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yZdz �--- - -- 1 '"�- `f � Z � S%- ® � U�� � � C t r� O _n REGISTRATION AND CERTIFICATION FORM t'} FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 24 sections 224-3 and 224-4. Please complete one form for each property in foreclo ure -� (section 224-3) or already foreclosed for which possession has been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law, please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 432 Sea St#7B,HYANNIS,MA 02601 Assessors Map#: 306 Parcel#: 306/1 s4/001 Land area and description Building(s) description and contents Occupied: Yes Occupant(s)(if borrowers so state and include name(s)) Oratai Culhane c/o Ocwen Loan Servicing.LLC-Judy Credit Phone: 1-800-746.2936 email: PropertyRegistration@ocwen.com other: Vacant: NO Date: Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) Section 2—Foreclosing Party Information Deutsche Bank National Trust Company, as Trustee for GSR Mortgage Foreclosing Pa Goan Trust 2007-OA2, Mortgage Pass-Through Certificates, Series 2007-OA2 $ Party (full name/title) to Ocwen Loan Servicing LEG-Judy Credit Foreclosure Case Court: Docket# Date filed: 06/14/2018 Current Status:. Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name, title,): Ocwen Loan Servicing, LLC-Judy Credit Company (if different from foreclosing party): 1661 Worthington Road, Suite 100,West Palm Beach, FL 33409 Address: � Phone: (800)746-2936 email:PropertyRegistration@ocwen.comother: If an exemption is claimed,'please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information (i. e. "none" or"see above")). Name, title, other: Darren D Wisniewski Regional Field Service Manager Company (if different from foreclosing party): Altisource Solutions,Inc. Address: 1000 Abernathy Road Northpark Town Center,Building 400 Suite 200 Atlanta,GA 30328 8669526514 VPR@altisource.com/ Darren.Wisniewski@Altisource.com Phone(s): /(407)739-3930 email(s): REOCodeviolations@altisource.coother: "Note: Please mail correspondence to Atlanta office. Darren is local to address property conditions and emergency matters." Name, title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Korde and Associates P C Address: Lowell,MA ` Phone(s): (971)256-1500 email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Co of the Town of Barnstable. Date: Name: Alma Emery ;Title: Assistant Manager I I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Sy 6 l T gad 1UL Application # 04 Health Division Date Issued Conservation Division Application F e �� Planning Dept. Permit Fee o0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address -93Z Seg 34 . (Lod &D Village : e &12?fi KtAYA' GWS NY MA/1'S Owner T�n A,tpi /"l U Ikm!l _ Address �� (7!'[.eiP,�1 (6, Ave. Telephone �81- 337- C a k;)- �,1 �)8H rIlIn l MA Permit Request L°hD-VAte e)< i c t'Icot6n T {q`t(�(IA.)'n WA A. 6XAOA A606K 01VIV IZ Po 1A Ar AL4 �s Xis 5 /AJ Square feet: 1 st floor: existing 576 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation, Construction Type SrC �en�rCA Lot Size /d/1iy Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) 6 /t Age of Existing Structure SO QS Historic House: ❑Yes *(No On Old King's Highway: ❑Yes 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout 00ther &k0QJUlb 000 Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: _1 existing _new Total Room Count (not including baths): existing Z new First Floor Room Count Heat Type and Fuel: Ga s ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ®'No • Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:!- _. Zoning Board of ppeals Authorization ❑ Appeal # Recorded ❑ E Commercial Yes ❑ No If yes, site plan review# Current Use Proposed Use ZZ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1_)i4V%d G t;LBJ�n'fd Telephone Number 7e ! 33S- C ti 7 Address aC License # es- Home Improvement Contractor# I Y/21O/ Email ��V���C�4y�EC'�dSTr N'e 1 Worker's Compensation # ��✓L' � '9�7Cf96 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ID 11?7d�Z ll SIGNATURE �., % s DATE Z h,/20/3 FOR OFFICIAL USE ONLY f APPLICATION# 4 DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER _ 1 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE zr ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 EL-ECTRdCAL &]INIEGRAT'EDATECM-NOL'OGY. RENEWA'B TwffN'ERGY Will ■ ,A �� a J www.aa done .com s 38 Greenwood Ave. Weymout 'A 02'•1�89 • Tel 7,81 337.0-222 Fax 7,81.3.37:5.152 JOB 4 . DWD ENGINEERING, INC. 5 Michael Road SHEET NO. OF EAST BRIDGEWATER, MA 02333 CALCULATED By 12viig DATE (508) 378-9602 FAX (508) 378-2922 CHECKED BY DATE SCALE .......... ....................... ................ .............. .......... ............ .............. ................... .................. .............. ........... lk4l .... ..... ... ............. .. I....... ......... ........... ..................... ................................. ............ .................... ............ ........... ...... .................. .... . ............. ........................... ............................................................ ............ ............. .............. .... 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Technology Insurance Company A Stock Insurance Company WORKERS COMPENSATION WC 99 00 01 B AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Ncci Code:39071 1. Insured: Policy Number: TWC3457096 D L G INC DBA:Finishing Touch DBA:FINISHING TOUCH 45 SANING RD _Individual _Partnership WEYMOUTH,MA 02191 X Corporation Other workplaces not shown above: Federal Tax ID: 522450651 See Extension of Information Page Risk Id: Producer: Renewal of: TWC3396311 AmTrust North.America,Inc. c/o Paychex Insurance Agency,Inc.(B) 150 Sawgrass Drive Rochester,NY 14620 2. The policy period is from 2/9/2015 to 2/9/2016 12:01 a.m.at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here:Massachusetts B. Employers Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: . State Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease $500,000 each accident $500,000 policy limit $500,000 each employee C. Other States Insurance:Part Three of the policy applies to the states,if any,listed here: All states except ND,OH,WA,WY and State(s)Designated in Item 3A. D. This policy includes these endorsements and schedules:See Extension of Information Page 4. The premium for this policy will be determined by our Manuals of Rules,Classifications,Rates and Rating Plans..All information required below is subject to verification and change by audit. See Extension of Information Page TOTAL ESTIMATED ANNUAL PREMIUM 4,690 STATE ASSESSMENT 261 TOTAL ESTIMATED COST 4,951 Minimum Premium 500 Issue Date: 1/1/2015 Countersigned by: Authorized Representative 0 n • s 0 0 co Massachusetts -Department of Public Safety Board of BuildingRegulations g and Standards Construction Supen-isorEx License: CS-M855 DAVID G"ERTO ' 45 SANING RD y NO WEYMOUTH MA.02191 Expiration Commissioner 08/04/2015 �e lGa��rnca�urerr/f�a�C-����r;;t�iclirte Office of Consumer Affairs&Business Regulation MEWPROVEMENT CONTRACTOR egfi trationc 141201 TYPe Y xpiratioa wj,12,016 DBA FINISHING TOUCH DAVID GILBERTO 45 SANING RD; gG yam_ N.WEYMOUTH;:IAA 02191" Underseeretary s1_9 �rd ackno rledgesrec�ieM tras SU6asshilly�co�inpletetl ,'� hou�Occu atronal Satety�na d{kleaNh TCaJning G6urse ink Construction S�ety and�ie>alth . IN Mb, g h. r � SO- LuisQurntanar � 6/13/2012 (�rainernamet&pnnt o�type) §F a(Gourse entl date) I Cape Cod'Vacation,Rentals, at the Beach .;.. Street; Hyannis Cape Ctxi DATE: July 2, 2015 TO: Whom it may Concern FROM: The Breakwaters Trustees 432 Sea Street Hyannis, MA SUBJECT: Donald Mullaney - Permission for inside work for Unit 8D The purpose of this letter is to give approval by The Breakwaters Trustees to Donald Mullaney, the Owner of Unit 8D to complete all necessary improvements/renovations and work exclusively on the inside of the unit. Submitted potential changes include the relocation of a load bearing wall as well as other changes subject to the approval of the Barnstable Bldg. Inspector. Sincerely, Tkwator Trustees Onice Loux— Trustee/Chairperson I * * enxetsTnaLe. • 3 Town of Barnstable 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 Fax: 508-790-6230 �Y ProP a Owner Must Complete and Sign This Section If Using A Builder I, ��'�M.t� K 1„1 UU.IkNE4 , as Owner of the subject property hereby authorize �- hyc G I t:Rt no to act on my behalf, in all matters relative to work authorized by this building permit application for: rWrfIS (Address of Job) C—A— Signature of Owner Date Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. 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Po � I Tw c �U9 2 9 W Attach a wpy of t3ne,o nxkc s'c mprzmti=policy dad=rsiioa page(showing dLcp Ecp Ixdcqkfi=j=tc). Fm-Mmivsecml--coscrageas:eTzhm3node=S=fimm25AcfM3Lr-Mcmaleadto1beimpos?boaofmmival a€a f=vpto$UGOLOaaadlar MOCIlt azvcUascivAP=dEMiaffMf=nofa STOP WGPXCX DMandaffw ofup to�350..00 a dsg aft 6ic vinla� $t advised tizat a cogg afthis x�gbe ceded fa Sys Office of Imes o€$�a D�IE�inrmsa cavtrage v Icaasrrbg u�sder�aPrrars cnd a, - $etc aaaFinadtroa pravidsd ecboac- b�,azrd crazt Phone Ciig or Towa: POMOM CC=ff ]�g��aritg{�sIoonejc . L Board of Kcahk 2.BwWm; tmt S.Myfrmm©ems &IIechi—I F�pednr S.Wtomfift Enpccbr 6.Ckbw Ca�ct1'Ssan: �� . 6 A rw Q_ I. A r? ►�d r. ,J Y c Brorn�,Inc. Cal "ing&1 Ung Contsuctor feu&Batb Sboaroom: 373 WaehbWm Sneer Ban M ymouth,MA 02188 s. Wepbone.781337.9183 F2:781-337-7633 ' a waadarbne.aom . .. - .. Come by the ahowroom and meet Ow gLMO ed Sale .. and we how much mme we have to ofla. CHARLES D.BAKER GOVERNOR Commonwealth of Massachusetts JOHN C.CHAPMAN Division of Professional Licensure CONSUMER AFFAIRS AND KARYN E.POLITO BUSINESS REGULATION LIEUTENANT GOVERNOR BOARD OF STATE EXAMINERS OF PLUMBERS JAY ASH AND GAS FITTERS CHARLES BORSTEL DIRECTOR,DIVISION OF SECRETARY OF HOUSING AND 1000 Washington Street • Boston • Massachusetts • 02118 PROFESSIONAL LICENSURE ECONOMIC DEVELOPMENT May 28,2015 Janice Loux 432 Sea Street Hyannis,MA 02601 Re: Variance PV301 —Breakwaters—�432:Sea—Stre—etn.Hyannis Dear Ms. Loux: The Board of State Examiners of Plumbers and Gas Fitters requires your presence at a Board meeting on June 3, 2015 at 9:00a.m. The meeting room is on the lst floor at 1000 Washington Street, Boston, MA. The Board will entertain discussion regarding the above referenced matter during the meeting. The Board recommends you bring the following to the meeting, if applicable: 1. Drawings(s),Floor.Plan(s), Site plan 2. Photographs 3. Documentation, correspondence, statements etc. 4. Any other relevant materials/items _. Please note the Board is required to retain the items used in the presentation. -� Please be advised, the local Plumbing and Gas Fitting Official is also beii g'";notified I f this meeting, as his/her input is extremely important to the Board in their rendering`o.f,a decision. Failure to appear at the meeting may result in the Board taking no action on this matter. Sincerely; For the Board - Wayne E.Thomas.,Executive Director, Board of State Examiners of Plumbers& Gas Fitters Directions to the Board Meeting are available at the following URL. http://license.reg.state.ma.us/public/dpi location/dpl office locator asp Because of multiple 1000 Washington Street addresses in Boston,when using a GPS or Map you may wish to insert 321 Harrison Avenue,Boston(Parking Garage Address). i0 TEL: 617-727-9952 FAX: 617-727-6095 TTY/TDD: 617.727.2099 http://www.mass.govocabr/licensee/dpl-boards/pll I' I L JE""'EIVED MA 2 7 301 _ Commonwealth of Massachusetts o r Division of Professional Licensure state xaminers of Board of State Board of Examiners of Plumbers and Gas FittersFlumharsanfl Gasfitters 1000 Washington Street• Boston a Massachusetts •02118-6100 VARIANCE FROM STATE PLUMBING CODE h )66t-e�t. PRE-INSTALLATION �t $86.00 aDDlication fee payable to "Commonwealth of Massachusetts" DO NOT USE THIS APPLICATION IF PLUMBING WORK HAS BEEN COMPLETED PLEASE PRINT CLEARLY (Sectionl)APPLICANT INFORMATION: Applicant Name: ` Fi Name(if applicable): + p , — ! Title or Position/with Firm(i pplicable): Type of Work: 7w /��e C f41/')oPr S-e✓) New Construction: Renovation: ®� Street Address: City/Town- State: Zip Code: 4 Sea S �t-hn1S g- I 6a6Q Cell Phone: I Work Phone: Email: 1 i. ALL OF THE FOLLOWING ITEMS MUST BE(INITIALED. ' IF LEFT BLANK,THE FORM WILL BE DEEMED INCOMPLETE AND WILL NOT BE ACCEPTED. 1.1 have Included with this application written documentation that the local Board of Health has been petitioned INITIAL BELOW regarding this variance request."(Variance requests for City of Boston must Include petition to Inspectional Services) Note:No Board of Health petition is required for buildings owned,used or leased by the State of Massachusetts. 2.1 have included all necessary supporting documentation regarding this variance request. BELOW JL 3.1 have included a non refundable check for$66.00 payable to the Commonwealth of Massachusetts.' INITIAL BELOW Note:No payment is required for buildings owned,used or leased by the State of Massachusetts. 4.The unusual or extraordinary circumstance or established hardship that warrants special terms or conditions is INITIAL BELOW clearly stated in(Section 5)on the second page of this application 5.1 understand that this variance request is for one instance at the location information stated In(Section 3) of this INITIAL BELOW application. OW 6.1 certify that the plumbing work relevant to the Information stated in(Section 5)has not yet been performed. "Additionally,any response by the Board of Health or Health Department must be provided,however,the Board may waive this requirement so long as the petition was made In a timely manner." I TEL. 617-727-9952 FAX: 617-727-6096 TTYITDD: 61,7.727.2099 http://wWw.mass.govidpilboards/pl I � (Section 2)OWNER OF THE PROPERTY WHERE THE VARIANCE IS LOCATED:(Please leave blank If information is the same as in Section(1)) Individual Name: Firm Name(if applicable): Lo Street Address: City/r wn: State: Zip Code: Lf�a EN a14� I'S � Cell Phone: Work Phone: Email,_J Lo � D c�� v V1i eVr�- (Section 3)LOCATION OF VARIANCE:(Please leave blank if this information is the same as in Section(2)) Name of proposed or current occupier of the building: Street Address: City/Town: Zip Code: (Section 4)ADDITIONAL INFORMATION: Plumber's Name(if available): Plumbing Firm Name(if available): Work Phone: 1-a Name of Plumbing Inspector: Date Inspector was Informed of this Variance Request: Plumbing Code Section(s)Relevant to this Variance Request: ( a L18 CAR t o - l0 1 Q 4 Je Has Plumbing Work Begun at the Location of this Variance Request: �. Yes:❑ No: Date Work Began: (Section 5)VARIANCE INFORMATION:(Please explain in detail the established hardship relative to this variance request) Plumbing Code Section(s)Relevant to this Variance Request: y 8 C nti� J 0 . l 01)?"ot� (� n��e U r► I hc�In cJ t CQ 0� f3n3 � Coo ✓1 i T-- ` i i By checking this box - I hereby certify under pains and penalties of perjury that the information entered on this application request, Including supporting documentation,is true and accurate and is filed in accordance with Chapter 14Z section 13 of the General Laws and 248 CMR,the Massachusetts State Plumbing Code. I certify that all work performed prlor to this request for a variance meets the requirements of 248 CMR and that I am only seeking a variance for work that has not yet commenced. I also certify that I understand that this Is a request for the!Board to allow an exception to the requirements of the Massachusetts State Plumbing Code and does not constitute an appeal of an inspector's decision. Signature of Applicant Date: (�o �L Elie Commonwealth of Alaggaehugetw Division of Professional Licensure Office of Investigations Dennis P. Driscoll Code Compliance Officer III-Inspector/Investigator Division of Professional Licensure Tel: 617-727-2243 Office of Investigations Cell: 617-293-1804 1000 Washington Street-Suite 710 Fax: 617-727-1944 Boston,MA 02118-6100 dennis.p.driscoU@state.ma.us 0 Pwrrteo on Recvcso PMen 4, �(� �\ �• V V �� �G �� �_ � 'J -/ � � � z �� � � � � . �, � TOWN OF BARN TABLE BUILDING PERMIT APPLICATiION' Map Parcel Application V� Health Division ( Date Issued Conservation Division dY�> Application Fee Planning Dept. Permit Fee (00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village -12 LOwner-=-6 6..a, J Address 2- Telephone-- Per'm-it.Request AA a 16uL..�.,1.-Z 4L�A& Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay �Projec 'Valuation �' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) - Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hkghway: J Yeses❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other s Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �J e�z1'' i �►� �^ Telephone Number r��o�%,J 2`Z Address I"1 Crkn60hf 1A. �yt AJ License # CS - 1 0 7 ( d q plrs,"s fit/I S aA 626,1 6, Home Improvement Contractor# Email 1-"G a CoV Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOIUr SIGNATURE DATE S�/y 16- r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . I ` DO I 60 Wsfresf HA O 14FVfA.F �tl8 . Tirrfm-rrrar#smr �£'aS��FiII'��i� 6y cr,r�o ,relx= � &eyzta an=3&yer?Cht&ffiex2proIniaim.ba= TV--ofiolmt L❑ Iamaemplaperwift • 4 ❑ IaozsalcaraadI amdmcfma Sage=(fall m lorpart-�)_* havehirelliffm toss ❑Nero am a sole psopxid=orparf�t List) the a€tat�.d s ❑Bmdeiing ship=d hnm no emplyem• Them u kme 8- Q DemaRffoa Ong forme c�r. �is any capacity. aud bxWe wag=- [No ads•Cow;n rasa_. comp-irmxml e i 1 - 5-❑ We am a emportimM:d it 10_E. kcal repaks or additims 311 Imn&h doingaUvmk om=.sb&TC em=sed V_Wz lLEpkmbicg=pximac mUfwm' ystit[No wodmre comp_ zigbt of mperhIM 12-E Roofzegaus sisunmce regvim&]t c.15?..,§1(4�aadwe Elva ua emplayem INCY wod=& camp-k=mTk—rBVim&I jAmY=Ffirsmaf3Z2cbY_- sIics±'I=utalmIM out tbemmarS,beTos a=d=Z&&Uu&=e M=pI=fi=pIUryhff=IdEM- TM=emmemvdm=bmrtff3ssffullekm tiueya>sr?�SrEtr>aT[e�e3�eala�oc>�deca x>�sn1 a��dsriRmr�rat s �Ca�cacros•&aF cbecttbir b'e=m>gt au-;���••,�sf>.Qet sbexnsgtbpa>ame�ffie mh-�s�mdatai�ubeti>gnras>a�e a F�r>A. r��s. lrs� aa�I��T�,aL��t sae tam- �p�� • Ire ct�gsrlsf�ptF tisat isgrai rrlcrliers'eoutraaarar �gta�aea He7atr is��FQ rradjob rite Tslce Mace CiOMPMyN=e: Iob Sife Ad&msr CityfStafe>+lap_ Attach a copy Gf the vnni= `campeos3tim palicy dwLwa:m page(shoeing fke poBcy' I er atd cg3iL iou. Failure SediaM25 to€hIMr-152 maleadto-Emimposig-offalgeadEm of fore up to$I,5DD as andlor as vk as civA pemdf ies m ffm fomlof a STOP VIORX CR=and afore of'up to$250M a day agaira ffie vio}atuc. $e advised fora a copy of this d demo mozgbe warded to the Office of Iuv=ffgxti=s oftfieDIA Ex fi=a s=mv=age4 paL IZa des}srmssmiipzaaMm&fp&j=yAatthe&for mASanpran6Wab�ahuetr�d'carract - >m,I 1 Datr_- _ 0 tfkiAd use OffF I?c t[at tsFtfs in 8iis arerr,tzF 5s e�by clip ar iatva a}�ciaE Cify or Town: 0 Ess®g uthariig{drde one L ward of$ealtti IBard ;BTatmemt abOTown CIe 4-IIedrical r 6.Phmg3.rag&V=br 6,tkhgr Ctt�ctP'exsaII: Ph�ane�: . 6 . 1f x A d r . ry Ser*es pil tl �x�'��';�,.}p .A 'rt � R:, � .0 Iv.�r}va�'+rst':,��-t" �'F �'Y„i^ ��'� �ar�a "q i� '�;w ,� '',:.3aa� 9';l"'� -'��'•: 05 .��M•1+""'�Y� 5f' �. � iyYA b'� t� >h$• #"{ ,� �' "v y� � 1' . y A b wRay/e'k'Nhyd'dl in,h it}}+ a'J�M:•aR/'AF Mfi �i'FT�'i�AKM•MA�+,+ §�'Mrt'd!Y P,! d�4 ;�� iF+Mf W K QW'lK Ir+.��d"'�+� $ •'$ ,��`" s k. : moo Y >- Bul .s�: � ! r ���'' � b loo ;.. • 4L Ipp� ation.fDtih :.M N � c w� k t S o . . �.rpw� o apptyfng for perzalt please complete the Elomeowaers Ucease Exemption Form on the F i I r " .. 4 * $ 4�'JIM tod fig 4h tho 1*=6W DWO ICQJA CR. 41 v .-f. ow== *--A 6=6 to 05/21/2015 3:32 AM 14154847068 >15087906230 02 o ' "air; C/Xt"'fx""'atitv"r R,Emta(:,�""7 t�'ne I.,-a"h,., /<,. miml, m� .z2;%i! :.(`6.t_., r.Sl"EI'?'I•r, i„1:/,::. .I;If,A Date: May 18, 2015 TO- Whom it may concern ' FROM: Mary Bowles—9reakwaters Trustee/Secretaryo The purpose of this letter is to document the fact that the majority of the Breakwaters Trustees (4/5 or 80%-see detailed list below)voted to have modifications made to a common area of The Breakwaters known as the "laundry room" which is:part of building sirs. The modifications include the installation of toilet facilities and a sitting area which is necessary to accommodate pool attendants working for the summer season at The Breakweatets5 The pool attendants will not only service the pool area but will provide necessary!on sifJOKC'8 coverage during hours the pool is open. ZZ � w zz Sincerely, 5 Mary Bowles- reakwaters Trustt'e/Secretary Breakwaters Trustees—voted to modify laundr morn:. Janice Loux, Barbara Harvey,John Nickerson, Mary Bowles • Cape Cod;Vacation Rentals _�- - at the 8ea0i _ Sea Str"t;,liyaruri"s tape.Cod; Date: May 18, 2015 TO: Whom it may concern FROM: Mary Bowles=Breakwaters Trustee/Secretary The purpose of this letter is to document the fact that the majority of the Breakwaters Trustees (4/5 or see detailed list below)voted to-have--modifications made to a common area of The Breakwaters known as the "laundry room" which is part of building six. The modifications include the installation of toilet facilities and a sitting area which is necessary to accommodate pool attendants working for the summer season at The Breakwaters. The pool attendants will not only service the pool area but will provide necessary on site CPR coverage during hours the pool is open. Sincerely, Mary Bowles Breakwaters Trustee/Secretary Breakwaters Trustees—voted to modify laundry room Janice Loux, Barbara Harvey,John Nickerson, Mary Bowles d i r.T- � v 1t , It V� Massachusetts Department of Publk. Safety Board Of Building Regulations and Standards Construction Supen�isor License: CS-107704 JEREMY.ANDERSON = ` 80 CRANBERRYAM144E RfrT-OAD Mars ton s Mils !IA 026ttfi m Expiration Commissioner 10/13/2017 Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(991m) of enclosed space. x i Failure to possess a current edition of the Massachusetts ' State Building Code is cause for revocation of this License. For DPS Licensing information visit: www.Mass.Gov/DPS . Regulatory Services ASS ` Richard V. Sca1i,Director � g Building Division ThomasTerry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 BuildinLy Permit Procedure for Commercial Additions/Alterations ❑ Map and Parcel number ❑ Letter of Approval from Site Plan Review(if applicable). ❑ Site Plan must also be submitted showing the location and setbacks of existing/proposed structures, septic,parking,etc. ❑ Historic District at 200 Main Street:Certificate of Appropriateness is required. OId IOngs Highway Historic District(north of the Mid Cape highway) Hyannis Main Street Waterfront Historic District(See map for boundaries) Historic Preservation(if applicable). ❑ Construction plans-one complete set of full sized plans and one complete set reduced to 11"x171'and fully dimensionalized must be submitted with the building permit application. Both sets must have an original architect or engineer's stamp. Note: The applicant must also submit a set of plans to the appropriate Fire Department for review. The application package will not be accepted without prior approval from the Fire Department ❑Approval from the following departments,located at 200 Main Street,must be obtained ❑Health Department Hours(8:00-9:30 AM or 3:30-4:30 PA ❑Conservation Department Hours(8:00-9:30 AM or 3:304:30 PM) ❑Tax Collector [-]Treasurer . ❑ Permit must contain full description of the project,correct square footage,valuation of project(do not include hvac)owner's name,address and telephone number,contractors information and signature and dated ❑ Workers Compensation Insurance Affidavit State form must be completed and a copy of Insurance Compliance Certificate must be on file. ❑ A copy of the Construction Supervisor license is required. Note: Construction Supervisor's license holders are not entitled to supervise construction of a building or an addition(regardless of size)to a building with a total cubic volume greater than 35,000 cubic feet. In that case, the application must be accompanied by controlled construction documents as indicated in 780 CM sections 116&1705. ❑ Check expirations date,no restrictions ❑Controlled Construction ❑ If sprinkler or fire alarm system is required,do not accept application package without prior approval from Fire Department(phone call or in writing) ❑ Have you submitted the AQ 06 form with the State?www.mass.gov/dep Any question on completing form call Caroline McFadden 617-292-5766 A NON-REFUNDABLE Application Fee of$100 must be paid upon receipt of application number,check made payable to the Town of Barnstable. Permits are$9.10 per$1000 of value of work.Minimum permit fee$60.00 Property owner must sign Property Owner Letter of Permission. p _ Projects requiring the use of a crane must complete the forms issued by the Federal Aviation Administration(FAA)(Form 7460)AND the MassDOT Aeronautics Division(Form E-10).Forms and procedures may be obtained from the FAA and MassDOT websites. 