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Town of Barnstable Building
t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be KeptBAMSUBM
M^S& Posted Until Final Inspection Has Been Made. Permit
i639 ��
fit• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-1641 Applicant Name: Jonathan Whipple Approvals
Date Issued: 05/16/2019 Current Use: Structure
Permit Type: Building- Insulation-Residential Expiration Date: 11/16/2019 Foundation:
Location: 289 WEST BAY ROAD,OSTERVILLE Map/Lot: 116-111 -Z—.o,,ning District: RC Sheathing:
Owner on Record: CANZANO, ROBERT A&JOAN M TRS Contractor Na me:'^�,JONATHAN N WHIPPLE Framing: 1
Address: 256 BEACON ST., UNIT#3 Contractor License: CS-078683 2
BOSTON, MA 02116 Est. Project Cost: $9,899.00 Chimney:
Description: Insulate attic, kneewall, crawlspace Permit Fee: $ 100.48
Insulation:
Fee Paid:' $ 100.48
Project Review Req: 1
,r
Date: 5/16/2019 Final:
Plumbing/Gas
Rough Plumbing:
'\Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance.
All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. # (` ,
!` 4ermit.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,
Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to.the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site ��.
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
"W Town of Barnstable _ Building
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept,
BAMSUBM
MA & Posted Until Final Inspection Has Been Made. P�y.y�l*
1 11 jj�l�l 1,
r +' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-90 Applicant Name: James Curley Approvals
Date Issued: 01/14/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/14/2019 Foundation:
Location: 289 WEST BAY ROAD,OSTERVILLE Map/Lot:_116-111 Zoning District: RC Sheathing:
Owner on Record: CANZANO,ROBERT A&JOAN M TRS Contractor Name`'-_JAMES P CURLEY Framing: 1
Address: 256 BEACON ST., UNIT#3 Contractor License: CSSL-099138 2
BOSTON, MA 02116 N Est. Project Cost: $9,500.00 Chimney:
Description: Strip and re-roof approximately 20 square of asphalt roof shingles ' Permit Fee: $48.45
Insulation:
Project Review Req' '
Fee Paid:'[ 5 48.45
Date: ��� 1/14/2019 Final:
Plumbing/Gas
i Rough Plumbing:
``Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'Six months after'issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open:public inspection for the entire duration of the
work until the completion of the same. {__ �_ M y r
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this"permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:]
rf
1.Foundation or Footing .- Rough:
2.Sheathing Inspection E
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons racting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
. Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
"c
Town of Barnstable Building
u�tvsrwe�t,
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
Posted Until Final Inspection Has Been Made. Permit
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-18-1099 Applicant Name: James Curley Approvals
Date Issued: 04/18/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/18/2018 Foundation:
Location: 289 WEST BAY ROAD,OSTERVILLE Map/Lot: 116-111 _ _s Zoning District: RC Sheathing:
Owner on Record: CANZANO,ROBERT A&JOAN M TRS Contractor Name. JAMES P CURLEY Framing: 1
Address: 256 BEACON ST., UNIT#3 Contractor.License: CSSL 099138 2
BOSTON, MA 02116 Est. Project Cost: $ 12,000.00 Chimney:
Description: Strip and re-roof approximately 30 square of asphalt architectural Permit Fee: $61.20
style shingles � Insulation:
Fee Paid: $61.20
Project Review Req: Dater 4/18/2018 Final:
Plumbing/Gas
Rough Plumbing:
\Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after1ssuance.
