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0523 WHISTLEBERRY DRIVE
�2� �h�St��b�(' �- -. __� n_. __ • G Town of Barnstable Building Department FTHE 1p� Brian Florence,CBO O Building Commissioner BnxxsTns 200 Main Street,Hyannis,MA 02601 y Mnss. � 1639• �0 a www.town.barnstable.ma.us ATEp�,l Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: A14 s'n AJ- k),%1l*G— Phone#: Address: •��,f c.=-,4 1 1 L f- :V er:/1 It y R. Village: -n. m i c c.s Name of Business: 112A a AZ Z— kf;L:6- — Type of Business: if L 6C. i g i c 4t Map/Lot: ��_D INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the Z following conditions:' 0 • The activity is carried on by the permanent resident of a single family residential dwelling unit,located Q H within that dwelling unit. 4 UJ • Such use occupies no more than 400 square feet of space. UJ • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. Ow U_ Z • No traffic will be generated in excess of normal residential volumes. cn M • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular O= Z Z matter,odors,electrical disturbance, heat,glare,humidity or other objectionable effects. _ J • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess H of normal household quantities. w • Any need for parking generated by such use shall be met on the same lot containing the Customary Home J w Cr Occupation,and not within the required front yard. a cr Q • There is no exterior storage or display of materials or equipment. 0 Z 2 • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one C> Q J pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to � LLJexceed 4 tires,parked on the same lot containing the Customary Home Occupation. U) a • No sign shall be displayed indicating the Customary Home Occupation. •Y U • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.. Applicant:_?/dd c>l2 &�L4K. Date: 46 Homeoc.doc Rev. 10/17 f Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barn stab]e.ilia.Lis Pre-application for Business Certificate Date Map Parcel _ND Applicant Information Applicants Name 4Z A S64 k!n/C'r- Applicants Address � _� cej q ;,5 ;L j;-Ar�.61!�)'D�• Email Address /1�� f j' {(eve, ® eo�c tgsr v�T Telephone Number j29_4Q g A o -7 y- Listed 2' Unlisted ❑ Business Information i New Business? ----------------------------------- ---- es No Business is aregistered corporation? ------------------------- Yes If yes Name of Corporation Does business operate under the registered corporate name? Yes Is the business a sole proprietorship or home occupation? --------- es No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business /t/'/150 V !4 rw4 Business Address 6"a.S act /{ Y /Jt2 .'lf. 1,Wi c c s /'L16f o z 67 g F Type of Business [ Building Commissioner Office Use Only Conditions u -S ' /LQ ✓e Building Commissioner <— r Date IOU/ Clerk Office Use Only i CAPE C015111 OF BARNSTABLE INSULATIO ? FEB 29 Al" 10: 26 Fq� I q N MSR GL&S SSAMMS SIMMtrOAM $US IMOSO ""S Oui " IMSuIM "M aWMOS 1-800-696-661 DIVISION Town of t3prev j;q S C Regulatory Services Building Division Address - Address 2 - Date: 7Z17-3) 1L Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod_ Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village kr6ra. t Agsm A'i .5V "Istletary At. V i11/4 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) Alb- StAt'letq i � 1 A''' 132►►r I OL Sin 1 , H C idy Jr, resident Cape od sulation, Inc. 0 � l�cY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # CD fo Health Division Date Issued Conservation Division Application Fee e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 2,� bnV`5 v f .Z) VillageU�'14 W 6 r 1 1n Y v o y Owner �v��N l� Address Telephone � 26" 0 3 Permit Request l2 " /70 I L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S O , a Construction Type lq-�u/ ho"k— Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0( 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 o Total Room Count (not including baths): existing new First Floor Room Count 1 _, Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other C' cI Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove:J0 Ye's,❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ exi�ing ❑'new size_ �n rn Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use r APPLICANT INFORMATION (BUILDER OR HOMEOWNER) P.�,,Pzod �r��ul�NameTelephone Number Address 5 �� d2fit- License # lll���GJ Home Improvement Contractor# lam✓_7�567 Worker's Compensation # W Cfiq 96,5 Z TJOI ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJEQT WI L BE TAKEN TO SIGNATURE DATE PG Co �7i t. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ` FIREPLACE S ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. +` " 10 Park Plaza - Suite' 5170 - 'u Boston, Massachusetts 02116 Home Improvement Coptractor Registration Registration: 153567 -- - _: Type: Private Corporation Expiration: 1 211 5/201 2 Tr# 206433 CAPE COD INSULATION INC A HENRY CASSIDY �.,i ,v +� -" 455 YARMOUTH RD. -- H YAN N I S, MA 02601 = ? .._ ... 