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0465 COTUIT BAY DRIVE
y�5 Cot �4�/ ��. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION e ' m A i l ej Map Parcel c`J o Application # 3C�Y5 Health Division Date Issued Conservation Division Application Fee U Planning Dept.' Permit Fee Date Definitive Plan Approved by Planning Board -� ty � Historic - OKH _ Preservation/ Hyannis Project Street Address yGs C� ,I- ��„ l�✓. z Village Cam •} Owner b�%- 6w-&4- Address ,c Telephone Permit Request I.✓rJ--tyn,z _ ,�,� L.. ��� FSIC 6.,,% 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 9' 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 Telephone Number Mike McCarthy Construction Address Pn�X5,-2 License # Nest Dennis, MA 02670 Home Improvement Contractor# CSL-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Id Ir FOR OFFICIAL USE ONLY ` APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE ` OWNER t DATE OF INSPECTION: r '` FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL # GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. k s. K- Town of Barnstable Rl galgtury Sem. kes RAWXTAME� Ri6ard V.Scat,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,llvik 02601 vv,R-w.town.barnst2bIe-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owaer Must Complete--arid Sign This Seqjioa If Using:A Builder 5 t1w"No-�wno.of-tlie,,,�tbject pro pen)-r hereby authoriz�-- LO act bnmy-bebalf, in aU maturs relative to work authorized'by this building permit application for � _ {Address,*-&Q-6 ), *"Pool.feiicts and alarms are the resp6iisibllyof-dLe.-app' h-caht. P-061s are not.to be.f Med or utilised before'fence is iastAi--d and all fi.ilaj inspections are-pen anti accepted. ------Sigaaam6f-ApA;ron+ r— P. t Name Print Name a k- --)0\10 Date ��..� n Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massac usetts 02116 Home Improvementtr ctor Registration =- Registration: 169393 -- j . Type: Individual L i t Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY I!A MICHAEL MCCARTHY _ �F P.O. BOX 52 �� a WEST DENNIS MA 02670 •.ESP\ �.rw..___; Zvi Update Address and return card.Mark reason for change. SCA1 Co 20M-05/11 0 Address ❑ Renewal ❑ Employment ❑ Lost Card (921e Wpanvnzo"ruueaN o1Q4iaaackwe&j Office of Consumer Affairs&Business'Regulation License or registration valid for individul use only VOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' Registration: :,�9393 Type: Office of Consumer Affairs and Business Regulation x Expiration: 6MM2-61,7 Individual 10 Park Plaza-Suite 5170 P Boston,MA 02116 MICHAEL MCCARTEi! i"� In MICHAEL MCCARTh4YF: M 6 RANGLEY LN. SOUTH DENNIS,MA 0A ' Undersecretary ° Not id with oft signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-058633 Construction Supervisor '" MICHAEL J MCCARTHY. . 1 P.O.BOX 52 ,..��:,•` '� y�- �,"{ WEST DENNIS MA IF 02§T0. 11 Expiration: commissioner 04/10/2018 The Commonwealth of Massachusetts Department oflnrhistrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED.WM THE PERMITTING AUTHORITY::: ApplictintInformation Please Print Le ibly Name (Business/Organization/Individual): Mike McCarthy Constructi0I1- OX .52 Address: West Dennis, MA 02670 City/State/Zip: CellV. 08)#280-696 4 IC-1 9393 Are you an employer?Check the appropriate box: Type of project(required): 1.19�am a employerwilh --:—employees(full and/orpan-lime).► 7. ❑New construction 2. I am a sole*proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 3.01 am a homeowner doing all work myself.(No workers'comp.insurance required.]t 9. ❑Demolition 4.O I am a homeowner and will be hiring contractors to conduct all work on my properly. 1 will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.Q I am a general contractor and I have hired the sub-contractors listed on The attached sheet. Thcse sub-contractors have employees and have workers'comp.Insurance.$ 13.0Roof repairs 6.F]We are a corporation and its officers have exercised lhcir right ofcxcmption per MGL c. 14.010theC II✓C�{(«,«/�, 152,§1(4),and we have no employees.(No workers'comp.insurance required.) •Any applicant that checks box tt l must also fill out the seelion.below showing their workers'compensation policy in formal ion. ' t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. )Contractors that check this box must'attached an additional sheet showing the name of the sub-contractors-and state whether or not those entities have employees. If the sub-contraclors 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 jab site information. Insurance Company Name: �'� •+�"� T,.� o Policy#or Self-ins.Lic.M VVL- 1cir, -GO I )CI�� -D-I6-A Expiration Date: )2 )If- I/C Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c:152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerh;jy under t a' s enalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: h,0 mac.—C S C 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I 40O ors CERTIFICATE OF LIABILITY INSURANC�� °;tio720116 Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT: If.the certificate holder is an.ADDITIONAL INSURED,the policy(les)must be endorsed...H SUBROGATION IS WAIVED,.subject to,.. the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 01962-001RRILA CT Bryden&Sullivan Ins Agcy of Dennis Inc ! ,Ext; (508)398-6060 N,,; (508)394-2267 PO Box 1497 So Dennis,MA 02660 INSURERIS)AFFORDING NAIC H INSURER . A.I.M.Mutual Insurance Company -33758 INSURED INSURER B Michael McCarthy Construction Inc P O Box 52 INSURER West Dennis, MA 02670 INSURER E, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE 1 SR POLICY NUMBER AM% Aw LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ PREh E e CLAIMS-MADE1-1 OCCUR MED EXP(Arty one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ FN L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OUCY ROT- OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' $ (Ea accidentl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOHIRED S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAS CLAIMS MADE AGGREGATE $ DED I RETENTION$ $ X������& C��l4f� X ,�3IfiT14"s °1�'- A A°NYIPB°PRIETOR/PARn5WECUTNEYY N/A VWC-100-6017656-2015A 12/15/2015 12/15/2016 E.L.EACH ACCIDENT $ 1,000,000.00 ((Mandatory in NH) EXCLU E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Cape Light Compact PO Box 427 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Barnstable,MA 02630 THE EXPIRATION DATE THEREOF,' NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Town of Barnstable "Permit#�Q� �G,S Y6 4" Regulatory Services Fe ionthsfroer iswe date Thomas F.Geller,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Vabd without Red X-Pres hnpm Map/parcel Number U S� A-/ 9 a Property Addressyr, C� 1 /�s� Qv�i .3 ,residential Value of Work 0 U" ` Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �i-%G,� �� Contractor's Name /7� aGfz fi �� Telephone Number e3 Home Improvement Contractor License#(if applicable)_ ❑Workmen's Compensation Insurance 9`� Check one: . ® RESS PERMIT ❑ I am a sole proprietor ❑ lam the Homeowner MAY 2 8 2008 . �I have Worker's Compensation Insurance Insurance Company Nam (� TOWN OF BARNSTABLE Workmen's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) G roof(stripping old shingles) All construction debris will be taken to L C❑Re-roof(not stripping. Going-over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.