All work authorized by this permit shall conform to the approved application and the.approved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. I
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Fire Department
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT—ISSUED RECIPIENT Final:
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Town of Barnstable ffl'BE�"E-
200
Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: TB-18-1099 Date Recieved: 4/12/2018
Job Location: 289 WEST BAY ROAD,OSTERVILLE /
Permit For: Building-Siding/Windows/Roof/Doors
Contractor's Name: JAMES P CURLEY State Lic. No: CSSL-099138
Address: Centerville, MA 02632 Applicant Phone: (508)790-4508
(Home)Owner's Name: CANZANO,ROBERT A&JOAN M TRS Phone: (508)428-6493
(Home)Owner's Address: 256 BEACON ST.,UNIT 0, BOSTON,MA 02116
Work Description: Strip and re-roof approximately 30 square of asphalt architectural style shingles
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Total Value Of Work To Be Performed: $12,000.00
o
Structure Size: 0.00 0.00 0.00,
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: James Curley 4/12/2018 (508)790-4508
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $12,000.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $61.20 4/12/2018 $61.20 X700C-})M-XXXX- Credit Card
5483
:_.._......_._._...._.... .......................__...----....- ...__._..._.__....Total Permit Fee Paid: $61.20 .. . . . . ..............................
V,. Town of Barnstable *Permit# - C0
�.' XVIres 6 months front Issue date D
s�srnss s. = Regulatory Services Fe
9eb 161 ,0� Thomas F.Geiler�Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,.Hyannis,MA 02601 ®PS
Office: 508-862-4038S P"T
Fax: 508-790-6230
" JUL 2 2-2005
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint TOWN OF BARNSTABLE
tp/parcel Number 4 (P---- - \
,,petty Address Z
Residential Value of Work ` � , � Minimum fee of•$25.00 for work under$6000.00
Wner's Name&Address
)ntractor_s_I Telephone Number J5b-v3(o�
ome Improvement Contractor License#(if applicable) ` Q a
00
instruction Supervisor's License#(if applicable)_
Lj
jWorktnaes Compensation Insurance
Check one;
❑ I am a sole proprietor
❑ I am the Homeowner
` ] I have Worker's Compensation Insurance tsurance Company Name 61A-
lorkman's Comp.Policy# l:E' ✓ 1 a
'opy of Insurance Compliance Certificate must be on file.
ermit Request(check box)
❑ Reroof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of root)
Re-side
❑ Replacement Windows. U Value (maximum.44)-
+Where required: Issuance of this pemsit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.•
***rV.Property Owner must sign Property Owner Letter of Permission.
me rovement Contractors License is required.
signature
2'Forms:expmtrg
tevisc063004
i7 ,2
�oF r Town of Barnstable
Regulatory Services
BAMSTABL&MAn Thomas F:Geiler,Director
'0!(epra�0 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
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize _ to act on my behalf,
in all matters relative to work authorized by this building permit application for.
(Address of Job)
S' ature of Owner Date
Print Name
Q:FORMS:OWNERPERMISSION
The Commonwealth oj'Massachuseus
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
..Jy www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/orpnization/Individual):
Address:
City/State/Zip: Phone#: 6-6� �� -7 �'
Are you an employer?Check the appropriate box: .. Type of project(required): ..
1.(� I am a employer with �/Z 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner-
listed on the attached sheet t ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.] officers have exercised their
3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
❑ .� �
myself.'[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs
insurance required.]t employees. [No workers' 13.❑ Other
comp.insurance required.]
'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information:
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.-policy-mfonnation.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job scte
information. r , Q—
Insurance Company Name:
Policy#or Self-ins.Lic.#: (p Expiration Date: d `OZ 00(p
Job Site Address: Al� W ' City/State/Zip: 0.;-�C!1 *-
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 caii 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 ce ify u r t e a d penalties of perjury that the information provided above is true and correct.
Signature- Dater
Phone#:
official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
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#:
i
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employee,
Pursuant to this statute, an employee is defined as"...every person in the service of another under any t ontrac of hire,
express or implied,oral or written. OT
; .
An employer is defined as .`an individual,partnership, association, corporation or other legal entity,or any two r t more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased
mplHow,ever, the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees.
