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0053 KETTLEHOLE ROAD
N S M EAD No. 53LOR UPC 12543 smead.com a Made in USA Ocycyb .rl�v FWUMMUNNOOWU14 w isscuSq RJIMorsOIR � YV�Y�LSiiPROGRiWLO� . Town of Barnstable �. Building e •. Post This Card So That if is Visible Fco wthe Street.-Approved Plans Must-be Retained on Job'antl tFiis Card.Must be Kept wxsraus a .� � � Posted UntilF�nal Inspection Has Been Mader Permit ib3¢' 1 111 1. Where a Cert�fiieate of Oecupanryis Required;,such B'uildingshallFNot•be Occupied until aaFnal Inspectionhassbeen made. Permit No. B-17-1611 • Applicant Name: 'RAE,KEITH&STEPHANIE Approvals Date Issued: 06/23/2017v Current Use: Structure Permit Type: Building-Deck Expiration:Date: 12/23/2017 foundation: Location: 53 KETTLEHOLE ROAD,WEST BARNSTABLE ` Map/Lot: .109-052 'Zoning District: RF 'Sheathing: Owner on Record: RAE,KEITH&STEPHANIEr` jContractor N me: framing:_ 1 Address: 53 KETTLEHOLE ROADContracto Ucense: 2 WEST BARNSTABLE,IV1A 02668 � -- fs`t Project Cost $2,500.00 Chimney: Description: . Expansion of Deck "; P? t Fee. $110.00 � R, Insulation: � F�P�aid: $110:00 Review Notes: Date 6/23/2017 Final: A—) 08/? Appears to be a new deck,variable foot print,across rear ofhouse + Plumbing/Gas RMCK l , ; � r Building Official _ Rough:P_lumbing: I Project Review Req: Expansion of.De.ck _ .< Final Plumbing: v Rough Gas: •Review Notes: Appears to be a new deck,variable foot pr nt,across rear of 'Final Gas: house. RMCK ,. tiss � Y Electrical This permit shall be deemed abandoned and invalid unless the work authored by�thissperm As`commenced within snc months after issuance. _ .}kt�'''Hs�d .���+ rati�r i�fF ��� 3� All work authorized by this permltshall conform to the approved applicaUonand the°approved construction documentsfor which this permit has been granted. €� �.� � Service: All construction,alterations and changes of use of building and structures shall�be°incompliance with„the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street o rod sha Ima ntained dperi for�ubl�ic inspection for the entire duration of the Rough: `. work until the completion of the same. - Final The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected at the throat level before•firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.,Prior to Covering Structural Members(Frame Inspection) final: 6.Insulation _ 7.Final Inspection before Occupancy Fire Department Where applicable,separate.-permits are`required for Electrical,Plumbing,and.Mechanical Installations. final: Work shall not proceed until the Inspector has approved the various stages of construction. Ilk "'Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in.MGL c.142A). TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I � � Map Parcel - UJ Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee O Date Definitive.Plan Approved by Planning Board e Historic - OKH Preservation/ Hyannis Project Street Address S3 Village W eSfi [3arr•s b l� v 2 &6 XQ� -� Owner � Address Telephone Permit Request 8 y oa,% S i'U''� Square feet: 1 st floor: existing �i(V posed 2nd floor: existing !�v0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation°. 0 Construction Type Lot'Size 3 I 1 Q 5S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Uoo/ Two Family ❑ Multi-Family (# units) Age of Existing Structure S t�.r( Historic House': ❑Yes ®tqo,_ On Old King's Highway: W-Yes, ❑ No Basement Type: OoRull ❑ Crawl �/alkout ❑ Other Basement Finished Area (sq.ft.) D Basement Unfinished Area(sq.ft) 1,2dd Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing C? new First Floor Room Count Heat Type and Fuel: was ❑Oil ❑ Electric ❑Other Central Air: ❑Yes a1boo' Fireplaces: Existing New Existing wood/coal stove: ❑Yes &40 Detached garage: ❑ existing D new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: a-lixisting ❑ new size _Shed: existing ❑ new size ���Ofher: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 8U1LDhVG Dc j Commercial ❑Yes ❑ No If yes, site plan review# JUN I.5 2017 Current Use Proposed Use 701nine tAICINS r1q5LE APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ,Namea..'�'�'` �C►9� I Telephone Number 7 Address /444Ltko(A Icy_ License# W"T /3�,�r S 3��,./H� #)-6 6 Home Improvement Contractor# Email1�►�- .'w Is cowkcc,S'T,. T Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM ,THIS PROJECT WILL BE TAKEN TO TI l SIGNATURE ��- DATE X la 0 FOR OFFICIAL USE ONLY .APPLICATION # DATE ISSUED MAP/PARCEL NO. w ADDRESS VILLAGE = OWNER DATE OF INSPECTION: . FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING': ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 27m Co}n}frmrweah*qfMassaclraseits Department of ladusftial Accideads Office ofbMeM6900ns 600 Washurgton Street Briton,AM 02HI ' »ivtt�mas��*av�iTui Workers' Carapensalian Insurmce Affidavit:B�aUders/C,antr-actarsMectricians/Piuimbers App&amt Please Prat Name oZ city/star (,'✓es r F= 7 7 6 -7/ ?9 Are you an ecaploper?Checkthe appropriate•box: ' Type of project ro' {r 4. am a general contractor and I egged}: I.❑ I am a employer veith ❑I g 6. ❑New comstaucEion loyees(fir11 andfor par-ime).* have lured the mb-contractors 2 am a sole propFietar orpartuer- listed on the attached sheet 7. ❑Remodeling ship and have no employees . Thew sub-contractors have 8.•❑Demolition woddng forme in any capacity employees andhave worlrffs' 9. ❑Building addition jN 'Wo6m S'comp-Wsura„ce comp.insurani l ] I El We are a corporation and its 10_El Electrical repairs cr additions 3. am a hemeoumer doing all work officers have exercised their IL[ Plumbing repairs or additicros. amnto wo6cars' _ rigU of exemption per MGL L epairs a required-]T c.152,§I(4k andwe hwe sin _❑Roof'repairs. employees-[No workers' 5dther cam-irtsumme -) 'Any appfit�dwt cLeticsbax ff1 mast also fiurnrtthe sectionbd wshasdng dxekwadseie compensafi=palicyix�mradaa_ fi i ameownem who submit dsis dMavil in g dney axe tieing Ru wo$aad dsen hire outside canuacross mast submit a new affidaei t mdirsainp saclL ICoxsuact. ff=chea tYN boa mast attached m additianal sheer sbovdngtheaameaf the sub-canhucma sad ftwtewhethec arnot(hose wtitiesham employees.Ifthesub-c=�chat;eempIoFers,theymnstpmvd&thea wwkexs'tamp.policynnIDhM I attt arc etttplaysr fliatis providing workers'catrrpetrsaiimt irtsrtrarrca for my errtpLry�ees Beloav is the ptrticy a>zd job site itrformahbn Insurance Company Name: Paficy¢or Self--in,s.Iic.-4 F-Epiration Date: Job Site Address: City/Stafe/25p: Attach a copy ofthe workers'compensationpolicy-declaration page(showing the policy mmzber and expiration date). FaElurre to secure coverage as required under Section 25A o€M(M c M can lead to the imposition of criminal penalties of a fine up to$UOD 00 andror one-year impusotummik as we11 as civil penalties in the form of a STOP WORK ORDER and a time of up to$250.00 a day against the violator. Be a(hdsed that a copy of this statement maybe forwarded to the Office of ImresErgations of the DIA for insurance coverage tmrificatioa. Iida hereby cep;fy uxuler i#spains and penaWes ofpstjury that As injormativapraoalidedabmw is trans and carrect Sitmatare_ hate Phone 9 SD 7 7 (o 7 l 7 Officiid rise anly. Do not write in acts area,ter be cmnpked by cite artomn o,, xial. City or Town: PermitiLicense;g Issuing Authority(turckone): 1.Board of Health 2.Buffing Depw went 3.Cftyffown Cterk 4.Electrical Inspector S.Phunbing Inspector 6.Other Contact Person: Phone#: - ormation and Instructions ; Mzssachmetts GeZeral Laws chapyt$r 152 regoaes all croployers to provide wo iM&compensation for f l-,I r=ployees: Pms tto this side,m ompkg=is dewed as."