Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0161 PARKER ROAD
®�L�J NO. 152 1/3 ORA i o p� p Application number..........`.l.................a Date Issued............�.��Z�r'.9.............................. BAILNsrWBi.e. MAM Building Inspectors Initials...... s6 3. MAY 22 2019 ��.8ARN _ . Map/Parcel...../...7�:.G�!�..:.��.�.................... ABLE TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY FORMATION Address of Project: /6/ Par h(. /U NUMBER STREET VILLAGE Owner's Name: frri e jr. C/iarel`e Phone Number 5-6 9- -9 p'l- o 7 � (o Email Address: Cell Phone Number Project cost$ 7,9/ 7 — Check one Residential Commercial OWNER'S.AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: See .4\4c c[,4 C crn"t�a c-i' Date: TYPE OF WORK ❑ Siding [ Windows (no header change)#" Insulation/Weatherization ❑ Doors (no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to WcL 5S P �►'�a��a-�e� `^�c����� �� CONTRACTOWS INFORMATION Contractor's name Pr S-FQele — GI�r��.l t,,f r (rQ�' 0b Ss un Home Improvement Contractors Registration(if applicable)# 6 6 a-2 s (attach copy) Construction Supervisor's License# OZ 7 7 7 L. (attach copy) Email of Contractor Phone number 7 9'1 — ALL PROPERTIES THAT HAVE STRUCTURES OOER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE PERMIT CAN RE ISSUED. n APPLICATION.NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X 5 X. f X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a:for profit non-profit event Check one:Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent . If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLIEIT STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number B understand stay responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date LICAN T9 S SIGNATURE Signature _ Date - 1 —/l All perm] a 'ons are subject to a building officiallIs approval prior to issuance. ( °Window•WOr('Ci 01-B.OSiOlt' -MA HIC Registration nitfCea&Showrooms" Number: O 16A Cummings Park ❑295 Old Oak Street ❑1000 Boalon T4mpike. .18B028. L4LW.. .Wobum;MA 01801 Pembroke',MA 02359 Shrewsbury,MA"Ot646.F.edorel iD sc i (781)932.4805 (781)826-6281 (508)046.076 a2.aeBfi43a' I �� www.WindowWcrldofB0st0n.00m Customer: AE9N1 L Phone(h>� Install Ad eSot -/ "w Phone(a) j i City: 8tote:MA Zfp_P �E•mall i WINDOW WOALD GLASS OPTIONS ' _1000 Series Single hung All•Weld 5249 SafarZone tote-Duel Pans $tz9 2000 Series CH AlbWeld $259 7Z40D0 Serjea.DH AllaAleld $28t) " —Tttple Pane $29B .�6000-Seriell UH AIMeld $309' WINDQVI(OP.TiQNS. i 3 Ute'Slfdet $4 —3l}teSlider nn.+n.+st du.+n.ria 3609 29 ': V �QlasaBteak9Pftrranty(4000/8000j$14INCLUDED � INCLUDED i _Pleture"/'FiI(ed•Ltfe•(0=83:Uf). :$419'• —L)l2 Screens. �9 _ Plcaird!F(xeQ'Lhe:'(b4131T1)t).'"`j, '�5$e ,/ Foam insulation on Jambs and Head $11 iNCLUDEfl j _Awning _ '. DoublvSlten tfr-Qd4s(4060/80D0) 418INCWDEO _Casement Plus$40(DH Sash Ralf)$37g9 tlouble Lacks(>•28y $81NCLUOED _2 Lite Casement $869 _1ZFulf Screens $26 '" j _3LIte•Cesement cvava+m (timi,+sr $1029 /Z QolonlalOdds(Contouled/Flat) $•1115"7 Q �BasementHopper 6989. Pratda•Ortds:• 875 j ea Window'-aoftf'MCI •: •'•t:•• �Jim�lBfed Qf'vlddd Lpe`'., $t82 I BowWfitS(bw-SofftN[tftiti)`!,IN6,Q�@t529149;:T :.:Te(ifpe@q•dF(;5esh:leSb).(T80j 576 �QerdenN(indvw ::: aj2txp...: . Obetitire'Qtasa'(f3SiJ)'(TSO) Bay,Bow,Garden Oversize (+109 UI)$079 j Ottel Style(40/60 br 80/40)'" '$76' ` Bel ge!Alrtrond $49 : Foam.