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3413 MAIN ST./RTE 6A(BARN.)
e �V 11'1 - , f ,. ._ r , t , r 1 t Y S• r ej } f 41 e , 7 veto AjImPAN TW tam most lows AN fly f 1 licit S soon? in i f i k f. d k� r .. ..... , .. ........ .,...+- it � .. ,::....:..{' .... ,.-. ..:4.. <. .. .... n: ...f ri �r t all .... .. .'nY.. a - -..1. ., ._.. • ,'> ,+: _, „'F....., �. .. .. t. ..' ,, ,�. ,,: 1 .,..,.,..'. ..., ,:., v,fJ [ r , ..v.r .,,,. v1 r .. ..1., n .t ';✓ .\{. R-. ...t..- r , r ,. .. X.,1... ul v .;:a,. V ..., ,., S .,., , .._ :: ✓, t ... >. , ... 1.. ,. :. l , f ,.1 ,sd n`e... 5.... < a- lr Y.. ,. s.,. .,....r.::. :i, .... i ..,E') ..x.. :,,:. .:k ,.. 'J....f P ,..,-. ,1 .:,'. .. :f.. ., V.. ,. „1:._ ,. , .,. .< ... ,. x:,. ,4 ,?'Vs;. '✓Sft�' s. ..,..:....N'- 3 u ,.. .d}.. r ,, d. z � ( .,, ....... ..n .... .,.:.... .�. .. c ,l. "'_.. ,,. f , ..: r' .... , %Ci.:. ••%,..._,; r(' ir .. .. -.. a .,',. ,.. :.:. ,_. -,. J �. '.; •....n ,. .. x: ;: ..._.: 1' :y:,.,t ., .:<. ';,"k ,.d .it:ru}!-. is .,. gs Mom >. 1. ,..., ,u. ,P rr. 1F -\ t? 1 v f 1 4 a, (•'<-'.,,. -,:" .,.. 'C ,:,:',... 3. a „_, Vt:,_., , „ .^.r:.. n ,, _. , . r r. f .7 r^: I a� r 3,. ,q A F 4•" N . 1 ) 1 S mill Won mom Koo 3 ,:I is oops r a s y a f n if 1 � S v x t y , 1:l q+ MYNA k [' r 5 1 „S P l of t , , ,n.,.,:ei '.5. . -.1 _ s ,. F µ ua ,,, r ..+', x. <, t ✓}'m11�h',..1'aa4�'�' YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S• 10b1AJ X r46 110Vf(: BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF-NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS. -?Y13 _�Ttt f nnr► ,,J a MAP/PARCEL NUMBER D essing) qq When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to ake sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSI ER's OFI CE MUST COMPLY WITH HOME OCCUPATION This indivi pal e n' f an er it re uire eats tha pertain to this type of business. RULES AND REGULATIONS., FAILURE TO A thori Si na ** COMPLY MAY RESULT IN FINES. MENT (/:Z� 1 T /Vo r l _ 2. BOARD OF H LTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: i own opt Barnstable ` Regulatory Services a pp THE Tp�y Richard V. Scali;Director Building Division AARNSTABL% v� 1' ,0$ Tom Perry,Building Commissioner 'rEn rna t a 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79 -6230 Approved: Fee: ' Permit#: HOME OCCUPATION REGISTRAUOW Date: Name: ��6"G6Gl�Y(d1 C� '�M Phone#: 2V 3 S7/o J b 7 Address: 3113 / uI ,r N/ Village: Name of Business: 17�� hPtt�� Type of Business: �nJh��jn9 Map/Lot ���� INTENT. It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such'use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. f • There are no commercial vehicles related to the Customary Home Occupation,other than one van dr one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot'containiag the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwe d a unit . I,the undersigned, ve ren agree with the above restrictions for my home occupation I am registering. Applicant: Date: J �6 Homeoc.doc .103113 .r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel (JV Application VN Health Division Date Issued 3 �� Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village _d : 2W 7-1/e_ Owner Address -� TelephoneL_rrd t 4 Z J G P 9 Permit Request ,0 31— ����d.! r rJ�r�►�� ���0 �.� 11��,���� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' YA % Construction Type��j/d•� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family itf' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Q-f4o` On Old King's Highway: ❑Yes Flo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number{of Baths: Full: existing new Half: existing c-a A new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room r ount --- c� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:0 Yes No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑1:new bsrze_ 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 ��¢ � C©� `����,��,���� Telephone Number <L50P ,7;2,hJ /Z /0- Address i/e 1�: License # ,tea �. Home Improvement Contractor# /S��,��G 7 Worker's Compensation #11)Gf1 ll). ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 17—, 4 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. t - , 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. OWNER AUTHORIZATION FORM k a (Owner's Name) owner of the property located at 3 H I % YV\& n S �" (Property Address) (Property Address) ' ,hereby authorize A, n� � a,•�—�O. . (Sub ntractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date IECIE9VIE D S E P - 6 2012 ?;= _ 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contiactor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. -- — - HYANNIS, MA 02601 Update Address and return card. Mark reason for change. [_I Address I _I Renewal I....� EmploymentI.._� Lust Card S-LA I Zi 50PoI-Odl04-G I O I I G T Limise or registration valid for i::dividu! use en!y Oi'ticc� ul sumo r11'fxir� Bus'nc:��Regulation 1; HOME INCPf bV �flf f5`� C71t1fZikC � before the expiration date. if found return to: Registration: 153567 Type: Office of Consumer Affairs and,Business Regulation _ Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 x SOD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD.. HYANNIS,MA 02601 Undersecretary t slid ith t si ture ? �18�.achusl'tIs-�l'l)ill'tlltklll Or Pulflic safet, Boarii If Building Rcoulati()ns xn(I St:til(I (Is,,, a Construction Supervisor License License: Cs 100988 HENRY CASSIDY 8 SHED ROW ' WEST�ARMOUTH, MA 02673 Expiration: 1 1/1 1 1201 3 Tr#: 7620 r 4. LV I rivl No. 1.605 P. 1 Client#:4597 CCINSUL ACORA,, CERTIFICATE OF UABILITY INSURANCE DATE(MMIDDrYYYY)R,THIS -- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTrrUTE A CONTRACT BETWEEN THE ISSUING INSURFR(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the cerllflcate holder is an ADDITIONAL INSURE=u.the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pollcles may reyuile an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsemenl(s). PRODUCER Rogers&GrayIns.