-.ovaryPersonm tTae service of anther-der any contact ofhfe, express or implied,oral or wrh=-" An ezTTIvyer is defined as"an in Evidnal,partnership,aswciation,c or or�ion or other legal ea , or nay two or more of t1e fDregoing engaged in a Joint eom ruse,and inchidmg ibe legal representatives of a deceased employes,or the rmeivear or bust=of an individual,per,association or other legal entity,employing employees_ However the owner of a dweIling louse having not more than three apartments and who resides merem,or the occupant oft - dwelling house of another who employs pessons to do maintenance,coast action or repair wotic on such dwelling house or on the grounds or buiMmg aPpnrfenam thereto shaIl not becanse of such a oploymeat be deemed to be an employer" MGL cbaptnr 152,§25C(6)also Sid S that"every sfam or local licensing agency shall withhold the issuance or renewal of a ficexase or permit to operate a business or to construct bnzTdings in the commonwealth for any applicant who has not produced acceptable evidence of cumpliance with the insurance.cove�-age required.." Additionally,MCIL chapter 152, §25C(7)states'Neither the commumwealth nor i�iyy ofits political subdivisions shall an into any contract for the.perEmm=ce ofpublio wotic nil acceptable evidence of campIiancewith the mom . reT:d emus of this cbaptea have betapresentedto the contracting ardhoaty.7 APPfic Please fol.Out the wows'compensation affidavit compldcly,by checking the boxes that apply to your sitnation and,if necessary,supply sub-oontract°r(s)name(s), address(es)and phone numbers)along with their cer[ifica to(s)of insozance. Limited Liabilky Companies(LLC)or Limited Liability Partnerships CLU)withno emuployees other than the members or partners,are not rimed to carry wotceas'compensation insurance. If an LLC or LLP do es haYe employees,a policy is required. Be advised that this a$dayk maybe snbmitte;d to the Department of Industrial Accidents for confamation of i nmrance coverage Also be sure to sign and date the affidavit- The affidavit should be-r t mme d to the city or town that the application for the permit or license is being requestA not the Department of LoAm trial Accidents_ Shouldyou have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the amber listEd below. Self-insrn-ed conpanies should ear their s elf-msor nce license number on the appropriate line. .City or Town Officials Please be sure that the affidavit is complete;and printed legIly. The Department has provided a space at the bot[oan of tine affidavit for youto fM out iathe event the Office ofluve tigaiions has to coafactyouregardingthe applicant_ Please be slue to,fill in the pe�/license number which will be used as a referent,number. In addition,an applicant that must submit multiple pennWEcense applications in any given year,need only submit one affidavit indicafmg current policy in�mation.Cif nmessary)and under`Job Site Address"the applicant should write �aII locations in (City or town).-A copy of the-aff davit that has been officially stamped or made;d by the city or town maybe provided t:)the applicant as proof that a valid affidavit is on ffie for fatal *-euniis or licenses A new affidavrtmust be filled out each year.Where a home owner or citizen is obtaining a license or permit not relatrd to any busiozss or commercial Ci-e. a dog license or permit to bum,leaves etc.)said person is NOT required to eomplem this affidavit The Office of Iuvestigalious would like to thank you in advance for your coopMiou anal should you have any questions, please do not hesitate to give us a call The DqP rtmmf's address,telephone and fax number: 'TIC CommmWeatth of Massachtscits ' . I�egazim�cif ludo Acc,Idents Bostous MA 0�1IF Tc,-L 4 61, -4 Q�rt 406 W 1-977XA SS_ F Fax 9 617'27 774 Ravise d 4-24-07 W Mass gagIdia- ft C Guide to Woad Construction in Brj�J4 Wnd,jreas:110 mph Whid Zone Massachusetts CheckUst fQF Compliance po chIR53012 I.1)' Check _ • - - - - CDMPUan= 1_1 SCOPE- -110 mph Wind Speed{3 sew 9 )- ---------- ---- .----- -B Wind Exposure CatBgwy.__.,.__.- -___-_-_-- Wind Exposure CatDgory..:..............Engineering Required For Entire Project------------------------------------_C 12 APPL1CAB1LlTY tories Number of Sinries(a roof which exceeds B in 12 slape shall be considered a sfnry) stories s<12:12 Roof Pitch (Fig 2) - ----- Mean Roof Height —..__.______._ (Fig 2) ft _ Building Width.W--. __-_-_ -�(Fg 3)'_+_ —.___� _fr BO• Building Leng$h,L _._ - --------:—(Fig 3)— - --__._._ =ft s BEY Building Aspect Ratio([AV) -- ---_----(F9 4)-- --- - - - 5 3=1 . Nominal Height of Tallest Opening? _ _-• -----(Fg 4)- -------- <�g" 13 FRAMING CONNECTIONS General compl-rdnce wi h framing connections 21 FOUNDATION . Foundation Walls meeting requirements of 780 CMR 5404.1 r Conr -_....................- - -••----•--•-----••-----------•---------•-----•-------•------•----•------• _.._.. _ Garx�ne Masonry--•----------- ------ — - 22 ANCHORAGE TO FOUNDAIIONt3. 518"Anchor Bob imbedded or 5IB`Proprietary Mechanical Anchors as an alterihative in concrete only pa ' g-g --.------ able 4) _ - -- < in. Bolt 5 cm general_...__._..__..-__-•-- (T . Bolt Spacing from endTomt of plate---(Fig 5) -- in-_6'-12" Bolt Embedment-conaL4B _ -(Fig 5)._- ------- —in.>_7" Bolt Embedment-masonry-.-.---.-_. ----(Fg 5)---=--- -_-_—_ in->_15" PFate Washer---.--------(Fi9 5)----------- --'-3`X 3'x'/�. 3.1 FLOORS Floor*aming member spans checked 760 CMR Chapter 55)_—___-�-- Maximum Floor Opening 13imenslon Full Height Wall Studs at Floor Openings less man 2'froin Exte-dor Wall(Fig 6)--------------------------------------• Maximiun Floor Joist Setbacks Suppoi'Hng Loadbearing Wails or ShearwaIl—__- ft d Maximum Cantilevered Floor Joists S6pporiing Lbadbearing Wails or Shearwall_-- -(Fg 8)-------- -- ----= -- `d FloorB racing at Floor Sheathing Type _---_._-_.__ —._(per7B0 CMR Chapter 55) Floor Sheaffhing Thickness--_- -- _(per 730 CMR Chapter -____ in_ Floor Sheathing FasEerimg (fable 2)_ d trails at in edge/_in field 4-f WALLS - Wall Height tHeight ritg wags.-_ • -_------__ -____(Fg 10 and Table 5) Nan-Loadbearing walls-,_ (Fig 10 and Table Wall Stud Spacing _--------- -------fig 10 and Table 5) __ —►n•<-24 n.r- Wall StDry Offsets __-- --• -__.__-(Fgs 7&8)- __--_--.___ —ft 42 iDCZaRIOR:WALLS' Wood Studs Loadbear►pgtiraIfs—____-____. _-- -_(ralaie )- -------•-- - _ Non-Laadbearing walls.-.__--__.--------•- (Table 5)__ __ _ 2x --ft_in. Gable End VVM Bracing t Full Height Endwall Studs_._—__ zlhfl3 WSP-Agra Floor Length (F91�)— ----- _ 'Gypsum CeMng Length(if WSP not used)__ —Y-(Fig - and 2 x4 Continuous Lateral Brace @ 6 ft.o.c__(F911)r---_----------------_-._- _ w or I x 3 ceiling tutting st ips 16`spacing.min-with 2 x 4 bbcidng @ 4 ft_spacing in end jae or truss bays Double Tap Plate SprM Length - --- (Fig 13 and Table 6)---- _-- •-.