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 deenit ""he eioyer:"
MGL chapter,152,1§25C(6)also states that"every state.or local licensing agency shall withhold the issuance or r
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 nor any insurance cove
e al a req isions'shall uire
'Y
Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth Y P
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 a certificate(s) ofy to your
and,if
necessary, supply sub-contractors)name(s), addresses)and phone numb ( ) g
with their 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 UP 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'
the number listed below. Self-insured companies should enter their
compensation policy,please call the Department at
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. the peinut(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.
hat 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 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: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 5-26-05 www.mass.gov/dia
, _.-� -� ��.r. .-......s.. .-...�.� a- yam.......... -•.. w ..-.n�,n--..-�.. r.�.-" .
TOWN OF BARNSTABLE
rr _ BUILDING 'PERMIfi
PARCEL ID 116 111 GEOBASE ID 5688
ADDRESS 289 WEST BAY ROAD PHONE
OSTERVILLE ` ZIP -
LOT BLOCK LOT .SIZE
DBA DEVELOPMENT DISTRICT CO F `
IPERMIT 59123 DESCRIPTION RENNOVATE INTERIOR/ADD DOGHOUSE DORMERS/E:ERI
; PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY
CONTRACTORSc DAVID T. GREGORY Department of Health, Safety
0 ARCHITECTS "and Environmental Services
tTOTAL FEES: $158. 33
BOND $ 00tNF
CONSTRUCTION COSTS $26,880.00
434 RESID ADD/ALT/CONU 1 PRLVATE P '
,► STABLE,
039.
BUIL DIVIS
�BY
` . DATE ISSUED , -02/15/2002 EXPIRATION. DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET. ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY.NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REOUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REOUIRED FOR
2 PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL.PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED.SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
JUL
rf t -7,
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
Vt
2 /, BOARD OF HEALTH
lit-P,
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
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Assessor's map and lot number ... .. ..
r SEPTIC SYSTEM MUST BE
.... INSTALLED IN COMPLIANCE
;a 'Sewage Permit number .... .1?►.�.. C ,�{, . WITH ARTICLE 11 STATE
.SANITARY CODE AND TM
y�FTMEt�� TOWN OF BAWN'SqIIABLE
Z EAWSTADLE; i
"6 9 o w C, DUI•LDING � INSPECTOR
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APPLICATION FOR PERMIT TO ... .r........ ?*r.f...r.......... ... .rl .. . .. .................................
TYPEOF CONSTRUCTION ...... ..............................................................................................................
` ......... 1 ..7.4.19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
• v •
Location .. .. .... •
ProposedUse /. .V.. ..!!!!!... ...............................................................................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner ...1..`......'D4. ... .40.4�......................Address ..�Q.j.......W�... I.R+lee�.r...........
Name of Builder ... ..... .p. �w!.'l. ........Address 10 mo14.P4... ...?......................
Nameof Architect ............740 '.-. `-..................:........Address .................. .........................................I..................
•
44.
Number of Rooms , ..........Foundation .. �. ...... . ...,.............. ...o........Fwari....
Exterior ....................................................................................Roofing ......t ..t...........................................
��•, ,, e. . � .Interior
Floors .. ..... ................................. .........../.�../....................................................................
Heating ...�0. .Plumbing ......../. ..o.. ......e!!!!!:...................................
0 AD
Fireplace �' .....�°!....................Approximate Cost ...... lat.00 ........................................
.. ..... 2
Definitive Plan Approved by Planning Board -------------------_-----------19---------- Area ................ `a.`......�.......
Diagram of Lot and Building with Dimensions
Fee ....... 1�'.�.................
SUBJECT•TO APPROVAL OF BOARD OF HEALTH
• r
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
' Name .w ....... ..........
....... .............................
T. DePaola
G9~115 '
.
18547
Dwelling
.
No ------Pernitfor ------------ ,
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| -------------------.------. . .
' Location .........28.9..W^..Rmy.Ad ........................
�......................Ostervil.Le-----------.
Ovvno,^--'�...DePao1a...................................
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Type -----
'"-_—�__� ---------
----..- � .
` — --'-----------------'
Plot —..��------. Lot ----' -----..
' - . . . .
~
.
Parmh Granted --..%�X�-2�----.*.]VJ6
.
/ Dote of 16spection ' —'---.jq
` ~ .