-So.Dennis NAME: Margaret Young HONE ExI;508-760-0602 FA- 434Route 134 EMAIL we No: 077.816-2'15B South Donnis,MA 02660-1601 —�— — 5O8 398-7980 _ INBURER(9)AFFORDING COVERAGE _NAIC e — ___ INSURSRA:Peerless Insurance 18333 INSURED INSURER B:EVangton Insuranco Company ~� Gape Cod Insulation Inc _ 455 Yarmouth Road INSURERC:Atlantic Charter Insurance Hyannis,MA 02601 w9URERD:Commerce Insurance Company 34754 IN9URER E: ^ ___ _ INSURER F; COVERAGES CERTIFICATE NUMBER: T IZEVISION NUMBER: THIS IS TO CERTIFY THAT THE IOLICIES OF INSURANCE WSTE0 bCj_C)W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. wR TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY eY POL(CYNUNIBER MMIDDIYYYY MMIODIYYYY LIMITS A GENERAL LIABILITY CBP8263063 0410112012 04/01/201 EACH OCCURRENCE $1 OOUOOO X COMMERCIAL GENERAL LIABILITY S�nCFE� ENTEo g 100 ODU IS a occurrence CLAIMS-MADE X OCCUR MEO EXP(Any one pereon) $5 000 PFR8PNAL&ADV INJURY t:1 000 000 GENERALAGoREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.GOMPIOP AGG $2 OQU UUO POLICY j?T p AUTOMOBILE LIABILITY 12MMBCKVMK 4/01/2012 Oa/011201 COED SING LE LIMIT J,000,000 ANY AUTO BODILY INJURY(P..person) $ ALL0_ AUTOSx X SCHEDULED AUTOS BODILY INJURY tear accidonl) S X NOWOWNEDPROPERTY DA (AUTOS g Anti B OCCUR XONJ453512 4/01/2012 04/01I201 EACH OCCURRENCE $'I 00O 000 CLAIMS-MADE $1 000 000 AGGREGATEENTION 10000 WORKERS COMPENSATION $ C AND EMPLOYERS'LIABILITY WCA00525902 6/30/2012 06/30/201 X STATU• OTH'. ANY PROPRIETOR/P,yR7'(�CD- /�UCUTIVR YIN IN(A E,L,EACN ACCIDkN1• 1 OOU OOO OFFICER/MEM 6X (-U (Mandatory in NH) EN Ir gee,deacrihe under E.L-DISEASE_EA EMPLOYre $1 000 000 DESCRIPTION OF OPERATIONS bolow _ E.L.DISEASE-POLICY LIMIT �$1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEFIICLES(AUaoh ACORb id 1,Addlilonai R,+ km Sphptlulp,It PWre SpwCa Ie requirsd) "Workers Comp Information"° I.Cluded Officers or Proprietors Cortlflcate Holder is included as an additional insured undor General Liability when required by written contract or agreement. II CERTIFICATE HOLDER CANCELLATION Cape Cod Insulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORC THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN ACCORDANCE WITH THE POLICY PROV1510Ns. AUTHORIZED REPRESENTATIVE 6198 -2010 ACORD CORPORATION,All rights re;rarved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #583849/M83848 MEY The COtnmomi ,.-,!th of Massachuseits Department o I,Jttstrial Accidents oVice e q l ri vestigatlons . l C - 600 44: .\ ri11gton Street Bost, AIA 02111 r. wet li ;S.gov/die Worker's t-.urrtpt usatto11 Insurance Aftit-.is Builders/Contractors[ElectY•ici11 its/Plu►ul►ers pl Biala III fortnatit)n Pleitse Print I.,egillly Nanlc C1 t Ilitl�itl�..�;�/Ord;atu.z.ttLii?1�/I.ndiviiluttl): - c _ ' . r -� t. II�'i.Sl;llt: `/.ilr:__�f Phonek �Q `7�� Ara you an clulll(,ryerY C'.l'►ecic (lie Ltpprupriate box: Type Of project (required): I I ,un a culploycl- wide_...._ ❑ 1 am a_;,,nt,:ll cunttactor and I have 6. New cUnSU'LICtion-��-- ❑ cAUployccs (tull aril/ok pare-tirue.)."` hired the .,I, contractors listed on 7. ❑ Rernoclelutg the alLi h,d .h,:et.T --� 1 niu tt sole proprietor ol-partnership These sUl, .„I1Iractors have 8. ❑ Demolition ilUd Itavc: nU c:ulployeeS workinh lot employc:. ..wJ have workers' comp. 9. ❑ Building additiuu ntc:.nl any capacity. [No workers' iIISuraut,.; 10, Electrical mpairs or add II iti lull s cuurl) irl.,urancc rrduirccl.] 5. We arc:i,,oimr Lion and its 11. Plumbing IC Ctrs ut addons • olhcet� liar, :.�rrcised[heir right of ❑ � l` [_=J i:un httuu;owuer doinb alt wprl: exemp I o a I;,r IVIGL c. 152§(4),and 12. Roof repait:s myscll [No wurkcls' comp. we have ii,•;mployees.[No workers' J 13. otl,cracxioieClzcr�tel Utsuraure requircd.J 'r comp. uu,t,i 11,:c requireti.J t .yrplicsnl that Checks box 41 trust also till out the section below showim L, r workers'compensation policy infatrnation. moK "IwlS"vhu,uhtrtit this artiLlavit indicating they aro doing all woi 1.,-..i i',n hire outside contractors must submit a now affidavit i(ILlicatiikg such. nn.irt,n,that chzck-this box'must attach an additional sheet showing rh, m,W. nt the sub-contractors and state whether or not those entities have employer.,.It cvuUadurs have cutployccs, they must provide their workers'cowl, 1• 1, number. 1 am an employer that is providing workers'compensation irr„r,,nrce fur my employees. Below is tits policy and job site rn/urrruUion. hmllancc-Compzmy Nw-ti, : J �1 j'..: 0 Fa Uuhty ii of .Sell-ins. 1.ic. it: /p )r^ 00 .. � yJ t�'[1 i Expiration llate luh City/State/Gip: —_ :utarh a cu hf the wurl ers' c Y � unl�ensaliun olio declare :i,r,wit tht,policy number e•.in[i t date). 1 [ policy thonptt,�t i6 p c.yl n rand xp l of ) l uilwe to secure ct.,vcraoc tis requlrcd LindrA-Section 25A of MGL C. l;,'r.111 IC,Id to[Ile IllIPOsiliUll O(criminal penalties of a 11im ell)to$1,500.00 timuvi 01u•-yc61 Inllltlsunnient, as well as civil pemalties in the form of a STOP )I<K ORDER and a tine of up to$250.00 a day against the violatur% lit,advised ih.0 a rl,lry QI'this statamnrrt Lrlet e horwax-ded to the Office of lnvestir:.u.•,;of the DIA fur insurance coverage verification. l do here c if` ureder the [iris and penalties of'ix:rirn.v that the information provided above is true and correct. �1'1,1 1,11UIC: !/ ) Date: l'htin�Ir J .— o brine nee unly. I)u nut write in this area, to be completed by rrri,or town official City or Town: _------ i't rinit/License# Issuing Authority (circle one): I. Huard ut'llertlth 2. Building Departrneftt 3.Cite/i tutu Clerk 4.Electrical luspector S.I''lunthiug Iuspector b.Other l'otuart t'cl sun: ------ Phone#: CAPECOD INSULATION T. -/ 2 4 1155Y OLASS $LA-153 SP AT TO-, 505p5NOL0 5AT'3 OYTT645 IN511LASION MLINOS 1-800-696-6611 ��- -' Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, KA 02601 Date: e�- Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Susan Mieph y .3Y/3 Hai;) V ,e& 6.4 %alnslk be— Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( } ( X} ( v-7} Slopes Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Sincerely He y E C sidy J , President Cape Cod nsulation, Inc. Commonwealth of Massachusetts Sheet-Metal Permit Map Parcel Date: - 42 Permit#""t, Estimated Job Cost: $ V Permit Fee: $ e'" Plans Submitted: YES NO )e Plans Reviewed: YES NO Business License# 023 Applicant License# Business Information: Property Owner/Job Location Information: Name: Name: Kc--r r �- / .T Street: Street: 9 (0y i 0 c_ s City/Town:12e 3 . 94Ms,tAb/e City/Town: 1Jf,:)� 3�rnS�G1of'e Telephone: Telephone: Photo I.D.required/Copy of Photo I.D. attached: YES V NO - Staff Initial J-1/ unrestricted license J`T/M,2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Comm�etcial: x Office Retail Industrial Educational V .. r; Eire Dept.Approval Institutional_ Other �., � S-quaWFootage• , der 10,000 sq. ft over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: Sery1 c --/-;4 CJJA /Z:�_ //aU5,f a 's z s , NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 YesZ No ❑ r you have checked Y€M indicate the type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent [I Signature of Owner or Owner's Agent 3y checking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Ins ections Date Comments Final Inspection Date Comments Type of License: iy Master itie ❑ Master-Restricted Ntyffown ❑Joumeyperson Signature of Licensee 'ermit# 7 Y9 ❑Joumeyperson-Restricted License Number: 'ee$ ❑ Check at www.mass.gov/dpi nspector Signature of Permit Approval o� Town of Barnstable eaaivsr�atrs, Regulatory Services t , +es Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usifig A.Builder as Owner of the sub ect l prop ett7 hereby authorize �U to act on my behalf in all*matters relative to work authorized by this building petroit C (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not-to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. _Signature of Owner —� S ignatare of Applicant Print Name Print Nam Date Q:FOR W:OW NERPERMISSI0M0LS Oct. 1. 