-_ _ft _ Spftca Connection(no.of 16d common naris) (Table AWC Guide to Wood Carrs&uctiarr in High I1,"rrdAreas_ 110 mph WrTrrd Zone ' Massachusetts CheckUst for- Compliance (7s0 C'LWRD0l.Z l_1)I Laadbearing Wall Connections - Lateral(no_of 16d common naffs)_____.— (Tables 7) Non-taadbearing Wall Connections Lateral(no_of 16d common nails) —_—(Table B) Load Bearing Wall Openings(heard largest opening but check all openings for carrspfrance to Table 9} Header Spans __— —_-----—(Table 9)_� _ft h 511' Sig Plate Spans —_-- -- —__(Table 9) ---------__.__ FL A Height Studs (no. of-s[iids) (Table 9)_— ----�— --- Non4-md Bearing Wall Openings(remrd largest opening Wit check an openings for complian_ce to Table 9) Head ei Spans•__.____ ____ __—___ (Table 9)_—__ _ _ft' in 512' Siff Plate Spans.------- _ ._(Table 9)_. — _ft_in 512' FLA Height Studs(no.of studs) _(Table _— ExteriorWaff Sheathing to Resist Uplift and Sheaf Simultaneously4 W"mum Building Dimensiori,W Nominal Height of TallestOpeningz ................. --_-- -_---- --_ 56'B' Sheathing Type_ (note 4}____ Edge Nail Spacing (Table 10 or note 4 if Field Nail Spacing.--_ --- ---•(fable 10)_--- --_-- in_ Shear Connection (no.of 16d common nails)(Table 10)_ Percent Full-Height Sheathing.—_--__ (Table 10) —% 51A Additional Sheathing fbr Wall with Opening>•6'6"(Design Concepts)—____ Mwdmum Building Dimension,L Nominal Height of Tallest Opening2—__—--------------------_----------------------------- 5 6'B Sheathing Type___ — _.-__(note 4).-- ___—_- Edge Nail_Spacing—__ _ —(Table 11 or note 4 if less)__ .... irL Feld Nall Spacing -_— ___—.—_(Table,ll)_ r _—__.._ • __ in_ Shear Connection(no. of 16d common nails)(Table 11)_.__—,— Percent Fu&Height Sheathing----(Table 11)___ 5%Additional Sheathing for Wall wrlh'Opening>6'8'(Design Concepts)____ - Wall Cladding Rated for Wind Speed? 5-1 }ZOOFS Roof framing member.spans checked?___— .(For Rafters use AWC Span To_o(,see BBRS Website) Roof Overhang --------------- ---------____--(Figure 19)__-:_—_-. ft!9 smaller of 2'or U3 Truss or Ratter Connections at Loadbearing Walls Proprietary Connectors Uplift__—__—___.____._— _ _(Table 12)___ plf Lateral_._._—__. -_. __(table 12)___ _ .—L= ptf Shear.-____-- _-----(Tahie 12}._—• __-_—. —S= Ridge Strap Connections,if collar ties not used per page 21___ (Table 13)_—____—.__—_T= plf Gable Rake Dutlooker___------------_ __.—.-----(Figure 20)-___._.___ft5 smaller of 2'orUZ Truss or Rafter Connections at Non-I-Dadbekdrig Walls Proprietary Connecters Uplift ____- __(Table 14) — ___U= ib. Lateral(no_of 16d common nails)-_(Table 14)----------------------_______________L= Roof Sheathing Type---___, (per7B0 CMR Chapters 58 and 59)--_-_-_____: Roof'Sheathing Thickness—..---- _ -_-- _ —in-?Tl161 WSP Roof Sheathing Fastening—____ —___— (fable 2) — Notes ` •1. , This checUst shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR5301.2-1.1 Item 1. If the checklist is met in Its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a_ Stee!Straps per Fgrue b. 2b Gage Straps per Figure 11 r- Upfirl Straps per Figure 14 d_ All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure 1Ba and Figure Iab 2 'Exception:Dpening heights ofup to 8 ft.shall be permitted when 5%is added to the percent fulkheight sheathing ' r equirerrients shown in Tables 10 and 11. 3_ The bottom srli plate in e6irior wails shall be a miriimwn 2 in nominal thickness pressure treated#2-grade_ • ' AFVC Guide fo Wood Construction zrt�ratr 14rirzdAreas_ 110 m1h ff'hndzane Massachusetts Checklistfor Compliance(780 CNIR53.613.1:I)' 4. _ a. From Tables ID and 11 and location of wall shi!athing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thiciatess of 7116"and be installed as follows: i_ Panels shall be installed V&strength axis parallel to studs. Fr. AD horizontal joints shall ocarr over and be naDed to framing. ui On single storyy construction,panels shall be attached to bottom plates and top inember of the double top plate- iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joM at bottom of panel Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. V..—Horimntal_nall spacing at double top plates, band joists,and girders shad]-be a double row of ad - staggered at 3 inches on center per figures below=Vertcal and Horizontal Nafliig for Panel Attachment 5. Glazing proterdiorr_a)-new house orhorimntal addition-required if projecfls 1 mrle or doserto shone(generally,south of Rte.28 or north of Ft-- 6) b)vertical-addifion-not required unless there is e�ftensive renovation to the first floor c)-repiacernentiMclows-needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH,Exposure B maybe obtained horn the American Wood Councrl (AWC)website. • �rnst�c-�r�•srsou - ATS— u t7 t l t TUC, I 1[ !t O * i Q I l K 1 tl I1 y. - o rt It o ;; I[ r [! m n n - I 7r I i _ Eli, i' et It 14 r 1 r 7 - ll 7r( 1i `l Il L[ • 777 t i l l i - • ^ 11 7 A2 [ t --4 -. 1 z i sPAG!JG WAX PAITEAN � PANG- � - �s P7W-IDfiE `�� AQur3LEWLILED ESPACMIDE3AL Sea Detail on Nexf Page Vertical and Horizontal Hating mil + Verticzl pnd Horimnw Nailing for Panel Attachmentfat Panel Attachment r Town of Barnstable • Regulatory Services o�TME Richard V.Scali,Director Building Division I Paul Roma,Building Commissioner 1659. 6. 200 Main Street, Hyannis,MA 02601 I www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION J Please Print ,DATE:- 1// �� 7 JOB LOCATION: .� 3 l�e�t-�-��tS�-- /�• W e-S T f5p,i0% S AS ��/�1/T d Z �0 (o number , street G village "HOMEOWNER": �-�7e� �� 7 7 —. 2 / name home phone# work phone# CURRENT MAILING ADDRESS: , cS4 M"-e, cityhown 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 requirements. Signature of Homeowner J 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&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- this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFLL.ES\FORMS\bgilding permit forms\E7CPRESS.doc 0620/16 i Town of Barnstable Regulatory Services Richard V.Scab,Director. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hy=is,MA 02601 www.town.barnstable.mR us Office: 508-862-4038 Fax: 508-790-6230, Property Owner Must ; Complete and Sign This Section If Using A Builder T le,e)A %L- ,as Owner of the subject property hereby authorize Gln r1t i. l3�0�-' to act on my beh4 in all matters relative to work authorized by this blinding permit application for. 3 �4�- -cam 1�1� _ w, 3c.