Loading...
HomeMy WebLinkAbout0075 BAY ROAD ��� �� � ;, � - _ ,� f ' 1 `� o I i �� + ii i i. i ,� f i ,; �:: ..-� M�<, _ �,...;. �..: - � i���t �I � ('�. �� _ _ v i i . , t . t t i � . a A ` � Ap, 20 I V\ \ I � i � I � ToT fY2e/a p �PL �_ 2 c9 /90 s4, rr Rio _ M LoT"qs o �-- 209 G-y -o 0 h CERTIFIED PLOT PLAN LOCATION .B/-�2�vST,q/AGE �CoTui r-� SCALE . .�.��:. �� .... DATE M,Oy PLAN REFERENCE 10� OF o E WA D G.r ELLEY No. 2C100 0 9fC1STE��� I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF ilrz.vsT� G WHEN CONSTRUCTED. DATE Tom/ B. � L'/�/ZoG/.t/E B. /�E/VivtZL -' f��-T �•�t/�-?i:�C! '1 REGISTERED LAND SURVEYOR f 3�2g�l3 CAPE CO® INSULATION 7ft- ®®® EIBED OLASS SEAMLESS SPDATiOAM SUSPENDED BATTS OUT".' INSULATION OWNS* 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: ?h-bh 3 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 w p 75/3a y a cd,/ Insulation Installed: Fiberglass Cellulose R-Value Restricted Unr tricted Ceilings sV rn Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ) ( ) ( ) ( ) ( ) P �! V- Si�icerely hA He E Cas y Jr, President C e Cod I ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00 3's Map Parcel Application 'fz� Q Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee `3 S Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address �A-7C Village 1�u , Owner 0 ,lil, �iP/I� Address Telephone kAn -' 20- Permit Requestkuk V Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain ,Groundwater Overlay Project Valuation J Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family A� Two Family ❑ Multi-Family (# units) t Age of Existing Structure Historic House: ❑Yes ❑ No On Old K6g's Highwg: ❑-Y s ❑ No Basement Type: ElFull ❑ Crawl ❑Walkout ElOther = c. Basement Finished Area(sq.ft.) Basement Unfinished Arear(sq.ft) x' Num" r of Baths: Full: existing new Half: existing new I:) �Wr t Numb of Bedrooms: existing _new ry Total Room Count (not including bath,): existing new First Floor Room CoL Heat,Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No r 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 210 thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes f2 If yes, site plan review# Current Use Proposed Use I APPLICANT INFORMATION C�hBUUILDER OR HOMEOWNER) Name �� Telephone Number Address r� License# 0 0 VA_ 02,7 Home Improvement Contractor# 6��5 66 Worker's Compensation # IAJC.�'DD 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT VILL BE TAKEN TO SIGNATURE DATE S, F t w FOR OFFICIAL USE ONLY t APPLICATION# DATE ISSUED MAP/PARCEL N0. } ADDRESS VILLAGE r OWNER .� DATE OF INSPECTION: FOUNDATION FRAME 5 � INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ^- 1 GAS: ROUGH --FINAL - '{ FINAL BUILDING r •� DATE CLOSED OUT ASSOCIATION PLAN NO'. V i 1 ' r iN-lassxchusetts - Department of Public Sa1ct.\ Boar(f of BuiRling Regulations and Standards. ® Construtction Supervisor License Licen�:* CS. 100988 HENRY CASSIDY 8 SHED ROW -� WEST 1fARMOUTH, MA 02673 , Expiration: 11/11/2013 ('unnui,.iuucr Tro: 7620 I..=:.+_=V.� ���• Ova��yra�ncuecr.���L � - �tz>fi r�ccile•�f� . Ofice of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2b14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 R EA R D O N CIRCLE SO. YARMOUTH, MA 02664 Update Address and return card. Marls reason for change. Address ❑ Renewal Ernployment L I Lost Card �w�/r.r,�('f,Jicatrl6lUf:fX���C�(i'l�7JJIIC�(!d<:•CCJ Oflicc of Consumer Affairs& Business Regulation License or registration valid for individu.l use only r rOME.IMPROVEMENT CONTRACTOR before the expiration date. if found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration: 12/15/2014 Private Corporatic•n 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSULATION;°:INC.. HENRY CASSIDY 18 REARDON CIRCLE SO.YARMOUTH, MA 02664 Undersecretary of val' witho t nat re — The Commonwealth of Massachusetts Print Form ICJ JJ Department of'Industrial Accidents s .^...w.. -. r P Office of Investigations -- , -1 I Congress Street, Suite 100 Boston, NIA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/.Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): 14e7u la h Q Address:_lu &vdat, - City/state/Zip: MA' Phone #: 1 Z I _ Are you an employer? Check t e appropriate box: Type of project(required): I. I um a employer with 2(7 4. ❑ 1 am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New constl•ttction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for n:e in any capacity. employees and have workers' 9. ❑ Building addition No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.ElI am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof re a'rs insurance required.] .f c. 152, §1(4), and we have no �j ge��`it�I �� employees. [No workers' 13.� Other W comp. insurance required.] ..Any applicant that checks box it 1 must also fill out the section below showing their workers'compensation policy information. I.I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new anidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not thuse entities have cmpluyees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: avl hL 6�vh�- Policy #or Self-ins. Lic. #: WGA OOP oI Expiration Date: Job Site Address: City/State/Zip/—A" `—f i Attach a copy of the workers' compeinsation 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 tip 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 cer f n�ler the painslnd enalties of er'ury that the information provided above is true and correct. 77 Signature: / Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one). 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: F- I Oki ' ACORD,,. C-CINSUL CERTIFICATE OF UABILITY INSURANCE U A I L flhI1I)o,Y11y1 0710 2120-12 IS:WEU A-'i A MATTER OF INFO ION ONLY ANO CONFERS N RtGIIT8 UPON TH- CE 11,1-1 IzI C',ATE UEKTIFIC.ATE 001 E�', NOTAFf-'11011ATIVELY OR NEGATIVELY i: C114 I"QC)DLIC:FR, AND THE CERTIFICATE 1,61-001. AU'l I 1QRIZ.LLl R'E 1)1"E,?i 1:N I A 'I ES, 'WELY A1141.11D,EXTEND OR ALTER THE COVUl�ACQ AFF0RD[-:D BY THE POLIC ''VV- I I'll d C L RTI FICATC 0 F INS U RANCE DOES NOT CON�I I I it 16 A CONTRACT BE I Wi-EN']'HE I!,"�;LIIN(�IN�;U IiI-` IN-P0wrANjIr c) Litu C) LTU Ic t�mr, U51NQN Ki 111'4 01,ilic pullcy, f;artL'AIII policies IIIJY all AL IN',iU.� I Ito(co(ll,;l IIUIlt-j w Ill.; -So. ovinmi; C. -1 J4 I itt(l (LL:�Na�E., �150-41502 E-MAIL MA L)2Ljtj(I low a ------- 103 3 (.:ape coci It.)su(r.Won 11 towsuaeRO:Ell4l.va011 IIIEUrLifico C "'LlIMOUIll AflL.. ((Voill6il, IVIA 0260-1 (-LRIIF)CA'IL'NUMBER: N 17-V IS 10 N N Ll Wi W L:14. BEEN Siii.1ED TO*1 HE INSU --D IqMtW Al-.10YC FOR ftILS I,()[.13-171-L 1111,11k,kil MAY L31- Elp M COv4i,i VION OF ANY CONTRACTOR OTHER DOCUMENT WITH 1- -1-0 WI jjCI-I ANO AY PLRTAIN. THE INSuRANf:t BY rti� POLICICS DESCRIBED PQ-REIN IS SUtl,)C.C,'I- W AIA. lilt-'OW3 OF SUCH POLICIES. LIMITS si-icml,Ill."y N6`,V9 MEN REDUCED UY I"Al[I CLAIMS. 1lhI VI'lz 1-11;IWJURANCL i�'LDL WGR 761 7icy POLICY OF N fl ,LI.1kA1 L IALil..l IniAtlfi LIM),l; C8P8263063 410-1120.12 041/0112(),I'' EIkGHOCC-URW7.Ic.. AI,a1h1ML'ric;Ull I GI-NI-.IW.L.IAbIl-II'Y 0AINI'li MAU14 5 I.]I J)Z Ih3QN?\l.6A0VINA.IjtY b1 000 000 G iIiLKAL A0IJIlLQA1k 0.000,000 a 1) lillli lAll lu 11 L I.IAi6 ry 12MMBCKVmlN C OODILY INJUf"v(Pc. BODILY INJURY[0- IN(LU nu I U-,, NON-0'A1Nt:D ............ PROPERWOmo cliz It L"", XONJI4535,12, 1410'WW'2 0410-1120-1' .,L: u a11 000 0ou 1. . _........... X. C AW)I"Will VVGA00525Jt1-, 613U/2012 0613011-1011, x LI/ Eli C((,. I it N 0,1 NIA F.L.CAVI I AC-001,mT ----------- )tA UP WN-NAIIONS I LOCAIWINS I VLHICLVS(AI(—It ACORU 101,Addi., .......... It 11191V spll�o 14 fu(juliqu) "(.:; C01till II7f0I'IFltAIjUjj I1111000 OtTl(;ol't, jZq- 0011111C.Air IIClLjcl is ISIQlLICIQ LI 11 additional il'sUl'aduticlui ('wouiaIl-iaUilj(ywI)QjI rot.1tilrod by wrIlliten ................. i i I I r ic,k I-(: I 1 1.U L-1.k CANCELLATION Capo GLIO littiulalloit'llic SHOULI]ANYOF THE ABOV15 WE GAW.W.0'.,l)Whi Oil: THE EXPIRATION DATE THEREOF, NUTICL= WILL M: LIELM:ktal IN ACCORDANCE WITH THE I"OLICY PROV121ON:1. REPUPSLAIA11VE .01 t-1911 -20-10ACORD CQRI:lQI2A'j'I0N.All o r'I ['lilt ACORD 11-31110 and 1000 of,,faiihiturod marki;afACORD mky n�g sA1 A° mass save Sr:e.O,UiGVye fCr.]y e1rMry PERMIT AUTHORIZATION FORM I, owner of the property located at: (Owners Name, printed) (Propert .Street Address) (City/Town) hereby authorize the Mass Save Home Energy Services Program assi ned to Participn su ation ng Contractor listed below to act on my'behalf and obtain a building permit andlorweatherization work.on my:property. Owner's Signature Date ' FOR CSG OFFICE USE ONLY Conservation Services'Group has assigned the following Mass Save Home Energy Services Partici ating Contractor to the above referenced.project: Dat Participa ng.Contractor Rev.12132011 I II � �T Qv� � � - - � - i Town of Barnstable L F"E T°t4 Regulatory Services - - • -— -- -------Thomas F:GeilW Director_.-.... . ... - - --._... -.....--.. . BAwsTAare, Z MASS.9: ,.� Building Division QED MAC a Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER (Permit required in order to process inspection) i Today's Date 1 z,1 z 3 rr Requested Date of Inspection iZ.CH"t Xi> C0C, F_—cLT> I S,�✓ n! w•1:1Z L t•+Z.11 y -&Et4 a•21&eby request an inspection under Massachusetts General (Electrician) Law chapter 143,section 3L and 237 CMR 4.02(3). The installation will be ready for inspection at q S 'XA-1 ►Z> (Property Location) Type of inspection requested: ❑ Temporary Service ❑ Service Re-inspection ❑ E'cavation ❑ Rough Re-inspection Service Inspection ❑ Final Re-inspection - s 1 `0 Rough Inspection for 0,0 Re-in ectio cv =[]' Filial Inspection for J —2 Z° ° yc%?A t4 S t e,9 TAcie2U— ❑ Other ,27Z- Owner or tenant :r k + C/eft C)X_ 4 TZ. t4 i L'L- Licensee's name, address, and phone c W of rc`,> Co°V_ vv riss ,,��•� License number o 4 Licensees Signature This section to be completed by Barnstable Inspector of Wires Inspection dakir , DF C 2 8,2004 ❑Approved El Not Approved This work was not approved If olation of the follo g Article5,aiid a tions of the MA Electrical Code: Q:WPFiles:forms:electrequ est Rev:102604 .1 Town of Barnstable �OFtHE Tp�� Regulatory Services • Thomas F.Geiler,Director SARNSTABLE, ' 9 Mass. �* 019. �� Building Division ATFD �a Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERNIIT NUMBER V �� (Permit required in order to process inspection) Tod a 's Date Requested Date of Inspection t4 —2--Z— O'3 I, ��,o r•hereby request an inspection under Massachusetts General (Electrician) Law chapter 143, section 3L and 237 CMR 4.02(3). The installation is complete and ready for inspection at 6o'+'v c (Property ation) Type of inspection requested: ❑ Temporary Service ❑ Service Re-inspection ❑ Excavation ❑ Rough Re-inspection ❑ Service Inspection ❑ Final Re-inspection .�Rough Inspection for ❑ Final Inspection for ❑ Other Owner or tenant �o w C, w.e, 1. Licensee's name, address, and phone o r. r .7—t+, License number E 2-5 3 0�?-- Licensee's Signature 62 _//�/q This section to be com feted by Barnstable Inspectt of Wires Inspection date-APR 2 2 200. pproved ❑Not Approved This work was not approved for violation of the following Articles and Sections of the MA Electrical Code: O:WPFiles:Bld glieaequest � Commonwealth of M Official Use Only Massachusetts Official Department of Fire Services Permit No. I/�5� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CUR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C — 2-2 --0 3 City or Town of: Barnstable To the Inspector of Wires: By this application the undersigned gives notice of his or er intent'on tQ perform the electrical work described below. Location(Street&Number) Coto t � Map o o `"I Parcel O-2-:-7 Owner or Tenant To V, K Pe--K" h, Telephone No. Owner's Address a WLL Is this permit in conjunction with a b ' ing per. II Yes No ❑ (Check Appropriate Box) Purpose of Building S ti L c_ u? 1 t ti Utility Authorization No. Existing Service Amps / Volts O erhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: t„~t, -�,� c, f'0 o W� Coin letion of the following table niay be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Sus (Paddle)Fans Tr s Total p• Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. Batte Units No.of Receptacle Outlets 1-o No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No. of Gas Burners No.of Detection and Initiating Devices Tot No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local ❑ Municipal El Other P g Connection No.of Dryers Heating Appliances KW Security Systems: ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: No.H y g No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ef BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: ) o 00 (When required by municipal policy.) Work to Start: -2,Z-0 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the ants an penalties of perjury,that the information on this application is trite and complete. FIRM NAME: i-� 6-OD v-- - P - LIC.NO.: �-�30�� Licensee: Signature LIC.NO.: (If applicable enter " xenipt' in he license numbe{line.) n 1 ' Bus.Tel.No.