1: ---- ----'-----— — ;Update Address and return card. Mark reason for change. Address Renewal Employment LI Lust Card PS-CA1 0 50M-04/04-G101216 Ot'liee�' o unler Affairs Bus'nc ,,RI,e'g--ul"Rion License or registration valid for is dividt:! ;use en!y HOMEPRf�`�//E`�lffl`feA ` before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Expiration: 12/15/2012 Private Corporation 10 Park Plaza-Suite 5170 ' Boston,MA 02116 P D INSULATION', INC Ip, HENRY CASSIDY`'. 455 YARMOUTH RD,. ``• � �� HYANNIS,MA 0260:1`.:` $ Undersecretary t alid ith t si ture i Nlassachusetts- Department (11'Public Saferh Board of Building Regulations and Standat•(Is Construction Supervisor License License: CS 100988 . HENRY CASSIDY 8 SHED ROW WEST YARMOUTH, MA 02673 I-- I 1 81 — ""�" '�'��` Expiration: 11/11/2013 ('!!nm i issiuner Tr#: 7620 1 u 15 & G C-A,, •b. Cllantl�; 4597 A COR CCINSUL _— C CERTIFICATE OF LIABILITY INSURANCE ^-OAI'I:t1WVIL)UMI I -- IhN CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOERr I NIS t:dtl'IFI(:A'rE UUta NOT AF FIRMATIVFLY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORU dLLU -THIS IS CERTIFICATE OF INSI.IRANCE DOES NOT CONSTITUTE L U BY THE POIJCIES ACONTRACT BETWEEN THE ISSUING INSURER(S�,AUTHORIZED OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT Ifihr CnrtltlCdtC holder is an i,l file ADDITION N.,;L:flll:.,1n�1,:,,,,d«u:Ins L AL INSURED,the policy(ins)must he Kndolsed.If SUBROGATION IS WA1VL,l),suk,j��I lu Ioll,:y, er.rle,in Policies may requiie an c,utuisummtl.A stateirlent on this cc:l ati:does na[eonlei iiUhl,u,u,r '--ul_h,.,,la Ilidtl cr ut Iluu UI �LICII nnduizcnl�n r(51. C01'lJ'AC l,l.ly Ul; Udnnl,, 14AAIE_ MCt(l gdre[YOUnLI -! No.e,n.5U8.760-4602 I L, I _.J_Luc..N�!__...21 L52i_2 �'' • ,,,f, loin �onRLss YounOnla�ilradarsgraly.com _ NiA 0!-IGL;U 'I L l.1'I PRDDDCER ----�_ - ____._—•- + CU�I'ONEI!IO o• ItiitmiH(5)AIY'UItUING GOVCI4\41C . - - .-. ---- NAIC p Cn,I III:;tjI AVinrL Inc. T R1 URERA-Pe21'Iess Insurance 1'J•333'-- i:+� Y:IIlnutltll FwU;,lt.l UtSURER8:OI110 CdAUi9IDf II1SU1'dnCli C.OI'111Jcllly _� - 1 - Ily,.uun:,, IVIA U2CiQ 1 INSu(1t;RC•Allandc ClldRCr 1fISlJfflnCi. __...___.--..__�.._.._..._.._....._ ........... Iuatntl:Rh ommarce Irwurzutce Company 3g15.1 lr,suntn e INSur['n t' CkI�lIFICATE NUMBER: -- --""' REVISION NUM63L:It: '" "I''•i (61-- I'Lil.n.Ik::i�)r IN�5U ANCI:LIS1L-D BELOW HAVE BEEN ISSUED TO THE INSURED IVANIED A00VE FOR THE.f'OL.ICY I''LhF)0 `.'I,•,I1l::l,ilaull•li; HIVY ItEI•?UIRL-:NINNY TERN-I QR CONDITION OF AN)'CONTRA+�T OR OTHEIR DOCUMENT WITH I1r=Sl''E.t7.T TC1 WFIICI-I'Ih11S! OR MAY PEft'1•AIN.THE INSUF ANCE AFFORDED HY THE POLICIES DESCRIBED HERE11i IS SUBJECT 1'O ALL 11IE TL_RNIti. n" 1!Iat,1 I IONS OF UCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I. ', 1+'c Or lwwwvcut UUGI'EFF POLICY EXP ,1n HILII Y -_ SI't VVn POLICY NUAte EH r:NINnlYY1'1 monIYYYY LIIYIIIz, ( V4nlai,�a CBP8263063 Oa1011:011 q 11Q11:01 tACri oGcumiit i;- b l UUUIUUU t.r;uv,L.(vV1R.l11 Ll-Alvli�'Gla"Cl Rf:N'I'El1-"_�'1 rRCivliSi•ZJ" u•�'P Lne!___-„b'I UU,000 NSU 4'ia'(N,Y WIV I)VI;,1J111 '!'),DUO CCNERAL ACCIReGA Ve. s2,000 •••• •...::L...1 r,,.aL I NI'VUL.;i t•'l'K --•----� 1.,U Or:L�Duc�I'S•.:Snlr+:)I��t<iG L.',000 UOU nUIUnIUtNIILIAl1il.11"I 1IMMBCKVMK 0410112011 04/01I201 COMBw60tiwiaEl.l�lir - (6a it,:auonl) �1 QOUOQU I -. ,.,d 1.-.�n;!•, I UOUILY INJIJI41Y(Per pe„un) ti I •\:' nr;.,a t,r�:,I,:I"] UWILY INJURY(Por u.aWaull 5 PR0K'.- r Y OAMAC L - ri L j u,uutcLLA LI n 0001254514645 4/0112011 04/011201 EACrloui:uiau:NCL: _ >''I UUO UOQOU Cv\tivls NHtie AuC,rr_e u'r 11 UUO 9U0 JOUUl I1 2 nB�nLlt;.:Unll'LNSAIIUN I A°.wl,•.rl'u�r.�;�'tinu.t.11:r•K L',�1.lUl7h:tJ+ IL. I 6130/20111-11'LJI'Vilh-L,AUIIAI-� WCA00525902 06/30/201 X 'CS•rATU- vlri<I nk1 1 ry Yl__L !!7 t'r14' l . � O`h'IP..b NINIA tL P.AC'ACI IL]LNI ...ib: 5..Q.U. ,U UU A.,1 In lrllj E.I.-I.)I,5uA6E-EA C I%II'(.0Yl:`I-- L500,000 _ ,• d!N r ovr U S ile.tI It IN .-._. ._....._ .___-..._.___.... (- F I. I115EAtif Pi.11.Ir:1'l.IhuT' 000,000 u,'L till 1U14 Z)I L UC,\I'IUNa I V r)IICLES(Attach ACOHU 101,Add6ianal Rcmama Scn.auw,v nwm opa IS rcc gwrcal —•----__._._.-.-.____ 1'.'Yarn9i COMP Intormatlon (nCludtod Officars or Proprimmrs i IJvr riu,lLht:i/ Ud,�:rtpllu(Ls) _4l,nl ICAIE NULUER CANCELLATION 10 Da Vs for Non-Pal mLra I SHOULD ANY OF THE ABOVE DESCRIEIED POLICIES BE CANCELLED BGI:URC l THE EXPIRATION DATE THEREOF,NOTICL WILL.FJE OELWV RL-O IN ACCORDANCEWITH THE POLICY PROVISIONS. 1 AUTIIOttL'EU HEPRESEW'ATIVK '-'_- _.