�h sue,6 � - •/� (Address of Job) U 2 (9 (9 4 **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 Pit Name 1 Date Q:FORMS OWNERPMUv=ONPOOLS r i File number: 160422-0 UNREGISTERED LAND Attorne : WILLIAM D. CROWELL I Deed Book 12831 pa a 149 Lender: i Plan Book 301 pa a 99 Lots 41 Owner: CHRISTOPHER TALOUMIS7 TRUSTEE TALOUMIS REGISTERED LAND Reg. Book Skeet Lot(s): Date: 4/28/2016 i Certi[cute of Title Assessor's Map 109 Blk: 'Lot 52 I Census Tract MORTGAGE�NSPECTIONPLAN Scale: 53 KETTLE HOLE ROAD, BARNSTABLE, MA i I. LOT 38A ` �Of L.Of 41 35,119t S.F. LOT 39 DK a• ' SHED i Pa- ` DRIVE. LOT 42 ti E LOT 40 160.00' KETTLEHULE ROAD CERTIFICATION 1 CERTIFY TO THE ABOVE ATTORNEY,BANK,AND THEIR TITLE INSURANCE COMPANY THAT THE MAIN BUILDING,FOUNDATION OR DWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS.GENERAL LAW TITLE V►►,CHAPTER 40A,SECTION 7. NOTE:DWELLING LOCATION BASED ON VISUAL INSPECTION AND FOUNDATION PLAN ON FILE WITH TOWN.AN EXACT LOCATION WOULD REQUIRE AN INSTRUMENT SURVEY. , FLOOD DETERMINATION BY SCALE,THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #25001 CO534J AS ZONE X DATED 7/16/2014 BY THE NATIONAL FLOOD INSURANCE PROGRAM. OF Ai GAW S. yG ; Olde Stone Plot Plan Service, LLC �,ID F. P.O. Box 1166 Nm "' s Lakeville, MA 02347- Tel: (800) 993-3302 Fax: (800) 993-3304 PLEASE NOTE: This inspection is not the result of an instrument survey.The structures as shown are approximate only. An instrument survey would be required for an accurate determir ation of building locatiorisl encroachments,property line dimensions,fences and lot configuration and may reflect different information than shown here. The land as shown is based on client furnished information only or assessor's map& occupation and may be subject to further out-sales,takings,easements and rights of way. No responsibility is extended to the landowner or surveyor,or occupant. This is merely a mortgage inspection and is not be be recorded. J I rti Town of Barnstable Old King's Highway Historic District Committee RECEIVED 200 Main Street,Hyannis,Massachusetts 02601 (508) 862-4787 Fax(508) 862-4784 MAY 19 2017, CERTIFICATE OF EXEMPTION GROWTH MANAGEMENT Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Exemption under Section 6 and 7 of Chapter 410,Acts and Resolves of Massachusetts,1973,as amended,for proposed work as described below and on plans,drawings,or photographs accompanying this application: Date - `r-- 7 Address of Proposed work, Assessor's Map and lot# o C( L) House# 5 3 Street !� �-T7��-�� 1'A- i` Village: ij This application is.for an exemption of the proposed construction on the grounds that work: Ii -<U not be visible from any way or public place ❑., Is within a category declared exempt by the Old Kings Highway Regional Historic District Commission i ❑ Other Description of Proposed Work: G, S 1 () Agent or contractor(please print): fr�[;r Cl�e `� I,i°C;} -� Tel.no. Address Owner(please print): DG`'1'� l' t:�.• _dry�) Tel no. Owners mailing address: Signed,Owner/Contractor/Agent F This Certificate is hereby Approve"enied Date: r Committee Members Signatures: JUN.14 Z017 1j, Town of Bar stable Old iPNay Committee Any conditions of approval: C.(Documents and SettingsldecolliklLocal SetttngslTemporagInternet FilesIOLKI DKH Exemption Form 07.doc Town of Barnstable Geographic Information System ey January 31,2016 109054 109053 t r `1 ' t� + t s � r ` > "tS a la.•' iN - i ""77 "e'�!t! a 1,:Y, L"'4 3 ry d f 109048 SEE 'T NN \ y /1fJ ^e• +r� `v, r a ` a+ } 'K 109030 � ; M r „O� .•E .1• L 'i� /� ry'. •��� t• � 1_\�' t++��+�� 'l' 's +� t ,.tm .� e " ' � �� w4 a ;c.� G:�� o"`�'�• a' ter•,°� `'. L0YY9052 !109049 /! ' � �+y •�,Y �. � e r� f p tS1�, '4,'. r .fir � "^ i NJ ice` !>+ 3� ,'�' j`�•, ' 4 $. ,..��� �', 4 y k't i S ! 3 :i w �.• '+ l :i'i IN N 109051 #531 _Feet DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:109 Parcel:052 boundary determination or regulatory Interpretation. Enlargements beyond a scale of ,t, qL Total Assessed Value:$441800 Selected Parcel Q 1"=100'may not meet established map accuracy standards. The parcel lines on this map W are only graphic representations of Assessors tax parcels. They are not true property 11 Acreage:0.81 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:53 KETTLEHOLE ROAD such as building locations. � Ar\A N R��r � . lC::�Y< a a.• Buffer Aerial Photos Taken April 19,2008 �4 --------------- -- �:m «--- =—��— '-- ----- k I |§| 3D 7`7 0 W1 ? . I \I se IS I{I §j I■ I <| §§ I I 'M \ WI & I §I |\| � I I3L---- � x � ® � ■` ] x )\ I \I Q I RECEWEB MAI | Gp WTR MAI�kG£M£NI / , . � PAGE- . ? 53 KETTLEHOLE ROAD REVISION 0 DATE R v 5CR IPT ON EARN5TASLE, MA. . / E \ FOUNDATION PLAN } -i CAPE COD<_DESIGN # � � __w_0, , *, , � . Z q 01 4' 0 ILIn /• 0 o d O r 'P rn n717 A FZ N� O,iTJ p3 �^\, °0� y w y V- ~ n A® A as D ----------- - 4I6 �yS 3 'o� su II PnA sAs k z 11' 1�T T z a " BEGET Y F'D O. �s C - 9'� m MAY 19 2017 GROWTH MANAGE NT PAGE-3 53 KETTLEHOLE ROAD REVI5ION5 DATE FOR DESCRIPTION 0 ® BARNSTABLE, MA. A 1ST FLOOR PLAN m 3 g rn CAPE COD HOME DESIGN FAIRHAVEN,MA 02719 dU3 " Hole • 1 9o9gle Maps •. •' I of I 17 Kettle Hole Rd i Maps View from public way J r Image capture:Sep 2014 L ���; f�'IS��ky,'�7 1` �J '1" K y�'7CI4�-'�a •',� - _y. . M1� .. - �., -��'� t:. Is i fr' .` �` '�'• , .t '�:v-- "` a�'. 74♦ � ., r� _ � i4.t - j - �' �..bra ■ � ^[ ,Google "' o 2017 Google Street View-Sep Barnstable,Massachusetts o � �o iv" 1 Vie Town of Barnstable Building i �r aRsxsr�ea¢ r Post:This Card Tfiat it is Visible From ttie Street-Approved.Plans Must be'Retained on Job.and this Card Must be Kept i 1 PostedVritWFinal Inspection Has'Been Made. , f y k p «�: Permit ct► Where a,Cert�ficateFof Occu anc is Re wired such Buildin shall Not`be.Occu ied until,'Final Ins ection has been made .r P y, A , _. g P P . i Permit No. B-17-421 Applicant Name: INSULATE 2 SAVE, INC. Approvals Date Issued: 02/24/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 08/24/2017 Foundation: Location: 53 KETTLEHOLE ROAD,WEST BARNSTABLE Map/Lot: 109-052 Zoning District: RF Sheathing: Owner on Record: RAE, KEITH&STEPHANIE Contractor Na INSULATE 2 SAVE, INC. Framing: 1 Address: 53 KETTLEHOLE ROAD Contractor LicenseN80747 2 WEST BARNSTABLE,MA 02668 Est. Project Cost: $3,650.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Weatherization Fee Paid $85.00 Final: Date: 2/24/2017 Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. Y Rough Gas: All work authorized by this permit shall conform to the approved.application.and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the _ work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this�permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing _ Rough: 2.Sheathing Inspection — --�--- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 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. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I r BUILDING DEPT �- f 7-..V Pa I Map Parcel Application# Health Division FEB 16 2017 Date Issued' ;Z 2, .7 X Conservation Division TOWN OF BARNSTABLE Application Fee Planning Dept. Permit Fee i>5 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis fG Project Street Address 3 � - �_ hob L Village Owner Rare— Address S—q klelfle /-/ole- Qd Telephone,*5OS -237-wc?7 Permit Request OT C!CJ *4 a ) 4-o 0 4,'c 0 `3a S e.n-f 0-04 C Q Al) ISPQCe Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 2 Construction Type YPe Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. i Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# f Current Use Proposed'Use L i APPLICANT INFORMATION I (BUILDER OR HOMEOWNER) � n t Name (and a-)!geAn Telephone Number 5o _70.6 � t /� Address 4410 Gov _ St 611 License # -1531�16 I Home Improvement Contractor# /9-0 -2�7 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r, SIGNATURE l DATE i s t FOR OFFICIAL USE ONLY -APPLICATION # DATE ISSUED " ,MAP/ PARCEL NO. z r ADDRESS VILLAGE OWNER t it I: DATE OF INSPECTION: , FOUNDATION FRAME ' INSULATION I, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING lily - r DATE CLOSED OUT �' ASSOCIATION PLAN NO. a ; Tow-nof Barn-stable Tom 26ify,Bu"Coqfinissiouer 200 Maij.Street,llyruif is,-MA 02601 ��'w.to�Yo.bar,rrst?bte_rria;us Office: 503462-403S Fax: 509-790,6230 property OW;De l a-t C.0tuplete-and-Sign This Sectiw-,t 7, Ke-1+l-, .as OttmCr- Ject r±:OOPM)' " lez�byaF:tii�r.