZE& www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50 -790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: f2—IU-I �- Name: Y i rnU of �14 r Phone#: � �1^2 Z�— C7/5-5 Address: 92 YM�Cy- I�' r►.N +'1�'1+ s'1�� uZ l�� village: M1 f � N�Ir51ri� Name ofBusine'ss: Type of Business:_V U l i�h i✓i er Map/Lot: EMNTi It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is tamed on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • ' Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: er.Imo' I I Date: 12I� � I Homeoc.doc Rev.06&0116 4, o �IKE r Town of Barnstable *Permit# z01505�4 Expires 6 mopVrom issue date ` Regulatory Services F0ej , • snxxsrtsr.E, • �,��,Ej��1' � p 1MABS. Richard V.Scali,Director 1 4o f1 a rFD MA't A t U�/�f Building Division E 0 d3S Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 1 � ow If www.town.bamstable.ma.us X A Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � 7 (,� Not Valid without Red X-Press Imprint Map/parcel Number 2 I( ^(/- Property Addres79 2) ' y&&AN 9&!� u\A D 2.to0 � ❑Residential Value of Work O,0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Z5\(Mwg L; taLk�.G off©t Contractor's Name Telephone N� 16 —L& 'jam Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor Q ,the Homeowner ❑yI have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) � UyRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over'""� existing layers of roof) e-side C [Replacement Windows/doors/sliders.` U—V�lue Di (maximum.32)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. .,Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: - -— QAWHILESTORMS\bY ui d irmrt ormslEXP-R/ESS.doc Revised 040215 7i ?lie Comrrarrttvealth�,f 1VassrrcJirrsetts Department of lfndristrial Accidents - - Offwe of Investigadons 600 Washington Street Boston,-41A 02111 ' wivin mass govfdia ."rorkers' Compensation Insurance Affidavit:$nildersiContracturs/`Ekctr cianslPlumbers Applicant Informatim Please Print LeaibIy �1`lame-�13ns®mess�Osganizationflnd�z}nal}: �cs ri.,�•Q� �c,J1 CARWStatt0b--= ' Gv1r��S £»b© Phone Are you an employer? , eckthe appropriate box: Type of project(required),: 1.❑ I am a employer with 4- ❑I am a general contractor and I 6- ❑New construction employees(full and/or part-time)-* have bired the sub-contractors Z❑'I am a sole proprietor or partner- listed on the attached sheet: I ❑Remodeling ship and h;n a no employees. . These sob-cantrac#ors have 8. ❑Demolition wa drtga fur me in any capacity employees aiid hat. wodcers' INa vvw-orlcers'camp.insurance: comp.insurance-I 9. Building addition required] 5. ❑ We are a corporation and its 10-❑Elechical repairs or additions .a hameoramer doing all work officen have exercised their 11-0 Plumbing repairs or'additiom myself-[No workers'gip- right of exemption per MGL IX EI Roof repairs insurance required.]o c.152, §1(4)6 andwe have no employees.[No worms' 13.❑Other comp-insurance required_] 'Any applicavtthat checks box is1 umst also fill out the section below showing they wo:Rexe compensation policy infotmauaaL T Homwwuem who submit tiffs af5dm,it m&zxtm.g they are doing all woo}auA dma hie outside contractors roast submit a new affidavit indicazi-such fCanhacCoas that checY this bast must attached as additiamA sheet showing the name of tha sub-cc=zct7m and state whether at not those entities have emp4ayees. Ifthesub-contvwtoes have employees,they must prn-idetheir worken'camp.polity niumber. lam art eitipioper tliat is prmading itrorkers'coitgmnsmiaii insurance for iuy euWLi7jees Below is Mepolicy and job site information Imsmurance Company Name: Policy*or Self-ins-Lic-4: Expiration Date: Job Site Address: CiEy/State/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date.. Failure to secum coverage as required.under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,SQD OD and/or one-year imprisonment,as well as civil penalties.in the form of a STOP WORK ORDER