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0017 HOLWAY DRIVE
14 L.. Oxforde NO. 1.52 ORA ESSELTE 1®°ia ACTIVE .......... 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 HAMSTABM . Posted Until Final Inspection Has Been Made. Permit 3v.& • Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1974 Applicant Name: Marc DeNardo Approvals Date Issued: 07/29/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/29/2021 Foundation: Location: 17 HOLWAY DRIVE,WEST BARNSTABLE Map/Lot: 136-040 Zoning District: RF Sheathing: Owner on Record: BARBER,MARK E&MARGARET O Contractor Name: Framing: 1 Address: 17 HOLWAY DRIVE Contractor License: 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 14,975.00 Chimney: Description: Install Replacement windows Permit Fee: $76.37 Insulation: Fee Paid:) $76.37 Project Review Req: Date: 7/29/2020 Final: Plumbing/Gas Rough Plumbing: \Building Official F Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced wit_ in.six months after�ssuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is`inst-aalle'd 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department �C All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: sit <g 1HE ra��� 1L ®warn of B2'Lr sty ble ,Permit# & f Expires 6 nionths fi-ouz issue date Regulatory t©ry Services Fee * BARNSTABLE, poop 1639.. to° Richard V.Scali,Director 0�� � I) Building Division Tom Perry,CBO,Building Commissioner FEB 0 8 2010 200 Main Street,Hyannis,MA 02601 m TnlnlA] 0E `i A�� www.town.bainstable. a.us �J I' STABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY /Map/parcel Number /� a Arot Valid without Red X-Press Imprint �� 310 Property Address 1 / �7 0` 6c,,-,9L"yA fe• ��CJ ff6��YS]C�bl esidential Value of Work$9, 13 0'� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Mle 1 if Alva �X 10�,_/7 PW_ s Contractor's Name P A V 1,J- CA ZC A U Telephone Number _T- Home Improvement Contractor License#(if applicable) 0 2,+f 4 Email: -r-,h 6-P 0 cQ ZPGr'; [+ Ccti� Constriction Supervisor's License#(if applicable) C, S l U 8 ( 5 4- ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [Jf'gave Worker's Compensation Insurance Insurance Company Name t D-l__S Lo e__-P Workman's Comp.Policy# Vk 5 — -�/ S - 3 0 Copy of Insurance Compliance Certificate must accompany each permit. Permit We5kcheck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to yf �MOUQ-74 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 requuxed: issuance of this permit does not exempt compliance with other town depailment 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 �nrequired. SIGNATURE: /f v�o'` �� C:\Useis\)ecollikUppData\Local\A4icrosoft\Windows\Temporary Internet Files\Content.0utloolc\2PIOIDHR\EXPRESS.doc Revised 040215 f i . f II t 1 Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. I 1(print) Mark_E. and Margaret 0_. Barber __. _ as Owner Agent of the subject property hereby authorizes Paul J. Cazeault &_Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of Job 17 Holway Dr., West Barnstable, MA 02668 Signature of Owner. - --rA A- Mailing Address of Owner Telephone # 703-297-9829 Date 2/2/2018 i i I i t Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com The Commonwealth of Massachusetts Department of Industrial Accidents q SJ2 t Office of Investigations l 600 Washington Street ti. —'' '' • Boston, MA02111 wwwAass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizaEon/Individual): A-U L_ 01 d1V Address: io -?/ k-'-,�, r ry �S 7 City/State/Zip: 05 i_-,2 v i t-C_f:� Phone #: Are you an employer? Check the appropriate box: 'Type of project(required): 1P. 11 am a employer with 4. ❑ I am a general contractor and 1 employees (Rill and/or part-time). have hired the sub-contractors 6. El 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 8. ❑ Demolition working for me in any capacity. employdes and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ 5. We are a corporation and its 10.❑ Electrical repairs or additions required.] ❑ p 3.❑ I am a homeowner doing all work officers have exercised their .11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, S 1(4), and we have no employees. [No workers' �GvJ- comp. insurance required.] *Any applicant that checks box 41 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. 1 anz an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: i PU S o /Z—P Policy#or Self-ins. Lic. #: �/�/ ['_ 3 i 5 3 R 6 6 J 00 Z-7 Expiration Date: i/0 �} Job Site Address:�7�/ /wi4Y ) /,rr y C_- City/State/Zip: -?A1'/ys'1_1__AJlC A19 a�X66 � 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 under the pains and penalties of perjury that the information provideed above is true and correct. Signature: l 47&, e l Date: Phone#: S y � �'12-C9 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ® r ATE(MMIDD/YYYY) CERT RC ATE OF LIABUT Y NSURANC E 08/10/2017 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 CONTACT NAME: Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY fAIC, Ex (508)775-1620 we No noo"lEss: Sullivan@doins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIC 9 HYANNIS MA 02601 INSURER A: LM INS CORP 33600 INSURED INSURER B: PAUL J CAZEAULT& SONS INC INSURERC: INSURER D: 1031 MAIN ST INSURER E: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 181752 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCE SD WVD POLICYNUMBER MMDD/YYW MM/DD/YYW LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE DOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ RED RETENTION$ �/ $ WORKERS COMPENSATION /� STATUTE ERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBEREXCLUDED? I N/A N/A NIA WC531S386670027 08/10/2017 08/10/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paul CaZeault ACCORDANCE WITH THE POLICY PROVISIONS. 1031 Main Street AUTHORIZED REPRESENTATIVE Osterville MA 02655 Daniel M.Cry,CPCU,Vice President—Residual Market—WCRIBMA .@ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD i 'U it i �.J/l.j 'I:/ t -', -1 /•rii;7' F T ='�f7 --- •i'f?'v `l '� !: ce of Consumer Affairs ana Business Regulation 10 Park Plaza - Suite 5170 mwO Boston, Massachusetts 02116 Home IllaP ovement Contractor Registration Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2018 RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Marls reason for change. is SCA i :;: 2ohe-0s1-1( Address Ej Rencival Employment Lost Card i nj(_'��/.i.1!!r'�[LIP�/1 Office of Consumel-A airs&Business Regulation license or registration valid for individual use only r r� J`�Jt��P'OME IMPROVEMENT CONTRACTOR befdre the eXpiration date, If found return to: Type: �1 Registration: Office of Consumer Affairs and Business Regulation 1Q 3714., 10 Park plaza-Suite 5170 Expiration; :7/97201.8'- Supplement Card Boston,MA 02116 PAUL J.CAZEAULT&•SONS,INC. RUSSELL CAZEAULT 1031 MAIN ST _, r. >=i•...: / �� OSTERVILLE, MA 02658 IL Undersecretary Notvand SY1t1l0UtG4i nature Massachusetts -Department of Public Safety Soard of uuiiding Regulations and Staaidards I ('Uh.Stl'lll'tlt)n$Lf))CI'f'l.lnl' � t License: CS-10815T -: RUsSI;LL CA.ZEAALT., 2071 MAfN STREtT Brewster MA 0201 } •.✓.�.,w, ,bic.