-•- ,c n 01988-2009 ACORD CORPORATION.All riallls tcaoiv4d ^`:1%:lD 2rt! 1uu;u'Jt 1 of ? The ACORD name and logo are registered maul;of ACORD l.StidJ7�iNltilt 17J MEY The Corruriontvecthh of1VC,'ss(ZCh11se((3, Department of Indusrri'al A ccLVen(s Ce OfInvestigations OP 0t I 600 Washingtorl Stroh( Boston, NIA 02111 www.inass.gov/dis VY 0 0 U,US COITIPC-11.'Mciori Insui-auce Affidavit: Buildus/Contractors/Z lecti-ici'.itisrL-'Il-ivytljel-.s .1.)1,-f o I-u i a(:i o i-i 1)U c�1 1-1 t PleaSe Print LvyibLy ..\JJ CL Phone N: S—O -\.I c, yklu U(I clriploycr,? Check=--ppropriate box: e of project (required). a general contractor and I I Ml) d U1_11j)1UYCr with 4. n I am 6. ❑ Nt;%.v consiructinn ( have hired the sub-contractors ]Uployt�t-r (full ancuof P*art-time).* on the attached shec�t. 7. i L11-11 o sulc, proprietor or partner- listed Remodeling :Jiy and have tio employees Thcsc sub-conh-aCto)'3 have S. E] Demolition work''u-ig for rite in axAy capacity. employees atid have. workers' 9. [—j Building addition (I'lo Veork-cf-S, comp. insurance comp. insurarice.1 i i 5. We are a corporation and its 10,E] E tc.arical rc.pa'i's or udd'(*ons officers have exercised Choir I I Q PluiTibing repulls or�Iddllions I -irt) a bouncowilor doing all work right of exemption per h4GL rylyscff. [NO workers' C0111p, 12.0 Roof repairs irll."'HYM)Ct- VC.Cluircd.) c. 152, §l(A), and we have no 13.0 0 1 h er_(ao q_4 tj.fA_k&\_LZ_Q_ �,_ employees. (No workers' comp. insurance required.] ............... Any driplic-i.n(that checks box 111 must also fill out the.sccLion below showing their workers'compensation policy in forrmt6on. Hunicowncrs who submit this affidavit indicating they arc doing all work and 1.hC11 hjTC Outside contractors must submit a new affidavit indicating SUC-11. lCoWjdclors that chcck this box must attached wi additional shed showing the name of the sub-c6trai;tors and state whcjjjcr or 1101 tljo�c entities ti I . es have ci,ipluyccs. tt'd,ic sub-contractors have employees,they must provide thcu, workers'comp.poky number. I tint-art ciriployer that is providing, workers' conipensation insurance for my employees. Below is rhepolic).-efild job sire 111sW,MCQ Cornpa.ny Name:- I r Expiration Date: J'ohcy 11 or Stlf.-_-irts, Lic. -9: ky —h 60-Irz-5-9 0 L. , fillq a?; C1l),/SLaLe/Z1p: Address: OrIve— ,. U copy of ffic )vorl(ers' compenSalio.li POHC declaration page (showing the policy riumber and expiration date). FaIlLUc Lo secure coverage; as required under Section 25A of MC3L c. 152 can lead to the iMpOSIL1011 of criminalIXElilltiCs' ON Cuic up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in Lbe form of a STOI` WORK OIU)FI\' and a CHIC 1.)1.up Lu T250.00 a day against the violator. Be advised that a copy of this staterneot may be forwarded to tht; Office,of toycstigaticitis of the DIA for insurance coverage verification. d 'Jere-.-- 11jes of perjury that the iriforniarion provided a olle is rr4te. artel correct. o by cerrij� [it- e Pq atic Pena �� S1 --- S-0 y or town officiaL icifil ase only. Do nor mirite-in this area, to be completed b),city jlicd, C'i ry L)r T 0\Y n: Permit)License [SsUillg authority (circle one): I. board of ieulth 2. Building Department 3. Ciry/Town Cicrl( 4. C[CCLT'ic-41 Inspector S. Plumbing Inspector C). Other C,ontact 1'erson:__ Phone OWNER AUTHORIZATION FORM (Owner's ame) owner of the property located at 523 c, k el c : �-r (Property Address) NIL (Property Address) I � hereby authorize 0 Cod Tlls�U /CL � C (Subcontr ctor) ' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date JA:N 5 n12 i Town of Barnstable aoF �4q, Regulatory Services TOWN OF BAiRNsTA8Lf Q^ Thomas F.Geiler,Director 3 4 Building Division 1110 APR 21 PPS r 3 Toro Perry,Building Commissioner ` 200 Main Street, Hyannis,MA 02601 0 www.town.barnstable.ma.us1 Office: 508-862-4038 Fax: 508-790-6230 PERMIT# ?-FCC OC7 (�j 3 �p FEE: $ SHED REGISTRATION 120 square feet or less IIn' n� J�2� VU �IIs�'le��f(' ��: !"IPrRSTon1S �i1�S v Location of shed(address) \V illage 1 ABOINJ bA(A i n4 (MAS 10- 014 3 Property owner's name Telephone number /0eX I Z / V& (J 1 o Size of Shed Map/Parcel Signature 04 Date Hyannis Main Street Waterfront Historic District? TT Old King's Highway Historic District Commission jurisdiction? /V I A Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 r 110.00 , 50.00`- do WOOD DEC 'o �S 0, _ BULK '00, HEA D Go _. _OT NO ti / ..... - WOOD --- x, i DECK h I N/F COLO N I A L CRANBERRY CO 01 / BONGLc)7- cc, 74 NO o CONC � OvNp j 0 (BOUND . 120. 00, (FNp; 44, 538 S.F o Np I by�� 022 qCF?FS) OtiC ov�o . Q*qi I CERTIFY THAT THE BUILDING ON THIS °F _ s PROPERTY IS LOCATED AS SHOWN ABOVE °� r cy� AND COMPLIED W ITH THE ZONING LAWS o EVL,N y OF THE TOWN OF BARNSTABLE WHEN FNo.7381�o PLOT PLAN CONSTRUCTED AND IS NOT LOCATED IN A �?