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HomeMy WebLinkAbout0222 WILLIMANTIC DRIVE r NO. 152 1/3 BLU MADE IN U-SA ESSELTE t ` i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �U,,� Parcel -77 Permit# Health Division 4 76 l'� 03 S� Y Date Issued !03 l" r' Q Application Fee Conservation Division v Z I GG - j / j i c 9 PP• Tax Collector � d Permit Fee g • O� Treasurer Planning Dept. SEPTIC SYSTEM MUST BE )INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board YM TITLE S Historic-OKH Preservation/Hyannis F-WRONMENTAL CODE AND TOWN REGUI k TIONS Project Street Address ` 2Z 6JI/l MA N7«- �f= • Village /%`NJ5 Owner M-.IMrs ��c_1 mtc�q Address c� Telephone 6­10& - 4f Z8_?7 Kermit Request C�,,7►-Z,� Square feet: 1st floor: existing /Y'l_proposed 2nd floor: existing 0 proposed /e� 6 Total new 6 -6 Zoning District Flood Plain Groundwater Overlay Project Valuation .5���—v Construction Type LUd` Lot Size 'LjOaVG 6�4 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family OX Two Family ❑ Multi-Family(#units) Age of Existing Structure / 0 Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XNo Basement Type: fd Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) f" I Basement Unfinished Area(sq.ft) Number of Baths: Full: existing -L— new f Half:existing new Number of Bedrooms: existing_ new t� Total Room Count(not including baths): existing 3 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:21 existing ❑new size Shed:❑existing ❑new size Other: I Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0% If yes,site plan review# 't Current Use - - Proposed Use - BUILDER INFO ATION N e 1 elephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE D E g � C) FOR OFFICIAL USE ONLY PERMIT NO- 1 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: i' FOUNDATION - FRAME ' INSULATION l�tv �i^eI 1 � . FIREPLACE s� ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH'—: : FINAL FINAL BUILDING 'lam/S�y�7? Pj< Wg-� -' DATE CLOSED OUT, , ASSOCIATION PLAN NO. r VILLAGE NAME w,4>A-C ADDRESS 1 INSPECTION PHONE Jl�� 73 7-- 4171 NOTES 1M VIA The Commonwealth of Massachusetts - Department of Industrial Accidents Office ofinYesliyalions 600 Washington Street Boston,Mass. 02111 Workers' Compensation-Insurance Affidavit 11 name: location: city phone# I am a homeowner performing all work myself. ' I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. NMI. .b .,.• gl, ij}Yi"+3^ .3-: q: ..•tz". '{nx-s° a" s:;hc .n"5'X.?' t r. 'v"x` ,( g: 'E LT r x �k'�r '`�3.�:_ ��a�*i,"g' �r �'�'n��",`>%ve���$'�.�'"'�i' �, 5 ">:•�'`? ����`'�,t�. 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'.•�,,.�a,,� �5^�. � n J�{1r; S"Lke'�'k �lgav�i'a'xrP"'•2 �`�c 'SJ�`e(.� f `�°,���+'`fA".,ri aC -;���3aXSe A � 3._ 5�i."r�r ?�.-a-j, ��5L� R: _' t"X" tC�t "FF Nx z $s s �+A phoney# nNv e y kt T°+ 56e Zi �> 9+,yx.,rf3°�, Y vy., id' �^ •`� �J rQ ,�`¢i x �F<y. w may, ,u'g.Y���� {'L. .f _+ ltnsuranceyco "� Fisk 1a # ' 1�cw3 `i5� �sP.OIICY:#c3 t I am a sole proprietor,general contractor, r hOmeowne (circle one) and have hired the contractors listed below who have the following workers' compensation polices:RAN 3 a= ..'.�'4', "' x.. comPany�iia me. x z G ��1•Z�i��� ' "�' ^� �-. � ,,� a�f e�y �` n+,3'4�5� � '�Ci�`dx � tZ �`"� .., r. r err �i•.�`�i`y�}''s� � � �r "-ate" •r `. ��''^^�+"' ry<q'•,_Yh��} �;� .rF 3""�� s '.�,�, fi :'@� 5 e � ! ,e,'��� i��s "�i a� �'... address a�us'+"''..c�r x� n dw"c �t' � � '� a� xx s x a`•�',t'yy*� ,+Wi.if �'y'�y�" �3- �°tt �l' i. aUM � � c`X_.. ^�, s r ,a.}. v. �., ... ,,,_ ,2p ,>� r,sV q°✓;�=.i3ai'L'r s �j� zF ,•r §7'Ma �:�;R,�a:IMP �'r.5. y c scs" w ,�. y', P 1a`^ 'cx ^a zTS> �',•: .o'S.fLw i It �. L +c .ar ... .'i^ x d' ..� h �t ?� ... '?'fi 4x3"..' "il;, "-�:"?F". a* r:�,t" ._a• s tx i'a a >' 4 � r?' s. ,t . �'�, u# r,-� t s 'a .�,.�tv*,5'�3 ,°x' F?, .' ,' Is?'� ,� '*} •,�t`' '.3 � . x M., 2•'' r 4 { �.'Fa�, fe ( yF r � •,x. y 4� �+v' r�}a•.i�.�ir? 8dd.res9- : '.+ci41?t, '- ✓n.. .n-!^� kmb'.in x Ms :_ _.. I 3a �,. iK i�a, �, -y � ;;.,a °,�,K'_ � �• -�<-.- _�-. ,�,-rer;:z"v .? t"" ��. ,fin. Y i'��' �7'�j '�'" ��`$� c��� is §,::�..^,t.�.,-�,.,_,�.>,u».�- �v+' .�-e. .�a.�}a. 1y- •u`�.'�, '��.,S�-�>' ,5'i'°,���- "}l3 ,.. 3 ��,s,+. ..tc� Yr :la i•.: a r^ .v.. CN1 SffZ 'f Wcs 's.- Rn � iL YY' tr.f .' tr•e3n,� .