�G�,. ;( i.. F_xp(rati.n i Commissioner 11123/2018 I ' 77s-Qozo all AREALCODE 617 DRANETZ, DUBIN & STEPHENSON ., ATTORNEYS AT LAW 456 BEARSE'S WAY , HYANNIS. MASS. 02601 MARSHALL M. DRANETZ RICHARD S. DUBIN / JOHN C.STEPHENSON y � April 1, 1986 Building Inspector F Town of Barnstable Town Hall Hyannis , MA 02601 Re : Lot 25 Holway Drive, West Barnstable, MA Dear Sir: This office represents Thomas F. & Nancy J. Leckstrom, owners of the above described premises. Please be advised that this property has not been held in common ownership with any adjacent property since at least October 4, 1977 . Accordingly, it is the opinion of this office that the premises qualify as buildable under the Town of Barnstable Zoning By-Laws. Please contact me if' you have any questions in regard to this matter. Thank you for your assistance. V trulyours, J HN C. V,; ENSON, ESQUIRE JCS/db sessor's office (1st floor): ,� +` ' �' �"rEM Must' BE OF THETD` Assessor's map and lot number ...., :.J.. 7 . ........ SEPTIC OMp�.f�� Board of Health Ord floor): G��. f�$TA�-WDH C o� Sewage Permit number ......................�z�. --... ....�,�a.. MENTAL CODE d, STAILE, .... AM Engineering Department (3rd floor): ENV�R E�� ���®NS �ao�rbb 3q.a\0�� , (� 0 House number .............................�� ............J........... y®� N '' n v 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 ...... - . ... .L.I'1 ........................... /_ c� YL lrn TYPEOF CONSTRUCTION ....1!�--......Q.....:..::.......:........�.......�....................................................................... TO THE INSPECTOR OF BUILDINGS: . ✓ The undersigned hereby applies for a permit according to the following information: Location ...... <?.T.....#..'r.....s............. ....f.. �Tl;1.��'� 1.... .�.►........ 1 Y..f �� .1 ....... ProposedUse ...... -....................................•............................................................................................ ..............................................Fire District .....�......�. �I^. i:/'1�t ! Zoning District ......... - Name of Owner 1.. 'E?I?tl'ES.... .�4Y1 /...f-�?c�[3+1?�?�''`Address ... ...... }(✓ Cs�tl•..s .....G.?. .(. `� Name of Builder Address Z')7....17!?c...(.!'��...Cll'? 4...... Name of Architect . 4. . -4!c� Y �..1. .. ....................Address ................................................ Number of Rooms ....../.�...............................................Foundation ......!g7q..►'LC:1 ..................................... Exterior C� ..Ft�►„-f (,.��.i Roofing ......... C--( s, ��� ........... Floors ...... ...........................................Interior ..... . �..-�'.?...... :.. ......... �1 1tiE.......��• �. ..9� . Heating �T� ......�'.. C"—.............:.......................Plumbing ...�.......v Fireplace ...........................................................Approximate Cost .....17..:. C�........ .o................. cX Definitive Plan Approved by Planning Board _____ 1_�_'P____________191___ . Area �.1.......`S Diagram of Lot and Building with Dimensions Fee f/� .!.....(..........'""'�..-..... SUBJECT TO APPROVAL OF BOARD OF HEALTH IV v 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. Nam ... .... . ...... ...... ............ i ' Construction Supervisor's license .Q.�..�....:........... CKSTROM, THOMAS No 29232.... Permit for ... ............. Sing.�i�..E�L ily Dwelling ............... ... ... ..... ...................... Location: Lot�Q� ...... L)HIR lKu..Drive ....................W. Barnstable............................... Owner .....Thomas..L.e.c.k.s.t.r.om ............. .. . . .. . . . .............................. Type of Construction ....... ........................ ............................................................................... Plot............ ................. Lot ................................ Permit Granted ..........................April 22,..............19 86 Date of Inspection 7:7a'jr.'..-9442..............19 Date Cdhri�p eted .......P................ ........19 Mf I .f f i o�TMr�♦ TOWN OF BARNSTABLE Permit No. ... 2923.2 BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING °�ornv HYANNIS,MASS.02601 Bond x CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas Leckstrom Address Lot 025 & 40 17 Holwav Drive West Barnstable, i4ass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 'August..l.9!...., 19....II�........ s ... r ..`... .z.. Building Inspector T ��..�� °•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT = 7°B'° TOWN OFFICE BUILDING ruL HYANNIS, MASS. 02601 I• _ MEMO TO: Town Clerk FROM: Building Department 1 DATE: An Occupancy?Permit has been issued for the building authorized by 5 Building Permit $ . .. mV"ayl .........._.........._..........issued to _... �. ........... _..._.... _ _.._ ._. _ ...__._..... _.._.._ / I Please release the performance bond. ' •;<'o•a,q+';•arias: -:fir;. n• a r';•.,.,..., a PINK-DEPT.-FILE COPY/WHITE.-FIELD COPY/YELLOW-APPLICANT COPY ° BUILDING04 TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT IT VALIDATION ' - A=13b-40 � t3 . DATE dpril 22', 19 6 PERMIT N0. _ �232: APPLICANT Owners ADDRESS L 1,tr•C1 NPl ou? (1LJS1?r (NO.) (STREET) (CONTR'S LICENSE)'. PERMIT'TO Build Dwell in` 0 NUMBER OF �' (_ram) STORY Si ngl P• Family ')w-L1-1 ng DWELLING UNITS (TYPE OF IM 4UPROVEMENT)• NO. (PROPOSED USE) (LOCATION) LbV #25, HSP... ill/ to Lw`4V I)riye W. I<Arn F1 t ahI r., DISTRICT AT CT RF E_ (NO.) (STREET) BETWEEN AND (CROS�-STREET) (CROSS STREET),' . - SUBDIVISION LOT LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY _FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP.' BASEMENT WALLS OR FOUNDATION ' (TYPE) REMARKS: Svwago #86-266 AREA OR.,' Bond iN VOLUME 2074 sa. ft. ESTIMATED COST $ 17 iaoon' (If) PERMIT (CUBIC/SQUARE FEET) FEE . OWNER Thomas F, 14,I1-Irlr T :ar 1c^rrn, BUILDING DEPT, ADDRESS - 909 Attltttrn Rtrna.t� )<ri lc.�,r,•-�.,r ;:IA1 BY MINIMUM OF THREE CALL �- ......... _ _ INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB ATILT-T-rrr� ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOF ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUC;H BUILDING SHALLNOTBE OCCUPIED UNTIL MEMBERS(READY TO LATH 3. FINAL INSPECTION BEFOREE FINAL INSPECTION HAS BEEN MADE. - OCCUPANCY. ' POST THIS CARD SO 1T IS, VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL4 z 2 .3 HEATING INSPECTING APPROVALS REFRIGERATIO INSPECTION APPRO.VAL rEERING- OTHER 2 BOARD 0F HEALTH WORK SHALL NOT PROCEED UNTIL%THE ' PERMIT WILL ME NULL AND VOID IF CONSTRUCTION INSPECTIONS INSPECTOR HAS APPROVED THE VARI INLI{CATED ON THIS C OUS WORK IS NOT T ITED WLTHIN SIX MONTHS OF DATE THE STAGES OF CONSTRUCTION. CAN BE ARRANGED FOR BY TELEP•F: PERMIT IS ISSUER AS NOTED ABOVE. OR WRITTEN,NOTIFICATION. 4. f Assessor's office (1st floor): �C• /t .J� DDL / _ �F THE TO Assessors map and lot number :...1••:.. . 1........7...�........ Board of Health (3rd floor): Sewage Permit number i BAMSTABLE, . Engineering Department (3rd floor): �j ° MA°a House number o0 39 \00 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR ti APPLICATION FOR PERMIT TO ( t �CQ..........: ......� ... .. .�� :. .. ..L.)'.�..•-�.•-�>........................... TYPE OF CONSTRUCTION ....t`'��'r: .S?. ......... ,,.................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following'information: Location ..... P. ..... .��...s.........................1......t ' .,/T...... /¢�/....<!�.Y1..........w.:...��7.IeYt,f'�.14�0.�e.... `.. C. ProposedUse ... .. .1 .. ........................................................................................................:.......................... Zoning District ........�.... ..............................................Fire District .....W.`. ' �?. �`.5.: ..c .