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0281 WIANNO AVENUE
e, ^ ° °r ° , ° ° a o 0 ^ ^ ° ^ � e ° ° e° ° , ° a ,. , o ° ^ ° a II , ° L.�.�.r-.. _..:.. a_, _: �.E � .'.r._.�.r..,,,,��,..�i.-..,. ._.,_....�,�..�....,�... -.• w+�lr Town of Barnstable Building BAWWABLa? 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..639 i Permit 63q �� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1071 Applicant Name: Steve Reale Approvals Date Issued: 05/05/2020 Current Use: Structure Permit Type: Building- Pool- Inground Expiration Date: 11/05/2020 Foundation: Location: 281 WIANNO AVENUE,OSTERVILLE Map/Lot. 140-127-001 Zoning District: RC Sheathing: Owner on Record: COPELAND,J TODD JR&KATHERINE K TRS Contractor Name:`'.CUSTOM QUALITY POOLS INC. Framing: 1 Address: 44 FALMOUTH ROAD Contractor License: 105084 2 WESTON, MA 02493 Est. Project Cost: $68,800.00 Chimney: Description: 24x45'Gunite swimming pool with a 7x7' interior spa and an Permit Fee: $ 175.00 automatic safety cover per ASTM standards. Pool to be enclosed Fee Paid ) Insulation: :f $ 175.00 with a 6' high code compliant safety fence with self-closing,self- Final: latching gates. Date: 5/5/2020 Project Review Req: 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 theapproved 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. Final Gas: 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 work until the completion of the same. I 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. 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 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 ' Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT d,�v c 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 sAnvsrA8M 1 `� Posted Until Final Inspection Has Been Made. Permit Fo ' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1065 Applicant Name: EJ Jaxtimer Approvals Date Issued: 05/04/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/04/2020 Foundation: Location: 281 WIANNO AVENUE,OSTERVILLE _ Map/Lot: 140-127-001 Zoning District: RC Sheathing: Owner on Record: COPELAND,J TODD JR& KATHERINE K TRS Contractor Name:' E J JAXTIMER BUILDER INC. Framing: 1 Address: 44 FALMOUTH ROAD Contractor License: 110609 2 WESTON, MA 02493 Est. Project Cost: $500,000.00 Chimney: Description: Construct new garage addition at existing home with breezeway Permit Fee: $2,600.00 connector and finished 2nd floor with 2 bedrooms& living'room. Insulation: Construct new wrap around porch with roof. Renovations at Fee Paid:Date: 2.600.00 5/4/2020 Final: existing home to include new laundry at first floor, new 2nd floor _. i dormer and bedroom,renovated master bedroom &new 2nd floor f Plumbing/Gas bathroom. j Rough Plumbing: Project Review Req: Adding Bedrooms. Mandatory Whole House Upgrade of '.Building Official Smoke/COs and Heat detectors. �` �,` 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 for'public inspection for the entire duration of the work until the completion of the same. +_. _ __ _ -- � 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:I 1.Foundation or Footing {{ _r' 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 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: "Pere cting 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 THE Town of Barnstable Planning&Development Department �o��'E`�PMf"'o�q Barnstable Historical Commission * BAENSTABLE, 200 Main Street,Hyannis,Massachusetts 02601 g 9� 63 S.9. `��' (508)862-4787 Fax(508)862-4784 iOtE1 3•t A erin.logan@town.bamstable.ma.us �N OF epa�+5`0 Commission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk BUILDING DEPT. George Jessop,AlA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate MAR 0 3 2020 DECISION TOWN OF BARNSTABLE Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: Copeland,Todd&Katherine 2020 D Subject Property: 281 Wiannb Avenue,Osterville Assessor's Map/Parcel: 140/127/000 13n- PJSTgBL�TO x, Hearing Date: February 18,2020 20:J o rip ;v:LEA.; Pursuant to the Barnstable Historical Commission receiving your notice of intent on January 23, 2020, a duly advertised and noticed public hearing was held on February 18, 2020 to determine whether the significant structure identified as a single family home on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of the structure on the parcel addressed as 281 Wianno Avenue,Osterville. After review and consideration of public testimony, application and record file, the Commission by a vote of four in favor (Jessop, Mumford, Powell, Kay), and one abstention(Parks) found that in accordance with Chapter 112F the partial demolition of the single family structure is not a preferably preserved significant building. In accordance with Chapter 112-3 F, the Commission determined, by vote of four in favor (Jessop, Mumford, Powell, Kay), and one abstention (Parks), that the partial demolition of the single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. This decision applies only to the demolition described in the notice of intent submitted on January 23, 2020. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. Nancy Clark,Chair Date cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 Town of Barnstable Building s nABM ; Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS p Posted Until Final Inspection Has Been Made.- Permit i639. ,di' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3516 Applicant Name: EJ Jaxtimer Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Demolition-Accessory Expiration Date: 05/13/2020 Foundation: Location: 281 WIANNO AVENUE,OSTERVILLE Map/Lot: 140-127-001 Zoning District: RC Sheathing: Owner on Record: COPELAND,J TODD JR&KATHERINE K TRS Contractor Name: Framing: 1 Address: 44 FALMOUTH ROAD Contractor License: 2 WESTON, MA 02493 Est. Proje t Cost: $5,000.00 Chimney: Description: Demolition of existing garage Permit Fee: $50.00 R Fee Paid: $50.00 Insulation: Project Review Req: Date: 11/13/2019 Final: Plumbing/Gas Rough Plumbing: \Building Official 11. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withih six months after�ssuance. 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. 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 fir est flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: EMe�u- s€ter PROJECT NAME: ADDRESS: Ante PERMIT# �O O 3. PERMIT DATE: M/P: I L-t U17 LARGE ROLLED PLANS ARE III: BOX I. . SLOT Data entered in MAPS program on: . x� BY: j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 q V Parcel a / �b Application# Health Division I Conservation Division Permit# Tax Collector Date Issued Ro Treasurer Application Fee SO— bd Planning Dept. Permit Fee �� Date Definitive Plan Approved by Planning Board V 9)1"/b Historic-OKH Preservation/Hyannis Project Street Address W w r-o a/(x Village V Owner a V w wdjyl Address Ail �� C�iV'fr o 1 �� Telephone ?7-g —& I q Permit Request w A nik) o� 2' k Prdb'fjw��J WZK1'fMM-J1kk�A0 ) 0,k& b4,Kk Square feet: 1 st floor:existing proposed ///� 2nd floor:existing proposed Total new 300 �a y Scheel, ParC� Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type GU(70, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Cl Yes ❑No On Old King's Highway: ❑Yes Cl No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ! :� j Number of Baths: Full:existing new Half:existing _ new Number of Bedrooms: existing new _ «� , E-2 cu w Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Q Gas ❑Oil ❑Electric ❑Other 4> r Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4 '❑No Detached garage:C`existing ❑new size /' C Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑- Appeal# Recorded❑ Commercial ❑Yes ❑No� If yes, site plan review# Current Use ����b� Proposed Use. f�� � Tl BUILDER INFORMATION Name e• J .J Cc yf?rnt y- B wl dy r Telephone Number 65-0 8 Address L�g osa License# orZ3a i cif Gt ri vt ( 5 , MA- o Z&01 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO _44fowb�2 49sT671 SIGNATURE DATE S O FOR OFFICIAL USE ONLY ,PERMITNO. r• DATE ISSUED is MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION S� l o�y�a�1� Por.�, A"w,6 '54,4 , FRAME INSULATION, OIZ �'�? �• FIREPLACE A5OW ELECTRICAL: ROUGH FINAL l r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `71S1' 7 DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable ELAMSTABM Growth Management Department BARNSTABLE ' `� Barnstable Historical Commission CEO MA'S e www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Interim Chair George Jessop,AIA Marilyn Fifield,Clerk 1�1 .JUi l l F'f t l Nancy Clark `'",''i Nancy Shoemaker Len Gobeil �ql�. �� ,�. Ted Wurzburg L-A�•NSTABLE TOWN CLERK Paul Arnold,Alternate June 18,2014 Re: Intent to Demolish Detached Garage 281 Wianno Avenue,Osterville, MA Map 140, Parcel 127-001 o ZE EJ Jaxtimer Builder, Inc. C 48 Rosary Lane co Hyannis, MA 02601 Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 Thomas Perry, Building Commissioner 200 Main Street, Hyannis MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on July 15,2014 at 4:00pm, 367 Main Street, Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. i Please contact Marylou Fair at 508.362.4787 or Marylou.fairQtown.bamstable.ma.us for processing information. Sincerely, Laurie K.Youn , eri hair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508.862-4782 +:j oFrnE Town of Barnstable BARNSTABLE ` eARMASS. Growth Management Department `0� Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Acting ChairNice Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark _`.1, ^ ' 0, Nancy Shoemaker � JU h!1,� rt,��7 Len Gobeil Ted Wurzburg Paul Arnold,Alternate BjARPj-0TNBLE T01-Ji!