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0460 CEDAR STREET
d - i S///_�� �p�CYC�p UPC 12534. No. 2-153LOR HASTI PIGS. MN a�G ��� — � I 5-�� it � � �2� �� es � i Town of Barnstable . `; - v: sap:tom; ;',.�;..'�isb^�e:r , `k, ,' 'se' ''Frsi�' `.'=•,,c �` ''»»���"° .s�,"' y'a ^y" B u il d 1 Irg ost�;T:his'Cacd So,That�it.saVisible:FromAthe Street �A"'_ roved Plans��Must=be�Retamed on�Job,and•th�s Card�MustMbeKept;,, �;,',� _ - �naxstaat.t, P M"S&° . PostedUntlf-ina?ze'npf�Occ�c'up"o ri6 if etasn��c �r n�`"a' .n•nµsp. '"i", .�.,a:;.asbee �m��a±, e#. P- erm i Where a C at --erdApplican :Name: toddleducPermitNo: B-17-4313 �Approvals Date.Issued:- 12/14/2017 Current Use: , Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/14/2018 Foundation: Location: 460 CEDAR STREET,WEST BARNSTABLE Map/Lot: 109 017 -, Zoning District: RF Sheathing: i Owner on Record: CAVANAUGH JOHN A&CAROL P > *�f s ✓� u Contractor NameTODD LEDUC Framing:. .1 . Address: 460 CEDAR ST ��� Contr."actor Uce seCSSaaL-106019 2 j WEST.BARNSTABLE;MA' 02668a f Est. Pro�ectCost: $:7,000.00 Chimney:' Description: Air sealing and insulation of attic flat,.kneewalls kneewell slope, " Pe m t Fee: ; $85.70 = r _ say, Insulation: i e kneewall floor. ' r FePad' 8 S 5.70 -� �`k u > * x�.+ Final: Project Review Req: � ' Date �x` 12/14/2017 Plumbing/Gas Rough Plumbing; 8�,.. M �� p wilding Official Final Plumbing:This permit shall be deemed abandoned and invalid unless the work a t iibd by s permit is'commenced withnsiz months aftee,.issuance: All work authorized by this permit shall conform to the approved application and the,approyed construction documents forwhich this permit has been granted. Rough Gas 11 All construction,alterations and.changes of use of any•buildirig and st uctu a sha l be in compliance withthe local zo ng by laws a d codes. . This permit shall be displayed in'a location clearly.visible from access street orroad and shall be maintained open for public mspection for the entire duration of the Final:Gas' work until the completion of the same. ' -Electrical The-Certificate of Occupancy will not be issued.until all applicable signatures by ihe4 lding andj ire Officials areaprovided,on this.permit. Service.., Minimum of Five Call Inspections Required for All Construction Worker k 1.Foundation or Footing a ' �. Rough: . 2.Sheathing Inspection � ` �. �. g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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. Finaf: "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 l � All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT Final: y Town of Barnstable4 RECEi`PTA TOWABLL 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit 80 LDIt1le Application No: TB-17-4313 Date Recieved: 12/13/2017 Job Location: 460 CEDAR STREET,WEST BARNSTABLE E�n' 14 ?p» Permit For: Building- Insulation-Residential TOWN Op 1 Contractor's Name: TODD LEDUC State Lic. No: CSSL-106019 Address: , East Greenwich, RI 02818 Applicant Phone: (401) 965-8578 (Home)Owner's Name: CAVANAUGH,JOHN A& CAROL P Phone: (508)362-2897 (Home)Owner's Address: 460 CEDAR ST, WEST BARNSTABLE,MA 02668 Work Description: Air sealing and insulation of attic flat, kneewalls, kneewall slope,kneewall floor. Total Value Of Work To Be Performed: $7,000.00 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: todd leduc 12/13/2017 (401)965-8578 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $7,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.70 12/13/2017 $35.70 XXXX-XXXX-XXXX- Credit Card 8065 Total Permit Fee Paid: $85.7012/13/2017 - - $50.00 _- XXXX-XXXX-XXXX-, �~Credit Card +� 8065 THISv?IS NOT A PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A ,iMap b Parcel'` i4 TU;Y, y r Permit# 7 Health Division . �`d1 Iv� ubo _0 �E Date Issued 0 / s 0 Conservation Division O '' �� Application F 30 Tax Collector i o/o+�p fit Permit Fee �. 0 � Treasurer Cl 01 �—._� Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO� #OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address f a C1,A,r �tlrQ Village IAJ�S�' 11ry11i OwneoJohn A CAM P. C" Address W O Cato- 3N, e Telephone 50f) Permit Request &r Square feet: 1 st floor: existing proposed 2nd floor: existing -7 0 Q proposed 0 Total new o Zoning District Flood Plain oundwater Overlay Project Valuation Construction Type Lot Size Z14 6_C"rP S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Q 't'S Historic House: ❑Yes &'No On Old King's Highway: &Y'es ❑ No Basement Type: ❑Full ❑Crawl BrWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ?_Ul, 154 Number of Baths: Full: existing new Half: existing 1 new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 2"N"o Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes idko Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U/No If yes,site plan review# Current Use _ Proposed Use - ff BUILDER INFORMATION Name NPI ll Telephone Number 00 ` �0)- Address 27 G 0. W �`�` License# N4 Home Improvement Contractor# �'t'►� (�UV�✓ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE R - FOR OFFICIAL USE ONLY o PERMIT NO. �^ DATE ISSUED ' MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER ti DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL c� gay PLUMBING: ROUGH t� FINAL V GAS: ROUGH 0 FINAL �r3 FINAL BUILDING �._ C) {— DATE CLOSED OUT ASSOCIATION PLAN NO. ma The Commonwealth of Mas§achusetts •. - - Department of Industrial Accidents' ` 600'Washington Street - Boston,Mass. 02111'. workers' Com ensation,Insurance Affidavit-General Busfnesses • fit:, '`1�5�;�''1•:�•'tP�,'�O .T��er"4F�'•''i•�..— '•,''• �.�: ..:�id§3 •Ct t address• -I iJ�O ` V �Y1 S�-Y/,��� � state• l�� 1 ziy: O�'��� yhone# JlJ/2-- 2-u 1 � . work site locatical full address): I am.a sole proprietor and have no one Btisiness Type: [] Retail❑'RestaurantBai/Eating'Estatilishment working in any capacity. ❑ Office[J Safes(including.Real Estate,Autos etc.)' I am an em to er with A VON etn to ees(full& art time. sO ME iher I am an.'erlsployer providing Workers' compensation for my employees working on this job. 1• '1' '.il k'••r1:s: :.t•: �'i.