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. A copy of the Home Improvement Contractors License is required. SIGN Q:Forms:buildmgparmlts/express Revised 123107 i License or registration valid for individul use only Board of Building Regulations and Standards before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards One Ashburton Place Rm 1301 Registration;. 1s8587 Boston,Ms.02108 E*Pkroon; 2f8/2010 Tr# 264153 Tylie: Private Corporation T.L HITCHCOCK' EM i<ICESIN*C. TED HITCHCOCK 105 FERNDOC RD �L��,. Not with t signature HYANNIS,AAA 02668 Administrator BloarTo ui ing egula ons an etafflar s One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 158587 Type: Private Corporation Expiration: 2/8/2010 Trli 264153 T.L. HITCHCOCK SERVICES INC. TED HITCHCOCK 105 FERNDOC RD HYANNIS, MA 02668 Update Address and return card.Mark reason for change. Address ❑ Renewal n Employment [] Lost Card -CA! :, 50t4-67107•P5:8490 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applic.ant Information Please Print Legibly Name(Business/Orgmiinflon/Individud): /—G 57 �V&S Address: City/State/Zip .5 Phone*: �� � �s -7 ?63 0Are ou an employer? Check the appropriate box: Type of project(required): 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.❑ I am a•sole proprietor or partner- listed on the attached sheet 7. Pj, deling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' compAins+uransr comp.insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance require&]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required] Any applicant that checks box#1 must also fill out the section below showing then work='corntars 4on policy information. t Homeownc s who submit this affidavit indicating they are doing all work and then hire outside contractors nest submit a new affidavit indicating such. ICoatraetors that check this box must attached an additional sheet showing the name of the subtontrwAmn and state whether or not those entities have err>ployeos. If the sub-contractors have employees,they must prvvidt their wm k=l 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: ��t rI t I 1`ip - Policy#or Self-ins.Lie.M / �O Expiration Date: Job Site Address: (� f� r City/swntZip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date)- Failure to scctre coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 agamst the violator. Be advised that a copy of this statement may be forwarded to the Office of Eavestieations o IA f insurance,covers a verification. I do her edify under a pains penalties of perjury that the information provided above is true and co Si em e• Date: _ Phone# Official use only. Do not write in this areA to be completed by city or town offcciat 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#' 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 hiie, 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,appurtmant thereto,shall,not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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,MGL chapter 152, §25C('n 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 immn•ance 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),addresses)and phone number(s).along with their cmtifrcate(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 B4 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 pert 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. 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 ono 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:aff davit 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 figure 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 (Le. 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,telcphone•and fax number. -:The Commonwealth of Massachusetts ' Department of Industrial Accidents office of investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4G6 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia I 04/14/2008 15:15 508-790-0249 GOLDMAN & ASSOC. PAGE 02/02 ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR °�'�'"'"'°°'"�"' EIITCI� 04 14 fl8 PRODUCER TFm CERTIFICATE IS ISSUED AS/ MATTER OF WFORMATION GOLDL+M & ASSOCIATES INSURANCE ONLY AND CONFERS NO WAf M IPIT"THE CEf!'itFtCATE FINANCIAL SERVICES INC. HOLDER.THIS CERTIFICATE DOE NOT AMEND.EXTEND OR 933 FAIMOUTR RD. ALTER THE COVERAGE APFORDE 7 EN THE POLICIES BELOW. FIMUMI3 MA 02601 Phone:50S-775-6010 r=:508-790-0249 INSURERS AFFORDING COVERAGE NAIC S INGUREo INSURER A; ESSEX INSURANCE CO R16URER s: PILMM IMMMAN:= CO. T. L. B12CHCOCK CONS STRgm 11SVFlAtim CO SEN INC 105 ppC 9T INBURERD HYANNZS MA 02601 — e COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT-On ISTANOING ANY REQUMEMENT,TERN OR CONDITION OF ANY CCNTRAOT OR OTHER DOCUMENT WITH RESPECT TO NMICH THIS CERTIFICATE MAYBE C'-LIED OR MAY PERTAIN.THE SISURA"AFFORDED BY THE POLlM OESCRIBEO HOM IB BUBJECTTO ALL THE TERMrh 00=04 AND CON DM NS OP'SUCH POUC93 AGGREGATE LIMITS SHOWN MAr HAVE BEEN REDUCED BYPALD CLAeN15 LTR NSR TYPE Of ANCE POLICY NUMBER GATE GeaOMLIABanY EACHI CCIMENCE $1000000 A X X C/MMMERCUILGEHEIIALvmwAY *3CP2332 07/28/07 07/28/08 PREMIX s 50000 UC UMS f X mm E P v!j=ymee+q s 5000 PERSC WLL&ADV WURY s 1000000 _ GN96AYLsZOREGATE 32000000 �— GWLAGGREGATELW APPLIES PM P I.r-COMPIOPAOG 92000000 POLICY p CT LOC AUTOMOBLELIAMIITY COMBI•EDOPI EUW S 8 ANYAUTO 1=10008214230 12/20/07 12/20/08 tEllw.1=3 ALL OWNED AUTOS Booty INJURY s250000 SC14EDULEDAUTOS "pe Z HIREoAIITos GDOW NJURV' 3-500000 X NON-0NMWWOB F&W m;q Peon m DAMAW 4250000 qpw*a do9 GARAGELWIAM AVTOIfR'-EAACCIDENT S ANY AUTO p fwkN EAACC s •.: A@0 s excESSROMBROLLAwaBSTY EACH.COIRREIxE s OCCUR Q CLANS MADE AGGRI';AIE L t DEDUCTIBLE — S RETENTION R s jVMkTRSCOMPDAAlIOMANb 7C:'UNITS ER CEvoLoym LIABILITY2246060 03/29/08 03/28/09 E L eA*1/c,DIEMT S 500000 ANY OFFICERWNISEREXCLUDED? ELDU' S00000 