'Note: No wall is to be covered before wiring,plumbing and frame inspections. Q.*=s/h1cVp=itslCADDALT Reviscd M/27/15 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION * 10/� Map f1 Parcel Permit# fZ Health Division 3SS ZJ! µ Date Issued Conservation Division ' Fee do Tax Collector 3/p y�a-ono P/, ; Treasurer , � 0 Planning Dept. Date Definitive Plan Approved by Plarining Board Historic-OKH Preservation/Hyannis Project Street Address Village. _ �i �/� r� � Owner Vl �� .d✓J)i2 c �° Qdress Telephone 7 7 4"•7 Permit Request I-ei_- v 0.j- 27 �7/`-) , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other \Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _� dumber of Baths: Full: existing new Half: existing new Number of.Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑ El Electric O Other ' Central Air: ❑Yes ' ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑'existing ❑new size 'Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization '❑ Appeal# Recorded❑ Commercial .❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name / Telephone Number v�S Address - w /Z i License# Home Improvement Contractor# 0 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE > v DATE " - FOR OFFICIAL USE ONLY 1 PERMIT NO. DATE ISSUED 7 ` MAP/PARCEL NO. 93 •+ 1 y VILLAGE ADDRESS t � OWNER " DATE OF INSPECTIO FOUNDATION FRAME } INSULATION • .� .. •_ _ � • ' 4 `' ., -' _ _ FIREPLACE - ELECTRICAL: ROUGH r FINAL F `( PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i r t ? • ^ ; r FINAL BUILDING ` DATE CLOSED OUT +� jk ¢� ASSOCIATION PLAN NO. r 4 ! t t a t t in- The ommonweaa w Department of Industrial flccidents �� - , ; ..3 , Office ofloYestf�atioos - s — 600 Washington Street Boston,Mass. 02111 Workers' CO ation Insurance Affidavit name: location: hone# city ❑ I am a homeowner PCrfbMing all work myself ❑ I am a sole etor and have no one world.o in airy==tv I am an employer ding workers ensauon for my employees working.n this job.:: P COS :><:>:;:::::::.::<.}.. :;.... .....::.::::::.:..:.:.. .............:...... ..............:>:.:.:::::::.:.::.;}:......,....:.::..: CO anv nam e a Tess:... . ::. ..:�.:::....::.:::..:..........:::...:.�•.....:.:......:,.-Wiz....... ... ........ ......::; ....::.::::.:.........:::::...::::::.�.....:::: Ci ...:;::......:..........:............:.::... .... . oiicv#•� . insurance am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who ❑ I have hoes: efollowin workers... ...... .::::::.:.:..:.::.::.:::.:......:..: ;.:::::.::::.::,,::::::.::::,:.:.:::::::::.::;.:.._::::::::.::::::,..:.:::::.:::::::.:....:.:::.::.::...:::::::::::..;:;<.;: ;;:>::>:th g .. :. :.:::..:.:::.:. .:::::::. :.:::::..:.:-. ..,..:::.:.:. .::.::..::::. ..........:::::::.::....::.:::. ..::.::.::.::::::.:::: ::::.:..::::::::::.,:..:::::::::::.....::::.::::...::::: ::. anvam n ..... address. ................. ...... :... .........,.:.....:..:.:..:.............:.::..:.::....:.. :.::.. : :::::.:::.........:.::...................::...... . ..... .......... ..........: ......... }r ............................. .................... dtv: ............... ...:........................................................... ...... ....... ...... ..... ..........n... ............:..b:•.........•ik............ ,:}:.:::•.:::n,•::::•x.,':!ii•:i.YiYY:::i;{n}$}$}:i^Y;i6;,;.uYY+:::v.--:•::::::::�:.�:.�:::.......:::� -:::'o:::::.:��::.:...........:::::...... .:Y.Y::::w::::::::::::.;•v::::::::-::.v..•:<?::.,�•.v::•.,�::.:n.�:.{::!::.:vA:.......:v::n}'.........,., y :.. ......::.::.... ......::.:.:..... ..:tv:::. ::.i:'::^>:^:;C^:!..........:C•}''}::::.........:•...ru •.•:xi}vry::}.w.'.t+:�f,.,.-:,:t;rr,•::::::.:::....:w:v........... o�I j��------ �. -...;..:•. iY-:}:!i::Y.:h.....v{{•i'ini::•,iv?:i:::��Y$}i::.:rr:.;:k::•.::v:::::i::.::.......:.:•......::. tttsarance�ca�:. ..<..:;:.:;•::;:,.}:::::::•::... UWAWSMIA :,.:....................... adid Ici .................. ... .........................:::..... Faibare to actor a covera;e as required order Section 25A of MGL 152 can lead to the�potitioa of cr6niaal peaaWes of a lbie ap to SI,S00.00 and/or o�veers'imprisomnent as wdl as dvQ peaaltin in the form of a STOP WORK ORDER and a fine of S100.00 a day s;mast me. I mtde:atsnd that a wpy of this statement may be forwarded to the Once of Investi;atlons of the DlA for covers;e veriflcatloa 1 do hereby certifythe airs pen of PerJury the the ueforni�ion provided above is trr�med tort a D v _ . ate Signature J�6.�'= 11 # � ci T — Print name Phone official use only do not write in this area to be completed by city or town official permivIcense# ❑Building Department city or town, I>Llconmng Bow Qseiectmen's Office ❑check if immediate response is required — Oneolth Department phone#; Other contact person: (tevum 9/95 PIA) °F THE r, •' . '1/°� The Town of Barnstable MAS& �m Department of Health Safety and Environmental Services 1659. ArEcr a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. 7 i _ Type of Work: Estimated Cost_T� Address of Work: Owner's Name: 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 f thee wner: ' a 7— Date Contractor Name Registration No. OR Date Owner's Name glonns:Affidav- I _�� ✓`L6 �Q!!!1/!j'G4�I2U/P.CGf.(.�L G�v�(.tit v.�e„.v z%._.c L�;r .. 1Fa P ��IS A HOME. IM ROVEMENT CONTRACTORS. R. � �� ION T oard of Building Regulations ard ',ta..,dard::n � '- One Ashburton Place - Room 1301 Boston,. -Massachusetts 021.0',3 HOME IMPROVEMENT CONTRACTOR _ Registration 108915 ExpirationOS%2//t;0 ' Type - IND.IVIDUAL .y.:s l r•om[sf�v.ru.: .t_ .i I vt n pe THEODORE L . HITCHCOCK A 3�.� PO BOX -211/ 55 LISA LN W . BARNSTABLE MA 02668 -!,iAF`ORE L. ? :'Stf'."ICK og iSK 1_1_'1 SC _:�3 LY I I e Erigineerinb Dept. (3rd floor)--Map Parcel Permit# ' - 3se 31'cf House# Date.�Issiied ,, � t �Q Q Board of Health(3rd floor)(8:15 -9:30 ° ''r4��ED u /83/1:00-4:30) _ -`��/ �-y� Fee` ffi Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 2 ENV[pq �� r H TIT�,� Planning Dept.(1st floor/School Admin. Bldg.) t^ �'L' � 9IKE p Definitive Plan Approved by Planning Board 19 _ BARNSTABLE. { 1Ft TOWN OYBARNSTABLE ; N t y Building Permit Application Project Street Address Village AIy✓-1'AIN,/,J_ Owner C011490 e�J:mC Address z/:3 Telephone 3:0,Y - -77J 3 t Permit Request 7_0 a3,�✓'f!!�'t8%�-/f J=XI J-72iV( 610AW-1:_ C'owCq 17Z- (V i First Floor �� square feet Second Floor square feet Construction Type Estimated Project Cost $ :30 LX20 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size). ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name /4,Q11A ��� ��y � Telephone Number s7Z 3322? Address License# 0,102/6, J ij_ /,?Y Home Improvement Contractor# //0/0�o Worker's Compensation# 80?0 1/6 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 0.,V Z//% SIGNATURE DATE BUILDING PERMIT DENIED THE FOLLOWING REASON(S) IL9 � rl r. FOR OFFICIAL USE ONLY ` PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. - ADDRESS VILLAGE A + " 4�1 OWNER DATE OF-INSPECTION:' A _ FOUNDATION 31:6? yl°FRAME 'INSULATION FIREPLACE r ELECTRICAL: ! ROUGH FINAL ry PLUMBING: ROUGH FINAL GAS: . ROUGH FINAL FINAL BUILDING ` DATE CLOSED OUT ASSOCIATION PLAN NO. - r f i L 0� t l'7 d ills Y o N Y G� N V L Y O+Y m y O O A U = IA Y C « L p •N to O N H ,O• Ol �� -p N N tO N C O_ �I Y r { N 6 m O 2 +f7 T C T C.J m a O n .. a .o rn 1 1 �t� • The Town of Barnstable a UUMM �$ Department of Health Safety and Environmental Services Building Division 367 Main Stress,Hyannis MA 02601 Office: SOS-790.6=7 Ralph C=ca Fax: $03-790-6230 BuiIdiag Ca=pion: For oMce use only Permit no. Date AFFIDAVIT HOME ZWROVEMENT'CONTRAGTOR ZAW : SUPPLEMENT TO PERMITAPPLICATION MGL c. t47.A requires that the "recoustruction, alterations, renovation, repair, modernfridon. conversion, improvement, removal, demolition, or conumcdon of an addition to any pre-existing owner occupied building containing at few one but aot more than four dwelling units or to structures which are adiacent to such residence or building be done by registered contractors. with certain exceptions.along with other requirements. Type otwork• SL✓>�!/liti!//1�C ✓ ®/-- Est.Cost 30; o o® Address of Work:_ 9 3 Owner's Namer�f� ��✓`' ���� � Date of Permit Appiicotion: a/S/� I hereby certify that: Registration is not required for the following reason(s): Work ezciuded by law _Job under SI.000. __Building not owner-occupied __Owner pulling own permit Notice is hereby given that: OWNERS .PULLING ZTEM OWN PERMIT OR DEALIIKG WPTH UNREGISTERED CONTRACTORS FOR APPLICABLE PROGRAM OR GUARMM FUND UNDER MGLO I42A � ACt�'S5 TO THE A� SIGNID UNDER PENALTIES OF PERJURY I hereby only for a.permit as the agent of the owner. Dau Contractor Name Registration No. OR �?/s/ w rs Date 1,12me The Commonwealth of Massachusetts Department of Industrihl Accidents Office off lyesdozooffs 600 Washington Street Boston,Mass. 02111 1;0. Workers' Condensation Insurance Affidavit Oy name: location: CitV phone 0 C1 I am a homeowner performing all work myself. M I am a sole rietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comounv name: ,2o),s- address: -A Citv- phone#- 0,70 ZSyd insurance co. 201icv III .......... ------_-_-_ C1 I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers* compensation polices: comvanv name* address: phone 0! dtr. ......... insurnnce CM comi2anv name, address- cite- phone#- ... insurance co. Failure't"o-secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of ane up to S1.500.00 and/or one years,imprisonment Aswan madvil penalties in the form of a STOP WORK ORDER and a line of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of investigations of the DIA for coverage verification. J F do hereby certify under the pains and penalties of perjury that the information provided above is tru.- d correct - Ir- signature -Date " 101 .Ir Print name _YhMe# omciii toe only do not-ri in this area to be completed by city or town offirfal QBuilding Department dtv or town: perndt/Hcense Each, ClAcensing Board Melectmen's Office C3 check U immediate response is required C3Health Department official toe person: phone N: _00ther (MMIM 9/95 PJA) 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 coat-: of hire,=press 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 die foregoing engaged is a join enterprise. and including the legal representatives of a deceased employer, or the receiver . �ustee 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 ;ho e,"v%lo.n„pvvn,c to(in maintenance , construction or repair work on such dwelling house or on the grounds o: 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 renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha 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 compliance with the insurance requirements of this chapter have been presented to the contracting authority. 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 Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. 1 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 permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have nay questions. pleaseio not hesitate to give us a call. The Dep:.rtment's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of invesilgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map G Parcel 1 ppl�i # Health Division Date Issued 9 pal y r Conservation Division Application Fee 6D Planning Dept. Permit Fee 4k(0,6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 9L Project Street Address 14 3 a 5e N 5-A• G ca;11 M Village u)(os&A/5 Owner �s4 q C Address_ 4 3R 5Q-0. Telephoned 17 c_kj 1 6 g? >cf\.V S -.a K, Sy J�45 Permit Request 'K 7 7( �{ a X Lk CVA-&L 3o(A IAQSO ��na 51rc�e�3. �. c�}eAL 1,nA Pry �� — '1 . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed='-�� Tot new`? Zoning District Flood Plain Groundwater Overlay Project Valuation �30 0 _ Construction Type 2_K4 en,e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docur entation. Dwelling Type: Single Family ❑ Two Family ❑ • Multi-Family (# units) � Age of Existing Structure t? 505 Historic House: ❑Yes 6No On Old King's Highway: ❑Yes )kNo Basement Type: ❑ Full 6Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing _ new Number of Bedrooms: existing -new Total Room Count (not including baths): existing (:� new First Floor Room Count Heat Type and Fuel: 0 Gas ❑ Oil Electric ❑ Other Central Air: ❑Yes *No Fireplaces: Existing " New Existing wood/coal stove: ❑Yes �KNo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: MZoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _Name_ bcz riAe - Telephone Number ?�z 9— Lk C-Ct- 1 Lk2 Q Address r* License # CS — Q '7 22 Y� X'C�LWi 1_S N'10, Home Improvement Contractor# _]_ I Worker's Compensation,#I✓ �M ��� F'• ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r rc,-J 4 r 5 SIGNATURE CO� ���. DATE. I C LI 1 is FOR OFFICIAL USE ONLY APPLICATION# 4 DATE ISSUED ;t >MAP/PARCEL NO. k ADDRESS VILLAGE OWNER r, r ' 's 4 4 DATE OF INSPECTION: k FRAME - 'INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL P PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE..CLOSED OUT . ASSOCIATION PLAN NO. ,µ e ComraompadA ofMassachi eft 1l�e�t o,�1'tu�st.;�t 14ccidei�rts Office i7fLwestkpations 6670 Was, k-tau Mreet Bosf wa M4 02111 www anmxgoWdta Worhere CompensatianInsurance Affidavit Btu-Iders/Calztm—ctorsfEl-ectncians/Numbers AppIkant Information Please Print Lezibly Name p AN M QZf nNQ Address- UA City/State/Zip: �4 e Phone; 20 3- LkGL(-t Q 2 0 Are you an employer?Check the appropriate box: Type of 4. I ajna c.�actor and I �ject(r��)- €.El I am a employer with 6. New a mstnrction. employem(fell and/orpatt-#ime)-* havehinAthe sxa ae rs I Sjam a sole proprietor orpartner- listed on the attached sheet: y- ❑Remodeling ship and have no employees Them bub-contractoTs have 8- []Demob n waddng for me in any cap"- employes and have wogs' 9_ �3^•kr addition [No workers'comp:insurance comp-msmancx- g rewired_] S_❑ We are a cotpondio nand its 10.0 Eiechical repairs or additions 3.❑ I am a homeowner doing all work officers have ewe ased flwir 11-0 Pkmobing repairs or additions [No wouizo'comp- right ofem mptionperMGL 12-p Roafsepairs insurance repaired.]i c-152.§1(4} andwehmmno employem[No wodoe& 13_0'Other comp-nimumirp -] *Anyappt fi2xtcbecksboo[#ltrmstalsoMlout the sec6mbelawshusiaglbe' Vodea ��u wmpensadoapomfimo HnmPa a+aers wbo sabrmt this sf>ydava mffntiag they ate doing sHvm*ud&ea bee oum&conTracmts nit suTMa anew atbdsvit intr4ratimg such_ 1C�mcma that check this box mast muarhed an additional sheet show-the nee of fe s;*-cm9r kxc aadstate whedw o[nai*om shies bawe mmpkyees Ifthe sub<oatzactms bs-employees,they mast provide their w-kess'dump,policy mmtbm lam an emplaf w tW is prrrtdding trorkers'compensation insarance far my enq&yem Belo_w is the pa cy and job rite irrfatmafian. Inane CompamryrZame Policy;ff or Self-ilm uc-0: 1M J?-� 1A A FxpiaatioaI?ate:�� Job Site Address: Ll'j)� L.Ql__1 gus q -t-A Cilylstawzip:A) („.N-\i c Attach a copy of the workers'compensation policy de&ration page(showing the policy number and exp&-atiou date). Failure to secure cavemage as requiredunckx Seetioat 25A of MGL c. 152 can lead to the imposition ofaiminal penalties of a fine up to$1-50a-00 and/or one-yearimpri as well as civil pe=dties in the form of a STOP WORK OZtDER and a fine of'op to$250-00 a.day against the violator. Be advised that a copy of this statement maybe&rwwded to die Office of Investigations of the DIA for insurance coverage verification- Ida hereby cvrttfy render Ettspaitts andgenaifias o,Bury thatthe inforntm on proli6eds�Qbbroue is bw and correct Sisnatnre: -T'w� W/n q� rl CA^^ _ Date,: Phome A- LOonly. Do not write in this arm to be crrtapleW by city or town o�frsiaL n- PerndtUcense#hority(circle one}:Health 2.Binding Department 3.C ftyOown Clerk 4.Electrical Inspector 6.Ptumbing Inspector aoa: Phone 9: 6 Map ti Page 1 of 1 \ QN(,\ GVJ���r� Town of Barnstable Geographic information System New Search i Home I Help Parcel Viewer t:ustom P4ap abutters Map sae 1300 -OuM E H I P.91rn 4i f 4 y ti L - _ D� @�JP(a Ma 306 Parcel: ±84-OOH Fate lion: 432 SEA STREET Info - 30618400H,.BROMBERGER,JOAN M - ft o lion Ynfoernation 5 Mal &Parcel 30618400H Loc on 432 SEA STREET Acr e 0.00 acres x , [cut rent owner { MW ng Address BROMBERGER,JOAN M ii4322 25 12 JUNIFER DR .. qq SAUGUS,MA 01906 a ! iAp raised Value(FY 2014) 'Extra Features $2,400 Out Buitdings $0 Land $0 Buildings $177,600 Total Appraised $180,000 a' k ssed Value(FY 2014) `�T90 Features $2,400 UanotwCNO "-AQ.Feet o Buildings _ 1an $0 Buildings $177,600 Total Assessed $180,000 Set Scale 1"=.20 Aerial Pht>L� ' MAP D75CdAI!ER CopyrlgM 2WS-2010 Torn of BanmUM.MA All fight;reserved.Send que9bos or oonunents to GIS BarnstaMeMA v1.2.5122[Production] 1 http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?proPertyID=30618400H&m... 8/19/2014 Map Page 1 of 1 F®� �� c� 3� Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters MaD Sae ❑ Zoom Out ®®�In Full JPG Map: 306 Parcel: 184-OOH r, y property Location: 432 SEA STREET Info Owner. r—-- ——------ ------ 30618400H,BROMBERGER,JOAN M Location Information Map&Parcel 30618QOH Location 432 SEA STREET Acreage 0.00 acres Current Owner 306184CNO 30M Mailing Address BROMBERGER,JOAN M 8'432 021 j 12 JUNIFER DR E SAUGUS,MA 01906 Appraised Value(FY 2014) Extra Features $2,400 Out Buildings $0 Land $0 Buildings $177,600 Total Appraised $180,000 — Assessed Value(FY 2014) `eYT'Ib Extra Features $2,400 03ost��,0 Feet Out Buildings $0 Land $0 _ Buildings $177,600 _ _ _ Total Assessed $180,000 Set Scale 1" 20'� I r Aerial Phot I MAP DISCLAIMER V Copyright 20052010 Town of Barnstable,MA AU rights reserved.Send questions or comments to GIS BarristableMA v1.2.5122[Production] http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=30618400H&m... 8/19/2014 Map Page 1 of 1 Town of Barnstable Geographic Information System New Search ,cum "p Partd viewer c-st—Map Abetters Mau sae 1300 00 zoom Out E E E fl N E V Uln +C �•0 - , ■,.ti Q R.` _ 0 a JP6 Map 306 Pared 184-OOH Full Property t r �� ? 3t18174t104 Location: 432 SEA STREET s4os Info ]rzse 833 =8185001 Owner: 30618400H,BROMBERGER,JOAN M Rai / d� Q ` fl s :F Location Information oSr s 3M f ( ) Map&Pared 30618400H 9247 - 3 3oaat7�4oadf. _ Location 432 SEA STREET 3051740at Acreage 0.00 acres (i1 1A\rp, ; a5r In; Current owner } Mailing Address BROMBERGER,LOAN M 12 JUPRFER OR x' b D SAUGUS,MA 01906 to y ,. m t ppraised Value(FY 2014) i 038 _` Extra Features $2,400 3�te301k1 ; Out Buildings $0 Land 308101 $0 1455 1 ] '"a Buildings $177,600 Total Appraised $180,000 �� Assessed Value(FY 2014) - Extra Features $2,400 0 100 Feet 3M45 orrtBuitdirrgs $0 fir• ,. .<.. y - B24_ Land $0 Buildings $177,600 TolalAssessed $180,000 ... Set Scale V=100 ' I Aedai photos MAP DISCLAIMER 4/► CoppgM 2DO5-2D10 ram m8amstaW.MAAI rWft reserved.SmW quesbms orcommertts to GIS 8amst;WeMA v1.2.5122[Production] hq://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=3061840GH&m... 8/19/2014 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-072889 THOMAS R MAJ"o 47 LIGHT HOUSE LN 1' HYANNIS MA 01601 l Expiration ation Commissioner 09/06/2014 (2 unread) - tmarino714 - Yahoo Mail Page 1 of 1 Home Mail News Sports Finance Weather Games Groups Answers Screen Ftickr Mobile More New Microsoft Word Document(4).docx 1 oil Search Mail Search Web Home ®Thomas Compose Breakwaters ,Association Trust Inbox(2) Drafts 432 Sea Street Sent Spam(8) Hyannis, MA 02601 Trash > Folders > Recent s-za, 2014 To whom it may concern, This letter is to give 'Tom Marino permission to construct i utility sheds for the Breakwaters at 432 Sea Street, Hyan! 02601. (Please do not hesitate to call me at 617-901-6893 with an . questions Janice Loux Breakwaters Trust Chairwoman 4 j i ' f • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # ad 14 Health Division Date IssuedrI'' 8-dy PIC? Conservation Division e31F Application Fee tou Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis 9k Project Street Address Lk As)ncs LA V Village fx �-M ,v)_f> Owner ��<v.�c� c���c�. QSS Address 14 3 S�- Telephone G( 7 - 20 S H g '� 3 c?,nneS LGe14 A IRn 5 Permit Request -To bvf Q, Ck/\ "I-�Ajk\� --, .c-J q X A X 6 Rmwy) A Qs r rl- A 01.k rca Conacrc-4-1 3�0•6 �F=ogC, ,^cY cn8 'Z k I V V\" yIQ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Val uatior�3 3C Construction Type axI drevA @- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 2 Age of Existing Structure / F�'�S Historic House: ❑Yes W.No On Old King'sr Highway: O Ybs '0No Basement Type: ❑ Full WCrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 1`(enne- Basement Unfinished Area (sq.ft), �(c�,� -E Number of Baths: Full: existing new Half: existing - new +w Number of Bedrooms: existing - new Total Room Count (not including baths): existing 6 new First Floor Room Count G Heat Type and Fuel: '+ (Gas ❑ Oil AElectric ❑ Other Central Air: ❑Yes WNo Fireplaces: Existing '-New — Existing wood/coal stove: ❑Yes OWo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial W-Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Coy,. nNwr4A C Telephone Number 3 3 '4 G5-l-( `A d Q Address 3!? La i A Vrn6je L-'1 License # CS Q 7 ;ZcP e�\ TAS fv\A Home Improvement Contractor# t 7 p a a Worker's Compensation # ✓> > ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Q/N 'S 14e Z _Om MAn2 SIGNATURE ,/ V I c- DATE! �I FOR OFFICIAL USE ONLY rb APPLICATION# DATE ISSUED r MAP/PARCEL NO. f , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FRAME c INSULATION. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: _ ROUGH FINAL f FINAL BUILDING f e " DATE CLOSED OUT ASSOCIATION PLAN NO. The ComwomveaM gfMassachaselt Dqwftzeut of hdu9fzid Acc idmts Office OfInvestkWfiew 6#0 WashhVOWMreet Boston,MA 02M Wwwanasmgowaff Worker-e Compensafiou Insurance Affidavit:BuR ders/ContractorsfElectricians/Plumbers Aprdicant Information. Please Print Lezibly Name A M e✓�nC'S Ad&ess: City/State/zip: 14)(0-Wy. Phone 4-- 20 3- t tG L(-t u 2 Are you au employer?Check the appropriate bow Type of project(reqmred)_ L❑ I am a employer with 4. ❑I amagwe al contractor and I - ❑hest employees( ll au&or part-fine)* have biredthe sub-conteacibrs 2.( am a sole proprietor orpartner- Edell on the attached shy 7- ❑ Remodeling T `ship and have no employees These sub-contractors have g- ❑DemolifiDa w forme iia emplay�and have wodters' orl:ing � ��C1�3'= c iasmanc�t g �nildmg addition - [NO wadmis comp:insurance � required.] 5_❑ We are a corporatimand its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all wort` officers halm ewer6sed their 1 f.0 Plumbing repaus or additions myself fight of tion MGL ° Roofrepairs mill §1 dwehmmno 1� employees-[No wodoe& 13-0 Other comp-insurance required_ *.9ny stapes dw cbedcs box-gi umst aua Mi out the sec6m below skims*ftidm v dee ru onpU intmnanam.. #a-=Y - aers vrho submit taus aff dsvir in tmg lay are ruing s€ ,=*s Adm line sfbdssir intracmvn m2dx- ZCuutmctm ftt rhea this boa must attached am addidonnl sheet showicg the name of dw sab-cwMx1oa w dstda wheel erarmw chose eaffiesbzm employees If the sub-coatis hxm employees,ebay anssr pmviae that wwkeW comp•policy number- .ram an employer f W is prov&try,workem'compartsadon in=rMcs far my ampliiyaes. Belau is the policy}'arrd f ob site informQtiarr. h=xauce Gompaay Narne:�0.ir, S A m e a r c• — Policy,#or SSelf ins Uc-# VN\ T Expiration.Date: L4 ('� _T Iob Site Address: CifglStatd;rp-J#Cnrv,1 e Attach a copy,of the workers'compextsatioa policy declaration gage(shovving the policy auger and e3 j&—a ion date). Failure to secure:coverage as required under Section 25A of MGL c 152 can lead to the imposition.of rimimal penalties of a fine up to SL50U-04 andlor one-year imprisonment,as well as civil penalties m the form of a 5TdP STORK ORDER and a fine ofup to$250.00 a clay against the violator. Be advised that a copy of this statement may be£arwarded to the Office of Iu vestlgatlons of ffie DIA for insurance Coverage ve i[ication- I do hereby caz W y zutder thspains andpenatfiss ofgediuy Mat Me info rm4tian provu Mct`&watis.hue W d cuff sct Sienat tire ��w+ CAf /�C) �CMn cam-- Dates {�t c �► V Phan#: t?fl tciul rise only. Do trot write in ffi&area;to be caurIeted by cdy or town of f c&L City or Town- PermiWUcense# Ensuing Authority{circle one}: L Board of Health 2.Buffing Depa truent 3_f iiyffiown Clerk 4_Electrical Inspector 15.Phunbmg Inspector .6.U¢her Contract Person: Phone#' 6 p c ed0.