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0034 TUPELO ROAD
��'1 � �b `KC� + 1 ARBE LLA® I NSURANCE GROUP Elaine Dupuis-Lane,Claim Manager September 5, 2017 C) BARNSTABLE BUILDING COMMISSIONER o 367 MAIN STREET �o BARNSTABLE,MA 02601 Claim Number: 033858041 5 Policy Number: 00903400004 > m Company_Name:_,_ Arbella-Mutual Insurance Company-_. _. �' Date of Loss: 09/01/2017 Insured: MICHAEL SULLIVAN Property Location: 34 TUPELO ROAD,MARSTON MILLS-BARNSTABLE,MA To Whom It May Concern:. Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General.Law, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, Elizabeth Capone-Gagnon Claim Service Specialist Property Claim Office 800-272-3552 ext. Fax 617-773-4760 CC: BARNSTABLE HEALTH DEPARTMENT 367 MAIN STREET BARNSTABLE,MA 02601 CC: BARNSTABLE FIRE DEPARTMENT 3249 MAIN STREET BARNSTABLE,MA 02630 iioo Crown Colony Drive P.O.Box 699i9S Quincy,MA 02269-9195 telephone(800)ARBELLA www.arbella.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ^`` I V P o y Village Owner '('Y\ %.Cln Ate, �y��� tJ�� Address .ngA_y VVVA Telephone �g 7 J ��- Z•�� Permit Request j Il f�1r f(; lY1► i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation q- `I'9Construction 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�O,existing A❑ new size._ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other : o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ y Commercial ❑Yes ❑ No If yes, site plan review# �- z Current Use Proposed Use `° ,a rn - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �^ N L:l /�l 1 1k_ Telephone Number Address - _P b 1.7 OX O f License # �� 7 Home Improvement Contractor# ba y e ` Email I C��C.i ��► �7 �� ft7 (y•�V� Worker's Compensation # Y 5� c� / y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE C,� I F FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED °- MAP'/PARCEL NO. i ADDRESS VILLAGE - OWNER I DATE OF INSPECTION: FOUNDATION FRAME .� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING •DATE CLOSED OUT F ASSOCIATION PLAN NO. F n . f Town of-Barnstable Regulatory 7$ervices Aichara V.ScaU,Director KAM „„� '13uiidx�ag:Diviisaon ' om'Perry, C:ommitavarar 200 Maui SUte,UyBtmis,:M 02601. wcww.fiowu:bawnrttable.ma:ns'' Office: $08-862-4038a : 5087790-6230 Property Owner,Must Complete and Sign This Section f Us inA uitdr E-SIGNED by Michael Sullivan f d s bjLrr prgpt►t} lurch 3iuhorue ��-� _ `, _to act o my behaCf, in k matters relative to work authorized by tl�is building pew application for: 34'Tupelo Rd, cotuit, MA 02635 . (rlddress`of Job); "To I fcnms:and,alartzss �re:,, he responsibilii}r.of the,applican t;: Pools are not to he'filled orUaLed btf ire fence.is installed wd all'finai E-S'fT9 "fiUPf ' itpct�l_ Si9,nature of C3a7ner S a1re of plicant Michael Sullivan Prim ivame March 31 , 2017 Date QFORMS;OIs,'?.'F$!'F�4JdiSSiplYfUULS The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street;Suite 100 Boston,MA 02114-2017 ..' www moss gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED W rrH THE PERIAMMIG AUTHORM. Ai3olicant Information Please Print Legibly Name(Businesslorganizationnndividua!): ))U {�1.-� TI:n-slJ Address: (5- 1 o 1e , 1 o S' City/State/Zip: OA- 1—C Phone#: C-Z f 9 9Lf o f Are you an epiployee Check the appropriate box: ().,7-? ) Type of project(required): 1 employer wit employees(full and/or part time).' 7. ❑New construction 2❑I am a sole proprietoror partnership and have no employem woddng forme in 8. ❑Remodeling, any capacity.(No workers'comp.insurance required.] 3.❑I am a bomeowner doing all work myscl£[No workers'comp.insurance required.]t 9. 1_.1 Demolition ❑ 4.❑I am a homeowner and well be hiring contactors to conduct all work on my property. I wAl 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contactor and I bave hired the sub-contractors listed on the attached sheet 13.❑Roof repairs These sub-coMractors have employees and have workers'comp.inswance t I4. ei �L✓ 1 �`� Z 6.❑We are a corporation and its ofaccts have===d their right of exemption per MGL c. IA§1(41 and we bave no employees.[No workers'comp.hsutanoe required.] :Any applicant that ebecks boot 91 must also fill out the section below showing their works'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contutors must submit a new affidavit indicating such =Coaradors that check this boxmust anacbed an additional shed showing the name of the sub-contractors and state whether or not those entities have employees If the sub-contractors have employees,they must provide their woricers'comp,policy number. I am an employer that is prov0ag workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: 2 T�n)r Co . Policy#or Self-ins.Lie.#: �.c) d S Lf S—�. C) O C3 Expiration Date: 2 Job Site Address: `S `' N�� X o City/State/Zip: `k r 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under th p and penalties of perjury that the information provided above istrue and correct Si aiure: Date: ` f Phone#: I I S S 4-5 Official use only. Do not w 'e in this area,to be completed by dty or town official City or Town: PermittLicense issuing AuthotitL(circle one): 1.Board of HealthZ:Building Department 3.Citytrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other iContact Person:- Phone#: F III ddm off=of cmsuw Af fs mdBi&M RW 10 P1szS-Site 5170 02116 IBM � TVM EXPM= 7g Ta 2W64 RE'RCPFT INSULATION,tNC- 408820H REULY P.0. 13OX 105 Q�fl1 SEI AAA :]Rome xwbywst II MAI � oa"N fw larllirt"oat oar .�ss� ► p,dste.xe ,c$m cN MACM 'c 'arClcm�s� �B,�eesa i 9A- WM mow•i1��Y ��' J�� FAUJIMM MA e achitsetts-'De atirle ritaf Pu'bfia-SaTet� :tUlass P Board of Building Ze iatians and Staads. c t+:: • l O11T[S L�aVlTjffLC71'5117�JTiitilciir ' "'�".' License: C -SL-102771 Psa.xEzr POBoz 105 7 SeeloonkMA,or .. Expiratio :;-s. 06' Sr301 Cormnissiorter 'T REPRINS-01 RBLACK1 a`o�va CERTIFICATE OF LIABILITY INSURANCE °A `M""°°'Y"M 8/1112016 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 CONSTnTOTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADUIM.NAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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). PROducm License 4 i78.0862 CONTACT NAMHUB International New England PHONE F 222 Milliken Boulevard E.