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Home My WebLink About0029 BUCKINGHAM WAY ha rrn �a t ri �I 1 0r RARNSTABLE (}YV'(Sin�'� x i !� AVt iRjFy tA? Av)re g Ic 6'1 1 UF- I -< UP bAkl L� �'' C ILO - 3 ST CTURU►{AL 6 Vc Z`1 13v�K� ��ciw� Wig L'a-WIT IAA mo. 0z(a�� j W e S -VOL -1 n1 1b � 1 T , new �-►ti�� sta�.A vas Acura_ 3C A nn V "'L- "To A u.OvJ jj.k�D�1Li10..1or- CCW"A►4 %M' L�`J, 2.4 PLYWOOD BACKING PANELS (By A. Telephone and Electrical Equipment Plugged, fire-retardant treated,not less 2.5 FASTENERS A. Fasteners:- Size and type indicated. NN ground contact, or in area of high rel stainless steel. 1. Power-Driven Fasteners: CABO PART 3 -EXECUTION 3.1 INSTALLATION A. Set miscellaneous rough carpentry to true to line, cut, and fitted. Locate n with requirements for attaching other c B. Securely attach miscellaneous rough ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .a Map Parcel Application # Health Division Date Issued Ll Z-(L Conservation Division Application Fee " Planning Dept. `• Permit Fee O Z� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 2�i ��tl n K��i� GvA- Village C�� iT Owner L�S H A V W Address Zy T3 V(_ k.t&R- H-&,V% elephone 9 - Y0`I-Y d-'�> Permit Request kMdpla _ tU?.it�ti.J o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑\Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing 4 '-newo -L= Number of Bedrooms: existing _new r; Total Room Count (not including baths): existing new First Flooa DOM Coqnt cs� Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other n Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal stove: %Yes ❑ No _..., r— Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing-DO new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded 0 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ',1,� �'r AV C,/ Telephone Number �� ' 40y'4 yQ 3 Addr1ess Z 0 c.Lcw+„(+A Iry License # wl T M /k ou 37 Home Improvement Contractor# S� Emaill W L15-AHAVCOCA Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i12 ��,lo.nJ �1 SIGNATURE\, A DATE i r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED" Y, MAP"%PARCEL N0: r;3 ADDRESS VILLAGE OWNER y P a DATE OF INSPECTION: l FOUNDATION r: FRAME L7`^�/ -7 t INSULATION '<< FIREPLACE 4, FINAL ELECTRICAL: ROUGH f� . z, PLUMBING: ROUGH FINAL ,f GAS: ROUGH- FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I . 27re Comrn'oxutealth of-Uassachusefts Deparhnent of lrutustrial Accidents Office of Inves4atians 600 Was&,zglon,Street Boston,MA 02111 wnm.rnass:go,Adia Workers' Compensation Insarance Affidavit:Biiitders/Contractors/FAectricians/Numbers Applicant Infarmation Please Print Legibly Name( Organizafiondndividual): LIS$�{��I�i Acldr UL�,'t/Q 4^416n•• WA-*1 Kity/State/Zip: 01 3� Phone 4- `�-;�i-`f0 'qt1 y ?Are you an employer?Check the appropriate box: , of T3'� pi' 9 �(r-project �uire d)- 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6- ❑New construction employees(full and/or part-ime)* havehiretl the sub contractors 2_❑ I am a sole proprietor of partner- listed on the attached sheet ?_ 'I RemodEltug ship and have no employees These sub-contractors have g_ ❑Demolition w for me in an capacity- employees and have workers' odtng y _ l 9. ❑Building addition �o workers.' comp.insurance Comp-tnsurant� 5..❑ We area corporation and its 10_.❑Electrical repairs or additions 3f 1 am a homeowner doing all work officers have exercised their I1_❑Plumbing repairs or additions myself. [No workers'comp_ right of exemption.per MGL 12.