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HomeMy WebLinkAbout0045 JOSIAHS PATH #5 PO 71 ��2�� �'� i, �i s ._ i f. Town of Barnstable ermit: Regulatory Services ate: 10 1 3a 3 of.TW TO►sy� Thomas F. Geiler, Director P Building Division aARMAMx 13M ' Tom Perry, Building Commissioner r `b i639• � 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862AO38 TOWN OF BARNSTABLE Fax: 508-790-6230 SOLID FUEL STOVE PERMIT Owner: cc Pbo e � _n . �a8 "�(oL J.3o '7 Install at: °1s Village: �j�•� ` C�Sb(�c Map/Parcel: log D,F L/ D Stove ate: A. New/d22S B. Type: Radiant/Circulating C: Manufacturer:`j0�\ Lab. No. o o G D. Model No.: �3 'C3 o.y Cz Chimney ;' C CD A. (t2jB�/Existing (If existing, please note date of last cleaning B. F1ue.Size 6,U Joy L,- w C. Are other appliances attached to Flue? R�U D. Pre-fab Type and Manufacturer vt c-4- E. Masonry: Line nlined M Hearth .A. Materials: lJ B. Sub Floor Construction. woo p Installer Name: Address: Phone: Location of Installation: i H.I.0 Registration# Construction Su rvisor# OR check_Homeowner Installing, no license required. APPLICANTS SIGNATU f APPROVED BY: 00 Please make checks payable to•the Town o Barnstable *This constitutes an.official stove permit after inspection,photographed, and approved by the Building inspector. 4""i - -a PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 10/30/13 TIME: 08:44 -----------------TOTALS----------------- PERMIT $ PAID 35.00 AMT TENDERED: 35.00 AMT APPLIED: 35.00 CHANGE: .00 APPLICATION NUMBER: 201307906 PAYMENT METH: CHECK PAYMENT REF: 7509 The CO11 71 07 w ettlth.of lYlassach usetts Department oj•Industrial Accidents , Office qfInvestigations ' 600 Wash ington Street Boston,M4 02111, w�V.mass.gov/ditt ' _ Workers' Compensation Insnranee Affidavit: BnEders/�Contractors/Electricians/Plnmbers Applicant Information Pleas e Print I,egU)I-y Na-n1e(Business/Orgma za an/Individual): ,�fr2Af;4.N> Address: `i Prl� City/State/Zip: Cu, —�,z:L-LM I . i (O— O 2fo4 Phone.#:-W Are you an employer? Cbeck the appropriate.b ox- :Type of pz oject(regnired): 1.❑ I am a employer with 4• I am a general ca:ptrattor and I 5, (�New construction . employees (full and/or part time)•* • have hired the glib-contractors 2.[] I am.a'sole proprietor or partner- listed on the•attnched sheet 7. ❑Remodeling ship and have no.employees These sub-cofactors have 8. Ej Demolition ' working for me in any capacity, employees and have wotk= workers' comp.insurance comp. insurance,$' 9. 0 Building addition quirfui] 5. We are a corporation and its 10.0-Electrical repairs or additions '3. I am a homeowner doing all-work . o$'ioen heave exercised their I LEI Phmmbmg repairs or additions myself. [No workers'comp. right 6f exemption per MGL 12,�Roof repairs ;n nee regt*ed.]t c. 152,,§1(4), and we have no employees. [Na workers' 13.0 Other ' comp, mimTce required] *Any applicant tbat check z box#1 must also fill out the section below showing their warl¢rs'compensation policy WMma6on. f Homeowaers•who submit Phis affldavit inrbcayng they are doing all work and dien hue outside contractors mint submit a new affidavit iadi�g such. tCantmetars that check this box must attached as additional sheet showing the uarne of the sub-conb=tors and state whether arnatthose entities have ernployees. If the sub-contractors have e63playees,they must provide their wmi='comp.policy number. I am ax employer that is providing workers'compensation insurance for my employees Below isAe policy and job sit-- information. Insurance Company Name: Policy#or Self-ins. Lic.T Expiration Date: Job Site Address: city/Statemp: Attach a copy of the workers'compensation policy declarafion 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 tb$1,500.00 and/or one-year imprisontent, as well as civil penalties in the forest of a•STOP WORg;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 U-Office of, In7estigaations of the IDIA for irmurawe coverage verification Ides hereby certi under thepains•andpenaLties of pm wy that the informatfonprgvtded above is true and correct. Si Date: L.Uo _ Phone ObfcW-use only. Do not write in this area tb be completed by.cipy or town ofjkkL City or Town: YermWUcPme# Issuing Authority(circle one): •y 'unarm nfTAoa?ik 2 "PhildinmTlanarf..