�_e �'t�ll � �� ra;aCt on::mybektalf, ?mall mattem re1 10orkauthaiaz� by this bulv,permit application-for c %4 4. t ress o�t�F:J-. *'-Pool,feIIces and L-u-os ate Ihe resp6rls6tliw'of*,applicaht. S 06h are laoc.to'be filled or iicitiued before'font r:u Stall d afd' 1 final inspections are�`eif�rmetlancl..�:ccegced. �--- Si anure of Owner Si,nzture of;Applicant 4-11 7 1�G e Print—Naive Tate Q:sax�ls:o��� ��nss�o>spaaL e 1ZISE Engineering RISE5 Dupont Ave,South Varmmulh,NIA 02664 G CONTRACT ENGINEERIN 508-568-1926 FAX 508-568-1933 Page 1 PROGRAM 1111E CONTRACT IS ENTERED INTO SETWECN RISE NGCC-I°ILS ENCINEERINO AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PNONE DATE CLIENT WORN ORDER Stephanie M Rae (508)237-2097 01./25/2017 232823 03A02 SERVICE STREET BILLING STREET 53 Kettle Hole Road 53 Kettle Hole Road SCRVICE Clri,STATE,LIP BILLING CITY,STATE,ZIP West Barnstable, MA 02668 West Barnstable,MA 02668 JOB DESCRIPTION AIR SEALING:Provide labor and materials to seal areas of your home against wasteful,excess nir leakage. 'Chis work will be performed $1,001.00 in concert Willi Ilse use of special tools and diagnostic tests to assure that your home will be tell with a healthrul level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air letdtage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) (13)working hours. A reduction in cubic feet per minute(crm)of air infiltration will occur,but the actutil number of cfni is not guaranteed. STORAGE BARRIER:Homeovwier is responsible for Are removal of the stored items blocking die installation of (Inilints) weatherizmion Work in the attic, Removal must occur prior to the scheduled work start. A'171C ACCESS:Provide labor and materials to insulate the back or(2)attic batch with rigid hoard:it 11-10 or greater with the required $85.00 fire rating.Weatherstrip the perimeter. VEN,ril-ATION:Provide labor find materials to install ventilation chutes in(58)rafter bays to mninlnin air flow. 5202.42 VENTILATION:Provide labor and materials to install(10)4"X*1 6"rectangular aluminum soffit vents to increase ventilation in attic S289..10 areas.Specify color.White CO`iMON WALI ti:Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to(400)square feet S1;324:00 of common wall area. BASEMENT CEILING:Provide labor and materials to install(116)linear feet of R-19 unfaced fiberglass insulation to the perimeter of 9254.04 the basement ceiling at the house Sill. CRAWI SPACE:Provide labor and materials to install(144)square feet of R-30 faced fiberglass insulation it)the CrmWlspacc ceiling. S329,76 Dike r g�' F E B 2 2017 R[S.E Engince►-ing 1• RISE 5 Dupont Ave,South Yarmouth,N1A 02664 CONTRACT ENGINEERING O 508-569-1926 FAX ill,4-S6R-1933 C Page 2 PROGRAM TIIIS C014TRACT 15 ENTERED INTO DETWEL•NRISE ING Cc_}t ES ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW _ ___.. _CUSTOMER PHONE GATE CLIENT a WORK ORDER Stephanie M Rae (508)237-2097 _01/25/2017 232823_ 03402 SERVICE STREET �__..._... _` BILLING'STREET 53 Kettle Hole Road 53 Kettle Hole Road -SERVICE CITY.STATE.LIP ~•-•• •-�' -_ BILLING CITY,STATE,AP West Barnstable, MA 02668 West Barnstable, MA 02668 JOTS.DESCRIPTION INCENTIVE:RISri Engineering will apply all applicable,eligible incentives to this contract. You will he billed only the NO amount, S165 00 Currently,for eligible measures,National Grid oNrs 75%incentive;not to exceed$2,000 per calendar year,and an incentive of 1.00% for the Air Sealing measures. For the safety and health o1'your home's indoor air quality,%ve•might he conducting a blower door diagnostic of the available air now in your home.both before the work is begun,and after the wcoiherization work is complete(not to be conducted if asbestos is prewnt).We will also conduct A diagnostic assessment of the combustion fumes in the exhaust flue ol'your heating system nod water hcatL r.This has it value of$90 and is at no cost to you. 'fhe Permit will be secured by the insulation contractor.This has a value ol'S75 and is at no cost to you. Total: -$3,650.32 Program Incentive: $3,029:24 Customer Total: $,621.08' WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUt,10F •"Six Hundred Twenty-One& 08/100 Dollars $621.08 UPON FINAL IKSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF IA WILL BE CHARGED MONTHLY ON ANY ON ON GUARANTEES,RIGHTS OF RECISION,SCHEDULINO.AND CONTRACTOR REGISTRATION, UNPAID BALNJCE AFTER 70 DAYS.Ste REVERSE FOR IMPORTANT INf•ORAL'IiI AU 'IZE f CNATO Fr•VISE Enp(n¢ednp� __•-�'� _ CUSTOMER ACCEPTAIJCE` NOTE:THIS CONTRACT MAY BE WITHDRAWN 0Y US IF NOT EXECUTED WITTIIN DATE OF ACCEPTANCE yLI ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND C0140MOIlD ARE SATISFACTORY TO US AND ARE OERESY ACCEPTEO..YOU ARE AOMORRED TO 00 THE WORK 30 DAYS. AS SPECIFIED.PAYMENT WILL BE 0,%DE..AS OUTLINED ABOVE i 1 ® DATE(MMIDD+YYYY) 4� CERTIFICATE OF LIABILITY INSURANCE 11/30/16 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). CONTACT 'RODUCER NAME: Anthony F. Cordeiro Insurance PHONE 508 677-0407 tlaFAX Ne. (5os) 677-0409 171 Pleasant Street ADDRESS: hsouza@cordeiroinsurance.com Fall River, MA 02721 INSURE S AFFORDING COVERAGE NAIC!! INSURER A:Liberty Mutual Insurance NS URED INSURER B: Insulate 2 Save, Inc. INSURERC: 410 Grove St. INSURERD: Fall River, MA 02720 INSURERE: INSURER F: OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ADDL(SUBR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE I POLICY NUMBER MM=fYYYY MMM[Yr YY� A GENERALLIABILITY Y Y BKS 56418741 12/10/16 12/10/17 EACH OCCURRENCE $ 1 000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY )SES(Fa,pwmwre1 $ 300,000 CLAIMS-MADE 5xJ OCCUR ME EXP(Arty amperson) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATELIMITAPPUESPER PRODUCTS-COMPIOPAGG $ 2,000,000 X POLICY PRO- LCC $ AUTOMOBILE LIABILITY 12/10/16 12/10/17 EaaccNcl nnI3 GLEL $ 1 000 000 A Y Y BAA 56418741 BODILY INJURY(Per person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS PROPERTY DAMAGE NON-OWNED Per accident) $ X HIRED AUTOS X AUTOS A X I UMeRELLALIAB X OCCUR Y Y USO 56418741 12/10/16 12/10/17 EACHOCCURRENCE $ 2,000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000 $ DED RETENTION$ WORKERS COMPENSATION }(INS 56418741 12/10/16 12/10/17 X TWO CSTATU- OTH- A AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXEWTNE YIN E.L.EACH ACCIDENT S 500 OOO OFFICE RMIEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 Ifyes,desaibaunder E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more apace Is required) Proof of Insurance. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02 601 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: _ _ • �J�'LP �Q/!�?