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0175 WASHINGTON AVENUE
/ 7 � �� ��� 0 n n.-_ - .�-r..yw�.-�-„.�-r.-J. .ram►\ .n�. -1 - .-I� +.+�r�.��A+M��.��r.�. ��1 r � 4 o s 3 'I i a J Assessor's office(1st Floor): jo Assessor's map and.lot number TN[ oo` Conservation J? 'r e r• w Board of Health(3rd flood: 1 • Sewage'Permit number ' + 1 ssar�ranc � rua Engineering Department(3rd floor): House number✓ ' �� AL e o�� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only c TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �Epti•it c� PJ E cA�� sylZ�iz�.Tyagt_. GiQTS t �ot�l.•.n�' TYPE OF CONSTRUCTION _ 00� �2 i1,•1 L - 7- fIr7 19 43 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location zgy Ivy c- -r-: Proposed Use LA-A..'�ueE� J G ,Zoning District r F ' Fire District -Y d—rh Name of Owner MAKX /fla,1T-,jj tNc.s Address C-c..a-p,3&VVIa 2L4,bC6- Name of Builder "�/�y�� Address —:?5!�a j�! r 49,4 Name of Architect CAI e- Address Number of Rooms At Foundation N w Go L u .n ,ti S Exterior X t S� ''S Roofingx .1 Floors 6 Interior Heating A)I;* Plumbing Fireplace ` Approximate Cost 1-4 640" Area t) t?l'Ga Ch A'N G c�- Diagram of Lot and Building with Dimensions Fee • �o X(o D^J .� I,� P --ter x 2- 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. g 0, Name t� -7 8o Construction Supervisor's License �l 3 JENNINGS, RY MAL O. f No 3 6 3 9 6 permit For REMODEL/INTERIOR �^ 1175 - Wa-5 tits'V14 � ve-� ' Single family Dw<\ing l Location �84—Sa `r'enue - Osterville Owner Mary Mal _Jennings r � f 4 Type of Construction Frame _ Plot r Lot I - 20 December , Permit Granted 19 .9 3 x, Date of Inspection 19 Date Completed ,ZOE: 19 Y ` + 1. - f r 1' t I i i �1 I ' ff� iwii mom COMMONWEALTH OF DEPARTMENT OF PUBLIC SAFETY `a MASSACHUSETTS 1010 COMMONWEALTH AVE. BOSTON, MA 02215 EXPIRATION DATE i LICENSE O SUPERVISOR CAUTION 05/31/1994 RESTRICTIONS EFFECTIVE DATE UC-NO. FOR PROTECTION AGAINST NONE =' -4 05/31 /1 992 THEFT, PUTRIGHTT • a 043193 HUMS PRINT INAPPROPRIATE • " ., P WAYNE S YOULDEN 01 BOX ON LICENSE. SS a 028-46-0689 ,, 348 RT 6A Z E SANDWICH ' MA 02537 �Cg� BLASTING OPERATORS. PHOTO(BLASTING OPR ONLY) m T! MUST INCLUDE PHOTO. �10 0 . ..- NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I'- At HEIGHT: - STAMPED-OR-SIGNATURE OF THE COMMISSIONER ••`' ! DOB: 09/25/1956 //'y `y THIS DOCUMENT MUST BE � CARRIED ON THE PERSON OF O THE HOLDER WHEN EN- SIGNATURE OF LICENSEE •� SIGN NAME IN FULL ABOVE SIGNATURE LINE THERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. l Actin( COMMISSIONER _.. ' ,�\ ✓�TOdIH/pi001.[I/G'CLL[IL�✓!'�ILGIQACI.�J •. HOME IMPROVEMENT CONTRACTOR Registration 100780 Type - INDIVIDUAL Expiration 06/23/94 Wayne S. Youlden 34 Route 6A Sandwich MA 02537 ADMINISTRATOR RICHIE'S INSULATION INC. 111 OLD BEDFORD ROAD WESTPORT, MA 02790 508-678-4474 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN: PLEASE BE ADVISED RICHIE'S INSULATION, INC. INSULATED THE FOLLOWING JOB: ADDRESS: J r75 CAS k? toyl TOWN: s CONTRACTOR'S NAME&INFO' THE FOLLOWING INFORMATION IS WHAT WAS USED ON THIS SPECIFIC JOB: MANUFACTURE: e- TYPE THERMAL CONDUCTIVITY PER INCH: AREA THICKNESS R-VALUE CEILING WALLS STAIRWELL BASE. CEIL GARAG:E CEIL G.H. WALL CRAWL OVERHANG CATH. WALL CATH. CEtr W.O. WALL FOUND. WALL BLOCK/RUNN. SLOPES 3 P/V --- THANK YOU VERY MUCH F YOUR.0PHO00PERATION IN THIS MATTER. IF YOU HAVE ANY FURTHER CONCERNS PL ASE Co CT MY NE NUMBER. INSTALLER: RICHIE'S INSULATION,INC. Assurant Use Only l VID# 89910 I WO# 24018034 l PID# 2045981 I Regular Mail Town of Barnstable 1200 Main St. I Hyannis l MA l 02601 l 508-862-4038 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter3224 sections 224-3 and 224-4. Please complete one form for each property in foredolsure z;; o (section 224-3) or already foreclosed for which possession has been taken(se ton 224- 4). Please file the original with the Building Commissioner and a copy within Chief of= o the Fire District in which the property is located. ono If you claim you are exempt from registering under Massachusetts law,please �tate the y reason(s) and complete section I (property information) and the first paragrap of 77n section 2(foreclosing party, court, etc. and foreclosing party representative,bu not other- representatives rn and attorney) so that the Town can review the exemption and update its records: N/A Section 1 —Propeqy Information 175 Washington Ave Property Address: Osterville MA 02655-2226 Assessors Map#: N/A Parcel#: 000139-000000-000087 Land area and description N/A Building(s)description and contents N/A Occupied: N/A Occupant(s)(if borrowers so state and include name(s)) Borrower,if known: BAER ROBERT Phone: N/A email: N/A other: Vacant: NO Date: N/A Anticipated Length of Vacancy: N/A Last occupant(s))(if borrowers so state and include name(s)) N/A Phone: 800-468-1743 email: AFSVPR@assurant.com other: Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) The property is vacant and will be maintained. Section 2 Foreclosing P Information Foreclosing Party(full name/title) Mr.cooper j Foreclosure Case Court: N/A Docket# N/A Please forward all notices/confirmations to AFSVPR@assurant.com, 101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743. i PID# 1 2045981 Date filed: N/A Current Status: N/A Foreclosing Party's representative(s) for property(entry,management,repair, etc.)