<. .:-::::...... Name of Owner h?X! .... /.Y. ►'Ia-�lJ ... ��ck S t? Address ....r�O (ibc.K►.. SK' . .dz Name of Builderr�.....V. hQ•14'.�r ( Address ..3.a.7..... �.ci Set��ac,l2 ........ ........................ 46,Name of Architect crL,.... y,�4.1,....................Address .................................................�e....... ......�.�....!. Number of Rooms .......:........Foundation .......C.O kkc . ............................... ......... .......... ... ............................... .. Exterior C/ ale�r 2ot.� �.�.c �`9641c............Roofing ....................................... .......5.!�.`� ) ...:....... . ............FI........................4............... F,,Q Floors .....;-:2........; .0011 .Interior ,�-1.��' .............................Plumbin -� .. Heating .....:..,............................................ g � 066 U � Fireplace .1 ............................................................Approximate Cost ...... ...............................:................ Definitive Plan Approved by Planning Board _____g ------------19 Area ...............:............ Diagram of Lot and Building with Dimensions / Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �I r 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 ............................ - .............................. Construction Supervisor's License ............ '...'�'....::.......... L:ECKSTROM, THOMAS A=136-40 No .:..29.23..... Permit for .. ao StorY.............. Single Family Dwelling,,,,,,,,,,,,,,,,,,,,,, Location ..Lot„25 & 40� .„ 17,_Ho w4y,,;Di:jye Y .....................W,..Barn t la�...................::........ Owner ......Thomas' LeCkstrom Type of Construction 'Frame Plot ........................... Lot ........ ' .............. Permit Granted April .22., 19 86 Date of Inspection ............... ...19 Date Completed ..............19 Ij Tug TOWN OF BARNSTABLE Permit No. ....29234... BUILDING DEPARTMENT { D8S I } TOWN OFFICE BUILDING Cash r...,...l/ uv HYANNIS,MASS.02601 Bond .......A'..Fj CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas Leeks trom Address Lot 025 & 40, 17 Halwav Drive r West Barnstable, mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Aug ust lU, 19 8.7 But'ding Inspector Application to 1 S�LP'OEN„ tP,N`S f I w 1 / e°r� ��",�► Old Kings Highway Regional Historic District Committee in the Town of Barnstable fora E' 1, CERTIFICATE OF APPROPRIATENESS ct r'" - rE 2: 2 Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building 0 Addition )Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3: Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repaintingpexisting sign 4. Structure: ❑ Fence ❑ Wall ❑. Flagpole ❑ Other (Please read other side for explanation and requirements).. TYPE OR PRINT LEGIBLY DATE —7- 12 -0/ ADDRESS OF PROPOSED WORK /-7 Nd1t)0q price ZV•69/442 / ASSESSORS MAP NO. OWNER R(a.Q/M di.EfCtn keQUie. ASSESSORS LOT NO. 6qv HOME ADDRESS J7 z0fl✓ - 0)0'0J CMG61-e� TEL. NO. •I -,2JJ 2' 2 09 3 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR �7hl C �`��fVTEL. NO. �J� 7�/-03o ADDRESS .PQ zo.4 Dwlj DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 19?OLX LIXIC On Arms(] P/e� 7b Ir,X/ V,v- ItW&& ZZ)14LYv� Signed ' Owner-Con tractor-Agent Space below line for Committee use. ceived'by�.H.D-C. D D D nn um 0 19 Fr) D Date_ L 9 --.-T`e I) to Is herebyIn) IffUII Date { J U L .13 2001 me T AI STAR F 01-D KING'S HIGHWAY Approved ❑"IMPORTANT: If Certificate is.approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ ADDITIONAL INFORMATION FOR MAKING AND FILING AN APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS The four categories for which a Certificate of Appropriateness is required are: (application for demolition or removal is a separate form). 1. EXTERIOR BUILDING CONSTRUCTION (new or existing buildings): An application is required for any exterior of a building to be erected or altered including windows, doors, siding, roof, light etc., that will be visible from any public street, way or public place. The following scale drawings are required in duplicate with application: plot plan (if addition = show existing buildings in outline), floor plan and elevations. Also required are snap shots of existing buildings, where additions or alterations are to be made. No plot plan is required for addition or alteration which does not touch the ground. 2. EXTERIOR PAINTING: An application is required for any portion .of a building, structure or sign to be•painted.that is visible from a public street, way or public place. Color samples must be attached to these applications. An application is not required when repainting existing colors, changing to white, or using colors approved by the Town Historic District Committee. 3. SIGNS OR BILLBOARDS: An application is required for any sign or billboard to be erected within the District, with the following exceptions: a. Existing signs or billboards on November 27, 1974 shall have until November 27, 1977 to secure an approved Certificate of Appropriateness. b. Temporary signs for use in connection with any official celebration or parade or any.charitable drive as long as they are removed within three days of the event. Certain other temporary signs that the Committee feels does not detract from ' the Act may be allowed with the prior permission of the Committee. c. Real Estate signs of not more than 3 square feet in area advertising the sale or rental of the premises on which they are erected or displayed. d. A single sign of not more than 1 square foot in area showing the name, occupation or address of the occupant of the premises on which they are erected or displayed in a residential zone. 4. STRUCTURE: An application is required to build or alter any structure within the District which is defined by the Act as a combination of materials other than a building, sign or billboard„ but including stone walls, flagpoles, hedges, gates, fences, etc. GENERAL REQUIREMENTS 5. Work on projects requiring approval shall not be started until the Certificate of Appropriateness has been filed with the Town Clerk by the Committee. Approval is subject to the 10 day appeal period provided in the Act. 6. No changes,shall be made from the original approved specifications without advance approval of the Commission on an amended application filed with the Committee. 7. A separate.,app.lica.tion must be filed with each project requiring a Certificate of Appropriateness. 8. Under heading of "Detailed Description of Proposed Work" give detailed data on such architectural features as: foundation, chimney, siding, roofing, roof pitch', sash and .doors, window and doorframes, trim, gutters —leaders, roofing and paint color. 9. Unless application is complete and legible and all material required is supplied, application will not be accepted or acted upon. Copies of the Act establishi 8g the Regional Histo nc Uistrict may be obtained at the Town Hall. 20Gj . 157 Town of Barnstable lJ Old King's Highway Historic District Committee 1 i5 SPEC SHEET I�I JUL � 3 �l �'h✓ wN of 1 e FOUNDATION, �>'C_. OLD S rItVSTAeLe Vy SIDING TYPEsIhjA�1 `S ` (I/ COLOR f MA (.1fQJn CHIMNEY TYPE COLOR ) C L ROOF MATERIAL PJC L e 6l_ COLOR na�IU U PITCH )d II"')., WINDOWS &M COLOR SIZE TRIM COLORt°,L� DOORS COLORS SHUTTERS COLORS GUTTERS COLORS (W DECKS MATERIALS GARAGE DOORS COLORS qrW SKYLIGHTS SIZE COLORS SIGNS COLORS \ G h.0 u FENCE (/LU 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 D � �LO JUL 13 2001 2 00 r 5-. TOWN OF BAR STABLE OLD KINGS HIGHWAY Fred& Susan Legate 17 Holway Drive West Barnstable,MA 02668 Window&Door Schedule: Front Elevation: Window: Andersen TV 2442 to match existing. Door: Using existing Rear Elevation: Window: Andersen P4035 with flanking casements CR135 � � J �• 1 r * v p 5 ' :rr v 1 '°t! � .