•(508)676-1971 aC. No):(508)678.2750 FaU River.MA 02722-9946 r}MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAiC f/ INSURER A:Selective Insurance Company of South Carolina 19259 INSURED INSURER 8:Star 111SU rice COm any 110023 RetrOFit Insulation,Inc. INSURER C: PO BOX 105. INSURER D: Seekonk;MA 02771 INSURER E INSURER F 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 REQUIREM)=NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WH1CHTii1S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTOALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IL[R TYPE OFINSURANCE L EFF —POLICY EXP 1 D POLICY NUMBER MMlDDIYYYY WDD LIMITS A X commFRmAL GENFJiAL LIABR.nY EACH OCCURRENCE S 1,000>OOO CLAIMS MADE Q OCCUR X S2187653 08/1512016 08/1912017 PREMISES CEa occanence S 100.000 MED 0M(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENLAGGREGATEUMITAPPUESPEtt GENERALAGGREGATE $ 2,000,000 POLICY 0 ipm 01LOC PRODUCTS-COMP/OPAGG $ 2>000,000 OTHER t AUTOMOBILE Li4MUTY COMBINED SINGLE UMfT En acdden $ 1,000,000 A ANYAUTO IOOI8200 08111/2016 08/11/2017 BODILYINJURY(Perpenwn) S ALL OWNED �( SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ X HIREDAUTOS X NON-OWNED PROPERTYDAMAGE AUTOS (Per acciden S X UMgRct eLtAeHCLaJMS-.MADE OCCUR EACH OCCURRENCE $ 1,0D0,000 A EXCESS LIAR S2187653 06/1512016 08/15/2017 AGGREGATE $ DED I X I RETENTION$ 0 MRICERSCOMPENSATION P.ER. OTM_ $ 1,OOD,oO AND EMPLOYERS,LIABUrY YIN STATUTE OR B ANY PREWMEMB�EXATNERI EC�� NIA C0845201 0810=016 ON212017 EL EACH ACCIDENT $OFFI 1.000,000 NyM,desci In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 DyyeessResaONOFOe under E.L.DISEASE r POLICY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additlonat Remaft Schedule,maybe attached Irmora spaca is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 50 Washington Street ACCORDANCE WITH THE POLICY PROVISIONS Westborough,MA 01581 AUTHORIZED REPRESENTATIVE v G 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) 7;he ACORD name and logo are registered marks of ACORD oWn of Harnstable'. . iegulatory S ►toes `AM JUC4" V.8et11,jor"tor Building Divisioao. Tom P..erry;Buildfri�t:ammtutnne� :.: 200 M4In SftC%uy aMA 02G01 trvww aoAu.barattableana;ur'.. . Olhce 509462J3a38 _. . . 11 Fes:509.790,623 operty(7ovnerNZust C;Oi plete and Sign This:Secrtioii E- SI,GND by Michael Sullivan ,at Gmer of t6-so;t prop city I audtoxvx , --hsrebp.. 1 lo. on.mybeholf, is AU matters ccwvc to dads zuthOfizC&by this bundit pcmut'applic*w;for; 34 Tupei0;Rd, Wyk MA,02835 s,oF.joby ` 'Pops(- 7Act s and'alarms:am the sespomibilily of the aPplccpT.Pools `Hobo be SW orutdixed'bcfore fence is iasudW a.ad all final $` cute o, t Michael Sullivan Pru Prim Ni„c w:7 March20*1 Q=1 Scanned by CamScanner IKE Town of Barnstable *Permit 4��? Regulatory Services Fee 6 months from issue date saxxszesi s -I,�� h v Mass Richard V.Scali,Director o j 1. Ec + Building Division Paul Roma,Building Commissioner NOV 29 0 200 Main Street,Hyannis,MA=02601 20�� �� www.town.barnstable.ma'usaAI�j()�- Office: 508-862-4038 Fc� 508-790-623 EXPRESS PERAHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 3 At 2lb AA V.f- a N/[ 1�S i�.�- [Residential Value of Work$ 20 , 74-p Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address mice/ �/�CIUtfPil d1JIl/✓t 4 Contractor's Name y � �i�/a/11 r S Telephone Number_ 7a—']2 2 —33�<' Home Improvement Contractor License#(if applicable) qSU Email: A&wL:e-A,9Ai S iG A,(A• GA! Construction Supervisor's License#(if applicable) G S " O (.44721 ❑Workman's Compensation Insurance Check one: E'1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque t(check box) [ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 4&.11 yC/.,11 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) � � ` 2—Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. '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&Construction Supervisors License is required. SIGNATURE: / QAWHILESTORMS\building permi orms\EXPRESS.doc 06/20/16 i T7is Commomveah*gfMaFsar. r=etts �epaafiri�t cr,�'�'r�di�.rt�ial�lcr�d�ats OfTwe Of rM-wM 9UI,0w. 600 Washbigion Street Boston,MA 02111 I-t Ft n13Maa& gVV1dia Wnrl;: M' C=3pensafzan Imu mace Affidavit Bgilder/Canty actarslEIectriciansJ hmibers Applicant Information Please Pit f fey 'Name 43. Ad&esr �Io 13,)X �- C�gl�iatel Are you an employer?.Che.cktheappropriatebom T of project r L❑ I am a with. 4 ❑I am a general contractor and I Type Fro] ( eclnired}: 6. ❑New oonsbracEi employees(full audfor part-timed* have luredtfie sub contractors 2. I am a sole prqp.Eietoff orgartnar- listed on the a4tached sheet ?- ❑ - -- g ship and have no employees . These sub-cantractors have Demolition wading forme in any sty. employees and have workers' 9..❑Building addition LNp gyp rig'comp_ins;U=ce comp.mettrarErr# regniied] 5. ❑ We are a-corporati an and its 10-❑Electrical repairs or adclitious 3.❑ I am a homem mer doing all work of have exercised thew' 1L❑Plumbingrepairs or additions myself o�rcA='oonzg. right of ememption per&I M � i�+ "e reclait ed.I i c.152,§I(4) andwe have no L. ofrepairs employees.[No worms' 13.❑Other comp_inmmme required] 'Anyapplirsu &stcbeftbosRnmstalsofM out the sedioab9dwshmd fi agthemvm&eiecompensEanpoRcyinfnrmaacm #Ekmma aemvicbosubmitthismfEd2v�r;mgEcsr'mgtLeyamdoing&Uwnkandthenlieoutsidecoatmctmsamctsubmitsnewaffida-tmdicrti, such ICoat 1 Sul check M box must ruarly as additi®al sheer showing the nmne of the sob-� and site whether or motthnse eotrtksbwe emahiyees.Ifthesnbtaat=tmhace employees,they=Ustpmridrtheir wockrss'imp.poliq number I am an eniplaper that is prig�vork¢rs'catr�pertsrdton nrsziratrce fnr xr}�¢arplojees Seloav is tIt¢ptriicy arrd job�e irtformadDn. Insurance Company Natne: 'Policy¢cr Self-iris.Lic---AIL ExpiratiauDat'e: Job Site Address= C:tylStafelTp: Attach a-copy of the workers'compensationpcEcf declaration page(showing the policy number and expiration date). FaRnre to secum coverage as requirednuder Section 25A o€M-AM c.15?can hod to the imposition of criminal penahies of a fine up to$150a 00 atndror one yearimprisonment,as well as rivil p ens 16F,s in the form of a STOP WORK ORDF.Kand a fine of up-to 0-00 a dap again&the vioWmr. Be advised that a copy of this statement maybe hrwarded to the Office of IrrveWgations ofthe DIA for insumoce coverage ivafrcalinn. I do herby cenfi)5,rraLder&a pains and pen abies ofpci:ury thatthir info rma6vapmi&d abmw is trus and tarred Sit�tatare- /"/ s L ' Date- /?A'Y PhD=ik 77Y- Offal use only. Do not write in fins area,ira be wimplited by city artown qjqTc&L City or Town: Permitft tense 9 Issuing Aut1arity(circk—one): L Boaz d of$eah h r.Bmild ng Degas lment 3.CitylTown Clerk 4.Eiectrical hapector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: -- -- - 6 Information and fast metions �- hasszcl smt(s CTC;3=al Laws chaptEr 1.52 reges an=1p10yCM to provrde 7`033�amtpeasaton for'belr eroPlOYCM pm-mz tto this side,an.earployee'is defined as=every person in the service of m1ord=under any caotact efhire, express or iropliec%oral or writb ." An eznp&yj!7-is defined as"aIl indrvi�p=t=b p,assodaficm,amporatton or other legal enemy,or any two or mars of the foregoing engaged k aJoint ezrb=ptse,andinclnu mgthe Iegal represenfatives of a deceased employer,or the reeeivet or tras[.ee of an inchvidnal,pmtruasblp,associaton or otheslegal entity,employing employers. However the owner of a.dweIImghaasehavmgnotmamthmthrw apartments md-whoresidrz iarem,ortheoccupantoftbe - dwelTmg horse of an*Dd=who employs persars to do make,constract;on or repair wo&on such dweIIing hus oe or on.the grounds or bmZdmgappurfmu_-&theretn ffionotbmanse of such employmentbe deemedto be an employer." MGL chapter 152,§25C(6)also stems that"every sty or local licensing agency shall withhold the issaa"ce or renewal of a Ticenzse or permit to operate a Imsiness or to construct bufldings in the commonwealth for any applicantwho has notproduced