-4 1 Town of Barnstable Regulatory Services BMW&rwste, ' Thomas F.Geiler,Director y Mnss. �A 1639. A.O� Building Division rFD MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: �p�� ►J �.pr`� Use-t k— number street village "HOMEOWNER":CerLP,-AZK) 6 62 130Z Soa Zrl -3133 name home phone# work phone# CURRENT MAILING ADDRESS:_ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and r�ts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �TNE Town of Barnstable r' Regulatory Services y� I'E Thomas F.Geiler,Director 1639. ' �EON,prp 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 This Section. If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name . Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 i Page 1 of 1 Mckechnie, Robert From: Kivney, Gerard [GKivney@MIB.com] Sent: Thursday, November 14, 2013 4:16 PM To: Mckechnie, Robert Subject: Schedule Inspection Bob Per my voicemail I would like to schedule an inspection of my woodstove and chimney that I have installed I'm located at 45 Josiah's Path West Barnstable My cell is 508-274-3133 Let me know what times and day's work and we'll schedule a time Thanks Gerard ***************************************************************** IF YOU RECEIVED THIS EMAIL IN ERROR, YOU SHOULD NOTIFY THE SENDER BY REPLY EMAIL AND THEN DELETE IT (INCLUDING ANY ATTACHMENTS). ***************************************************************** �e for 11/14/2013 •t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L09 Parcel Permit# - / 2 Health Division 9 Z_35-/ -4t WLlpll17l9 Date Issued "2-0 `9/ Conservation Division .J Fee77.Sy Tax Coll j � Treasure 7' SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. VYffN T= Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN,REGULATIONS Historic-OKH Preservation/Hyannis ? y ' C•b. 10 J-a w• ��^'' I Project Street Address S G q Village Owner '12 on � >/1/`e dress ���, Za Telephone �� 6 /2 3 D Permit Request C'(ll'11/'e Y'J� `01 r0 q e— f LJ7�) Y /2G 0 vY/ 7 7— Square feet: 1st floor: existing f proposed 2nd floor: existing proposed V6*(? Total new Estimated Project Cost 2 3 000, Zoning District Flood Plain Groundwater Overlay i Construction Type Lot Size �f 8 PiS'- 9 fi Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 21/'^ Two Family ❑ Multi-Family(#units) Age of Existing Structure VtOe, Historic House: ❑Yes LVNo On Old King's Highway: El Yes Yes o Basement Type: Egfull ElCrawl lYW////alkout ❑Other - Basement Finished Area(sq.ft.) n UY12. Basement Unfinished Area(sq.ft) �D1 Number of Baths: Full: existing 2. new Half:existing new Number of Bedrooms: existing�2 new Total Room Count(not including baths): existing X> new—/ First Floor Room Count 3 Heat Type and Fuel: F/Gas ❑Oil ❑Electric ❑Other FZZ W Central Air: ❑Yes ❑No Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes Ao Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:4xisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes VNo If yes,site plan review# Current Use 0(we O)V 5 Proposed Use 4 BUILDER INFORMATION ,�7, p (/ Name O ! �12e, Telephone Number -�uC 3G2— tZ �V2 Address 0 �L ' License# 04-6 p 2 .�' lye,_ Home Improvement Contractor# 0?z 116 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THI PROJECT WILL BE TAKEN TO W C 93 63 y� 2'� SQL j- �X Ga CN4"0415�d_/ SIGNATURE DATE . FOR OFFICIAL USE ONLY - PERMIT NO. .:� \, � �,• , DATEISSUED „' J - -i c� ._` •_n � ' r ✓� �� � _ ; MAP/PARCEL NO -�+ .r.i r, �., A�, • _4` y .s - :% �• �� � ram•' �• ;•t' ', v " '1 -. '� n - ,�.i 'y' .�• r ADDRESS4 f _i :VILLAGE, OWNER !.,. v ;' - �r '/•'" ' 71 DATE OF INSPECTION; FOUNDATION FRAME " • `' , INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH(`) *a FINAL 4 GAS: ROUG — FINAL' FINAL BUILDING ' � � �.� fir,• ;' �' _ �.: ' DATE CLOSED'OUT ASSOCIATION PLAN NO.m M r Application to 1999 •148 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application Is hereby made. ld triplicate. for the issuance of a Certificate bf Appropriateness under Section 6 of Chapter 470. Act. and Resolves of Massachusetts, 1973. for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building'. Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2 Exterior Painting: ❑ 3 Signs or Billboards: ❑ New sign 0 Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other. (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 0/197 ADDRESS OF PROPOSED WORK /'S" �ds 1 S I �T�L. ASSESSORS MAP NO. OWNER ASSESSORS LOT NO. Q HOME ADDRESS r % O S / Q h C P/4 TEL NO. 3 Q 10 . FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners,across ar y.