� - - ypr _ . rr a I r 8 r Trw 00 I r Map Page 1 of 1 Town of Barnstable Geographic Information System New Search I Home Help Parcel VMwer I CusI=M Map I r A- umws v-v s ® ❑ zwM 0uc 113 A B 3 3�I Mrn 0 i i i a nil _��N�_ � � a i:-7P6 Ma: 306 Parcel: 184-O0H 4 tom: 432 SEA STREET [ 114 jj 3O61B4O0H,MMSERMP,30M M j Pion Information &Parcel 3O618MH s zLoa Man 432 SEA STREET Acreage 0.00aces L4�ur rent Owner ^� _ 3pgtggatp CDsOW lag Address BROM ,70AW M can 825 6 123UMFERDR h { SAUGUS,MA 01406 Ag,raised Value(FY 2014) — � ; - EabrafeaWms $2,400 Out' sui Land $0 Bnitdinw $177,600 ToralAppraged $180,000 _ ed Value(FY 2014) i I FeaUww $2.4O0 o mi9Oaw G-AUeet ! fundings $0 Lan v. TOW Assessed $180.000 Set Scale 1"_2D ' ' Aerial Phol- - MAP D7SQAIlfER CoFidgM2 tOTamoreamsfabb.UAAddgtdsmssm%VCLSaq VnOmormaanP to(0S BamsiaWeMA vi.2.5122IPraducUoni http://maps.townofc)mmstable.us/arcims/appgeoapp/map.aspx?propertylD=30618400H&m... 8/19/2014 Map Page 1 of 1 A � Town of Barnstable Geographic Information System New Seardt Home I Help P--wl�-1-- r c--pap ma see 13813 z—our E l E M BEWm ,W ' .IPG Map: 306 Parcel: 184-OOH wn property 1 of 308163002 - --. .' -r. Info j sass 308174054 Location: 432 SEA STREET f } � 308195001 € 037 ` OwneR 30618400H,BROMBERGER,30AN M Raj r 0 i Location Information Map&Parcel 30618400H it247 t S 3ost74002 Location 432 SEA STREET jf 30M7400t Acreage 0.00 acres f •. f 3110=102 � 940 i{'•:J C1 b'�\ AIr CurrentOwner Mailing Address BROMBERGER,IOAH M 12 3UMFER DR D m SAUGUS,MA 01906 x b mar § }Appraised Value(Fr 2034) 038 ' Exba Features $2,400 3MI850 3 I mat �' Out Buildings $0 t t Land $0 04es Buildings $177,600 . } Total Appraised $180,000 (Assessed Value(FY 2034) t" Exba Features $2,400 35 0 100 Feet ` MR46 Out Buildings $0 Robt and $0 „Q Buildings $177,600 Total Assessed $180,000 Set Stale 1"=100 I Aerial Wroth ' MAP DISCLAIMER ✓. coppgm 200sM0 Town oreamsWft MA A0 rgMs reserved.send auesfima orcomments to GIS aarnstablet4A v1.2.5122(Production) http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=30618400H&m... 8/19/2014 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor - License: CS-072889 THOMAS R MARINO 47 LIGHT HOUSE LN1 s HYANNIS MA 0260Y Expiration Commissioner 09/06/2014 (2 unread) - tmarino714 - Yahoo Mail Page 1 of l Home Mail News Sports Finance Weather Games Groups Answers Screen Flickr Mobile ' More New Microsoft Word Document(4).docx 1 of 1 Search Mail Search Web Home ® Thomas r. A�/efop[5 I Compose Breakwaters Association Trust Inbox(2) Drafts 432 Sea Street Se MA pp Spam(8) Hyannis, s- 02601 Trash > Folders > Recent C J ^ram 8-281 2014 To whom it may concern, This letter is to give Tom Marino Permission to construct 1 utility sheds for the Breakwaters at 432 Sea Street, Hyan 02601. Please do not hesitate to call me at 617-901-6893 with an questions Janice Loux Breakwaters Trust Chairwoman P k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ti Map QG Parcel s - yO I\\ plicati l It 055�. Health Division Date Issued ` Conservation Division Application Fee Planning Dept. Permit Fee `�, A Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis (� Project Street Address q 3 9 t> 5 4 � Village k) N\AJS Owner!R rc�m1 ccy A:5,s: Address 4 3a S*-- ° Telephoned 17 ^ 7Qt-('9 q Permit Request lklj Q v J!J tj 4 X Fx -7 TALL.. Wll S1c�b Lt �`�� k - �X� cw.s•{-r�r��c� W��\ r�c,;�in e��C����,n� ��= ��r��r�g .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation�3 30 d Construction Type 2X Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dbcunimtation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Ll pla Age of Existing Structure 50"S Historic House: ❑Yes Flo On Old King's!Highway-❑Y(R. No r Basement Type: ❑ Full Crawl ❑Walkout ❑ Other _ 'd Basement Finished Area(sq.ft.) T- Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing 7 new First Floor Room Count 9 Heat Type and Fuel: ❑ Sas ❑ Oil WElectric ❑Other Central Air: ❑Yes A No Fireplaces: Existing —New Existing wood/coal stove: ❑Yes X(No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial IYes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address 33_s ��raU � �-� License <5 � )min Is Home Improvement Contractor# l ?7 Sf' a Email Worker's Compensation # *�A 1&5 QARke ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �� l FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED MAPS/PARCEL NO. w ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION: FOUNDATION FRAME r INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS:' ROUGH FINAL r FINAL BUILDING. DATE;CLOSED OUT ASSOCIATION PLAN NO. Die Commozatwa th of Vassachuseto Deparhnmt afladustrid Accidents - O,fce Of Investigadans 600 Wayhington Rreet Bastora,MA 02L11 wtvm atta-mgoWdi a Workers' Compensat€on Insurance 4 idavit:Builders/ContractarsfFJectricians/Plumbers Applicant Infarmatian Please Print,Legibly Name W,i�cS Address- g 1-�e�.�. LgEs LA City/Stat&Zip: I4 Phone 20 3- qG Ll—W 2 Are.you an employer?Check the appropriate box: Type of project r 4_ I am a contractor and I 3'1� PT' I (required): 1..❑ I am a employer with ❑ 6- ❑New connstracbm employees(full andlorpart-time)-* have hired the sub-cantr fors. 2._MJ am a sole proprietor orpartner- listed on the attached sheet 7- ❑Remodeling strip and have no employees These sub-oontractors have g ❑Demolition w for me is an ci employees and have workers' offing Y� f3- 9. �$urldmg addition [No Owor.kers' comp.insurance comp.insuran(x : �` required-] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3-❑ I am a homeowner doing iU work officers ha-m exercised their 12-❑Plumbing repairs or additions myself [Na workers'comp- rat of exzemption per MGL 12_.❑Roof repairs insurance required.]1 c.1.52, §1(4),and we have no employees-[No workers' 13_.❑Other comp-insurance required-J *Any applicant that checks boat*1 nmst also fill out the section below showing ihdr workers'cower oat policy inf—matian- T Homeowners who submit this affidavit i1dicat*a*g they are doing all nook aad then hug o-utside contractors annst suTaa=a new affidsvu mdiratm snrh_ Contractors thst check this box must suached as additional sheet shoxmg the name of the s uk-oo» sand state whether CO not those adties have uVicryees ifthe snFr-contractors hue employees,they must provide their workers'camp.policy number- lam an employer that isprm iding workers'compensation irmirartre for my enWEoyees. Hetoty is the policy and job site in ormatLum Insurance Compmy Flame.IM o,\.,, 5'J Am R a r e, — Policy#or Self-ins-Lac-;k VV 'A /k ExpintionDate:� Job Site Addre Ll L.c: 11_A City/State/Zip- 14_)C Q,,v\l'S Attach a copy of the:workers'compensation policy de-ciaration page(showing the policy nuruber and expiation 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$1,500M-and/or one-year intprisonment,as well as cavil penalties in the form of a STOP WORK ORDER.and a fine of up.to$250-0+0 a-day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA fi)r insurance,coverage verification_ I do hereby aotl fy rurder thepruns and penalties ofpedury that the information prmidedRabm a is b and correct Date_ U 21 () LI Phone#- offzciat use only. Da riot write in this area,to be completed by city or town officiaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City Town Clerk 4_Electrical Inspector 5.Plumbing Inspector .6.Other Contact Person. Phone#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be.an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for atzy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the per iormance of public work until acceptable evidence of compliance v,rith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking The boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their ceri-ificatc(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance_ If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insuuance coverage. Also be sure to sign and date the affidavit 11e affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obt.ain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number oa the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to rill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitilicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NTOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: nia.Commonwealth of Massachusetts Department of Industdal Accidents Office of%vestigatians 6O0 Washington Siri�-,tt Boston2 MA 02111 T61.4 617-727-4M W 406 or 1-977-MA SSAFE Revised 4-24-07 Fax# 617-727-7-149 www.mass-govldia Map Page 1 of 1 Town of Barnstable Geographic Information System New search Home I Help Parcel Viewer Custom Map Abutters Map Sae ® � Zoom Out a n a n n o n a l In is ( ® 7PG Map: 306 Parcel: 184-0011 Full ae •yi _ _ Property 3W 8 M2 308174004 Location: 432 SEA STREET Info 300174003 833 1 306185001 037 Owner: FL30618400H,BROMBERGER,JOAN M258* Not `.I'.. Pd�' 14 �� 0 Location Information �11 s Map 8r Parcel 30618400H 8247 300174002 Location 432 SEA STREET 18 30 300174001 Acreage 0.00 acres + 300186002 ~ 840 V l�C�r / _851 current Owner 1 Mailing Address BROMBERGER,JOAN M V 12 JUNIFER DR plpp p E SAUGUS,MA 01906 A � h t 243 Appraised Value(FY 2014) r1 308 f IpI��L, 030 Extra Features $2,400 3081�003 Out Buildings $0 847a Land $0 44051 -` Buildings $177,600 Total Appraised $180,000 13CJ,I�\fig J S� Assessed Value(FY 2014) 25 Extra Features $2,400 Q 100 Feet 300245 Out Buildings $0 824 Land $0 �= Buildings $177,600 Total Assessed $180,000 Set Scale 1"=100 ' 0erial Photos _ I MAP DISCLAIMER Y. copyright 2005-2010 Town of Barnstable,MA A8 rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5122[Production] http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=30618400H&m... 8/19/2014 Map ., Page 1 of 1 v J � Town of Barnstable Geographic Information System New search I Home I Help Parcel Viewer F77iustom Map Abutters Map Sae 0 Zoom Out Y n n D n fl®®®In Z= Full <q ® H Property.y q tp ® a JPG Map: 306 Parcel: 184-OO Location: 432 SEA STREET Info Owners i 30618400H,BROMBERGER,LOAN M Location Information Map&Parcel 30618400H Location 432 SEA STREET Acreage 0.00 acres Current Owner Mailing Address BROMBERGER,LOAN M 12 IUNirER DR Rsteacxo E SAUGUS,MA 01906 Appraised Value(FY 2014) Extra Features $2,400 Out Buildings $0 Land $0 V/ Buildings $177,600 Total Appraised $180,000 Assessed Value(FY 2014) 1 Extra Features $2,400 0 10 Feet L� Out Buildings $0 Land $0 _$ Buildings $177,600 Total Assessed $180,000 Set Scale 1"=L T-, ' I Aerial Photos _ I MAP DISCLAIMER - Copyright 2005-2010 Town of Barnstable,AAA AD rights reserved.Send questions or comments to GIS BarnstableMA v1.2.5122[Production] http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?propertyID=3 0618400H&m... 8/19/2014 I ,Map Page 1 of 1 1 S � Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Si.. Zoom Ou[ {� In (�� r; ;�y � DIM to �� 3PG I a 306 Parcel: 184-OOH FullProp erty Loidon: 432 SEA STREET Info 30618400H,BROMBERGER,JOAN_M a.. - .... .. -. •Lo tion Information - Hag&Parcel 30618400H - x ', Loa Won 432 SEA STREET _p- !_9 - ��. e 0.00aaes V [Cu ent Owner M. °, lF Mailing Address SROMBERGER,JOAN M 12 JUNIFER DR a "•'._", ;; e.+ ( -3�/84CNU SAUGUS,MA 01906 E 1 iApgrased Value(FY 2014)-- ---`—� e" k Features $2,400 OBulld'mgs $0 Sulldings $177,600 i Total Appraised $180,000 f " j As essed Value{FY 2014) �Feetures —$2,400 0 10 Feet ¢�{ OutBuitdings $0 Lana $0 Yew�em Buildings $177,600 Total Assessed $180,000 Set Scale 1"_'10 Aerial Photos ' MAP DISCLAIMER C*Waffl MS-M10 Tom of Bamsbabie,MA AO dgW mserved.SeM We fi.i.or comments t0 GLS BamstableKA v1.2.5122{Production] i P t t 4 http://maps.townofbarnstable.us/arcims/appgeoapp/map.aspx?propertyID=30618400H&m... 8/19/2014 s s .ems - -- - .-.._.. _ -. .... ..... .. .......... _.._...._ - 9 Massachusetts - Department of Public Safety' Board of Building Regulations and Standards Construction Supen-isor License: CS-072889 THOMAS R MA.RHVO . 47 LIGHT HOUSE LN _ - HYANNIS MA 02601 Expiration Commisss-iionne'r` 09/06/2014 f (2 unread) tmarino714 - Yahoo Mail Page I of I Home Mail News Sports Finance Weather Games Groups Answers Screen Flickr Mobile I More New Microsoft Word Document(4).docx 1 of 1 _ Search Mail Search Web Home ®Thomas I' Compose Breakwaters Association Trust Inbox(2) Drafts 432 Sea Street Sent Spam(8) Hyannis, MA 02601 Trash > Folders > Recent a 8-28 2014 To whom it may concern, This letter is to give Tom Marino permission to construct i utility sheds for the Breakwaters at 432 Sea Street, Hyan 02601. Please do not hesitate to call me at 617-901-6693 with an questions Janice Loux Breakwaters Trust Chairwoman A A TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 36Y /Iyq/ gip c= I Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ' cab Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address SLr Village Owner Address �,3 J (s����,�s� Telephone &I Permit Request 3 1, X 1.310 yr � 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _ Flood Plain Groundwater Overlay roject ValuationArm- LotConstruction Type Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing l; new Number of Bedrooms: existing _new a I Total Room Count (not including baths): existing new First Floor Room Count••0 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/'coal stove ❑Yes ❑ No 'J o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number S 901 7&1 Address .9 - �! License # M lr4'"b .9 Home Improvement Contractor# `Aosy Email Worker's Compensation # r, ( `2 a D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR z DATE -5 o FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' h , ADDRESS VILLAGE OWNER f 4� { • DATE OF INSPECTION: FOUNDATION F FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL s r ' GAS: ROUGH FINAL FINAL BUILDING DATE-CLOSED OUT A'qSQOION PLAN NO. The Canimonrvealth ofMassachusetft Departntmt o,f Industrial Aceide - Office of'Inuestigadons 600 Washington,street Bostor4 M4 02111 }vow mas&.gvvldia Workers' Compensation Insnr uce Affidavit: Builders/ContmctnrslElectricianslP"lumbers Applicant Information Please Print Umbly Name(BusinessMrganization,Udi0duai)- Address: 3 1 H'A 5 L k", 4L City/State/Zip- VI-7 Pal Phone# y 7,11 Are y-ou an employer?Check the appropriate box: Type of project r �,/ 4. I am a metal contractor and I YPe p 7 ( �� 1-L? i am a employer with� ❑ g 6- ❑New constructionemployees(full andlor part-time}-* have hired the sub-contracton �,�f + 2-❑ I am a sole proprietor or partner- listed on the attached sheet. 7- 1� Hng ship and have no employees. These sub-contractors have S. ❑Demolition working for me in any capacity- employees and have workers' 9- ❑Building addition [No workers'comp-insurance comp-iasurance.t required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No wormers'camp- right of exemption per MGL 12.❑Roof repairs insurance required.]'s c. 152, §1(4X and we have no employees-[No workers' 13.0 Other comp-insurance required.]' ''Ariy applicaIIG mat checks trot;#1 mnst also fill out the section below showing then workere compensation policy informztia- $F$ameowmers who submit this affidex it indicating they ue doimg all wank and then hire outside contractors mast submit a new afdardt indicamg such- (Contractors that check This box must attached as additional sheet showing the name of the sub-ccom iwAors and state whether ornot those entities have employees. Ifthe:subtontzactots have employees,they moist pmuide dieir workers'comp.policy number- .Tam are employer that is prodding workers'compensation insurance for my enrplayees. Beloov is the policy and job site information. Insurance Company Name: Policy#or Self-ins-Lie.#: 0 W 410 Expiration Date: B�� Job Site Address: �Ul �- , ems �� , City/State/Zip: Aittach.a copy of the workers'compensation policy declaration page(showing the policy num er 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 andfor one-year imprisonments 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 hereb under the pains r ofpetjruy that the information pratzded abm�e is true a correct Si e: Date: Phone#_ 7� Official use only. Do not write in this area,to be completed by city or lotvn officiat City or Town: PermitUcense ig Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.City[Fown Cleric d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f Client#:33723 CAREF ACORD,. CERTIFICATE Of LIABILITY INSURANCE DATE[MMID13DIYYYY) 09/06/ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Herlihy Insurance Group Inc. HO NE Ext:508 756-5159 ac,No: 508-751-5747 51 Pullman Street L ADDRESS: Worcester,MA 01606 508 756.5159 CUSTOMER ID q: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Peerless Ins.Comp. Care Free Homes Inc INSURERS:EastGuard Insurance Company 239 Huttleston Ave INSURER C:Safety Indemnity Insurance Comp Fairhaven,MA 02719 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE B POLICY EFF POLIO EXP POLICY NUMBER MMIDD MM/DD LIMITS A GENERAL LIABILITY CBP8929704 09/01/2013 09/0112014 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGEPRE $1 OO OOO CLAIMS-MADE Fx OCCUR MED EXP(Any one person) $15,000 X BI/PD Ded:250 PERSONAL&ADV INJURY $1,000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- LOC $ C AUTOMOBILE LIABILITY 6213850 7/01/2013 07/01/2014 COMBINED SINGLE LIMIT ANY AUTO (Ee accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY(Per person) $ X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIREDAUTOS (Per accident) $ X NON-OWNED AUTOS $ $ UMBRELLA LU16 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION. $ B WORKERS COMPENSATION CAWC471104 9/01/2013 09/01/2014 X 1wC srnru- oTH- AND EMPLOYERS'LIABILITY OFFICEERIME BER EXCLUDE ECG Y❑N N/A PROPRIETOWPARTNERIVE E.L.EACH ACCIDENT $1 OO OOO (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000 Dyy`DE er SCRIPTION OF OPERATIONSund below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE.HOLDER .. CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN `_-- :TOWtt:Of Barnstable. ACCORDANCE WITH THE POLICY PROVISIONS. Building.Department 367 Main-:Street AUTHORIZED REPRESENTATIVE 'Barnstable,MA 02601 i ® 888-2008 ORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S63734/M63712 AAG t * snxxsrnsi,E, 1639. � Town of Barnstable prEO MA't A 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: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 41A J , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of 6>d1'e'r bad Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WHILESTORMS\building permit forms\EXPRESS.doc Revised 061313 Town of Barnstable Regulatory Services �qHWE�ey,4 Richard V.Scali,Director Building Division tSTAB Tom Perry,Building Commissioner Mnss. 9 i6g9� 0�� 200 Main Street, Hyannis,MA 02601 IN www.town.barnstable.ma.us r�Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/to state zip code The current exemption for"homeowners"w extend/npossess de owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire Xe a license,provided that the owner acts as supervisor. OF HOMEOWNER Person(s)who owns a parcel of land on which ntends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structureo such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considewner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/sh onsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assum s responsibility for c\Towf e Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner" ertifies that he/she understtable Building Department minimum inspection procedures and requirements d that he/she will comply wrequirements. Signature of Homeowner Approval of Building fficial 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 fomis\EXPRESS.doc Revised 061313 t:odification of LotJ19 I �® Shown on Plan 12102 Filed with Cert. of Title 210.. .. . . . . . :. Registry District of Barnstable County 3 1� For more details and descriptions of the unfts - s �. � hereon see plans and. deeds on file in the registered land section of the Registry of Deeds 2 and noted on the Master Condominium Certificate I issued referring to this plan. ! N 0 � n �� ! ►-t O O p r N 030 37, 35,E W m SEA STREE?' r 4®.0o wide 1 EXTENSION o � z � �p _ _ 46.32 - N 03� 3T�35 - - -- --- Cr Is A r` 491.88 0 o lV� o Irl 2 r t' v \il cr r �OORa O .o Co d • bib o c ® ' o ' o n % r` � cn in a _ A 508. 23 o z /66T . O 4 tt m C' �E S 030 .3T' 33N E 5030 3T 35 EO I w '0S 4 QLw- e o�ni r? �2 - -- P/on 12102E Cerl. /4882 i—T .�--_ Plan 1210 2 I C e r l 53 4 3 2 --- % a . I j,bu::ters are s=n 2s s cn oridinc 1 decree ,)1zn. b I. �, logo TOMiA. r3 of t� YEN! jot Fv 5 t{ S $ t3 tp w 10/16/2006 5 29 am , &e Waa1vaaoazebeaNz,of C-�/t9 r�iac Wdem, u Massachusetts -Department of Public SafetyBusin�s Rfigutation', Board of Building Regulations and Standards I Construction Super�'isor +.. k ME Ih1PROVEI�ILNI CONTRACTOR License: CS-095228 a egistrahon 100503 Type 1-"` u; Expiration 6%,19/2ll14 Supplement^. DANAJ PICKUP �` ter! CARE FREE HOMES 239 Huttleston Avk _ , Fairhaven MA OP719 DANA PICKUP JR Huttleston ave. Expiration t raidhaven �AA02719_ 'Uridersecretar Commissioner 03/22/2016 I License or�aegrstiation val►d for indi.v►dul use only before ihe'expiration date. If kund ret4jrn to �bmu of Consumer Affairs and Business cPgulatioft.. + 0 Park:PIaza:-S,pitc 51:70 d eston,R A 011 6 1 � I Not wa!id,without signa{ re j 9 I 'Insulatev Weatherization & Ins;.uIation ,n 410.Grove St.Fall EvM Ma 09713 �' I lnsalatersavenet March 31,2014 Town Of Barnstable Thomas Peary, CBO 200 Main Street Hya nls,MA 02601 RE; 432 Sea St Buildings 2 -8 Dear Mr.Perry, This Affidavit js,to certify that all work completed at 432 Sea St has been impcctod by a,=tifiad 101 luspector. 1t38 Cellulose was added to open attic space.in all buildings. All Work Performed Meets or exceeds Federal and Stare Requirements. Sincerely, Roland Langevin Insulate 2 Save,Inc President CSL 103861 HIC 166311 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3o6 Parcel , Application #a� Health Division Date Issued �1 13 Pam' Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address L1?5a -1?3LLa ICLi!2Q J Village Y1f1iS Owner WaA±prr Address L43a Sea S-� Telephone !)U, `rl5"US J Permit Requests A_A)C) eLAt a4_-o C `t t)R.O ey.rd tQJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation�4 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area ('sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new o Total Room Count (not including baths): existing new First Floor Roo-') Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing.,_ New, Existing wood/c ,al stove:':' YeYl❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ ex ting ❑&w e�`'j , Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name &Iand. Telephone Number 608 J Ca Address q10 Cs-2-we— S-� License # m u i C4 Off—7a-0 Home Improvement Contractor# )Lo Worker's Compensation # 17N WC? 141_:M ALL CONSTRUCTION DEBRIS R�$ULT4NG-FRO S PROJECT WILL BE TAKEN TO uw.e ter, f OCT 28 2013 SIGNATURE DATE �t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. _ = = ADDRESS VILLAGE G y OWNER f Y: DATE OF INSPECTION: — °? e t FOUNDATION <' ' FRAME y } INSULATION t 1+ FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �= GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t s ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I V4 �- Application # a 13 O'F4P5 O Health Division Date Issued 1(- 3 Conservation Division Application Fee sf] Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation / Hyannis Project Street Address Y a3, �+ e5wx6 ins 3 Village _a a Ul f 1 i S T Owner I --P.c Ml`Et Address 14;act � 14 Telephone Permit Request �_�JVQ 1 0,34.iC. VCla-Qk VYU-ra l- \ZWC-Ai6Y\ Cy Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ^(- 33 y(Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (s fit) 39k. `... Number of Baths: Full: existing new Half: existing I new - . kn Number of Bedrooms: existing _new -� Total Room Count (not including baths): existing new First Floor Roo Count =# Heat/Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No . Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name _<-A Vinci L[;Ln!E�e Telephone Number '(0 X)o Address L4 1 0 &EN Q S0" License # VQ 0 vcw Home Improvement Contractor# o u 3 t , Worker's Compensation # -�-� �� ( I 431 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE OCT 2 9 2013 I 1 , FOR OFFICIAL USE ONLY r APPLICATION# _ DATE ISSUED 1 t MAP/PARCEL NO. > ADDRESS � VILLAGE 1 OWNER DATE OF INSPECTION: rY FOUNDATION z i � FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL L PLUMBING: ROUGH FINAL I,4 GAS: ROUGH FINAL J FINAL BUILDING c _ ` DATE CLOSED_ OUT ASSOCIATION PLAN NO. 4 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 h� Parcel I Y r`� -(� Application # a6136 �`f S"y Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address -SPCA - lbl_.l i ui nA 9 Village�kA TG nn Owner W(la k C srno+b Address q1 ,g Set,- Telephone ,a2i Permit Requesto_l 11C� (L$ CC d �CA_,Nt sX4 L "'Q_n ' V-)LO'1 QA N- &-ate utck4b e r;�,04 cp Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room:�;Quntcjt Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other w Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coalF stove: Q�Yes Z,7No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ nevv size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: "44 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Q (nii �-&n,04 V'l) Telephone Number Address 416 &m,,j-e sk License # �� Fcw t?1fP_`!