acceptable evidence of compliance,with the;ncnrarsce coverager'eqair� Additionally,MGL chapter 152,§25C(7)s(afns"Neither the commaxwcalth nor jay ofits political subdivisions shaIL Ewn inib any contract fortheperfl rm.aace ofpublic wcakurlfil acceptable evidence of complimceviith 111e insurance._ reT=eme E s of this chapter have been pre$ellft�d to tho coidr�a authority." AppTicants , Please 51 oot the wa3=' compensation arTiEvit completely,by cherEng&a bones that apply to your sitnation and,if necessary,sr>pply r{s)name(s), addresses)and phone—ber(s) along withtheir certrdcafe(s) of ;msmaozce. L imitEd LiablZity Companies(LLC)or Limited Liability'Paztnembips(LIP)witb no ea�Ioyees other than the members or parb =s�are not reed to cant'wolke& compe,nsatiOn ice If au LLC or LT2 does have employees,a policy isregnio;ed. Be advised thatthis affda:Vk maybe sohmidfmd try the Department of Industrial Accidents for confErmation ofmsorramce coverage. Also be sire to sign and datathe afIIdavit The affidavit should b e r utome d to the city or town that the application for the permit or license is being requesh%L not the D epaitment of Tinrh•rcf rTa1 A_cdden-ts. Shouldyou have any gnesdans regarding the law or ifyou are regr iredia obtain a workers' compmsatioupoIrey,plmseealltbeDeparinentattberlmmbcrlist> below. Self-fimmed,campaniessbouIden:tz-rtheir s elf_jos*,=ce Icense rmmber an the agpropriaiE line. City or Town Of cials . Please be sure that the affidavit is complete and printed legibly. The Deputmenthas provided a space at fhc both= of the affidavit for you to f l but in the event the Office of Investi gatio s has to cordact yonregazding the applicant Please be sure to f J1 in the pen;aitllicease nnnnber which will be used as a reference nnmben In-addition,an applicant that must sobmi_L multple pem<id Hcense applit sfians in.any given year,need only submit one affidavi ndicatarg,ear ent policy infa�ation(rf nocessary)and under`lob Sim A_Adrrss"the applicant should wzite"all locations hl (eltY or town)-"A copy of the-affidavit that has be=officially stamped or mal3rod by the 'or town maybe provided the . applicant as-proofthat a valid affidavit is on file:for fut M per its or licenses. Anew affidavit m ist be filed.out each year.Where a home owner or citizen is obtaining a liceo<se or parm not relafrd io any bn sincss or comrnearaal.T&ut= CLe. a dog license orpermit to bmn Ieaves etc_)saidpeison is NOT required t o compIete this affidavit The Office of Invesffiga.joss wouU h-1m to tTiank you in advance for yom:cooperation and should you hav's any q=stims, please do not hem to give rs a call The Department's ad&mss,tnlepha ae and fez Cr.,rmmb Tha Comm=VMM of M ssaahusd s . Depaxfnent of Xu��Acaldent% �tce of X�tio� • Bostwi�MA Oil 11 Tc,-L.4 617- -4 Q:xt 406 or 14M-MA SAFE Fax 9 617 727 7M Revise 424-t)7 WW W- -gav Town of Barnstable Regulatory Services KAM Richard V. Scab,Director qua Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L /yi CAa2/ Joj,la 1 ,as Owner of the subject property hereby authorize i412 e ��a/h to act on my behalf, in all matters relative to work authorized by this building permit application for. 3y a/o / JJ -kt (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. *natare-of Owner Si e of Applicant Sd//,L/,O,� 11 2e _r/(d/hc-f Print Name Print Dame 2 LX Date Q:FORM.S:OWNERPERMISSIONPOOLS r Town of Barnstable Regulatory Services dFT b Richard V.Scali,Director , Building Division semvsresr�. i Paul Roma,Building Commissioner Mesa �► 039. 200 Main Street, Hyannis,MA 02601 A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": - name home phone# work phone# CURRENT MAILING ADDRESS: 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. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one'or two- family dwelling,attached or.detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 1 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 i • f I Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts b State Building Code is cause for revocation of this license. DIPS Licensing information visit: WWW.MASS.GOV/DPS D O M n co W� � r- O � 0 0 0 �' N M CL 0 = eo2 c = o d 3 O h to 0 3 I D N 7 N M CON o A C-b �A o (leaa��as�apun M A ainleuflts lnogl, p-1 ION l•£9ZO VW�831SMEING e;,y Z N :::.lt/M SN`dW33tl�L69 y? m' `ice` ` c 3 SIWOHl 02lbrW E SIWOHl`J21`dW o 91TZ0` W ao so I - ' :aIenPIA! aP Q OL1Sal!nS-ezeia Ii-1Ed 01 O x cdA 96Z :uollejlslBab a c0 o 23WO uotletn2ag auisng pue 01lcladga-aql aojaq N010VNIN001N3W0NdWl3WOH , � en :ol uanlai puno;11 -alup u nopuln2ag ssaalsng'9 s-njamnsuo0;o abUjo o —• =: m ,Ctuo asn tenptAfpm ao;pgen uo►leals��a��o asuaa►7 .PJ�aan�vvc�����o��Jvannoauuriaod� a -- J Q C� ��S" r t/1 r ^_ .u '. TOWN OF BAI NSTABLE BUILDING PERMIT APPLICATION Map Parcel D�/ Application # I✓ I y Health Division Date Issued- Conservation-Division Application Fee Planning Dept. Permit Fee 2Z5. 0 Date Definitive Plan Approved by Planning Board e �� Historic - OKH _ Preservation/ Hyannis Ol c Project Street Address 'y _i)P5 L a /?b Village Al—Al S /'yl SULZ vA ��f6V Owner M 1 C-&Ac L /V /yl�y/{1,rj Address 2 6 Rm-rH A R. 5,7-e l �Y,4 Telephone q7'c?- 8_r1 ' '2 t 4- Permit Request C©n S-/Vycl" Z`V. 3 6 ' Cove.F-e3 to vc X a/bnti AV,#,t 0* '603•e.r 43 PeW so6M lee) t7yn Pose) P/hgs A, 14RC- bet K;a3 Square feet: 1 st floor: existing ro osed 2nd floor: existing—proposed Total q g—proposed g p pnew Zoning District Ar Flood Plain Groundwater Overlay 6'. Project Valuation 3�;ooa Construction TypeC,' ,wE Lot Size 24 R9 s y. Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family LT Two Family ❑ Multi-Family (# units) Age of Existing Structure vi Historic House: ❑Yes 2 No On Old King's Highway: ❑Yes C1lo- 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: w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes El No If yes, site plan review# I-)co r- Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /� Oq L -7,AD mt s Telephone Number '7 2 2 = 3 3 .rW Address AD 8Ox g/2 License # CS - D 6 y 7.9 Home Improvement Contractor# L112 91f0 Email h)Gvc-f 6,0/ga &_ASn. Cam Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO baajz,�:L.s I?EL Ye</nl f � 0/,Y eA x SIGNATURE �l / X DATE J`L FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED } MAP/ PARCEL NO. : r ADDRESS VILLAGE t • -' r -OWNER t f } I DATE OF INSPECTION: j FOUNDATION OW G FRAME � O� G (D INSULATION FIREPLACE . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. 27m Commomvreaiih ujfMassad imsetts D�parbfferit&f1ad-=f7id Acddercts Off-we afFicves4adom 600 WashhWon Street Boston,MA 02111 mmumasmgorldia Ww-kers' Compensation Insmwauce Af Edavit Buflders/ContractursfEIectticmns/Plumbers AppUcanf Infarm,afiau Please Flint Address: / y 80 K 'f,3� Cityf5tatt I�ARcJ c�/ ,¢ 026y,) Phoneme -77Y - 712- - 3 3 J-J Are you an employer?Check the appropriate boor Type of project(reqairedy- I.❑ I am a employer with 4. ❑I am a general contractor and I 6. ❑New Construction employees(full andfor part-ime)-* have hired the sub�coatfactors 2.