2012 1 . 10PN4ent#: i I i iam Palumbo Insurance TAVANOME(N?- 6196 P. 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE OATB(MMID01YYYY) 10101/2012 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 pollcy(les)must be endorsed.It SUMMATION 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 rlghts to the certificate holder In Ileu of such endoraement(6). PRODUCER or CTAnne Sanzo HUB Inl')New England ONN ei,,;508•$8$-2244 508.833.0680 ac Ne: 125 Route 8A E4AAIEADDRSS. anne.senzo@hubihte►national.com Sandwich,MA 02563 508 888.2244 INSURERS)AFFORDING COVERAGE NAIc a asURERAI Hartford Insurance Co INSURED Tavano Mechanical Systems LLC INSURERS:safety Indemnity Insurance Co 201 Capes Trail INSURERc: W Barnstable,MA 02668 INSURER 0- INSURER E: INSU ERF: 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 ppR��EDUCED BY PAID CLAIMS. INTYPE OF INSURANCE AOOLSU R POUCYNUMBER MMLIIO Afal E P LIMITS A GENERAL LIABILITY 08SBM206456 8/14/2012 08/14120113 EACH OCCURRENCE - 81 OOO 000 X COMMERCIAL GENERAL LIABILITY A TO RENTED Eaoccurc ce s300 000 CLAIMS-MADE Q OCCUR MEDEXP(Anyone rson $10,000 PERSONAL B ADV INJURY 111,000400 GENERAL AGGREGATE s2,000,000 GENI AGGREGATE LIMIT APPLIES PER, PRODUCTS.COMPIOPAGG $1.000.000 POLICY 'I NOT' El LOC S B AUTOMOBILE LIASILI►Y 6210665 0812812012 0812612013 COMOIN60 SINGLE UM ANY AUTO BODILY INJURY(Per poison) $250,000 ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per ecddenO S500,000 X HIRED AUTOS X NON-OWNED PROPERTY S DAMAGE AUTOS ra a 500,000 S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR HCLAIMS-MADE AGGREGATE S ORD MNTION S S WORKERS COMPENSAT(ON WC STATU- OTH• A ppA�NNyDEMPLOYERRpWLLIIAgqBILIY YIN OBWECLG5272 /14/2012 08114/201 _ OFFICERIMEMTT BER ocCLUDEO?EC►rf1VEQ N f A EL EACH ACCIDENT S100 000 (Mandatory In NH) E.L.DISEASE.EA EMPLOYEE$1 O 000 If es,deoaft under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATION$I VEHICLES Winch ACORD 101.AddlUonal Remarks BcDedme,If more space is required) CERTIFICATE HOLDER CANCELLATION Town of Bamstable SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED RSPPRE,S,E/NTATTIIVE4�w 01988.2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S8004131M788520 AS004 The Commonwealth of Massachusetts Department of Industrial Acdfdents Office of Invatigadow -600 Washington Street• - Boston,MA 02111 6� www.massgov/dia ' Workers' Compensation durance Affidavit;Builders/ContractomTlectricians/Plumbers Applicant Information Please Print Le�ly Name(Business 0wmization/Ingvich4: Va ✓7 y C�t��r1�'C / SXLY 57 •Address: 119-4-1.1 City/State/Zip:G�✓CS���nS��6%cL�Gt�•2•C��hone.#: ������� �.S ��� Are you an employer?Check the appropriate bow and/or part time).* Type of project(required:,' employerss((f L lilt I am a er with 4. ❑ I an a general contractor and I b have hired the gab=contractors 6. El New construction . all . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ZRemode3mg ship and have no employees These sub-contractors have S. ❑Demolition working for me ijr any capacity. employees-and have workers' 9 ❑Build— addition [No workers' comp.insurance comp.insurance.t req�ed.] 5. rug ❑ We are a corporation and'its 10-El Electrical repairs or additions 3.❑ I am a homeowner doing in-work' officers have exercised their ILEJ Plumbing repairs o' additions myself[No workers' camp. right 6f exemption per MGL insurance required.]f c•152, §1(4),and we have no ❑Roof repass employees.[No workers' 13.❑Other comp,insurance regirired] *Any applicant ffiat cheeks box I1 must also fiIl out the section below showing tbci�wm-k='compensation pohoy b formatim T Homeowners who submit this amdw&inignatir,g they are doing aU work and then hire cutside contractors must subs anew affidavit indicating such. $Caatraetnrs d=the ck this oox most attached as additional sheet showing the name of the sub-conhactms and state whcfi=ornot those entities have employees. It the sub-contractor;have employees,they mstprovidt their wmi. ts'comp.policynnmber. lam an employer that is providing workers'compensation insurance for my employee= Below is the policy-and job cite Information. ''ll Y � Insurance Company Name: /,( ' '""U f Policy#or Self-ins.Lie.* �S �L1 Z G S_� Expiration Date: lob Site Address: lD n L S Ciiy/State(ZiP: � �,S ��le/1't-L, Attach a copy of the Workers'compensation policy declaration pa.ge'(showing the policy number and expiration date). FaThae,to.secure coverage as reqused under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a time up to$1,500.00 and/or one-year i 31m onramd,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 im urance coverage verification. I do hereby cettffy under the pains-an ualfies of perjury that the information provided above is true and correct Date Phone P Q 55LS�_' O&W use only. Do not write in this area,tb be completed by city or town offCW City or Town: PermitUcense# Issuing Anthodty(circle one): i -1 Board of Health'2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Othdr Contact Person: •• .Phone#: C MIPWONWEALTH OF MASSAC -j�rS S T E ..„ AS:A BUSINESS S SSUE THE A �- RODNE`Y N TAVANO \, TAVANO MECHANICAL SYSTEMS 201 GAPES TRALL W= BAR.NSTABLE MA 02668-0000 235 02/18/13 �1 983736 ;,.. A.i P�:iQ.3:1Ji1j .`10 3{(di Al T OF VASSAc HUSET t SHEET - S>` METq�, .. As A°MAsrE woRR. rssuc s T; R-UNRESTRICTED':. i_-A_0VC LICE '^ RODNE.y N rA VgNO . 2-Q1 CAPES TRAIL .. W :BARNST ABLE NA 0266-g._ 3449 I2/28/I3 13 73 ff • 94294;: . �pTHE Tn Town of Barnstable Regulatory Services % Y + BARNSTABLE. � 9 MASS. .p Thomas F. Geiler, Director .. �A 039. Tsnrw.A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230, July 28, 2010 Richard Senoski 3413 Main St. Barnstable, MA 02630 Dear Mr. Senoski, It has come to our attention that you have not requested nor received final inspections on the following permits that you have pulled. Please ensure that the final electrical, gas, and plumbing inspections have been completed and then arrange final building inspections on each of the below permits. Failure to do so will result in further action . from this department Permit# Address 28516— 82 Greely Ave Centerville—Addition 32092—41 Mountain Ash Rd. Marstons Mills —Pool 3563.2— 177 Fuller Road—Addition 37267- 34 Daniele St. Cotuit—Addition °37311 -25 Captain Lumbert Ln. Centerville—Pool 38795. - 52 Fox Run Centerville—Pool 39148 29 Schooner Drive Cotuit—Pool 40825 =738 Mistic Drive Marstons Mills—Pool 41095 — 533 Lincloln Rd. Ext Hyannis - Pool 41572.