•`P•r•' .S:'•...• �,ti '•l.. 4.` — Y.�.. il:. .F;• _ COIIl-9II ••Ilefne' '.x '+.• .�`� ` .. `�'.r•::.: .�:';.•.�:- •r'' ,; f . '1. ..'a y'— :17'f`7.,,. :•�• i�.:•:•6:. W. .ii,�. — .i:- r.....•::t..<.' :1'' Wee(• i,Zi. ••7,:. ,{': •,.. t. eaaress ; ' •,. •.yi.r:'i, _ i..}i :•a�y:.I•'' �;:� .�, i.,'• ,.,•.�.•:n'r::r, .s+..� •r; .:i' .. hone � •r!•; _'r• '� 'i: -'��Y•it. -r. ••,i',ia:!G:`:k.`,. OLLC'. •#�• '} •�' - _ frisatice-c"di :;:..t •� .��`.. ..: ::.::'::.:..,... :•.•::;:• • .: :.,:e. .',::: °.. / FMR I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: '�• ' =•:.r: •.:(�`•� '_ •\''�-' .. •y• '4' _< (y •}'''/ '•1�..�,�•, •.T�;'(" yt•.�1•.rti'1 :I:'•:.1: •y 44 address:..:, yk "•t• �� ;,r:•i, .t.'' ..l..' :`•N�l::w�•• !::• O'l1C :#�••• .r,)',':4•t•:.:•?7:•.c• `{`i..<�.` insurance co. -t'�`'=�°•' / 7. .r addre`ss:. ; r �10Iie W. r. :, t:•:� Ci' :)• — r'— !''-. ; .:r,•`;:Y�'ti: r.s �. i.: •rl>:,+l:i::'• 4: fiisus$iice�sb:'+= •�%� FaUure to secure coverage s9 required under Section 25A of MGL 152 can lead t.o the imposition of crimfnal penalties of a fine up to S1,500.00.and/or one years'fmpr{sonment as well as civil penalties!n 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 maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do here rtify under the p ' sand penalties of perj that the information provided above is truue` d corr t Signature Date V l �ViO(it e# IPrint name Phon p � . official use onlY do not write in this area to be completed by city or town official city or town: permit/llceme# -[]Building Department . ❑Licensing Board ❑-check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: pbone#; ❑Other (revised Sept 7DO3) s ' Information and Instructions al Laws'c ter 152 section 25 requires all employers to provide workers' compensation for their. Massachusetts Geller ha employees.. ks quoted from•the lllaw", an employee is.defined as every person in the service'of another under any contract express or impfied; oral or written. of hire; xp An employer is defried as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enferprise, 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 . �P• dwelling house having not'more than three apartments and-who resides therein, or the.occupant of the dwelling house bf another who employs persons to do.maintenance, construction or repair work on such dwel ing house or on the grounds or b g appurtenant thereto shall not because of such.employment.be deemed to be an employer. :. MGL chapter 152 section 25 also•states that*every state•or local licensing agency shall 'withhold the issuance or renewal of a license or perrnit.to operate a business or to construct buildings in the.cdmmonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the' commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements.of this chapter have been presented to the contracting . authority. Applicants Please fin in the workers'compensation affidavit completely,by checking the box that applies to your situation.:Please supply company Warne, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Dep . Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit shouldbe returned to the city or town that the application for the permit or license is being requested, not the Dep artment of lndustrial Accidet ts�. Should you have any questions regardin&ffid*"law"or if you are required to obtain a:workers'.compensation policy,please call the Department at then.-: umber listed below. City or Towns . . . Please be sure that the affidavit is complete andprinted 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 - ntnn be sure to fill.in the perrrnt/hcens.e ber.which will Ve u m -used as a reference number. The.affidavits, ay.be.retmied to the Department b . or FAX.unless other:arrangements have been made. >ce to thank you in advance for you cooperation and should you hav The Office of Investigations would 1 e 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 eff{ee of Wesupugns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext:406 . oft To*wn of Barnstable R.egulatory Servzdes Thomas E.Geiler,Director 1619�k,��` Building Division • Tom Ferry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 , office: 508-862-4038 Fax; 508-790-6230 Permit no. . Date ' A•6MAVI'z' ' jroj Ia M2ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PEPJY=APPLICATION M&0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •ioaprovennent,removal,demolition,or construction of an addition to any pre-existing owner-occupied bun&ng containing at least one but not more than four dwelling units or to structures which arc adjacent to •. suoh residence or buildb3g be done by registered contractore,with certain exceptions,along with other requirements, , • Esti Type of Work; aUi�- �� mated Cost q° n - Address of Work: Q l ���• Owner's Name• � . �Q; _ - Date of Application• I hereby certify that: Registration is not required for Ea following reason(s): ' []Work excluded by law []lob Under$1,000 ❑Building not ovmer-occupied 00wner pulling own permit , Notice is hereby given that: OWNERS PULLING MIR OWN tFRMIT OR DEALING WITH UNREGISTERED CONTRACTORS FORA.PPLICABLE HOME ZUROYEMENT WORKDO NOT BANE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL e.142A. • SIGNED UNMERPENALTIM OF PERJURY Thereby apply foi aperro t as the agent of the owner: Data Contractor Name Registratioallo. OR Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 S 6 . O D Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE —=square feet x$96/sq.foot= ®® x.0041= ° plus from below(if applicable) I ALTERATIONS/RENOVATIONS OF EXISTING SPACE i 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 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Pmicost THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA t: _ rQc ure OCT-26-1993 09:29 FROM BOSTON SURVEY TO . MONARCH P.03 �re� �ipring 199G MORT(x E INSPECTION PLAN mown of 0arn5table �..t� planning Mepartnient BOSTON SURVEY, INC. 1 ThomP scnS. s your assurance that the (617)24 P.O.