--So 77 Sh Address: �S �Gt U �-f l�o e tii Ake—� Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am awiire that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 M 7 Parcel Z Permit# �5 Health Division '�/�7e3 96~�5�3 Date Issued Ld "0.3 - qConservation Division IA" .S, 513.0�D3 PAR ftc�ed /��'�N Application Fee d,+Ttb 5 -OX Tax Collector Q6O JO 3 6y /0,2, NeLL, Permit Fee Treasurer Al SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board "71'TITLE 8 EMaONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUL:T10rg3 Project Street Addres 7S­ lg aq l` c o cQ- Village C, Owner ./ U Vi L4 CO "l I vk e PP—�A Address Telephone 21 02 7 2- 9' Permit Request dew /-D© -t ('00--e /0 6 � 911011 91611 Square feet: 1 st floor: existing 2 ?l o proposed 2nd floor: existing -7/6 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type CuO4 W-LR- Lot Size G q. 6 00 Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure rS Historic House: ❑Yes C)(No On Old King's Highway: ❑Yes XNo Basement Type: `Full ❑Crawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) - Number of Baths: Full: existing 2. new Half:existing new Number of Bedrooms: existing_ �� new 1--� Total Room Count(not including baths): existing new / First Floor Room Count Heat Type and Fuel:XGas ❑Oil ❑ Electric ❑Other o Central Air: Cl Yes 1No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garageAexisting ❑new size24-X3 Pool: ❑existing ❑new size Barn:❑eAgling ❑ng& size CD Attached garage:Cl existing ❑new size Shed:0 existing ❑new size Other: v> Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ?TO?Vo If yes,site plan review# V m Current Use Proposed Use BUILDER INFORMATION Name V2 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 6 0 FOR OFFICIAL USE ONLY PERMIT NO. DATE 4SSUED >q V MAP/PARCEL NO. ADDRESS - s VILLAGE OWNER DATE OF INSPECTION: FOUNDATION' FRAME ��If� {� .��lc�lo3I&A INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL, GAS: ROUGH FINAL FINAL BUILDING Ok v?)ZA3 . DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts — Department of Industrial Accidents ' --•� = Ol/�ce of/nses�gations . _ 600 Washington Street ` Boston,Mass. 02111 Workers' Com ensatien Insurance Affidavit name: location r ci hone# I am a homeowner performing all work myself. I am a sole pr rietor and have no one worlds in aany ca achy/%/% ❑ I am an employer providing workers' compensation for my employeX. es working on this job. X. aldr ::.. . . . ... tt :::;: : :« <i i ::::.. •:. Ah0:: ::: ..... ..; . n i:::::i:;i:.i:::i;:i::i:�i:: �1Stlran ❑ 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: xx conpanv:riam .... >' ': ` : 2 : :: ?::: .... %F: : 2 [ 2 ': :'5 Y : :': 5c ::''':?2':: ::? s ` ...........:.. :cl sits;; ...� .ill:;;:;:;:;:%Y:;::;:y::<;:<;:`%::::;'. ;:i�::iiiii:`;;:±ii:iYii:'::::::;::::^%G::i`:%:iii:.i:.iri::•ii::?r:ci::ci:i:;.:; :v4iiiiiii:?:•::::w:::::::::::::::::':: .iii:�:iti4:[•i::w::::::.�:•.�::::::.:�:•:::::::::::::::::::•:::.::..............:....;:. X. ........................ !'!;:{{:i:;:;....iii::::j`:::ii:iiiF>.v::: iii:<:ii:i:::ii iii�::iY.•iii: ...........................: �:::::.i'hiiii:•i:.?}i:.iii:.iii:^:•i}}}i:'ii:::•i:•iii:3ii::::ii:i:iii:(::L!:i:iiiii:<:iiiiiiiiiiiiiiiiii:i:i"0 ..................... �.f anCe..CO::::::::• .............::::.::.:............................................... I///I % fi:ix iii:i ?`...... < s ...............: fiE i 'iFi>' >+ E'r i !:E : iii:iii i':is`F ii i'::i: >?%fi c .ii:i`y iiiii i c i :iris;:<i:i 'is,;•:::.;.i:;. adxlres e » 'bb X. x. �risriraitce Failure to secure coverage as required ender Section 25A of MGL 15l can lead to the ltnposition of crimiJtal penalties of a fine np to SI,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification I do hereby eerd nder the pavy and 7alties of perjury that the information provided above is true d corre Signature Date S7 3 o 6 3 . + J a yl �'e�l V1 Q Phone# 't 2 O - Print name -7 2- , official use only do not write in this aiea to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Oeyzed 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 contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of 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 i are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 w fill out in the event the-Office-of-Investigations has to contact you-regarding the 4pplicant. Please be sure to fill in the permi4/license number which will be used as a reference number. The affidavits maybe retirmed tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address;telephone and fax number: , The Commonwealth Of Massachusetts i .Department of Industrial Accidents Office of Inliestigatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r Town of Barnstable y °^ Regulatory Services Thomas F.Geiler,Director nsnss. 9`�arEo.39.,a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement;removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which.are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. �/ S Type.of Work: /��2 W RO'YC � Estimated Cost C 00 Address of Work: 7 S Owner's Name: `/ V� �{K VA-e Date of Application: 3 L 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. .30 Dat6 I Owner's Name r The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 0 3 JOB LOCATION: 7S'f5 o y /cC C41,4-1 number" street village "HOMEOW nu NER": V 01 0 Q Jae f .�7�� Z� name fQ� home Oone## work phone# CURRENT MAILING ADDRESS: 7 fi M� C) 26 3 � 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. DEFINITION OF HOMEOWNER Persons)who owns a parcel ofland on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proce es and rXem7ja� ' s. awA, Sign a 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 w�ui�.�.%±-?'1•"'•.T''+71-FW"'+.. .,.pr...p-.n.r. ... r. 7:`i k.. :qj ♦+ a.. ,. ...... .-. -r..--a - �. _ _ THE f The Town of Barnstable P`Op p . BARNSTABLE. • Department of Health Safety and Environmental Services Y �7'ASS. 0a • i63q. �0 �p�EOMp�p Building Division 367 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: . 508-790-6230 PLAN REVIEW Owner: kr-, �)@ r1 f\C < Map/Parcel: OQ-I C)c^)--'7 Project Address: �5� �JG Builder: LO tUi The following items were noted on reviewing: ( t)�c iru, be ii je-en cao't1�G.s �t s��n�. Nbe�s l rhc...,c f\0*- l� Sajna 4-ubc_5 must be. 10�� \ J Reviewed by: Date: I / v r q:buildinglorms:review • �_•.•l &END ABBREVIATIONS GENERAL PROJECT NOTES --- ---•�•DRAWIN0SCHEDULE PENNELL _ M,,,® L cAaaNNR,luowrmNsw.mtou,WMnaYmID�TOMRAngwunusm RESIDENCE RrvA0.bORg000ecmutweNn+mar,ueNlrnaNAnrOmxovNmmmwroANm,a , Nm�cr—=vortwnOx 75 BAY ROAD _ rQAt1AT1011ANp rv1A10,0 P" 1 4' . uwtwm®wm, w4rm,ta , 1 NILNIf.O�OODag4M011RC1a1waM,NYl1i1ILL,�160uYD1NTIm.ON1wMl NPMMIRODIMMdINAC04TRUCTO d d f.. D'"m410waT'D` o'u D,'"•caww 10�."` '••Deero 'w�rwnanDwNaNa.a�nMNAnuowwmNR,.m MPLW Iroft00ROD/W,duoca+sTRUelq, C•OTUR,MA 02635 e•t's dr.r. a Ma,.•nuo,awuwln•Auem,a,oaaima,lwMreO,NOAmlpAmoOTAfiAwpweA NAN e•c'cd r... . NabD w1°w w'D'°WNMAOw �rara. +� w„®, IWIrNMObFHMCDIICTi61,aMMIONOiE1DlDOIabmMa]N9INOONEA M 11WIMAMDREer DEVATI0N9 - _ M BaTRANOWTDfYARpB _ wn o°'DncNrvaNa ices °rtup1°1 '"6 /,mmwNmuaxurOmxvaocvmartw®umm�w,e,mmN�nu,gNNNaq M g� ��M AND OETMe PENNELL DESIGN,LLC 133 EIGHTH AVENUE N4C Frll O !/H 4 w ,wo IwvD,wAb,O M MAowpYLKMa,JmNrMrY91t1pgTW wMwLLMlm • �q l�Cg11wLAH4t.A0101©lpllMMntC,b�gNICpCIgONO WWWI4WNM qq W mORFIM rllA M minee,w wn1 qcw ArD NNNi,,gwN,m wgmN ND wuat,p 3 'i„ N� avm w wvuA: m BROOKLYN NY 11215 p. 4 e`ww z Athr rv.unmc,gaq�um.NrAntMgxlu.�wawiwygiugar,tNunrpNRvlam L i um gWIRIGI>mrvAmwOra02W11PIVMNf0. +�. TEL 718.J99J882 aw°Demr,aNaN um urrmR n X. sw oD'mDm ,mrt t NumoArone,Nwwoa uxRavoa®WumdumumanaTNO —"a ewa X. � xuNRtrawOacwNacemquD.aa®mlvrl •Cidm Kaaa• , 10fA" nA t rawrNNrwOwtmNl�AeocuNawmmwxwcAaMNw-uurmmM NJ..-1..., GA.. ImgeoAu au,uni AiOAun,e,NNinwwra�cmmmw,e MAa �'•.-.P"•1•'� � � moon Ire rtai �wq i.,1..11„ a:l A+. 6L ODulbru %A i� u. wga�am�'NimD1LL i N�NOYMGOfNeIYIIONITDmA1gRVNOMIODNORW1a NIENiGTfNROa K.G. wwu 0 Dumas ,m •iw¢ rim: rz a A aNLLY/0VaG1[ON/OWIDNKINMM®TOaQNYC110MAKTC6NARVW/WYf• ,0-j-I,J 1:- ! ara escn.Drr mu Y nmop°cN WIG:RAHIuy a wU9 a aor°M�°'w id rout_01D11µ•! u Mm,nluaalwelNwnamvvNxmgta�eaTiwwWAaea muunwugk4ND P� N�IaP,a1T0�DasaLr s a wwawgwD r� rotl vr¢uauyunNNNNew�nONawamMNNnv.ua I+nIO:t'AO'Jarr rolr6� aA w Dry rm'. GENERAL DEMOLITION NOTES »armor .• I�'�// ' � Ia ^� o�i9 Y14 mi01Ra1Y t CgW110xlWlYN9Ca0®NAQCDibICLNMIUNIOAAlg3 A,NRl A1,Wi[q DllDll . � ' , i• ppOR•I,�• aMmi. °� `n. �; , roranµui�m� ,wu gwmariranvn w�DuaMq ' r'' 1 O 'a q i NLbRLNNlN0o21R®wAWtD1A.01D66T.W NRIWNtRNMM Wif Ip®i V PIrTs� iLw �qDb u4 L o�IMI '�'R' atlwRWDmMIMANOMOmWntq Ma�g4 n rood rNnr' w�rrsga :1oa,[r A eaweNumnmmn,eae¢NwamuOwwu®Nuomuvi+ev. I � i,OsamnTgrruorrnicuraoo OaOaWDA9palwRpl 8 A V d•I/ I _- Y P• O A W. 014 pGwaNrD ENTRY POACH FOUNDATION @ FRAMING PLAN E,:Miw•-nr 3 L - z IO.iaDt r"T ft• rrsoq b ppnnu rl cv,Tv4 , r wAwu �--- EAr+ilu'r,waDAONIfi I rowv _ — I •;'' awl �� i _ Dgwu ' UiX v MMNq P I. WIN"rD rArr,AP of j '�� • a Iv NAAB ffw-6 i•' A••Nw, av RLNPMiaM —-- N � ,�.,• Oy.n. °R' — --- PNJGar war-TT1 ` y' i b oY MD'MI I I 4.I.n1. HOP Ad .'TlrmD rO/aJ DD tMn.LGW i q+PG'14D cY.IC(1.f.D Mpgl 1Df11'nlbu(''(w e•jo p L _ Tnr K GwON}/wWiNU "ar rNw e'.,y wu..t'M•AD n,OW rPwf M• E w a'•. A - o`r FOUNDATION PLANS .E+IM.D4,d,�rrlMl _ 6,•r• .� �SiN®KE DET RS OX�/� �[ ° FRAMING'�LANS t 4or PROJECT AND SITE a n_ SCREENED POACH SITE PLAN INFORMATION FOUNDATION AFRAM[NGnAN 2 ECAIi1r1P-1'•r { AA, i RNS LE BUILDING DEPT.' Al Or PENNELL RESIDENCE 75 BAY ROAD COTUIT,MA 02535 PENNELL DESIGN,LLC 133 EIGHTH AVENUE B4C BROOKLYN,NY 11]i5 TEL 718399.M2 LEGEND asuimo mveraurnoR;- --- mm�a cowcrouaaarovao•.- ®w: vsw wvmuelwn ' m �ooM NUNCG 1•'•dlyf eLICPTaaOri mlmlmnaOa+:. p. emm�sramaa,autnwvao-.. ® euroarrnoti eunwlaaow• ' p wbrelanoaloacarrt+w I Q aumvrcsMrta IN•Id wAlnanncs.mal, aucru�tovlcsenra� m.MAl cmff.•—m7 or 4 III _—_ it d—• TnL.,il.� W. eme u l 11 1 lzu V'.11 I ' Do � i I �W ua�'wr� I I • I u wmw w•LAM-4 I I oww+.wow•IVW. -------------- s Ia.N,R �ITlai.f.r ffwuq uew ls'llT/lwv.&ta. _I L.4.m vuirkY'r PPYAN4 I w -------____ (StlI I i I -1I _ I � I=1.WPLY =J II•i I =_ I voieeu ouoacvamrue avmua 1 I ur�sswr[non�nwl�. Vo bl I --_ _.• .. .. I -- �� - 1 7ar6 owual or parw - -- ppJw T4lC it 7-0 'ta %' FIRST FLOOR DEMOLITION AND CONSTRUCTION PLAN ' FIRST FLOOR PLAN A2 . ' 6f:AlE IN••1'•I' — ---- PENNELL RESIDENCE 75 BAY ROAD COTUIT,MA 02635 I to I) M I PENNELL DESIGN,LLC rMw° I I 133 EIGHTH AVENUE#4C \ L fJ'H•fMrIMAA.fi N�'i•i1 DROOKLYMNY 11215 UJ P Pmf ' I \{ Ln wAnwg TEL 71&399J882 I a'•q•Fl" LEGEND \ � nnmro col0rnucnon !. y \ _ ® niWcoxanurnoh ' Y I '1 8 a _ I m• ROCN MUMx4 , Y e \ I NWL fR'F aN1 MP0 io- Nf wcpr,vovx mlmmnooll I 7. a I �mn wM N'NW wale nn:c�aL uxnwnaa To P nuE Ls. nQo DxAtocrrcrolLauxDwDuo To POW '�� wxeon wono�waon w LvNfD V4f(P — — — ———.— —_— MaL.�ffN I —1 tEY[nn(( ® aASRcvrcr uxru ' rNR�t�A�tAt w ® WAtu A4NCLMLiN I 4.N fMEI�PWP.. © rLCCT11CtptNRMCTIx 9fA1tICPA11{L I x A� � °fcry xn w Larac-e,.cox 6NG1pIN0.f At WALLxtUDx xP �u LLn 90r 'PgYw�+l'e mm.wAULextr._ix,®1roc, , I I \ I W. bAtA HYM.n SECOND FLOOR I ss•P• ROOF FRAMING PLAN I \N' 1Y q.p• I• 44.• ^A q;g• '1 xCA18114-11V c.a a..nP w•r �u feAul I I � � -�-- - - • I i II _ • d £ .MU*WAG. q W.t4.0i 0,0104NP PF04 i I I ¢ Hnf.'llNu W t6 xOfE:tou"NO EEDD9TO rPAI<E PfNNP ��• ftag ©R A" uOfGG I / I I t I I w.0ra nna Q )ice L I Q / SECOND FLOOR DEMOLITION AND CONSTRUCTION PLAN SECOND FLOOR PLAN A3 ` I PORCH ROOF FRAMING PLAN I ' _ • PENNELL wa&ww op" RESIDENCE I Mnuw w 76 BAY ROAD urw utmu m 14 Mn COTUIT,MA 02635 1.w++ryw�qu ryMLn a.na ' • nu 0•W HW�Co4k - I IIN MML wotMn Nrb trwt.ooroa Iww m e6--7 w'pa W. PENNELL DESIGN;LLC �9'' I WIWASWmtw 133 EIGHTH AVENUE 04C OK w+(rwk"V BROOKLYN.NY 11215 wi _ - M TEL 718J99J882 • »tt NaMgCW �4 IiY IryilY't o IpV.uMll D �M�.9 Wn 1{7•TIY/. rYV3A YUI MIW/w4K 'Io.WA.pWl(NMYM 1=1P uwuw u+mu Kemw N an.Bern O n I 4'tv o7 pinit• � LLL�C'Jlkr�-11 i ao II II II II W. 0 .. I u u u u NW fl"IbKL fMM toYatW41t I 1 uW wt a tmt or— v.or. I WEST ELEVATION U erau,w-.r•w �. 