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0770 CEDAR STREET
� 7a . . ., _ � ._ _ .� _ . . ,. . y�: .�' �' s"� II �, '' ii � . ti III S � �� 111 1 .. � � / a .tip _. .� a. � 2 � . �_ _ _ . __ __ __ - � � � � � �- z-� �� b7� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION P 4r )781a2Map - arcel. pplicatibn _�O Health bivision `Date Issued: Conservation Divisio*n r -Applicat on:Fee tq � Planning:Dept., t Permit Fee "" � • 1 ( Date Definitive.Plan Approved by Planning Board Historic - OKH: Preservation Hyannis Project Street Address 770 Of NY S77?Pql— Village b'"T 6ftPmR%t& Address Owner �,-214-cep_Tv Po'; 50)et 1-61VNI's.ma a?_60 Telephone 7-76— 7<0 9 , Permit Request i)i6 S14 '6'qSFWe&T +P419' (6,�79 S,:r> itS)14c� A" "t AX A 014R ZA10 4;77U OPIIA elhpG /,A/6 11�C, A4h5 S46are feet: 1 st floor: existing proposed 2nd floor: proposed osed Total new Zo'hing District:- Flood Plain A16 Groundwater Overlay Project Valuation (f Vt. Construction Type Lo t.'.Size Grandfather6d: U Yes No If yes, attach supporting documentation. 0 r__3 __4 S." C= C) Dwelling Type: Single Family Two Family L1 Multi-Family (# units) Age of Existing Structure Historic House: 0 Yes g No On Old Kit" HighwaR: Ll&s Q No -n Basement Type: X Full U Crawl Ll Walkout U Other ry Basement Finished Area(sq.ft.) 6M Basement Unfinished Area(s ft) Number of Baths: Full: existing. 3 new Half: existing ew c=6() Number of Bedrooms: existing �new Total Room Count (not including baths): existing g new First Floor Room Count Heat Type and Fuel: XGas ❑Oil Q Electric U Other Central Air: Xyes U No Fireplaces: Existing o1 New Existing wood/coal stove: Ll Yes No Detached garage: LJ existing Ll new size_Pool: Ll existing Ll new size Barn: Ll existing U new size Attached garage:$,existing Li-new size —Shed: Ll existing L] new size Other: Zoning Board of Appeals Authorization L] Appeal # Recorded Ll Commercial L]Yes XNo If yes, site plan review# Current Use Af-s 1p-f AIT46 Proposed Use /Wa APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ayvmti Afmw Telephone Number Address �G -C-1h,0PWt,,r A", &faa / V. aZal License # �7� �&SvvS Home Improvement Contractor# 137 W3 .Worker's Compensation # kd, e�� ,q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 /f1 CMG02- iRG Llff-_,�AAWr A 4LIMAI A'1'0 aeov 00 SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# :a DATE ISSUED j MAP/PARCEL NO.. f ADDRESS VILLAGE �s ' OWNER y DATE OF INSPECTION: FOUNDATION } FRAME 06W/yA D ' INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING AJFltJ o�K 9/� DATE CLOSED OUT ASSOCIATION PLAN NO.'. lire CoMnon"With of Massachuseft Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 it Boston, MA. 02114-2017 nnm!mass.gov/dia Workers' Compensation Insurance Affidavit: Bttilders/Conn acts►rs/Electriciaiis/Pltitnbers Applicant Information � Please Print Le ably . r Skj7VnN31e Al 4XA11 - Address:__-- -- G° S'i>l9�mkT o- ------- --__---------------- _ City/St ate!Zip:_-- �9nri yN j11� �/2� Phone 4: - i :ire you an employer?Chcox the appropriate box: Type of ti oiect(required): t l t ' .. 1. 9 J.��-yy I alit a ear p lo\cr with_2 �4. 0 1 ant a general contracior aad 1 � �. i4l p _ ( 6. Lj Ne,,t construcliola efliployces(full and;'orpsct-lisle}." have faired the sub-contractors '. 1 ani a sole proprietor or partner- listed on.the attached sheet. � 7. E)Reiaodeiia cl These suU-contractors have �_ Deitioiit►c;n strip and lta�e no emplovees i ❑ 4 ��orl.utg for isle in anc ca ttcih. employees and have ivorkers' � � p ) ® Buiidin.o;additio!"i [No Nvorka.:,s, cotup. tnstirance comp. insurance.+ required 5. ❑ We are a corporation and its !f),❑ Electrical repairs tir additions have exercise ter 1 t. Plumbing, rc ors or additions 3.❑ l aut a ito:tteo��•ner doing all work officers h dhi ❑ � p� • inx sell. INo vort ers�coutp. right of exemption per MGL l?.❑.Roof repairs iitsurautce required.-� c. i 52.`1(4),and we bass e no J Other employees. [No workers' --------- �— comp. insurance required.] 'Putt'applicaiii that cheeks bcix nt most ah;o:ill out the section below showing their workers'compensation Policy information. ers i H meoven who submit this ffidavit indicating they are doing all work and then hire outside contractors must submit a nets of idavir indicating such. ;Contnicturs ttiiu cir•ck this bolt most attached an additional sheet showing the name of the subcontractors and state whether or liol those entities;have employees. t f the sub-cvnthictors have employees,they must provide their workers'comp.policy uurnber. _ I any an myployer that is pi oviding workers'compewsation insurateee f or My errVlayWs. .BeIOW if the policy and job site b7for"tation. � Insurance Company f lame: sr.,9 Q.. ksaz e COm itr Policy- 4 or Self-iris. Lic. #:-- 141C ��iZ�17/S�- --_--- Expiration Date:—S _Z�2013 Job Site Address: 770 sr. City/State/Zip:Av.-�j*vvf ^4 o04'& Attach s capty of the workers'compaensation policy declaration page(showing the policy nureber and expiration date). failure to secure coverage as required under Section 25A of MGL c. 152 can l.ead..to the ir,:position of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties iu the fonu of a STOP WORK ORDER and a fine of tip-to$250.00 a tray against the violator. Be advised that a copy of this statement may N"forwarded to the Office of Investigations of Lhe.Mk for insurance coverage verification. f Ja herein,cerfi t, nil the yid enaltaes rtrt at lire iu iorarmation provided above is trite Turd correct. S►�naturc: _ _.—_ — ' _ Da-E te. —S=2--J -- Phone.4: (7P-) 77/- ,(rV:7Y _ njf rial mve onk. Do trot write in this area, to be completed b citt,or tmen vJ'icial. Cite Or Town: Permit/License# Tssuinl;Ailthtirit't' (circle prie): 1.Board of Health 2. Building Department 3.City-/Town Cleric 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact person: Phone Aco& CERTIFICATE OF LIABILITY INSURANCE DATE"w"m 9/6/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERft AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: N the certlBcate holder is an ADDITIONAL INSURED,the potky(iss)must be andorsed. H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies melt regulrle an endorsenwnt. A statement on this cerdficate doss not corder rtgtps to the certificate holder In lieu of such endorse s Frmoucot Mr.CT Andrew G. Gordon, Inc. PHONE 680 Main Street - - MoR781-6 - P. 0. Box 299 info@a ordon.com Norwell MA 02061 vocauuGERtcuammo 4440 ACING COVERAGE NAIC s tNst11� INSHRIERA:Peerless Insurance r 24198 Bay State Basement Systems, LLC 60 Shawmut Road