`} fm Gbh-7a-U Home Improvement Contractor# Worker's Compensation # :1 N yX_-2,i 1431 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1410 P d.: ,tA- F. OCT 2 8 2013 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED j MAP/PARCEL NO. { X ADDRESS VILLAGE } OWNER i — I � r ✓/� t DATE OF INSPECTION: FOUNDATION FRAME i INSULATION a it FIREPLACE I Y E ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL �-- F i_•{ i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT j ASSOCIATION PLAN NO. f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel 601 Application # c,20 JL Health Division Date Issued I( -I Conservation Division Application Fee S� Planning Dept. Permit Fee I Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ;"M Jk CG_ q Village bl la nn i S Owner WU Address L433 S.QcL Telephone r) • b5 3 ] '^_ Permit Request��t'1,Cy C� G (�1�,�,1. a7_6 U� ' ,)A r L4 t ace�A alon') ��OLD ( 11u � Vyz r ter►-�, u� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio _�3sb Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) .nber of Baths: Full: existing new Half: existing new ember of Bedrooms: existing _new77.7 )tal Room Count (not including baths): existing new First Floor Roo' Count feat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/o al stove:L3 e, ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn:, ❑ existing 0-new ize= Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Wand Q -�� Telephone Number Address _0c) & bye S� License `dl i nrYA Home Improvement Contractor# Worker's Compensation # _T &1 f) (4 3 J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE' DATE OCT 2 FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED i MAP/PARCEL N0. r' -'`` ADDRESS VILLAGELIP; -� OWNER % f Y i Y ' DATE OF INSPECTION: 4 ,. y ` FOUNDATION g r' y FRAME INSULATION L i { FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL ; — t GAS: ROUGH FINAL i - FINAL BUILDING r - DATE CLOSED OUT s ASSOCIATION PLAN NO. ' + y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I S 9 b0 P Application # n?Q f3 0 yq !!�6 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 0 3a SkCL �SV 1 A AG nq Q Village "A aQYlrl�� Owner WQ A A4 Address CA_?3 i) S-P CA- S+ Telephone J` b 0 n5- lo87�> Permit Request► D A Q1GL._A 0_t76 C_ °I t 11,112—1 a-'6.CO Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 11��5� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new - Total Room Count (not including baths): existing new First Floor R66rn Count Heat:Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existjprg; New Existing wood/��oal stove ❑ ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ©-ne -size Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name gc,ard La m i ux) Telephone Number -5-0%,f�U.M7 (D-76LP Address 4I o 6:n 31-e ems+ License # t 0::�ab ' El-n f-► r) ym Calla-0 Home Improvement Contractor# I LPIP3 l Worker's Compensation # '1'U 1�C:3 113 ALL CONSTRUCTION DEBRIS RESULTiMG"FF OqC S PROJECT WILL BE TAKEN TO JFW, KXR-r, M", OCT 8 aD�3 SIGNATURE DATE 2 FOR OFFICIAL USE ONLY - APPLICATION# s DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE .1 a OWNER DATE OF INSPECTION: j. FOUNDATION Y FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' s FINAL BUILDING ti 2 DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes (r, Parcel Application # n Health Division Date Issued l i' — ` t 3 top Conservation Division Application Fee Planning Dept. Permit Fee #35 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Lea 31�1__ 115A_ b C..t l cu()am 1211 Village �AA 10 Y1'r Owner —Address 43d _Spc,, Telephone Permit Request MS-Vd 11 0-4W_+ Y-1CC�M4e_0+ I OZ�UA"d1) buo n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation y Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new 'I Total Room Count (not including baths): existing new First Floor Room Count- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other { Central Air: ❑Yes ` ❑No Fireplaces: Existing New Existing wood stov& ❑ ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing O new `size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,t Name Telephone Number ���.��(�`1 W-Cl® Address J'j U C ru t S�- License # � (� Pl u ����`n Home Improvement Contractor# Le l� 1 Worker's Compensation #- l/V(,)C�3 1 � ALL CONSTRUCTION' pFikSSRESULTING FROIT.FHIS PROJECT WILL BE TAKEN TO IV CA OCT 2 8 2013 SIGNATURE DATE FOR OFFICIAL USE ONLY r APPLICATION# r _ DATE ISSUED MAP/PARCEL NO. C ADDRESS VILLAGE 1 OWNER x, DATE OF INSPECTION: t FOUNDATION i, FRAME ,z INSULATION R if FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -' GAS: ROUGH FINAL r� r { FINAL BUILDING F ' DATE CLOSED OUT MI. -ivsrc ASSOCIATION PLAN NO. y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 (Ja Map 3 D Parcel 1 g-LI 0 0_J plication # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address L4.�a � hw U!o!0 Village a nn L_S Owner L 'Spcijr-h Address U-3a _ Telephone $- —nJ'( o 83) Permit Request_ L*al I Ot-fAj C., g VQx& PR DM S l NnA p«o 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered:_ ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing neuv ';- i..5 Number of Bedrooms: existing _new , Total Room Count (not including baths): existing new First Floor Room Count:' I �_n a Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ OtherIP x, I Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove;... ❑No ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing %nev4ize Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name CL and Telephone Number Address (4I 0 LTi bylt '-�3f License # Qu i ns:�,, Home Improvement Contractor# Iu LP I J Worker's Compensation # TNtwC- 3 /1 L13) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS-PROJECT WILL BE TAKEN TO SIGNATURE DATE OCT 2 8 2013 i FOR OFFICIAL USE ONLY i - APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i � t t FOUNDATION r f FRAME INSULATION FIREPLACE :k x ' ELECTRICAL: ROUGH FINAL . !� PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ! ��,l.l a* Address: (4 ) b (—,m\f(2 54- City/State/Zip: e YYl"A Phone #: ` $ "7_ to 7Q(_,o Are you an employer?Check the appropriate box: Type of project(required): 1.2I am a employer with I S 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5.. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. o workers' com right of exemption per MGL Y � P• 12.❑ Roof repairs insurance required.] t c. 152, §](4),and we have no 13.�Other employees. [No workers 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:,f C Yd i l _-3UY-6Ln CP C9'YCGy�J Policy#or Self-ins. Lic.#: TNI WC_11143 Expiration Date: j a��(��I Job Site Address:�43a sac),.. !4> City/State/Zip: c Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under� ns d alties of perjury that the information provided above is true and correct. J Signature: Date: OCT Z g 2013 Phone#: �s Official use only. Do not write in this area,to be completed by city or town ofrcial 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#: CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) 6/13/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LREPRESENTATIVE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED OR PRODUCER,AND THE CERTIFICATE HOLDER. NT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Anthony F. Cordeiro Insurance PHONE - --- _- __............. 171 Pleasant Street I. (508) 677 0407 No) (506) 677 0409 Fall River, MA 02721 ADDRESS: lbrizi.do@cordeiroinsurance.eom INSURERS AFFORDING COVERAGE NAIC# INSURER A.Atlantic-Casualty- Ins. Co. . _._ - - -INSURED --INSURERB_TOrus S e ci al t"YnsC .Insulate 2 Save, Inc. ...." _ " INSURER C:Great American Ins. 410 Grove S t. -—---- ----...-_ __._... —_---- ------ - INSURERDiGuard Insurance Group Fall River, MA 02720 INSURERE., INSURERF: -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA_CLAIMS. INSR _..-... - ._.. ADDL SUBRI _ ." -POLlCY EFF _..POLICY EXP LTR TYPEOFINSURANCE POUCYNUMBER M/DDN MM/DDlYYNY I LIMITS A GENERALLIABILITY Y Y M081000174-1 6/12/13 6/12/14 EACH OCCURRENCE _ s 1._."0001 OQ -X„)COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDP.REMISEa.(E2_,&urrencel $_� 100,000__ CLAIMS-MADE I }{ I OCCUR I WED EXP(Anyone person) - $ - jam 000- OOO- I j � GENERAL AGGREGATE—__ $ 21000,QQO_ GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $ —2,000,000 _ }{ POLICY 1 PRO- I LOC ---�--- $ AUTOMOBILE LIABILITY COMB NED SIN LElIM1T ANY AUTO BODILY INJURY(Per person) $ -...._................................._....................,._.......................... .,..............-....................._...............-...._..........._... ALL OWNED SCHEDULED BODILY INJURY(Per accidenl)I$ AUTOSAUTOS _..__..._...__.___.___....__._..._....._._-._..__...... NON-OWNED Pe�anEcdenIOAMAGE $_-..-........--.----------- HIRED AUTOS _AUTOS t $ $ X UMBRELLALIAB -- }{ OCCUR I `78264D131ALI ! 6/12/13 6/12/14 EACH OCCURRENCE -�$--2,000,000_ EXCESS LIAR CLAIMS-MADEI 3(I AGGREGATE $ 2,000,000 -- DED X RETENTION$ 10,000 I 1 $ D WORKERS COMPENSATION i ( 12/10/12 12/10/13 X W( STATU- OJR, `INWC311431 _ TOR`LLIMITS.� AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE Y!N �EL EACH ACG,DEIYT , 0..._OFFICERIMEMBER EXCLLDED7N1AE.L, QAPLO 5OO O(Mandatory in NH) I �IfyyesdesaibeunderE.L.DISEASE-POLICYLI 500,000 DES6RIPTION OF OPERATIONS below 6/12/13 6/12/14 C Equipment Floater I JIMP 375-99-76-01 Shop Storage 75,350 Veh Storage. 76,250 I DESCRIPTION OFOPERA11ONSI LOCATIONS/VEHICLES IAttach ACORID 101,Additional Remarks Scheduie,if more space is recid red) Proof of Insurance. Residential Insulation Contractor. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVEDESCRI, t&OTI ECM L BE DELIVEREDFONE THE EXPIRATION DATE THEREOF, ACCORDANCE WITH THE POI-ICY PROVISIONS. E200 f Barnstable _.r j- >'` r' AUTHORIZED REPRESENTATNE St.in � 02601 s r CORPORATION. All rights reserved. ©1988 2010 ACORD o are registered marks of ACORD The ACORD name and 109Mail: ACORD 26(2010105) Fax: Phone: I - JXie p� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 - Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 166311 = Type: DBA Expiration: 5/11/2014 Tr# 222532 INSULATE 2 SAVE ROLAND LAN G EV I N - ------------------ 536 EASTERN AVE. FALLRIVER, MA 02723 Update Address and return card.Mark reason for change. Address Renewal Employment F_1 Lost Card DPS-CA1 50M-04/04-GG10//1216p ,/fie TJOmiY�zO�2weCtLl/ O�✓ 2f�tll6P.��4 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 166311 Type: Office of Consumer Affairs and Business Regulation - Expiration: 5/11/2014 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 INS LATE ROLAND LANGEVIN 536 EASTERN AVE FALLRIVER, MA 02723' ___---.-------------- — Undersecretary Not valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-103861 ROLAND LANGEVINY<, 536 EASTERN AVE Fall River MA 027723 t, ; �—� j V �xoiration. J.I Commissioner 08/24/2015 I Motion for Heating Systems read October 19 2013 The Motion: "Whereas that it is the desire of the Unit Holders of The Breakwaters Condominium Association ('The Association") to own,operate,and maintain individual heating and hot water generating systems for their own Units, Whereas that The Association currently.owns,operates,and maintains Common Heat and Hot Water Production Systems("Common Heat and Hot Water Systems")for the production and delivery of heat and hot water to the Unit Holders, Whereas The Association currently allocates fuel,operating, maintenance,and replacement reserve replenishment costs associated with Common Heat and Hot Water Systems to individual Unit Holders through the Condominium Monthly Fee, Whereas The Association has built up Reserve Funds over time for the purpose of replacing the Common Heat and Hot Water generating systems in use in the complex today,and Whereas The Association believes that the current Common Heat and Hot Water Systems are at a point where they should be replaced, Motion that the Board be directed to transition the heating and hot water systems for The Association from Common Heat and Hot Water Systems to new Single Unit dedicated heating systems and Single Unit dedicated hot water generating systems based on the.following-guidelines: a. The Board should replicate the heat and hot water generated by the common systems with single unit systems but is not obligated to use the same technology as common systems use today. b. The Board should provide a standard technology for heat generation ("Standard Heat")that would be common to all units. c. The Board should provide a standard technology for hot water generation("Standard Hot Water")that would be common to all units. The Standard Hot Water system should incorporate appropriate automatic flow cut-offs in the event of a rupture of any hot water tank. d. The Board should provide,at their sole discretion,any"no additional cost"alternates to Standard.Heat or Standard Hot Water technology that might be available,an example of which could be either a Tank-less Hot Water System or a Hot Water Tank system, e. The Board should be directed to pay all of the costs of purchase and installation of the Standard Heat and Standard Hot Water technology for all units from Reserve funds. f. The Board should design the purchase and installation process such that: a. The Unit owner is the Owner of the Standard Heat and Standard Hot Water systems b. The Unit owner pays all Fuel bills(Natural Gas or Electric)for the Standard Heat and Standard Hot Water system in the owner's unit. r Unit Number Owner Voting If PROXY,who %of Common For or Against voted the Proxy . Elements 2A Janice Loux For 2B Carman Whelan For 3A Barbara Harvey For 3B Fred Fogelson For 4A PROXY For j 4B George Sheehan for 5A PROXY For 5B PROXY For 6A Debbie Benedict For 6B Ed Marsdon For 7A Steve Bromberger For 7B Oratai Cuihane For 8A For 8B Ray Hendricks For 8C Steve Kay For 9A For 9B For 9C Walter Smith For TOTAL For 100% For Total Against 0% Against Signed: (Secretary) Dater C Bo s:.. .. Attested: �l t (Chairperson) Dat . c. The Unit owner undertakes and pays all maintenance costs for the Standard Heat and Standard Hot Water systems in the owner's unit. d. The Unit owner,as the original owner of the Standard Heat and Standard Hot Water system in the owner's unit, holds all Warranties for that equipment and installation. g. The Board will provide the ability for the Unit Owner to implement,at his or her discretion and at his or her sole effort,an alternate system to the Standard Heat and Standard Hot Water system ("Alternate System")so long as: a. The Unit owner is the Owner of the Alternate Systems b. The Unit owner pays all Fuel'bills(Natural Gas or Electric)for the Alternate System in the owner's unit. C. The Unit owner undertakes and pays all maintenance costs for.the Alternate System in the owner's unit. d. The Unit owner,as the original owner of the Alternate System,holds all Warranties for that equipment and installation. The individual Unit Owner shall be responsible for all efforts and all costs involved in procuring, installing,and commissioning the Alternate System, including but not limited to the costs of equipment, installation, utility supply/contracting/ap.proval/modification,and building modification. In the event an individual Unit Owner decides to install an Alternate System,the Board will reimburse that individual Unit Owner for the cost it would.have paid to install the Standard Heat and Standard Hot Water system within that individual Unit Owner's unit upon Owner's full installation and commissioning(start-up)of the Alternate System. h. The Board shall be directed to accommodate any fair and reasonable use of the Common Areas by any individual Unit Owner for the purpose of installing Standard Heat,Standard Hot Water, or Alternate System. The Board at its discretion will.determine what is fair and reasonable use, by whatever process it deems appropriate. The Board will ensure that any Owner installing Alternate Systems in the Common Areas meets safety and property protection standards. i. The Board will mandate that all units have a Single Unit Heat and Hot Water solution(Standard Heat,Standard Hot Water,or Alternate System")in place no later than October 1,2014. j> The Board shall be directed to shut down all Common Heat and Not Water Systems no later than October 1,2014 unless.otherwise directed,by majority vote of the membership of The Association.(majority being measured by 51%or greater of the Trust Interest) k. After October 1,2014,the Board shall be directed to amend by standard practice the Breakwaters Condominium Trust documents to remove all Association responsibility for Common Heat and Hot Water Systems. 1. After October 1,2014,the Board,with timing at its discretion,shall be directed to manage the decommissioning and removal of the current Common Heat and Hot Water Systems. m. Starting October 1,2014,the Boardshall eliminate from Unit Holders Monthly Condominium Association fees all allocations for fuel,maintenance,and up-keep for the current Common Heat and Hot Water systems and shall cease funding any Reserve Accounts for the purpose of replacing Common Heat and/or Hot Water systems TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Man 3Ofe Parcel �D� Permit# _ T ��53.5' Health Division,-- . y� r2 � `. Date Issued ( Z Conservation Division _aA&N0 T9 Fee Tax Collector 2 S 0,2 AMY-ANT Af;sT 5I'TAI?; d n, S'"::EC"'ION P&RMIT FROM, 5 Q� S.-??�BBIii +1t:'ISION 9k:t° Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Y-3 o-L Village S Owner Address vN Telephone SG�— 7,S- �� Permit Request a�(b� !` /��,,�l��l�T//��F ('O�U C/2ljTl C��; /UCH` Q a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuatio 1�0 Zoning District Flood Plain Groundwater Overlay "Construction Type C u�2�jlzG�7� Lot Size�[ an�JB \ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes $No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name oL J AIZZi Telephone Number �U � p � -�7S-9, 1 U Address ?(_.3 J 's-CcL. ��i�-tom f' ()Alii License# 1Zg1'9.,VA1/.5 Home Improvement Contractor# Worker's Compensation# ALL'CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR � �-� DATE ds a�- j FOR OFFICIAL USE ONLY it PERMIT NO. ! DATE ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER t- r f DATE OF INSPECTION: FOUNDATION 1 FRAME I INSULATION I x } FIREPLACE ELECTRICAL: ROUGH FINAL l x PLUMBING: ROUGH FINAL GAS: ROUGH -FINAL FINAL BUILDING z DATE CLOSED OUT ASSOCIATION PLAN NO. r r I i I I t � I I I / • / I � A vY i / I 1 , /• I %S�/.l�fl✓.It31�7.f s sli.t;fs;. I {. ON C i a< T � I/ 1•111� 1� w•1•I.111 I •1•. 11 ' ., •.nn• Flu• y 11 :111 11 ••r•�I•r rl,l• u11 •1 _1 ' 1. t` 'P.,�. ....:9.�OP. '\',$JfO"„�:f'•:`3:^C '' : .77. `.':.,.,w: .. ^,�kQ'• �3r/a:�:.�: .A�O??7a�,Z,^,::.`s:.:;:e�,;.,...X;c,%✓,:...%":.:.,.:::. .2..;�.: r r H r _1 I • • :/: • :11 :�: 1 • 1, 1 1♦ � •1.1 1, _ ■ 1 ULU=dnt Board cfty or town, ■ dzeckifimmediste response ■ 1 ■ • contact person: »':.. i i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide Nvorkers' compensation forthr:r employees. As quoted from the "law", an employee is defined as every person is the service of another under any cam of hire, --express or implied, oral or written o er is defined as an individual, partnership, association, corporation or other legal entire', or any two or more of An empl y P P� the.foregoing engaged in a joint enterprise, and including the legal rapreserrsatives of a deceased emplover, or the r=—n er o trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a au dwelling house having not m them, ore than three aparmncats and who resides or the occupant of the dwelling house of another who employs persons to do maftm +an=, construction or repair work on such dwelling house or on the=Quads or building appurtenant thereto shall not because of such employmeat be deemed to be an employer. MGL chapter 152 section 25 also states that every state or iocaI.liceasing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,netthsthe commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public wow until ac ceFtal?le evidence of compliance with the insurance es requir ofthis chapter have bees presented to the contracting authority. - FORMi/,,,��. .Applicants `. Please fill in the workers' compensation affidavit completely,by cbeciagthe.boxthat applies to Your and supplying company names,address and phone numbers along with a knit ofiasuraace as all affidavits may be submitted to the Department of Industrial Accidents for cba afiasuraacx coverage. Also be sere to sign and date the affidavit. The affidavit should be.retamed to the city ar tow ntbat the application for the permit or iic=e is being requested,not the Depaztur=of Industrial Accidents. Should you have nay questions regarding the"law"or if S-ou the D artaueat atthe mmiber listed below. . a workers ensadcE lease call ep are ' to obtain comp P�y�P City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a sp ace at the bottom of the affidavit for you to fill art in the event the Office of Investigations has to cmrtact You regarding the applicatu. PL-as e be sure to fill in the pci zi licaase number which will be used as a re&=ce n>mmlier. The affidavits may be rc=cER i^ the Department by mail or FAX unless other anangemmft have been made. The Office of Investigations would lice to thank you in advance for you cooperating and should you have any questions- Please do not hesitate to give us a call. The Deparmu=is address,telephone and fax namiber. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Investloatlods 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 The Town of Barnstable 9 �'g Regulatory Services 1659. �•` Thomas F. Geiler,Director, f0 MA'1 Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 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. ilt, ® � . .0 S SCl� timated Cost Type of Work: � � Ala / n 'fir— // r'Y'/.Q-i`i7 VJ/11/1 I�P A I / ✓I X c J(�I�J <-.�J' �-- J lAl� r L� Address of Work: /u~�J "l is tyc �- Owner's Name L9 LA) Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Bu ng not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHWORK W NR OI NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMP FUND UNDER MGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner- Contractor Name Registration No. Date Date Owner's Name q:forms:A ffidav:rev-070601 RESIDENTIAL: SHEDS - POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 c/� 1 /nt 9 t I Y i� 1 ALL NV) p21 ASS �/z :..., .- O N ��o2S =---� tT� t STS a26(& )OA)6 U� 77, r, r Co N 1 , r C Iq wr i Y S 1r/ 1I 1 1 v_ i SLcE�rT � l02 —� I The Town of Barnstable BAMSTABLE, 9�A "9. Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main-Street,Hyannis MA 02601 . ce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ~ Please Print DATE: 2`1 G C7 Z JOB LOCATION: number street village 3U O -7 go ?/6 7 name home phone# work phone# CURRENT MAILING ADDRESS: IVA 01701 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an.individual for hire who does not possess a license;provided that. the owner acts as supervisor. DEFE41TION 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 w the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 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:FORMS:EXEMPTN -, 1 { . IIi i � 4 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaD Parcel f r� - ) L3 Permit# .., ' iU Date Issued Conservation Division VP-htn:\co Fee Tax Collector t APPLI MUST OBTAI�i A SEWED Treasu ENGINE . � r CONNECT FROM THE rer f / �- D OR TO t ` co , -CUCTION., Planning Dept. Date Definitive Plan Approved by Planning Board I Historic-OKH Preservation/Hyannis ;. o Project Street Address -� ( - Village A A ! pl11,S Owner 1 ? R�I�l '�i~ ART G A iJ Y►'7 `" Address U tt, 1 -7-6 :Telephone �� 7-7 5—� Permit Request TO R- 1 k ce, •.Je ' Square feet:-1st floor+existing proposed 2nd,floor: existing, proposed Total new Estimated Project Cost- •r�,6 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ' Dwelling Type: Single Family ❑ . Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑-No Basement Type: ❑Full ❑Crawl. } ❑Walkout ❑Other Basement Finished Area(sq.ft.) ' Basement Unfinished Area(sq.ft) t Number of Baths: Full: existing new Half:existing new' Number of Bedrooms: existing new _ Total Room Count(not including,baths):existing" new First Floor Room Count Heat Type.and Fuel: ❑Gas, ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: .❑Yes ❑No Detached.garage:❑existing ❑new size Pool:❑existing ❑new 'size Barn:❑existing anew size :. Attached garage:❑existing Q new size Shed:❑existing ❑new size- Other:` Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ .F Commercial O Yes ; ❑No If yes,site plan review# Current Use Proposed Use _ BUILDER INFORMATION' - Name Telephone Number Address ' License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE s r FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED. f ' _ .;v — i _M ' ,• . _. ^" -a; .? _ � : MAP/PARCEL NO. .ADDRESS ,' ` ' i ' ' `— VILLAGE OWNER 771 DATE OF INSPECTION: FOUNDATION. , } . •: ``` ! - ' r• r ' ' f �. FRAME t INSttULATION FIREPLACE ` ELECTRICAL: ROUGH''m_ FINALr PLUMBING: ROUGH''- FINAL xl s J• 3= GAS: ROUGH FINAL! FINAL BUILDING DATE CL•OSED.OUT � t e ASSOCIATION PLAN NO. t 41 —� APR 27 '9 l�•Gt& n-, i .