� P j � � Pc � ! .r+� i °f' a � 4. T .. .. . � ��vl .L.. v .J?.. .�P r.c a. -. i ..�P,ht.C _i f.'�f \.1.., .y .-eyS • .. .. ... .. F^yHaXA�:' T � 4 ■■■ i® ; ■■ ■ � II ■ I! r I ../rr i �l _,__ J • o ! O �� 1 I I 1 1 1 I v ' I 1 1 1 i I LEGATE PROJECT - KITCHEN ALTERATIONS The House Company May 30th, 2001 AS-BUILT FLOORPLAN" Scale 1/8" — 1' • v�� L 'LK lob K�.A�� �, C:fFS�E� -ice f_."W,ZN N• Il 1�,,ICA i,.•,� t.0 U!,ALnL WALL Lt ocL v,%mtiV . •N6uJ �'�yi-�a 135p ��" �-1 =�b''4Ne,a w^u. „I.h: OAtt- � , . f I� gc�' �Z� `� (02• — E ' f tna. SVe Z Ea O 4,V .Fffv-tiv 31,• 12' �o' 4—a31 c�tcLc,c` T3cPw=2 2 RILL oLrt"s ` bv1 SINx sE cmp.Lzz- I 3 D�+wtIZ L Au�� t�arAC� — SSLo O PAtL � pgt;f•L� �, � L•',t�Ls,LS i LrLr„v. � 1jQ-Awt.2 " , °iC_ktT - _ Z Rci<•=o1rrS Y�olccs a^"a'N` Y i oases � ��5 beaw � '/�OJ 3 �¢a�tZ ➢tio.• � _._ LN !-ND i 2 IrWALL i /mil y.�•a�- ALL WA,L V i WALL I t '1 i 1 ,a N _Z 3�" 14-Lr) J •S -Z ACK.. �n15r�.�t,�a-� Try fcr�n a-rh / 'PAw>rcc�� i 1�LASS 33' cj"D GILASSAj m,riLloa le1L ASS n+uwcrv' ITT k 15V% ��� W,LJOcW •SEAT I �Iyi $tZAi�DyWIN� 2A�S� PgNEt-. S�l vAPLE- WCO� , UrAC1� w�1�-rE •�1 Nlsw- .. ����,_� ����xs'.lxx�t w 1/..� { ' et N .wwbc�xj ties-J ZC2x8) • IN TIIIS 1 � �i✓K,J// Nov— Nfv1 wMl f L IST t-�U J E t-E�?T0 2 s�a.�-r��u Pw �S! ' ... E F'IATG�-� E>G15i'. Q/�'TrH �✓-I91�i Ci "1T> __ O ht rn4 t?f j 157 II T.L _ ,- -f--- G 213 5 QQo 3 S G 2135 I."— ICI 5-r: to vu. N E1-4 u PW. ice LOCI.116D �TG3-a 5191 N Ci T4 - JC'TGHI • i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` Parcel Application #raQfli elo -� Health Division $6 � Date Issued 0 Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address W Z ve Village Owner Su.Shrk b t�'1/e�e�r�G F—��Z��- Address es to)-I Telephone i5bFf- -3G-A_ -7 Permit Request k,�_ `ta g-W C-Veet, ;�OVIL Qit G D C� rri y r- Square feet: 1 st floor: existing 1710 proposed 2nd floor: existing OW proposed —G— Total new � 6 Zoning District F Flood Plain Groundwater Overlay Project Valuation 30.OGQ _ Construction Type Lot Size G Grandfathered: Y Yes ❑`No If yes, attach supporting documentation. Dwelling Type: Single Family °lB' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes & o On Old King's Highway: ► Yes O No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑Other -5c"ek— ov�Q Basement Finished Area(sq.ft.) V Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new C Number of Bedrooms: existing —new Total Room Count (not including baths): existing new ' First Floor Room Count "— Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing —New _ Existing wood/coal stove: ❑Yes 0 No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ r Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 95 ,vet Pal& Zoning Board of Appeals Authorization 0 Appeal # Recorded 0 Commercial ❑Yes 1 ❑ To If yes, site plan review# Current Use r Proposed Use APPL T INFORMATION (BUILDER HOMEOWNER) -,Name NO-_ 7 4 C Telephone Number 7 1 Address -G• X. License # qq Home Improvement Contractor# Worker's Compensation # ALL C NST`RUCT ON DEBRIS RE ULTING FROM T IS PROJECT WILL BE TAKEN TO SIGNATURE DATE' ' (� i" S 1 , FOR OFFICIAL USE ONLY APPLICATION# ' DATE ISSUED ' MAP/PARCEL N0. :ADDRESS ; VILLAGE OWNER � DATE OF INSPECTION: FOUNDATION Sm�tres ol� 4 " o x*cl4_- A- .-FRAME INSULATION FIREPLACE } ELECTRICAL: ROUGH" FINAL PLUMBING: ROUGH FINAL • . i GAS: ROUGH FINAL _ ' FINAL BUILDING I ' f ' DATE CLOSED OUT ASSOCIATION PLAN NO. - t C ' . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesfigations 600 Washington Street ,Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information / Please Print Le 'bl Name (Busincss/Oro�en/Ind;vidual): �'SP13'tf�Q �1'���e �1 Address: - � City/State/Zip:�Z Y�z C)A01G Phone.#: �-" `L� Are you an employer? Check the appropriate box: Type of project(required): [2. ;el I employer with 4. ❑ I am a general contractor and I . 6. New construction ployccs(full and/or part-time).* have hired the strb-contractors El on the attached sheet 7. ❑Remodeling m a sole proprietor or partner- The su se nib-contactors have ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition o workers' inCC COS.insurance.t ��' c�rran S. ❑ We are a corporation and its lo.❑Electrical repass or additions 3 ❑ I aim a h m�wner doing all work officers-have rs ave exercised their 11.0 Plumbing repairs or additions myself:[No workers' comp. right of exemption per MGL 12.❑Roof repairs in n-ancc required_]t 'c. 152, §1(4), and we havt no -13.0 Other employees. [No workers' camp.insurance required.] *Any applicant that ehecl5 box#1 court also fill out the section below sbowing their worlcczs'eornpcn-ijon policy infamratimL t Homeownaet who submit this affidavit indicating they arc doing all work and thrn hire outside mu raetam must subrmt anew affidavit indicating such. I{`antractors that check this box must atiacbed am additi a anal&beet showing the name of the sub-eantrnttrns and stale whctha or not 1hosC rntitiec have urrploy=. If the sub-contractots have enIPloyces,they must prwi db their workers'comp.policy mm-nber. I arms an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Sclf-ins. Lic. #: Expiration D ate: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to scenic coverage as required under Section 25A of MGL C. 152 can lead to the imposition of r-rinririal penalfhcs of a fins tip to $1,50o.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 ag ' c violator. Bc advised that a copy of this statEmedt may be forwarded to the Office of luvcsti tuns of the DIA or' cc coverer c verification I do hereby certify u altars of perjury that the information provided above'is true anjd correrl ' Date: IG 0 " Si ahrc: Phone Official use only. Do not write in this area, to be completed by city or town offtciaL City or Town: permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3, City/Tow-a Cleric 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires ail 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 enfty, 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 employecs. 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 Iocal 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." AdditionaIly,MGL ohapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract.for the performance'of public war!until acceptable evidence of compliznce with the m.