2 to.sv,nx un+ryxrnp AtyFei • `I L.Y.m rbHlcpr pryu�Xj IW NWn piAglW — IICY M1f.N41W9 Pn•� IW oAT6 WAo p VmV{lo1•I�fru eMAb _ WR.MT L_J ON.ImI oawy n ^• rc si' /AR•PoY4y N 1m6WL ., Lfc LVIS4 M• 11•.WIn 6411 N•di Nl --- 1 -�4••4'1M Po.M/OXy-dl( I,W 415N f/{pfP ii/414t W4 FW>'1'llatlw ov�/eyipt W[G»M.IMMiHi ® O � 9 lWilgthNl✓(MWOry MMAViwi V{IAC N �+mq NW.wAYLw 4'LR b.l.of NnP nu i••NlvrtwoWae.L/, Mt.T (-NM•�-_�_ � Piw�LLas TMm. oA@ oNuu lA' N= W" "-lea mu •. —�,� N1.1. '.•� '. R'0.4 ip ouumq J•4'M•�•_— _-�-i L.i.w, NPM N —T 'I II II -ELEVATIONS '"'�� i• NORTH ELEVATION AA j t• T C PENNELL e..a„o.vat uAwrwRVA RESIDENCE uwuuNuc.uvuc \ 75 BAY ROAD t"SI84 q1A COTUIT,MA02635 La xw Arlwf.narwer � rfrrArn PENNELL DESIGN,LLC uw rM.w� art.rrAt I 133 EIGHTH AVENUE 04C nAfu,{1�1q]�nuo,o OR. ' ail„vIxNL nta AA nR DROOIQ,VN,NV 1121! _ TEL 71&399.3982 axon n'E*r.6.wm h m A.nwi M t+wW,+. IA�W.91'Lr. 6 _c (Ip0NSIN/N M wax FAWN 4v 4h rAlE —� r^'r"Oft 1 Pu DW W*n'6v?.V4 s' t ,b'PA,W.9 my dt,uML r K vre FRI' � ,�oe4i,Irc"v urw � I Oat ra'r✓('IM i.pWxF I iuwpov 12 4,Am -1•d HL-�•_� I I I I I I I I I ---• I I I•JKI gMo6 11 I I I 1 1 II It I I I 777 rc„w-v� .uu4 ncPw to raw+IaTW ru�1Pu f I mw a«n W-r-im EAST ELEVATION SCALA w^-11 V O 1 n.n,o1 '/AIf1�tA.OP rN[INqn• _ 1 o.'Lvl. GAIIW{•i�7 wlq Fat"W.^IoWA1 Au 'i uw-O».A~wv „urAa'ono-EW-p„r �rAmW r oawu roMt,oer awa i cup T U-A•i/AMv AmP wnr Anwar mwra r,.'r. M IbuwwavAa{ xMA�rAnwuw rn wn a'TMR HWInwE w Wax w+ w.l,rrrouae. eP,v..A., ,G.I,aI ItOP 4.4w J-0A A - 7A6 PPAW of W"w'w _ rr,4 o'dyl_ -Ak,IJo1Gv -Plwm nwu uh pP"as Iww 1,M16 JJ�fJI. - — NR.w7'y'cu. I •I I I I I I I i� I I I I -I�r�"—d�'t''a+'M1d nu.lyp II '' II II II II II ELEVATIONS u u U. u u J u u M MPM fAMMxfIN NW srtom Pnren(Nlyn'"m I SOUTH eLEVATION A5 lG18 w^.r.r 1 PENNELL " D""fl°n''y`''Y Nvob'riniY n RESIDENCE ��9 Ira Pwr P.w•N•+f '.�n.M.RI•��iMlllkp,c y •rrePac nN s,r oa p: Plwew6 n+M: o,rP bnw�T al 75 BAY ROAD ca n+r.«I�nYtf a nx •IrJ rc P /y m cnr tJ q6w.nY. COTUIT,MA 02635 ' ® 7 y6 W.a•nW,i bllMFd 1WR1 'M'.k'WIQ' 'Ylfl{WX M�pP(QAY{ - a*nwaHf MtyKu+K w•awJc nG M�� qs od wx M•I MIS•TMIN( 'ynY r+q Y(ra+L q5 PENNELL DESIGN,LLC Me 4'rn•M'R/a v l 1 9' «+Nr 133 EIGHTH AVENUE#4C J m•w w1°'r' --- 7.0 tAua' v -�`---- - 1'•vi s+ > v,4, BROOKLYN,NY 11213 - lo••yY rJ•su m.rnit TEL 719.3".7882 'PK NGM>W IT k" 1'•6�•WM GF rIN6 n• �� FN'+"'MIT I1M�1'fP• N W 9' j'nu v9elnW'IA N n.r.. .' 4WP'+I�N f►•f NRtf. s •Y•1' IJKN 4P:RtG Np �e M�4W&MV.Ne4'wt �pWeN �Oeti6 1 Y�ICWfF _ ..+0''6�Np I�f tV,PROC HW FWM-,..We Vos. - ti•.Ir b7PT w'.nl/ P NtA0P al1'.10-le T 1 W'en.&-aL4 To. ppt�p{•�I r0)Iti'•II' 4'r10'}•rJ(MMYI/ r.y'NWu'TTW6ypHOT TL uW IW+nJ"a^+n Wpf . . VA.M T.a'WTDA w'ns• r r.,aw hllt«+pM T . 'o(lRWJT Weald! eo•�'•u All!Mw - f f 9Y w.rUlb 6�'�M ... M T �•'.•CV nP faq �I NW f kiv,I -NHW W. jDETAIL a STUDIO SOFFIT Ib•`g 5 DETAIL 0 STUDIO I OrM DETAIL ENTRY PORCH SOFFIT ecuJt Lr.1'-N SCUJt1N•-IMP 4 4wbar-r-°' ,T•� 3 1 •d P'1'1 p�iubwlwn eV/!FR�l 719• r..,rpq y'• •9rMnM�¢AIYft.•14R IS• '•Bo FP Mmu(T svm& •.J1e 1'•d u11'A WMIDv a r ar rw Tc q' e.V.rlw.,.lww Y �, Paa+N�rW NU1nM1R Wf• 'S �I rS �s � purl fj ao.rma N'W!•eY(A6 . .".Ktv We PW �P. Pal N .21ra M•w ewellNc(wWqu ..uAl W"Tr'w11nU ud PM 1•.y dl t••We•'!vA HJcv �/ + e-1 M inP^p wMt. y.y yn+6Wr wnf+l s'•Yrouuc uAJq Haw Nr. orV mp WALL SECTION BAY WINDOW rq.raloAnht.or-):. _ + d•a'Arp WALAM-11a• 2 t•d fY.nP hVITM.W'P4� 9'•ri'o.,awr 4 le.Lwo4 i/Al1MfMF rHu nw N:Kus WA . �•P w.noa j' u.y.of f0aM41br MA p.d ilq cla uoJa W qib Ie41'00 W V•Y aP,nP FM J �••�aw�(�M1Y o�� 1»I�IW w.- r.G�Ip.JW .r.Y N.t4W i y'•ri Vt•uwrr —r w.rawaw• r IM ' iy'.N?{� •m'Nt xun Idgt�-- 1 uw 1__�k.wY NrRJo Aw wrn,wHy 'Pw•.. ' � MaP6¢rN -I i wu t'•e'.IT�.- Ih 6,1.01 MNV —_-�•.d•dM I �O ___.�.1•dM .Iw cMn o.wel q- . 4'•d P.p,Jm.? I'•b[+a,IONa fMtN __1 _ --- (lO7GD a r n.a 1.1-r.ld rt• s-e' , 1•rld yn.f plYRP 7'•Y __ I •w.. eg1.G .IDN L•._ -� 1rojea TIRZ M9NY IIW NM ' 4'•Y 4I flr fns! .�q,nr•M tsl nY.•.Y Nu 1 '�.onRwu+TMlr 6G• M wc.vA eaw.:.el w fVN,Y"Oti I I.Ivla bVLW;91r LML V'ns rmF BUILDING SECTION lar.wwro r• uN'd ar...w WALL SECTIONS DETAILS 7 WALL SECTION Q SCREENED o.r.c•m+. PORCH � A6 BUILDING SECTION btwu w•-Igo- 1 r � s � c) 09 03 � - oq�y . 17 /Z Otud Z fQY ��(•(� 4T'r'�S Qom. � I �`- Zo f G9 0 1t ° V\ n V� Zoo.oc • - �p� �a CERTI FI ED PLOT PLAN LOCATION . '¢^�SfAi,�GE�•CCOT�/T�... SCALE . X a �o� .... DATE PLAN REFERENCE �,,✓.�_�_ �� , .a�;.a . ter• ( ELLEY �^ . .. . .. ....... . . .. .. . . . . . . . . . . . ... .. . . .. .• i` � ria. 29200 q o (CERTIFY THAT THE �?" ^!�. +..vcL9no.�s fC!Slt SHOWN ON THIS PLAN IS LOCATED ON THE GROUND J� t4L L1JM� AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF ,�3s��z vsT�q GE WHEN CONSTRUCTED. DATE REGISTERED LAND SURVE R f .L LD `se a " �s S o s .Y N 4•' �� 1 � 1 I tC` f 1 f� S. � ` 1 :,�'.h,�%ail •. •-•• � ,.,,•fir y. ... xx� D Q 3 � 4TH TV O Wo* Q' ► � N Cal e' x 90 Fr. I.904ou EXIyYI�Wlrt NnATlnl-I fb MINIM id `A � N�f�: f1zAhIN� � cara,JF� N 2"x 9.°pr „ FM HeFN d'r 13r�E bFLWIY.� Its)n.c. 1Ar04T N�: H°X9id JoIhT ttAt.�r;ww 0� p4d7, Got�T• OLJ 7 y°%sal P. N. c� t 9a'•I pG ,—I_ Jf.. ENTRY PORCH FOUNDATION&FRAMING PLAN,r SCALE 1/4"=1'-o" 3 .a ��-G° 6xf muer GOuUnATIl�J Tn ` #F 2°xId'P.r. z x toll py. ` clef . rw4to h�UUG m f:mHiI-k,LQ 1211"IL Pori rc Z kiou�, np GCS( FwNnMIoN k.2003 07:30 5087994077 PAGE 02 X -'. 'CHARLES V. MELLO, P.E' cos F Consultin SHEET NO. ��_, or- 74 6 William.Stre;etg Engineer CALCULATED 6Y .�_,.,,,,.,_,.J,,,",,,,•,., DATE WORCESTER, MA 01609' CHECKED BY ' DATE - ;i':.. z:.. SCALE .. � �� ,f .y,+ ,.• ;•I. Z?o0 �a ;,ham . '';s,' .. ' .` .:. . ,, .. .... ... . .. ... . . . . . .. . . �;• � ' T7,"} 'rd � Ct�Ult _l�va��,,AG•t�� J"� . . .. .. �� � �.`ca�� �', {-�: -: 1'Sf,s''. . a �� : +�' „�.k, � try - •S:, '.�; � � '�. • .: UJr, - - 1 171 9. ' 2Xi , , :. c �— �3��� � ��'°�� r i i PERMIT APPLICATIONP TOWN OF BARNSTABLE BUILDING E Map 7 Parcel - 7- 7 Permit# loqq TOWN OF BARNSTABLE � Health Division / b9 Date IssuedA41 5�� Conservation Division �l ®�' �� SAY 13 l�J 40 Application Fee O� Tax Collector , ,� �f /'G /lfL�Aa Permit Fee �J�'• Treasurer [9 —&21-- -- 611 No i� i DIVISION SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE VM TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 75�_ 9 A- /e 0 4 T) Village / d. SOX, Y (o Owners C�j-�/`y PE W/YCL L Address 7.S 184)` /e_0 4Z) Telephone © 2-7 2- 7 Permit Request s 4-1V 4 uq a_/ s y1e_OCnn Y�P[qc_-e_ n her,J w t ►�d 5 vl.�L.0 C�oO3^. lJ�Qr � � s '� 2.c�c� ti. o h� cv r�0 w J-e ��c e � 7?�`. c�u re � Yewct�✓� Square feet: 1st floor: existing 6 3 p os�nd floor: exis ing pro Total new Zoning District Flood Plain (Groundwater Overlay Project Valuation42- ,000 Construction Type 60 00d Lot Size 67 604 sQ F!' Grandfathered: ElYes Jo If yes, attach supporting documentation. i - Dwelling Type: Single Family )a� Two Family 0 Multi-Family(#units) Age of Existing Structure Y Historic House: O Yes 13.,-N'o On Old King's Highway: O Yes 1 to Basement Type: gFull XCrawl ❑Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) rul/ 7�b , CYrQtyl�3 Number of Baths: Full: existing Z. ne Half:existin ne Number of Bedrooms: existing ,3 pe� Total Room Count(not including baths): existing 7 ne �� First Floor Room Count , Heat Type and Fuel: 15eGas O Oil O Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing N>� Existing wood/coal stove: ❑Yes XNo' Detached garageX. existing ❑new size Pool: O existing ❑new size Barn:0 existing 0 new size Attached garage:O existing ❑new size Shed:O existing O new 'size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded Cl -- Commercial- ❑Yes-- ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address ­N Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO3A--)QY5 ZZ 13 L Z 4 107- SIGNATURE6 --DATE FOR OFFICIAL USE ONLY PERMIT NO. Y !. DATE ISSUED t =MAP/PARCEL Nd ) ADDRESS-� `r7 / 1f VILLAGE c'J OWNER DATE OFINSPECTION '' FOUNDATION �✓ ' , FRAME `" ) INSULATION - rJ c r. FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH Mw- FINAL F 1 m. t GAS: ROU H � FINAL-' ..; FINAL BUILDING '-, `•_ . ' • ..r, { 1 - akl zoo DATE CLOSED:OUT- 1V j ASSOCIATION PLAN NOT `� _ The Commonwealth of Massachusetts F Department of Industrial Accidents OIllce elloyest/gadems . _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: N N location: 7,5-- 14-V R-O A - ci GQ? (JA4 14 0 2(a &5/ phone# Z7 2-S-11'• I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workiii in ca achy I am an e to er roviding workers' compensation for my employees working•on this job: X. :com an :>nam . ;afe ..:.... :. :;;:�:;•-;:.;: � :<:�:::�;:: :k5:::<;�t:�:� :`•:: :;:5:�;:�:<:':::::::�:::::::::isr:::.'•�:::%:;;::::�':2:::::�:f�::;::::;;:::`:;:;;:5:�;:;:>:->:�;:;•;:;•;:•»:�;:�::�:::J:�::J:;•i:�::;;A . none: C 1fiY Irisu anN. #''011"' ❑ I.am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have e folio win wo rkers com ensatlo npolices: :com an. nam ..............:...... efT FeS ......................................:...::.:�:::::>:�:::.:�::::>::::::::::::.;:�::a:>;;::;:::;::;�:o->o-;:•::•>:;.:::5s;o->:•::;•::�io-::::J:;:o::;.:as>o-::::;;.::-s::J»::;•.;:cJ>;::ir:�Pi;>i:::-::::J:;::J:�:::�;:•>::�::�i;�;>'::::::::::::::.,:.::::::...:..:.,:::• >s�Dl1E1II USv: iT::•.JiP '::::'_::; ;i•?.'�?'i:::iiiil:.r::'.}:ii':i:i:j:::issijj�ti:;i��:'�:4'ri:i�::Ti;;{:;i:;i:;:�:;i}:;i:ii :w::::::ii::::.:�:::::::.�::::::.�:::•:::::nvi:i=;J:J:?iiY`:visi•iii:•iiii?i}i:J:Ji?iiiii:•iii::•i::�iii' ::h::•�:.:�:::�.�: .::..:...................... <<` <>... ::.:.;:;.:: :.::.:.........:.......::...:....::.. ? .;LJ:::;•:i?ii:vi^ii;:+iii:{vJ:J:hiX::F:i?i?i`i:=i:;•i}ii i?i:i;:•i::i :.......... ................... .......... ....................... ......... .................... .. ........ ..................; ' .:..................................................... ..................:::::::::::::. :::::: .. ::.::................,.r:::..,.:•. X. :>s:>;:::>::. :.: : .. 'ws aess.....,:....::.....::....... on XXX '>tih :?iiiiiir;r'i:i'i:;-i:::;G:+':'%i`:'•y;;,'-iiii:�>`:ii''r::ijiii:;:}ii:ii.i:$:ji}ii`vti::%:`:i;i::i:i:j:::jj{:ji{:::i'?i:�:ii:i'Viriv:4:iiin4ij:iiii:•'.�iii: •JiiJi::•i:i::iii'r::i:2i?;±4�:?ii?i':�i:�•i?'r::iiiii••..••::. ... ............. . .:•r.•..� - :.:......:::::::.:.:..:..... Fafiure to secure coverage a'requited under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and aline of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby.certify under the pains and enalties of perjury that the information provided above is true'and orreci Signature Date 'Print name �C�f�l� •...s� f �N��L�L- '�'... :Phone# :�� �?� 2 7 2� ' official use only do not write in this area to be completed by dty or town offidal city or town: � - •' permit%license# - ❑Bufiding Deparbent ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _❑Health Department contact person: phone#; ❑Other (�evieed 9/93 PJeq � ''' Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a ... dwelling house having not more than three apartments and who resides therein,-or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or"renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of 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 situationand 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`tlie Department at the number listed below:.: City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom oetlie 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 permrtllidense number wl icli will be used as a reference number..The affidavits may be returned to y;mail--"FAX unless othe arrangements have been made: the Departure li :. .... . w.. : The Office of Investigations would like to thank you in advance for you cooperation.and should you have any questions. . please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inves"9800118 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 F • Told JS b(cem!b*ad)11 ��wig POssal pt�0cripttre Packaga for Qaa and Two-Fa-I ' 1JM •11'@Yt241UM . ' lli�l)CIM Ming Wall Floor so emeat 'bm EMd=c ' dlazzng . GIMiag Rrvalu� petsmart Aisa'(•/.) U.valu� R•v.lue' R-val=1 . Padca4r 3701 to 6500 Heatf�Demme+Ds" 19 iD 6 Narsaal 0.40 3i 13 6 Noses 30 19 19 • 10 LS ARM ' R 12% 032 19 10' - 6 9 12Y. . 0.50 31 i3 N/A Nit N=d '( 13•/. 036 . 31 13 6 Noimal 1Sy 0.46 32 19. 19 10 isAFUE U N/A WA y 13•/6 0.44 33 19 25 AFUE ti'/. • 0.52 30 19 19EWA�� X IE'/. 03Z ]i 13 ut4orzmd 19 2S ?>IA ' y 1E•%. 0.42 3t WA 6 90AFUE y Is% 0:42' 3i 13 19 10 90AFUE !9 '19 10 . 6 AA . Ism. 030 30 .. 