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0038 BUCKINGHAM WAY
�.c�i n Efficient Buildings, LLC October 31, 2011 Town of Barnstable pl v Attn: Thomas Perry, CBO 200 Main Street Hyannis, MA 02601 re: 38 Buckingham Way, Cotuit, MA 02635 Dear Mr. Perry: This affidavit is to certify that all work completed at 38 Buckingham Way, Cotuit, MA 02635, has been inspected by a certified Building Performance Institute (BPI) inspector. Work included air sealing, weatherstripping, door insulation, 930 sq. ft. of R-18-20 restricted cellulose in attic floor, and 300 sq. ft. of unfaced Fiberglass over existing Fiberglass in attic. All work performed meets or exceeds Federal and State requirements. Sincerely, Co ex<� :. Steve C. White - Owner/Managing Member Efficient Buildings, LLC , N rn 8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563 Tel: 508-888-1110 Fax: 508-888-1109 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ' :-. 'Application Health Division Date Issued Conservation Division ;Application F Planning Dept. ; Permit Fee Date Definitive Plan,Approved by Planning Board�- Historic - OKH Preservation/Hyannis FNF) 'v P3tr U to Ilue 9 roject Street Address c Q Village J l LBY _ ---- - r tt �r Owner �7 1�`� —Address. sa1\0,_-C.i Telephone Permit Request (/LST v� ` �� .oQ -C ®v� ' e����s � l� �ot�✓�esr' . Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new . Zoning District Flood Plain Groundwater Overlay i Project Valuation OL�')C)Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. �7z 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 0 Oil ❑ Electric ❑ Other t 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 L41T Telephone Number'a T d -74C Address g�&¢L000k &V-0 License # n�vt� Home Improvement Contractor# �5�f.� Worker's Compensation # bll ��o' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE - � - DATE i FOR OFFICIAL USE ONLY ° APPI,ICATION# _DATE.ISS:UED ,MAP/PARCEL NO.._ _ `L ADDRESS.'• VILLAGE j OWNER DATE OF INSPECTION: °. FOUNDATIONI FRAME ' INSULATION; FIREPLACE j r ELECTRICAL: ROUGH FINAL M PLUMBING: ROUGH FINAL CAS: i&-74 = ROUGH FINAL r�_� JNAL BUILDINGi EAU - ,DAT.E'CLOS_ED OUT.. ASSOCIATION PLAN NO. - I r The Commonwealth of Massachusetts r Department of Industrial Accidents Office of Investigations 600 Washington Street t� Boston, MA 02I1I y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ce Name (Business/organization/Individual): 3L Address: U City/S to/Zip: ado Phone #: Are u an employer? heck the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction einployees(fdll andlof'gart-time).* have hired the sub-contractors.. _ _._ __,_.____.._..... ......... . . 2_❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have , g, ❑ Demolition working for mein any capacity. employees and have workers' 9 ❑ Building addition No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ R f repairs insurance required.) t c. 152, §1(4), and we have no q employees. [No workers' 13• Other 4 comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:�_V Policy# or Self-ins. Lic.#: W r?�� Expiration Date: Job Site Address: 11�0. City/State/Zip: Attach a copy of the workers' compensa ton policy declarat'on 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 andlor 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 certify it er e pains and/p_ennalties ofperjury that the information provided above is true and correct. Signature: ��J Date: a Phone#: 0ffcial use only. Do not write in this area, to be completed by city or town official City or Town; Permit/License# Issuing Authority (circle on 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: C. ACORD' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD""") TM 03/30/2010 PRODUCER 508.945.0393 FAX 508.945.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 697 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Caliber Building and Remodeling LLC INSURERA. National Grange Mutual Ins Co 14788 INSURERS: Commerce Group CIG00I 147 Ridgewood Ave INSURERC: Granite State Ins. Co.