-Enhanced Frame ��woarf diem interior(soltea save/a0000rigj'S'�b'0 i (7J9M0ak/DarkOak)ChunV1 ForWood Pat 1978 BUILT NoMLS(RRP'VFERE11pVA710 Rich wpla) - MY HOME WAS BUiLT IN THE YEAR "1 19 Stan Eidedor(Arch.Stems/Amadc4n Terra)$100 ILOeallinorColor-Exledor . t $t.78 MISCELLANEOUS i Guetvm Exterfar.AI4m)num Ctaddjng(T4to-Bend i —Speaality'Wln ow 9 } I 0 Textured$90 0 G-8 Smodth$91) $ ' Window Color T� .../ Facing Cofer •MuItFBend Giadding $20 NUN�USTGM 000118 InefaO'Ihterloi/SderlorSlope '_VlnytRoutngfBlboaor:aft+-weR; $1219• —Install Interior Casing Starts At $95 �' Vfnyt'Rotlfdg'paiks•Door:dR,""•. $029' ;pepait.Sl9,Jamborroplaceatitnosing $76 I add b UAsE pdCe f ii'pus(om Rolling PatldOda 91269 Full Sub SIU(5trtgte)replacement $170 i l FrertohRefF8udingPatlo Door 5n or eft $1639 Ins ate Weight Boxes $$O �^ �r �Frehchiie71 Sllding Peti¢0tigil S1 D is' Mull to Form Mutll Unit $30•._..•.: I _F 60'RanSlldIn'q'P lyd6oi ff: tS1749 Custom6dadorCladdbrg ytpp Mullion Removal 4$0 8otariom Ellis $3pg —Metal Window Removal $76 _QridePailoDoor s tp lNewEonalructianVlnyhRemoval $178':°'• W0049rawntedora $ass. _Nei'donel•Ext.Retro Fit 750 i iFxtedar0eslpnoPCatdis : 4Bti9' _Roof'for Say/Bow Windows $5D0 __tnfenar Cttstn '2+n ern :.82y9..� 'Removal of Ex(etlng day/Bow":�..'-'ffi250-"`"'•• : .Hendfeset 0PlIdne _ba ,... .:S�_ i y/cow,Conversion.Ext:Retro Fit• •'$450 _Imodor eltnda(alx.foot"M 8856. (New Biding WUI Not is, �Y<�• l OLwde. itiratsA I Customer. go ng�lekte<,�wrp'o-end.t. dwstell a paintln .end/�.or.�ee��r.tn@y,a r t` �,.n'':•t dNt��`' •C>....: � I DISCL$IMFRthsMmerlerasponsibteiathefdor6nyJoeannetxkawMLUa.erontratbPelrtfep&telnlrq AkmSyalatidlu0nnaetAaconnaatBWdyigfarmAheaat excouaid?.b.00rFbmtorrrterartdor0opdoAs6aatatio ADpmvaLNbtorieOk+rietpppravaf.pbd0osbnpari�ngdsidewalk•i9imilfeesineomeaflonvANlnsfe0alloa: NO EXTRA WORK IF NOT IN WRITING1 customer agrees to me terms of payment as o owe: Extra Labor&Matarlals-$ Site Set Up.Permit,Dlsposal&Delivery fees$ $389.CD ' TotalAr>totutt`$� CuslonlOrderDeposit3S96 $ Project Start Payment 33% $ � j :r'<:•^ BalanceDueDayofinstallatlon $• nt:a Amauiit� a'•ei1'$"'"' WrddswWod0ol�oatogOntl0lpatesstareapWstrorkon O end best9suhstardlarYcotttpldedl ays.BEWdlybtterest o i Anyaepasatetp<(red'fn8dyaiiCAotthyslattpltaaWbrkSNALL W 3 1/J%btNelbmlconUsol{Irrkoor aledst'oferrymMtdalot�qu�mer0afa epeeist amaror0uslordmade mkbe;sYhmtt7nutl Dmbttlflted idaduanceotthC start olata'w0M to awe IdatNI pr0)eAw R p10=0"Obtfule.No f nal payment ; shell O°damanded urRa Ora cantrscttammplatesaa 0tdeaaefecUon al4tdh pelae9.":•. i Ap 110tRa MpNYpmerlt 0ae4selofa agd:Sll4pOfNlaLlaJe sttaRbe lagtalued ails lbal an:hgUi(es shoat Itcoml.Of.en4COMfastarrplatVlg to a replahation should be dkeetedlo OfttoeolCottstnnnAtlefroendBdsinasoRapbtstlos,TBnPwkPIM Rub 81708astoo,MAa2119.Photo!(611)978.910a No work SaeU bytn prier to ue etpntap of the eamtaol end Ir:msmlthd to the bumar of a copy of web awlyact. lYndowVfortda�oat�g ,der.prasieton.of,Dnepte(,4?ggtpt�:pe pgt.lawsls.(2gwte,Qtoappry•:tp�pgt�dg4lcottpWOUandelated,pemdt9:Wlndow,y/oddo) I _ � @agora.