-public street or way; (Attach additional sheet if necessary). r L. AGENT OR CONTRACTOR y • 0� O 9r /4,/ 1✓ TEL NO. -- ✓C 1^ T / 51-e> ADDRESS A #1fY0 Al &/• d Alt!/ tit jh 0 W4� 2. G 6 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.B.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). Signed 61 ommittee use. e"i r ;' '!t [` r Owner-Contractor-Agent Space below line for C U Q� e f+� ZW cate is hereby. Dat FT _Mwa.4 4 e ` _ imate ) aA Zt INN Of BARNSTABLE Annrnuu rf e%--&It:__�_ ABUTTER'S LIST for Gerard and Leanne Kivney 45 Josiah's Path West Barnstable, MA 02668 Map No. 109 - Parcel No. 094 Map No. 109, Parcel No. 093 Suzanne N. Hallam 40 Josiah's Path West Barnstable, MA 02668 Map No. 109, Parcel No. 15-15 Todd M. and Roberta L. Lazzari 30 Josiah's Path West Barnstable, MA 02668 Map 109, Parcel No. 15-l l Jeffrey P. Neville and Patricia E. McKay-Neville 25 Josiah's Path West Barnstable, MA. 02668 Map 109, Parcel No. 15-10 George T..and Nora B. Brown 105 Berkshire Trail West Barnstable, MA 02668 Map 109, Parcel No. 15-9 Bernard R. and Pamela Vandyk 125 Berkshire Trail West Barnstable, MA 02668 . r 1 Town of Barnstable Old King's Highgay Historic District Committee f I SPEC SHBET FOUNDATION /eYS SIDING TYPE•,C t. M kov e. COLOR yJ �tt ` C t CH114HRY TYPE G X/S / / )V g COLOR ROOF MATERIAL �'S K6�7 sl[N✓ 'Q COLOR 1y����OL. GtJO If ij PITCH G /L WINDOWS khd/-WX COLOR CV 4V/Q SIZE deco TRIM COLOR DOORS VN a/a/! w-y eN C/p / /c COLORS. O SEUTTSRS COLORS i GUT'1BR8 A)ri- COLORS DECKS MATERIALS P r /XVIW Q Y y GARAGE DOORS COLORS • t A SKYLIGHTS SIZE COLORS SIGNNS COLORS A s FBNCB COLOR i { f1DTt8e rill out eaepletelp, including measurmants and materials/colors to be used. four copies of this form.are,required for subaittil of an application, along with roar copies of the plot plea, landscape (`{p` plan and al—tion plans, whau a0plicable. kkgFg SPHC38! t � us,.�est it/ea s JOST AN 'S PA TH . 11.92' r � LOT 57 LOT 14 LOT 51 48. 4E5 SF 1. 19 +/- AC) LOT j5 r 150.`1Q' cot 15 91-130-51 .REF TIFTED , LOCATION : 'J"*osi,9 NS PP i H W. BAPN. PREPARED FOR: SCALE 1 " = 6i1 DA TE -98/11/92 SHow.,7 0�1 PLNAj 1=oR 8¢RrSNtftK Tc REFEPENCE L— 5.1 -TNt- CAPE R4,%L-TY TRu;r' c!>,t oowo NICKULAS HOMES GRPE. ENGrNteRlk21— USA MAPCH 7-0,1cc91 I :HEPE8Y CERTIFY NA TN(,.- SNii'.:TURF �e SHOWN ON THIS . PLAI: IS LOL'ATEC ON 7HE GP.:IUNJ AS SNONN 'HEREON. dow.l cape- engl'necr.ing lr,:. ` CIVIL Erb?h6ERS ` cr LAND SUAVF.YL)4. Y4AMQJTH. 'XAS`.>. oiTE REG. i�.NO iJRVEY'OF+ i 70 r— J r �t 1 LOT G7 I PRO po5fl) 1VdoRoo414 1 I 1 i :�;: PRePoSEg DECK i • � (.OT 51 `I .. w } LOT Jr 0 �•. .��Et11E�� �� . w PRbPosct� ':1�1_ U I l:_ AN 14111oR00•4t �oEc /1DD Tiv�v x � s L OCA r roN : S•o s I f 4's r wr►� w wN l�. tin UN ov tie 6191?g SCALE f " r E% ' OA FE 1,• Sl�ownJ o�� �r_nN f-oR .(3r.Rr-[Il,ec -r,- �1 REFEPENL•E : L- 5.1 Tr+L CAr a RPAL-Ty Tc.usr' � � „ov?r•1 NI CKUL/1 S I.10MES GAPE @NGfQttAjkx, t�!rt>•,� Mncc.►I2.0, i491 I NEW r cEA t IFY THA 1 T!lr ;1 Uf?r SHOWN ON THIS PLAN IS L�C.41FG UN IIiF !. `� uP.'-Ii1N0 AS SNOWHrRFQ!J, �� Of k(s . down , - :i OJAUI +' eaof Mg-lnFCrjnn... tc,. 1.At)() SUnVF yoq:IE . V1. - YA 401)1H -- On If ?b i 1'4U 'on VEy04 Department of Health Safety and Environmental Services Building Division 1 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 , Ralph Crossen Fax: 508-790-6230 Building•Commissione: 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. q j A, 1'�„Jy te-00 vn Type of Work: Z cL- b 4CC-k Estimated Cost Address of Work: ) g- .9 U'C�Owner's Name: 6?6-eyZ -e- Date of Application:? I hereby certify that: Registration is not required for the following reason(s): Work excluded by law C]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 MIPROVEMENT 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. o 64—411,1 Lj ' Daie Contractor Name Registration No. OR Date Owner's Name if q:fomu:Affidav IS '+- Department of Indtarrial Accidents �� °-• -_ �•:•-� . Ofhcaaflotyestf�atloos 9 �= _ Q£r-- 600 Washington Street Boston Mass. 02111 ' Workers' Compensation Insurance Affidavit . •ee [tI1'g?E �'SAY'�y/%/////%Wi.P/%///��////%�%//.%%%////l//////O//O%///��% name: �G� ©Cc.G3 l/l ly ^YI location: city fit/t c 1f 2- phone# i�g� Z' ❑ I am a homeowner performing dl work myself. ❑ 1 am a sole proprietor and have no one working in any capamty I am an employer providing workers compensation for my employees working on this job. comnnnvname: address: /Z rT 'ry city: Yiy/ G `'!