-ARWC 3102 Hyannis, MA 02601 INSURER O: I INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION: POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LTR NSR DATE MW DrYYYY DATE MWDDfYYYY LIMITS GENERAL LIABILITY MP027360 09/15/2009 09/15/2010 EACH OCCURRENCE $ 500.000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEr7_ PREMISES Ea occurrence $ 500,00( I CLAIMS MADE M OCCUR MED EXP(Any one person) $ 10,00( A PERSONAL 8 ADV INJURY $ 500 GENERAL AGGREGATE $ 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,00( POLICY JEa LOC AUTOMOBILE LIABILITY BBNVCS 02/16/2010 02/16/2011 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALLOWNEDAUTOS - BODILY INJURY B X SCHEDULED AUTOS (Per person) S 250,000 HIRED AUTOS BODILY INJURY $ ' NON-OWNED AUTOS (Per accident) 500,0 PROPERTY DAMAGE $ (Per accident) 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ' ANY AUTO EA ACC S OTHER THAN AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION WC7425405 03/02/2010 03/O2/2011 WCY STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TOR LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT g 100 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Att: Bldg Dept. REPRESENTATIVES. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 Alan R. Long, President ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD v Massachusetts- Department of Public 5afm Board of Building Re.,-Mations and Standards Construction Supervisor License License: CS 95038 Restricted to: 00 STEVEN WHITE 147 RIDGEWOOD AVENUE HYANNIS, MA 02601 Expiration: 2/2&2012 (' mmi��i„ncr Tr`: 19311 r �T P�ala� off' �aooaclxuae!! Board of Building Regulation§and'Standards HOME IMPROVEMENT CONTRACTOR Reg .'',,154359 ' _,f _38/2011 Tr# 280764 M 11ability.Ce"ration CALIBER BUILDING` :RDELING;LLC. STEVEN WHITE _ 147 RIDGEWOOD/lam-:_,.. HYANNIS,MA 02601 \' ` - Administrator Iacense or regisEraton vsUd for indiAdul use only before the expiration'datC 1ifound return to: Boats of Buisg>Regalations and Standards One AsDburt*Pbte Rm b0i Boston,Ma.02108 y Nbf,vi d without signature HOUSING ASSISTANCE CORPORATION BILLING INVOICE SUMMARY SHEET Client Name/Address: Contractor: Caliber Building & Remodeling LLC Karl 8 Carol Dulak Auditor. All Dimuzio . . 38-8uckinghartr-VVa ---- ._ _.. . -- ---- -QatcL7--9fd/20-1 — Cotuit, MA Phone: 508-428-5908 cell:508-241-4954 Installed Program: VVeaihedzalion JOB# Units Description Price D G/N C DOE GAS/NSTAR CLC QC�1 DOORS P3tPip-i orr�,i-eve ofY Fixed Sweep ea. $ :5.00 2 - - 30.00 utomatic w:ep ea. 22.00 - - - R-5 Ductwrap or R-max on door ea. $ 44.00 1 - - 44.00 Lockset/Schlage or equal ea_ 70.00 - - - Repair!Relit Door ea. $ 50.00 - - - 32-36' Steel pre-hung replacement door w lite ea. $ 6_0.00 - - - 32-36' Wood pre-hung replacement door w/lite ea. $ 580.00 - - - 28-32' intericr solid core door ea. $ 300.00 - - - Basement/outside doer - door only ea. $ 350.00 - - - Basement outside door - w jambs ea, 415.00 - - - WINDOWS eatherstrip Window-7 Schlegal or equivalent ea. side 5.00 - - - op SFs Lock ea.Side Press :k ea. 9.25 - - - Glass Replacement to 64 ui ea. 22.00 - - - Glass Replacement per ui over 64 ui. $ 1.40 - - - .Replacement grids (per window) ea. $ 40.00 - -;Energy * Rol prime winxepl.ment w/low-e .o 73 ui ea. 3 00.00 - - - Energy * R4 prime iw_n. repl.ment w/low-e to 74-83 ui e<<. $ 400.00 - - - Energy- » R4 prime w:n. repl.ment w/low-e to low 8.1-93 ui ea. $ 410.00 - - - Energy- * Rik prime w:n. repl.ment w/low-e to low 94-101 ui ea. $ 425.00 - - - Base=mt win:low replacement(awain hopper) ea. $ 325.00 - - - Basement WinJow replacement with frame ea. $ 350.00 - - - wzPList Page 1 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION Contractor: Caliber Building& Remodeling LLC Client: Karl& Carol Wak BILLING SMET(Cont.) __. D f6 W412010- anrograrn�-Weatlferizatio Units Description Price fD G/N C DOE; I GAS/iimsr AR CLC QC�1 IdISC. MEASMES iv/s (Q-Ion or aqual) attic hatch ea. 20.00 $ - $ - - Ws - on or equal R-30 attic batch ea. 22.00 - - - ❑ with ea. 45.00 1 - - 45.00 Attic asernent sealing with two-part foam man/hr. 75.00 525.00 Seal ducts with mastic or butyl backed tape hr. 62.00 - - - ut- iMs attic - kneewa 1 access - Cu close attic - kneewalt access ea. 15.00 - - - ent t bath fan ea. 55.00 2 - - 170.00 Clothes dryer vent incluidng Exhaust Duct ea. $ 55.00 - - - Replace Clothes Dryer Transition Duct Only (H&S) ea. S 58.00 - - - Bath fan-Panas. Whisp, w/ exstng parr & timer (H&S) ea. $ 350.00 1 - - 350.00 Bath an- areas. Whisp. w/o exstng pwr & timer ea. $ 450.00 1 - - 450.00 a or on y c -.xge na r. $ 60-001 1 90.00 ATTIC INSULATION unrestricted - settled cel u ose sq. ft.' 1.53 - - - unrestricted - settled