�l am a sole proprietor orpsrtner- wed on the attached sheet 7- ❑Re=odeling slip and have no employees These sob-contractors.have 8- 0 Demolition wodan; for me is any capacity. employees and have rockers' 9. ❑BuilcEng addition INp W06 fig,' COMP,hMM31anre comp.m¢rerarurp required] 5. ❑ We are a corporation and its 1 ❑Electrical repairs or ad ions 3.❑ I mn a homeowner doing all work officers have exercised their IL[]Plutmbing repairs or ad&tiems myself[No workers'o=p. right of em=pfion per MGM 12.❑Roofrgmirs insurance regmn red-]i c.152,§1(4k and we have m employees.[No worms' 13_[ Otfier f�Vsve� Pa✓[! comp.insurance ) •Any WBow3tBbatcherkshosr1nmstalsofllothesectionb9vwsbnRing diet wadcerecompeasefmpoycyinU mafaan. #Hameownerm who sabmit this d5dartt i g�bey are dc=g zU wade and Bien bile cat m&contRcimsnmst submit anew affidavit bdi-such- ZCaatrac I fat check tbis bmt mast attached=additional sheet sbnuing the name of the sdb-contrzctmm=d stale whether ar not those amities have employees.If the sab-cant actu shone empIcyee%dwymnstpm4&dLeu wadma'c=Lp.policy aumhez I am an eurpIoper flint is prauidirrg workers'cott3perrsafion insziraacster rgx}T earpfny BeTow is the policy mad job site trzfoturatiom Insurance Company Name: Policy 4A or Self-im 11-r-A: Fxpitofion Date: Job Site Address City/State r4p: Attach a copy of the work-ere compensation policy declaration page(showing the policy,number and expiration date). Fare to secure coverage as requiredunder Sechon 25A of MQ,c. 152 can lead to the imposition of criminal penald s of a fine up to SOW 00*mWor one-yearimprisoumerit as well as civil penalties.m the fam of a STOP WORK ORDERand a Kane of up to$250.00 a day against the violator. Be a4chised&9 a copy of this statement maybe forwarded to the Office of Iirvestcgadow of the DJA for insurance coverage vedfica iorL I do herz y cerh�,under Ste pains and psrtaltres of perjusy thathhe iraforwsafiauptmddul abot�s is bus and correct Spa: -. Date: /r9 ?.. i6 Phm2e ik 9? 72 Z — 3 3 J-p Ofrsiat uge aptly Do teat wide to this area,to be rompUted by alp artomn ofrerat City or Town: PermhUcense f Lw ing Authvrfty(torte one): L Board of$faltlr M Building Department 3.Cityfrown.Clerk d>Electrical Fuspector 5.Plumbing Inspector 6.Other Conbct Person: Phone#: laformation and Instmetions h acsa limeeft Getc al Laws chapter 152 reqrd=all=PIoyers to provide wom3�compensation fur tbei3 employees_ pors�this statuie,an ernpk y�is defined as.6_.evt2y person in the service of another under awry cmmfxart ofhire, express or firiplied,oral or write." An ezrrploym,is defined as'an individnal,paxtnerslhip,assoaation,coiporation or other legal eofiiy,or any two or more of the foregoing=gaged-is a Joint else,and inchidmg the legal representatives of a deceased employes,or the river or trustee of an individual,paztaenhip,association or other legal entity,employing employees However the owner of a.dwelling house havingnot more than three apartm=±s and who resides therein,or the occopant of the - dwelling house of another who employs persons to do maintenance,construction or repair wom-.on such dwelling house or ou the grounds or bm7.dmg apple therein sbaHnDtbem=of m h employme�tbe deemed to be an employer." MM chapter 152.§25C{6)also sfaiES that¢every state or local Fcen--mg agency shall withhold the issuance or raaewal of a license or permit to operate a business or to construct buildings iu the commonwealth for any applicant who has not produced acceptable evidence ofcdmpfmancewith the incQranca.coveragerequired-" Additionally,MGI.chapter 152,§25C(7)stains-Neither the commanwralth.nor nay offs political subdivisions shall PM ter into any contract for the performmm ofpublic work m>ifi acceptable evidence of complia;ucewith the insurance.. ragrriL men s of this chapter have been presented to the contacting author" Applicants Please fll out the worimas'compensation ar'Tdavit complefaly,by checking the boxes&a±apply to your shnation and,if nary,supply sol�ntractor(s)name(s), addresses)and phone numbers) along with their cm-bfcate(s) of insurance. Limited Liability Comparmes(LLC)or Limited Liabi7ity'Parta=hips(LLP)withno emupIoyees outer th-M the members or partners,are not required to racy wokers' compensation insurance If an LLC or LLP does have employees,a policy is required. Be advisedthatthis affidayrt maybe submitted to the Department of IndnstrW Accidents for confirDiation of insurance coverage Also be sure to sign and date the affidavit The affidavit should be mtmned to the city or town that the application for the permit or license is being requestm�not the Department of Ind r str aT A-cmden t c Should you have any questions regamuimng the law or ifyou.are,required to obtain a wom i=* compensation policy,please call the Departmenrt at the number listed be.Iow. Self-insured companies should enter their self-insurance,license umber on fhe appropriate e line. _ City or Town Officials Please be srae that the affidavit is complete and printed legibly. The Department has provided a.space at the bottom of the affidavit for you to Ell out in the event the Of oflnvest moans has to contact you regarding the applicant Please be sure to fill in the pennit/licrose number which will be used as a referacc number. In addition,an applicant that must submit muA410 p=Whcrose applications in any given year,need only submit one affidavit indicating current policy information Cif necessary)and u ri "lob Site Address"the applicant should write"all locations in (may or town)-"A copy of the-affidavit that has been.officially stamped or marIced by the city or town maybe provided In the - - applicant as proof that a valid affidavit is on file for f rim$permits or Ilcenses. A new affidavit must be fMcd out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial v&nf= Cie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigaiinns would Irbe to thank you in advance for your cooperation and should you have any questions, please do not hesbz±r to give us a call The Dei aFtmenfs address,telephone and fax rmmber_ T CamMOn tttt Of MaMar„hM-IMfs , Depadmmt of IT;&istdal Accideaxts of a=of lave&ttafi=a 6TA-Wadbatan Strom B MA Ell II Tel.#61 7— -49W Q�t 4-06 or 1-977 MA SAFE Fag#617 727 7M xevisod 4-24-07 gav ate, Massachusetts Department of Public Safety ���✓j Board Of Building Regulations and Standards License: CS-064729 Construction Supervisor i MARC THOMIS PO BOX 912 HARWICH MA 02645'; s CA-- Expiration: Commissioner 06/16/2018 Iel"nw+cncaecc/l/n. �✓llivac%adell3 Office of Consumer Affairs&Business Regulation License or registration HOME IMPROVEMENT CONTRACTOR Re9ist before the expi on date. If found'return toe only ration :;;'1 g2950li Type: Ofi ,i:g Individual ice of Consumer Affairs And Business Regulation Expiration:_4/7/20 -- -- — 10 Park Plaza-Suite 5170 MARC THOMIS `' Boston MA 02116 MARC THOMIS 697 FR E EMANS WAY::-. BREWSTER,MA 02631 Undersecretary /Not valid without signature C.., u Si.