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0038 WATERFIELD ROAD
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Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma-us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �'� �� Not Valid without Red X--Press Imprint Map/parcel Number )_ D Property Address 5 2 V 4�r f ('z �` yt` y ❑Residential Value of Work$ -7 7 �� Minimum fee of$35.00 for work under$6000.00 __..... ._.._.. ..-- _............... _ ---....._......_._..._.__..__._.._.._..._... Owner's Name&Address E (� (I Contractor's Name Telephone Number ' Home Improvement Contractor License#(if applicable) ! 4' Email: —2 L Construction Supervisor's License#(if applicable) lJ Yworkman's Compensation Insurance Check one: JUN ❑ I am a sole proprietor 0 2014 ❑ I am the Homeowner T �V 19 I have Worker's Compensation Insurance 1 QWA o��� Insurance Company Name (� t �c< MAISMIRLE Workman's Comp. Policy# l� G ` 3 7� / Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) 1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to la v P%_� 7 ❑ 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. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of Home mprovement Contractors License&Construction Supervisors License is req re . SIGNATURE: Q:\WPFILES\FORMS\building ermi f \EXPRESS.doc Revised 061313 Txe C'onxtnoymmM. ofmassaehusrf Depart of liulustrial Accidents - Offwe of fmestikoons 600 Wrrsharigton&reet Boston,.MA 02U1 wmv.7nass-goy1dia Workers' Compensation Insurance Affidavit:B.udders/ConlractorsfFAedricians/Plumbers Applicant Information L Please Print Lef ibly Name 9ki6w s/G nanizafionlf idivianaq- C/ 1 G CJ. &!fl C- City/StatrMp: C�-2 yl -�Gr // Phone ` ZFF- 7 — s Are yarn an employer?Chec3�.tbe appropriate 4. I am a contractor and I- I..P am a employer with. 6_ ❑New consiniction - employees{fall and/or part * lravelzir>~dthe sub contractors. 2_❑ I am a sole proprietor or partner- listeZ on the attached sheet 7. ❑Rem deling slip and haze no employees These sub-contractors have g_ ❑Demolition working forme in any capacity_ emPio yees and have workers' 9_ ❑Building addition [Noworkzrs'comp_insurance cam-iasurancf.I repair-il 5_❑ We are a corporation and its 10_0 Electrical repairs cr additions 3.❑ f am a home caner doing all work of firers bx-vm exercised their 11_0 Plumbing repairs or additions myself.[No worms'oDmp- right of exemption per MGL 12_.❑Roof repairs insurance required-]t c-152, §1(4) and we have no employees,-[Na,workers' 131❑Other comp_insurance required.] °`may appticaat that checks bowl umst also fall out the section below sbnwiug their vwkea�compensadou policy iuformati� T Homeowners Who submit dus affidavit l %ficsfMg they are doing alI trodc and dies hire outside cozitracma most submit a ww affidavit infficstiag snr}L =Cant mcturs tbst check this b=must sttarhed an additional sheet shotcing the name of the s*-c s and stsan Whether ormot those Imaities Save emplayees- Ifthe sub-contmctars have employees,they nn, provide their workers'comp.policy number I am aaz employer Mat isprmid&W workers'com per mtkon imrrtra ce for my engAoYges Below is thepolicy anal job site irtformalian. Insurance CompanyName: �6 4,:t/z wL _ Policy 9 or Self ins Lit-;� l� 5 �l S '3 ��7c9 /Lr ExpintionDate. e7 Li Job Site Address_ S2 kza City/State/Zip:- P!5 Attach a copy of the workers'compensatiam policy declaration page(showing the policy number and expiration date). Failure bo secure cm-erage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.Od 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 tiie DIA for insurance coverage verification_ I do hereby certify ti 7/� pants ai dpenatlieso,j"perjurythat theintformidianprmddedakveisbzta rr ri correctSianatum: Date: Phone#- C� U`� - 7 `7 - Zz OfjLcial use only. 1?v not twice in this area,to be completed by city or town officiaL i City or Town: PermitUceuse# Issuing Authority(drde one): 1.Board of Health 2.Budding Department I CiWrl own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 I t. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an enTloyee 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-contractors)name(s),address(es)and phone mmber(s)along with their certificates)of insurance. Limited Liability Companies(I-LC) 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 snre 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 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-,U 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 gilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.a.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice 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 CommoDweatth of Massachusetts Department of Industrial AccOeen QfZce of Iuvg�stig2ttiom 600 Wach�oa Street Ruston,IAA 02111 Tel.A 617-727-49OG W 4-Q6 or 1477 MASWE Revised 4-24-07 Fax#617-727-7749 www.mass-govldia DATE(MMIDD/YYYY) ACO CERTIFICATE OF LIABILITY INSURANCE 5m2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF IN O NEGATIVELY AMENDRMATION , EXTEND OR ALTER AND CONFERS NO TIHE COVERAGE AFFORDEDGHTS UPON THE ABY THE POLIC ETE HOLDER. IS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEG BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. cy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poll 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). CONTACT PRODUCER FRANK L HORGAN INSURANCE AGENCY INC NAME: 44 BARNSTABLE ROAD PHONE c FAX No PO BOX 250 E-MAIL HYANNIS, MA 02601 ADDRESS: INSURERS AFFORDING COVERAGE NAIC q INSURER A: LM Insurance Corporation 33600 INSURED INSURER B: CAPE & ISLANDS CONSTRUCTION COMPANY INC INSURERC: PO BOX 210 INSURER D: CENTERVILLE MA 02632 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 20102526 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. ADDL SUER POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MM,DD/YYYY MMIDDIYYYY LTR ®RRENCURRENCE $ COMMERCIAL GENERAL LIABILITY TO RENTEDS Ea occurrence $CLAIMS-MADE OCCUR (Any one person) $AL&ADV INJURY $L AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRO- TS-COMP/OP AGG SPOLICY❑JECT LOC gOTHER: ED SINGLE LIMIT $dentAUTOMOBILE LIABILITY INJURY(Per person) $ ANY AUTO BODILY INJURY(Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED Per accident HIRED AUTOS AUTOS $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAR CLAIMS-MADE DED RETENTION$ A WORKERS COMPENSATION WC5-31S-377540-014 5n/2014 5/7/2015 STATnACCIDENT $ AND EMPLOYERS'LIABILITY YIN E.L.EACH 100000 ANY PROPRIETOR/PARTNER/EXECUTIVE N1A 1OOOOO OFFICERIMEMBER EXCLUDED? E.L.DISEA $(Mandatory in NH) 500000 if yes,describe under E.L.DISEA $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION EAR F THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE ON DATE THEREOF, NOTICE WILL BE DELIVERED IN ZOO MAIN STREET WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE LM Insurance Corporation ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERT NO.: 20102526 Lucy Garfield 5/7/2014 7:38:38 AM (PDT) Page 1 of 1 Estimate .. 