�/G(. OL-G phone#:. . . 3 insurance cn. C1 SQ 4'// niicv# wC95- 3 y01?`J ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the foIlo«ing corkers' compensation polices: comoanv name: address: •: ;::;;": :. dtv: phone#- ............ ..... insarnneeen. .. ..,...;••':s: :%e •:....,.w; v>,,:.: comnanv name: y> . address- cih- phone tt: ::. ... insurance co. ::�::. ... . .. oiiet►# ..: :;.:;M3.;.••;;:;:,...:.�s:;>:.>::...:.. il; eo aeeare coverage as required under Section 25A of MGL 152 can lead to the imposition of c fminai penalties of a One tip to S1.500.00 and/or one vears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of Sloo oo a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verineadon, I do hereby ce ' 'raider the pants and penalties of perj that the information provided abovr is&&w..mrd correct Simature Date Z Print name 7-o S Q �l� Phone# s 2— �4 9 �Z oMcL-d use only do not write in this area to be completed by city or town ot>idai. Sty or town: perrrHt/Bease q Mudding Departtaeut OLkensiag Board ❑cheek if lrt�tediate rnpotse is required ❑Selectmen's Ofte Mealth Department contact person: phone p: ❑Other (mvuea 9,95 P/AI i Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for employees. As quoted from the "law", an employee is defined as every person in the service of another under any cot:...; of hire, express or implied, oral or written. An employer is defined as an individual partnership, association, corporation or other Iegal entity, or any two or more c: the foregoing engaged in a joint enterprise, and including the Iegal representatives•of a deceased employer, or the recce r� trustee of an individual,partnership, association or other legal entity, employing employees. Howevo the owner of a dwelling house having not more than three apamnems 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 c: 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 Iicensing agency shall withhold the issuance or renew, 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 witli 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 inmr,nce requirements ofthis chapter have been presented to the contracting authority. � ����J --- -i/ii j���� �'m Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be 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 . 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 permitllicense number which will be used as a reference mimber. The affidavits may be rclzaaed ie the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would lire to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. Meparmieat's address, telephone and fax number. j The Commonwealth:Of Massachusetts , Department of Industrial Accidents ' Ofifce of Imrestlpadons 600 Washington street . Boston;Ma. 02111 •• fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 . TabieJ=b(eottdaae Q Praeriptive Packa6a for One and Two4ha iy Rnida w Boudhw Heated with Food Faeh MAXIMUM MINIMUM 4LLmin6 Duzin8 ceiling wall floor Basement Slab Heaanwcoollag Amn'ffi) U-value= R value' R value' Rvalud wall pak=trr EqWPmcat Effici=CY' Parimge Rvaltar' &-value 5"l to 6500 Hating Dews Days' Q 12% 0.40 38 13 1 19 10 6 Normal It IZY. 0.52 30 19 19 10 6 Norms! S IZ•/. 0.50 38 13 19 10 6 85�E T 15% 036 38 13 25 WA WA Nand '/. 0.46 U 13 38 19 19 10 6 rmal No V IS•/. 0.44 38 13 25 WA WA 83 AFUE w 15% 0.52 30 19 19 10 6 85 AFUE X 18% 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 18Y. 030 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: yS 'To S/K1 Cv. 43 Aa h/ m - 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ( ,:�i`•�� 3. SQUARE FOOTAGE OF ALL GLAZING: / 06.`7", Z, G 4. %GLAZING AREA(#3 DIVIDED BY#2): I%'3 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. 2,-D BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a iE Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, ind , basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or.mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or garages). Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use`compliance'approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: 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 J 1.5.3b. If a door contains'glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 -Kwjjadmz4e4m 155531 t' DEPARTMENT OF PUBLIC SAFETY 155531 ONE ASHBURTON PLACE, RM 1301 - , BOSTOW,�MA 02108=1618 - CONSTRUCTION SUPERVISOR LICENSE �-�-.�•_ Number: _ . _expires' _ �___ �,.