�aance 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-contractvr(s)name(s), address(cs) and phone numbers) along with their certificate(s)of h nrance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LIP)with no-employees other than the nambers or partncis, arc not required to carry workers' compensation incunance. If an LLC or LLP does have :mployees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial k,ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should )e returned to the city or town that the application for the permit or license is being requcstrA not the Department of ndust W Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' :ompcnsa.tion policy,please call the Department at the number listed below. Self-insured companies should enter their ;cif insurance license number on the appropriate line. ;ity or Town Officials ,lease be sure that the affidavit is complete and printed legibly. The D cpartment has provided a space at the bottom ,f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant -lease be sure to Ell in the permiVliccnsc number which will be used as a reference number. In addition, an applicant hat must submit multiple pormit/license applications in any given year, need only submit onp affidavit indicating euaent .olicy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or )wn)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the pplitant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be tilled out each ear.Where a home owner or citizen is obtaining a license or permit not related 4o any business or cormacrci�l venture _e. a dog liecnse or permit to bum leaves etc.) said person is NOT-requircd to complete this affidavit he Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, [case do not hcsifate to give us a calL to Department's address, tcicphone•and fax number, Tht3 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6QQ WasEn.gton Street Boston, MA 02111 Tel. # 617-727-490.0 ext 4.06 or. 1-M-MASSAFB Fax# G17-727-7749� :d 11-22-06 www.mass.goY/dia i JOB Aww6 Ivrr ✓� A� TAYLOR DESIGN ASSOC., INC. SHEET NO. OF 3 P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY- y °T DATE `4�. 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Box 1313 FORESTDALE, MA 02644 CALCULATED BY Gm Z DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE IT A— 'r l ALE ..........._.............. ............................. ...... .... ...... ..... ..... _....... ..... _... ...... ..... ....._ .... ...........................v................_............................................. ..... .... ..... ...... ..... ......... ..... ..... .......:.... ... ......... .......... ....:.... ....:.... ....:.. ....:.. ....:.... / -iw+..' '161. .�................... e ��.w. _......_._4t�..............._.:..1..��-1:�.K ..t- ..... .... .... ............. �. L ti €..............:_.......................>.............;.._..........;.............:......... ..... ..... ..... ...... ..... ..... ..... .... ...... ...... _..... ..... ..... ..... ... ..... ..... .......... ......... i � ;F STER `�k� ....:.... ...:.... ....:... ... .............._......... .. ... 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Box 1313 FORESTDALE, MA 02644 CALCULATED By Gz 'T DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE V7 1449 cat vim- V T CALE ..............:............_''s.............;.............t..............:...........................t.......... ..... ...... ...... ._.. ..... _...... _ ..... ..... ...... ...... ...._ ..... ...... ...... ..... ..... ...... ..... _..... ...... ... ..... ...........:.... 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Z...-........l................ .....k........... ......... .... - l...c.«..... ...................._...... Z_ 1. S :.....................................................................................,...........:........'7..1...?�..............................<................. ... - ,J....... ......Q.S.I.... .. a ... ..�.. 3 : "-r7 . z 110 >l��'A r Lr)RI f/IE" NB 7 36"30"B 160.00' 160.00, + 0 cp O qOx LO: 24 • . -- a4.s• �,.� . I IS.B tE7�5;Tlt46r f � i E o LOT 05 —. 160.00' __.. tNFo. -pRavID1!0 26 I LOT 2.9 $2A V'A-4s -po $ fit P 'b-I 1Taq rD ES. Z;OA,L. „RF., This MORTGAGE INSPECTION Plan is Ford FLOOD TOW W N: _ .=�" - ,1 - " 9 ZONE „�•„ EEf.) REF: _ 92�i ,J;���--__-_- ---- REGISTI;Y -----BUI ER• -�I://_��1�9E'L_,9_c�__G�JRlc' l/ ' �- -- ---•------- --- j ;I�TI - - , ' -- - -- PLAN' REI•' 2,,1y.�"JO% A ICJ'AL,l4 =--� ----- F�Y to .C. . ('.) __('..�1�.,'l f,:: - T'H:1F' ` o F . SFi04YN oN :THIs P _ ....... .� . :�� ��, YAN EE SI R\'El' LAN 1S LOCATED ON TI1L GR00M) !v _ SHOWN AND THAT ITS POSITION DOES (:ONFORM r'Al1LK �-l)IVYI.;Ll A04 1. l TO THE ZONING LAW SETBACK REQUIREMENTS OF THE ' �� SOB (SUITE 1) TOWN OF _ Q6$N�,Z�'�1 -------- `3 +k+e_Hrrr+>:tiv ' IT _DOES_ NO ---_ AND THAT , 3a068 " INDUSTRY ROAD T__ ON WfT'FiIN THE SPECIAL FLOOD HAZARD \ �(jF rP` A ''A ' ti SHOFY\ ON THE H.U.D��T MAP DATED ..?,.,"J2SS'a Q iAkSTONS MILLS. MA. 0,1(j,111 .. >_... �4rb �p T'F;L. 28-0055 ; v- ?.5000SURVF_ F'A\. 42O- .R wEm} q -per ____-_ S i'I..AN ?10T !+IADE H'KOM AN NSTCtIiMF,NT 5•�53 SLIP.+/F.Y NOT ro BE L'SE:D FOR 'FENCES I;TC. !9-4- 6 &`fl T11ce 1�anv»w�zulea o�,/�iroaaclauvelta Board of Building Regulations AAnd Standards HOME IMPROVEMENT CONTRACTOR Registration:*104514 Expiration_7/1.4_/2008 Type --Individual GEORGE W.BLAKELY=�M 9'= George Blake - �x - �L 130 Redwing Ln/P.O.',Boz<201r,,4-'` Barnstable,MA 02630 Deputy Administrator J ,�• `-._ ^�:^+�r-'Y,�: ;/lte-'C�a»v�na�xtoe(U�/L o�✓�6;1(u.1tudEQr4 - �^ BOARD OF BUILRING REGULATIONS it License: CONSTRUCTION SUPERVISOR Number:-CS,, 014344 J Birthdate 0 1 Expit 03120/2008 Tr.no: 14015 ! Restrict 130 RGE W BLAKEL,,P 130 _,. REDWING LN/PO-BOX_206 • BARNSTABLE, MA 02630 Commissioner Licensee Details Page 1 of 1 -rhe Official Website of the Executive Office of Public Safety and Security(EOPS) Public Safety Mass.Gov Home DPS Home EOPSS Home Mass.Gov Home State Agencies State Online Services j Department of Public Safety Licensee Complaints License Type Construction Supervisor 1 License# 14344 Restriction 00 Name George W Blakely City, State, Zip Barnstable, MA, 02630 Expiration Date �3/20/2010 Status � irreJt � No complaints found for this Licensee. Back To Search http://db.state.ma.us/dps/llcdetalls.asp?txtSearchLN=CSL14344 7/30/2008 ,°FmEr, ToWn of Barnstable Regulatory Services • s.�xrtsrtsr-E. v uAss. $ Thomas F. Geiler, Director. ohw�"�� Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign ThisSection If Using A Builder I 2 , as Owner of the'subject property hereby authorize ILVu �l�1.cL' �� to act on my behalf, in all matters relative to work authorized by this building permit application for: 1-7 (Adciress of job) -;26—o l atute of Owner Date Print Narne If Property Owner is applying for permit please complete the Homeowners License Exemption Form on th:e reverse side. Town of )Barnstable OFYHE Tp�yo .. ' Regulatory Services i r swruvsrwBe Thomas F. Geiler,Director . r Building Division Y� ib39- ,0� PrfD �a Tom Perry,Building Commissioner 200 Main Street', Hyannis, MA 02601 vt•ww.town.b arnsta b 1 e.ma.us fice: 508-862-4038 Fax: 508-790-6230 HON1EONWER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: village number street "HOMEOWNER": work phone# name home phone# ,. CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. • bEFINITION OF HOMEOWNER , person(s)who owns a parcel of land on"which he/she resides or intends to reside, on which there is, or is intended to- . be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farrn,structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance•with the State Building Code and other applicable codes, bylaws,rules and regulations. The ersigned"hom w eowner' cc es that he/she understands the Ton of Barnstable Building Department inspection pro d es an requirements and that he/she will comply with:said procedures and requ ements. i o mcowner i Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ;torte 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 •f this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to dosuch cork,that such Homeowner