- 1341 Race Lane Marstons Mills —Pool 44325 -161 Oxford Drive Cotuit—Pool 44563 — l 19,Blue Water Drive Centerville—Pool 45.114 41 Coachman Lane West Barnstable—Pool 45115 - 195.SDromoland Ln. Barnstable—Pool 46461.-74 Old Toll Rd. West Barnstable—Pool 47140—2021 Main St.,W. Barnstable—Pool Pg. 1 of 3 h P i 47369— 114 Curlew Way Cotuit—Pool 48938 —200 Lumbert Mill Rd. Centerville—Pool 51842 —66 Old Mill Rd. Marstons Mills—Pool 52421 —63 Biltmore Place Centerville—Pool 53258 — 17 Savinelli Rd. Cotuit—Pool 53260 — 17 Pricilla Street Centerville —Pool 54296— 15 Leda Rose Ln. Marstons Mills —Pool 54733 —429 Race Ln. Marstons Mills—Pool 55402— 106 River Road Marstons Mills—Pool 56816-69 Goat Field Ln. Hyannis—Pool 59838 — 157 Old Post Rd. Centerville —Pool 60604— 582 Main St. Centerville—Pool 61038 — 163 Pond View Drive—Pool 69717 - 3 Minton Lane West Barnstable—Pool 70449—302 Skunknet Road Centerville—Pool 70665 — 82 Dolar Davis Road Centerville—Pool 72275 —23 Ironwood Road Marstons Mills—Pool 75184— 85 Fairhaven Lane Marstons Mills —Pool 77410— 118 Flint Rock Rd. Barnstable—Pool 77726— 3580 Main St. Barnstable—Pool 79228 - 113 Boulder Rd. Barnstable—Pool 81117 — 3413 Main St. Barnstable—Pool 84069— 100 Trout Brook Road Cotuit—Pool 84283 —23 Spice Lane Osterville—Pool 85259— 83 Goff Terrace Centerville—Pool 90605 —90 Fox Hollow Lane Osterville—Pool 91149—34 Stallion Way Marstons Mills—Pool 20061331 — 1320 Shootflying Hill Road Centerville—Pool FAILED FINAL INSPECTION 20062853 — 19 Parrish Way W. Barnstable—Pool 20062915 —40 Desire's Ln. W. Barnstable—Pool 20064181 —4748 Falmouth Rd. Cotuit—Pool 20064291 — 98 Governor's Way Barnstable—Pool :.200701664— 55 Surrey Ln. Barnstable—Pool 200702985 — 18 Agawam Rd. Marstons Mills—Pool 200703123 —254 Walnut St. Marstons Mills—Pool 200703280—49 Willington Ave Marstons Mills—Pool '200704189—40 Shallow Pond Drive Barnstable—Pool (re-inspection is required) 200803015 — 16 Morgan Way West Barnstable— Pool "200805060 29 Lincoln Street Centerville—Pool FAILED FINAL INSPECTION Pg. 2 of 3 200805366—28 Kalmia Way Centerville—Pool 200902154—370 Green Dunes Drive Centerville —Pool 200902914—43 Hollingsworth Rd. Osterville—Pool 200904258 — 131 Hollingsworth Rd. Osterville—Pool 201000921 -644 River Rd. Marstons Mills —Pool 201001669— 120 Main St. Osterville—Pool Thank you for your attention to this matter. Sincerely, Oe;�a/uf Building Inspector 508-862-4034 Pg. 3 of 3 oFIHETpN, Town of Barnstable *Permit# p months m issue date Expires ' r • ..--77 0 ,STABtE . :. Regulatory Services . . Fee A �0 ::.._..ThomasT.Geiler,Director 1639. _,:.Building Division ---Tom Perry, Building Commissioner / p ER E�d §� - - 200 Main Street, Hyannis,MA 02601-- Office: 508-862-4038 ( �o� Fax: 508-790-6230 EXPRES.S:PERMIT APPLICATION - RESIDENTIALKOWCF BARNSTABLE O 3 Not Valid without Red X Press Imprint L C�� _ Map/parcelNumber � L OD Property Address 3 1 Residential Value of Work � U� Minimu776 $25.00 for work under$6000.00 ' Owner's Name&Address Su S) `` Contractor's Name f Lk— Telephone Number Home Improvement Contractor License#(if applicable) ' 106 0 d? rr Construction Supervisor's License#(if applicable) ( b • ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation-Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Q � � ❑ Replacement Windows. U-Value (m ximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***No Pr r must sign Property Owner Letter of Permission. o e Imp ement Contractors License is required. Signature Q:Forms:expmtrg Revise063004 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel (✓ -- 00- Permit# NC .6 [o Health Division `�-ZO Date Issued /O fes Conservation Division ,�D D ��' Application Fee Tax Collector - RV � � - �wClkr' d-. 4� Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ht cs Village Roo'd&z/ 6L�( Owner SOS AAqMk&11 Address Telephone E 06 r 3 1 / Permit Request A)S ( . Ab 7(— 7J� cS l(iu.�ivC rv✓L, D Or 'el Na U�wUls C 4�1�� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type kSTRP2 Itf f4,/v bwJ Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure jK Historic House: ❑Yes L&No On Old King's Highway: li�4Yes ❑No Basement Type: [Full ❑Crawl} ❑c�Walkout ❑Other Basement Finished Area(sq.ft.) O I Basement Unfinished Area(sq.ft) �d _ 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 1b Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0�No Detached garage:❑existing ❑new size Pool:p existing ❑new size Barn:❑existing ❑new size Attached garageoO existing ❑new size Shed:❑existing Cl 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��c / p S og,_34 g 1 ��J$S�( Address �J 3 l<yt o4l 5/� License# 0 0'? 6 35 Talsab Home Improvement Contractor# l 6 b 6 q Worker's Compensation#4L.J(17 0 S'7 ,sp l9,06 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO uco 10 �A&t A LL- SIGNATURE XA DATE t FOR OFFICIAL USE ONLY a PERMIT NO. F DATE ISSUED T,1 MAP/PARCEL NO. ADDRESS — VILLAGE OWNER - DATE OF INSPECTION: { FOUNDATION - B �FM FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r. ti FINAL BUILDING ./ 3 i DATE CLOSED OUT ASSOCIATION PLAN NO. 'a a The Commonwealth ofMassachusetts Department of Industrial Accidents �` • � Oag1�BI/anrsd�sd�S 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit-General Businesses 0 narrK AQ address: // 'VLCG1AJ 5! r/ city C(P��+1 T�C state: h /J_. zip:�� phone# 1! W work site location(full address): VrLI i- ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an employer with era loyees(full&part time). ❑Other /%//% [� I am an employ providing workers' compensationm / for y employees working on this job. comyany name: « SeiJ 1 / address: i Pbone#. .Y k� ✓C` .GJ ansurabce-dm S. .:.. oiic..# I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: na - comnenv me: address: : .. . 14 city. plione insurance co. olic' # company uaiiie:.,.. address city.. phone#c : insurance co. .t'. : ...... .. ....... ,. ...,. ..:. :., .: ., .. .. ... ..