`S S y N FLOOD HAZARD AREA . BARN STABLE , MASS . THIS PLOT PLAN HAS BEEN PREPARED PROPERTY -- 523 WHISTLEBERRY DRIVE FOR MORTGAGE PURPOSES ONLY AND IS M AR STO N MILLS NOT AN INSTRUMENT SURVEY AND IS BARNSTABLE , MASS . NOT TO BE RECORDED AS SUCH. SCALE 1 = 50' MAY 10 , 1993 SURVEYOR ROBERT E. DEVLI N DEED REF. BOOK8300 PAGE 005 20 OVERLOOK DRIVE BARNSTABLE COUNTY REG. FRAMINGHAM , MASS . 50' NS°25'W Ov�r CASTPPa 110' W N22°2S times, qai aoi6 F W a Proposed 1O'x12' Shed, Nason & Barbara King 1O'4 120 5 . Ft. 523 Whletleborry Drive Marstons Mills, MA o � Map 061 Parcel 040 LW Deed; Bk 13602 Pg 030 Plan; Bk 349 Pg 60 0 120' 52°E 71.33' r=325' Whistleberry Drive r 971 61 'LDS°srj. o°35W NSF X�P Town of Barnstable *Permit# �20 �ESS PERMIT apires6monthsfrom issue date . AUG 2 4 2007 Regulatory Services Fee m 'S Thomas F.Geiler,Director TOWN OF BARNSTABLE Building Division 4 Tom Perry,CBO, Building Commissioner ��✓ 200 Main Street,Hyannis,MA 02601 11 "` www.town.barnstable.ma.us Office: 568-862-4038 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 061 e -� M;Ilr Property Addressl7 3 /(E G'2 /)s a Residential Value of Wo � Minimum fee of$25.00 for work under$6000.00 Owner's Name&AddressN OK/ 2 To '11.,c /yl Contractor's Name C/}S 1 v Telephone Number o2 g Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) '# OQa 731 1 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance c Insurance Company Name f7�1 JU(�C ✓���� L��s�/2. r Workman's Comp.Policy# WC /& oz ' T 3 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be to 15 D M G4 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. *"Note: Property Owner must sign Property Owner Letter of Permission. copy of the Ho/m/e Impr veme Contractors License is required. SIGNATURE: Q:Forms:expmtrg �l/l Q�n (/ �`✓ ��/U� Revise061306 r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 , www.mass.gov/dia Workers'*Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual):. Jv[ OND7'b51A_ ,AJ2 Address:Q, City/State/Zip: D A_ Phone.#: 7����/a Are ou an employer? Check the appropria bog: I am a general contractor and I 'Type of project(required):. 4. 1. I am a employer with 3 ❑ g employees(full and/or part-time)." have hired the sub-contractors 6. ❑New construction . 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ' ship and have no employees These sub-contractors have 8. ❑Demolition • working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp,insurance. required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[:]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.VRoof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . 13.0 Other comp. insurance required.] , 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors f zve employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below isthepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#:_ j/h� �t0o2_ / J Expiration Date: to A Job Site Address:✓d 3 (N t S eb Q( Do, City/State/Zip: STDmS A Attach a copy of the workers' compensate n policy declaration page(showing the policy number and expiration date), L y�3 Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 16 hereby certi -nder the pa'ns-an Wolfe of perjury that the information provided ove 's true and correct Sip-nature: Date. _ Phone #: Official use only. Do not write in this area,'tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building IDepartinent 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: -' �OFIMEroyy 'Town of Barnstable Aegulatory Services 9$ MsS. Thomas F.Geiler,Director 0 ��IfDMA��'1 BuRding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I 5.O/kl , as Owner of the subject property hereby authorize &s N D to act on my behalf, in all matters relative to.work authorized by this building permit application for: . elm )0 (Address of Job) Signature of Owner D e A4SD�1 N Print Name Q YORM S:O W NERP ERM IS S I ON f BOARD OF BUILDING REGULATIONS License: CONSTRUCT]ON'SUPERVISOR Number ;CS. 002731 Birtfidate_05%:13%1946 Expires;05%1;372008 Tr. no: 25937 Restricted: RAYMOND V CASTANO 23 Jlt LS PATH �- W YARMOUTH, Commissioner Board of Building Regulations and StanUarde lugHOME IMPROVEMENT CONTRACTOR 5 Registration •-105744 Expirat om'--z 7/20/2008 DBA CASTANO CONSTRUCTIWC.&� Raymond Castano 23.Jd!s Path N.Y&rlioutr.,MA 02673 Weliuiy Ad.ilUbist'vW6'° I i EME39MME s �RAN'ITE STATE INSURANCE COMPANY 69011-0000 WC 162-41-32 ; :13102 ---- 013-66-1006-00 PENNSYLVANIA IM ..