shall act as supervisor." Many homeowners who use this exemption arc unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. er u)es&Regulations for Licensing Construction Supervison;,Section 2.lS) This lack of awareness often results in serious problems,particularly cannot proceed against the unlicensed person as it would with a licensed 'hen the homeowner hires unlicensed persons. In this case,our Board upervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/hcr responsibilities,many communities require,as part of the permit application, at the homcowncr wtify that he/she tmderstands the responnbilitics of a Supervisor. On the last page of this issue is a form currently used by YCT2I towns. You may care t amrnd and adopt such a fom✓certification for use in your community. . I I ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED SIDENTIALCONSTRUCTION (780 CMR 61.00) Applicant Name: Site Address: 1-1 , 1�o IDV'' P11111 Town: %U r, Z�C Applicant Phone: Iasi---34.1— CU Applicant Signature: Date of Application: L ram c NEW CONSTRUC �N- choose ONE of the followingtwo options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA. FOR NEW ONE- AND - 0-FAMILY LDINGS MAXIMU • V0V C_� C ' ing or Slab ❑ .Option 1: Basement Fenestration exposed Wall Floor Wall Perimeter AFUE RSPF SCER U-factor floors• R-Value R-Value R V R-Value R-Valu tl� National Applimice Energy 35 R=38 R-19 R-19 R-10L" 7R"- 0, ConscrvationAct(NAECA)of ft. 1987 as amended,minimums or rcatLr as annlirnhlr Note: This form is not required if you choose either of the two versions of REScheck.as,listed below. ❑ Option 2: �.FREScheck—Web RES check Version 4,1.2 or Inter variant software analysis must be completed CMR.6107.3.2 which can be accessed at http'//www.encrgycodcs.goy/reschecld ADDITIONS<O t AX,TERA TIONS:TO`:EXISTING.BUILD vGs:.byER•5.YrA iRs OLD* *Buildings under 5 years old must use option #1 or#2 in New Consh-uction section above. . Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b- a) . SF 100 x — _ % of glazing a • (b) Glazing area equals• SF b f lazing is': :40'-use. -cha t below. If.,glaziri :is>:40'Q/o roceed to "SUN section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ❑ Ceiling and Slab Perimeter Fenestration Exposed floors Wall Floor Basement Wall R-Value U-factor R-Value R-value R-Value ' and De Ch' R-Value .39 R-37 a R-13 ! R-19 R-10 R-10, 4 feet R-30 ce' ing insulation may be used in place of R-37 if the insulation achieves the'full R-value over the entire ceiling area(i . not compressed over exterior walls, and including any access openings).- ' SUNROOM—An addition or alteration to an existing building/dwelling unit where-the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of.the addition, Note:. Owner to fill out Consumer Information Form (found in Appendix 120T) Application to �S ®rb Ring'.q 3tgbkiap Regional 319i5storit Mi.5trict Committee � /1 V P In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness undet�ection 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and,IaF: tans, drawings, or photographs accompanying this application for. r- � CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: ❑ New IgAddition ❑ Alteration 'T' Indicate type of building: House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: El Fence El Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE �I2-31a5 ADDRESS OF PROPOSED WORK ( -? 4-bL-WA- e 09-1 yE:` ASSESSOR'S MAP NO. _ OWNER . F t—=Df=- �✓ jjj ASSESSOR'S LOT NO. 0 4 C) HOME ADDRESS?5QL>C, l Ca21 . !�-IzbT LU1 (-)I!MQ f�)-JG a3tELEPHONE NO- :FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) 03q_C.l:LX--STI—= 4-1 -,WE . 51 -}'lO l-w Ate{ b tz►Vim, w, B tJ o---2 Cd(o S c*I :k" 1-4 4�,UiA C*:l l J_1 I on .pa b,= 441 1-1 . 42.D , w 2aA Co ` 043 1 Ao ,960-� ('0 a31 D o a 8 Ia p3O v AGENT OR CONTRACTOR ej�h rwdC `JF�-}�_ I -AZO-11TaC;ELEPHONE NOG^ Qf�':50-2- ADDRESS' 15 .SO--A, (O4-c, 5�6 ymAYT4&3l g DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Ho� x I to S c.A—�� -RcV-c44 04 t---.>Q5T, P�c� �p1.�-C� r3 W 1 t�t7OUn Q i Signed 0 ntrart genie For Com.mitte.G-Use-Only 0t0 �U ' This Certificate is hereby MAY 2 3 Z008 I rov Committee Members' Signatures: fiC�4��'(1F is n 7N CT fin, = . Town of Barnstable Old King's Highway Historic District Committee ' MAY 2 3 1008 SPEC SHEET TOWN OF BARNS T ABLE HISTORIC PPESERVATION FOUNDATION Col j C SIDING TYPE . COLORI, CHIMNEY TYPE A COLOR 14- I ROOF MATERIALP-LTQ Gbo COLOR PITCH Zjf 2 WINDOWS4.1V646E1J ZE x CD TRIM COLOR. '[,�1 Y DOORS w'T .A L-U M �rn=14 COLORS W 1-E-=r SHUTTERS �It' COLORS GUTTERS±jjPEP:,:B JC i COLORS C QQ TO DECKS MATERIALS W ot�ato9,\e 'Cod��gSM�ee GARAGE DOORS � COLORS Odd G°m SKYLIGHTS SIZE COLORS l SIGNS. COLORS -�� j" 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 plane, whoa applicable. SPECSHT Revised 11/98 " r r t. 'ter,A ^ ` ♦.' '�� � .. `'� ii t �37 I wow r pC° C � 0E MAY 2 S 2008 TO��Wj OF C�VATAQLF HlShOREC EP��C��VA 'BON 1 (o l�ti7j.4 )r' ' L�R l%L, �� E C E 0 V E I I MAY 2 3 •1008 NB736'30 E 160.00' TOWN OF BA'�>`ISTAf.'_E ' Milo i utijv i'r;ESERVA 160.66 10N o o ti l:1:0 ti ===GAF -=:==is.s'===_--= G_�-_ _ ^'• ' ?�8, =u I I.or V� fill 5 C iiii b��t• � °' ----:°� l '. �+c7ZCH oN. �C1�Tlt`16r © � �3 0 LOT 25 160.r%0 tNFO• tZE: ty FW •Pi pviDao lay, LOT 28 I LOT 2.9 ` �A'lJ 6 ' - S. ao ,og Q 0 RES. "O'VE: i4f'" This N40RiGAGE INSPECTION Plan i r � e PL ''LONG 'TOWN. _—�.. • . �ti 11 is tCn []Il� \ ` ����-------- RE,G1S ihY OIYNER: D.� Il�.I? .�lL'C�1PTi` o, - - - --- DEC[) Rl;f: _ 9�2G�3,�,3,9_------ 4- PLAN' - -- - \� - -----BUI ER .�4�f_��YjjEL_.9_ - . - --------- -- REF 2�Jy�ir�iAl..l,: I' - "0 FT. I llf;Ri;l3`:' :IZTIF'1' ' O C.�li'L' O (. U ' f��i. —"� � - -- _..-__ ___ ... A r IFS I �I..uINC: � : Y���;��rE SURVEY BROWN ON -THIS PLAN IS LOCATED ON ITIL: GROUNIi A:� SHOWN AND THAT ITS POSITION DOES CONFORM PAUl-K r; LUjNSI.j, l'AN- TO THE ZONING LAW SETBACK REQUIREMENTS OF THE i MEh117�'1d► 40B (SUITE 1) TOWN OF __ B�RNS'�,S.R�E__---- 1 t: 32006 IT DOES_NO -----__ARID THAT' INDUSTRY ROAD �'_ I..IE WITHIN THE SPECIAL FLOOD HAZARD i t,P� i ARSTON$ MILLS, MA. 0264E1 AR'A • ti SHOWN ON TIME H.U.D. MAP DATED .-%:_Q ��, FFSS'� p� 50001 0011 /) � 'b SDRVF� �" ' TEIL. ' 8-0055 FAN. dI 0-5:)53 -------- THIS i'i..�,'�VOT MADE FROM A%' STK,,\ENT -��Q. SUP• r'i: NOT f0 BF, l'SE:D FOR FENCIi,S. 1 1'C. 1.9466 U(:•fl JOB TAYLOR DESIGN N ASSOC., INC. SHUT NO. OF - P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY CT DATE TEL./FAX: (508) 790-4686' CHECKED BY t-7 L-COAr-Ily 0jL-,%jrr- \A/7_1-3 E TAY LCA .......... .................................... .............. . ............................. ........................................... ........... . ...........................i............J.r.- ................ ........ sl . V n.,Ll ........................ .......... ........... SIX � ............ 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F.......... ........... ........... ........... r.. ... ............ ....................I- ............ ........... ......... ......... .......... ..... ...... ...... ..... . . ............. ........... ....... .............. ............. ................... .......................... ........... .......... ........................................................... ......... ................................!_.l....,..................... ........... .............. P ............ ....... 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L-V.-L-1........... .... ....... ............ ............ ............................................. ........... ....................... ........... .............................. .......... ........... ............ ............................................. ....................................... ....... ...................... ......-........ .............................................. ...... ............ .......... ........ ............................. ................................... ........................................................................ ........... .......... ........... ... ... ............ .......... ...................... ............ .......... ............. .......... .................................. ................... ......................... ................ .. .... ..................... ............ .................. ........... ........... ................................... ..................... .................................. ............ ....................... .......................... ........ ....................... a ........... ......... ............................. ........................................................................... .................... ............ .......... ................................................. 01-S 0 ........... ........................ ...................... ........... . ........ ........................ . ................................................. IA ...... ............................. .............................. ....... ............ ............................................................................................................ ..................................... ................................... ................................... .......... ........... ........... ....... . ................. ........... ....... ... ................. ........... ........................ ..... .............. ........... . .......... ............... ............... ........... .................. ........... ........... .......... ........... .. ....................................... ...................... ........... ..................... ...................... ........... ...... .................................. .............................. if TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��ZP Parcel Permit# Health Division Y 45;r, ,� � Date Issued Conservation Division �� SQc � S Fee s - 00 Tax Collector ��"� �' SEPTIC s,Yir�1 f,,.(e 2 � Treasurer, `�/'� / ,t sTALLE.0 r9 C� c LIWITH TITI .a, Planning Dept. �6 1 f� EN�f� �WENY°�� G - .� � T -1 Date Definitive Plan Approved by Planning Board VIfN F��GULA IONa Historic-OKH AOW 414L Preservation/Hyannis 4 9i v Project Street Address )_7 J401 UV 9 10,16 Ve, Village We& 80J/10 fd b)f J Owner afa afKL d111Y,(.il QQ, i Address /7 Hal U&4 Dj'. a). 00mI hU6 Telephone U 'Q�00 - 00q- Permit Request /n fUli OL /V fCheA re_m621-0 . zi)i"naolj (e,00nr_e, hJ Square feet: 1 st floor: existing /045 proposed/0 2nd floor: existing proposed Total new Valuation , T). 06 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfatfiered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 21" Two Family ❑ Multi-Family(#units) age of Existing Structure 6 JJ6= Historic House: O Yes O4o On Old King's Highway: Comes ❑No Basement Type: GWull O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 4- new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count A/ Heat Type and Fuel: was Cl Oil ❑ Electric ❑Other Central Air: ❑Yes U, o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ©-116' Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage:94isting O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded❑ Commercial ❑Yes @, o If yes, site plan review# Current Use r _ Proposed Use BUILDER INFORMATION 7.1.133 Name ]�f�Q, Mw—S& �,OM42A w Telephone Number on Address L( 1 O k Do License# CS N Z D . f &1w« MA 0:�U(36) Home Improvement Contractor# WgL3 o-'s Worker's Compensation# ILC,-Iq39 c' (U ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO PQQe_nb SIGNATURE �lT"" DATE 9-Id -O I f, FOR OFFICIAL USE ONLY e �� i PERMIT,NO., — t it DATE ISSUED Y MAP/PARCEL NO. , ADDRESS , VILLAGE t OWNER 1 . :. DATE OF INSPECTION: FOUNDATION 4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL "PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ; DATE CLOSED OUT , ASSOCIATION PLAN•NO. 780 CMR Appendit Table dS2.lb(couftued) Prescriptive Packages for One and Two-Fan*Resideatlal Baildtnp Seated with Fos»i Fuels MAXIMUM NMRIMUM Glazing Glazing Ceiling .Wall Floor Basement Slab Cooling ,Anal('/o) U-value= R-value R value' R value) Wall puim p, I I!qWpmcut Effici.cacy' package R-vaiuO &-value' 5701 to 6500 Heating Degree DxW Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 to- 6 85 AFUE T 15% 036 38 13 25 WA WA - Normal U 15% 0.46 38 19 19 10 6 Normal V 15'/e 0.44 38 13 25 WA WA 85 AFUE W 15% 0.52 30 19 19 10 ' 6 85 AFUE X 19% 032 38 13 25 WA' WA Normal Y 19% 0.42 38 19 25 WA WA Normal : Z 19% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: f-iDII L.Y 1.1 �'� ✓C� ,y. ��s�Q.,bi�, /rlA OZ�l o� • 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: Z5 3. SQUARE FOOTAGE OF ALL GLAZING: Z-Jr 4. %GLAZING AREA(#3 DIVIDED BY#2): o- y�U 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-i980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total.glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. ' After January 1, 1999, glazing U-values must be tested and documented.by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values.do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For.ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors.over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an avenge depth less than 50%below grade must me--,. the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d.-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling.equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J52.1a 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 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted avenge R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted avenge U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts ► -= -= Department of Industrial Accidents ,o -= Office 0111dsest/9890fts _ 600 Washington Street --=.•'`s; Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name location I7 ���/� �i1 y� city 1,�Ak x"I Un6k �j( ! J�-rl V�t a phone# WA "JbZ " 2�(! ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worlds in anv capacity am an em 1 rounding workers' compensation for my employees worlang on this job.:. :: ::: :: :::: ::: :::::: :: :: ::::::::: : ................................... :�:iisv:'::::i'isvi:;.;.;:; :;^isisii:::.::iii::i:::::i::�::^iJ: :^::::'.�:}:::�i::i::v:�'.:: :'�.iiiii:::::.i.(•:..: ,: :con anv .............. p :::dress�� f t +? . Tice X. o irisianceOEM ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followin workers' compensation polices: ................... con anv:nam ad dress ............ ................................................................... `on h a <.>;> ................................................................................................................................................................................................................ :>::.:.....:....:.....:.::::::.»>:.::.:::.�.�::�.::.>:;:.:;.::.