❑Roof repairs insurance required-]F c-152,§1(4),and we lunm no employees-[No workers' 13_❑Other comp-insurance required]; "Amy apptiaiat dut chedes boa t1 nmst also fill out the section beiaw showing their wodters'compensation policy infmrmatiot- 1 Homeowners who submit this aifid svn indutiug they ace doing all wail[sad then hag outride contractors nmst'submit a new affidavit md'irsting such fContncrocs thst check this box mot attached an additional sheet showing the name of d3a soli-tamftxMa and state whether acnot these eaddes have employees_ If the sub-conttactats have employees,they must provide their workers'comp.policy number. I am an employer that is protRding ttoorkers'compensation insurance far nth'employees. Belau is Ste policy and,job site informatrll'n_ Insurance Company Name: Policy ff or Self-ins-Lit-0: ExpisationDate: Job Site Address: CityMatelZip: Attach.a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as mguired under Section 25A of MGL c_ 152 can lead to the imposition of-t•riminal penalties of a fine up to S1,50U.Oa and/or one-yeariagxi'sosment,as well as civil penalties m the form of a STOP WORK~ORDER and a fine of up to$250.00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the;DIA far insurance coverage serif cation_ I do hereby�cerhfy a the pains and penalties ofpedury that the information prmided abiwe is true and correct Sites Date: /Vjzo I y Phone i#: q?I- v -Lj 0 r3�Cial use only. Do not write in this area,to be completed by city or town officiaL City or Town:. PermitlUcense AE T suing Authority(circle one).: 1.Board of Health 2.Building Department 3.Cityff-own Cleric 4.Electrical Inspector 5,Plumbing.Inspector 6.Other Conbfct Person: Phone ff: - 6 Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also stories that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for ally applicant who has not produced acceptable evidence of compliance with the insurance.coverage required.- Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificatc-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ De advised that this affidavit 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 Depart nent of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' i compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (1 e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Com:manweaith of Massachusetts Department of Industdal Accidents Office of kvestigations 6-00 wat inatan Street Boston,MA 02111 Tel. A 617-727-4900 w 406 or 1-977-MASSAFB Revised 4-24-07 Fax# 617-727-7 749 VI .mass,govldia Town of Barnstable Regulatory Services �pF me TptyL Richard V.Scali,Director ' ° Building Division ♦ 4 xxsTns t Tom Perry,Building Commissioner mass 1639. �� 200 Main Street, Hyannis,MA 02601 QED MAt A www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 l� i'. HOMEOWNER LICENSE EXEMPTION / ' 1 Please Print DATE: L a 2e(2 1"1 JOB LOCATION: 2-9 1�lam)[ rg&PAAAA4 IIJ^-1 4 j number street village ZCURRENT %fi"u e1�-� 1Zl -Hd4-040�i S1 L &Vnamehome phone# work phone MA LING ADDRESS: Zc U(, Ll 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 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` omeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures d quirementS,and that he/she will comply with said procedures and requirements. ii Signatur o o eowner f { II ��pproval of Building Official ,f 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:\WPFII.ES\FORMS\building permit forms\EXPRF-SS.doc Revised 061313 � ETti Town of Barnstable ` Regulatory Services MARyMASS.` 'Eg Richard V.Scali,Director $A 1639. �0 r6 3.a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Pool fences and alarms.are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name I Date Q:FORMS:O V rN'ERP ERMISS IONPOOLS "i 29 Buckingham Way Ground Floor Plan eMo"IAK RAEMSTAM Cotuit, MA 1. Combine kitchen and dining room into 1.i Remve axis '' g� 11(Ajlreplacing with new beam i Owner:Lisa Haven one open space. `� [(3j`1-3/4s x -114"1.9E'L.V.I.j per attached t structural-engineer report. Pic 1— 2. Install insulation and skylight above un- finished crawl space over current dining 2. Remove existing,wall lBj;add 4"pillars/posts per room.(Line of existing roofline overhang DIMi"Nstructural-engineer report. t to remain.) 3. Open dining room ceiling up into existing crawl 3. Rearrange appliances/sink;add island. space. } q. Po<nn��ZY' SvMPt7L+a�5t37�5 oFatys - 4. Remove and reuse any trim where possible. F'ofs,18� aJpP-0uT(2`I"�OF 564+�u3of i�A+.L C.. r Line of existing roofline 22' overhang to remain the 12' ! same — ---------------------------------------- ifdining room Living room Peak of adjacent garage q 12' garage roof line — — —•—•—•—•— — — —•— —•— •— — — •....