�0 """ Charlestntvn, MA 02129 -iood setting of your newly- 131.3 MAIN (617)242.1616 FAX rsm fF�►ns be maintained and preserved. APPLtC(►TTI��i�o� lav .. STRE2r:46 c Dffi.Rln':Ial4i 1-0 TOVVN:Br�tL.x�• �� PLANRB7+:y7.} sD STATED. CBRT.'ofITP1,g; ' ik M.: •� :•:V::j:•'i}X" J' JI CNN � � .... N .. � ........ .. :............................. �. s,r on O►d King's Highway,with a Queen p added during the Victorian era. DyjcK r sTe�Y 71rigturp W O0 r) G �0 �1 l act, the Commonwealth of `seated the Old King's Highway - w a District, subject to ratification by )i:e of all citizens in each affected 1 i, Q� I�ZaZti 1 a three-to-one vote, citizens approved adding historic usual zoning restrictions. c• Application to Rina'o Wgbbw Regional -ioarit Miotritt Committee 7�1f1 OFB�,itirST�BLE In the Town of Barnstable 2G;?4iU' 18 ►M11 : 42 CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four complete sets,for the issuance of a Certificate of Appjgpgta—'-f Hess under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for. CHECK CATEGORIES THAT APPLY: CZ ca 1. Exterior building construction: ,_,❑ New gAddition ❑ Alteration ~P r L� Indicate type of building: House Garage ❑ Commercial ❑ Other� • n J 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence .,_ El Wall El Flagpole ❑ Other TYPE OR PRINT LEGIBLY: N • DATE f ' N 3 ADDRESS OF PROPOSED WORK .0�r• lKe ;`W_ f ASSESSOR'S MAP NO. ���� OWNE.RJ&0 aAA Cayb I Cava ngjknti ASSESSOR'S LOT NO. �l r HOME ADDRESS 460 '6 (b C1 L�'Q j'' �'i f�' .UU,f rl TELEPHONE NO. 6U2 ' 01-T- FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across'any public street orway. (Attach additional sheet if necessary.) t jig �'0j a" uoylaig UZ�G AGENT OR CONTRACTOR V Z yVk O V J f\�K TELEPHONE NO. SO ti •aS ADDRESS 4U D CIAOLK _9_1r4e-e_4 6 kit- S f ir^JV6-Q_ A�M - 1.- v DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. 515� /. lv 15:7 X S'' Signed Owner-Contractor-Agent For Committee Use Only "Rnx/FD This Certificate is hereby Date- A d Fpopibve�'d/ enie Committee Members'Signatures: ,��, Town of Barnstable t Old Mug's Highway Historic District Committee SlPE,C� SHEET FOUNDATION COAV 1 l.Gbl SIDING TYPE COLOR CHIMNEY TYPE COLOR �Ovjmadc y r t s Lvkies ROOF MATERIAL COLOR 1 PITCH 7 '� WINDOWS��4t Li,'n d'J1 �1r1 COLOR SIZE TRIM COLOR DOORS COLORS SHUTTERS - COLORS GUTTERS Gi_1 U AA NI MAM COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTSS: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. i 't 0 P .0r _ gTOt1E WALL o v DECK y. EXIST THREE BEOR OMELLJNG p by �pQ pp ORCH N 32 41 *53"W !6 .00' CEDAR STREET f • ` y '�? �x� �� b °o[��; .,�� �� CS•' ���,x�f.�•` ?4' _ o Pam' _.-`„ p �y �.� �,. �� ! `t- ��t F''� ,•u W �{} .'-. �1 ` :' ti:Q'!i� a ¢..�� f�'(� f � �� � 1 Al cX X., 3►+ s- q a46 Of - I• 1r ' 1 em t' 1 . .: ,r. ,tom:-• ,: ., ..::.::. ...... i y f I � j �7t +3 LO 4 z x Iko W � 1 I i 1 I � ' i 3 t 11 E i f I l , i• 1 400 AWning Page I of 2 Andersen WIN601rSeD0083 FEATURES SIZES INSTALLATION PRODUCT CARE PRO DETAILS Andersen®400 Series Awning Window L---J Basic Units Table of Basic Unit Sizes ................................................. Scale 1/8"= T-0"(1:96) 7-0 1 fs' 7-4 3/W 7-1V5/-ti' 3,-4 13116!, 4,_01 4*-4 Unit Dimensian (913) (121% (1341) *O ftg 2*•05/6" Z-4 7/g' T-0 T-5 3/9' 4%0112' 4%5 ifs"RVpe (625) (7331 (927) (1051) (1737) (1356) Ynobs:ruved f2lass 101-k. 230/-6 31 I/C 36" 43 3/ifi 48, (491) —T59-0) i (191) {914} (log 1) Www I 'Casement WRovas;-.0 Masi Will AR351 AR41 AR451 in Ar. AG Arl 4^3 Ac. L Ell [CAI F=7 Lj AN21 AM261 AN31 M351 A941 AN451 jifdM AG M, Aa Ar, SL I- 0 AS iSefnwtW1A4*,W 11 i� _4'_: rF I fr Li =0 0=0 A251 A31 AM A41 A451 tn18e SarBen. ors N 1 NC3 n 1=11 I AW251 AW31 AW351 AW41 AW451 AG Az 4G Ail FF-1 CD tLi L�,' ao� _ AXW31 AXW351 AXW41 AXW451 94 A335 A36U AC• As _N pp CD �2 AP32V AP3529 AP42V AG:Andersen®Ad Glass Collection panels are available for these sizes. • Dashed lines on size tables indicate standard hinging(also available as stationary units). • Stationary units are available as venting units by special order.Some restrictions may apply.Contact yot • "Unit Dimension"always refers to outside frame to frame dimension. http://www.andersenwindows.com/UE/ProductGuide/Residential/400Awniii/gBasicUnits.asp 8/18/2004 Landmark T" 40, Landmark"' 30 and Landmark '2S Color Palette Landmark Series Product Corporate Office Specifications 750 E.Svedeslorel Road •To+o-piece iaminmed construction P.O.Rox 860 ill"x 36"l Valley Forge.RA 19482 • Fiber glass composition Cotrsmoner Services Burnt Sienna x♦x x (800)345-1145 300 lb. per square(Lmilmark RI) :bailable in all Regions Literature Itupdries and • 265 lb per square(Landmark 30) Distributor Liforniation Available in East.Coast Region (WO)782-till 7 •260 Ih per square-(I andmark 301, Regional Sales Offices Available in North Central and Lake Fast Coast Colonial Slate 0••x Central Regions 200 CenainTeed Road • 245 lb per square(1-andmark 25) Oxford,NC 27565 fi93-t 14t Available in lake Central,:North Central (9191(919) Cert14 1 and Northern East Coast Regions lNorttral 3303 Fast Founh Avenue • Landmark 40 and Landmark 30 Shakolnx,MN 5.379 available in algae resistant version in the (612)-145-64.50 Drihirt�ad— ��— ri ax--� East Coast Region Lake Cenral UL Class A Fire Resistance 11519 U.S.Route 250 Nlonh •AST i E108 Class A Fire Resistance' Milan,OF1 44846 •UL VVit Resistance Self-Sealing (40)499-2581 (ASTM D11.61) International Sales Division •ASTNM D_ 62(Tear Strength) 750 F.Swcdesford Road P.O.Box 60 Georgetown Gray o♦s x Co lls to CSA Standard A 123.5-N;190 Valley Forge,RA 19482 •Conforms to BOCA building code (610)341.7-836 Phome requirements (610)341-7113 Fits .. Landnuu*40, Latubtuuit 30 and Fax Lancbnarh 25 Warranties' on Demand:Si70A47-i1057 • 10 Vicar(l anchnark 40).30 year Visit our VV0 Site it.- III I pl/mv wcertain teed.CoIII Heather Blend $ u x (undmark 30)and 25-year(Landmark 25)limited transferable.warranty,i,�ainst Rr[?rt clue?,m of the.