HNSIIIHte:Pil rim Insurance Com an_y 21750 Canton MA 02021 INSIN1&eC:Star Insurance Company 18023 INSURER E: INSURIER F: COVERAGES CERTIFICATE NUMBER:619962880 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMIDER 0400101TYM setporyYYY1 I.Mm A GENERAL LIABILITY CBPOS12851 9/5/2012 9/5/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea oomwenoe $50,000 CAIM&MADE a OCCUR MED EXP WV one ) $10,000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO LOC S B AUTOYOBEELIABILITY N N PGC10007161409 1/17/2012 1/17/2013 COMBINED SINGLE LIMIT $1,000,000 (Ea aooidW) ANY AUTO - - BODILY INJURY(Per persm) S ALL OWNED AUTOS ---- BODILY INJURY(Plat aadderM) S X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per em dem) X NON-0WMED AUTOS S S A X IMIBRELLALUB OCCUR CUBS11953 9/5/2012 9/5/2013 EACH OCCURRENCE $1000000 EXCESS LfA9 CLAIMS-MADE AGGREGATE $1000000 DEDUCTIBLE S X RETENTION 10000 S C WORKERS COMPENSATION WC0428715 5/24/2012 5/24/2013 XILITY STATU- OTH- AND EMPLOYERS'LIAB Y I N ANY PROPRIETORIPARTNERIEXECUTWE El N/A EL EACH ACCIDENT S1,000,000 OFFICERNEMBER EXCLUDED? (Mandatory to NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 a as,deaaf0e Calder DESCRIPTION OF OPERATIONS OelOw E.L.DISEASE-POLICY LIMIT SI-000,000 DESCRIPTION OF OPERAIRM I LOCATIONS I VEHICLES(Anal Adam rat,Aedwara RaaaaAis Sdwduk r mn qmm Ha r.**" 1 Sales and installation of Owens Corning finished basement systems CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WffH THE POLICY PROVISIONS. Bay State Basement Systems, LLC. dba Owens Corning of New England 60 Shawmut Road AUTNOINM REPRESEKTA7W Canton MA 02021 0INS-2009 ACORD CORPORATION. All rt his reser4s& ACORD 25(2009109) The ACORD name and logo are regMtsnd marks of ACORD Office of Consumer Affairs nd Busine1ss egu ation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: i 137943 Type: 'Supplement Card OWENS CORNING BASEMENT FINISH Expiration: 1/29/2015 ANTHONY METRANO - 60 SHAWMUT RD - CANTON, MA 02021 _ Update Address and return card.Mark reason for change. scA i o zoMosrn Address Renewal Employment _ Lost Card free of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. tf found return to: Office of Consumer Affairs and Business Regulation k,'�'Reqistration: 137943 Type 10 Park Plaza-Suite 5170 Expiration: 1/29/2015 Supplement and Boston,MA 02116 OWENS CORNING BASEMENT FINISHING SYS ANTHONY METRANO / 60 SHAWMUT RD g CANTON,MA 02021 6t Undersecretary Not vali without signature i' Massarhu`setts-Oepaitment of Public Safety Board:etf Wilding Regulations ana Standai Is C ionstructiun Super%i.ur License--CS4MW6 • ANTHONY 7W P ♦��- �I.i .i ANO �✓ 246 MEADOW SA-c 1 i ; CARVER M� — I• �i 1 Expiration Commsssioner 02/0212014 o .. BASEMENT ' T ' FINISHING SYSTEM V 1 ta:: l z DESCRIPTION �y Owens �� �n°"yX'9�r3;� J'i �n - aY s _� 1 •r The e Owe s Comte Fmist,'"V Scomprised ^M• .f1'A� y � � � 34. a em 15 C g Basement `.,a a �R� `��y�4 r�z 4��c f{�4�, s•�i .-w z ff. rn omp►ised of li#nvmeght fiber glass Panels.PVC line*(watch replace corw entional framing)and foamed PVC trim moldings (which replace trim lu nber).The tnm moldings snap into the feteak holding the panels in place. y( s 7 3 Mom and wall panels are easily Y removed to prande easy access to a home's boidabon a walk Because traditional wood and PaP� F F'( t y xy6 s _ s based budding materials are replaced with fiber glass and PVC materials.the Basement Firdsh ng : System offers v herent resistance to moW,,e. mold and mildew a The system is covered by a lifetime limited transferable warranty— i htxn Owens Caring. USES The Owens Coming"Basement Finishing System is an innovative system desired to vm,tate and finish basement walls.tt insudatesn ." acotsticaty treats and aesthetically finishes walk in a few simple st>eps.The system can be installed over both masorxy foundation walk PHYSICAL PROPERTIES and interior partition walk built with either wood or metal me r bers. Property Test Nethod Value For fiber Glew Boa* AVAILABILITY Water Vapor Sorption ASTM C 1104 Q%by wL @ 120W, 94•x 48'x 2-1/2'Panels 95%RH Lineals Compressive Strength ASTM C 165 @10%deformation 25 psf Trim noldinc_ @i 25%deformation 90 psi Cave Molding atrialResisilancie ASTM C 518 R-1 i Vertical Battens Normal Density ASTM C 303 3.2 PCF Base Molding For Rnhhed Awwk Outside Corner Casing Noise Redtxtion Coefiicierit ASTM C 423 lamb Extender Type A Mount 0.95 Chair Rail Surface Bunning Characteristics ASTM E 84+ Class A Flame Spread 25 Color Choices: Meets Class A Bum Rating Smoke Developed 450 InteriorTextile Fmsh Fire Classification NFPA-286 Meets Acceptance Panels:"Linen Mist'woven fabric Criteria Trim:Au trim available in White or VVoodgram. Mold Resistarice ASTM C 1338 Pass on. In additi vertical trim available in fabric took ASTM G 21 Pass finish or fabric wrapped to match partek. r 'The strfaxe-brxo.ee dwatmelays of dst 6nnivw conmowe pares,wm dmamn!d rt tcmrdt Ke van ASTM E gkfhis sty and measures and dear—the OroDerdes of materials,W0Ck Cts or nwrticas in rmonw to tra wo ihrne slt w CODE COMPLIANCE comrolkd uatoraiary cvMMKIns oats from ASTM E 84 teargt cmxx tie used to am,ex or asses the ire hawd or tot "*of mamriah wodt—a Ow"t hm 4W corrsitlerirrp all of the factors mi-to n to m asaessrtsem of the fie hmm of 2000 BOCA Evaluation 421,24 'Parna w end tat—va tes are reported to the nearest 5 rating 2b04 iCC Repot#NER-635 While the mazen&and design of the Ov eris i.,om N- 8asernent Fr#=%System rwU mold and mildew the System can rwt Pv o t or mipgsse mold i!the conmiom rttctstiary for ndd gttwth east in Ax,bas mw t . See scout wwrartty for dttads.lmdatiom .anN nwrwrv.s REScheck Software Version 4.4.4 Compliance Certificate Project Title: Finished Basement- Family Room Energy Code: 2009 IECC Location: West Barnstable,Massachusetts Construction Type: Single Family Project Type: Alteration Conditioned Floor Area: 0 ft2 Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 770 Cedar Street Anthony Metrano Owens Coming Basement Finishing Sys West Barnstable,MA 02668 Owens Coming Basement Finishing Sys 60 Shawmut Road 60 Shawmut Road Canton,MA 02021 60 Shawmut Road Canton,MA 02021 Maximum ILIA: 23 Your UA:23 Envelope Assemblies Gross' Glazing Are Ass . • Cavit • D•• Perimeter Basement Wall 1:Solid Concrete or Masonry — — — — — Wall height:7.5' Depth below grade:6.5' Insulation depth:7.0' Exemption:Framing cavity not exposed. Window 1:Vinyl Frame:Double Pane with Low-E 3 0.190 1 SHGC:0.00 Window 2:Vinyl Frame:Double Pane with Low-E 3 0.190 1 SHGC:0.00 Door 1:Solid 20 0.340 7 Door 2:Solid 20 0.340 7 Door 3:Solid 20 0.340 7 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 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection C st. s� Anthony Metrano, CSU 2 l 7 Name-Title ignature Date Project Title: Finished Basement-Family Room Report date: 05/02/13 Data filename: Untitled.rck Pagel of 1 r �tHE � Town of Barnstable Regulatory Services BMWSTABLKThomas F.Geiler,Director '�Fo cur. 