Dote Completed .1�.!����-- ........... . '
. .
� PERMIT REFUSED
' .--.--,--------------�—. lQ
' . �� . .
�------------.------------.
~ ,
..�----.---------------~----.. /
°
..z----.—,-------..---___---_,.-`�
'---------.—..----.—..—~-----.. . '
^ ' '
Approved —_-------------. 19
. ` `
!-------________,__________ , .
. . .
------------------------~—.
fl
Assessor's map and lot number ...........................................
Sewage Permit number ..... � �. .�?y .+ ....
0`T"E.r°�° TOWN OF BARNSTABLE
Z BAHH9TODLE, i
"6 BUILDING INSPECTOR
1 war a'
J.
APPLICATION FOR PERMIT TO .............................
TYPEOF CONSTRUCTION ......................................................................................................................................
........... .................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ..:....................
ProposedUse .....................:.......................................................................................................................................................
ZoningDistrict .......................................... .............................Fire District ..............................................................................
Nameof Owner ....................................................................:.Address .........................................
Nameof Builder ................................... ................................Address ....................................................................................
Name of Architect ................................................Address
j
Number of Rooms ............................Foundation
...................................... ..............................................................................
Exierior ....................................................................................Roofing ......:.............................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ...............................Plumbing ........:...
................................................... .......................................................................
Fireplace .............................................................Approximate Cost ..............
Definitive Plan Approved by Planning Board -------------------------
-------19--------. Area ..................................��.... ..
Diagram of Lot and Building with Dimensions Fee ��
................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH '
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ...................................................................................
l
`
T. DePaula
No ' ..... Permit for ____=
.......................................... . .
-
`__ ...............................
Dotervile— '
.----.---------------------.
�
Owner ........T....Da-Raola................................... r/ '
Wood
Type of Construction -------------- '
'
.
` '
-------------------:------''
' . .
'Plot ............................ Lot ___________ .
'
-
'
Permit Granted '
'
Date of 'n"p=`'""'
Do/a Completed
'
RMIT REFUSED
'
�
19
,
— � ...................................
--...— ° ...............................
. .
.
. '
.---.. —.. . -----.----- . .
.
.-------..—...��--.^.—...—..----...
Approved ---------------- lg
.
.
............................................. ---.—..,�.--.— '
k°~
------- ........................................
^
' /
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
7 Z
d 1`
Aap ' i,' V 0 Parcel � �� 0p Permit#
Health Division
Conservation � � �� Date Issu � _ 1 S— o Z—
Conservat*DDiv' ion �-- I I Zct�2 ty�L FeeTax Collec / — UST BETreasurer � 02 � � SEPTIC SYSTEM MINSTAI1EO IN COMPUWCEPlanning VM TITL.E S
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL-CODE AND
TOWN REGULATIONS
Historic-OKH Preservation/Hyannis
Project Street Address
Village t�, - �
Owner(M YL, 2nbey+ A1d rdc ess ® 4 ( Covn
Telephone ((____� n
Permit Request ��l�l�t• (�/6 e'TC� Xt__Xt<,—A a yl� V 10 M1
.4 -;=—? �E03"vl_'n' 6+_
D �IS-P �L.c��V IM�'.°�-� i��i� V- C)®`67 h
Square feet: 1 st floor: existing proposed Ct> 2nd floor: existing proposed (f) Total new a
O
Valuatiop Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfatfiered: ❑Yes ❑ No If yes, attach supporting documentation. .
DwE;,eng Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ANo 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 O
Number of Bedrooms: existing new f4fNVV2
Total Room Count(not including baths): existing // new First Floor Room Count
Heat Type and Fuel:,,4 Gas ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes I No Fireplaces: Existing -Z New C> Existing wood/coal stove: ❑Yes %No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial Cl Yes ❑ No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Telephone Number -7
Address-7&-;� yi 7� License# n ( y
_ ��� �/� Home Improvement Contractor#
Worker's Compensation# /�ff_S
ALL CONSTRUCTION DEBRIS RESU} ING FRO THIS PROJECT LL BETAKEN TO
SIGN TU DATE !r
FOR OFFICIAL USE ONLY
PERMIT'NO. r
DATE ISSUED. - r. •, r
MAP/PARCEL NO.