+)ors shown is as arturatr lirmttfacturing defects a9 naxlcm printing will pemiit.Colors are also • 5-year SureStan ioleC[1011 $1113itm If.)c altg rs by<,mnule ntanu(tet ut'ers. p Uclurc. eking a lira) rlrction,rn tsldrr the I Ih!wur;. • 40-year,30-year and 25-year limited I)Request full shingle sintples; transferable warrant%,including--mgear 2)to aetnal ntof ap1>lic:niuns; SureeSlarl`protection,are applical31e 3)Ino4much as the appeamttec of a ftiof oral-vary depatding upon ih:light espnstlw cot»Jdo- Hunter Green i♦Y x only in the United States,its territories viewing scvvral worapplirtixns utrdrr v.1"'Ous and Canada:For products sold C0.1t5rlle kinds t4light, might stirs.gumaktin,lull cloud,SAr. these areas,please refer to the 4)[ktrrntine if tier pitch of-;our itng::w! International\Mirrinty for speciFic hint shing;'e a�lur gill lo0+k on your hounV. details and limiLations To make the hest srkaicat,ticty h;�tues+with your shing-1c color chaise troth tool pitches • Landmark 40 and Landmark 30 algae similar to your own. resistant versions are warranted against .Moire Black a•■x all te growth for 10 years o=Like Cennal RLp„n For extra protection against fcakage x-lKonhrm F ft:Colt Regi:m t!_Sotuh,.m[ail roan 1?cwt9 dlte to water hack-up front ice dales f:.:g•a:an an:k;la, tiinnalvi,=.t •.hi,n:l.•[,•Ln or►vind-driven rain.consider WinterGuard"ll Walerproofrn}; Shingle Underli 1pnent. kc::a+.vn Shake a a x Sce warranty for spccific details r }t and limitatio'ns 1 Tear Resislance and ASTM D 3462 1. t f Compliance is Classified by Underwriters Laboratories, Inc.0 )ells CERiIFICATF•01: C0A1PI.1ANCE WI•3111CI-Cti\!0011 x is available from Certain"'e �� CcrtainTeed upon rcquc�t. (--e0I'0 I0tt,i G.rilv. 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F ,k� . .. 1. } r^ I 7 ff . _ -,."�-•�.� __ _._ --- - _ . . - __ - - •ham^-'- - „RN. .. -,.._����•.. t� a 4 Ik 1 i ij � fit/®T� )2A COL �,vs °¢ Engineering Dept. (3rd floor) Map lof Parcel-0/7 Permit# 3 3 House# �4. R17V Date Issued7 2 Board of Health(3rd floor)(8:15 -9:30/1:00-4-M) y��,e " Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) 1ME SEPTIC S ST BE Definitive Plan Approved by Planning Board 19 INSTALLS IANCE WI TOWN OF BARNSTABL�uvIRONME CODE AND 1 Building Permit Application Project Street Address 'TAD 0 Lei air �ff utf- Village Ownerjohn (ant Cava Aa,u& Address Telephone cocZ a$ o. Permit Request - 'L r -u 6 d G-S T, v. Ea V,00 aw 'p-, w Or ' QQJ LLI i p First Floor ( square feet Second Floor II�, square feet Construction Type 5� rbb 1,- w Q-b S- l t Y lk rf c Lou Estimated Project Cost $ 9 Zoning District Flood Plain Water Protection Lot Size s G Grandfathered ®'''es ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure C9 6 Historic House ❑Yes ,M No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) L� l 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New (� Total Room Count(not including baths): Existing New First Floor Room Count 8 Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes (f No Fireplaces: Existing o2 New Existing wood/coal stove ❑Yes ) No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 0 Attached(size) Z,OD k ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑. Commercial ❑Yes A No If yes, site plan review# Current Use Proposed Use B qder Information NameC6,01 0,QWaRAA4J/\-/(0WU)1 Telephone Number i Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ! Z� BUILDING PERMIT DENIED FOR THE 0 ING REASON(S) �` 4 FOR OFFICIAL USE ONLY PERMIT NO. �= DATE ISSUED MAP/PARCEL NO: - x t . ADDRESS VILLAGE ' .t OWNER I ! DATE OF INSPECTION: FOUNDATION , t Gp FRAME INSULATION FIREPLACy ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH j' FINAL GAS: RCQU�(t,H ` FINAL, •1 F FINAL BUILDING N MigFj.t/ Crop ' ,; 0n DATE CLOSED OUT:- r' ASSOCIATION PLANRI-N • '�`'�' Tlrc• Cunrnrurrtrctrltlt uj:llassuc•Ilusctts i� a:ii •a • --=j•== Depurt»renl of Industrial Accidents 3 `` ;r !� 0llicPaJln�est/gatlons •:\�i;�: _:i :�+ 600 !t us'hitrrtuii Street � +� Boston.Marx. (12111 Workers' Compensation Insurance Affidavit i ii i f'r 'tin• •—.. _ _._..__r� ... �. _...." v ._�.��—� �..�._�..- _ _ � Cow tdntE ,. Lot V V I�M�— phone Ia6i a homeowner performing all work myself. 1 am a sole proprietor and have no one workings in any capacity Q I am an emplover providing workers' compensation for my employees working on this job. comunov nnmc• nddrecc• . phone#• incurnnce cn nolic� # [� I am a sole proprietor. general contractor, or homeowner circle oue) and have hired the contractors listed beiow who hay the following workers' compensation polices: comrianv nnine- — ntitlrecc- cim. nhnnr�• nniir� d in,�iirnncr rn _ .�.._ cnnin9nt• nninr' . atltlrescr nhnne a incurnncc co nnlicl•# _ Attach additia_n21 sheet if neecssaty - • ^ ,, --';.';:::: - - === - J r . �• _�•••-—• F:tilurc tit securr ctrvcraec:ts required under Scctton 3A of lGL 15:+an:c::d :u the imposition of cnminal penalties ol'a line up to S150U.UU andiur one Nears'imprisonment:t.well:ts CiVil penalties in the form of a STOP' MZTR ORDER and a fine ufS100.00 a dad•against me. I understand that a copy of this statement may be forwarded to the Ofrtce of Im•esticotions of:hc :)I:\ fur coverage verification. !do herehv • ift' tier the pains and penaltic f perjure•that the ia_rorc axon.provided above is true an�7d con t. Si!zaature Date G L- Print name Phone>* ' ofrtcial use unh' do not write in this area to be completed b% tiny or town otTcial tin or town: permit/license>< ritluitding Department (:IUcensinr.hoard 1]check if immediate response is required ❑Selectmen s Orr �•. C311c2llh Department `• phone=: r•IUtltcr Ccontact person Information and Instructions �. . Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ct I'll pensatian for:i. employees. As quoted from the -law-. an etnpinree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An enrpinrcr is defined as an individual. partnership. association. corporation or other legal entity, or any two or in, the foregoing ema,_ed in a joint enterprise, and including the legalrepresentatives of a deceased employer. or the receiver or tntstce of an individual . partnership. association or other legal entity, employing employees. However owner of a dwelling_ house having not more than three apartments and who resides therein. or the occupant of the dwcllin•_ house of another who cmplo)I r repair work s persons to do maintenance, construction ot: on such dwelling_ ?i. or oil the -_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empioy: MGL chapter I�? section �5 also states that ever•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 flee commom,cattle foram applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor am 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 cliapte- been presented to the contracting authority. Applicants Please fill in the .vorkcrs* compensation affidavit completely, by checking the box that applies to your situation and suFp!yin,, company- names. address and phone numbers as all affidavits may be submitted to the Depantncnt of Industri:l •accidents for cotrtirtnntion 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 require to obtain a workers' compensation polio•. 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 fire affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be resurnec the Department by mail or FAX unless other arrangements have been made. The Office of investi=ations would like to thank you in advance for you cooperation and should you have any questic Please do.not hesitate to _=ive us a =11. 'The Department's address. telephone and fax number. The Commonwealth Of Massachusetts 4!;r Department of Industrial Accidents -. Office of Investigations r` 600 Washington Street - Boston,Ma. 02111 fax n: (617) 727-7749 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio- For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, 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 exception along with other requirements. Type of Work. • ( �,k A-W cc-,, Est.Cost4( Address of Work: Owner's Name C� Oy`A CaU Date of Permit Application: l I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied 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 Name Registration No. OR Date Owner. s Name Jill CUR Appeadis/ Table J&LIb(eoatiaued) prescriptive Packages for One and Tw"an*Residential BuiWtoge Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Roor tlasemew Slab Heating/Cooling Arm'('A) U-value= R value' R-value' R value' Wall Ammeter Equipment Effraency' Package R value° R value' 5"1 to 6500 Hating Degree Days' Q 12%. 0.40 38 13 19 10 6 Normal R 12%. 0.52 30 19 19 10 6 Normal S 12%. 0.50 38 13 19 10 6 85 AFUE T 15%. 0.36 38 13 23 WA WA Normal U 15%. 0.46 38 19 19 10 6 Normal V 15%. 0.44 38 13 25 WA WA 85 AFUE w 15%. 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 1 13 25 WA N/A Normal Y 18%. 0.42 1 38 19 25 WA WA Normal Z 18%. 0.42 38 13 19 10 6 i 90 AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: r2.e-l-- /711 OZCQ& 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J ] J Footnotes to Table J5.2.1b: �? ' 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%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement-doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: R a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). I I I 43 • TOWN 40F BARNSTABLE ; - BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JOB CATION C, d Ol Number Street address Section of town "HOMEOWNER" 0k A4 C Nv Ct 3( ,;� n\-el Name Home phone Work phone PRESENT MAILING ADDRESS ✓VN_z1 A k a? City town State Zip coc The current exemption for "homeowners" was extended to include owner-oc-_ dwellings of six units or less and to allow such homeowners to engage an i. dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to side, on which there is , or is intended to be, a one or two family dwelli : attached or detached structures accessory to such use and/or farm st_ruct;L: A person who constructs more than one home in a two-year period shall not. } considered a homeowner. Such "homeowner" shall submit to the Building Of=:, on a form acceptable to the Building Official, that he/she shall be resiena for all such work performed under the building permit. (Section 109 . 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws , rules and. regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremen nd that he/she will comply with said procedures and requirements. 30MEOWNER'S SIGINATURE4J)./t? Z.,42 PROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be requirec o comply with State Building Code Section 127. 0 , Construction Control. 1 u HOME OWNER' S EXEMPTION The code state that: "Any Home Owner performing work for which .:na; �buildin c permit is required shall be exempt from the provisions of this section (Section 109- 1. 1 - Licensing of Construction Supervisors) ; provided that is Home Owner engages a persons) for hire to do such work, that such Home 0:,: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuminc the responsibilities of a supervisor (see ,Appendix Q, Rules and Regulat=crs for . licensing Construction Supervisors, Section 2. 15) . This lack of awara:: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In tthis case our Board cannot proceed against the nlicensed person as ittiwould with licensed -Supervisor. The - Home "Owner acm as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities , s: :ommunities require; ias 'part of .the permit application, that the Home Owner :ertify that he/she understands the responsibilities of a supervisor. On t .ast page of.-,this issue is a form currently used by several towns. You ma""' :are to ameld and adopt such a form/certification for use in your commun4 n +ae l .Y t x I QI wN ~ B4l .T�, r �.. Y 7 - J j elb f :. i r - i t { i r M MOH. r .9� 13 111 k r � � Cl i l a t� 1 i Application to - � - Od �'�"►`Y-`M r Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building * ❑ Addition ❑ Alteration Q Q Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other Z Exterior Painting: ❑ . 3. Signs or Billboards: ❑ New sign. ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE .I �q8 ADDRESS OF PROPOSED WORK 4 Cedar S1 t u ASSESSORS MAP NO. lid Ct OWNER,)�Ul ` CC.ua.r', ASSESSORS LOT NO. y l HOME ADDRESS L6 o C21-0r TEL. NO. �S01360 ZZ� . FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). John CoAl Aimkk 1-00 Ctb�— 9" wt�� byAlf AGENT OR CONTRACTOR _ TEL. NO. ADDRESS 4cp Clt "" DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs, (Attach additional sheet,if necessary). rof R .S�`r/; APIft, 1OVED-.AS MODIFIED Signed C Owner-Contra or-Agent Space.below line for Committee use. Received.by H.D. U he Certificate is hereby Date `� .r�M-ZlL T L. IN 'S HiGHWAY Approved ' ❑ IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. w - Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION { SIDING TYPE COLOR CHIMNEY TYPE 'COLOR ROOF MATERIALAVd L�COLOR CS PITCH ,, WINDOWS YLb,1 /� "� "I, SIZELj `l TRIM COLOR DOORS COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE .DOORS COLORS SIGNS s COLORS FENCE COLOR NOTES: Pill out completely, including measurements and materials/colors to be used. Three copies of this form 'are required for submittal of an application, along -with three copies of the plot plan, landscape plan and elevation plane, when applicable. .SPECSBT 1 xa 1 i 40, Landmark TN- Landmark"' 30 and . Landmark"25 Color Palette Landmark Series Product Corporate Office Specifications 750 E.Swedesford Road • Rvo- tece laminated constnution PO.Box 860 „p Valley Forge,PA 19482 0.2 x 36 ) • Fiber glass composition Cortstuner Services Burnt Sienna o♦to x (800)345-1145 • 300 lb. per square(Landmark 40) Available in all Regions Literature Itulttiries and • 265 lb per square(Landmark 30) Distributor htformation Available in East Coast Region (800)782-8777 • 260 lb per square(Landmark 30) Regional Sales Offices Available in North Central and Lake Fast Coast Colonial Slate o♦a x Central Regions 200 CertainTeed Road • 245 lb per square(Landmark 25) Oxford,NC 27565 (919)693-11.41 Available in Lake Central,North Central tiNorth Central and Northern East Coast Regions 3303 Fast Fourth Avenue • Landmark 40 and Landmark 30 Shakopee,NIN 55379 available in algae resistant version in the (612)445-6450 Drift.. ��x East Coast Region Lake Central UL Class A Fire Resistance 115.19 U.S.Route 250 Nonh • A \,t E108 Class A Fire Resistance Milan,OH 44846 • UL\\pit Resistance Self-Sealing (419)499.258.1 (ASTI7 D 1.61) International Sales Division •ASTM D 62(Tear Strength) 750 E.Swedesford Road PO.Box 860 Con ns to CSA Standard A123.5-1a190 Georgetown Gray o�a x � 1Falley Forge,PA 19482 - Coll onfonns to BOCA building code (610)341-7836 Phone requirements (610)341-7113 Fax Landmark 40, Lmuhnarb 30 and Landmark 25 Warrmtties* Fax on Demand: 7-0057 Visit our\\Feb Siteire at:at: • 40-year(landmark 40),30-year httpJ/\%,\krxvicertainteeci.com Heather Blend o♦o x (Landmark 30)and 25-year(landmark 25)limited transferable warranty against Reproduction of the colors shown is as accurate manufacturing defects as modem printing mill permit.Colors are also • 5 rear SUrestatt"protection Sul jeer to changes bF granule manufacturers. 1 Before making a final selection,consider the follmving: • 40-year,30-year and 25-year limited 1)Request full shingle samples; transferable warranty,including 5-year 2)See actual roof applications; SureStan'"protection,are applicable 3)Inasmuch as the appearance of a roof may vary depending upon the light exposure,consider Hunter Green o♦a x only in the United States,its territories vie,ti,nt�r,several roof applications under t:trious and Canada;for products sold outside kinds c'I'light,i.e bright sun,partial sun,full cloud,etc. these areas,please refer to the 4)Determine if the ppitch of your roof will impact international Warranty for specific how a shingle color will look on your home. details and limitations To make the best selection,view homes with your shingle color choice Mill roof pitches • Landmark 40 and Landmark 30 algae similar to your own. resistant versions are warranted against Moire Black o•o x algae growth for 10 years o•take Central Region ♦.Nonh Central Region F For extra protection against leakage x-NorthernEastCoast Reg on O.Southern Gast Coast Region "k�""'!""""�""' '- • elite to water back-up from ice darns ! Kotc Conuct tie Imerrtaioml Saks Division fix t zlor r. orN771d-driven rain, consider asmlaWityin your country - �- '"' �C ;► 1VinterGi►arzl'rat Waterproofing Shingle Uoderfaynie►rt. Resawn Shake o a x See warranty for specific details and limitations Tear Resistance and As,rNl D 3462 Compliance is Classified by Underwriters Laboratories, Inc.© t Uls CERTIFICATE OF COMPLIANCE \Veathered 1Vood o♦CI x is available from CertainTeed C-i CertainTeed upon request. �E�Ri;�nmv'&allrtzvnwm; ..:.t•. &r-?J.I1�.fi Georgetowrt Gray, Hunter Green and Resawn Shake not available in Landmark 30 in East Coast Region. } i . ''i•'a W • g G,,.• r� y ,Gr. a 1 � e`• h N 'X I ti r 3. TV 1t W •':I i `�:.,..:r•..ux.zs++.vw.vxe..e�a�na.:..v}terk ..� 1 a - � 4.� , �+�•wN•u�+ar4nMwu�s�.Q,H. e � • �-• i s z : N3fat M o ' e � � a J 1 { i ' + TO MONK P.03 F OCT-26-1993 09:29 FROM BOSTON.$URVEY MORTG E INSPECTION PLAN y BOSTON SURVEY, INC. 1 Thompson, . P.O.Box220 Chsrlesto , MA 02129 (617)24 131.3 MAIN (617)242-1616 FAX ` AYPI,ICQNI`• �1,cytSm STREETA GBH PI.ATmx:y7•�h1 at 'cbWN:��T CBRT,e2Tfflii: 1 STATgtIIA• DATB l� Nc a1�1 i , , r r - r 1 , 2mm•me• ! ' f a-re1-y. W oop 44 ' scntEa''=�• CMkWW *A-mT Motel do 4E The permanent gtrnct=era eppr=kui dy treated H OF { pnhd 0 shown.They eider set]==to the Amrdieg to pedcrd BmaBm!•'7 Management APW re�olnemente afthe local zonin&-lmmaea iAzffl t at CATON maps,the*Qr on alis prapaty hu'fn tidra of raasdntotian.or ete amipt llom vloletion A an roes deaigaated an 2a0e G ®t=Mmt zWm=der UG.L.ThI6 V14 CLepta 40 NTOM te4eY con'enuy Pond Nm z6vios/' Do#*/ C Sectian.7.and that these me rm an,ecoaehrp . of mm )weft Dtda 'y/! 