� - I l r a Permit# is Map � parcel i Date Issued Fee Cnne>srvation Division ""II Tte } f,/ (/j/^� `/,��,]+(�",�►QJ y4V(IPt(i'L " p}y�V{I'\/{q�a$Jl i . I ' f .�,... 3_.. R.r...P --,....—M•.�6- — LYUS�:�'.'Y' i< [.dL11/R I' Planning Dept., Date Definitive Plan Approved try°pianniiq .td ;i Hiskoric .00 _ r .__ Preservation/Hyannis �a-r�...�.,.,. .•"•,n.Tf�w•saea„ecz sma----a-:�:=,o-mmxr$newwer�r_ { '.1 Prr act Stxeet Aedra Address owtier r C _f. € 2nd flQA?: ®x€stin ptoposbd _ Total 60W,»,,.:�. � Square feast: t�s.i!loor sxisFir�g proposed�..-�._ g Esttrnetss i~'rtE tti's � �� Zon+.ngD?stt,�t _ _e __� _._.�q�Plain �. GroUndW8t6Ett�Vmt�Ily Corekr►ction Tye p/ya � errdfat��ered: Q Ye6 �J No if yes, attach Support'l�g doeum�ntatibh:; lnlit+.�c8.�.�....,.......,�—._�-..�.—......�..a....T—.._-....rruausc:vr..a..+m P 3 i %i�9ng ��9: ilI1�t� F rniiy C1 TV40 rF'amily 0, Piti-Family , units) Age of Rxivtinq a:n ta��s� .�_ - Historic v; s3: 3 Yea �J No Cr..old Kinq's Highway: C]!l�es ]'No i a tr�'rst Q gull 0,Crawl Q Walkout Q Basernora Finis;redA ma(801.) Basement�¢r�fis�itned kr�$ (sq,ft� T Number of aft: uiis existing now _w Matt:exiatlnc� � .�� .� new Number of 8edf00my: Total Morons Count(wot including baths),exiftiq —_..._.A W Fir`st 17,100.7 ROOM C�8ut1t 1 Q Gas 0 N 0 fit +rie G Other � ' t'Ai�St Type andFuel: �._...._,--...•..�,..,,,a..�.�m.�a.,�-.m-� ; i � �' Central Air: Ev Y 0 No �fre*oes: yi sting — �...�.... New_._�� �xi�ir►g wood/ooal atova° 0�Y6S ;0 Nat: C3eteched garage: D existing J new size.__._ Pool. 0existing D new S40______r_® Barn:®exisbng IC]naw Attached garage:O existing 0 new size � Shed: a existing U now size ether ! k i ' j Zaningi faar4 of Appeals Authorization U Appeal# Recorded 0 mmercial"0 Yes - o No if yes, site plan review# Currant'Use — proposed Use = i ;> OVILDER.INFORMATION I Telephone Number Hone improvenwt fAnft or ALL CONS.TRUMON DEBRIS RESULTING FROM THIS PRO. WILL 85 TAKEN TO74 I, Modification of Lot 19 Shown on Plan 12102J b Filed with Cert . of Title NO. . .. . . . . . .. Registry District of Barnstable County For more details and descriptions of the units 1 hereon see plans and deeds on file in the registered land section of the Registry of De,,ds ]®I 2 and noted on the Master Condominium Certificate -I issued referring to this plan. 0 :s r� (� H I � F-' H W, H h� S° EA STREET ( 40.00 Wide EXTENSION r N 03 37 3 5 W m 2665 92 _ 46.52 — N 03° 37,35 W D (• " -- rD cn O to O y O � 49/:58 �04 O 1�. O a 0 to C i Q• � O oo H �. 0 `• a 0 1n p 164.67 o I 508. 23 �n 'G 01 T : n .503°37'35'£O 'I S 03° 37 35 E O QL a � lb C o A. 24 -�— P/on 12102E — Cer/. 14882 —...-3- - I s.;4.i - - y m N O Ou:tors re sizo� crigin,-1 decree •;)lz!.n. b � 144 IRDUt4'OE 19 N�l 4 s �o �� � �v,4 N/,7ED 11 �-,,957'C N %1�1M c�D I S 1 D ���f�1/l� C G�<7�t�f- 6 44Cr Sc�t�C CJS ,�4 � '( Pbs T S M-X 7 ©,0. 1000 Iasi L = 1.,300,000 psi "1ypival V,IIIIC;S I'Or SOLI UIe I'll-YCIIUW Pine #2 (Pressure; Treated) Exterior use (e.g. c.iecl(s) .joist Size - Joist Spacing i 2x6 2x5 2x1U 2x.1.2 12" 9-6 11 :14-3 17-4 16 7-4 .1 U-U - -12-4 15-0 - 2U" ' 6-7 8-1 i 11-0 13-5 24" G-U 8-2 12-3 (,jh Elv 0�'c tT- l S .?C Dip oriElgrET1 fg0v- JoisT u c 2�� p 3 S6 N 4-v 6-s � it SDN 0 l i.._.SF_5 111/-4l. 1�3 C 1.(.�/&_ cJ S R7 © r ENDS t457'�N I?im jo t S I D eP©s 7-5 M-X 7 100() I)si L = 1.,300,000 Iasi 'I Y1)iUll values [Or SODUICHI Aellow Pine #2 (Pressure Treated) Exterior use (e.g. clecl(s) .foist Size - .Joist g 12x6 2x5 2x1U 2xa.2 Spacing 12" S-G 11 -7 :14-3 17-4 16 7.4 '1 U-U - '12-4 15-0 2U" G-7 8-11 11-0 13-5 24" 6-U 8-2 104 12-3 (jgFNOECvlS3c 190 v- �IUS� OF 96 " tx)rT OR ,L&_ �CWSTN s ?TcQuc�2� a x T. T,8,SAM 3 So N rA 4-u bes SDN O / iT�3�5 /�'llril• `�� � C 5l�9S4FP,z� a 199 Fiq-16 Fiq F.i4;+ ...�.4.. .h. 11?YY Ztfvjl 600 Wasliing!td)t tin, Mass. 02111 COT a 1 "Md .C•�j ,.�[� .mow. ..�...t�+sw .«ue�w- ^^ _ h I 1 I I. � Se C It�07t• t� ;� 4 ,�„��.-,,.•,.,ems � "' �_�� i ;I (.Y^ ..i S..j / j � n.,®.,�u,.,.�t:r:�+.o�op9*m°'r .•.•. Iy am P:t ;�a�cr � ztzca2s�uvra.eaxwpl k is x o� (\��i•'}4�_ .�...cry.°.,�, .w�+°���,�n�'�"�`" ""- •... < .»:.: >Nt"�-+� r i.,,. • ...,aw..oee...��..ux..a '"'�rw�rM I It I �r r,i;,:A�I 'I � W qr�i 9s� j �v".. + 'rt �la�t �•r' ���mmw�;r, 1. -T gs�ICd3�C51V6� �9 f �.1�0/A� b"smhired tha=2tr=om f am a v�fe (fib q� )%ving l4"Y1YIC f C kd" �+1 YI CT o:! w_ ,• ,Y,yo"n" JJ��jPC°�'q° „�,,,,��y,,,;,sc.,.rw�aevarr,.t'•''a°mw".�.,.:ucn.em.�wr..m+m:Y+ea:^r-..s..a.�,•."'u�re..w.,..:a,�mQ•`......�. ,' ...� . ,® �* u N.+ `.e•�.. �. � M N ' vveim.....m� a>.m66ao'..e...•�+ar-na"^` �.` ''• . y ,rr v ^ j' }� Y� �I R '��w,�-cs,•.•�,awo-.+�..wenYraroe.--•�a�....�.eu.w-',.. ,��.; _ � ... �,••e�r:''�.4 � •:�: r i 919Y'�."'3.�4",s.st. ..�os�-,mcs�:�,,�k�,s„''"�'`d:�1�'r°h'i.�.:�+�€�.i�«"�'a�."adex��if.15.Y.ad .4.."' IEK"'se�' sus- - ,_„ � �y�_t •.�•. 'I , `aLl,'.'ua,..4i9'.�'i�i`nina�.r/^�M P •^`�.�u��-`�kur /////////'1�l//t T✓,/C a}T/�'� � •. ., . -1 ��','�`��v 4 � 02 'I h��___e��:,�,�'4.• , •�..•�..�. ,�w�q..s.�.� ..••'m _.n - (/'If�.� "o'/7�� ,. + ..•� �.... t' • � . :ram,\ r .>•;:S..nS}S y , f gt1 '.ti 4iT JiuLamaf'yaiWUC�l1S• •'• e TiY `�� saugr /tt"fi r'�✓ref ,�f. l a a ON 7q '19•_ 1 S4eG"�'� ��l Lk $ `.'dSI QY';a rR.'SD✓� t'� U e; ISv �l' � oF��c � ,� aef S7�fl1�Qo� g ffirt 7�6. Am dqu� 0jees 9.�faa t m! STO ra :o y ofl3 �gc;9B�S77 K ts� a taa` ��t#�x dBg sus as IBL Itadcm a,'t?o DIA 90 V I ra. t the per• dmd p ts,&Ls-O,�pcii"F3'thsrx the snf��assr �p �sd d! Mined f a this t: Ro�o :CErig3At84� ?DP4�IYA Qt pf�csf�A tu.orJw. do aao6� � � 1 . perms s� �$>ti1L�4ra�#�epae�� � '.e?ter�u��°�t c'r'p°vas:es rtgtiirtd W I E eofi�ta•Ypts7o� ,� ..j;11 I I .. � r•a�,lil.l+ i I Ili{, � .I I, JI fi�E �f '99 09:57 F. 172"" Building Division 367 Main Strra!t.AYaaai HA 02601 I � 8670 "s Suit F , arsatigre ptrmft rm. W➢:ftlrr��ASiF+FMM-rm'.W+..�d'a-.. GY�YAv..NaM.+WyY:umwvNtt�eLLu.,.rrrv,.�nbotlP�a. � ! i I I r m a d it a >,pw x,mm but#.art mono ri'm dwelling Usti 4r m m chic to CO mm-1 res'I&nte or buil>ia.—b a dons- by contxacirn mr Whh cmtMner a ,Want Urith at Type of Work- ' �,�i t� t �9 c' `_ _ tocofd a5'di `t.°. TMNY 'h: 17 ,t�,or:,�.a. ,.,,.... ..w...,..,.,., ,.,.n'«wr.,,»r..d. ,,.lm�u•„n_..,,.,n....,.....,,....._.,e,e.....,,,:.v.,�a✓.'� eoar•,wm�•.A..,..:,'F.v:?""°`,Y'"al/em:,e.aw,�.,:..w..�a..,=.—.G'�"�L,�"�s"'� ,�q, j•k I I o Jwmjr'2 Name: of 4 i I agistration is riot uiti.-d for th fa, 1 m'S on(s), ; I j- atlk excluded by, �zw CJob Under S 1,00 I II I CONTXACTORS 001Z AYMICAZILE HOarl! ffi,9%0VT3ffIrr WOMDO NOT HAVE ACCESq TO ITI V ARBIT- A O PROD AN Oil G11"ARIANTY MI, UNDER PA L c��ice. I hereby apply for a pcmAit the t of the owner. n Coatr�N * • _ 'm 14041, I j Y Z �. ✓y r � � 'bn' yea+ A�rP r�I�ilrr�rR� i ; I I II I. � ��I ,I� •1 1 - - -- - THE BRSAKI�ATERS kGL� 021: $1%��/1`�94 20:;a8 508775�6831'1 I k �,.I I3unding 1) Ion 367:'fain 5bm-etl�Hyaaais MA 02601 •,• I I �' I Tice- $09.962 3 8 x: .BeaIdingatpi�sw e�aS..+��e��-cmm�w+�._ ..�s"` bti.�3aEJUt�ievnra�:.Fs�r»�.��%m:,and'•�.�x�•yueu�,w.a...*�..aun.n>vman.u.scs>amc�rn��nnnaemmud.m�,5u�rs.asarfuewa�emawue� nYi� I � i ' —4� esaa phorn i rk pant 0 ' I She c r*vt ONP.M007J.A�r 111; Mw ", '1rA.t'vl&'d W°.n'cluCL-awammacmayiU6F1b.'. �4 'Alba tix uniu Or"Hu", I I a d try allow ia^r, r..a i M to arag e an 'Mdi vid ua fft"r h t;a d.xaes ina:ti pw.sws a tip et eY Ira � Pars an s who awe a 171=1�Izr'd€gin'Ad 'bvJshz maids= cn jxte:ajd.j ao €de,ot--Adhiiel,tjxav is, mr as jaitad#d'tb i be,g one or vo-fhmilly dwelling, ;sed or tse he a e r gs "MSOTY V-s0,ch we=&jor fa= stucrar'6C pe on,Arho cojamets more 111,va=e home io a silal6 not be M%fdm. a Such ' 'whomeo*ner"shall submit to*BUJI&I9 Officuil an Z femn azc-aptable he EQU r4 Gfficitl, ti'Aa1hL/ I ShdLb s�>txdessi�,r is'°lydi aeav a ' : aa� c�S�arasit ali4 °gor ate tpli: r..e v,i ije State ulld�q Coda and other C r appiicablo cod", YIMWS,rWet and r SS IO .s. I Thr un rsig,Yaed*`3>!erttea)vt;IV?v ce fflez digit he/zhf�=derstinds ne ;� of DanasiOle, BuRd n , Reps ifflakt . ia�iz jtrstr �isiS SeLt9tzt5 pmreatuva aAd mxjoirernen s and th=helsht lviO ro .sky with said p'vtod`ares&.-ad. � I Note: Thres-fray e11la st nirIg 33'000 cubic fe r.t or 3a r wUl b E cosrt aly r th the, state suilsibg Code s Eoa 127.E caqtmctim Coota+at, ' -I-be Code s4 s 2Art "Any FtrrmaMser Im1biming rk fOr-W- a bas Ldisa$�epae+�K is���ut�u sal� prrsviiszffiit ofti7a3 s�e4i>r:s(Ser ? :1.a 'aln> oft "k°tic�sm ax +fi orSfo Prc.�kd�d S'I� u svrr eaa (&)fbr may hol'W nt" .t spa WOO=Wt uuwqc thit uy are M ftg Eha rWpMibI --of a rr:Ass-viWr(no A, lit(Q. P.W�s c stsfla� �r t:i€�osin�✓ua+�c�trerlarr S Bty a an 21 ' ;6 Ir k of o °r :t�s s„^ "sers�a 5t i �► 4iesiar€q�trwh¢tad-nornae ra4o 3a cralirr�R p yureiru. 80�� our Dow u.Anat PNO444 q4mv t Whamed pmon a it wdwd wi2fs E lid+-'Pa:��Sup;+re�;l�os. '$$� �:� rar 4rag�e�+iste�iq trl4f� E�'r" �el�do. i Ta e t i °io tTy sera ovP In , %11160,va=y WMMCWdCv IMa.0 FM of ft pmot i 11Onion. 44a 't41r arr timti s :ertl;}'t iiel3�ae rSt r on�Ihi44S§ of a SxWrvismr, On talc ian pqc a rthh'sMla is s{hM 6wrd*U"d by geve�at t®wry, Apo 1 ors rcr tt ate adoge a fms��lr�rdflmHot ftkr use 4n your e�rm;,;uiar�r. i i Town of Barnstable I"E'�►+ti Regulatory Services o TOWN t.. " BANSABLE Thomas F.Geiler,Director Bn S MASS. i Building Division 2808 JUN -9 AM 8: 51 9 �Al i659. a Tom Perry Building Commissioner ED Mp 200 Main Street, Hyannis,MA 02601 ax: 508-790-6230 Office: 508-862-4038 COMPLAINT/INQUIRY REPORT Date: — g —0 Y, Rec'd by: - ���w� w�a-limns CowDd Complaint Name: T Map/Parcel Location Address: Originator . Name: J \ °l Al 1 '6 JW Al 6 Street: t47 LS 1N cJ y S j—dQ Village: State: yY►T_Zip: Telephone: !TQ 7 7 l _3l 1 p / � � � Complaint Description, f`-P ter e :t-d FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint 5 .11 �1 x� �� g�?::9��°`� s � ` ��K•' SFr- i • �... r 4t �,� I•i� .�"it d'j. �� '?mow �,, � i � � „� +> y F". ;3t��"� � •try,41 �t��i� "' .s.'!4�`�'� '• :•�. let -nob t odlfication of LotJ19 ' 1 n Shown on Plan 12102 1 Filed with Cert. of Title No.. .. • • •• . •. Registry District of Barnstable County 1� For more details and descriptions of the units >� �. � hereon see plans and deeds on file in the AIL registered land section of the Registry of Deeds and noted on the Master Condominium Certific to 2 Issued referring to this plan. r O A m b k. H On ;I O SEA STREET ( 40.00 wide I EXTENSION ION �� � � w r Z I N 030 37' 3 5" w m o O 265 p _ _ 46.52 - N 030 37'35 W- - -- _ F rn Ly -s ,. 49/.58 O � NO 10 /Q o co `D d N 6 o* �` 2 508. 23 � n�i�`� �... /64.67 _o ' �;_ lD f�_ IF S 03 O : S 503037 35£O 0 e Oby�'o • /2/02E Cott. /4892 —`� �— Plan /2/02I ` 4 Cerl 53432 a � J 11 nl i,butters are sno•:1 a,s Ss O en Z decree -plan. ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �ap D Parcel �� ` CIOr Permit# �� 7 c�' , .. . . Health Division - 4Ldlft t& Date Issued Conservation Division ;� Fee 9�2516'6 APPLI MUST OBTAIN A SEWER Tax Collector CONNECTI ' ITTROM THE . /r ENG ION PRIOR TO Treasurer a(�:- C7,-,UTJIONC Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis `. Project Street Address Village U Ka N N lS Owner �Ru g: 05TOr-Cp Address ,/( 1 i I Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost 06 0 Zoning'District'Re Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: 6 Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ 'Two Family Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: O Yes. uAb Basement Type: ❑Full M Crawl ❑Walkout ❑Other F Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: -Full:existing U-YL-0- new Half:existing new Number of Bedrooms: existing new Total Room'Count(not including'baths):existing new First Floor Room Count Heat Type and Fuel: QGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes W-No Fireplaces: Existing Nn New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing ❑new size AJ0 Pool:❑existing JAnew size Barn:❑existing 0 new size Attached garage:❑existing ❑new size All) Shed:❑existing ❑new size Other:' t Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes' ❑No If yes,site plan review# Current Use Proposed Use F BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �'/� 7/9 _ - FOR OFFICIAL USE ONLY PERMIT N.O. - - DATE ISSUEDr. •.' t - � .� � t f __ ' - ' - � _ n t • • MAP/PARCEL NO. ADDRESS VILLAGE r , OWNER :. ! 4 + 4 ,_ DATE OF INSPECTION: - C ' e.d ; + , � .. • ; •• - ; �x a f. .. ; , - j .r _ ; FOUNDATION,' - ,nK FRAME INSULATIONt FIREPLACE � ^ ELECTRICAL: ROUGH FINAL' x PLUMBING: ROUGH FINAL GAS: ? e ROUGH FINAL FINAL BUILDING LO DATE CSED°OUT � e e 1 • ASSOCIATION,PLAN NO. j { 04/26 419 10:08 FAX 860 657 9775 KINKOS Glastonbury- #0899 004/004 TOWN Q'F BARNST"LE BUMDING PERMIT'APPLICA'FION ^ r _palcal ap l Jj� _`�i ' DdtE Iss� u -- — Hearth Uivisron " S, - Fee� consef'atior)DIVisior A)PL � pAG> TFfii CCIh'N �TI :vG.Y'" ltiithri a Tr Tax roliectOr Plannrrp t�apt._ - = •--�•--...�- ..... - - Dace Detr;s NO Plari Agrprvved by pja.nhing}hoard .�- ©1$H proiKt Street Address; `f illac�`3 _m.. �`--4-`=�-f`1 t� .�_�.,..•••_..�----�A .>•-.• —..�-.,-r -1` .---`-_. -,'„ i j F` 0 owner I Permit Roquesl t;�� roe ose Total new Proposed� - 2nd floor; Square iset: st tloor: e siiny - _- Ground Cjrer!ay Zdnir L i9triCt Food Frain .+ Pstimated Fr012ct host d� voratructinn Type ---- ---� t.ot Size _ - -- -_ rcr�dfati�er+rf' L"a'�es Nc if yes, atfac�suQpo'ing ctnr,�mentatior:. Two Family Dwolling Type: Single Farrtily 0 f �iiyt,3riG IYat3 rj V, On��i a King',,Hia?lfiJaY: r' {es Age nt E�istir11g - J 1J�alkout ci` Other t3asemar�`t�'ype: �F�!, Crawi _ _�_..�_-_� •. ,•.�_- 1sSserrtent Union,: area (Sq,l0 easement Finished Area(sg.1t; art:ex ' neW Numb f Baths: = rnewv. Number af'Bedronrns, e istina ,�-=.now _� �.- First Alcor Room Count TWA)AGQM.Count(not including baths): existing --®•--��-= nev� Fuel: was Oil cl Electric 9 Other � : •m-�-� Meat Type and - D No New m i5xi�tIng Wood,Cat stove; J YeS CQnirrli Air; Yes m�No Fireplaces: Existing .:� --- Detached garage:C�existing Q new size''AJ J_� pool:-j mxisting knew. ,size earn:D existing 0 new size xi5tin C3 new ,si40 Attached gangs: @xisttir:g new stze �� Sited: e 9 Zoning Board of Appeals Authorization 0 Appeal# Aeeorded Commercial 0 Yes 0 No If yes,site plan review# Proposed Use Current Use _ BUILDER ESgC)RMA,TION Telephone Number Name _ License Address . - .�� ��3rrre imprcvemert Cortitractor# -._— c-' t}GT1GN''DEI �tS,r�ESLt�II`!C ROM'TNIS PP0JE':T'a�!toi BE KE4 TO _ ALL �. SIGNATURE . CONDOMMIUM 12102 1:,-DI1,'I1'h1"ICN ;OF- L ; D 1N B'R"STAaL-- sHEE r OF 2 Technical Planning bs•scciates Inc . , Surveyors C.9. October - 1980 pouline Kee9on L.C•B• N N 77°34'00, E L.CB. 101.20 t 9 M. - w 17 . � she , 2QA ti /8 �. 8 1 3 M O � O M 7 � o w O V y � � m 0 4+ 2 m . U m 0 O 6 �A ' U to r♦ tll �•+ C) O • .a 4-3 5 O z O td O. O +-) 10 ml� s. to 4, O Q � Q. N U �z U 't7 0 U O r� Sr to Q� to 4-) co Q) a-) Q [. � J .4 � 101000 ,c s b •� 5 N 0 w F 94 U w O ,4 C.8. • N U to t0 G; � I �/ � 4 � U 02 � a� � s�. h �QO O ,-+ ., a) O � h e N<O a c ca a w ,0 4~ V - -_o.mi `J� � a a a) 100- 00 `.' u 3 o C a' o b 4.3 h' 5 87°02�25' W Ho,word F. Peak v M �v0 � � c. � U)rotn O JQ 9 h a OX-' •., (D O a) a Q m 1"1 . b� M p L.C.B. o h By the Cwrt Copy of part of plan 12 l 0 Z`, d in ' LAND RMSTRATION OFFICE e Aug //, /981 Scala of this Plan 50 feet to an inch J Oct.. 2,1981 4— — — n o r iia��e ✓ Fnninacr fni rnuif r RT FI©© R UOI s`T FtVDS r 44& Sc l2E Os ( eR©s i S M-X 7 ' ©,c, . . 141i 1UU() psi L - 1.,300,000 psi 131piu.11 VaILICs 101* SOLltllerll YcIIUw Pine #2 (Pressure '1'rcale(I) Exterior use (e.�. (leeks) Joist Size - Sp Ici1i� 12x6 2x8 WO U 2x.1.2 12" 8-6 ! ! '14-3 17-4 16 7;4 1 U-U - '12-4 15-0 20" 6-7 q_1 1 1_0 13_5 24" G-U 8-2 :lU-1. 12-3 (JgFN oEc e�r iS so ©l-� �ISTN � s �'1'G qu i l2�:D � o N MA3 s� N a-u bes S©(U 0 / (13E5 lgl!V `7 ' /I ill r.i-/1/'l 'C 4 /, x L q/-< f1,44)C ERS RT FZ©© R i441'YD1lgiqE_ 6ND NRI.LC 6)f4 v,4 N1,7,EZ) f' f�s7'�N 71M cI D S l D 14,, = 1000 ps i - = 1.,300,000 psi 1131pic al varies ('Or SOLltllcr-ii Yclluw Phic; #2 (Pressure; Treated) Exterior use (e.g. (leeks) Joist Size - .loist sPaciiio 12x6 US 2x 10 2x.1.2 12" (9-G 11 -; .14-3 17-4 16 7.4 1 U-U ' �12-4 1 S-U 2U" 6-7 -1 i 11-0 13-5 24" G-U 8-2 :lU-1. 12-3 b)hI EN IS ,3G o/-? &rrEg7_R Ilgov s Mt)S- za�c g6 '/ tx)l`T. Nc Jp 1ST �r4lU � S �1'c Cju i 1"c�� p -I-v bes i I SDN0 / LOF3 (T114). .-? ' n/it r 'if,f= i? 0 4,12 6,,,',q 9 10:37 RAX 8601 657 9775 MINUS Glastonbury #0399 Z002/004 p- THE- F C12 BF 59 13uilding Divisi too Stree,qyUaj,�,NJA 01601 508-0-1-4103A Buflding'COMM pt=it AJFVXDAVr1' ra WLAN LNITj?,�eNT_NTNT , ON Sty PM A-g mirl0val, derio miz or to.mc=rs which m Adjaccat to jr�g at leav one bVt not,,mope th-a-11,11-OUT buildw,g Wut�lz IZ,,along With, Othtr CrMin W�Ccpj jo ivr.h mqulrcrr astLm. C-,f Work: of Work.. Addi wt.'er's Name: E),,ae ofkv lic"I' ,p hemty cat'ify dta". not rmwl;red for �Jjg Cilwark"ex6m1cd by liw ciab Under MAU) 'er owft pmnh Nattee it �craby aiv es that ' NVTM,UNREGISTERED PULI,.Irqr TOM()WN,pp _,,*jTr OR]DEALIN E I OWKIMS, LE HON C&�C-rOFLS FOR I APPUCAA . ,S. M.R0VgTdp_NT WORA DO NOT HAVE PR( M, ,,D*U"IR MCL c ;kCCESS-ra T- -ARBITRATION DER IFEN ALT= ---+her hr 9= NO. N iDate OR �Q) N Ovwmrtees q.foMwAffidav Z_7 _0 J 04/2 7 10: 12 FAX 860 657 9775 _.. IiINKOS Glastonbury 0399 0 001 01i15/11394 20, 27 5@87756e311 THE BREAKWATERS PAGE 01 t Assg ` 367 Mena StM Hyannis MA 02601 office: 508- 52-46 2 Ralph Ctmsen Fax; �08-730-6m 13t I&g Comm Ssioncr h.415i4i.WYAVF£•••••,�••�•.-.,�••"•-.-.. � i+�/.1uWrrl��dt��iyyaut✓lst-m���,,�:suit-iuyy.,,,,..r22:�:•,�wR��Ke.bg•.u.t',i�GN�VpS!ft{�iYYyawvu�uyr.��:Y,w•-Y4:!'.'lYgtl!'i.[b.u:V L+s.::a,rw.wlw im.-i..41.-�a�`TMn:.4.wviilW�lPItipYWi OAM `oo LOY'.AITIf1>4'_ e-ab-"l A, :.....'..._...1..%:��.d.U,.%_._ ���3 � - F"Nt r Phone,R}�. � 'YVCJf`li:.ilt14�YY1:�a arUARfn�m N'WT.114n ADDRESS. • ''.�ill'%iBV�a�t ...•......--,.�,...,,...._............«.--....m.M .-ACt7�.Y�..a....,...�.....�....._....m....w _....-.._....��C?Rld9 .he cu-& at exemPtion fex 2 ilt�'y' wa-v ez!rgd'ed to lVAt gff t d&dj:!lzj:.rf sAx°,traits or loss t is to allow bornea7*wierS to cap;Ttl W ?.divich;A ray to do'm not ^Sr'm--1 a lll:env'-,I V7 � Persct(s"who erwms a parzel ofIMd cn vvhlch ht"I,sbe rn, 6rs ortmendsm mildc, On 1,01ch there a:, or s intended to be,a cane dAielse .g,'r a and.or dearhmi share.— .s%mnsrey to Lmvde%1.1c faati!lli:r ft 1 strumrrs. A pma n Who cat7srm-as Wore tmrL one hzrmr.hi ai rwo-yev period sham°'rim ba c msideredd a�.�,re=tm9at. such "horncownzr" sh;tli submit"tts the 7�yc��ildfigt. hE�guw, ari x ''.oTrr<b .c. G,..�, T- o � ng d �x , t he/shc shall EeD ,5 i tt'jvLjm g 4 V9...I) T tc wictrsisaned"homeownce w1se ee-s m-sp »rsJb,'fley for c,€nnplinn.ct yvid'. the Sloss building C:,de: anti other appiisabla~codes,byhtws.Tahoe 4m The aorta-id,ersigned"I$C'.':ad:ow$er'c e nW e-3 41a Titeijha".mid rsm-ndi the TSs'trm of.5='AZY st ie eDuiidiiig Dep'juvnent mblir'itttr impirrativil Prot ves and mg6t.:'1i ras and thak,Wshc wM Compiv, Wit 3163,(9roczdum wid re �{ �rl:Epr of S•i►�rnasa+rner A'Vp caval Df Railding Orfuwa Note: Thmt-NmUy d,,%Va rA s miy-at%Lnu%r 35,0M, Oukic feet or i:ar&-r gill°ao ra:qul td Its ct,rnply with the State 13WIding Code.St4noa 1.2 .0 COnArm o t CanTMA. . Me Cad;statz thVI; ",rainy hommww p tbrminS woek €wltUz e hJld Ln g pmr.4t it re:quind s�-,aB1 s4 z,-,gsrtptt fratn the pmmiom of t)!t!s rex-d to(Secdon 10.1.1-Uok,�mbng of em-m e at for h_irx to do SU b vvodc;c!=, s--tr Hmm- vtW sw eat.a VJMVWN;•' Mmy Pms^.eca'asm xis who Baas 1h6==Mg4on lay.Ummom e;u th�.7 ar." mine ice ee sufbllb5ts of asuperwiwr(set:Appendix Q, Pubes Rqatlnmfon.,for i.ic Wing COMMUC11=Sttperrimm,Se 10"2.15) Tom'Ise.k cx embm 3 oftn rerWtr in iM" '/ats pmbl pwzioalimly wkenxhie hommw=hUw unUvemsed tMom- In++is cars,am Board aatr wt PmMed sgta%n the unlire and pc:.3or m it wowd with a fimmed SaPWvi=. 'foes bUmvjWU&Wing Is si+e°s sir is ulthaely r¢vo.(b1(& To cum tla,a tz hw n cwn=Is fatly t-;�°t as saaJdes t+eque.a p�amis atrp{im6om lhat the sromeowner cerdfy&K htfshe ter redbllW=at a Su"s'tffinc_ On caa staff gaga of thij h--'ue 13 a form currestty used by aW�racy towns. Felts ran cm to mmmd'md aaraes'pi surh cc r -I n yoky-msarwaaraley. gPaSsc,.�:e��wr , 04/27/99 TUE 10:09 (TX/RX NO 54761 001 I Eng g Dept.(3rd floor) Map Parcel / 6 L- Permit# . House# �� Date Iss d - 8 - Fee CF 1ME rd 19 g BARNSTABLE. ` MASS 163q. TOWN OF BARNSTABLE Building Permit Applications 7rojectreet Address t-f Village LA E Owner 5��� *J� T� -t�I--1�. Address c� Telephone �,� F� l a 2 ✓t ezlwr Sv S 1— Permit Request x I STi S _ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes WN'o' On Old King's Highway ❑Yes a1O Basement Type: ❑Full rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New �— Half: Existing New �— No. of Bedrooms: Existing New �- Total Room Count(not including baths): Existing New First Floor Room Count Hey Type and Fuel: W-dCoFireplaces: Oil ❑Electric ❑Other Ce tral Air ❑Yes p'1 Existing ---,-- New Existing wood/coal stove ❑Yes pl'd" Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) hYNone ❑Shed(size) ❑Other(size) ";>rc-L-�L ,)Z Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Used Builder Information Name Telephone Number Address Ae i License# 17 g 7 TZ�I�TA/�L Home Improvement Contractor# 4vc 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 PROJE WILL BE TAKEN TO SIGNATURE G DATE-- `J BUILDING PERMIT DENIED FOR THE FOLLOWING EASON(S) KP It _ d FOR OFFICIAL USE ONLY PERMIT I�IO. DATE ISS,U = r= MAP/PAkEi NO ADDRESS, `` x VILLAGE OWNER,-- { } P r DATE OF'INSP:ECTION: ; FOUNDATION - r FLAME r - INSULATION FIREPLACE - ELECTRICAL: ROUGH :FINAL PLUMBING: ROUGH FINAL . +' t GAS: • ROUGH FINAL ' s - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . The Town of Barnstable MAE&9� Department of Health Safety and Environmental Services o ",e Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: - Est. Co �T Address of Work: Owner's Name Date of Permit Application: T / S — 9 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _--Job under$1,000. u/ 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: f' S Date Contractor Name Registration No. OR Date Owner's Name The Cannnonsreulth of Afascachusclts •rr , Dc partitteiit of Industrial Accidents �. o lee afloyestlgaaans 600 Wa.T titt,tmt Street a Bustnn.Mass. (1 111 Workers' Compensation Insurance Affidavit Pi P � li itn inf rm inn• cat' n• to S SJt•���!��Lin a it nht,ne Of I,am a homeowner performing all/work myself. I am a sole proprietor and have no one working= in anv capacity [i I am an employer providin^workers' compensation for m�•employees wori:ing on this job. en in tun%• n•tmc• ;tddrecc• city• -nhnnc!t• incurnnce cn police >� [� I am a sole proprietor, beneral contractor, or homeowner(crisis one) and have hired the contractors listed beiow w• o the following workers' compensation polices: emmn-mv n•ttnc- 'tdtirccc• cin•• nhone d! incur•tnrc rn police d ` 77, ��.-. cmmrinnv mini•• addrecc� cite• phone It• noiic�• inconncc ce d �^ Attach atlditio_nal sheet if neees_sarv—:•.. :•c - • -•�i'�:��"•Si - -- •�• �W •n ��r•� ~^'� `� --yi: i •••.wa:.: Faureil to secure saver=_ :ts required under section SA of AIGL 152 can lead to the imposition of criminal penalties of a line up to SIS and 00.00 i one%cars' imprisonment as well as cill-if penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that cope of this statement ma% be fum-nrded to the OMce of Investir.ations of the DIA for coverage verification. 1 tlo hereht•certift•under the pains and penalties of perjuty that the information prodded above is true and comet. Si_..^.arurc — z Date Print name G — t—:::'At`t2: Phone# ' officiasc onh do not write in this area to be completed by city or town oltcial w permitilicense rt rltluilding Department city or town: oUccnsing Huard [1 check if imtnediate response is required 0seleetmen s Of lcc �. �. C211c2llh Department r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their mployecs. As quoted from the "law-. an entpinree is defined as every person in the service of another under any ontract oniire express or implied. oral or%Vritten. . .n Cnzplm•er is defined as an individual. partnership, association. corporation or other legal entity. or any two or more . is foregoing en�sa�=cd in a,joint enterprise. and including the legal representatives of a•dcccased •empiover.