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0116 TIMBER LANE
0 v a .7,._ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 06 o Permit# Health Division 5-7,&V 4�6� Date Issued le �DOd Conservation Division . Se �61D Fee Tax Collector SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept,n> W=T=5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village S7�ltJs 1 & Owner Address f l K� �'7'�'� P2 �4.-ae Telephone Permit Request �' G-44 ' (1) Ejq Square feet: 1st floor: existing it! /o roA(sed d floor:existing proposed Total new Estimated Project Cost 0"0 Zoning Dis ' Flood Plain Groundwater Overlay Construction Type lt� Lot Size 7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family p�4, Two Family ❑ Multi-Family(#units) Age of Existing Structure / Historic House: ❑Yes GRNo On Old King's Highway: O Yes ❑No Basement Type: ❑Full ❑Craw ❑Walkout ❑Other �( Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �F U Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing S— new -— -First Floor Room Count Heat Type and Fuel: ❑Gas ROil O Electric ❑Other Central Air: O Yes &No Fireplaces: Existing New Existing wood/coal stove: ❑Yes W No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:❑exi 'ng ❑new size Z Shed:❑existing ❑new size Other: . P/Z0 r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name /l l� �r � � --- k yam Teleehone Number Address 1�.h la-k 6A-.) License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY r i PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. ADDRESS ,.. VILLAGE OWNER' J77 DATE OF INSPECPI©N: , Z FOUNDATION FRAME 0A o c) INSULATION e7 all,2000 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROU6hi%S FINAL GAS: ROUG_-V= FINAL FINAL BUILDING �' tc DATE CLOSED OUT cr ASSOCIATION PLAN NOS 1At rb al s ' A�11-407 �G�7N OF L ANC Lv TN LL1.''-.y L OCgTEO lN ' �.�%7-- ��>- �_q�.E'i'._.:• ,q,QEO FOR "'1 CERT/FY 7"NE T.4ig7- /T pp71W-. E !JL To F�'T/O^/S• oE 44 /S[f7N0 S St/P✓E ZoN/N� R G ..___.. .. _ .4 CONFOR/�'1S / TE,477/ T M - • t , . . ... . . 1, t .. . . Y , . .. 4 I. "... .• r v , .O, 1.r x1.rr. ,. , 1.{�k �p r^ • 1{.Cr♦, J t y r { L A j y* x (Iti�op T JQ 4 1 d `t tf'Y��.,»� jt r J ! 2, 4 7 r%SJ { 2 4 { 1 '. 1 4 Yr' ty ti} a t� ri ( + I ° t f. rt �' i i 'f .n.. y ;C f. $! n (). 4 Y`hc f .4 .4 t 'z 1It too M ` �� tt _0 0 111 ,� I: � I1 + d I` J MAX 1 f •c!t 2 S '•7n tlNx. ( t r yi. f+ f a- 't fJV. 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',... y" .'A�' c'1•es'. .b i�: .i_ jv° w'ts .'t�, I "Rt'N,' 77 �'[ n }t�9- s. ,,+ �: 4\ t•E.'y. =+} :k• .}.r l 'ilK ». ).. ,� -J♦ h ,R;. •� '� '}s' A >,. -::v ^ '^' 7 .r. i( 4:L ^'.�*g ., .•�•,' 6. .G,:a• ,"\ .h, 1t,'i`39.row. r .( r.l�,. ... S, y .1 Y('' S ,.11. ',tri ,•'r.,, .I'.+: 4 ,f`kt,.: ir'E. 1':Ri. `Sr,t.. 1 .fM nl�!.;�j' U 1, N tvy.'<:r t. ..,,. r j t•'Z °� :'It• {{lZ' rR' .:S• � !•.'.x. T.,Ir' ,r. :�?: :ti.) 1J . '.P! h' ,t'" Y, t" v L f ? p S "'-r ,,,'�;, P •,I 4� .r.� r ,F',,. 4 '�:( :S. R. YC F o 7 r' iH�y,F t 3:y.• ,; 4. 1�r. t l. 7Y:. i aliJ h.• r: ' U.> f5fO, dv. �.: I, vtY l ♦'� hR. ;,�5. i`; F •:r .•t: r 6, •�`. Y rpY .�Y 7' r1 mil. 7 �^r �.t .I I'`Yl <y RI�' '.('' •- j. '.Y+ r fit. , et.r:f` ! +«' r,4• '°-'Y .t' t b , f ss: .b.'` .4 •,'�J �; I 02 t �:4: r� a "rA ,�,� ♦ �i i is 1. '4 1. "` �, �y�',,� s f „v: E rr !1 }`� ;�_ �. .v. °y 1�' .vy,. .1 •1. i. °t 1 �{-7 R � rr' is c(`� Y7 'r � t J s. �.:o a` �,:., { t�' •IN ` 'a•' ('a �? 4` ..4.Y f.�1 t'n.�'�, .r ,,. f- r4 }'? F.c7 v4 :♦' .ti {.j��? ,�:'�.t, .7 *THE y . The Town of Barnstable • nAmSrAer.s. • � Department of Health Safety and Environmental Services 1639• A�0 rE ► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date i 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: �n��'' 4-to YUraO64vo Estimated Cost Address of Work: Owner's Name: �/(i�i� �� 6'34-0Z Q&6 �' Date of Application:-4— pplication: `7' 6— 0b I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor N Registration No: Date Owner's Name I q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents • •,� -_= - ;_ Olficrof/�estigatioos 600 Washington Street Boston,Mass. 02111 `~ Workers'`Cora ensation Insurance Affidavit EMU name: /��� �/�-�L Olt location ( ` 6 Y—nns e lt— &A a city .1 J`U lAS hone#�� ��a 4gJA am a homeowner performing all work myself. ❑ Lam a sol netor and have no'one worlds in anv achy am an era 1 rovi ' workers' compensation for my employees working on this job. cam anv nam a ldre e ......................... :..:::.:.:::::::::::.:.::.:::.. ::::•:::......:::::•..::•:.:................ C tV'1 :Y2::::: ::i:::;isSc; :::::::;:>::.;;;:.:.;:::::.:::.:::.: :.:::.;:;:>:.;;:::o:;•::•:;;;:.::::::::::::::::::::::::.�::.::.:.�::::::.::::: insurance co.: ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have thefollowing workers' compensation ensation polices: .....................?nP......... ..::.:.:::.:::::::.:.::::..... . ..:.:::::::.:.:::........::.:..::::::::::::::::.......:.:::...:.:::::::..:._:. ::::::.::::::::::::.::::.:....:_::::::.::.::::::::.:::....::::::. :: n a m a m :: n a care s ii3YYti:.':iii}?:Jii:vi• :{:Y'•iij}iii......ii:::'v:;:i y:i::j:::::fii::?^iii `i:tiii;:: isyii>':iY.iij;:}}:;i:::j.....:..... 0'ih .......... ..... .. r:{ii^:•i:ii?�>i:b�i4:tii:i•ii:4:iw:;:v::................... ��; >i:;i:•i�i:'�: iv'�i :��?::�?:t:;:i;{Y:4i::?i6:•ii::S?•i:•»::?iiv�:>:Si^....wnvrwr..............;.: insarance:co::: ............. c anv n adess X. dr ..::•::... :::::.;::::;•::::::...:::::.. p e cfty' •� li� 0 in�vrenc �/ gaIIure to secats coverage as required raider Section 25A of MGL 152 can lead to the fatposition of criminal penalties of a Ste up to S1,5o0m and/or one yea=, imprisonment as wen as eivfi penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of IJnvestlgations of the DIA for coverage verification. I do hereby c the p • erjury that the information provided above is trw.and correct Signature Date Print name GL�L Phase# 5�F S~ 3J� oMdal use only do not write in this area to be completed by city or town official city or town: permMicense# ❑Building Department ❑Licensing Board ❑chuck if immediate response is required ❑Sdectmea'a Office ❑Health Department contact person: phone#; ❑�u'�— UrAmd 9/95 PJA) r ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFIlVISHED) square feet X$25/sq. foot= 1 6 0�0 PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER i — square feet X$??/sq. foot= cc• JSv�,/� i Total Estimated Project Cost a990915b i ka Building Division RAarrsrAMX- ' 367 Main Street,Hyannis MA 02601 MASS. 1679� .0 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commis_ HO�IEONVNER LICENSE E MMPTION Please Print DATE: �, {� JOB LOCATION: ll� v�// & 7� /f r street l village "HOMEOWNER": '"' tbC �� � IF � �� -cl� 3 J� name home phone# work phone# CURRENT MAILING ADDRESS: city/town ye zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a.license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel 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 yeerformed 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 of and re '�ents�. .. Signature of and er 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 E:J i ION . The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors).provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case.our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as pan of the permit application.that the homeowner certify that'helshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns.-You may care to amend and adopt such a form/certification for use in your community. Q:FOR h1 S:EXEN1 PT\ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map K Parcel 06- Permit# R�4X807 Health Division ��/O.