�.e..............N..... ...... -_ .�..i......r- •.�.• 1 Bedroom, Peak of salt-box roof line \ 'J I & 16' S baths -kitchen --UP Foyer ------------------------------ 4' ---- -j uP a -------------------------------- ------------------- -------------- Tront of House (North exposure) i nfinished crawl space ' Unfinished crawl space ---------- _ 29 Buckingham Way i Closet Cotuit,MA g f ! Bedroom c Owner:Lisa Haven Unfinished space C i ! ! J overgarage ! 2nd Floor ! ! Bedroom B i . � __ • loset closet ! i ; i bathroom .-.-.-----.-.-.-.-._.-.-.- .................. u u i f 1 Basement i S j Furnace area li t i S East Elevation —up_ "r J _31 C g C1136,Type 1. fiberglass-reinforced scrim with kraft-paper C 1136,Type H. ie matching factory-applied jacket with acrylic 36. ape matching factory-applied Jacket with acrylic 36. d Midwest Insulation Contractors Association's sulation Standards" for insulation installation on 1 and Partition Penetrations (That Are Not Fire through walls and partitions. ition: 15082 -61 J MEMBER REPORT Level 2,28 F �� F O R T E 3 iece(s) 1 3/4" x 9 1/4" 2.0E Microllamp LVL Overall Length: 12' 0 0 _ h 12' tl All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual @ Location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 4682 @ 2" 5020(2.25") Passed(93%) -- 1.0 D+0.75 L+0.75 S(All Spans) Member Type:Flush Beam Shear(Ibs) 3921 @ 1'3/4" 10611 Passed(37%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Use:Residential Moment(Ft-Ibs) 13512 @ 6' 19327 Passed(70%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Code:IBC Live Load Defl.(in) 0.303 @ 6' 0.292 Fail (L/461) -- 1.0 D+0.75 L+0.75 S(All Spans) Design Methodology:Aso Total Load Defl.(in) 0.510 @ 5' 0.583 Pass 4) 1.0 D+0.75 L+0.75 S All Spans) Deflection criteria:U.(L/480)and TL(L/240). ` � 3 D� Bracing(Lu):All compression edges(bop and bottom)must be braced at 11'9 1/2"o/c unless detail otherwise.Proper attachment and sibOning of lateral bracing is required to achieve member stability. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Floor or Snow Total Accessories ve 1-Stud wall-SPF 3.50" 2.25" 2.10" 1929 1680 2100 5709 1 1/4"Rim Board 2-Stud wall-SPF 3.50" 2.25" 2.10" 1929 1680 2100 5709 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. Tributary Dead Floor Live Snow Loads Location Width (0.90) (1.00) (1.15) Comments 1-Uniform(PSF) 0 to 12' 7' 10.0 30.0 SLEEPING 2-Uniform(PSF) 0 to 12' 7' 10.0 10.0 LIM.ATTIC 3-Uniform(PSF) 0 to 12' 14' 12.0 - 25.0 Member Notes WITH ROOF LOAD Weyerhaeuser Notes l`SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. l Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by SITE/OWNER �oF MAS4 G 23 M,ONELE s�� GU01�RpL n TF T� o S No g41��o A REG 1 S, 9GFFas t410- � Forte Software Operator Job Notes 8/26/2014 9:27:27 AM Michele Cudilo 29 BUCKINGHAM WAY Forte v4.6,Design Engine:V6.1.1.5 Michele Cudilo,P.,E, BARNSTABLE,MA 2014-156haven.4te (508)771-7601 mcudilo@comcast.net Page 1 Of,1 OF M4R ? MICHELE CUDILO a o STNokjRQ L N c. 3477 +� SSIONAL F 61h I F I ( UP,'- UP z� ��(Oq*H NY ��(I ' MEMBER REPORT Level 2,Floor:Flush Beam PASSED �1 R T E 2 piece(s) 1 3/4rr x 9 1/4 2.0E Microllamp LVL Overall Length: 12'7" (AGO L11 4 ��,,,,5 rlr✓ + + 0 0 .I u 12' 0 � All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal. Design Results Actual @ location Allowed Result LDF Load:Combination(Pattern) System:Floor Member Reaction(Ibs) 1874 @ 2" 3347(2.25") Passed(56%) -- 1.0 D+1.0 L(All Spans) Member Type:Flush Beam Shear(Ibs) 1584 @ 1'3/4" 6151 Passed(26%) 1.00 1.0 D+1.0 L(All Spans) Building Use:Residential Moment(Ft-Ibs) 5683 @ 6'3 1/2" 11204 Passed(51%) 1.00 1.0 D+1.0 L(All Spans) Building Code:IBC Live Load Defl.(in) 0.244 @ 6'3 1/2" 0.306 Passed(L/601) 1.0 D+1.0 L(All Spans) Design Methodology:Aso Total Load Dell.(in) 0.353 @ 6'3 1/2" 0.613 Passed(L/417) 1.0 D+1.0 L(All Spans) Deflection criteria:U.