1. ADDRESS OF PROPERTY: y DAD Q 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: O Z ^, 3. SQUARE FOOTAGE OF ALL GLAZING: /I�Gc, 3 d old ' 90 7 o q, %GLAZING AREA(#3 DIVIDED BY#2): � e o S: SELECT PACKAGE(Q— AA-see chart above): . NOTE: OTHER MORE I.NVOLVEDS FMMODS INFORMATION. G ENgtGYREQUIREMENrS ARE AVAILABLE. ASK BUILDING INSPECTOR APPROVAL: YES: NO: g40=4980303a Footnote's to Tab1e'J5.2.Ib:* Glazing area is the ratio of the area of the glazing assemblies (including sliding--lass doors, skylights, and basement windows if located in walls that enclose conditioned space,but exciudirig opaque doors) to the gross wall area. expressed as a percentage. Up to 1% of.the total glazing arsa_-may be excluded,from the U-value requirement. For example;3 ftt of decorative glass may be excluded from-a building design with.300 ft of glazing area. = After January 1, 1999, glazin' Ur must,be tested and documented by the manufacturer in accordance with the-Naiional Fenestratiop Rating Council (NFRC) test.procedure, or taken-from Table 11.5.31. U-values are for whole units:'center-of-glass U-values•cannot be used. ' The ceiling R-values do not,assume a raised or oversized truss construction. If the insulation achieves the fu.11 insulation thickness, over'the exterior walls without wmpression;R;30 insulation may be substituted for R-�8 insulation and R-38 insulation may be substitumd for R�49 insulation. Ceiling R-values rtptesent the sum of cavity insulation plus insulating sheathing(if,used)- For.ven#Wed ceilings,.insulating sheathing must be placed between the conditioned space and-the ventilated portion of the roof. use Do not include 'Wall R-values represent the sum of the wail eavity.ftwAadon plus insulating sheathing ('t{ �• exterior siding, structural Sheathing, and ihterior'drywall.For example,.an R-19 requirement could be met EITHER by R-19 cavity insulation•OR'R-13 cavity insulation plus K-6 insulating sheathing- Wall requirements apply to woad=frame or mass(concrete,masonry,log)wall constructions,but do not apply tometal=frame construction. °The floor•'requirements apply to floors over unconditioned spaces(stub as unconditioned cmwlspaces, basements, or garages).Floors over outside air must meet the ceiling requit==ts- ' 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_: the same R-value requirement.as above-grade walls. Windows and sliding glass.door of conditioned bn..,cments must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note.b. The R-value requirements are for unheated slabs.Add-aa*additional R-Z for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or S. If you plan'to install more than one piece.of heating equipment or.mdre�than one piece of cooling equipment, the equipment with the lowest' efficiency must meet or exceed the efFiciency required by the selected package- 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1.a NOTES: a) Glazing areas and U-values are maximum acceptable.levels.Insulation R values are minimum acceptable levels. R-value requirements arc for insulation only and do not include stru=mzl components- b) Opaque doors,in the building envelope must have a U-value no greater than 0-15.Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement'(Le,may have a U-value greater than 0.35). . c) if a ceiling,wall,floor,basement wall,slab-edge,or-awl space wall component includes two or more areas with different insulation levels,tiie,component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). . _ 43 r THE rq�, Town of Barnstable Regulatory Services �B B � Thomas F.Geiler,Director ' �p •i639 �0 tE&639 A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038(� Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. /Z2/>l2 c.e Cep I%K Wow s Type of Work: Rove— moo)-- o yl o 4 f aQ 9 Estimated Cost Address of Work: 75—&/V Y 12o kb C-ETM O— IYA 0 26 3 Owner's Name: Date of Application: —//2- O 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 J�Kwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Datd Owner's Name Q:forms:homeafdav Town of Barnstable �OF INE 1p� Regulatory Services • " Thomas F.Geiler,Director BARNSTABLE, 9 MASS. 1639. Building Division atEo�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-190-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ,S— lZ 6 Z_ JOB LOCATION: _7 6— U A>/ PWA 607y l number ` ' A/ street village "HOMEOWNER": 0 �Z/7 13• PE A/ELL 50? �ZO Z 7Z name -per home phone# E7 �k Phi CURRENT MAILING ADDRESS: d 0 X 961 GO Tv/T t'l,4 02-6.3.5 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 su eervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and rea�L uirement Si atureof Hoeowner 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. I Q:forms:homeexempt b' �l t � t Vt 0%\ t 0.90 Z (,o o AG o 69 Coo JV PIP,.I. eq 1Pils ' 7�'1 lv&7-4*wo s �9/o sp�j•_t ni Lor qs I ! Z09 - .Q 0 h .� 200.00 , I` se plate 1 CERTIFIED PLOT PLAN LOCATION .Bi92�!STA� CE� �CoTui r� SCALE . .�' .6c� .... DATE M,4� i2 /99.r PLAN REFERENCE WAI N , tFLLEY . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . c,,\ Qo. 26ioo I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND i LSD' AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. -- DATE � �L/i✓ B, L/a/zoL�a/E B, /�EN�/tZC — f E?. REGISTERED LAND SURVE R r1 S db S� t6 £ .� Ea h S . o� F { BW a f 6OW-,. 1 n NSj .� ; naILL G) "i -1 I'Rs_ C tIT i N i l l +: , O . E] `l N• i • 1�� f}:' t V ocm out P EA1fLL E' IG 1;.PC R � o1�-dfiving RoomSatl�-MMaa. 133 Eighth Avenup �fl� f Bmoktyn,NY 11215 r f _ _. E•81902 718,399.3882 WINDOW SCHEDULE for PENNELL RESIDENCE NO. MANUFACIURERI OPERA71ON I TYPE I FRAME SIZE R.0.SIZE MATERIAU HARWARE REMARKS MODEL 8 W x H W x H FINISH 6 BONNEVILLE-CUSTOM AWNING C 33'x 24' 2'-10'x 2'-1/2' CEDAR W/CLADDING BRONZE A,B,C, 7 BONNEVILLE-CUSTOM FIXED A 521/4'x 24' 4'-5 1/4'x 2'-1/2' CEDAR W/CLADDING BRONZE A,B,C, 8 BONNEVILLE-CUSTOM FIXED A 371/2'x 821/7 3'-21/2'x 6'-11' CEDAR W/CLADDING BRONZE A,B,C,D 9 BONNEVILLE-CUSTOM FIXED A 521/4'x 65 3/4' 4'-51/4'x 5'-61/4' CEDAR W/CLADDING BRONZE A,B,C,D 10 BONNEVILLE—CUSTOM DBL.-HUNG B 33'x 65 3/4' 2'-10'x 5'-61/4' CEDAR W/CLADDING BRONZE A,B,C,D(BOT.SASH GOLD LINE ONLY), E 11 BONNEVILLE—CUSTOM DBL. HUNG B 28'x 65 3/4' 2'-5'x 5'-61/4' CEDAR W/CLADDING BRONZE A,B,C,D(SOT.SASH GOLD LINE ONLY),E WINDOW TYPE A:FIXED LITE UNIT,SOLID CEDAR CONSTRUCTION WITH NATURAL FINISH @ INTERIOR,FRAME DEPTH OF 4 518",FRAME THICKNESS OF 1114". WINDOW TYPE B:DOUBLE HUNG UNIT,SOLID CEDAR CONSTRUCTION WITH NATURAL FINISH @ INTERIOR, FRAME DEPTH OF 5 518",FRAME THICKNESS OF 1 Il4". WINDOW TYPE C AWNING UNIT,SOLID CEDAR CONSRTRUCTION WITH NATURAL FINISH @ INTERIOR,FRAME DEPTH OF 4 518",FRAME THICKNESS OF In. REMARKS KEY: A.EXTERIOR FINISH TO BE"BROWN'CLADDING'L-6915 WITH FACTORY APPLIED EXTRUDED NAILING FIN. B.INTERIOR FINISH TO BE NATURAL CEDAR. C.WINDOW GLAZING TO HAVE BRONZE SPACER BARS. D.TEMPERED SAFTEY GLASS. E.TOP SASH TO BE 21 112'TALL. WINDOW SPECIFICATIONS: 1.GLAZING TO BE LOW E ARGON GAS INSL.GLASS USING (2)1/8'GLASS PANELS WITH A 9/16'AIR SPACE. Q DOOR SCHEDULE for PENNELL RESIDENCE NO. MANUFACTURERI TYPE . FRAME SIZE R.O.SIZE THICKNESS SWING MATEIll LOCKSETITIM I HINGE REMARKS MMODEL# W x H I W x H I I FINISH KNOB FINISH 2 BONNEVILLE WD 50 A 371/2'x 821/7 3'-211T x 6'-11" 1 3/4* LH CEDAR SATIN SATIN A,B,C,D,E,F W/CLADDING CHROME CHROME REMARKS KEY: A EXTERIOR FINISH TO BE°BROWN'CLADDING L-6915 WITH FACTORY APPLIED EXTRUDED NAILING FIN. B.INTERIOR FINISH TO BE NATURAL CEDAR. C.FRAME DEPTH 4 5/8' D.FRAME THICKNESS 1 1/4' E.SILL TBD F.HARDWARE TO BE SATIN CHROME TO INCLUDE:HANDLE OR KNOB,HINGES DOOR SPECIFICATIONS: 1. GLAZING TO BE LOW E ARGON GAS. 2. GLAZING SPACER BAR TO BE BRONZE. i P`oFtHe Teti The Town of Barnstable NW �� exu+ BARNSTABLE. Department of Health Safety and Environmental Services ..MASS. a V�p 1639• `00 rFo Mop Building Division 367 Main Street, Hyannis, MA 02601 099 . Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel- Project Address: !�I-t / �L/- Builder: j r The following items were noted on reviewing: ( J 'tom ' VV i r 1 s tz _ (V Reviewed by: Date: q:building:forms:review y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 60-1 Parcel 15Z1 Permit# TtJy ?I OF DARNSTABLE Health Division -<4 a S' S Date Issued Conservation Division h'103 Oil 3 FE.E3 12 ('i1 3: 35 Application Fee Tax Collector_ Permit Fee Treasurer O? - -----t;;� - ----c�PTIG SYSTEM U�' I B INSTALLED IN COMPLIAN►%°~ /03 Planning Dept. VN7H TITLE 6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANL TOWN REGUUTIONS Historic-OKH Preservation/Hyannis yo nej Wael"S. Project Street Address Village Owner ITe at-A-T- CA 2a=�; '- 7 E�14 a-ELL=Address y TLC Cu° r i Telephone q Zo - V?7-r I Permit Request fZ u o*F 27 51 . �. 7 Square feet: 1 st floor: existing proposed 2nd floor: existing (o I C., proposed -7 t(o Total new 100 Zoning District Flood Plain r4 b Groundwater Overlay Project Valuation S o . G u o Construction Type t_3 o c D Lot Size °t , 1.&e G Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9f Two Family O Multi-Family(#units) Age of Existing Structure 7_0 "f 2S Historic House: ❑Yes Po On Old King's Highway: 0 Yes ) No Basement Type: Q4 Full ❑Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) (o©- _ Number of Baths: Full: existing S new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing `o new First Floor Room Count 4 Heat Type and Fuel: O Gas A Oil ❑ Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing j New Existing wood/coal stove: O Yes XNo Detached garage:$existing ❑new size 14*a Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:O existing O new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes �No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name W-ELHI.11t SMoZ . -cZ-KX,u1 Telephone Number 420 -S -51�3 Address o Sa License# 0 4-1 6G 3 f.�°�►,r r�. A oT G'zi 5 Home Improvement Contractor# I i u q�5 Worker's Compensation# Co ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 A- .r2A srz Z SIGNATURE C?r �'`� DATE ig FOR OFFICIAL USE ONLY tl PERMIT NO.. DATE=ISSUED MAP/PARCEL NO. f , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME OK k' i- INSULATION FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH; FINAL GAS: ROUG_, „_' r_". FINAL- FINAL BUILDING rnt s DATE CLOSED OUT ASSOCIATION PLAN NO. ' i 77se Commonwealth of Massachusetts s Department of Industrial Accidents --_ 600 Washington Strc& Bostan Mass- O2111 Workers Cam eaaabian.Jusu nee Affidavit ovation: city ❑ I am a hQmeownrr verfmTnITI an WWk mpsdE El I am a sole 'etor and havcno one wmidng in arks I am as elc9'a, dia$ �far my ezapi?Yea�8 on this job. ��}p� r ,. i'_.-;,..e•}..},icy..,,,wwrv!;,.r...• : :.�.,::•v»!•faveoee°rt'sg +eG>i£:wk'Yi^!o we!�,.,,. >:... rt`.t«v •'•.•'m°'N�•:it' >;"`K '?v'�i3i: 'r�+C,,,.:>'>:`?: utr[:�:v .yj,.vw.. .,..,'�6'+;^'?fj�- :...{;).i+S.ti•^�•itw :• .;^:; .,*, xf;:;o; :..aT.;.,�',;}:aTk>i.�•aa t' ..:°-,.yt,,.3 {:..w„-.i'+4`hi.)? ::k'M1-..^, .v.3,} Y.!.:i+ti:•tv�r*-::i;...,,.:. :;{Y?'P's na3iN>'?K't'ti.:.n. f{:, S`2? ..{ax 9a,..>?•}:?.a2 .u}• }i.;x.: >oT::.•w<•$:::{.�.:.;?iwiR3. .:k-.t-\�'4. tyn;:"`'• 3, ..�:•r{ab4•. . ..;;w-.r;.f,xt:<:{.,:•.'•+. .y..`!t '..}Ao; 1110 T,C. �4 'c'.x; ' ebC;.:k+.1\,�.2:'•T;�. S L}C.•. 4.• S C. : :{y Jpe�'7� •yC• \\+��^� .'.�k�or .:w.�. .�.' �'C�S�,.T2�` .>{S�'�tCS::ci:�:crfr`.b�Ckh''�<2..?:•::%• � }�'.•".Y r•,p�;.`thi�,�kKS�Ji'/.{Ah'J���a��t ff J2:aiYN���NIlC9����� r(•`.$(` T•La'. �!#} :Co�AaCTTfE�C" �c�� ry�yr f � rd`w2R\{Sr°' ?"'",}{ k i`•:tt\<�}: t,,� rw r. .`••>. �} K INS oifs„},::'�k °i.:. :.�_ ?5�.. .,t "` `•.w.ir.3h Xk .Y. <fa::•}: •x;.�•G:k'S.y,.:n 9` 'Q':. "r>am. ..aS2 :.rr. r k}:::."':4.< �.4Tn; • ?,. 2#^.'fi:+,•rrfi,.•. . .:.f.:t?y'y1•.}r: :...: :.-a..: "::.. :t .t.: :r, TS:t•:x:j:w+,...i, \`.s'}:'.�,#�`.2»>v»:...•�,4 a.:�, Y••b+r. �'� g k? Y.w�\ ,n,.ti4• -.Q'iz,ai:�%S ryEic,.).,., •c. <r.'%� C`w Kia•�a ,°MINN.. - .. wyw.. y :u ti•yl°.:.w..a`-r v..:•2 :f;?kb.;•,a.,;rQ,F-'•maw '` y v.tiw •.�;�• s«w. v ra ,ci'��t� }t♦aaR! 4.} h.: ."•�'''t\,,,'f�`>, ,->.+?,;�}„.,w'A, 2 ;.::S�'+ �f.?�F91. �'�?w^:...; r- a ».� S't»., :w. 'iy�•:k.- .. b... .. 'k,. F}. "- C.�°:''':Z.w,ro \:' ..'�>'. ���K „a+,{,v♦ ..w30^•:Y. ..�}b•`.: •a,•.�. :�}�'{:93?},r• .AAw,'?T y ia..e'.• 't• :� �E+A: :". .h:?•x:Sv }. .!::�:: ,x,.';3f .!•.'',•'•mYk..,,t'.v6.£3r{t. r ;'' a�.ok;!,1.00fs0�.:'fti�! •,.'.�T:' 8E`�.cA?�l. 11 Q' `;.•b;;. : .' � ...y„�yyAw...;,4�•w•;i`w'>Y^Cr fcaiM�.$�:'Q• `Y�'::,..., R 'r.•.,?: tw.w V'�'p',J•;Y.v.'• :yj�•• \,; 4 k£}:.: ,;�r� xtw+ur}�rw:;rr«<'G':4a�•?�x>:v fay'�\�-',.'<'�'#4�8F�R'•�^�•.-'}�?•'TM'tw'':`q•. }:e' �Jkv ,:sC�i{:'•y,,;i;;::•:L^^,•,3k•.:•,- .•« ••:.'• .-;,-�.'itd•G- b !.$rh`k;:YfT({LSj .f,. f.,y?:t�. T `:i!C?•�`{�• ..i `2M1..>r,.;:..t: y.:,,:,. ,.:rr::.�T,r,;wwrwrcxf::?T.'r�aY:Y ..avS. <'s{2?: >r. •T. ..C•;.-..: ❑ I am a sole piogrietar,�eaerai coatrac�r or hnmeomsrr(circle a no and have hued the oaarr�ims ibled below whn ham ' ._ ��,+t�r�,:�..