(name,title,):Assurant Field Services c/o CHRISTOPHER SIDEMAN Company(if different from foreclosing party): Assurant Field Services Address:268 MAMMOTH RD,LOWELL,MA 01854 Phone: 800-468-1743 email: AFSVPR@assurant.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the.property and/or foreclosure,please so state and do not complete contact information(i. e. "none"or"see above")). Name,title,other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone(s): N/A email(s): N/A other: Name,title,other: N/A Company(if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: Attorney representing foreclosing party.N/A Firm name(if different from attorney's name): N/A Address: N/A Phone(s): N/A email(s): N/A other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter/2/24 of the Code of the Town of Barnstable. hlit—> Date: May 25,2018 Name: Eric Knudtson Title: Assurant Field Services Manager Please forward all notices/confirmations to AFSVPR@assurant.com, 101 W Louis Henna Blvd,Ste.400,Austin,TX 78728,800-468-1743. PID# 1 2045981 I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner,Town of Barnstable ASSURANT ® BUILDING PLAN / STATEMENT OF INTENT Occupancy Status: -Occupied Building Plan Property Address: 175 Washington Ave Osterville MA 02655-2226 AS OF: May 25,2018 THIS BUILDING PLAN SERVES AS OUR STATEMENT OF INTENT TO MAINTAIN,SECURE,AND INSPECT PER ORDINANCE. THIS PROPERTY WILL NOT BE DEMOLISHED. THIS PROPERTY WILL BE LISTED FOR SALE. IF OCCUPIED,THE PROPERTY WILL BE INSPECTED ON A MONTHLY BASIS UNTIL VACANCY. OWNER CONTACT: Mr.Cooper 350 Highland Dr.,Lewisville,TX 75067 AGENT CONTACT IS: ASSURANT FIELD SERVICES 101 WEST LOUIS HENNA BLVD.STE.400 AUSTIN,TX 78728 T: 800-468-1743 E:AFSVPR@assurant.com oFme, Town of Barnstable *Permit# Expires 6 months rom issue date d Regulatory Services Fee �� O • anxxsr�sLe. • h1A 9. • Richard V.Scali, Director XPOIESS �D MA'I A Building Division OCT -8 Tom Perry,CBO,Building Commissioner 2014 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us OWN �F BgRNSTgg�E i Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY d97Not Valid without Red X-Press Imprint Xaaumber ress l, Value of Work Minimum fee of$35 00 for work under$6000.00 Owner's Name&Address vvbV'/}4. 'f oz At - — � 3 Contractor's Name Z VeJALAQ -1 Telepholie Number q Home Improvement Contractor License#(if applicable) lqq;Q Email:V1,01 A V40 J. Construction Supervisor's License#(if applicable) ❑Workman's mpensation Insurance Che one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Ins/check mpliance Certificate must accompany each permit. Permit Requbox)urricane nailed)(stripping old shingles) All construction debris will be taken t 2�� NZ21 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***N te: Property Owner must sign Property Owner Letter of Permission. copy f the Home Improvement Contractors Lic se&Construction Supervisors License is uire --_— SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 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 ApOlicant Information J Please Print Le 'b Name(Business/OrganizationMdividual): Address: City/Stat Z Alb (�P Phone#: �� � Are 4am employer?Check the appropriate box: Type of project(required)_ 1.❑ employer with 4. ❑ I am a general contractor and I yees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' x 9. ❑Building addition [No workers' comp.insurance comp.insurance. 10. Electri al repairs required.] 5. ❑ We are a corporation and its ❑ p s or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF]PI bing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. oof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' 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 have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 lave ga' of e D for insurance coverage verification. I do he\by a the ' and en es of 'u that a information provided ab ve is true d orrect, Si atur Date: Phone#: So Official use only. Do not write in this area,to be completed by city or town official City or Town: -` Permit%Iacense# -—- -- Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials I 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia it °FEE rqL, Town of Barnstable ti Regulatory Services s" MASS.i'E Thomas F. Geiler,Director � 639.�A Building 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 �b Complete and Sign This Section If Using A Builder -- as Owner of subject ro e ��� P P rtY hereby auth e �__/I �- (/mow to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) © " *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and acce ted. SiS* e of Owner nae cnt Print e Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 Town of Barnstable Regulatory Services ` AB& Thomas F.Geiler,Director �Eo; 06 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. 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"certif es that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page 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. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 V/aO�n�/nZ0��2tuecr a a, dCCG e �ccde%Zb , Office of Consumer;AfCair§&$us�ness Regulation License or registration valid'for.indiv�dul use only OME IMPROVEMENT.CONTRACTOR before the expiration date. If found return toi. — eg%is- tion: 128922.":: "Type: Office of Consumer Affairs and:Business Regulation zpi�aUon.:;:6/7%2015ndi`vidual` 7 10 Park`Plaza-Suite 5170 Boston,.NA 02116 Peter•Kennedyrk It S` �Petet''Kennedy. 