841. Date May 20, 2014 :. Cape & Islands Construction Co. P.O. Po Box 210 Terms Centerville Ma. 02632 508.775.7663 Ship Via Ship Date Bob Jokela 38 Waterfield Rd. Osterville Ma. 02655 978-660-0851 ID D- t CERTAINTEED Certainteed Shingle Roof 9,775.00 Strip existing shingles from roof. Secure any loose sheathing. Install Hicks brand vented aluminum drip edge. Install Wip brand Ice&Water Shield to all eves, rakes, valleys and all protrusions. Install Surround brand Synthetic Felt Underlayment. Install Certainteed Quick Start starter shingles to all rakes&eves. Install Certainteed LIFETIME architectural shingles. Storm nail all shingles. (State building code requires 4 nails, we use 6) Re-flash all vent pipes with new boots. Install Rigid Vent II ridge venting. Remove and dispose of all job related waste. leave your property looking like we were never there! Provide all manufactures warranties and LIFETIME warranty on our labor, if it ever fails due to our workmanship we fix it,forever! It's The Best In The Business. Please note our wind warranty is also the best And longest available ANYWHERE! U T al Page 1 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor i License: CS-074660 JOSHUA X KOURt PO BOX 210 CENTERVMLE MA'0 '3 Expiration Commissioner 02/12/2015 ,�::—�_- _.__:_�':�:---.::.:........�_--:•-.-•.::r:-�::M-ate..• . V/ie�anvr�aon�pea�o�G�aac�uaeL7d � . °Office of C'06uiner•Affairs&Business Regulation !•i ME';IMPROVEMENT CONTRACTOR (I egistration: 936..: Type: zpiration:t 4L9/201.6� _ Private Corporatioi•i \ y I. CAPE& ISLAND.CONS--T•.RU,CTLO.Ni,.CO INC. 9_ j JOSHUA KOURI 55 ELM AVE. HYANNIS, MA 02601 l._r Undersecretary' j I � p +� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0�8 O� �—' Permit# —7 71 SEPTIC SYSTEM MUST E Health Division T1-"�F �5 INSTALLED IN COR,IPLIAN to Issued Conservation Division WITH TITLE 5 FeeIn ��►�� ' I� TAL CODE AND , Tax Collector g EGULP'MONS Treasurer 7 ; r Planning Dept. Date Definitive Plan Approved by Planning Board f Historic-OKH Preservation/Hyannis ' Project Street Address f w A'C ,a to KQ r .Village t "" 0S•M4,U-t- Owner JA*tt'S osorJ s �JN-,W C. LV44 ' Address Telephone 1 "��� �{7=4 O Permit Request �-- C� BrLrti. ��M•M.�'`aS PQo�C. 0 1=S'_ �,,� c SEr, ('hC-W_ _Dft,n s t�.��- E t�.�rb�.Fc k{ 6,�lyrw.,5, ti` 5�b�S 'w��,, 8r Cw6d*iO + Square feet: 1 st floor: existing . OC] 6.proposed fJ h 2nd floor: existing Sou sift. proposed f� Total new Valuation ..y q 0() C Zoning District Flood Plain tJl' — Groundwater Overlay Construction Type 'PAwv,4-VS Lot Size At445S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family. Two Family ❑ Multi-Family(#units) Age of Existing Structure `"f 7(2S. Historic House: ❑Yes P<O On Old King's Highway: ❑Yes ❑ No Basement Type: O(Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) 6 Basement Unfinished Area(sq.ft) 6o s4 Number of Baths: Full: existing new Half: existing t--f)A- new Number of Bedrooms: existing new AJ IA Total Room Count(not including baths): existing 60 new First Floor Room Count Heat Type and Fuel: 0/Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes VdNo Fireplaces: Existing ` FS New Existing wood/coal stove: ❑Yes �o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O/existing ❑new size. tJ# Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Oo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �A^^�r"S B- �vSurJ FFr C ova- Telephone Number � �`Li g-o— --Ja -4 r1J4o-( e. 1. S J9 a i Address License# Home Improvement Contractor# f Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -0U SIGNATURE DATE r •- FOR OFFICIAL USE ONLY PERMIT NO. �, PATE ISSUED °` MAP/PARCEL'NO. ADDRESS VILLAGE OWNER �'�, - •" ..: ' DATE OF INSPECTIOM FOUNDATION-. FRAME �2G� INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Q �J "d Z C� / DATE CLOSED OUT ASSOCIATION PLAN NO. y , The Town of Barnstable Bwi KA&& Department of Health Safe and Environmental Services °r���� P . Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 -Building Commission: 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 as 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: A m\t-tr Estimated Cost dv� Address of Work: 513 F► r 0 5,r6w�L4,e l A A Owner's Name: erg S vu ' Date of Application: '8U I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]Job Under S1,000 (:]B ' ding not owner-occupied caner 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. i Date Owner' Name q:forms:Affidav assach uselts The Commonwealths Accidents Department of I p�caollasesti0090S 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insur�Ceda tee: ►ovation A ohone# City I am a homeowm P work ////� %//%/%/%%/%/%O%%/%/////'/,! star and have no one is aav I am a sole oa this•ob worl ;4:<:.::.}:.::.:{.:;.:.;:4::{{..: .}:.;;:;:;}i»:.:........ / � � � .:•;.::.•{•x•:4}:5 :::v..:::::ii is{.:i::•::.v.::::.:?4T4::is�:}:4}:J:::::}i}:Y:.:::.:''�'{v:::?:;?::'.:'.:.:':�: iding workers ::..... vim. ............:.:..,,... .ry...::.{t..:t�?'•n''��°y.>4r: ,��:.. .:n•4• w ... {..,::}.}:::{:•;}.::�. ;iir::.w:ivp :%':.}}:?:?:+:}:::;i :•,:.'::{: ': ;�::::::::;::::':�::•.' ....;..:,::::.;:�<:;:•:::.:'.;mar..r: . : .y.., ................:.............. .... .{:. .w< ... aL4..a�. v. \rv:.....r:.4,y%iwi:vi}vi}}:j?•}:::::::.:::{{:•ryv:.:Y:{{ii:i:;v:}L::}}{?[;ii iJY':{:.