•or the ,cciver or trustee of an individual , partnership. association or other legal entity, employing employees. However the xner of a dwellin__ house having not more than three apartments and who resides therein. or the occupant of the Xclfiui" house of another who employs persons to do maintenance , construction or repair work on such dwelling: hour out the `:rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. GL chapter 152 section 25 also states that were state or local licensing agency shall withhold the issuance or neival of a license or permit to operate a business or to construct buildings in the commomrcalth for anv plicant who has not produced acceptable evidence of compliance with the insurance coverage required. 1ditionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the -formance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha _n presented to the contracting authority. plicants 2se fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and ofyinu company names. address and phone numbers as all affidavits may be submitted to the Department of .istrial accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tite -'ON-it should be returned to the city• or town that the application for the permit or license is being requested. the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required brain a workers* compensation policy, please call the Department at the number listed below. . or 'I on•n. se be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of .ffiidayit for you to fill out in the event the Office of Investi"ations has to contact you regarding the applicant. Pleas ire to full in the permit/iicense number which will be used.as a reference number. The affidavits may be returned to )eparttneut by mail or FAX unless other arrangements have been made. Dff ice of Investigations would like to thank you in advance for you cooperation and should you have nn}• questions. ;e do not hesitate to ►_ive us a call. :)eparttnent's address. telephone and fax number. The Commonwealth Of?Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,Ma 02111 fax #: (617) 727-7749 phone #: (6I7) 727-4900 cxt. 406, 409 or 375 .. �-. t... ✓1ze >�orvnwmulea,� o��ar�ivaelY.i 1 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number:: Expires: . . Restricted To: 00. SHANE MCENEANEY 165' BRIDLE PATH MARSTONS MILLS, MA 02648 r HOME IMPROVEMENT CONTRACTOR Registration 122777 Type - INDIVIDUAL Expiration 10/16/98 i r SHANE MCENEANEY � ,SyANE S. MCENEANEY 2 S. MAIN ST ` ADMINISTRATOR CENTERVILLE MA 02632 l of Engineering Dept.(3rd floor) Map iffio Parcel��`S�- 06 House# Date Issued 9 Board of Health(3rd floor)-(8:15 - 9:30/1:00-4:30) Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) ` It dqT �r1 19 BCONt}NUM(M R TO r TOWN OF BARNS TAB Building Permit Ap 'cation j t Street Address 3 n Village Owner. 'T Address �-�— Telephone Permit Requests First Floor square feet Second Floor square feet Construction Type y__t t+1 V Estimated Project Cost $ Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes l<O On Old King's Highway ❑Yes Imo Basement Type: ❑Full rawl ❑Walkout _ ❑Other Basement Finished Area(sq.ft.) --'f- Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing ' New �— No. of Bedrooms: Existing New Total Room Count(not including baths): Existing cO New ------First Floor Room Count G� Heat Type and Fuel: CTGas ❑Oil ❑Electric ❑Other Central Air ❑Yes Upko Fireplaces: Existing /� New fisting wood/coal stove ❑Yes QW6 garage: LJ Detached(size) Other Detached Structures: ❑Pool(size) ❑Attac size) Barn n ❑ d ze) (size) ❑Other(size) Lt >c Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use ,- ,P n e� Q Q �,-? �„ Proposed Use Builder Information v Name St- 4 E — /Telephone Number 2410 Z ( U G Q ddress E Le,�l(= License# 4 �] L C ` 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 PROJE WILL BE TAKEN TO �-- sz- SIGNATURE DATE t, 5 / ~J BCWING PERMIT DENIED FO OLLOWIN EASON(S) tea' �,� �.. �p FOR OFFICIAL USE ONLY PERMIT NO. - 14N DATE ISSUED ' MAP/PARCEL NO. r ADDRESS VILLAGE OWNER A 7 t DATE OF INSPECTION: _ FOUNDATION FRAME ', e INSULATION FIREPLACE + ELECTRI.CAL: ROUGH FINAL- PLUMBING FINAL GAS: FINAL r FINAL BUILDING DATE CLOSED OUT V9, ASSOCIATION PLAN NO. ;o yg s� I I r G .y , ���— T �D /,►,1 Tp '&J i L . 171 N is WITH � L � ,e -t._✓ �o I S—� -N-AV.I i S C C �ti� T Ea MW TO � L r r .�- r� �'f The Town of Barnstable • ensiva ABM • 9eb '& 10�` Department of Health Safety and Environmental Services '' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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 '�t--- cG-� �E�-- st.Cost Address of Work: � '�c �'T ��A S Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. mlding 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 permit as the agent of the owner: a e Contractor Name Registration No. OR rJ -�- Date Owner's Name The Commonwealth of Afassachusctts _.- Dc paritnent of Industrial Accidems 1 01IC9flfIA7Y95/gatlans hull Ii'asltitrrtuir Street Boston, A1a.vx 02111 J Workers' Compensation Insurance Affidavit applicant information: Please PRINT -RE L locitinn- ���Jr �pLl 0 ILA,= �T 441- nhone# 1 am a homeowner performing all work myself. � I am a sole proprietor and have no one working, in any capacity �w. . �Via_ ......._tw.r!�.�;•1tivY.�.Yws•}Tel'7'n.�.�Mn�.l7�^�Tn�w.+ww�.�,�.^r.+a.�71ww�.ar.waf.r.w...�.w�... �.. �=..��w.,.:. I am an employer providing workers' compensation for my employees working on this job. cmmmany name: address: city: Phnne�!• insurance co. Polies,# .. _. .-,..... ......... -.�....----�............a.._.......... ... ._._ _. .. [I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin_ workers' compensation polices: committy name: address: cih: phone it• insurance ro. noliev tt 1 •I.. `�.'.. _ '�.;Y•..::•. ...._.� � �r�.��ti iT"S.�.w.s1.� .�7T._.�. ..p•ti......�....�.....�_ cmmpanv nninc: address: rite: nhnne insurance co, policy of ,lttach additional sheet itneces_iaty� i�"^ --J�' a<y —•• a�^`��'• �'�r`«• r..y..y: Failure ui secure coveracc as required under Section:SA of 51GL 152 can icad to the imposition of criminai penalties ol'a line up to 51.500.00 andiur une Fears' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and it fine of 5100.00 a day against me. I understand that a cope of this statement may be forn'arded to the Oflice of Investigations of the DIA for coverage verification. 1 rlo hereby certify tinder the pains and penalties of perjuq•that the information prodded above is true and correct. Si_nature 'vl f., Datc Z 41 Print name E ,v�G l.�— Phone ( C) (0 C) ' ofrcial use unh do not write in this area to be completed by city or town official city'or town: permitilicense it r111uilding Department C31.icensing Board check if iminediate response is required _ OSelectmen's OMcc ► C311calth Department contact person: phone#: rJOthcr s- i. r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for the: employees. As quoted from the "law". an empl( tree is defined as every person in the service of another under.an• contract of hire, express or implied. oral or written. An etnplorer is defined as an individual. partnership, ass6ciati6n.'dorporation or other legal cntit%'. br any two or more the forc�_oin�_ enza�_cd in a joint enterprise, and including;the le�_al representatives of a deceased employer, or the receiver or.trustee of an individual , partnership. association or other legal entity, employing employees. However the ,ow.ner of a dwelling_ house having not more than three'apartments and who resides therein, or the occupant of the dwcllin- house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hoc or ota.tlae `:rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer MGL chapter 152 section 25 also states that ever} state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonm•ealth for any :applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither tlae commonwealth nor any of its political subdivisions shall enter into any contract for tlae performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter h been presented to the contracting authority. 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 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 returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required to obtain a workers' compensation policy. please call the Department at the number listed below. Cin• or"Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tite affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t, the Department by mail or FAX unless other arrangements have been made. The Office of Investi=ations would like to thank you in advance for you cooperation and should you have any question: please do not hesitate to -,ive us a =11. r......,,..._._..-��...... ..—....,,...,_...�. .._...�.....s,7..�.-,... The Department's address. telephone and fax number: The Commonwealth Of Massachusetts : r Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 g v jj m o f a m O cr. y, - p co.. rn 1• rn rn Z rn rn o o c o i m a yy a �m o m w .. z a, N rn CD l r71 N Assessor's office(1st Floor): / Assessor's map and lot number / �� C� U o�TNc To Conservation Boardof Health(3rd floor): D / �� ���y� ssaisTant Sewage Permit number, < 1 ) � rua Engineering Department(3rd floor): 1 ", °o��e39.``�� House number Tom " o tuv Definitive Plan Approved by Planning Board 19 ; APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1 W-2:00 P.M.only TOWN OF BARNSTABL-El � BUILDING INSPECTOR �• m00%_ APPLICATION FOR PERMIT TO r?e= ��P TYPE OF CONSTRUCTION %�`7�-'� ,;� ,� ^� � .,,1 6 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District ?1 /��7 (� Fire District Name of Owner A C/ ,�' I/ 79i //i D Address � l� � � � 7_' Name of Builder:1 lip r�L' � Address Name of Architect 0 Gci f'JC:q/' Address Number of Rooms - Foundation L oe-k Exterior _S `� _i /I/(, Roofing J x Floors n ix +-)g. + 6 Interior -.u1 Heating L 'jf U Plumbing 134 Fireplace Approximate Cost - d O 0 rsCG Area Diagram of Lot and Building with Dimensions Fee 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. (,,Name Construction Supervisor's License .vG.-� MARINO , RICHARD A=306 . 184 . 00B " No 34717 Permit For INSTAL /CELING SingleFamily/Condo . Location 432 sea St . (Unit 4B) Hyannis' � t Owner Richard ?Marino Type of Construction Wood & Plaster .F Plot + Lot 1 1 Permit Granted D e c e mb e r 2 19 91 Date of Inspection 19 . Date Completed 19 i 6 + i 1 1 1 a 1 4 1 PERMIT COMPLETED i R 1 , �� 7�IP Assessor's Office Ist floor Ma� Lot f `/'� �� Permit# Conservation Office 4th floor j Date Issued Board of Health Ord floor APPIdCANTMIN Engineering Dept. Ord floor) House# %j� co Pal ENGIIJEERIldd apt. (1st floor/School Admin.Bldg.): CONSTl;IJCTiQAL BARN6rABM MAW Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN OF BARNSTABLE Building Permit Application Protect Street Address U rJ 1 ,Q Village DIVA ON V� Fire District (hvncr `DAy)4D -t- I .I A V IT 0 Address kaDD-N?L S-1 Iv�4-G>tJ gJ111 Telephone PermitRcauest: K'iEaAZ rz,t!V OQL ( 77 4- CeP Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Anneals Authorization Recorded Current Use i a'N7M L Proposed Use SAfi-\-L- Construction Tyne W 0(D,-1:) Existing Information Dwelling Tyne: Single Family F—EtJM1, Two family Multi-family Age of structure 30 Basement type I�Uo Zr, Historic House Finished Old King's Highwgy Unfinished Number of Baths I No.of Bedrooms Total Room Count(not including baths) First Floor Heat Tyne and Fuel Of-e Central Air Fireplaces Su0.1ve,— Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds ' Other Builder Information Name �i0v IG� M I�0�,1311JS Telephone number Address 2�t7 _ i369 -�6_ License# 0(-/Yl3 I y1baA1(SU-dj9M/-1T "Q Home Improvement Contractor# 1 6 3-7 1 Worker's Compensation # UZA 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 BETAKEN TO VoambVlti D U(\P Project Cost I C927e—�> <') Fee SIGNATURE DATE�� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T � 1 i FOR OI•TICE USE ONLY , +/2/95 ��• 306. 184.00K ADDRESS 432; Sea Street, Unit 8B VII.LAGE • Hyannis David & Lia Vito _ 1, OWNER DATE OF INSPECTION:,' FOUNDATION _ t ' FRAME t r F t • i 6 . INSULATION d - F y t FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL- GAS: 0 MROUGH FINAL FINAL B + i _ DATE CL UT: ' ASSOCIA .�W NO. 1 • I � t t .r e COMMONWEALTH a�PARTMENT OF PUBLIC SAFETY OF ONE`ASHBO.RTON PLACE MASSACHUSETTS BOSTON,'MA 02108 a OCENSE EXPIRATION DATE CONSTR, SUPERV1S0R CAUTION 05 /�'1 /1 995 ��""� " � FOR PROTECTION AGAINST EFFECTIVE;DATE LIC-NO. RESTRICTIONS �� y , � ` � THEFT, PUT RIGHT THUMB i NUiVE ; .15/31/1993 044131 PRINT IN APPROPRIATE i � BOX ON LICENSE. {G' DAVID M cDE313INS 25 PINE .S T I BLASTING OPERATORS YAkM0.UTHP0RT_ AA .7267.5 MUST INCLUDE PHOTO. t . i GAGEDINTHISOCCUPATIO •` - SIGN _'. MM R'•� t i -. � ✓/tG'�69INIC�9Nl�`�✓•�"^^"C�tIJEl�il''i ! HOME IMPROVEMENT CONTRACTOR Registration 116379 " i Type- PRIVATE CORPORATION ` t� 06/09/96 EzpireCiOn r D R C.ONST INC E r. DAVID M. ROBBINS r. A G ��/eceh',ao�i `yJ DLD CASTLE RD P 0 BOX 60`2 r>_ •. ,.,ADMINISTRATOR YARMOUTHPORT MA 02675 t z b a c1% Z lo JL a o r� a� 11/02'94 17:02 'E'6177277122 DEPT IT'D ACCID (' ^fir: (_0t)Wno12.1ueaa11' o f J1111a.Jjacha_ietb �aPartrrtenl o�.>'•ndu�t�caL,./�lcccdenL� 600 Weston.S'f James J.Campbell &ton, ///amadwdsH4 02f f f Commissioner Workers' Compensation 'Insurance Affidavit with a principal place of business at: (caris�z�a� do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees working c this job. Insurance Company Posey Number I am a sole proprietor and have no one working for me in any capacity. O 1 am a sole proprietor, general contractor or homeowner (drde one) and have hired the contractors listed below who have the following workers' compensation policies. Contractor Insurance Company/Policy Hurnbei Contractor Insurance Company/Policy Numbe; Contractor Insurance Company/Policy Numbe: O [ am a homeov.,ner performing all the work myself. I unct!!inc: _:a cc;,--of r•::<_<__:emEnt will be fory.zrced to tie Office cf ir,ve:d�tions of tte DIA for coverage verification and that failure to u ce.r;ge zs rcc.is ed uneer Sec-on 25A of MGL 152 can ieaa to dhe Imposition of criminal penalties eotuisan¢of a fine of up to S 11,500.00 arc/ yea:s iTFf scnm.Ent;L well as civil ;,endue in the fors.:cf a STOP WORK ORDER and a tine of S I00.00 a day 292inst me. Signed this L A--o day of I9—ff Licensee/Perthirtee Building Department Licensing Board Selettmens Office Health Department TO VEP,1F-" COVERACE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, ;7� a+�wsr�. The Town of Barnstable . • 1659�. peg Department of Health Safety and Environmental Services + " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fay- 508-775-3 A Pu*1.e,�r CC,rr=sS For office use only Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMITAPPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, remo%al, 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:_ `Doc,& Est.Cost �Z CTU Address of Work: 9 3 14 3�7— Owner Name:�T)Wl ) +LI A U[l D Date of Permit Application: t I herein,certifv that: Registration is not required for the following reason(s): Work excluded by law Job under 51,000 —� Building not owner-oocupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOA4E IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION FROGitAM OR GUARANTY FUND UNDER N4GL c. 142A SIGtiED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Z A //K77 9 Date Contractor name Registration No. OR Date Owner's name euz Engineering Dept. (3rd floor) Map Parcel Q Permit# House# — Q,/ Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)lv ' e Conservation Office (4th floor)(8:30-9:30/1:00-2:00) - APPLICANT A SEWER CONNECTI M THE 19 ENGINEER OB TO CONSTRU O RNMBLE. �prfD MPy A`� TOWN OF BARNSTABLE Building Permit Application ItleetAddress ` > jIj (LO14055S Village S Owner Address,. �/ 3 7 S'T" Telephone Permit Request 2 ( ) Z First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection S Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family((##units) Age of Existing Structure Historic House Cl Yes a40 On Old King's Highway ❑Yes Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing 2- -- New �! Half: Existing New No.of Bedrooms: Existing �New Total Room Count(not including baths): Existing LI New First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air ❑Yes Q1140 Fireplaces: Existing -mow Existing wood/coal stove ❑Yes Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Z 1 h 12 1 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information G 1 Name Telephone Number j 0 Address 61 License# ►'� ,2riC CT.1l. ► �--�- 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 1 S h L ' SIGNATURE M DATE �T Pm D THE FOLLOWING ASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL N t - 1 ' t ADDRESS VILLAGE y L`• OWNER t , DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE t %f ELECTRICAL: ROUGH FINAL , PLUMBING: ' ROUGH F FINAL' .� a`s� c GAS: rJ�H FINAL FINAL BUILDING Q _6 DATP--'CLOSED OW0 ASSOCIATION PI�1`I�,NO. Yy ... °F VE The Town of,Barnstable BAMSTABLL 9� KAS& �0� Department of Health Safety and Environmental Services ArED 59. Building Division J 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 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: Est. Cost Zo Q l Address of Work: Owner's Name Date of Permit Application: 4 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: LLL Date Contractor Name Registration No. OR Li 'J(5-- L17 V--Fl F-, Date f Owner's Name .X The Collltltoll tt'ellltll of Massachusca Dc partnlellt of Industrial Accidemts A y I VMCCofIffF9S&gatlons 6110 11'ushiagtnn Street Boston.Mass. 02111 Workers'.Compensation Insurance Affidavit AJp1 •tit information• - Plcnie PRINT lebNy , city n rc-Q I-CT14S HI L—L S nhone# Lt 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity • w. Mwy ��-...� ...w�n!'.1M.s./.'I.r•S�RT�..wwn�)1RrATo."w-.+w��71��� - yt�..w.w._`.. r..__�.. - 1 am an emplover providing workers compensation for my employees working on this job. enntnnm• name: atitlrccc• city phnne#• - incur-ince co Holier # M 1 am a sole proprietor. ;eneral contractor, or homeowner(circle one) and have hired the contractors listed below who hay the following workers* compensation polices: cornn•im• nntne: •tddrear city- phone#• incurnncr co Holley# comnanv n•tmc• - addrecc- city phone#: incur•tnce co nofic�•# Attach additire0_n21shcetifnecc3r �.:ar'�''s. '- :*.--�•_'•.`.: .:— ....`' ......'. •'.' `"`".. ' ""'�': " `.•_.`•'"._...:.'� Failu to secure cttvcrace as required under Section.SA of 51GL 152 can Iced to the imposition of criminal penalties ol'a line up to S1.500.00 andiur one V cars•imprisonment as%veil as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a cop)'of this statement may be furn•arded to the O11ice of Investigations of the DIA for coverage verification. I do hereby certij tinder the pains and penalties of perjun•that the information prorided above is true and corn t. Si_=nature I G:�_ Date � II � ,� C6C Print name � 1� � Phone>r '•nRcial use univ do not write in this area to be completed by tiny or town official *� city or town: permitAicense# rtlluilding Department L C3Ucensing Board L tC3 check if immediate response is required OSelcctmen•s Office t.. . C311calth Ucpartment contact c phone#• rI0ther_�— �. a� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation fo; employees. As quoted from, the "taw an emploree is defined as every person in the service of another under an contract of hire. express or implied. oral or written. ' An emplurer is defined as an individual, partnership, association. corporation or other legal entity. or any two or the fore-, enuaued in a.joint enterprise,and including, the legal represcntativcs.of a deceased employer. or the receiver or tntstee of an individual , partnership, association of other legal entity, employing,etinplovecs. Howes c owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance', construction or repair work on such dwellin; or oft the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an dmp: MGL chapter 15? section _5 also states that even•state or local licensing agency shall withhold the issuance c renewal of a license or permit to operate a business or to construct buildings in the commonwealth for unN- 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 pertormance of public work until acceptable evidence of compliance with the insurance requirements of this chap been presented to the contracting authority. ,. fir. •y. ..• ,.1'�:a..,�,•. .... .. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation c supplying company names. address and phone numbers 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. Tile affidavit should be returned to the cit}� 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 rege to obtain a workers' compensation policy, please call the Department at the number listed below. City or'1'owns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botto the affidavit for you to fill out in the event the Office of Investigations has to contact you re`ardin;the applicant. be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returr_ 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 que_ please do not hesitate to give us a call. Tlie Department's address. telephone and fax number: The ComttonweaIth Of Massachusetts ry• Department of Industrial Accidents _.. Office of investigations 600 Washington Street Boston,Ma. 02111 fax #: (6171 7Z7-7749 - 1�f I V �V � Sr ,=�, . , . . 0 iE)K o .s-r s r=>T L., x- Lj /44 TC) C�-art--✓ �o I S"T �A rl c....E�2 S � �4.t.._.cJ �Z�,,.G_�r-�.L..� . --,~y �/ze i�a�ninw n.�oea`C! a�.S�aaaac�ivarld`s OEPARTMENT Of PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE �...... Number: Expires: Restricted..To: 00 SHANE MCENEANEY 165 BRIDLE PATH MARSTONS MILLS, MA 02618 HOME IMPROVEMENT CONTRACTOR Registration 122777 Type - INDIVIDUAL - Expiration 10/16/98 SHANE MCENEANEY � §yANE B. MCENEANEY , 2 S. MAIN ST 4 ADMINISTRATOR x' CENTERVILLE MA 02632 i y Q�oFTNEtp�. TOWN OF B.AR.NSTABL ■ BARISTADLB, i rr- ' "�& BUILDING INSPECTOR Op,s�i63q. ��0 �D MP'�p'' , r.1 .4 APPLICATION FOR PERIIMIT TO .............r� ....................h� ....../.P..v.l....................... CC �'JJ TYPE OF CONSTRUCTION ........ ... oa1........................................................................................ a.(1.........2 o,. ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information- Location - .2.... E ...... 7`�'E ...Z J!C/�...........�'�Y/�/�/!(l�Ss... .'.5. :.. Proposed Use ............. .1C...Q..0........I've.C 74........ WIAJA.!4.fNlrt...P.£?.0.�.... Zoning District n .......".&J...................................................Fire District .............................................................................. Nameof Owner 06 , . , . ,. ...444,r............................Address 4r�2...�' .......Sl........................................... Name of Builder .�19�/.. ,/, (,E�4,�0.! .... �.............Address Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................. Definitive Plan Approved by Planning Board -----------_------____________19_______. ��� ✓ Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH I`f-iE PROPOSED METHOD OF PROVIDING SANITARY WATER SUPPLY, SEWAGE DISPOSAL. AND DRAINAGE IS EREBY APPR` QED T•OWR ® BARNSTABLE, BOARD OF HEALTH A LICENSED INSTALL-' MUST OBTAIN SEW G_ PERMIT. AND INSTALL SYSTEM. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ..... . l.�:.........:............ .. ............. Coleman ' ?� . / No . - n'6~h {or _ .TooI_.. ` —'----^—^^'---^--^~—^--^^^—~--'' �m Location .'�=-���.�l�����.—.. —.—.. ~ � ---.-------~----,—~--------- Owner —..Cclemoz- ----.------ -- Type of Construction ...Cooerate..................... ' .................................................... � Plot ............................ Lot ................................ � � ` 0�� Permit Gmn�6 �� �1 � ���� lg^�W�=� .~ — ' --� \ � Date of Inspection ---. --. —.]A ^ ` Date Completed ... ^ f � . . ` PERMIT REFUSED ~--'—'''------^~—^------`' 19 � � ..-------..---.-----------.--. . / � . -~'--^^---`^^'------'--'-----'--' | ' | _.--.—.----------...—...—.—.---. ^ ^ � .—.--------..---~........,.~.—....- � � Approved . l9 � � .--------.-----,—.-----..~~..— ' � ----------.--------.—..~--..,. � � � >u :: ,. :- ....t ,: .•- ..��... .:,-,- ,,. -�.�.. .... -r_:.:, , _. „ - ,,.;-v �, ,..,.�.r s.-.F•,. ,_x ra-�,s*.: �... ya �*r�£c. k...r�.,.t."- �^� "��'3'�i'� �• ,?�'x.: .r r-..y u:+r�{ ::, •-:..h.-.� .. .�...,, .. . ...^� w,.,�.. .... ... ..ram... .,.. vY.s.=>-x s., ^:.;-�3•.-n.�.:7�,.. ...,.�. _„R �,.. > - c..t.r. FS•('+;:? ..4�. ,s.. �r .. .... .... ,... r ... .-:.:. 'F�'p}.., -:.: •.,?..... .v.._'.t s_.... „�y 5 .. 7•,:. �... .--. ro =r �5.. :'Y..G .}'��' .n ��' .-:.. ..... . ._ :. ..�:�.,,.. 7 ...:-. -..- ,,.. .•,,,, -� -.._,-:� - .--s :�� s. .....: .�. -s -., , F eol s>, { 4t sly. co M v / 44 - U l�o c�t.. q O 1 � A 70. 0 7S. 00 k � , . TWE..E` k7 w • �m' x Ad 5 WiAK��t/& 1 &O/— :<- yAA~/XA l►ls s, x�- 5 -c , .: _..,.. ..,._ ....._..,;..._ tea: ..