cellulose sq. ft. 1.40 - - - unrestricted - settled cellulose sq. ft. 1.30 - - - -1 unrestrictec - settled cellulose sq. ft. 1.23 - - - -10-12 unrestrictec - settled cellulose sq. ft. 1.15 - - - restrict -slope oore fi w cellulose - restricled-slopes oored 511 w cel ulose sq. ft. 1.35 930 - - 1,255.50 !R-10-12 restricted-slopes/floored _ill w cel u ose sq, ft. 2 - - - ttic stairs �ommon wall - ill w ce lu ose stainve 130.00 - -in c•pen ra ters wal s eewa s sq. t. 1.25 - - R-19 EGB in open rafters walls neewalls sq. ft. S 1.40 3001 420.00 -Kneewalls R--2 Cellulose behind permeable membrane sq. ft. $ 1.65 - - - lRe-uiforced poly/R-20 cellulose open rafters sq.Reinforced po!y/R-30 cellulose open rafters sq. t, 1.95 - - - Site BLitt pultdown stair insul.2" foambox/, Thermodorne ea. $ 175.00 0.5 - - 87.50 Attic neewall Floor Transition Der_se Pack w cellulose in. ft. 2.40 - - wzPList Page of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION Contractor: Caliber Building& Remodeling LLC Client: Karl&Carol Dulak _ BCLLING SHEET(Cont.) Date: 9l4/2610--- - - _._ . .. _--- — - installed--- -- _ . ..._._�rogiam: Weatherization ... units Description Price D G/N C DOE GAS/RSTAR CLC QC�I WALL INSULATION Wood clapboar sha es s ingles or vinyl dense pFck sq, ft. 1.70 - -Single nailed asbestos/asphalt dense pack) sq. t. 2. 0 - - - 4�thl�nailgd_ash�st a uanuiecm esise•ga� 2SL - - - ric tucco (dense Gac sq. t. 2.75 - - - Drill ro-.jg plaster patch or finishwco plug dense pack sq. t. 1.73 - - - Drill finish patch plaster (dense pack) sq. ft. S 1.81 - - - Vinyl over as estos ense pack) sq. t, 2,2 - - - Test drill • sides flat rate 60.00 - - - Interior wall ow sq. t, 1.40 - - - sq. It. - - BASEMENT INSULATION Garage ceiling cavity filled with own cellulose sq. f t. $ 2.00 - - - Sill two-part foam whiberglass batt sq. ft. $ 2.00 - - - Sill insulation faced R-19 In. ft. $ 1.50 - - Basement overhead insulation R19 Fiberglass sq. ft. $ 1.50 - - Basement overhead insulation R30 Fiberglass sq. it. $ 1.73 - - - Crawlspace overhd. instil, 4' high or less R-19 sq. ft. $ 1.78 - - - Crawlspace overhd. insul, 4' high or less R-30 sq. ft. 1.87 - - - Perimeter wra? R-5 reinforced foil or vinyl faced ductwrap sq. ft. $ 1.82 - - - Perimeter 2" foam board sq. ft. $ 2.17 - - - 6 ml poly on g-ound sq, ft. $ 0.75 - - - MISC. INSULATION Duct in-su atior R-5 sq, ft. 2.95 - $ - $ - Domestic water pipe wrap In. ft. 2.50 82 - - 205.00 y rontc pipe insulation to copper pipe In, ft. 3.25 - - - ydronic pipe insulation 1. - copper pipe R-5 In, ft. 3.50 - - - teampipe :nsu atjon to 1.25 iron pipe R-5 In, ft. 5.25 - - - teampipe insulation to . -c iron pipe R-a In, ft. 6.05 - - Steampipe insulatton 3" iron pipe R-3 In. ft. $ 7.25 - - - wzPList Page 3 of 4 04/12/2010 HOUSING ASSISTANCE CORPORATION Contractor: Caliber Building& Remodeling LLC Client: Karl &Carol Dulak Date: 9/4/2010 Installed Program. Weatherization Units bescription Price D G/IV C DOE GAS/IYSTAR CLC Qc,1 ATTIC VENTILATION Rectangular gable vent ea. 8.3.00 1 - - 88.00 'laripitch vent ea. 109.00 - - - oo ve t- sq. :. N arge ea. - Roof vent • sq. ft. 1 small ea, 7n.00 - - - Turbine Vent ea. �.00 - - tack Vent ea. S 145.00 - - roper Vent ea. $ 3.75 - - - Rectangular soffit vent ea. $ 25.00 - - - Ridge vent ln. t. 22.00 - - - DEADUGHTS&OTHER Deadligits ea. $ 10D.00 $ - - Rigid Foam Board price (charge under A/S or labor only) sq. it. $ 1.75 - - - NindDw Quilt sq. ft. - Sliding Mass door ea. $ 1,29D.00 - - - 31cig. Permit baseline price (input unit accordingly) ea. T 50.00 1.7 - - 85.00 Notes: BLOWER DOOR RESULTS CFM cQ 50 PASC. See Invoice for Labor Hours Breakdown ?REJ 2500 ?OSTJ 2025 TOTAL DOE $ - LEVERAGED FUNDS $ 3,931.00 TOTAL JOB 03ST $ 3,931.00 Photos and attic inspection form are required at time Invoice is submitted. wzPList Page 4 of 4 04/12/2010 of THE Tp� �. do Y Y Y tARNSTABLE� Y MASS. Town of Barnstable �IFD µAS A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property p y Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize t act n my beha .n all matters relative to work authorized by this building permit application for: ( ddres(of ob) 3 Signature of Owner Date c Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESW0RMS\bui1ding permit formsTXPRESS.doc Revised 072110 I ' P�ot►+eroyy Town of Barnstable Regulatory Services " 13,ApsraetE, Thomas F. Geiler, Director .