�:.::.....;....:�. 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I d that a ryomamt as wan as dva paraltlas iatha form ors S'r0P one pearl �P be forwarded m the OIDoa oSIn�L�of tba DIA for aovmfa n�0n' copy of this statanmtm y idaabove is ttue and Coned "du utformadon Pro+ 7 do hereby coo under tke paacs of `—Q _ c print name town o®dsl oMdai we only do not write in this am to be by dh'or E3Batlding D eparunent penumcme 0 ❑Licensing Board city or town: ❑Selecttncu's OMce asa ngairtd ❑Health Depar=ent check it immediaterespo pymta - ❑Others contact person: Information and Instructions requireson.25 all employers to provide workers comgensstion fo:T^cam Massachusetts General Laws chapter„152 sectilo ee is dedefined as every'Peron m the service of another under any emplovees. As quoted from the `law , an emp y of hire. express or implied, oral or written. oration or other legal entity, or any two or more �: 1 of er is defined as an individual, parmership, association, Corp th� , ..fin emP �e le representatives of a deceased emplo��er, or .. the foregoing engaged in a joint enterprise, and including rep association or other legal entity; employing employees. However the own—of a trustee of an individual,partnership, and who resides therein, or the occupant of the dw--Hin^home dwelling house ha-.ping not more than three ap lovs persons to do maintenance , consttuction or reP�work an such dwelling house or on thr �oun�: :.: another who emp 1 be deemed to-be an employer. building appurtenant thereto shall not because of such emp oym'eat 152 section 25 also states that every state or local licensing agency shall withhold forthe anvlaPP�cantce •whc• ,1GL chapter in the.commonwealth of a Iicense or permit to operate a business or to e with insurancethe coverage required. Additionally, neither the not produced acceptable evidence of compliance enter into any contract for the performance of public wort;uLj common«�ealth nor any of its political subdivisions shall. of this chapter have been presented to the cones acceptable evidence of compliance with the msuuaace authority p poi :applicants b checking the box that applies to Sronr situation nd Please fill in the workers' compensatian � completely, y _ e ���phone numbers along wrth-a certificate of insurance as all atndat•its may b.. supplying company nary' won of insurance coverage• Also be sure to sign a, submitted to the Departm=Of hd=UW Accidents tDhe�,or town that the application for the permit or license L date the affidavit. The affidavit shoiild be retumedd ate. matrons regarding the "'law or i Should ypu have=Y being requested,not the Departau®t of Industrial Please call the Departiaeat at the mmtber listed below. are required to obtain a workers WMP�on Pohl''P rri............... "r/a/gy, City or Towns fete printed fly. The Departzneat has provided a space at the bottom c- he Plase be sure that the affidavit is comp has to contact yOu regarding the applicant. Please aindavit for you to fill out in the event the Office of n m lber. The affidavits maybe re��t^ be sure to fill is the pemut/!ic® a member which will be used as a ref erence the Department by mail or FAX unless other arraagemcs have bees made. Office of Investigations would Ike to thank you in advance for you cooperation and should you have am quesnOns. Tn.. e do not hesitate to give us a call r/:N Tne Depamnent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ofitce of Imrestigallons 600 Washington Street Boston,Ma. 02111 fax 0: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 The Town. of Barnstable �FIME T Department of Health Safety and Environmental Services ' Building Division BAMS'ABM ' 367 Main Street,Hyannis MA 02601 MASS. 1639. ACE p�,I p Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: l n a C) C JOB LOCATION: 38 k 'a� �J number street r village * HOMEOWNER": JANIx � - L VC•Aa' �s�h(�TCOSZi.-' �1�'a�IO� U`oa-OCoOU name ° home phone# work phone# CURRENT MAILING ADDRESS: Aiv% city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re ' Signature Homeo er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN w ' I AWRENCE READY MIXED CONCRETE CO. TOLL FREE 1-800-633-8889 Oil 16`� I ,1 " r SERVING CAPE COD u * Oil 4k b u- a � �� �. ��, ,,tea ��� •; may+ �"#c ^'' +• _ $ .,.:Iw�r /� «wfN' a `+1�i �{q t ^C,�y:� Y. � •. "`' �A �F. I NAM '�•R;'^tYfl31r �., '�� - � ,'« �'.�-�s. � � r-' r4 -w t a §.� "�9Mr'��' 4r��"'a�. `*' y..,6 s4- ,yw'' �. �,' + wkjj".•A ryy T 5` :'as d. tape n �p r. «�-•! yw. �.,,`.. '.; K,'-c ,. « Ls ^`�"` �','t.^-► ;k •�v °�a ` i r TVs ,�;, » .`�� � +�^ '•��'�p ,�� wYe' »��� « ;,2, s` � � _ � �� �', ��� 'a, •, " .� }�'.� +•\ -_•..' •"'.'F'F piF`1Y+"�4 x ?'Y..;, ..4 K:dfY. �M .:. 'ay � 'n. y y��r �F i s�� toys �ii Y F !. p w ~ - ! i iR� E# •fix`.$, d s . .. �...^9. ��S .� tea•.. .. w u ; , 9 � PAN +se � � '� ��q t � � F-�•'�^,;y7yy .:,�, rl^vl +� s ,�' Fyn, y v�r• R� 'r JAW„ ._ - ate.• .. �•,. ;;� ,,.. �e.r� n t �� � � II - ..w,S •car-^••.. .:M a .. �a.E f��a;of ,c.++'' ..�� �•�'. x . iswam k smWK Qw— AM a P +,'�,r 4; s.:. F `,y� = :F i' •.ks'+' �"' i.:£'� +>" �� w't �4�' x+,{ nP, ..:py ^,j. y...`.,j�u:'.` Via,...➢,• �`" 'W' '3 ...:>^� 'S+ ..,`Po. ,� w n x: x x - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel '7 'J - Permit# Health Division vl 3�21 ( a ���j� Date Issued Conservation Division �l9tmia�.p� �� i Fee c Tax Collector �t_I (2 (C �I bpp, ��� 00 Treasurer o 3plo a�) SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN C0MPLIAPe WlT'FI TITLE 5 Date Definitive Plan Approved by Planning Board f;y;i,3VI R,C.K�sirFP'�T,�p r , -- Historic-OKH r)Z A Preservation/Hyannis Project Street Address Village (�6 Owner an6. V t45o Address _v- wa6,-A c(d I Telephone Per it Request � 1 "C l R 1 O x �!0 P n Square feet: 1 st floor: existing proposed 12-2-- 2nd floor: existing l0 proposed Total new 3 Ll Valuation Wing District Flood Plain Groundwater Overlay Construction Type w4Z) . i / c:� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Lot Size ( Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2® Historic House: ❑Yes Cf o On Old King's Highway: ❑Yes �No Basement Type: ❑ Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �O Number of Baths: Full: existing 2, new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: *Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes X No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes I 10 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size `` Attached garage:A existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# n Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name /—,cv1 t-5 Telephone Number �� -7 l�7 6— 0 5 1 Address i&z &AG� r� License# 0 off DZ&k, le. MiL Home Improvement Contractor# t Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �-- a - FOR OFFICIAL USE ONLY s PERMIT.NO. DATE ISSUED MAP/PARCEL NO. s ADDRESS -' VILLAGE r - OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL n ' t PLUMBING: ROUGH FINAL GAS: ROUGH a FINAL FINAL BUILDING DATE CLOSED OUT w h ASSOCIATION PLAN NO. T y l , i F r , q e The Town of-Barnstable = Regulatory Services a Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner . 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790=6230 Permit no.' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW 6 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: L'dJ' �T , Estimated Cost O Dz) Address of Work: �f L✓!�kl 9j92 Y i 0 ✓11 i Owner's Name:' C6&7- Date of Application: >-7 , I hereby certify that; Registration is not required for the following reas*s): ]Work excluded by law ❑Job Under$1,000 FlBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given.that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ' _ i� LOU rs a)s 1 b Dat Contractor Name Registration No. OR g1orms:Affidav :rev-122001 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE : 7-9-1980 DATE OF PLANS : TITLE : COMPLIANCE: PASSES Required UA = 110 Your Home = 105 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 360 30 . 0 0 . 0 13 WALLS : Wood Frame, 16" O.C. 536 13 . 0 3 . 0 38 GLAZING: Windows or Doors 120 0 . 310 37 FLOORS : Over Unconditioned Space 360 19 . 0 17 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found _in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 a J4 .4 . Builder/Designer Date Table JS=b(awn na prescriptive Paekasta for Om and Two-Famiip Rtaidoadd BsiMhW Ona d wem FONd Faeh MAXIMUM M>�Y[M[J14! Glazing Glaring Ceiling Wall Floor Baa®ent Slab Hc=° oling Area'(•/.) U.valuc R-value, R-value, R4%it ' R.vWaau pain padcaae 5701 to 6500 Heating Degee Dam Q 129'• 0.40 38 13 19 10 6 Normal R 12% W2 30 19 19 10 6 Normal S 12% 0.50 38 13 19 to. 6 85 AFUE T 15% 036. 38 13 25 WA WA Normal U 15% a46 38 19 19 10 6 Normal v 1 S/. 0.44 38 13 25 WA WA 111 AFUE W 15% 032 30 19 19 10 6 IS AFUE X 18% 032 38 13 2S WA NM Normal Y 19% 0.41 1 38 19 21 WA WA Normal Z I8 Y. 0.41 3i 13 19 10 6 90 AFUE AA 18 Y. 0.50 30 19 19 10 6 90 AFUE 1 ADDRESS OF PROPERTY: ��Q ka' , pi 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: J 20 4. %GLAZING AREA(#3 DIVIDED BY#2): r S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DFIERMINWG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q4orms-080303 a Footnotes to Table J5.2.1 b: ` Glazing area is the ratio of the'area of the glazing assemblies (including sliding-glass doors, skyliehts, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example;3 ft'of decorative glass may be excluded from a building design with 300 ft'of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken-from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness, over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathin& Wail requirements.apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. '.The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'TFe entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcrt the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES..- a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include snuenaal components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U=value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal'to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 Altentions/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE'WORKSHEET NEW LIVING SPACE `3 6 0 square feet x$96/sq.foot= "34. 5&( x.0031= /®7. plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE Y)/,4 square feet x S64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 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 S30.00= (number) ' Deck x$30.00 (number) Fireplace/Chimney x S25.00= (number) Inground Swimming Pool . S60.00 Above Ground Swimming Pool $25.00 Relocation/MoYing $150.00 (plus above if applicable) Permit Fee pmjcost The Commonwealth of Massachusetts —y Department of Industrial Accidents _..s _ omcror �roas . 600 Washington Street ' Boston,Mass. 02111 Workers' a pengstioa hLmraaee davit r rign e: location. z one D -7�'°617 city I am a hemeowaer I am a sole etor aad have.no one wmid=g is aav dm ❑ es, I am as emIoyer g+workedca for m9 ez�iaye an«.v. ......r.. ... v:.:::..............n....r.. �� x.♦... Job. w �t4..n,♦ �. 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Fadbae to somr,evmu"as rtgairtd os:dta t3ea1�ZSA otMQ.L4 a3slaad is eels itapssitlaadaa�a�ai pdin ota tbsa up 6 si soo oo smd/or aoa years'bgTbommsast a vma as dva penaltln In tba form ata aW NMM OBDF.B d a ems ecsjmm a day nptist zm I=dast=d that a oapf of this state:osat may be forwarded to the OIDoe otIatntitaitiaos of tba DIA tot.eo�rsp I a3o ha�cby a ctls�y P��P afPQ1�9 °bO�is C° Ca Dftm 3 --� lit� � • �`�s � " �� olflcial nre only do'not writs in this area to be completed by city or on o@dal city or taws: pssmit/Wmw M ' ❑BnildlaC AePs t Board ❑cize&ifiaam&&I mponm is required Osdecomas Ottice • _❑SnithDepsstm� contact person: phom MC Other (ts�w 9/93 PIA) Information and Instructions to provide workers' forth it viassachusetts General Laws chapter 152 section 25 requires all.emp yers to p :mployees. As quoted from the-"law", an employee is defined as every p==in the service of another under anY cam of hire. e:cPress or implied. oral or.written. An emplover is defined as an individual partnership, association, corporation or other legal eatitY, or any two or more of the-foregoing engaged