(L/480)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 12'4 1/2"o/c unless detailed otherwise.Proper attachment and positioning of lateral bracing is required to achieve member stability. Bearing Length Loads to Supports(Ibs) Supports Total Available Required Dead Doorve Total Accessories 1-Stud wall-SPF 3.50" 2.25" 1.50" 584 1321' 1905 1 1/4"Rim Board 2-Stud wall-SPF 3.50" 2.25" 1.50" 584 1321 1905 1 1/4"Rim Board •Rim Board is assumed to carry all loads applied directly above it,bypassing the member being designed. Tributary Dead Floor Live Loads Location Width (o.go) (1.00) Comments 1-Uniform(PSF) 0 to 12'7" 7' 12.0 30.0 SLEEPING 2-Uniform(PSF) 0 7' 10.0 10.0 Lim.ATTIC Weyerhaeuser Notes 1 SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by SrrE/OWNER -�H OF M4 O o� MICHELE tiad, CUDILO a STRUCTURAL y No 34774 .o 9p�,FGISTEP ��. FSS/ONAL�G 4 Forte Software Operator Job Notes 8/25/2014 3:36:04 PM Michele Cudilo ' 29 BUCKINGHAM WAY Forte v4.6,Design Engine:V6.1.1.5 Michele Cudilo,P.,E. BARNSTABLE,MA 2014-156haven.4te (508)771-7601 mcudilo@comcast.net Page 1 Of 1 i TOWN 0F`BARNSTABLE R I S E 1��l3 ?SAY 10 AM I! 6 S Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910. DIVISIOjV May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 29 Buckingham Way has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422.5365 •Fax401-784-3710 105978 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division Date Issued 1 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan.Approved by Planning Board Historic .- OKH Preservation / Hyannis Project Street Address 29 Buckingham way Village Cotuit Owner_ Daniel Schwenk Address same Telephone 508-419-1551 Permit Request air sealing install 192sq ft of R-23 to floored attic 190sq ft of R-10 to kneewall, 700sq ft of R-30 to open attic, insulate 1 attic access hatch and the back of 2 attic access doors, install 6 soffit vents Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2451.20 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 U, s Address 1341 Elmwood AVe. Cranston RI 02910 License # 100459Go w k lGo M Home Improvement Contractor#12Ag79 Worker's Compensation # gyp 0-,; V] 25G�S14 -UIGj ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3/15/10 Erik Nerstheimer for RISE engineering FOR OFFICIAL USE ONLY j APPLICATION# DATE ISSUED ~ MAP/PARCEL NO. ADDRESS VILLAGE OWNER . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'FINAL BUILDING DATE CLOSED OUT ASSOCIATION"PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents G1ffice of Investigations 600 Washington Street Boston,MA 02111 UV uwww.mass.gov/dia wo,rkelrs' tCOMPeusatiion ffnsuiranee Affidavit. Bunk➢dlerrs/cContiracto>rs/IE➢ect>ricia ns/P➢anm beers Applicant Information Pease Print, LegNj Name (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 1-800-422-5365 Are you an empl®yelr?Check the appropriate box: Type of project(required): 1.9 I am a employer.with 4. ❑ I am a general contractor and I employees (full and/or part-time)." have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ElWe are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per 1\4GL 11.❑ Plumbing repairs or additions .myself..[No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.❑x Other Insulation Any applicant that checks box#7 must also fill out the section below showing their workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. *Contractors that check this box must attached an additional sheet•showing the name of the sub-contractors and their workers'comp.poi icy information. I am an employer that is providing workers'compensation insurance for clay employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic. #: yWC2—Zl l-259874-019 Expiration Date: 04/01/ 10 Job Site Address: Q r- ;UC K h City/State/Zip: Attach a copy of the workers' compensation policy declaration pa (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cert �un the `ins an :penalties of perjury that the information provided above is true and correct. .sue . Signature: `t'i Date: o Erik Nerstheimer for RISE Engineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: rake 1 OI 1 ' The Official Website of the Executive Office of Public Safety and Security (EOPS) 'Mass Gov Home Public Safety Department of Public Safety Licensee Complaints License.Type Construction Supervisor License tt 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back T_- o Search y� ✓fie.