and a fuse of up to$250.00 a day against the-violator: Be advised that a copy of this statement maybe forwarded to the Office of Iuvest nations ofthe DIA for insurance coverage,'wfflcation_ I do hereby certify ender the pains andpenaTtres ofFet,jury that the informadwiprmided abme is true and carrect Official use only. Do not carte in this area,to be cainptetcad by city or toom official City or Tomm- PermitUcense if Issuing Authority(drele one): 1.Board of HwIth 2.Building Department 3.QtpTown Clem d.Electrical inspector 3.Plumbing Inspector G.Other Contact Person: Phone 9: Information and. Instructions " Massachusetts General Laws chapter 152 regpes all employ=tD provide workers'compensation for their employees. rantto this statute,m.vnp&yee is defined as."_.every person is the service of another Tinder any coact of hie, express or implied,oral or wrftteu." An evTToyer 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 mcln riing the legal representatives of a deceased employer,or the receiver or trustee of an individnal,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more thaa three apartineats and who resides therein,or the occupant of the - dweIlmg house of anofer who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtP,IIarrtthereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applicant who has not produced acceptable evidence of compliance with th-e iacurance-covexagerequired_" Additionally,MCrL chapter 152, §25CM states"Neither the commonwealth nor any of its political subdivisions shall enter into any contact forthe performance ofpnblic wor3.c until acceptable evidence of compliancewith the insUr ncS: h requirements of dais chapter have Been presented to the contracting m fhozity_" � Applicants Please fill otit the workers'compensation affidavit completely,by checl the boxes that apply to your sitnation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) along with their certificates) of innrrar,ce. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not regTined to corny workers'compensation insurance If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe 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 being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are requited to obtain a workers' compensation policy,please call the Department at the number listed below: Self-insured companies should enter their self-i sm ce license nuraber on the appropriate line. City or Town Officials . t Please be sure that the affidavit is completB and printed legibly. The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number-. Ia addition,an applicant that mast submit multiple penuiUUcense applications is any given year,need only submit one affidavit indices current policy infomatian(if necessary)and under"Job Site Ad 1�ress"the applicant shoT�Id write"aII locations a (city ar town)_"A copy of the-affidavit that has been officially stamped or mariced by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fu t re pmrmi!3 or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a-license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any gaestions, please do not hesitate:to give us a call. The Department's address,telephone and fax number_ Thu Camman Ith-of Massachuszt#s - � Ilepaztmenfi cif 1'ndustzial Agents _ (woe of�•�e�fig�tio� 604,washinzan st=t Ba tonIl MA G2111 T(,-L 4 617 727-49GO cx- 4-06 or 14M-MA-S F Fax#'617-`27-774 1Zevised 4-24-07 masgQ�fdia ,- • w a FIKE o� • RAJExsresis. • - 9�, 116f¢ Town of Barnstable .erFD MA't s Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 508-790-6230 i • : Property Owner Must Complete and Sign This Se on. If Using A Builder I. , as O et of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this b ding permit application for: (Address o Job) Signature of Owner Date Print Name If Property Owner is appl ' g for permit,please complete the Homeowners License Exemption Fo on the reverse side. QAWPFILES\FORMS\building permit focros\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services �a it+e tgty,� Richard V.Scali,Director Building Division 4 t BnxxsTeBr E Tom Perry;Building Commissioner 1639. `0MASS. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION CT Q 1 n 1 gO`� Please Print DATE: \ ` f_--,�] n JOB LOCATION: I`1 h��&QQR number street ,.. village-�-- 77 «HOIvIEOWNERmg�IJNe e 1----home-phone-# (1`work -phone#__. CURRENT MAILING ADDRESS: v/ city/ wnstate�"�"'�--.r zip codeA The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection � P procedures and requirements and that he/she will comply with said procedures and requirements. �Signature-of- erg Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner-certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 ParrQ Detail Page 1 of 2 f - ht+4S8 � a, Lo99ed in As: Parcel Detail Thursday,September 3 2015 Parcel Lookup Parcellnfo___ Parcel ID 292-244 ry 1 — Developer Lot,LOT 116 ­,.,s_ Location 92 MEGAN ROAD _I Pri Frontage,$0 Sec Road Sec Frontage 1 Village HYANNIS ­_1 Fire District fffANNIS I Town sewer exists at this address bN0v �1 Road Index 11014 Asbuilt Septic Scan: r " 2922441 Interactive Map r Owner Info _ HAYE, ISHMAEL a ..,N co owner I Owner ' s streets F92 MEGAN ROA6_ 1 street2 F_. city HYANNIS � state zip[02601 Country Land Info . .... Acres I use Single Fam MDL-01 I zoning[RB Nghbd!0�105 Topography rLevel j Road Seml Improved utilities Public Water,Gas,Septicl Location Construction Info ._._........ -.-...,.. Building 1 of 1 Year 1973 `� - Root�Gable/Hi E'� WoodShin le Built Struct p � Wall = g LArea 1216 -41ryW, 1 cover bAsph/F GIs/Cmp 1 Type shone Style[Ranch Inc'.D all Bed 13 Bedrooms s Wall� Roams Mosel r sl s Fu11-0HlfF Grade,gvera Type Hot Air Rooms i6 Rooms 1 Sto_ _ FUe� Gas Found- Stories at(on Poured Conc. Gross Area r.2512` 7771Permit History Issue Date Purpose Permit# Amount Insp Date Comments 1/1/1995 Addition IB37388 $2,000 11/15/199612:00:OOAM HY MUDR00 - Visit History. Date Who Purpose I li http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23093 9/3/2015 I Parce,l Detail Page 2 of 2 1/20/2006 12:00:00 AM Paul Talbot N/C -Cyclical Insp. 2/2/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 9/15/1987 12:00:00 AM ML Meas/Listed-Interior Access - Sales His Line Sale Date Owner Book/Page Sale Price 1 7/31/2014 HAYE, ISHMAEL 28298/182 $192,000 2 5/27/2005 BEMIS, CRAIG S & LEWIS-BEMIS, REENA 19872/231 $265,000 3 5/12/1980 SMITH, WILLIAM D & SANDRA J 3105/86 $0 Assessment_History _.. ..... ....... ......... ......... Save Year Budding XF Value OB Value Land Value Total Parcel # Value Value 1 2015 $91,100 $29,400 $2,400 $65,600 $188,500 2 2014 $91,100 $29,400 $2,500 $65,600 $188,600 3 2013 $91,100 $29,400 $2,600 $65,600 $188,700 4 2012 $91,100 $28,900 $2,000 $65,600 $187,600 5 2011 $116,400 $5,700 $900 $65,600 $188,600 6 2010 $116,300 $5,700 $900 $100,900 $223,800 7 2009. $116,000 $5,100 $400 $151,200 $272,700 8 2008 $135,100 $5,100 $400 $161,800 $302,400 10 2007 $134,400 $5,100 $400 $161,800 $301,700 11 2006 $118,000 $5,100 $400 $142,600 $266,100 12 2005 $110,600 $5,100 $400 $128,100 $244,200 13 2004 $89,700 $5,100 $500 $108,900 $204,200 14 2003 $81,500 $5,100 $500 $29,000 $116,100 15 2002 $81,500 $5,100 $500 $29,000 $116,100 16 2001 $81,500 $5,100 $500 $29,000 $116,100 17 2000 $58,300 $4,500 $300 $18,600 $81,700 18 1999 $58,300 $4,500 $300 $18,600 $81,700 19 1998 $58,300 $4,500 $300 $18,600 $81,700 20 1997 $57,600 $0 $0 $18,600 $76,900 21 1996 $55,900 $0 $0 $18,600 $75,200 22 1995 $55,900 $0 $0 $18,600 $75,200 23 1994 $53,200 $0 $0 $22,400 $76,300 24 1993 $53,200 $0 $0 $22,400 $76,300 25 1992 $60,600 $0 $0 $24,800 $86,300 26 1991 $74,300 $0 $0 $40,400 $115,600 27 1990 $74,300 $0 $0 $40,400 $115,600 28 1989 $74,300 $0 $0 $40,400 $115,600 29 1988 $51,500 $0 $0 $17,500 $69,000 30 1987 $51,500 $0 $0 $17,500 $69,000 31 1986 $51,500 $0 $0 $17,500 $69,000 (�Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=23093 9/3/2015 b,�s,^�-c� ram' i t. ♦ , 'sessor's map and lot number ;NWI -QNV 3a00 AUVIINVO I_-. 