is a joist enterprise. and including the legal repzt cwztives of a deceased emPlover, orthe recz.n,e. o. custes of an individual., partnership, association or other legal eatity, employing employers. However the owner of a dwelling house having not more than three apartments and who redder ti=iM, orthe occupant of the dwelling house of another who employs persons to do maintenance, c=structioa or repair work on,such dwelling house or on the errnmric cr building appu mnant thereto shall not because of such employment be deemed to be as employer. ter 152 section 25 also states that every state or local.licensing agenry'shall withhold the issuance or renewal MGI:chapter beast who has of a license or permit to operate a business or to construct buildings in the commonwealth for any a pp i not produced acceptable evidence of compliance with the insurance coverage required. Additionally, c=nu=wealth nor any of its political subdivisions shall eater into any===for the pm*rm==of public work until acceptable evidencecomp of iiaacc with the insurance requa=rrift of this chapter have been presented to the authority. swo -Applicants ensation affidavit completely,by cog thc1mc that applies to.your stun and Please fill in the wozitnrs' temp . suPplymg company names,address and phone members along with a of iasuaaace as an off davits maybe -submitted to the Department of Industrial Accideats for of �coverage- Also be suue'to sign and date.the affidavit The affidavit sliouid be.reined to the city ortow .that the application for the permit.ar lic�se is big irgnrsKed,not the Depardmu:a of Industrial Accidents. Should you have any q=dons regarding the"law"or if S-cu are required to obtain a workers'ccmpensadoa p�y�please Department atthe member listed below• . wynir• i-'57 /e, City or Towns has dud a space attht bottom of the Please be's=that the affidavit is complete and printed legibly. The Department prove ��.PL�se affidavit for you to fill out in the==the Office of -has to contact you regarding apP reaan to be sure to fill is the pe>mitllicease tmmber which wM be used as a refer F I nz her. The affidavits may be the Department by mail or FAX unless other have beeamade. M=Office of Investigations would Mtn to thank you in advance for your cooperation,and should you have any questions- please do not hesitate to Sive us a call. . „- The Department's address,telephone and fax member The Commonwealth Of Massachusetts Department of Industrial Accidents since of lavesduatioas 600 Washington Street Boston,Ma. 02111 far#: (617) 727-7749 phone-#: (617) 727-4900 exL.4069 409 or 375 Board of Building Regulations and Standards MR HOME IpVEMENT CONTRACTOR Re st_ i0h— 4 ra ion THE STERGIS Cp ° LOUIS. STERGIS V�� Y . 161 BEACH ST I�ENNIS,MA 02636\� m'strato t �;zio}e93siu�[uP,,y . 8d;9Z0 ,W SINN3A - 09LL £OOr rs dxr 900LAS;0 ° ?�agwnNF I. aOSI%,�2i3dfclS�N,OI1T+afa1211�SN�F asua��ji � `S °I����fi1�J321��YN1a,l�8i�0 aa�d�oa A:• �3�l:Lla' - aa'CL 1 _ r� ' Y) ;S7r v: %:4 i �„ _ ::' The Stergis Company 161 Beach Street Dennis, AAA 02638 5 1/ 1- TPIMI ly I x(0 sop 1 X 514 r; s i f C IC4 s a �-P v crK, 18 o, 7Sc� ��8�ti✓ s� `/y�r14 Edson )Olo kn �S li.{-« _ The Stergis Comj g', � 161 Beach Strec, . y� Dennis, Mq o26 nG U►- -v� -# d 1 td(S 1�LA�QC L i lox " , The Sterges Company } 161 en is, Nsq 0263 z-X 12, �" �s Zx � - �l sl,►►� I�cs �v�.� i r - -- - �— --- ------ xS l4 3o o. 7Y s6 t-�����-��o�v �la� '/4" The Stergis Company 161 Beach Street Dennk MA 02638 . tau At Al I 2 I ri TOWN OF BARNSTABLE 37214 BUILDING DEPARTMENT Permit No. ................ TOWN OFFICE BUILDING Cash ,,X,$550.... HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Charles Tardanico Address 38 Water Field Road Osterville, 14A 02655 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .............. June..1.4.. . 19 95............. ...... ................. Building Inspector ; PAYABLE TO: TOWN OF BHRNSTAELE BUILUNG GOMMWJONERS OFFICE Charles Tardanico P.O. Box 304 ACCT.# Hyannisport, MA 02647 VENDOR# "::.: Awn. So, PO# — i .it'..,y'i'�:•�'$drt�':�,+►t:<•."_ .'r'1a'"'f1,``'RTt�iY"`,�,t�'�+*F'Wr�rWcT..Y�''t'Y.e�';rb+%"-xiCa'^1`4wf •'-'w-,�;r�;�°^'....,. .y:-...:'.-a.. .t. ,..'s,.-,+s: T-r- ... ..�. � ,.,;.... ,.--f.� _ TOWN OF BARNSTABLE Permit No. .37 .4 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .... $550.,00 .... � 619 ►.�o�+� HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Charles Tardanico Address 38 Waterfield Road Osterville, MA 02655 USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL f SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. i June 14 95 19................. ... ............................ Building Inspector TOWN OF BARNSTABLE, MASSACHUSETTS r° Aa119.028 n - �,t DATE November 9 19 94 . PERMIT NO. NT 87214 APPLICANT Charles W.. T�ardanico ADDRESS BOR 304, Hgannisport, MA Build Dwell ill 1 (NO.) (STREET).. (CONTR•S LICENSE) PERMIT TO ' g ( D/ STORY Single Family Dwelling DNUMBER OF WELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING R`+ AT (LOCATION) 38 Wate fi ld Read (T.At ')�y (latcarnlho afA DISTRICT— IN0.) (STREET) 1 BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE i I BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Sewage # 94-658 REMARKS: CASH BOND '. (Charles Tardanico $550.00 I AREA OR 1124 square feet P* 0. Bo 386e•uaannisport FEEMIT 146.25 VOLUME ESTIMATED COST $ (CUBIC/SOUARE FEET) OWNER Charles Tardanico ADDRESS P• 0. Box 304, Hyatmisport, MA BU I LD BY M. S OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS IRE TO FINAL INSPECTION HAS BEEN MADE, 3. FINAL INSPECTION BEEFORFOREE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 01 3 HEATING INSPECTION APPROVALS LL 4'Osr_�ENGINEERING DEPARTMENT I Qr GaiV��C-a3�'J i� G IR 5 Z Zr o 'I - ^/SL�3eo I OF H TH - 5 SC OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC-' PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. 