��V/ ���G/Z�ZI�-EI Date Issued Conservation Division Feed , Tax Collector '3�GI oa �,�� p l e� ��a�e�3 Treasurer �-LL d[� zoo SEPTIC SYSTFU i T` Planning Dept. INSTALLED IN COMPUA14101a YYIf N:TtT1.E S Date Definitive Plan Approved by Planning Board ENVMCWA.sl1LCE AND Historic-OKH Preservation/Hyannis Project Street Address r( •e%�-�� Village S t'1' I � Owner ��-(� �'` cy-fl-a64-6 Address S 'ram Telephone Permit Request — - ' Square feet: 1st floor: existing proposed 2nd floor:existing proposed') Total new Estimated Project Cost D() Zoning District Flood Plain Groundwater Overlay Construction Type WO Loa Size Y, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;6 Two Family 0 Multi-Family(#units) Age of Existing Structure f�� � Historic House: O Yes �D.No On Old King's Highway: ❑Yes rQ No r 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 3 Total Room Count(not including baths): existing �3 new First Floor Room Count 3 Heat Type and Fuel: ❑Gas Wil Cl Electric ❑Other Central Air: 0 Yes %No Fireplaces: Existing New Existing wood/coal stove: O Yes 4No Detached garage:O existing O new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial O Yes 41No If yes,site plan review# Current Use Proposed Use � 6 BUM 1 ION p� Name �" /,�fit3 1 ~ Telep Number 7/2 Address ?` n g /L License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �f(O - �� FOR OFFICIAL USE ONLY PF,,RMIT NO.'. DATE ISSUED _ MAP/PARCEL NO. .A e ' ADDRESS VILLAGE ' OWNER : � _ J DATE OF INSPECTI FOUNDATION ' FRAME INSULATION FIREPLACE f" ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH c1i t� FINAL �' + I3. GAS: ' ROUGH j FINAL M FINAL BUILDING _ r DATE CLOSED OUT ASSOCIATION PLAN NO. Q , . fi, 3� FRAMING SECTIOK . �C �! 6"per' - - - - ALL DIME14S ION LUmR ER MAL BE KD SPF Nara OR GETTER. d • ring �SNPNRLT- SHINGLE W/IS L8. FELT -t PINE FA( w PINE SOFFIT -1It L 2x FLOOR JOIST O.C. (isr t 2w FLOOR) y x /_ �T Tjlr-k .\V 1 ; ., c .' �Q / -__.---` it _. _ . - - � - , - — ... __ n�� w \ /"._ __ , . 'I �_� � � � -- - ---- � i . � � � � i � t { � � _ _ _ _v. � .. 7 �G 407T �G.qN OF L.gNO L O CAP7"E'G /N ON � " •97N.0 Ti4/IgT /T O,gTE •/��:�.��; .:_ ScvtE• �~_. CONFORMS TO ZON/N�s �PEGUL�T/ONS• �� C.q�E /St.9'�/OS SvP✓E �,FC. �� /=� y !_ "- �:/r^' d Jam- .. �.p L•S. TE.S�T/C.rE T - M•9 1V 1 V 1 ,j , CAt MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 Checked by/Date CITY: Hyannis. STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-16-2006 DATE OF PLANS: TITLE• COMPLIANCE: PASSES Required UA = 51 Your. Home = 37 Area or Insul . Sheath G ___Glazing/Door Perimeter R-Value R-Value U-Value UA :h). ------ -- CEILINGS 110 30.0 0.0 ' 4 WALLS: Wood Frame, 16" O x , . 330 13.0 3.0 24 GLAZING: Windows or Doors 11 0.400 � 4 FLOORS: Over Unconditioned Space 110 19.0 _„ ; ; .., E� . 15 ---------------------------------------------------------- ---------------- -- COMPLIANCE STATEMENT: The proposed building design represented in these documents 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% of the design load as specified in sections 780CMR 1310 and J4 .4 . r•i i_ir Builder/Designer Date !JA ri7. ,1 Ca hz a rC ' MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 3-16=2000 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 I)A) Comments/Location F? AIR LEAKAGE: [)�:] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or . installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. . VAPOR RETARDER: -- [ ] Required on the warm-in-winter side of all non-vented framed [ ceilings, walls, and floors. : ' 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. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: ] All . ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC -.i 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 heating i and/or. cooling input to each zone. or floor shall be provided. r HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is -- not greater than- 125% of the design-load- as specified - J in sections• 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. `----NOTES TO FIELD (Building Department Use Only) r L • + t l r o Department.of Health Safety and Environmental Services Building Division RAIRNSTABM 367 Main Street,Hyannis MA 02601 MASS• 1659. `0 �plEO MP'I a • Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Cummissic HO-,IEOWNER LICENSE EXEMPTION / Please Print DATE: filloilq�/. � 2 Q l/ JOB LOCATION: r (C� (� /2'J,�G2 number street village jZ� 3 "HOMEOWNER":� t1�' � &�t9�� - ,2"Q pane home phone"# work phone CURRENT MAILING ADDRESS:Z[4 v 15.71o, �S .