-: . .. ohcv#.:' .:: .... ....: .. � ��� %/ �. Failure to secure co .age as required and ection 2 of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'impris e t as well as civil p ties in t form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this stat ent y be forwarde t e Off3 of Investigations of the DIA for coverage verification I do hereby erti nder the pai and pe ties perjury that the information provided above i's true and correct. C� Signature Date " V Print name Phone# official use only do not write in this area to be completed by city or town official a city or town: permitllicense# ❑Building Department check if immediate response is required ❑Licensing Board ' ❑ p q ❑Selectmen's Officer []Health Department contact person: phone#; ❑Other (ieveed Sept 2003) s Information and Instruction Massachusetts General Laws chapter 152 section 25 requires all employers to rovide workers' compensation for their employees. As quoted from the"law', an employee is defined as every pers 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, corpora on or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,, nterpri e, and including the legal repres tatives of a deceased employer, or the receiver or trustee of an individual,partnership, associ 'on or other legal entity,e oying employees. However the owner of a dwelling house having not more than three ap ents and who resides erein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair ork m such dwelling house or on the grounds or building appurtenant thereto shall not because of s ch employment be emed to be an employer. MGL chapter 152 section 25 also states that every sta a or local he nsing agency shall withhold the issuance or renewal of a license or permit to operate a business or to cons ct buil ' gs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the'nsur nce coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter t any contract for the performance of public work until acceptable evidence of compliance with the insurance requireme of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit comple ly,by checking thee box that applies to your situation. Please supply company name,address and phone numbers alon with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirms on of insurance coverage. lso be sure to sign and date the affidavit. The affidavit should be returned to the city town that the application for a permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions rgarding the"law'or if you are required to obtain a workers' compensation policy,pl se call the Department at the numb listed below. City or Towns Please be sure that the affidavit is complete and print d legibly. The Department has provided a space a the bottom of the affidavit for you to fill out in the event the Office of vestigations has to contact you regarding the applic t. Please be sure to fill in the permit/license number=arnrang ' be used as a reference number. The affidavits may be fumed to the Department by mail or FAX unless oth is have been made. The Office of Investigations would like to thank yo in advance for you cooperation and should you have any questio please do not hesitate to give us a call. The Department's address,telephone and fax n er: The ommonwealth Of Massachusetts De artment of Industrial Accidents WIN of initast1gawns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 aFIHE,�,, Town of Barnstable Regulatory Services �Bnxnt atE,$ Thomas F. Geller,Director s Building Division Tom Perry,Building Commissioner 200 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 owmer-occupied building containing at least one but not more than four dwelling units or to structures which are adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ��r.Q�:I xs w l Ids Estimated Cost Q d s Address of Work: 3 q 13 r Owner's Name• Date of Application: I hereby certify that: Registration is not required for the following reason(s): 0Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING MIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMTROVEN=WORKDO NOT HkVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. D UNDF-PylEN TIES OF PERJURY Ihereby apply for apermit a, the a eut of the er: y 7— a �bbbb Date Contractor Name Registration No. OR Date Owner's Name °F„ Teti Town of Barnstable yP Regulatory Services S WNSTABM ' Thomas F.Geiler,Director XAM `bpTEp39. Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862 4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ;....... ...,as-ownex..of the.subject propett r- ._....._.-._ ._ hereby authorize &�LA - .to_act on my.behalf,. in all matters zelative to-cork authoiized.by this building.petmlt.application for: 1iAAW 51 (Address of Job) f 27 o Sigaature of ez Date '-r'-- Print Narne ,..,-.,n„.r c.nwnrFR vFR rrrc.c rnu o7.�rza�.xu� T, i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Nwmbe�'C.S 009635 i Birthd�fe 07f2(i1.9,53 `s xpirerOr7l26/2005 Tr.no: 1201 e RICHARD T SENOSI<I 3413 MAIN ST r BARNSTABLE, Administrator II. . fie �aniiriaiuueal�i a�,�avaacLiuoe�a Board of Building Regulations and Standards HOME I RA`VEMENT CONTRACTOR Re9�isffa 46: 6009 /?3 i ExP n 7 2�1f2004 j '- lividual RICHARD T.SEN, -� Richard Serioski 3413.MAIN ST. BARNSTABLE, MA 02630 -! Eidminiscrutor t7j} I. 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IL r"m,1OlA WW. On :� si mlis ;Mm lam W—MW \ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION -�Map Parcel 00 Z Permit# Health Division L1��°l'o 9 Date Issued Conservation Division 11 )2_1 toy Application Fee Tax Collector Permit Fee 0 0 \ Treasurer Planning Dept. CONNECTED.SEWERA000UNT Date Definitive Plan Approved by Planning Board #,____ 4 Historic-OKH Preservation/Hyannis _ --- ' Project Street Address 3 Lf 13 A100 S/ ? Village AJ r- Owner yS�IJ pal UR.�G��/ Address 3`f/3 ' A) 15J Telephone S ✓?bog Permit Request T20 I LJ Square feet: 1st floor: existing proposed 3,Y6 0 2nd floor: existing proposed Total new 380 s9 F. Zoning Districts 0 Flood Plain Groundwater Overlay Project Valuation / , tJ 0-0 Construction Type w 0M RAM e_— Lot Size V24 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 7 ` k! Historic House: ❑Yes *o On Old King's Highway: 4Yes ❑No Basement Type: AFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 1006 Basement Unfinished Area(sq.ft) SOO O Number of Baths: Full: existing 3 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing 1 q new First Floor Room Count 6 Heat Type and Fuel: iQ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ELNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes P]No Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:M,existing 4 new size 13VO, 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 _ C c Name /Ly1A,rZaO �� f Telephone Number ,�0&- 3 ba Address3 y13 MA'I A) Cv/ License# 0 w- OA63 t) Home Improvement Contractor# _/0 6 009 Worker's Compensation# W L 70 0 ,50Id 00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �. � SIGNATURE DATE �( ` �1 ` 0 f FOR OFFICIAL USE ONLY PERMIT NO. i DAT ISSUED 1 i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �rk-P- ®C< < INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ;? FINAL ! GAS: ROUGH Q FINAL rn v FINAL BUILDING DATE CLOSED OUT Q ASSOCIATION PLAN NO. �- l oF�e f� Town of Barnstable b Regulatory Services BAMUrABLE, Thomas F.Geiler,Director p . a�° Building Division QED MA'S Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date��^ D AFFIDAVIT HOME I IpROVEMENT 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. ..