74.55, i � ham, ^) W E oO h 0 I tea• i o , ti �6. LOT 2 60,657 sq.ft. o O�. �� r �� EXISTING CONCRETE FOUNDATION //AA 60�p. I CERTIFY THAT THE STRUCTURES ARE SHOWN ON—rHE PLAN AS THEY EXIST ON THE GROUND 11-z`t�gh DATE PROFESSIONAL A SU VEYOR . PLOT PLAN 11 OF�yq PEPARED FOR: SAMS REALTY TRUST y►� REGIS1EREps9i+y LOCATON: LOT 2 — WATERFIELD ROAD, OSTERVILLE, MA. STEPHEN N DATE: 11/26/94 J. � SCALE: 1" = 80' DOYLE y 37559 FLOOD PLAIN DATA: LOT 2 DOES NOT LIE IN A FLOOD HAZARD ZONE. NO. PREPARED BY: STEPHEN J. DOYLE AND ASSOCIATES lqN� sua\1 � . 42 CANTERBURY LANE, EAST FALMOUTH, MA. _--_TELEPHONE: 508/540_--2534- --_-- I RED BRICK CHIMNEY + CONT. RIDGE CORE VENT 41 LEAD PAN FLASHING ASPHALT ROOF SHINGLES 12 10 ta8 FRIEZE 80. "ALUM. GUTTERS 1 k DOWNSPOUTS ,(TYP.) 3/4' BED.MLDC. T. — -, ©a a 1 x 10 SKIRT 80. 1 a 10 SKIRT 80. I c / _ R.C. CLAP90S 0 3 1/2' ExP. / DROP FOUN. WALL 1'T Front Elevation SCALE t/a•_,'-cr _ i -- RED BRICK CHIMNEY t x3 SHINGLE STOP t x8 RAKE 80. ' t2 14 CORNER-BM 12 (7YP.) { I FALSE RAKE' ALU14 GurrERS -I ---_ --'—_ --_ 0OV�POl1TS W.C. SHINGLES O 5 W000 Mt.' 2)W TOP _ ---AND SO11GM RIBS. - .4X4 POST$ MUSTERS 2x2-Q W. O.C. (SEE OETAii) - 1z1O SKIRT BO. ... 'j L - - :'Side SCALE t/4 mot•-O' .. - ••�: .'_-yam:,.:• .. - .�. . . . '•L - RED BRICK CHIMNEY CONT. RIDGE CORE VENT i I , y; RED BRICK CHIMNEY 12 � 31/2 :r••r.:.: 1 u3 SHINGLE STOP I x8 RAKE 90. 12 a CORNER BD. 12� _ 1rz5 C(TYP•) -- - t - �-- W.C. SHINGLES O S EXP. ALUM. GJ ERS & DOWNSPOUTS III I 1 100 SKIRT BD. Right Side Elevation SCALE 1/t'-1•-Cr -__,a: REO BRICK CHUTNEY '•1: .Jt= - C01 r..RJDGE CARE it 1 3/,C BED NLDG. GUM /WM.. :' - 1■e_ gp, LEAD PAN fL�ISHING • DOW1'�SPDI TOP OF PlATf ��-,'ter,.' , _--,i:• _ _ ��; - _ .. ..'t':i°:,}ka:r'': i'� ••L .j\, �' _ -�--.J K.C. SHINGLES • S O.C. 2—NO FLR, TOP COW ..-r_ • •• _• DROP FOUNDA71pN WALL ,-�r Rear Elevation SCALE 1/4'-1•—D• !:.:.. __a_ .... • _-._ _ �. `,.:c ;.y: �lieli,::r''kr.ri�'..1 :'t'+' �i �µY .h.-.',.•: L• :.i; is C 1.!'i�, � .' i�, '�1'r-. ^;�d .�'•��s<:+'k::�:'r.t�Q•�' .y�,�' :;S'::,,:�,:.~ .r:.p : ..f<•j `ilt}:: 36� i)• !:c{;T"� •'.)'t;'.:L,t.':'� ::i.,jy�a:T�f..:i•�' �v. s. �"/t r. 1 ,e�'' 1� l,r.�4. �r'}'' • . 9,,,��a.,�•i'' 7 `I+•Lam' 1... .r- 6.r• r yY Yr M •1 t- � ';c�4S S "�r:2?{•�.. e.:,.. 7 .. 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It d t ! \cI From ROCK E T Lw 1 bf r. !i•rtrthPA WALL AU r1a. I a!•, i R ter. VI I 7 O.M. OL D LI I 7 I F Mgr ~ • Lill o•� II 1bEy IQODM k S dl Ull Zr = no 6L.l�J A. 4; t44 i•.. I t tv l • ,�fj1ty 'tom c:`.1 i 1 't' .. .. yr. .ht�t. #���,�.?•. • ,''v; BILCO Y I I I 1 BULKHEAD !' ` 1 , IY 3'9r'HIGH a E' THCK. POURED CONC. DEPRESS Ir , ,' , , FOUNDATION WALL ON Irr1e CONC. FOOTING " + 1 I 1 DROP vcr FROM TOP OF HOUSE FOUND. WALL - - -- r- - - - - - - - - - - - - - - - - - - 1 I - - - - - - - - - - - - - - - - - _ - p' r - - --- - - - - -- - - - - - - - - - - - - - -- - - - - - - ' ►- -- - - - - - i �(_-- --- ---------- 1 1 T. 1/Y■12r GALV. A.B. • 6'0' O.C. `2x4 KEYWAY W/#4 REGARS .' I I + r.,, 141 I d 1 1 it O.C. MIN. J PCS. J'LDNG EACH ' Full Basement !' CONC. SUB rLR. ,e*r•, I i �w „• k. ON CLEAN COMP.SAND BASE M I 1 I :`f• r :l+' ( r ID I .r 5 '-6' S'-T 9M.PK7. 1 ♦ 1 I 1 b "� , ',`>t,t 4' CONC. SLAB FLR. b , I I �! 1 I 1 I I I 1 1 ON CLEAN COMP.SAND BASE 1 1 ° ',.'t :V-.P, N 1 1 1 1 L _ _.J • 1 1 ti l GIRT I ,r 1/2' DIA. 1 1 c' S 1 Ih - ' - 71 CONC FILED STL I I \ I 1 i `' cc"''.'=tit•x. '`,:, I 1 I I I ION LA_Ll' COLUMNS ON I 1 I • I' I �, ,Y .y�> �.,,. r -II 30'► JO'r 12*CONC. , • I I 1` }:' Y� r� #j ,•y3 1^ 0} L al FTG. (TYP.) FIB - - - - -� 1r _� - J; 4 12' THK. CHIMNEr BASE j. 7t . `• , r W ¢ ' 1 I DEPRESS 1f 1 1 IL - - - IL - - II 7'9"HIGH . 9 THCK. POURED I ' - - - - - - - '� - - - - - -- - - ' 1 -:4'I' .'r b • "'I f ,r - - - qI / CONC. FOUNDATION WALL ON , I 1 1 BMIPKT. ••••�� 11 6'r1G' CONT. CONC. FTG. , r_ _ _ - _ _ _ __ _ I ' - - - -I_ - - • _ - _ - - - - - �� 11 \ li +/- - - - - - - - - - - - - - - - • I 1 !Vl •�~i• - - - - - - - - - - - - - - - - - - ��'' /..,: qRT - - - - - - - - - - - - - - - - I� ' b I 2.4 KEYWAY W/A4 RE-BARS —/• I I 1 I I 1 ' �':�•.. °• 1 I 12, OOW14,0 12' O.C. � 1 El-LONG.BEI:1 O 9r DEC 1l-G K,= ! i-•_�' _r p-C- ; ;. -Foundation._ _. Ian - --- ASPHALT ROOF SHINGLES CONT. RIDGE CORE VENT 2x 12 RIDGE 80. 12 � 3 1/2�— /' / \\ 2x 10 ROOF RAFTERS METAL DRIP EDGE-/ENT— `— / 9 FBCL.�r(rSli l.e i IOP OF PLT. �.._.--- — — 1 1 ll It2 1/2� CYPS. 80.E 2x6 CLJSTS O 16' O.C. (TYP.) i i 2x4 EXT. FRAME WALLS i 3/2x10 2x10 RIDGE E i W/3 1/2' FBGL INSL. �\ i i� PLYWO.SHEATHING 6c Bath `i 1 lxo TYPAR HOUSE WRAP i W.C. SHINGLES O S' EXP. (R.C. CLAPSOS WHERE w SECOND FLR. SHOWN ON ELEV'S) � w II 11 2X8 FLR. JSTS O 16' O.C. � TOP OF PLT. — —_ — _ - - - - � — 4 Tr- O II Kitchen Entry cc + + + ► n 8/5' PLY SUBFL. + + II ( + II 2x8 FIR. JSTS O 1(r O.C. + + II FIRST FLR. 1/2'x 12' GALV. A.B.- + + U 6'Or O.C. \ - - - - - - . - - _ _ j• 1. 6' FBGI..INSL. / I — — — — — — — — — — — 3/2x12 GIRTH Full Basment; t I •..ail, i11f -ilj._. 1/2' DIA CONC. FILLED STL. LALLY COLUMNS ON 3C'x3d'x i 2' CONC. FTG. I, 7V••MICN X r THCK. POURED COW- FOUNDATION WALL ON IIr x Ir CONCT. CONC. FTG. 3' CONC. SIAB FLR. I 1 t — � 12'-0' 12•-Cr 2•-d Ty_ ical Cross Section A SCALE 1/4'eI'-0' i '.[h(e"•ro,x.5{tin�,',�, �' .. ,...,�,yi,s,r'�+�•,Zlw ..!:J�t�'41L11tF:!v:..'v:1�i W',;:�-;•w�.::...,.y: ,.�. s. ... �iu •.. _.. ---� "�!:•;.. ..'+a.::i._f-,+:' +a�`e.s.�6W►�wri isi.%1:�i, t COMMONWEALTH //��� Fallurstoposaoss"arreot +� OF 1/ '�( pPARTMENT OF PUBLIC SAFETY a. �?assacbu:att�SlgtsBu11d1AA i t E ASHBORTON PLACE MASSACHUSETTS f• r� Codoiscaasat0rt@w0c4tloa BOSTON,MA 02108 � EXPIRATION DATE'. FOR PROTECTION AGAINST y. RESTRICTIONS _ I 1 EFFECTIVE UATE LIC-NO. fly, :,'' THEFT, PUT RIGHT THUMB �("� PRINT IN APPROPRIATE t BOX ON LICENSE W TA.. At, , f1N1 :_0 `S. BLA0: 1 � L;%- X STfNG�jDPERATO RS MUSTjiN6tDE PHOTO �. PHOTO(BLASTING OPR ONLIl FEE: 1'Flftii hi I' r 0 IR .NA I" o 1 - NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY I J i. HEIGHT. STAMPED-OR•SIGNATURE OF THE COMMISSIONER • 4 r 1-. DOB: ' � THIS DOCUMENT MUST BBt'. { CARRIEOON THEPERSONOF SIGNATUR LICENSEE �'SIGN NAME IN FULL ABOVE SIGNATURE LINE ( v THE HOLDER 'WHEN E.N. t�_ OTHERS-RIGHT THUMB PRINT CAGE OINTHISOCCUPATIOtI; - ,T (�onz�7�o�zeueaCth o/ maijachuieth 2',parinwnf 01Jrzdu-11riaC A,i L.b 600 1/Vaeliincgfon Street James J.Campbell a..7osfon,;MwjacLie1b 