31d1S 11310118V HIMA. Sewage Permit number 3ONVIldW00 Nl 0311VISN1 ............... ............ 38 Sp W WSAS 011d3S TIN ETOWN OF BARNSTABLE ii i NMYSTAELE, 9� am39. RUIL ING INSPECTOR z APPLICATION FOR PERMIT TO ...60.,A/�, wle e � � ®" .... ........................ ................................... ....................................... TYPEOF CONSTRUCTION `� �.................................................. .�YJ '.............................................................. . . ..........�. ......19.7 TO THE-INSPECTOR OF BUILDINGS: The undersigned her y applies for a permit according to the following information: �2 .....Location ....... ........ . .e......d.............../..�.... �...../..�...i..f./..f..Proposed Use ., / ,r� .1... ........... J, .l.� .......................... .........."......................... Zoning District ....�X. ............................................Fire District/T��l�. ................................................. Name of Owner �f// ! A 40A.4C��Address '� i`�i�`� �N............... ................... . . ... ... ........... ....................................................... .. .. .. Nameof Builder ................................................. ...............Address ................................ ..............�....... Nameof Architect ................... .........................................4....Address .......................................... .......... `................r�.... ,s — Numberof Rooms .......... ..:Z................................................Foundation ......40 .............................................. Exierior �GB Ste`/ Roofing .. ....... �1s� 7 ..........................................��........................... ...................................................................... Floors � ........... ........................Interior ... ....... 6�.. ............ .................... . ........................... Heating ..........................................................................Plumbing .................................................................................. Fireplace ........... ...................................................................Approximate Cost ...... r�/.. �.................................. Definitive Plan Approved by Planning Board _ L�'_ _�_________19_ Area 0��� �' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ..... .i!/.... . .. ,.....+R�l...? ..... Dgcey, William E. Jr. ' . , 16337 one—����� o —.�����— Permit for single ~ dwelling ` -----.--------------------.. / �1 ` «Jx Road / Location_�-------^-----~-------.. | Hyannis � � ----.------,------.--------.. hiI]iazu E. Daucmyv Jr, ! Owner ---------------------- | ^ . frame Type of Construction -------------- . \ _----^--------------------.. ' � #116 � Plot ............................ Lot ----...........--- � / ^ Permit Granted .......... ..25----]V 73 ' L ^ � Dote of Inspection lV / - + uone Completed * ^ ^ - . PERMIT REFUSED / .---------.----------. lV � ^ � \ ` --------.------------------ —.-.----..----------.-------.. ..;~---...------.--..--,—~.—.—..— / . 1 ' '..------------..------.—.---- / \Approved ,'~______________ lg � . ' ' y ---------------..----.-----. v � ..................................................................',.........' ' / . | �� �3a— - - 1_'.fy-L-�.•'^ ism k .. _ a 52 4 �UT G G►' A T LO N ,e%ysr�aG.