444'MIST IC DRIVE � = " �•.r .. �. �� .. "IvlIARSTON MILLS,MA 02648,' Undersecretary`, Not v id without signature T Massachusetts•-.Department of Public Safety I. Board of Building,Regulations and Standards Construction Supen�isor l License: CS-073395 PETER 7 KENNED�' 444 MASTIC DR Mars tons Mills MA 0 48 Expiration Commissioner' 11/02J2014 1 w`&AA,45ell TAPLE ����iF1.(y� !F IiY�Cl �ifri�'/:Y/W o• _ Logged In As: Tuesday, October 7 2014 Frank Schlegel Pa rcel Application Center Road System Reports Road System Parcel Detail Parcel ID: 139087 ( Sewer Acct: TAR IJ =U.pdafe;; Devel Lot: Owner: JBAER, MARY M & ROBERT A JR Co Owner: Street: IBOX 1590 City: JBOCA GRANDE I State: FTL 1 Zip: 33921 --------------- WASHINGTON AVENUE i Village: Location: E57 Osterville _�r Road Index: 1787 I Pri Frontage: 1150 To set road, you can also enter road index and tab out of field. Secondary Road: Sec Index: 0000 j Sec Frontage: Visions Location: . 175 WASHINGTON AVENUE ( Last Updated: --------------- No. Bldgs: 1 — I Account No: 74038 Lot Size(acres): 0.71999541 State Class: 1010 Year Added: 1882 � Fire Dist: Deed Date: 2/5/2004 Deed Ref: C172046 Land Value: 1649200__j Bldgs Value: 373100 Extra Features: 47100 --------------- Condo Complex: Building: Unit: Update_ http://issgl2/intranet/propdata/pledit.aspx?ID=PL8911 10/7/2014 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 6 • Application # QO • l Health Division Date Issued t Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address? as �)7F�:e Village V 1 )Ae_ Owner � G Address i Telephone 6n 61P`7 Permit Request 1) ' I'1 J� .s .Q _ 1 - �'j�c i Square feet: 1 st oor: existing proposed 2nd f oor: exisng proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑ Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing _new First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No ti -i Detached garage: ❑ existing ❑ new size—Pool: 1-1existing ❑ new size _ Barn: IE' xisting EaN nevOsize_ < ZE Attached garage: ❑ existing ❑ new size _Shed: 0 existing 0 new size _ Others Z! Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use — APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N me � , Telephone Number Address - License #� t 7 Home Improvement Contractor# �3 vt Worker's Compensation # V�2 oC � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE �' T a p FOR OFFICIAL USE ONLY APPLICATION# S :L_. .DATE.ISSUEDz>�+-'R z;._._VMAP./PARCEL--NO. �T• R ; ADDRESS VILLAGE OWNER r DATE OF INSPECTION: —FOUNDATION' ,. FRAME INSULATION . T' FIREPLACE ELECTRICAL: ROUGH FINAL - - F PLUMBING: ROUGH FINAL t s -, GAS: -•C.,- ROUGH -,- FINAL i'iVFINAL_BUILD.ING S _ . f .DATE CLOSED OUT'` ASSOCIATION.PLAN NO. i ' r "lie Comic-onwealth of 1l tassachusetts Departrent of industrial Accid.ents I Office of Investigations °) 600 Washington Street Boston, 41A 02111 www.niass.g ov/dia Workers' Compensation Iusurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly ?game (Business/'Orgathizatio!vindiv€dua:): JM of New Bedford Co. , Inc. Address: 423 Coggeshall Street City/State/Zip: New Bedford, MA 02746 Phone 4: 508-992-5770 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4 4. ❑ I am a general contractor and 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 emplovees These sub-contractors have g, ❑ Demolition working for mein any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance., required.] I am a homeowner doing all work 5. ❑ ❑We are a corporation and its 10. Electrical repairs or additions 3 officers have exercised their 11.❑ Plumbing repairs or additions .❑i myself. [No workers' comp. right of exemption per MGL c. 152 e i 4 and we have no 1_ ❑ Roof repairs r insurance required.] � , 5 O, employees. [No workers' I 13.�Other Insulation comp. insurance required.] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information. r 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. l"the sub-contractors have employees;they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Continental Indemnity Co. Policy r or Self-ins.Lic.4: 4 6—8 5 5 6 3 7—01 —0 2 Expiration Date: 6/2 2/1 4 Job Site Address: Ciry/State/Zipl�� Z�'t Attach a copy of the workers' compensate policy declaration page(showing the policy number and expiration date). 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ify under the p r and penalties of perjury that the information provided above ' true and correct. Si nature: 0K Date: `,�J -71) Phone: 508-992-5770 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License 9 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r OP ID:LG A`oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDrnYY) 11/20/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER 5O$-997-3321 CONTACT Humphrey,Covill&Coleman PHONE FAX Insurance Agency Inc. MA 195 Kempton St. 0.0.Box 1901 E- ILLO A!C No New Bedford,MA 02741 ADDRESS: Raymond A.Covill INSURERS AFFORDING COVERAGE NAIC# SURER A:Commerce Insurance Co. 34754 423 Coggeshall Street INSURED J.M.of New Bedford Inc. ININSURER B:Torus Specialty New Bedford,MA 02746 INSURERC:Endurance American Spec. INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE _INSR VAM POLICY NUMBER MM/DD E F MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 C X COMMERCIAL GENERAL LIABILITY CBP10000429400 ( 11/16/13 11/15/14 PREMISES Ea occurrence S 100,00 CLAIMS-MADE FK OCCUR MED EXP(Any one person) s 5,00 PERSONAL&ADV INJURY S 1,000,00 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY EOe aBINED SINGLE LIMIT S 1,000,00 A ANY AUTO BBRY16 06/08/13 06/08/14 BODILY INJURY(Per person) S ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMA E S Per accident $ X UMBRELLA LIAB X OCCUR B EXCESS LIAB CLAIMS-MADE 81175C132ALI 11/15/13 11/15/14 EACH OCCURRENCE 5 1,000,00 AGGREGATE IS DED X RETENTIONS 10000 WORKERS COMPENSATION SWCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN N T IT ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT S D OFFICER/MEMBER ER EXCLUDED?