- t C>C�C� CA.L— AC--F-A ICY s -f N77 Pgopossp N '-x 'Apia i�4 711' 4, GAL. L n u L O-CA,T 1 RAZ ;45 L ct-: 7-m rz T tr� TiL(A-r T,AIG- 2 E-: -ZA-A,A LL 7 -Z , 4 111 �c-C& 15 0 5ulzvl=YC APP L-L vi t t I/- 6i&j 1 ut.ma�a uw� FRONT ELEVATION tlorop a . (3/ie• 1 ' 9�•x e• m � rxCpt p EXISTING — e'°1"e o& DWELLING &sew '. ''d,wlbine DECK oc .to ft J" CONNECTION ® ® ® wl p—of 3-t DETAIL Ole Mdotr-IokAt 1/2. •VWFY ALL OEDWB WITH 0112DEa AWW AS aEcurRED 4 tins PROPOSED COVERED ®® PORCH _to trakh r.or cWW root pom O existing o oftft llir a 2 od fl�oo..hWm dwelling EXISTING �x Mboom GARAGE pt `0'�''"g�bwm to how dam bveptn Mow -[ a 3 Tjt •/Stm�mt Ipnpv wN roftv use Atilt 1'x r tateW d;•oRR nil!to)rolvn— r x e• I w/ro t0d O 1e 104. t•Nsod btoae0e 1100P �$ I « odYnp 2'x,� EXISTING/ HIP RAFTER/CONNECTION S*nvz°x M.za— ' 4•x Q " O IS"at)z -2'x 10'Np rdbu h bd" O t e o I I B d�ia.t0r�ipMtn n .to DWELLING a�,1,em- �Np"bom w/ftiam �•z tr I I .p"aalxron. ham-3' �W - 'into b p > ;I i ;£ ofl•-w4 4-0 SMepwn MIe � MPxon Ix p2 Np eamr pbfs sub floor- I 1•x r Atilt e'3 ••�+ "'t'i O 16'tu. / loot Mnpero .ry dkt booty T 0 bad RO rot n4Wnd eris" '21inq door er sf ting/ a*Toting �. M 9a _ wndow window window window 7� p FRAMING (bo6o boom ba» ppy�Ep110 sc•:e• SECTION "M" w pak.a� B<��'tl nnrb Wode W/PORCH °iaa� �tip Roorradon w a } ( 1/4• 1r ) P 91 _ i ./sbnpton b2at m •VERFY ALL DErAU WITH eULM ate•oo. L tw2 do� baaeon tM - 4•z 4'pt a e ♦ ♦ b tin �,. MIDST AS REOttitED fZ/ o�fwm 1DD0maovoOen ptlo�to to I- I. 8 dle.llWrylen - - -� -�/. Imo ) . apm advn -P-o i' I r-o Jr I 7'-2• 1 7-0 r Ir-o}• . 5CA � � %2 38�°"`" ; NOTES: 0 1 2 4 e 12 (d)12'x ps�ti.• 1> A DI IN itBlEFub E704I010 CONDITIONS r •too w tfe DUAL&CONTRACTORnmwm wWm+T w o ALL°TERIOR MwTtieAL& PROPOSED COVERED PORCH to 49'n.1o.trm• FIRST FLOOR / , SAU.OONSTMXfft TO COMM TOE CM 8 TH WITI il1D M OM wMIDIDMENT& `"°°°° "°"' FRAMING FLAN MICHAEL AND MAUREEN SULLIVAN IRC2= 4 110 MPH E B 1wNo ZONE ALL COMSrRUCT10N TO BE PERFORMED IN STRICT 1d1 ALL lYL WM6EA/BFA16 10 BE t.eE l/�e0 tA1D COMPLIANCE WITH THE MASSACHUSE7TS STATE BUILDING ( 1/4• - V a FOUAM ALL MANUFALTURERS SPEpFt"iU10t6 FOR CODE, EIGHTH EDITION AND W000 FRAME CONSTRUCTION INBULlAtoN OF ALL SIMPSON CUPONEM9 34 TUPELO ROAD MARSTONS MILLS MANUAL FOR ONE- AND TWO-FAMILY OWELLINGS ALL CONCRETE TO BE 3000 PSI we FOR EXPOSURE 8 WIND LOADS - 110 MPH a n ANY ELMMWL KTAU W/OwNER ON SITE -FIRST FLOOR / FRAMING PLAN -FRONT ELEVATION -NOTES e ANY STRUCTURAL ENGINEERING REVIEW, IF NECESSARY. nM3M FRAt TO BE E#"/2 GRAM -FRAMING SECTION xMa -DECK CONNECTION DETAIL ' �� 6 tew uAw a o � IS AT THE DISCRETION OF THE BUILDING MAY 2016 1 OF 1 memsm AND WILL BE THE RESPONSIBILITY OF THE OWNER I I lio°'�ry x°e a��a'q FRONT ELEVATIONpo'c x.x rxX pt �ybb 011"p EXISTING DWELLINGbuta to e�`�"" L- r x to• ,,dw DECK scr„,to fm J" CONNECTION ® M wl p—of 34 DETAIL Elm •VERIFY ALL OEWLS WITH SUIDER n M ADAM AS REMMIED PROPOSED LIN COVERED ®® PORCH to MW r x w oeput roe/pAoh rorfnr to oMv oam,° aY\ J� J. ��,� existing, Ole•C.C. see Re01 WNeaWx /I\ dwelling EXISTING X t K•x �x•L.vL E.efx GARAGE I*4* , Ebm to muse — ruse aoPw (weo°�.awift �T � .mare h.�rGRIN 1 er Ank 1•x LYraodo a safm _ndlto� rx!r./(° tOd e'gpbh •x°•tDAL boad board �p" '' EXISTING/ 2 x to pt dil_ HIP RAFTER/CONHE�'t70. IN —_ o d�°•°t I 4'x 4• tonxlen�at(3) / _ 10• to rafthwo ro O' oa I B t�n°leu to" ft" ftdw DWELLING rrom heuoo to np to how.. 96•x rP woo°oee«.Nr.paow simpmn dm+ad Aanper. aomporu• W/palm of s-i• Lxxa jdN —reopn hp to Room./ aed6q(9ro7') Iok wWWo he SIMPM WV2 Mp comer pbb sub now————— t•x 6• °•* aL. l f�.— ar exhlinq / / dirt board ofd fur, e*�sfmq e4stin dep1 e(nOOM ex'4Wo� ./ /\/\/.\/.\ /\/\/\�/. ?\/ / /\i howV<ao'tot rot 9roe.° rJ rindox window T T J/ " \ FRAMING w w Iodoar te(Oo d) =b000 �s• r ht otMrAe) to SECTION M I ac'x w W/palm � -a was ron aoe r.gVme m Jam COHERED 001A�`' A<JO•to MMh grooa / PORCH RoofH � O awNa°(9mY) (aafen to to .VFAFY ALL DETA6$1/4" ,rAM 81ELDLN L tee cmto yyWlv .hl tlN `Poo � ADJUST AS REQUIRED - W/ltf2°'Eq— CD - 4•x 4'pt 1{ teot'rmtar corm 10 cc) 1 �_� �-� � � � i �_i �_i�� 4B•Edo.gfado (evatae as dwWn) w°t edwmo r-0 Y r-o r r_2• r-o r r_o r %2 5 C A L 3r-w parch NOTES: 0 1 2 4 ° 12 (4) 12*111,30" 1) CWrWCM TO VM Y ALL DOMINO 0QNWn0NS plor e 01MO SIGNS IN THE FIEIo W/brA'big— 2) WWRACIDR 70 Vl7°/Y ALL MR1011►Y MLB. to 4e'Endow�. FIRST FLOOR 3) DETAL a nwstlm tm HE owNER PROPOSED COVERED PORCH N T ' (.pooae a,olwwn) ALL OOIBIRUCIION TO 0WORII TO 7°0 t71R UM FRAMING PLAN 0SIVE1020 D r>nte E 1N t7J1110N ALAENDMENr ,'""°°M�ttl(JOOSWE it wND ZONE AND MAUREEN SULLIVAN ALL CONSTRUCTION To BE PHpFORMED IN sTRCr ALL LK ro LIE I.K L/�LOAD MICHAEL COMPLIANCE MATH THE MASSACHUSERS STATE BUILDING ( 1/4• - V - ° INOLLOAflQ O ALL°AC A S PWN�FOR 34 TUPELO ROAD MARSTONS MILLS CODE. EIGHTH MMON AND WOOD FRAME CONSTRUCTION ALL OONWTE TO BE 30M PSI MANUAL FOR ONE-AND TWO-FAMILY DWELLINGS °) VERIFY ANY MEGIRICAL°EMILs W/OMER ON SITE -FIRST FLOOR / FRAMING PLAN -FRONT ELEVATION -NOTES ' FOR EXPOSURE B WIND LOADS - 110 MPN TM ) ANY STRUCRIRAI.ENGINEERING REVIEW, IF NECESSARY. IN"��70.8e � ��t -FRAMING SECTION 'M" -DECK CONNECTION DETAIL IS AT THE DISCRETION OF THE BUILDING COMMISSIONER MAY , 2016 1 OF 1 j � AND WILL BE THE RESPONSIBILITY OF THE OWNER AJYC Guide fo WO✓}d Co=t-actrarr zrt H'Ly�Ir ful tirear:l a xzplr ff,'FrrdZorze . Massachusetts Checklist for Comp f'ance mD'L-hIM5-301' I.1) - . - - CampliMMcc 1.1 SCOPE- - Wind Spy P- �..110 mpfi Wind Ex�Caia=gory Wind Export m Ca agwy. ...._.._.__-Engineering Required For E&a 12 APPUCABILlTY -Nmuber rff roofwfgh n excee&B in 12 slope shall be can_sidw-ed a sinry) / sbrips. 52 stories - Roof Pf ch ___ ..__(f=rg 2) _<12`-12 Mean IZoofHefght , - --- [Fi92)— - , ft c733' Building Width,W- -_ (Fig 3) -_ ft c 60' Building Lengltt,L _ -- (Fig 3) _— $s BD' Building Aspect Ratio (Fig 4) -5 3=1 Nominal Height of Tallest Dpenfng7 _ �. (Fig 4)-- - -- s TB` S _ 13 FRAIA-646 CONMECTIDNS General comPliance With framing CZnnedans_—_ (Table 2) 2.1 FOUNDATION FDundaiion Walls meeting regrnrernerits of 7BO CMR 5404.1 ----------------------------------•-----•--------- ---- - ----- 1/ Cone Masonry._.--.- -- -- _ --- 22 ANCHORAGE TD FOLINDATIDX"3 S/B'An dear Bolts*fmbedded of BIB`Proprietary Mechanical Anchors as an affemative in connate only Bolt Spacing--general--•---•-_--.._._-•-.-_---.- (I"able 4) Bolt Spacing from endlofnt oF plate- _(Fig 5) Bolt Embedment-conr_tete-_ _..(Figs)._- Bolt Embedment-masonry--- - -(F)9 fn._>1s" ' Plate\Nasher_ (Fig 5) -->3'x Y x 3," .3.1 FLOORS FIDorframing member spans checked (pet 7BO CMR Chapter BS) Maximum Floor Opening Dimension_ -(Fig 6) _ft<-12! Fait Height Wail Studs at Flodr Openings Less than 2'from Exriar Wall(Fig 6)_..__....__.___-.-___ ......__-- M;Unum Floor Joist Setbacks SuppoMng Loadbearing Walls or ShearwaI[_ (Fg 7) -- - ft c d Ma)dmum Canflevered Floor-JoisLS — Suppotf ng Lbadbearing Walks or Shearwall— (Fig B) .FloorBracfng at Fhdwan& __- (Fig 9)- MoorSheafdngType -(per 7BO CMR-Chapter s5)--_• Floor Sheathing Thickness -(pet TM CMR Uopter S5)_.. fn- t=loorSheathing Fas a mg-_. .._ — :_[f"able2)_ d nails at in edge I_-infield a f WALLS ' Wan Height ' L aardbearing walls (Fig 10 and Table 5) Nan-Lnadlxr.