- i RAYMOND V CASTANO Member Companies of 23 J ILLS PATH 01M American International Group d YARMOUTH, MA 02673-0000 EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE NAME AND ADDRESS SCHEDULE - WC990610 I.D# MA I -• ROGERS S GRAY j WORKERS COMPENSATION AND EMPLOYERS PO BOX 309 LIABILITY POLICY INFORMATION PAGE ORLEANS, MA 02653-0309 INSURED IS PREVIOUS POLICY NUMBER INDIVIDUAL RENEWAL 002795022 OTHER WORKPLACES NOT SHOWN ABOVE:SEE NAME AND ADDRESS SCHEDULE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the insured's _1 mailing address FROM 1 0/2 1/06 TO 1 0/2 1/07 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ GOO.000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT - WC200306A ITEM a The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Classifications Code Number Remuneration $100 OF Re- Premium Annual 3 Year muneration Annual 3 Year SEE EXTENSION OF INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $15 I EXPENSE CONSTANT(E)(CEPT WHERE APPLICABLE BY STATE) $142 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $500 If indicated below, interim adjustments of premium shall be made: Semi-Annually Quarterly Monthly DEPOSIT PREMIUM ENDORSEMENTS(FORM NUMBER) SEE" ATTACHED FORM SCHEDULE - WC990612 I 10/17/06 ASSIGNED RISK 66 Yin Issue Date Issuing Office Authorized Representative WC 00 00 01 3M67 INSURED'S COPY Qe Assessor's office (1st floor): C �FTNE To Assessor's map and lot number ®� I O !........................... .. ............. Board of Health (3rd floor): Sewage Permit number ... ... -�."T .4���°Sf.J.......... Z BAH SUBLE, i Engineering Department (3rd floor): �� r raea Housenumber ................................. ................................... ���e Ma a�ee APPLICATIONS PROCESSED 8:30-9:30�A and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR ---� i3� . (.� s G��SiI N L`P p I��ZL( N 6— APPLICATION FOR PERMIT TO ........................................................................ VV ` I TYPE OF CONSTRUCTION ..................................................................................................................................... ......19........................ . -..-. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby l.�applies for a permit according to the following information: Location th...... ll � S LL S .. .. .or.y.. . . . ... . ... ...........Proposed Use .......... ` . Zoning District .. S..l.. N.......... ..�.` ......'..r......Fire District ...1.:r.✓.`-............................................................ , N `� `" �-� X....�avC\ ; i nns M r Name of Owner c............ .Address ..................... .r Name of builder .:...,,.. :":...:.......:.::'..... ........:.......:...............�Address ............................................................... .................... Nameof Architect ..................................................................Address .................�................................................................... Number of Rooms f�.���....Foundation ./r.{.."V 'C OMO I�il r( A) ............. 1.................... .................................. ... ...................... Exterior .....Roofing / `_ P'' o." "'� .................................................................................... Floors `'J�.� I .L ,�./ TN .....Interior ...P���'. ` .1/ ° !��............................................... Heating }/`1/ li ..............::................Plumbing zs, ................................. J..................................:::........ Fireplace ...V.°`I� UIJ..h.�............................................Approximate Cost ......... •7� �J .r......................... Definitive Plan Approved by Planning Board _ C_____'�v_°___S__19_ram__I_ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. Name `' ' "— " • Construction Supervisor's License .. ............................... SUNLEY, MADELINE A=061-040 No ...29.596... Permit for ....One J�IEY............ ..........$jpgj0..Familv Dwelling................ .. .............................. ...... Location..........Lo...t...#7...4......�.�q..Wfiistleberry Drive .... ... ........................ .......... Marstons Mills .................. ................................................... Owner ...........Madeline Sunlev ...................................................... Type of Construction ....Frame........................... ................................................................................. Plot ............................ Lot ................................ Permit Granted ........jul-Y.. ................19 86 Dote of Inspection .....................................19 Date Completed ..................................19' UP--- .. .. �-r"--ter• ..... ,Y _.�-.�..,. ,n•+••r^.-..-, -rn�-�.�-'....y.:n �«. --•.+_+.-��+.�.+.-.�*.-.-r.•'• �.--....r^..,..y,.....-t... .._�., ;�7•r `^,r"Yr-r+ r ,�,r ofTMe�♦ TOWN OF BARNSTABLE , Permit No. .19596....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash nr HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to MADELINE SUNLEY Address lot #74 523 Whistleberry Drive, Marstons Mills USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN A REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ........ .Y.. �.........., 19...87.......... .............. Building Inspector............. ' o�..