�W/�L c?.26 a 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 =ner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the construction Supervisors):provided that if the homeowner engages a provisions of this section(Section 109.1.1 -Licensing of persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor tsee 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. an To ensure that the homeowner is fully aware of his/her responsibilities.my 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEN•1PT i I I /• I ,lJ 1 1 1 II 1 J1 1 1 1 1 1 .11 11 1 1: v 11 f. 11�. •• /G •�1/ •1611 1 • • .. 11 ■ 11 • • •• . d • .11 1 1 • 1 • •11 ••• •..•1 11 .tl •:1• MI ii------ ■ 11 1 :1111• . •�1 . . • •111 . •.•N �. 111•-11 �:1• •11 I.1 11 -11111 . _ �. •..11 •II 1 . . 511131:10 IS: 1 r 11 1 1 1 1 1 • - ■ 11 • •1 •/i•-1 •1 • JI 4 1 11• 1 •1 1 I n _1 :! . .11 • 1 1 �. 1 ••111•Y. •Iw 1�• .. • • 1 •: 1 . 1 • • • 1 •• lA 4 •• fill�11 `✓.1• •11 .• .�+ •1 II . 1 1 � 11 - IA 1 / 1 1 {I II . 1 / L - I• 1• 1, • 1 • • BIC 1.1 11 _ • 1• _ .�1.. 1 - •JI •11 I; tbbaz=cial use Only 1l _ ■__.�C3ftadln Derwbnmt .1 C3ucensin Board Oselectmpn 5 Offife ■ check if Immediate reSPOUSC is required ■ Department ■ • °F IME rqy, . .~ The Town of Barnstable 1ARNSTASLL 9�AMA&& �0� Department of Health Safety and Environmental Services rEn 39. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 5M790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied. building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: LC � �( Estimated Cost 7SZ0 Address of Work: Owner's Name: 7&tc Date of Application: -zoo() I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded-by law ❑Job Under$1,000 []Building not owner-occupied Wlwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date. Owner's Name g1orms:Affidav d KP 011 6 I � a c7 S 3 ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE / square feet X $55/sq. foot= 0 GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH ,' h.; . square feet X$20/sq. foot= DECK CR square feet X $15/sq.foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost g990915b Y.r o•TM° TOWN OF BARNSTABLE Permit No. - 2733$_ Building Inspector cash � Wa t07P OCCUPANCY PERMIT Bond Issued to grnra R_ [,arrinp. _ Address T nt 17 Ilk T;n;r,�: /l.ai r►��8L6��a bti e Wiring Inspector _ � / r^� Inspection date Plumbing Inspector , Inspection date Gas Inspector J/ Inspection date Engineering Departmen / Inspection date Board of Health Inspection date %..7�ir?�� 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. .... ....................... ......:..:.r.. ........._................................. Building Inspector { ��Q..��°•,ew TOWN OF BARNSTABLE BUILDING DEPARTMENT 2 ru sas a mu = TOWN OFFICE BUILDING �°� 'aJ9• `� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: - r An Occupancy Permit`has been issued for the building authorized-by.- Building Permit _._..... -^ _.... ......................................................................._...._.......... �..» ._.... ... . »_ issued to 4 . ........................................ ...... Please release the performance bond.. b `Ld l � � s 17 �- .oL OT 4C>4.qN OF L A/VL:) .Gv T& L O Cs�7E0 /N .o•pE�AREO Fo.Q "•1 CER T/F Y T,�,�E .�oaT✓i%c•' ShiO/✓V ON �v .SCALE•- /~_. CONFORMS TO 20N//V� REt,s^UG.gT/ONS- �� Sv�P✓EY/n/G .�.FC. �Tj /4� G�,r•,!-' ..�. �,?�'�,'?�-�.._, �,F?[.S. TE�4T/C.rE7" - M�9SS. !r -a• `ssess0r's mp and 'lot number J�... 9..-.... SEPTIC SST ST SE OFTNEt0 WN Sewage Permit number ....................�.......�F9................. INSTALLED IN d WIT14 TITLE a t MARISTADLE, House number . /♦ 6 E��III�ONNIENTAL WOE A.%A . NAB TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .................. �.. ......... ......(/..Iw,/',/ � C.� / .... t.l.Y......l ..........19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ../"�!.f 7..1...... �.�1; .....!^.6)u .............� /7%' N:S........('C.7.�.1.`: .... ........ Sl �G� L Proposed Use V ......�.�...................................................................... ............................................................ ....................... .. ZoningDistrict ........................................Fire District.................. . ............ .. ........................................................... Name of Owner �1 G�?.....C.........(244-&ff ....Address ` �.�C-usT �> Name of Builder ....... . -i .•"•••••••••..................................Address ............../.............................................................:........ Name of Architect '1.....0V:."".:' J.......................Address ..................................../ '1 ..... � ....��/�, ` � Number of Rooms ......... .................................................Foundation .......... Exterior .... )oofing ..................................................... Floors ...01M .u. G.......................................Interior G� 1�oe .... . Heating ... ...............................................................Plumbing ... L................................................... 1 /D� S�11>L Fireplace ..................... ...........................................................Approximate Cost ....... .... [J . Definitive Plan Approved by Planning Board -----------_______-----------19________. Area .. ......../ Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1n OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable garding the above construction. Name .� '•�••':�.•. .. .......................................... 4 Construction Supervisor's Licens r-,AMNER, BRUCE E. No .27.338..... Permit for ..A.S 9ry................ Single ....... ..Pwejj.ing....................... &Ocation K..Lane........... ................ .................... Owner ...Arqgg.. ........................... Type of Construction Fl:aUe............................. ........... ........ ........................ ................................... Plot ............................. Lot ................................. Permit Granted ..pecerrber 19, 19 84 ............................... Date of-Inspection ............................19 Date Completed .....1 - ..........19 A/0 13ack 7 NO A" Assessor's office (1st floor): ! �/ �n..,.,,...,...r FTMEt r Ass�ssor's*map and lot number 9 Boa of Health (3rd floor): Sewage Permit number g .4?�a�.J.(....... .:..... ` ��,c,� ,,,� t BlHd9?oDLL. Engineering Department (3rd floor): O .%--C --Sid' _ �o raed e� House number //__ -//�� i6}q• \ //.�J... .....flll 'EO M#3 d' Definitive Plan Approved by Planning Board ------------------_-------------19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING*. INSPECTOR APPLICATION FOR PERMIT TO ................ ......................................................................................................... TYPEOF CONSTRUCTION ... '��4�............................................................................................................ �..........19. � t TO THE fNSPECTOR OF BUILDINGS: The undersigned hereby herebbyy—apeliess for a:permit according to the following information: � / Location ...../../6. l �91JC �� l�f�JS !`G�................................. . . ...... ................. ... .... . .............................. .. ..... ProposedUse ...... 1. .(,�... ......� ...................................................................................:.................. ZoningDistrict .... .....................................................Fire District .......0 0..................................................... .C ......... i4�z0/U� /.r�. rP� rtr.......:...f�? J;,!`�s'�1�/� Name of Owner ... Address Nameof BuilderAddress..................................... .................................................................................... Nameof Architect ........... ......................................................Address ...................................:.........:...................................... Number of Rooms ..................................................................Foundation Exterior ........•..........:.................................. ......Roofing ..... ... .. Floors -n ............. ..77.......... ....vv .....................................Interior .................................................................................... Heating � ��....................................................................Plumbing ....... ............ Fireplace ..........(Z./?.................................................................Approximate Cost ..........1..�..! ... .......................... Area X..f.......... . . d co, Diagram of Lot and Building with Dimensions Fee .`.: 0. 3S------------ 1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Lwofrnstable r arding the above construction. Name Construction' Supervisor's License .................................... GARDNER, BRUCE No Permit for ..APP...PECK............ .......Single Family...pWg�j.j .............................. .... 116 Timber Lane Location ................................................................ Marstons Mills ............................................................................ Owner ......B.ru.ce Gardner .............................................. Type of Construction ....,Frame........................ .... ....... ...........:......................... ............. Plot ............................ Lot ..................... .......... Permit Granted ....Mai..2 5, ..................19 88 Date of Inspection .................... ...............19 Date Completed .......... ...........19 Assessor's office. (1st f loor):- �-,I.q /�'GOA sorr`s ap and lot number ... ... ....i s**- ... . ............ Board of Health (3rd floor): Sewage Permit number &Iif7/057..... ............ MARBSTAUZ )npx) NAB Engineeiing Department (3rd floor):...., wAl-, s63 House number ........................... M Definitive Plan Approved by Planning Board --------------------------------19-------- - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN 'OF 'BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........2 .. .............................................................................................................. ....e TYPE OF CONSTRUCTION ... 1�( ............................................................................................................. . t .............. ...19... TO THE INSPECTOR OF BUILDINGS: rr The undersigned hereby applies for a permit according to the following information.. ........................... ............... Location .....1-4........ .. 14�JOO!W ........... S............... Proposed Use ...• . Zoning District ... —.� ....................................................Fire District ......C.......0..................................................... Name of Owner .............................................Address Address .. ........... ............... Nameof Builder ....................................................................Address ........................ ........................................................... Nameof Architect ...................................................................Address ............................................................................ Numberof Rooms ....................................................................Foundation ...................... ........................................... .........C . ... ..................... Exierior .....................................................................................Roofing ..... ............................................................ Floors .... ................. .... .... .. .... . ....... .................................Interior .................................................................................... Heoting ........................................... ...........................Plumbing ....../......................................................................... Fireplace ......... ............................. ...................................Approximate Cost ......-7.!,�V. . ...................................... Area . ... o Diagram of Lot and Building with Dimensions Fee ............ Ij/-t ------- - F1-m� (S Y C/ 3L 4 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... .... ............ ........ ..Z,....................... .................... Construction Supervisor's License .................................... GARDNER, BRUCE A=149-060 No-*3.1.9.3.3... Permit for .................................... Deck .............................. Single Family dwelling ..................................................................... Location ....116 Timber Lane ............................................................ Marstons Mills ............................................................................... Owner Bruce Gardner ................................................................. Type of Construction ..........Frame................... ............................................................................... Plot .....................1. ....... Lot ................................ Permit Granted ....Ma.y...2.5.....................19 88 Date of Inspection ..............................19 Date Completed. ........................................19 Assessor's map.and :lot number .. .. �....... ..:. � THE t0� Sewage Permit number ........ ..�. vs� ...j.�...:..:........ Z 33A"!;TADLE. i House number .............................. .1..��.......................... so rasa i639, TOWN OF BARNSTABLE , r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ...N.. ................A.. ..................?�'.................:. G........ ✓................`...... TYPE OF CONSTRUCTION1.:� f'< f �/�..... �!°..1....—� ............. >I9.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -o .....1.� /.. r1N .............. lns. s......../�. zIIS' .. .. ... s������ ProposedUse .................. ........................................................................................................................................................ Zoning District .............................Fire District Name of Owner Ieu G�......C.......G �� .....Address ..q.9 G �eu5 T/2CX... �Pfl NS ..I .. Nameof Builder :..... �. .........................................Address .................................................................................... Name of Architect�.. .................. Address ................................... ...... �. C �0u/te cQ �N0Number of: Rooms .........J .................................................Foundation ....... ................... ....................................... Exlerlor :... � .... .......�- ..... �Roofing ........ • T nn./ l,�Jc� Floors ... /t ... ........ .. .`... .......................................Inteno� ....................`. .. / / Heating ....� w .......................Plurribing ....4� ,e.e v, . .....A................................................ ................................... n 7-0 V Fireplace ..........�0'O.✓....5.......!!.�J................................Approximate. Cost ............ � 6D :r 4 Definitive Plan Approved, by.Planning Board _____________________________19_____�. Area ... ..........�......:...l........: A / Diagram of Lot and Building with Dimensions Fee ...............5/ � . ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �� gSS ✓d1� VU 0' I �V I s Y I , OCCUPANCY PERMITS REQUIRED FOR NEW..DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. f ( s (�f C� Name ,. ................ .............................................. ,v Construction Supervisor's Licens .. ............... ...... GARDNER, BRUCE E. A=149-060-000 No ..2ZM.... Permit for ..1 z St ry................ Single Family Dwelli!jq................. ...................................................... Location ..Lot...37 116..Tinbe.r..Lane............... .... ...... ........... .. ......... Marston Mills ............................................................................... Owner ......Bruc.e..E.....Gard.ner................... ........ .. .. . ........ ...... . Type of Construction ,Frame y ........................................ ............. .................................................................. Plot ............................ Lot ................................ Permit Granted .......De r o.er.,be ...19..........19 84 ...... .. ...... Date of Inspection ....................................19 ,Date Completed .....................................19