_ - , ,
ADDRESS I - . , VILLAGE
r
OWNER'
DATE OF INSPECTION:
FOUNDATION - f • < `
r r
FRAME
INSULATION
FIREPLACE1;
ELECTRICAL: ROUGfD °-1I �� FINAL -
PLUMBING- ROUglf W _ �''- FINAL -
GAS: ROUGI3 FINAL t•_ t . �.�
FINAL BUILDING- , cr C ,.
y!nfit ty
�
` DATE CLOSED OUT J
ASSOCIATION AN NO. -
J
7
' The Town of Barnstable
g. Regulatory services
s65►r9. Thomas F. Geiler, Director .
Building'Division
Peter F. DiMatteo, Budding Commissioner
367 Main Street,Hyannis MA 02601
508-362-4038 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 E _
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: /�3C-�✓�0/®/�� � � Estimated Cost -®/a .
YP -
Address of Work:
Owner's Name:N- k
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000 ,
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERSTULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED.
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL:c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name. Registration No.
OR
Date owner's Name
The Commonwealth of Massachusetts
== — Department of Industrial Accidents
600 Washington Sheet
- Boston,Mass. 02111
Workers' Compensation Insurance AfflAavit
Mal
name.
location
city, 6% �� t phone#
❑ Lam a homeowner performing all work myself.
❑ I am a sole rietor and have no one workii m' capacity
❑ I am an employer providing workers' compensation for my employees working on this job.
coiripaiy' am
.y::
gcl�r
��iistirafir;
I am a ;general contractor, a hired the contractors ' who
' compensation polices:.,.:.::.:....
..............:..........................
...............:...............
...................
:.:.:.....:...:...,.,...,.............................................: :.;;;
`....
...... .................
: .:.
nW
...... ....:..........,....,...................................
:::::.ram.�..:......:.......,...::.. ..
......:........ ............
.camnanv n . .. .....
a
{:;��ri;:�i{:;:!;:;i{iii:i?y::;+{:;i:$?tii:i:j:i: w.�:............................................................ ..... ...... iJi:!;
................................ ......................
:.::........:..:;.::.::: ............��Ot16: t ' ;t `^rr { ; ...; ?; ''
Fafinre to secure coverage as required wider Section 25A of MGL 1S2 can lead to the imposition of criminal penalties of a$ne up to 51;500.00 and/or
one years'imprisounent as well as dvn penalties is the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Oince of Investigations of the DIA for coverage verification
1 do fy under the pains and penalties of perjury that the information provided above is ow.and correct
c � Date
Si
prim vim_ ! y /� r 1' Phone# `�/' d L) ,��
(contact
fficial use only do not:, ,
area to be completed by city or town o�did
ty or town• peradtNcense# ❑Bn�ding Department
❑Licensing Board
checkifinnmediate respoed ❑Selectmen's Office
❑Health Depat�neat
person: phone#; ._ ❑Other
Ovvued 9/93 KA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
emplovees. As quoted from the "law"., an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual, partnership, association, corporation or'other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual, partnership, association or other legal entity, employing-employees. However the owner of a
dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or
building appurtenant thereto shall not because of such employment be deemed to bean employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,meither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies:to your situation and
supplying.company names, address and phone numbers along-with a.certificate of insurance`as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage:. Also be sure to sign and.
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law'or if you
are required to obtain a workers' compensation policy,.please call the Department at the number listed*below.
City or.Towns
Please be sure that the affidavit is-complete and printed legibly. The Department.has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be.sure to fill in the permit/license,number which will be used as a reference number. The affidavits may be retmmmed io
the Department by mail or FAX unless-othef arrangements
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to,give us a call.
The Department's address,telephone a�.d fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Otnce d invesugauOns
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-.7749
phone#: (617) 7274900 eat. 406, 409..or 375.