(Mandatory in NH) © N/A 4 6-8 5 5 6 3 7-01 -0 2 6/2 2/ 3 E.L.DISEASE-EA EMPLOYE $If yes,describe under DESCRIPTION OF OPERATIONS below DISEASE•POLICY LIMIT I S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(20101.05) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs&Business Regulation License or registration valid for individul use only POME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 103195 Type: e 'Expiration: 7/6/2014 Private Corporatic 10 Park Plaza-Suite 5170 Boston,VIA 02116 JM OF NEW BEDFORD CO. INC. ELWELL PERRY n 423 COGGESHALL ST. g ^ NEW BEDFORD, MA 02746 Undersecretary Not vali with but signature Construction Supervisor -a-se: CS-104088 ! ELW ELL H PERRY � �- 1454 MAIN ST Acushnet MA 02143 �..Gr- 05/20/2015 r OWNER AUTHORIZATION FORM (Owners Name) owner of the property located at View AVE HA 0146-S (Property Address) [� S VA IDS}�-c w� _r—At N ky (Property Address) n 7* s �L`f?'Z2.�3 L P,c P PAN c r% `ice 2n r; hereby authorize J '' t 012 LJ &d-PICJ (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. ell,-4 Owner's S gnature Date i `oFISEtp The Town of Barnstable RAR E. MASS.ASS. p• Department of Health Safety and Environmental Services 0 1a39. �0 A1E0MP+a Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection (-•-�-�� Cns wa�ti:�►, N Location �$i{ Seayt e.-j Avg Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The follows ing items need correcting: I r%. �astC �a�l� C -iM IOo'r y� 7/2 zl�s 110311 Please call: 508-862-493�for re-inspection: Inspected by Date 7)1110 y7`OfINET The Town of Barnstable . - Department of Health Safetyand Environmental Services BARNSTABLE. ` MASS. plFO MAC Building Division , 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location l T r/ Sec , Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. /The follow(ing items need correcting: J J {�eeA C�e 04_ S c r o� i i v L 1 0�,w. ,p I ,�-es Vie- eJ e � �:, ,� --pace D),-A-C.s .I—r(Otc (c;114 r 01 vv,K5 1ON 712?fib , Please call: 508-862-403.8-for re-inspection. t Inspected by AA �--- Ut, Date 7)111LF TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' Ma Parcel � � Application # p Health Division Date Issued LA Conservation Division Application Fee Planning Dept. Permit Fee I �� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project S eet Address Village Owner t Address Telephone Permit Re Test ��00A J • .J Square feet: 1 st floor: existing roposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q7n Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation/No Dwelling Type: Single Fa y Two Family ❑ Multi-Family (# units) Age of Existing Struct e Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes Basement Type: Full 7rawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq'g) Y o � 120 Number of Baths: Full: existing_ new Half: existing new-3 Number of Bedrooms)inding existing new fay,,, Total Room Count (n baths): existing new First Floor Roo CountHeat Type and Fu ❑ Oil ❑ Electric her Central Air: es No Fireplaces: Existing New Existing wood/coal stove: ❑Yes o Detached garage: existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name y Telephone Number, ddress License :;t334,5 \ka� Kv (-,)Q �41 Home Improvement Contractor# Email Worker's Compensation # L CONS T C N D BRI RES ING FR M TH IS PROJ WILL TAKEN TO l 'i SIGNATURE DATE r FOR OFFICIAL USE ONLY r APPLICATION# ' DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE _ 'E OWNER . DATE OF INSPECTION: ; FOUNDATION FRAME INSULATION FIREPLACE Mr ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f} GAS: ROUGH FINAL � f i FINAL BUILDING f t • DATE CLOSED OUT ASSOCIATION PLAN NO. ' 27te Commonwealth ofMassacbustfs D8par umt of fadustrcal Accidents - tie of istig�.arrs 60 Waykirigfon Street Bostari,MA 02111 wn mirtass:gavldia W,orkers' Compensation Insm-auce Affidavit:Builders/CGntractors/FJectricianslPlumbers Applicant 7nfarmation Please PrintI*gibly Name gkmineas! -dual): Addre H�q A M civistatrlAA Phone 47 Are you emglayer?Check the appropriate box: TykN . pro, . (r•equi r-C4: li_❑ a employer with 4- ❑ I am s general contractor and I employees{full andlorpart-#ime�* havebredtbe sub-contractors 6- TinI am a sole proprietor or partner- listed on the attached sheet 7- deliug ship and hate no employees These sub-contractors have g- ❑Demolitioa working for mein any capacity employes and have workers' 9_ ❑Building addition WOE workers' comp.insurance comp.rnsuzance required_], 5_❑ We are a corporation and its 10.0 Electrical repairs ar additions 3_❑ I am a homeowner doing all work officers have exercised their I I.Q Plumbing