«... .,. .. .- .., ..:.. ... ...... .. ....,_-- � :, �-r. ,ss..i,,.. ._ >.>.... :='k'"�: '•..__. ...._,._.. >r. 1, Assessor's office(1st Floor): 7 Assessor's map and lot number 3 o c�TN s t+o Conservation SEPTIC SyS�EE jj�' � ' I�riS'TgLL�f2 IN . _ y • _, e, Board of Health(3rd floor): Q y } C01 • , Sewage Permit number ENVIRO IT" r.:L Engineering Department(3rd floor): MENIAL �°° '�}0 House number 02 TOIVN ��� �\ Definitive Plan Approved by Planning Board 19 �®�S APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1 W-2:00 P.M.only TOWN 'OF. BARNST BUILDING INSPECTOR APPLICATION FOR PERMIT TO o�? TYPE OF CONSTRUCTION 19 9/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use G v t wc� Eel ` Zoning District ��S i�G/?Z l� Fire District �S Name of Owner/)/a- eZ,4, ' / 'R//9l0 Address i Name of Builder 42 LZ//'I L Jr- Address Name of Architect 0 GfJ17g 1�' Address Number of Rooms Lhi Foundation SLa Exterior 1 yu b ) -S 49�AC ZS /I1/C Ri)fing - X e ASAti alV 1 L ;� Floors (?AA p e I' / a 7 /1 !'C� interior I�L A S�evL Heating GABS iS 4ml ti5 Plumbing >3 AT Fireplace_{ a Approximate Cost Area �� 1�Tcf� a#AI55S?` Diagram of Lot and Building with Dimensions Fee 1 t 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. (ilVa me ,CR,LX Construction Supervisor's Supervisor's License _50=1:14z � MARINE, RICHARD No 34717 Permit For INSTALL CEILING Single Family/Condo . I Location " 432 Sea St . , (Unit 4B) Hyannis •. ? + n +' Owner Richa:rd Marino i ..' � � .:. is * e' :; 'i � '� • � t � .� Z t r e o j `r'?od & Plaster d ; ! Type of,Constructidn a , t { j ',i is • � I i ` � r � :v Plot Lot rl Permit Granted December 2 Date of Inspection t ' { 19 r rr Date Completed '2 7 Z=19_' -! aces '� x„ � r ( f F I G {`.• s �, � • ` i , 1 r ! • r f • Uc.,17@r 1 at ¢� cq ' a • I 1 1 � 1 3x3 • 5,' ra*v =J • zz - �I i F, TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION 4 Please print . . , ,DATE_{ JOB LOCATION Number Street address "HOMEOWNER" % Section of tow (� Name 6 o e�phone :V,�:,c. '.. PRESENT MAILING ADDRESS work phonez. � IL itAv YY town State The current exemption dwellin s for "homeowners" zip .code -�_ of six units or less and to allowesuchxteded to include owner-occupied acts as for hire who does not acts 1.as Sul ervisor. Possess a homeowners to en DEFINITION OF license, provided gage an in- HOMEOWNER: that the owner Persons) who owns a side, on which Parcel of land on which attached or detached is, °Y is he/she resides intended to be a or intends -to re- A person who detached structures accessor one us to six famil considered than Y to such , use and Y dwelling, a homeowner, such one t1Ome in a two_ and/or farm structures. on a form acceptable homeowner"' shall submit to period shall not be for all such work tO the Building Official to the Building The erformed under the Buildin that he g .Official ' he/she shall be res Building Code "homeowner" ermit. (Section °nsible g Code and other assumes res 109•1. 1) applicable codep0nbibility for compliance The undersigned "homeowner', y-laws, rules and with the Stat certifies regulations. and that ble Building Department that he/she he/she will com y minimum understands Pl with said inspection procedures ande� Town of;HOMEOWNER'S SIGNATURE Procedures and requirements. APPROVAL OF BUILDING OFFICIAL Note: Three family ell - to comply with Statedgs 35, 000 cubic feet, Building Code Section o 127 r larger, will. be• 0 Construction required - control. :Y �. HOME OWNER'S EXEMPTION !The code state that: ,permit is required Shallnbe��exemome Ottlrio,;er ,e Performing work for which, a,,;buildinq ishall (Section ag. 1 - Licensing ofcoils; (::,;Uc�j-onpSuperviss of this section Home Owner engages a persons) for hire to do such works� thpro act as supervisor. " provided that if . sudh Home Owne: Many Home Owners who use t1lis exe :.io>> are unaware t 'the responsibilities of a supervisor that the are•' 'for rep isor Y as'satin(ice A 5 licensing Cons Appendix Construction Supervisors , Section 2. 15) . Rules aJac` kegulations often results in serious problems This .lack` o :.awarene: unlicensed persons. , particularly when the Home Owner hires : unlicensed person as in this case our Board cannot r as t would proceed a a supervisor with � . 5 iris.t: pervisor is ultimately 1.ic.en.,ed Supervisor thy;: ;;, y repo„ 9.hle The Home`�Owner actin To ensure that the Home Owner is fully aware of his/her com'nunities require, as part of the ,�� � N. unpermit a responsibilities, mar last certify that he/she understands the res application tha Home Owner page of this issue is a form ct„ , SP Pons of a 'supervisor.'- ' On the care to amend` and adopt such a toa.m/cc a-i .�_flcationus ed bforeueral towns. You may use in your community. I II Assessors ma and lot number �........... `p ,/ p f............, yof TNe ro Sewage Permit number ........................................................ B9SHSTIIDLE, i House number .. ....J.......6........9......................................... �o Masa p 039. \00 J MAR a' TOWN OF BARNSTABLE P BUILDING , INSPECTOR APPLICATION FOR PERMIT TO ..! !V +.!?: !.`..: ?�'� T/t// �?Afr1�1'�aCri.� TS cCF �Tr`'4�' TYPE OF CONSTRUCTION � .:...��.��.:...............19.�'�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according toJ the following information: . Location 3.r? t A `�' /�//� !�(A(/ .. ...........:.......�..................... ..................................... ................................... Proposed UseV . .. . 101/1,��`_,—��rl S cr... .......f.. ................................................................................ Zoning District ................. .8 ..................................................... District .............................................................................. Name of Owner .1,,;, (,; ,XI�. AI ....� f. f�.......................Address �.. ....: a9....... `~ ........... Y Nameof Builder ................i.!...................'.!.............................Address ..........`...........i.!........................................................... Nameof Architect ............... ..................°.!............................Address ..........(4........... !........................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ........................................,........................................... Heating ..................................................................................Plumbing ......................., Fireplace .............................................................I....................Approximate Cost ........9'l nf� ..............:....,:....................... _........ Definitive Plan Approved by Planning Board --------------------------------19--------. Area1... .f !.� .... :. Diagram of Lot and Building with Dimensions Fee .... ..r ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 13 r 5 � i.701�C. CnO� ~i-rV. �k(AA I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. // r Name .... � J 2391I ENCLOSE No ----._. Permhfor ------------ ` . � _..Po���z_ t�_��..I]ot�v_YV��._. Location ....4.32_Sea_S±���t_../�^'t k�� .. .=�----. -------'`---��—. " �� {�olemao Geell' � {�vvne, --...---r-----------'''�-- Type of Construction —'Fzauue......... ' ~ --------------------------. ' ' ' � - Pkot —..-------.. Lot ----------.� . ' � . Permit G,ono*6 ..... .l�x l� 8� ��������— —. � � . Dote of | .............................. .—..lV . ` Dote Completed - ' PERMIT REFUSED .......................... - ` —. lV �. --------.--. --------.. ' - _.----..--.---...--------------. ----- f�—�����,~^ ............................... . � . � ---------.------'.--..,.-----.. � � ' . App�"^"cl .................................................... lA \� ^ � ---------.---,—.----.---~---. ' � ` � � -----------.~-------.—.--~—. � ` | U Assessor's map and lot 'number (!......... . ........'�,!` �Oi THE Q Sewage Permit number. ........................................................ d� b Z SAMSTADLE, i House number ........................... ...................................... 9 �0 YPY a' TOWN OF BARNSTABLE BUILDING IHSPEPOR 1 APPLICATION FOR PERMIT TO ..L�IG�! 1 .. xf. !Nf`..��� �tle .. rti�fr.......... TYPE OF CONSTRUCTION ........ .......:...... f ................................... .................................................. ....... .... . ..................191�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a peeeer�rmit according �toj th�e1 follloowing information: Location ....." .. ......... ....... .G!........................1.7. 'T mf.. ........................:............ ProposedUse .. .C_.(... pft!.4.............................................................................................. ZoningDistrict ................. ............................................Fire District ............................................ ................................. Name of Owner Ujokf m.AiU.....�.f .......................Address V-e....4M......Sr........... , ........................... i Name of Builder ...............A..................f..............................Address ........cam ci .......................................................................... Nameof Architect ..............'L...................`.... ..................Address .........:�.......... ........................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior .............................I......................................................Roofing .................................................................................... Floors .......................................................................Interior .....:.............................................................................. Heating ....................................... ................................ .,. ....Plumbing .......... ..................................................................... Fireplace .............................................Approximate Cost ........� U ..................... :. ..:.................................. ............... . Definitive Plan Approved by Planning Board ________________________________19________. Area . .... ... .. . ....... .. . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r«�G- Pxk A t�L� �2oo - a,k s I � I w S C- rov at)Who" I .hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... . . . . . ....... lam SEELY, COLE14AN ; t 23311 E14C:LOSE Permit for ........I........................... ......PORCH%..M oae.tS...&...ZX1. Ky...Ray..... Location ...............2 Sea Street ,1.................. ............. Hyannis........................... g I ' 4 •• Coleman Seely Owner-....................................................... � Frame Type of Construction ......... .. ........................... r- ` j` 1. ell- ....................... .......................... Plot ............................ Lot ................. - '= f' February 15, 82 Permit Granted ............................ ......19 } Date-of Inspection ........:..................-!......19 T� X Date Completed ......................... ....19 gy, *-=-----�. PERMIT REFUSED h { J W S ....................... .. 19 ........................................................ �...... ........ .............................. ....................... .............. .v ; .............................................................. ............'^ 'vo ,+ , i ........................................................ .............. /' f Approved.....:................................... '5..... 19 Aj .. ................................................ -'................ \ z �Assess�lr's map and lot number (,�.(l!..� �rfi... ����u TL ., , , ,a ,� ti - `TNE T' �'f{ - /L /� -�- �'tr r cS G%•d�/c S%,i�l� - ' �" � �.O Oro, 4wage Permit number v� `�`°�� 3° �i''6..LL'� �Tl....................................... ......�J... ` .vva1-1 1 1N°Nd9R�26+&a�'����T t'oaaXAA& ts. House number � 3 �N R '° `i�' o ate m a yar aye TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........f...........:.. .lo}.1..� If" . i '..Ffr V ... a ............. TYPE OF' CONSTRUCTION ..........................r/eA I ..................................................................................... ................iqC? TO THE INSPECTOR OF"BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location .............................4...3.4........... ..... ........G't.. AAA&S....................... ................................... ProposedUse dl� �/ .......................................................4.............. ZoningDistrict ................. .!...............................................Fire District .............................................................................. Name of Owner ...... C l`s. 1} .�..... : - Address ................. ....... ..... �................... Name of Builder tt. .....................Address tc et �:� ...................... v Nameof Architect ................:.................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...............................:............................... Exierior ..........................................................1.........................Roofing .................................................................................... Floors ......................................................................................Interior ............................................................................4....... Heating ....... ......................:..............:................................Plumbing ........................................................................4......... i Fireplace ......................................... .. ....................................Approximate Cost ...........4� t. . .. ... . — .... Definitive Plan Approved by Planning Board --------------------------------19- ---• Area..: Diagram of Lot and Building with Dimensions Fee O� SUBJECT TO APPROVAL OF BOARD OF HEALTH ill�' .7- A Aol �R ROOF 4' ol �`', r � � t3 A ONAr qC NA1 4' WA-a 8�ll�-lo��' A U N ATE `4F-,fa 2ovm . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................ . SEELY, COLEMAN i Nb 24626• Permit for RAISE ROOF ;- ... ........ .................................... ,, MOVE -DECK Sin le Famil ..... ing 1 = , Location ..4. .2..Sa...Street.... Un:1'4. d ................ .anxl ............................................. '' •-' ii Owner Q.1. 4Xl...5Pe,.IY............ Type of Construction ...Z-KAMQ.............. Vol . .......... �Flot ....... �...".........:...:T Lot ...........�,. ......... 'ilk !I► IJZ i� Permit Granted December 8; 19 82 ,r c ....... ... Date of Inspection ...........................t .'::19 Date Completed .....? 9 PERMIT REFUSED 4 ..............................................._ ...... .... 19 ................................. . ...... ........ ................ ............................................................................. �... ....:'..........................................` fi3 Approved ........................................... 19 - ............... ...... .... ............................. ' ........ �; = ...:..... .. ................................................... I 0 F � a 71, Assessor's map and lot number ..... ....,....�............ o �= {�fl/!c 5 �l�Oc�-r`r /IL�CG=u T O*1 E tp�� L Sewage Permit number ............................................C:� ��'"`��• w``P °� . °oBeA,R NST ABLE, House number ...................................... Me9 i 00� 1 'FC MAY 0`� TOWN OF BARNSTABLE i BUILDING INSPECTOR APPLICATION FOR PERMIT TO �t �s�`��cl r.. ............. A TYPE OF CONSTRUCTION .......................... / i4x ,.........,..............................:............................................ 1 a w,d�(_ 47 ......19.,,,..:. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............................! ...........-5 ..... .. u lid//.�...........:............ ...... rI Proposed Use d 11 rt ... M-ll...rr................................................................. ZoningDistrict ...... ...........................................Fire District .............................................................................. Name of Owner ..... t .A ..... 1� f.t l................Address .................4.a.?........... .....� ................... ..... Name of Builder ..................... ...................I t.....................Address ............................. �t r{ Nameof Architect ................. .. .....................................Address ......................................................................... ...... -\ Number of Rooms :................. -...............I.........................Foundation n .. ...........Roofing Lxierior ....................... .................................................................................... Floors ..........................................................................Interior ................................. Heating " ..................................................................... .............Plumbing .................................................................................. Fireplace .. .................................. ........................................Approximate Cost ................. ,.............I...................................... ;Definitive Plan'Approved by Planning Board ------------------------------19--------• Area ,.!!....... •r�..(_ fy�1t Diagram -of Lot and Building with Dimensions Fee ,r 4 SUBJECT TO!'APPROVAL OF BOARD OF., HEALTH EAy� �iln►L v� ROOF pF A) f��1r �l�d�`l� /L/4 d S 'o I tJl AfC I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .:? ,/ Lf�� 1AJ SEELX, COLEMAN A=306-184 24626, RAISE ROOF No ..............::.. Permit for .................................... MOVE DECK.. Single Family g_, ..�. . ...................... ..... - Location .. 'Sea Street ................................ . Hyannis - ..................... .................................. ................. Coleman Seel Owner ...............Y.........:................... Type of Construction .XK.-Iine........................... ............................................... ....... .................. t.. Plot ............................. Lot, ............................ December 8 Permit Granted ...............................! 19, 82 Date of Inspection ....................................19 Date Completed 19 ^ PERMIT REFUSED .......................... .....::....I........ ..: (.n....... 19 ............................... .�. ....�.��. .:................. = Approved ................................................ 19 ............................................................................... ...�. .. .: er. ...... t , Assessor s- map and lotn''umb TNE3 s�; Sewage Permit number y ...............................................' House 'number ...... V „ � 1 F BARNSTABLE Fl n � _ t '_. �UILDIrHA 11SfP TOR ; t ,APPL'ICATION ;FOR PERMIT 'TO .....................! k �P1�1 ............ ....... .. ...................................... k• .n, ,- i+ ,TYPE OF CONSTRUCTION'. ..... .... ............ .... l ............................................ ...• TO _T,HE INSPE&OR„ OF BUILDINGS: The undersignefd hereby, .applies fora .�p^ermit according to the following. information "''' " +JL'ocdtion � i, �.. , 1•�I ... _1 /,; ................ ......... ..................... ............................ ,•I Proposed' Use 1{ ?',Y r+� �t! t A I�� l O-.4l lg Ai' ;� .... Zoning District ... ... ... .. .. ........:Fire District ..... ..................... ` T. f 1' Name`of Owner. ..... ...Address . n :�... • o Builde Name .. Pa........... ..... ....... .................r . _Name' of, Architect ; .: ::.. Address....... ...... ...... '.' Number of- Rooms .. .Foundation ..... ...................... ..... ....... _ ; s Exterior. ................................................... .. . .Roofing ..... .. _ ........... ..f Floors; .. ..................................Interior ..................... ..... ...... .i i `Heating ; .. ... ..Plumbing . .... .. ........ ..... ,1 - r ,Fireplace .. .... ..... , ... Approximate'Cost • O..�.' .... �! Definitive Plan Approved 6y Planrnng Board _ _____. _ -_________19______. .� Area ..../.4. a ... Diagram ,of'Lot,and Building, with Dimensions A Fee ra o�. hr -} SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereb agree to con arm all the GRules' and Regulations of the Town of Barnstable regardifig the above ` 4 i1. y '° construction. Name b k . SEELY, COLEMAN A=306-184 )0 No 22914 permit for .ADDITION .............. Breakwater Co tapes..... Loca - ea Str.. ................ Hyann' s ............................................. Owner .Cole an See Type of Cons ruction .........TKAMe.................... ..................... ................... ...................................... Plot ........ ............... Lot ................................ Permit Gr nted ........x xch...1.7............19 81 Date of In' pection ........ ...........................19 Date Com leted ........... ..........................19 PERMIT R FUSED ............ ............... 19 .... ................................ ......................... ............................... , Approved ............ ..... .. . .... ................. 19 ....................... . . .... �.. .. ........................... 8 Assessor's office(1st Floor): Assessor's map and lot number Conservation Board of Health(3rd floor): Sewage Permit number , � ru• Engineering Department(3rd floor): '630' House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ ^12 -0 �- /�r 1s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location rz��Ga-�.c/ � c�v S t Proposed Use 6�r t'w-y,, ) u Zoning District K Fire Districts-'—� Name of Owner 1"\�/ram � . �TV,� '`-e Address • Name of Builder a - Addres �. Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing __- Fireplace Approximate Cost 0)C7 Area Diagram of Lot and Building with Dimensions _ Fee 10 8 x Z 7- w iK day, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License z // THARION, -ROSELLE No Permit•For BUILD DECK. Single- Family Dwelling 2 - Location Unit 6A, 432 Sea Street Hyannis Ow er. ' Roselle `.Tharion } t ? ! t r Type of Construction Frame Plot' Lot Permit Granted -'April 9 , 19 92 � I ; Date of Inspection 19 �! m Date Completed 19 I r r i r TOWN OF BARNSTABLE BUILDING DEPARTMENT "HOMEOWNER LICENSE EXEMPTION Please print. --- - DATE 4 4 - G JOB LOCATION L < k Number Street Address Section Of Town HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS �() aQ J , 1 It411YA own tat e ZI . . p ,Code . The current exemption for "homeowners" was extended to include' owner- ! F Occupied dwellin s of six units or less and to allow such homeownersto engage an individual for hire who does not possess a license, rovided that the owner acts as su ervisor. p - i DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends reside, on which there is, or is intended to be, a one to six,.family to dwelling, attached or detached structures accessory to such use a structures. A person who constructs more than one home and/or farm period shall not be cons' me in a two- ear idered a homeowner. o " shall StohtheBuilding Official, to the Building Official on a form acceptable that elshe shall be res onsible for all such work erformed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for com lian State Building Code and .other applicable codes, by-laws, rules ace nd the the regulations. The "undersigned "homeowner" certifies that he/she unde Barnstable Building Department minimum inspection proceduress and Town of requirements' and HOMEO_WNER'S S IGNA_TURE v APPROVAL, -0F BUILDING ,OFFICIAL Note: Three family dwellings 35,000 cubic feet or required to comply with State Building Code Section 127.0 larger, will be Control. , Construction ,r r:usrs i HOME OWNER'S EXEMPTION The..code states .'that: "Any Home Owner performing workfor which a building Permit 'is -required shall-be exempt from the provisions of this•:. section ' (Section .109.1. 1 - Licensing ';of Construction Supervisors) ; Home. Owner engages a provided that if person(i) for hire to do �such work, that such Home ..'' Owner shall act as supervisor: " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a `supervisor (see 'Appendix Q, Rules and Re ulations forg Licensing Construction Supervisors, Section 2.15) . This lack of awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case- our Board. cannot proceed against the unlicensed person as it would withl! licensed supervisor. The Home Owner acting as .supervisor is ultimately responsible. To ensure that the Home Ocaner is fully aware of his/her res onsib'` many ,communities re uire as p ilities q , s part of the permit application, that:.,the Home Owner certify. that he/she understands the responsibilitie&' of a supervisor. On the, last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in .