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, ,� N �Oe)"y , as Owner of the subject property hereby authorize #X7 of TV4/✓D to act on my behalf, / in all matters relative to work authorized by this building permit application for. 770 61me- L ZVM (Address ofJob) 3:giza e� Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q;FORM&OWNERPERMISSION CONTRACT Customer Name_�i7 SKETCH Contract Date__________1_/= ,:_/._ �_fO ___ ___ - Li!_ a_.��1!f��9� � ATTACHMENT Customer Phoney,,,.,,_`,�k_) Q.S n;L _ s+/._. _-_____ _ __ Contract Price 1 a a . D 6 a 0 . 10 11 +a 13 ,1 f11 10 11 19 1-2�-7Ur-2,1—10 73 N 71 'le 71 pe 79 :10 91 JP 31 54 J'. .16 37 38 JD 10 41 ,: 47 .. a 16 a .e •o W !, a M x eE N ee % W t_ —..._e8l !. e .SirT tp//; N'l �)t � �_�sL1 j_ I f _i j t9 . C ..,.,, ,e v.. „yi"'T, t .,.�•.t�wQ. C..(�+" r' y + —� •'tV'a.�: �}'.. "'' �' .....j._ ..(...4....y....S.... , 11 r as as .�, .A r i-- -I•— 1 _j .h ' . ..�G .. i .�.��. ..L_...�......L..,,;, i :4 i ou aet Ail- I , -1 - i 1 �., • I �,I 11 . as 1 t . { r•__• 1 � --...-•. 1 (�`�t��`, , r i i ;. NOTES: w• Each box equals one loot unless otherwise noted.This sketch Is a good fallh r 7 dtilT/y j,�Q�il1 SD'i��;S isll XI /�1F0 /O�A� /�►�_ ors representation of the work to be done, it is understood that all dimensions derived from this sketch are approximate,and that all locations of outlets,light fixtures,plugs,jacks and/or switches are subject to change It necessary. Buy Suncourt -- Inductor 4" In-Line Duct Fan (DB204P) Suncourt DB204P Page 2 of 3 Trion Herrmidifier Parts GeneralAire Parts Other Products Tools HVAC Automation Commercial Controls- Test&Measurement Product Map You Are Here: Home > Products > Air Ouaility > Bath& Exhaust Fans > Browse By Brand > Suncourt Fans > Suncourt Duct Boosts Suncourt--Inductor 4"In-Line Duct Fan (DB204P) Suncourt -- Inductor 4" In-Line Duct Fan (DB204P) Product Price: ,$26.00 Shil Our*: 111114 Mfg: Suncourt Quantity: 1' Zip: F Mfg#: D8204P Add To Cart � Calculat Availability In Stock Product Rating click to zoom (4 (3 more Images) Ratings) Write a Review -Read 4 Reviews Description 'Reviews Specs Related Links Question&Answer Rela Dgm Performance Data Positi Fan : CFM: 80 MI Duct Diameter: 4" SunCOL in Th -M Suncc In-Lis Cor MFG 9 http://www.iagsource.com/product..php?p=suncourt db204p&product=111114&... 5/16/2011 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V ► Parcel Application Health Division Date Issued Conservation Division Application Permit Fee �b7� Planning Dept. e Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner 0d. D r /1;�, /�ddress 144,ann:5 -P14 ��4n6-p � Telephone (S-w--) 7?6 --� yt7 Permit Request ' eIN NJ 1'}'cJ..tr. �i0.�.�..p � Iy2 w its v✓tiJ.tf-�OS M -nook-%n f Wr--W4 1s4- Square feet: 1 st floor: existing SM proposed 2nd floor: existing proposed k Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I 1 aT. Construction Type Lot Size Z a�� Grandfathered: ❑Yes R"No If yes, attach supporting documentation. Dwelling Type: Single Family Ed"' Two Family ❑ Multi-Family (# units) Age of Existing Structure Zs- 10 Historic House: ❑Yes ®'No On Old King's Highway: ❑Yes Y No Basement Type: B Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(soft) � 5� Basement Unfinished Area(sq.ft) ?dd Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new O First Floor Room Count Heat Type and Fuel: Q das ❑ Oil ❑ Electric ❑Other Central Air: Lames ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ C7 N Attached garage: existing 0 new size _Shed: ❑ existing ❑ new size _ Others a `,; un :. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes �$'No If yes, site plan review# Current Use Proposed Use �. w APPLICANT INFORMATION /Q3UI�LSDE OR HOMEOWNER) Name � Telephone Number Address �S'! ��.'.,T Ca 14A e ,fir, License # Z!VArS-lay, S 02-6LI Home Improvement Contractor# 15-9 66 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� DATE Z/Z �`�Z— r; 4 z r FOR OFFICIAL USE ONLY APPLICATION# _ DATE ISSUED f r MAP/PARCEL NO. ADDRESS VILLAGE' OWNER I DATE OF INSPECTION: i FOUNDATION FRAME AWAO 7 INSULATION FIREPLACE w ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL: GAS: ROUGH FINAL ,t FINAL BUILDING DATE'CLOSED OUT ASSOCIATION PLAN NO. s .y The Commonwealth of Massachusetts Department of Industrial Accidents " Office of Investigations 600 Washington Street Boston,M4 02111 www.mass.gov/dia Workers, Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizabion/Individual):. S7am,44 L L_-_ S� Address: City/State/Zip: 02&A0ne.#: ZC) '- Yoy tD Are you an employer?Check the appropriate bog: -Type of project(required):. 1.El am a employer with •4. ❑ I am a general contractor and I * have hired the sub:-contractors6. ❑New construction . loyees(full and/or part-time). . 2J2 I am a'sole proprietor or partner- listed on the-attached sheet. 7. E?Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp,insurance comp.insurance. #' required.] 5• ❑ We are a corporation and its 10.❑-Electrical repairs or additions officers have exercised their 3.El am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their worker;'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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 6 ZZ U3 d 6'470 _ = Expiration Date: lob Site Address: City/State/Zip: w• 30"rns-�k6 QL66 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to.$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un5p4re pains and penalties of perjury that the information provided above is true and correct signafore: �� Date: / L Phone#: P, Of use only. Do not write in this area,to be completed by city or.town affu iaL City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I ` Town of Barnstable Regulatory Services a �uexar�e�, MASS Thomas F.Geiler,Director 039. � Fo3� 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, 4 , as Owner of the subject property /- �'-- hereby authorize 4k yl H AlzsL-- to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not-to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. o Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS r Town of Barnstable -' Regulatory Services RAsrrMar.E, Thomas F.Geiler,Director MASS. 1639. .