�. 026870 _ 02/14!2000 Restricted To: 00 lilt JOSEPH V OLOUGHLIN PO BOX 2020 r � E DENNIS, MA 02641 Keep top for receipt and change of addres's notification. u ' S 1 . t ,o r'r.= 4HOME IMPROVF_MENT CONTRACTORS REGISTRAIJON 1: E36arcl:;of Building Regulations and Standards t ;One Ashburton Place — Roorn 1301 !r' ! ( � E38ston , Massachusetts 02108 ! '.HOME , IMPROVEMENT &CONTRACTOR -----..._-- egistrat 16n 100398 Expiration 06/16/00 j 074.&ommcmuwam�.t>��„��aa.}; PRIVATE CORPORATION ! 4f. ! HOME IMPROVEMENT CONTRACTOR ''El Registration 100398 1 . :''0 'L000aHLIN , INC . j Type - PRIVATE CORPORATION Joseph `V : O 'Loughlin ' Expiration 06/161/00 rr'... 2 Harold St ! • f ,r a:{� Har,wichport MA 02646 ! J. O'LOUGHLIN, INC. ' jiI p cph V. O'Loughlin }iti 2 Harold St ,, „ti• i ADMINISTRATOR '�. Harwichport MA 02646 r a d , i 1 i . i t i f I j . t WTI i ME4FT — -- - -- 1 — 1 ��o�iGS i.l�►•! el, W x V w,*r box oo`T wirjtx-w I I I x l0 W-M I'Al m I v tiE r � k 1• • 1 H • 1 x 1 • Ft•�1 ice, - � �• .t 'vW •+�. �i, wed, _..-____ .__._ _- - ___- =_--......._._ _-----___-- �. Tom.- �-•-►.. __ a,, f 1 T) VO FL M AT�ON fi Ri l _ HL �� 1 • --- -Y •f por ot • I�PVISED s��ol9; .. i r/ntie/d Sf .. SD9- 3L 2-e�411z FENUCCIO&RICHMOND ARCHITECTS 923 MAIN STREET YARMt7UTI•IPORT._MA. O^67.S cno -jr, w— L • � � - III I --------------------------- --- t F —14; xH r, if,-XI I�-•--i Nns F Mu.�M .Oo.6 .' _—� S'X15i. St✓:y"'L'RG' 'J?O,ocki` =rh►,q,• .. '. PROPOSED ADDITION to the �.yt>r ZA,14 KSLA RESIDENCE JOIAH 44 JOS 'S PATH FENIJCCIO&RICHMOND ARCHITECTS WEST BARNSTABLE,MA 923 MAIN STREETYKRMOUTHPORT,•MA.. 02675' 508-3624322. i t X4 VoOo7041 17,5;,C, ilvcy To s rs /6 o-c- \0 � r 1 o 0 t o � .t 1 Po2c N N 1 t � � I /-n C 2 5y s feyN t F 2 Awe ry eu) I)< a.C. l MUD AW nE' J` w 1)� N �t s R� ftmw6 Fop Ool 134y r7-LLI -- _ -6 2-_6 - r- •...y*..,. ,.t��..- , M1�""`'.��;�: .r, -.,Z„r,r.�...'�,,' �•*�'.'i7��-e' ,Tr� -'�-. .�.r;t r. r,.; .. "ti � o'�y�••'. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ 110T 1 rua TOWN OFFICE BUILDING tg t039• � HYANNIS, MASS. 02601 y '�o rnr�• MEMO TO: Town Clerk FROM: Building Department DATE: s. An Occupancy Permit has been issued for the building authorized by BuildingPermit #......_. ....»..._......................................................................._..... ._....._ ._........».......».. ...»»» issued to .... y�.../l��Eo IKQ......................_.............................................................................».»»... »»..._»».........»..»»..»»» w Please release the performance bond. 1 � ) Map 6 Parcel " `"4ermit# Conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00) ate Issue J `a?(a hh Board of Health(3rd floor)(8:15 -9:30/1:00-4:45), .r � �� ee a(s, cl� j Engineering DePCHF House# 0::45-r-JS' V ORfirric §JS7 isa �N�Ta1 `J�►eAICE s 19 E�i1/6MDE MD TOWN OF BARNSTABLE TOTIONS {Buildli'ng Permit Application f Proje ddress Village _. (A) aA h S t*6V-- Owner `� Address Telephone Permit Request CamL i First Floor square feet Second Floor 7— square feet Estimated Project Cost $ d--&V �— Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial / Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished ,Historic House All Unfinished Old King's Highway Number of Baths No. of Bedrooms C Total Room Count(not including baths) First Floor Heat Type and Fuel *uj Central Air Fireplaces �— Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other \- .. Builder Information Name J►'W iA ba 5, Telephone Number ? Address d �7 rA,n M, S ed/I P/t►9, Q AG License# Home Improvement Contractor# Worker's Compensation# l NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS I PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ABUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY ' PERMIT NO. - ci DATE ISSUED - - .n MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION ' FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: - ROU�q, FINAL — •,� co _5 GAS: ~ I U � _FINAL FINAL BUILDING its DATE CLOSED"OUT: ASSOCIATION PLA-N NQ® i Ilk i The Commonwealth of Afassachusetts - Department of lu_ddstrial Accidents `i 1,1W =. rA Ol/ICBOI/�YCSI/yat/ODS 6ll!) ►i aslriagton Street Boston.Alirss. 02111 Workers' Compensation Insurance.AMdavit ktalfiaw Of eowner performing all work myself. am a sole proprietor and have no one working in any capacity 0 1 am an emplover providing workers' compensation for my employees working on this job. cmmvany name: address! cih: phone#• . insurance co. may.