(,'`I:RK Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 281 Wianno Avenue,Osterville Map 140/Parcel 127-001 Pursuant to Intent to Demolish Detached Garage The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on June 13, 2014, 2014. This structure, located at 281 Wianno Avenue, Osterville, MA is architecturally important in terms of period and style of outbuildings the neighborhood. I In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508.862-4782 °FITAE fay Town of Barnstable Regulatory Services BARNSTABHUM LEg Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, "improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. o? x /(o Y/Y s 1 fC Ask Type.of Work: Estimated Cost t?0010Od.� � ' 9 , n Address of Work: 221 1�/,(,Q,n no (;C(�Q��,(,f����'�j � �El Owner's Name: Wmw R Date of Application: 21 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 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 a Registration No. OR Date Owner's Name Q:fomislomeaffidav r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Change of Contractor/Builder $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE / r7 1 l 7b square feet x$96/sq.foot= l M x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 I Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 r °Elms r Town of Barnstable Regulatory Services vASS. Thomas F.Geiler,Director i679• ♦0 °Pfo MAC' BuRding Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property OwYier 1VYust' - Complete and Sign This Section If Using A Builder C&Me IQ g�U/ � ,as Owner of the subject J property . hereby authorize e.J• fi 6X 1'166 r C. to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) SignAure of Owner ate r1'I /e- /VEL6r )-3 elgx'oD.v Print Name Q:FORMS:OwNERPERMIS SION / 9Xp e OMWWnWea449 0 Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston; Massachusetts 02108 Home Improvementgtractor Registration Registration: 110609 Type: Private Corporation n z Expiration: 11/3/2006 E J JAXTIMER, BUILDER, INC. a ERNEST JAXTIMER c1 48 ROSARY LN HYANNIS, MA 02601 -YC' y0v s.J° Update Address and return card.Mark reason for change. DPS-CAI 5OM-04/04-GIO1216 Address Renewal Employment ❑ Lost Card - f 071 j I lDO0Y1/l72002CUe � KCOP.L.6 t x-..•i BOARD 001BUILDING REGULATIONS -'Jr, License CQt,STRUCTION SUPERVISOR ! Number�,�CS 003251, k �I� I Birthd ee= 01:/14/1956 E Pires: 01_/_14 2008 Jr.no: 12839 Re f Zte �.. I ERNEST J JAXT§PEW, 5 f I 48 ROSARY LANE'� l HYANNIS, MA 02601Js � - Coni&sslorier j Permit# Permit Date REScheck Software Version 3.7.3 Compliance Certificate Report Date:09/05/06 Data filename:Untitled.rck Energy Code: Massachusetts Energy Code Location: Osterville,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 19% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: Michelle&Andrew Reardon Northside Design Assoc. 281 Wianno Avenue 141 Main Street Osterville,MA Yarmouth Port,MA 02675 508-362-2210 Compliance: .• Ceiling 1:Cathedral Ceiling(no attic): 1036 30.0 30.0 18 Wall 1:Wood Frame,16"o.c.: 909 13.0 13.0 34 Window 1:Wood Frame:Double Pane: 114 0.330 _ 38 Door 1:Solid: 20 0.086 2 Door 2:Glass: .. 61 0.330 20 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space: 1036 19.0 19.0 26 Compliance Statement:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirem in REScheck Version 3.7.3 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.T e ating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard /uilder/De 'ions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of s ' din Sections 780CMR 1310 and J4.4. nn� � ►7es�a� cta Q15�c� r Company Name Date Page 1 of 4 f REScheck Software Version 3.7.3 Inspection Checklist Date:09/05/06 Ceilings: ❑ Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity+R-30.0 continuous insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity+R-13.0 continuous insulation Comments: i Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.330 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: i Doors: ❑ Door 1:Solid,U-factor.0.086 Comments: ❑ Door 2:Glass,U-factor:0.330 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity+R-19.0 continuous insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Required on the wane-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values and glazing U-factors must be dearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Dud Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not Page 2 of 4 permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. I Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range ff) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressurerfemperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Page 4 of 4 H JOB_�_PFX-D0YJ I�ASS I��JtL"Tt�`3i OG i�a 5r)A6 TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY C- DATE QC' TEL./FAX:: (508) 790-4686 CHECKED BY OF �C J V`( i/�. rV°J Q f—*�v✓ jr�-�L✓r c�� SCALE T�4 .............? _.