02111 Commissioner Workers' Compensation Insurance Affidavit (Itcensee/permittee) with a principal place of business at: I/,WP 7 , W �-( ty/srate/Zip) do hereby certify under the pains and penalties of perjury, that: () 1 am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. () 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () 1 am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. Signed thi ��_% � day of 141"- Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERA FORMATION C : 617.727-4900 X403, 404, 405, 409, 375 Assessor"s Office(1st floor) Map. !ff Lot Oop� �_ Permit# — Cons Q 9crvation Office 4th floor �`�--��-� =t $�a�`�'1 S �� Date Issued CLBoard of Health Ord floor y °Rb Engineering Dept. Ord floor) House# +��® Plannin De t. 1st floor/School Admin.Bld . : �' ® ® �/'� �A� i Definitive Plan Approved by Planning Board /V h j 19 (Applications processed 8:30-9:30 a.m. & 1:00-2:00 p.m.) �� 12 TOWN OF BARNSTABLE r M� Building Permit Application Protect Street Address �`��%��/� , � LOT�� Village Fire District �/�' bv( Aq (hvner �, f i4i[/iG[J Address Alp X 7�/ /��,9,�s/ii/�S exec GetG�j/7 Telephone 75= e{S47/ Permit Rcguest: 4L AIZ-1V /L Zoning District / ( r Flood Plain e i Water Protection Lot Sizc Grandfathered Zoning Board of Appggls Authorization Recorded Current Use Proposed Use Sirlgcz 7EN Construction Type IV 9,9 1) Eaistin2 Information Dwelling Tyne: Single Family Two family Multi-family Age of structure AAA AI Basement type Pav,-gI f0,y rye 72— Historic House 11//1A Finished Old King's Highway- /V/9 Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel .-W 5 lrisVw Central Air No Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name /--?,; ���i3sYic0 Telephone number 77S-z L'9rr1 Address � �,�t� License# ?d2 T, -n4l� Home Improvement Contractor# 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 BETAKEN TO �i9/�iVST�9i3LL- �� L L : Protect Co 09 000.00 ' Fee a Z�2 SIGNATURE .c. DATE BUILDING PERMIT DENIED FMTHE FOLI6WING REASON(S) 1a /'g �/� BPERM T FOR OFFICE USE ONLY • ADDRESS 38 Waterfield Road VILLAGE Osterville r Charles Tardanico OWNER DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING:'-, ROUGH FINAL GAS: "; '-ROUGH' FINAL FINAL BUIi DING,`" DATE CLOSED QUTa . z ASSOCIATE PLAN NO: - — Ad APPLICATION FOR PERMIT TO INSTALL AND RE UESr .£` FOR ELECTRICAL SERVICE" Inspect re Wiring Permit # COM/Electric 3-21S$ 9 Town of Massacyhhuusetts/� , Building Permit # Date Customer: �"1J I l � T V►p� _eon Strree`?#) •" '-• -- - Lot# in-the village of utility pole number or underground number Customer's billing address iL Temporary New installation Change of service Starting date 9,— Job description i Service entrance voltage Amperage Phase Wire size(cu.or al.)T*a AL Conductor per phase Number of meters__I____�Water heater Off peak: Yes—No— Estimated load: Electric heat kw, lights kw,Range dryer Mgtor I�P�&ffhase Ready for first inspection _ Ready fo final ins a tion ����-��JJ 6�LL_ Electrical Contno Lic, # 3 Telephone # Address I U OX 6q Ft) ST04(_g MA 0 (o 4 ` Additional Remarks: Z'N$ C o Do Not Write Below This Line " t ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE n�To CHARGE Temporary Service i Roughing in �� Service and Meter Off Peak Meter Final Approval Disapproved' 'For the foQowing,reasons .June 11 1995 . ara e outlet not�f.ui rotected:+`K —Count er- o tlet. for penninsula r_equired (over V ) . outlet for 2nd floor bedroom at dooV enterance required. CERTIFICATE OF INSPECTION Reirispecton required. „�,j � � �„��) Date To the COMMONWEALTH})ELECTRIC COMPANY. a installation describ above has been completed and has this day been inspected and approval granted for connection to y�ur service nspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S`NOTICE � h Office u.e only The Commonwealth of Massachusetts Permit No. Deparrment of Public Safety Occupancy&Fee Chocked BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance With the Masaachusens Electrical Code. 527 C+MR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date IZ� G�4 TOWN OF BARNSTABLE To the Inspector of Wires: The undersigned applies for a permit to�perform , the electrical work described below. Location (Street b Numbe�r).�. Ow.rer or Tenant Owner's Address Is this permit in conjunction witq a building permit: Yes VNo El- (Check Appropriate Box) Purpose of Building _Utility Authorization NO. Existing Service Amps / olts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above I - No. of Lighting Fixtures Swimming Pool grnd. 1 ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting ,Battery Units No. of Switch Outlets No. of Gas r FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. f Air nd. t s Initiating Devices No. of Disposals o. o Pumps TTtas To KW No. of Sounding Devices No. of Dishwashers Space/Area H in9 KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heatin vices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KIj No of No. of Low Voltage i ns Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO I have submitted valid proof of same to this office. YES❑ NO If you hav;710ND ked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ OTHER ❑ (Please Specify) (Expiration ate Estimated Value of Eleptrical Work S ;1 I �` Work to Start Inspection Date Requested: Rough `` 1 Final Signed under the penalties of perjury: �.( FIRM NAl� VLL LIC...VO__�I'�� aL Licensee Signature LIC. NO. "[ Address Bus. Tel. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or Its r - stan[iel equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) I '�q ' aQ Mass. Date C 3 i 1A Permit # "T J I,D Building Location COT 2 WAf6P_ l6U)pwner's Name I. R DA"I(_0 L 0s Type of OccupancyS�AGCL New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ NoP 7 N ¢ N W rq Y = ¢ y N Wy ¢ N4 ¢ UO o U O J }' !¢>- ZZOO Q ¢ O O F- m W O a C IY .W Q 1-. N > Q W a ¢ OF O F _ WWO J F' Q Z ¢ cc J C W W U H C C9 F 2 Z W W O > LL F- J �.. W Z Q W d C Q ¢ 4 4 O O W G O W F- Q W > ¢ W ¢ '2 O 1" O SUB—BSMT, BASEMENT 1STFLOOR ( _ 2ND FLOOR 3RDFLOOR I 4TH FLOOR 5TH FLOOR 6THFLOOR 7THFLOOR STH FLOOR A ' / Installing Company Name /vl(K,6:—.C�,.l /IJ` Check one: Certificate Address AA t4anl'11 e::S ❑ Corporation /L�d�/ L❑ Partnership Business Telephone �4�/ 2 �f /U Firm/Co. Name of Licensed Plumber or Gas Fitter SAAAA.t= INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets,the requirements of MGL Ch. 142. Yes Z No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter.142 of the Mass. General Laws, and that my signature on this.permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are t ru n accurate to the best of.my knowledge and that all plumbing work and installations performed under the permit issued for this ap atio it a in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General S. BY T of License: Plumber ignature of Licensed lumber or Gas i er Title Gastitter Master License Number_i�rr /Lily City/Town Journeyman APPROVED BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES Ar PROGRESS INSPECTION FEE , (,'@ _ 57 N APPLICATION FOR PERMIT TO DO GASFITTING f :r f NAME d TYPE OF BUILDING TA"A LOCATION OF BUILDING s PLUMBER OR GASFITTER . ..LIC. NO. — 1 PERMIT GRANTED DATE GASINSPECTOR !-1 The 61 B ach St is Beret ny Dennis, MA 02638 ov-Cr ir: Te 14— 11 C►)K Pl� Y� qDETECTORS O.K. C � U `Z ARNSTABLE BUILDING DEPT. I X 6 S� ► x5lq C s 4b — � �P 12ca� , _ i8 � The Stergis Comp j 3 r �J sI 161 Beach Stree t Ci Dennis, MA 026 X. t \ I X // ; f7�� 0 \�,s- ) O COrY1.(� I V I n rr—"" 1 V►�C�oV� # Ot red U l I es s" 2-X Sk QDB '� .. � d � 'ds/ (�v� 2'2.� �,J 1C �-�j�/4 �- � .U!-}�' . �-`f'1 fl . ►�'1v1�� t=aso�, PIG vq PPOY elevol-rZI-4) The S#ergis Company ZX 12, (11 rS is, MA 0263 zx )0 I I �iC I S�I✓1 C3� + J C+ ' (c- O,al- i r u `'Colt' r xA ►, de _ Ily j,.�s6 J n Gl t 1 O OJ T I GZ NJ The Stergis Company 161 Beach Street Dennis. 02638 (lam �0�7� Yl /r T ✓k .l3SL F- 8 X 9 ��C ids ` - - -- - - - - -- - - - — - - - ��� i -- 4bI. . I I of � � a . �1 The 61 B chStreetCompany Dennis, MA 02638 ZK I Z- -"'-3 -roL. &p�d Sln l r j f Ys SMOKE DETECTORS O.K. i� �� C►�1� p1r�w�,�d �� � v . a�z D✓J/ 2, )-X (0 ��S BA NSTABLE BUILDING DEPT. /Y,B I X( Sop i i x5lq 4Q# _ .�OYm, s C iC-1 s p I - �o Je s� The Stergis Cotn :i,.3 r 161 Beach Stree:t Dennis, mA 026 12- NZ (y fI J,174 I o f� g ,(f) . �2 'dsi ''vd 22' % "�X �� .�D 14rt" . � -10ff g � 4 A at The S#ergis Company 161 Reach Z-X l Z f° enJnis, NSA 0263 Is 4LI .J � . i4-o I �s zx Zll< Ic— u "coXP� � O 1 LJ dL4-32 1Q. O . 3C� �� l r vJ k Lf ���,►�} - f Iola ► ? s� Oavef twj x�s/3 ak i R.O. �'�Ile bli x 0 �rov�56r^ l 1 The Stergis Company 161 Beach Street Oennk MA 02,638 �' I I I � I ► I I /J <t The ieeh Company Dennis, MA 02638 Z-K I Z - {l d. . Skinf�s SMOK DETECT®RS O.K. 1 . d G � d✓vl/ 2.,- �, 16,br, BARNSTABLE BUILDING DEPT" X sap oi;v -y p,c-r- I X 514 - CoYM s LL C icA s Am o✓�'' O a I� izc i 8 ' The Stergis Com-, l a 1 � 161 Beach StreC t r V-�' � Dennis, Mq 026 nc. 12r v2, 1 I a)-v— CfA �(s j tFo -------- Pu'Cko v�- -�� d,tz -rl ja 'c_Plac� -yu e.Ic- o"�� "J -OK - to 2-X QEB ) rl The Stergis compan 61 en iS, AM Wei co - 4 9 2.X Cedor U���] f I 1 0 IC_ Lf � u "cOXPI � ,r / RAJ. 3oK Ox4+� �o �- R.O. 0 0 /w'o t-���,���-�o►v POIJ The Stergis Company 161 Beach Street Dennis, MA 02(i38 8X Ig paa�7 Y) P� � Inds ` - .- - - - - -- - - - - - - - I -�2 i � � I I - f� 7¢5� i N D 2 l.oc i mt u 'tj SPa huo ®-�✓ Fond. 0( x EAC - ,J Tow ti row Sea it Rd S .. LANDI (��• S�, S k10 9. " ey C Oef a 6 i O F Rd 0 g\ o S l�' o Y Quad y TbWN Rd ANOlNQ�Oa T o AIN ;J 04 AV1LLf -T,c:> c:� 0 1 V L 491 • GRAPHIC SCALE 40 0 20 40 80 160 ' ( IN FEET 40_;__ft - 2 r �6 �ti� 60, 65 7 sq. ft. Assessors Date: Map 119 Parcel 28-2 N0 -to, ` Locus Address: 14 1z ` 38 Wa terfield Road, 0sterville - O Proposed Addition ` . \ ; ro �� Zoning District: RC � , Overlay.- WT �0 z2 \ .' IZVA Data: Zone "C,,,FIRM Panel 250001 0016 D ,� D�• \ \ \ ` 1 - Map Re r July 2, 1992 1 � � tr N. �►J Q o � . \ \ ♦24 ¢93 a 1 ec \♦ \ 261 OF 28 a' GISTE 9c sTEJ.PHEN .Plot .Pl a.n Of -La.n CZYam``. '� .- r �• Lance ce DOYI�\ ' y Depicting The Proposed Addition to erra M0 37559 The -Edson .Restde.nce m ESSti oar i in ` r �( ,. A I hereby certify that the structures are ` p. Os tervzlle, Massachusetts shown on the plan as they e$ist on the o �;��� p a-3--+A-o'Z ground D ll Q Scale: I" = 40' Date 3ferc1l 12, 2002 y �' prepared By ?r Stephen r Doyle And Associates os-Oy-o2 S �`.` aori P ``.,'� // 42 Canterbury Lang E Felmouth MA 02636 Date Professional Lan Surveyor ` p /340- Tele hone: SOB 2334 .R -,,-A s 10 2-s_ .S Z c=>C 2� NO. DATE DESCRIP77ON BY i p PROFILE OF PROPOSED SEWAGE SYSTEM NOT TO SCALE TOP FOUND. EL. 41.0 a✓ DESIGN DATA: �A MAX. 1' COVER MIN. 1' COVER STRUCTURE o. DESIGN FLOW 3 k V w f ou prSPA = 330 ctP A ids � p � � � - o 1000 GALLON TANK INV. EL '3z.o ' L d f , INV. EL. 3 l.S 6' x 4' d W/4' LIQUID LEVEL INV. EL. 3Z•� ° a DIST/BOX i LEACHING PIT W/6" SUMP - W/ 3 STONE t =4 d a INV. EL. 31.8� ALL AROUND p f% SEPTIC TANK 330 k 1•S = �`\5 c�?� ysE \0f>0 C.TALW1� T1;Nj. - N V. EL. 3 Z..3 _ ' s __ .a o a y 7 4' EFF/DEPTH LEACHING FACILITY Z� x �, x � � z.S INV. EL. Z<p,O `Z p - v�oy5 MRT. 3'7G + 1\3 -A46`�= `10q - 330 t q C-cPFIVE y5E t�) co'11�A x 4' �ccfi �►t W 3' sroNE DESIGN STRUCTURES TO BE SET ON A LEVEL BASE ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE 36/ ALL PIPES SHALL BE SLOPED 1/4" PER FOOT EXCEPT FIRST TWO FEET OUT OF DIST/BOX WHICH SHALL BE LEVEL 66 / ALL MATERIALS AND CONSTRUCTION METHODS SHALL CONFORM WITH MASS. TITLE V f ENVIRONMENTAL CODE. �4 ( st3s• LOT 1 y 56,960 sq.ft. .01 Zi / ZZ -CA o Go L O 2:V/ ko H x 150 LOT 2 ZT i 7 6.20. 2� 60,657 sq.ft: z' w 3� 3130 ,I , �1Lrl si 343 •.•.. k SOIL OBSERVATION DATA: TEST DATE 1z -v\- q3 'Q1 y`\ tO ` ♦ \ \\ ���e ~ 1 ENGINEER PROPOSED .ta \ B.O.H. AGENT "6R3'� � � � DWELLING EXCAVATOR r-'A-LtA _ Ad __. su PERC/RATE L- z M�\1- 1 1�-N — _LZ TEST N0. t7 i�. 8\ O \ 3z 30 - EST. GROUND WATER TAKEN FROM BARNSTABLE - YARMOUTH MAP <10.0' / PROPOSED SITE PLAN e�. 7A,a IN OSTERVILLE - BARNSTABLE MASS. �;t�p C. DEPICTING C• �.. F 1._a .•_'� �. ' f MA LOT Z , WATERFIELD ROAD To f 1 2a3 '� y 4' — ,,. FIhlr SCALE: 1" = 40' DATE: 4/26/94 r, , S. DOYLE AND ASSOCIATES 42 N� T NZo OLAVAD f HATCHVILLE - FALMOUTH, MA.U RY NE O 536 508/540-2534