� Building Division AjEO MA'I� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does:not,possess a license 'provided>that the owner acts as supervisor. " �'' '*' ' ` �� " DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered,a homeowner.. Such "homeowndr"shall sul niiuto the Building O€icial-o>a-a,form acceptable to the-Blff�ding`)O�cial,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) iThe undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. i The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 4 v Approval of Building Official v Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Constructiof,Control r r ...r-taw HOMED . ER'S EXEMPTION z : ._ The Code states that: "Any homeowne1_1' `df'oiming work for wfiich•a=buil'ding permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particllarty when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a•licensed " Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fora/certification for use in your community. Q:for ms:homeexempt IVlassachusetts- Department of Public Safer Board of Buildin, Regulations and Standards Construction Supervisor License License:, CS 90335 i ANTHONY M NESE 35 BISCAYNE DRIVE MARSTONS MILLS, MA 02648 Expiration: 11/9/2012 ('inmiisiuncr Tr#: 5131 oo ti .. ,per �e (panr�nooatuea� Office of Consumer Affairs&Business Regulation RACTOR HOME IMPROVEMENT CONT _ Registrations 159608 Tr# 293877 Expiration:=5512012 Type�mdability?iCorporation SANDY NECK BI=D1S� 1 ANTHONY NESE9 c 179 ROBBINS Sfi\..;' Undersecretary OSTERVILLE,MA 02655:� i IVlassachusctts- Depai-tmcnt of Puhlic SafctN Board of Building Rcgulations and Standards Construction Supervisor License License: CS 90335 ANTHONY M NESE 35 BISCAYNE DRIVE x LMARSTONS MILLS, MA 02648 Expiration: 11/9/2012 iuper TrM 5131 . i ` License or registration valid for individul use only .I before the exp►i ation date. If found return to: ` office of Consumer Affairs and Business Regulation I 10 Park Plaza-Suite 5170 Boston,MA 02116 i out signature Not valid with zip n.'_nr 1 I j i • I ^`b I I (OPT. MW AI Z u t I ✓Itj�JI -Di ( l i 4� F , y..� y a s r O 0 92"(y, • � o a N ,� Z to- Ja f V , � t I(II v I' % t • t r ..t Y n , U k y Z K! , } I I E , .L i 11I I � I j. �I'Ilr�,i I• ';} � / ii'il :jm I� I L I 11- I II,II�'il; �' i 'll �+� � •s� '�,vik t i,l .I —..—I I I , 1 ��{�—��{{��{� �� ��� I I'1 1 I y I 5.t•4i ^/ `' I I. �', .il' 11I;II�.nJI Iij.II,IIII• * e-I � , i ` I I• I i _ Orl I I^�©� I I I I u i`I! 1 {i 1F t if � t1 t Ic=. -,-•� '1 .) Ill:.i.,i. � lilll II(I t,;'� d 14 i (�. ;i�;l l �pysl II ill.�ll!3 II Il t IIl1 I aI i }dl c I!II+IS c ; 1 I I i � - I t' I I •,I I(IJ JI Ifll I;.11lt I!;y ID a �1 P l r,,n - � n — ri� � 11 I� � it- � I I I11dI I I' Ir�i � 4•�r� � L� D�• q ..\ '^'_' i s I' I i t I { I,!I: i I(t�IIJIII �l Il F1 In I},I�, l r 1 y !.• > - r c'-/a G'4 I 1•. 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I IT><If P c uOl I t . �i .' � i qx4 f 1•uD.4t�Tc e'x46ca'+c.5c.o) -T `L-��- r �ucT , rj� f 1I r 1 r 1 l �.rt Mi L 1 J L ' _ J J J Cie.. _ I � _ _ L �£fFONT i •/ �X�7ri I67,��'tC. I + _ O .3�/Zl LONG 44AIS _ 1 ' oNIG•u.ns'v . - xco.,•c ftYr. - _ FOUNDATION PLRN _ —_2'7R.t YiRS:GHp�"COf>:Y N�='�•' . ��G•G. -R,&LL of RfSFYJN5 fdJ YI 16LC R .LLGRK LOMrCRMINLy + - - &CRNGTASL5,r•"A- "rV-rwF-Lh?LS'f 1'ArL e,.ST-wrr B'JiIDiN(�COGC(S"')EDTON t LOCfL- _ E- 1/4"= I-d BuLPIN4 COPE RcQUYLEMENre LX.E Vz't.a.c G o O.C.rux Z)G.C.6,+r LL VMP'r-LL-DIMCNS;ONS fCONOrnora,S PRIoq rOI-IW2r OF AW WORK f SHALL L nPr T;%,GHE Z OFA[Nf DcSG2aP!'•CKS PR,O2-M . -- ISI-IsRf OF A.N"( I-em K — -. �S)J�LL- nmlG lVr!6ER S:'.c L.L Sc ,,cco Ps.I.",N w•••�•.••a, 4, - L.L 0.LCPO-LAt-1 ^ALL EC nIAN �ccr l: 7 rA II L L � n c�l i R A � -_ _ ���,_lllli b -j��� to �J./• ;. ul i „ 7!B'/2 r LM �Tb. '� S ..,i (z d (D p ^z P C m' 51 Ir opr n ((11 �1 �Z •r -10 P_� � -nN �,�� .•fir ,n 30 61 °F SME r� The Town of Barnstable • .,�cuvsrnatE, • Department of Health Safety and Environmental Services iOrEo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. / Date__1__2 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work:_,?<Zc) Est.Cost _;3 b Address of Work: Owner's Name C _ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: 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 t e owner: Date Coy tractor Name Registration No. OR Date Owner's Name �, Nt Application to •//�/ 1l/r��� e>�PO'�p`►��tM ® Highway Y lase �/ OPE QwpS�NP>'' Old Kin 's Hi h Regional Historic District Committee 9 in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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 CATEGORI HAT APPLY: 1. Exterior Building Construction: New Building Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. 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 ADDRESS OF PROPOSED WORK 77Z) �� � ASSESSORS MAP NO. l©,� OWN ERS/%� i�/ /S �� �y ASSESSORS LOT NO. HOME ADDRESS 7� ��� u�"" �" `" �� TEL. NO �Z _��`�2 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR �� �' /dZl✓l/ 9� TEL. NO. �� 5/� ADDRESS 1'6 y� Ile Z-'AIMLIII'l/?o 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). Lam'�'p RelJh9 W/73i¢7,7L/ /f-;,5- 1JLI�ii� Signed /�z Owner-Contractor-Agent Space below line for Committee use. Received,by,H.D.C: L Me "'"" The Certifica is hereby Date f��S HI }IWAY — A.pproved ❑ IMPORTANT: If Certificate is approved, approval is subject to th 00 day appeal period provided in the Act. Disapproved ❑ r Z ♦e ' .J Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET CHIMNEY TYPE COLOR ROOF MATERIALZ i COLOR PITCH 7/Z WINDOW,�L57SIZE TRIM COLOR DOORS S COLOR SHUTTERS �On�G--` COLOR GUTTERS DECK �SlI�T/411 GARAGE DOORS A"&lVe COLOR r_ SIGNS COLORS SIGNS � '��. �, COLORS SIGNS � COLORS � J FENCE COLOR NOTES: Fill 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 each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified" immoft for new homes, but should show all structures on the lot to scale. SPECSHT i Ic Home Improvement Vinyl siding, roofing, windows, additions, decks, ' Full Service Home improvements 4 1-800-262-5060 ` FAX TRANSMISSION TO: A2rvSi fl a LA FAX NO.: ATTENTION: LLW Y h A 12.r( L NUMBER OF PAGES(INCLUDING COVER): NOTES:��A {/2<tp (J{ 1845 Newtown Road (508)428-9518 FAX(508)428,154T Cotuit, MA 02635 TO"d b9TZ0Zb80& Z W" 6£:80 86-£©-21dW �q ' 8z AV i h . � xr�w, r.� 50 �55 q8 i7Z CERTIFIED PLOT PLAN FOR I CERTIFY THAT THE DWELLING SHOWN 770 CEDAR ST.,WEST BARNSTABLE, MA. ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM SETBACK PREPARED FOR REQUIREMENTS OF THE TOWN OF BARNSTABLE. CHRIS HARDY tP�I0 Of 4q SCALE: 1" =60' JANUARY 28, 1998 770 C-�j� '!'