-..................3- ...__. _ .-------- _............. _ .... _..... ..... _ ._.. ......_ _...._ ._.. ......_ ..... - _ C1 c.nt <- ____._..__.. _.__._.._._._... s ........... ._ �'�=t�C�rc�vi.�.-cam �1�.. to . 1�.0 _ _._._ ..._... _._...._._... _ ..... _..... _... -•- - -.._ -- -..................... .............. ._.. ... 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IN ocn AR I ao _Z TT 6-S M o f iJi m Z Oc —T 4 n z D •?G ••� E y �ilt a v� Ufi i T ------------- -----------T •''e — 69 I I b�� `� i I Y ]t�Y9 YY •� 1 I I I I 1 I - I I I I I I I I 1 1 I 1 1 1 1 s I 1 I I I cn v L I I Vd9 A kF r------- I e EQg d 1 I I I I I I 7779 ------ IL p6p6 I L----------� i - - y •, r r O ¢ \AQ m �i D C z ° N 2— m nz z� ,pz Z Z € € s8¢ m >c � Iq F�a A6 P o�rA>• mN•wr�crz�°s°T°�"o"�'N 4Tu r •11G1V!®ADOffIRYMIpIAl101- m_m♦c®.m�e.n.� CO�lN1"Da�G m"rqW n°ic,cMA t DATENOWHSIDE 94E O DESIGN REARDON RESIDENCEFOUNDATION PLAN D I 4 O 06 FIMASSOCIATES 1EIWA nE Immw i me 09ON m"a=E TA. ID.M90lB owe © p� d 7�j I� V• b ----I -'-- - -- I I I s I 70 . I € R lG1l.G V4 I'd m v�m..a QPttdQR BALE 3 uI® FIRST FLOOR PLAN " NORTHSME ,- o e®0A1eREARDON RESIDENCE _ IDESIGN ASSOCIATES A. ovavca. 1BI WIANW AVENUE ®`m""" m l nnc amonva a mamo�mw w® r®mo of y 09TERVILLC, MA. ..o`!'e•s w�m•vmnr.a.r �om®e .e:gi -;:: ��!•;MI .:_ __ _�� SLIIIIIII�IIIIIIIIIIr__ �;.i.•--••-�-: ME IO-- _-_ _-_ "-_ f €_HE mommom I■■ f _ ' IIIIIIIIIIIIIIIIII 1-==-'""°-.p 9„e92.9._5_.a I �I Efi�e5:;59e e9e�-�:;=5�, IIIIIIII I ----_ _e 111IIIIIIIrrliuli�Iililr,N 1�'�!..lI_ n. 022 ma Mn ! jig nmi.i pu j,lC��� �Illllluollllll, _- � _- _ _ €G= IIIIIIIIIIIIIII 21 �I ieui�tua u°G2=' ut �zur _ • 2 m Im::' • -_--a =2=I 2:�il�� - B„:51 - --- - • Ili':°`:'i-,`•"i ":: ME 2% R RE'�A�ZOON - ®� ■� 4 jai I I r II i i i ii EEI 1 I I I i i I ii i I i i I II H a 9a 1 i i .• ® I I 11 i 4 ® I •1' I I I I I I I 11 I 1 1 I _ I I 1 1 I I I ® D 1 1 I I I I I 1 1 \1 1 I 6 1 1 1 \ I 1 1 I I 5 \ lag," Q F1 1 1 4 - eG11.G W'•1'-a' m.m u ELEVATIONS, �;n � NORTHSIDE oAh x�aa 0 1 9 , e s.a FOASSOCIATES mr uvr OF.ydlDESIGNREARDON RESIDENCE �� mI.ICIeE Via+ mw1 down A.3 0e 19A Yel wIANW Avenue �• •�O"•OgK lemwlva.oaAmRa¢ OSTERVILLE, MA. m'me Y•�"I°1��� wi>�» imo,e.moumria xac CHECKM y Z I I I ! ! 5 �� br i i O i i Q n i ap' I + c � I I I F i I o iN 1p�V''(w_m'6 o�Qs i U) 3 n-1 T n yypp�.+. 11° I• �CF I P p I v� et m ILI dD _ m z � p w _ z n r Z EWT• i a i ' lUiLl V4'.i'd '"s`r®n xmr'r.uA WPYMmR ''- MR IRYm016 . SECTIONS s ®NORTHSIDE wmr eanmT ' °= ASSOCIATES °w REARDON RESIDENCE A.L} °°�me 251 W1.01M AVENUE ns xcmc asoo°va a odo t avt mom.a .mn CHEW® OBI-MVILLE, MA. �� �`mmlrs xmn®c Y x E Y R� Y e R g R Q 1 z ro FEVISM a � m - CCC 1 C X S Z 0 R C °"'` ROOF FRAMING PLAN �DESIGNNORUSIDE DESIGN o i a n m s..,m® a w iwr oiur� w. m'rxnnc�s-aonva saO'°amas sacrno. onh: REARDON RESIDENCE uo�n a w.non winw+o nvo+uE Osrercvn L R MA. Information and Instructions . Ma§sachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their emplbyees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,offal 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 pernift 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 woik 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 numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure,to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested, not the-Departinent 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-miter their self-insurance license number on-the appropriate line. Cityor 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 will be used as a reference number. In addition';an applicant that mast submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bur leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike 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, ielephone and fax number: The Commonwealth of Massachusetts j Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. 1617-727-4900 ext 406 or 1-877-MASSA.FE Revised 5-26-05 Fax#,617-727-7749 www.mass.gov/dia i nts t,ainrrevnwe"Lln uJ lrjuyaucns .Yeuto Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y www.mas&gov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busi ess/or ni?ationa ividu4• �/ Act k_t ru{-• bwt lit r— �oc T Address: q0 I�0 Sir �(� City/State/Zip: - • Phone#: r .