° °•.w TOWN OF BARNSTABLE BUILDING DEPARTMENT 7°H1°TAT TOWN OFFICE BUILDING � rua i039' �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An '.Occupancy Permit his.,teen issued for. the building 'authorized by Building,Permit #.. ✓_.���.... ....._......_..................................................................................».._............... _ issuedto /!`�� =�' �f ..................... ---- ........................................................................_.... .._ ..... _.........__w._ Please release the performance bond. BUILDiNG TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT .- JOB WEATHER CARD DATE 19 PERMIT NO. ow APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY '� DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) - - DISTRICT IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION � I TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) •y � REMARKS:` AREA OR / PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) _ OWNER BUILDING DEPT. ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP— PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. M..^'1E. WHERE A CERTIFICATE OF G•::r'." ...; IS RE— MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIP.=D,SL:;;h. SUILDING SHALL NOT BL vC'•'UPI UNTIL ME AL-INSRE TI TO LATHE FINAL INSPECTION HAS BEEN hi:,IDE. 3. FINAL-INSPECTION BEFORE ' OCCUPANCY. POST THIS CARD SO j IS VISIBLE_ FROM STREET BUILDINSf INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS I ELECTRICAL INSPEC ION APPROV I1 2 2 2 3 HEAT:N :NSPEtTiNG APPROVALS REFRIGERATION INSPECTION APPROVALS F ) OVER ,2---'-------------__ 2 'NCRK SnA.L_ NCT ?RO_EF.D UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON•TH!S CARD us?ECT!,,R -!AS AP?ROVED 74E vA�ICUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY-TELEPHONE STAGES OF CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. OR WRIT�EN NOTIFICATION. A by 7j38 ST�� EtcR'Rt' ' r{r' .• �3zs. 7 lea oa A�!V�• Lot 74- vo Hof co o N 3, 0 38 o .. 3z . . \ b 37 S o FL.co D Zo iv.� ,ec.s. ZO pU E f R.F. So.� o 0 , l�o FOUNDATL0N. CLRTs..FI.cA'TION TO WN •. M.IReSSonf NJR-LS PLAN REF• 3'+9 '- GO DATE 9 8 SCALE 1 �= 4-a� ELEVATION I HEREBY CERTIFY THAT THE ADOVE FOUNDATION I5 LOGATED. ON THE GROUND . AS SHOWN. A.N.D. tH OF !TS POSITION DOES ���� Mggc COt'tSULTdY1TS . CONFORM TO THE ZONINGS PAUL-A. yam' 70 1RASPRERIZ LN. LAW SET5ACK REWIREMENT, o MERITHEW OF 0A2NSTA6L.� U No.32098 " MAKs oN S ' N1 )LLS, MA Q. �q�OFESs�oNPo� 0 Z 648. °"r SURVEY PAUL A. MERITHEW '.R•P.L.S. -�� P13 .6 �#/� r� � S Assessor's office (1st floor): © DESIGNING ENGINEER MUST SUPE tllE r Assessor's map,and lot number .....,.© .�... .. .. INSTALLATION AND CERTIFY IN W ..... Board of Health (3rd floor): �� pp THE SYSTEM WAS INSTALLED IN 1 Sewage Permit number .... .... .^C. ......... ACCORDANCE TO PLAN, 2 BasNAB& B, Q Engineering Department (3rd floor): 'oo 039• e0� House number �,..� SEPTIC SYSTEM MUST BE '°fie gar a` """"""""" INSTALLED JN COMPLIANCE APPLICATIONS PROCESSED 8:30=9:30'W. and' 1:00-2:00 P.M. only, - WITH,ALE 5 APPROVQ � ` U� Ltl' NS N® Bar ta'11 Conservation c. n ILDING INSPECTOR Sig d Date t3 ' APPLICATION FOR PERMIT TO - rA^ L. ..........OWL .... TYPE OF CONSTRUCTION ........... .0 ...... .!v....1�.............................................................. F ......................�. -0, .....19. y TO THE INSPECTOR OF BUILDINGS: The under�si,gynnee'd� hereby applies �for �a permit according to the following 1information: ,� l Location .IX/..1.. ........1!.�!.�•1.1. . T-.- .���...�.1` �..V.C�>.f...��!v........1!!�4:�.�5 S ProposedUse ....S..l.�'. ...... 1. .................................................................................................... Zoning District ... ..Fire District ...12.` 0.......................................................... ddress � (` ` Name of Owner ...................... ... f. ((�� QQnnnn Name of Builde ress yv...�WJ........ QQ....1. Nameof Architect ..................................................................Address ......p.....................................,........................................... Number of Rooms ........ �.. .. .�7 ...Foundation 4..,(.FOV �..WN� .A 6- ..... ........... .. ....... .. .. Exterior L.LIB.V.( .. ....C1ttA( .60 JaZ.....Roofing . .................................................... Floors W.. ��1••►.. ��� Tvl .'.J ....Interior ... r.1`..4. ....... Heating .�I...P.!.!N (� ............................Plumbing d1�a 135 ....................... .. e. Fireplace ...U A-so J.(Z— . ...........................................Approximate Cost .... ..... AOL J Definitive Plan Approved by Planning Board _ l ✓v— 19 9 . Area � �✓. .. . .. ... ... Diagram of Lot and Building with Dimensions Fee rC�.