repairs or additions myself [No workers'mmP- right of exemption per MGL 110 Roof repairs insurance required-]l e_152,§1(4),and we have no employees-[Na worke& 13.0 Other comp_insurance required.j *Any apphi=that checks boot 91 must also fill out the sectina beIow showing&&wothMsT cotnpensatiOn pnlirf•infnrm�iom- Homeowners who submrt this affidsvd m&cst mg they ate doing sil trot end Httuz hie putside couttac[ots muss submit a treat affidavit intri in sack.. tcactoa that check this box must attached an additional sheet show--mg the name of$e sub oohs and state whether acnot thns-e eotfies have anployees. Ifthte m cnnt mctarshave employees,the}must provide their workers'comp.policy number ;t am an employer#Jiang pta•►iegjg workers'contpensalmn irmirratce for my empkyees Below is fate policy and job situ informat6gn. Insurance Company Name: Polvcy#or Self ins.Lie.4: Expiration Date: Job Site Address: Cityl5tatelzip_ Attach a copy of the workers'compensation policy declaration page(shoring the policy number and expiration date). Failure to secure•coverage as regtured under Section,25A of MGL c, 152 can lead to the imposition of-criminal penalties of a fine up to S1,500.00 and/or one yearimprisomnent,as well as civil penalties in the form of a STOP WORK ORDERand a fine o€up.to$250.00 a day against the violator- Be advised that a copy of this stataumemt maybe forwarded to the Office of Imesti ti of the D7A far instrance coverage verification_ Ida# his andpenald afpeU t}tatfhe infotmrtationgranddad above is - ,and crect Sitmature Date- Phone�# L/ 3 ^/ p Phon : ♦. � � _`Z - jjuse lf City or Town:. PermitUcense# Issuing Authoiitg(circle one): 1.Board.of Health 2.Buff-ding Department 3.City./rawn Clerk 4.Electrical Easpector 5.Plumbing Fnsjwx 6.Other Contact Person: Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuantto this statute,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, §25C(6)also states that"every state or Iocal licensin.g'agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for arty applicant who has not.produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political'subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificatc(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retuned 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be are that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit_ The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tha,Comracwmalth of Massachusetts Department of Industrial Accidents Office of I. wstigafians 6G0 Washingtan Sb=t Gaston,IAA 02111 Tel.#617-727-4900 W 406 or 1-977-MASWE Revised 4-24-07 Fax# 617-727-7149 www.raas.5_gav/&a i NrSelEafit Page 1 of 1 S,tA"MULE Logged In As: Parcel Tuesday, October 7 2014 Pa r Frank Schlegel P 1 Application Center Road System Reports Road System Parcel Detail Parcel ID: 1139087 I Sewer Acct: I T/R ;Update';; Devel Lot: Owner: JBAER, MARY M & ROBERT A JR Co Owner: I. Street: IBOX 1590 City: JBOCA GRAN DE State: FL Zip; 133921 --------------- Location: 5771 � WASHINGTON AVENUE I Village: Osterville r-ji Road Index: 1787 Pri Frontage: 150 To set road, you can also enter road index and tab out of field. Secondary Road: �I Sec Index: 0000 Sec Frontage: Visions Location: 1175 WASHINGTON AVENUE I Last Updated: --------------- No. Bldgs: 1 Account No: 74038 Lot Size(acres): 0.71999541 State Class: 1010 Year Added: 1882 Fire Dist: 3 -71 Deed Date: 2/5/2004 Deed Ref: C172046 Land value: 1649200 Bldgs value: 1373100 Extra Features: 47100 ------------- Condo Complex: I Building: Unit: Update http://issgl2/intranet/propdata/pledit.aspx?ID=PL8911 10/7/2014 TOWN OF BARNSTABLE r� DEPARTMENT OF PUBLIC WORKS G;1' ENGINEERING DIVISION 367 MAIN STREET 4r ; HYANNIS.MA 01601 # 188 AP 139 P` MAP 084 j 021 # # 19 / -t T I P 1 3q 0 � 17 �%- 192 / FP A 38 0 # 202 P 162 22 171 / basemaps.dgn 10/7/2014 4:22:25 PM Property tines shown on this plo are for assessing purposes onlij and do not represent actual relationships m physical objedit BIKE rn_ • snanszwat.>r. � "�: ,0� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main'Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 5.08-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ✓C� , as Owner of the subject property hereb thorize .7�- 6e4 h y to act on my behalf, in matters relative to work authorized by this building permit application for: 1(7 # C �,l,�{�I„� ess of Job) Signa6l of Owner Date I Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppDataUzcal\Microsoft\Windows\Temporary Intemet Files\Content.Outloolr\QRE6ZUBN\EXPRESS.doc Revised 053012 .'C_'J/ze�pao�9n920��2cUeCG��.o�C�//�tCddt6GlGciae(.�iJ yf '. '' ,. � ._.._..—_ ....� - -. .._.._._v_-___ ..• License or registration valid for•indi�idul u3e only Office of Consumer.Affairs&Business Regulation . - - - OME IMPROVEMENT,CONTRACTOR before t fationhe expiration date. If found return to., egistration: 128922.; `Type: .:nffce of Consumer Affairs and.Business Regii' �� :•10 Park Plaza-Suite-5170 xpiration " f 6R/2015 individual`; Boston, 1A 02)t16 Pefer•.Kennedy ti oteCKenried 4�14 MISTIC DRIVE.. .'�.x IYAARSTON MILLS, MA 02648" Undersecretary°; Not v lid without signature Massachusetts--,Department of Public Safety I. doard of Buildin •.R6 9 gulations and Standards Construction Supervisor License: CS-073395 PETER J KENNEDrI'` .��• ' 444 MBTIC DR s Marstons Mips MA 02367 Expiration Commissioner' 11/02/2014 ti 11 Sol alo l 3� y 1{e S Y WJau 40 Co l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION cy f Map' 1 3 / Parcel -Application# d �� Health Division Date Issued Conservation Division Application Fe PP Tax Collector Permit Fee I -7 66 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis / t Project Street Address U itol UF,- L L i Village 0 Owner awgr Address flu swIFW V� Telephone orc_q a2rs-- 3 g- Permit Request 9L4 X 3zi Ap Ty T 1 um XIS (WIC Square feet: 1 st floor:existing proposed 2nd floor:existing proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation_ Tom_ OZX7 Construction Type 1W '1;: R e o �; Lot Size 3 /,Lod Grandfathered: Yes ❑No If yes, attach supporting d cumenta' on. `. m r, �l c-) =,l Dwelling Type: Single Family Ur Two Family ❑ Multi-Family(#units) _ o a; Age of Existing Structure_/ ems. Historic House: ❑Yes ®No On Old King's Hi ay: ❑ s No Basement Type: OdFull ❑Crawl i❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ki b Number of Baths: Full:existing new 1 Half:existing new Number of Bedrooms: existing_ new n Total Room Count(not including baths):existing new J First Floor Room Count Heat Type and Fuel: 2 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes , No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:&existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:W existing ❑new size I00 Other: _ Zoning Board of Appeals Authorization❑_ Appeal# __ _ _ _Recorded tonstructilon 5uperv*r� Commercial ❑Yes ®•No If yes, site plan review# # CS 47928 Current Use SIow11c& Proposed UseLSI6JSVC E BUILDER INFORMATION Name 1_3+�_:U X11", .� o ���� �2• Telephone Number ,� q,�O- to Address f 1102 i'1'J,,b n/- 5 i U n,,.�- /8 License# Home ImproVement Contractor � � Home Improvement Contractor# 0641 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR 1 A� DATE 1 _ i y FOR OFFICIAL USE ONLY Z PPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 6K° a ti�(os FRAME K 3 tii1a� INSULATION 1G 31z� a� FIREPLACE ELECTRICAL: ROUGH FINAL �• PLUMBING: ROUGH FINAL 4� GAS: ROUGH FINAL FINAL BUILDING 1 _ �a DATE CLOSED OUT ASSOCIATION PLAN NO. r r r 1. Town of.Barnstable Regulatory Services • �' • Thomas F.Geiler,Director -Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,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: Estimated Estimated Cost f Address of Work: Owner's Name: Date of Application: a- ZaLoo I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 01PROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agdnt of a own r:_ _ Home I V. �m nt Contractor J Date Contra or ame Registration o. OR Date Owner's Name Q:fomB:honzaff&v Sx T °FIKE?I Town of Barnstable Regulatory Services '"zHAS$HL�, ' Thomas F. Geiler,Director 9�prfn►u•�' � 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 as Owner of the subject property herebyauthorize�� T s Imo p 0. to act on mybehalf, in all matters relative to work authorized by this budding permit application for (address of job) Signature of Owner Date Print Name i _y The Commonwealth of Massachusetts 061 Department of Industrial Accidents 600 Washington Street = �x� Boston,Mass. 02111 t Workers' Com ensation Insurance Affidavit,-General Businesses name address: `` cJ city �j j r,wU.6 state' k"►4 aR' ���5� vhone# SZ _Y�G_s1�5- work site location full address ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑RestaurantBar/Eating Establishment worldng in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an em loyer with eu loyees(full& art time). ❑Other %//%%%/O/%/%/////%/%///r%%/%// I////////,/ / /W///// I am an employer providing workers' compensation for my employees worldng on this job. Company name: �� f� ... t .. • . . address :; ..';.. instrance.co;,.. —•' oltc. # : J . '' , .`:'a�a � ❑ I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: com an name• ..t', r.. address:. city 4 ... is "�. " •.t; • insurance co. _ = :'•:..':. . %: .. : 'olicV# ' / //: IIA /// ////////// %////� com an. neaie:••: address cit♦ .. ... . , •, .. phone#i _ • -.i' - iasdra iice eo.:.:r.::; . 'oiicv# ` Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 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 p copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do herebyyjjcertify un er the Ins anenalties of perjury that the information provided above is true a� e e Signature/�� `Llit Date CJ Print name Phone# Icial use only do not write In this area to be completed by city or town official city or town: permit/license# ❑Building Depaztment ❑Licensing Board y ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (rzviced Sept 2003) Client#: 12032 2BISHOPRICST ACORD- CERTIFICATE OF LIABILITY 'INSURANCE 08128/07°"" ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Acadia Insurance Steven J. Bishopric, Inc. INSURER e: Associated Employers Insurance Compa 1112 Main Street, Unit 18 INSURER C: Osterville, MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ' DATE MM/DD/YY DATE MM/OD/YY LIMITS A GENERAL LIABILITY CPA004717018 12/08/06 12/08/07 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY DAAMIAGE TO ISESRENTED occurrence) $2SO OOO CLAIMS MADE OCCUR MED EXP(Any one person) s5 QO0 X BI/PD Ded:250 PERSONAL&ADV INJURY $1 QOO OOO GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s21000,000 POLICY PRO