� RUMBA y I � Weller & Associates " 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 "0 SURVOO� , Z�— (508) 775-0735 �' MAR-03-98 12:15 PM 2 5084202164 P.02 ENERGY CONSERVATION APPLICATION FORM FOR Low.RISC RBSIDENTIAT., NEW CONSTRUCTION Applicant Name: ..�P- Site .44riress: _ . Applicant Mdress: �i!y,'Tou•n: —Vl1_ a�,Y�.iuSTA�� Use Ciroup; ram_' _ Date of Application: aL�_...1 1 .. Applicant Sibttlttlre: ' Applicant PhCiitc: --- Complizoee Path (check one): descriptive Package(Limited to i-or 2-family residential buildings heated with fossil fuels only) Package (A through KK)- Heating Degree Days ].lase 65 (H-DD,$)from Table J5.2.12: � (For items d, through i., Fitt in all values that apply from Table J5.2.1 b.) _TA Q NTOI a. Gross Wall Area -428-_sq.ft f. Wal? R-value b. GlazinE R.O. Area -_-322 _ - �q•ft, S. Flk:or R-value ..-- c. Glazing% (wo r,- a) .f58"f_2,0 h. Basem fit wall d. Glv.ing L-value U- • S®, i. Slab Perimeter �. e. Ceiling R-value —R- _. j, Mcatis,g AF,Uf ❑ Component Performance: "Nitinual Trade-Off'iLiniited to wood or metal framed buildings only) Climate Zone (front Figure J6.2,3) Zone ! ❑ Zortr la (__'1 Zone 14 Attach 7r,acte-Off Worksheet from Apper&i� J- (a A Hl- 'C Trade-Of ;Yark5heet, if applicable] C ,V.,tSc•heck software Attach Co»tphance Report and Inspection 0tackii.it printt)WO. Systems Analysis OR 7 Renewable Energy Sources Attach Mass Registered Architect ctr Engineer Ana!vsrS Official's Name; w _ -- — Offcial'S Signanire: Application Approved Date of Approval: _- Application Denied 0Dt�le +f Denial _,,_. Reason(s) for Denial: (provide more details. if'needed, on opposite side) sBRs 01/13/98 a+ataoa�vM����d r rzdNa9��►o►•��•rn r spa► '>.�P+wi a o•i uq�A ��b R-Value/U-Value Weighted Average Worksheet � Asaeirtbiy: U•Value U•Vwue X Area Compowt Ossmiptlan A•Vaiue (iin-value) Area (UA) efy l Uf a a2. 0 e 5O 8 14 Total Total Areas UA• '�. g /4 J— m o2 Tel Ate& TOW UA Wsigtuad AvOaga A•Vajuo Total UA Total Aroa vw.ghted Avwapa LWalus Aeaembty: U•Value U•Valua X Area Component Desarlptian A•Value (I A-VeJue) Area (UA) Tatal TOW Ards■ UA Total At** Totx�UA wei i tmd AveraQ•A-Vaw q i lbW VA Total Arms we+Ohtad AVW#44 U-V*k* MAR-03-98 12:15 PM 2 50S4202164 P.01 . f C � Z � Home Improvement Vinyl siding, rooting, windows, additions, decks. Full Service Home Improvements 1.800-262.5060 FAXTRANSMISSION TO: tVS FAX NO.: _. ] ATTENTION:_,._,.__b w pp tA K-F( i) NUMBER OF PAGES(INCLUDING COVER):4 NOTES:. 1645 Newtown Road (508)428-9518 FAX(508)428-15417 COWit$ MA 02633 I Lri��itlG .�SsEM�GY � - 7'OTAG �• • R Fiberglass Insulation '"' DOOR & WINDOW AREA PERCENTAGE �en>'•reiy 9ueil1ca Exterior wall area -a sq. ft. �/�7G As3�Ms�y window 8 door area sq. ft. AN Window & door Exterior wall % off area area iw,,!oe d�ltfne� At IF MORE THAN' 15% CONTACT BUILDING INSPECTOR Fiberglass Insulation t ENERGY CONSERVATION TABLE 00ft �.� MAXIMUM U VALUES AND MINIMUM R VALUES OF WALLS, ROOF/CEILING,AND FLOORS FOR RESIDENTIAL BUILDINGS OF SECTION 130 ram•,, r''r "'• Fiberglass FIEMENT DESCRIPTION U TOTAL NOTE A Insulation VALUE A 0 VALUE n walls All wall =eXtuCoen containing 0.00 125 1 .—aoGr heated Of nleenanicatly ooaed apace El M61-res+a'ance hoaxing QOS 20.0 1 FOtxtdmon Weis Containing heated Gr 0.06 12.5 - � Ittecl,dniCally WOwwed 3pOOf kiS Ber+O Cortts:ning uhaeatep spaab 0.08 125 a Roof/Ceir;ng All roof=^Stuctipn oorttalNng 0.= W10 /1 C �� ^ r f) (�T 0.ssertlby spared or mecfianicaty tooled /! J`-i 1J(,, v r space wuldowe AN Construction endosing 0.6s 15•c 2 tpated Of f*Ce ;c&e cooled space Electric Sea lance heating 0.40 2.50 8,7 Doors All C0rStruC''jon encwesing 0.40 2-50 r Flom Floor actions over teas 0.05 20.0 2 exposed W CuWde sr or I unheated space V V S Slat) On grade beneath 10.0 0 condboned space Nott l;These rxlua may be usc. Whea'be do i&rl uind,r.•i do cot nixed Ghctn(15)percent e(the pods clufiOf wall arcs When down and wiadDr/t aw=d Meei(13)percent or the Vass.NO a/Ca,tare Sectiot, 07.>•item 2 Mott w>Double glued primary wicdo-%er untie Slue prt¢ary w1060"talth Storm•J060M•113 witty the required U She of urO point asry•a%e(O.eS). Neu,Iaµlali00 may be ontinQ froth Goon 0••r uhr-atod u%m wbec fow61i0a .alb ere ro�wcd.ilh a V ulwue Of=to porn:mm elp(0,06). Neat•—4U Uvt luc M vIrethent of zero point ItrO eight for fOuodalion WIN mry•be Omitted sisee 0oort ever uMealed tpaeal are Frta.•idai with a U vewue or► re poiw taro rive (Table OOto conttnucA on hen p•Sr) S iT-4 100 CMR .1%Edition 31-13 Z0'd b9 T Z0Zb80S Z Wv 6£:80 86—£0-8kiW F,. •' :�� TOWN OF BARNSTABLE f CERTIFICATE OF OCCUPANCY PARCEL ID 109, 002 GE0$ASE ID 5302' ADDRESS 770 CEDAR STREET .PHONE (598)790-2489 W. Barnstable ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 14350 DESCRIPTION SINGLE FAMILY DWELLING (SEW.PMT.#96-122) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: CRAFTS, GLENN W. Department of Health, Safety ARCHITECTS: and Environmental Services . TOTAL FEES: $372.93 BOND $-QA. Ox CIE I CONSTRUCTION COSTS $120,30eOO 101 SINGLE FAM HOME DETACHED 1 PRIVATE RACE) 1 `�MA88. OWNER HARDY, CHRISTOPHER 163'. 9' A� ADDRESS 49 SEABOARD LANE E� HYANN I S MA BUILDING DMSIO i BY DATE ISSUED 04/08/1996 EXPIRATION DATE ` Department of Health, Safet; and Environmental Services r, * ,>�ARNSTABILE. i MASS. 039. ... . :�.•. . .._ .. - E�INS► BUILDING.DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. Intl 3 : • BUILDINA INSPECTION APPROVALS/ PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 (! X 2 �P p " `` l.t. P61eS 2�"�.,�4_�. l�• 2 3 !At I ^ ! A! r 1 HEATING INSPECTION APPROVALS GINEERIN DEPAR MENT 2 Qs ' 2 3 - S L BOARD OF HEALTH OTHER: c► SITE PLAN REVIEW APPROVAL gZ 9Gi� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � Parcel 00 Permit# 'L /y35 a Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 6-4v,A ` Date Issued F —9�O Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) 21 �y-� A;ZA,11'_I�ee q 3 Engineering Dept. (3rd floor) House# 7 7 p 12! d, Molo��w A �..� "&t - SE P M MUST BE Planning Dept.(1st floor/School Admin. Bldg. INST OMPLIAivC� Def' ' iveF4an pproved by Planning Board �r � y �Jl �r� LE 5 �*EN L C 0 D 7 ' TOWN OF BARNSTABLE �ECULfa�: " 770 Building Permit Ap lication ect et Address f? dJ Village 13) e . .', Owner 1 & ),P Address Telephone Permit Request Z© ��r7 Ca C94 C4-1 C7- C,4-✓ � First Floor square feet Second Floor (7 3 square feet Estimated Project Cost $ / (9 Zoning District Flood Plain Water Protection Lot Size 5 �� r7 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use LA=9 0 Proposed Use Construction Type CU 69(9 -0 Commercial Residential !/ Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished L� Old King's HighwayA14 Number of Baths j No.of Bedrooms Total Room Count(not including bats) First Floor Heat Type and Fuel C(/b 01. b Central Air Fireplaces Garage: Detached A Other Detached Structures: Pool Attached / - Barn —a None Sheds y� Other Builder Information Name CPA-(7-t-5 Telephone Number Address A5 -e License# 60 11�� SO L) "t 1 ��/� A3 � � �i9� � (/!�(� Home Improvement Contractor# Worker's Compensation# C U C., /0 (9 0 Zri NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO I v d� ( P� L SIGNATURE DATE l BUILDING PERMIT DENIED FOR 4FOLLOWING REASON(S) FOR OFFICIAL USE ONLY P IT NO. ISSUED /PARCEL NO. ` RESS VILLAGE OWNER DATE OF INSPECTION:- FOUNDATION FRAME 1Wr i � lei INSULATION FIREPLACE ELECTRICAL: ROUGH ° FINAL ^ PLUMBING: ROUGH FINAL GAS: ROUGHS FINAL FINAL BUILDING,. Q '91 w DATE CLOSED OUT' I� ASSOCIATION PLANt N@, H- To Date Time WHILE YOU W RE UT M of CT Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator dftAMPAD 23-021-200 SETS EFFICIENCY® 23-421-400SETS CAR NLESS 4`�p�NE iq, The Town of Barnstable - BARNSTABLEDepartment of Health Safety and Environmental Services MASS. 16yq. �0 �E„�•> Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection , ^ ,,ll Location C-ja&f? Permit Number Owner,' Y Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: .. _ dry r X ZJ DO a v ill C A- C -eSS `mac L��Q y . Please call: 508-790-6227 for reeinspection. Inspected by , . AJ" Date (7 -'2 3 .0*� r The Town of Barnstable BARNSTABLE.p• Department of Health Safety and Environmental Services, Y MASS. 0 t63q' �0 �Fo►AA+° Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner i Inspection Correction Notice Type of Inspection Location Permit Number Owner Builder v One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: 0� -PA N(�UA UG-M. 44' S � 6 Lu lm, '6A e ..J t L l V Please call: 508-790-6227 for reeinspection. Inspected by Date - v `OF THE TOE The Town of Barnstable O� BARNSTABLE.�! Department of Health Safety and Environmental Services MASS. 039. �0 Building Division 367 Main Street,Hyannis, N A 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice x Type of Inspection, Location 5�q6 �L`��YG1. Permit Number f/ Owner Builder n One notice to remain on jobsite; one notice on file in Building Department. j The following items need correcting i d , r i Please call: 508-790--6227 for reeinspection. Inspected by Date v To Date�, Time WHILE YOU WE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILLCALLAGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message �v C� t� Operator AMPAD 23.021-200 SETS EFFICIENCY® 23-421 -400 SETS CARBONLESS • "" The Cunintotmealth q f Massachusetts ,t;•;: _ .i..� Department of Industrial Accidents a: ' �; " = •;a' 61/tl !l irsltintun Strad Bu ion.Mass. 02111 �•' Workers' Compensation Insurance.AtTdavit ARnhcnnt tntot•matio`n-- •�•• Please 1'RiNi'le lv• •• ,�;__,,; , _ -•__- Ineltion- Phone# 0 1 am a homeowner performing all work myself. ri I am a sole proprietor and have no one working in any capacity (Z.4-am an employer providing workers' compensation for my employees working on this job. Sttmn�nt nnmc uirur cs's• r so i am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who ba- the following workers' compensation polices: comn•mv n•tme• address• .. phone#� relict# (:��.ice_ «-rt—:-•• - . _ •s....-nrr.-:--ens-•+s^'5P - _ -�q,9[FO�JrE7�4°�^.---- - --�= - - m7-:— Mov e• address: uty Phone#: insur•rnce co nolicv# _ Atiaeh odditional'sheet if aeey-:i - i»�'�c'!' '•'��'`° �"- ``''''"``'"' j Failure to secure coverage as required under Section 25A of DIGL 152 can lad to the imposition oteriminal penalties of s fine up to S1.500.00 and/or unr ears'imprisonment as%vcll as civil penalties in the forte of a STOP WORK ORDER and a line of S100 00 a day against me. I understand that a copy of ibis statement mad•be forwarded to the OMce of Investigations of the DIA for coverage veritleadon. I do hereby c ifj• lcr ilea pains and penalties of erju that the informmion pmrided above is true co Signature ate 911 Print name lJ� i one# 3qA1 /w 2 • oliiciai use only do not write in ibis area to be completed by city or town olBcial permit/license 0 nl3uilding Department an or town: OLiceasing Board cheek if immediate response is required CSeleetmea's Office �finit6 Department contact person: - phone#; nUther • R -Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees: As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire.express or implied, oral or written. An enrplm>cr 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 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 dweliing hou or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 1.52 section 25 also states that every state or local licensing agency shall withhold the issuance or rene��•aI 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 work until acceptable evidence of compliance with the insurance requirements of this chapter h. been presented to the contracting authority. 77:r ram•��K,4 �.• 1'(. :4 '��?w-' ,. : ::•a.i �; •�.i.�`t�iL'.>:�:ra. li�:,�','.w �/ 1:1`{:w:l Ir,_r.,t fir.:. .•.�✓"'!r{'�•.•�+. 1 - - '•l.' .... .. 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 "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. ,.�R.,w..••.a+.w+trr�!t; ..;.• .. �.: 1,;,. 'yfS La:::T . -j•a �S:-'r:.:a�iii., • : . .. _ i .. _. sY:' .�i.: :. ::�:i w�'.i::1 _ •ijii.b: ;�i�.�Me•• :Ai•�.!!7vc.`••�'••! City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea 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 question. please do not hesitate to give us a call. �,.,.T.r.�.,l......,.,..:,•.—tea.+- .. ..� �: .�. - -• .:�. .,... •. •�..►•��.«. �:;: �`�• ,v.:�...�::.`:'•�- a�'ir: ::::F�;.:- The Department's address, telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street — Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 cat. 406, 409 or 375 r b� AM 1INI57RA • e: — ✓1 T06' W91l�ec�W� F OFZRRTMENT OF PUBI sr` COMSi_4�1,kN SUPERVISOR lug4 r Mn - ExPir_ Mae- b66 1/15% '0�r? 52 00 15/14 of CRAM r., i.yii 4 �{ {�� !• 4RC' � if -A� li l7f i�jif a t��,r#.;*y � .. 1 s_ fF{'� y fl �I- � E1 k .�l�� s�� !t's�•��y`�I*�i �i���l�,¢�y1'���b`r.�t t w '� }it ;� •r` }' r f'} f t' � •1 1 ,i. P � f t � ��rf !1� d7i'h, / � jrt�y. F .A �i r t St ° xF 1F �. ��' • ` � Y t if , � '� '.'{'{t 4�f �5.