� n t �:: t>M •>�,��'". -v��� 'Is38��� '� K-J�r°_ r tptyc' DOIICY, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminai'penalties of a fine up to$1,SOOAO and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify un #r the pains an n tes of r)ury that the information provided above is true and correct. Date 91 .Signature .5—/O 3 Print-name�M ►mot �^ i� 1�� Phone# S'U$ �/a �1 Y? official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department []Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person:. phone#; nOther (revised 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 i r Town of Barnstable Regulatory Services BAMST^BLZ Thomas F.Geiler,Director Mass. 9`�ATEp;o.�p Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Z Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. /� Type.of Work: yyaj t Estimated Cost s- Address of Work: 0 2 (Y) CA S Owner's Name: SSG ✓� 1 Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied JIJOwner pulling own permit Notice is hereby given that:.- OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Dafe Awner's Name l _L 5-� r'e t6✓a Tt, 1 Oa("'e RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERA NS/RENOVATIONS OF EXISTING SPACE zy 3 � - -� square feet x$64/sq.foot— 3 19 x I� plus from below(if applicable) GA (attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >12 sf-500 sf $35.00 00 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) Permit Fee �J 00 b 8 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:C:\Program Files\Check\REScheck\#3721.rck TITLE:New Custom Addition CITY:Marstons Mills STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 07/18/03 DATE OF PLANS: 02/07/2003 PROJECT INFORMATION: The Schmidt Residence Willimantic Drive Marstons Mills,Ma. 02648 COMPANY INFORMATION: Mark McCallister Custom Building 64 Ebenezer Road Osterville,Ma. 02655 NOTES: MaCheck by Cape Cod Insulation INC. #3721 COMPLIANCE: Passes Maximum UA= 150 Your Home UA= 131 12.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 884 38.0 0.0 27 Wall 1: Wood Frame, 16"o.c. 936 13.0 0.0 69 Window 1: Wood Frame:Double Pane with Low-E 93 0.340 32 Floor 1:All-Wood Joist/Truss:Over Outside Air 80 30.0 0.0 3 Furnace 1:Forced Hot Air,82.7 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly MECchecl and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and MA Builder/Designer Date i :,REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE:07/18/03 TITLE:New Custom Addition Bldg. I Dept. Use I I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: � I Windows: [ ] I 1. Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: I #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: I Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss:Over Outside Air,R-30.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,82.7 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air I leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: 0 [ ] I Rated output capacity of the heating/cooling system is not greater than 125/o of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 °F must be insulated to the levels in Table 2. T-dble 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water , Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to`I„ 'Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts l"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Town of Barnstable ��FTME fps ' " Regulatory Services • Thomas F.Geiler,Director BARNSTABUF. 9q,A a � Building Division lFn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 1 Please Print DATE: 1� 01�1 _ JOB LOCATION:. W c C, ` pp, numb street village "HOMEW ONER": V V )l i= c -73 7 Z f 7/ name V home phone# work phone# CURRENT MAILING ADDRESS: S �J city/town state zip code The current exemption for"homeowners"was extended to include owner-occtipied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under'the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with.the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme ts. Signature of Homeo Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be requuired 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use.in your community. Q:forms:homeexempt TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 42 7 Permit# Health Division ��: 076 Date Issued Conservation Division Fee Tax Collector (0/9� SEPT C SVSTEi E ,3° DEM Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address W X L 1 M&ALL-kG Village /y\A9S17 LS AlkiLLs Owner Address o?a a WIL_LIAXNTc _b) Telephone Permit Request A,,O P S Ut•(Rpo b �4b N F WL b.,6p t 7'p X F-P C6 F'X I S7l lyc, Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost l a.oo�Zoning District Flood Plain Groundwater Overlay Construction Type ALA S Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure . Historic House: ❑Yes V o On Old King's Highway: ❑Yes Gd'�lo 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: El Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing .❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name !fie�dsTP gem ccl-e L w 15�, r6bu iZ St-ASOM) Telephone Number '/a 8-S -7 Y6 Address 43&6 FA 1_M o uTH 96 License# lo7`U i T_ lv�A Home Improvement Contractor# Worker's Compensation# W 6- Poo o r 5^G cs ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO hAa N5T-A 3LF SIGNATURE DATE FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED . _ 1 MAP/PARCEL NO. VILLAGE ADDRESS � — - - � VI_ - • OWNERd 4 DATE OF INSPECTIO ' f M FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL � fy PLUMBING: ROUGH 3 FINAL GAS: ROUGH:! FINAL _ j . FINAL BUILDING f . DATE CLOSED OUT ASSOCIATION PLAN NO. j t � ... bo.� . a s9 0 1 LUT1 --....._............. _ -........�... -w: - �_ LL� L . ' 341 r i v S.r c ert7-i FY T�lilr 7�/� Qc1.✓t}.p r✓�.�J A� Alyy4 ,. ,,AS BUILT- PLOT PLAN TO THE eEtr of•• MY lNPQRMATIQN MASS KNOMfLEDOE, AND BELIEF THE yg771 .^1 SHOWN ON THIS .> PLAN "AS BEEN LOCATED OR THE 1348 ROUTE I3.4 t UNO A, iNQtC TEb EAST DENNIS, MASS. DOE RES TEREQ ' L"AND SU YEYOq J0B N0. l��._ CLIENT: c a DR. 8Y _.w .v. _., 9MEET'..X OF'- .4.r.... £'L`d08Z4 'O1 "" NtlI0I2110313"'l4IW 3tl�1 W021d H0S Nh £S:Zi 666S�60ii0 " : coNslrrn o oo = ; 71 u1 1. .i MassachdsettssState•B fill.' din Codes 804 xA ea ection� 1 .2�3:1 *: The Massachusetts State Building Code (780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructinglinstalling a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to an existing house (780 CN% Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructinglinstalling a "sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/seal durability and/or weather tightness of the sunroom • Adequate ventilation-Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. Signaidre of Actual Building Owner Date AAP-4 A�vNE �A y7~<fiG� a?aa Ikiw��wck roc �� ,�1 Print Name Address of Permitted Project 6/d 4eo Owner Address(if different than project location) Owner's telephone number i ME COSTS REMODELING&'DESIGN 4380 FALMOUTH RD. COTUIT,MA 02635 508-428-6740 00 `• I� i ,i iy hr /i! I �IGHr GL�rATioN ax lD FLooR So, ON Y+Awe"su s �3 .37 /-2"GONCRf-M C0k57RfPC71D�v PiH,es y'$FLOW GRADE ON POST SHOE OE COSTS REMODELING&'DESIGN 4380 FALMOUTH RD. COTUIT,MA 02635 508.428-5740. d ON FFkr/C�ER g .37 /i���C.ONLIQ$� COxSTkVC71DlV P/J=�s 'Y"$FLDW 6RA1> cc- ./yu<- Fo5T5 ON Po5T S'NoF- I _ ,r p ' , ENGINEERINO & STRUOMAL LOADING INFORMATION ' V* WEAtHER LOCK II ROOF PANELS 5005 VETERANS MEMORIAL HWY. HOLBROOK N.Y. 11741 EFFECTIVE 1-9� TABLE C: LIVE LOAD (PSF) OR WIND UPLIFT LOAD VS SPAN AND OVERHANG ROOF 3"PANEL SNAP LOCK DETAIL 3"PANEL H-BEAM DETAIL 4114"PANEL SNAP LOCK DETAIL 4114"PANEL H43EAM DETAI SPAN 1 FT O.H. 2 FT O.H. 3 FT O.H. 1 FT O.H. 2 FT,O.H. 3 FT O.H. 1 FT O.H. 2 FT O.H. .3 FT O.H. 1 FT O.H. 2 FT O.H. 3 FT, i•' 6 FT 85\93 58\84.. 46\68 841120 85 1122 -87\125 94\138- __84 1 121 BB\95 .120 1175 . 122\178 1251 itE • - — - >8 FT 35\50 35151 38\52 46166 46\66 .. .47k67 51\74_ 51 175 52\78 66\96 . 68\96 67\( Bt 10 FT 22\32 22\32 22\32 52V% [ 30\41 30\41 32\46 32147 32\47 41 \60 41\80 42 1( II: �• t1 12 FT 15 \21 15 \21 15 122 2e 128 19 128 22 132 22\32 22\32 28\41 28\41 281 v.. kFw;- .43; i : 14 FT 11 \15 11 \15 11 \15 14 \20 14 12 14 12 16..\23 18,123 16 \23 2 :\30 2 130 2 1 11 :FaG .�. f 16FT 8 \11 8 .111 _ 8 \1 10,115 10 \15 10 \15 12..\17 12 \17 12 \17.- 150 122 15 \22 15 1: Ih c3 18FT 8 \8 6 19 8 19 8 111 8 111 8 111 9 113- 9. 113 9-\13 11 117- k � ": S.:.1Pvt-1.t•�� r:'_1.4�d�-•:F.: .. .. :. .. _ �. •T+l. •R[.IL 20FT NA\NA NA\NA NA\NA 6 \7 8 \7 8 \8 7 \10 7 \10 \10 9 \13 9• \14 9 1' a ; i a 5W N 76.. 22 FT NA\NA NA\NA NA 1 NA NA\NA NA 1 NA NA\NA 8.\8 8, \8_ 8 \B 7 \11 7,\11 7 \ { go WNW N.--1, LOADING WITH FOAM SHOWN(1LB/1.5LB).LOADS IN CHART ARE FOR 110 MPH WIND SPEED EXCEPT(A-100 MPH MAX.) i (B-90 MPH MAX)(C-80 MPH MAX)(D-70 MPH MAX)(E-60 MPH MAX). SPAN OVER HANG - - - - - - - - r ROOF PANEL RONT - I WALL F T' EXISTING HOM E 7 SNAP-LOCK DETAIL H-BEAM DETAIL PANELS 46 118"O.C. f Ii SPAN/OVER HANG PANELS 46 7/8"O.C. " �l rtOt ! 0 0//, `��„f°"xfr MGEsr QyfaFnc C fJ �[5 S'E /4.•sIxsExn J^�I ''II •rnoiiFr.°0EF • I,ssn,txu tiiiil%I�t1►l1J'�( rl CieOlE �ttIFW '•rb�e. f i 4�,;.r �141 E�� bxu•' � �a E � 'YfMCF F�a� / a ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA ILLINC cEaa . ...... `� ,,CLC�U 4 �{�y� ,sEl xur,�� Lfea ,'n F.t.,xxy,. n.w•.ro.r ef.ry..