ny��aeealeNrtO EL DI'as.E-POUCTLWT s 500000 SPECIAL PROVISIONS Odaw OTHER OBSORtPTWNCFOPERATIMIL•OCATIM*IVENCLES/EtCLUSIM 8Y ispEr L THE CSR32FIC)!!1B HOLDER ZS LISTED AS ADDZTIOi+n ZNSURSD ATUM ACCORDnIG :0 THE POLICY PROVIS10149 CERTIFICATE HOLDER CANCELLATION CARRY SHOWI ANTOF THE ABOVE DESK POI-CIES BE WIICELLED BEFORO THE EXPIRATtDM OAw j#www.vm wmxwG wstvBRvALL m3&wa TO mA& 30 DAV9 WAtTTBN NOTICE TO THE CERTIFICATE HOLDER HAMS TO THE LEFT.BUT F^&we To DO SO SMALL =POSE lID OBLMAtWN OR LWIMTY OF All-IW IO UPON THE DSroLER,1T8 AGENTS OR TPIE3 ATPA ACORD 25(2GO M) ®ACORD CORPORATION 1938 f t 105 FERNDOC STREET HYANNis,MA 02601 (508)775-7763 TEL (508)775-7763 FAx DATE:MAY 9,2008 T.L. Hitchcock C®nstmc i®n Services, Inc. BRIAN BERNIER 465 COTUIT BAY DRIVE COTUIT,MA 02635 TEL: 508-420-3727 RE:PROPERTY LOCATED AT 465 COTUIT BAY DRIVE,COTUIT,MA 02635 FURNISH MATERIAL AND LABOR TO RE-ROOF HOUSE AS FOLLOWS: • REMOVE EXISTING SHINGLES FROM ENTIRE ROOF AREA OF HOUSE. • INSTALL NEW ALUMINUM DRIP EDGE ON ENTIRE EAVE AREAS. • INSTALL ICE AND WATER SHIELD ON ALL EAVE AND VALLEY AREAS OF ROOF. • INSTALL ICE AND WATER SHIELD AROUND CHIMNEY,SKY LIGHTS,VENTS AND OTHER PENETRATIONS. • INSTALL# 15 FELT PAPER ON ENTIRE AREA TO BE RE-SHINGLED. ��++ C�• INSTALL CERTAINTEED 30-YEAR WOODSCAPE SHINGLES ON ENTIRE ROOF.(q 1� • INSTALL NEW ALUMINUM PIPE FLANGE. ! • INSTALL RIDGE VENT ON ENTIRE RIDGE AREA OF ROOF. • CLEAN AND REMOVE ALL TRASH FROM JOB SITE. • LABOR WARRANTY=10 YEARS. • MATERIAL WARRANTY=30 YEARS. r-. PRICE: PAYMENT TERMS:DEPOSIT OF$3,300.00 IS DUE AT CONTRACT AND THE BALANCE OF $6,675.00 IS DUE UPON COMPLETION OF JOB. ACCEPTANCE OF PROPOSAL:THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED.PAYMENT WILL BE MADE AS OUTLINED ABOVE. SIGNATURE OF CONTRACTOR k iG� '` DATE: 75-j/J g10e SIGNATURE OF CUSTOMER:' • ^� ''�^� DATE: 5'��•W TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 61 Permit# 9 1 Health Division aeloq ss-IIL. Date Issued �I 2 IOS Conservation Division t�.r �- G Application F Tax Collector Permit Fee y2a'.-0�0 Treasurer AL EXISTING SEPTIC SYSTEM Planning Dept. t LIMITED TO-�Z..S OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Cv✓ cQe zocj Project Street Address 1 / ) �A�/ O�J ✓'� Village Owner y ) l tr ) � Address sa n.Q- A 9 Telephone d' x, c'j PermitReques�ta Square feet: 1st floor: existing / proposed /o 2nd floor: existing '� proposed Total new Zoning District Flood Plain W G Overlay �b rojectValuation Construction Type '60I*"-?, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. I Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: El Yes ❑ No Basement Type: �f Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �j? n��5, � 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 N(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:��❑��existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Q Attached garage: existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name jkll JJ Telephone Number yy�6 o��> Address i` License# (�Saa3 Home Improvement Contractor# Worker's Compensation# 9? y X-5 g� D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IQ oW<e., r&,� SIGNATURE Vo DATE 60 D t. r� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS ,VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGIP FINAL ew GAS: ROUGI FINAL C FINAL BUILDING DATE CLOSED OUT s�st tr ASSOCIATION PLAN NO. o I Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename:CAProgram Files\Check\REScheck\#4656.rck PROJECT TITLE:New Family Room/Work Shop CITY:Cotuit STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) WINDOW/WALL RATIO:0.24 DATE: 12/29/04 DATE OF PLANS: 11-08-2004 PROJECT DESCRIPTION: Brian&Susan Bernier 465 Cotuit Bay Drive Cotuit,Ma. 02635 DESIGNER/CONTRACTOR: Village Craft 568 Santuit Road Cotuit,Ma. 02635 PROJECT NOTES: MaCheck by Cape Cod Insulation,Inc. #4656 COMPLIANCE:Passes Maximum UA= 192 Your Home UA= 191 0.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value due U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) . 616 30.0 0.0 21 Ceiling 2:Flat Ceiling or Scissor Truss 282 30.0 0.0 10 Wall 1:Wood Frame, 16"o.c. 998 19.0 0.0 45 Window 1:Wood Frame:Double Pane with Low-E 243 0.340 83 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 672 19.0 0.0 32 Furnace 1:Forced Hot Air,82.7 AFUE REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE: 12/29/04 PROJECT TITLE:New Family Room/Work Shop Bldg. Dept. Use I ' I Ceilings: [ ] I 1. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,82.7 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ J Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the beating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] 14VAC piping conveying fluids above 120 °F or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2„ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pige Sizes Piping System Types Range(F1 2"Runouts 1"and Less 1.25"to 2" 2.511 to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) I i COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECcheci� and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found-in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date Daniel E. Brantan, P.E. 189 Harbor Point Rd. f5E Q-J.1 top- Q 6Z 1 Q I;--- Cummaquid, MA 02637-0361 �i. Co;-Tv L-C, 'tom Q• �2�EcT; 3 lv o A- is — 04. l.o ..s�� Nc,; ="�.©o�.-- `�• �. - 15 �s�.� L.L ,-7 4-pp4, 2 6/1- � l a-� ca F T=t-oav W L L, 4-C)Y- L 4- 5&0 ej s w C) YJ t 2 x- Z Co C,�Oo u e Azr® k ...�� fn c-e.r'• !(_(o -v� RArI - . U Uldvluy btealit1 Licensed to: Dan Braman, P. E. Job: Bernier Res . Cotuit Bay Dr.Cot . Steel Code: AISC 9th Ed. 9 PION INFORMATION : Beam Size (User Selected) = W10X39 Fy = 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0 . 039 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LLl LL2 0. 00 24 . 00 0 . 210 0 . 210 0 . 000 0 . 000 0 . 560 0 . 560 SHEAR: Max V (kips) = 9. 71 fv (ksi) = 3 . 11 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flang kip-ft ft ft fb Fb fb Fb Center Max + 58 . 3 12 . 0 0 . 0 1 . 00 16. 61 24 . 00 16. 61 24 . 0 Controlling 58 . 3 12 . 0 0 . 0 1 . 00 16. 61 24 . 00 --- -- REACTIONS (kips) : Left Right DL reaction 2 . 99 2 . 99 Max + LL reaction 6. 72 6. 72 Max + total reaction 9. 71 9. 71 DEFLECTIONS : Dead load (in) at 12 . 00 ft = -0 . 307 L/D = 939 Live load (in) at 12 . 00 ft = -0 . 690 L/D = 418 Total load (in) at 12 . 00 ft = -0 . 997 L/D = 289 VIJ:j b LA1111 V/ . 0 - uraviuy beam b Licensed to: Dan Braman, P. E. Job: Bernier Res . Cotuit Bay Dr.Cot . Steel Code: AISC 9th Ed. SPAN INFORMATION : i Beam Size (User Selected) = W12X26 Fy = 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0 . 