�ayzn�ynu�l/ ✓�aaaa��u�Cel,�. `; - -- . . Board ofl3uildino Regulati°� is '•I•^ry;.;,...:,�; ..;_...._..._...,..... ons and Standaiits License or registration valid for individol use only HOME IMPROVEMENT CONTRACTOR 1. before the expiration date. If found return to: �. Registratigi;. 120979 Board of Building Regulations and Standards P 0_ _ `3/25/201 Ez irati:o:ri:__:; One Ashburton Place Rm 1301 Type: 'ppiement Card iIELSCH ENGINEEJj.NGt i 21K NERSTHEIMER�;_�; � �' 41 ELMWOOD \ "'---' -' i 2ANSTON, RI 02910 � -w Admm.,sti:;ttor Not valid without sign.-Ukre http://db.state.Ma.us/dps/llcdetalls.asp?txtSeaxchLN=CSL100459 o/on/�nnn CORD CERTIFICATE OF LIABIL" INSURANCE OP ID 27 DATE(MMlDD,YYYY) PRODUCER THIEL-1 10 15 09 The Preston Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 810 THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE INSUIHED NAtC# INSURER A: Bartford Onderv='lters Ins. Co Thielsch Engineering, Inc INSURERB: Hartford Cammit, ineuranoe Co Thielsch Group Inc. Hi Tech Realty Inc. INSURERC: Liberty Imr„t Insu..� 195 Frances Avenue Cranston RI 02910 INSURER D: North American Capacity COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE INSURANCE POLICY NUMBER GENERAL LIABILITY WRIO/M UWT5 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S1,000,000 02UUNTD-9678 04/01/09 04/01/10 PREMISES Eaooarence s300,000 CLAIMS MADE a OCCUR MED EXP(Arty one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY X E�T LOC PRODUCTS-COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY fin. 11000.000 B X ANY AUTO 02UENTD4850 COMBINED SINGLE LIMIT 04/01/09 04/01/10 (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY S (Per Person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY S (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: q(,C, $ EXCESSAIMBRELLA UABIUTY B X OCCUR CLAIMS MADE EACH OCCURRENCE $10 f 000 000 02XHUUF6573 04/01/09 04/01/10 AGGREGATE $10,000,000 DEDUCTIBLE $ X RETENTION $10 000 $ WORKERS COMPENSATION AND $ C EMPLOYERS'UABILTTY X TORY LIMITS ER ANY PROPRIETORIPARTNER/D(ECUTIVE WC2-Z11-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT E500,000 OFFICER/MEMBER EXCLUDED? If yes,describe wider E.L.DISEASE-EA EMPLOYE s 500,000 SPECIAL PROVISIONS below OTHER EL DISEASE-POLICY LIMIT i 500,000 D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented E 02UUNTD5678 04/O1/09 04/Ol/10 Equipment DESCRIPTION OF OP9IATUONS 1 LOCATIONS/VEi/CLIa/EXCLUSKHIS ADDED BY BHDORSBlBIf f SPE'CML PROYISK)IIS 1)0,000 *Except 10 days for non payment of premium. Holder is included as an additional insured when required by a written contract with respect to the General Liability coverage. CERTIFICATE HOLDER CANCELLATION AT TWNOAIKB SHOULD ANY OF THE ABOVE DESCRBFD POLICIES BE CANCEtl®BEFORE THE EXPIRATION DATE T O EOF,TIE MsUNHG ENMtER WILL ENDEAVOR TO MALL *30 DAYS WRITTEN NOTICE TO THE CO FICAiE HOLD6t NAMM TO THE LEFT,BUT FM AM TO DO SO SHALL OEM=NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE DHSIJIP,ITS AGENTS OR REPREWffAT&JEEL AIRIIOp�p ACORD 25(2001/08) �OACORD CORPORATION 1 i N.t.<"•t s:c: ''eJ.,n,i° _"S, .i1'. uy�� y�� l SHi k ,J.,' X /�.'T:L,, .. ;q.� �`_i.n... f Y :1,l•r' `.,�`r `:`�. � �✓:'c tM/0L 1111�fs W1 �' 3'n�7`/. '��". �:W."l�' � w N ! :� Also for kISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. BAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering, Inc. I RISE ENGINEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 ' 1341 Elmwood Avenue,Cranston,R102910 " -3700 -3710 CONTRACT (401)784 Page 1 R I S E THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client# Daniel Schwenk (508)419-1551 01/15/2010 105978 SERVICE STREET BILLING STREET 29 Buckingham WAY 29 Buckingham WAY Rni SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Cotuit,MA 02635 Cotuit,MA 02635 0,/1 NI 1, 0 2010 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against-wasteful,excess air le performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per'man per hour,which includes materials and testing. 