/Yl'LO�I?2GL�G��I�� Qt � ����G��il?i��� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvemt{n �,�tractor Registration Type: Corporation INSULATE 2 SAVE , INC. Registration: 180747 Expiration: 1 2/28120 1 8 410 Grove St e Fallriver, MA 02720 �a e SCAt Co 20#A-06nt Update Address and return card. Mark reason for change. ❑.Addr_oss__Q Renewal_---<.Employment CI Lost Card �a�o��rortoruue�a`d c�O��tuaaac�ax�lLl — Office of Consumer Affairs Business Regulation I HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only QTYPE:Corporation before the expiration date. If found return to: —6-ritration Expiration Office of Consumer Affairs and Business Regulation 180747- 12/28/2018 10 Park Plaza-Suite 5170 INSU 2 S � Boston,MA 02116 ' LATE A E,•;IN[,,. Round Langevm ! 410 Grove St i Failriver,MA 0272 �7v �j�""""—•` Undersecretary Not valid without signature fi I i r Massachusetts Oepartment of Public Safety }� Board of Building Regulations and Standards License: CS-103861 Construction Supervisor ROLAND LANGEVIN 66 HIGHCREST ROAD FALLRIVER K1A O272p f 4 f I CA— � ' Z"� l./L— Expiration: Commiss ton er 08/2412017 • The Commonwealth of Massa&useas - •YY . Department of Indiistrial Accidents O ce'affnkstigations 600 Washington Street Boston,MA 02.1.11 www•inass:gov/dia Wbrke'rs' Compei satioa insurance AffdaVit:Builders/Con•tractors/Ettctricians%Plumbers Applicant Information please Print Legibly Name(Business/Orgadmtionitnd vidwal): Insulate2save /Roland Langevin -Address.' 410 Grove St - - City/State/Zip: Fall'River,Ma 02720 Phone.#: 508-567-6706. Are you ap employer_? Check the appropriate boz -Type of project(required): 1.Q 1 am a ei to with 20 4: ❑•I am,a general contractor and I 1P. Yer 6. Q New constrtictioa employees(hill and/or part-time):* . have fired the sub-contractors 2.❑ lam a so*ft proprietor or partner- listed on#wattached sheet. 7. Q Relnodeluig ship and.bave no etnployecs "lest sub-contractors have 8. Q Demolition workin for me is an ca aci - employees aad.'have workers' A g Y P tar 3. 9. Q Building addition (No workers'conig.insuranee comp-insurance. required] S. El Wart a corporatioa and its.. 10.[]Blcctrical repairs or additions '3.❑ l am a homeowner doing all woflE oEficcrs have exercised.their 11.[❑plumbing rcpaii5 or additions ri t;Uoxem tion per myself. [No workers comp: - � P- p 12.Q Roof repairs ` - insurance regtured J t 152,'§1(4),and we,ha�re no - _ employees. [No•wor�kers' Y3.{�Other comp.nsurance required.]- '+�Y-Pplic xnt that chocks box#1 must also fill our llie section.below sho wing their wor'ccre congsat�sdon polity i:ifonaution_ t Homeow who submit this atdavit indicating tf cy are doing an work and-then hire outside cootractors must submici new drt&-,it indicating SZl ners CIL TConttnctors that cFieck this box must attached mn addtrtional shtetsbowizi0se name of the sub•contractors-and sWewbether ornot those caddcs have t employoe. if the sub-Contractors have em su ployees they nn pro mP W y vide their workers'co li number. 1 am an employer that is providing workers'compensation insurance for my employees.-Below is tie policy and job site informailnn_ . ,Insurance Company Naznl Liberty Insurance " r Policy#or Self -'ins, #: XWS 56418741 • rradau Date: 12%10/47" Job Site Address: 53 Kettle Hole Rd City/StatdZip W. Barnstable. Ma At a co of the workers'col ensation olic dedaratioti •" e shovd a the policy uumber and iration•d'at0- PY p f�, , Y P� ( • �, P CY ?� Failure;to secure cover5ge as required under'Section ZSA of MGL c..152 can lead to tilt imposition of criminal penalties of a foie up to$1,500.00 andfor one-year imprisonment,as well as civil penalties in the form of a.S'I`Op WORK ORDER and a fine of up to$250.00 a day against the violator. Be'advised that a cop yof this statement.may be forwarded to the Office of Inyesd_gationS of the MA for insurance coverage vcidicAbIL - I do Itereby certify under the pains aHd penallies,of perjury that the informatiarr provided above.ir true alid t:orrerl Sig ature: ate: Phone# 508-567-6706 Official use only.'75o no4 write in this area,-to bt eompleI f)y City yr iolvn,ofJicia;L ' City or To`'vn:_ Pertnit/License# Issuing Authority(circle one): A-Boardof Health 2.Building Departmenf 3:_City/Town Clerk:4.ElectricafInspector 5.Plumbing Inspector 6.Other Contact Person:- Phone#: r , c • .S� � 1, n� MORTGAGE SURVEY 1 cert+fy ,that the buildings: and l o:t I i ne-s 'as• shown on this p,lla n;;have b.e:en located on: the' d and 'tha I. certify that the lot and ground structure -th'ey have con',forme.d to the Zoning ' shown on this plan are .n.ot 'J oca.ted a'nd' Bu-illidI ng laws of the* �w,ci in the spec'ial fLood ,h•azar�d area as CIA de l'i nea'ted by the 'liouV1mgf,ud Urban BARNSTABLE Devellopment Di•vi's'ion� of the; F.H.A. _ I .certl+y that th- s idspe'c't?ion was when con;struc' ed. .Performed 1,n acc-ordanc-e wicfh the techn;icai standa'r"ds rmor #o • . •a e � wOP "w r �t,9 9. ins.pecti•ons •as ado pte,d 'by;:the Mass. Assoc s' a t i.on of Land Surveyors and Civil Engineers, Inc. ik ,BENK/1RT y' R"dc I,;ASS,0C1'ATIES' - " ' `' 'No: 91�12` t J r � Re its:t'eredP ar y 9 , Land` SUrueyors+ C AFC/STERwpQ` 338 l3r i gin t"i,n'e. C i�c.1-e - ND� E.y Plymouth, Mass.. 023160, SURD• i I INSULATION TO DEPTH OF INSULATED FROM 1 8 FEET - TOP OF BAND Lf OR TO OF JOIST TO THE FFjj > ..: :. FOUNDATION FLOOR �I p FOOTING — — _ { ►°r WHICHEVER :: - �T R IS LESS EXTERIOR INSULATION INTERIOR INSULATIONr,�`� C '... w"cl�1L..l3.y�•'•'- 5 - - Y" D pEN VYP��-U�W�,�. �f t2• L;r �j _�-- �1 ' DESIGN GRAPHICS 6Madaket•Mashpee 477--6344 kE�iLfi HOLE`RcU.T -wIN{�W �; Gyre 2�•16DU L6 I �r%�a:r� �.°.�,IV�L.1�. � (io'x2U aWvl•-Il,l.l: oti"IG'1 — r, ` '•�' 0 LOCAT1011 MmW UILIT no - ROUGH CIMUM 00 UIIITYL .. . �. ..%.(.F 1 u..•' ":.. �t •-.�. I"'«is Y'_ ..._. 2i f .-f,r 1' ll.:'E�..~~'__ - _ 1 LR 60Y 46 iAM DN p4 ]161/9-E191/{' IS 2 LR BED 10•4446-18 B'vejaw UIIR B'1 1 i VFW Mo n—*620-1 R 1 4 fAMI1M 43-446- 1 B'43 AM BAY B'1/2-It4'10 aF4'_1.'•N ar/.KIr 1:i v/.�1 3 DN LAUD 2B-X6'Y'9LR[ ] . " •. t 6 [R MBAiN,BATN,riYN 2432 2*61/8-07 1/4 _4 f.nc-... .r .•`A.. �v9 . I 7 LAMOLD 6066 IvATRIUM 5.11 3/1'N69 1/16' 12 1 A fY-r1. .. .. ,mil r:N.11^! OT_I - "` •� �1• rjuJ.' -"_,_�• lNtA OOOI NIOYIAIMINfl-Y IALY[O t •�, '� t v la:�1 1 �.tn r-I .IIL j is }Fr4u_ Ili .. t I ( _i__,� COMPONENT VALUE ANIA d _w 'i,•:T6t1 aL1'f .� li "If7 I I Ir II r• ;1 1,! S!t -I'. a Id. M r ( WALLS .0 a,a7.lt-;. r•'r''r, ( '. _..w .. _. ...�.. ._. � � t WRpOWg ..ii ?.C,b.11 6, , ` I I ooRs iIOORS 1b9B&. Rom TOTALOt W2 ^"ALL TTPI NIAT nL'6rA/61 P j DESIGN GRAPHICS COD E NloYutMINT.I(OV 6Madaket•Mash ee 477 6344 . ...i'LwJ.I H LI'.:r•`. E•_)1C�.t h.I I;,I I iJ" sulE I•,II -1.0D EO BY: DRAWN BY•A/rP �vA//A IA. tl0 I b ONIE nEvltEO rl..t J • EI.Fc.TKIL r1s>1RsfAN[.E T. •-�1,.� >i'",..='1�:.�• Swat BUILDBRS uws[a ew responsible to check all features, ■peciflcetlons, oaawlwD N and dimensions of this plan, prior to actual construotlon, And 6 l to comply with all 10ce1 and state building code requirements. ,.+(�',�'�.;.' ,, .;•`t•y L•;.L .r�11'e'1 t. ' 7 ir�,.l „� � 1- •I. I I,c-:a"_L� ' � ' I `1 I (�.._�-.�.t 11•!G"1 ' I 1 1 I� �f I 1 OI� ' I 't -i'.(i L_J Oau I Sy - I<Iiu•IE,J .ewaLl V FAM,I.Y Frt N 1 - --..CG N gZ•,0°rhi•'(i' ._ w W''v'x111.On ZA, Llvi�lb t2M �vE -- - -Q f � •I ' 1 �� .REG - sIR. ct GVf UNL AY.wE \ +4L �- e, 4' --- (-� 1 t3osro our-,Efp�? N I . I - o u ii III,' ��II1 ' ul ; I'H���°"'�'d I i , �' �I ,il•' I I , I I I I t _II I ?id�o l•i i I i ! 