••F..:. � • • _.'�•r' the following ;g... r s or:}7-...;v• i>ar•oe�6�e»tl"+s>`., .r+r,`+;� v01,5''c Lri ..'. ,;-;yy,}c�vSCy y..: Yet rn::::•».wT !$•: \ iG:k�,yr. ik?rZ3�••a7;;\ h,- `^.Y•R••..»k'r.•w..4",,`;>r','.,kt},;,S:r;{{ x�L, .vi\' + ::r S�bkr{ •'`j":c•:.?}::?.,,.,yr(.Cq�+k`` '>v};}.. :•.i£Y,r..>.+rl'{:}?<:..tpa. .::y �7AC. ,:xz,{r '3i{: Via• ..i ,,{#;C; 'r��ic -x}b:.;Tkk::,<F;. •^vr..;ff#f.' '{;}:..K{..,,? :v.,,:-P'x3:J#$:4v`c•.: f7fi',?.t}^,kw?.*Y;Lr ; x TiSku..•r.$:5A`}:{::;i?;?'?kn't;;L• w�.}xf;.rr )�'!.}r�°' :�Vt• \•.. `;'•,•.�'a• .f:fti•,}Q?l a"�vb ».� > r.};;:;•w�•.:•r:w.. - C,:.:i;.......:{f,w vysr5�..r... .} -�t,;�. �C ti'.?�•;�,� �n•koxwb}c, cx�<k b�.cf4,n,°'°t��.n� •f'.%.F.:�?�y�•$aoahx >�6,•����,.•S;atw�`�w .'�rf:. i�}o.T-----•r.4�r]$ ..»1Q` ry. hv.wrb�39t,t a>aC°�3^rh1 ?`ii?,^rt•::.' :COID E1TY'IIEII1C..w":%�'xC 7�wa�c }ix 3 •.A}i5}b}o:. . _ .,.. 0. 1 •..,.. .,.. ... .. cc��meerr�� �+-. i�.2Y�C}`J,,*'�>i,�',C�u w•�� .:`:•}.:R,•• :. 'Fr< A•,^.N!!iOJYtL` Y ^'{' ' •M• •• bw,M.`w,i �"'' r ' t .' ' �� 'f:K yp� x"C'. c2b'awJ�t:•t4i.L'i•,2'•::ii:•: ,....r.....•�'Y•'?a,}k,7.�•g?31A�e�<Y��� r• �r��Dta3}Y�itk� .>T �,:���� :���5�:'riwrw�f'T�'V1.•... ... ... }}w�`.:.�IJ�.f .•v J°YA1M• r� „'.:},rwiv.v}::w••r•:v.,vw,i•in J"•' �� _`h:"f+ `b`+?•#�{•' ? �..:,.aw�+g 7' ?•. 'AG. .. .. ':.>.:•..•; Y��: Yi tl:..C,.. ��" •�,'fscC,Y'3:M.�.tS•{e):b:>:-icy ........:............ lls.,Y:itKwx�?\2}� �C'«x _ � .. K..,,•e.ra:b%t. ..�:.�;�.Jf,i Rr+#'?f.. aa'rar:Ca7aw`-2 ., .;. .wr{rr• N.- y:-?.M....y,. ..y'.y�.w�c,rt: •:raw -. .. .:. `•.w _:.;ja.�.•*• � tl:t •k`t^`:<t3• .}��, its }� '>:w•. •..w:•: , 'vt•� y ,• ' r. 2Q•}.•.vrxw•'. ...::.:wvw:•..... r T:iab '` • � ... .. .. '`�'... :.: .�•{.,-\��.y','M,..�3 � '?fir•Yj�.'•'n„„'}•':�>�.�`::.?:':�M1 .. •wr:rw•?.:•. •'^Y?. :wfa•. x.•- ft?a. %C: lY.' 4::;.;:ia2:2 Sy•LZ rfi}.;c' '+ ?ic. b.. w.- 'v :�•S'}4.i° r�� a`o:W<c✓pr Fw �a T »»0x :u • �.,+ ..! v.:•jcuGff: E:�k`i.. _ • �, .r.,C•{:,•}:..4.yY.{v�'^.:4h'l'Lr}. ���QJC?�!1•}.'CJC2!�Nb0: - G:v'::r :v.r:• •:.v.•. ?. .'K if;+'.v[e,�`Y;KO'yrw�:�:Fi?u �'�t•'Y�f..'x•.?.•"`l"c.»�? 22y.• .h .,,•y�', :,� .:}�y�•;-'.•'�arct� h T .tt;«?:iwr:.ro.,.ry}b;'•C?"`f:.rXY�. a$r,Tnw.S .f+ir aS>•'W'R^ ..:.::.�• R.fi•'.,'.,rr•;;fi •:.•.. ,:xt+.uS?r b:•::;x..:a}cg a ;r':-a••r: �j4'•{tiR:::4na}q'i.'{T::fi•..•.. ..:�M .i• n:x, e.e. il��.ki"'.•i.m\�{r.•`rrfi:Kf. �.#r5a2i?:n}rfr.?} •w„k ur"Yy.o,: .,. n,..u. :.$22 :...}?' t 2rY y}7...t?:a•:�.:r vw------:'?N'}w}no r,xb?rw',a :}:oXw�':;}}::-} 5:• :•:•r:eCt!kkc,..:.ch'•'C>ir"'fr'�°}°lg .....t:t.. •+C k{^yti?•fwY::,;. �Y�a.. ,tr p.,rrv�fbr�}`"�'+,^•'•r. •;:6 nr �;:2:;^ i'"' , vrw:::%:4};v. •v; ::••,,:•: - ,._.fie •,t:K^`> 4} ,•?bYr•:::.;y ..h..:..•.t�?R'Yr}:., ,�T;!'C'^i.R;y.,;�:»JS)?lF{,°9;C:3°'t.. }^�-.t:..�K ' •rw,f2wlk fDZ,3:>^�? a'`"'"Yr.:ah?•,.x>�s••xrv�"w{:;w ";�f}v�fc:.::K,;• .•w,•:.....Y. { ,??}}..,: :•w,iw,�. # :,t?�:yf,,.r.•rf:?;:; a;,; +.vaY ,a,�,,,w .>:$:.'.br.:!G.Oy'•,�.y .aSw.;Sv ry^;yt}H ;E%io •v;;},+:+•k,{>::!.Y:.,,•:-` .,yw,n;f.:w`E�t•:. •..w .,...N'�..}>:?r:r:+:xffir.•:<ra?fr.. ?ice;r,:#yiiawQYc2,.•..o ;,56x�} :K:.. .k✓r k'� :„ 'fi✓.•..:.'';'y„'y.}:'�.-:{ {��rTrrr,,: f} }F::•;' �•S:?>rrtt>;•}:xry.•...•.r,i>}:,..,:,x{;ix.:'L�:.••;:,;2awQ>.r.:a•:,,::{;{.:{::•:- .?•r+: yw..w•r ;>�Si• •..�•r-g*.:ai2:+•Y?e.o�.+r M1T,*�+rrS�'' .w.: � •;ti: ...;. {St-.y,CCg.Sf;2ti2Y�;�' liy: '?�}cc.. ."i�f 4:ri4+�:vK:•{,i'v''.t.;rfx?rr.�k'�: -? '4A{•-v',' ':;�.trtio��r�,kr°:..rfi v}>:+�,Y%Rr Cbr.o>7�;\.#}-.,,��•rw'�titC:.#;�r�a:rY•: kr .?fC�'^9i';1,`F..:.•.,�.4�,tm}l r. •rF ? �.}�wf`i:? v..rr.!;•:?::v>r.^:.}G.:•...:� �}� :QLf-.:•''w ,....w•rr w•u. •:;XYrr»tfUt4' `!MY v ... :•r:;a .{+-. ^i>,rrc;::;a}!?\a`:'f r4..rH.9�'•r�.?S':r.,•t.,--:}w:•:#Sst:.,,•.9'?.r::•. .. .•�w,°.%+gr,°.L',�w�::r��fi<s}:;;E;»:M.:S:-�.i:�7,1�•'rr`.��'"� {"'•fi±:e?•�...r:t; �,',1rw•. wr-i'7.•:.:w•fiSw}aw.�, •w, S �}. r.:.. < t.w 1. w Lw.,,!,•.. �.av!Y..">, t via.•?.q v}. :••Tw.."^..�' a:Na"•-Y;'.. \{:Sw. +/.ir N"F,r{'f•:w�.Y �r.;.:.:�k X.}{ ,y�•G'�.:..b./r,''Sd�l�`t}t:n:•rt:>i..:•.v�'.'.�-S:"Q..�:,4 g..YJ.. kC •�.K .r.°.. ` w ' ?}>�:.6r,.a»�,. �t:x•Yw - .. °'•• ��.t aN;' ror>P.:k::•rr. i a.I-.Iig.... � .:: r.°°`°.Y�°•' w>:ieo� «`'t29%z?:c:tT.'SS "p'°°' �L°% `Z„ : �Y ppK� F•''t3J%92�rJ�r>`y!C....}:?.r.•.r ri{.r:r. }. !?iY.:•;w::rr:•)[?T>!:^}!.>'.....w•..n. :::,........... Y.: ": ,XRw�::::.�'� rfy,,•.X.?o;�,•.b.J?a.+fiuoS, Yr:.., i .t.tom.ap to s1 vom=War . FatL�a to seemecovau `d.oqot:ed tmd.r Beetioat ZSA otMGL ISi as le.i 6.tb P a wea.a d a pmaltiea to tha roam or a ercm WORE��•�a tma at;i100.00. t mr.I m �+�• �• ha rorw.r"to ths oat=of umwti=.Hom ore.MAW.wneap+� t:opr�of thl�ttatcomt� I do liffrby ea*'}wndff de pohu cad paiaLda efPffi=y ik& abov�r u s�+t a>:r1 earrrd Vvi -a Priat namr q�re � do•mt.tttta is thin area w ba eamglst,ed hs eftt or taws a@tf.i • ofIIttaln�eont� dty or town: P * ❑Lvz=iat Board QgdeC=ea'a Oft= ❑dznkLf L==dL&iz responaa is r equ rsd ❑Health D epsr==xt _ a Other , eontactperson: g�e ' (ts�r•n VJ9S PJN r.- .1 . • .- •• • K • • . wNQ • .•w11 . •-r.•a see �• •• • ..• w1.1. • • • • a. • 1 . \ 1 1 • ' I to wosses •Y • •r. • .1•\I• . . .. /• .• •N �•... w•.w•\•. •1 ..• N•.•.•w • •mow• • -..• .■ �%��������GG�%%%%�l%��%G%%G/////////%��%%%/O�%//O//D%%%%/O///////%�%%%////����GGGGG/GGG�GG� � ..1.••• �• • • • •..r•• .1 ••11 • M•w•1•. •1 1•.1..••..•%•••1. •1 •. .. .1.r V••M • 1 •-I...\. .1 -•of • ••Y. 1• •'•1..•w •1.•.•�•. .•..1. •• • r. %//G///N%/%/�M%O��G/O0::0G/��//%" �GGGG�OO�/OG�OGGO��GO���GG�/O��G��G� •-0of . .•• .1..1• .1•• • ..1.�• w�/ • ' • :11 • • n •• �.\ .. i• • . ... •ru•u • • • Gl . • o-09,61 w• •wa •-1 ...... • 1 .•1.. .•.• H•N1• 1 :.•. it - .• .• 11 , .'.. • J - 1 . ' •. •..ya •• .. •stele( . .• .= .H so •r • . .. f °FINE T Town of Barnstable °-^ Regulatory Services i r • ASS.Mass. • Thomas F.Geiler,Director 1639. . �`b'OrFo �+►`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.ofWork: zz - f +72vy Estimated Cost 5a ,V17- Address of Work: -is 1-11`Z Owner's Name: T6-"4 Lr?i-rN.Vki-L_l_ Date of Application: 7 + 1673 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 UY PROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY d hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:fomms:homeaffidav i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF MUSTI(NG� SPACE square feet x$64/sq.foot= 60 x.0031= b ' plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= 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 permit: square'feet x$96/sq.foot= x.0031= STAND ALONE PERMITS I 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 projcost 790 CMR Appends J Table JS.Llb(condnaed) Prmcrip&e Packages for One and Two-Family Residential Baildinp Heated with Fossil Fuel ck • MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement perimeter Heating/Cooling Equipmenteatint i Efficiency, Area'('/o) U.valuz� R-value' R-value' R-value' Wall R-value' alue' R v Package 5701 to 6500 Hating Degree Days' Q 12% 0.40. 38 13 19 10 6 Normal / R 12% 0S2 30 19 19 !0 6 Normal OSO 38 13 19 10 6 85 AFUE S 12% Normal T 15% 0.36 38 13 25 N/A N/A U 15% 0.46 38 ' 19 19 10 6 Normal V 15% 0.44 38 '13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 8S AFUE X 19% 032 38 13 25 N/A N1A Normal , 19% 0.42 38 13-, '19 110 6 90 AFUE AA IS•/. ~ "OSO' Y 30 19 19 10 6 r 90 AFUE 1. ADDRESS OF PROPERTY: C"i7.c c e9 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �S6S y 3. SQUARE FOOTAGE OF ALL GLAZING: +1 S 4. %GLAZING AREA(#3 DIVIDED BY#2): 1 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: I YES: NO: ' I q-forms-080303a i 780 CMR Appendix J Footnotes to Table A2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example, 3 W of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'Tl a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ' The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table 15.2.la NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). i 43 °Ft►E t° Town of Barnstable Regulatory Services $^RMN MASS. Thomas F.Geiler,Director y MASS. $ ' f16. 16 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 I, T&'ic -e I ���— ,as Owner of the subject property hereby authorize @,arm z tMA� GL%�� - to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) 11 a Signatdre of Owner Da e e Print Name I 1 f 0 \ I p d� ` f WAT+Cil+Vo s s9io A�1:1 a . zo9.67 0 f CERT1 FI ED PLOT PLAN LOCATION SCALE DATE .... !?!'!9S• PLAN REFERENCE .1647,0VC .LoT.s. .43, , D loT 04-,r ,qs sA6wAl . . . . . Pla. 28+00 tTi�is7�•�G /�ii,vQ,g7►!on/S � 1 CERTIFY THAT THE .. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND SHOWNAS CK RE UIREMENTS H AT I T CONFORMS TO THE OF TOWN OF SETBACK tg�{zyST�C1 QGE WHEN CONSTRUCTED. DATE �l !Z,, , c^ S, may,✓ B. L/;fZoL��e/E B. �E�t/NtZG — �ET REGISTERED LAND SURVE R •---.._._.--... . ..._.......-_...--' •---...—...--. .— -.-- --'-----• -LEGENW REVWTIDN8 GENERAL PRGIECTNOTES DRAWING SCHEDULE PENNELL t ntxnuuclmmwroiwewww,'voxmM°Lx�mnananAnnWwvusm RESIDENCE ao,nrtw fN rwnp x¢Iv00006MuiWCo®n111E1°AlOwl°Ilfll rtAn NOWIOVxIMM10 ww9awtllClCp Al PROJEV AM SR WW-TgN °o m MtlO. rouaAfm AN0 PW00nAN4 75 BAY ROAD t n'-d t q•.4• I ':°"`c"m"w"s^1P1 °' 'm rauwuo p w m"'"'".owxml t wwmwmunancMawlr�crcllaa'Aua«u+aeeuaaul�nlmuxnaaortulwA2vLaoRmwnmuumoa+smuttaN COTUIT,MA 02635 f A eln IvmJ.m m tl°'w°vwmy.rovu/urtcs�l¢onMeunwolaxmuMxn A7 5MMKANNm FLWXDF1gr110NANDfCIISfRUCfla I°Ip I in t MLd110.1C1d161lLLltElw'i ALL Wlnm°pORO°NMImDwmRlpl+ppQpnxwlRR,wOOWI NORTH OR 9-t's 1/M. 9•t•AN I.f. ira v1° '�'O1n wean meaAv RDWrAp ONFvwCtlplMBNOMAMxxOlEmt0ltlltlxmMRfxOx1AU UAmI AI SO MAND WBT EASTB YAiM '�� n� iOYx xO MMAW G l OQfNYADr U°WlrxmANxl pfalm MN81nfn1YmAwIdxlOtinlRl11D10AMlAMIr01 M OURDIRNDPABTFiWALLSEC wxr o�wnewm Ae IYRDND CEErmrtwAuccrna AND OErAna PENNELL DESIGN,LLC a uru,lwy4 dH mawmAmA.0 wu nivAaatwu�vpinmurMrwanvpunowMxurau F Itu4lM,ryp.o 'A5 �• � �"� �,� 173 EIGHTH AVENUE pqC r� °� vmm ,amu l MLORYSxOv OtAnVmLW Ma06pOYQxT!°MWF¢YIwwM A' nlwxnawnanolnwMwrtunawuoemauovmrwtvam,+remauouomuro BROORZYN,NY 11215 TEL.719399.3882 T n� A+R xa tw xiOPv�®° ma rwc o a OAw°a wM10t° �'x'1°°"' 61txr' ♦ xumoum¢amwawmxnlawwae�nveawlm TNCRTWM— t - �' F 0+ 6' i,�mfwAwwn tw�i IAle�i,�wo°nern MnoAM uwlawxwoaru1x60[LtpwuDK04e�iq,oRa t•d ff•t4wt� a6u �i Ixw x amn � t.M�COMwcraaWooul RfiuxDAeR Sup®mwww,rua Mwouvoi.,MaM C,J...A....,..I[,.1.. {,:... 1,� N�iw [m InM law UOM MA,IA M wAva nn Aumxelwa MT WYtltlnpmm NgrttMA1M1 P.:.. y �, �n �j„pc,q tfOA t t1lLmYlLL l ALL fPRDwx MxlOxNLLtl RImRDT0—OF0QNIlNw°xWttlwOTD6rC OR ta,l•.,1,• kF,`. 4.1{ ,T .4..,w �WKMtA vW. xlw� �, GMlukf M4IDMIAI to °' wsnlom '""6 ,m• fnrt,cp • [11NLLtlIWxxEDxIR40YNCEpMMO®IOgOIxCRONxVCICGNAMd1AWNIYE � o°I0°tx ,oe,Axpr inA meet"""°'°.epy•� ,aJ.-I.J 1:-+- o uPI°;rPwm 4 B wwR4 vRx°�°', vmm� .t MDriIMCRlllouxv%tmwmm'AwEAtcmeatmlxwlwaemslnmwuRuo x••d.f. �MP M[7n1W Pub Petvllfi xrc '� mxW amnuwrtxsvnuuntaw®nawulwORmnemunav+ow� dws- x101�`iww wa m. ,,,Iu,wW� A4`Pm•Co1K• RAr. IcAw� ' •o,xr lu`e utmw0�'immanmyw GENERAL DEMOLRION NOTES �. � o,a mlwmnnal "u vcua Ac w1gAlinm"'e�a'nx"'i (/ /�'� -'r o �1 ��,I�@"n" °A v,�� it wmtW 'u I.on/anwwutlwnraAe°nmmowuwnlAUAeuArtlrlurmtunmev°nel .-`\ -�/ j N !. � °ink aMi.. e.wn °�°' .�ml. ,q°�w mMom�un p�orlRrnpurwaA xmiowl gWm\iv MIxICVS� MP�POmItlN�R l/ / I r Mwmxmin , .I�L.1 w ♦ �. rumxtrprAt t wmxwa■o¢almwAw�wtamnrwowexwawmMUArtrowme N f. qpr ,yn u� �' ®IIMVRm Mx0Cu0M00DINrt00e MfVDn6 e:° w,RO��"vr°oa n t caanw�awmn[ewexwui®nownuxxouarfyvawar. I. e ` it w""'vt� ii' t ffAsawliwuAeutRwlwxwlmemwrol000anprl Ay e'•I/ I p' O A p 4n. DHL Wwagn b ��r LIVE ENTRY PORCH FOUNDATION&PR6MiG PLAN 9 _ xAu w•-r•r _ I 2 lo,l4ai autMcnrrvYyl b InN,nnu nT Eo•TN5 'I W. of t/M(wwPP TncDW •. o-T rc 1.•sw ro s gyp---�`-, .arv-•srha+ -�%IWf BAPIl Ri I I / LTJ °'.4, '!v.• PfYW�SAC m � � 1 '° I �',r" •1 I WMIICf A•II!}lL A/RgT fAW01Vf IWRxARN fi ' POYIY I - rP w aMIW/°tv 1 pDy+u .. WT up'E F./GPtILPM u• 1 uuc t r I n. 1 1qF Atf uw.A fWl°Ily P - N uwA...w n•AICAL vcm rAAt —— ` ^��' I I ' ® PPoJGci uapiH o e. . e� A �• Zr•l^'vf 1 APua/lrn wrt4 ;.`:.,..,,.,• ;`` F ti ; oY ti Aeo1fW _ I , 4.I,nl HOP 3 ° NPCYW� AxJWltOn w uDiED *m0rl WAL =rtMW xa °•=•M 7nr-fGwRWr r--xw wj"f fnW FOUNDATION PLANS ^per+{ �K� 4; FRAMINGPLANS wn•�uAawnMl-}uwwwx nw r °'° SMOKE DETEb P`/f[�7 O A�' PROJECT AND SITE INFORMATION SCREENED PORCH , SITE PLAN I SCA FOUNDATION&FRAMING PLAN � �vlr•r•a IN RNS1p ISLE BUN.DiNG DEPT.' Al I PENNELL RESIDENCE 75 BAY ROAD COTUIT,MA 02635 PENNELL DESIGN,LLC W EIGHTH AVENUE IICC BROOKLYN,NY 11215 TEL 718399-W2 LEGEND naaTmD canmturnon --- xxvTuw coxxr.TD xx xxMovm O)�A: xsw'cwtmvrnon m xooM Rumm� w'•d,yP ursxr�Dovx MDmm noon I�r. 6NOY1 Dii4 0414xD MxlD ® DMTDiTfL10x�DAxD Mqm ® CAxlDN MOROINx DLT[RON Q CAf LtxnCLMiTm Id•Id � a�Ta ruwtLrmw re ray ----Gn „ rucTurc mvuslnTa II''� 13 wclao:r�nu I ---- � xxT.gA1,L CptLT.