10 man hours. $660.00 RISE Engineering will provide labor and materials to install a 7"layer of R-23 Class 1 Cellulose added to 192 square feet of floored attic. $211.20 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 190 square feet of kneewall area. $513.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 700 square feet of open attic space. $770.00 RISE Engineering will provide labor and materials to install insulation and weatherstripping to 1 attic access hatch. $25.00 RISE Engineering will provide labor and materials to seal and insulate the back of 2 existing attic access door with board insulation. $170.00 RISE Engineering will provide labor and materials to install 6 white vinyl soffit vents to increase ventilation in attic. $102.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. -$1,838.40 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Twelve& 80/100 Dollars $612.80 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 70 DAYS.SEE REVE SE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDU CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY B SPA ?AUDNA E ENGINEERING CUSTOM PTANCE TRACT MAYBE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT- E ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE N V SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE ,._THE TOWN OF BARNSTABLE Permit No. .��:.HO...... •' ��. BUILDING DEPARTMENT t TOWN OFFICE BUILDING Cash .... ''rauY' HYANNIS,MASS.02601 Bond .....x..... .. , CERTIFICATE OF USE AND OCCUPANCY Issued to Robert Glover Address Lot #18A, 29 Buckingham Warr Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. August 88 �// ........l. 19....... ..... 4�/ ...... Building ...i.............. Inspector t �•. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ 3 1313T = TOWN OFFICE BUILDING rua a639• �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: •,�� An Occupancy Permit has been issued for the building authorized by BuildingPermit # ......0...r..— ........................................................................................................ ...._.................._............._� issuedto .... T .J ' ��..: ....... ................... ................................................................................_._.. ................._..�... Please release the performance bond. i ;'`.:� �crC':•,*Si.t:�n lt��-iv'. .;{�+ct;4,�� r..•t:'•+•rs. { :7 J!n?iT':i.•�. :r %�A■� r.�,. __;ri:`s_ i.w-,:;. fit... :a„• -a-7 TOWK OF BARNSTABLE ')v1ASSACHUSETTS � V' . A-021-044 .,:�,i:;,,;r .' DATE AufiilSt 3 � -� T •� duty 19 . PERMIT'• i !.t APPLICANT' Owner ADDRESS - - -� `""• 98686.`a ,t,!;.* •_ ,> (NO.) (STREET)PERMIT-TO' Build dwelling, STORY_ Single 'f 11ni1S' dWeT1i11Q NUMBER'OF • -'•'-•••_•. (TYPE Of IMPROVEMENT) NO. DWELLING UNITS (PROPOSED USE) - _ AT (LOCATION) lot #18A 29. Buckingham Way, Cbtuit ' ZONINlcr - (NO.) (STRE ET). BETWEEN ..;.' :,:• ,__'r*'_�t• 2 G AND �{,,� • ' ' . ..t' Aj (CROSS STREET) ^'^F¢r.FS �' ✓! ,n:ys ^' CROSS'ST'BE E'Yar t 'l r I 1 t„•. SUBDIVISION."' t 'LOT • .. LOT_BLOCK SIZE:— BUILDING'IS TO BE FT. WI E BY FT. LONG BY 'FT, IN HEIGHT qNO SHALL CONFpRM (N CONSTRUCSION,' ' t TO TYPE t� r USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: E'j'� AREA OR - t ' eI-t, '14•-.. 1548 s � ' ` VOLUME '' Q. 1t. ...80 ON . ; � �,� '�ONI�• yti�+�'i�. ESTIMATED COST PERMIT (CUBIC/SQUARE FEET) ' 'FEE OWNER - Robert Glover ADDRESS Box 70�, MarStoris Mills, Mt1 / `BUILDING DEPT. ^' '<- BY .ift••�J'• '�l`%v4,��?1�'., '�t;j::' fit.. .. .::,(..� �lh':T.v ''r' i �rlk;.,.9 ,r �{i�t .y: `-. ,t.: •t, 7 't' I,t t V'R. r: . MINIMUM OF THREE CALL INSPECTIONS REQUIRED FOR M APPROVED PLANS UST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE. REQUIREELECTRD FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANIC ' D AL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). i 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. . P OCCUPANCY, POST THIS CARD SO IT IS VISIBLE FROM STREET :a r BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT t OTHER BOARD LTH !!) WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID'IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION' PERMIT 15 ISSUED AS NOTED A ARRANGED FOR BY TELEPHONE OR WRITTEN BOVE, NOTIFICATION. .