� .'D:A.T'E '1-2y i973 - �R E ��:E R E=1� G�.E �� •v�' GoTiG As ` :; _ _ -_ `f t WE.B`Y CE R-T I VY T H AT.'T H It- _"B U I L" D I N G. REG. LAND:: SU:RVEY0 SlfiONF'iV ON THJS '..PLAN CS LOCATED O.N - ,i+-r -G .R OUN.D-. AS ..5HOWN H E R E 0 N AN0 ' C. O N FO.RMT� THE " r. OFTtAT N_ING " BY` LAW5 OF TH< E TOWN OF y .92.c/ST.9Z3G45 WHE N 'C. ONS:TRUCTED. - G MR f� BARN-STABLE_ SCtRV Y CONSULTANTS, fNC � WEST Y A R M O';U T H, M A 5 Svt­ �'a SUING n Mt #w,F� ,�^'tgg. ,.;I We-Own,r Assessor's office(1st t 4-- Assessors' map an ;nXe r sec—Conservation Board of Healsrd flo SEPTICSYSTEMMU EJ "� ry Sewage Permit mbar <, rent INSTALLED IN COMP ' Engineering Department(3rd floor): 6 k. WI TN TITLE 5 °o ,eso. \�d° House number Definitive Plan Approved by Planning Board 19 ENVIRONMENTAL ®® APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only, TOM REGULATION.ts TOWN' : OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO A?W /�X /jyd'oe TYPE OF CONSTRUCTION110r, s: ✓8 19 -� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .plf/ 16- Proposed Use Zoning District 1"> Fire District Name of Owner ty-,z z-1,4N Address Name of Builder Address Name of Architect leyv--�sZ Address S'..�✓/L1is Number of Rooms Foundation Exterior !(:t/d G` Roofingc�in��CJ�� Floors OfC- Interior Heating Plumbing �f7/,�/✓, Fireplace �d�%" Approximate Cost �O'�566 656 Y Area __ j4 zE Diagram of Lot and Building with Dimensions Fee S-0, c10 A �r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS /p 60 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License o �� 1/23/95 A=292.244 No Permit For Add mudroom 92 Megan Road Location Hyannis - William Smith -- Owner Type of.Construction r, Plot Lot Permit Granted 19` i - „'". •fib! . r f t t } ` Date of Inspection 19 , r Date Completed 19 r3 t L 1 IAi �e 8tigzwy s1 IN NOIsadW aalvalsiniiwav as �aa slian� sati�o[koe o b Z -7 #f r M k a3noloe �a3aoa " , �<M T•r � 3�� i, a z� � lb(10I�IONI� `Faddl $` , ` ' > " `L9tiii ruotlea{ si6aa= hraFs a01�t+211N001N3W3h0adWI;3WOM 44- COMMONWEALTH DEPARTWENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE °' MASSACHUSETTS I BOSTON,MA 02108 :, , EXPIRATION DATE j n pa S 7 R, y U P F P,V I 5 O R CAUTION I O 5/z 4/19 9 h FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. RESTRICTIONS THEFT, PUT RIGHT THUMB !b' 1'14 1,1 9 t�P4 PRINT IN APPROPRIATE BO�.,.e...X ON LLI R06r uT J GLOVER Pr`�OY 703 BLA TINGOP RATO,S 1 �1�iR�Tp„ MILLS MSC C264 � � �' MU& IN(�LUDE P_HOfO. PHOTO(BLAST ING OPR ONLY) FE I jti• { I E: i�Q �I o E 8 0 8 1994. 7 I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I I ' HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER C . ,; ,r 1 THIS DOCUMENT MUST p.E � �VI 7�r.✓9 CARRIED ON THE PERSON OF ��kNATII.EF LICENSEE 7 tiE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGEDIN TIiISOCCUPATION COM ISSIO ER Lo 7- I 3Z Qi ii'or� 1V • \ V ? 2 Lo 7- 2 if ` /ZS, 23 ' , I Lo T 7 I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date /5iy'o CERTI FI ED PLOT PLAN _- oL�"-"'\ OF jaL6.a,..4K?i''' LOCATION BL�/ZNST/�}L3LE �i4�/L}/1/Nis� f. SCALE . ./ .._30 '.... DATE !49,1G..24 /5f 0. Reg PLAN REFERENCE . .Be-7.vG 47' //400 \.E'.h 26 O'i On/ /cel ee. . I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE !- STiNC. L1w�zCi�vG or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFbRMS TO THE plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF supervision. :.'1 ee3Y? .4779.44?44.7., , , , ,WHEN. CONSTRUCTED. DATE lG: tot/iG L 14 r9 Z>. .S .,17;V/_ Re7-1770A/4-� REGISTERED LAND SURVEY Czxr TqY\ z-"• ?�- .s / /. ��J - '�; . ..... �T y. r . - c._ Stt f'_.s $.. k'4t •€,? ,. N 1 C Tl 0 307 Man Suc:j�Hialuus NIA Q2601 Olhoe: 508-790--6227 F= 508 775 3344 P--JphCmssea 11un(lingoommissioner For office useonly Permit no- AFFIDAVIT ROME D"PROVF.1KErITCtONIRACIORL&W SUPPLEMMTO PERWrAPPUCAZI0N MGL c-142A requires that the attaations,remmstioq impretvement, rrtnoeal,demolitim or oonsaucdon of an addition to P °q Owner building containing at icast one but not more than four daclling units or to saucomes which we ' to such residence or building be done by registered contmctors,ajth 0at2in excxptions,along with other �quirrmcnts- Est-Cost �5Z©, AddressofWork:_ Owner Date of permit Application:_, I hereby eatifv that: Registration is not required for tltc folloain€rtzsan(s): Work<xcludcd b%-laa• Sob undo Sl O00 Building not va-nQ-tepid Ox%ner pulling oven pant Toticx is hcrcbv Sivcn that: Ou-.