22••O moo•-� � •° 1 rpp l��• �F' f y�AV'`I i I: v P.O 6Madaket DESIGN GRAPH6C4S 1 • A�E:,pS aliW, APPROVED BY: =1.w1YA+4 �nl� LIOIFT�'l.ki .'IT-91 I<ErrL-E HA-E la:>. 13a04 PV -Ll-: NSA . —WIND MYM\EII j YOSYE� Bulldsr/Coneraotor, will confirm all epsoe. and tsaturae 1 of this plan, and will co-ordinate rsQulreasnta rNh the (/tJX 2�' �IAL. p4l'1-f�1 local huildinQ in\psotor, as to code reQuirsmnts. ....^.-..�.,. -..-.,.-. ..�.....�.... -... .., _�_. �n.,.. ., .. '�....,.w...w.,•..+r+.......ww..•-..., .......�. .......- ..�fir•.-.. s ;:1„i7'•n, ..;,,.<•: ;r..;,r„v,a.a,as.+.n..». et` ....1r _ •- _ _ f (o� n � o I r h p T I i i 2 r.Fi L �— I ®{. 2•trwP•b -p ti`l �{ooF F.t•-l.oW I 0 d l i l i v,►tx14M � A I S r � U N O LxU v a Raw uwr I�•�� 60 L=n b I I I - - MIA F1,rC.PWa 4r wrv,IL VXA.oW - I ---• I P I b d DESIGN GRAPHICS 6Madaket"Mash ee 477--6344 .l NU,A .PPBOVFO BY: aa�wM BY`:V.•i•A�/A,IMvI • c.T[.4•nl �P� BEw[[O KEffl� HnLE 7'�'I!% L a I. IGERLE_ I.IILLF- Rl7,eAKW-,TA-LE I"b4 WMB[ Builder/Contractor, will confiru •11 -peas, and featured eaawiw0 wue00n of this plan, end will co-ordinate reQuirdmente with the € loael building inspector, as to code repuiremnu, vp'xjG>' GVLUnIIAL 011l$`1 . r _�_�� __. ._ _ �._ __-_ _._____________..__.__.._�_ __ - .__. ••r .. _ - .�.`_.__.ram.. III A ' 1 I •� aN'I•b.t-'f f1ovV SFIW6L62 a� _________— _-- - - - - _____ _ �.r� MIT — _ \ I Opt L-bGf`�I HoL-E r<PP �- 14 r oar - . .- I aw .aAn:K PCLoee I>R>Nf 11 •IY�W Pa:RIIcr tcavP SHII•WLrA - ll��ll ' .. -� `�WLfNINri(IL yw,. /� (Y,vN•rev[x..r- -wL hMINbLtr+A"yi�c �Rrytif. 114 17•'�jUu r �!' MF REAR 'NA 9VJ- rt1U1r SIbE vlE�c/ ; J ES GN GRAPHACS 6Madaket•Mashpee 4T7- 344 ''i .. �'• etu[: y e•raovso ar. oaevm ar:fe,•/nfM.Vl. • ... },. � ..� r -�.r •,• Derr .I eevneo v kETTLE HOLE ?R441T _ f• n,..' �' 'WINN oOIfa�D ari regDonelble to check all features, specifications, - - rnwoxueuiaa" an0 Aisensioaa or this pplan, prior co actual conatructlon. MA v c ` l • S `:' •,��ti. t• ,. to ogeply with all local and ata 9 bul101nq OoOe reQuirgsnp{ l/G'+c2[o' 47L.O�IA�.+ 0119•B'I�. ' r + 7-f• �. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMF�c� C DATA r , a I � I I , I • 'I aJ:ll•. • EL t.n k�..:Ev`✓' f✓.f�.v r:-+ �F-.`1' t'+�:.x.• �.1F:F"i i F.Aat'�I I,sL- 1 • , 1 I >•--_• I.L' _ _ '•-,-�- _._.��•.. � _.__...r�_ _ -.'.....,-�Yeti_.ar� �� - -...._-..._- —-. - 1i1 F.. . IK pro:?"."P �„ i4 - ' , � � R 1• #G,n'te:e; Lt:r•:I:�.. 11_. •.�.-•.... a' �- , ..f•.F•� L' �'i'-.�t0a ��.-:.. :::A.d:• i f1 i ^...„�.-. .._.---��1_.,,...-y II ' I µ I.txE '-•P H�r 1 �'!. �_ J,. r'nl� F..7•.. �, /CS FIa;E ie.!C �G'ur�� r'.�„1:Llw•E v.���i r� - - 1i '�6• SI ItAE: tr'lehf Y'czY- II ' 1 fgr.1,1.-bM�.kl:.£h. L„ i. r_� _ _'.�- t.--�. i .�, •.r�;,l i f' , 645, l' 1 1 01 n a l 't'r Gs. G Fx r.' 1 y.• 1. � I- :-l Flsn4a t�1'2�t t'I,ta-r_T;,v�Av f. I , 1 N I I ils'•w 1 `.' �1•v'1 � -�I-\� -1'•L> I 1'.L'' ,, ..-..I�'� A --_� - .'/' 1 d, • h.I r r L �1'1� F!pr - - - 1 i i �I.h'G:Iy Vb-s_ A.-: t.��>L. �'_+_ � -—�� -_�16-oe•er•,en--�a.•i V V�•� _ I .. 14 ee4. I I I fit) .,..y.-.�,-I-r--,i-._.i, •.r_,,_i.. ' t, , -{•----i,o� .i I I + 71 rE .Jcl.f,,nln:,E: ur.c•,:. ,rr• i=: ''ll •t IN (lam fj: ���•- �.: 4�'- '"' kEt�.�,F i'IB w�.0 .Y'.Et�. !r GHMIBBAL PODMDATIOM BPBICIPICBTI01181 WALL81 x 1'6 B• • Concrete PTO'81 -B" a 16• Continuous, Formed Concrete W/Reywsy Oerage Nslles IB• x B• Mln. •2• below Grade on Ptq. Breeaa.ay Nallal .B• x B• min. •2" below Orado on ►tq. + GISTS, Lam 6 x IS Dir or B.Y.P. LALLY BASEBI Pormad. 21 a 2' x 11 Concrete bases ` DESIGN GRAPHIC LALLY COLS' 1 1/2• Ste•1 LALLY Colo' ` • 6Madaket•Mashpee 4T/-6344 Besament Windows, An 2B11 or like. -i� • Basement slabs 1' +/- Concrete - ;�:o.io7• "-`� 'r>l•LC�-Y,•..Ja.tsl Breeseway B1ab1 •' ./- Concrete ' LN•A� Geroge slab) a' �/- Conoreto ,q Plreploee Bases min. e• Larger Than Chimney Base x 1' deep G.1TrL NOI,.-�•�� i L� Formed Cono Base, { ;.-f •1 t, 41 t.E 1.E HO RV,P,✓ua YsT^et E CM MM, Bulldor/Contraotor. Will Mnfic" all •Pool* end foeturoe of thaa plan, add will oe-ordinsto requieeeunto With the OIL- ,yl local building. immpeetar,. ile to" roquirsdam l%, .;rC•'f2(+ Gt?L • f r. -- - - _ —. _ - --- - - --. . _ __ _ --- ^,S�'i'rr� S�S1�£,'i7 PROF/LIE ___ �.. - - --`- - !- Y Q t a ,olsr, 1,,84 rIOWIL I c'G SEPTIC TANK --- �*,._ I H 1 TH? • ' LEAGH11V4 P/r ,DES/¢N CR/1'ER/A vrNQL4•:/Aet*^rMl 3 SC - ri GARa+4v,r�4{w.,w. NO s Iorwt 41r.rrw•Sv rca,Y 3r^• :^< • I(RMlwr,.%v Rtra j Kv:tom' r I ' 1 r -1 � - OBSER�AT/ON PITS 44.'f OCT, 1612A •3 0/• / 4Yt�• r-p :✓a '^ � r` _ � •Fk/,xv`_ .7. -' i++..r0. Y ^Y,�i LtA�M+RrQ +",�'.!.�P,.,�,s. 7 A �`• �� , ` � r]+4 rRlor �,� •r.�• `</,Y •� „ !44 4:+:N:] /Rt M.]f0 r4 e-4A O LkJaR • / � k'S. / O /- r� t. 'rvt fE�, ...t N '-.�. !': iu h^c.' �. 'r.^:at f' t►�il�'1'y J4, • - •'' .l, - ; k• ?I • .•c.s./ate Ctuss,al.vl •�Y�Y•.fl••f�4.]R�:..-i ht 14'w eni _ � w' ` r`�y. '� � I vA AL t r. .]t• ,,, r aa/ �J+'!C it. t W �M- '+..s..�"� ... SirF aAN f SEPTIC o�s�G,v KETTLEHCILE R)Ao _— �5 TL H ' , A ' „ -�� FL.G,'G PLAN c -� �1/9J UPPERCAPE ENvAleFRIM6 44 SON RF` l �42 ➢ — 4 4,9 P �re All All �5 r 0 a} L-s'wpi -'C#N'4 ez l37 l 111 jo v i -_� E 0T t� fit li / LOT iV! I ao __-- Maloney Kathy From: Schlegel Frank To: Maloney Kathy Cc: Health Department Subject: Address change map 109 pcl 052 Date: Thursday, February 08, 2001 11:22AM Hi Kath, Here's another one! The owner requested we change the address from#49 to#41 Kettlehole Road, West Barnstable. After reviewing the property, I found both addresses to be ineffective in locating the building. I have sent notice to the owner the new address will�be-#53-Kettlehole Road. I�updated pentamation but you will need to update any written files you may have. THANX 1 ` Page 1 f Asse , sa's office (1st-floor): /O .. r�✓ cJ �0�TN E t0` �Asse�ssors map and lot number ......................... .. ... ... Q ` / B'Saro' ralth (3rd floor): ¢ Sewc a Permit number ,p...4Q ......... .. ✓. Engireering Department (3rd floor): 1 G (( ')o 1639, 0 Hous! number ..............................................`.............. Definitive Plan Approved by Planning Bo rd _______�______/____----------19 APPL•ATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only MO ` j f TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 19.....STo�Y.....,D Ui 4 C,iNG................................................................. ............. TYPE OF CONSTRUCTION ..........jj/ii . 40........ ..........!`1................................................................................... ................................................19.... THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: location .. ..1......... ........ 6.t r.r........ .V...... ...Y. .!.. -`!2 .. .................................................... . p Proosed Use .........S�.NG..I .�=....... 14. .��..I..... ........ .. .................................................................................................. Zoning District .........../.0 tE...............................................Fire District ....(�..../.g,(��Q/v$T,�,�G� . ...................................... Name of Owner ..,� ! %.T. C.. 4.4. ..... .G.Sj.............Address ....................................................................... ..........