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Home My WebLink About0060 GEMINI DRIVE p . , �.�- G�h/ 'i .j CAP'E. .CO iv�Hrt 2 0 2020 .�NI��Y s�►��sr�s TOWN OF BARNSTABLE 378 Route 130 Sandwich,MA 02563 PH:774-205-2001.844-90-AUDIT Permit Affidavit Permit#,-TB-19-457 I,Craig Bishop,confirm that the weatherization and air sealing work completed at ._60 Gemini-Drive, W. Barnstable For MacDonald has been completed in accordance with 780 CMR. Signature: g Date: . _ 3/16/20 __ _ Town of Barnstable Building Post'This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept ^ * Posted.Until Final Inspection Has Been Made. Pit 1639. Permit ,god' Where a Certificate of Occupancy is.Required,`such Building shall Not be Occupied until a Final Inspection has been made. erm Permit NO. B-16-3130. Applicant Name: DOUGLAS KAAKE Approvals Date Issued: 10/21/2016 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 04/21/2017 Foundation: System Map/Lot: 131-051 Zoning District: RF Sheathing: Location: 60 GEMINI DRIVE,WEST BARNSTABLE Contractor Name: DOUGLAS KAAKE Framing: 1 Owner on Record: CATIGNANI,ROLAND B&JUDITH H Contractor license 22184 2 Address: 60 GEMINI DR t—'`�" """`A" Est. Project Cost: $0.00 Chimney: WEST BARNSTABLE, MA 02668 k Permit Fee: $35.00 Description: smoke detectors Insulation: � Fee Paid; $35.00 NOTE: First Floor Vicinity of the stairs and a co unit within 10of the Dater 10/21/2016 Final: bedroom doors on second floor are required. Not clear on plan ` �° Plumbing/Gas Project Review Req: smoke detectors Rough Plumbing: r —'--;- - �----,, 'Building Official Final Plumbing: NOTE: -i Floor Vicinity of the stairs and a co unit within 10 of g: the bedroom doors on second floor are required. Not clear on Rough Gas: plan I - This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months after issuance. Final Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be'-in.compliance-with the-local zoning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Service: •�'`.�"The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials ace Rough: _provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough:. 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 Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: AWE Town of Barnstable *Permit# -! 3 f 3-0 E�Tres 6 months from issue Regulatory Services Fee • 11AM9 aster, Mass Richard V.Scali,Director '�FDD Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.batmtable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number yam, ��.=L � D/C�c NA Property Address ��(iCJr�1lCp �le�� pC,, �]Residential Value of Work$ _�(�(Jlpo Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �(�(�N l �rC thb (D MzMI bK 'R,ARNS LE- A Contractor's Name�/dS (��j�19� Telephone Number p Home Improvement Contractor License#(if applicable) Email: / (,� I ) JQfRIIJI O , �j Construction Supervisor's License#(if applicable) &5 Pc//\ I ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 0.=6 Amyl Workman's Comp.Policy# 4 7-6 4?-� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U=Value (maximum.32)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: oe QAWPFILESTORMS\building permit forrnsEXPRESS.doc 06/20/16 l The CommompeaM qfMaysadruseft Department Qf rndus&zd Accidents Office a0mV-T#iga dom. ' 600 Washington Street _ Boston,MA 02111 wymn mass govldia Warkera' Cmipensatecm Insm-ance Affidavat:Burldeis/CmtractarsMectrkianslPhmbers Applicant Infm m tku Please Pzint f et y Namur Andress`_C-4 km raLb [)K Cityfs�r A ho 7 38 Are YOU an employer?.ECreckthe appropriate biz: Type of project(required): I.�I am a employer With 4 ❑I am a general coutiaclur and I 6. ❑Ides oonst orx employees(fish an&br part-time).* have lured&e sub-conksactors 2.❑ I am a sole propFietar or parr- listed on the attached sheen 7- ❑Remodeling. ship and have no employees . These sub-contractors have g- ❑Demolition. waking forme is any capacity: employees andhavewoAess' 9_.❑B•uildmg addition rg' [NO wodr Comp,invisance comp.msuranCF # required-] 5- ❑ We are a-corporatism.and its 1W Electacal repairs or adddioas 3.❑ I am a homecumer doing all waste officers have exercised their 1L❑Plumbing repairs ar additions myself[No workus'camp- right o§I( �dwe have no on per MO- 13.❑Iioofrepairs iiinzanrerequired_]1 employees.(No warless' 13_❑Other Comp-IIISranRe ] 'Any app&csntffut cbedsbox#1 mast also fM ant the sectioabeIoa shohiu_F dmkwoalere compenolionpel cyiafocmafroaL Imreownea Wbo sab it diis af5divif imrlrdi=they are doie;all vraak and&en.hire atmide coub=9ars ma sans, rCb=n ctoaSrst checkthis box mmt atradrea as aaditi®al sheet showingthenameof the snip-caatrctum and staFe whether arnotthose emfdesb.ne employees.Ifthesnb-� have emgToiee-%they— pmvi&dLW wQdMM'gip•pdUF amber I am an $eloiv is fltepa cy and job site inforarabbrn Insurance Company Name: 7� T.��D4 Pooficy 4,or Self-ins-Iic- �b� (J ExpiEdioa Date: IF Job Site Address: 60 �i�/�'!�'t �� CifylStafa?2.p: /J Attach a-copy of the workers'comipensationpolicy declaration page(showing the poficy number and expiration date). Failure to secure coverage as required under Section 25A o€MGL a 157 can lead to the itmpositioa of criminal penalties of a fine up to$L500-OD indror ouo-Fearimpfisorunenk as well as civil penalties n the foaa of a STOP WORK ORDER and a fine of up to$25,0- O a dap against the violator. Be a&ised'did a copy of this statement maybe forwarded to the Office of Itrvestsgations ofthe DIAL for insurance,coverage verffnati a Ida ttera y C&ti p and paia7fier a�g ry thatthe informadvaprmir ed abm a is bus and carreet Siv�atune: Date ��I Phone IV o�ai ass only. Do trot write tit tH3 afea,€ri be cmnplete+d by city artbivn a�I City or Town: Puff A ease� Lwaing Amthmity(circle one): L Board of$eahh -Builfag Department 3.CRy/rawn Clerk 4.Electrical FuspwADr 5.Phrmbing inspector 6.Other Contact Person: Phan.P- 6 Information and Instructions hfassalai scffs CTC=aal Laws chapira 152 rega=an e=pIoy=to provide wa&=s compensation.for tbei r e❑zploy= j Pmsuaatto this sty,am.errrplayee'is defined as-¢.=M7persan.mffie sm-vice of anoiffi=uDAer any contact ofhae, , express or implied,oral or writtr " An.Mayer is-defined as"an in&TIffi al,pan{nershzp,assoc tkm;axporation or other legal entity,or any two or mom of the foregoing engaged in aJoint ,and including tine legal represevta±ives of a deceased employes,or the rwt iver or t ustee of as individual,pa tammbip,association or ofherlegal eatity,employing employees. However the owner of a.dweIIiing house having not mare than tbree apartments and who resides ferem,or the occopant of the - dwelling house of a mfher who employs persons to do mace,cans uc i on or repay wok on such dwelling house or om the grounds or building app ihe2eto sbaIlnotbecause of sack employnrert be deemedto be an employer." MQ.cbaptes 152,§25C(6)also that¢everystaIL-or locaI lire snlg agent shall withhold tiie 15=2=ce or renewgj of a&cease or permit to operate a br<siness'or to construct buH&P1 m the cowman wealth for any applic=jwho has notproduced acceptable evidence of compMmr-with the insurance coveragge req��" AdditionaIIy,MCZ chapter L52,§25Cr()sfatr-s-Teithertbe nor a'ny of poIifitcal snbdrvisions shall enter into any contract fb r t fie performance ofpublio want uanl acceptable evidence of compliance with.9ne insorance.- req=rmea s of this chapter have been piesenfed to the Canft ho " 1► I Applies Please fill obt the woi3s' compensation affidavit completely,by checking the boxes that apply to your srtakion and,if necessary,s-apply sob••cordxachos{s)name(s), ad&mss(es)aodphone nnmber(s) alongwiththen7=t1Rcate(s)of msorance_ Limited Liability C anpaodes(LLC)or Lfimted LiabilityPartueamhips(I I P)wiinno c Ioye s other than tb e members or paiina=s,are not req!m j to corny wonders' Compensation insozance_ If an L C or 112 does have employees,a policy isrequfttd. Be advised that thisaffidavrtmay besal�dto the;Depm1mentof Indnsfrial Accidents for confixnnation of msurmm coverage: Also be sure to sign and dale dare affidavit The affidavit should be retmmed to the city or town that the application for the peraait or license is being rtgnested,not the DepaAment of lr ,h stjaI Accidents. Should you have any gnestions regzcdmg the law or ifyou afire req nrd to obtam a workers' compensation policy,please ca]l the Department at the Dumber listed below Self-insured companies should ente their self insar2nce license amber on the appropriate line. - - City or Town Offircials Please be sore that the affdavitis complete andpriatt-,dlegibly. TheDepartmethas provided a space at the bOtfmn of the affidavit for you to f 0l'out in the event the Office ofIuvesdgations has to coke you regarding the applicant Please be store to f Ell.in the pent/license-m— er vhirh wM be used as a refm once nnmbes In-addition,an applicant that must submit muttiple periniHlicease applitalicns in any given year,need only sabmit one•afEidavk indicating cmrrnt p olicy information Cif n nary)and undea`Job Site Adres"the applicant sl i' ld wrii�"aII donations in (may or. town) "A copy of the•affidavit has been officiaIIy gtamped or mated by the city or i�owi_'maybe provided m the . applicant as oytbat a valid affidavit is on file for f m: permits or licenses A new affidavit niust be f.Iled out each ?pP FrO - year.Where a home owner•or cftizl�a is obtaining a license or permitno =fated iu any basin=oar,comineCial v6Mt13M (fie- a dog license or permit to bum leaves etc.)said person is NOT xegaked to complete dais affidavit The Office of Investigafinns would ill to tTiank you in.advance for your cooperation.ion.and should you have any questions, please do not hesitate to give in a call. Zhe Department's address,telephone and fax Cr.rrmnb ConMiGaTMME of Chnse� . - DepartiamtofTndEEstdalAoDid6hts� office of Inv tio= a �man Siz�t 't'-,�.•�. - ,- �. $ostm�MA 0�11F Tel.#617- -49CO eat 406 Or 1-V7 MA MAFR Fax 9 61'-'27-'749 Kevism d.4-24-07 9. gld Town of Barnstable Regulatory Services M AM Richard V.Scali,Director ► Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize l�.+A1�' 6� StUt -Kic- to act on my behalf; in all matters relative to work authorized by this building permit application for: (.-D C-ileL4 Wr-6LVI M A (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of ApplfclLt ,. XPrint Name Print Name �®/Z_ Date QYORMS:OWNE"E &SSIONPOOLS SMOKE DETECTORS REVIEWED eARNSTABLE BUILDING DEPT. WODA - FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REWIRED FOR PERMITTING O DECK . mio cr FAMILY ROOM PORCH L] FR F KITCHEN ®TOIL O STUDY ❑ G\JARAGE i AT- FOYER SITTING ROOM DINING RM ®SMOKE/CO2 SMOKE DETECTOR PLAN SD SMOKE CATIGNANI RESIDENCE n S� ®HeAr BO GEMANI DRIVE I�( `� B�6RNSTABLE, MA 02668 JJJ PACE I OF 2 � 11 J in MASTER BEDROOM SD LAUNDRY gg7H O BA BEDROOM ❑ 0 GARAGE BELOW ❑ STOR BEDROOM BEDROOM ®SMOKE/CO2 SMOKE DETECTOR PLAN ©D SMOKE CATICN60 WEST BAR DRIVE TANI LE, M WEST BARNSTABLE, MA 02668 10/19/16 PAGE 2 OF 2 i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION G S Map_ !; Parcel Application # � Healtli bivision 2vy y- s� Date Issuedloci Conservation Division G �' � Application Fee Planning Dept. Permit Fee C? ` a Date Definitive Plan Approved by Planning Board Historic:- OKH Preservation/ Hyannis w Project Street Address ,, /�o Village {(/. ��A sr 6L67 Owner 4,4 wr0 13 WAN I Address 4 6;9gTW/ A/. �i�t�✓a1�L� Telephone 6a?*' 326- W 3 Permit Request Me-A/ .3 SEAS&VS' 6 S49e2A 0 4C1JT77Wdj DFZ,C Square feet: 1 st floor: existing proposed 210 2nd floor: existing — proposed Total new 2 70 Zoning District Flood Plain Groundwater Overlay AQ Project Valuation l 7S?ry Construction Type S� Lot Size 11611 A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. i Dwelling Type: Single Family -3"' Two Family ❑ Multi-Family (# units) Age of Existing Structure 35' Historic House: ❑Yes Oho On Old King's Highway: O'ye-s ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ff"Other Basement Finished Area(sq.ft.) b Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new Half: existing I new Number of Bedrooms: S existing eew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: teas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ►3'I1lo Fireplaces: Existing I New Existing wo d/coal,slove:. O Yes QdNo Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: existi 09 O'new size_ Attached garage: Cdexisting ❑ new size _Shed: ❑ existing ❑ new size _ OthFK' U, crN Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ u: Commercial ❑Yes EINo If yes, site plan review# ^' _ m Current Use Proposed Use u' `T' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name dv SW*/ ? Telephone Number Address Pt) 271V License # CS S1 S1 Siq'Gj�B'yN VYl� � 0 G1� , )YA 0A91— Home Improvement Contractor# 050110 Worker's Compensation # WC 112. 3lgl ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CtS Z-0 DATE SIGNATURE �P 1 r FOR OFFICIAL USE ONLY s a APPLICATION# DATE ISSUED MAP/PARCEL NO. } ADDRESS y VILLAGE... OWNER. • � .. . -�' � -- - • 4; ti DATE OF INSPECTION: FOUNDATION 7 FRAME geOf f k o o S oy eotcl i/'eriea C �s { INSULATION FIREPLACE 1 ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: ROUGH '' FINAL r �. FINAL BUILDING F DATE CLOSED OUT , ASSOCIATION PLAN NO. � po � � �� . M t � -I C I �W,a,r Town of BarnstableT Old King's Highway Historic District Committee �°"" `Z� 200 Main Street, Hyannis, Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 CERTIFICATE OF EXEMPTION Application is hereby made,with four(4)complete sets,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 proposed work as described below and on plans,drawings,or photographs accompanying this application: Date 12. ^ I$—Og Address of Proposed work, Assessor's Map and lot# House# Cp0 Street GE►V(� ) � Village: k)ti4jT AA,�jS*6LG This a plication is for an exemption of the proposed construction on the grounds that work: i Will not be visible from any way or public place ❑ Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission ❑ Other Description of Proposed Work: IsGl"764610 %q,,9.c)A Agent or contractor('please print): &4SOM 1/ /�/L Tel.no. �2 —324 -7$13 Address PO 4•,Q 2'� SA,6A46wty fw2ta} MA- LIMA Owner(please print): 'QOL,AAI n 13. G4T_ EJAJ I ' r Tel no. �b8 -32L-Z$Z 3 Owners mailing address: 0 1 )4E W • t,6 0-2 Signed,Owner/Contractor/Agent For Committee Use Only This Certificate is hereby Approve enied Date: / t7 (� (� Committee Members Signatu ECE np� U LS DEC 2 2 2008 OWN OF BARNSTABLE HISTORIC PRESERVATION Any conditions of approval: e ,P , C:IDocuments and SettingsldecolliklLocal Settings I Temporary Internet FilesIOLK110KH Exemption Form 07.doc G l OF RICHARD J. ICHARD3. DEMPSE � � LJ`f DEMPSffY [ STRUG',URAL -OD /! No. ;73 vNo,2-5173 y �� A'r'O 9�c3is '" � c Z r E NA1 ro oOHAL • !�. - .. I-� � \"C.(/r.v CT/fv � I � I � 1 � i ^)<i:V1�lA\'� Lj � it--•-�i - i i _..... i 4X� � d` I I � J. ON C ✓C- r - JI It'2" SLOP /'�H/9 l i Z f � x �" Lta l'!T(.; `-�✓�� C_ L.I.V 5 rL'� I � —1 30�r� �ro �G q Cz.c�[_ C,,�'c_ A T i i THE DINPSEY GROtjh, INC. ;N*6 8 13eatimonts Pond Drive SHFI- FOXBORO, MA 02035 1 (508) 543-5499 w2 S.2 Fax (503) 543-0289 C, TA OF of t C� ICHARD J. ICHARD i Of DEMPSEY, RUGTUR STRUCTU p,7173 No.29173 ,eA IV14 —C 1 4 r- (A-�) -v 68z0 EV9 809 ONI dnoNo A3SdW3G 21HI THE DEMPSEY GROUP, INC. 8 Beaurnonts Pond Drive SHEET NO. Of FOXBORO, MA 02035 CALCULATED BY V DATE (508) 543-5499 Fax (508) 543-0289 CHECKED BY DATE-- SCALE C !,kl 7- r C, Fi o A zs L-4, �A-c) L2 SotroS Fc)sz CD (&A Gold 68z0 2Vs 809 ONI dnoaD A3SdW3a 3HI N i �OF .- I RICwARD i J. G � li � � ? � . m DEMPSEY - OD STRl4CTURAL y _ N No.2�.m73 N ' EfAd E� .,�. Inc." ! it I r fly �I w i ►war Boa A; : In :7 d i 1 •,� ` 1"I, Il...w. . I,w.'re• .;��—_ . ( ^) F( �� tT�T PUT: Nt T I o RICNAn J. � i DEMPSEY � ;� SxMPS�,) e, STRucru / — li I F —{—� } i No.29173 Dwc,ma = i C � I ' F1.00 R PLC!, f `� dopY r rJ�fA�'>: �... THE DEMPSEY GROUP, INC. 3 _ ' __ 8 Beaumonts Pond Drive SHEET NO. OF c- FOXBORO, MA 02035 CAI.CUI.ATED BY___s� C� DATE - (508) 543-5499 Fax (508) 543-0289 CHECKED BY— DATE -- SCALE i Uj I nl-o0 Lj G A�_ '�o FQ YVC' UPt,i � l/ (-'nSC 11,co `\Z/,L) (b. - z0 " 1 �,. i i t . '° C C�ti (�i<,-''•1(J r.--' (�0 r TO �,� <<:�') Z.X�'� `l'+ r„�`. l''a f�.{��t'�1 , i j l AJ,,i 6PAeA,Jcj A5 �Quitri J t IS56C 2- ��=G-1�Or� a - r rc(Lnl�6; S I� ''(�.51!,,rJ��% Aw,) (,(,tJS��Ic)�7 �� i ti COr��IM /�� IJ t ,rl k, k_c iz P f- 0 (f,-J G,,.i n)6 >r.21 A/cl P A,-6Al(:.f1,". ' N .. r ( rJ 1 r.J 0�" .CU`ti S G ►C-�L rt 1a'�1., `� N(�.1nJ ��)�ti�J �' r la'1 S 0�.1 C"1 c�,.� Ltd n) n I" S t/J t (�('T R��,fc �...o S�J A�-1 L lr A'r P� i 1�1.. i:1 C c•rl,t't��r� R.� M t,�) I rJ U �� S 4_�1 t 1'i^� �`r,�,�. y r -> S �z,7 a':_ �,� .� ��® -� tin Er �k St Df'c 17 t'r�-� �� r� "ti��'�" fC�l") �,J t/!1 c�1 /� <,� M !�' i G\��..�'�t �� "2 r•) a 1' tj �c_..!� v a A-qj S i t , 90 'd 68Z0 £bS 809 ONI dnoNo A3SdW3Q 3H1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(Business/Organization/Individual): Address: , D , Q)< 27�' City/State/Zip: �- Phone.#: Are you an employer? Check the appropriate bog: Type of project(required): 1.LIB 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-tim.e).* have hired the sub-contractors 6. ❑New construction ..2.❑ I am a sole proprietor or'partner-' listed on the'attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. []4uilding addition [No workers'comp. insurance comp. insurance.; required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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 workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is provillin g orkers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: I G X W-44e:t- or— AIS _✓M Policy#or Self-ins.Lic.#: VG 7Z2. ?j Pt 7 Expiration Date: �/ D Job Site Address: G8 C��7�?lIf%�iQl,/�' _ City/State/Zip:f��j l� 02,44a Attach a copy of the workers',compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby under the pa' s d pen [ties of perjury that a information provided abo a is true and correct. Si afore: Date: ?� Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or tiustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit•to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance°azth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, it necessary,supply sub-contlactor(s)name(s),-address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and.printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the.event the Office of Investigations has'to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number.-In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit brie affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents. , Office of Investigations, 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 11-22-06 !' www.mass.gov/dia i From:Kristen Curran At:MF&T Insurance FaxID:781-261-1111 To:Building Dept Date: 1/26/2009 09:58 AM Page:2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID H DATE(MM/DD/YYYY) CONSE-1 01/26/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MacIntyre Fay S Thayer Ins Agy HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 77 Accord Park Drive Unit B-1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Norwell MA 02061 Phone: 781-261-2000 Fax:781-261-2099 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ohio casualty Insurance Co. INSURER B: Hanover Insurance Company 22292 ConSery Group Inc. INSURERC: American International Co. P.O. Box 278 INSURERD: National Casualty Sagamore Beach MA 02562 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BKO 0853511978 07/07/08 07/07/09 PREMISES(Eaoccu're nce) $ 100,000 CLAIMS MADE 17Z;I OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,0 0 0,0 0 0 POLICYF—j jEa LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B ANY AUTO ADN 8411502-02 08/27/08 08/27/09 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $F AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $5000000 A X OCCUR CLAIMSMADE USO (09) 53 51 19 78 07/07/08 07/07/09 AGGREGATE $5000000 DEDUCTIBLE $ x RETENTION $10000 $ WORKERS COMPENSATION AND TORY LIMITS I ER C EMPLOYERS'LIABILITY WC 033-73-0404 11/09/08 11/09/09 E.L.EACH ACCIDENT $ 100000 ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER A Property BKO 0853511978 07/07/08 07/07/09 BPP $126,000 D Professional Liab ARO 0002848 07/20/08 07/20/09 Prof Liab $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Catignani residence, 60 Gemini Dr. , North Barnstable, MA 02668. Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION TOBAMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 367 Main Street Hyannis MA 02601 REPRESENTATIVES. ALIT D REP E ATIVb !� ACORD 25(2001/08) 0 ACORD CORPORATION 1988 IHETo�ti Town of Barnstable Regulatory Services. BARNSTABL.r, MAM Thomas F. Geiler,Director t63;9. 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 Compleie and Sign This Section If Using A Builder L �01-A 0 -Fj � �f1-5,j e,%J 1 as Owner of the subject ro e J P P _y hereby. authorize �� Spa.✓C �,;jC to act on'my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name r If Property Owner is applying for permit please completelhe Homeowners License Exemption Form on-the reverse side. Q:FORMS:O WNERPERMISSION 1 ' KME r Town of Barnstable ti Regulatory Services ? BARNM STAB Thomas F. Geiler,Director HAsa 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 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'dwellinis-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. , DEFINrhbN•OF HOIVIEONvNE'R' 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 consideied 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) Th"e undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department. rninirnum inspection procedures and requirements and that he/she will comply.with said procedures and requirements. Signature of Homeowner Approval of Building Official ~- ; Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section.(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such wofk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons..In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form currently used by ,several towns. You may care t amend and adopt such a fomr/certification'for use in your community. Q:forrns:homcexempt ti • ula9/. arddss Board a ildmg Reg�• I Construction Supervisor License p License: CS 5157 zi„ .� Expira tion=512 312 0 1 0 T 23121 W. 0 ;: ' CATI�NANI s ROLAND B 60 GEMINI'DR i W BARN'TABLE,MA 02668 Commissioner � � e Board of Building Regulations and Standards j License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: J Board of Building Regulations and Standards U19Registratio 130110 One Ashburton Place Rm 1301 Ezpi�r _n.__-17=/2010 Tr# 262243 Boston,Ma.02108 9r Type:=Pt ate Corporation i CON SERV GROUP-IN-"V+ ROLAND CATIGN NT ! 2277 STATE RD PLYMOUTH, MA 02360 Administrator i Not valid without gnature �• , Yr[:1 — t<i017 :dltii 7i.0 +Q�� /{�"'Fi ':r'i�At. , 7 ;7 iL 6 aches iState nffdin ,&W go: en ectio L =irl The'Massachusetts State Building Code(780 CM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental.CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, consiructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions jo,an existing house (780 CMR, Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroorn"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar.gain or uncontrolled radiation cooling of the main house. In the selection and coastruction/finu lation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that .a homeowner may. .wish to consider before actually constructing/installing a"sunroom". It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential-.energy,consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND I)ESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - - • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials).seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • ' Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.23.1,,requires that the actual property owner (not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes'"sunroom" additions to an-existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in ' document concerning sunroom comfort and energy conservation. 7 Signature of Actual B ding Owner Date 0 LSO �7 • 1 �61��d�.f 1 �i 0 del +�! ►� �'�" Print Name Address of Permitted Project w►K ��10 'yUD ��`►JJ , Owner Address(if different than project location) Owner's telephone number I . Application to• ®'LEI 1ktng'0 AgigiJbia 3.egionar piotori'c �iotrid Committee p In the Town of Barnstable. CERTIFICATE OF APPROPRIATENESS lication is hereby made, with four complete sets, for the issuance3 of proposed Certifi woak te o Appropri belowateness under on plans, pof chapter 470, Acts and Resolves of Massachusetts, 1 p p rawings, or photographs accompanying this application for. :HECK CATEGORIES THAT APPLY: , construction: ❑ New ❑ Addition ❑ Alteration Exterior building ❑ House ❑ Garage ❑ Commercial ❑ Other Indicate type of building: �. Exterior Painting: 3. Signs or Billboards: 11 New Sign ❑ Existing Sign ❑ Repainting Existing Sin Stru cture' R Fence( ' ❑ Wall ❑ Flagpole 4. • TYPE OR PRINT LEGIBLY: DATE ��,,{�,,1�' �t�I ASSESSOR'S MAP NO. i3 I c� ADDRESS OF PROPOSED WORK ' CO OWNER �\GLA�,1[1 -SLPoiTR ( 1 �� ASSESSOR'S LOT NO. GS I Z11 HOME ADDRESS64 '�Lp'nAA G24Lff TELEPHONE NO. S -3e F9o3 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any w public street or way. (Attach additional sheet if necessary.) r N co AGENT OR CONTRACTOR �sL � � � TELEPHONE NO. Sb 9-M-GSW O ZE A b;S1.. ADDRESS S��1$ !� DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed sign Signe Owner- ontract g t For Committee Use Onl i Certificate is hereby Date D App 'ed/D Hied gl' O s 200 ittee Members' Signatur TOWN OF BARNS ABLE OLD KING'.S HIG WAY Town of Birnstable Es: Old King's Highway Historic District"Committee • SPEC SHEET CS�� / • FOUNDATION SIDING' TYPE Glf��'l�lt C_� S i iG€3 COLOR CLL-A- - CHIMNEY TYPE COLOR ROOF MATERIAL � COLOR PITCH WINDOWS � COLOR tJ + TG SSIZE TRIM COLOR COLORS DOORS COLORS SHUTTERS COLORS GUTTERS MATERIALS DECKS COLORS GARAGE DOORS SKYLIGHTS SIZE COLORS COLORS SIGNS FENCE f r�'j O P C� COLOR ��- � Fill out completely, including measurements and materials/colcre to be used. Four copies of this NOTES: form are required for submittal of an application, along with Four copies of the plot plea, landscape plan and elevation Plans, when applicable. SPECSHT vovised 11/98 r 01/02/1995 22:35 915087906230 / PAGE :01 Town of Bar table- Historic Preservation Division °4 Old.King' lghway Historic District Committee � Post-ir Fax Note 7671 Bata a es� 65�, TO From co./Dept co. -T. MEMORANDUM. Phone# Phone a TO: Building Commissioner .!v FROM: DATE: SUBJECT: MODIFICATION TO PRIOR APPROVED PLAN E E . E . i A minor modification to a prior approved plan has been approved by the OKH Committee for the applicant(s) named below. The modification is briefly summarized and I hav® attached backup material for your records. Applipant(s): k Address of Proposed Work: Go �v di 'b ,vw E ,� IJ CAST-6LE AWA 62.66$ Assessor's Map & Parcel Number: OS i t Minor Modification:, 6-60A/PC ,VAAT o'>./ d7" 8?YS77'-/'r7 si,,W Pam-- D A/eu/ c�l�i z/�e►?1 Gclu-L 10.7' 4191 "— ,JG . D,J t'f"� 1�6i��sT S�s�., t,�1�5?'�s✓ D Jfefrey VW1son, Chair Date T wn oybarnstable ng's Highway Historic District Committee (2) 2 X10 TYP. PERIMETER o+ I n 'I'-8° ------- 2 x 1 'S ® C TR ETR E R I m N (4 2 X1 ( 2 X1 3) 2 10 1-2 x O'S @ 16 0. --- SEAT _--_2 1 'S 0 6" 0.C--- SHOWER SE r D C LEVEL WITH THIS 00 PE IN USE BIGF00T FOOTINGS (TYP.) C A TI G N A N I RESIDENCE 60 GEMINI DRIVE WEST BARNSTABLE, MA. t ". TOWN OF BARNSTABLE permit No. ------- Building Inspector •maaa Cash - NAIL �+o oar►`� OCCUPANCY PERMIT Bond _ No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Barnstable 'Nest Associate:Address lot #17 Gemini Drive, West Barnstable- Wiring Inspector �� _— Inspection date ZZ'05�AS. — Plumbing msp'ector Inspection date _ems y� V Gas Inspector V � Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. C Building Inspector, i P �„�•'"` . TOWN OF BARNSTABLE Permit No. Building Inspector VAU"A+ F Cash -- '� ;ego OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued:to Barnstable hest AssociateFAddress lot #17 Gemini Drive, West Barnstable _ Wiring Inspector� Inspection date Plumbing Inspector" Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. �__, Building Inspector,,,: ____ • •T" ' TOWN OF BARNSTABLE • ``,°�.°O Permit No. _-------------------- Building Inspector Cash .g�0 r►r►• OCCUPANCY PERMIT Bond ------------------__________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19......_._ ..........ildi........................................................................_ Bung Inspector r4 �.� ., TOWN.OF BARNSTABLE Permit No. -� J� { »n.>z Building Inspector cash ' OCCUPANCY PERMIT Bond _- —_-_ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to / Address �'� F,'I.J�f,.iL� /J'��- .i i��''�'• •'-�,' I /! fX'� I`'i1�" � ��. •�`.- ` ,I ,i r 1 1�. ' •,. Wiring Inspector ,� f r-'� Inspection date +J - Plumbing Inspector, �� Inspection date Gras Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ) ..............................Building.., .Inspector_��........._M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel Permit# 7 Foo I �7-VAII '11ABLE Date Issued Health Division �Q93—Nnns�I-" 2`� d3 Conservation Division �J, / O '� ter, ,��; +_ Application Fee j3� Pry C� 07 41� Tax Collector 41 1 Permit Fee Treasurer SEPTIC SYSTEM MIUST D Planning Dept. INSTALLED IN COMPLIANCE. Date Definitive Plan Approved by Planning Board 'TITLE 5 EMONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN RECULAT"IONS Project Street Address �� idllnslDi1�E Village A 1 W161A—L Owner ROL. ,4f) R--4J'1Qi1f"4- 6;7_11!91Av11 Address Ze 40!!A!; 1)e, �, &4.✓ t16-�A Telephone Permit Request 20 -)e` /&r- 45;,_001,>A6 SwMM*we; Pay-L" eL / '}c /2 S/yle© Square feet: 1st floor: existing proposed / 2nd floor: existing proposed Total new Zoning District � �/Flood Plain 0 Groundwater Overlay AQ Project Valuation 1< D3'D Construction Type 15 Lot Size ,4G Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family El" Two Family ❑ Multi-Family(#units) Age of Existing Structure 2S S Historic House: ❑Yes Uft ��On Old Kingg''s Highway: dYes El No Basement Type: Vull ❑Crawl ❑Walkout lather P�,A2 ZXWAvt tt Vl _ 1 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas l/0il ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing P New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing t"new size 2Df2<Ya rBarn:❑existing ❑new size Attached garage:Vexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes dNo If yes,site plan review# Current Use SlAr LE -rMI 141V& -e Proposed Use S•liriL.,9- �� f //�� BUILDER INFORMATION Name LeA/&X✓ �R� e ��- ``�tSj°DJ/ Telephone Number Sots 362� o Address VO License# CS o6 SlS7 Ord-ite0E- Z6"f0 A 4 Home Improvement Contractor# Worker's Compensation# We. 67V S_YY_3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO We-w--7-Y o^L SIGNATURE ` DATE :32T r ' FOR OFFICIAL USE ONLY r PERMIT NO. L i DATE ISSUED .. ' F' MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER DATE OF.INSPECTION: _ r FOUNDATION Sfle 0'_ s®JV4 o0ev�UirTir,�7 O 4�aS/.� ✓ , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING . �� • . . ..� T / yam- r .i y. r DATE CLOSED OUT ,ASSOCIATION PLAN NO. T' ' 1 RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $35.00 $ �S• 00 >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) POR CHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ©"� ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ J Q:forms:dkcost eff:082301 __ I FTME Tq�, Town of Barnstable y ~ Regulatory Services r • vsaxMAM x t'E Thomas F.Geiler,Director rFO Na+° Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 6� hJA-AJ ,as Owner of the subject property hereby authorize C..f&e✓ ��. t G to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name i Q:FORM&OWNERPERMISSION The Commonwealth of Massachusetts — _ Department of Industrial Accidents office 600 Washington Street -_ Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: , location: city hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one work-mg in%%% ca achy %/ % /%%%// to rovidin workers' compensation for my employees working on this job. ... ..... ... ..................... .........::::::rnv:::::.v::nv.v::::.v::......•:......v...v.....' 4x...n:-h+::},;.3.:•;+::::}::::• xv tiL:''V IF am-anv•name C T7 ::...:...::::.v.v::nv.v .........................:::.......:v:::::v::::;.::.y:rat}::::::.;::::::.,r. .{:...v.••.. - ... .......:::::v.v::::::�. ................ ..r:::::........... v::�4}::�}}}:::::}}:::;v}}:•}:::::::,�}::;•i�ii:•:$}}:�:�:::;i�j�ii:i�i:L:::ii?:�iii iiii:�ii:{+:::::y;:;i::�:?i:::{i�iii:i::>};y:?+.?�}:�:•}:{;{•:};i•}}:i•:;?;•}:?{p;•.{:.}:?+;'-•. xv. .n.... ..., .,. .. ..................v AIR •.�rr:.v r.�ht.F.:; .:�tlttre {Y?:ip):i:•;•}'.is :.yY t'vv i IV ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have thefollowing wokers co ensationpolices: ......................::::..�:...................:....:.....t...............................................,...................:....:.............:.rays,.r:.:.w.v:...}•,{..>.}.-:}.:::.:..:..}.:..}.:..,. •}:.v ........ ..... .:...........:.::.:.:......:..;:.:::•:::-:•:i.vr::::}:::.;;w::::}:}::::.v::::::::::}::::::i}�:•.v�i}iir .........v...h........n:n........iiii:::;;.:; rir .: :.r........::::::::::•.?:•:}::^:v:.v::n:••v;nyy:..,.SiY v{r.v:-::v:: ..... .... ...... ..... ..................................................... vrr v:w::;;{3};:::::•+:;::::::n.:};:.vrn•.44ti••.r..h+}:^^}'r+.:}{i:v:?{•: ................. ...........................::•:::::::::•:.�:.:�}:::•:::::::.t;:.;}:•}:::::::::::::::::;}:•}:•::::�:::::.t......,:.:.t.:::::.:.. .::::.,•:.t•r.......... ,:<:.}}„•:::;.r:,}:•fin}: c� :a••';•i Yr....:�: ............................:.................r.•....................... ............................. +:.:..r.r::::::r:::.t•:::::}•�:•a t.v:,:•:ti, {'4.-.:� -.2+,a:.{{.y:. r..................:::::n..... ,•:::: ...... n.....•:r.. ........ ........:....... .............. •v::r:::::•rr:w::::::v:w:::;;;:}}',L�k}ti}<::P;.}$*i,.n..... .......�'.v::.n..............................r...... .Y. .v...:....x:w.v:;•}••::v:....n+.......r..::vv::::;.........-w: r..........:.:}':::.v:;•............}}i}}:•i:?i:�f.?.}}:?; 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I understend that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification / r I do hereby a under the p pe allies of perjury that#7 information provided above is tru!and correct . ._ sigaatune Date Print name d - 6A 7 16i 9,v A;P,6 Phone# sn official use only do not write in this area to be completed by city or town official city or town: peradtlllcense# ❑Building Department ❑Licensing Board ❑Selectmen's Office ❑checkif immediate response isrequired ❑Health Department contact person: phone#; ❑Other_ Ucvi"d 9195 PJA) G� 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 employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced 'acceptable evidence of compliance with the insurance coverage required. Additionally,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 ofthis chapter have been presented to the contracting authority. 'i. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be t, submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an is d: date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license being requested, not the Department of Industriak Accidents. Should you have any questions regarding the"law"or if you n policy,please call the Department at the number listed below. are required to obtain a workers' compensatio City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the penmit/license number which will be used as a reference number. The affidavits may be retachR'tn 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 questions. please do not hesitate to give us'a call. U ' The Departrnent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r s C 61. STANDARD PANEL LAYOUT 40'-24" 8 2' RADIUS PANEL 4 8 9' CORNER HALF 2' PANELS 4'_8' - 3'-4' (TYP. 3 PLACES) D \_2' (TYP; 4 PLACES rr J ,7 4 � �� 4' 7' 77. 22:_6j. 12' 20' LIGHT 6• SAFETY 4. 8'-10" ROPE r vim., 2 6-11ja. $ S. 2 A g:• 2' REV. RADIUS {.---8' USE BACKBRACE AT PANEL JOINTS p�... 45' PANEL NIL AS SHOWN (MARKED X) (TYP. 2 PLACES) .—. many 2'-7 3/4" TIP OF BOARD ABOVE POINT "A" POINT "A"— WATERLINE Perimeter 1 1 5'-10" 11_8. 2'-11' 3—4" Pool Pool Tje e' 6 1 Area Capacity a'-8" f BELOW PONT DEPTH 795 27,000 Sq.Ft. Gallons 2'-7 3/4• I 4' 6 14' STEEL Meets ANSI/NSPI-5 & '99 BOCA codes 20' X 40' M\�pK1 R1GHT Page' 1 of 2:: ; ;. ST- 1356 • �/e-�oairaauuealt/ a�./�aaaacfei�aeQ2 ! BOARD OF BUILDING REGULATIONS 9 License: ONSTRUCTION SUPERVISOR Number_ 005157 r Birtb3a 0T�12. :ac > xptr: s; /_22-_3j'�004 Tr.no: 22965 Re�ettyrr a 1 ROLAND B OATIG A• , _ 60 GEMINI DR 5• �a ( ,.�, :: W BARNSTABLE, MA •68 Administrator /fie Pomvmd?uuea .6�,/ aoac/uaeClb f !i Bbar.d of Build_Jtegulations'and Sfaridards i HOMi IMF OVEMENT CONTRACTOR." RegistratlR�;30110 i ��Exp atyn: Ia_'.4. ate.Corporation s C WSERV GRQ. ROLAND CATIGNRNF , 2277 STATE R. PLYMOUTH,MA 02360• Administrator' ti oFTMEr 'Town of Barnstable Regulatory Services 9a at,E,$ Thomas F.Geller,Director 1639• �,� Building Division rFD M Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME WROVEMENT 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: Estimated Cost Address of Work Owner's Name:_ � 6 A Date of Application: a 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: PULLING THEIR EIR OWN PERMIT OR DEALING WITH UNREGISTERED VEMMNT WORK DO NOT CONTRACTORS FOUR ITRATIO PRO GGRAM OR GUARANTY FUND UNDER MGL c 142A. ACCESS TO THE . SIGNED UNDER PENALTIES OF PERJURY I her4bl foi a permit a eAt of the owner:Contractor Name Registration No. Dat OR Date Owner's Name The Town of Barnstable Department of Health Safety and Environmental Services �•�;o � Building Division 367 Main Street,Hyannis,MA 02601 ze: 508-8624038 508-790-6230 PLAN PaEVIEW Owner: 07ie!; 9A, Map/Parcel: Project Address: lP® GG'M I'y 1° 'OQj lle- Builder: CO. 1. SSef? � II The following items were noted on reviewing: W elo Jr o �S't; �P ie 9 v�'R� SBNo T�� oR AL-C . Y2I. l©, / d vT®®a,Q /�R� ✓s3Te j'oa�S ��c ser�,e�s, • 3) L ec;-R•'cat R r%!vo' r0 ��l) ,31/i°cDi°A/L. XrAYs rc7,;.,p . 9eeLW/2c,o fag foot . f®vw® .era .._ .. . Tlysp ec r"o/7-/ Of Savo ;tI8C5 Reviewed by: �e C• x'e l L � l Date: copy . W o j Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la CheckedBy/Date TITLE:Proposed renovations to Residence for Roland&Judith Catignani CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 11/14/02 DATE OF PLANS: June 5,2002 PROJECT INFORMATION: Renovations for Roland&Judith Catignani 60 Gemini Drive-West Barnstable,MA COMPANY INFORMATION: ConSery Group,Inc. 2277 State Road Plymouth,MA 02360 (508)888-6555 COMPLIANCE:Passes Maximum UA= 126 Your Home= 126 0.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA 1st Floor Ceiling:Flat Ceiling or Scissor Truss 256 30.0 0.0 9 2nd Floor Ceiling:Flat Ceiling or Scissor Truss 256 38.0 0.0 8 Exterior Wall 1: Wood Frame, 16"o.c. 261 15.0 0.0 18 Window: 3042: Wood Frame,Double Pane with Low-E 28 0.350 10 Exterior Wall 2: Wood Frame, 16"o.c. 277 15.0 0.0 17 Windows 3042: Wood Frame,Double Pane with Low-E 56 0.350 20 Exterior Wall 3: Wood Frame, 16"o.c. 261 15.0 0.0 15 Window 3043: Wood Frame,Double Pane with Low-E 14 0.350 5 Patio Door: Glass 55 0.310 17 First Floor: All-Wood Joist/Truss,Over Unconditioned Space 256 38.0 0.0 7 Boiler 3: ,80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 12 ° of the design d as specified in Sections 780CUR 1310 and MA Builder/Designer Date —O-Z MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 11/14/02 TTTLE:Proposed renovations to Residence for Roland&Judith Catignani Bldg. Dept. Use I Ceilings: [ ] I 1. 1st Floor Ceiling:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments:Basement Ceiling [ ) I 2. 2nd Floor Ceiling:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: 2nd Floor Ceiling I Above-Grade Walls: [ ] I 1. Exterior Wall 1: Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments:Front Wall [ ] I 2. Exterior Wall 2: Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments: Gable End Wall [ ) I 3. Exterior Wall 3: Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments:Rear exterior wall I Windows: . [ ] I 1. Window: 3042: Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ] Yes( ]No Comments: Anderson 3042 Tilt Wash Double Hung [ ] ( 2. Windows 3042: Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ] Yes[ ]No Comments:Anderson 3042 Tilt-Wash DoubleHung [ ] I 3. Window 3043: Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes [ ]No Comments: Anderson 3042 Tilt Wash Double Hung I Doors: [ J I 1. Patio Door:Glass,U-factor: 0.310 #Panes Frame Type Thermal Break?[ J Yes [ ] No Comments:Anderson PSBL Gliding Patio Door I Floors: [ ) I 1. First Floor All-Wood Joist/Truss,Over Unconditioned Space,R-38.0 cavity insulation Comments:First floor over basement I Heating and Cooling Equipment: [ ] I 1. Boiler 3: ,80 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/112 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ J I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided [ ] I Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted ( ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: ( ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ( ] I HVAC piping conveying fluids above 120'F or chilled fluids below 55°F must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) Andersen®, . Compliance ' Andersen windows and patio doors meet or exceed the following standards: , NWWDA,-I.S:2,W.D.M.A-I.S.4(NWWDA license No.129),Hallmark certified. Independent testing laboratories have performed all required tests on selected sizes. Compliance with these standards is confirmed by ongoing testing in Andersen Laboratories. These products are covered by one or more of the following patents:4,999,950;5,595,409; 5,775,749;6.055,786;5.544,450;5,566,507;5,582,445;5,097,629;5,740,632;5,199,234; D312,565;D397,604;and D417,831.Other patents pending. ' NFRC Certified Total Unit Performance Without Grilles With Grilles HP Low-E� HP Sun HP Low-E HP Sun Andersen'Products Type Res" NRB Res" NRB Res° NRB Res" NRB Casement U-Factor' 0.34 0.33 0.35 0.35 0.34 0.34 0.36 0.36 •Residential(Res)-24"x 48"size. SHGC' 0.33 0.34 0.25 0.25 0.31 0.32 0.23 0.24 'Non-Residential(NR)-30"x 60'size. VP 0.53 0.55 0.29 0.30 0.49 0.51 0.26 0.28 r Awning U-Factor' 0.33 0.33 0.35 0.35 0.34 0.34 0.36 0.36 •Residential(Res)-48'x 24"size. SHGC' 0.33 0.34 0.24 0.25 0.31 0.31 0.23 0.23 'Non-Residential(NR)-40'x 40"sae. VP 0.53 0.55 0.29 0.30 0.48 0.48 0.26 0.26 Casement/Awning Picture Window U-Factor' 0.29 0.29 0.32 0.31 0.31 0.31 0.33 0.33 'Residential(Res)-48"x 48"size. SHGC' 0.36 0.36 0.26 0.26 0.33 0.33 0.24 0.24 ' 'Non-Residential(NR)-48°x 72'size. _ VP ". 0.59 0.59 0.32 0.32 0.53 0.53 0.29 0.29 rift-Wash Double-Hung U-factor' 0.34 0.33 0.36 0.35 0.3 0.34 ( 0.37 0.36 ' •Residential(Res)-36'x 60'size. SHGC' . 0.32 0.33 0.24 0.25 .0.29 0.31 0.22 0.23 °Non-Residential(NR)-48"x 72"size. VP 0.51 0.53 0.28 0.29 0.46 0.48 0.25 0.26 , Narroline°Double-Hung U-Factor' ' 0.35 0.34 0.35 0.34 0.36 0.35 t 0.37 0.36 'Residential(Res)-36'x 60"size. SHGC' 0.33 0.34 0.25 0.26 0.31 0.31 0.23 0.24 'Non-Residential(NR)-48'x 72"size. VP 0.93" 0.55 0.29" 0.30 `o.W 0.50 `0.26- 0.27 Double-Hung Picture U-Factor' ` 0.33.- 0.32 0.35 0.34 0.35 0.34 0.37 0.36 'Residential(Res)-48°x 48'size. SHGC' .0.35 0.35 0.25 0.26 0.32 0.32 _0.23 0.24 'Non-Residential(NR)-48°x 72°size. _ - - - � = -. r VP `.0.56 _ 0.57 0.30 0.31 0.50 0.51 0.27 0.28 Double-Hung Transom U-Factor' 0.33- 0.33 �0.351 0.35 - 0:34 0.34 0.36 0.36 "Residential(Res)-48'x 48'size. SHGC' 0.35 0.35 0.25 0.26 0.32 0.32 ( 0.23 0.24 'Non-Residential(NR)-48'x 72'size. VP 0.56 0.56 0.31 0.30 0.50 0.50 0.27 0.27 Narroline Transom U-Factor' 0.31 0.31 0.33 0.33 0.32 0.32 0.34 0.34 •Residential(Res)-48'x 48'size. SHGC' _0.34 0.35 0.25 0.26 0.31 0.32 0.23 0.24 °Non-Residential(NR)-48'x 72"size. --I - -- VP 0.56 0.57 I 0.31 0.31 0.50 0.51 j 0.27 0.27 Gliding Window U-Factor' 0.35 0.34 '0.37 0.36 0.37 0.35 0.38 0.37 'Residential(Res)-60'x 36'size. SHGC' 0.30 0.32 0.22- 0.24 0.28 0.29 0.21 0.22 'Non-Residential(NR)-72'x 48'size. - VP 0.46 0.50 0.25 0.27 0.41 0.45 t 0.22 0.24 Elliptical Window U-Factor' 0.31 0.30 _0.33 0.32 0.32 0.32 4 0_34_ 0.34 "Residendal(Res)-48"x 48'size. SHGC' .0.36 0.36 0.26 0.26 0.33 0.33 0.24 0.24 'Non-Residential(NR)-48"x 72"size. -- VP , 0.59 0.59 0.32 0.32 0.53 0.53 0.29 0.29 Grilles-Ffnelight or Full Divided light. Circle Top"Casement U-Factor' 0.30 0.29 0.32' 0.32 0.31 0.31 0.33 0.33 "High-Performance"(HP Low-E)and •Residential(Res)-48'x 48'size. SHGC' 0.36.-, 0.36 -0.26.." 0.25 -0.33 _ 0.33 .0.24 0.24 "High-Performance Sun'(HP Sun)are 'Non-Residential(NR)-48'x 72"size. - Andersen trademarks for'Low E"glass. VP 0.60 0.59 0.33 0.32 0.54 0.53 0.29 0.29 1 U-Factor defines the amount of heat loss Circle Top Narroline U-Factor' 0.30- 0.30 0.32 0.32 0.32 0.32 0.34 0.34 through the glass in BTU/hr sq.ft'.°E The 'Residential(Res)-48•x 48'size. SHGC' 0.35 0.36 0.26 0.26 0.32- 0.32 0.24 0.24 lower the value,the less heat is lost through s °Non-Residential(NR)-48°x 72°size. ---- --� the entire product. VP 0.58 0.58 0.32 0.32 _ 0.52 0.52 0.28 0.28 2 Solar Heat Gain Coefficient(SHGC)defines Circle/Oval U-Factor' 0.30 0.29 0.32 0.32 0.31 0.31 0.33 0.33 the fraction of solar radiation admitted "Residential(Res)-48'x 48°size. SHGC' 0.36 0.36 0.26 0.27 0.33 0.33 0.24 0.24 through the glass both directly transmitted °Non-Residential(NR)-48"x 72"size. �- and absorbed and subsequently released ' VP 0.60'. 0.60 0.32 0.33 0.54 0.53 0.29 0.29 inward.The lower the value,the less heat is Springline"Window U-Factor' 0.310 0.31 0.33 0.33 0.33. 0.33 0.35 0.35 transmitted through the product. •Residential(Res)-48"x 48'size. SHGC' r 0.36 0.35 T 0.26 0.25 0.33 0.33 0.24 0.24 3 Visible Transmittance(VT)measures how " 'Non-Residential(NR)-48"x 72'size. "-"- -- much light comes through a product(glass VP 0.59 0.59 0.32 0.32 0.53 0.53 0.229 0.29 and frame).The higher the value,from o to 1, Arch Flexiframe° U-Factor' ' .0.32 0.31 0.34 0.33 L 0.33- 0.33 i 0.35 0.35 the more daylight the product lets in over the •Residential(Res)-48'x 48"size. SHGC' 0.36 0.36 0.26 0.26 0.33 0.32 0.24-� 0.223- product's total unit area.Visible Transmittance °Non-Residential(NR)-48'x 72'size. - ---- ---- -�---- is measured over the 380 to 760 nanometer VP 0.59 0.59 0.32 0.32 0.53 0.53 0.29 0.29 �_,,,A_,,,,, portion of the solar spectrum. Flexiframe U-Factor' - 0.31 0.30 0.33_ - 6.32 0.32 0.32 �-0.34 0.34 This data is accurate as of May 1,2002.Due "Residential(Res)-48'x 48'size. SHGC' 0.36 I_0.36 _0.26- 0.26 0.33 0.32 i 0.24 0.23 to ongoing " 'Non-Residential(NR)-48'x 72 size. -'-'--- -r----- -. 3 or newoind industry standards,this pdata test ytchange VP 0.59 {I0.59 1i0�32 0.32 0.53 0.53 j 0.29 0.29 over time. n 204 _ ...�.�, 1 'Andersen'Testing Information j NFRC Certified Total Unit Performance a Without Grilles HP Low-E HP Sun HP Low-E HP Sun _ I Andersen'Product Type Res" NRe Res° NRB Res" NR- Res" NR' Frenchwood°Hinged Patio Door U-Factor' 0.33 1 0.33 0.34 0.34 0.35 0.34_ Residential(Res)-38°x 82°size. 0.36 ' 0.36 • SHGC' _ 0.27 0.28 0.20 0.21 0.24 0.25 I- 0.18 0.19_ °Non-Residential(NR)-72'x 82°size. _ VP 0.41 0.42 0.22 0.23 0.36 0.37 0.19 0.20 Frenchwood Outswing Patio Door U-Factor' 0.33 0.33 0.35 0.35 0.35' 0.35 0.36 00.36 'Residential(Res)-38°x 82°size. SHGCZ 0.27 0.28 0.20- 0.21 0.24- 0.25 0.18 0.19 � Non-Residential(NR)-72°x 82°sae. _ _ VP 0.41 0.42 0.22 0.23 .10.36 0.37 0.20 0.20 Frenchwood Gliding Patio Door U-Factor' 0.33 0.33 0.35 0.34_; 0.35 0.35 0.36 0.36 ° •Residential(Res)-72°x 82°size. °Non-Residential(NR)-72°x 96°size. SHGCZ 0.29 0.29 0.21 0.22 60.26 0.26 0.19• 0.20 j VP ' 0.45 0.45 0.24 0 6 0.39 0.39 0.210.0.21 1 Frenchwood Gliding Patio Door SL U-Factor' 0.33 0.33 0.35 0.34 f' 0.35 r 0.35 0:36 0.36 Grilles-Finelight or Full Divided light. •Residential(Res)-38'x 82°size. z 0 - "� "High-Performance'(HP Low-E)and Non-Residential(NR)-38"x 82'sae. SHGC .27 0.28 0.20 0.21 0.25 0.25 0.19 0.19 "High-Performance Sun'(HP Sun)are iVP 0.42 0.43 0.23 0.23 0.36 0.38 0.20 0.20 Andersen trademarks for"Low E°glass. Narroline"Gliding Patio Door U-Factor' 0.32 0.32 -I - 0.35 0.34 - 1 U-Factor defines the amount of heat loss 'Residential(Res)-72°x 82'size. x -' - through the glass in BTU/hr sq.h'.°F.The °Non-Residential(NR)-72'x 96'sae. SHGC 0.35 0.32 0.31 - lower the value,the less heal is lost through q VP 0.55 0.55 T - 0.49 0.49 - -^�-- the entire product. ' Perma-Shield Gliding Patio Door U-Factor' ` .31 0.31 0.33 0.33 0.33 0.33 0.35 0.35 2 Solar Heat Gain coefficient(SHGC)defines 9 _ _ I •Residential(Res)-72'x 82'size. SHGC' 0.34 0.34 "0.25 0.25 0.31 0.31 0.23 0.23 the fraction of solar radiation admitted °Non-Residential(NR)-72'x 96'size. - through the glass both directly transmitted _ VP 0.55 0.55 1 0.30 1 0.30 0.50 0.49 0.27 0.27 and absorbed and subsequently released ' PS Gliding Patio Door Sidelite U-Factor' _0.31 0.31 0.33 0.33 0.33 0.33 0.35 0.35 inward.The lower the value,the less heat is •Residential(Res)-38°x 82"size. SHGC' 0.32 0.32 0.24 0.24 0.30 0.30 022-I Q_ transmitted through the product.values are- ° °Non-Residential(NR)-38'x 82°size. . determined using 3mm glass thicknesses VP `0.52 0.52 0.28 0.28 0.47 0.47 0.25 1 0.25 for all residential sizes and 6mm glass thicknesses for all non-residential sizes. i " - 3 Visible Transmittance(Vp measures how With'Laminated Glass ; , . ' much light comes through a product(glass Skylight U-Factor' .. 0.44 + 0.44 0.46 0.46 0.44 0.44 0.46 0.46 and frame).The higher the value,from o to 1, 'Residential(Res)-48"x 48"size. SHGC' 0.42 { 0.41 0.31 0.30 0.42 0.42 0.31 0.31 Non-Residential(NR)-48'x 48'size. the more daylight the product lets in over the VP . 0.67 j 0.64 0.37 0.35 0.65 0.64 0.36 0.35 Product's total unit area.Visible Transmittance is measured over the 380 to 760 nanometer 4 Venting Roof Window U-Factor' 0.44 0.44 OAT 0.47 0.44- 0.44 0.47. 0.47 portion of the solar spectrum.Values are •Residential(Res)-48'x 48'size. SHGCZ 0.43 0.41 0.32 0.30 0.42 0.42 6.31 0.31 determined using 3mm glass thicknesses Non-Residential(NR)-48'x 48"size. for all residential sizes and 6mm glass VP 0.68 0.65 0.37 0.35 7 0.60.65 0.36 0.35 thicknesses for all non-residential sizes. Stationary Roof Window U-Factor' 0.45 1 0.45 0.47 0.47 ! 0.44 0.44 0.47 0.47 This data is accurate as of May 1,2002.Due •Residential(Res)-48"x 48'size. SHGC" 0 V i to ongoing product changes,updated test results, .44 0.42 0.32 0.31 0.43 i 0.43 0.32 0.32 - Non-Residential(NR)-48°x 48°size. i or new industry standards,this data may change VP 0.69 0.67 0.38 I 0.36 0 68 0.67 1 0.37 0.36 overtime. r r NFRC Certified Total NFRC Certified Total Unit Performance Unit Performance Without Grilles Without Grilles-- _ . - - Clear Dual Pane 1 Clear Dual Pane Clear Dual Pane I Clear Dual Pane Andersen'Product Type Res' NR' Res"-)N Andersen'Product Type Res" NRB Res" i NR' Casement U-Factor' 0.49 0.50 0.49 0.49 Springline Window U-Factor' 0.48 1 0.48 0.480.48--8 0.49 "Residential(Res)-24°x 48°size.Non-Residential(NR)-30°x 60°size. SHGC' -OM- 0.57 0.54 0.52 "Residential(Res)-48'x 48'size. SHGCZ 0.64 0.61 0.58 0 5_ ° °Non-Residential(NR)-48°x 72"sae. VP 0.60 0.63 0.55 0.57 VP 0.66 0.67 0.60 !�0.60� Awning U-Factor' 0.49 0.50 0.49 0.49 Fixed,Transon,Circle Top,Arch U-Factor' 0.47 { 0.47 0.481 0.49 "Residential(Res)-48'x 24°sae. 'Residential(Res)-48"x 48'size. C z 0.57 r SHGC' 0.58 0.57 0.53 0.50 °Non-Residential(NR)-48"x 72"size. SHG ° °Non-Residential(NR)-40'x 40°size. ' 0.60 ; 0.54 0.52 VP 0:60 0.62 0.54 ( 0.54 VP 0.62 0.63 0.56 0.56 Tilt-Wash Double-Hung U-Factor' 0.49 0.50 0.50. 1 0.50 Narroline" U-Factor' 0.49 0.49 0.50fi0.50 E :Residential(Res)-36'x 60°size. SHGC' 0.56 0.55 0.51 0.51 Gliding Patio Doors z 'Non-Residenfial.(NR)-48"x 72'size, - Residential(Res)-72°x 82"size. SHGC 0.60 0.56 0.5-_.4_j 0.51. ! VP 0.58 0.61 i 0.52 0.55 'Nor-Residential(NR)-72°x 96*size. VP 0.62 0.61 0.56 1 0.55 Narroline°Double-Hung U-Factor' 0.50 0.50 0.50 0.51 Perma-Shield® U-Factor' 0.48 0.48 0.48 0.48 '� •Residential(Res)-36°x 60°size. ' SHGC' _0.58_ 0.56 0.52 0.51 Gliding Patio Doors SHGC' . 0.60 0.56 0.55 0.51 • 'Non•Residenbal(NR)-48"x 72"size. •Residential(Res)-72"x 82'sae. 1 VP 0.60. 0.62 0.53 0.56 °Non-Residential(NR)-72'x 96'size. VP 0.63 0.62 0.56 0.55 5 Narroline Transom U-Factor' 0.48 0.48 0.48 0.49 Perma-Shield U-Factor' 0.47 0.47 0.47 0.47 t "Residential(Res)-48'x 48°size. SHGC' 0.60 0.59 0.55 0.53 Gliding Patio Door Sidelight SHGC' 0.57 0.54 ';' 0.52 0.49 °Non-Residential(NR)-48'x 72"size. Residential(Res)-38'x 82'size. } VP 0.63 0.65 0.56 ( 0.58 °Non-Residential(NR)-38'x 82•size. VP 0.59 ! 0.59 1 0.53 i 0.53 o ' i r 205 CertainTeedll Retrofit Installation . . Insulation should be added to accessible wood and f` metal stud cavities of exterior walls. Care should be taken to insure that plumbing lines are protected against freezing. Mechanical fasteners can be used to install insulation to wall or ceiling surfaces. Kraft-facedy insulation can be placed above suspended ceiling panels. In attic-type ceilings, where there is existing insulation, unfaced insulation should be added to bring .. insulation levels up to today's energy standards. ; ~ Foundation walls or floors over crawl spaces or unheated basements should also be insulated. ` Available Sizes: Kraft-Faced R-Value Thickness Width Length R RSI inches mm inches mm inches mm R-11 1.9 3%" 89 16"&24" 406&610 96" 2438 R-11 1.9 3W 89 l V 15",19"&23" 279,381,483,584 70'6" 22m R-11 1.9 3W 89 15" 381 93" 2362 R-11 1.9 V 89 15"&23" 381&584 48" 1219 R-13 2.3 3W 89 15"&23" 381 &584 47"&93" 1194&2362 R-15 2.6 3%" 89 15"&23" 381&584 48"&93' 1219&2362 R-19 3.3 6%" 159 16"&24" 406&610 96" 2438 R-19 3.3 6%" 159 15"&23" 381&584 48"&93' 1219&2362 R-19 3.3 6'/," 159 11" 15"&23" 279,381,584 397' 12m R-21 3.7 5%11 140 15"&23' 381&584 48"&93" 1219&2362 R-22 3.9 6%" 165 15"&23" 381&584 48" 1219 5.3 8X" 210 15"&23" 381&584 48" 1219 0 5.3 10" 254 16"&24" 406&610 48" 1219 QI-38CI 6.7 10" 254 15'&23" 381 &584 48" 1219 R-38 6.7 12" 305 16"&24" 406&610 48" 1219 Check with your CertainTeed representative for availability in your area 'Cathedral Ceiling Batts NOTE—Standard kraft and foil vapor retarder facings are flammable and should not be left exposed.Where a flame spread rating of 25 is required, insulation must be unlaced or have flame-resistant foil facing(FSK 25). �;r r Compliances v ■ASTM C 665 a;' ■ California Quality Standards. Registry number CA-T024 (PA) ■Tested for use under NYS UFPBC Article 15 ■ASTM E 136 for noncombustibility(unfaced only) ■ASTM E 84 Fire Hazard Classification (FHC) Flame •.;;. Spread 25/Smoke Developed 50 (unfaced only) ■ NER-149 (R-8, R-11, R-15) ■NY City MEA 18-80-M (unfaced only) ■ Model Building Codes: ICBO, BOCA, SBCCI Available Sizes:Foil-Faced R-Value Thickness Width Length R RSI inches mm inches mm feet m R-11 1.9 3h" 89 15"&23" 381&584 70'6" 22 R-19 3.3 6%" 159 15"&23" 381&584 397' 12 Check with your CertainTeed representative for availability in your area NOTE—Standard kraft and foil vapor retarder facings are flammable and should not be left exposed.Where a flame spread rating of 25 is required, insulation must be unfaced or have flame-resistant foil facing(FSK 25). 5 Building Insulation Unfaced, Kraft- and Foil-Faced Description Product Benefits Building insulation is a light-density fiber glass blanket ■ Installation is quick and easy. used in commercial construction for thermal and ■ Lightweight, flexible and easily cut for fitting acoustical insulation of walls, ceilings and floors. irregular areas. Unfaced insulation is manufactured in increased widths to permit pressure fit installation in wall cavities. ■ Noncombustible per ASTM E 136 (unfaced only). This insulation is used with a separate vapor retarder ® Inorganic glass fiber is noncorrosive; it will not rot or where a vapor retarder is not required. CertainTeed or mildew or otherwise deteriorate. Unfaced Building Insulation complies with ASTM C ■ Does not absorb moisture. 665, Type I. Kraft-faced insulation is manufactured with an integral vapor retarder. The kraft facing has formed Installation attachment flanges at the edges which are used for Unfaced, kraft- and foil-faced insulation products are either face or inset stapling. The kraft facing, applied manufactured in widths required for standard wood or with asphalt to the fiber glass insulation, has a vapor metal stud construction. Faced material should be transmission (permeance) rating of 1 perm or less. stapled with the vapor retarder toward the warm-in- CertainTeed Kraft-Faced Building Insulation complies winter side with staples about 8" apart when using with ASTM C 665, Type Il, Class C, Category 1. wood studs. Unfaced material can be pressed snugly Foil-faced building insulation is manufactured with between steel studs. an aluminum foil vapor retarder on one side. Stapling flanges are provided at the edges of the blanket for either face or inset stapling. The foil facing provides a vapor transmission rating of 0.5 perm or less. CertainTeed Foil-Faced Insulation complies with " ASTM C 665, Type III, Class B, Category 1. Available Sizes:Unfaced R-Value Thickness Width Length R RSI inches mm inches mm inches mm R-11 1.9 3%" 89 15T' 387 93" 2362 R-11 1.9 3h" 89 15%"&23Y.." 387&591 48" 1219 -13 2.3 3%" 89 15Y.." 387 47"&93" 1194&2362 15 2.6 3%" 89 15"&23" 381 &584 48"&93" 1219&2362 R-19 3.3 6%" 159 16"&24" 406&610 96" 2438 R-19 3.3 6%" 159 15"&23" 381 &584 397 12m R-19 3.3 6Y," 159 15Y." 23'/."&24" 387,591 &610 48" 1219 R-21 3.7 sr 140 15%"&23%" 387&591 48"&93" 1219&2362 R-22 3.9 6h" 165 15%"&23'/." 387&591 48" 1219 R-30C' 5.3 8'/." 210 15"&23" 381&584 48" 1219 R-30 5.3 10" 254 16"&24" 406&610 1 48" 1219 R-38C' 6.7 10" 254 IF&23" 381&584 1 48" 1219 R-38 6.7 1 12" 305 1 16"&24" 406&610 1 48" 1219 Check with your CertainTeed representative for availability in your area 4 'Cathedral Ceiling Batts 5 I1 i r�r'a • { •., 1 �`�� orb�y� 1 , t W-)tlq-p St-wid d �c,;-4 z-aopSi . Mrs / r J dFTMe r� . The Town of Barnstable �' Department of Health Safety and Environmental Services 1"9. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissior. 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 exceptions,along with other requirements. Type of Work:— Mo "L Est.Cost 2oDv Address of Work: a9..s o IuL , t.,G . Owner's Name V-t�,.,AD Date of Permit Application: C) — 1 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 puffing 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 ent of the o No. Date Contractor Name Registration OR • TOWN OF BARNSTABLE • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION l -------- -- Please print. . DATE JOB LOCATION Number Street address Section of town "HOMEOWNER" Name Home phone Work phone . - ' PRESENT MAILING ADDRESS i.l) M..A City town State Zip code The current exemption for "homeowners" was extended to include owner-Occupie 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 or two family dwelling, attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Offic. on a form acceptable to the Building Official, that he/she shall be resnonsi_ for all such work performed under the building permit. (Section 109.1. 1) s The undersigned "homeowner" assumes • responsibility for compliance with the St c Building Code and other applicable odes, 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 compl with said cedures and requirements. HOMEOWNERS SIGNATURE - ?APPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 0 , Construction Control. HOME OWNER'S EXEMPTION v:;v The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, 'that such" Home OwnE shall act as supervisor. " Many Home Owners,,who 'use this exemption are unaware that they are assuming the respo,nsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarene 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 act_. as supervisor is ultimately ..responsible. To ensure that the Home' Owner is' fully �aware of his/her responsibilities, ma: communities' require, as part of the permit application, that the Home Owner certify that he/she understands the 'responsibilities of A' supervi.sor. 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. 1 i 11 1 The Commonwealth of Massachusctts ;rii Department of Industrial Accident Office oflnvesV9211ons 600 !f aching ton Street ' Boston. Mass. (11.111 Workers' Compensation Insurance Affidavit It ant information• — _Please PRINT'lebil nnmc: location- sits' phone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _ .n —�0- ........ �:7N.�.�.i'A�rl'T^�MI�' Tr��1��.w�.�.�..�..�...+.w.�•M.7w4..M..��.�.�r.._-�.... C] I am an emplover providing workers' compensation for my employees working on this job. enntmm• name: address- city: nhnne#• insurnnce cn. nolicv# am a sole proprietor. general contractor, homeowner ircle one) and have hired the contractors listed below who have the following workers' compensation polices: comn:tnA• nnmc: (_ery�Obw4JL�ipeY nddres�: 3 cin.. a A(k—0-2 6 / nhnnc 0, �/ insurnncc rn. a - _ • •1- Yam' - - •.r:Y' .. _- _- �ram... '�- �T'•t!�ww•S �:1?•e:-_ ..w..ti .i._._... cmmnam• nnmc: ndd ress: rite•: Chong#• insurnncc co. nolicy f! .Attach additional sheet if necessary •• _•: _ --+ _ :y. __._•�• __"r'•%� • ••• "=�*`-••��--+'^�'T+^r• �' •—•--' F:iiiurc to secure covcra>:c:ts required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties 01•2 line up to S1.500.00 andiur une y cars' imprisonment:is well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statcntcut may be forwarded to the oince of investigations of the DIA for coverage verification. I rlo herchr c tiller rifle pains penalties of perjuty drat the information prorided above is true and correct. Signature Date t® —3-57 Print name 1 �TLs�Pi k"n Phone# 3b�.—RI ntTicia1 use unly do not ttrite in this area to be completed by gin or tot�n official city or tnwn: permit/liccnse# rItluilding Department CLiccnsing Board check if immediate response is required C3Sclectmen's Office l C31lc21th Department �. contact person: phone>Y; r•7Uther s: L Information and Instructions MassaCIIUNCIts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for the: employees. As quoted front the "law-. an emphmree is defined as every person in the service of another under anv contract of hire, express or implied. oral or written. An einplurer is defined as an individual, partnership, association, corporation or other legal entity. or anv two or more the foregoing enaaued 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 thc owner of a dwellinu house having not more than three apartments and who resides therein. or the occupant of the duel link_ house of another who employs persons to do maintenance , construction or repair work on such dwelling Ina: or oil the rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio-•er MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who lies 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 , been presented to the contracting authority. _ .._- __.._._...._.. --- — ._��.......�.-..-- Applicants Please fill in the workers'•compensation affidavit completely, by checking the box that applies to your situation and Supplying_ company names, address and phone numbers 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 ao 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 fisted below. City or towns Please be sure that tine affidavit is complete and printed legibly. The Department has provided a space at tine bottom o. the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plez be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned ; 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 liesitate to `_ive us a call. I The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone 9: (617) 727-4900 ext. 406, 409 or 375 ? TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �%r Map '` Parcel 05 Permit# 6 - 2 Health Division �DJ % ��1•� Date Issued �l % O -Z Conservation Division RWG O8L.2/0`1 Application Fee S 0 d Tax Collector n K , Permit Fef `I Treasurer D Nl.K _ SEEP Planning Dept. INSTALLED IN COMPLIANCE' Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AN[ Historic-OKH Preservation/Hyannis Tt VU31 E FOMLA TIONS Project Street Address _ D �v1/� ✓� ! Village Owner VDI-Ada M. � JSV41-" 4- CA 7-1�h#JA*J I Address L'Q aEM;-J►, Q4.1 W.,d. /:,JYR6 . Telephone b$)- _3bA^VIO3 W,ex S 9 - U12 2163 � Permit Request 2 qjj�_Y AlolaiTi s-/ �'b C.4&9' *_-.la &- ►+,vs C co -, Y Square feet: 1 st floor: existing_ proposed 2S� 2nd floor: existing o g q proposed ` Total new s/2 ,.�d , Zoning District Flood Plain Groundwater Overlay r4 Project Valuation 30,cr" Construction Type Lot Size I . Atg4r Grandfathered: GK�es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Ud' Two Family ❑ Multi-Family(#units) Age of Existing Structure S` Historic House: ❑Yes ❑No On Old King's Highway: LI Yes O No Basement Type: �ull ❑Crawl ❑Walkout @,Other ".aoA=Vk r_ C,4kkl L (,fnC=!S4 Basement Finished Area(sq.ft.) C� Basement Unfinished Area(sq.ft) US' Number of Baths: Full: existing oZ new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing '� new 1 First Floor Room Count 3 Heat Type and Fuel: O Gas YOil ❑ Electric ❑Other Central Air: ❑Yes CzNo Fireplaces: Existing _I New Existing wood/coal stove: ❑Yes 310 Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size 'Attached garage:R"existing ❑new size Shed:O existing O new size Other: -A Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes 0"No If yes,site plan review# Current Use_ 1 jdvw� Proposed Use BUILDER INFORMATION Name- -O�sV C °� � lL Telephone Numbers Address Po 617?6 27 License# CS o0 Q S 7 Home Improvement Contractor# 130116 Worker's Compensation# AAL G yA/"gfX3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 8/9 A -z- ` FOR OFFICIAL USE ONLY f ` �. PERMIT NO. ., ATE ISSUED I Yell -]{AMA{P�/PARCEEr NO. e � � � .�'' �� L' `� ./try" -i l � \ / •_ ..y. -• � ADDRESS I PILLAGE OWNER of DATE OF INSPECTION: t; tAy FOUNDATION /S fob 12jali /C% / $l2 J�i✓.+T✓d✓� prtl.Gti'' �i �V _ ; � •� y�L�jay �/�%l, . _ -. ;, ' I FRAME 6/`1,'M CIA INSULATION 9k CJ-c2O'o3 FIREPLACE ° f ELECTRICAL: ROUGH t _. FINAL J PLUMBING: ROUGH - i FINALS y GAS: ROUGH - !- i•: i FINAL IN: z FINAL BUILDING^•' ' i = M 0 10 /DATE_CLOSED OUT ' t. -} 7 4I ASSOCIATION•PLAN NO. N The Commonwealth of Massachusetts -- r Department of Industrial Accidents - - Office offnyesti9advns . = - 600 Washington Street Boston,Mass. 02111 Workers' COM13ei3sation Insurance AffidavitMir location: � . •-• - ' hone# ❑ •I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one worlan in ca acitp % //�%r//% %%%//%///%%/%%%%%%////%%%%%%/%%//%O/%/%///G/%/////%%%%��%%%//////%%�/l ' com ensation for my em loyees working on this job. f• \�.. h.Kn::?.Y:FiiE2':•.,h'r;.t}.»•::•r:'{w; '':� y: workers •• w:4:: .s:^::2 F:';)y>::}.:Y?.:S?F}:Fr:@ :::? :`iv't::\•vv.•.,.:a)::};<: F:::4:Y:{..u.;.,4:;:+E:E 'sS7 : e 1 roviding �::•:a•; :•.z;K>rt •i$ F {:,.,.:��<> i:4,v:.•,..: .,tt} n..!..t.>ry.}. .YY- :;G„ .�;, am VJer_nn ..:nx ,vw.:h n..�v..::;^"v:v::mar..;,{.rnFvr{:4r:fiJFF.:::.:{- v.' 3FFt?..v;}v;h,^•.•::,...:\nv;F):ti.y:;>+.i?.•.S'y!';r.:%!a!?i:•:4`vECF,'::i?�!+.^.+}ifi� ':. :?F;n? :{.};•}aia.. x.i •S{,F;S%}•.t};;{•,..,i:., .,.�.. ..:L:::'•:n.:.:r. .. ,..». .....v .....y... .ti..n...: ........ ..:•:::.r• ........ �..LS•.•..:::'i.•i:}:r.?•}'••. ..r: :.....::•v .rvF'4'ir}:-}v..:)::n?h.; • .,. .:r•.......:/:... .....,.....t...2. .... :.... ...... ...:........ ... �... ,:r?v]r...,::[?¢)';{,+};,•:•?-.;•:.; :;y.. :{}.:'++•h:4:4S¢•••;rt.:• ,n.Y..>S.<....... ..f•.. 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Faffure to secure coverage required under Section25Aof MGL 152 cahleadto theimposition of ryi„ 1penaltles of a 8nenp to 51,500.00 and/or one years'imprisonment v wen as dvil penalties in the form of ati t T O K O f rc o eraLe and 111,��tiOf olL 00.00 a day against ma I nnderatand flixt a' copy of this gatementm+y be forwarded to the Offtce of Investig I do hereby nderthe�ains nalties-of-perjury-ihr�-t orniatian-providedabove isle aril coire� Date f -0 Z Pffone# � �C ' print name •� /�fQri/1 - omdd use ordy do not write in this area to be completed by city or town offidal "permitllicense# (3Budlding Department dty or town: ❑Licensing Board ❑Selectmen's Office ❑checkif in=ediate response is required C]HealfhDepartment { phone#; ❑Other contact person: r r..,riv.A 9195 PIN � ' .Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their ployee is.defined as every person in the service of another under any contract employees. As quoted from the"law", an em .of hire,'express or implied, oral or written. An employer is defined as an individual, Ii Partuershi , association, corporation or other legal entity, or any two or more of _ the foregoing engaged in a joint enterprise,-and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, as or other legal entity, employing employees. However the owner.of a .... house of dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds` bag appurtenant thereto-shall not because of such employment be deemed to bean employer: c MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold therissuance br renewal of a license or.permit,to,operate a business or to construct buildings in the coninidnwealth for,.any applicant who has not produced`acceptahie evidence of�compliance with the insurance 3.coverage required. Additionally,neitHerthe' commonwealth nor,,any of its.political subdivisions shall enter into any cent act.for the performance:of pub iil lic work•unt acceptable evidence of compliance wi#h the insurance requirementsvof this;chapter havo'been presented to the coirtxacfmg autho#ty. _:. . i r.•• 9/ -.._. Applicants Please fill in the workers' compensation affidavit completely,by checking the boostapplies a sass a11Yadavits mur ay supplying company names, address and phone numbers along with a certificate _ submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and r4 date the affidavit. The•affidavit should'be retumed to the city or town that the application for the permit or license is being requested, not the Deparment of Industrial Accidents. Should you have any questions regarding the"law'or if i ed,to ob{ain�a workeis' compensating policy,please call the Department at the number listed below:.' aie requir _ City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom om affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please• b be sure to fill iritlie.pemutllicense number Rrliich wilLbe used as a refeieace num'6er.:Tfie afii,�'avits.inaylie'r , • tq�,'. ' aiT or FAX unless otheinements have been made:• the Departmatbym ... investigations would like to thank you in advance for you cooperation and should you have anyguestions, . The Office of investig. :,. ,.a _1. 14 - t l�esifateitq ve us a call. please do no l� � -��,�� .-�....r*,., ' . ':.�..•h,.��r.1.�;.��.,�� ,�^ - .r ?. . .� - ftg The Department's address,telephone and fax number. _ ., .. :. .:..•.. ..r. .. .. ♦ .ram; �•• The•Commonwealth Of Massachusetts _Department of Industrial Accidents amce of Investlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 - r oFIKE r Town of Barnstable Regulatory Services STABLE, Thomas F.Geiler,Director 9e 1MASS' `0g' OArE Mp.(a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied 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: �E 4 Estimated Cost Address of Work: wm /i✓/ 17.2t✓e , Owner's Name: t, h� ]• C �sJl' Date of Application: «' Z I hereby certify that: Registration is not required for the following reason(s): I ❑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 her appl for a permit as the agent of the owner: 6z dw5mv « 130// ° Date Contractor Name Registration No. OR Date Owner's Name Q:forrmhomeaffidav RESIDENTIAL BUILDING PERMIT FEES . APPLICATION FEE New Buildings,Additions $50.00 , Alterations/Renovations $25.00 Building Permit Amendment S25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 1 a square feet x$96/sq.foot= y _ S a . x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= X.003 1= STAND ALONE PERMITS Open Porch x$30.00= (mim1,er) Deck x$30.00= 3 D. d (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 (plus above if applicable) Permit Fee projcost Application to ®Yb 7khtgi Jbi.gbimaip Regional JL�IotDrit �Bi$trict Committee In the Town of Barnstable 3 F N CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateua-ess under-Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described bel 6 w and kdh plaWs, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: c r- 1. Exterior building construction: ❑ New Y Addition El 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 E3 TYPE OR PRINT LEGIBLY: DATE /9 c5 ADDRESS OF PROPOSED WORK �a�Nllnjl 1I11JE . �• t .ASSESSOR'S MAP NO. ) OWNER 4 -A 20 sk T%01170 CA'n C2'`JA#J I ASSESSOR'S LOT NO. r- m HOME ADDRESS 60 1 1 VJ. t5a�-. r,��uE TELEPHONE NO. 3ia29 UA-s :V1 G7 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners Wross any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR (?04qSM:V"6irvP t4c- 6& cA�e"4;JfELEPHONE NO. _Q�k-�$ ADDRESS �'b bc-IC 2n , 5e4ANX-AZ &WA a MA 2- DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. S1 5 A t A-.Z t o-3 Signed Owner-Contr for-Agent For Committee Use Only This Certificate is hereby Date �Approveenied Committee Members' Signatures: e j �— ' Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION C � SIDING TYPE C(,�T � S COLOR A4AA f OLA S 69e� CHIMNEY TYPE COLOR Y ROOF MATERIAL s "r iJ� S#7iJ" COLOR MA17* e1q �✓G� PITCH �Z I2 -�7 tMAm-K eus-n WINDOWS. l�+�b''�� COLOR OhIf SIZE S B[ TRIM COLOR VJH'I DOORS COLORS SHUTTERS COLORS GUTTERS ALLo"4 I"t VM COLORS DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: 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. SPECSHT Revised 11/98 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) A�C(�'J-MIL DATA t 47-1`-II 1/I I r t / j 1 IFS,, N LY r,q'yk< ��T✓ /(�/ j� —y,�.�r s� i, FIED PLOT P L A N —s•o.v��-f�,z; ��s,�_a�v� �. s r . 1v� _\d/ Te,Egi9.�2N•5 --` //Zi!-' n /Z ,o•2or �, � ��al- 4 -•� �vo per:. �� a� s.Vip DATE �s3 �T s y.:--�� s~ 1`4 C E � oT /7 ,4S 2 08/77 D A E `ro >' CERTIFY THAT THE BUII,. DING R LAND SURV OR THIS PLAN IS LOCATED ON n&. N D AS SHOWN HERE ON AND .' ,ea CONFORM TO THE OF ;� ! - LAWS OF THE TOWN OF WHEN CONSTRUCTED . v� JOSEPHM pMONAHAN, JR, A N M S ASSOCIATES INC . �13660��0� k RED ENGINEERS L LANW SURVEYORS hp SUR��" E OFFICE BUILDING - 126b ROUTE t8 "TH YARM O UTH, MASS. 02664 NOV-15-02 FRi 02:06 FM CONSERV GROUP M FAX:! 508 888 6566 PAGE 2 . �'/t(? 1!X,.,HU.'?LC�ldl4'[YTCfIG U�./F•�"Q40(4:la(l6C�6 Board of Buflding Rcgulstfons and Stundards License Or rC gistration valid for individul use only i HOME IMPROVEMENT CONTRACTOR before the expiration date. 1f found rcturn to: ' le Registration: 1301 i p Board of Building Regulations and Standards Expiration: 117/04 One Afturton Place Rita 1301 ! Type; Private Corporation Boston,Ala.0210$ CON SERV GROUP INC ROLANC CATIGNANI 7.277 STATE RCS PLYMOUTH,MA 02360 Administrator Not valid without si lature / I � I r ;/�Ze�ji Q,�,za�uuea� a�,./uaaoac�/cuael�a 1I BOARD OF BUILDING REGULATIONS License:`_CONSTRUCTION SUPERVISOa I NumbeF:''GS 005157 BirtMaa 954 li , icp►rQS. 5k2372004 Tr.no: 22965 i Restr-10 � ROLAND B CATIGM�IAJk / r I 60 GEMINI DR M l I W BARNSTABLE, MA b2�68 Administrator I ngineering Dept.(3rd floor) Map Parcel - �� Permit# 7,C® House# Date Issued LO "3 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) -7�7l/'1 � Fee Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept. (1st floor/School Admin.Bldg.) sae SEPTIC ST EE Definitive Plan A roved by Planning Board 19 INSTALL � LIAIVCL . o r�.�' TOWN OF BARNSTABLHNVIRo ME CODE ARID Building Permit Application TOWN REGULATIONS Project Street Address Village , �te✓ST ALE i` . Owner R0LA�1 Q �'►TI G�A� 1 Address 6b 6 M».11 1J.9A- 4,1STA;6W Telephone aag) 362-9103 AM Permit Request Rjamavu 9'-6" OF- 10.➢?6�cyL 66trA)TJa WALL fi0UrVUKJ PXJ57),17k 1Crrthka✓ DW 1. A P-a'aola �O AAJ�A G'M C--P First Floor square feet Second Floor square feet Construction Type "Z n y-w-" $ Estimated Project Cost $ Z a am ; 'S' Zoning District RIF- � ls1 Flood Plain Y'J® Water Protection hl O Lot Size I+ Alr_L1_ Grandfathered ❑Yes ❑No Dwelling Type: Single Family 5j," Two Family ❑ Multi-Family(#units) Age of Existing Structure ag i4S 3' Historic House ❑Yes Ca1Go On Old King's Highway Lates ❑No Basement Type: @,Vull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) & Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_ 2 New Half: Existing 1 New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing 95 New 11 First Floor Room Count Heat Type and Fuel: ❑Gas 5a Oil ❑Electric ❑Other Central Air ❑Yes Ud% Fireplaces: Existing I New Existing wood/coal stove ❑Yes @rNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) (B'Attached(size)) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name �� 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 SIGNATURE DATE /D—7—g 7 J" BUILDING PERMIT DENIED FOR FOLLOWING REASON(S) v FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ~ MAP/PARCEL NO. ` r i ADDRESS VILLAGE .. r� OWNER _ i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL-' r PLUMBING: ROLFIH fn . FINAL' } GAS: R H Q 'FINAL FINAL BUILDING m DATE CLOSED OUT'"-, " SR A - j r N d t '-ASSOCIATION PLAN NO D t e�PyoFTNE.ro�♦� TOWN OF BARNSTABLE �� B9SB9TSDLE, i "6 9 E Y BUILDING INSPECTOR PY p,. APPLICATION FOR PERMIT TO .....Rv.J.1......SS Vgl.v ...... y1.G..�l. !v�...................................... TYPE OF CONSTRUCTION ........�LV 4a.4.......0 C 1,V►�L........................................:................................................ ................... ......:7...............19. `. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a pl, A for a permit according to the following information: / Location ... 0..7 .............. :l . �� .. ..�yi ...... .............n......................P J• ProposedUse .....1�10ps.1.p ................................................................................................................................................... Zoning District ......:4.�!d .0j.4.t.l4�l..................................Fire District ....... .. . .............................................................................. Name of Owner .�V.4?joY...ewst ................Address zi o.....YYt. .16!J...... :.......UY....I� N .....(.� = Nome,of Builder .... �P..:��..�...0.............Address z.! ....U�!? .4.` ..... f :......Y.`'...!L Inn }� Name of Architect .. '1 ��1�4.. per... Aw..kI.0................. Address ......pe'.Vn.bCO.�S?r. I' /ASS Number of Rooms ..................`�.b,)......................................Foundation ...1 N'qs t ........ .1:.�.��..... �1.�'��...... Exterior Y.V....................................................................Roofing .....kPhI4......ajW7.hs.................................... Floors ..................."!RJ. .....................................................Interior .....SkG:f,.l1?pt ..................................................... Heating ............�`t,pi........ . .................Plumbing 4,e 1 9= �CQn1........��2.. Fireplace ..............klc*tpK.......................................................Approximate Cost ..... 30�....V O.P........................................... Definitive Plan Approved by Planning Board ---------------____----------- Diagram19 of Lot and Building with Dimensions / ®® g r1 Fe � SUBJECT TO APPROVAL OF BOARD OF HEALTH rN Ld z a 030 QQ Z Q o!, . �1� ,�o.o So W _O O O t,�Pt h iSpO. tr ii Gait o ,A_ n. Ct LL O M►�.' OJCo < .i, WCL t W � OO , � , mac,.•. � W W CQ W 0 < (D Z. a- 3: < � w H 0 >. z Of . CL , La' sepf,c W I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ..... .. ...... ................................ Welby Construction Co. , Inc. No .... Permit for :two ..story ........................... single family dwelling .............................. Location .........Gemi.ni..Drive..................................... .... .... . .... West Barnstable ............................................................................... Owner .............Welb y Construction Co. , Inc." ............................................... Type of Construction ....................fr.a.me........... ................................................................................ Plot ............................ Lot .......... ............... Permit Granted ........June 2 .........19 72 ............. .......Date of Inspection Dote Completed ....... ..............................19 CEO PERMIT REFUSED ..........................................................I....... 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... .................... .......................................................... 4/ : i to t* I vj I I 2 s n�Ey 0 7. OD w : � CERTIFIED PLOT PLAN SCALE: .I/ DATE: /// 7-- REFERENC E 7 /71�s f�,6 cam a ,0 y 7 .13.�;�i��'/s r 3 G -00'DATE / ' R G. LAND SUR V � `' OR i HEREBY CERTIFY THAT THE 8U1 L DING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORM TO THE OFFrtss ZONIN6 BY - LAWS OF THE TOWN OF �•� icy � 9k�iZE T/�i�'L W H E N C O N S T R U C T E D . JOSEPH M. o MONAHAN,JR. y � 13660 C M S ASSOCIATES INC . '�F 41 \ REGISTERED ENGINEERS G LAND SURVEYORS 01ST0 MID -CAPE OFFICE BUILDING - 1265 ROUTE 28 ��osuR��y /%:� SOUTH YARM O UTH, MASS. 02664 /f./ % L........ ' ?7 Assessor's map and lot number ..... ... :'�.... _ SEPTIC SYSTEM MUST BE oz__ INSTALLED IN COMPLIANCE Sewage•Permit number . ............. WITH ARTICLE II STATE ,_. SANITARY CODE AND TOWN n, FTNET TOWN OF BARNS'�X r �- a EABESTADLE, i BUILDING INSPECTOR y "Ma e i639. `00 ^� C •AP.PLICATION FOR PERMIT TO ...ieU.!4.P.......................................................:......................................... t TYPE OF CONSTRUCTION ........ . .Oq4?...fief.?1.4�........................................................................................... Y5 _ ................:...............................19........ TO THE INSPECTOR OF•BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......44)7-.! 7...........?��CII.N.I.....��!�'L(��.........�✓EST..... ftk'/ Tf?�4'1G �....................:................................ Proposed Use ...4l 4.e.... (Cll Y..... U?Y&........ Zoning District Zesix!mA4.............................................Fire District Name of Owner ....Address ......1.�13 oet?... Name of Builder ... �� ...G(CrT/ON C. 6z.... 1. �'Lz.�... 1�1!�� Name of Address .....�.. 'GAP. .. ....1-2 Number of Rooms .................&...............................................Foundation •.....�Q.!LG'f2�=��................................................ Exierior ......................................Roofing ..........114 a??9Gr..�f..'zy,& S Floors .........P. 4.0D.................................................................Interior .......��!jrl�fl44........................................................ Heating 0. 'L'ED...C?.Q.T..! f3 i.....�z..�©?1W).......Plumbing .../9C�L ..®Tf/.�..7�...t4�....GO.�I��%z�.............. Fireplace .....I............................................................................Approximate. Cost ......... ..!....V.......................................... Definitive Plan Approved by Planning Board -------------------_-----------19-------- Area ....... 3 Diagram of Lot and Building with Dimensions Feey2• Jr ................ .... ....................... . SUBJECT TO, �A,P�PR�Vn'AL OF B�R,A OF, HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... :........ .................. Barnstable West AssViate 1-51 two stor No.1.895z...... Permit for ...................Y................ ..... ing,.le..famil�e.1ling..............:.......... Location ...L,at.. ..Geminj..Ar.i,xe................. ..............Wes.t..Aarns table................................ Owner ...Barns.tAble...Wea.t..Associates Type of Construction ........lr.#jme....................... .Plot ............................ Lot .........�17................ Permit Granted ...k'CbX�?s y,,,17.............1977 Date of Inspection ......... ..... ...................19 Date Completed ` e 72 PERMIT REFUSED ............................ ................................ 19 ............................................................................... Approved. ............................................................................... Assessor's map and lot number ..... . Sewage.'Permit number "Err°�� TOWN OF BARNSTABLE Z 9AEB9TADLE, 00 "b � a BUILDING INSPECTOR . 4prE' YPY ` APPLICATION FOR PERMIT ',TO ... ............................................... 0 TYPE OF CONSTRUCTION k,//O! «9 kfp�.........,:.............<...........................................................................................................:. ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... /< , , y 6,tF_l,<.9.�'....Pe `�r.........6h.5z"... .................................................... ProposedUse ... 6f�`�L ....4rf7?!L V.....cll-L /1/ ?................................................................................................... ZoningDistrict 5// /1/T,//1 .............................................Fire District .............................................................................. Name of Owner �� %.fTllt3 ,. 1� •,l;r ��lC'/,17TES....Address ...... ,� nf'/a/a Name of Builderf4��1F?...1_:..4�i/� �/ N....� ...................Address ...... ` Name of Architect ��;�' Pry �� // � ......Address ..... ..6. r Numberof Rooms ...............�...............................................Foundation ......�.j�4,n�..�1r................................................ Exterior ..! .. a�� :...... ym!n/ ......................................Roofing .......... T... J/7/M / .r ........................ Floors �,Ihb .......Interior ......4,e41 �l ................ q Dr?iivAls 4 � S P.A C. . Heating F.rv :�fl {E ....` / /`' �'��_d........Plumbing ...t.'e✓�< .... (dr .. � .... '�'�?. •.../C;................. Fireplace ..... ...........................................................................Approximate Cost ...... ` :. .......................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..........yl?.3....t................. Diagram of Lot and Building with Dimensions Fee . . 5 0 ............. .. . ..................... ' SUBJECT TO APPROVAL OF BQARI�D OF, HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...E:..�....... J, .....e/ ' ( !! .................. Barnstable West Associates A -131-51 No .....18952. Permit for ......1<WQ...S tort'•„•„••„• .....1. ..s ingl,e...£anti ly. .dwell.iAg............:...... ocation ...Lo.t..#1.7...Gemini..D.rivs................. .............. ................................ Owner .......�axA .1;ab�.�..W.e$t..Associates Type of Construction ........ KAM....................... .............................. ............................................. Plot ............................ Lot .......#17................... Permit Grante rx...17...............1977 Date of Inspection ....................................19 , Date Completed 19 PE IT REFUSED ................................ ...... .... ...... 19 . ....... ,: ... R!y�.. ........... Approved ................................................ 19 ............................................................................... ............................................................................... C I LE B3651 CENSUS TRACT # CLIENT : MprrhAntq Bank & TruqtDEED BOOK . 2793 PAGE 292 OWNER : wiiiiam & Ade'line Ricci PLAN BOOK PAGE LOT APPLICANT : Round B. & Judith if. cati nani. ASSESSORS PLAN PLOT MORTGAGE PLOT PLAN OF LAND I N BARNSTABLE SCALE : 1 "= S0 ' MARCH 28, 1984 ` `N/F tAREY 156, 83' LOT 16 LOT 17 LOT 18 45, 300 S , F , ± �- rn 0 � Pp0O 00 rl-rccV 2 STORY 60 a` O O • W 85.10' 81.91, ' G E M I N I ROAD I CERTIFY TO ATTORNEY RICHARD P . MORSE , JR „ MERCHANTS BANK & TRUST COMPANY OF CAPE COD AND IT TITLE INSURANCE COMPANY , THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION , THE LOCATION OF THE DWELLING AS SHOWN HEREON ' IS IN- COMPLIANCE WITH THE LOCAL .APPLICABLE01w- AM OF hfq� ZONING BY-LAWS,. WI TH RESPECT TO -.HORIZONTAL "DIMENS_IONAL REQUIREMENTS , - y' g KENNETN c�, R. 1� 1 FERREIRA y THE DWELL I NG. $•HOWN HERE DOES NOT FALL WITHIN No.28716 _ A SPECIAL FLOOD HAZARD ZONE AS DELINEATED y ON A MAP OF COMMUNITY #250001 DATED 4/3/78. BY THE F , I , A, THE EXACT LOCAT i ON OF THE RI I.i I P i n!r: (;AMnln'I .r Pero U e `�I Z z g —� SFpMe g1ISTEIIl1 MUST �E Assessor's office (1st floor): df� �' e PLi : "CE o�TNEro Ash ssoKYo map and lot number ../..;3..1..�.�.5 f � - Board of Health (3rd floor): � Sewage Permit number ...................5�. �.........'...... :r's� �D1 rkaa) .. r t Baaa9Tsnte, i Engineering Department (3rd floor): IVYVatE01JLATiOMS moo rb 9 House number 3 0� `e Definitive Plan Approved by Planning Board ________________________________19________ . - APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... . ...................... . ................. S�w c� ic TYPE OF CONSTRUCTION ...................... ........................... r........ .............. ... .:............... . p ............... � o� ...........19.. 0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ......(5�-e-M/V.)........ 1211��. . . . .. ................ ....1 .-.....�,a.naJ sT L..... .>.. .:......a.a 66 a............. Proposed Use �l�LA/1- .....1?'` ....... r .(r-t?0.^1......At�!i?..... i ''?!.( `/...... bn'1..........!J ....BP.��l........... Zoning District .................... ....................................................Fire District ......... ......��......�.�...... ...Lt Name of Owner hoc.a��...3:.4.,TgP :4.A...................Address ..6P......OE"f 1AJ!.....D2 G�. 'R✓ T�.WE....... Dort 67A/AAl ............... Name of Builder ................1!......�?2.....................................Address 5 M. .I.Fe ........... Name of Architect .............`1.p'`��..........................................Address ................... Number of Rooms '...............$................................................Foundation .........PD►rt2�� C c"t C. +`T ........................... Ex1e for ...........CE17...... ..... ... .. .lE5.................................Roofing ......... S.PNA.4T.......... .! 1^1.�1.L�...,...................... Floors ...... ................................................................Interior '17RY�JA L,L. .................................:....................... Heating .......P.!�.... 'oa?LL .....f 1. ....L./A,T��12................Plumbing !3 l.rJ6t......Z'.�.MA5 {1D29 ��I 1 8tt?l) Fireplace .......0.)....I��I.ST.I �1..............................................Approximate Cost .......... .°ZO aba Area Diagram of Lot and Building with Dimensions Fee �. . ... ....................... S� A- +eO -11-A� . i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name�..Q..,, ....�... ��/lti.............. Construction Supervisor's License . CATI- GNANI, ROLAND B. & JUDITH H. '32381 No permit for ..ADDITION . .. . .. . .. .................... Single Family..RKo�.in ............. ...................... ..... .......... Location ....60...Gemini....Drive .................... .. .. ....... .. . .... A .... ...................West...Barnstable .......................... . .. ..... ....... .. . .. .... Owner ..,Roland...B......&...Judith...H......Catignani .... .. .... .. Type of Construction ......Frame ......................... .... .. .. .............................................. ................................. Plot ............................ Lot ................................ Permit Granled ........Oictobdr...2.5......19 88 Date, of lnspectior/:7�7-,... ................ -..lg Date Completed ........... ...........................19 C 01 \v�..`t_ N'�'il Y:.: L.vS O.l`�'Y ..7'7.'�'�L "� u'uf....A.4lyy S�'Y�� N 3y,��a. ... Grp+'itit�.�4�-,yam Lp� .;h-.�.-:y..ii •.L -_L>�c.+.,a. .. 1_ 4k Asse$sor's office '(lst floor): FTNE As essog�: map and lot number ...{�.. .�..-.Q.:J..�......K. Q�u ��- Board of Health (3rd floor):, S Sewage Permit number .................... t Baaa9fADLE, ! Engineering 1.Department (3rd'floor): 'oo ;'b o• 0� House nL#vbdr c raY 0, o Definitive Plan Approved by Planning Board -------------------------_-------19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE - BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ................................................_ .,........................................................................ TYPE OF CONSTRUCTION �� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �a D 6 Location ......... ....... tit/>\I 1 �'12)�r�F Ltd BA r�.a ........ J sT r_�r� MA a ...... .................................................1.......... ............................................j......................... 10 .............. Proposed Use ........�!!�L,a f'z'6t�......�'.`.1e......nEU.f.?c AM......A.^,.P ..�1''!1.4:?!......2©�.�......,...)V OJ ..8A7_f ..................... Zoning District ........................................................................Fire District 1�-r1-S"rAk31� ........ ........................................ Name of Owner �LAn/Q... .TO�1Ta-1 � .........Address .�U...G'�!'`�.!.....'T�2.:...�`�.: .............CXf1!ti;n/A�.J/ Name of Builder O V 4Fy'_.....................................Address Sawl E Name of Architect ............!`1�,.)E:..........................................Address ..............................� Number of Rooms $................................................Foundation .........P�tirR. C o�1 Ga2 = ... ................................................................ Exterior ..........G.E DAt? `rY��lEl ?....... . . : .................................Roofing ..........ASPR ........ ......................... Floors ......!ngVET...............................................................Interior 'DryOAL.L Heating O ►L It-A-Cm.....H.1 .:....WA i�12................Plumbing 'L>.15TI:J6.....z'.BA--r S ,aAD01,461.....I 6"t Fireplace ....... .�....E-1t1.!�T7)�6N 4�O Voo p ...................................................Approximate Cost ...................t................................................ Area // . .... �� 29 Diagram of Lot and Building with Dimensions Fee 5 e..' ....................... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... -u� ...................... .... ....... . �- 00 S )S '� Construction Supervisor's License .. CATIINANI , ROLAND B. & JUDITH H. A=131-051 No '. .3.2.3 8 1. Permit for ADDITION . . .. ..... ................................... S i qwe.1.1.i.ng............ '� Location ...60- G..... ....!emini Drive ................................................ West Barnstable ............................................................................... Owner .....Roland B. & Judith H. Catignani .............................................................. , .Type of Construction .......Frame .............................. ........................ ..........................................I............ Plot ............................ Lot ................................ Permit Granted ......October. 2.5.,.....19 88 .. Date of-Inspection ..:.................................19 Date Completed ......................................19 NEW SMOKE DETECTOR REQUIREMENTS — ARE NOW LAW EVEN THE ADDITION OF A R AN o t o NEW BEDROOM WILL TRIGCaC,I,ORS to UPGRADE OF THE SMOKE DETECTORS o to FOR THE WHOLE DOUSE. YOU MUST iHAVE YOUR o , .10 PLAN ACCORDINGLY AND TROPRIA•E PROPOSED 256 S.F.ADDITIONIx 100 ELECTRICIAN TAKE OUTHE APP ERMIT AT THE FIRE DEPARTMENT= °' Q � SMOKE DETECTORS O.K. T U N s r N PECK EL,4 o a BARNSTABLE BUILDINu DEPT. _ _ FAMILY DOOM �.,�. A H A a ifit �► , I _ Z KlfClfw L,,:, ju GAWEFoo am / jj3j - 3} 3}• w i• U e Jr�.L Atto '°� W z . w 141 171NIN6WOM LIVING1ZOOM -- -- L. 0 Q �- �- z Of T-11 `� I — - N m z ,�. w 1 Q z >_ z ce �4511NG FIp51" F�001? PLAN o Of z 5c&r: 1/4" = I'-pII o ° La t. SHEET NUMBER: A- 1 REV 06/05/02 CD v? (n n O - N to - \\ O / _0Q 0 � I O 00 _ 00 00- _. C:) PROPOSED 256 S.F. ADDITION 00 I N 6 N MCK MLOWcu tn MA51Ek M12P00M c -7��- -- E.L. W �• -a z 31 Are Co W • -' \ M ' 11'-41 - ❑ 0 - 9 �� Ix AIH I� ❑ =a CIAMF VIAL W -' OW5 mxw �l �F G 4 I--� w0 Z Q w -i E Ml7f?OOM I o v z H m 7 LA Q .. O W z Z J 0 �X1511NG S�CONn FLOOp p�AN o L W 5C&E: 1/4" = 1 I-O I O ° SHEET NUMBER: A-�I - 2 .. . REV 06/05/02 • k Y I o�a„.¢r i i.mpY- �!p•rt�imV frfaJaeoP�J W1�T waaJ:e .V - Snm.an W.qIR Dal it '1 . .. 1�em aa.A.uw an srs>_ LL zxz CD 0 Q tD 00 co CP t F :!o.:nmma,...w. ---- -- -- --------------- --------- U) E 1 >1 n_n�rv�LL.•o�owyan.a. .x...R II Ii ® O I..L cv tn Ge Li Z W -i Q T gam. .o'mt awn..R-n R-awe.a..aai,n.., a�.�oc xrw a�mum an fnw• a u a x a •-' 7,-T .-Sr _.. o>¢esea'our�ooa r sa aware •au°�'ws o�w�o..0 Q N Gl U Q R _ 6 NEW 512 S.F.ADDITION NEW 512 S.F. ADDITION NEW ADDITION CROSS SECTION NEW RIGHT SIDE ELEVATION. s = l v C E7 C.G A i2 L 7-/4-.2S � • - W - U Z Q � W -— -- — — - ----- ® N J Li 0m ... -- — _ Q . . U Z Zm— N m ----------- Z -- - U_ N ❑❑ ~ Q w z cy- z M ao 6 of ---------------- SHEET NUMBER: EXISTING BUILDING NEW 512 S.F.ADDITION FRONT ELEVATION A- 3 I•/ rr F REV 06/05/02 L� I , N 31°13'50" E 156.83' LOCUS � sq WOODED Church St w Rom o s ` (U SHED LOCUS MAP N.T.S. w c� !1-D Cr� POOL GENERAL NOTES: V- p 4' BLACK CHAIN LINK N ('M FENCE t, ALL ELEVATIONS BASED ON ASSUMED DATUM. U7 2. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CpNCRETE DECK CONSTRUCTION. PR DSED THREE LOT 1 H 3. PROPERTY LINES SHOWN HAVE BEEN COMPILED FROM EXISTING PLANS AND DEEDS OF RECORD AND ARE APPROXIMATE ONLY. THEY DO NOT SEASONS ROOM REPRESENT AN ACTUAL ON THE GROUND PROPERTY LINE SURVEY. f 4. EXISTING LOT, SEPTIC, BUILDING INFORMATION TAKEN FROM A PLAN 6' WIDE GATE BY ENGINEERING WORKS' #76-03 DATED 8/27/03 4' IDE GATE TING EXIS 5 BFDRL30M LOT 16 2 CAR HDUSE (#60) GARAGE T13F_101,37 WOODED WOODED PAVED DRIVEWAY 16 AS ESSORS EXIST.WELL • 81 1' AP 131 PA L 51 �=85'l0 PROPOSED INGROUND SWIMMING ' POOL, DECK, SHED & FENCE 46,573S. R:36�,39 60 GEMINI DRIVE, WEST BARNSTABLE, MA ��T V Prepared for: Roland & Judith Catignani, 60 Gemini Drive, West Barnstable, MA 1 SCALE DRAWN J08. NO. OA'�A' O�� 2277 State Road Suite H • NONE CADDG Plymouth,MA 02360 DATE CHECKED SHEET NO. Group Incorporated Tel:508-8$8-6555 1 2/1 g/08 1 Of 1 t G 33�P N 31°13150N E 2 156,83' R°�r Q� LOCUS F 61 85' TO REAR _L E G E N PROPERTY LINE STRIP❑U T m o ��c c (See Note 11) 99 PROPOSED CONTOUR lop o 99 PROPOSED SPOT GRADE or s<ppF EXISTING CONTOUR ai EXISTING SPOT GRkDE Aff BENCHMARK 70' os�� _: . TEST- PIT cnuron St SCREW SET IN TREE o s s 3 W Ro EL1 100,00 (ASSUMED) o" 45 a EXISTING TREE VrE s � co TIP N 1 EXIST, S,A.S, EL►9s.3 PUMP & `FILL W/SAND p m -.ocus Mai rl.T.s. c� w CD d PROPOSE r - P00 GENERA_ 1\10TL CD 1- ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL In BOARD OF HEALTH AND THE DESIGN ENGINEER. - 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE _ LOCAL RULES AND REGULATIONS. ,- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR L Q T 18 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE EXIST. SEPTIC TANK — _ DESIGN ENGINEER. . . TOP EL. 98,23 .,. ., 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING INV,(OUT)=96,9± FROM THOSE: SHOWN HEREON SHALL BE REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 0 EXISTINGM 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 5 BEDRaD THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 2 CC�Q� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. CAR HOUSE 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. L O T 16 GARAGE TOF-101,37 8. THERE ARE NO PRIVATE WELLS LOCATED WITHIN 150' OF THE S.A.S. 9. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED '. TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING CONSTRUCTION. 11 . WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR ' 5 FT. ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN FILL AS SPECIFIED .IN 310 CMR 255(3). LOT 16 12. PROPERTY LINES SHOWN HAVE BEEN COMPILED FROM EXISTNG PLANS AND DEEDS OF RECORD AND ARE APPROXIMATE ONLY. THEY DO NOT ASSESS yy G�R S EXIST,WELL REPRESENT AN ACTUAL ON THE GROUND PROPERTY LINE SURVEY. MAP 131 6°00, �Op E PARCEL.. . 51 N 2 ____ =85,10 -- PROPOSED SEPTIC SYSTEM UPGRADE 46,573S,E; 3-3 g I DRIVE , A 60 GE_M �S I D E , WEST BARf� ST ALE , MA Prepared for:` Roy Cat ignani, 60 Gemini Drive, West Barnstable, MA - 1 Engineering : SCALE DRAWN JOB. NO. 9 9 b y - 1 "=20' P.T.M. 76-03 Engineering Work� G 23 Deer Hollow Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 8/27/03 P.T.M. 1 Of 2 i ,1 31eG• N 31°13'50'' $ 2 �r�• 156.83' o� � .. ., LOCUS Q LEGEND 85' TO REAR -- -_ --- o� PROPERTY LINE M� S T_R_1_P L�__U T 4 - 99 PROPOSED CONTOUR �0 F BD (See Note 11) � C o WOODED or �� \ \• ,\ ed i , 99 PROPOSED SPOT GRADE . 40 EXISTING CONTOUR Stree w +107.9 EXISTING SPOT GRADE BENCHMARK 70' �.� ° � � - ,..<,. TEST PIT Church St \. SCREW SET IN TREE �, 5 0' �' 1. 3 ' W ROUTf EL: 100,00 (ASSUMED) S,� �' i \ �. ..,.., o ` i + ' EXISTING TREE s CD st o f i i Cr') Q SV04 T P r<t + + + LOCUS MAP N.;T.S. Ld CD - do� GD\,1E RAL NOTES: TION '� i � i 4' BLACK CHAIN LINKCD �16A '� FENCE01 1 , ALL `ELEVATIONS BASED ON ASSUMED DATUM. In 2. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING NCR�� CONSTRUCTION.CON, 3. PROPERTY LINES SHOWN HAVE BEEN COMPILED FROM EXISTING PLANS _ LOT 18 AND DEEDS OF ' RECORD AND ARE APPROXIMATE ONLY. THEY DO NOT E k I S T, SEPTIC T K i REPRESENT AN ACTUAL ON THE GROUND PROPERTY LINE: SURVEY. TOP EL: 98,23 INV,(OUT)=96,9± 4. EXISTING LOT, SEPTIC, BUILDING INFORMATION TAKEN FP,uM A PLAN DECK., 8' QIDE GATE BY ENGINEERING WORKS #76-03 DATED 8/27/03 4' IDE GATE XISTING 5 BE�Rd�M 2 CAR N�USE (#60) L0 T 16 GARp,GE TC1F-101•37 WOODED WOODED PAVED 16 DRIVEWAY A S E S S ❑ R S EXIST,WELL 1' AP 131 . 8 N . Goo �O E P A L 51 _ ____ 5,10 PROPOSED INGROUND SWIMMING POOL, DECK , SHED & FENCE :. 46,573S, 367 ,39 60 G EM IN I DRIVE , WEST BARN STAB L_E, ESA \R Prepared for: Roland & Judith Catignani., .60 Gemini Drive, West Barnstable, MA SCALE DRAWN JOB. NO. 1 2277 State Road Suite H 1 tl=20 LML OnServ � M 1 1 Plymouth, MA 02360 DATE CHECKED SHEET N0. Group Incorporated Tel: 508-888-6555 9/25 03 1 of 1 o 1 � 2S N In ASPHALT o (o l � SHINGLES (TYP.) Q ap O _0 ono cr 15 O Lo i ._- I I � ! i I I ! : I , \ fE HEIGHT I I , I 1 i ! � ! I GO " ER CORNER ' I -- I I I 11 j TRIM ! TRIM 6 I I ! 1 I ! I , 1 (TYP.) ------- --- I I _ I i I ; ; } I I � I + : I : SHINGLE i _ it d I i I i I i SHINGLE I I W I I Ll � II I {{ I ! i I I- -- - II l__ -1-- "_, - .__ l___ --1 L___ _. j j 11--] —_ �, S I D INCHDOUBLE UNCrt ! , .� C TYP.� I , 11 I _ It : , 1 WINDOWS (TY .) �- .. I -. I I � I I I I I ; ! t � I _ 1 l I J _l —_ __ ► 1 I — — L I — _ 1 a f _ I �_ �. - j I ,,{{ � I i I I I + � �F' cMu i . : �� I I ; _I I 5LOCK 4 Gi"IU I I I I I , ! 1 i •� � I � i j I ! I I I i � 1 I I ' i CTYP.) I I ! I � I I I I . i ! 1_ i I I- I I ! _I I l 1, 1 -I _ -!_ L l ._ I �' , _ _ - _ CTY .� I I i I I I I ; , i I , FLOOR [XI i 1 I I i I i - — --- �i =a , FFRONT 51DE ELEVATION F' [G;HT SIDE ELEVATION r 1 � .0- (AT zx� e - tLoc- REVISI®NS r45PHALT SHINGLES (TYP.) U ��1 � FLVUyL- len4 3H T-4G I IF I P I III i , 6 1 i I I i ! I 1 ! 1 , I I i I I ' DWG. INS'®. I L , I PG DAT E 9/25/93 ' .. 11 I ; , I , I ! - i1 I -- I I : 4" -� - - - L +I l I ! SCALE 3/4 l -0 � _ I - - i co RNER I I I ' ; , �" TRIM TRIM -f-I--_ i DRAWN Ln I I ! 1 CIIKD RC i I i ; I , I ' I I I I ! I ; • I i + � + i ! I I I i I i i t � ! i ��RVD SHINGLE �I I 1 I , i f I S I D ING� - --t-__ � ,a I + '. I L ! i I (TYP.) ; ; , I 11 I i -Ju- I SHINGLEI I i I I I I � I I 1 � I � � ! j I I ( ! I I , r I I I II ! I j I II ( I •L L.' ! I I � I I I SIDING , I I S ; i i1 D I I1 I � rl I I CTYP.� ! j i._.__. i I '� I7II 1.i. , ci u I . ' i ' II ! I OCK .� ' I 1. _{... I �L i + i � cr(U I I _ k._l �- . ;_. I I � I , I I , ; ; i I , _ I •I 1 I 1 5LOCfC C TYP! ' I ! I I 1 i I i I. (TYI=.) SHEET TITLE I I ! I I i I ; • _ '� � ! __; i I + I ; i . ,. i _i � i . I # ! i � _1 1—, I _. - I -� { 1 I �. 1 •. j , I 14-'-r ... J L _. ' ! - ; , -'I.., - t 4 t +_+ .. .. j _ I a TFLOOR it II � ! I 1I ELEVATIONS I V— - - SHEET & JOB #: , A-1 fREAF,, BIDE ELEVATION LEFT 51 D E ELEVATION - - -- ---- ---------------------- Q O O � U N � O ms co Q Qob 4 0 00 IZ 0 N r Ctj E U CV N y 1011 1 . 011 �j II � j W N W w W t U 4 REVISIONS 3 /O Q) DWG. INFO. 2 83 8 2 83 8 DATE 9/25/03 SCALE 3/4"=I'-0" DRAWN LML 31 _ II I l ill 31 � 11 CHKD RC . APPRVD 1 1 - OII FL00FFLAN SHEET TITLE: FLOOR PLAN SHEET & JOB #: 70 O O Cc CV Lo O CO Q F700 O _ CD o LID I I O FOYER I ! ! I I � � � LIVING ROOM DINING RM N I I I I I i GARAGE p F-1 (w) a. 00 � � Q o 00 KITCHEN p W STUDY A , —EXISTING SHOWER ENCLOSURE TILE FLOORING 3 1/2" EXTEND WALL UP FOR NEW FAMILY ROOM PORCH ENCLOSURE FWH3168AL U � w FREESTANDING WOOD OR GAS STOVE or TABLE _ a FW06068APLR//FWT 2-6016 p +i w/ RETRACTABLE SCREEN N 0 o G65/FWT 2-6016 G65/FWT 2-6016 w \ / � ALIGN NEW 4CH WALL WITH EXISTING BEAM LINE (—REVISIONS 6'-0" 6'-0" 6'-0" BELOW i FLOOR PLAN I i > LA IWJ " J DWG. INFO. - - - __— _ - ---- --__ _--- — DATE 12-18-08 A — B -- ----- - _ --- — - - - - IIL - - -- - I I1 _11 DRAWN CARD 1 1L �I. 11 J1 1 L 1. = fN i .II _1 1T _ l Ll ! _1 I_l . ('11 KD W. �l �_ _ _ ALIGN EAVE LINE wITH �0 , ,IIi -i 1 JL . 1 1l i ( l �f l I III ll I 1 FLUE - _I EXISTING GARAGE -�� } - A l I R� D i Jl i l_11_ 7 „ , l �� I� - - ---------- -- --- l1i_ll 11 1__ U1 - L ---- - --- -- — — --- ---- - L. L --- -- -- -- - J _l 1 _Jl J_ 1L( J1 _ 1 I_ -- --- 11 -- i,l �- L - II l 11 [ 1J11 J ll 11111 ll_ IT� lU ll ll ll 1 J_ I lll _- - I, _ - — - 0,23 ELI] Im— L l IL ilil ll II l II1 ��jl ! rl P� l 1 J Ill. I_I(1Jl,I_iJ �f_L; I Tt 1 J_ I a_IIJiIL11iI IIII JL J Uhl! SHOWER L n P ss� _ n - P ssl c ;�. l I 1 111l LI (L1ILLIll_.I(�>�ai I1 !T II_ -1i ' ( I LL I LN 11111.1_Il.l l Il_IJ_ll I1. l 11. 11 111.Lil_l_I IIJ U_I J I I it I I n I I T _�L � Jl1 - 1L 1Ll L II I II I I II � J.j ; � TITLE: I I I I_II ll_L1Jl i EXISTING.DEac 1J i �ii 1J i _lll%J l l i.(I._JJ11_I�JJ1 a - NEw„siolNc ToI SHEET I !! - L1 _ 1 _ - — l_.IJ 1. 11 L_MATCH EXISTING l II _ 1 11.7 JLl I � JJ �J�ll_11 J_Jl_I_ Ill I.1L1.1.11 �1J 1_� .LI J1 l L 1 , 1 �- FLOOR PLAN ELEVATION A B SHEET & JOB #: REAR FLFVATION ax = co O Lo Ilk U C) Lo C\1 L O (D Go O T co O C OD O c> E a) C!) CL CV CV OPTION: SLOPED CEILING AND POSSIBLE Q SKYLIGHTSM? ROLL ROOFING DOUBLE COVERAGE 5/8" CDX PLYWOOD SHEATH'G 2 x 8 RAFTERS 0 16" O.C. ROLL ROOFING DOUBLE COVERAGE 2 x 4 CEILING JOISTS ® 16" O.C. MATCH GARAGE EAVE z SLOPE DN �.+► WOOD SLAT CEILING r BEADBOARD �rirrr' TRANSITION LOW TO O - \ HIGH CEILING b cV WOOD SLIT CEILING BEADBOARD _ TRANSITION-LOW TO HIGH CEILING REVISIONS 2 x 8 JOIST 0 16" O.C. EXISTING' SL DING PATIO DOOR T RE MIN PASSIVE ACTIVE o `� i 00 PATIO DOOR INTERIOR FINISH TO BE SIMILAR TO EXTERIOR FINISH SHOWN ON ELEV _ 3/4" MARINE GRADE 3/4" MARINE GRADE PLYWOOD ;OVER EXISTING PLYWOOD OVER EXISTIN COMPOSITE DECKING COMPOSITE DECKING i DWG. TILE FLOORING TILE FLOORING r�r V''v�' G.. INFO.. --- — --- DATE 12-18-08 SCALE 3/4 .. ;x DRAWN CADD EXISTING (4) 2 x 10 9 1/2" F.G. THERMAL C1 I KD BEAM INSULATION �APPRVD -------------- SECTION B-B SECTION A-A S1l�.�.JET TITLE: III SHEET & JOB #. 2