&g walls__ (Fig 10 and Table 5) __ ft's2[Y Wall Stud Spacing _ (Fig 10 and Table 5) —in_!;24'o.c. Wail story offkafs -'(Figs 7 B) -- _ft s d ° 42 iEX,�OR:IriIAL& Wood Studs _ L0aCfl>axbg-k*--- - (Taljfe?3-.--------_-..2x --ft—In. :�- Non-Loadbewbg waits - -_2x - ft h. r Gable End Wag Bracing t — — Fun Hegg.ht Endwall 81W&;_._ —-(Fig 10) WSP-Atfc Floor Length Fig 11) — ft;-W3 Gyps=Ceiling Length Cif WSP not used) -(Fig 11) _ —ft?::0-9w _ and 2 x41Zr&wous Drat Brae @-6 ft:o.r;-(Fig or'l x 3 ceiling flaring ships Q 16`spacing-min.va h 2 x 4 bfoddng @ 4 ft s-pacbg in end joist or Truss bays Double Tesp Plata Splice Length (Fig 13and Tabie 6)_ _ —ft _ SP11Ca CoruheCn"on(M.of 16d common trawls)' (Table 6) -- — AWC tluide to Wood Construction hz lligfr end Areas: 110 mph P-rd Z,=0 Massachusetts Checklist for ComphiPLIIce(7Mo 0mR001_7-1-W Loadbeaning Walt C'ong actions - teal (no_of 18d common nags) _ —(Tables 7) Nor,Lmadbearing Wall Connections Loral(na_of 18d common nags) (Table 8) ---- Load Bearing Wall Openings(record largest opening but chef k all openings for corripfrance to Table 9) Header Spans — --(Table 9) —ft_irL c 11' S111 Plate Spans (fable 9) --ti____in.s i Fug height stids (no. of'sffjds) (Table 9)-- Non-Lead Bearing Wall Openings(record largest opening but check all openings for compffance to Table 9) HeadefSpans-_-_-- -- (Table 9) —ft, irL 51z Sill Plate Spans-_. (Table 9) _ft in.512' FL A Height Studs(no-of studs) (Table 9) — ExdE!jior Wall Sheathing to Resist UpFd and Shear Simulianeousv _ Minimum BAring Dimension,W MomiralHeightofTallestOpenine ..--,----.-__-- -- ---—`�� Sheathing Type— Edge Nail Spacing (Table 10 or note 4 if less)--- nn_ Fetid Nag Spacing— _ -(Table 10) in. Shear Connection (no_of I5d common nags)(Table 1 D) - ----- Percent FuMeight Sheathing. _(Table 1D) — % 5%Additional Shea$ning for Wall with Opening>V&'(Design Concepts)__-_— —_ Mmdmum Bu ildng Dimension,L Nominal Height of Tallest Openingz--------------------------------------- --. ,�—_s 6't3' ` Sheathing Type— (note4)-- Edge Nail Spacing-- (Table 11 or note 4 if less)_ u?- Field Nall Spacing =(Table 11) -- in' Shear Connection(no. of 15d common nags)(Table 11)—. Percent FuMeight Sheathing—_ (fable 11)_ —% 5%Addifionai Sheathing for Wall with"Opening>SS'(Design Concepts) - MR Cladcbg _ Rid for Wind Speed? -- 5.1 RooFs - — Roof framing memberspans dned�d2 .(For Raf�.rs use AWC Span Tool,see BBRS Website) •. kDDf Overhang _—_—_--- _. _—(Fgure,19) — ft:9 smaller of 2:or LJ3 Truss or Rafter Connections at Loadbearing Walls - Propriefary Connectors Uplift _.-- (Table 12)- — U=/,17 Pif .�4 i;Rfer-6l_ __ (Table 12)- pri Shear— -- —(Table 12) —S=_5Y_pif- �L Ridge Strap Connections,f collar ties not used per page 21-_ (fable 13)_-__— T- Plf _ Gable Rake Oufiooker__-__—. _ _ (Figure 20) smaller of 2'or L12 ' Tniss or Raflg Connections at Non,4.oadbessring Walls Proprietary Connectors ' Uplitt— --(Table 14) U= lb. _ Lateral(no-of 1 Sd mmmon nark)—(Table 14)--------- ----------'--------- - ' Roof Sheafhing Type: _ (pet 780 CMR Chapters 5B and 5 ) Roof Sheafhing Thidmess—__ - in? f1 Roof Sheaffhing Fastening_ (fable 2) Notes: •1. . This checklist shall be met in its entirety.eluding the specific exception noted in 2,to comply wfth tie reguirernents of Tao CMR-93D121.1 Item 1. If the checklist is met in Its ennrefy Then the foAo ing metal straps and hold downs ara not required per the WFCM 110 mph Guide: , a. Sleet&traps per Figure 5 b. 2f1 Gage Straps per Figure 11 r_ Upfdt Straps per Figure 14 ri All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure 1 Ba and Figure 1 Bb - 2 'Exception:Opening heights of up 1n B ft shall be permitted when 5%is added to the percent M-height sheathing 'requkerffards Shawn in Tables 1D and 11. 3_ The baffnm sib pEafE in e>dtxior wallsscull be a minirrrt¢n 2 in_nominal Hakness presme treated#2-gade. ' ATVC Gaide fa kYbod CQrrvr c:dG17 zrr I ibaft IrMdAreas_ 110 mplr frZad Zarxe Massachusetts Checklist for Camp1iauc:e C7lin.clV'[RaD1.2 r:l)I 4. - a . From Tables 10 and 11 and locanDn of waU sheathing and Balding Aspect Ratio,determine Percent ts Fug-Height Sheathing and Nall Spacing requiremen . b. Woad Strucrral Panels shag be murirrrum thickness of 7116`and be insthlled as fDlbws: [. Panels shall be irzsfaged With strength axis parallel fn sfr tds. ii. All hor¢onfal joints shaU occur over and be gaged to flaming. Fn Dn single stoiy consfrucfion,panels shag be attached to bDftDm plates and by tnerrrber of the double tDp per• - iv. Dn tvm sbry conslruc6on,upper panels shag be attached to ffse fop member of the upper double top plate and b band joist at bofbm of panel Upper affadh nt a lower panel shall be made to band joist and lower attachment made to lowest plate at first fioor framing. v. HDrimntal nag spacing at double top plates,band joists,and g'uders shall•be a double row of 8d staggered at 3 inches on center per figures below:VerfSad and HotimnW' hlaRng for Panel Afiar hment 5- Glazing proi�fiorr a)thew house oncc mntal addr6on—required if ppjer#'is l mile or doserb shore(generally,South of Rfe.28 or north of Pb-- 6) b)vertical addffion—not requlre4 unte�s there is extensive renova ion to the first ffoor c)replacementivHdows—needs energy conservation compWr~only(chap 93) S.We od Fran a CDnstrucdon Manual(WFCM)for 110 MPH, Exposure B maybe obtained h-Dm the American Wood Council (Awb)Welosiie. ' ATeb= tl tl t [1 t re • ,r tt 17 i t H t• ■ t r[ [ r r H [ _ - it rL � It tl 6 1S1 0 1 R If `t [ .ht `i U r i EDGE W&FaJEDKIE U -r t 1 s [ S rIs [!1LL [ LZ _ rt [ [ _ �sl ��Jickdr; t�i sf z �`�• - } p L r N[ULYfQZHaN Pu L . See Data$on NaXf Page - Vertical and HorEmi-rial NarTing I3eta�l'for Panel Attachment ' VeriiFal and 1 folizonfal hlarTmg - fnF Panel Atfar�rme� i mE Town of Barnstable 0 Regtdatory Services Z n�tTCTi nrb g Richard V.SMU,Director .Unflding Division Tom Perry,.Building Commissioner 200 Mai Strcet,Hyxeais,MA 02601 a�vw.fo�vn.barnsfable.ma.ns Office: 508-962-4038 Fac SOS-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder. as Owmer of t6 subject propery herebyaurhocize_ _ /%A �H D,d(r.i' to act on mybebaN, m all mattcn relative to work authorized by this buUdiag permit application for (.Address of Job) "Pool fences and ala= are the responsfl)mlitpof the applicalat.Fools are not to be Ukd or uWized before fence is iasrallcd and all f izlal ections are performed and accepted. Signature of 09 mer Si of Applicant Print Name - Print Nam;: fl:A7RM3:pWIJF�2PF.,R3WIISS�{7Tt'PodLS � C11Assessor's map and lot number ..... ......... ............. . yoF THE Sewage Permit number Q ♦�.. ...a..1....6.............................. SEPTIC SYSTEM MY§ • INSTALLED Ifll C®IdlP�I ' 9TADLE, i House number ...` ...................................................:. i6 WITH TIT av ale TOWN OF BARNATT N � s BUILDING yN.SPE.CTOR APPLICATION FOR PERMIT TO .......... 5%t:c. 7 ............................................................ TYPE OF CONSTRUCTION ............ �r.9' ./ . ..... /�?!/..( .. .. fl /RG........... ..................... .. .... ... .......... ,s /. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli for a�permit according to the,following information//��://�� Location ........... _.,` ........... ...... `�......... — ,f /..:lyz-�................................... ProposedUse ................... ...................................... Zoning District ................. ......................................Fire District .. -:..<ca."`c.�il�1 � "••L ;% 1 .........1,. — . Nameof Owner ................. ct. .............. y......................Address'1 \ �............... .1. .. .............. Nameof Builder ....................................................................Address .................................................................................... it Nameof Architect ..................................................................Address .................................................................................... C•,___.__ Number of" Rooms `�— t ...........:.......1....,.........................................Foundation ..........�b;�:�.�;p....�4:?`:��. ................................. Exterior .�,...a......... .. .............. ' 'r11l� 45.� ...... f:�.. ... �..............Roofing ......................... . r?l,� ... �.,��.: 1 Floors ... !•s`}•\l J�l. >.....................................Interi ......... ...... �A ........ ��t .. ......... ..... ......................... i5 Heating .... l�v G�:.1.. ..............................Plumbing ..................... ................ ..............C—T ...�—:............... Fireplace .................. .......... . .......................................................Approximate Cost ��jj .. Definitive Plan Approved by Planning Board ________________________________19________. Area ............/�.7Q.. s•••..:•. Diagram of Lot and Building with Dimensions Fee .......... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH /j 0 ry I hereby agree to conform to all the Rules and Regulations e Town of Barnstable regarding the above construction. Name ..... .5.C... -, `! 1...�...: .................... ROBERTS REALTY TRUST -.Y 23074 Two Story No ................. Permit for ................................. Single„Family Dwelling ................... Location .................25........34 Lot4 ............Tu.pe.....l...o.......R.oa.d .... .. Marstons .ills ................................................................................ Owner -...Ro,b.er.t.s.....R.ea.1.ty...Tr.us.t.*.............. .. .... .. . .. .... .. .... ...... .... .. Type of Construction ..F.rame............................ ............. .................................................................. Plot ............................ Lot ................................. Permit Granted ................May 6 ,............. 91 Date of Inspection ....................................19 Date Compive ......................................19 10 PERMIT REFUSED .............. 19 ............... ...... ........... .......................................... - .. T ............ .W. ....r .......................................... ............ ................................................... ............ ......................................... Appro\76—df-1 ....... 19 .............................................................................. R: F p' Q ------ - WoP7 ldq�- 10;eo l — ell ;RIC �� a10 C�ar�•�•nr...� c�tz{�'v�z • Poso� err use tom Giat_. SO l D. TOT.&L. ' >E:SI(SQ = . ` 33a6PD. PMreC—OL&TIC J C?_IaTE � s&J SMiw 02 U-41-1 1`(�y t'1� {U .,: •� t. �e . �y ' j f r L& y t00%, =1L. , %CAP r ti PD• --- 7.44 ,8 5OF4,50, 4�PF� �cjK7 ict✓. G.&L. IC p { LkA:N ;a u pk7 c I��a/�•l'IZ � , G WASWED T /.O 5 C.CG'TI�IL.L7 pt~OT F'L./�ti •!' -----� • LOCATIc>,t HV55MO5 MKLs, PA , 0 � 1 4' ,�� � �i+` a b�• sc n,��- �c.nL� �''-Gt,,` ,�A.-r•1� q- 2z• t Cr ZTt, "^{ iT{-(A-r T14G F ATIOt,3 Uo%vQ � 1�Gc�VtPt.�<5 W IT►-1 TI-a� --j'1DE.t_(► Aua �C1�� I R-ArKJ )} t'Glvut�E�Vc� -{ow►�1 �- Ul�'�tJsTA►3L.<` . fi?� ICAO IF, "�tAA LE, ►tr 14- vn\•rc __ UOt"Q C 4;:,24•E'�1 �` 8AXTC1z. 4 W*,ec tuc- aeC,ts re.2GI:> L.A.,u>✓ Sue\.liz< T 14 1 0E—A 1 IS- LIOT t{-d`if�l✓�✓�C�l�l( jell'.\/►_�' � Tt�1C� c7F4-ill 11 7{�G�s1.-a./ syt�{�LI C A." f �^ r • t�(:�. t;L: u��Cc� iu t)r_'1 c- QM;WL t_O l_t Wa �UrJ►.1 t c�G + j /— TOWN{ OFBAuRNp SToABLE Permit No. Building --------�'�_'��---- �m�tw Cash ----------- � IY� oO�O YPY I'�� OCCUPANCY PERMIT Bona No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ...................................................... 19 .... ......................................................................................._................_ Building Inspector Assessor's office (1st floor): Assessor's map and lot number zo. Q cF THE r° Board of Health Ord floor): Sewage Permit number ! BA NSTAXLE MAOEngineering Department (3rd floor): . _ Y 'oo 39• House number ...........................................:d 3 ''� a• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR r APPLICATION FOR PERMIT TO . . K//Z/- . .;. l C!ll.... .. .M../�!.!.. �� ........................................ IJ TYPE OF CONSTRUCTION �/� 1 / �- "— -� S 9` .rC./ v✓ � - 7 S Q�� .......... . ..../¢w1...............................,............................................................ ....... L i j ........................I C. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 3. ..... . ............ � f-S�Y�i/1iS...... . ...... //r^...................Lo 15 ProposedUse � J?................. .. . �.d ................................................ Zoning District ... ......:... -,,...................................................Fire District C Nome of Owner .. 2 / f..........�G ��j./?C�/..............Address 1/.�...�....... ................�Name of Builder .................Address .� ..... �..... ......Q.. Nome of Architect ....vi/„ ...........................................Address .......... Number of Rooms / .........:..Foundation glLCrai` V• c�.... c.... ,/ � Exterior .. ... ... ...Roofing '/v' Floors ? t.. f�J,.. .U .... ..'.v/'l��l�' �.. ......Interior j.. ✓r9� ...14/ „��. c.............. Heating1�.......:............................................................Plumbirig .....1�'�7.................................................................... Fireplace ...... ... Approximate Cost........................... 9 .. ...................................... Definitive Plan Approved by Planning Board _______________________________19_____-__ . Area . ....fm.-.. f ..... ��- Diagram of Lot and Building with Dimensions �- Fee &.Z SUBJECT TO APPROVAL OF--�-BOARD OF HEALTH t 6 v'1£A C � r Z 1\5iE OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..`............................................... Construction Supervisor's License .9 D s` ., ...:... DRISCOLL, GARY A=57-91 No ... ... Permit for ......4dditio.n...to...... .........S.,Wglp—..f ami-ly..dwelling..................... Location 34 Tupelo Road .......................................... Marstons Mills ............................................................................... Owner .......9aKY..AKisco.11 Type of Construction ..Jr.ame............