-your community. a ,F 1 i w 1' Y� f 9j Asseslor's ap and lot 'number .. 1� Sewage Permit number ..................:....:.................................. ` ZO House number �gT�ntE ' ...............:.................• .................................... MAB a � p 1639• \0� 0MOa' ' TOWN OF BARNSTABLE BUILDING `1xNSPECT0R APPLICATION .FOR PERMIT TO .... ............................................................................................. TYPE OF CONSTRUCTION ....... .....��! I�T...........................................:............................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a (permit according to the following information: Location .......' .-.. .5. ...........G..ir--n ... c........................................................................ ............................ ... ' Proposed Use ........: . '...;.......l [,.... .: �.. .......................... ........................................... ZoningDistrict .................. ....................................................Fire District .............................................................................. c4 Name of Owner ....... � - ..... .t .............Address ....4 �......5 i6-/4'•.....�r... / ...... .. Name of Builder ................... ................. . 'I.....................Address ........................ki...............:................ ..................... .Name of Architect ....................... I........................................Address Number of Rooms ..................................................................foundation. ...............:......................:....................................:.. Exlerior ......................................Roofing .....................................:.............................................. Floors ......................................................................................Interior ........................................................................ Heating .......................::...................................`.....................:Plumbing .................................................................................. �®O Fireplace ..................................•...............................................Approximate Cost...•........•...........:............ ....... ....................: i Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ... .. .. ...?-..C.... N G Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH c A A-'WA c iye I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .. ........... ............ ...................... - - � L . . . ' . . ^ . � . - - ( - Breakwater Cottacres . . ' vi - PERMIT REFUSED . . ` lV ' . . . ----. ` —.--. --~—. ^^--'- lQ _ - ~ ` . ' . . . ---~---. ~ ~ _ --.—.--... ^ | _ | . . ' 4 Tel. Ra**&-ha 432 Sea Street (Area Code 617) I HYANNIS, CAPE COD, MASSACHUSETTS AV rf ;V eAle1.0S4 6 � Io' _ !<; x�.fTra<` J^_cc ; PAY I +G, d TO P. 0. BOX 1 18 SEA ST. BEACH HYANNIS, CAPE COD, MASSACHUSETTS 02601 � �SUBJECT: ` �. �� ._ _. DATE.- - IS��_85V - 4 r FOLD ( Q �- -- -- - - - _. kL SIGNED LOT sr7� FORM NO. PK111R-2 AVAILABLE FROM BUSINESS ENVELOPE MANUFACTURERS,INC. PEARL RIVER.N.Y.DEER PARK,KY.•ANAHEIM.CALIF. - - .'• �. -'PRINTED IN U.S.A. 2"x10"LEDGER SECURED TO �{ STRUCTURAL STUDS IN HOUSE PER CODE,SEE TABLE R502.2.2.1 JOIST HANGERS TO BE SIZED AND INSTALLED PER MANUF. TABLE R602.22.1 2"x10"TIMBER JOISTS 016"oc FASTENER SPACING FOR A SOUTHERN PINE OR HEM-FIR DECK LEDGER NAILED TO DECKING ALONG AND A 2-INCH NOMINAL SOLID-SAWN SPRUCE-PINE-FIR BAND JOIST°•'g TOP EDGE W/8d NAILS 9 12"o.c, (Deck live load=40 psf,deck dead load n 10 psi PRO 05E ENC 5u, / ALONG JOISTS&6"ALONG EDGES JOIST SPAN 6'andfess 6'i"toe B1"toltY 101'ro12' 12'1"tota' 14'1"ro16' ttil"tot8' Connection details On-center spacing of lastenersd- 3/4"SUBFLOOR PLYWOOD DECKING WITH VAPOR BARRIER '!2 inch diameter lag screw with 15/32 inch 30 23 18 15 13 11 10 maximum sheathing' 1/2 inch diameter bolt with 15l92 inch maximum 36 36 34 29 24 2] 19 O (2)2"x10"TIMBER JOISTS sheathing �. NAILED @12"WITH 10d,NAILS 1/2 inch diameter bolt with'g/92 inch maximum 36 .36 29 24 21 18 16 (2)2"x10"TIMBER JOISTS sheathing and'/2 inch stacked washers° NAILED 012"WITH 1061 N A I L5 For SI:1 inch=25.4 rum,1 foot=304.8 tmn.I pound per square foot=0.0479kpa. WITH J015T HANGERS SIZED a.The tip of the lag screw shall fully extend beyond the inside face of the band joist AND INSTALLED PER MANUF. b.The maximum gap between the face of the ledger board and face of the wall sheathing shall be%' FOOTING C FOOTING A CONCRETE FOOTINGS(TYPICAL) c.Ledgers shall be flashed to prevent water from contacting the house band joist d-Lag screws and bolts shall be staggered in accordance with Section R302.2.2.1.L (SEE NOTES 4&5) Ilk e.Deck ledgershallbe minimum 2 x 9 pressure-preservative-treated No.2 grade lumber,or other approved materials as established by standard engineering practice. i f. When solid-sawn pressure-preservative-treated deck ledgers are attached to a minimum 1 inch thickengiucered woodproduct(structur-al composite lumber,lami- nated veneer lumber or wood structural panel band joist),the ledger attachment shall be designed in accordance with accepted engineering practice: g.A minimum 1 x 9'/2 Douglas Fir laminated veneer lumber rimboard shall be permitted in lieu of the 2-inch nominal band joist. 1 FOOTING C 1 h.Wood structural panel sheathing,gypsum board sheath ngorfoam sheathing not exceeding l inch in thickness shall be permitted.The maximum distance between the face of the ledger board and the face of the band joist shall be 1 inch. OPEN DECK 1 1 STEPS TO GRADE 51MP5ON P05T CAP CONNECTORLPC6Z DECK ELEV 6-10d NAILS IN BEAM ` 8-10d NAILS IN P05T (96"ABOVE GRADE) (UPLIFT 915 05) T,-4' ' NOTES: 1.TIMBER DESIGN STRESS'ASSUMES: 14' 6"x6"TIMBER P05T 5 1/2"x 51/2"5IMF50N SPECIES:SOUTHERN PINE NO.2 2"X6" 2"X8" 2"X10" (TYPICAL) CONNECTOR A13U6(5(TYPICAL) BENDING STRESS Fb: 1,250 PSI 1,200 PSI 1,050 PSI (OR EQUIVALENT) COMP.PERP.TO GRAIN: 565 PSI 565 PSI 565 PSI INSTALL PER MANUFACTURER'S IN5TR.) COMP.PARALLEL TO GRAIN: 1,600 PSI 1,550 PSI 1,500 P51 GRADE (TYPICAL) SHEAR PARALLEL TO GRAIN: 175 PSI 175 P51 175 PSI CONCRETE FOOTER MODULUS OF ELASTICITY: 1,600,000 PSI EXTERIOR LUMBER SHALL BE PRESSURE TREATED. 5.FOOTING DESIGN ASSUMES: r 'PUBLI5HED IN 2001 ND5"DESIGN VALUES FOR FOOTINGS SHALL EXTEND BELOW FROST LINE. FROST LINE WOOD CONSTRUCTION" CONCRETE 15 TO HAVE A MINIMUM COMPRESSIVE STRENGTH OF 2.DESIGN LOADS: 3,000 PSI AT 28 DAYS. � DESIGNED PER 2009 INTERNATIONAL RESIDENTIAL CODE 6.ALL ELEVATED DECKS,CONTRACTOR TO PROVIDE BRACING REQUIRED TYPICAL F05T DETAIL PATIO DECK LIVE LOAD=40 PSF,DEAD LOAD=10 PSF TO RESIST LATERAL LOADS PER CODE AND PROVIDE F ROJECT DRAWING LIST PATIO ROOF:GROUND SNOW LOAD=40 PSF, DEAD LOAD=5 PSF FALL PROTECTION PER CODE. OPEN DECK LIVE LOAD=40 PSF,DEAD LOAD=10 PSF 7.CONTRACTOR TO PROVIDE M05PAN BLOCKING FOR ALL JOISTS SHEET 1 of 5 - DECK FRAMING PLAN 3.AUTHORIZED FOR BETTERLIVING DEALER USE ONLY. 8 FT OR GREATER IN LENGTH. 4.REQUIRED MINIMUM FOOTING DIAMETERS: 8.DRAWING SHOWS MINIMUM STRUCTURAL REQUIREMENTS FOR SHEET 2 Of 5 - GABLE ENCLOSURE GENERAL LAYOUT FIELD VERIFY SOIL TYPE DESIGN VALUES SHOWN. BY OTHERS)) 9.CONTRACTOR TO INSPECT ALL EXISTING CONDITIONS AND AS SHEET 3 of 5 - ALUMINUM GABLE ENCLOSURE CONNECTION DETAILS - 90 MPH SOIL BEARING CAPACITE5 PER IBC TABLE 1806.2 NECESSARY REPAIR AND/OR REPLACE ALL MATERIALS AS SHEET 4 Of 5 - ALUMINUM GABLE ENCLOc✓'URE STRUCTURAL FRAMING - 90 MPH FOR CLAY SOIL 11,500 PSF SOIL BEARING REQUIRED TO RENDER THEM STRUCTURALLY SOUND AND COMPLETE. SHEET 5 Of 5 - ALUMINUM GABLE ENCLOSURE STRUCTURAL A-FRAMING COLUMN - 9O MPH FOOTING A=23"DIAMETER OR 20"X20' SQUARE _ 10.PROVIDE PRESSURE TREATED WOOD OR WOLMANIZED LUMBER WHERE FOOTING B=17"DIAMETER.x _.. o= 4; sr LUMBER IS IN CONTACT WITH CONCRETE AND/OR MASONRY - m, - OR 15 EXPOSED TO WEATHER. FOR SAND SOIL/2,000 PSF 501L BEARING PROJECT: DRAWN BY:CAP FOOTING A=20"DIAMETER OR 17"X17"SQUARE 11.WHERE NECESSARY,PROVIDE BARRIER MEMBRANE TO PROTECT ALUMINUM FROM CONCRETE,WOOD TREATMENTS AND OTHER MATERIALS FROM GALVANIC ACTION. SMITH I 1 FOOTING B=14"DIAMETER 12.WHERE NECESSARY,CONTRACTOR TO USE FASTENERS THAT RESIST CORROSION s t * 'Pal 432 SEA S'T DWG. NO.:SHEET 1 OF 5 10 -D X 14 -O DECK FOR GRAVEL SOIL/3,000eRSF.501L BEARING BY ACQ-C,ACQ-D AND CA-B TREATED LUMBER. E; ` *' HYANNIS, MA 02601 Smith-Gbl Deck 10x14 a f I! 1 t Fir'ASJ j}l 13.IRC 2009 R502.2.2.1.1 PLACEMENT OF LAG SCREWS OR BOLTS IN DECK LEDGERS. cR�1G J FRAMING pLA N FOOTING A=16"DIAMETER �1r FOOTING B=12"DIAMETER THE LAG SCREWS OR BOLTS SHALL BE PLACED 2 INCHES IN FROM THE BOTTOM s� t w`' OR TOP OF THE DECK LEDGERS AND BETWEEN 2&5 INCHES IN FROM THE ENDS Joss v5h ..CONTRACTOR: SCALE:1/4"=1'-0" ` THE LAG SCREWS OR BOLTS SHALL BE STAGGERED FROM THE TOP TO THE BOTTOM ti ST I"�TU3 j CARE FREE PATIO EXISTING FOOTINGS,BY OTHERS ALONG THE HORIZONTAL RUN OF THE DECK LEDGER. kD32�1 239 HUTTLESTON AVE DATE:3L4/2014 FOR GAP LE E NCLO5 U ICE � 14.DECK ATTACHMENT FOR LATERAL RESISTANT TO COMPLY WITH IRC 2009 CODE/ A� f' � � �x St'�a41 x w FAIRHAVEN, MA 02719 N.J.RESIDENTIAL CODE 2009,SECTION 502.2.2 77 � p LAYOUT FLANS WALL 5ECTION5 '1 XI TINGBUILDING ® �S�I=M �LY ��' I �ILS . ES q , ` CBM ROOF PANEL THICKNESS � O p _(�� �� PER MANUF. RECOMMENDATIONS � CD .� (� 1 o '�` T' 81„ '� 7 T' ` O~~►+0 n (MAX) (MAX) Q PITCH 1:12 TO 5:12 � o o _ 0 _ GUTTER FASCIA �9L D O r HEADER SUPPORT BEAM , GLUE LAMINATED BEAM X X r �. - - - 9-1/4 2.0E G F LVL GABLE SIDE WALL (A) . , Q P GABLE SIDE WALL (C) TRANSOM (OPTIONAL) 75"x60"W 69"x78"D SLIDING DOOR n �fi OR WINDOW : . B - WALL TEMPERED GLA55— GABLE FLOOR PLAN (NOT TO SCALE) (MAX) FLOOR CHANNEL O O < DECK Q �' GABLE FRONT WALL (B) c�kll \ C. Q TYPICAL GABLE�5ECTION elt a , \` NO TjOGLE 0 KAI Ali XN w; O ® O NOTES FOR GABLE CONSTRUCTION ® �J 1. ALLOWABLE LOADS ARE BASEDtU41'ONN 8. PANELS MAY ONLY BE USED IN ROOFS AND WALLS WHERE t16. , 15KEVIATION5: CBM-CRAFT-GILT MANUFACTURING 0 { t/ THE LE55OR OF THE ULTIMATE L-OA,�/2 5 CLA55 B OR CLA55 II INTERIOR FINISHES ARE PERMITTED O D�= DOOR F5F = POUND5 / 5Q. FOOT p OR THE LOAD AT SPAN/120,. � DY CODE. Q M = MULLION FT_ FEET 5 2. HC/EF5 REFERS TO C5MiSTRUCTURAL 9. HORIZONTAL JOINTS BETWEEN THE ENDS OF FANEL5 ARE W= WINDOW BC-BUILDING CODE PANELS WITH ALUMINUM'�5�KIN5 BONDED TO NOT PERMITTED. 'd HC = HONEYCOMB PANELS IBC=INTERNATIONAL BC O HONEYCOMB/F0LYSTYRENE(CORE5 (3",4 '/z" 10. ALL ELEVATED 5UNKOOM5, CONTRACTOR TO �` EF5 = POLYSTYRENE PANELS UBC=UNIFORM BC �1 ^'� ` ' y'R H = THERMALLY-BROKEN NBC=NATIONAL 5C AND 6" IN THICKNESS). ADJACENT PANELS PROVIDE FALL PROTECTION FER LOCAL CODES. Q �^ k��►� ALUMINUM H-5TIFFENER 5BC=STANDARD DC ARE CONNECTED-USING H-5TIFFENER5. 11. STRUCTURAL FRAMING AND CONNECTIONS TO BE INSTALLED k r��9 .� 1 -- v F = PANEL MFG=MANUFACTURER 3. ONE-HUNDRED�TEN-,TEN MPH DESIGN WIND PER AFFLICA13LE CODES AND CBM/MF�GS SPEC51 L" = WALL HEIGHT SPECS-SPECIFICATIONS Q 5FEED; E' I665URE B. 12. CONTRACTOR TO INSPECT ALL EXISTING CONDITIONS MFH = MILES PER HOUR MAX - MAXIMUM 4. DE5160ROOF PANEL DEAD LOAD = 5 F5F. 'L AND A5 NECE55ARY REPAIR AND/OR REPLACE ALL 5. DOOR A'ND 1NINDOW LOCATIONS/SIZES ARE PROJECT: CONTRACTOR: MATERIALS A5 REQUIRED TO RENDER THEM STRUCTURALLY Y�i��p,� . INTERCHANGEABLE PER MFG'5 5FEC5. Y SMITH CARE FREE PATIO 6. ROOM PROJECTION (A OR C WALL WIDTH) MAY SOUND AND COMPLETE. ° VARY PER DOOR&WINDOW LAYOUT&RIDGE 432 SEA ST 239 HUTTLESTON AVE �'_O" X 13'_�" 15. AUTHORIZED FOR DETTERLIVING DEALER/MATERIALS USE ONLY. >` c��9�J HYANNIS, MA 02601 FAIRHAVEN, MA 02719 Joss � ' BEAM/COLUMN DESIGN (UFTO 16 FT). 14. GABLE FLOOR FLAN & SECTION NOT TO SCALE. s l3cTY�4 e ; GABLE ENCL05�URE 7. PANELS MAY ONLY 5E USED IN ROOF5� O ` a®a24 ' DWG NO.: t,. k , ,* 15. PROVIDE BARRIER MEMBRANES TO PROTECT AGAINST DRAWN BY: CJJ AND WALLS OF ONE STORY BUILDINGS�OF GALVANIC ACTION. AVOID ALUMINUM CONTACT WITH STEELp +. ��, Q�e 2'%' Smith-Gbl-Encl-10x14-a GEN ERA2 LfAY%f)T ( = k ) SCALE: 1" = 75" DATE: 5/16/2014 O 5 CONSTRUCTION: TYPE VB FOR IBC 5 CONCRETE AND WOOD TREATMENTS. r_. TYPICAL FKONT WALL CUNNECTION DETAIL5 , 0 '� 1 YIJIG/\L 51UE WALL WNNECT ION UE1 AILS t`J �\ 2x#8x3/4"SD50ends l J 112 248x3/4"51)50end5 110 MPH WIND TABLE 113A 2x#8x3/4"5D506" 1/4"x3"Lag 5crew@12" p 112A 113 EXP05URE B 113A #Sx3/4"5DS06" p e� Fastener Qty/5 acing 1138 11 C (\ 112A 112G 112G Enclosure Size CBM Panel ?\V� 0 112E 112E Sect.Fastener Type 11315 113C z 112E 1ox10 15k15 2ok2o' 113D 1131 1 31 !! CBM Panel O F1 1/4"x 5/4"505 4 8 13 112-D F2 IN DIam.5UInleea 5WI la 5crewR'Embed. 2 4 7 ! 1128 F4 1/4"Diam.Ta con/1-3/4"Embed. 3 7 io 113D z 2x#5x3/4"5D566" F2 1/4"x 3/4"5D5 4 8 12 113J 113J X / / 115-A F3 1/4"x 1-1/2"5D5 4 8 12 w !. Fao crie/T Type F3611 112E 112F 112H 112H F4 11/4"x 3/4"5D5 4 8 12 !!, 113-5 F2 #8 x 3/4"5D5 18" 18" 18" 113E 113K 113K !%i'. AI Plate 113-C F3 #8 x 3/4"5D5 4 6 8 Fastener Type F2 Fastener Type F4 - 112F 112F 112C 112D 11 #8 x 3/4"5D5 4 6 7 113E 113F 13G Fastener Type F2 — 113-G F2 1/4"Dlam.Ralnlem 5[ed Lag Screw/2"Embed. 2 2 3 DECK F4 1/4"Diam.Ta con/1-3/4"Embed. 2 3 4 DECK 113E 113G 112C 112E) 1131 TOTAL NUMBER OF FASTENERS. 112 Lj SECTION 112 SECTION 115 SECTION 113-A SECTION 115-A 0 #8x3/4"SD50column 0 S for ALUMINUM GBM Panel for GLUE LAMINATED 0\\\\VV 1� #8x3/4"5D5012" door frame "SD5@6"at every A-FRAME BEAM A-FRAME BEAM 0 #8x3/4 SD5@24" door frame sill 0 CBM Silicone Sealant CBM Panel #8x3/4"5D5@column 1-1/4"x5" Lag Screw with 3"x3"x0.1" � Q- "" — — —Flashin Per Code Al Plate/Washer 036"o.c. #8x3/4"5DS@column #8x3/4"SDS@column --- — = — g midwidth of panel) r' Same as for ( p ) Section 113 B #8x3/4"5D5024" 1/4"A-1/2" Nail Anchor 016"for #Sx3/4"Tek@6" L� #8x3/4"SD5@column #8x1 1/4"5D5@24" Concrete Slab(min.4/unit) " Q #8x3/4"5D5@column �for #14x3"Hex@ everyjoist(less than 24"o.c.) Continuous CBM Silicone Wooden Deck(min.4/unit) Sealant(2" minimum width) SECTION 112-A SECTION 11248 SECTION 112-C f Fastener Type F3 #8x3/4"SD5012" Fastener Type F2(Opt.1) #8x3/4"505018"(Opt.2)17 Mullion or"H"or Corner Al A-Frame Support (,) Al A-Frame Support (Mullion) 2-#8x3/4"5D5 #8x3/4"5DS@18" Fastener T F1 SECTION 113-C SECTION 113-D (Mullion) Type 2-#8x3/4"SDS 8x3/4"5D5012"(Opt.1) CBM Panel #Sx3/4"50506" Fastener Type F1 1"Diam.Washer #&# 3/ Lag@36"(Opt. 1) 1"Diam.Washer Flashing(Per Code) SECTION 113-8 #8x3/4"5D5018" —Flashing (Per Code) Fastener Type F4 2 #Sx3/4"5D5 Fastener Type F2 2 #8x3/4"SDS #8x3/4"51)5018" 2-#8x3/4"5DS 2-#8x3/4"5D5 Perimeter Joists p --- - — ~Flashing (Per Code) O S 2 #8x3/4"SDS 1/4"x1-1/2" Nail Anchor 016"for 4-#8x3/4"5D5 O .'for•' I J Concrete Slab(min.4/unit) I for #8x3/4"SD5@18" Q 2-#8x3/4"5DS WOODEN DECK � CONCRETE SLAB #14x3 Hex@16"for 4 t�� 0 CBM Panel Wooden Deck(min.4/unit) �? SECTION 112-D � SECTION 112-D SECTION 112-E SECTION 113-E SECTION 113-1 4 (SECTION113-G' (SECTION113-G) NOTES FOR GABLE ENCLOSURE CONNECTIONS SECTION vT a �s. 1.TYPICAL CONNECTION DETAILS FOR ALUMINUM GABLE ENCLOSURE WITH ROOF PANEL SPANS OF UPT010 FEET. [J P Q 2.DESIGN LOADS BASED ON A5CE 7-05,110 MPH WIND SPEED,EXPOSURE B CONDITIONS AND 40 P5F UNIFORM GROUND SNOW LOAD. Q 448x3/4"51)5 3.STRUCTURAL MEMBERS SHALL CONFORM TO CBM SPECIFICATIONS. 4.ALL ROOF PANELS TO BE ANCHORED TO HEADER SUPPORT BEAM U51NG MINIMUM 2"WIDTH CBM 51LICONE SEALANT. #8x3/4"5D5012" 2-#Sx3/4"SD5 5.WHERE REQUIRED,APPLY CBM SILICONE SEALANT ONLY TO SURFACES CLEANED USING ALCOHOL. 248x3/4"5D5@18" 248x3/4"5D5024" 6.ALL ROOF PANELS WITH SPANS UP TO 10 FT TO BE ANCHORED USING BOTH 4-#8x3/4"5D5(MIN.)@36"o.c.FASTENED for timber wall: for masonry wall: 248x3/4"5D5016' 448x3/4"5D5 UP THROUGH HEADER ARM AND INTO EACH"H",OR 1-1/4x5"LAG SCREW(MIN.)WITH 3"x3"xO.1"AL PLATE/WASHER 248x3/4"505@12" #14x2"Hex@TB 1/4"x1 1/2" Nail Anchors@TB 036"o.c. FASTENED DOWN THROUGH PANELS AND EMBEDDED 2"(MIN.) INTO AL HEADER SUPPORT BEAM. #Sx3/4"SD5@24" 2 #8x3/4"SD5 7•SPACING OF#8x3/4"5D5 018" IN DETAIL 113-8 MAY BE INCREASED TO 36"o.c.IF SPACING OF#12x4"LAG 036" #8x3/4"5DS@18" (OPT.2) 15 REDUCED TO 18"o.c.. 8.FOR A-FRAME RIDGE BEAM SPANS LARGER THAN 16 USE PROPERLY SIZED GLUE LAMINATED 13EAM5 ONLY. �— #8x3/4"51)5012" #8x3/4"5D5 9.ENCLOSURES WITH DIMENSIONS LARGER THAN 20'x2O'AND/OR ROOF PITCHES OVER 4:12 REQUIRE CUSTOM ENGINEERING. 10.SPACE COLUMNS IN LOAD-BEARING WALLS NO FURTHER THAN 57"APART. 248x3/4"SDS018" 11.SPACE FASTENERS AT LEAST 2 x FASTENER DIAMETER FROM ADJACENT FASTENERS AND/OR EDGES. for"H"CHANNEL for MULLION WITH #Sx 3/4"5DS0181: #8x3/4"51)5018" 248x3/4"5D5 12.REPLACE ALL OVERDRIVEN FASTENERS. WITH D.00K/WINDOW MULLIONS DOOR/WINDOW JAMB 13.USE AAMA RATED FENESTRATION PRODUCTS PER LOCAL CODES. AND DOOR/WINDOW JAMB5 SECTION 112-F 4 #8x3/4"5DS 14.WHERE USED,A55UME CONCRETE TO HAVE STRENGTH GREATER THAN 2,500 P51. SECTION 112-F 15.MITER ALL FLOOR CHANNELS AT CORNERS(OR EQUIVALENT). SECTION 113-J SECTION 113-J SECTION 113-K (at floor level) 16. NOTCH AND PROPERLY FASTEN HEADER SUPPORT BEAM AND CORNER POST. 2-#8x3/4"SD5@i2" 2-#Sx3/4"SD5@12" WIND LOADING PER AL AS ATION SPECS. SMITH -�F_;--RvCONTRACTOR: - x /4 SD5 12'2-#8x3/4"5D5@18"17.ALL STRUCTURAL COLUMNSTO BE CONTINUOUS FROM FLOOR TO ROOF HEADER. pRO,JECT:16.ALLOWABLE STRESS IN AL CONNECTIONS INCREASED BY 30%FOR2 #8x3/4"5DS@1 50CI CARE FREE FATIO 19.WHERE REQUIRED, HEADER BEAM MAY ONLY BE SPLICED AT CENTER LINE OF fir. 239 H UTTLE5TON AVE ALUMINUM 452 5EA 5T ,. 2 #8x3/4"SD5@12" STRUCTURAL COLUMNS. +s^` C4 SIG J. fia 20.AUTHORIZED FOR BETTERLIVING DEALER/MATERIALS USE ONLY. HYANNI5, M 260�16ss MA 02719 GAPLE ENCLOSURE 21.AB =ALL INUM ."nrJ, �FAIRHAVEN, CONNECTION DETAILS AL=ALUMINUM MPH= MILES PER HOUR #,=9 'ems' —. •••••— = 2-#8x3/4"5D5@18" CBM=CRAFTBILT MANUFACTURING o.c.=ON CENTER DRAWN B . C5� 40 24 (P�IG NO.: SHEET 3 OF 52-#Sx3/4"5D5@12" 2-#8x3/4"5DS@18" DIAM= DIAMETER OPT=OPTION . 11 O MPH - EXPOSURE P EMBED= EMBEDMENT PSF=POUNDS PER SQUARE FOOT SCALE: 5 �618, �`� �'` em40-cnx-110E-a 2 #8x3/4"SD5@12" FT= FEET QTY QUANTITY ^° SECTION 112-G SECTION 112-H ` D TE: 5/15/2014 H =AL THERMAL H STIFFENER SD5=SELF DRILLING SCREW 'x S t,r 9 91N . -9011-�5-0bra i eation S W O © a d 1 1 b d 9 A' 1MGOJX� - NdW 0LL 01dn i�l��H9 'ON JMa rr� J.9 NiUlb a� '.�sl���� s �Niwd�� �d�nl�n211s o ,�:,a Sr A2ins0ION3 A19`dJ C 61LZ0 VW `N�IAVHAVA 109Z0 bW `61N1 tMN-$ '; w n N I w n d , a and NOlS��11f1H 6�Z is d35 .a { "^•yy-;+i : L9 b9 OOL .5'L 9b 85 8L q( ,; bE Eb BS .5'1 \� 011`dd MId3 H11WS � +7e Got OOL o'L t9 LL Got 9-V 09 t9 o'L O Got OOL Got .O'9 OOL OOt OOL 99 OOL OOL '0'9 n '2lol�`d�11No� 'l��ro�d Got Got OOL .99 M Got Got OGl Ool Got .9'9 i✓ Got Got OOL O'S Oa Got Got O'S OOL OOL 001 O'S OV]c3VD,,VNOGNV'alJ- O�� r .OL .B .9 (ld) ,Ol .B .9 (lj) .OL .8 .9 (lj) '),INO 3Sn S1V2131VW/?IDW 4 DNIN12131139 NO0 a3Zl10Hlnb'Z6 (ld)NVdS 33dj 13NVd 9NDYAG (lj)NVdS 33d313NVJ 9NI�Vds (ld)NVdS 33dd l3NVd MOM S � O 13 Zl CI330X3 Ol lON lH�J 3H N Wn100 3Wb?J3 V'll (dSd)SOVOI j00d 3l9VMOl1V %�W (jSd)SOVOI d00d 3l9VMOl1V y� (jSd)SOVOI j00d 3l9VM011V )IV. �,.. 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9 FT A-FRAME COLUMN 9 FTA-FRAME COLUMN 9 FT A-FRAME COLUMN 9 FT A-FRAME COLUMN RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOADS(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOAO5(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) BEAM BEAM BEAM BEAM BEAM BEAM 5PAN PANEL FREE SPAN(FT) 5PAN PANEL FREE SPAN(FT) SPAN PANEL FREE SPAN(FT) SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE SPAN(FT) (FT) 6' 8' 1d (FT) 6' 8' 10' (FT) 6' 8' 10, (FT) 6' 8' 10' (FT) 6' 8' 19 (Fn 6' 8' 10' 6' 100 100 100 6' 100 100 100 6' 100 100 100 6' 100 100 100 6' 100 14 0 6' 100 100 100 8' 100 100 83 8' 100 100 93 8' 100 100 100 8' 100 100 100 8' 80 O 0 8' 100 100 9& id 100 100 66 10, 100 100 74 10' 100 100 100 10' 100 100 100 1d 64 O O 1d 100 100 78 12' 100 100 54 12' 100 100 61 12' 100 100 100 12' 100 100 100 12' 53 0 O 12' 100 100 65 14' 100 90 46 14' 100 98 52 14' 100 100 93 14' 100 100 100 14' 45 0 O 14' 100 100 55 16' 100 79 40 16' 100 85 45 16' 100 100 81 16' 100 100 100 16' 39 O O 16' 100 89 48 10 FT A-FRAME COLUMN 10 FT A-FRAME COLUMN 10 FT A-FRAME COLUMN 10 FT A-FRAME COLUMN 10 FT A-FRAME COLUMN 10 FT A-FRAME COLUMN RIDGE ,ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOADS(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOA05(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOADS(P5F) BEAM BEAM BEAM BEAM BEAM BEAM SPAN PANEL FREE SPAN(FT) SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE 5PAN(FT) 5PAN PANEL FREE SPAN(M SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE SPAN(Fn (FT) 6' e' 1d (FT) 6' 8' 10' (FT) 6' 8' 10' (FT) 6' 8' 10' - (FT) 6' 8' 10' (FT) 6' 8' 10' 6' 100 100 39 6' 100 100 49 6' 100 100 100 6' 100 100 100 6' 35 O 0 6' 100 100 54 8' 100 86 29 8' 100 97 36 8' 100 100 75 6' 100 100 100 8' 26 0 0 8' 100 100 40 10' 100 69 23 10' 100 77 29 10' 100 100 59 10' 100 100 100 10' 20 O O 10' 100 81 32 12' 100 57 19 12' 100 64 24 12' 100 100 49 12' 100 100 100 12' 17 O 0 12' 100 68 26 14' 100 48 16 14' 100 54 20 14' 100 96 42 14' 100 100 100 14' 14 0 0 14' 100 58 22 16' 95 42 13 16' 100 47 17 10' 100 84 36 16' 100 100 100 16 12 1 0 0 16' 100 50 19 11 FTA-FRAME COLUMN 11 FTA-FRAME COLUMN 11 FTA-FRAME COLUMN 11 FTA-FRAME COLUMN - 11 FTA-FRAME COLUMN RIDGE ALLOWABLE ROOF LOADS(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOA05(P5F) RIDGE ALLOWABLE ROOF LOA05(P5F) RIDGE ALLOWABLE ROOF LOA05(P5F) BEAM BEAM BEAM BEAM BEAM SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE SPAN(FT) 5PAN PANEL FREE 5PAN(FT) 5PAN PANEL FREE 5PAN(FT) SPAN PANEL FREE 5PAN(FT) (FT) 6' 8' 10, (FT) 6' 8' 1d (FT) 6' 8' 10, (FT 6' e' 1 19 (FT) 6 1 8' 1 10' 6' 100 49 0 6' 100 59 0 6' 100 100 19 6' 100 100 100 - 6' 100 65 0 8' 100 36 0 8' 100 44 O 8' 100 87 14 8' 100 100 100 8' 100 48 0 1d 93 29 0 1d 100 35 0 id 100 69 11 td 100 100 100 icy 100 38 0 12' 78 23 0 12' 85 29 O 12' 100 57 0 12' 100 100 93 12' 90 31 0 14' 66 20 0 14' 73 24 O 14' 100 49 0 14' 100 100 79 14' 77 27 O 16' 58 17 O 16' 63 21 0 16' 100 42 0 16 100 100 69 16' 12 FT A-FRAME COLUMN 12 FT A-FRAME COLUMN 12 FT A-FRAME COLUMN 12 FT A-FRAME COLUMN 12 FT A-FRAME COLUMN RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOAD5(P5F) RIDGE ALLOWABLE ROOF LOADS(P5F) BEAM .. BEAM BEAM BEAM BEAM 5PAN PANEL FREE SPAN(FT) SPAN PANEL FREE SPAN(FT) SPAN PANEL FREE 5PAN(FT) SPAN PANEL FREE 5PAN(FT) 5PAN PANEL FREE 5PAN(FT) (FT) 6' 6' 10' (FT) 6' 8' 19 (FT) 6' 8' 0 (FT-) 6 8' 10, (FT) 6' 8' 19 6 67 17 13 6 99 O O 6 100 1 38 0 6' 100 100 60 6 100 14 0 8' 64 12 0 8' 74 O 0 8' 100 28 0 8' 100 100 45 8' 79 0 0 10' 51 0 0 10' 59 0 0 id 100 22 0 10, 100 100 35 10' 63 O 0 12' 42 0 0 12' 48 0 O 12' 88 18 0 12' 100 100 29 12' 52 O 0 14' 36 0 O 14' 41 0 0 14' 76 15 0 14' 100 99 25 14' 44 O 0 16' 31 0 O 16' 36 0 O 16 66 13 1 0 16' 100 86 21 16 38 0 0 NOTES FOR GA13LE ENCLOSURE STKUCTURAL FRAMING PROJECT: CONTRACTOR: 1.TYPICAL STRUCTURAL SECTIONS FOR ALUMINUM GABLE ENCLOSURE WITH ROOF PANEL SPANS OF UPTO 10 FEET. 10.A-FRAME COLUMN HEIGTH NOT TO EXCEED TABULATED VALUES. ALUMINUM 2.DESIGN WIND LOADS BASED ON A5CE 7-02,UPTO 110 MPH WIND SPEED,EXPOSURE B CONDITIONS. 11.AUTHORIZED FOR BETTERLIVING DEALER/MA ERIA�L`5's SMITH CARE FREE PATIO 3.STRUCTURAL MEMBERS SHALL CONFORM TO CRAFTBILT MANUFACTURING COMPANY CBM SPECIFICATIONS. USE ONLY. k F' 452 5EA 5T 259 HUTTLE5TON AVE GABLE ENCLOSURE ( ) ; 4. LOCATE COLUMNS IN LOAD BEARING WALLS NO FURTHER THAN 90"APART. y° HYANNI5, MA 02601 FAIRHAVEN, MA 02719 STRUCTURAL FRAMING 5.FASTENER DETAILS PER CBM SPECIFICATIONS. 1 0 �' a CRAIG �`` Uf TO 110 MPH - EXPOSURE B x 6.ACTUAL LOADS(DESIGN VALUES)ON ROOF SHALL BE LESS THAN ALLOWABLE ROOF LOADS IN STRUCTURAL (� �r( Q[�lJl ijj .iCS� ` DWG NO.: SHEET 5 OF 5 MEMBERS(SEE TABLES). 1 11 VV 1 S�R JCTU AAL 7.SECTIONS MUST PROVIDE SUFFICIENT CONTACT AREA TO ACCOMMODATE FASTENERS. ' � PATIO R Q C} �1rr'.- DR/�WN B`(; C�J em40-of-110B-a ®s2 `�^ a-frame column A-FRAME COLUMN 8.ALL STRUCTURAL COLUMNS TO BE CONTINUOUS FROM FLOOR TO ROOF HEADER. �g ��� A : NT5 9.ALL STRUCTURAL BEAM5 TO BE CONTINUOUS BETWEEN SUPPORTS. 1C� �- ". DATE: 5/15/2014 i POOL SETBACK Rear Side ,...._.._,..�,.. __.._....��.._�� _ _�...._-..ram.. ,�..._.•.____._..- ----_�-----�--�=-w--•__ �---�--�•-�.Sa-------- As Fi1,Ttt xsrr�tc ^1/ FffGLIINERAL & t�&AIL SPECIFICATIONS Vc r X fig' DEPTH 3' TO AREA SO.'FT HAPE 1 �- j, /GCF REF,NO. O PERIMETER FT.COPINd A/ ,o4 TILE TILE COLOR f c�F�,Si7 �7�Ya t�RA>u.s POOL CAP. i GALS FILTER,7YPE 1 6;)06 ._ M. FILTER MODEL FILTER RATE G.P.M T11 �y� „„ _ _ �. _ �. ,_ _ °'fILTER'AREA'""' F'1``'�w};I1�5: °717RW�'•a`` PUMP CAPACITY G.P.M. MOTOR H.P. SKIMMER MODEL L '! t� AuT ;'RETUIRN LINES .0 f' MAIN DRAIN. BACKWASH TO' 1 R,w 17S ,e3 �• \` � Jl, ' CHLORINATOR9:1k/ - ; No7- 7o TcAL'r UNDERWATER LIGHT VOLTS WATTS vxr - , '• r oelCtht BOARD SIZE •..1..� FT. 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