RESIDENTIAL BUILDING PERWr FEES .
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$961sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
=square feet x$64/sq.foot x.0031=
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00 '
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf .100.00
>1500 sf-Same as new building permit:
square feet x$961sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(der)
Deck x$30.00=
(munber)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool .$60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above.if applicable) 2
� _ Permit Fee
tS� 2-�5 v
U vV�
projcost
Table JLL2b
Prmeripttve Padta;a for dam and TwaFan*Residential BafldhW Seemed with road Faeb
. MAXimum
Wall Floor Ba®eas Slab il°B
Glaring. Glaring Cxiliag Elfi�c�
Area'(•h) V.vaiue' R value?. R value' it-value' Wall
Pariraa_e R.vahta+ &vaioor
5"1 to 6500 H Devm Dare'
Q 12!7. . 0.40 33 13 19. . 10 6
R 12% 032 1 30 19- 19 10 6 Noma!
S 129% 030 3E 13 19 10, 6 85 AFUE
T 15% 036. 38 13 21 WA WA Noma!
U 15% 0.46 33. 19 19 10' 6 Normal
v 15•/. 0.44 33 13 25 WA WA CAME
W 15% 0:32 1 30 19 19 10 6 IS AFUE
x 18•i. 032 33. 13 25 WA WA Norma!
Y IS% 0.42 3E 19 21 WA WA No=mi
Z i t% 0.42 31 13 19 10 6 90 AFUE
AA 18% 030 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY:
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4. %GLAZING AREA(#3 DIVIDED BY#2):
S. SELECT PACKAGE(Q—AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS-OF DETEPJAMG ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
q4orms-080303 a
' I
Footnotes.to Table J5Z.1b:
' Glazing area is the ratio of the. area of the glazing assemblies (including sliding-glass doors, skylights. and
basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall
area, expressed as a percentage. Up to 1%0 of.the total glazing area maybe excluded from the U-value requirement.
For example.3 ft2 of decorative glass may be excluded from a building design with 300 fl 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 J1.53a. 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-=8
insulation and R-38 insulation may.be substituted for R-49 insulation. Ceiling R-values represent the.sum of cavity
insulation.plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between .
the conditioned.space and the ventilated portion of the roof.
Wall R-values represent the sum of-the wall cavity insulation plus insulating sheathing (if used). Do not include
exterior siding,structural sheathing,and interior drywall.For example,an R.19 requirement could be met EITHER
by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing- Wall requirements apply to
wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-flame 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.
`Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must.
mc=: the same R-value.requirement as above-grade walls. Windows and sliding glass doors of conditioned
b:...ements must be included with the other glazing. Basement.doors must meet the door U-value requirement
d-scribed in Note b. r
The R-value.requiremenu 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 S. 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.
k-value requirements are for insulation only and do not include structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 035. 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 11.5.3b. 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(035 for doors).
43
d BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number. CS 006689
Birthdate: 06/21/1940
Expires: 06/2172002 Tr.no: 24967
Restricted To: 00
DAVID T GREGORY
PO BOX 1063I`.
OSTERVILLE, MA 02655 Administrator +
GT/ze -Po�.s„rnauuea�/ o�✓��/u..aeth - -
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: 121066 Board of Building Regulations and Standards
Expiration: 04/02/2002 One Ashburton Place Rm 1301
TYPe: PRIVATE CORPORATION Boston;Ma.02108
HOMESTEAD PROPERTIES-INC I j
DAVID GREGORY
q 764 PLAIN ST _
MARSHFIELD,MA 02050
Administrator Not va i w
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-EXISTI NG CON DITIONS PREVAI L OVER ALL DRAWI NGS
-MATCH ALL EXTERIOR AN D I NTERIOR FI N ISH ES TO EXISTI NG zLu-GREEN AND YELLOW WALLS ON PLANS DENOTE PROPOSED, GREY DENOTES EXISTING N o
-ALL WORK MUST CON FORM TO 780 CMR- MASS STATE BUILDING CODE
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