�� � ' 4 ( Are you an employer? Check the appropriate box. Type of project(required): 1.D I am a employer with_ 7 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 7. Remodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet t g ship and have no employees These sub-contractors have 8. ❑cuildling olition working for mein any capacity. workers' comp.insurance. 9• addition [No worker'wmp.insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repass or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Phanbing repairs oT 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 1hat checlo 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 andthen hire outside contractors must submit a new affidavit indicating such lContractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy.and job site Information. n Inslaance Comp any Name: E• Z ' Policy#or Self-ins.Lic. ##: fJ 6Q d (o I a O 1 2 00 (o Expiration Date: / �.: . Job Site Address:- mn VW �{ 0 G✓ e VU( .LLCity/state/zlp: Attach it copy of the workers' compensation p.o#cy declaration page(showing the policy number and expiration date). Failure to sec►rre coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.90 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 Gerd er the pains andpenalties ofperjury that the information provided above is true and correct Si atvre: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: P ermit/Li cease# Issuing Authority (circle one): 1.Board of Health 2.Building Departmewt 3.City/Towu Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Otther Contact Fen-sort: Phone#: 160 6 ^^ 1 Ras l`O�ti ` \ K d � 44 •�� / w ° 1. Y Gv 47.9' 2 I ',.•.•t•? •. . r�. h J0� S Lot 1 d` o (�� e •r, 'a 0° � `++ 29.342t5F SOW P •ry E TI.O' �I( \��`q An � rker Nuk• !''�`'. Location Map: Portion To Remain � ASSESSORS REF.: New Concrete Foundytop Map 140.vorcel 127-1 For Proposed Addltt X. s\ septic s�,t«n� � OVERLAY DISTRICT: es Per oN care (Ap ) AP-Aquifer Protection District ( —-•s-=0 /'/ FLOOD ZONE: 0 Zone C Community Pond No. n �,ciat(` `:s �• i'p}� 1250000 0016 D July 2, 1992 aAQ,°� ;titi b9i ZONE: RC Arse(min.))87,1200 SF(RP00) 73.0' Fronto a(mkr)20' A gg Ad s4` Width 9. 100• SeF m s: y SWe 10' try o\ 6at' op Rae,10' '�rytih•�� opoc+(1 p9 •x`O`F a, s Note: 1.) The structures shown were located on the ground ay:'•m' by conventional survey methods on 10/AUG/2006. 2.) The property information shown hereon was ` compiled from available record Information. 3.) This plan is not for recording and is not V ,st /t to be used for construction layout or deed MAW 0 15 JO 45 60 FEET description purposes. rare Sheet a Title: Plot Plan Of Land Prepared For: Notes/Revisions: Showing Proposed Addition Foundation CapeSury scale: ) =30' E.J.Jaxtimer, Builders r of At 281 Wianno Avenue 7 Porker Road Date: 48 Rosary Lane b Osterville MA 02655 051SEP106 Hyannis MA 02601 c BARNSTABLE(ost—lw MASS, f506,420 J99 (506)620-J995 lox pwg: 9 °v%++8�°Pecee.not C684 1 i WlAN•�10 AVE - 2a Fr Bvi�UiNC, Li�� a= Q N. SN OF 1 �RICHAR��� N SEA uup I f G�'eT/.may 2-A, IT T C.47--/O.C/ OSr4FAeV/LG� Sri/aWiV�/E.2E0.C/COis'1.oL YS GI//T// rr T� ZZ, %94 'C�EgI/�,2Eit'lE.t/rS ors' T,�/Lc' '7"owNac �.C..git/ .2E�'"E,2E�t/G"� TiS�/S G.CA�C//S �l/aT �g,4SEO d�c/,4if/ ,B•`�XT,E.0 E�t/YE /�t/C. /1VST,eU�1�it/T,$'U,21/EY 7- .eE�/sTE.2eEz :) O'c-4SETS 'VpT- g� �`STE•2Y/�,C�a �fQSS. //// N1AZe 6 V,4 7-1 The Com17101114'Caltb Of Afassachusctts _�t� Department of Industrial Accidents Ol COVI/oFOW9a1102S Mil.—%;Zzo 600 liashiarton Street Boston.Afars. (12111 `- Workers' Compensation Insurance ARdavit A.Rnitc _._... .. Please PRiN'i'l;tb1L •�••'",'., ---,— name• locition• cite nhnnc# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compensation for my employees working on this job. canJpans•name' address: P10 50� 310 city: QS14�l Lit , M 0 2. 0:SS nhnnc#• -42 insurance co EkSletN CASUAL"l 4 INS CO• eolicv# I am a sole proprietor, enera contractor r homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: }�' compa"I.name. flxx Sid: cl i ri o2 phone#! 7A - insurance co W U JA V (�S• C� • poiict•# (S 1 4 004 73 2 S '� � ^tom ..• -.T:_-•- - .. ,.o,i•;,r..�..:are.-��r•y7":,..f"•esS«sr..*,�:+q:r_•, -- --- •'T�'iRy7�l�y0°s3'�7-rr'i[;+...�z�l-<•-+R:."_•9S+.RU-ti!!+?�..'.':'?ss compare name 21CLtibeo 1UGCo A1J Rye- vi(.o address• 3S OCVk JrC care• C4!TfQt-1 A- 61-o Rhone#• L�'t.8�- �0�1Z- insur•t ice co. S::.A#J bW lNS C-en, policy# :Atiach addi66nai-shie't if tieeessa •-: Y.: w a: I-•*rr, ,�.:- :Try. ,•.�, _:, ;�; , uilure to secure coverage as re under Section:SA of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1S00.00 and/or une years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. l do herebr certifj-un r the pains and penait' o perjure•that the information provided above is true and comet Sienature ate 3 l TZ 14 Y Print name 6AV24 Phone# 422 l O(o : •official use only do not write in this area to be compacted by city or town official city or town: permit/license# rttluildiag Department E31,1=11ing Board check if immediate response is required (3Selectmen's Office E3111altb Department contacI person: phone#; r'tOther freed 3l95 PJA) The Town of Barnstable IWA& �e Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosses Office: 508-790-6227 Building Commisszo: F= 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME E"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 147A requires that the"reconstruction,alterations,'renovation,repair modernization,conversion, unprovetnent,.remo%al, demolition, or construction of an addition to any prewasong owner occupied building containing at least one but not more than four dwelling units or to structures to such residence or building be done by registered contractors,with certain cmeptions,along with other —mimments. 'ZS Do 0 Type of Work: 2jg Cb�A Address of Work: Wt' � A'Jeepj4' Oaner.Namm P*JM(V-S"'' 't Date of Permit Application:= ,5 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law Job under S1,000 Building not owner-0ogappied Owner pulling own permit Notice is hereby gh-en that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WrM L3IIREGISi'>�tED 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. � '� a 4 Iod13 Date Con name Registration No. OR ' Owner's name 1 I , I ? HOME IMPROVEMENT CONTRACTORS REGISTRATION i oard of Building Regulations and Standards One Ashburton Place - Room 1301 I Boston , Massachusetts 02108 - I ----- HOME IMPROVEMENT CONTRACTOR Registration 100134 Expiration 06/09/96 OL�o Type - PRIVATE CORPORATION i HOME IMPROVEMENT CONTRACTOR Registration 100134 ' I a Type - PRIVATE CORPORATION Rogers & Mar ney , Inc . I Expiration 06/09/96 Charles D . Rogers W .445 W Barnstable Rd/Box 310 . I Rogers 6 Marney, Inc. Osterville MA 02655 I Charles D. Rogers G� , o �. Barnstable Rd/Box 310 ' ADMINISTRATOR Osterville MA 02655 ; I ' r I , 17 AM ,-.T E PUBLIC SA TMTOFDEPA COMMONWEALTH .,a LAC F BOON, i CAUT, I�MASSACHUSETTS.O S 10 t,Cll1ST u :�OR PROTECTION,tAGAINST IXPIRATIO.N'DATE 0B�= /1997 E T:• �IGNO:=`'� '' THEFT.,,PUT,RIGHT*THUMB' «} EFFECTIVE DATE-' . pRINT,IN`APPROPRIATE .1 > RESTRICTIONS 02/Qj f/ 199 4. '`Qfb 19 79 'BOX ON LICENSE r , Q1 a y r' BLASTING 01P.1ERATORS 6pf2Y .T� S tlzA = ,xIV1UST INCLUDE PHOTO. ", IER . I ROLE S� i# �D2'4-4 r}-4454 I ,NIA tIt�F3 a tOwl *r G�TU . +, •+.F _ a OPR ONLY) •FEE EBY PHOTO POTV STANpp R EL!O<'.FE NTSHE EE C.AONMD M OI FFlpC NERY x �,✓� - i�h �yR'art. - SIGNATU 4� Z -' HEIGHT r , IZI �Sfr��• `ABOVE SIGNATUREUNE x Y «Y SIGN NAME M FULL s THIS DOCUMENT-MUST'BE CARRIEDONTHEPERSONOF_ THE HOLDER•WHENEN, t .GAGEDINTHISOCCUPQy - OTHERS RIGHT T7iUM0 PRINT y \ BARNSTABLE Town of Barnstable Growth Management Department Barnstable Historical Commission 1-0 Z .TIJPd'l:J pm 14� www.town.bamstable.ma.usmistodcalcommission BARN STABLE TJl Ohl CLERK NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application r&2.11 Full Demotion ❑ Partial Demolition Building Address: Number/ �, J Street /10, AZ �� Assessor's Map# / 7V Assessor's Parcel# Village �l '� ZIP Property Owner: - ��(/L �� —&/�M Name Phone# ' Property Owner Mailing Address (if different than building address) • Q, - 03*10 / /e Property Owner e-mail address: a i e-_&-W 1? (9 egay .1, 0-mg Contractor/Agent: Contractor/Agent Mailing Address: _11g 1rO g[W LW x&.4AA,LS Contractor/Agent Contact Name and Phone#: GV dQ.x.-Jf7y_z_ 0) g• Name L ,� Phone# Lo Contractor/Agent Contact e-mail address: / f Gt X 'T jOU r CJ Co ngxu f /Y--f Detail of Demolition Proposed: Type of New Construction Proposed: Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance with Article 1, § 112 Year built: Additions Year Built: a?000 !�l^Yr`rn.r� Is the Building listed on the National Register of Historic Places.or is the building located_in a National�Register District? No. ❑ Yes ❑ 61 .g Wd 91 NM 17101 Prop Signature May,2014 .2VENUO �O NP;b, . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map v Parcel Z7 1W Application # a�"t Health Division Date Issued a Conservation Division Application Fee - - Planning Dept. Permit Fee oLJ • c�lJ Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address r l "A)6 717L]i Village L4=49,�- Owner Address ` ,r,L..,i Ffe_61--Vb Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zon District Flood Plain Groundwater Overlay Project Va tion Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Fa ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing n� —a 0 Number of Bedrooms: existing —new Total Room Count (not including batl- ;): existing new First Floor Room Count-` � 0- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing od/,Coal stove ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e 'sting "Itnewr—"size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �T / /Ti13L6 Telephone Number O Address U 7 License # �� "gs Ilk Home Improvement Contractor# MIA Worker's Compensation # 0,d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE r. FOR OFFICIAL USE ONLY s APPLICATION# ,y DATE ISSUED MAP/PARCEL N0. r ADDRESS VILLAGE C OWNER DATE OF INSPECTION: FOUNDATION. FRAME , INSULATION ' I ri FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH "-�}FINAL i GAS: ROUGH 'FINAL ' k FINAL BUILDING x DATE CLOSED OUT ASSOCIATION PLAN NO.' The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumb Applicant Information � � ersPlease Print Leably Name(Business/OrganizatioMndividual): / �fL�'A.� �� ✓ ��� �i i� Address- -0 City/State/Zip 0 Phone#: 1ZY �f��ol�� n employer?Check the appropriate box: Are you 1• am a employer with� 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance.= 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L Plumbing re myself ❑ g pairs or additions y [No workers'comp. right of exemption per MGL 12 repairs insurance required.]t c. 152,§1(4),and we have no ❑ f p employees. [No workers' 13. Other �6_A& S 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-bntractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:A/ H A"Q rV D L, J AJ_S lJ Policy#or Self-ins.Lic.#:A�,?�-�fDb c9d ILIA, Expiration Date- J J Job Site Address: �J /A IV yf' /Q IJ� City/State/Zip:_ f��� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). �c � Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afar Date: Phone#:- — 0—GV 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#• r A CERTIFICATE OF LIABILITY INSI MME �"�` 04/04l20'I4 THIS.CER'IFICATE IS.IISSUED AS A YATitR OF�ORNIATI IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC FATE HQLDER. THIS CERWICATE DOES'NOT AFFowATIVEI.Y OR.NEGATWELY AMEND EXTEND, OR ALTER THE COVERAGE AFFORDED BY TfIE POUCIES BELM. THIS.CERTIFICATE (W.INSURANCE DOES NOT. A CONTRACT BETWEEN THE ISSUWG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTWICATE HOLDER IMPORTANT:U file tartifieate holder is an ADDITIONAL INSURED,the po[ie y(Ies)nl.I be endott;ad. ff StlI3RQGATION IS WAIVED,subject to the terms abd conditions of the policy,certain policies may re�tune an endorsement A statemee3 on this 6"ficate does not.oonfer fights to the cw fmft holder in heir of sueh'eridarsemeM(s). PROWJCpt 06082-001 rJacr DPS•Instoance Group Inc Eft (617)4T9•b500 Na, (647)479-$761 Stine 3rate Ave Mkm Milton,NIA 02186 -wsugEgA, AJ.M.Nkftal'insurance Corilpany 26158 Art an Tent&Table tnc P O Beat 1348 MersWS!Mills,MA,02648 COVERAGES CERTFICATE NUMBER: R9VISION NUMBER TRN 1S.TO CERI FlF THAT THE POLICIES'OF INSURAPlCE•l1S1ED BELOVN HAVE BEEN ISS�IED•TO THE QJSt)REU.NAIA®ABOVE FOR THE POLICY PERIOD, INF}ICATED. NOTVYR}IST1WpiNG/►N1(REQtpREtdENT.TERM•OR CONINi1ON OF ANY OOffIkiACT.OR On*R oC WITH RESPECT TO WHCH THS'— CE1iiFFiCIhTE MAIL BE ISSUED OR MAIf p �aN. THE 1 AFFORDED BY TIE POLICIES [CLAM.DD HEREIN IS*SU&1ECT TO al THE TERMS.' E7(CLUSIONS AND CONDITIONS OFSIJCH PSiUCtE3.UMdTS S�Y RAVE BEQd $Y F?aD 4xANdS. TYPE OF B1�IRMICE p�LIG1r . UiQTs ' '�• UA91l.riY EJ1ClIOCCtJRIiENCE S CM91�pALt t6tAtLIAOMM DAMAM7OFtENrrEQ OAW-MADE FJOCCUR i MEi)E7IP(Arry briepeison)• i P10"NAL,BADVMAJRY;Gon. i ' _ GB16tAL AGGREGATE• S AOf'aREC,,ATELwrAPPUFSPER; Pfa0011C1S-L�OA�P7DPACiG S AViCr108LEt7A8A.ITY UYIT i ANVAUFA BOORYMLIUFSYtP ) S ' AIIiOS '' A BOOILY IILRJRY tPeF accdern) i .. RIREOAUTOS PROPEKiY0Al1AGE i i. UMBRE.LAtJAs OCCUR UAB • CAAIIts MANE AGGREGATE i Ham I I RE1OMOR S S - A N N1A AW0 400.70Z6128.2G14A ' 46M4 4iAOIS 'E. �"err s b. P1605 ASE-eA $ 100,40 00 OF!M TIONSbelch F.LD'ISfW%-MJCYUMrr i 500A00.Q0 DESOWnWOF OPBtATXXIS!LiOCA71ONS/VDiC=JAniCsit AMO tM.Ad&UOW P-=rW Sdoduk If—oOgft b rnq&o* CERTIFICATE HOLDER CANCELLATION SWMLDANY OF.THE ABOVE DESCFMM POUCIES BE CANCELLED BEFORE THE EKPIRATION DATE THEREW, NOTICE 1MLL- BE DELIVEFFED BS ACCORDANCE WITH THE POLICY PROVISIONS. AUTFtORP�RFtrA71VE � `=!'J �/��� 01988. M ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and Logo are registered marks Of ACORD FTME r°,,y Town of Barnstable sresLF, Regulatory Services t�w v MAML �. Thomas F.Geiler,Director o►i.+"�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 I> -as Owner of the subject property hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application for. Ev (Address of Job) Q ` o 61-42 ss Signature of Owner Dafe Dow Print Name If Pro,perty Owner is applying for permit please complete the Homeowners,License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION , (Certift"ra re of REGWERED APPUCATION AZTEC TENTS o� or CONCERN No. 2665 COLUMBIA ST manubckffed CAL COMB r^,4fA01 TORRAN�CA 90503 OOP This is b CW*Brat the mat+a/s descrOW below hereof have been flame retardant treated(or are mhwwz*nonllamnraWe). FOR AMERICAN TENT& TABLE INC. 381 OLD FALMOUTH ROAD UNIT 41 MARSTONS MILLS, MA 02"S CerMcadon is hereby made that. (check "a"or "b'l (a) The articles described below this certificate have been treated with a flame retardant chemical approved and registered by the State Fire Marshal and that the applicationof said chemical was done in confor- mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used............................................Chem.Reg.No. Meathod of application................................................................................................ (b) The articles described below hereof are made from a flame-resistant fabric or material registered and approved be the State Fire Marshal for such use; Fabric Was been tested and passes NFPA701-96. Trade name of flame-resistant fabric or material used.. FAftic . Reg.No. The Flame Retardant Process Used WILL NOTiz�Z ....... Be Removed by Washing David Bradley Chuck Miller- President mane of AppfiCv a Roftewn Supplm t Tift CUSTOMER ORDER NO. R169643 ITEMS MANUFACTURED: 2 3OX30 2PC STD TOP ULTRA WNITE ATC STYLE CLASP 3 30X10 STD M/DLLE TOP ULTRA WHITE ATC STYLE CLASP 2 2PE STD SOP UL-�t-WHiff AT£STYLE-CLASP 3 2OX10 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP 215X15 2PC STD TOP ULTRA WHITE ATC STYLE CLASP 1 15X10 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP 1 15X15 STD MIDDLE TOP ULTRA WHITE ATC STYLE CLASP I Building Departznent Complaint/Inquiry Report Date: o — Rec'd br: Assessor's No.• Complaint 1 Name: Location Address: M/P C� I' Originator Name:- Street: Villzgc: Zip: Telephonc: D/L Complaint a . Description: Inquiry Description: i For Office Use Only Inspector's Action/Comments Date: Inspector. -lam Follow-up Action 4na— 1-41 /641 Adclitional Info. Attaclied iown of jaaZUSLaUlIz Building Department Complaint/Inquiry Report I Date: Rec'd by: Ass _ is No.: Complaint Name: Location Address: M/P • Originator Nwne• Street: Wage: state: Zip: Telephone: D/E Complaint Description: Inquiry Description: For OlFtce Use Only Inspector's . GLI Action/Conunents Date: �J — G inspector. —,9,,-z' Follow-up Action 7- Additional Info. Attached (.tJ��Nwo . Assessor's Office(1st floor) Map 140 Parcel 2"1 •00 Permit# Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 3 . 7baIssued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) '1(0 �ee Eq: • d a��fG Engineering Dept. (3rd floor) House# 281 �,KE '� SEPI* 6E 19 INST CE TOWN OF BARNSTABLEVIRO i Building Permit Application d'^ `"1 R071ULP Project Street Address 281 W I A1J N CO Village C)S"1 1'L-I iu-S- Owner t*Jt a.S%-/ Address 125M WAIMA, J,LAY- , F aPSI X7 Telephone 1 • e"1 • 2 3A ` 318*1 Permit Request • 2tGp�,JILC;> 1=1 M: Pt&( — s ,1 t> c4. I MN124 9=9RL c p, w 1ii eAce- IDtrMI t t. l S� •Fc. YL O N L�-1 ` �A1►.n�IJ4 First Floor e2S square feet Second Floor NA square feet Estimated Project Cost $ Z 5, OO G Zoning District P—C Flood Plain Water Protection N C� Lot Size •(01 laG2P,-S Grandfathered ? W X Zoning Board of Appeals Authorization N A Recorded Current Use ?.&S 11>t?'Wl LA L Proposed Use SAM f Construction Type MOOD tz2OAMe Commercial wo Residential Dwelling Type: Single Family �4 SS Two Family N Multi-Family N 0 Age of Existing Structure (10 SA9 S Basement Type: Finished GAP C. CO)P CJEULA2 Historic House V30 Unfinished Old King's Highway NO Number of Baths 2 No. of Bedrooms �J Total Room Count(not including baths) q First Floor 14 Heat Type and Fuel N,W ./64 S Central Air W b Fireplaces 1 Garage: Detached �-ArtS Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Q0C tJ9Z J 1&AYLWe.e ,J I N C Telephone Number .426, (0�06 Address_ I?.O. 6C19 31 O /� License# n(p 1 Q."1 O1 t ,A 021055 Home Improvement Contractor# . Ito 13!} Worker's Compensation# I579 BOOS NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �J• ? Cn BUILDING PERMIT DENIED THE FOLLO ING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS /iajl I VILLAGE _ OWNER DATE OF INSPECTION: " FOUNDATION —' — FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: RtO�U6H .FINAL,- tV GAS: R FINAL 1 1 FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PL • i k ` 1 1 c