�. Nome of Builder .....T .................................Address ... Name of Architect .......... .c/.....Z.6:(J.(2.�J.................................Address .................................................................................... ...... ...... 0.NumbeXof Rooms .... ................:.....Foundation ....r�p. t1C. .1. .......................................... CF_a42 I.rf- tz Exlerior ... �.P.A.r...... .�Q.P!?G.R.!L.P.....5/Oc..Sb!!vy<!?�Roofing ........ S..P�f��l,......•............................................... I _ Floors j�.(�LfO.. �O.t....C..�12 P.kT..I..... /C. .................Interior ...G P......... Q6�-�......................... ., i{A'I"ing ...... . �!✓U.T....... `.............................Plumbing ......�.....1�'J711�r1.0..9.MS...................:........... ...........................................Approximate Cost . ... ..7. f..o..�a.... ....... I • . Area �. a:..... ..i../... / Diagram of Lot and Building with Dimensions Fee .��.. ./...�....... ................. 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 .... ......... j� KETTLE] NoA2...-Q... Parmit for ....:'......... ...k.,..'.Ingle.....Fa..mi.ly.. we.l..11. n, i .. Location ... ....... ....K e.t�t.1- D. Roar: ..................W......Barnstable....... ... . ......... Owner .........Ke...t...t..l...e.....ho...l.e.....Trust............. ...... Type of Construction Frame .............................. .................................................................... Plot ............................ Lot ................................ Permit Granted ......October....1..6. ......19 89 Date of Inspection 0.............19 Date Completed ...................... ...............19 30 M ;;3:h,i►, ;r,r .� 1�'3'�` �a }1 � '; u• � + .g �� �f �`'���'�-t�r•�F1h ,+^'���r�a1�1��J�'h'` T E M P O R A R Y pf 1M[>0 TOWN OF BARNSTABLE Permit No, .33290 'i BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash X .679. HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Kettlehole Trust Address Lot #41, 49 Kettlehole Road West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT QE'OCCUPIED1 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 30, 91 19 ................. • Buildi.g Inspector P�"'`••M1^`...�_.w^ ,..�EF ~� "�w.+'`..�-.r-.-J�Tr...Y`",A•��r,•v..��'�s.�'Y"'are. wnP".`M'fy.fi•ti,r•-(••.+1^^'_'!'-.'�_^..'/ ►•^'n.-.-(`�.�...'/�-''�Y•/`r*'-r+-^r'rs.�.,. -rrr�. . T E M P O R A R Y Q�flit, TOWN OF BARNSTABLE Permit No. 33 .99 _ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash t.... �' �9 i6j V• ` V HYANNIS,MASS.02601 Bond ................ ..... CERTIFICATE OF USE AND OCCUPANCY Issued to Kettlehole Trust Address Lot #41, 49 Kettlehole Road , ,.� West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL f SIGNED BY"THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN r REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE , BUILDING CODE. August 30," 9i.......... . Buildi g Inspector Application to SP �� IdIn Hi g .hwa . Re ton i Historic District Committee Y . �: in the Town of Barnstable for a CERTI F-,ICATE OF AP.PROPRI,ATENE$,S Application Is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 47.0, Acts and Resolves of Massachusetts 1973, for proposed work as described below and on plans, drawings or photographs accompanying tl1is application for: C ECK CA. EGORIE$THAT APPLY: 1. Exterior Building Construction: ❑ New BuildingAddi ion_. t ❑ lteratign A Indicate t of buildin House ❑ Garage ❑*Commereial- YPe 9 ._, j 'Qther 2. Exterior Painting: 3..Signs or Billboards: ❑ New sign ❑ Existing,sign ❑ Repainting existing sign 4. Structure: Fence-- ❑ Wall Q Flagpole ❑'Othe.r (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY v DATE, September 1 6, 198a Lot 41 Kettle Hole Road 109 ADDRESS OF PROPOSED WORK ASSESSORS MAP. N0. OWNER Robert A . Roust Trustee ASSESSORS LOT NO. 52 HOME ADDRESS Box 398 Dennisport, MA 02639 432-4140 _ . TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. IncludB?` name of adjiacent p hroperly owners across an�i P ublic . , ,�;.�• , .:�: ._•...�:...:,. ,nC, .,: rlc,;n,. „r o . lu.�erYa:,,C»� ai: uOnc street or vva�. (Attach additional.sheet if necessary). Please Refer to the attached listing of abutters ALLEN B. OSGOOD P:O:E)ox 437, 4 Chase.'Rd. AGENT OR C7•�j?'OR Allen B. Osgood 5Q87833-0914 ADDRESS PO Box 437 Fast Sandwich, MA 02537 DETAILED DESCRIPTION OF PROPOSEp WOIjK: Give all particulars of work to be done (see No. 8,other side), including . :•.ir'.:.1:=•.: w: ,. .•.. .:: t.i.,...: C' �t•,:':� _u oe ool,t: i$!1t..t,�t materials to tie used, if specifications do not accompany plans. In the case of signs, give locations of existing signs anij proposed locations of new signs. (Attach additional sheet, if necessary). `1'O amend 'previou . certif icate' of 'Appropriateness to include the addition of an enclosed poreh and deck, pleas( refer to attached drawings and E, ' fir_ation sheets for details. Orginal Certificate approved March 22, en ..;bso Res dential Designei lwblcatftir=A ant•_...—_.__—..__._. Space below line for Committee use. ©��)✓ i ;�•'+ i uau.ctur•�, nt 1 Received-by-H.D.C. --Date _.....�. 07Z —b Da_te....._.. _._.._....__....._. ...C_..._._C�..T h;C e .._._ ... ... C�G7l 6 1 Time •ill �IBY Approved X774 IMPORTANT: If Certificate is approved,approval is subject to the 10 day appeal pejlod provided In Me Act. Disapproved ❑ JO8PH:b.,DALU2:..;.: ' PHONEt 778-1120 ;. r.: FJCT. 7 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 May 17, 1985 �@ OWN Mr. Donald F. Henderson, P.C. MAY 0 1985 Attorney-at-Law 776 Main Street Hyannis, Ma. 02601 P.C. REF: William R. Couet - Lot 41 Kettlehole, West Barnstable Dear Attorney Henderson; I have reviewed your letter of April 22, 1985 in reference to the above property. This lot is part of the Trailview Subdivision Plan, dated October 23, 1975, and approved by the' Barnstable Planning Board. This lot, under Subdivision Control, had a seven year approval. In March of 1974 the zoning changed from 35,000 square feet to 43,560 square feet. On August 9, 1979, this lot was conveyed; thus eliminating contiguous ownership. Since, under Subdivision Control, the time frame .would have been to March 1981. Since this lot was conveyed in 1979, in my opinion this lot would be buildable 'subject to the provisions of the Board of Health. I trust that this will clarify the question of Lot41 being a buildable lot. Peace, oseph D. Da z uilding Commissioner JDD ` ------------ ivo i41- - GGt _,4%tvo V-4Q c.),4 or it0 4 60 00 6 4' �;A Z 0�A i/ PRZ174,57 IBA CAJr Cown�er-r_ t00 ID 10 /Y-- I 0 2& 15 I�, I v 0 6 IEPTIC TA IVK t 7.3 tTH, 1, TIA 2 10,i2 3 Ilz C////v4 I7 0. 70 33A LO C R,tN itto Itvv RON.IU, G8 IfA 7�t 1447'10AI R,97X ec ZZ*CY1AIrF it10 t0 it -2G-64 3-00 )49/.............................. MAtO a,f,-,9Z,4 r1l A14 LOT � 45Eo ov 5#,, e i;Cc Z Z41�� 4CM*411111 I 6 OF T 421 4Pp4y ITO I JACD AM z/ R eO;C/ -1IqI_1_ imol_ A64t 1401f 814 sit ".6 y T U, $w; ell Z2,rRl�#e r/i p7r IAN LOT * 41 WELL �-X- 5 c" 'R/).0 r.5 t L_00 RO AD�IR6PO_sc0 6 R f� KETTILLHO w BARNSTABLE MA, t'"4" KET EH ROAI FLOO& P, L A K IYl 3 *4 T4'301 / 0- 9 VP1 C,Z R CA 44 . 70NE f)I AN- REF. 50 52 015-37--ff oii� Af4 LOT 15 2/ 13/89�LOT 1-30..........