# r. . r.. ...t.. .�.. •�.,,,... �.r�.�f.►' w 1 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• cih^ phone#• insurnnce co. nnficy# ' ' • �." :a�ri. '.r..._;T� K'AI.Y:xti..:i!twn�?�ry�';•:Z;�R !SGi'+�*0 - _ 'wP'r'R.:!1.�N' - T- MOIM44aT�.�..'Mr cdimnanv name: address: city: phone#• insurance co policy# :Atiach additional'sheet if neeessa »• "•i.s:��! ' ���"+F!!r4f' ='Gilt `�� " Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or une 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. 1 understand that a copy of this statement mac be forwarded to the Mee of Investigations of the DIA for coverage verification. I do hereby certifj• der file pa' s a s penalties o uq•that Ilse information prodded above is true and correct Signature ate �� g Print name c`C/ J �- I ,� �"1 - Phone#NJ official use only do not write in this area to be completed by city or town official city or town: permit/license# rnlluilding 7epent (3IrcensingO check if immediate response is required E3Seleetmens Office contact person: phone/1;. riOtherh Department (mised 3,4)5 P1A) Information and Instructions r , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees.- As quoted from the "law", an emplitme is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An empli!rer is defined as an individual. partnership, association. corporation or other ;;:pal entity, or any two or more of the fore;;=oittg 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 1'52 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 Iras not produced acceptable evidence of compliance with the in 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. 1 - :.. 77 .'.:•�.y [. .........'....;.." .. .r ...... :{�•.'_ A...-a!"7s:L .r,.+: 'w..- sit. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. 77 = _.. �. ._ . .....-or'.,.... . .., _ ........ ;-•.•.r:. .: ram :i.r:..•;�r77 . :� �:�• - .. ;•'.a �i:i: �.r.:.sit '""' Citv 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 cooper4tion 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 'M Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 sun The Town of Barnstable K 1eS Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosscn, Off= 308-790.6227 Fax: 508 775-33" For afce use only Permit no. Date AFFIDAVIT ' HOME sWROVEMENTCONTRACTORLAW SUPPLEMENT TO PERMIT APPLICATION MGL c 142A requires that the-r=nstrucdon,alterations,renovation,repair;modernization,conversion, improvement,.removal, demolition. or eonstinction of an addition tQ any pm cdsting owner 00cupied building containing at least one but not more than four dwdling units or to stira"s which azz adjacent to such residence or building be done by registered aomsac tots,with certain eseeptions, along with other tequiremeats. Type of Work6AIQ r Est Con Address of Work: Oaner.Name: q Date of Permit Application: I hereby certify that: Registration is not required for the following rcason(s): Work cmduded by law Job under SI,000 Building not ow=-o=apied Ping awn pQmit Notice is hereby given that: r OWNERS PULLING THEIR OWN PERMIT OR DEALING WiTliTlNItEGISTEIIED CONTRACTORS FOR APPLICABLE HOME IMPROVEMME rr 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 ner. on No. Date Contractor name u OR x "ago• � _ � ti ,., � � , La co A 70 TO 5 m•-z°� •' y° t 9 I \ LO r7d y v i� t; •pp y y Y { ,,'• $III ' i.. ? m J 7 A 4, , .. t , . .. '.l .} L 'V ,l• is �V+' 74 DEPARTMENT OF PUBLIC SAFETY WY ?_ CONS 0# SUPERVISOR LICENSE . �.. Expires: �rRes 'ctex�' 't`F �CMARD f _ ;PO 6B1 TINORY JR HYANNISPORT ' � _ NA 01647 Application to 0P"S+DOPE OPT�°� r E Old Kings Highway Regional Historic District Committee in the Town of Barnstable fora CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed .work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building D Addition ❑ Alteration Indicate type of building: Co House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 2/7/0,6 ADDRESS OF PROPOSED WORK 45- Josiahs Path. ASSESSORS MAP NO.— OWNER Gerard Kivney ASSESSORS LOT NO. oq HOMEADDRESS 45 Josiahs Path. W. Barnstable , Ma TEL. No. 508-362-1307 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way.. (Attach additional sheet if necessary). Suzanne Hellam 40 Josiahs Path W. Barnstable , Ma. 02668 Bernard R.&Pamela Vandyk 125 Berkshire Trail W.Barnstabla , Ma 02668 t George T.&Nora B. Brown 105 Berkshire Trail W.Barnstable , Ma . 