9 2 ittmcOtanmb d&ff way.at m ptt>petty Ha®WA0 (9��or aT NOTL.zora•O bareas at atraatl Obaoa om MxeBd. ahotYnBndIIatedht¢LOL �' dwl�rdbp"how anon ar.aonorar• NOTE:This b eat a boundary ar Mo Instrenae surnm. D� p M aDOord�lm to p°OO y end taM CM OL05.rdt for AbAy�tan ImpeaWo n aeopW b7 ft Sowd of R at profhs WW.argkmm arW IendeucvaYo�el CMR aria erd tsa fot ary ettaa pLw"b pmhR tad.THo pn 10 net io tie usad for• preportnp ease dose r>sl a ooratruegon i RESIDENTIAL ADDITIONS OR ALTERATIONS If located North of Route 6-any work visible from outside-needs approval from OKH In Hyannis-If work visible from outside-Check to see if It's included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs from .-I, Health X Conservation(if exterior work) Tax Collector Street address Owner's name&address Permit request- full description of proposed project Square footage-proposed project Estimated project cost / Complete Dwelling information for Assessor's Office r/ Builder's information signature Plot plan Lilo-V,4-17 .1-4 sets of reduced(8.5"x 11:or 8.5"x 14")plans with cross section&fiaming schedule Home Improvement Contractor's Affidavit Worker's Comp form must include: Insurance company's name&Worker's Comp policy number Energy Compliance Form `i e✓/ _,,,Copy of Construction Suspervisor's License&Home Improvement Specialist's License OR Homeowner's License Exemption Form. NOTES: CEMV94US Need Home Improvement License No plot plan required PIERS&DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit �C� iJ I Zy 36 ' 60 72- 0" IJO 142. 19V -G /6g IR )43 .:d1' :Jie 'A8 3HD Z;,'' A;'/- o°74 ::S'( 300 3le G I/, a0 Gz S4' !iy i7e r9 .1> ,//Y i/Li I/78r 'I: 17N IQV j 1 i2 2 It q / /S �! , /� ir' O Z/ z-1 zy Zs '6 P7 43 19 00 , -- --- j---- -- - /u�y M ,boa_ �.3 9 `r-Z.s2 y6 j 67 o ' op -�' � +Z• yYiy 1 t Nl I 1 • � I i S 33 ids i sv � �3�Y �.�1 �•"� �.1//v ��s�v _ � �9 ' v3 .�"= ' !/lip I •►o rNSip,+�tt I i Q i � + v ' li 11� r � V N IL 60 tip. Zm- k OIA ( r'1 .fir. 9..Q4 j ,- /, �,,,,,r) Map !/ ZParcel r)l ermit Conservation Office(4th floor)(8:30-9:30/1:00--2:00) (,�;,, �I3�%ate Issued `��3�•'�-to Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) X7 J —100 Fee Engineering-Dept1(3rd floor) House# ,NE BARNSTABLE. ' 19 +eMAS&9. .� 0/Z# WN OF BARNSTABLE Building Permit Arication ; i Project Street Address Village Owner �-(-�, Address - Telephone Permit Request 76 -hilld a=.. v,)COC6 ckc. ,I v2 r r 1 1 First Floor rZ square feet Second Floor square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure v( dZ Basement Type: Finished l/ Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name JLIA Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t SIGNATURE / DATE 1 BUILDING Prtt IT DENIED FOR THIJOLLOWING REASON(S) l v FOR OFFICIAL USE ONLY .s PEk, MIT NO. D � .ISSUED M P/PARCEL NO. ADDRESS C VILLAGE OWNER - f DATE OF INSPECTION: _ t —,•« _ FOUNDATION , s FRAME. s f INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL 5 PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL _ FINAL BUILDING r 1 « i DATE CLOSED OUT —+ i ASSOCIATION PLAN NO. + . s . r. • �''" The Commonwealth elf Atassacl useas Department of Industrial Accidents 4 ,. �1� 0lnceolloyesllgal/ods' 61111 11 ieskiergton Street Boston.Marx 02111 `-- Workers' Compensation Insurance•ARdavit Annlica—nf nformation - Please PRiIVT`l� IV' .e��e��e a�r?Ir •� vst—u • In Minn. a L2 - am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity [am an employer providing workers' compensation for my employees working on this job. camnnny Atldrets• cih.. Anne#� insurnnee,co oiJ�iCr 1 am a sole proprietor, general contractor,or homeowner(drrle one)and have hired the contractors listed below who havt the following workers' compensation polices address• city: nhone if• - incurnnee Co. ttolier tY j++-t;;�' :«-:.T.:-•- --.:- rer�r��:..•.a.•..-_*-�-�^~•'�-�•^s^'S�'�=. — -- '�p°q�°'�`�aye�'�`''+.r''r�s'PJ.�?�"..r�.e'4-S_=_'�XA4�'�'"'"; m v na e- nddress• city: Rhone -�---- noiiev 0 Atinch addltionsi'sheet if aieeuar failure to secure coverage as required under Section 2sA of h1GL 152 an lad to the imposition of criminal penalties of a fine up to ot.500.00 and/or une years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a titre ofSI00 00 a day against me. I understand that a coin*of this statement may be forwarded to the Ogee of investigations of the DIA for coverage valuation. I do herrbr '�•under t/re pal nd penalties ojpequ hat the injorntaion pwrided above is fate and coneae: Sir re Print name Q� one# o Cial use only do not write in this area to be completed by city or town oMcial City or town: permit/Utease 1l rnBuilding 7Frd, pLlcemungC3 cheek if immediate response is required OSeleetmeaC3lialtb De s phone ft. r1Other • contact person: Information end Instructions f _ Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for tltei employees. As quoted from the"law".an emplgree is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An enrplgrer is defined as an individual, partnership,association.corporation or other ; gal entity, or any two or more the fore�_oing engaged in a joint enterprise,and including the legal representatives of a deceased cmplover.or the receiver or trustee of an individual , partnership,association or other legal entity, employing employees. However tltc 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 hot or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 1'52 section_'5 also states that ever}•state.or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally.neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter 1- been presented to the contracting authority. ..�.•�..�.�. yia.. �;�}: y.. i _ � ;. yam.:ts::: %N+r'YaL•.''1�;" 'Y.:`..~.•.f•��.+�.....� 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 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"taw"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. ' ---•+ .._��::.,: �y�....ice.:y..r.»...::s LL'.T,r.faa kl(",.Y '•.f'.sr•v;...7'+�;1.. :!... -.. City or Towns i Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questior 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 hivestigations �r 600 Washington Street _. — Boston,Ma. 02111 fax#: (617)727-7749 •. phone#: (617) 7274900 cat. 406, 409 or 375 The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyatnis MA 02601 Ralph Cross= Office: 508-790-6227 Building Coma F= 508=775-33" For office use anly , F mit no.