*EP S PULLTNG THEIR Cv.,,N P1:F�'./7TO--DEALTNG vmlii U:N'REGISTERED 100?N'7RACTORS FOR APPLICABLE FONs P.✓��Otii!.�•i t:'O�1; D� ;:OT HA ACCESS TO 7-r� ltiPi1TR�TlO'�PROD=�?;OR CUB���.7� fZ1'D(�7LR 1•;GL c. 1<2A SIG?ED UNDER PENAL.TIFS OF PEP-nJT:1' c Sri I\'f0:c j r'r^.�i OR Date Ox•ner's name 11/02/94 17:02 '$6177277122 DEPT IND ACCID Z 001 Catn4nonwea&i o/ MalJach Wetb oUaparfinenf o1,9nclu6fria��ccic>lent� /�600 1/Va��.in�ton.S'f,r t James J.Campbell &.4ton, /i/amacLief.4 02f f f Commissioner Workers' Compensation Insurance Afridavit ( ) with a principal place of business at: car/S—,zW, do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprieto reneral contracto r homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor insurance Company/Policy Number () I am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to S 1,50-0.00 and/or one years'.imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this day of Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # p 3�$' Rom A y iA/s u��c0� f c 3 _ E U /7Z APPLICATION FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of`UdF'res . Wiring Permit it COM/Electric# TOY �6 4a4o6s����Massachusetts Building.Permit#— Date j"-� Customer: on (Street#) tv Lot# in the village of .dr�-•v�f utility pole number or underground.number Customer's billing address Temporary New installation Change of service. Starting Date Job description `� t /l?a cstl--^� �La c 3 Service entrance voltage Amperage Phase Wire size(cu.or al.) Conductor per phase Number of meters Water heater - Off peak:Yes— No— Estimated load:Electric heat kw, lights kw, Range dryer Motors, H.P.& Phase Ready for fist inspecto—nT Ready for final inspection Electrical Contractor / '�'� '��� L 5� ic.# �� Telephone#3�a �7� Address ©d Additional Remarks: Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service Roughing in �� Service and Meter Off Peak Meter Final Approval UVU Disapproved' 'For the following reasons I CERTIFICATE OF INSPECTION i DATE To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and japproval granted for connection to your service. Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46-1 White—COM/Electric Green—Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor to COM/Electric Ttie Commonwealth of ]Massachusetts Permit No.Office Use OnlyH2 Deparrrnent of Public Safety Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:W 190 (leaveblanlr) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be periormed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date J- 3J--`'.S� TOWN OF BARNSTABLE To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Humber)—_ p� "77-C q g.v/�--� Owner or Tenant lit/s L o �'� S'`» �/ '7 Owner's Address Is this permit in conjunction with a building permit: Yes ® No ❑ (Check Appropriate Box) Purpose of Building Ailoe _Utility Authorization NO. Existing Service /®V Amps Volts Overhead ® Undgrd❑ No. of Meters New Service Amps 1 Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity //__� / Location and Nature Proposed Electrical Work G�/ e/L-t, jnE.to� r tr & No. of Lighting Outlets 'j No. of Hot Tubs No. of Transformers Total KVA Above In- ' No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets / No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices Heallo. of Disposals No. of Pumps Total Total'Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW Nov of No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES a NO I have submitted valid proof of same to this office. YES❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) — (Expiration ate Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM HAM LIC.-NO__ Licensee �!/ Signature' fi LIC. �ci /Vi Z �q-r�LJ� � Bus. Tel. No. Address o� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent