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/� S� .. 03 �'� a r. .�� � r _., ,,..�. — __ _ -,:_ 140. 152 1/3 ORA r s i ti j 1 a 1' ff k y. M .wr Town of Barnstable Final Inspection Affidavit Date:07-O�{- O)� Thomas Perry, CBO Building Division 200 Main Street Hyannis, MA 02601 , RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at: Street: Q IS Hi(mYN S T Village: I x)&_5r ,EPW Obw:ar�[L has been inspected by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number(-' 90151-770 Issue date: Cb/cy7/�_ — Sincerely, _ -Y, Gn Francis Sheehan r President Frontier Energy Solutions, Inc. T" 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I C Map l Parcel G (S Application # Health Division Date Issued Conservation Division Application Fee s Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis A Project Street Address Village Owner Day, a c rr (�Jc c �� (�c¢--V1^ c Address �� - � G�C. -3 S TelephoneSfiw� L- �Ak 62L6F� Permit Request � n �-G��h�ol1 �-'��� C�I��V��S� 47r 0-6 1 -d 6 0 t- 1 v��v �a.V-_&dk J1 32a�- G, � t , W2, VS - Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation r 2 Construction Type Lot Size / Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. i Dwelling Type: Single Family Q Two Family ❑ Multi-Family (# units) Age of Existing Structure 11, 6 2' Historic House: ❑Yes CI No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 1 Heat Type and Fuel: ❑ Gas ❑Oil 0 Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: UYes ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn Q existing❑ rye size_ CD Attached garage: ❑ existing ❑ new size Shed: ❑ existing ❑ new size Other 9 9 9 — 9 — � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r Commercial ❑Yes 54o If yes, site plan review # . Current Use i*rCe_n C.9— Proposed Use �2 SI d_k�C C2- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �k�� ' r�-r" 0���1 dn-S �T phone Number l "2�� y -r Address J U 2 o�q<W r,�� �. License# 6,C> l S`-e-C Home Improvement Contractor# Worker's Compensation #VWC:too 6GIS�3 (�-2ff(',cA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l (� �S1 . l ' � 6 SIGNATURE DATE C FOR OFFICIAL USE ONLY APPLICATION# d DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE OWNER DATE OF INSPECTION: 'FRAME r. ..._ ... 'a': - ;INSULATION. ,,,, �,�- •x,�.- Y FIREPLACE it • ELECTRICAL: ROUGH FINAL — ` - -- PLUMBING: ROUGH FINAL' , GAS:' ROUGH FIN-AL '} FINAL BUILDING DATE—CLOSED OUT K ASSOCIATION-PLAN NO. 1 z 4M �Fown of Barnstable Regulator- Senices N..t1Ci3fA6t R1Clt:lfl3 V.SC:l(i,Director A i Building Division l'um Ferry;Building Coffu issitmer 200ftiin .1i,:ex-+nis,A 02601 }}-�y}�,[lt}gn,b�rfisLa Alc:nia.us Offwa: 08-862 1038 1=ax_ 508-79M23() Propelty Owner"NI115t C:ornplctc and Sign This Section If`C s ng KtaiIdc r I, !Ir 4 / t'4+ 1 ,as C?rmer of tic st!?jc mrlp,..11 i - llcr,:h�� to -,CL MI Ill,—'ehalf: JL J.s r� tt n s:I:ira.vc.io vork autlion-7L-d b9,this-bLJidiA„pem z c rplitri�aT1 tG15°' .Pool I'l-ssces aind are the ltspoiislbihty of i it apF.liUIj;t. Pools ire not to lac filled or miLcd l eiorc i'::nce i,�IW-Wfletl and aU i`iia l in c,r-folis ar: c Wmed and acee,pted- is/ s i atone of C rIIS C" 'tt:L of!pplica;lt Print:1 came :pr�n L Nam Daw �,cuRF1�•(tti:;�FaF'".II��Jit:l'dJi).�. * e'/�2 ,anis�ecrurea��oC�` �irt;mcfirscls ... ... tN1II Yarid for iIId•1Vidlil tiSC-OA�Y. . , Ofllce ►f ConsumerAftaus&Basin -RegnisG¢n i rceAse or r 'a.IMPROVEMM COMRAC70R befnTethe expiration dataIf fOnnd return to:febsoom16Q854 Types UH'ca of Censamer Affsiss and Badness Regui2ti0IItion: :9181016:,> 1d park Ina=sulte5170 ``:: •,`: '-.�>' BastoA,CIA 0211b FRONTIER ENERGY SQIUItONS' FRA IS SHEEM14 _ 502 HARWICH RD - BREWSTE R lVIA 02631 U- ry _ t with signature - ReslActed To:CM4C 9nstdation Contractor -Massatbusetts-I?epartnnent of PubYc Safes .. } 'Board-,of Buildlng=31guia'dons and'SSanda is Cm rn 5u rsasnT S��al�.. rF:s FitA2tiG7SSSlHAI =:.. .:. ��; . Br>ZwvsterlYi�� i `�'=�'>:��`� •.- _ .; Wure to possess a currentedidan of theldassachusetts State-BuildirtgCodeiscause#arrewocationoftftlkwtsp �.�i.r�/ tii>"• x€rirat oo For Dos lieersi dm w_w ngildmaationt wwbs_G"jDPS • Crnmrtissioit�r AT117t2t1'1ti. `:� - - _ 3/ 1M/2015 12 : 35 : 39 PM 8626 0 02/02 DATE(MMIDDIYYYY) � ACC>1Z CERTIFICATE OF LIABILITY .INSURANCE 0311 612 01 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A'CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00509-001 15WJACT Jeffrey Ford Rogers&Gray Insurance Agency A"rc°.Nt�o.Ext: (800)553-1801 (FWA c.No: (508)398-0246 434 Route 134 EMAIL South Dennis,MA 02660 ADDRESS: INSURERIS)AFFORDING COVERAGE NA IC f INSURER A: A.I.M.Mutual Insurance Company 33758 INSURED INSURER B: Frontier Energy Solutions Inc INSURER 502 Harwich Road Brewster, MA 02631 INSURERD: INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�1�R TYPE OF INSURANCE (NDSR�S60 POLICY NUMBER PM DONEYYY PMIODA-YYYYI I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABIUTY DAMAGE TO RENTED � PREMISES Ea occurrence CLAIMS-MACE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY 5 GENERAL AGGREGATE $ ,ENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S OLICY RO]JECT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ iEa accident ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S HIRED AUTOS PION-O'NNED PROPERTY DAMAGE (Per acci AUTOS dent S UMBRELLA LIAR HOCCuR EACH OCCURRENCE S EXCESS LIAR CLAIMSMADE AGGREGATE $ yypR}D�EERD Cpry� EREENNTIONN $ yC Tp S AND EMPLOY I AJ�LQTY X TORYSIIMI¢S N P� PP.IETORIPARTN 1 CUTfvE YIN E.L EACH ACCIDENT S 1,000,1'; A r F IC��/M MISER EXCLU�09 [ NIA VWC-100-6015315-2015A 3/1412015 3M412016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000, I` �s s7V•,�n undar E L.DISEASE-POUCY LIMIT $ 1,000 t�t..CRI t�l OF OPERATIONS Cebw � DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Town of Sandwich 16 Jan Sebastian Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sandwich MA 02563 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVEI I 6- jea I _ ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 263.0 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 Legibly Name (Business/Organization/Individual): rra \Q_r 1,,e rs So.t y )-tra n - Address: .90 2 ls�A rW G�n (ZG A City/State/Zip: &9A P S . (- . `?� Phone #: T1''� ' 2 ' 6 L(( G Are_you an employer?Check the appropriate box: Type of project(required): 1.1.�" I am a employer with 3- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5.-❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself o workers' com right of exemption per MGL Y � P• 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no r 13.[�Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#I 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ATk KU t -I Zn -rU n C¢- Cei yI ,R.GI 11�, Policy#or Self-ins. Lic.#:VW -Itoc) - �O Y 3 f S_ - 2.G 1V Expiration Date: 3 Job Site Address: Lk^��^ �, `1 ( C d' City/State/Zip: a r✓1 s,�Gt Le , �AA 0�6�� 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 up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against•the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er t ' s and penalties of perjury that the information provided above is true and correct. Si nature: Date: 1 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#: oFt rq,,, Town of Barnstable Regulatory Services Y • BARNSTABLE. MASS. g, Thomas F. Geiler,Director %639. ♦ ' Foww+" Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 RE: 215 HIGH ST WEST BARNSTABLE OUR RECORDS THE FOLLOWING ELECTRICAL PERMITS DOES NOT HAVE A FINAL INSPECTION #873 01 ELECTRICAL PERMIT EXPIRED FOR WIRING OF THE ADDITION AND SERVICE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Permit# k 7 10 / Health Division Oil- Q�r Date Issued /8 ` Conservation Division C1 Fee 7 7 i 61 Tax Collector Application Fee Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Plla�annni Board Approved By Historic-OKH - (F�req��n/Hyannis Project Street Address �-� �"iT S4 Village Owner m Address Telephone Permit Request 60ha-u a- Square feet: 1st floor: existin g 8a proposed f 0� 2nd floor: existing proposed Total new q06 - Valuation 00 iQJ Zoning District Flood Plain Groundwater Overlay Construction Type W0,60. 4-d474- t Lot Size Aco S Grandfathered: ❑Yes ❑No If yes, attach supporting d cumentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 4a t Historic House: q Yes ❑ No On Old King's Highway: (AYes =.❑ No Basement Type: AFull ❑Crawl ❑Walkout ❑Other - Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing s new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil 4 Electric ❑Other Central Air: ❑Yes X No Fireplaces: Existing X — New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use _ Proposed Use BUILDER INFORMATION Name �v/ '� J Telephone Number A-5-dg., ?U 0317 Address License# 0 S? 001 6• Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sef T � 2204, 11_� SIGNATURE DATE Lao 03 4, FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED �. MAP/PARCEL NO. ^ ADDRESS VILLAGE OWNER = • DATE OF INSPECTION: r• co FOUNDATION ` �\ GtJ CIE 0 10/3!/0 4� FRAME MleIN1 0� �LC-� IL 07 — �j► % w�� wr �w� + FnfiG�QA �7 P�- . INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT _ ASSOCIATION PLAN NO. r° Town of Barnstable Regulatory Services iAarrslA� Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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: � C�ie'rt Estimated Cost s ad o Address of Work: 4,,,A - i911'1 4wa_ i Owner's Name: )9AVV 6( A&2d . - Date of Application: o s I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: A0 .s Lou lS 4 45kr lz Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav 5 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FFE New Buildings $100.00 Residential Addition $50.00 Altemtions/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq,foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING square feet x$64/sq,foot= IG d g'?6 x.0041= tG1z• Z'7 plus from below(if applicable). GARAGES•(attached&detached) square feet x$32/sq.ft = x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq,foot= x.0041— STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 RelocatiowMoving $150,00 (plus above if applicable) �?? Oq _ - Permit Fee Table JS=b(eontlnued) Prneriptive Paekagea for One and Tiro-Family Residential Building Heated with Full Fuels MAXi�1liUlll MINIMUM Glaring Glacia8 Calling wall Floor .Bas=eci Slab HearinglCoaling Well Perimeter Equipment E ci=cy' Arm' U-value= R-valud R-value P-valucl R-fie R valuo° Package 5701 to 6500 Heating Degr ea Days' 12/e 0.+40 38 13 19 10 6 Normal • Q' ° Notrnal R 12% U2 30 19 19 IO 6' S t27, 030 38 13 19 10 6 8S AftfB _—T— 38 13 ZS NA ?VA N 19 19 10 .46 32 y::...'.r. :...15'h O.q4: 38 : '13. 29 NIA N/A 85:AFUE w 1T�. Os1. 30 19 19 10 6 85 AFUE X 18% 032-' 38 13. 25 N/A N/A Normal. Y 11% ' 0.42• 38 19: 25 N/A NIA Normal Z . 18% 0.4Z 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 d 90 AFUE 1.-ADDRESS OF PROPERTY: OZ94- I ),-Ing 4AP _ 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE FOOTAGE'OF ALL'GLAZI 40: Qb' �y - •• 4. %GLAZING AREA(#3 DIVIDED BY#2): s 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUMDING INSPECTOR APPROVAL: YES: NO: q•farms-530303a 780 CMR-Appendix J Footnotes to Table J$.2.1b: lass doors, skylights, and Glazing area is the ratio of the area of the glazing assemblies (Including sliding-g basement windows if located in walls that enclose °he total lazing area may be excluded from the U-valu conditioned space,but excluding opaque doors)toer equiremente gross t area,expressed as a percentage.Up to 1/o f 8 or example,3 if of decorative glass may be excluded from a building design with 300 a of glazing area. F 1 or After January 1, 1999, glazing U-values must be tested and docurriented.by the manufacturer in accordance with the National Fenestration Rating Council (NFRQ t procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The.ceiling.R-values 8o not assume a raised or oversized truss construction. If-the insulation achioves the full _ insulation ttucl ness over the-exterior walls without compression, R-30 Insulation may:be substituted for R 38 insulation and Rr3'8 fnsulteo—may be stibsib ed:for R-49'insulation: Ceiling R-xalu�,s=represent laced a a between y Insulation' plus insulating sheathing(if.used):For ventilated ceilings, insulating sheathing must_be.p the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity it 410#oenx lean ing sheathffig,(if'used). Do R-19.r uire_m nt ou d bee met not exterior siding, structural sheathing,.and interior drywall.For p mq by 19 cavity insulation OR 13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to R R wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. unconditioned spaces(such as unconditioned crawlspaces;basements, 'The floor requirements apply to floors over e Floors over outside air must meet the ceiling requirements. or garages). . 'The entire opaque portion of any individual basement wall with an average depth less than 5doors e of -grade walls, Windows and slidingconditioned. meet the same �R=value requirement as abovea g.. basements must be included with the other glazing. Basement doors must meet,the door.U-value requirement described in Note b. '."Me R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes el4ctric resistance heatirig use compliance of cooling equipment, the equiprri ntt with lowest than one piece of heating equipment or more than one pi g equipment, efficiency must meet-or_exceed the efficiency required by the selected package... For Heating Degree Day requirements of the closest city or town see Table JS.Z.la NOTES: Insulation R-yalues a)Glazing areas and.U-values are maximum acceptable rin 1 de structuralcomponents.e minimum acceptable-levels. R-value requirements are for insulation only d do b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may hs ace walllco pcnentater mmcud two or more areas with c)If a ceiling,Wall,floor,basement wall,slab-edge,or craw p different-insulation levels,the component complies if the area-weighted n components comply if the iarea�-weight d average U- 1 to the R-value requirement for that component. Glazing d value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I • Town of Barnstable Regulatory Services s�utsrn8 Thomas F.Geller,Director N Building Division Tom Perry, Building Commissioner 200 Main Street, liyannis,MA 02601 www.townbarnstable;ma.us Office: 508-862-403 8 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereb authorize �0!> . r4neG'/.S- to-act on mybehalf-, y in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name r. s F. a t £ q asp. N r r- s �c-. 7 77 .,..:�. u < >a . , .,,;`) -: ., w , > "_4 +A. .�k` x r..F+_ eP - k EY ,.,,.•_:.';'= %' r F B >ILO TIONS .r- -:': ,-,, ' :..., e. BOAR .0 U INGREGULA t - a. � ,, x, �, a ter,,- ;_�.+ e. ,#.: : : z >- r' ---' Lrcense'.GONSTRUCTION SUPERVISOR .. ,.,:..:...._.:,. 7 - .. _.�,.� :I� I 5,.. 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PERMh 4 - yCK�y( ------------- lffAl Si f ------------------- " 3 REAR ELEVATION I �..,� �It G 1 �._..T.� ._.......... . x? 4 ----------------------- i ----------- ---- ------------- _ - lxsf� .. --------- Gore '' L3 ,, ��e s Sly 4 WGNT SIDE ELEVATION ��� _.�....................._...._.. . W IM G' �l�'✓9. i 14-7 T7-- 2S31NlM GNV9!)N3 M3N � TM WTI WCX??f JNNI Ni IWAI NOW , .;•�,�xnfnA � ,�j r I ipill g 0FROM L,, -Ft4rJA,4 30 NO.LbZINVOW 3 r R zz i Po�1� 13 3 X 6 9003 �._PAGLZ ac 13 3 49 PH'75 1410STASLE COUATT - BMSTBY Orr DEEDS ♦ �T"'NEN III(ES me ♦ ••: TPa rle �o♦` �. )oh o G ; a \1 10 .3�D 3t• ♦♦ d5 g6• ''i$ `♦ e o� w♦ N � Fnsderick E..Ailtonye���.• � �..;♦ pe Sd , %31�>♦ �}1$�30 2 To3 Acres k 0 O� � oo YJ i • eABNSTABLE tb11MY '7 flCai9TRT OF eEEe9 -` N !5 t AiRUE COPY,ATiE9T F $ W t�, P I err' eEaisrEa i \7' 9. I P PLAN OF LANE7 IN WF-sr BARNSTAaLE.MASS. Tow" tN'KP!III •o. BELONCI-lNc9 To t Lor v 15 FREDERICK ''E^^. AITT/ANIEM I i SCALP'_ I W-40FF 5isj-r8,19GZ Barnstable July 23. 1979 _ Ido.aowBoAxma.'l?LulaaoLAW,StuLvetroas ' The undersigned,authorixed agent of Lhe Barnstable Planning Board. hereby certify that yan a�' Ce�•anawue. Mnos. � .J. the a royal of this plan has not been modified, amended or rescinded•nor the plan changed. d�_ t �y T m��:.>:d�„der/fn subdiLis/on conlre//ew '" /// ° SCALE Or Feel {�y```'E r OW,yN OF.BVAAt "`rAA(Q OLANN/NO.BCC RO AO , O 20 4o 9//x " 7123i 79 � ��`�aa—• "t,� 'nN� •.�. t .SGA9 ! �i� 1 S / l-'� •���J / �..��`„� �v�c``-�apt r r� I I I � i I I J �1 I � ,f T1 i Tar)m JVYL i Y77 r! Utz C.--t k l I 'IL( = l Me D C, •,x .t ':;\ �" �/ LAC �(a t.> el - , to e �t,d Ltd �� 3 a Application to ® RiAg'o 9biabb3ap 3.egianal Agiotaric �Bf�tritt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS )iication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section •f Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, wings,or photographs accompanying this application for. 0 IECK CATEGORIES THAT APPLY: �n Uri Exterior building construction: ❑ New ❑ Alteration Indicate type of building: House ❑ JAddltlon rage ❑ Commercial Other Exterior Painting: ❑ Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign . Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (PE OR PRINT LEGIBLY: DATE "- )DRESS OF PROPOSED WORK "�7 1 L�l ASSESSOR'S MAP NO. 1 1 NNER OAV t ! �/Lt �. ASSESSOR'S LOT NO. �S JME ADDRESS TELEPHONE NO. CD JLL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners.across any iblic street or way. (Attach additional sheet if necessary.) C 1Lit S/ r" < • r• ,GENT OR CONTRACTOR TELEPHONE NO. K ,DDRESS DESCRIPTION OF PROPOSED.WORK:. Give particulars of work to be done, including materials to be used. Please iciude locations of proposed signs. II 1 Signed . y 1 ` 0 r-Co Factor-Agent 'or Committee Use Only'",' This Certificate is herebynvFo[Date Approved)? pproved enie Members' Signatu ' raja•, JL + '.a` Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET r ?OUNDATION SIDING TYPE I�L�, — O� COLOR CHIMNE Y TYPE / COLOR ROOF MATERIAL /' O'er"�^ ` COLOR PITCH— WINDOWS COLOR SIZE TRIM COLOR ��4 l .. DOORS y 3/�s,n / � �� COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS GARAGE DOORS C7 COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS FENCE COLOR NOTES: Pill out complately, 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, wben applicable. r o �.A4 r � �"'� ® 1 V �,� �, � f,- • � � C � d.E�T��ELEV� ON to Vla wj S 3 RF..�.R Et�VATlON _ i ------------- El RIGHT SIDE ELEVATION _ ,, �� -:WOW 3DNVdir,8 3)4VW Tm WO()I!%4WI NI IH91 NOW 0 3O NOIIVZINVSklC Ai Ilk p ' x � I POW �-�' �7 �� BARNSTAd E( oar �� rG + �,�®•�.>'' p �`` RfT,a"R�QM�tl�E�w ss `P r (rl O Q a o/ tr'1 A frenderick E..Ai!ltoniei»i��.• � C`t, '• Y%&9 C a / s 0o i 1pp�pae 7 2 / R YY C� 0 �, /� '61•I1� � A1ReH /rTTE9T I Karl ' Wasr SARNsrAaLr-.MASS 1 Tcww M kp!)/! r: SPLO AafNm To Lor!15 FREDERICK E. A17TANIP—M I Scn.t.ff- I WV40FFr, Slrpra,I962 Barnstable July Y3, 1979 lle'�or+8ewrme.-17raa„uav�Wr Su7N0Yr�as. The underal9ned,authorleed agent of the Barnstable Planninq Board.hereby certify that J`h CBNretavrwa., Mass, d�.oL" J. the approve)Of this plan has not been modified, amended or rescinded,nor the plan changed. 7"= nn wn ' Ap�provo/no//eguirsdtiridarr/Ji�9ubdiDitaron con/re// •r 'a TowN Ov�rNiNBT olv t A Stnt.e Feel I Gb7�a ^'►tsLa PCANN/NtQ Ba'].4+4O Aa/.:,q os7ff�eQao.delJrn. a n�� O 2o 40 7/23;79 S6o U i w Application to eib ittg'.c gbigb nap �Egional �i tDriC i trttt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS )lication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section f Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, wings,or photographs accompanying this application for. IECK CATEGORIES THAT APPLY: . va Exterior building construction: ❑ New tAddition rag ❑ Alteration `w= ' Indicate type-of building: House ❑ a ❑ Commercial 0 Other . Exterior Painting: ❑ Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other C,; F3 (PE OR PRINT LEGIBLY: DATE — )DRESS OF PROPOSED WORK r�7l t�l �` ASSESSOR'S.MAP NO. l 1 6 NNER //yy��AV L mq �arlfv -ASSESSOR S LOT NO. DME ADDRESS TELEPHONE NO. , C) JLL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners.across any;2 iblic street orway. (Attach additional sheet if necessary.) �. CA at wanj GENT OR CONTRACTOR TELEPHONE NO. g ,DDRESS )ESCRIPTION OF PROPOSED.WORK:. Give particulars of work to be done, including materials to be used. Please iclude locations of proposed signs. &44,tCy Signed ' 6 2!: r-Co ractor-Agent :or-Committee Use Only Xj �® . l (J This Certificate is herebyM- VDate AUG 2 5 2005 pproved/ nied I ~ i Jar C embers' Signatures: Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET ?OUNDATION SIDING TYPE I+��(� O� COLOR CHIMNEY TYPE / COLOR ROOF MATERIAL O�S /�/ O'er"�^ ` COLOR PITCH WINDOWS A1410bly� COLOR l^))� SIZE TRIM COLOR �4 DOORS v , COLORS �- SHUTTERS COLORS GUTTERS '`- COLORS w DECKS MATERIALS GARAGE DOORS COLORS SKYLIGHTS SIZE COLORS SIGNS COLORS AUG 5 1005 FENCE COLOR NOTESs Fill out completely, including measurements- and materials/colors to be used. Your 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. for N � i 9 ® j „ $ CA - —,(fit . . , � h Y a s110?I �o�✓�v��% NOID � . i �"a-1414Z 14-1 l , Via r: ,per, � �,•� . �� ����� y�,l�- � (�.� *r 17 E3 kj CPA f�R EikVA1�ON Y - : ... . .... ......... . ...... -$ ------------------------------------------------------- ----- ;E3 #SIGHT SIDE ELEVATION._r__ - _._................. IA4v . �` �•---`� ' � �?� �Yi.S�t'ter 5 15 r _ C •jam "t l`' G a )RGANIZATION OF "UUT1LITY AREA mom a MORE LIGHT IN WING ROOM N4,Z _._.._............_._................. I............. --............_._.! t a PORCH1 MAKE ENTRANCE MORE NEW ENGLAND WINITER APPROPRIATE ....IMPROVE FRONT FACADE •as 13 3 a9 PN'15 aOfixsTASLCBullfr BECISTBrDDr aCCreal ♦ xEM E[Aki o � E ♦ p (;` Y )o00 hs 5 'S I \ 4`3:•t � I � rl 83' -ooI Y4 .._ .� G ,II + N 7 ,I6 AinileCe►y,A7'fE9T ill 00 � = Y. I WesrBARFvsrAsi.e.MASS. TbWN Mlw!1 J 1 ,: Bet.oraolmo To FREDERICK E. AITrAme-m I 4s SCALL IINII40FF Slzpr,�,��ta� I Barnstable J , JJeaeoNBewmt-1ZrrwArmoLmw,Su/tvaYnita The undersigned,authorized agentuly ofY3 the1979 Barnstable Planninq Board. hereby certify that .�µ� CENTnrtvrLLe. MASS, the approval of this plan ties not been modified, amended or rescinded, nor the plan changed. r.Wro 7- ,n.r A[3nroro/nofrtr uimdunder t A 3 ia:•e T Q //ns✓u6di6iaAron cenfrn//ow SCALE Or Fet:T I OWN Ov�gN9Sr^MM•a PLANN/NB A5CLARG Ala/nr 0 20 40 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 1. 5 Application# ,::)6 0(00� 2Cp Health Division SF� fie -® L Conservation Division S F-_E&-N`TAC� L I Permit# Tax Collector Date Issued te Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approve y Planning Board d Historic-OKH Preservation/Hyannis Project Street Address 5 I a S t Village t/ f-Lt.r�le p � Owner �yid Al GLVI. 1`-e-m i 6//ahl SILAI*dress Telephone 1-5 o 8- 3 G a- 3 [ Permit Request U �� fie+ O r �� l a v Phe fo V6141 C, P&M f [ GA :L e bd, k roof . S 0 I a.r 0 o-ne,lS w i ( h o4- -FrOM j Sf±ec+ . Tbere w I l I be- L) 4 + pane[s c rare ij a- Kv -�Rt 4ew Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Q Reh2W I��e�h is hetSec0eC.tft\/0Jud+10h increa-se Project Valuatio �onstructio pe C Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. E Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: O�Yes ''❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)9./ `-n Number of Baths: Full:existing new Half:existing ~� new w o Number of Bedrooms: existing new w M -' rn \C Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use II BUILDER INFORMATION Name C 0fy 1+ 50 !ar Telephone Number Address U - U - I, o* 99 License# 774; T Home Improvement Contractor# 6 a 7(o Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3 a r n star bI T ranSA 0 SIGNATURE DATE t 5 ;. FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL r _ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l r The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.masagov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plutmbers Applicant Information Please Print Leiibly Name(Busmess/organization/Individu4: C Address: P. O . box 8 q City/State/Zip: Ca`�y'� ; M iZ 026 3 Phone 2 3l -t ti Are y an employer? Check the appropriate bog: Type of project(required): 1.YTAM a with . ❑ I am a general contract d Ior an employer � 4 6. ❑New construction loyees(fall and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp.insurance. . g, ❑ Building addition [No workers' Comp.insurance 5, ❑ We are a corporation and its 10.❑ Electrical repass or additions ?eguired,] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t . employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicaotthat checks box tgl•must also fill out the section below showing their workers'compensation policy information: t Homeowners who suburit this affidavit indicating they are doing all work andthen hire outside contractors must submit a new a$devit maicating such ;Contractors that check this boa must attached an additional abeet showing the name of the sub-contractors and Their workers'comp.policy inforrnatian. ram an employer that Is providing workers'compensation Insurance for my employees. Below is the policy and job site Information. Insurance Company Name:_.i i YTR'� / /1(-<-, CC) Policy#or Self-ins.Lie.#: `� S"- Expiration Date: szz S_z 0 7 �8- Job Site Address: �S 01(9`Y S-r ,n,t�T A11 � 7716 / Crty/Statcaip: ;L fob 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 up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby a fy under t pat and penalties of perjury that the information provided above is true and correct S� afore Date: Phone#; S a o 4 7— Official use only. Do not write in this area,to be completed by city or town official I City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 3.Building Department 3.Cityfforve Clerk 4.Electrical itnspector 5.Plumbing Inspector 6. Other Contact Persona: Phone#: iLmormation ana 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 trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartaaents 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 Mthhold 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 ofpnblic work until acceptable evidence of conliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with then 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 theDeparfn'ent 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 thould enter their self-insurance license number on-the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printedlegr-bly: The Department has provided a space at the bottom, 16 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 one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid afndavit 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 burn leaves etc.)said person is NOT required to complete this affidavit: The Office of Investigations would Else 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. s 617-727-4900 e-xt 406 or 1-1077-MASSAFE Revised 5-26-05 Fax#' 617-727-7749 www.mass.gov/dia I r MAY-24-06 02 :30 PM TALANIAN BUNKER INS AGCY 781 659 2499 P. 01 N,�oy,det NOTICE OF ASSIGNMENT . P OYER, - COMBO I.D. STATUI3 OF EMI LOYER ; CONRAD GEYSER DBA COTUIT SOLAR 000055540 Individwil P 0 BOX 89 COTUIT, MA 02635 COVERAGE GROUP 0055549 i I . I Coverage under this amsigmant The Waiver of Our Right to applies to Massachusetts Recover from Others Endorsement operations Only. For cove age is available on Pool policies, outside of Massachusetts, contact Contact your agent for details. the appropriate Pool or Plan for that state. INSURANCE COMPANY: E�1I DON BUNKER INS AGENCY R 320 WASHINGTON ST GRANITE STATE INS CO UCEa: NojkWELL, MA 02061 RESIDUAL MARKET OPERATIONS P 0 BOX 409 PARSIPPANY, NJ 07054-0409 , (800) 645-2259 CYMIN;028343479 §51FICATION OF OMATION CLASS ESTIMAT D RATEU CODE TOTAL ANNUAL PREMIUM REMUNERATION - .......................................... - -- -------------- ---------- -- ------- i INERY OR EQUIPMENT ERECT OR REPAIR NOC &OR 3724 $60,000 6,98 $4,128 ET METAL WORK-SHOP & OUTSIDE-TTOC & DRIVERS 5538 $0 6.72 $0 T BUILDING OR REPAIRING & DRIVERS: MA ACT 6834 $0 4.15 $0 . i L BING NOC & DRIVERS 5183 $0 4.80 $0 LOYERS LIABILITY 100/100/500 9845 T ARD PREMIUM $4,128 j t ENSE CONSTANT 0900 $284 E RORISM CHARGE 9740 $18 j S IMATED ANNUAL PREMIUM $4,430 I ASSESS. 4.4% OF STANDARD PREM, $182 . ---------- ANNUAL PREM. PLUS ASSESSMENT $4,612 j ALLMENTBASIS: Annual DEPOSIT PREMIUM: $4,612 IS 18 No r A BILL 1 }: 6terage effective 12:01 AM on 05/05/06 ; . i A OFNOTICE. 05/05/06 PREPARED BY: Paulette Hoffman ' EXT 514 + + VOLUNTARY DIRECT ASSIG>81sd" + • i RID: 1008555- COPY: AGENCY The Workers'Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street•Boston,MA 02110 (617)439-9030•FAX(617)439.6055'www.wcribma.org ' I r vaFa�roy, Town of Barnstable Regulatory Services RAM MASS. ` Thomas F.Geller,Director m� BuRding]Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, p�" ,as Owner of the subject property hereby authorize C ov t�-t�D C�;vr'S" to act on my behalf, in all matters relative to work authorized by this building permit application for. Z�S �1�� Ste• W . .�A�R-�i s'�Ac� c-� . (Address of Job) Signature of Owner Date Print Name Q TO RM&O W NERPERMIS S IGN i N s asp -goo- pF�l so 8 S-6 L x s, -(-o lo ✓ ! 4'r i { �/ f✓ NfFFf !' 1 r S � SUPPoL"T 17 r� i R C T A N s'EM:r P v :-NS'ThI-L 4'TU•o N W. BAQ►�S'o'R8�-� C kV- 508-9 - $ ykL Town of Barnstable Regulatory Services BAMSreBL% ' Thomas F.Geiler,Director a;ass �* Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME UYIPROVEMENT 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. ff- Type of Work: S O[a V at2\Oft"ai(_ a h e� I n' I I a o�Estimated Cost O O O Address of Work: Owner's Name: Q(�I/1(�. A .++,a Vl 1 l°hl 1 9,hIm C W a UOIe,cIra _ Date of Application: rL S to 4 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. S UNDER PENALTIES OF PERJURY I hereby apply for a permit the ent of the weer: c S b 6 I+sL Date Contractor Name Regis�on OR Date Owner's Name Wormslomeaffidav f �gRegulafiens of Bu and Stan ar s One Ashburton Place ' Room 1301 Boston. Mass usetts 02108 Home Improvement ctor Registration Registration: 146276 Type: Individual z Expiration: 4/8/2007 CONRAD GEYSER W CONRAD GEYSER a P.O. BOX 89 COTUIT, MA 02635 4 .L S Update Address and return card.Mark reason for change. EI Address Renewal Employment Lost Card .1 0 SOM-04/04-G101216 7k �o� na ea�D�C o�✓�aaaaa/cuaell2 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Regi�146276 Board of Building Regulations and Standards Ex�E32007 One Ashburton Place Rm 1301 Boston,Ma.02109 ual NRAD GEYSE — b p NRAD GEYSE � DLD SHORE RD. i TUIT,MA 02635 Administrator i ` Not valid without signature MAR.15.2006 9:07AM PLANNING N0.632 . ?.3/6 Application to , rI isinti>c > �n»tttti�aes In tha Town of Barnstable CERTIFICATE OF APPROPRIATENESS • with four complete Se",for the Wsuance of a Certificate of Apprapciatgnew under Secticn ,Ppp'all,�n Is hereby made,w �,�a�Acts end Resolves of Mesh n��, for proposed wetk as described below and on p ens, . of Ch I pot botO9�Phe accompanying this appb rawing�l c p . :149CIII:CXjgG0lt1Ea THAT APPLY: oD tructlan: New ❑Addison "A, rotian 3 U Wil for WOO COP lW House ❑ Garage ❑ Commercial. ❑ Other Indtl;d0 type of builft9. . ' 7, W.0 for Palt*W- . Sfgi E or Blpboarda. 13 New Sign Cl �ds8ng sign ❑ Rs ay ng t3Q g - P0C%x—'-5 It� Wall, ❑ Flagpole T�Other � Quit. ernri _.. [1iPg, DR VAINT �ppF ;SS OF PROpOS®WORK t S -1 K S ASSEWOKS MAP NO. o �A-� � o,1MN c� G A�fl AssEs�RS LOT NO. _ OWN"R god 3 S ''�. R TTB.EpHONS NO. S�$ 3 6�. 3t)-7 HOM I: ADDRESS 2 c f�3('ri l Sit Ip L{2 9" 7 7- D ADDRESSES O AEUTTlNG OWNERS,lndudtng those of ad]ioent property owners&cress any pl l�l. aAM At ach addleanml sheet K necassarY•) publb i street otwaY ( *&0 en +• o ND �'T owl 2 Az gS �.1�G ST MANILO o !a� i 4T OR CONTRACTOR � AGE•; ©T TELEPHONE NO. SO — 2 8 y L AD I ZESS J 4 DF-A;RIPTION OF PR EOPOsD WORK Give pwttculars of work tp be donek Including materfals to be used. Please Incl.dB loll of proposed signs. SQvrkc� Sot- P+bv-o v 0( pl c S 2-4 ® ►k 'T Ek'F- S'Vry � � P Signed pwnerConita r,ADB A• CO-, � Committee Use.anty This Cefdcete is hereby Date 'c ppma ended JU MAR 2 7 2006, Com fts Members'Signatures: TOWN OF BARNSTABLE HISTORIC PRESERVATION 4 8 As PTOAll Ls�f 8 s� s -u y L-g S•C�y •F• .; r - - _ SuPPoR •r W1Nktl- 17 i fZoo� sN �soo�i �ttG. f � M aM-rT A• N:l V-�Ml PV MAR ..2 7 ,2006 w. B�a ►�s -rag �-� TOWN OF BARNSTABLE ®�-.v�.� �o c.A-ft 5°'8-ti 2-8 -Y `f q 2-- RISTORIC PRESERVATION p v P t l o#,l gkc r- :D V-S Z fj #21S i '* N ; +h .tom 11 0004Q0 1 ' F ��sc.Dr1 G Sp Cc DECE � VE MAR 2 7 2006 TOWN OF BARNSTABL I HISTORIC PRESERVATI ' L ASE-300-DGF/50 3` Solar Module The World's Single Most Powerful Photovoltaic Module is also the Most Reliable. Utilized in a wide range of applications,the ASE-300-DGF/50 is the world's premiere solar power module. Extremely powerful and reliable;built to the highest standards, the module delivers maximum performance in large systems that require higher voltages,including the most challenging conditions of military,utility and commercial installations.For superior performance,quality and peace of mind,the ASE 30D- DGF/50 is renowned as the first choice among those who recognize that not-all solar modules are created equal. Faster Installation ■ Large surface area requires fewer interconnects and structural members ■ All module-to-module wiring is built right into the module o Multi-Contact Plug-n-Play connectors mean source-circuit wiring takes just minutes Is Unique mounting systems available for residential and commercial roofs eliminate need for traditional mounting rails,heavy ballast,and roof penetrations More Reliability o Bypass diode protection for every 18 solar cells in series,thus minimizing power loss,and mitigating overheating/safety problems ■ Advanced encapsulation system ensures steady long-term module performance by eliminating degradation associated with traditional EVA-encapsulated modules ■ A weather barrier system on both sides of the module protects against tears, perforations,fire,electrical conductivity,delamination and moisture a Patented no-lead,high-reliability soldering system guarantees long life and l ensures against environmental harm should the module break or be discarded Higher Quality C Each of the module's 216 individual semi-crystalline silicon cells is inspected and power matched to ensure consistent performance between modules ASE-300-DGF/50 diode cntalline octagonal Si ■ Every module is tested utilizing a calibrated solar simulator to ensure that the housing with bypass tubes are drawn from electrical ratings are within the specked tolerance for power,voltage,and current diodes,UV resistant the melt,then laser cut ■ Module-to-module wiping loss is factored into the module's labeled electrical cables with MCG- into wafers.There are noconnectors. losses due to sawing. ratings by testing through the module's cable/connector assemblies Designation: Independently Certiffed DG=Double Glass ■ The ASE-300-DGF/50 is independently certified to meet both IEEE 1262 and IEC F=Frame 61215 Standards /50=Nominal Voltage at STC ■ It is also the only module in the industry to receive a UL(Underwriters Laboratories)Class A fire rating Flexible Versions D C E 0 V E ■ ASE-300-DGF/50 is available with power ratings of 285,300,and 315 watts. A A variety of wiring and framing options,are also available upon request. MAR 2 7.2 OO6 Additional RWE SCHOTT Solar Advantages ■ For reliability,energy savings,and a dramatic reduction in material waste, T N OF BA jABU RWE SCHOTT Solar has developed the patented EFG(Edge-defined,Film-fed PRO TION Growth)process that allows material-intensive wafer sawing to be replaced by highly efficient laser cutting SCHOTT. ar 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map iLL Parcel 0 Permit# Health Division _ r5a 61w'P 7,��// Date Issued a S Conservation Division �� �66 Fee / 3� 3,0 Tax Collector I Application Fee W Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address s J rt P Village P4_4;_ r S � Owner nlvd C LK Address Telephone / a!o( -2) 2'?— 7 2-13 Permit Request 55 f b✓ // is. S S'1C 2,2' vc - 1-J 1 c So Square feet: 1st floor: existing N 9 0 proposed /S 2nd floor: existing proposed Total new Valuation Zoning District AS Flood Plain Groundwater Overlay Construction Type W"a 4— Lot Size �- S� 16,4 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family p"If Two Family ❑ Multi-Family(#units) r=� r 6 Age of Existing Structure 30 if & Historic House: ❑Yes %No On Old King's Highway: Yes 5 No C) Basement Type: % Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) — Number of Baths: Full: existing new Half:existing ne:27 Number of Bedrooms: existing 3 new _ rn Total Room Count(not including baths): existing 6 new 5 �`-' First Floor Room Co nt Heat Type and Fuel: d Gas ❑Oil A(Electric ❑Other Central Air: ❑Yes 9No Fireplaces: Existing k New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes A No If yes, site plan review# Current Use G, deft z5ftJ Proposed Use // c BUILDER INFORMATION Name (�*�vts J Telephone Number _goo Address ��a �I� �l• -License# D g -7 00 b 7�LA , Mch . Home Improvement Contractor# �2S Worker's Compensation# i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �l ` SIGNATURE DATE j - r FOR OFFICIAL USE.ONLY PERMIT NO. DATE ISSUED - }" MAP/PARCEL,NO. ADDRESS f• VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION e FRAMEO a INSULATION ; ` FIREPLACE ' I ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL I GAS: ROUGH FINAL FINAL`BUILDING DATE CLOSED OUT r ' r ASSOCIATION PLAN NO. , r --- — The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street, 7`h Floor Boston, Mass. 02111 t Workers' Compensation Insurance Affidavit Building/Plumbing/Electrical Contractors 4 r. v^',.--.. ..r. . •^a..r 'q-.: ro. ey.T !tc'^i �. �'x' r y,. A'pplicantinformation. ;�• °^ ` `.`�leasePRIIVT1ef'tbly: zfif t F r k ar, �q Mgr r r. s name: CJ1S e1—, G 1 address: city y ^Y�t ,t�t dl. stater( zin:aZS3 / phone work site location(full address): ❑ I am a homeowner performing all work myself. Project Type ❑New Construction ❑Remodel I am a sole proprietor and have no one working to any capacity. '('A Building Addition wio 5 ..,;�,. ..r-a- ., ,:1—, .f.., :::4..,_�,. ..,... ..f-r.:. •_,..... .,. ._. . IFS. :t'.-+h: - ..�' . - ..., ❑ I am an employer providing workers' compensation for my employees working on this job. company name: address: cirv: phone#: insurance co. policy# �1.5:-:�.k'Sr.:s.-..,<.�wL_.,.....:4'�.s...,....�..�.,:..ss._ •_,-w"k� .....,i �.., .•.....[�.cs...�iN<a.,fy G�..:.1�..e.�•.4..Kt•.A..ef.4. .t- .,�..,�.>...,^—.i-, s Y... •.J.Yr.�,;a.'.2...•['i.t-...tS a,,V:.1 1'{j L.,.i v��W '. ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: Company name: address: city: phone#: insurance co. policv# r.tx.,:.,...1-,�R__� �.,..�,..J' 1, r.•+,t...f.n,..:', f bi C.vE.r,� .�k.. 4 f1:,t s.. . f _ r..+ .,�'..e Ath`- S 7 ... ,.. .._ :i:r_a::i «ZPk,f '!, ...J.ku _,say,.7„. .�6 ;;_Ci .*�M�',S,.a,S"x.;.;�.•. �,r��. t' company name: address: city: phone#: insurance co. policy# Attach additional sht t rif net essa` K Q° roy 't* ��a 3 t i fy' tid b r" ._._,_ __a... ry3l...-L.-, M"s,..3k.,.a�n't7.mm4 Yvu.t.,res�5+s:.,.J._.G fi�u-3.1�,.,.fiin_ ..h.f�.r[Z.dvc'n..f"J•.,A.b�:aT�ti;'...-5^rs.ree w,N+�,"ke4`.,. .Ld rc.+�as_w ..i Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. /do hereby certij u r►he pains and pe ties of perjury that the information provided above is true and correct Signature Date _A�/ag Print name Phone# L2 Z S3/ Fcontacl only do not write in this area to be completed by city or town official n: permit/license# ❑Building Department ❑Licensing Board f immediate response is required ❑Selectmen's Office ❑Health Department son: phone#; ❑Otheru�si�°'.r's'"�"�r.". -'T ., _ ....; -.-- L -�J.�'.1 �: ' �,.�,..•�"•"�5.�'p:.� :,sue;..., .Szr.��r..• I , 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 of this chapter have been presented to the contracting __ authority. �rq� �i• a � +^s �^� Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. -� 0'�•� MI'MMI }1£..:'•'� � `. k{''xYt 1 Pfv'� Kd #at*, h�'ror'rtlxro+ Yr W7: Yw' ti23'i�:. v+r�S� i, i n&.•.� 1 ? City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to 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. N.A � T k *I" w V � 5' rq Ranue, T rs .fi iTe:.,,,�, r ,m! ,�,.��n f s i+Wti. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston, Ma. 02111 fax #t: (617) 727-7749 phone #: (617) 727-4900 ext. 406 730 CMR Appwdi:J Table JS.2.lb(continued) prescriptive Packages for One and Two-Family Residential Buildings Heated with Fosatl Fuels MAXIMUM MINIMUM Glazing Ceiling Wall Floor Basement slab Heating/Cooling Glazing Wall Perimeter Equipment Efficiency' Areal(Y.) U.valuL; R-value' R-value R-value R-value° R value' Package 5701 to 6500 Hating Degrte Days' 12/. 0.40 38 13 19 10 6 Normal Q ° Normal R. 12% 0.52 30 19 19 10 6 6 85 Ai;UE S 12% 0.50 38 13 19 10 Normal - .... --•T--- ---15'/°._- _0 36.-- 38 i3 25 N/A NIA --6 ---—Normal-- ---- ------ - U '15% 0.46 38 19 19 10 85 AFUE V IS% 0.44 38 13 25 N/A N/A W 15% 0.52 30 19 19 30 6 SS AFUE X 18•/. 032 38 13 25 N/A NIA Normal Y 18% 0.42 38' 19 25 N/A N/A N°anal Z 19% 6.42 38 13 19 10 6 90AFUE AA 18•/. 0.50 30 19 19 10 6 90 AFUE I. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 3 5 T 4. %GLAZING AREA 03 DIVIDED BY#2): I2� 0 5. SELECT PACKAGE(Q- AA see chart above): G� NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J8.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. ' For example,3 ft of decorative glass may be excluded from a building design with 300 ft'of glazing area. I After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. 3 The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation: Ceiling R-values-represent the sum of cavity--- ..-- insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R.-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-fume construction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ° If the building utilizes elettric resistance heating use compliance approach 3;4, or 5.. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest .efficiency must meet or exceed the efficiency required by the selected package.. 'For Heating Degree Day requirements of the closest city or town see.Table J5.2:1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 . ,Do Alterations/Renovations $ 50.00 Change of Contractor/Builder $ 25.00 FEE VALUE WORKSHEET NEW LIVING SPACE q/ 1/ 0 square feet x$96/sq.foot= 10 x .0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x .0041= plus from below(if applicable) GARAGES (attached&detached) i square feet x$32/sq. ft. = x .0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $ 35.00 >500 sf- 750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf, 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x .0041= STAND ALONE PERMITS Open Porch / x$30.00= 3� • o (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) 22 Permit Fee 2—�j• J� Projcost Rev:063004 E rqy� Town of Barnstable Regulatory Services BARNSfABM v Mass. Thomas F.Geiler,Director �A id39. �0 rFowat°i 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 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: �eyh��e1 / / �jn�, Estimated Cost 3 o-co Address of Work: Owner's Name: L4 IQA2u,i7 A&,2 Gzi.a Date of Application: V_>3 LOj I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby a ly for a permit as the agent of the owner: 5 -3 fq) ,e A 5h , . " Date C ntractor Name Registration No. OR Date Owner's Name Q:fonTns:homeaffi day i 1ME Tp� Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.Geiler, Director �A i63q. �0 lFOMA�p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property j hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job) Signature of Owner 16 to Print Name Q:fORMS:OWNERPERMISSION Board of Building itcgu7Hti �s:an anc�`ir HOME IMPROVEMENT CONTRACTOR Registration: 114464 Ex pi ration: 9/20/2005 Type: DBA THE STERGIS COMPANY ' LOUIS STERGIS 8 STONEFIELD DR � � E SANDWICH,MA 02537 Administrator 0 W".0 , rift 71 $ a } r 1 � t 90-03- PAGEZ •.BC 13 3 49 PH'75 BARNSTA94E c0U11TY - REGISTRY Off OEEOS �TCONF.N WEERES ca. TFc )o o 4,y:�8�3 7 w o� •-� ! o` Fnsderick E..4i/foniemi\ i y.3o�' lo.az 1�.> 0 Z389 T Z QO BARNSTABLE COUMY (v RE(iISTRYOF pEE09 0 �• /y �/_I ; A�TRUECOPY,ATTE9T W VSl2�y,,,Q„ je(r RE018TER Q1: ilran K° � P i PLAN OF LAN00 11`14 WEST SARNSTABLE,MASS. 1 TOWN MAp•JII .b; , BELONGING TO lorr 15 / FREDERICK �E. AITTANIEM I SCALE! i IN=�ofi--, 5EPr81962 Barnstable July 23, 1979 NusoN BGMJ6—R/GN4aD LAW, S�stveYoae- ,'... The undersigned,authorized agent of the Barnstable Planning Board. hereby certify that v: �`{',, CeNremw—c.. Mnes, �-�. . the approval of this plan has not been modified, amended or rescinded• nor the plan changed. r vro - m:.on I PP /ltQt�.rvdun de.//Ie 9clbdiv.slbn conJre//ow t.A � G SCALE Or FEET TOWN OF BARNHTIt etLQ PLANNIN O O 0 i GI�7`a G Bo,4 flO Aoli,y 2 d as>�a QovdalJ...re a ''. 7•Sl.rl`�,y ti.+ur•om—i--lC]dlllSC — .:I�;:.Cife O� 7/23(79 1 '' 9 BOISE- BC CALCO 2003 DESIGN REPORT - US Monday,June 13,2005 10:53 Double 1 3/4" x 9 1/2" VERSA-LAM@ 3100 SP File Name: BC CALC Project'F601 Job Name: Aittanieni Residence Description: Farmers porch beam Address: 215 High St Specifier: City,State,Zip:West Barnstable,Ma Designer: Bill Campbell Customer: Lou Stergis Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Standard Load-5 psf 11 psf Tributary 03-00-00 A S. 11-03-00 11-03-00 BO 61 B2 591 Ibs LL 1688 Ibs LL 591 Ibs LL 356 Ibs DL 1186 Ibs DIL 356 Ibs DL Total Horizontal Length-22-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 22-06-00 Live 5 psf 03-00-00 100% Member Type: Floor Beam Dead 10 psf 03-00-00 90% Number of Spans: 2 1 Roof Unf.Area Left 00-00-00 22-06-00 Live 35 psf 03-00-00 115% Left Cantilever: No Dead 15 psf 03-00-00 90% Right Cantilever: No Controls Summary Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location Tributary: 03-00-00 Moment 3233 ft-Ibs 20.1% 115% 3 2-Left Neg. Moment -3233 ft-Ibs 20.1% 115% 3 1 -Right End Shear 785 lbs 10.6% 115% 4 1 -Left Cont.Shear 1275 Ibs .17.2% 115%. 3 .1 -Right Live Load: 5 psf Total Load Defl. U1574(0.086") 15.3% 5 .2 Dead Load: 10 psf Live Load Defl. U2231 (0.06") 16.1% 5 2 Partition Load: 0 psf Total Neg. Defl. 0.012" 2.4% 5 1 Duration: 100 Max Defl. 0.086" 8.6% 5• 2 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(.1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for 61 is 3". above is based upon building Minimum bearing length for B2 is 1-1/2". code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE engineered wood Connection Diagram products must be in accordance Guide accordance with the current Installation Consult project design professional of record or BOISE technical representative for connection design and the applicable building codes. Member has no side loads. To obtain an Installation Guide or if Connectors are: 16d Sinker Nails you have any questions,please call (800)232-0788 before beginning a=2,, d product installation. b=3 b BC CALCO, BC FRAMER®, BCIO, c=2-3/4" a BC RIM BOARD- BC OSB.RIM d-12 BOARD-,BOISE GLULAM-, VERSA-LAM@,VERSA-RIMO, C VERSA-RIM PLUSO, VERSA-STRAN D'rm VERSA-STUD@,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 • Application to ®ib Rinq'o 3ftbWap Reginal TKaDrit Miotritt ODt7 mittPE In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS ation is hereby made,with four complete sets,for the-issuance of a Certificate of Appropriateness under Section ;hapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, igs, or photographs accompanying this application for. ,K CATEGORIES THAT APPLY: ( ' • U1 ❑ New ❑ Addition Alteration [erior building construction: licate type of building: House ❑'Garage ❑ Commercial Other tenor Painting: c ins or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign ucture: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other s OR PRINT LEGIBLY: DATE 0 ZESS OF PROPOSED WORK ASSESSOR'S MAP NO. ER A-jtUr,^ P,w An4 MAL 6e de - ASSESSOR'S LOT NO. �5 ADDRESS TELEPHONE NO. NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any street or way. (Attach additional sheet if necessary.) r � S S�— S a_,f--A t 0 S T OR CONTRACTOR t vzs. Iq J Lenv-1.< TELEPHONE N,(569 -776— 0317 ESS RIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please e locations ofproposed signs. (��� 1'��1�Yu,�-�-y,..- !•N L� �A'ts J �'41r,�.,,��5 l�r,rc�, - A" Signed _ Ow o ctor-Agent ommitn 5e-0'nay llil. POVFD U U 1 2 �is Certificate is hereby Date enied TOWN OF['-ARNSTAR'. _ HISTORIC P ESE R° ;'";''tte embers'Signatures: Town of Barnstable '"� ' Old King's Highway Historic District Committee SPEC SHEET . APR 2 Y 2005 aMATION 1 TQvjN NlSTopuc pRE ERA BCE AT10N )ING TYPE l/V� ( �n D G COLOR namy TYPE i'V I./1 ` COLOR Dp MATERIALS Q '?-We _COLOR c !j �I TCH 7�t a%S�'1�� COLOR � NDOWS SIZE� � :IM COLOR FORS 3 F J 5Cr (� O� COLORS ! J =TERS — COLORS TTERS 1.,—!� COLORS 1 'C CICS g MATERIALS c GE DOORS �/Cts' COLORS KYLIGHTS SIZE COLORS GNg COLORS ENCE COLOR ESi Fill out completely, including measurements and materials/colors to be used. Your copies of this fozz are required for submittal of an application, along with Your copies of the plot plan, landscape plan and elevation plans, when applicable. in�erni `o o t o NIY- CJJ Lu �_. u � cm o cn cn y va r , r r R1 tt_ .•_. . /-N �t,Gt/1 Imo.W\� •r�...i•v.�._ -- �. - t New ` e� i X q- I y-" ,.. La Le�. IFGARAGE DOOi STREET SO MO FRONT Wecc 4� r►7,.c�`'s bD o c'; /� T� �/ �l6 Gills D+cc `� I ORIZONTAL PROPOKAOINS OF n ,L NDOWS ARE AWKWARD SIDE SLIDERS FROM MUDROOM NOQED • '7"C.t� L�r a L.0 ti --- -- --- - -- ---- - --- �'�• W1µ ___-''Uf -(�,r l�-g------------ 13 -Pd> l S S . �,� LEFT SIDE ELEYATtON REAR ELEVATION DOESN'T TAKE FULL ADVANTAGE OF SITE BREAK IN ROOF LINE IMPACTS f�� C v6L ++' BUILDING OPTIONS �C��iGll7t�EY✓t l o r4aS EXISTING OVERHANG LIMITS LIGHT INTO 3 IVING ROOM GARAGE DOORS CLOSEST TO LL® STREET SO MOST VLSI8LE PORCH POST 8 VIEW FROM WINDOWS Vf cc !! AL PROPORTIOINS OF T ���� ARE AWKWARD uu S FROM MUDROOM NOT USED = / .w uvu • =ate -------•------------- � -•W4---•-•---•-• -- ---_ v ^ _ cn cn O _!Q1 O IL FT SIDE ELEVATION � �j�y,,,�_ REAR ELEVATION DOESNT TAKE FULL ADVANTAGE OF SITE n z � Rz1 t QWAUTY OF OI POPOR LIVING A IMPROVED CONNECTION BETWEEN IQTCHEN AND EATING AREA IS CRITICAL BACK DOOR DOESN'T CONNECT TO OUTDOOR LIVING AREA MORE DIRECT,BETTER QUALITY CONNECTION BETWEEN OUTDOOR HOT AND INDOOR LIVING ALAS VERY l%A �o STAIRS TO BASEMENT IMPORTANT EXPENSIVE TO RELOCATE -moo- SHOWER BLOCKS VIEW, �► 5c) AWKWARD LOCATION, CONNECTION BETWEEN Xco ACCESS FOR FAMILY BATH OUTDOOR LIVING AND IQTC4 IENiDINING IMPROVE ORGANIZATION OF ry 940`NdR MUDROOM/UTILITY AREA xcno ISOLATE LAUNDRY;TOO NOLSY <� o ou L Om 0 oam WA"A MORE LIGHT IN LIVING ROOM MASMED w.s MAKE ENTRANCE MORE + ' NEW ENGLAND WINTER _._.__. ....._..._,.. APPROPRIATE IMPROVE FRONT FACADE AND ENTRY WALKWAY I rv'n'n�ni nP r":ARA(;F 14 J •; � ��•a h►�C�7 ��S 1GL�G�`�. '. �Q,� 1-7^ort f ��Pu�.f� t>�1 IMPORTANT- �er,-4 rl ,o u-a Rid ANY CONSTRUCTION THAT INCREASES LIVING SPACE BE ND j&00 0. FT. PER LEVEL MAY REQUIRE THE DETECTORS. NOTE: A SEPARATE PERMIT IS REQUIR D FOR THE _ INSTALLATION OF SMOKE DETECTORS-TH ELECTRICAL • X'�- IY-r�►�. - PERMIT DOES NOT SATISFY THIS REQUIRE AENT. DDDD DD GARAGE DOOP �- -1 STREET SO MOS aD D ODOM s14- I Xc�[' � - .�_. -- _ . - _ . SMO E TECTORS REVIEW ' FRONT ELEVA -t �� � C�e��o ✓' s REVIEWED 14 BARNSTgBLE BUIL ING DEPT. _. DATE � ARTME DATE OA q_ JRE RE U/RED FOPERMITTINGHORIZONTAL PROPORTIOINS OF A-,d / WINDOWS ARE AWKWARD _aJ 1 �� ' y I"�l bl(o SIDE SLIDERS FROM MUDROOM N ED ------ G A"d 7w. L8 —- - -------•--------•----- ------------- 0 CQ •Puy j -------------------------------------------------------- S l �,� LEFT SIDE ELEVATION REAR ELEVATION DOESN'T TAKE R)LL ADVANTAGE OF SITE BREAK IN ROOF LINE IMPACTS /A .Q v GL 1 BUILDING OPTIONS �/-f^1 yll y✓l l — �Xl s�3�.y EXISTING OVERHANG LIMITS LIGHT INTO LIVING ROOM Lii f 0� r--1 GARAGE DOORS CLOSEST TO L STREET SO MOST VISIBLE UL PORCH POST BL VIEW FROM W NDOWS �d L—. p V o s vize- 0 00,� z�� Z 3 Z,-, AL PROPORTIOINS OF 45; l; ARE AWKWARD I Lu S FROM MUDROOM NOT USED ald I�orc•� c� 1 X��� o --------------------------- ------------ ----- ------ cc < 4�2 ------------------- T 4 LEFT SIDE ELEVATION .< t� �j11 1e �el'f' REAR ELEVATION DOESN'T TAKE FULL ADVANTAGE OF SITE F L N � • W 0 t?p P.Z= F x `i .QpLILI Y��OF O R LIVING ARV IMPROVED CONNECTION BETWEEN KITCHEN AND EATING AREA IS CRITICAL BACK DOOR DOESN'T CONNECT TO OUTDOOR LIVING AREA MORE DIRECT,BETTER QUALITY CONNECTION BETWEEN OURDOOR HOT AND INDOOR LIVING AREAS VERY TUB STAIRS TO BASEMENT IMPORTANT EXPENSIVE TO RELOCATE SHOWER BLOCKS VIEW, 1 AWKWARD LOCATION, CONNECTION BETWEEN ACCESS FOR FAMILY BATH OUTDOOR LIVING AND KITCHEN/DINING IMPROVE ORGANIZATION OF ISOLATE LAUNDRY,TOO NOISY SHOWER R MUDROOM/UTILITY AREA K ©0 r-= 1 'ATM ------------- i W/U MA MORE LIGHT IN LIVING ROOM ! B� G6060 MASMAID ........ ............... .4LL �PORCH MAKE ENTRANCE MORE NEW ENGLAND WINTER APPROPRIATE =:7 IMPROVE FRONT FACADE AND ENTRY WAU(WAY wK-rintr i rV'eTlflN r1F rARAC:F IS CRITICAL BACK DOOR DOESN'T CONNECT TO OUTDOOR LIVING AREA MORE DIRECT.BETTER QUALITY CONNECTION BETWEEN OUTDOOR HOT AND INDOOR LIVING AREAS VERY -rug STAIRS TO BASEMENT IMPORTANT EXPENSIVE TO RELOCATE SHOWER BLOCKS VIEW, oax AWKWARD LOCATION. CONNECTION BETWEEN ACCESS FOR FAMILY BATH OUTDOOR LIVING AND KITCHENIDINING IMPROVE ORGANIZATION OF ISOLATE LAUNDRY,TOO NOISY MUDROOM/UTILITY AREA . l } ISM O mw ROOM O 1 -------- - WA"A MORE LIGHT IN LIVING ROOM Lmwjkom �138SaE i IWII - .-.- I I FORCH i ! MAKE ENTRANCE MORE NEW ENGLAND WINTER APPROPRIATE IMPROVE FRONT FACADE AND ENTRY WALKWAY EXISTING LOCATION OF GARAGE IS GOOD W/RESPECT TO SUN,DRIVEWAY, REST OF HOUSE Y l� �.a. I r l MPRO`w �— KITCHEN AND EATING AREA IS CRITICAL BACK DOOR DOESNT CONNECT TO OUTDOOR LIVING AREA MORE DIRECT,BETTER QUALITY CONNECTION BETWEEN OUTDOOR HOT AND INDOOR LIVING AREAS VERY TUB STAIRS TO BASEMENT IMPORTANT EXPENSIVE TO RELOCATE SHOWER BLOCKS VIEW, I= AWKWARD LOCATION; CONNECTION BETWEEN ACCESS FOR FAMILY BATH OUTDOOR LIVING AND KITCHEN/DINING IMPROVE ORGANIZATION OF ISOLATE LAUNDRY,TOO NOISY MUDROOM/UTILITY AREA 1 era ®O MUJEN` ©o o ------------- waucwA MORE LIGHT IN LIVING ROOM _ _ SABAGE MASMOM OFR �Qw L L [w,Y,od-+- I , ws. 1IKA n�3I MAKE ENTRANCE MORE NEW ENGLAND WINTER APPROPRIATE — — IMPROVE FRONT FACADE AND ENTRY EXISTING LOCATION OF GARAGE IS GOOD W/RESPECT TO SUN,DRIVEWAY, . I 1'lOP/MlAY ✓.a-�m l�I�c-(� �� 1� .► � McLo c,ey"-* s 'C w,,,_ �,/Yv`'�-�,S I r�y"��—' 1jl✓ y�7^� ��`c�rsti� 1 �c71^� ._ . �1 �v � r� �r = 1 � f-o,,n�-1�Yv ��c'n--- l �e�la,Yn ;�I��JS6 — �r�2 Ya'�'✓ rli yr A vJ �G,�� comic, JJ 2Z� r THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A DATA Department of Regulatory Services * BAMSIABLE, • MASS. ibg9. 1�� BUILDING DIVISION BY TOWN- OF BARNSTABLE t BUILDING PERMIT ✓ ' ' PARCEL ID 111 015 GEOBASE ID 5415 ` ADDRESS 215 HIGH STREET PHONE W BARNSTABLE ZIP - LOT BLOCK LOT SIZE _ DBA I DEVELOPMENT DISTRICT WB PERMIT TYPE MEMOD `CITLEIPTI.ON 12ESIDENTSALIALT/0 ADD PORCH; RE-ROOF, WI CONTRACTORS: STERGI S, LOU I S A. Department of ARCHITECTS: Regulatory Services TOTAL 'FEES: $123.30 BOND - $.00 tNE CONSTRUCTION COSTS $10,560.00 i 434 RESID ADD/ALT/CONY 1 PRIVATE M0n' j �► BARMSPABL E, MASS. 039. ' I BUIL ING�D ISION BY DATE ISSUED 06/22/2005 EXPIRATION DATE I I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN. CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES-NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED -_-N -�+ .��`+ -, FOR ALL CONSTRUCTION WORK: (APPROVED PLANS MUST BE=RETAINED ON JOB ANDS. WHERE APPLICABLE, S ARATE 1,FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS EQUIR D FOR (READY TO LATH). PANCY IS REQUIRED"SUCH BUILDING SHALL T BEr LECTRICAL, ING A MECH- L INSTA TI L 3.INSULATION. OCCUPIED UNTIL'FINAL INSPECTION HAS B �,.. E. I 4.FINAL INSPECTION BEFORE OCCUPANCY. I BUILDING INSPECTION APPROVALS PLUM NG I SPECTIO APPROV S EL RIC INSPECTION APPROVALS 1 1 I 04 I I I 2 2 2 I 1 I i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I I � �f WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED F04'BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I I I I I BU .ILUiNG PE RMIT ` t iI III I ' I I - I . I I I I • r \ t i