�1 ,l Type of Work— s � Estimated Ist �,6p Addres of Work: 3 //3 � Owner's Name: Sfzs4j 112�1� Date of Application: I hereby certify that: Registration is not required for the following reason(s): FWork 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 � OPOOGNTYNDDc.� ACCESS To THE RGW R GUARANTY UNERMGL .142A. _ SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the a ent of the owner' ' I•— 8 � fC.G�1� �� V U v �` _ /1D Regstratiou No. Date Contractor Name OR Date Owner's Name Q:foms:homeaffidav r �[7rSFG�' � eattfGa,aa1] a�x{tb F'astfl�ur1,c• ' 'I'x81°.TS.1,xh • p�cxrrlp(r'°Paekis a far Qaa xad'tw¢-Fr:� YZldeatixl Huitdia&i mA � alr►a vial t 6ituin� WA II•Y4c,4� gta(v� 1t Y R, c A Yalu° • Ir�aga slat tc 6500 HestittF,D 13 Karas�i I� 10 Hcrmx( 31 19 t4 IO � ss AFC Q Ix,A 30 13 14 IQ NarcnaI R 6A 12,11, - 0.50 33 13 21 141A Natressi I5*/. 0.36 31 15 19 IQ NJA 15 AM ISY. Q.4d 31 13 y NIA 6 • 15 AFM ISY, 0.44 33 19 19 IQ xaM al Y IVA 042 30 24 141A aty N1A K 4 111/1 09Z 3i 19 25 NIA NSA 40 AFUZ X WK 0.42 33 13 19 IQ 6 g0•AFLT 4 WK 0.42 lE 15 19 I0 30 sr 55 O 6 PROPER'I'Sf; 3�I,3 /1�9.10� �T ADDREki 1JO/J G I` .� V F f . VARB Foo•r kas c?ALL EX'i B1*WALLS• v a• sQ Sq � 3. SQV ARE FOOTAGE OFF ALL(}LAZI�tc� 4. °/a GLAZ'NG AREA ,rr�t � 5e8 Ch3Lt , 5 S�,LEC�'kACKAC�F+{Q abaYa)• VEv MS?'� OD S 0�`AE't'Eg�G�gRQY I�Q,tTfftEh2ENTS �(OL ARE AYA��LE, my is FoR THIS g0 p,'TTOl*[ 13�,�ING INSPECTOR pLpPROV�L' V0' Yes' q•fa�m�•�g0303 s • RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 rj 0,Od Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) fsquarex.0041=Q ( �. �6 i S '0� square feet x$32/sq.ft._ / l k ACCESSORY STRUCTURE>120,sq.ft. >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-Same as new building pem3it: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee fZ60, 00 Projcost Rev:063004 kr' Town of Barnstable Regulatory Services snxxsrnB Thomas F.Geiler,Director 0 ate® Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable;maxs offiee: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder as Owner of the subject property. hereby authorize: ►c t� SEn).a5,�/ to act on my behalf) in all rriatters relative to work authorized by this building permit application for: (Address of Job) 4 r • Signature of Owner Date 1-DL) „, ot. �. Print Name Q:FORMS:OWNERPM MISSION A 7 f ., ✓�ie i�Jomvnw�uaea�i o� ac�iuJr,� II BOARD,OF RWLUENG R GULA*7p1(0J,•q p! License CONSTRUCTION SUPERVISOR Nwbei`.:>CS 009635 - { B�rtEi�ate�07E26119.53 i �xp�re§ Q-126-005 Tr.no: 1201 j C Re,�stric-ted RI.CHARD T SENOSKW _ _ 3413,MAIN ST , BARNS, E, MA 0`283 ' at- > # Admanastr : I ._..--- ------ .. ...._..._ ....... ___�. .._. _. __A /e TDo7n�non�uect�� o�yaaOacffiraet�a i Board of Building Regulations and Standards 1 HOME IM,,O�,VEMENT CONTRACTOR Re istratlorr\,j 6009 _— 2006 ytt idual RICHARD T.SE` Richard Senoski — n 3413 MAINS BARNSTABLE,MA 02630 Administrator i s , M .00 Of T . `• ;z w "m T JS?- 7 ' u 4 _ —s 4 . 0 �i ai 4 108 f 86-251 GERTIFIEQ PLOT - PLAN LOCATION. LOT 81 RTE 6A BARN . PREPARED FOR . SCALE: 1=50 DATE: 6/18/86 REFERENCE. L . C . P . #17994 LUFFF ASSOCIATES I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE t�tN O GROUND AS SHOWN HEREON •i�" ARME. down cape engineering Now Assessor's office (1st floor): Assessor's map and lot number r/9� O j-pd P�pF?ME toy ......................................... .. Board of Health (3rd floor): / Sewage Permit number Z.Q��.�o..�� CA � Z Ba239TenLE, t Engineering'Department (3rd floor): rasa Y _ �p 039• `00� House number .........................:........3.`t.!.3..'..:...?�.� .r..:.... �oeav a. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only A P P P 0 V E D Bar sta.`11e Co servatio-T N- .O F B A R N S T A B L E Cued D.to LDIHG INSPECTOR APPLICATION FOR PERMIT TO � ` " TYPE OF CONSTRUCTION ...................... .1�..�n...�:..........��.... .... ................................................. ................................................19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1-or( �( `v--t�q f N S�T" Imo' ��� STABLC �1 l�F O 2 f,3 0 Location ........................�} 6V�1!i... ................................................................................................................... Proposed Use Zoning District ..12—............................................Fire District ............ r Name of Owner .......... V �.....................Address ...�� W L&VOjOe_ i2-0 gpoob , ...........v .......................................................................... Name of Builder ....;...1 �1 '�. V�l1E"�' •..•.Address `' MiN �� Jn"�"`��S ..... ..... ... .. .. ................ ...............................-........................ ........ .... Nameof Architect ... ............��..... ... .......Address ..................................... ............................................ / L tis� 1..11Cr1 F � Number of Rooms � ��✓ !/ ���4oundation —... GP(SDEI .........Roofings �� 1 0 Exterior ............................................ ........ .................. ......... Floors .....?F'f34r) � ................................Interior, UL � � t�L - Z Heating l(.Dti� � T ��c'�L`�i••Plumbing C4 J J /��`> ��� g ................................................................... ........................................................................r.... 4 Fireplace^ ..........Approximate Cost I �••�oa .............. ...........................................�.... .. ................. Definitive Plan Approved by Planning Board --- ---- of-----19 Area .......... ..:..ZC...... `r Diagram of Lot and Building with Dimensions Fee >/-40/f..U..V/........... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..........L.: .. �......... Construction.:Supervisor's License 00 . .................................... '&-LUFF, TERRY 1Y 29565 121 , tory No .................. Permit for.9......... ......................... [to X Single Family, d V,welltn ............:................ 4�........ ...................... tr Location ..`,Lot . Lot #81, �3413,,,Main Street ............... ........ .......................... .................. BarnstafB141 ................ .......................... ......... Terry Owner ...... ....I.......................... Type,of Construction ..;Frame a ... ...... ....................... vj r ............................... Plot ............................ Lot ................................ Permit Granted,...............luiig...Z5. .........19' 86 Date of Inspection ....................................19 Date Cdrnpletecl .......19 ARPlication to w-'r N Nis ENp Old Kings Higbway Regional Historic District Committee in the Town`of;Bar:nstabte.for a +. < xt 4 `7 CERTIFICATE OF APPROPRIATENESS' Application is hereby madejn triplicate, for the issuance of a.Certificate'of.Appropriateness under Section 6 of Chapter 470, ..Acts,'and'Resolves of;Massachusetts,'-t 6i for proposed work as'described below., and on plans,'drawings or photographs accompanying this application for ; :CHECK CATE:GORIESTHATFAPPLY x: 1 Exterior l3uUdjng Construction =;g] New fiwlding . _w ] Additions [] Alteration,; } a 'Indicate.type of building House r,, ( Garage i '❑ Commercial ❑ Other 2 •Exterior,Pamt►ng p 3 Signs or$illboards ,❑.-New;fgn 1] Existing;sign k [];.i'iepamUng existing sign k 4 ,Structure: ❑ Fence [] Wall ' 4 j] Flagpole ❑ Other r (Pleaseread other side.for explanation and requirements) TYPE OR PRINT LEGIBLY x f ° y'f '[ _ ,: r jf DATiV t v; ✓ sh"'d ,_;_ ; :k' A `+ yak itt $ Ykd i,. � ��. -:r y4.'. d .fd+ t •'..' F .,'' �e q tmf 0. [ ADD.RESSOFPROPOSEDWORK;_�81',Main St: (Rte.6a Bar bl�nstaSSESSgRSMAPNO 299 e - < t •E �.p 3:: 1 % 4 'ts7 3'?t '-Y €fir. F � A b'Y I t J.I^� i J 5+fib• y' l . ' OTerenc 'Luf fOWNER } 81ASSESSORS LOT N f t `�'s f HOAAEADDRES$��RFD #2 32Windsor`:;R:Saridwch4 MA '02563 �1'E�.'NO �888 185=7 isFULI. NAMES YANG ADDRESSES OF ABUTTING OWNERS' Include name of adjacent property"owners across any public.::' ° I street or way (Attach additional sheel If necessary) g ti =3 .4! R. .n/d 3�r'+rs R �;'� F,s..a j..: a •? � ' 3"y t+ c+.� } t�'t i 4 '. Luis L`ap�tz ''1;}Belmont ,Rd: ' #.520k W.Harwich MA 026711 V : x ' wi+ R Robert"'McCtxbrey °`34p1s; Ma'irif St.Barnstable .`MA .Q2630 [ Raven Brook` Rea1.t L'nc. Fuller .;St.M 'ddleliorot MAC 02'346 James~ h �i - r778-1555 'A a AGENT OR, CONTRACTOR Stewart _ " TEt.:-NO . S ADDRESS fi ,Ma.' a S't.Hy.atini$s. MA' 026'0=1'' :Y DETAILED,DESCRIPTION OF'PROPOSED WORK aGive all"particulars of`work to be done lsee No 8 other s!de);•mcluding t[ ' - - .- 4 '• � = it !'1n,. .- ... .. materials to be used, if.specificaions do:not accompany plans."Ln'the case of signs,give locations af'existing signs and proposed locations of new signs (At..tach additional:sheet, if necessary) New House & ,Garage r �'' .'., � :'.�� Y7:ty r '4 P�, r} t f.`.- '+ �.i l� ^'F, ^r`.•:, ]_. Al Y Asghalt Roof Timberline Sh_i.ngles(S1ate;, 1 rid) _ . Front of House & Garage Clapboard(pay.nted ,White) 1 ++T&G(Pa nted �hite) M ,;� -,;n 14 + aw�.-.. c .;- .. .� `.:. f 3yq '. -.4.• Y' `'. Y3.rt;✓7 F i.`4' t` Si,d.es `&. Rear — White Cedar" $hi.ngles{C1ear4 Bleaching o1`1) F Al trimi .... •'24 &D >or' iDa in ted White Signed .t Shutters - painted B1a`ck.:_ ntrector-A m ;= iine`fur use., t •xy'O c%.7 ` ;? 11 Date he Certificate is hereby Date Time7J1 BXAPR L . i9 Y Approved IMPORTANT: . If Certificate fs approved,approval is ailb�eel to the i0 day appea erfod . provided In the Act Disapproved ❑ t Y t ` �_�: ,# * a _ a � �$' ¢ �y�. yR '�, s • Ste• �- � fi�5 'v� � � �� � ` 4. '' ADDITIONAL_.INFORMATION FOR MAKING AND FILING AN.APP.LICATION FOR;A`CERfi'IFIC-Fif,APPRUPR ATENESS The four'categories for which a Certificate�of Appropriateness is required ere .<(applicationrfor demolition or rem oval'is a separate form) t 1. EXTERIOR BUILDING, CONSTRUCTION (new or existing biaildingsl 'An application is requi,ed for any exterior:of a building to be erected or altered includin windows dogrs siding roofR light etc ''that wilt be visible from'any publu:'street Way or public place., The following scale drawings"are-required'in duplicate with application:' plot plan (if addition -:show existing buildings in outline), floor, plan and elevations. ,Also required are snapshots of existing buildings;,where`additions"or alterations are to be•made. No pli t'plan Wrequired for addition or`alteration which does not touch the.ground " Y EXTERIOR PAINTING: ° An`applicaUon`is"requir`ed for any' portion of a'buhlding,'structure or'sign to be painted that is visible,from a public: treef,'way'ar public'place Color samples:must be attached'to these ;applications. Anapplieation is,not i' required when repairn;ting existing colors changing to white,or asmg colors approved by the Town Historic Oistriet Committee -3 SIGNS OR BILLBOARDS:, An application is_required for'any signor billboard to be erected within the�Distri_ct with'the „; ,follow_ Ing exceptions ,f a. 'Existing'signs•or billboards on Novembert271974 ;hall have until November 27, 1977 to secure an approved%Certificate of Appropriateness. w% r b jemporary signs for use in cannectiony�vith.any official celebration car parade of any.charitable drive.as long;as they are F y, .fit removed within three days.of the event •Certain_other terriporary. sign; that the Comm'i:ttee feels does npt detract from Act may be.allowed with.the prior permission;of the Committee. c Real,Estate'signs of n_of more_ thang3 square;feet ir) area advertising the sale or rental'of the premises on which they are 3 _ i erected or displayed „ y 3 d A single sign of not more than 1 square foot in urea showing the name occupation or address of the occupant of.the i .�'t premises on which-they"are:erected'or displayed iri:a'residential`zone: y '...; y.,A .ix.'�f3:. .. 'Rt '•.' 6 n _ f,. r ,`'4, STRUGT.l1RE An application"is requ ted,to build or"`alter any structure withm'the District Which is defined,by the Actas a combination of materials other than a'builclin6,sign or billboard, but'includingstone wal Is,.flagpoles,.hedges, gates.fences,etc w" i t , GENERAL REQYIREMENTS s r r.10 YFR ' 5 Work on project;.requiring approval shall not be started until Certificate of Appropriateness has been filed with the Town Clerk by the:Committee A.pprovai,is subject to<the 10 clay appeal`period provided in the .. r .. ..w J. 6..No changes shall 'be made from the original•approved specifications without advance approval of, the Commission on an amended application filed with the.Committee , t 7 A separate'applicationt:must be filed with each;project requiring a Certificate of Appropriateness. J 8. Under heading of "Detailed Description of Proposed Work give detailed data on such architectural features as: _foundation chimney, sidng,.roofing; roof pitch, sash;and�doors window and door frames, trim, gutters'-leaders, roofing and paint color_ 9 Unless:application is complete and legible and all material required is supplied;application-will-not be accepted or.acted upon Copies of>.the Act establishing the Regiondi Historic District may be obtained at the Town.Hall. ) t # a r. � `�xne'?