► sy1[t IAWREMtE�tp y� / tip! C]fi jr -ry 0- „i ar,r Trwwr•.b�r ,rp r1SCRER E_ tt�O y . Ed •' I �' uNf4n i! EJCR MWtinrrrlM� IsEtt It — lC9 uo1�0. tInOF• r r r. rrEx.rrG.r. Rel r` �i Inn•Pe.f �\ a� r.sir..1 " lover. f/OMLLa u,t,to .r rr �I ' ` -+ ROEM \'la ijs,i.0 ........w••..x.ta[efe. /nunuaa KANSAS KENTUCKY LOUISIANA- MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSIS ): +':I', poser xRF`� VparE - p E'Fx� ,rF..v. `os REw f4c C'f• •,°O Y'' 0( /..: '{ u xoxa REM LxxlFrlC! UMIF CE w+ora `e•3 �GG'lr1 W,[ 7p • x, .. �-"�'.: �iIaCMER t - IlKre �� •�3WE5}I• NMV ♦'' I 'wa • �� bbE[FF aYT 17f0/ +1 �.r e n„aia @� ,r J ♦ ,ys [IrR ;b'S.�SEc:•� _.o. IM1��� • I • �'bq,•v a/Oxfl�• �NRN ��a �a�` ` l�gr[SYI*. �fFx[6d E E1540 ►•Oxi , MlssouRl MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA OH q OOOMA p'�lNOTES: 1)ROOF PANEL CONSTRUCTION:.024 ALUMINUM ALLOY 3105 H-1541 SIDE OF PANEL CORE IS 1.0 OR 1.5 LB DENSITY EPS(EXPANDED OREGON \ .�i:W POLYSTYRENE)FOAM.it2)GLUE:STRUCTURAL ADHESIVE MORAD M-610. ORE ON PENNSYLVANIA PUERTO RICO SOUTH CAROLINA SOUTH DAKOTA 3)DEAD LOAD IS 1.0 OR 1.5 LB PER SOFT.DEFLECTION AT RATED L( fx L 1120 MAXIMUM. t� 4)ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFY THAI ENGINEERING SPECIFICATIONS HAVE BEEN PREPARED UNDER M1 SUPERVISION AND THAT I AM A REGISTERED PROFESSIONAL ENO S,��iIN THE STATES SHOWN. 4sr 'ARrm JNMt ,e� TENNESSEE TEXAS UTAH VIRGINIA WASHINGTON WEST VIRGINIA 5)WIND SPEEDS ARE BASED ON BASIC VELOCITY RES. b - �OCOxf4 fi f/� i Isa1t1R + ��MO ',N�J fltOl[F GGGCGG S . . I'I W III y 4 WISCONSIN WYOMING FILE:ROFENG02.CDR 46 A•73RBI e4 1/4"--7•740 1` 4RIDGE:.(IF NO4GABLE END RIDGE .4 1/4!-- A•74RR 1 .p .4 1/4"-- A•74RR I t ROOF SEAM FOAM •'3" R73GB t y T' 1 3'----- 7F1X 1 1 2' TEK SCREWS -4'1/4'A• 4 q p 4 1/4'7- 7FiX3-1 7.150 6 PER PANEL AT RIDGE GUTTER CORN R FASCAA 3" 7.139U 3------ A•73RW ,4" 14 U q 4 1/4'-- A' 4R 'T ELECTRIC EAVE 7.144 ELECTRIC EAVE A7.144 COVER A• O COVER A•SGT O O CLOSED SILL H-CHANNEL O A.7CS A7.111 1 " x 1 6' TRANSOM -4 CLOSED SILL H-CHANNEL A' 111 A'7CSHORI EL (CUTZONTAL FROM 4'Axl8'�SHEET OR 3' ROOF PANEL) y \' \ 6' SLIDER clos 7Cs Iu $ F ;F� �j7 �i �\ VERTICAL WALL PANEL FA1 -4'-x 12'TRANSOM (CUT FROM.4' x 8' SHEET OR 3' ROOF PANEL) •4'.SLIDER WINDOW �/ . CLOSED SILL A'7CS 4':x 22" KICK PANEL a. ELECTRIC H-CHANNEL AT14 COVER Rig H-CHANNEL alp A7.111 2'-6'-x 12 TRANSOM 5' x 12"TRANSOM NOTES: FIXED WINDOW 5' SLIDER WINDOW DOWN SPOUT KIT 1. • INDICATES COLOR. SUBSTITUTE THE ''' WITH 7.N 2'-6" x 22' KICK PANEL 5' x 22" KICK PANEL �B� FOR BRONZE OR 'W* FOR WHITE k "A' FOR SANDTONE. H-CHANNEL RNER ® 7.117 2. FASCIA EXTRUSION ACTS AS THE GUTTER END PLATE. i ✓>w, - --- ' - The Commonwealth of Massachusetts Department of Industrial Accidents Tom= Office of/nsestigations 600 Washington Street A� Boston,Mass. 02111 �r�/� Workers' Comjlensation Insu�rraance Affidavit T]tp�7arII;riiir r P"<,...: name: A4&L —SC 14M 1 1)7— location: r!L i /Y,.4 R/T/c— city N1 rKs7'o NS MI LLS phone a ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one working in an ca acity ///% % %%% %% %%%% %%/ %%/ %%%%% ❑ I am an employer providing workers' compensation for my employees working on this job. compnnv name: address: �3�� FAL/1^O 0TH 1�t) .. .. . :;:; city: C�TU i T— D o?6 3 S phone#: insurance co.. C o-A L � plicv# G ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: company name: address: city phone#. insornnce co. PojjcV /ii / %/n/m/%/%//; cam env name:p :: address: city phone#? insu rance co. ;:;:>:•;::: ::::;:•;:....... olicv# . :.::>::>.;:::;s::>:::>::.::::::>::: ;;>;:::;::>:: >:> >'::: ?::>:::<?:'::>. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a One of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature e _ 4N - Date 'Print name MA&4 AN IllE (SA-VTH iAE9 Phone N �a�"S�17/6 otIIdal use only do not write in this area to be completed by city or town oMcial city or town: pertnit/license 0 QBuilding Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's OMce ❑Health Department contact person: phone tt; ❑Other ..... , onvea 9/95 PJA) .;1N. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any cow of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or'other legal entity,-.p p, n, rp g or any,two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c: trustee of an individual .partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein;of the occupant of the'dtvelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold;the issuance or renews: of a license or permit to.operate a'business or'to coirstruct,buildings in'the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into'any contract for the performance of public work until acceptable evidence'of compliance with the insurance requirements oftbis chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is • _ being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvesugauOus 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . .. . . The Town of Barnstable • a�aNert�. _ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: f0N Iq E�N 'bEGK Estimated Cost /2,zoo. Address of Work: aPA W 1 J-L1^lhHr c C- DR Owner's Name: WUNO Sc k At D 1 Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 Building not owner-occupied QOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name g1orms Affidav THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IMA�C(, I / L DATA 04/16/99 08:52 FAX 5084280773 DeCOSTE REMODEL 02 1 ' OI#'APFNENI Of pUf3tit-SIFE�V ' ivdslRf���D1! �UIEIVfSbI tV(ENSE i ;. . dt 1�1Uii€: aftitRIM Bet'dyt:'`'' , ` � E FllilOUtk, Mr> 125'6 I j 162009 �rsfrlrtcd fc: 11 � � , I6 3.5,061 el enclosed spat# 051 (.112 SAO lA - Masonrl only H - J 6 2 ramify Hoses lrilure to possesA a cut►ent edlllan of the Massbchosetts state Wid "O t649 As cause for (evoeatlon 61 this license, I I letAm ,lh�l.�': _ ail i,� ::�� �` �l� tt;:="•"::s..e�`,,q-�J. -l4 �.�� ;.V. r^�— ••�11.-.'t!...�'�i���.�Y`����. mil.'.l'f•_� .r„�.a.:. ,,,�,J fit '=sr. - e7�: :e dr..,, - _ }"`�'• ;vr •S�1"�y N' S`L1.1r7�� A3!;l�U•h4� r!• _ �J .err.; ,,)�)': ,.,,. 'ra:•'•i`}'JF:c?r':..,:j�c: rz,,;'.-�1Y,�':' 4}^'« ,?..,ilt+: ;i�_ ,:Jri',r 'N• .��JF•, ��. ^',r: .')� S u:;,.,�,^...r': gib-"::r'-: ,.'::ti.}r a��•�" .l,r. -�rS ...... ..-..:_a�..-.... ..,... ... �. r... ._$r..�. Jv.cA:.`..r.:.rnve .rYgJ' 1lre/!�'ia9id$ae.�'•.,,3;�i Assessor's-Office(1st floor) Map A��Y `Parcel a Permit# a�® oZ, 6 Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) L,,-r ,r la`ll ate Issued Board of Health(3rd floor)(8:15 -9:30/1:00 4:45) �+��1�`ff5 G"��i Fee ©� Engineering Dept. (3rd floor) House# g� . Plannin ept.(1st or/School Admin. Bldg.) , ��C SY*INCE E De ' itive Plan Appro Id by Planning Board 19 INSTALLED 0 TOWN OF BARNSTARAMONMENTAL CODE AND Building Permit Application TOWN REGULATIONS . Projec ress ��� WI LLii'''►-410,1;i cz v e Village k}r`TON 5 H 1115 p Owner \A)rq.y N e_ -i-- TO V C C S&7,r mot TAddress f � Telephone �('�{ y�$� 7 Permit Request (,)&Y1 i �f 0'✓\ ' First Floor square feet Second Floor square feet Estimated Project Cost $ a Q Zoning District Flood Plain M D Water Protection Lot Size h.�,57X / 0 Grandfathered ? r Zoning Board of Appeals Authorization Recorded Current Use Res I keh ft r9 L Proposed Use S 19m-t_ Construction Type 2 \AJw A t'fig t e Commercial Residential Cd rtS f-or tt 6 n Dwelling Type: Single Family �T°e—S Two Family t\J a Multi-Family N C) Age of Existing Structure ( 6 y r s Basement Type: Finished Historic House NO Unfinished X Old King's Highway 1"J Number of Baths O Q 9- No.of Bedrooms rW U• + ON Total Room Count(not including baths) i�'k V'e— - First Floor y.e I Heat Type and Fuel Central Air kJ G Fireplaces N ON e Garage: Detached 0 Other Detached Structures: Pool Attached Barn None Sheds (�T 0 Other d Builder Information Name t Telephone Number t� 'Y� Address License# = Home Improvement Contractor# Q Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2 r SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED E MAP/PARCEL NO. ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION - FRAME � Ilk( k� INSULATION FIREPLACE. ELECTRICAL: ROUG.0 F FINAL 61 PLUMBING: R .`U.r G,i `'�= FINAL ` GAS: 1 R(Q FINAL ' FINAL BUILDING 440-9� r , DATE CLOSED OUT iASSOCIATION PLAN,N0:. " z , w The Coninionivealth of Massachusetts _ i� Department of Industrial Accidents . Office ol/�Yestlgalloas i.'• -r ?' 600 11•a.diin,gon Street Barton,minis 0 111 Workers' Compensation Insurance Affidavit _ ARnitcant mfortnatton _. .. 717 ` . Please-PRINT•,e����� , • location- city nhone!+ (f I am a homeowner performing all work myself. '- 0 1 am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. company nam address! cih• phone#: - insurance co tarnolicv# _. _rs_...��.-�.......n 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: fomnany name• �O �r� �14�v►e_S 5(,; c-' ►'1 —1 �. address- ?0 crX d2 fill. # :..... +►.-— Kr.•�,+o a5!e.-!1 m v name* address: city- nhonefh • � --- noiicv# .. .. Atiaeh idditional'sheei if'tieeessa 7• ��^'a"s.