�aUJipf�-9Ee fp9 pnslbletNcelEy9ln �yu(kdeactIbdGi')hl#sai'atr(fAriteyueAd4yie" pilfltf�arand(g Bltda&; 11toi1085p(liidMmiAb NoheR'Itt QpURCiJAs4R$)'�Ijtatni•(uiy' 'A pEihi(tsfoilhgiatitftEa6ottteQ-'djtabV.i ig'.atit�iaonl.pi''Uio,1 hb''unrddlHe"tgd,c"6nGso1'df'gr� O ihe'Plfif Eq(a)��tt••(iekpyiQrlsaOtAsll , bye : Adllp�te;)dQ9BMoOthod�ocplyminGlhBd.RyttA5�A(91u91tiottlb'tfIGlj6it;t0;_aY;ra'cteimor i I cause all tltaeltetsM)ltut(dilkt9tiUttiNd.a:¢ b1 42AMMA:I Tad the over may.caao 1.hta_Bltgac prAa�n t►i@ pr 3am nfg o the t r ua races ey tt a1 ate a a, hasp ps.r f j attce of"saocel 11a1?mh9t bt!itt rt fiAg ppii).a lieu no later 111'en•mtd9tglit attb9'tallOwing Dilrd•businese ddY' I i Tnk daatvW aFrsaaafsef9W 'rations ea add' 'tb Ls.PBodtdn"" 'red"'Inc. lab. 'Oki t er:aonotstpnN arearoaryblankapeeas 0 0 ' I i Aanuimn•nh MT AAn aM a1A A MpnY anaMA. IC nVMr nA MAT ttlan H thorA Ota anY hm+N,Onaflo6 na. l i { 'i f _ i Commonwealth of Massachusetts ® Division of Professional Licensure Board of Building Regulations and Standards Construction, Superv;sor CS-072772 Expires: 04/07/2020 3 JEFF C STEELE ;s 24 SHERWOOD AVE DANVERS MA 01923 Commissioner ''7`�r `f•Yiir...rna=rir�l�!��^.��ru�ra•Irr.tr(/' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TY?E:LLC Registration Expiration 168025 04/11/2020 WINDOW WORLD OFrBOSTON,LLC. JEFF C.STEELE 15A CUMMINGS PARK u WOBURN,MA 01801 Undersecretary i i The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass,gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):L-//� /oi►�JGld7.4 r L/1l'. l�giq c✓.iitt'Dr✓r✓U��d EL�D�Y2�1 Address: 15 /A Ct rn rn i n a t City/State/Zip: W M Phone#: 7,? I - Z-qt n 5 Are you an employer?Check the appropriate boa: Type of project(regained): 1.❑I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.(No workers'comp.insurance required.] 9. ❑Demolition 3.FJ I am a homeowner doing all work myself[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole M❑Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 110Roof repairs These sub-contractors have employees and have workers'comp.insurance.= 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other 152,§1(4),and we have no employees.(No workers'comp.insurance required.] / ep/4 ee q e- 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. I Insurance Company Name: A san i o-4 e G Fl-,%plu�1P r 5 Policy#or Self-ins.Lic.#: pV C—C. —5 OD- SD 1 g(,O ct- Z o 19A Expiration Date: Job Site Address: /6 Z 4 Ae� 1W City/State/Zip: 4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirati n date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the Aolator.A co o this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verific 'on. I do hereby certi un he pa' enalties of perjury that the information provided above is true and correct Si mature: Date: S 'l Phone#: 8 g Official use o not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I A �® CERTIFICATE OF LIABILITY INSURANCE r ATE(MMIDD/YYYY) 03/26119 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: It the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: amy roberts M.P.Roberts Insurance Agency Inc. FX A//cC N xt: 978-683-8073 A/c No): 978-683-3147 1060 Osgood Street North Andover,MA 01845 ADDRESS: amy@mprobertsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC q INSURERA: WESTERN WORLD INS COMPANY INSURED INSURERS: MERCHANTS INS COMPANY L&P BOSTON OPERATING,INC INSURERC: ASSOCIATED EMPLOYERS DBA WINDOW WORLD OF BOSTON INSURER 0: 15A CUMMINGS PARK WOBURN,MA 01801 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMSWADE Fx--1 OCCUR PREMISES a occurrence $ 100,000 MED EXP(Any oneperson) $ 5,000 A NPP8525379 04/05/19 