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted .... .........................19 86 Date of Inspection ....................................19, Date Completed ......................................19 ladl 7 Assessor's map and lot number ....�/......../.....-: .��.......... ypF THE Sewage Permit number .. /.. ..s .l .............................. ................... SAR33TADLE, : House number .................. ....................................................:.. so rnea 1639. ♦� TOWN OF BARNSTABLE t BUILDING NSPECTOR APPLICATION FOR PERMIT TO .................................... T-_. .... ...... .............. ............................ TYPE OF CONSTRUCTION ................. �r.. .lflY�1.� ....�....Ale �/� ...:................................. ' Z-:�. ........... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applie for a permit according to the following information: �J �^ Location ............ dT�.... ,. F ......... �)- !r!�:/ , 1 .. .. ..... . ........................................................... ProposedUse ...................I. .. :4-:............................................... ...... ...................... _ ....... Zoning District .................. .......................................Fire District .. F..Ce.:!t 4. i.\ 7►u11 � Name of Owner ...........c...Cs't. ..}?` .............Address .................. ..1 ................. Name of Builder ........Address .......... ........... ..............r.�Name of Architect .............. ...,............................:::.Addres�...... ...................,......................... Number of Rooms ................cn..............................................Foundatiori=...........0..�X ...cr?!<-5c.—�f.. .................. Exterior �1.!.�.�...�� .� ...... ... ."12 ..............Roofing ....................... . ................ Floors /R �� .14�� Interio , l \�1 i1 'T I� '1 { .. ....._...>. ...... C�. ......�................................ Heating '''�"..:J �V1l;,. - ..:. :`�a...............................Plumbing.-.................. ...................... .a►? ........................ I • Fireplace ..:............... . .......................................................Approximate Cost ...................... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...................:....................... �r Diagram of Lot and Building with Dimensions Fee,t ............................................. SUBJECT TO APPROVAL OF BOARD .OF HEALTH '. 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ./ ...... .....` . ..................... ROBERTS REALTY TRUST CA-57-91� J No ..?.3.0.7.4... Permit for ..Two...S.to.ry............. ..... .. .... .... Single Family Dwelling ............................................................................... Location Lot #2 5 34 Tupelo Road ................................................................. Marstons Mills ............................................................................... Owner' ...Ro.b.er.t.s....Realty. . ...Tr..us.t............... .. .... .. . . .. .... .. .... ......I... .. /e F�r�a Type of Construction ....... .................................. ............ ............................ ....................................... LotPlot ............................ Lot .............. ................... May--'6 81 Permit Grant .....................19 Date of Inspection ................ ..............19 Date Completed ........ 19 I.................... PERMIT REFUSED .......... .. . . ................ ......... 19 ......... . ........................ .. ................................................................................ .............................. ................................................ Approved ................................................. 19 ................................................................................ ................... ........................................................... � Id�S SEPTIC SYSTE S4 cf THE To Assessor's office (1st floor): � �`� Assessor's map' and lot number ...................../-/a,.Z ".. TALLED IN CO S` Board of Health Ord floor): � • . � WITH TITLE 5LI�4f IL Sewage Permit number .. .�."....r �:. - CNVIRONfuIENTgL CO t BaBa9Tl�DLE, ........ ®�� it v Engineering Department (3rd floor): �� ° ��� N. oo .b 9• House number �`DYPY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00-P.M. only TOWN- OF :' BARNSTABLE BUILDING'S INSPECTOR APPLICATION FOR PERMIT TO .. / 1�.,.�.. ..........UIYI .`.: . GXLC� ................................... TYPE OF CONSTRUCTION .1t1/9PO4 / 'j�l-..... ... ........................19. 6 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location3.f..—/V 0-� A"• P l/VS'.........oexls........� .. .....................o................ . .. . .. . ... . Proposed Use ...f / 17........ C%/./!!.Tr!a�`!............................................................................................................. ....................................................Fire District . .Zo ning District ... . .....�.. .. _..r........ . ..................................................... Cv>4 114 Name of Owner ..�' �..........%� / �5.,r'Q/..............Address �5. .. 1�.�V.4��`-/..i^ I..✓- .<.. .1".S' r�lL� � Name of Builder���"' - ...1.v...��C�S.................Address �oQ' / �/!7G e� j.!'1 .. Name of Architect ....................................Address ............ Number of Rooms ....... ......................................................Foundation C/�Lcrc�d�2 Exterior .. /�..C%/......�/!..! '! � 5.........................................Roofing .......5�-'r�? S'......... .. Ic5.................... - Floors � �.. (i� ..Q.t/s° .. .. .vw�� �..k......interior ..f�ll / ...L A .............. Heating .....�Q....................................................................Plumbing .....A/0.................................................................... Fireplace ......�.U'......:.............................................................Approximate Cost nn...................................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area Sv....��.r.. ..... Diagram of Lot and Building with Dimensions Fee ......... ./w............................ SUBJECT TO A PROVAL D OF HEALTH ---1 6-� y'1c A • �o�l l b G�.�CI�.-��or GA'= t 5f . - 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. ID Name ��/l�ti ...1.'... ........................................... Construction Supervisor's License ........ DRISCOLL, GARY A--57-91 No ....UAD... Permit for ..Additioa..to.......... .....single...£am•' Location 34 Tupelo.. Oad................................ .........Mazst.ons..U:Llls....................................... Owner .....Gary...A.r.ias;.Q11 .............................. Type of Construction ..........fr.ame..................... Plot ............................ Lot ................................ Permit Granted ................MAY..29............19 86 Date of -Inspection 1 1410.:0_ ...19 6 " Date Completed ............. ..,5 �✓............19