02668 McKay—Neville 25' Josiahs Path W. Barnstable, Ma . 02668 C1are .Niven—Blov,3rs 59 Josiahs Path W. Barnstable, Ma . 02668 Grace A. Olive 10 Park Ave . Hyannis Ma . 02601 AGENT OR CONTRACTOR Tinory Construction & Design, IIIC:TEL. NO. 508-778-2249 ADDRESS P•0 . 681 Hyannisport , Ma . 02647 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). l s p 0 Signed Owner-Contractor-Agent ` Space below line for Committee use. Received by H.D.C. Date The Cer ' icate is h reby Date 6-11 3 Time - a By Approved ❑ IMPORT T: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. XH.T,. r . J ..a - .. _ .n.�.w....._..�r..•M.'.i.+ia_....._. ..nr.. Ar�._._.�.`-...tom.. 1..n.nµ�....+ .+wJ.wr .wa.+.nr.t �r'�t ry 1 { Town of Barnstable W' Old King's Highway Historic District Committee SPEC SHEET SAL FOUNDATION # SIDING TYPE �� t'� ` '� S�' /t`�l�''� COLOR i CHIMNEY TYPE N � J COLOR G ROOF. MATERIAL 14. >Al�.��. S I11�:1'i,� � C COLOR { PITCH `) - `/ r ,�J . I ��, t� ( �� (I L f. l •i_r V e- WINDOW �- f-'-�•�,��� 1c,1 -'� C' �'�� f '4 rti SIZE S l' TRIM COLOR �r.t`1'k `J 1 �' _� } ���i •vh ( 0 ( L DOORS COLOR SHUTTERS GUTTERS DECK `f GARAGE DOORS �l.I�I �• COLOR F: I NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this w form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when n applicable. Plot plan need not be "Certified", but should show all. structures on the lot to scale. r SPECSHT =u . y bob 6-S IS Ac. log vo yam. 1� o s LPG v ' � 9 j eti. 1100, 101, 00 a �P I 10 r� t M } N i I I.05 AJC 'so r4n�. 09-fs I ups Ar.aseo: �4 s REV. 8Y AY/S 1970 ® / I.05AG 's, ` ORIGINAL ISSUE 1968 -- 1.03 aG. 89 IIO 7.7 's, . 88 109 I ® 88 .8T 108 •rs .,.Assessor's office(1st Floor): r Assesso's map and lot number-'' / Q o�INC To Conservation — H� 1�S ������� �`w {, Board of Health(Ad floor): M MUST'®E DASl7TAAL Sewage Permit number _ E, y. INtALLED'N C014P LIANCE rua t Engineering Department(3rd floor): �[r t ;�',�� ® '�'�'r'LE 5 ���jto Nsr►��� E ; House number /�J Definitive Plan Approved by Planning Board NTAL CODE AND PROCESSED 8:30-9:30 A.M.and 1:00 2:00 P.M.only M- APPLICATIONS ;-:GULAT!0Nq TOWN .- OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO zczi' 141 TYPE OF CONSTRUCTION L� Z 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -� G2.417 li 9 Proposed Use Zoning District Fire District P / Name of Owner Address C73 X r1_� Name of Builder ,/��� lG� r��c4 rG Address zlAPf/ /,—qo1s-7f-4 wX, Name of Architect Address Number of Rooms Foundation Exterior Roofing a S-g 1 A /!l ,r Floors a Interior ;��--c Heating C cz f` Plumbing Fireplace /-[ S Approximate Cost Area 13 26 Diagram of Lot and Building with Dimensions Fee tO/V40 Z �y0 1.l z2� y 2 ��lvQ. lor 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 — fwc:�� Da�_ Construction Supervisor's License O q 2'L I NICKULAS, D. f� 35298 Permit For Two Story Single Family Dwelling Location Lot #13/51 45 Josiah' s Path � - West Barnstable Owner D. Nickulas ` Type of Construction Frame Plot Lot Permit Granted August 19, 19,, 92 Date of Inspection 19 gaffe, "f tod 19 I • I Application to „ �=��=••••PPS�0 E•�� pP`'+PPNS P GP • i• 0' pOtP 71•+�� Old King's Highway Regional Historic District Committee,_ in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or 'photographs accompanying this application for: CHECK CATEGORIES THAT APPLY- 1. Exterior Building Construction: ( New Building ❑ Addition ❑ Alteration Indicate type of building: ldng House uarage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). Z TYPE OR PRINT LEGIBLY LC'T 1�� S)�N s ft-TN DATE ADDRESS OF PROPOSED WORK W• gaIe l'A"TI&g`E I tit ASSESSORS MAP NO. D0� OWNER ho 61 dL-b h Lev L-,t,s ASSESSORS LOT NO. HOME ADDRESS Ir,b'J W 9A.W-QsT4g!L� TEL. NO. -3IoZ• (02�� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). 'P�1I.1�T M 141b�� S L,4T A u L kt�.: C �!�•� 1 PST t L��S ?� o �L�g FAM-! W• gAleNST. AGENT OR CONTRACTOR 't�LN I' ��GN' b,.SS aL TEL. NO. -7� ADDRESS IGG72 '2TL �0 UW1 G VJ1 )LJ. ) }�(d. . bZlo�Z 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). Signed r-Con ra for c Space below line for Committee use. Received by H.D.C. t � The Certificate is hereby a11/ Date O Time JUN 1 1 1992 By N OF B RNS T IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ OLD KING'S HIGHWAY HISTORIC DISTRICT SPEC SHEET FOUNDATION IF, Gn11L. W / I o >C I to S I D I NG TYPE �Y—;7 k�x--t QTI o U4 COLOR WP VRE CH I MNEY TYPE COLOR Ile , BL�-K _bF , ROOF MATER I AL S COLOR )5L4_<_t PITCH s. WINDOWS S • SIZE S J TRIM COLOR DOORS S. COLOR IgL4cx SHUTTERS S . F_ GUTTERS S � • DECK S , 5 . GARAGE DOORS s. COLORL.,dG� Notes : 1 out completely, including measurements and lJ JU ! 