•LTCD% .` � LRGTHDIGixr WALLQfUOl MD 1 1, I Q IP O.C.W UpND DUVI.N' rxAMi�ST OYYwA•IUA.fi Or 0 On.W.LLLCV1Or,_lIW®IP O.G ., i I ;!, - — li e— Tnl'•11=e1 .. .. un. DATL vcvuuuo r Du{l .e I I tr 11L'9Lvu4�0 6 O M i W I Ftw4 DN.1/Iblup I I. I ri Rw wbMRJ/y'�'•d MID I �• -------------- •.4 I IA^ -1w,"fpwwl T I i DW IG'MT(Ivxiwp 4T. - ourwm YO. oNL II (A FroPY.1fY1 I• I , uaf. H I e ROTF-MMOMMTOFuearrRWE I I I I I WUSSHOTm OTMRWISE LI -•..ks ... . :.-- - _ _ _L:PPd.Wlo1„Dw -_-._.._..-.__-.... ....- w I' II 1 e I �I 1 FIRST FLOOR DEMOLITION AND CONSTRUCTION PLAN . FIRST FLOOR PLAN A2 - 1 6CAli IN•�1'•T i^ -- ---- PENNELL RESIDENCE _ 75 BAY ROAD "d I COTUIT,MA 02635 as�Ml t��^�•. '. �_I r.M1 PENNELL DESIGN,LLC wr�i r rH* I I 133 EIGHTH AVENUE II4C \ 5 ryp(A{pPy(µ(ry y.uD1 BROOKLYN.NY 11215 Ilf pvf I \C Ln t-AnaR 4rW rphl" TEL 718.3".3883 �( I 4•r wv(�W. LEGEND �- uvle+o oolaralxnon I �� � \ ��. I —= xxlmNo tor¢crownxAlov.o I _, �• I Y� a°a � ._ I ® tlxw(W@tallCflOn - � e ®� � � � ,o• Art exlcurAaova twmlra ncon L1 I a b � 0 woxaoertcratRAaowlara O ntAT 01TIKTOa.IYae W4xD 3� aihel4vt �] o.naon roNoxlex osnclw ZmNfD uwlaro 174 aAe ennvrcaarru Wnla<M +7I W�(Pw7wr•RMm ® WAM aaa"..a. a C I k.N Ox/wa © a1Ax1LCRaVI—M It1T.WAW CON9t.•-.x e� I �1' axaAm,4rx,w•ueNmxn b I �® ®IY qt- Ii tlD ou04 N• ....ul uolo oaul.�mm.rAcaor IC-_ _ _. _ _ _ -. __ - -__1 I ?� ANA R FqW° rMAnIK 6T YWAW \ ----_._g S4L1-'It�1°''Th.-a I I. .. a9'rYp mm.WAucoNsr.-rx.®Ivoc. W. CAt$ PEvwwua I \ SECOND FLOOR ROOF FRAMING PLAN q'•d 9l 44i' I,^I\ SCA 114"-1'.V Z trty s r wi FI>Iwf I •� Elk-o-.—Er _ I I r II "W -wx P— O � y ��f� 1 IO.tA,wi �147YM.7oP YPIGyr It9 . II J— L I jl -Eutwu/yA V re I, xQ1EALL6IExMa TOFAM0FFRIWE PfNF1Fn USFSSMMOTHOMIX I � w...m. •.��auee11qU 6.I.01 neP I / om I / 1 1 "Ora nm Qr SECOND FLOOR DEMOLITION AND CONSTRUCTION PLAN SECOND FLOOR PLAN - PORCH ROOF FRAMING PLAN I- AVISM PENNELL RESIDENCE 75 BAY ROAD ru wwLr nG ro un'� COTUIT,MA 02635 �M UtlK nil M mM/"y_I ��pl t'- MM�olt'op I PEW A+u Wa I"Nlb `LVIt.d+vr.III+q m a—1 u''rout char. N PENNELL DESIGN,LLC Heou. em' I I W'4.Am N 133 EIGHTH AVENUE#4C prt.war'lowtrv+m BROOKLYN,NY 11215 TEL 718.3"3882 • M+F OUN�ye MaPi{p — �^ Paf .al•' +Lu IwrIW O r/nr.b++Ff1I D •�' r1Y�11 uw urwvr u�r.l wrIP�BWoA.IQr•Tad. •i.�Y.r�. it 1 B)baav 4""for wG AHr11f W.M• � Gvrt w+•�P*5"'1M+ I III III .P+t+m+w m Iti IIYII`J��IILLII !HS veo, +ro eL 0 W,rYMA l0 rM*Mro,pN, c '� Yw. oa•>annP. x W Yb G1.1/�H IarU1a1 . 11 II II �� ,_.uw'nwr LCKL.p�ri++,�umPurgi�u=► WEST ELEVATION 2 sate w•-r.r q ro.sa,hi wrrvwTnµ PnyrY* 'I G.q.nr A'AfrPK¢P PPwrlt ua hM PRAP nRen cbr.bHOW +ecru,aH AM.Ps+ Pur+s oar.Pe+aw,wm »m.wnw'ww+wm it _� lAR PanW NVM91e Avfvp AP• RYI , ' LW vWm rbPFiF NbItC+/o'IS IAIa b^P kailou pa;0y(pr � POc YIW.N+/1V'l P'+'I IWi Pwlalw�Y(NW O.K. � A14}L M a>7 MHryry1L ® O , y rNMw VpGIL N /PK H(HlwWEa y'¢p L.I.nI HhP Mt••N wPaM+OWa�.1,9. y+t^P FNM-�--_ '1 Pap.1fA'Xw/a y'e, DAM vwl.0 PA" h'ar.na .m.+M• -•T+.•. P•Prtabbu m• :ram i�atev r ELEVATIONS 4 n,u uw nwa w+a. -m v'L'—,T a 4 I J fNW.6—wo'UiKL bA40V/-NWiPtGilylJ:i :I . NORTH ELEVATION „4A A / I i• seas u�•-r-a' i PENNELL PW.evuo.nm uA+p Wrim RESIDENCE a'W1O GYY ur-ua_. 75 SAY ROAD +Nun ry Lllw nnl nu Ivlbwnw;r«.war a COTUIT,MA 02635 ua..ylw.+ply�erurmr�\ ya k HrwyD 'w++4r w mn , PENNELL DESIGN,LLC uua rrAwwa tart,gray 1 133 EIGHTH AVENUE#4C 7n wmn NttS.nuvin bf. cnu+?._m cel OROOKLYN,NY 11213 twn O'cM nW Ao apann N Nw roapAwlgw TEL 71&399JS82 uM•cls.wu r~it LK Hr,r14 = (iM7 W-1,1..RilN•b•Ot F~4V LCW.W.ru a IV of.�1Yf 0 tqp 6tla I\'(Pf.I.� � C+E - �-a `4E4 G..t.11ppu��N,�L UAM.mn4 `a 14�411Mp5ID e�ni.' e •u.6o.ye i,144'r NMy `IM I B.Is.a W 4rn I II�JII OK Mom•.T90I wy 11Jp�_. Ill \ 1 avrs war M''�+1�au,ur' I m ro f4wn•It4+..mw n to,6 WlYMAAvo pCPI/fa0 j 1"'�> 1 I-————— I J I � I kMw .1•ti alr.'�-'-- I I I I II II 1 _—._ 11 -�-1••dM gMpb I I I,I I I I I I I 11 I I I wre pcvlaaM I I I I I I I I I I I I J I I uu u u u u uI 1 ow er a-w renal IcrnYalnynlw I .I Ipa M-i-wsmvm 4 . EAST ELEVATION 2 1 n.p,oy cn4TWJ,or fM4Na u 4.H.01. (oNjp�.{�'p RWWt 1�4 VITSN fG4'If IxK.'Inv,w'.�u IIBd b il./arn'�T'1m/ �Iwmur-r_?awuJ �W�'Ay for gray{vaA4 T non a awa'o nw»Irr ,NiN4M m wan uw. � 49+ �uea� 'x n.a'wwr.nN•ea w r wTM rro'mMa gl4'ua KL AP _ as♦T• aaOWLy oY r'a'r•4VM1t1 aY a',lo' I F-F nv"rANG nll a•.'wl MrH m w N- m• 'r"Wn L.I.oI rID9 a1'Rp.11W P M1' ( A d�IV�•a•• DAB Ppow rX waurw d•n•Am,b F�IJaTGD vraav�al• uq d• aR_ W!l _�.d-daa wnw4A `�'y . fM1/L1 Tlfib �I�IIu'sllul� J6�JLL. - — u+rr.aY'Yw- m mr,.r ww .d-i',,v _—__ _ _ A_d.dan oU ay 11t II I II II II u u ELEVATIONS U. IJ u u u u J u I . Rolraxa tr,rmucfleu W.cram p P"taNmr.uam —11 SOUTH ELEVATION A5 ecArs v�•-r.a• i PENNELL It u<cAJIYs•M•Nl.NG• im M. RESIDENCE 2 9 I[t Pert atp•p»P `+i M AstiNm M1IYGIIL �y,,,,qp y,H 75 BAY ROAD MGFbPMR.M F/ue nir Mt,K M41DNWi pY( ®Ji n V uc omf vm6 - a:coF N T A ""'yi°"' ' '°� COTUIT,MA 02635 !ps •+e tP.J+•c+W.i arlY,lB WAm rW ty Ie• fcr Fi ux M1Y. Alto MLMnrqu.unK 'K,sora.!L11L M•"+ .q 12 !^fM t4lf W�yPtOACr od ee+[M+f�nL•na•r 'y's2t•r}q o[fus _ M� `?S 1•e�' 33 "r" 2 ly q' � Z. 1 NNELLEIGH DESIGNLLCC T •o,v j vbqar Y- __ - ;, BROOKLYN'A 112 I5 m 4 WWII¢ 7•tl Law* - -w et "r - - _ pm M(,•�fry ID r0 •. •Ygl,(W rNe TEL.71��'3 882 •L�iI Y> nm.,TMr• MN+ 9 wvnrMw n _/ y W41 ldOy0• v.','µy 1 b\•tY 4,1e6-�1�F,)E / P yyi71i Inu Nnc. J rnl[tb l� •'IPtf, s `1'v'1' fNrN CtF.Pnt \X/ MH4PPIGAilL PL rJ.rwa,W/PY•f. 1••Mu1C4. �'�li[u.fluL 4' If Mf 8 M40�al a•,e/.4'roz 41W vAR[F4 a'rriB D1Vec. - aryv w•nyt 6 fltA[Xl[a)a"'Irt'•4'aA I T9. I'•Y• rJ,!nYG✓'/nT. llM nranJ,)yy Pam/• QI' pp����[9)11'vIY 2 ma[JIWY1.P (•MII'If NJJ('w/cpr/y -.� r IM.•+ Y"W vR'PARVp w'ns. r'v Id'w:nJt'ee�I/R � '•YnTWJr WecKtl er'.Y w,nw newt ��- L na W-v — C 4 1•Ma tp i✓GW u[mlq..INRn.Gw+fl DETAIL STUDIO SOFFIT 12r.y DETAIL STUDIO SOFFIT a,.+ DETAIL ENTRY PORCH SOFFIT hT M T ULYp MLgY.•w¢n( ( scull Jl.•-1'•0" 5 scAvs lle--1••P 4 BG{Lk1•-1••n• 'tr� 3 - --- w d P•MMr�ukwl,Ailr+{ . ?o/oz n{re r,•`, a>f•no-nw+,Iuq y'c'nc; `mot I '.Je �/vu muwv' '1' Te Y>/erPl.f MI1hl6 Y' vmnu:,Mu+naue rare. g � � r>u 1�Gl,GLOM IP'I•lA°1 . �P.gyRvs i'weGu. r vm.W. Wwrmp Offrep Y,y A G,�1y[M�• ! h>t•N.'[roA Hlav I o'•d M ?•Y nP rwrr.u/uq MW, uo vww9L WALL SECTION Q BAY WINDOW non arp e/Mi ror�;, - _ ..�. U•9'ar nctlsw•-I\a• 2 • t'•d ne.nP rartn G'e6.� o{.tY eu.rma 2 wz+.os imITAr PN•fNN r •Id.t a wAwp J' a.y.cl o�rv+yfi PMuuJ rw•r{q cla.GwP {p. pye IrOPpp ID 1 _ t••rr nv uwr S'•�(w.i[GIN ,y o It)I,'v lW u+,.• - vt•a�'Urt.uulr[ —r.u - I I I --�.-a'•N An I - I ' �,' '?}4 w.cwiP•alq Iva d, �--F I lwJ _l_�ky\'Kr NJo •vw}n a P. m i'•��W I 'P w•r. ,Maw -+d-rear sY O,rNEJ 1'•Id i.r.JOIK I'•�ao Gfn/P/MGM --� —_ l•dM •1W q•Ta p r n.c. PWte+l-Y. rr• n c -_ i --1 410TGD w t•qd Jrxr u.A' .r.{ .r ... •bw., i •4lL -Ile PMJrL it T.a M1\• ,m.ew• 4'•4't✓flr rAt ,�qa•M c+)I•I•+Y Iw MIU.H,1.teIX,��w I r� I.INY re, 4ul IV.cp d w[e'rw rwP CN Iy'.1YIMb mt nh. P e BUILDING SECTION ••tnr.sal,[„r. urr N,wc,... WALL SECTIONS DETAILS WALL S IA;l WN Q SCREENEDPORCH ' BUILDING SECTION i A V ncuJn us•-I�a^ - ,t TOWN OF BARNSTABLE BUILDING Pam%"- fX_ ,FLICATION Map Parcel c� �® Permit# 5 �09 Health Division �f SS3 &t V12,10Y SO ----Date Issued /3101 t�� O 0 Conservation Division 12 ZCbI � =:.-�, Fee Tax Col!,ec!?r 2. SEPTIC SYSTEM MUST BE Treasurer. �O Iwo( INSTALLED INCOMPLIANCE Planning Dept. WITH TITLE 5ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board .. TOWN REMULATIONS Historic-OKH Preservation/Hyannis , Project Street Address 767 sAy eb Village CO T U / 7— Owner -il—Ohr/►/ 0 C/wof IN[ PENN EL L Address 7.S' SAY RD PO (AOX Q& / Telephone Y-ZO • 2 7 Z Permit Request ?•--b Q.c .e 3 q W vt. w!'j W P ri C�`Aug bQy w i V% l oci Square feet: t st floor: existing �o�S proposed C) 2nd floor: existir(�©C� proposed 0 Total new O oC Valuation W00 Zoning District Flood Plain Groundwater Overlay Construction Type ra2/4 to Lot Size 9 600 Grandfathbred: ❑Yes ;e\No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure �/� Historic House: ❑Yes /N(No On Old Kiing's Highway: ❑Yes XNo Basement Type: `Full `Crawl ❑Walkout ClOther Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 7q-�<_' Number of Baths: Full: existing Z new O Half: existing O new O Number of Bedrooms: existing 3 new O Total Room Count(not including baths): existing 6, new ® First Floor Room Count Heat Type and Fuel:AGas Cl Oil ❑ Electric ❑Other Central Air: ❑Yes °41\lo Fireplaces: Existing _� New O Existing wood/coal stove: ❑Yes No Detached garage�. 4xisting ❑new size Pool:❑existing ❑new size size .� Chars (1 pxictinrr n new s+�e Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes *o If yes,site plan review# Current Use ( Proposed Use KD vwoe_ Ow e r` BUILDER INFORMATION Name V 0 1A Pe NA\A P 1( Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 6eyA 44DATE �/ Z �� / • FOR OFFICIAL USE ONLY PERMIT NO. .��� I DATE ISSUED " MAP/PARCEL NO. �ADDRESS VILLAGE el�:, c OWNER y s`> DATE OF INSPECTION ,d FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ` FINAL FINAL BUILDING k °` 6 � DATE CLOSED OUT .. f ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department o Industrial Accidents ...=_ — P f _ office of/nsesti9at/0ns 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Afridavit / name: location: '—'^ hone# 7 ci I am a homeowner performing all work myself. ❑ I am a sole, r glor and have no one workin m anv capacity er e P rovidin workers' co nsation for my employees working on this job. :: :: : :: : I am an em to g mP an :name `mareX. `"iYOtie' �'`i''''>G2}s`i 3t'':? 'z3 <i?3 %? �' '``_'y `?>' %2 Cl :' Q Oil Cyr:#i iXi: nsiiian ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the f:o:nlla`ow` emg workers' compensation co Pens.a..it.ion;i io..:.:l.:ic%...:`e.:..':s.`.<.:.:. X. :. :::: ::: .......: . ........... ::::::.: :: . :::`'>` :.:....»: J LEM: !:? : .....:..:..::... ;::::..: ; : . addle " rie ....................................::..... :s: Lcv 1n�ni-an :nam ddi es .... :.::::.::::.:::.:::. :.. ..:...:...:....::...........::......::..:,:....:::............... . :.;::;•. ::::.;..::..:.::. ....::::::::::.: ::::; ::........ . ............. :.;;s:•; ................ Ulfeu Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one yea'imprisonment as well e,civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this-statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and enalties of perj that the information provided above is true d coned Date — Sigziature : Print name Oki 8 PE IY N G L � Phone#' official use only do not write in this area to be completed by city or town official permit/license# ❑Building Department city or town • � 0I1censing Board � QSelectmen's Office ❑check if immediate response Ls required ❑Health Department contact person: phone#; ❑Other (revised 9195 PIA) i- Information and Instructions f Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. ` An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the�grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. j MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peimit/lkcnse number which will be used as a reference number. The affidavits may be return d io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number:The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lavesugadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable 9 g Regulatory Services i6 59. � Thomas F. Geiler, Director QED MA'S Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing.owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: 7,5—BA e'� t Owner's Name: �d /'► Q P jC-1y N EL L Date of Application: f Z b I hereby certifythat: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 �Btulding not owner-occupied ner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOMEARBITRATION PROGRA IMPROVEMENT GUARANTY FUND UNDER M HAVE 142A. ACCESS TO THE . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. O . Date Owner's Name q:fonns:Affidav II r t�►artsresM 9� HAS& ��� Regulatory Services '°rED 59. to Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEDiPTION Please Print DATE: l( O JOB LOCATION: -76— Z Ay R_ w 7—U' 17 number A� street Y� village ..HOMEOWNER": � HIY PE-NN6LL_ name home phone# g� CURRENT MAILING ADDRESS: r a Box 9 6 /` Co Tv f T— A4A- city/town state rip 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. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work verformed 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. Si tore of Homeowner Approval of Building Official 1 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 HuPII014 TI6 1W, 16". 12 G2o rrIT A UT WA t llI,Ky' �c12 (o Aft AFt' - - — - - VIOT H" To FAIN UP- rIQ6 WI-0-0 TV 1;X� G71zUl�. t'lu� 11" "FIT U.{ , rlgt I-JF4 F.,,NF1 '�p X/�i© Ilo�'col✓• I—� 6XT, 6A-91t-VT TYp• QCW I04-A4I.ATIr7P P- D TT ' H 4 � SII it — t 6w (1411 Q, - HATM 6)roT. AP1' U F-- I I P5PqT I Wz�2W UATIf�N -dl Ate �' - �u��'' c��� w I�"n,�• TAP ® 211)(al Lf; I::,()LlwTo - R,v,HFP►V MuPT TO f% 'f`r PhPHA-T Wx+ i nW rq," fa)F hi*Al�JILI�f k aw Z N %17i" Fpffff.,c, ® iV v..L•Ilf. PoT or --- aim— 54P . 1� f T", M-� TT?. -— - k . i L. O r` L 1 CrI AZIU6:T I'-�j1 AFF kQ, uf.W.gA WIN vWC' �. 1 -' f IrI r Tfew Q�', 1--)r 8Ow ► rb 13 06, � I a o TTigC A�aeo' 69 • d 1t t 7�j �vfiCA+vd a �9ie ,7iV./�j•.t � [eT�9's I • o 209,671 0 Zoo,oo • _ CERTIFIED PLOT PLAN LOCATION SCALE . X` Lo�.... DATE 'OYAV /Z /"-V- PLAN REFERENCE -0470V C �075 �43. i` No. 26100 •�iTi . . . �. ,�(/KGLq.770n/S q t� 1 CERTIFY THAT.THE ?"! f CfSiiQ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND k L AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REOUIREMENTS OF THE TOWN OF •,�Si►iryJ��q, GE WHEN CONSTRUCTED. DATE/ ToWA/ B. ¢� L/WzoLi'c/E B• FiVNtZG - g �T REGISTERED LAND SURV�R i Engineering Dept. (3rd floor) Map 4a 7 Parcel Permit# House# "7�Sf �G ��Z Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) S_S 3 Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 7171f Nnlar, � g) ���0 ���i� 114E 1p;_ e 19 � e��'�A A � � • TOWN OF;�BARNSTABLE � ��'� ® { ��, Building Permit Applicationa�®�°� J� Proje Address 7,5- 13A y 9 0 AM �® Village CO 'T U / 7- Owner 7Of/"/ J3.. PEl` NELL Address 7s ,SAX.. /Z04-p , CCTV, - Telephone 6-D Ir— 'f 20 -Z 7 Z$" Permit Request +0 b ct,i/q 4 S 4,P—gr et, 7� 2 c e-W '7y rreA r" o Ac 2-91 S�7 h� rct 9 lyO w g-AL r^ Ale e.f,e n -c c First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size 6 ,4 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) i ❑None Shed(size) X �a ~ ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name a 69-14-e-< Telephone Number Address License# 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 VSIGNATUREP DATE f 2 - 41,Z BUILD G PE ITfDEN1ECWiF19#WTHOLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. tt ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 2 FRAME INSULATION FIREPLACE ELECTRICAL: .,ROUGH _FINAL PLUMBING: ROUGH FINAL 'K� GAS: ,fi y�A-QUGH: 'FINAL FINAL BUILDING r '�.,- • DATE CLOSED OUT ASSOCIATION PLAN NO. 'J 12 FRAMING SECTION 3.5 ALL DIMENSION LUMBER SHALL BE KD'SPF NO. 2 OR BETTER �I ASPHALT/FG SHINGLE II 1 1 PLY. FELT II ESTING GARAGE I II �I 2 X 6 RAFTER @ 16"O.C. I II II CEDAPRLSHINGLES, II �I 2X4@16" O.C. I II PROPOSED SHED FOR II J.B. & C.B. PENNELL II 75 BAY ROAD II COTUIT, MA. 7/2/1997 II I II II 3/4" PLY I II II 2 X 8 P.T. r - --- -- --- - - --- I I I I 2 X 8 FLOOR JOIST @ 12" O.C. I I I I EXISTING GRADE 1/2" DIA. ANCHOR BOLT EXISTING FOUNDATION I I 91011 8" DIA. CONCRETE. i POST 4' O.C. I I ( 5 PLACES ) ' I I _ SCALE 24:1 olt�0 R, u k9�' i N 2 ,v �PtAsvG c C9 %90 Ff.t� � o a , W or[•o+va c � z09,G7 . o h 200,oo Rico0seo/ S�ec� �9)c S') CERTIFIED PLOT PLAN LOCATION SCALE .... DATE PLAN REFERENCE .4q 7 . G EL SELL£' . . .. .. . . . . . . i rio. 26100 /S/!n/C- /pf/,vGL9T/ONS I CERTIFY THAT THE .. F ,�fC�$1LQi� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND L Lp�O' AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF �'��lvsTi�{3G�`-. •... . . , .WHEN CONSTRUCTED. DATE Ty,✓ B. L/�roLi.c/E B, �EN^���- — ��7 REGISTERED LAND SURVEYOR t ' TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE 7 / 3 /9 7 JOB. LOCATION 7s B A Y R ©A D C 0 T U l Number Street address Section of town "HOMEOWNER" J-0HN S, PENNE L L Name Home phone Work phone . PRESENT MAILING ADDRESS B o < 9`0 City town State Zip cod The current exemption for "homeowners" was extended to include owner-occur dwellings of six units or less and to allow such homeowners to engage an i dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (s)• who owns a parcel of land on which he/she resides or intends to _ side, on which there is , or is intended to be, a one or two family dwellin( attached or detached structures accessory to such use and/or farm structur: A person who constructs more than one home in a two-year period shall not I considered a homeowner. Such "homeowner" shall submit to the Building Off: on a form acceptable to the Building Official, that he/she shall be resDon: for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes , responsibility for compliance with the Building Code and other applicable codes, by-laws , rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremen and that he/she will comply with said rocedures and requirements. HOMEOWNER'S SIGNATURE _ 4fw" APPROVAL OF BUILDING OFF CIAL Note: .Three family dwellings 35 , 000 cubic feet, or larger, will be require.. to comply with State Building Code Section 127. 01 Construction Control. I °Erne r� The Town of Barnstable • ■JURMeatie. • MAM �0� Department of Health Safety and Environmental Services �F1659. 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. o� Type of Work: Est.Cost Z 000 Address of Work: 76- 73 A/ R O A D � C O 7-U / 7— Owner's Name Tb H M 13 PC—N N E L-L Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name l Thit., Contmoniveafth of.4fassachuscin 7 f Indit-wrialAccidents L! Departni a Affice of/MeSM171/affs 600 11aAhigtott Street Btimutt. Ma.u. 02111 Workers' Compensation Insurance Affidavit name: 7-0 H 8 j3 PEN N ELL location: 7,57 i43AY ROAD 07 U / 7 C _ — SD `- f2 -ZMr Cit". phone 191 am a homeowner performing all work myself. F1 I am a sole proprietor and have no one working in any capacity 0 1 am an employer iro711W�_V_o_rk_ers 'compensation for my employees working on this job. C01111mriv n:tmv* nddres5- tits: nhnne insurance co. I I am a sole proprietor. general contractor, or homeowner(circle oite) and have hired the contractors listed below who have the following workers' compensation polices: cnmv:in% name- iddre-oz: citv: 12hone 0, in-mr-ince rn. 1201irY il =7 .. ..... ... c,nnininy nnin(-: adtlresr Cirv: nhnne insurnnre co. noliev 0 Attach additi 'n2ishcetifnecessary 77- 7777 Failure to,secure covcratmas required under Section 25A of I%IGL 152 can JC2d to the imposition of criminal penalties 01'2 fine Up IOSI.500.00 2ndiur une.ycirs* imprisonment:is well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that I Copy of thismateivictit may be forivarticd to the Omcc of investigations of the DIA for coverage verification. I do herch.i•cc • t•fur er the ij;od perraltJcs nj erjun•that the information provided above is true and correct. "nature -7/3/97 Date _TQHH S , PENNELL Print name Phone# 08- 9"2_0 21 7 2-2o' 0fricial use unl%- do not write in this area to be completed by city or town official citv or tnwn: permit/license# rIBuildin".Department C3Liccnsing Board tt M check- if immediate response is required C3scicctmen's Office C3111cailb Department contact person: phone#: —Other information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for ti employees. As quoted loom the "la.•' an c•»tplt ree is defined as every person in the service of another under any contract of hire. express or implied. oral or written. An emploter is defined as an individual. partnership. association. corporation or other legal entity. or anv two or in the foregoing engaged in a.joint enterprise. and including the le-al representatives of a deceased employer. or the receiver or.tntstee of an individual . partnership. association or other legal entity, employing employees. However owner of a divelli ic, house having not more than three apartments and who resides therein. or the occupant of the dwelling house of another\%-ho employs persons to do maintenance , construction or repair work on such dwelling 1' or oft the _rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio\ MGL chapter 152 section 25 also states that every state or local licensing agency sliall vvithliold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for am• applicant who has not produced acceptable evidence of compliance Nvith the in 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 been presented to the contracting authority. Applicants Please fill in tite workers' compensation affidavit completely, by•checking the box that applies to your situation anc 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 requir! to obtain a \workers' compensation policy, please call the Department at the number listed below. . City or rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. Tlie Office of Investi=ations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to aive us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations 600 NN'ashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone : (617) 727-4900 ext. 406, 409 or 375 ,Assessor's Office Ost floor Ma Lot Permit# 3 7 G C 2 Conservation Office Oth floor 3" a7— �RJ ^ ' A Date Issued Board o'f Health 3rd floor �� AA o5OcA Ck(.)4A Engineering Dept. Ord floor House# °R � Planning Dept. (1st floor/School Admin.Bldg.): /��}�— iHAMWASMi MAW .. Definitive Plan Approved by Planning Board /VI 141A 19 & 7 n� i61a��� 10 �^ rev t I� y A ° (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) +eg SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE TOWN O ABL6 W"TITLE 5 VIRONMENTAL CODE AN® Building Permit Application TOWN REGULATIOW Project Street Address Village ,--,zj41� /Y/� Fire District Owner /o ���f/��i��, Address Telephoned Permit Re guest: a. - -- 2 a 'i Zoning District Flood Plain Water Protection Lot Size 64 L a Grandfathered Zoning Board of Appeals Au on Lion Recorded Current Use Proposed Use Construction Type / Eaistine Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished . Old King's Highwav Unfinished �/ Number of Baths Gg� No.of Bedrooms // GZ12 Total Room Count(not including �e�' �ncluding baths) �-- � % First Floor t Heat Type and Fuel��7`" � L6"Zz ) Central Air Fireplaces / Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name f� Telephone number W, c, Address License# ®a � 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. I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost 129,, . Fee SIGNATURE DATE Z� BUILD ERMIT DE2;DOR THE FOLLOWING REASON(S) J�� �� d2Yi�j �� • BPEtt]vtT 3 8 �Slo FOR OFFICE USE ONLY 4/5/95 3�b6'2'" 007.027 eADDRESS 75 Bay Road VILLAGECotuit Jack Pennell OWNER DATE OF INSPECTION: FOUNDATION �S�GZ LS 9 FRANE � i INSULATION ' FIREPLACE J ELECTRICAL: ROUGH FINAL y , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. aw `J7a .f- • N U N W a u � ol IZ 0 00 II - J O � M X Q 'L j iy N � X N f• • X' N p. Y � o Q n W j . W X N ' M V • 2 X � X �N to .6 lI AZAz b2%2 \ IU (� N \ •'J Q J C 2 5 •• M 'v V Q v w M.1 .2A 0 9 (/) kl co J 2 10, � NnV V 2 N 2 � y m O N V 1 b?6� �ItS .barb .f O 7a Iq b��S W 9 Q Q a m \ OO J .b/E 9.9 N N n N Q ,b/161.E .. N O N .0 51 ` M jo y t O p titn _ II N � N ? OC/ � N V 2 J � 3 N m 7 N •� .b.bl b/6 122 O.bE 37d�)5 NO/ -LVA37-7 3 'S NOI-LVA97.9 N .0 21 .0 St I I I I I I I I I I I I I I I Z I I b O I n I I m I . I v I I C � I I I I m b II II • � I I I I N, Gi I I o I I I I u` y I I r I I r N x V% I l a b 00 On I I I I I I rn y I � I I �! I I I I I a � xi I r1m L J L L J b O I -Iv3tdu .9 m r• � I I �� � �� I I � 1 b • I m o = I m N 5.L .02 Z.5 .0 L 52 � \ 0.b£ N Z'+ 't 2ooF WINDOW 2' 5 3/4' a 9 1/2' i9 m i UP N � � N h N m iv 2' 0 1/4' c ` d 'V 3' 1 3/4' 7 2 1/4' iv co b10 � ti m m N B. R •. m � m N �. � N H � N O 2' 10 1/4" 7 2 1/4' 22' 0" SECOND FL OOP PL A N -3 CB Pe NHEL L 31zo l9s r 2 W Qq %A M v � � a Z own Q U4 � V E11:1. o w LU 1-3 o "') J v, 0. EIEI ❑❑ ❑❑ V LLJ EIFI� FIF-] t Fa`t:(r6 to poRF�+a a current COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY : 9 ��;..ggohuatttr StattB+rt{o%fio OF ONE ASHBORTON PLACE :a�Q®liroatatforrtr000doo MASSACHUSETTS BOSTON,MA 02108 0l tA/t liotstt. LICENSE CAUTION CONSTR. SUPERVISOR\ \`\ EXPIRATION DATE FCQR PROTECTION AGAINST Qo/1 pp 1 EFFECTIVE DATE LIC-NO. T EFi, PUT RIGHT THUMB RESTRICTION�995 •,I'i•�� 06l30/1993 028354 PRINT IN APPROPRIATE 1 NONE 4 JOHN J BURKE € 3687 FALMOUTH IRO AS�W (1264 g BLGOPELOR -20-7933 MARSTONS MILLS MA m D SS 9 013 m PHOTO(BLASTING OPR ONLY) F Er:,nn r� J U N 1 6 1933 i -- 0 lr U NSTAM STOT VALID AMPED OR SNTIL I SIGNATURE OF THE COMMISSIONER Y HEIGHT: DOB: D.P.S. 10/19/19 2 6 L. i• .