04/05/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT Li LOC PRODUCTS-COMP/OPAGG $ 1,000;000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a arz,dent $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B AUTOS ONLY AUTOS OWNED x SCHEDULED MCA1002569 04/05/19 04/05/20 BODILY INJURY(Per accident) $ X HIRED x NON-OVIMED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAR x OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS uas CLA1MS4MADE AN065362 04/05/19 04/05/20 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION 7DISEASE PEROTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE ENT $ 1,000,000 C OFFICERIMEMBEREXCLUDED7 N❑ NIA WCC-500-5018609-2019A 04/05/19 04/05/20 (Mandatory In NH) EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below LICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP ENTATIVVEE ��;a � O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE Permit No. ..28.9?0..... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 7 .Y9 1�t�or� HYANNIS.MASS.02601 Bond .....X...��.Ily/�� CERTIFICATE OF USE AND OCCUPANCY Issued to Robert & Debbie Donaldson Address Lot #8, ? i _ �ountry Way 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. Fip r i l 2 3, 91 • Buildi g Inspector �—Y�°'�41`+i'>�i� . ".` �t, "�* "mot.`?�,�;� ixC�P.t✓ '-"��g�i���'Yr�C'��'''b►'�nR��►+•Y'� �^ '�'�P• ' y •.s yV,f�T�p(+'F.'►r� TOWN OF BARNSTABLE Permit No. ....892.. BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash q peso• X HYANNIS,MASS.02601 Bond ..........4/f t�{ CERTIFICATE OF USE AND OCCUPANCY Issued to Robert & Debbie Donaldson Address Lot #8, 21 Old Country Way Weet Barnstable, Mass. i 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 SECTION119.0 OF.THE MASSACHUSETTS STATE BUILDING CODE pril.. 23.1 19 91. ...... ........ Buildfgp-.lnsoector TOWN OF BARNSTABLE BUILDING DEPARTMENT t 11saarrAU = TOWN OFFICE BUILDING a"& +e39• �� HYANNIS, MASS. 02601 �0 Mal MEMO TO: Town Clerk T FROM: Building Department DATE: — —�� An Occupancy Permit-has been Issued for the -building authorized'4by Building /Per it #............... .Q..f.._ ��............................................................................_................ ........._................................... issued to �.aN... _:�.a C� p�-` /IGL/ 1.............................._ .�_... .. _... _........._..__.._ �.._ f Please release the performance bond. „A � e/ 'As essor's ma and lot number .....0/0........1 :../....... - pSEPTIC SYSTEM MUST O*THE rot♦ Sewage Permit number ........�� ..-C� z. ...... . INSTALLED IN COMPLIA WITH TITLE 5 : BAWSTAXE. House number ...........�z/......rTF..........' ENVIRONMENTAL CODE A' .tea 63 TOWN REGULATIONS °"ar a. 'r TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .................................... TYPE OF`CONSTRUCTION ............. .fI�Q.Q.../�!!' /.:J..L ............................................................................... ....................... :....3 .....19. TO THE INSPECTOR OF BUILDINGS: t +� The undersigned hereby applies for a permit Iaccording two tthhe� following information: Location ....;��� ... ... f .....Coca'.'..'...... W,......c�. ......... .1.........Ry`yvw'J� ..... ProposedUse ... .L,L L .......................................................................................... . ..... . ................................................... Zoning District ........................................................................Fire District ...................