11 1992 er i a 1 s/co 1 ors to be used. ee copies of this form are required for submittal TOWN Or- B.'"N.STAS of an application , along with three copies each of LD KING-: -11GHWAY th plot plan, landscape plan and elevation plans , ,n applicable. "Plot plan need not be "Certified" , but should show all structures on the lot to scale. Lo slr�u4 u r-7 -PRo�aS�D K es i cCµcC i 11� r WC,pa--ray. ! *p" Tos A w��- �- CO 1992 . TpVti�r �G S RNSTABLE 0 HI H WAY ARNSTABLE, MASSACH S DATE 94 A�gust 19 92 No '3v298 19 PERMIT NO. • APPLICANT Nickulas Building Co. ADDRESS West $arnstabla, :MA 5 . (NO.) (STREET) (CONTR'S LICENSE) PERMIT,-To' Build dwelling 2 Single family dwelling. NUMBER of 1 (_l STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING.UNITS • lot. #13/51 45 Josiah's Path, West Barnstable ZONING'', RF AT (LOCATION) DISTRICT_ (NO.) (STREET) S BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTIO1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TV PE), Sewage #92-354 REMARKS: ' BOND. AREA oa .. 1320 sq. f t. ;'VOLUME' ESTIMATED COST $ 55,000 PERMIT..$ .105950 (CUBIC/SOUARE FEET) :..OWNER' D. Nickulas ADDRESS' BOX. 507, West Barnstable, MA BUILDIBY NG DEPT.': .,y,,_,,,,_ „,... x11 fll'PDBY fUo THE C WOT}KS-YF7E�T ANCE O`IF TH15 PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ,ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHI. E FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 Z � 1� �pr-rA v.4Ge�° C. 3 HEAT G INSPECTION A R VALS Su N GINEERINGDEPRTME_N T BO OF HEALTHT O H 4 SITE PLA REVIEW APPROVAL /-oly /Z WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF P ORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN! CONSTRUCTION. ERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTf NOTIFICATION. .w:.. - ..?r i� ,^•;,,4•>>ri��+ ap'rS�L;.av�.7 :�E.; _ r � .a.� -. •- �,,._ ... -c ,,' .. � ..., ..�7�c .1-�,.i<: TOWN OF BARNSTABLE Permit NoA. ?.?8 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ■M� 9'>tcuY► HYANNIS.MASS.02601 Bond .......X......... CERTIFICATE OF USE AND OCCUPANCY Issued to D. Nickulas Address Lot #13/51 , 45 Josiah' s Path West Barnstable, Mass. . ` s 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. November 4, 19......9.�...... mot` Buel g Inspector o{TM >p TOWN OF BARNSTABLE Permit NoA. 98 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash .Y• 67p X 9'>euT' HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to D. NiCkulas Address Lot #13/51, 45 Jos iah' s Path 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. November 4, 19......9.�...... � ' � ^°..�.-- . .... .. .. ...... Y). .. .... .. Building Inspector a JOSIAH'S PATH 32.70' , l <` .- Pam• 1r 1p 2.06' 9,g2.50' LOT 57 I (,3.5 LOT 14 t � . `t1,8 cy ru v LOT 51 48, 465 +/- SF (1.11 +/- AC) v LOT 15 r .r 150.00' LOT 16 # 91-130-51 CERTIFIED PLOT PLAN LOCATION W. BARN. - PREPARED FOR. SCALE 1 = 60 ' DATE : 08111192 REFERENCE L- 51 SHE CAPE Rea yr -Rus1J' Zl' Dowd NICKULAS HOMES CNf e eN GIN V-SRIQC( DATER lmfAP-cH zor lCtq t I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE Of GROUND AS SHOWN HEREON. pJAu N down cape engineering inc. CIVIL ENGINEERS Cl LAND SURVEYORS �2 E 6A - YARMOUTH, MASS. 4DATE PEG. LAND URVEYOA 'Tr�s'tr`i ' I ck I i I I f i c�3u,n Cade cr1� %n car i f lnG CIJtt�er�tt-lE'v�S Lo.r1D Su¢J �Y�S 0 p w.aaAA�yAw \L,fi t_ r LO T- t 5 yuE� GAPE L AIC' —��CJ t ( . ' 22 Z L. M t n 144" I rA 17 -' c Ttr-- lEA.0,1 F', 19 0 � IZ!c.S ` t Z,4 'v 4 5. - --144-- I CaTuo ALlrJ �;,v^ 74 V-E .J G eoM 2 M.uaIIGI�rAL;�laTcE �._.:o r 4,�ICLIt_A[�LG 3 4. -44 5. Ptrr- JDIKJ1S S:+4ALL E,r- MACe Wd'T��TlC�t+T. !a G� .:� TELX-rr �tl C�TAILS TC FF)E IA417-14 f� s.�� . EN E G�►.l M F:;t-r . L Go DE T TRIG Pt�r�1 t�k' OV�Pcx D W� � 0�7L�( larlD � ovt-t7 l.iCT �F USF D '�� F'FL'PCJE.T~(l,J �l� �,T.d►Lt �_1C>, t34 Z5 __ Try cF tou �nn�,� -I - R DEaSTp►.;-: 4 to t IS Ot I I �vt Imo* ur a;la,al �I- -- Qe�rltl AC-� IL-(T`j -TA itil -. i S' GPD x � I . S = _ `�`1`� GAL USE _ <<='�`' GaLtcyl T4 LE AC,JG e��'oM— y �� ' ��.�_ ��_�/ � - --�� �� . �=,1-�F� ,rs.,�►c� c�E I��AC�E F�l�. t�i — � ' T t of t _AIL �S?i:� • s - -- 1�1E5T r-� f?•f�-r�l �� �P��_ I AA L�oaec�ne= �l�t-T� SCALE Al2 to N . a ALA ; �2-.L C— DATE