LOC JECT' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ S TH- B WORKERS COMPENSATION AND WCC5003115012007 07/19/07 07/19/08 X WC LIMITTATU7 0ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT s500 OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO ` E.L.DISEASE-EA EMPLOYEE s500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. Steven Bishopric is covered under the workers compensation policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVES G C wi ACORD 25(2001/08)1 of 2 #48898 LS1 0 ACORD CORPORATION 1' Gti IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. i ACORD 25-S(2001/08) 2 of 2 #48898 i REScheck Software Version 4.0.1 Compliance Certificate Project Title: New Custom Rec Room Report Date: 11/14/07 Data filename:C:\Program Files\CheddRESchedd#6644.rck Energy Code: 1995 MEC Location: Osterville,Massachusetts Construction Type: Single Family Glaring Area Percentage: 11% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 184 Seaview Ave Baer Residence Steven J.Bishopric Osterville,MA 02655 184 Seaview Ave Steven J.Bishopric,Inc. Osterville,MA 02655 1112 Main Street Suite#18 Osterville,MA 02655 508-420-3165 Gross Cavity - Cont. Glazing UA 4 Assembly Area or R-Value R-Value D.. Perimeter U-Facto Ceiling 1:Flat Ceiling or Scissor Truss: a" 41.0 0.0 24 Wall 1:Wood Frame,16"o.c.: 760 14.0 0.0 52 Window 1:Wood Frame:Double Pane with Low-E: 81 0.340 28 Door 1:Solid: 20 0.300 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 844 19.0 0.0 40 Furnace 1:Forced Hot Air.96 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 1995 MEC requirements in REScheck Version 4.0.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: REScheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Ma. 02601 1-800-696-6611 #6644 New Custom Rec Room Page 1 of 4 REScheck Software Version 4.0.1 Inspection Checklist Date: 11/14/07 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-41.0 cavity insulation Comments: Above-Grade Walls: Cl Wall 1:Wood Frame,16"o.c.,R-14.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:96 AFUE or higher Make and Model Number. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,fixtures are installed with a 3"clearance from insulation. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are dearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts in unconditioned spaces are insulated to R-5.Ducts outside the building are insulated to R-6.5. Duct Construction: ❑ All ducts are sealed with mastic and fibrous backing tape.Pressure-sensitive tape may be used for fibrous ducts.Duct tape is not permitted. New Custom Rec Room Page 2 of 4 The HVAC system provides a means for balancing air and water systems. Temperature Controls: Thermostats exist 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 is provided. Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non{lepletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. New Custom Rec Room Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" Temperature("F) 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 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurerfemperature 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 and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) New Custom Rec Room Page 4 of 4 BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM Avenue -� 19 - ENCNMARK USE CONC. BND. h�n9toA i T T ELEVATION 21.1' Warp 20' i 2121 _ � I / GRAVEL \ DRIVE \ 2j 1 \ 1 \ • _• t 1 1 LOT AREA 31,500t SF P 0.7t AC. �� 1 TH-2 .1 I HE x 1 x x titi W DED AREA2/. 22 x \ GARAGE x M \ DECK o 0 x _ 1 0- 1\ DOST1NG SEPTIC SYSTE W IN AREA OF x I ED. SEE NOTE 11 N � •� O 3 ryti EXISTIN 6 BR DWELING o_; ' G TOP OF FNDN EL 25.0' x x p 9RCN p p• x x I PROP pN DECK x rn T" x o £ do m x� i 21 I N x/X .0� Vie / i e �Avenu i 12/19/2007 21:37 1-508-428--4841 STEVEN J. BISHOPRIC PAGE 01/01 -D8- 7FJ- (od5U Board of BulldIag Regutattpds jnd Construction Suporylaor L License: CS 47928 Blrthdate: 9/29/190 explraffon: 9/29JZ009 T Sill Restrtc11m: 00 STEVEN J BISHOPRIC PO BOX 656 ,E MARSTONS MILLS, MA O264g Commlaato Board of building Regulptlo�s pod Stan tom, I HOME IMPROVEME14f' ,R CO tle f NTRACT ; Reeistratlon: 106141- Expiratlon: 7/22J2008 TYPO: Private Corporation STEVEN J.BISHOPRIC INC, Sloven Bishopric 1112 MAIN ST UNIT 18 OSTERVILLE., MA 026-55 • Deputy Admirals ator I PROPOSED RESIDENCE " OSTERVII.LE,MA " GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the'Masgachusetts,State Building Code,latest edition.. 2. For site location-and grading information,see Site Plan,by others- 3. Assumed netallowable soil bearing capacity,4=3000 psC for a compacted medium sand/gravel composition. Other soils encountered,contact the Engineer of Record. Compact backfill soils around perimeter with a vibratory compactor. Add sand/gravel mix,as required during compaction to provide final grade. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,.designed,per American Concrete Institute Code,latest issue,maximum slump=4". ° a.) Steel reinforcing bars: new billet steel,ASTM A-615,Grade 60. b.) Anchor bolts'ASTM A307•galvanized,5/8"diameter,12"long,w/2"hook,spaced at 4'-0"o/c max.,max 1'-0"from jogs unless otherwise noted c.) Welded Wire Fabric:(optional)ASTM Al85;fiunish flat sheets. Install in top 1"of slabs-on-grade for temperature/shrinkage crack control. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: it Dead Loads:Actual Weight of Building Components Live Loads:Snow Load=25 psf plus drift 2ND Floor=30 psf i ST Floor = 40 psf Wind Load=2.1 psf 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint Thru-Bolts: ASTM A307,1/2"diameter,punched holes in plates:9/16"diameter. b. Welds: Shop weldcap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders.' c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber.All L.V.L.shall be MICRO=LAM L.V.L.(m.L.)with Fb=2925 psi, E=1,900 ksi,Fv=285 psi,Fc_per=750 psi,Fc_par=3035 psi. Parallam(PSL):All PSL shall be 2.0E ES with Fb=2900 psi,E=2,000 ksi,Fv--290 psi,Fc_per=750 psi,Fc_par2900 psi. Note that MicroLam and Parallam.may be used interchangeably- . Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 3.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified herein. 4.Bolts: Bolts in wood Naming shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt.heads and nuts,shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 5.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at TV o/c,maximum height. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea side Blocking Between Studs 2-I0d toenails ea end,or 2-16d end-nails ea.end 6.Nailing Schedule: All nailing shall be in accordance with Appendix C,unless noted Mein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b.Sub-bore where;nails tend to split wood. 7. Headers less than 4'-0",use 3-2x6;all others per MA State Building Code Table 3606.2.6. kt I C H E L E tick CUDILO ° No.34774 uj 11/09/07 STRUCTURAL / / /2007-167 BISHOPRIC �04,",L t ;v 57' 17' UTILITY 6'11 x 5' I� LAUNDRY 9'1 x 12'1 ro BATH 6'11 x s 10 ENTRY n 9'1 x 9'1 �IUP i 32'11 7'1 KITCHEN �o 16'4 x 15'6 Frc � a — UP foyer 327 x 10'5 Pantry/Hall - - 16'4 x 4'6 � N � 9'2 N +I r I � Dining/ Music Room 31'1 x 22'4 LIVING 15'9 x 23'4 --- 57 LIVING AREA 1765 sq ft aj7)0% hing Ave��e to" TOV`;N ' F E3ARNSTABLE Was Z00� -6 PM I S8 LOT AREA --'DIVISION 3 0.7±7f AC.. SHED GAR. I O O O„ N O EXIST. CONCRETE DWELL. FOUNDATION 16 9' P � Aven� Sea Vie FOUNDATION PLOT PLAN DCE #07-245 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE. LOCATION : 175 WASHINGTON AVE. PREPARED FOR: OSTERVILLE, MASS. ROBERT BAER SCALE : 1" = 40' DATE : FEBRUARY 6, 2008 REFERENCE MAP 139 PARCEL 87 LCP 7725A I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. a4T��H OF MASSY .` cl, � ARNEoff 5W—M-4W fox 5W W2-9M o H. down cope engineering, Inc. / U o.J 6, tN Cl VIL ENGINEERS I LG b LAND SURVEYORS sb Q` 939 Main Street — YARMOUTHPORT, MASS. DATE REG. RV EYOR r„ _ r1�2)6S oFt rqs, Town of Barnstable *Permit# 8) .9 Expires 6 months from issue date _ ; ,,,ST" , : Regulatory Services Fee v M"M •p ' Thomas F: � Geiler Director �p 16J9• ��0 'ED'AD` Building Division Tom Perry, Building CommissionerX-PRESS T 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 JAN I. e 2005 Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAIDONE = SARtST ,;ELE Not Valid without Red X-Press Imprint " Map/parcel Number Property Address ❑Residential Q Value of Work Owner's Name&Address 0bc��c `U Ps4�(L- i / 1 / Contractor's Name T S't0 C- Telephone Number Home Improvement Contractor License#(if applicable) 106,1411 Construction Supervisor's License#(if applicable) n4 22:5� (�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �LT Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to M Atj_-��,�o ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *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. Signature Q:Forms:expmtrg Revised121901 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 106141 Board of Building Regulations and Standards One Ashburton Place Rm 1301 Expiration: 7/22/2006 Boston,Ma.02108 Type: Private Corporation STEVEN J.BISHOPRIC INC. Steven Bishopric 1112 MAIN ST UNIT 18 �_, ca.i c OSTERVILLE,MA 02655 Administrator Not val' ithout sig ature •�'".' `.". �'!ie �oa.�mwouueal!!a a�✓�raaac�uraelCa ! ! BOARD OF BUILDING REGULATIONS i ".License: CONSTRUCTION SUPERVISOR Number: CS O47928 t IL Birthdate: 09/29/1948 Ezpirbs: 09129/2005 Tr.no: 2637 Restricted: 00 STEVEN J BISHOPRIC PO BOX 656 MARSTONS MILLS, MA 02648 Administrator IrO -- -�'l)SU:Ft1oaJ i F111 II I I II ' C),C. ... ........ 7b i5 � 1 � I 4 v . � i I ....._._.. ... :...__._. -. __._ :......_...... ID'' }wool �i�v , r I Pr ��c 1c mac, !�',l ., _.'1 _ �-- —._..._—----� � �r P' � ..T^,•:, �' axa Mf►v1�e�4.,y I ' ( , , �.c.. CA C-V, GYP I s 76,9 c 7 .�,�► ' UTILITY 6'11 x 5' LAUNDRY 9'1 x 12'1 I BATH 6'11 x 81 ENTRY 9'1 x 9'1 �S't1 s KITCHEN 16•4 x 13'6lp IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING foyer BEYOND 1200 SQ. FT. PER LEVEL MAY REQUik": 7327 x 1015 =-. x to's INSTALLATION OF ADDITIONAL SMOKE DETEv.;.NU Pantry/Hull ELI +a's x 416 NOTE: A SEPARATE PERMIT IS REQUIRED Fr%,% THE INSTALLATION OF SMOKE DETECTORS-THE EL EC n SAL vx a' PERMIT DOES NOT SATISFY THIS REQUIREMENT. q i. DECK 21'4 x 13'5 Dining/ Music Room 272 x 23'4 LIVING shower 1519 x 23'4 5'2 x 4 if 11.1cl, O I I WetBar/Office 227 x 1011 01 LIVING AF EA Game 2%5 sq Ft ROOM 33'5 x 12'6 619---- W6- W6. 6 341 - 16% 4 •` • ' r ' , � ��� • r III ! t I 1 I I i I Ol I I � I.\ 17 Tit W IF t ' - - - --- --- - _ -_ 0•G ;jyt C�-vpv r i S! %iv.�� � I � I I i i i I i i I T-. ' f i I � I , r�A:l I i ( 1�•ci. dscbC i-Y I i I � 4Y, -r