©vl SUBJECT APPROVAL OF BOARD OF HEALTH 6 7/ 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. I Name .......... .. ... Construction Supervisor's License . ... ... ....... ... ....... SUNLEY, MADELINE Y kNo Permit for c: One Stor .......... . . ................... Si D,4 e 111 T1 .............. . . .......W,..................... 0 14 Location ...... 623 Whistleberry Drive ........... ........................ Marstoms Mills ............................................ ........ ........................ Owner ........Madeline' ................. ........ ....................... , ... Q.................... Type of Construction ....Frame ............................................. ........ ....................... Plot ............................ Lot ................................ Permit Granted ........Ju.l.y...2...................19 86 Date of Inspection ....................................19 Date Completed .?7 .. ......... ..7..........19 0 cc M 0 a co > cc M 's 0 M CA Ca tr M MMMM3 0 S M t- ea ;:= 77� Ca U t i ` 'OWN OF BARNSTABLE BUILDING PERMIT APPLICATION Permit C.�3 i p Ma �6 0 `' 0 Parcel b � 7 � •QtIlfd Health Division tl/ . 4q3 SUE E Date Issued - y -03 Conservation Division hi + 15 Application Fee Tax Collector qQQ Ok - 3 3f 03 Permit Fee l -1 ► $ Treasurer �-- - 3� 3 �1V1 Q��1 `---- ' R ., , Si�,T,C O , b.�EM fr;U3T DE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved b Planning Board WTF TITLE s PP Y 9 ER9Vd"0XE1E,3TAL CODE AND Historic-OKH Preservation/Hyannis TOWN PECUL%4t0i-Q Project Street Address i S-1)e ,��✓✓� (�v'. Village /-y4-f r Owner A 41 t_ i vi,c Address S 9 3 L✓l�r f�c�.b,�ti,.a ®v Telephone SOU&- �a-O - 90 3 y Permit Request e o a Yea`t�P-4,/S - a 0 ' X/6 ' d- AIP-W 61 Q ,4vl< r� PnaQ oLmo`Lon 4- LJ4ll Oc1- A✓b!� v)a1 �� Q A 1� rP r' 09 �30,V-Q " v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 19- 00,00 Construction Type V Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No O v 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 2 Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count 2 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other .� Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No t Detached garage:O existing ❑new size Pool: O existing ❑new size Barn:❑existing O new size Attached garage:❑existing O new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use y`+✓C d a Proposed Use y 0-S I 8,-'M7L1I 4 BUILDER INFORMATION Name Q.0 La,g Telephone Number .S-d(f- g/oav- 6 63 Address /S 42 v Sri►A jA License# r^ S - 06' O 7 3 D 4�nq ad&..i �A ,M0, 0 a Sb S Home Improvement Contractor# /D V9S"1?- Worker's Compensation# -pa ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE k3402 FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r _ OWNER DATE OF INSPECTION: 17 FOUNDATION FRAME OK 04 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH' FINAL- . GAS: ROUGHS f FINAL - FINAL BUILDING a 1 -4 DATE CLOSED OUT ' r ASSOCIATION PLAN NO. - c 7l a Commonwealth of Massachusetts ........... ~"--.= Department of Industrial Accident r VVYcra!lQras�lpatlaas 600 Washington Street Boston,Mass.02111 Workers' Com es<sadanLmrw=AtfidavifpIggig n e: A , ovation_ . city phone ❑ I am a hams P �svo��� ❑ I=asole 'etaiand bzmho CEM wuddng ina"T :;Yaa?Qkttp• e.ta,}�.. ;•k'.'�•� {a�e:��:m;:�. y•v z}:Y.i K er•;oR>•°:.,,»".9.2�r••3:,.cy4w,,eS�>k:k1a•.';J{,•k,},`Y.{y.Y.:•�woxo»;txb:ia:ri>.a'ag'.}>�tm:;t•'K'�..this hthisFaw• ka r.. sZ»r:f�.r 4 i ,1 ' Ut 't g.i:.}}>o.G.y•rs!r,w:$:�,^v:;,�t�<t r'.�t y}�,'•0w`"a�;,o'.\'."y}�,,3`'`'�.'?':}`,^.,.)':"`;'K}ti„o..,v.••,aayK.:4,;.�t:r:{u4.��`•�•�`+''�Q`♦k%`�M:�?Y:..:,y'•:k?`3<`�•:'S h��:.4•oa�Y.wo,�o�J�}2;x..��..♦`y^``"y�`t?�>.y..�.av.�:.,}5:trr.. ♦ rr. .. .. .... .,...»: .,w:ti• K t ry)'.ko r r+ .:!retie. ,. - r , : �.0 Yf�M.ti<•. .,;,,;ySG�.{ �....+...:,�J � �r?r--yam r�c� }..Y`��2:.+� �r ..`#`asr\••..: .`>nw.,•..:.�y.�♦�-:'a: _ ��... fYw. �q..>Ek'l.x• ,•:.••q,,? w!t JR?:�1.,.,.r...r v})Gy.•,.qr.,S(.^C;,kL *t1�R�^ tt:-. mot` :`�'� �C. +�w:• J ,..R,Ke�}:'�`•'�'r.. ;>.t :i'' av}7.r.rw a�sY7eY:x1. , y�,.••.,`,?.:¢�»"fr..Y•:tk.u;;a>:^`::.r:}u', .y` +,r- ,.-our•., •,o.:,"<�iwvy`. �'.•:4.•:•tv to a c°.' r•.�,.av�"� 'Gn. 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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: Ye ►1 a VA L:— kt Estimated Cost / OV U.00 Address of W ork: ,5_a- N I k b-Pisi" d✓. Owner's Name: /V A A /l 1 V Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: L-3 io toL/ Date on o Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav i RESIDENTIAL BUILDING PERNUT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 _ S .00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE rl 0 square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck �_x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) I a� Permit Fee I 790 CMR Appends 1 Table JS Llb(continued) prescriptive Paola ages for ace and Two-Famdy ResidentW Buildings Heated with Fosil Fuels MAXIMUM MINIMUM Glazing Glaring Ceiling . Wall Floor Baseman Slab Heating/Cooling Ate n'(%) U-value R-valuer R-value' R-vahe3 Wau Pcrimcta Equipment Efficiency' PackageR-value' R-valuw 5701 to 6500 Hating Degree Days' Q 12% 0.40. 