++ '�"'^ ' ":, :'�`''." :, ^'� Failure to secure coverage as required under Section 25A of Ii1GL 152 an lad to the imposition of criminal penalties of a fine up to SI.500.00 and/or one vents'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the office of investigations of the DIA for coverage veri0cation. I do hereb►•cerrifj•u r t/ie pains an penalties ojperjun•that the infonnation provided above is true and come Sit:naturc Print name M C S S e- one# G 3 Sl r ofticial.use only do not write in this area to be completed by city or town official city or town: permit/liceose# nBuilding Department (3ucensing Board cheek if immediate response is required �Seleetmea's Once C1I1alth Department t phone*,- rJOther contact person• I Mmsed IV PJA► . The Town of Barnstable . KOM Department of Health Safety and Environmental Service Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosson Office: So8-79o-6W Building Cammim Faac 508 775-33" For office use only Permit no. . Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c 142A requires that the"reconstruction,alterations,'renovation,rtqair,modern on,eoumsson, improvement,,remo%%L demolition, or construction of an addition to any owner owed building containing at least one but not more than four dwelling units or to starrtzs which we adjacent to such residence or building be done by registered contractors,with cm=0000 n=% along w1th other Type of Work: -Cost Address of Work' Osner.Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI.000 Building not owner-occupied owner pulling°ova permit Notice is hereby gh-en that: OWNERS PULLING E THEIR OWN PERMIT DEALING _ WORK DO N0? "AVE THE APPLICABLE HOME WROVEMO ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor name Registration No. OR ' s M . w__ �4,� - •� �ii a Qneshmruealdf o�:/uaaaaa���aeQl: :. HOR&IMPROVEMENT'CONTRACTOR Registration_ 109256 ;.Type _ INDIVIDUAL: tYpiration 09/08/96 Rob6rt:J.: Springer Buttercup.L.n S Yarmouth MA _ 0266 x T = rp �:�•���'_ .� - Lam=-,-��;•-s-�_, 3��; /Va-/�,.�L=.�:�,Q^.ca-.�•��.,,.-a•;•es_.----�------_ez, ✓/GG Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY j - = CONSTRUCTION_SUPERVISOR LICENSE I� 00 - Hone Nuibei;=: Expires: 1G - 1 & 2 Faaily.Holes Restrcted-.To: 00- . Z_ __; ROBERT J SPRINGER y -PO BOX 622 ; YARMOUTHPORT, MA 02675 i 1 • L�TZ � w �0 \ o d4. �\ • � 1 y. O O <�7-1 LLIA n L �' �87 ib. �3410 rD�SrE �e- 4 " / - g— 4CHUg �v 'AS BUILT PLOT FLAN t� N TO THE BEIT OF- MY INFORMATION �.�P�✓fri9C3�e� , MASS. K 9>EIQ�Eo AN® ®ELIEF THE ��or. Zo �. /s 6 9 7 SHOWN ON THIS R W. C RE"ARN. INC, RL S, RS PLAN HAS BEEN LOCATED OR THE' 1346 .ROUTE 134 GROUND AS INDIC#ED EAST DENNIS, MASS. . DATE: ' SCALE, / " = Tel ZD . E R STEREQ LANQ SURVEYOR1 JOB NO. _ S`-Z8s6 CLIENT' -j DR. BY : SHE ET 1 OF _ 'RlbG%VEWr - CROSS SECTIC 2*x(o COLLAk TIES -SCALE :-1/4'= I`0" EIAISTIW TIC- CArF4CbRAt_ CEILIN ASPHALT- ROOF 30 Fif,.V:f c.rzuirj-G..3"biST ----'-�211 Fieev<; -vm EsDo tj_Af8oA%LCK -arb PICO PN z Metbpoom FAPTnE6 PORLH 4 x 4 =UTJUUzx lo:s uuuuu I -STEEL 95A-- Q _w Au— u. E3' POURED CONC FOUNDATION ANITIOM- -,,..Fo F SCALE w" As Is 2221 WILLIMANTIC DP. 1410 MA RSTO NS MILD TRFF AR D FO-Pv-MA N EXCAVATE' I FLOOR PLAN 9 FOUNC)ATIc! AND CROSS SEC;;nH c,' srEEL BEAM 11 12'SOPJO Tum,; jr 112' pKo-p FOR G HP FOUN W 10N SCA(-E VR _p 7 q OVER HEAD $_ x+(o FT SLIDER I USE EX IST IN. 2 DH .20 Ib' 91'x 30' 2440 � FARMERS l'oRCN i I I 24'X12' i ; CL0.SET / n 3a O t0 fT rr � j. N ��.. .T I] �EDRooM #Z Exa7� 40 'SGD RGOIA 121-12 uosEt �T h '} Vo 9.o ,I rL003 ?LA(1L_=y I� Assessor's map and lot number ?� � ti ................ .... ..... THE Tp�` Sewage Permit number .-...D ' ..........' :. .... e� o� � Z MAUSTODLE. i `Plouse number ....:: . ........................dr.'.................:.. r rasa T•- �p t679. E MAR p�0 TOWN : OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............. ...................`! .......................................... TYPE OF CONSTRUCTION ........... .............. ...................... .............................. ....... P ................ �� /.. ..�.............19A jr• TO THE INSPECTOR OF BUILDINGS: d The undersigned hereby applies for a permit according to the following information: Location ...L.o..? ........a.�...........w',�..�....... ! /q N% ....... ............... AS .N...... .:�.�..'�......... ar.. �r-S, Proposed Use ................-Si.............r:Q.L............................................... ZoningDistrict ....................!...................................................Fire District .........C..X............................................................ Name of Owner ..Zo.'