• ��'1 4, � i}i 4% � t � 03 4 j ,t �" �i '�ir,� c • til 45*p F {!,'�i•. � IV t �: it C •4 1 Go lit t yy 1 4 '.l J i` 1 1' x f, #TOr' TH�='BEST;�.OF MY;'.INFORMATION, =AS—BUILT" PLOT PLAN .,; KNOWLEDGE,; AND. BELIEF -THE ABLE, MASS, ! ' .� ;,.SHO THIS��?LAN R HAS ;BEEN?jLOCAT GI�OUND;rAS ',INDICATED "` q�• DATE 4Pz 301996 SCALE /'r= Go ' RbBkN y� WILLIAM' cn : •w�Lcoxf: JOB 37 av CLIENT 6. er 1� f art S WEETSER ENGINE�'RING c�r t . {235 GREAT WESTERN ROAD ? 3v P.O. BOX 713 DATE PROFESSIONAL LA EYOR souTH DENNIS, MASS. 398-3922 02660 FAX 398-3063 i. DAVID A. OLSON 28 BARNSTABLE ROAD HYANNIS, MA. 02601 (508) 775-4300 (508 ) 771-1866 Fax MARCH 14, 1996 RE: HARDY LOT 2 CEDAR STREET ATTEN: GWEN BARNSTABLE BARNSTABLE OLD KING' S HIGHWAY COMM. PLEASE FIND ATTACHED THREE ( 3) COPIES OF THE LANDSCAPE PLAN PROPOSED FOR THE ABOVE MENTIONED PROJECT TO BE HEARD AT YOUR MARCH 2O, 1996 REGULAR MEETING. THANK YOU FOR THE ADDITIONAL TIME TO SUPPLY THIS ITEM TO YOU. SINCERELY, DAVID A. OLSON Application to 9 b 348 PNEGN�E �M .7 6P OEN,µS NpP EpN _ ' 0PE pE�tNP/' Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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 Indicate type of building: ® House ❑ Garage ❑ Commercial ❑ Other 2. 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 DATEFEBRUARY 29, 1996 ADDRESS OF PROPOSED WORK CEDAR STREET,WEST BARNSTABLE ASSESSORS MAP NO. -109 OWNER CHRISTOFER D.& DONNA D. HARDY ASSESSORS LOT NO. 02 HOMEADDRESS 24 CAPTAIN BAKER RD. ,MARSTONS MILLS,MA-TEL. No.420-1652 02648 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet-if necessary): SEE ATTACHED ABUTTORS LIST AGENT OR CONTRACTOR DAVT_D A. OLSON,DESIGNER TEL. NO. 775-4300 ADDRESS 28 BARNSTABLE ROAD, HYANNIS, MA. ,02601 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). TO CONSTRUCT A NEW TWO STORY COLONIAL HOUSE WITH ATTACHED GARAGE & WOOD DECK. 6 DDDn U YEN Signed Owner-Contractor-Agent Space below line for Committee use. ReEeiued-by;H70TC-�----._._, lie 'Date -�y The Cer i `cate is.herefiy Date 1 Ti FEB Z 9 1996 j 6,'7 �vN (sF S!PAI", G TA a��._ BUJ Y 4cti"� NiGf9WAY r �^ Approved - -❑ __ _ .._IMPORTA 10746MOs"'cate_is approved, approval is subject to the 10 day_appeal.period provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible.from any public street, way or public place. The following scale drawings are required in duplicate with application:` plot plan (if addition — show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion of a building, structure or sign to be painted that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors,,changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to-be erected within the District—with the following exceptions: a. Existing signs or'billboards on November'27, 1974 shall have until November 27, 1,977 to secure an.approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from " the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which'they are ..t..._,. , erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the .:,.. ., premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard, but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL'REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes shall be made from the original approved specifications without:advance approval of ,the Commission on an amended application filed with the Committee. 7. A separate application must be filed with each project requiring a Certificate of Appropriateness. t 8. Under heading of. "Detailed Descri'pti.on of,Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch, sash and doors, window and door frames, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishing the Regional Historic District may be obtained at the Town Hall. �I MAP NO. 109 PARCEL NO. 02 . ABBIITTORS LIST MAP NO. PARCEL NO. 109 01 SNOWDEN,LAIIRIE P. ,TRES. HIGHVIEW REALTY TRIIST, 10 HEZEKIAHS WAY,WEST BARNSTABLE,MA. 02668 109 .001 HENDERSON,RANDALL E.S. TONI,7 PURITAN WAY,,W.YARMOIITH,MA. 02673 109 03 SWANSON,ERIC A.&KARYN M. HAIIGH,740 CEDAR ST. ,WEST BARNSTABLE MA. 02668 109 5-1 DIINNING,MICHAEL A. ,P.O.BOX 560,MASHPEE,MA. 02649 109 5-2 MACIIRDY,JAMES K.& KERRY A. 29 MANNI CIRCLE,CENTERVILLE,MA. 02632 109 5-4 PARADIS,DONNA L. 71 LOTHROPS LANE,WEST BARNSTABLE, MA. 02668 109 92 BACIGALIIPO,GEORGE J. & PHYLLIS R. 747 CEDAR STREET WEST BARNSTABLE, MA. 02668 109 95 DEMKO, PATRICK J. & LOIS ANN 216 GLEN EAGLE DRIVE CENTERVILLE, MA. 02632 I Town of Barnstable y Old King's Highway Historic District Committee CHRISTOFER D.& DONNA D. HARDY MAP 109 PARCEL 02 SPEC SHEET CEDAR ST. ,WEST BARNSTABLE FOUNDATION 8" CONCRETE 18" MAX. EXPOSURE CLAPBOARD X @ FRONT TRU TEST SIDING TYPE WHITE. CEDAR SHINGLES COLOR C227 MARCH WINDS SIDES & REAR CHIMNEY TYPE BRICK COLOR RED SHADES CERTAINTEED ROOF MATERIAL ASPHALT SHINGLES COLOR MOREY BLACK PITCH 7 DOUBLE. HUNG WINDOW CASEMENT @ KITCHEN SIZE SEE ELEVATIONS TRIM COLOR TRU TEST C427 GOOSEDOWN ( HOUSE/WINDOWS/DOORS) FRONT/BACK/SIDE %X DOORS SEE ELEVATIONS COLOR TRU TEST C233 CAPE COD GARAGE DOOR - C227 MARCH WINDS SHUTTERS NONE ALUMINUM WHITE GUTTERS DECK PT. WOOD H (WITH RAILING & STEPS AS REQUIRED BY CODE) GARAGE DOORS SEE ELEVATIONS COLOR TRU TES C227 MARCH WINDS NOTES: Fill 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 each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be' "Certified", but should show all structures on the lot to scale. spkikT 82 Qh) Tessa ry Dx� A3y 5. r�1 I CERTIFIED PLOT PLAN I CERTIFY THAT THE DWELLING SHOWN FOR ON THIS PLAN IS LOCATED ON THE 770 CEDAR ST.,WEST BARNSTABLE,MA. GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE MINIMUM SETBACK PREPARED FOR REQUIREMENTS OF THE TOWN OF BARNSTABLE. CHMS HARDY A OF SCALE: 1" =60' JANUARY 28, 1998 RUMBA w Weller & Associates " 1645 Falmouth Rd.—Suite 4C Centerville,Ma.02632 sue�e+c % ? C �8 (503)775-0735 tom . L J3u=�c_ms FeSL�-ticrs �r�c� s•�r I - '?G �re F,sLcLti tc r. Flace ccc i � - =?',Vim''-Z`�► CCll�i RAC t Q� • ' I .f -a•`_icr ZOO?40 �x�ir«:a-,- CE�-�� i � c--.� _�1 �_ :Nc. - I E= Ric! - - I C=_= -•••�_� (rc�I-�:i . . t iz DEPARTMENT OF PUaLIC SAFETY CONSTRUCTION SUPEPVISGP. LICENSE Nulber: ExPires: Restricted Te: It THOMAS X CAPIZZI JA. 281 PERCIVAI OR :I RARNSTAeLE, MA IZ668 ` a th o Massachusetts The Commonwe f Department of Industrial Accidents Office 41IMS&OWfsls 600 Washina on Street Boston, Mass 02111 workers' Compensation Insurance Affidavit nam 7 location r r". — �� I am a homeowner performing all work myself. C] A am a sole proprietor_nd have no one worling in any capacity contre:isation for my employees working on this job. [j ( am an employe.