� lass. $ � 619. A`0 Building Division Tom Perry, Building Commissioner j 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 518-862-4038 Fax: .508-790-6230 -------------------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: 108 LOCA"f10N: number street village "HOMEOWNER" name home phone# work phone N CURRENT MAILNG ADDRESS: t 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"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states(hat: "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 ofconstruction 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 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 I amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRE•SS.doc Revised 072110 ' 20288 TOWN OF..SARNSTABLE Permit No. _______—__—____ Buil y Ins actor ` 9 -ding p cash $552.00 (owner i ------ OCCUPANCY ' PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." 8 Buckingham Way, Cot t Issued to Peter C. & Helen Dulak Address lot #59A 38 Buckingham Way, Cotuit 27090 Wiring Inspector � _ Inspection date Plumbing Inspector Inspection date . Gras Inspector � Inspection date 0 We Engineering Departments � �, �� Inspection date/j A/-7 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. \� Ouilding Inspector ...... ....� ._.... t Assessor's..map and lot number �.....: 0 �t • �L �v� � SEPTIC SYSTEM MUST BE ,I ` r�' '" 2 � INSTALLED I Sew�age'FFermir number ............ D y. ................. N COMPLIANCE "y, ,, WITH ARTICLE II, STATE t TNEroe° �Q 'BAR1 AflPTOWN OF L Tom 3 STADLE,' i ,��b 9.a:•� BU1?LDIHG- INSPECTOR _ .......APFLICATIOWFOR`rPERMIT .TO ........N��......�....I rf✓�......................... . ..... .... TYPE-OF •CONSTRUCTION �C3 �., . ..................... ... ............. ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location A) �A...^ 1?ve/lr NGi� ............................. ............................................ ............. ........�...................................................................... ProposedUse 4 '0C-Ajo t•-............................. ..................................................................qe��.. .�.........................I......................... Zoning District ..........A.P................................................Fire District ...... ....�� Name of Owner . .. � �' L✓t� j�-fCc /f N O 0�i0 ............. .........................................Address ....... ........................5....... .................. ............. g ��yFs Name of Builder �`� .Y....�5.............'1 .�/C.S:...Address Sc7.. Y'� Ctv �......AIA......... .... ..... ............... �.............. Name of Architect s*M Address........................................................ . . Number of Rooms dv £ � ......................................Foundation .�".. cj/t...v.........oumc/c>~'..................... Ald`'i - �C� 2 y 4A5�#.Roofing ASP/ Exierior ..................................................1............................... • .................................................................................... Jr Floors .......................... ��.:.........................................Interior .......................L� C:�C..-............................... .......... .....Plumbing ........................................................................... Fireplace ..................................................................................Approximate Cost .............. g.C.. ................ Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area 1��� a e- � Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH GII�N J' 70 q v I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................................. ... Dulak, Peter C. & Helen 20288 1 1/2 story No ... Permit for ................................ .......................................................................... single family dwelling Location ..........38 Bucking ham wa .....................................y ................ % -K .......................Cotuit 0..................................................... Owner ............Peter C. & HelmDulak ...................................................... Type of Construction ..........f.]VAPq ..................... jr ................................................................................ #59A Plot ............................ Lot ................................ June 12/ 78 2 Permit Granted June�......(........^. .......19 19Date -of,Inspection .. ....... .... /* Date Completed ........ ................... 9 PERMIT REFUSED ........................ ......................................... 1.9 .... ............. ... ........... . .. ......... .. .... ......... .. . ....... .... ........ ... ............. ... '' 1 'r, r�-� '� - / r r {,� r < . I e N .......................................................... ...................... d Approved ......................................... ...... 19 t ............................................................................... ................................................................................ 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A d is ,r.. . }_" rb, F.+.. --• i y ��,r+. . . � r.:f .'� " w 1,..t;�s ,. . ,.. fa '; ,k .; �_ Y�"J' ,� • .''L .,'#, ;xj: r '. r.'Y: 'r-. r C+ ✓ r'' - .c' �' ��`,s.t ga., r:, rti . . r e r�� - *"'ti. �- +� ✓ � � xA a ti A f �� " , r r r .. • :.'�• _3 �k .i ! +. , 'rr..ia '�+,r - ! � fix y +TF � F4 I`� ,L t.µ 's✓ �,y a - ti • t46 s E .pr•.yi �Sr /'...�. ,�•.. �F R r+ yr .,,. - � �>✓�;�F Lr �„ `Y� e�'•. > 4 •yA, . : ' a ,r ,� `+r. . + .y fy.i .• �+ �.., r y, .. F, r , 'k.e.�: 4s y p t Q.F+R„! v'� Si ....... sor,'s map and lot number ....... .....'..�. .. .,. Asses -- - y • ,Sewage Perm.! number ...............� ..::..:...................... yo*TNEro�♦ TOWN OF BARNSTABLE 9 BASBA48Tg LE, i 1639. BUILDING INSPECTOR 0 MPY d' APPLICATIONFOR.PERMIT TO ............................................................................................................................. I _ v q TYPE OF CONSTRUCTION ........... ........�........... '..... %..................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby +applies for a permit according to the following information: Location i / f ��JC/���+lG /�Y`�' 4"4-�...P.......0_,3�1/. .................................... ' ................................................................................. Proposed Use eJ 0e-nJC/s_ .............r J ........................................................................ ... 4....:./......F.;...................... .......... Zoning District ....... v _ ...Fire District '. l.:.......:..�.. .. r r �> n r r� / l�L 7 0t�C:• O�f /JG Name of Owner �" . .....VO4-14«Address �"�c �� 0� ....! . Name of Builder �t/ s7u /�c /JIGS'• Address ......5�:. y,�2�7Gv/1� M, Name of Architect ...........� F.....................................Address ....................................... Number of Rooms �......................................Foundation Aur£a CtsNCl�'C'�� Exterior .Roofing ` .............................................. .......... .............................. ................................ Floors Interior ............�' c,FC. ....................................................................... .................................................................... Heating .......`.`..... ...............�'.:..............................................Plumbing ....................................::...........!............................... Fireplace .............................../...............................................Approximate Cost ...................... ...r.:... ................ Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area \.......................................... Diagram of Lot and Building with Dimensions Fee .. . ?...................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH n I hereby agree to conform 'to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................................. ... ................ / ~~^~~, .~^.- -', ' ----_ - -- 20288 �l 1/2 story No -----.. Permit for .................................... ` ` � al�gle dwallln� � ----------------- ........................... � ' Location -..38.. .�ay-------. ' cotuit . ---.----------.-.-~--------- ' ' Peter C. & BeleoDolak � Owner ----------.-----------. . ' frame Type of Construction ' ` i -------------' ^ Plot � � � L\ Permit � .~... .~...^. . , Date of ^ spe.~~' ' � ^^"'e C" "p='=" ; � PERMIT REFUSED � � -. lA ` � �.................... ._�. -------- �K ^--CA ��—'��^'---.'--^'/'' -'-'~---~' ' � --.-------.-.-~-~...-------~... - � � � / Approved ----'=----------.. lg ~ --------.-----.----.—..--.-.- --------^------------''^^'--''^ / � � '