/CF. AN./4-.............Address ..... ....... A Ifn c,.........................................rt4f -r Name of Builder F're� k- /.3f IP�Y S YAlerrov %�1 ,,pp{� /J 'f�lN, ' ............. .............................-7f. ...........Address ................. ...................................1.�........................... `r ------------- Nameof Architect .........:........................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ......... .......... ........................ ............. CF0A. . .. . . . .................'......Roofng ..........As e�A.L.. ...............................................Exterior ....... . . ........- Floors ..................... .......: ...:. t.lnterior � v�. .................... Heating .6L f'1z'i'e�i*C Plumbing O3A7- ....... . ........... .. ........................................ ...I.....................................................Fireplace ................N� � Approximate Cost yd d Definitive Plan Approved by Planning Board ________\_____-----------19________. Area Diagram of Lot and Building with Dimensions \ Fee �`���� . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ...... ....... ................................................... y Construction Supervisor's license ..Qo9.3. ............ CANAL, JOYCE A=103-77 274 One Story No ...............17.. Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 20, 222 Willimantic Dr. ................................................................ Marston Mills ............................................................................... r. Owner ......Joyce...Canane................................. ........... ............. Frame Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ January Permit Granted ................................ 9 Date of Inspection ....................................19 Date Completed ......................................19 40 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M A�C(, I DATA a w TOWN OF BARNSTABLE Permit No. ------------- Building Inspector �,urr.n Cash -------___--- ` • qua OCCUPANCY PERMIT Bond Z� Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .................................................... . 19 ........................................ ....................................................................... Building Inspector Speed Letter., T"' .•,1 :- .��:fit��-�r,��..T� Mr. Francis I ahtei.ne TO - _. — rom - I Town Clerk Subject 3/29/85 —No.0 610 FOLD MESSAGE Work has-been ccopleted under Permit # 27417 (JoyceCanane) . Please release Bond. �y Date Signed2v l l , REPLY r -No.B FOLD -No.10 FOLD Date Signed Wilson Jones Company spa GMYU E FORM U-901 3-PART 0 1 W!•PRINTED DI LIZA SENDER—DETACH AND RETAIN YELLOW COPY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 'Assessor's map and lot number ............ �3.:...�� C-C__............. SEPTIC � + TIN E SYSTEM L'� � `' Sewage Permit number ........ .. .... INSTALLED I � . WITH TITLE QB 9HBSTS DL`E0, House number ...... � Maea ........ . .. ........... . ...............:.... ENVIRONMENTAL C,- 09. Iyp � TOWN OF BARNSTABLE BUILDING - INSPECTOR APPLICATION FOR PERMIT TO ............. ?....!-.0,.............................................................................................. TYPEOF CONSTRUCTION ...........L-. A.Q............I M. K........................................................................ .................�l.�t.. .. ............1910V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the,following information: Location ... ......... ..........�!`�.t C�.. !. .!`��..:... .......���..'.............!''►�k.s N /y�C.�..f......... ....... ........ .... ............... Proposed Use '`�� ?�! ... �?.......a.4........................................................................................................................:........ ! ice ZoningDistrict ........................................................................Fire District .........C...?...................................:......................... Name of Owner ..... .�.C.F..........C.A.I`).A J.0.............Address � D .A�n��r;ti �l {� Name of Builder /�� k. li°CY f S / � v 1 ,My 'r" .�............E...............Address ...................................................... ....:...............!n Name of Architect ..................................................................Address .................................................................................... Number of Rooms S 0,j E'er Foundation ..... ...................................NCdrC',Ft"T.� ............. 