* prop iding workers' comr73nv name: nddres : in•: /�' o01icv = C8� L3 Z7 S2—fo insurance co. ( am a sole proprietor. general contractor.or homeowner(circle oriel and have hired t,�e conrcactor; I�st='oz!ow "ho have the follow, It-I :omc:nsatien slice_: n nnv name: address: n e=: ir'••: �fr lac} in urincc co. on anv name: city- insurance co oom isdior nof crimi"penalties or a fine up to S1, Failure to secure covergeisa teem required under Penalties cd ontb<k of of z 152 no lead to the WORK ORDERpiad t tine of Sloop day i;sinst me. I understand that i one vests'imprisonment copy of this statement may be forwarded to the Ofrice of investigations of the DU for eaverage verifieatiou /do hereby certify tinder t airs and pert es ojprrjtJry that the injorrnatiart provided about is true co g� ast . r ,c OiZ Signature A- Pboae Print name �i4�fi��—rz7 I ofiiciai use oniv do not-rite in this area to be completed by city or town oftieial permitticeme# OrtBuilding Department city or town: — C3ucensiae Board 26I QSeleCtmen's OMCC Q check if immediate respocse is required QHealth Department phone Contact person: (508) 398-2231 eat. mother (n+.vd 3.a3 PJAI . -oil t Engineering Dept. (3rd floor) Map Parcel Permit# ��p2 ',•' "` House# �-70 1--J5 • Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) � '°'/ GG_�� Fee' Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) SEPTIC SYSTEM POST BE Planning Dept. (1st floor/School Admin. Bldg.) INSTALL*DLANCE Definitive Plan Approved by Planning Board 19 W ENViRONE AND TOWN OF BARNSTABLE TOWNNS Building Pe t Application Project Street Address ��D G�`� � .7 C%-&Z). Village Owner �/ 7>L" Address 77V Telephone Permit Request -19A J:�;164fld 'y First Floor square feet Second Floor square feet Construction Type J A& mi Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway MVe's ❑No Basement Type: @Tull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 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 Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes @, O If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address License# l Home Improvement Contractor# 140 ;7 7""% Worker's Compensation#Cjl� 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 BUILDING PERMIT DENIED F0Rft.1jZLLQWWG REASON(S) a FOR OFFICIAL USE ONLY PERMIT NO. ( v DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r p FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: -ROUGH FINAL GAS: -;ROUGH FINAL r`', V FINAL BUILDING—` .y=- sa CA �- OL- DATE CLOSED OUT- ASSOCIATION PLAN NO. k p.,ia i Mckechnie, Robert From: Anthony Nese [anthonynese@gmail.com] Sent: Tuesday, January 24, 2012 8:00 PM To: Mckechnie, Robert Subject: Re: Cedar St Hey Robert, The owner emailed me back said when he gets back, he'll just go get the building/plumbing/electrical permits needed - then can set up a walk through/inspection. Thanks, Anthony On Tue, Jan 24, 2012 at 8:55 AM, Mckechnie, Robert <Robert.McKechnie@town.barnstable.ma.us> wrote: > Hi Anthony, > Who would like to meet me on site and walk through the house? This is > when I can direct the owner as to the required permits. Building, > electrical and plumbing permits are all possibilities. > Thanks, . > Robert McKechnie > Local Inspector > -----Original Message----- > From: Anthony Nese [mailto:anthonynese@gmail.com] > Sent: Monday, January 23, 2012 7 :42 PM > To: Mckechnie, Robert > Subject: Re: Cedar St > > Hi Robert, > What needs the permitting so I can tell the homeowner when he returns? > Thanks, > Anthony > On Mon, Jan 23, 2012 at 9:10 AM, Mckechnie, Robert > <Robert.McKechnie@town.barnstable.ma.us> wrote: >> Good morning Anthony, >> Thank you for your reply. I am going to issue a Stop Work Order >> today until the home owner can sort things out. I believe that the >> work that is being done, and has been done requires permitting. >> Please be aware that when the Stop Work is issued all work must stop >> until the permitting issue is addressed. >> Robert McKechnie >> Local Inspector >> Barnstable Building Department >> 508-862-4033 >> -----Original Message---- 1 i >>--From? Anthony Nese [mailto:anthonynese@gmail.com] >> Sent: Saturday, January 21, 2012 8:27 AM >> To: Mckechnie, Robert >> Subject: Cedar St >> >> Hi Robert, >> I just went by my friend's uncles house at 770 Cedar st in West >> Barnstable to take my trailer away before the snow hits - put some >> wood inside and saw your card. >> Figured 'I'd just shoot you and email since you probably aren't in the >> office but I'm assuming you are wondering about a permit. I emailed >> the owner, John Doherty to let him know, he is up in Maine hunting >> and has no service though. >> I think he and his son started things then hired someone off Cape >> from craigslist and they bailed on him - took money and ran >> basically. . I 'm redoing the staircase and refacing cabinets for now. >> I just let him use my trailer a while back when they bought the house >> since I wasn't using it. . .I just had to go get it cause I don't want >> the snow to keep building up and won't be able to pull it out if I do need it but anyways. . >> Feel free to email me back or give me a call at your convenience if >> you need to. >> Thanks, >> Anthony >> 508-776-5955 2 ,` .� ' • �. - ' -- ' . •'� �� ;, - -�I 4 _'� -mot `' -' - � 8?9 . • - • ' : iV C�F BARNS TOW "- - i ar 1- '-_ �` .. .. °S- .. ski.�7�• 7 � � � { i ARNSiA$ LE OLD K(NG'S Hi HWAY. Jr PZcj r IZ s3-1 9 Goo ZO ir AF E-ic r sr.: !J _...i:.:-ems,-.=Y�-- �... _,..._:,;;,,•,,4�•.. 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I ='' I , I . , I . . SEWAGE' DISPOSAL OBSERVED WA7ER TABLE ( / _ /: ,) TLEV. = ' . � - . I � I _ . . . FRAL-SPOT ELEVATION TOTAL ESTIMAIED-FLOW 51 yo .. :,_��-.,-� I � I . I 1. � . � .. 1. I . . . I 11 __ . .1 . I . .. 11 I . I . I 1. 11 ' . � I WT TO�SCAM- . , (_lL4_GAL/W/bAY X y BR.) GAL/DAY -� - , I I I . I� . I � I I , I I I - , � � I � , .� � � . � "��:. .. I � I I . . . I I I � .. � .L�.� I I . . . J,� A.-I.."",-, � .1 . ..:I ��:.., , I ,�. 1. I I I I 1� I I I . � I I � I 1. I. , , I . I ... I., I.. - �l I I I FINIAL CONTOUR _ccum___ -QUIRM SWTIC TAW 1 ,4'5<� CAL - r .. _ ,� 1. .1. - .� - I I,. I � I ... - - . I - I 1� . . � . : , I � '�. " , - SO& 7EST-LOCAIM RE CAPACITY I . -, ...;,"..".- ��, ,". - � � .: - - - . : '. �' - . I., .. . , . . I �. � ., � �� � 1 I � .. *"',� � . � - - , � I . � ., . , . , % .. 't I.. . . - , � . L I I I . %; I I � . A,- , & ACTUAL /y7'_0 OAL - ,; " � r , - . . . �, , . - , � -� , I . m � I � � '. � - I : . . 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