__ Date AFFMAVIT HO ME n"ROVE BENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"nxanstntction,aitemtiorM renovation,rum raodmm'=d n,conversion, imprtrvement,.remcnal, demolitiam or construction of an addition to any Pm-c:dsdng owner occupied at least one but not more than four dwdling units ar to sa C=cs which are ad}aeeat building containing to such residence or building be done by registered eo==M with=twin CWTdens.along with other requircraentL Est.Cost •.3 �'� Type of Work:A Eaik Address of Work: aner.Name: O t` Date afPermit Application: , I hereby certify that: Registration is not required for the following rcason(s): Work excluded by law Job under SL000 Budding not owner occuPicd Owner Pig own Pc=it Notice is hereby gitien that: OWNERS PULLING THEIR OWN PR DEALING r NN OT �' VE ACCESS TO�TI� FOR APPLICABLE HOME 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 caner: Date Camractor:nme Registration No. OR ' 3114 er s narne n�.e0 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print . - DATE JOB. LOCATION Number Street address Section of town "HOMEOWNER" /Z, 6 , Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes ..responsibility for compliance with the Stat Building Code and other applicable codes, by-laws , rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply , t said procedur `s and requirements. HOMEOWNER'S SIGNATURE 4 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. `l a HOME OWNER' S EXEMPTION The code state that: "Any Home Owner performing work for which-a Uti-i•lding permit is required shall be exempt from the provisions of this section (Section 109 . 1 . 1 - Licensing of Construction Supervisors) ; provided that if a Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for • licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons . In this case our Board cannot proceed against the inlicensed person, .as it would with licensed Supervisor,. The -Home "Owner� actin as supervisor`is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities. require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. ' Md•ARci P.03 OCT-26-1993 09:29 FROM BosT�.` Y 7 M•ORTG E INSPECTION PLAN BOSTON SURVEY, INC. ' l.�hompsom P.O.Box 220 Chsdtsto�tv4 MA 02129 (61�24 1313 MAIN (61V42-1616 FAX APMCsl>ANr• L ct r;.nx,a a-miss zvwN:�► c , ' cERT.'OTlfLE: . is o►� STATIL16^ Dais:t 1 I ' 7pm•00 • 1 m• • I .. •J+•. . ` 1A1 DOD 44 WAMVr+'r0& . " CBitTIItIDD �t!'� Me#�'4I.QE ' �E�a�ucxnra am a��'boaama Nor gtoaud m drown.Thry aim to tLs A000�s+g to podaat P,aast8�?]r Mm�A1�9 aegoi=c b af*a tacat saaays• in 2Md et �tEN �p4 tea wadi aat�a gvpah tLtl'in sorcansOcuoti.m.a:� $om�loletlaa A. mms�deadu?Aee �% m .oemnaaan�oa,T�lerm. � TPTA baes t ca�ri riaZS�t com tre. G canon 7,me tbattaaa $�tiva Duce 7/s/9 t tQIfltOP�Ctf�lSwey. 1lae9 gar Ndrbtoi�ai+e�temdaier.r�on 7M� drowa,mdaatedheteon. dr�4 NOTE TNe b note bote+da%a tl0. D"wM Pn4med►�aaeareararb Pad nid tam CM atanda►da lx NbApapa Loan at.piefaolww anpinawa wo Mndamrlo�R CMR aa6,ud 1ra tat any dirt TtThb�tanbAd4otisufadtat dad do !.aaartr'!atlon Pol ............ I. .1:v. 1 .) .f.\.._.t _. .. ............... .i ._!l: ..+'t•/\:, fa..tl.1...t..' .1 !: i xf:..' /..�,•.�..'\l:l., S_...t::.l..:r 7_.l I- ✓:\-.t'a:\':w:�,. �4. I I I _ � f I I +Ii . 1 I i I I ! a i ...... _ _ 07rn ; = I r - G� N I t i .dr2w^Yar� 4..- -----:-- ---------- - .----.- ._.-.- _. . N _ .......... I 91011 oil I 15"0" r Application to �PNS•1 NNStEN,�d�' t . 01d Kings Highway Regional Historic District Committee G ' in the Town of Barnstable fora' n CERTIFICATION OF EXEMPTION } Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for ro - proposed work as described below and on plans,drawings,or photo- graphs accompanying this application. J �: ti ' 'x"ja=• ,.• TYPE OR PRINT LEGIBLY DATE +` ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. O OWNER J0644 ' ' ASSESSORS T N / SO S LOT O.HOME ADDRESS ADDRESS V v � TEL. NO. � - !/lam ••• + r AGENT OR CONTRACTOR �-- � ��'' ' " r• � '"� • ' ' �- . ' "F 'i P: . :j'.-1 ../•' y t•.. -<-_ r 4 "X�• r. . .'` , .. 4 ""q •C ADDRESS TEL.N0, • �� This application is for exemption of proposed exterior construction on the ground that: LrV,/ 0) It will not be visible from' any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. applicable box) ` PROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot,and, if an addition is involved,show. 'ing location of existing building. SIGNED Own4Space below.line for Committee use. rZontractor-Agent ived.by.H.D.C. ;, ( The Certificate is hereby Date. ✓ VA-„, MAY 2 3,I99b. Tim TOWN•OF BARN$TABI-E y r..�I,. ,r•c ut— rN`='° ..Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. TO MONARCH P.,03 OCT-26-1993 09:29 FROM >�T' Sy�VEI 1 MORTG E INSPECTION PLAN BOSTON SURVEY, INC. ;j 1�'hompsCm P.O.Box 220 Charlestown, MA 02129 ;I (617)24 131.3 MAIN (617)242-1616 FAX pppyl lP A LAN . iwtseb l,�Nits DMWWAdp-11-0 SIllFL'T:'K%c0 �� PI.AN'R>�+:y-t4`b'S TcmN:t T CBRT,o1Tm3: ' STAT8IM• DAM J.P 1 lit af�! �l f • ,j i 2me�.mo • � i�l 3.p 4- Woof) I � I caRWM m---;k4A*,mvT m0=d SAE no pmnmc t sti4ct=me M=iOWY kcdted gwad ae shown.They eiam anfotmad to ft A=dM to Pedael Pmagm7 Mmagemeot Atamy zegpicrmeoL►oftha Baal zoniag,ot u mree in el bd et eH nape,thaws ce lmpmrrmaofa an this p=may ffill'ia tube of caaskuoticoa,m•am aicompt fim tiolation A. aauee Q eDed u Zaps C esib=cntacdm=dabLO.LTitlar%Qnpta!G TWA tyPaaelNo 25vichmI oeN G 3acdccn 7.end tLst mae am no Of* No.f O�Q/ etiva Dteta 7 1 k0*0 eme1140I9Wvmy..MCM92piOD?AY �N� rer tdloTti:zar�ndbusda+ . m+aem .Tnb shown and noted hetsonb4 NOTE:M b nd a b%mdery.-M0 tnaurenoe surrey, plan Nee pfepered pl noperaeroe m paeodwat end teohnlcet dercd+cdt for MoAp�Lon " MgpCaEOnf n adopted try ft owd of of pcofeeefocsd enBY+een end tusteuneyoce,E6p CMR 0.OS.em tszs kx sny attrr purpose b DrolUhlted Thb flan b dodo Ee used for• pctpaAcp deed dewlp�tM,ar aonepuetlocr.