2g Exterior ........PAPAA�......... .'l.�.n,�(, ',s'.......................Roofing .......... ,��h. C^.��................................................ Floors ..................... .......................Q!`f� ..............................Interior ................S1i.?�'�r..%'�v.L......................................... ........ Heating . z-r1z i de r L ...f .....!' Tl..1........................................................... ................... .............................................Plumbing Fireplace ................NC..t/......................................................Approximate. Cost .......... ................................................. Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area ...4.0"....5�,..F....... . .. Diagram of Lot and Building with Dimensions Fee ....... .. ...34C i73...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 LicenseD �3 ....................... i N. CANANE, JOYCE 'No 27417..... Permit for ..One.... ............... kv/Y Single..Fan-Lily Dwelling,.,.. .................. ............................ Location ......22a-.WilliMaatic..Dnive ................Mar.s.tons...tw.la................................ ...... . ........ Owner ..... .................................. Type of Construction .....Frain.......................... ................................................................................. Plot ............................ Lot ................................ Permit Granted ...!�U.a.17..;U,.............19 85 Date.of Inspection ....................................19 Date Completed ................. ... . .......19 WILLIAM D. CROWELL ATTORNEY AT LAW 466 MAIN STREET P. O. BOX 185. HARWICHPORT, MASS. 02646 1617) 432-1643 RAYMOND H. GRAYSON, ASSOC. November 14 , 1984 ° a Building Inspector Town of Barnstable 367 Main Street Hyannis, MA 02601 Re: Kulbokas to Canane Dear Sir: - With regard to the construction of a dwelling on Lot #20 , Willimantic Drive, Marstons Mills, Massachusetts, by Joyce L. Canane, please be advised that said Lot #20 has not been held in common ownership with adjoining Lots #19 and #21 since 1978 . Thank you very much. Very truly yo s , William D. Crowell, Esq. WDC:aps . t v ti J' r ; c a 4PT Z (, f lei ol 0) _ ' V ) • 7 1 - L�7-1 5' t!i OF OBIN r •, /Z IL A �� f 3410 r� su Hu BUILT ' PLOT PLAN TO ' THE BEST OF.- MY I NFORMATION MASS. KNOWLEDQE j AND BELIEF THE > Zo �, �,� /s 7 9 7 SHOWN ON THIS R. ✓. O HEARN, INC., RCS RS PLAN HAS BEEN LOCATED ON- THE 1348 ROUTE 134 .GROUND AS INDICA EAST DENNIS, MASS. DATE 8 SCALE. D E RE6f 7ERED LAND SURVEYOR JOB NO. RS`-ZEZ6 CLIENT.,'- ,l 47S7o DR. BY : SHEET_•,L OF �._._. • j >1 i l i NEW SMOKE DETECTOR REQUIREMENTS ARE NOW LAW. EVEN THE ADDITION OF A NEW 1 UPGRADE OF TH E UHE SMOKEDETECTORS -- __ _ - ______.__�___.__.__ FOR THE WHOLE HOUSE, YOU MUST � -_-- -- .__._ --t------+ ---� --J- PLAN ACCORDINGLY AND,HAVE YOUR C ELECTRICIAN TAKE OUT THE APPROPRIATE i PERMIT AT THE FIRE ARTMENT. I .0 i I Y In t9 � J Q Vl- - + - _o__ u�"' cn�tn avE�l'y ���Y 6tr+�'•a��: Flit,h�`� ay.N _... ._.___--_ _� I ... , .... .. m _ 42 SMOKE DETECTCRQ.K. 00 ` . L,.ly t QUO t,A 4 g I pp _ vRs�tUtJs cF}rtOta ; P me V I� u!? ) er—[)e LV d F „ _ -- r----`----i E x t5T►fJIGt E t __. I - (rj_r_,__T� ,.; �,�:t - - _ •-z a - :- - �L Ak. "r T ' �` i AL I 1 -___ 3 _ _ 1, E DA rill �__,....... T Ml I-t..1.4 Ex�'aT' 3 O 08 1 - j C�evl i n ' --Iles igns W hSTJ tiC O 2003 -_----t copyright + N i All Rights _._ � � � .. "' _. •_ �—A Reserved s N u a a W Of C Y z � U cn Preliminary plans and layouts by DC are for the use of their customers only Any other use is strictly prohibitedi r' QILx;E L TIES — — -iiij- I'L r' 2 4 �%►.1C1 -- Pa TC h+f 1-0M&T+C (x Y l ts'T1 I � Ea STt�.1C� j � •., a _ _._ __•_ r d Sk, T-t 4i pl`Ywd� OL to "MAU-M I I (a)9 AC ,, 14 I-v` . 2.o 1 I i S�,C.Tl0Q 6,-Q. r, !4 -l:p IZ- , L .I. 1. - 508 - 428•6191 y. �.).. f _._ � stom � e s i g n s ��- copyright © 2003 !. w MV�.c..�Gk.! __..._.__- .__-- All Rights 314i A i T 1 1 ,l4 Reserved • I u z z .J. u i Preliminary plans and layouts by DC D are for the use of their customers only Any other use is strictly prohi bite .y C5 7� r I{ Tito I _ Ifi 11 ill W. lilt Ill - _ f 1 li t Bi`11 Crt uNDEfL' Mt 1 4 j r 2. 10 r� i � Iji 1 FTI —77 V..00F FkAM 1 , SE.C_OQZ P{.=Z F Z&tAE SCALE DATE t/h IS as 508 .428. 6191 (�evlin Custom o �esigns copyright © 2003 All Rights Reserved Q 0 V aJ l 4 u i v r a Z J Preliminary plan , and layouts by DC D are for the use of their customers only Any other use is strictly prohibit (-,1 ��