-�„".•.�—.—t--+-_'_r.'�_.�' .f.. .. r ... . ..,t C�-rA".�",-�-T.r+ -x.r <. i ...... r ., .. .. . _.. .'�"^---+.+—.,r..—er 1 0 e � o 0 Low 81 4E3�2?St SF N 7 U1 L i d o N 01 n 140.00' L_oT �o JOB # 86-251 CF_RTIFIED PLOT PLAN PREPARED FOR: LOCATION: LOT 81 RTE 6A BARN . SCALE: 1=50 DATE: 6/18/86 REFERENCE. L . C . P . #17994 LUFF ASSOCIATES I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE 5,1 OF 41 GROUND AS SHOWN HEREON o�� ARNE H. - OJALA y down cape engineering No. 2634E CIVIL-ENGINEERS JJ.�F TE LAND SURVEYORS ROUTE 6A YARMOUTH MA DATE REG L D SURVEYOR l o TOWN OF BARNSTABLE Permit No. ...29565. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash °hor�r HYANNIS,MASS.02601 Bond ............. CERTIFICATE OF USE AND OCCUPANCY Issued to Terry LLt t Address mot 481 , 3413 lidin Strg(--t i3arn tibit., i-lass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. apt-'inb %t (:r 17, 19 87 f. � om �- ......... .................. ................. .. ,.� �,. ..�.... .................. Bdilding Inspector t � T TOWN OF BARNSTABLE BUILDING DEPARTMENT Z rsaaerAU ' TOWN OFFICE BUILDING HYANNIS, MASS. 02601 �o r�r�• MEMO TO: Town Clerk FROM: Building Department DATE: � x s An Occupancy Permit has' been issued for the building authorized by BuildingPermit �$......... ;/„ !O J.. ......................................................................................................»................................_ ... issuedto .............. .. ................................................................................................................................................ �»... Please release the performance bond. RUT laws. IN E R M I T TOWN OF BARNSTABLE, MAS AC USETTS JOB WEATHER CARD D TE 19 PERMIT NO. / APPLICANT ADDRESS - (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO / �4 STORY ! DWELLING UNITS (TYPE OF IMPROVEMENT) N ( OSED USE) - ZONING ` - _� AT (LOCATION) _ / DISTRICT ,� (NO.) - �" (STREET) _. BETWEEN AND. . (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND- k4A SLL CONFORM IN CONSTRUCTION TO TYPE USE GROUP - BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: �2 AREA OR E%2M1T F VOLUME ESTIMATED COST //�/® FEE (CUBIC/,SQUAR FEET) OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY, PART THEREOF, EITHER TEM P ORA�RILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST PE AP- ® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OB AI DIED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES-NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIE FINAL INS PE'CTION HAS BEEN PERMITS ARE-REQUIRED FOR - ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND . I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF O_CUPANCY IS RE- 'PAECH ANICAL INSTALLATIONS. C 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL r9 MEMBERS(REAOY TO LATH). FINAL INSPECTION HAS BEEN M'ADE. - 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT: IS -RISIBLE FROM STREET , _ • BUILDING INSPECTION APPROVALSPLUMBING'INSPECTION APPROVALS ELECTRICAL INSPECTION -APPR VALS 7 �- � k HEATING INSPECTING.APPROVALS REFRIGERATION INSPECTION,APPROVALS I1 - 'BOARD OF HEALTH p. ..�. 07 HER - 2 �7�PL6/7:r t 2 GINEW IN pro YZ 100 f _ 1NCRK S,AL'_ NCT PROCEED 'UNTIL THE .PERMIT W!ILt BECOMIEI L AND VOID IF CONSTRUCTION iNSPECTIONS iNDICATED ON THIS CARD NSPECTQ NAS APPROVED 714E VAR.ICUS CAN BEQARRANGEO FOR-BY TELEPHONE F ` I WORK IS NOT STARTED WITHIN SIX MONTHS OF THE STAGES Ok' CONSTRUCTION.-. OR WRITITEN NOTIFICATION. _ PFRMIT1S ISSUED AS NOTED ABOVE. i. } - -MATCH EXISTING ROOF SHINGLES .. RED CEDAR WOOD , —MATCH EX15TING GARAGE / ROOF P(I CH PATCH WHITE CEDAR - 51-IINGIE5 TO MATCH EXISTING - P,IATCHEXISTINGTRIMDETAILS TOTCH ROOF MATCHIXSTING�S _ LINE OF EXISTING - GARAGE LINE OF EXISTING GARAGE WHITE CEDAR SHINGLES 13 fob LJ - EEL ' —PATCH WHITE CEDAR SHINGLES nn I TO MATCH EXISTING EXISTING HOUSE MATCH EXISTING GARAGE AND GARAGE DOORS MATCH EXISTING VERTICAL SIDING - PROPOSED FRONT ELEVATION LOOKING PROPOSED PEAR OF GARAGE FROM ACK055 FRONT OF EX15TING HOU5E 5cale 114'= l'-O' .. 5c le 1/4'— I'-O" ZN, MATCH EXISTING GARAGE ROOF PITCH ROOFSHINGLESTO -T MATCH EXISTING O❑ MATCH ALL EXISTING TRIM DETAILS QWHITE CEDAR SHINGLES MAP 299 EXISTING HOUSE PROPOSED GARAGE PARCEL 43-2 ADDITION PROP05ED 13'W. X 22'D. GARAGE ADDITION . PKOF05ED FRONT:ELEVATION. 3413 MAIN STREET-5ARN5TABI-E.Mk 02630 Scale 114"=1'-Gr - - 5CALE !4 I- APPROVED -DRAWN 13Y D.O.. -04. P.EVI5ED BUSAN E. MURPtiY- - 28 eARrtstneitaD emis,;nuk . .'S0&775-336D mzarot " SED EL EVATIONS •DR PROPO AWING DMt}ER NEW/EX15T. i WALLS FLU5H-- --- _ ._______________________________________________________________________________ _______-_ _ ______________-________ S 5 DOWELS DRILLED t GROUTED TOP t BOTTOM71 ,• _ - >. J' 0 .. z A L'I7 4'-0'+-HT.WALL - ro MArcn Exl5r. DCIST.G 4'THICK CONC.SLAB TO DOOR EXISTING GARAGE \ GARAGE ADDITION a s DOWELS DOLLED o LL;" I NEW 3'X 6' O" n GROUTED TOP t BOTTOM DOO R \ NEw 5•CONC.BLOM FDN.tNALL5 �� `� \ ____ ON 161Y.X7 XCONf.POURED -�=FULL HT.WALL '�� _ _ . . _ . COFINNGRAD 4'4BELOW 9'$ TO MATCH EXIST. `� '.'I.9 ��O T`9 ` ,\ �•• BOO o9jc�a `� ALL CONC.3,000 P.5.1. oy 28 DAY-5 NOTE: n. +SP o� d¢ NOTE: .FOUNDATION 4 PLAN ��cf� FOUNDATION 4 PLAN USE I/2"DIAM.ANCHOR DIMEN51ON5 ARE+ �� DIMEN5ION5 ARE+ FIELD VERIFY ALL. P�OLTS @ 6'-O"O.C.MAX. FIELD VERIFY ALL '• DIMENSIONS PRIOR DIMEN51ON5 PRIOR #5 DOWEL5=4'0,000 P.5.1. TO ANY WORK TO ANY WORK 'a 22'-6" GARAGE FLOOR PLAN FOUNDATION PLAN 8'-7 3/8" 13'-4 5/8" sow u4•=r-a ' - Scale I/4•=I'-O• ' RIDGE VENTCTR.LINE RIDGE+- VERIFY W/ BUG FILTER I NOTE: 2X 12 RIDGE BOAR 2X4 HGR'S. @ 32" O.C. FOUNDATION PLAN DIMENSIONS ARE + ALT. EA. SIDE RIDGE FIELD VERIFY ALL 2X105 @ 16" O.C. DIMENSIONS PRIOR W/ 112" CDX OR EQ. SHT'G. 12 TO ANY WORK 10 VERIFY TO MATCH EXIST. MATCH EXIST. FASCI 12 SOFFIT DETAIL - PROVIDE - N-- - 10 VERIFY TO ALUM. GUTTER . L I 2X85 @ 16 O.C. MATCH EXIST. j Q 2X45 @ 16 O.C. 112" CDX OR EQ. SHT'G. i . P.T. 2XG SILL 411 THK. CONC. SLAB Lu PITCHED TO DOOR u FIN.GRADE 6 MIN. a DOWN.FROM TOP 'a OF FDN.WALL 8" CONC. BLOCK FDN. j WALL W/ I G"W. X 81' " 20'-8°__ CONT. POURED CONC. - PROPOSED 13 W X 22'D GARAGE ADDffIpN 12'-91/8" 3413 MAIN.STREET-BARN5TABLE;MA 02630 FT'G. W/ #5 VERT. DOWELS • 1 @ 24" O.C. lj:Je SCALE AS NO Ep APPROVED DRAWN BY A,O GARAGE FKAMING SECTION. DATE No„ 10-0¢ REVISED A OWNER ze eAxNsrABL�Rn nYAwNls MA Scale 315,= 1'-0 SFLOOR P MN UN FRAMING SECTION RATION PLANsaa oRawING NL+A �� };� �� V l � 4 /