026 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 24 . 00 0 . 210 0 . 210 0 . 000 0 . 000 0 . 560 0 . 560 SHEAR: Max V (kips) = 9 . 55 fv (ksi) = 3 . 40 Fv = 14 . 40 MOMENTS : Span Cond Moment @ Lb Cb Tension Flange Comp Flang kip-ft ft ft fb Fb fb Fb Center Max + 57 . 3 12 . 0 0 . 0 1 . 00 20 . 59 24 . 00 20 . 59 24 . 0 Controlling 57 . 3 12 . 0 0 . 0 1 . 00 20 . 59 24 . 00 --- -- REACTIONS (kips) : Left Right DL reaction 2 . 83 2 . 83 Max + LL reaction 6. 72 6. 72 Max + total reaction 9. 55 9. 55 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0 . 298 L/D = 967 Live load (in) at 12 . 00 ft = -0 . 707 L/D = 408 Total load (in) at 12 . 00 ft = -1 . 004 L/D = 287 BOARD OF:BUILDING REGULATIONS { I License: CONSTRUCTION SUPERVISOR, Numbe,�CS 050234 Bi :d to-07/.0.9/1962 rx Ir /.091 Q.06 Tr.no: 27779 :� ,u:: R 'St It MICHAEL DELU A _ 568 SANTU,IT RDA — G- COTUIT, MA 0263' - tije`e Commisslorier � i S� I3r0,71 �i Ii a.1 t a 410 .i HOME IMPROVEMENT CONTRACTOR Registration: 105548 Ex ir'aton;_„ p- 7/l7/2006 VILLAGE CRAFT BUILDING.&RE MIc n ael'Nluga 568 SANTUIT RD. _ COTUIT, MA 02635 Adminish;�un Loi S4 . P. 140.00 �� w 4S L0T82 LOT 81 6f _ M LoT 35 12,21 26 CO �BZ• � . ` h4 ,yam co n 1' P. R_ 348.30 rJ C 0 T r ' �=,so.0o RIVE VAT gBAYp RES: ZONE:RF FLOOD ZONE: C THIS M0FRTGA-GE I NSFPECT ION PLAN IS FOR BANK USE ONLY TOWN: COTUIT REGISTRY OWNER: McSHANE CONSTRUCTION CO. DEED REF: 4629-22Q BUYER: BRIAN 8 AN B RNI R DATE: 3-14-88 PLAN REF: 292-27 SCALE: 1 = 40' ere y certi y t at t o ul ing shown on this plan is located on YANKEE` SURVEV the ground as shown and it �1NOF �� C:CD L.}L_`rAN-F Position does conform to the ��➢ Ss� 70 RASPBERRY .LANE zonin law setback requirement of PA�UL yG� MARSTONS MILLS B ARNSTABLE MASS 02648 and does not lie within the. special o NEoR13HHE08 a flood hazard area as shown on 90 t . u. d. -* f.1ooQ map dated �f�'�EC►STEa`�SJQ,� is p 1 an de from an instrument Paul A: Merithew, RPLS survey, not to b.e used for fences etc 25"8 a OFIHe l�Y Town of Barnstable b Regulatory Services • HaRNsTasr.E, Thomas F.Geiler,Director MASS 9`bA,F0 3.p�m Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permitno. 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: J1, h Estimated Cost 41.1 Address of Work: ✓ C� ✓ Owner's Name; i�1 K 11.. ►��]eJ" Date of Application: I'A I hereby certify that: Registration is not required for the following reason(s): OWork 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 perrriit as the agent of the owner. !* g Date Contractor ame Registration No. OR Date Owner's Name i Qlorms:homeaffidav GFTMEt 'Town of Barnstable °^ Regulatory Services " STAB Thomas F.Geiler,Director bum Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.b arnstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby-authorize.. Lkq to act on my behalf, in all rriatters relative to work authorized by this building permit application for. fAt (Address of Job L)O.AJ�,,, Signature of Owner Date Print Name i The Commonwealth of Massachusetts — _ Department of Industrial Accidents 600 Washing ton Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit General Businesses address: • state. zi : hone# work site location fu address: e Retail[]Restaurant/Bar/Eating Establishment [] I am a sole proprietor and have no one Business Typ �J ]dug in any capacity. ❑Office[]Sales(including Real Estate,Antos etc,) []I an em Toyer with t rn ] es full& art time. herRMF � ////!l//// y///////�///////%//lam %//�///////%%�///%%%/�//%////0/ I am an employer providin prkers' compensation for-my employees worldng on this job.com / an nam address• Y. , ;ll,• titJ' • •. V, •j' :4,� ,•Jj r •' bone#•- {• Of tDStiraDCe.COJr, •r',� .•� ..�G. .:. '..• � % ' /// /////^: .. I am a sole proprietor and have hired the independent contractors listed below who have the following workers' . compensation polices: : < 4. cam en ipone ^ . C ftY:.i.• - ••T•' i'J' •'f .{;�,?.:f+'"' 'P•f.,'•. .a; .'y! I.'.,n .�:.�..•�: t ..^A;+ ,t cWN inatirsnce o . . - / %// _ t: rig' ••,.;•' -.,• -t. .J ••�;:' ,�. :? �. ;.', t ,4'J' , nL ..i� i,{.• �,f.' •p',.J'J Y;. :'1.: :•v'. _ address: :. ;, • . .,.. ' ,' •. hone# L `' t•:J„ ;Pv;. : :4, fit.•• ..I,�/ �•' _. .. i'tisuranc_�eo:��•'., ;.MEMO Failure to secure coverage as required Hader Section 25A of MGL 152 can'lead to the imposition of criminalpeaalt aQnme upI nndOtOand snadt it r. one yeah' ecure coverage es s required as red peneltias is the form of a STOP WORK.ORDER and a fine of$100.00 a daye� a Office of Investigations of the DIAfor coverage veriRcatioa copy of this statement may be fonmrded to I do hereby certify and t ai and perjury that the Information provided above is true and correct Date is a6 6 YL Signature / 9-7J Phone# - Print name ' Official we only do not wrtte in this area to be competed by city or town oLAcial permittlletwe# QBullding Department city or town. ❑Liceasing Board ❑Selectmen's Office ❑check if immediate response is required ❑Realth.Department , phone R; Other eoataet person tyevind eepL 1003) I , 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 dewed 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 morn 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 m 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. j FAIN F Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, 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 r affidavit. The affidavit shouldbe 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 D.epartrnent at the number listed below. L . City or Towns Pleasebe sure.that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tine affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant: Please be used as a.referen be sure to fill in the pernrit/hcense number which will. nitimber. The affidavits maybe returned to . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would liketo thank yvu in.advance for you cooperation and should you have any questions, please do not hesitate to give us a call.. The Depar:6=t's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents offt"of Imsugations 600 Washington Street Boston,Ma. 02111 fax#:{617)727-7749 phone#: (617)7274900 ext:406 - a RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET �2q 02Y - 52-%00 NEW LIVING SPA '3yy .-t square feet x$96/sq.foot= x.0041- plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) - GARAGES(attached&detached) square feet x$32/sq.ft. 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.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) • Deck x$30.00= . (number) • Fireplace/Chimney x$25.00= ' (number) . Inground Swimming Pool $60.00 -- Above Ground Swimming Pool $25.00. Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a-6_;ZG4- Parcel �� / Permit# � Health Division �I�I c� 1.-�u.v, S&.QW p� -tN a/ Date Issued Conservation Division 2 Fee Tax Collector ��� ((/ Treasurer'" SEPTIC SYSTEM MUST SE INSTALLED IN COMPLIANCE Planning Dept. MAR 2 .-WITH TITLE 5 3 �.• ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board L�. '9$4% . 11 TOWN REOULAo IONS Historic-OKH Preservation/Hyannis Project Street Address 4 6 5 C v T-L, y bP- i vE 1 Village �C, i < Owner �R 14 A/ � SRO 5 n ni �C,4 /ty Address 4(�S if r r .8,o y 16 7-& Telephone 'q Z o 3 7 Z 7 Permit Request /'%�,s�� �N ExiSTiN� ��o/b �c3�% Rao/yi in< Tl-/6 S�-, /NS4l4Ar- dvAl Doelc ' lyzel 1-`.,A1"r / 7XInf e-It, 10Lrnr1C /�/CIV7 To 7/4X�_ A2��{� r4 r> S Td F.Al,1 9 rA aon-, +Square feet.1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation S�O� Zoning District Flood Plain Groundwater Overlay -Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O' Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes O No On Old King's Highway: ❑Yes ❑ No Basement Type: till O Crawl 0 Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new f 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: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:O existing O new size Pool:O existing O new size Barn:O existing ❑new size Attached garage: existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ,Cf No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name -b A f ZF W B LE TT Telephone Number -2-7 S` 2 ct t 2- Address t 7 FC-P- F b R L E License# C) 4 2 z z 8 �f AN MIS Home Improvement Contractor# Z 0707 F 0-F_"X Worker's Compensation# Lu •- o 3 375 3 -o r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 - •� FOR OFFICIAL USE ONLY ~ i PERMIT NO. �l . ` r O ` s • DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE OWNER a DATE OF INSPECTIONzj FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH- = FINAL FINAL BUILDING ` � jam— • • S DATE CLOSED OUT ASSOCIATION PLAN NO. 1 y r 2 d. `of1HE►ai The Town of-Barnstable- BARE. ' = Department of Health Safety and Environmental Services MASS. P �] a0)9• �0 APED a. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection LocatioAL� Cju::� R d Permit Number S 23 L4 Owner Builder r t One notice to remain on jobsite, one notice on file in Building Department The following items need correcting: tt I.1CAT1 VG I ; `� �CJtiI .lr.tl \ 1 no 4 I' r U r, ic ,C�(n c, � i +te r; �,� � � �c � �� c in I� W\ M, Please call: 508 862 4038 for re ins ect o P Inspected by q,,L00'4 Date 1d 0 Z MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .01 Release 3 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-26-2001 COMPLIANCE: Passes Maximum UA = 94 Your Home = 90 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 336 30.0 0.0 12 WALLS: Wood Frame, 16" O.C. 500 . 11.0 0.0 44 GLAZING: Windows or Doors 56 0.320 18 FLOORS: Over Unconditioned Space 336 19.0 0.0 16 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here, is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the-"cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% o he design load as specified in Sections 780CMR 1310 and J4 .4. 6 Builder/Designer Date r The Town of Barnstable Regulatory Services Eo�u•+ Thomas F. Geiler,Director 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.modernizadon.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 s°o o - Address of Work: tpo Tu, 7- 3,92 b lZ i vC - eo Tu 17- Owner's Name: Date of Application: 3 - 21 - o f I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law QJob Under S1.000 OBuilding 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. 3—ZI -01 �� �J %�eEr1-�a�/7-r /2o7G7 Date Contractor Name Registration No. OR Date ' Owner's Name q:forms:Affidav r • 7=Cut AQpanwx J TAWliZSb(ooadammd) h pcipdre Pas,caM for One and TwO-Fimilf ResidmxW Ba,Idla Heamd with Fossil Fasi2 MAXIMUM I IIiUWMUM Glazing (us Cciliag Wau Floor g SLh 1 3r�++c8 Az='(K) U-valu; A vsla2 R-Vai=� R.vwl Wall Fssaar R.vaiu� &vator� 3701 WOMB Headaw Dew D&W Q I2% I OL40 I 33, 13 19 i0 ( 6 I Normal �- 12% GM 30 19 t9 10 ( 6 I - Norms, 3 IZ'/• I ass 31 13 19 10 6 13 Ann T 15% am 31 1 13 j? WA ( WA I Norms, U 12A OA6 31 19 19 10 6 I Norms, V Is'/• I OA4 31 13 23 WA I WA 1S AFVE W 13% 1 am 30 19 19 10 I 6 is AFUE X 11%. I 032 I 31 13 ZS WA WA I Nerma! Y IVl- 0,42 31 19 25 1 N/A I WA Notes, Z 19% I 0.42 n 1 13 19 10 ( 6 90 AFUE AA 11'/. 0,59 ( 30 19 19 10 I 6 I 90 AFUE 1. ADDRESS OF PROPERTY: 6 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS. g O-7 3. SQUARE FOOTAGE OF ALL G7-A23NG: -2 0 4. %GLAZING AREA 03 DIVIDED BY#2): 09 S. 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: YES: NO: iof=4980303a 780 CMR Appendix J Footnotes to Table J5`.Ib: ' 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 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. ' 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-39 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 pardon of the wo£ •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-I9 requirement could be met EITHER by R-19 cavity insulation OR R I3 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 cei1i g requirements. •The 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 Z 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 J5Z 1 a 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 035. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-vaIue 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(035 for doors). EST/MA TEO PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X'M5/sq. foot= PORCH square feet X$20/sq. foot DECK square feet X$15/sq. foot= OTHER E x-I s inr G Room- y square feet X$??/sq. foot Total Estimated Project Value j ne c-ommonweauu of Massachusetts Department of Indusaial Accidents _•' �_ OI�CrOIl�'Sll�ffOdS a 600 Washington Streit Boston,Mass. 02111 Workers' Compensation Insurance davit i�/l�r.?�i�..'���,,,,'�i�,.% game: T.2�r2�TLE Ti location- 1f 6 S T-U r 7 &/gy a/L,vE ' city e Tv r r hone# 7 7 r Z� ❑ I am a homeowacr perfosming all wmk mysed£ ❑ I am a sol to nor and have no one wotirmg in nay raaaaty ❑ I am an employer pzvvidmg wor1=' Cmm aria dan for oa this 'ob. ..... .:...:....... .:.:.....:............. .......:. :4 •vOM.r: •..�m}L...a•.v -: {:;r:•...:;<:. , �t•� ?{.; : as }.::• ,:.,•:: r ;::<^>:<s:;: ::::;::::;::::. ... ..{,r•,x.,.:0».ti{x....•a,w..•.......x.,.,�w,�....:. . .....:{••:- ,•..k�.:.:.. ::;ri•::•:.:.:.:;i.,.:•> .................................. ,,.}tt,.:k•4,:...:rtxx:.:.vn. -.:.;.,....: ...........::: ....... -.....{.::.a..}}.tr.<c•}?:{{�i::r:i ':;'}:r:..;.::::;:::ti;:}::::;�:i'>:::::':: .......,...i:.:i!;b:......•.,.......... ;Y..`...... ..x............ ......mv;T,.w. .. 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OAE:INPROVEfl[IT CONTRACTOR 0 42070- r=�j0drat .« w t P! F i g'.0BA xr����'! DESIGN i RENOOELING f TaENBIETT' aw4 No �^ADMONISTRATpR .s. ALE III; A IRIS y .i A� 1260I u , 5.axis F- K54� 4 . . . -- ...r-�-�-..�,:-s�r•- . . .�-�.::-�,.=_yam..:+ , �80A D O UILDING R OTC° License: CONSTRUCTION SUPERVISORS Number. CS_ O42226 d� i Blrthdate: 09/04/1949 t EicPires:09� /04/2001 Tr.no: 3901 Restricted To: 00 DAVID P TS MBLETT 17 FERN DALE RDA HYANNIS, MA 02601 ! Administrator _ I The Town of Barnstable k dp Permit#��/ Massachusetts •_ Date SAuW& SOLID FUEL STOVE PERMIT �uea . Fee of This constitutes an official stove permit after inspection and approval by the building inspector. ` Owner e? Telephone no. , �f 7 Address of Property 7>/i Fzz- X� Village D Location and Stove Type �% G�i - �Cr/C-/7 f .c o Date: uilding Inspector The solid fuel burning stove at the above locatio passed - inspection. • I�>'� tt/t�/8� o KGss " ham'. .. .s-s-_ Assessor s map and lot humber .............. ........................ SEPTIC SYSTEM MUST BE THE ro Sewage Permit•. number . .......I.—;.?.-.. � .... 4.r1 INSTALLED IN COMPLIA o WITH TITLE 5 d !6� K/j� House number ........................................ - ENVIRONMENTAL CODEM�a LE, s TOWN REGULATIONS °° 1639' 0 w TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO. .. : ........ 4.�:�VC...... ........................ 1..�.......... ............... TYPE OF CONSTRUCTION At6V f I, RtiS 1,oWdt C Ss W6L& � 1�Y .............................................................. ............... .... .1.... .....19� I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi information: Location ....... ? ....... .Z........ � ....... .......... ........�... CC 1. ........................ f. ............ Proposed Use COMl1, Vitt SI Av6t�E AAM 1 UY R�S!O W-C ....................................................................... .. ... . ZoningDistrict ................. F......... .................Fire District .. ..................................................... Name of Owner ................. y...........................................Address ..........................................................................I......... 5' Name of Builder .... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 13....................................................Foundation ...p�V�EO .ej.m TL .............. .........:... ...................................................... Exterior C46#s .........................Roofing A4p � 1. Floors ......................................................................................Interior .................................................................................... «- "- gs PfR Pt�v Heating ............F/�frD...../y9/.....��................................Plumbing .................................................?:......:.,. ..... ... Fireplace zq .LE.........................................................Approximate. Cost .........X...z'...VAl..�d..... . Definitive Plan Approved by Planning Board _ __ ---------19__V_. Area ... .. i ..... Diagram of Lot and Building with Dimensions Fee .... . ..... .............. v SUBJECT TO APPROVAL OF BOARD OF HEALTH z. r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ,vJ fa I hereby agree to conform to all the Rules and Regulations of o f Bar st ble reg ding the above construction. Nam ...................................... ................... Construction Supervisor's Lice e . ................................. 4McSHANE, JOHN No ....3-1.399. Permit for ,One...Story.............. .. ..... .. .... .. -Sinc[le Family. Dwelling ................................. .......... ... .......... Location ......Lo.t...#.8.2.........4.6.5....C o.t.u.i.t...B.av Drive .... .. .. . .. Cotuit ............................................................................... Owner ..John McShane............ Type of Construction ........Frame .................................. ................................................................................ Plot ............................ Lot ................................ Permit Granted ....Nomember..9.......:.19 87 Date of Inspection................................. .......19 Date Completed ....ZI 19 4� J• 0,> hid .9C'9cc co o a � S o oG sue, . X ��' Zp9pp p . O 1. .t p9 • �N F PLOT PLAN OF L AND "TO THE BEST OF MY KNOWLEDGE, THE~F,OUNDA TION L OCA TED IN SHOWN ON THIS PLAN IS AS IT ACTUALLY:Y EXISTS ON 0 BA RNS TA BL E - MA SS' � THE GROUND. " , • . N PREPARED FOR OA TE: OCT.28, 1987 t Mc SHA NE CONS Ti9UC TION CO. R.L.S. �u"'�'• ��..�� �> � DATE. OCT.2B , 1987 ;�:F�'ISTf �;� SCALE.' 1 BO FT. 't;\ trq LAND AND��? ''� CAPE 6 ISLANDS SURVEYING FLOOD ZONE C (NON-HAZARD) ' °*w TEA TICKET — MASS. i ,ARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE 1V C'v k..; 19 PERMITWP 3 13 919 APPLICANT John l4c:Sharict 'oolc'ofl 69"V 0'_L4:.,rVj -1 Ic, j:ADDRESS ;'T Z, INCA (STREET) (CONTR'S LICENSE) Build Dwellin�,. NUMBER OF .1.- :" I� LY 1v c I DWELLING UNITS PERMIT TO STORY c-I' I (TYPE OF IMPROVEMENT) _707 (PROPOSED USE) AT (LOCATION) Lot 465 Cot-u-0".. 1.,-, ZONING r., (NO.) -(STREET) co.t DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT-BLOCK SIZE 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: va'g�� AREA OR 8 0 8 su. ME .1 .7, PERMIT s 9 1) 5 0 ESTIMATED �e VOLUME (CUBIC/SO DARE FEET) COST (J.Fu 0• fj 0 FEE OWNER john " 465 CC)"Luit. a BUILDING DEPT. Al YAP ADDRESS BY pop. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF-EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, -MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE* SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. PRIOR TO COVERING STRUCTURAL QUIREO,SLICH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE -FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 (° � / _.tom 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT OTHER BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT ',q!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION. TOR HAS APPROVED THE VARIOULIS STAGES OF -WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT ;S ISSUED AS NOTED ABOVE. NOTIFICATION. DATE ��- / - O CONTINUATION OF ROAD BOND BUILDING PERMIT: The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work items are completed to the satisfaction of the Engineering Section of the Department of Public Works. loam and seejshoulders as`soon as weather permits. other (explain) i / � l 2 LOCATION ; �-O L i,, `i ri ._�/T /`i ���I L�� O %T SIGNED Owner/Contractor ENGINEERIN& AUTHORIZATION (. • e Y\.. � Y• _ ... .. r� ..'i.;.uwrra•'.sue.. ..:�>J.�.'•rY ♦v G�'.ayr..v +.ww-a-... _.(y..•.vim--- ._ .. _p. _ . � FF �7 TMf TO TOWN OF BARNSTABLE 31399 � Permit No. ...... ....... BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING �fuT HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to JOHN MCSHANE Address lot #82 465 Cotuit Bay Drive, Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD f 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. � June 1 19 88 � ? v rBuilding Inspector 1 Assessors map,and lot number ......................................�. -ti.- �� Bpi T H E T0� ' �— rti •• ` Sewage Permit number ......... ?......................... �..... e`` .�� �� • House number . ....... L Z B98B9T"LE, i �`""�....... ..:� .:`........................................... O MAE6 0 `� GD i639• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................`.�.N 5.7�2 V .......�VS ................................................................. f-l�US� � SSiJfN� t! S,N6UL /-AMtcy ) TYPEOF CONSTRUCTION .........................................................:........................................................................... C .r..... .1..........1c� I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LL� Location ....... ......... .�..��-...........�c��:. .. � .!...L:..d....�Q ........ Proposed Use COnJ57i.UC.T" S'tN6L•ti A I L-Y P4 S 10WCf- c .r..... ` I Zoning District .................��................................................Fire District ...................................................:� a-�, Name of Owner /Z O Y %VA1V Q0 S?' �/L/ /1Al0-7i 01V N /��40!N� 1444<c, ......................................................:....Address .............. ......................f.................. r......... 77fi wfsr eAw5r4ei-c- aOXA i/►!` ............................Address 'dOv 2.os! WC3i/1l nlS���c /Ltd SS-. Nomeof Builder ............................ ...a..........................................r................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 1.3......................................................Foundation ...PVVRCO .M� 9l�r.T� ........... ............. .................................................... Exterior .....c � ... ........................:...............................Roofing .......... ...� .... ........ .................. 2 Floors ...........................................Interior .................................................................................... Heating ........•d I L-F/�� f�0% f�/!� Plumbing ...�.5.....�`� t��W ?-A- \ ............................................ ....... .......... Fireplace .........SING.�E............:.............................................Approximate. Cost .:.:..... ..! .�Ve..�U. .................................. . ....... Definitive Plan Approved by Planning Board __ __ _a!______1__19__ _. Area ........................................... YIh4 Diagram of Lot grid Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH r • fa s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t Town of Bar�istable reg�ding the above construction: Nam .............................................. .:................ • Construction Supervisor's License .................. .............. MOSHANE, JOB0 A=55-50 ' `^ / No .3l399— Permit for ....Ooa... ...... . . . . --�S���le_ .. �P_q............. `Location ...)�gt...#R3. --4�...Cotoit_B.al/ Drive .....................Qgtoit.......................................... ' Owner —..JPl��' ---.._____.. . Type of Construction —'�K.iqmg.............. ` ---------...------..�—.-------'. . , Plot ............................ Lot.................................. � / Permit Granted eod� 9 � lg D7 � —''--------' -- i ` � . ' � ^ - , - ^ . | . t RIDGE ENT DW RIDGE P f6 I ,•� tTP.l,TD°BOLTS tttl RAFTERS 0 Ub°OC. 6f PLY.ASPHALT PAPER FSMALYS PAPER D ASPHALT SHINGLES i I • S� FALSE LOLLVER .. ASPHALT ROORNG 1 TMP.brut! WBIL CUSTOM *DOCK RAKE BRoe. 77S DO STRAPPNG USTEEL PLATES SOL 9 Dt6 iK.BOARDS BO7HVSIDED OF TEdMB. WA-•SV�r�-d I d� $,. i• FAMILY ROOM ® m t CATHEDRAL RING afd314*TIG FIR PLY. llbOARD Y.SMEATNAILED I GlL1ED. PLT,SHEATHING _ WRAP OR EOUaL B WSUL WNLY.0 IV D.C. Dt9 1 DID'FL.WAUB ST.T1P.iN91M6 WWIBOARD CNA.BRDB. iTP,DCSAX6 . I CNR.BROS. FL.DALLBOARD WORKSHOP RIB DO I6.OL. - W PLY. &1011 rA7 ��®yy� wCSw1 ALES EXISTING meKi�"OR"REQUAL � ��. ���, SIDWG /•TRICK Effln _ _ CONG BLAB b o all o REAR ELEVATION LEFT ELEVATION �. I CR_ OSS$LOTION(AI 51DEa'ALL I I 1TYVEK OR EQUAL I i I 112 PLY,bHEATHINC � I t '. ;13LE5 STARTI?R ' R DGE VENT - I IS M7 RIDGE SH1 COARSE - VDC6 SdL SE 41- R ' ------ 11 tl 11 aBR1ALT ROOFING ---- D(b RAF782S 0 K•OG.` Q 6 OL. ^ _ I r- T-U--Ir-W— VY PLT.BNEATH G WG B - �• I W n rt B D O ABPWiLT PAPER p D D W W B ASPNALT SHINGLE$ , I W n n n D LL DETAIL o 0 �\ I I 'Df3 STRAPPING 0 T/G 13R I D(b K.BOARDS W WALLBOARD t EXISTING FAMILY ROOM RB INSULATION UY PLT.SHEATHING I CATHEDRAL TTVEK WRAP OR EQUAL ^�,SITTING ARC SONG ASPHALT SHMGLES I - lfC VG RR PLT. UP ASPI IALT PAPER � I -eRDn6 - �-�-�-�_�- HAILED I GLUED, V2 PLY.SHEATHING < < L 1 L I u 0 9 Lfio'.a IS oL.-a DOD.a r.O'C.� - �� IS WeltDO OIEFL BEan ARD 0 F�P PING ° 116LLBOARD WIZx3s GAD FJA � L� 5�5 5JB'FGWaLLF{O ®® ZX6 r BASEMENT - 3-16d CtRtET dEw TN6'.9ID•o.C. VENTED DRIP EDGE WORKSHOP RIBWSIAA770N S'ALUM.GUTTER I Q r DY PLT.BNEATHMG i TTvETC WRAP OR EauAL $ TYP.HURRICANE TIES r aO�' M25 0 16'O.G. 1•THICK LONL,BtaB $S ToP Tzc.✓G IX8 FACIA Z DCB SOFFIT RIGHT VATION 1-3/4'BED MLD. Dc FREIZETUDOR c} C CROSS SECTION Q 3fEf� l� U GAVE DETA-1-1. _ E 3 E Z7/1f ,E s /�ITz7sID JOB ADDRE55 � DATE BRIAN AND SUSAN BERNIER D SI.N PROPOSED NEW FAMILY ROOM REVISION DRAWN BY Gr1 PAGE ; 465 G0T01T'BAY DRIVE OI-25-2005 1B D BT oFe� V4°. I'O° �8 zr SC'5 S COTUITMA IPRCNASEOF T ORAWDES LEAVED MA CNABER RESP NSIMA FOR COMPLIANCE WITH ALL I ENACT SM AND REINFORCEMENT OF ALL CONCRETE FOOTDIGS !ALL FOOTWG9 SMALL EXTEND BELOW FROSTd1E VFRGT DEPTF. LOCAL BUL.pWG CODER AND ORDDIANCED.J B pEBIGNB;MIT NOT BE HELD REBPON&BLE MUST BE DETERMINED BY LOCAL SOR CONDRIONS AND ACCEPT ABIE 1 VERS7 STRUCILntAL ELEMENTS FOR DESIGN I8� FOR 617E COM1101S OR FOR THE USE OF 7NEBE DRANW5B DURING CONSTRUCTIOTL PRACTICED OF CONSTRUCTION.VERIF1f DESGN lWM IGCAL BOBJ lTSO'DO `]Y sK 4zER• O N LOCK ENGINEER AND BU LDWG OFFICIALS. WIEBT BARNSTABLE MA.OEwS 1 •. 79'3M• . O1 -------------------------------------------- Pig! •'' a 5°m , .,, 1 •.I Van I 1 I I I % ATRy ,'r , I'•1 �\ Y,b,A I., 1 I•, 1 1 1 I $1 I s 1 •'1 a gx I ''I � 1'• 1 �i•l'r 1 11 I 1 1 I r.I 1'A 1 ••, I I O 1 I I---- N I , 1 I•, I I I 1 N I I I I N • DROP D' rTP.O/8'RODB •j ______________ __________________ _________ 1 - (1P�@ r--------------------------------------- � ------------ ---------- - V4, . w z y O Z 1 I j2O (CCP 1 / 1 1 (Z I I I -Ai Q @ I AA I 1 g <z f m m I I I nh 1 uh I II'I m 6'O' IYlfk• 9'-0' I II'I X I uh N T W6 yy Am"6 TW7816 y TW1846 I q6D� -------------------------- I11 ' z 8� e T }D(6'd ' J 7Xb'd 9 16 OG.•-s —Dt W'd O b•or— I d-7X6'. I '�$.p ' TTP.7Xlo 6-WIN ' I r� I rh1 X A iiRRnn mg I 1 g I 1 � I M- •I I A 3 TOl8d6 TARS/6 I m I m I 6 O' rf•1' /8' s ° � mo lb g o O I A II II h' - x al a Inu ' u D , '�ram^ I 4 !n 11 II sF 1 II . 11 4 �iY 1{L•r�V'�I S I q li, h y�yyyyrrr O 1" ' P I A �� II 11 .. r7P.Dno 54e IN 4 II h h I �1 II OC ' 2931Y I ws u'ah• gy 6•-0. pip 1 r 1 1 DN776B T. D477BB 1 I DNT21B IDs.DB TW7846 9` TW)t7lb I TIMS46 TN646 SU3� 1 I I I 1 I 1b' � A f 1� K ♦ II II I ,'L.;--. __.__.I.L_._..— 9'ISh• Fla 9'b• O1 I'I I I aW b Pr l/ _ s}� snb'r 70 ?nDP' iXsl [Iy� A� � _ II II a ,�.•' �D 1DI Iml ! �2.16. •oc.�- i'i Q /.rs a 70 Pcr,, i� 1iC TI , II II 1 '• I ,m, . Ib II II '� 1s lt= Iql EXISTING II ` Dao RIDGE II C 1 r m e tl , •t , 1 I 1 I II n q n III , I I I I a n ♦ n e 1 n q n n 'u' ' 1 1 1 mA Ia r e ' ❑ 11 ♦ v 1 q 11 II O DTLLRBis y 1DWK16 DNT28B r-t2ea } e II tl ♦ I �A II q np. TIlo3/6 p iWL'YIS• I I DTWlgd6 °TWIg16 � EXISTING— 1 i ..-aa'r isla•our ;; `. _a n ry• j 9 n y.=• ,/,�. LL rr4 - e v' II II v v u 11' I u n ♦1 ,n A q q 1- /' .\ DESIGN DATA I STRUCTURE SINGLE- FAMILY tZES1t]Et1C-E DESIGN FLOW 380ZM W.JGAr LOT �� oO \` 249�96 �10 3 X 11 OGPD/BI>tLM — 330 CGPt� O� 33o X 1.15 c 4S5 0 SEPTIC TANK USS IS0a 6,AL_ LEACHING RATES, SIDE AREA 1.67 GPD/SF \ / / / /� - • i•` L im 2 MtN W/GeINDEe• BOTTOM AREA.6ZGPD/SF LEACHING FACILITY LoT 53 / •��,, / r r S 1 t)a AzeA ' 12 XZT X = Zl� SF ��-- / i 4\`,, ,� • �.p� goT A�.A 12L xTTl4 - �( 33 sF 4/ Gf! ITY / � . 1 -1 � �TPZ - ZZ�xI•�-7 -H�{13X. 453npr-> PLAN REFERENCE, "3 / _ � � ��� • � BA¢.NS. 2�11STQ,Y 8K. Z92 pCs ZT ENO Q 11 ASSESSORS LOT NO. ,40 V/ �y r r <V / I }. NOTE= /'` Q 1 1. ALL MATERIALS AND CONSTRUCTION METHODS I r - 1 -`�i TO CONFORM WITH COMM. OF MASS. TITLE Y c AA' '1 '�,o ep ENVIRONMENTAL CODE lLaT V 7MIMP Ft�ID TOW Lj w i TmL AVPt'11.AA ut= AT 3.T — /i m Ab t •'• - - �sX f ST7 LJIroF.��.a�r�l✓ N _ C' '`•'•�) '� t ��,• . - PLAN et_- �,oe ; ` ° ;' y . 2917 `` C ~/ \ .. SCALE TEST PIT NO. I TEST PIT NO. ELEV. 47 ELEV. -47 '40.2 Qo.. Imo' aA.S C LOA)A L+. S u13S 39.2 t ' • , 2 t ;.; SOIL OBSERVATION PITS A� Dr5r X X,C 9 '' L•P. W 3�ST►J �. DATE OF TEST P 135 10 /5I82 SS ENGINEER BRXT 4 NYE A. JoI.IES } e . 35 LLIESAM SAME Aes B.O.H.AGENT )Ar-DE!),I 7� I EXCAVATOR A . FULLET_ EL 33./L .Q PERC RATE IN T-P.NO._AT FT.=-G2 MIN./IN. 1n-r 82 I (:ni UIT EAY Det\/E 50 E3A.ZN STA$1..E C Go TUrr� NIA. � - b� IG.S � ' •�� .__ � IZ EL t ELLIS & THULIN, INC. - LAND SURVEYORS. AND CIVIL ENGINEERS 1'!,� S' V EAST SANDWICH, MASS. ts t ���!; GDIJFIPI�A �"Sol� AA1D`.'�2pUNOW4Tt 6-owor 1oNt 7-6 -' "-„-'POSE I—,>` t: SECTION THRU :SEPTIC SYSTEM 4� I ++! >•+ PIT Ptzto¢: .'CILTst'p.1 �.TIOIV. Deli! DCrT.' OGT '1 i9 gs-► 1? ...__..� _ - - GN t3Y JQ.E. �Q.e./: �0•4�•a5 - 4 IN � t f To-t—F �xrEncT� TWtt Y. isrtt/�,. o0 1; CQ ° 1-6 i cA CA Eli 1 p . rn' r= CO70 � . . . In 2 . CO fi U a -n C I � �.• , � of ' t� tn f CIO � N N _ I V n ( - w !Tl Z I C � 0 o• � ) 1 ! � � (1 rn ` lop . :� -- • '� 'LS -. � ' a►.-: . tip� _ i� f cLOS ET - ` IVT -- - Vi _ n - l x rn ° '. ► a TO • D n A mw I � � o !: ri zoo i e. -1 - 4" 5TUD5 S'GSTU�S _ N �. �V!: MM rmTl 1p V _I 1p < (T) i '.� N L rn j / Z C \ N p� ki Of P 0 J rxvr �' i e � RIDGE DLQ RIDGE • - LST P m'0�c I / _ I Tyr-3+i/B°BOLTS W MT.T.OWEATW 'OL, yr RAFTERS a b 60 ASPHALT PAPER ` Q ASPHALT SHINGLES I Sllb�o� 1 D FALSE LOUVER ASPHALT RDOFSIG „-,COk$ 5` YTP. S S� RAKE BRO •. -� NFL• CUSTOM V{'THICK ^ RAKE BRDS. BI Dt6 T/C•BOARDS To 13 PLATES BOLTED W'93 ' D 23 TO BOTH SIDES OF BEAMS. dElll FAMILY ROOM I ® t CATHEDRAL Id DIALLBOARO LA•TKa FIR GLUED. RB NBLLAT:oN TMB.ED°GLl1ED. - VP PLY.SHEATHING SI�S.4AP OR EQUAL I tA� DA STRAPPING. ZOO,.6 tb'OL. ' I ITP.DIBIN6 SIB'FL.WALLBOARD I CNR.BROB. WC BHINGIFB 17P.D(S/D(6 T NEW CNIZ BIRDS` WORKSHOP - I ® ® $ 15 NBIGAALIBOARD - ®� WIc SHNCPLEO EXISTING rrVETiom RICMAAPP ORREW Y. a`�, EOL I .. ' ��• SIDING {•THICK �'. caNc.BLAB REAR ELEVATION / I LEFT ELEVATION I CROS. S GTION(A1 51DEU'ALL • -�TYVEK OR EQUAL e'` i j I - {VZ PLY,SRZATHINC: , I 1 ' RIDGE VENT .6;41 4C LE55 1ARrR- - �ZXQ RIDGE _ v U J COARSE* _ b� - - - - - - � �TX6'.a m• � Jy _ _ _ _ _ _ _ _ IrDCb EwL 5E 6L:-R ---------- V2)(V'\NCHC`P!::' i5 ASPHALT ROORNG II JXIO RAFTERS 0 W o ` ^, A 6,O.C. 1 -T-Ir-Ir-Ir- VYPLT.SHEATHNG - D B S S D BOASP14ALTPAPER T ' 1 I ' ASPHALT SHINGLES 0 e e o o n D SILL DETAILS ® DELL � M ' DCG TAG BOARDS 6'6B ALL K•BQARD o- 9 ILATION EXISTING � FAMILY ROOM Rig DLY.SWAT WING SITTING AREA �� CATHEDRAL GOING MAP OR EQUAL I ASPHALT SHINGLES y4•T/G RR PLT, G:,s ASPHALT PAPER NP.N3/N6 _ �-�-��•��?� NABao°Gu�D. V2 PLY.SHEATHING I LNR.BRDB. 2XIO'.O 160L.� —DTID.66DL.� _ f A MSTPA STEEL BEAM :J`\ WIC SINGLES ® 5/B FL.UALLBOARD. Ldm 3S I � s Ex1SIlti{B 2Xb A'A+.•crLL �j� �5� 5J8'FL.WALLBOARD r BASEMENT 3-f bd_ D'tsrCT dE4! aT6'.6t I6•ot. _ _ VENTED DRIP EDGE i' WORKSHOP R19 Vf PL1.SSHEATHNG j a TTVEK WRAP OR EOBAL .� TYP.HURRICANE TIES 5°ALUM.GUTTER _ ��• H2.5 Q Ib'OL- I 4'THICK GoNC.BUa ---- _- - - - $S 7oP Rcs✓(� DCB FACIA Z�CL6µ� D(B SOFFIT ELEVATIONp \ 43/4'BED/ MLD. �•--1 DC FREIZE R�1¢E TNOOR ~ CROSS SEGTInnI!ES) sq*,Bucru�BpAL jEAVE FAVE 3 BLIII DER JOB ADDRESS Do- BRIAN AND SUSAN BERNIER DESIGN PROPOSED NEW FAMILY ROOM DATE REVISION DRAWN BY PAGE SCALE a�465 COTUIT BAY DRIVE OI-25-2005 JB TT GOTUIT MA. V4°. I'-0° 41, �/5 1,1^TC' 1 PURCHASE OF DRAWNGO Li1VEB PURCHASER RESP L�L� oNBETLE FOR COMPLIANCE WHH ALL T EXACT SIZE AND REBaORCETiort OF ALL GOWC—FOOTINGS 3 ALL FOOTBLGS SHALL EXTEJm BEIOID 1T3091LDiE vERIFY DERV. LOCAL BUIONG CODFB AID ORDINANCES,J B DEBKiNB MAY NOT BE NF1D RESPONSIBLE MUST BE DETERMNED BY LOCAL SOIL CONDITIONS AND ACCEPTABLE A VERIFT STRUCTURAL ELEMENTS FOR DESIGN I6� FOR SITE CONDITIONS OR FOR THE USE OF THESE DRAWINGS DURIHG CONBTRUCIIM PRACTICES OF CONSTRUCTION.VERIFY OEMM WITH LOCAL ENGHM, ON LOCAL ENGSJEE RNS R AND BLDIDNG ORiC1AD5. 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