« SIGN NAME IN FULL ABOVE SIGNATURE LINE . THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE �:';'':1;�.;•� CARRIED ON THE PERSON OFF r THE HOLDER WHEN EN' MISSIONER • OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATI 1. Imo_ _ -___ _ -. � - • � - 111 02-94 17:02 $617 7 277122 DEPT IND ACCID Q�001. T•� �; 1�oMIM1012-Weafili. o 'l�ajjaclzu6ettJ k� 1.O �,� �aPartntenE o�.�,>.dCtltria6.�icciden� .- N600 UVaeky&.Sh,E f James J.Campbell &ton, ///aaac"M 02f f f Commissioner Workers' Compensation insurance Affidavit - with a principal place of business at: eeurisrseerua) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy ?dumber. () I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor general contra �ollowing or homeowner (circle one) and have hired the contractors listed below ve t�e worker,' co en don policies: c�r Co ractor lia4ince Company/Policy Plumber 'Contractor Insurance Company/Policy Humber ont a r Insurance Company/Policy Number () I am a homeowner performing all the work myself. ? cnderst�rc :=,_t copy of C:is s_tement will be fo-v:arded tc d.e Once cf InvestiFdons of cite D1A for coverage verifica.ion and that fzilure to secure cc,,t-;ge c rec;;:,-ed und-er Sec-on 25A of MGL 152 can sear to L.�c Imposition of criminal penalties eonsisdn¢of a fine of up to S 1,500.00 andlcr cr.= yeas' imrrLcc-^Ent as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me_ Signed this day of 194� I Licen ee/Pe 1 ee Building Department Licensing Board Selectmens Ofice Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BAUSTABLE BUILDING PERMIT # 6-0 �� ��• On N d � El 2 �l m m nT [ILI m Z 2 � -D �. r7l N (� O U� ItO X l6 5T-I4rl011-1AP— K/lNDow n ^'T N N Od � p 3 -p rb Z m 2 � ztt18 � , z�i8 Y,rq If . il 24 O I I I /o . FO oT-i PIG zItx2yxi6 P. .� (2 P.LCS) G0N7-/NU0US FO0T- G Z o '► W p LL .LL IL FauND �TI��I hLN _ OF ►, SCALE = l l�/ O/ZTH <S TREE %) S lDE fie" k,e1� ��f 9� J /� , V 1 ^ 1 -\ .. .� i [� O W J �� /� 1 - (��\ �/1 r) . O \\ U 'I 1 y vJ � R'1 z z m o Q C � m • r rb n, to n � m N � � • 0 � � U� 4N It 2 PLAC ES 2424 0 �c Z PLACES 101 N n1 D � N f Rl N 7 � f m w 2 c�24 Yl i 70 m � o d m . N X N D � n X N � W X . N II lGo 1 ytoll 5 ' TNK Flo0R I/I E W FRAM I NG ( EA ST) GARAGE 7-8 I CB PENNELL 3/2 9,5- f' T TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 007 027 GEOBASE ID 189 ADDRESS 75 BAY ROAD PHONE Cotuit ZIP 02635- i LOT 43 & 45 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 14222 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety i ARCHITECTS: and Environmental Services TOTAL FEES: THE BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY : BARN31'ABLE. MASS. OWNER PENNELL, JACK 039.ED MA'I ADDRESS 106 POOR FARM ROAD BUILDING D I��T HARVARD, MA BY DATE ISSUED - 04/02/1996 EXPIRATION DATE 'q. ) rir .. ..i�"� '-r i :'2".'r •`t.:�ji��•.}::i ::�3.ii���t�\�I••, r�„'r��;�,',.'��� .�.r`t'. ''1.,,i#�\.t11.,�� '�.�` TOWN OF BARNSTABLE, MASSACHUSETTS PE A-Ut I .u:i April 5 95 NQ " � DATE 19 PERMIT NO. APPLICANT John J. Burke ADDRESS 3687 Falmouth Rd. , Mars tons Mi is 028 —4 (NO.) (STREET) (CONTR'S LICENSE) t PERMIT TO Build dwelling ( 2 � STORY Single Id.mily residence NUMBER OF NG UNITS 1 � (TYPE OF IMPROVEMENT) 70. (PROPOSED USE) 15 Bay Road, Cotuit ZONING RF ,AT (LOCATION) DISTRICT— (NO.) (STREET) (' BETWEEN AND (CROSS STREET) (CROSS STREET) LOT r. SUBDIVISION LOT BLOCK SIZE I r BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) ' REMARKS: Sewage #95-553 AREA OR 3800 sq. ft. 120,000 PERMIT 342.00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Jack Pennell ADDRESS 106 POOL' Farm Road, Harvard, I A 01451 BYILD DE i I T 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 UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY.' POST THIS CARD SO IT IS VISIBLE FROM STREET B ILDINO INSPEC&N APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 OC/ �� 1 o 2 2 ' 2 3—a7"/t ' 3 1 FC HEATING INSP ION APPROVALS ENGINEERING DEPARTMENT ,'- 2 BOARD OF HEALTH OTHER, SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. Y.: P`p�fHE Tp�� The Town of Barnstable Ynr' p� BAR LE.MASS. e Department of Health Safety and Environmental Services 9 A55. f679• �0 MP Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: _T / k 1v/y e- e-- Map/Parcel: 60' 7 6"2-7 Project Address: 3 y/c 77� —Co 7'T�• /1�G L MXIte 7S rty Builder: Sri���y The following items were noted on reviewing: CGD,dg—;- G, �Tc Reviewed by: Date: t� 3 .:� BOiSE" BC CALC@ 2002 DESIGN REPORT - US Wednesday, March 12,2003 15:35 File Triple 1 3/4" x 11 7/8" VERSA-LAM@ 3100 SP Name - Grover_PenneII.BCC: RB02 Job Name - Pennell Description - Main roof header Address - 75 Bay road Specifier - jc City,State,Zip - Cotuit, Ma. Designer - Joe Creighton Customer - Steve McElheny Company - Shepley Wood Products Code reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc - Eng.Wood(508)862-6223 '__110 12 z 1 r Standard Load-25 PSF 1 15 PSF Tributary 11-00-00 AL BO B1 4054 Ibs LL 3627 Ibs LL 2665 Ibs DL 2352 Ibs DL Total Horizontal Length-17-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 17-06-00 25 PSF 15 PSF 11-00-00 115 Member Type: - Roof Beam 1 ceiling Unf.Area Load Left 00-00-00 17-00-00 20 PSF 10 PSF 04-00-00 100 Number of Spans - 1 2 RB01 Conc.Pt. Load Left 06-06-00 06-06-00 1509 Ibs 1142 Ibs n/a 115 Left Cantilever - No Right Cantilever - No Controls Summary Control Type Value %Allowable Duration Loadcase Span Location Slope 0/12 Moment 31558 ft-Ibs 86.0% @ 115% 3 1 -Internal Tributary 11-00-00 End Shear 6147 Ibs $98...5�0_/. @ 115% 3 1 -Left Repetitive n/a Total Deflection U182(1.149") 3 1 Construction Type n/a Live Deflection U303(0.692") 3 1 Max. Defl. 1.149"(Limit: 1.25")92.0% - 3 1 Live Load 25 PSF Span/Depth 17.7 1 Dead Load 15 PSF Part Load 0 PSF Duration 115 NOTES: Design meets Code minimum(U180)Total load deflection criteria. Disclosure Design meets Code minimum(U240)Live load deflection criteria. The completeness and accuracy of Design meets arbitrary(1.25")Maximum load deflection criteria. the input must be verified by anyone Minimum bearing length for BO is 1-1/2". who would rely on the output as Minimum bearing length for 61 is 1-1/2". evidence of suitability for a Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing particular application. The output Member Slope=0,consider drainage. above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. - - — - To obtain an Installation Guide or if you have any questions,please call Post-It''brand fax transmittal memo 7671 #of pages ► 3 (800)232-0788 before beginning To From product installation. t Co. Co. BC CALC®,BC FRAMER®, BCIO, O t Vim' BC RIM BOARD- BC OSB RIM Dept. Phone# BOARD-, BOISE GLULAM-, r- Ze - 53U3 VERSA-LAMS,VERSA-RIM®, Fax# .?' 3 Se(- 3 VERSA-RIM PLUS®, VERSA-STRAND-, VERSA-STUD®,ALLJOISTO and AJSTm are registered trademarks of Boise Cascade Corporation. Page 1 of 1 BOISE' BC CALCO 2002 DESIGN REPORT - US Wednesday,March 12,2003 14:51 File Double 1 3/4" x 11 1/4" VERSA-LAM(g)3100 SP Name - Grover_Pennell.BCC: RB01 Job Name - Pennell Description - Address - 75 Bay road Specifier - jc City,State,Zip - Cotuit, Ma Designer - Joe Creighton Customer - Steve McElheny Company . - Shepley Wood Products Code reports - ICBO 5512, BOCA 98-52,SBCCI 9852 Misc = Eng.Wood(508)86276223 Standard Load-25 PSF 1 15 PSF Tributary 07-06-00 41 ?max .,� •�S Ilk AS, BO 61 1509 Ibs LL 1509 Ibs LL 1142 Ibs DL 1142 Ibs DL Total Horizontal Length-11-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 11-06-00 25 PSF 15 PSF 07-06-00 115 Member Type: - Roof Beam 1 Ceiling Unf.Area Load Left 00-00-00 11-06-00 10 PSF 10 PSF 07-06-00 100 Number of Spans - 1 Left Cantilever - No Controls Summary Right Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location ' Moment 7622 ft-Ibs 34.5% @ 115% 3 1 -Internal Slope 0/12 End Shear 2219 Ibs 25.3% @ 115% 3 1 -Left Tributary 07-06-00 Total Deflection U631 (0.218") 28.5% 3 1 Repetitive n/a Live Deflection U1109(0.124") 21.6% 3 1 Construction Type n/a Max. Defl.- 0118"(Limit: 1") 21.8% 3 1 Span/Depth 12.3 1 Live Load 25 PSF Dead Load 15 PSF Part Load 0 PSF NOTES: Duration 115 Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Disclosure Design meets arbitrary(1')Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-1/2". the input must be verified by anyone Minimum bearing length for B1 is 1-1/2". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a Member Slope=0,consider drainage. particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC@;BC FRAMER@, BCI@, -BC`RIM BOARD- BC,OSB RIM BOARD- BOISE GLULAM-, VERSA-LAM@,VERSA-RIM@, _VERSA-RIM PLUS@, VERSA-STRAND-, VERSA-STUD@,ALLJOIST@ and AJSTm are registered trademarks of Boise Cascade Corporation. Page 1 of 1 BOISE' BC CALC@ 2002 DESIGN REPORT - US Wednesday,March 12,2003 15:28 File Triple 1 3/4" x 9 1/4" VERSA-LAM® 3100 SP Name - Grover Pennell.BCC:FB02 Job Name - Pennell Description - Floor beam Address - 75 Bay road Specifier - jc City,State,Zip - Cotuit,Ma. Designer - Joe Creighton Customer - Steve McElheny Company - Shepley Wood Products Code reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc - Eng.Wood(508)862-6223 1 Standard Load-25 PSF 11.5 PSF Tributary 05-00-00 Adk BO B1 719 Ibs LL 719 Ibs LL 970 Ibs DL 970 Ibs DL Total Horizontal Length-11-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur. S Standard Unf.Area Load Left 00-00-00 11-06-00 25 PSF 15 PSF 05-00-00 100 Member Type: - Floor Beam 1 exterior wall Unf.Lin.Load Left 00-00-00 11-06-00 0 PLF 80 PLF n/a 90 Number of Spans - 1 Left Cantilever - No Controls Summary Right Cantilever - No Control Type Value %Allowable Duration Loadcase Span Location Moment 4855 ft-Ibs 24.4% @ 100% 2 1 -internal Slope 0/12 End Shear 1462 Ibs 15.6% @ 100% 2 1 -Left Tributary 05-00-00 Total Deflection U826(0.167") 29.0% 2 1 Repetitive n/a Live Deflection U1942(0.071") 18.5% 2 1 Construction Type n/a Max. Defl. 0.167"(Limit: 1") 16.7% 2 1 Span/Depth 14.9 1 Live Load 25 PSF Dead Load 15 PSF Part Load 0 PSF NOTES: Duration 100 Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-1/2". the input must be verified by anyone Minimum bearing length for 131 is 1-1/2". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC®, BC FRAMER®, BCIS, BC RIM BOARD-, BC OSB RIM BOARD- BOISE GLULAM-, VERSA-LAMS,VERSA-RIM®, VERSA-RIM PLUSS, VERSA-STRANDTm, VERSA-STUDS,ALLJOISTS and AJSTm are registered trademarks of Boise Cascade Corporation. Page 1 of 1 / NCI _ A 41 - s TOP OF FOUNDATION ;. CONCRETE, COVER N° I • •' CONCRETE COVERS ;oCts �� ♦.� •� AS OR SCHEDULE 4lJAST IRON 2{ MAX. �� 12 MAX ' p 4,SCHEDULE 40 PVC.(ONLY) P.V.C. PIPE ' PITCH I/4"PER. PIPE - MIN. LEACH PITCH 1/4"PER.FT PIT PRECAST NVERT LEACHING J S INVERT o . + PIT OR �oCE /11►t j �•e EL.... r. . l. #NVER P�M& ? SEPTIC TANK DIET. +� ��� EQUIV. . ' EL.. . _ BOX EL,��.L >z INVERT 7 ''� /S�' . .. GAL. INV RT J 3.6►=a 0 WASHED e, EL.37+/8.• INVER �W i?: :�: 3/4"TOIV EL.. .g'� EL...,..... w .;.. STONE e QcL.3Z:90 o r /L r J. M l� SCi4GG ✓ Z000 /a� DIA �v./1'�CL► PROR LE OF GROUND WATER TABLE ss�sso.� �' \� • /�/4/ Z J _ � � 9 SEWAGE DISPOSAL SYSTEM `/" �' Loy y K, �- /, 4r NO SCALE rV Yam+ , WITNESSED BY . � SOIL , LOG . C v 1/ p2�73 DATE f7A . /Z /y8L TIME. . ... . . . . . . 7i� �-1A,S /t'1CICE� !t!� BOARD OF HEALTH T HOLE I TEST HOLE 2 �j( iyrJ�1C�/z ?7 ENGINEER TES 0 -» -- A_ J r r v .3 3Zo GT o .f ELEV. 4r ``-- - " N so -so,#L DESIGN DATA . I �s � 3 �Z. .`7� I NUMBER OF BEDROOMS . :. . . . . . . . . . . . . ' /f � �\ TOTAL ESTIMATED FLOW s, . 33'0. . . GALLONS/DAY .o ` .D BOTTOM LEACHING AREA . . . SQ.FT. /.PIT � 274.9 ,� � � A�I7 SA�V� SIDE "LEACHING AREA . . . i ,q l. SO.FT./ PIT GARBAGE DISPOSAL :/VO �2 p� '�/. . .(50% AREA INCREASE) 9, !' ` � � .`: / �/ TOTAL LEACHING AREA x . SQ.FT o N 'U v j ! 1', r r M p z �L-55 Tbva J � PERCOLATION RATE �� . .MIN/INCH " � , � 1' � �' ! T Z8.�c+ /'DI¢• �Z. 9/a LEACHING AREA PER PERCOLATION RATE+'�rSa.FT. ,pp v 11Z s ,tC L,q�,r No .WATER ENCOUNTERED } fz Lo ! i Ott ___ �-v NUMBER OF LEACHING PITS AN � ,``""",.�. ' �i ' ---- s���•,. ,�!o. ,F'�7"Cf:ST4.��` t3�/ F?�.•G. S'/�,�;'>� �y , N _ �} ,• �: �+.�"+�+�., ����c , � t 1P APPROVED . . . . . . BOARD OF HEALTH a .." h `/ / . i % t i • _ DATE . . . . . . . . AGENT OR INSPECTOR. Al nFjU fill { � .. . + � ---"•. �"i ,..� '' f,c,. '\N ASS` 6° , , 1 ___ •s�rR:e , :,>►L ID STETSON E5 r i i { I ' 7p i`:, �(yr 1 cS KE .L,�it', cn i R. Z 'a 26100, ,A - r ` - .i'•` ' � C' ' -,. T � Lli `'1' P� - /'� P TITIO R r" . E NE 2 G + O z _ p I/1l t : , 1 / P41 fop I - p ,, w _ z �. S �r �tz , 0 .. 1 C` I Al 4. 1. r ' NC3 c b ate, P!z s �. F _ 1�a 416 _ _ r - B , i r - 1 y 457 40 : 20 s l 7. . _ . �_ / U A— d. w 3 +!'yr3 l , z 1 ,�',�,,�,.� ,5 a� E,'✓/c! G.L. �. / l o �1 , . .S + G" I 1 . iolI N GG Z 71 p $RNK u� s I1149 72� /. ' /