>?:::;•:::::•::c::<.:>:.:>:.:«:.::.::.;::::::::.:::>;i::i?:;Sr;::::::$:.:::.>:.::.'::.::.:�>:.»::.>:>::i:R:r�%�:;.::.>s>:.. C�:f►;:::':%::: ::`;::::::;ij.';$:i:'::::`:::::::>;::'::::::::^;+::i::: %;:>::::::::::;::::;;:;:?'.::::.::;:.::::::;::::>:':::::::::j?:: anv ad[ es city' :. w licv n�vrenc o Fafime to aecus coverage as required under Section 25A of MGL 1S2 can lead to the imposition of criminal penalties of a fine up to S1,500.00 andior one year,+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 flat a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincation. I do hereby certify under the palms andp of pedury that the-information provided above is tnu and correct 0 Date q-ia v i Signature � Q I' Print name iL� Phone# JL,O -7-7 J '03(23 official use only do not write in this k.to be completed by city or town official city or town: perndttlicense# ❑Building Department ❑Licensing Board ❑check if i n nedfate response is required ❑Sekcbnen's Office ❑Health Department contact person: phone#; ❑Other Uaviud 9/95 PJA) 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 m�tenance , 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. 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 maybe 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. City or Towns is complete and printed legibly. The Department has provided a space at the bottom of the Please be sure that the affidavit 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 bymail 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 CFIKE r, The Town .of Barnstable anxxsrr►at.e. 9� MASS. �0g Regulatory Services 1659. Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 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: )n a I aL L i1hto l mode.] Estimated Cost Address of Work: Owner's Name: ( o r v V So Date of Application: Q-o I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law . ❑Job Under$1,000 ElBuilding 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 PENAL S OF PERJURY . I hereby apply for a permit as the agent of the ner: Date o o e Registration No. OR Date Owner's Name q:forms:Affidav:rev-070601 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 ✓ Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE square feet x$96/sq.foot= x .0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 16 square feet x$64/sq. foot= '7�`�a a�J x.0031= ®qo plus from below(if applicable) 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.0031= STAND ALONE PERMITS Open Porch x$30.00= (number). Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable)- - Permit Fee ' projcost OL -ecv Board of Building Regula tons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement:Contractor Registration Registration: 100932 - Type: ' Private Corporation ° Expiration: 06/24/2002 OHC INC. DBA/THE HOUSE COMPANY: Jeffrey Goldstein 30 PERSEVERANCE WAY UNIT'2B. Hyannis, MA 02601 .; w Update Address and return card.;Mark reason for change Address F1 Renewal Employment E3 Lost Card t Board of Building Regulations One Ashburton Place Rm 1301 Boston, Ma 02108-1618 License: CON.,TRUCTION SUPERVISOR LICENSE Birthdate: 03/18/1947 Number: CS 1042406 Expires:03/18/2002 Restricted To: 00 JEFFREY GOLDSTEIN PO BOX 1166 BARNSTABLE, MA 02630 Tr.no: 18627 Keep top for receipt and change of address notification. i BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O42406 ! Blrthdate:..03/18/1947 Expires: 03/18/2002 Tr. no: 18627 Restricted To: 00 5- .. .. JEFFREY GOLDSTEIN _ PO BOX 1166 BARNSTABLE, MA 02630 Administrator Aug 07 , 1.0 :28 EDT by: ACHCIaudia HUbbe11 , C ( 20 :29 ) Page 1 of 1 �E�gt, �y�yrr1g�►►� 1 y■ y( :.:::..:.....:p&&R1;.... ;.;•yyyy:�1�g1:►►.::;•i: .........................:. DATEIMM.,OO/Y 1 PRODUCER FALTER ICATE IS ISSUED AS A MATTER OF INFORMATION WELSH & PARKER INS AGENCY INC CONFERS NO RIGHTS UPON THE CERTIFICATE IS CERTIFICATE DOES NOT AMEND, EXTEND OR COVERAGE AFFORDED BY THE POLICIES BELOW. 433 MAIN STREET COMPANIES AFFORDING COVERAGE HUDS014 MA 01749 ALL AMERICAN INSURANCE CO �UAl7 I COMPANY -- _ THE HOUSE COMPANY L B OHC, INC DBA COMPANY P.O. BOX 1166 BARNSTABLE, 14A 02630 i COMPANY D £FAQ :•:NA,•::D FOR THE POLICY PERIOD: :TH15 18 TOCERTIFY•THAT•THE•POLICIES.OF'INSURANCE•IISTED9ElOW HAVE BEEN ISSUED TO.THE INSURED NAMED ABOVE G G C WDICATED,NOTWITHSTANDING ANY REOUIR.EVIENT,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. Co TYPE OF INSURANCE POLICY NUMBER DOUCY EFFECTIVE POLICY EXPIRATION LIMITS LTR GATE(MMIDO!VY) DATE(YMrDD,'YY) GENERAL UANUTY BOP 7 9 4 7 9 2 0 2 19 01 2 19 0 2 GENERAL AGGREGATE s2,000,000 X OOMMER.CIAL GENERAL LUBILRY PRODUCTS•COMPIOP AGO,s2 0 0 0 0 0 0 CLAJMS MADE FX OCCI:R PERSONAL&ADV INJURY :$ ,OWNEWB d CONTRACTOR'b PROTI I EACH OCCURRENCE $1,0 0 O 0 0 0 FIRE DAMAGE I"pre rig) S 100,000 r ' MED EXP(Any pro pgNOn) $ AUTOMMLE LNNUTY iI ANY AUTO I I COMBINED SINGLE LIMB $ALL OWNED AUTOS 8001LY INJURY SCHEDULED AUTOS (Pgr peacnl S HIRED AUTOS aOwlr INJURY s NON-OWNED AUTOS I (Per EOOkbm" PROPERTY DAMAGE S GARAGE UABQM AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: r EACH ACCIDENT S _ I AGGREGATE S crccoa woiu.r CXS7947921 2 19. O1 2 19 O2 1 u_ v el,000,000 UMBRELLA FORM I AGGREUATE - $ X JOTMER THAN UMBRELLA FORM S WORKERS COMPENSATION AND wC 7 9 3 5 9 2 6 5 0 2 O 1 5 To-2 0 2 X T ulnRs ENPLOVERS'LIABILITY e EACHTHE PROPRIETORI X E•rCL EL DISEASE•POUCY LIMIT S 500,000 PARTNERSfEXECUTNE EFFICM ARE EXGA EL DISEABEEA EMPLOYEE 8 100,000 OTHER DESCRIPTION OF OPERATIONSA.00ATIONS,VEMOLFSSPECIAL ITEMS Art• e::: �:clrR; ::::::::: ::::::; >::<::::<:: :>;: ::::; > ::: k» �csTy r............................................................................. : .................. ...... ......... ... ......................................... :.............................................. ............................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE • E'XPPIIRAVON DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MALL 11�DAYS WRITTEN NOTICE TO THE CERTiICATE HOLDER NAMED TO THE LET, • - BUT FAILURE TO MALL SUCH NOTICE SNALL IMPOSE NO OBLIGATION OR LIABILITY • OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESEMATWES. - AUTHORRPD REPRESENTATIVE :.......:::::•::•::::•:::•:::•::::::•::::•::::•. :::: :::•::::•:::•:.... ::•:.. ::Claudia Hubbell,CPCU,CI.. Ek '.......................................................... t8�9 i /�O.00 2(os• p8 . Q V �• N � N 0 23.0 /3 02 � /5.7� 0 42./6 ti . Z�•�8 - i--- 30.37 3• - 32.5v � n /w• 35 �5•�0 N � 0 � N LOT 2e `✓ / moo. o0 ,0" Tam O/c CA 7 r-A'I TOWN OF BARNSTABLE ZONING AlOR Ty tS/O C U F S 7i4EET ELE-I/ 4 7. 28 C All,IS. BY-LAWS DATED FEB 1985 �ZH of ZONE: RF x ,F Ia 0 � PAUL �� SETBACKS R rlFRONT = 30' RYLL y TO No. 32448 o, SIDE = 15' ss� Fg/STER�� q � REAR = 15' �NAI LAND`''J,Qaa� PROPERTY LINES "SHOWN HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. 3-1703-00 AN ACTUAL SURVEY -ON THE GROUND. THE STRUCTURE. DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON 4/16/86 1 n AND EXISTS. AS. .SH.OWN AS OF THE DATE OF LOCATPON. BARNSTABLE MASS . THIS PLAN IS FOR �PLOT PLAN PURPOSES ONLY AND SCALE: 1" = 30' APRIL 17 1986 SHOULD NOT' BE USED FOR ANY OTHER PURPOSE. -- BSC / CAPE COD SURVEY CONSULTANTS 4//7J8(0 y 3261 MAIN STREET DATE PROFESSIONAL LAND SU EYOR BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133 , • n • _ i ' vim; ` '�FJ(rST.•...Iavl�.OtZacM � . ..... u'P i . 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