• l- .4 Nam_ ...�..+.. . .. ,... ._. ... .....� � ,. Y.R. _ _ _ _ _ • Assessor's offioe .6st floor): Assessor•:s�me3p and lot number .......:. al d SYSTEM MUST RE- Boerd of Health (3rd floor): �',k STALLS® IN ® PL�' r Dumber ......�s 7-.., �.v1.......................... WITH �� t BABII9YSDLE. Sewage,..P,:ermit EnEjneeriny:,�ega tmgnt (3rd•floor): @9E �G� �� `f"`' , �o r a House q mber: a " a YA APPLICATIONS'!°' .' 'OCESSED 8:30-9:30 A.M. and 1:00•2:00 P.M. onlyi TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... 42�.r� .. ....... ... . .... TYPEOF CONSTRUCTION . ................................................................................. . 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /,,.C-w........ .......rit//f'.✓.......<7_ -1 .................................................. Proposed Use � �� .. . ` ��/......... �� GL//�9 ...... . ................. Zoning District .................. ......................................Fire District Name of Owner D�� .....!�............. ..............Address -670-Y 2z�P /ei�rG�� .................................. .......................................... Name of Builder ��/ �r ......C.. ..........Address ...0;767 31........ ...1� .. ..., Name of Architect ...........................1W.4/itl.K?/i......Address ✓.....07. ......zo!!'I GS. Number of Rooms ..................................................................Foundation ............. Exierio! ��..Roof,ng ...115 A14-47..... ................... Floors CiS..i .G ...................................Interior .................. ................................................................. Heating ��......0,.e//.................................Plumbing ... ol. ..................................................................... I Fireplace ..,y ..................................................................Approximate Cost .��J�. .�j'�................. ............ Definitive Plan Approved by Planning Board __________________________ ..•..... J�7� ------�9-------- • t� Area ./............................. Diagram of Lot and Building with Dimensions Fee ............../... .�y�o. ................... ,.... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. ....... ........................................................... Construction Supervisor's License ,� Glover, Robert t No 31�.4U permit for ....................................11/2 story singie, lamily dwelling Location ..........29 Buckingham••Wad'•••••••••••••••• Cotuit - ............................................................................... Owner Robert Glover Type of`'Construction .......•••frame e Y ............................................................................... Plot ....e'..................... Lot ..................... Permit Granf'ed .........AIA9us.t...3....."... 19 37 Date of Inspection .........................?...,.....A 9 p� " Date��C m lefed ..... .!?:.�. `Q. . .19 - D • Assessor's offioe .(1st floor):. � o?l�.a .../ �tNET�``> Assessor's map and, lot number ............ {. •-•,-,,,, `�.'.� Board of Health (3rd floor): Sewage,..Perm.it dumber ...... . . . . .......... ........... .., ,•:... 1•c....�:. Z BASa9TJSDLE, i e{�a:tmgPt (3rd•floor): r� 'o Eng;neerin�'::. �pC 9,�JS _ o r6 q. HouseriYrnber ............................................ . . ...... APPLICATIONS'!�-'&ESSED 8:30-9:30 A.M. and 1:00-i00 P.M. only TOWN OF -BARNSTABLE BUILDING IHSPEVOR APPLICATION FOR PERMIT TO _` n � ... 1 �� TYPE OF CONSTRUCTION ,,��/. ...:... . ... ................................................................................... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: &F-.... k...........o/.P17.................................................. Proposed Use � L . .f' �1�........