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 1 15% 0.46 38 19 19 10 6 Norma! V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 23 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ' 1 1 �✓ a i/S 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example, 3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for-R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 11 The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U=value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable Regulatory Services vBA MASS. 'g` Thomas F.Geiler,Director 1639+16te• Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder z I, A/6 SO A) N cr- , as Owner of the subject property hereby authorize A o i3 A 1 (�Y6}t✓ to act on my behalf, in all matters relative to work authorized by this building permit application for(address of i job) Q � f91p3 Signature of Owner Date 6l)A 50 A/ �, I'C t N tr Print Name BOARD OF BUILDING REGULATIONS License: ONSrRUCTION SUPERVISOR i Numbe*-_ 028730 i =Bi57 rlffz:at_ 'oT�strZ'ction•_[?c E '' �1004 Tr. - no: 20265 R tr,ct ROBERTE RYA . 15 ORCHARD vv _ I SANDWICH, MA /'y Administrator Board of Building Regulation HOME 1 p�pyEMENTgon s and Standards Relglst•ra[tic �4 CONTRACTOR }` a Exira'tio>n 7 52 - i ^'1 0 RYAN CO 04_ a) Robert Ryan TRU�(,lN ,�r r 15 ORCHARD WAY SANDWICH,MA 02563 Adm�istrpr9.r J .Lx/STrv� vfc, i I + Ll �V'0 P oS mod. Ca.v'a� -- �✓-��'�--' . 01 ova ► aacl C60,-s ,✓ W i l Its 40 0 60 X I •v, X) �-oIs ks P� %6, lens 161 0" &x E i _ I 6' 2" — --- 6' w C r — ----�— -- — -- o C1,er } — ----- 'U i � ey',r7 y v • ,u Iry vl /"c,/GCS PT BO x f7Oubl pe�-Ic,� - s/y x E ___ _. i �J _ 61 A 41 aG� \. i Fo o4 9PPI-Ox(ma4pl/r Ile aboik, s No V--a t J.5 0,G. tip � t UC27-6 `f 50.00 50 0.00 OSe- ,{� DSO ? o 0 �o DECK 9� td0. 523 � . � gym 73 LOT 74 00 14 ASPHALT A 44, 53� SP 0 EASEMENT v 120.00 71 .38 97.00 r100 WHISTLEBERRY DRIVE NO"E: ASPHALT DRIVE IS VERY CLOSE TO LOT LINE AND AN INSTRUMENT SURVEY IS NEEDED TO ACCURATELY LOCATE DRIVE RELATIVE LOT LINES. LOCUS IS PARTLY IN ZONE 8, MORTGAGE LOAN INSPECTION ML! 1661 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 60 rT. P.O. BOX 28 DATE: FEERUARY 12, 200t '�pA''"�+ SAGAMORE BEACH. MA. 02562 ,� ��� THO As���A1 (508) 888 8667 C. I CERTIFY TO PONT& IANO THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS No,34314 TO THE ZONING OF THE: TOWN OF BARNSTABLE ` ssl �v CERTIFY THAT LOCUS DOES NOT* LIE WITHIN THE FLOOD HAZARD d ZONE AS DELINIATED ON MAP 0015C COMMUNITY N0. 250001 PLAN REFERENC : BARNS AUL REGISTRY 0 S EGI RY OWNER. BOOK/PAGE: PLAN BOOK 349, PAGE 060 LOT NO.. ZA PLAN BY: BOHANNON LAND SURVEY CO. BUYER: DATED: NOVEMBER, 1980 SPEn- -NN07 MADE FRN ANIS N57 TO BE FOR FENCES, (HEDGES OR TO ES ABLISH LOT INSTRUMNT I ES. FORSJR\ YUSEDOF SANK ONLY. USED 1 . _. o F f pug D . -- - ---- 54 ---- - - -- -- - -- C35� _- a' 4e ocj -7o - -- . — �- /(/O TE- ExT&AJD �3L. L A PPL/CA BLS ------- e X/sf-/nc� ground pro f'�/e A / MAiVHOL E COVE,2S TO !,J/THrA.J —� — �—o—o — Pr-oPosed ground Profile H0,2/Z. SCF�LE : / "" _ /O S � � T � � /V V E- ,e7- SC�9LE : / "• _ /O /2"" OF F/rv/sNED C� �2ADE . F L O I,`/ --T Cr_-7in. %4." Per SCHED. 40 PVC. Ole F LOw EQUAL 7-0 SEPTic Cr»inirnurn /" Per-- fooff-) Z 1, 3/a PEAS (� fZ 34'- +l/Z _? —� —. -wA,5HED STO►Je ' ' y.3 /=/ 3„ /j7kz-1 2 1� --� - _ �_ -ALL 4RvthJD s ��-57 7 Toe `�'f D/ST• Sox 6" Surnp _ I 2 o ��,� �l /000 -GHL. SEPT/C ti/K ;r 74 4qj T� / S 4 �5,t °E ,� ' ' zq " ear`f'he.� berry, O E_ r S / G Ali 7 E L_._� / �! O L G LOG f ,, tU �,�<� �+\/ / _� \l` \ �'�4y`7'/G 7�`hT4•l/ /r7��2j"P.-G,'„. S_ B ' f T C- T .C314 y B E-D,2 O OM HOUSE DAT E ''� ' �% V\ r k.! J j L o w ,2 A T E• _ _ GA L S./D�9 Y14 SEPT/C T19/l//� x� � / --� — - ' 4(4'• �\ `, © \\ _ USE 1 . 1 :I"i GA TA L. /l/k� LOArt C.J•?t+ L.E tic H // svrc_ �Lk<� � ' /10��ZZO,LQ `_' --- cr�A,FSE �; v/= -B j S8 I ._ \ . - 1 \ \ ' ! \ - v Tr✓Tl�; L = 3� 3.Co G Dr a m FO er UL .. ( © l A \ 4 I ' 4-0 -Sg Lb 7 \ \\ \ W M r F,2 /d 5e �-,.,,,1 / GE,2T/FY T��A7 T-HE SU/LD/ti/G � / -�•� _ � � / /� � � � / ^ ,� / NOTE f11r d'rSfur-be 2/ ti'RS ' -�� Pi2oPO5ED o�v THE G�2oUAlD 9S jLo J>_- rn4.J!GI-1c+d• `'� SHO /�J�/ OA_/ TH/S PLF-l/`/ DOES `L.,Or At—',6' L3 BAc,� EQv/.E'EME�VTS of TNE- A3 5HOK,'N 1P4 P.:. 13K. 341 PG. to -Tower! OF , . y'6 ; .e,-;i,LL Fo,2: r�l/��? n/MF,:t,J /4I AS SNownJ Dry E . FCBr ,/f1kY Zf , lylo } r ---.� ----- Inc- O• oo = exis--inq erevahon ' BLDG• SE-:7-B MO v7-H , /�1,95S_ pr-oposed e /e vqf/on �2E QU/,2EME�/TS -- - -- - - ex /St/ nq Contour-s Si _ �vt : -�—�- - — Pr-oPosed con fours de - ! = �9PP,20vED _ reQr ; < BOA,2D O� HEALTH > MASS.