��li�, LL// ............................................................................ Zoning District • .F.......................................Fire District /............... ........................................................... Name of Owner �� C��.... Qv ............Address ,6:�V 2, P / i� � ��145 .................................. .....�............................. Name(of Builder ell-r//. .....�6 ......Address D- .. . �/ S/ ll/... �'� 'J Name of Architect ... .......... ...........I]i>!!!l/..1,31X�l ......Address .Pfl.....C.2.4�......�iQ:P� ...... Lf... i Number of Rooms ..................................................................Foundation 1004 ,�OJ....... /�R��f�-5�............. Exlerio. n� �1.� ..7�'. .J..'.. .`.��r �..Roofin' r �/I" ..... /Y g, ....e :T". .. ! /..,!.... /Y../ �. ................... 'Floors ....................................Interior ......y'��rd'/'DeD.r.. ................................................. Heating z.x- �..,Q�........�//................................Plumbing ....�ot.............................................. Fireplace ODIJ D Fireplace ... ............:....................................................Approximate Cost ............ i 6 Definitive Plan Approved by Planning Board ------------------------_-------19-------- . 1/ Area ................ 7O Diagram o�f Lot and Building with Dimensions Fee /°?y0 SUBJECT TO APPROVAL OF BOARD OF HEALTH N OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the-above construction. Name .. ............................................................. _ Constructi.o.n_Superyisor's.License��.C� �y Glover, Robert A=021-044 ........... No— Permit for .....1.A42.A .QKY....... .......s..i..n...le family. dwelling.................. I-Qcation= ......... .................. Cotuit ............................................................................... Owner ...........Robert Glover ..................................... .................. Type of Construction ...........frame.................... ............................................................................... Plot ............................ Lot ..........1.8A................ Permit Grant6d ......Au g.u.s.t...3.......... ......19 87 ...... . . .. Date of Inspection, .................................. DaW Completed ......................................19 4 , 17 �eA 20 -55N ' c - 74 ,/ ��-�b✓ C, T� i�� /tea,✓ �� /. . Cc�i L � 1�c�JTlcv✓ �c7�J/r 77 OF o� 477 JAMES ti qMOOfiSc• o f �P-7e7- Fs IS1 J; � e _ �•��' L � - . --- _ . _ I j �� Q r. t� 0 i ., ,. � . � � 4 I OF"E r� Town of Barnstable *Permit# g272S �� .,.:_.. ... ... ._..,.._. Expires 6.months from Issue date Regulatory. Se F e 3 - - 9 1a39. ♦0 Geiler,Director :...._.:.:::..::..;:..._.::..Building Division- --Toni Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS'PERMIT Office: 508-862-4038 Fax: 508-790-6230 ,.;..> _ NO - RXS:SIERNUT.-APPILICATI.ON ONLY. Not Valid without Red X Press Im rint OF BARNSTABLE EXP RESIDENTIAL P Map/parcel Number Property Address o c .' ®Residential Value of Work 666 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �if� Contractor'sNameL�y� �„D G�`A �TU{'�� Ca*L) CPS Telephone Number Home Improvement Contractor License#(if applicable) 1 �a EC1.3 Construction Supervisor's License#(if applicable) orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner ve Worker's Compensation Insurance Insurance Company Name lLAs, C6 d 4 �!l�cf�✓I U -1�- Workman's Comp.Policy# Sk q qL 7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Ej"Re-side L) " ( S l&� av, e V I Y_e kt.ouk, ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise063004 Town of Barnstable Regulatory Services r Thomas F.Geller,Director 163 p`�� Building Division TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder rCl-yt A S e , as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized bythis building permit application for: U C- (Address of Jo Signature of Owner Date Print Name �.cnvhdc•nWNFRPF.RMTCCTON i Brenlalr� � - . dookmam wow Tom c*d TM !tame Daat A C AUD EM ALTAWA.GA ' a a A� wigged �,t1ZtM I I I