�.. :I.f.l:,v�..................................... Name of Owner .... �..5?.1.�:.. a!vh?1°'S° Address ...a. ... '1: b.�.!?of ..!�YI.:....LH.. ../ .................... r/ Name of Builder .../.... .... ........ . ......... .... ....... ...... ......Address ......�e� .............. ..�.'. ............ Name of Architect ...../.l. . .��. 4. ..... ..Address .,1/ IlPIrI. ....lz ......... ./.�rs�!F' ................ Number of Rooms ........................6......................................Foundation ...to..441 Ric...... ............................ Exterior ......................... .......s. 1.A A.�..........Roofing. ....... .....sityl.5.44............................ .....................Interior Floors ......................I.Z�®�d ......................... .......... X Heating ................... ... t..............................................Plumbing ........ }....... ........................................... I Fireplace ....................... ..0.. . .................................................Approximate. Cost Definitive Plan Approved by Planning Board ________________________________19________ . Area ..... .......! ,1�..`Sf�' Diagram of Lot and Building with .Dimensions Fee ............. ...... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �3/ /* :2 �3 a 6.66 q l� l GD 0o �P 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 ..V.. . ........ DONALDSO-N-, ROBERT & DEBBIE A Permit for ...1 Stork'............... .........Single...FajRily..)Nf��.�ing .... .... .... ................. Location ................................. ....... Lot #8.. ...................West„Barnstable........................ Owner .........Robert...&..D.e.b.b i e...D.ona.l.dson.. .. .. . . ...... . ...... . ........ Type of Construction .......................... ....................:........................................................... Plot ............................ Lot ................................ Permit Granted .........February 7 9 86 ...............I......... Date of Inspection ................I.......... ...........19 '. I Date Completed ..... ...............-19 Fi S 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map al Parcel Q--�� � Application # Health Division (08'L Date Issued Conservation Division�(i,+1^ �d2 Gtc� �.M Application FeX jk_�O Planning Dept. Permit Fee ` _ D to Definitive Plan Approved by Planning Board ' Historic - OKH Preservation/Hyannis I' S , Lorbit Project Street Address•---%--A-'- -� T; 1-1 ®LO CVV .Village _ .Co�N � CIO Owner l > �'� C¢4t/Lo VA 0 Address c r 4t C� �4 W�yri_ Telephone 2- Permit Request lV��'?�-llC� 1�j �C IV 01 Al tl/6 AM JVV 177 Uyy f /A)5-J)4t�AW k4—1 Lff-f,�fj 40 AAJ 14� IWA)64 EldwrG Square feet: 1 st ffc 4 : existi,nl floor: existing proposed Total new bS4__` Zoning District Flood Plain Groundwater Overlay Project Valuation 01060, Construction Type WOW 94v j Ad06T1 01 Lot Size ;�7 15D — Grandfathered: ❑Yes ❑ No If yes, attach sum rting d�o-•`Lumentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) c� =a Age of Existing Structure Z `� Historic House: ❑Yes No On Old King's i' hway:11 Yej; YNo Basement Type: XFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Areas ft. Basement Unfinished Areas ft �r >!� Number of Baths: Full: existing 2- new Half: existing new Number of Bedrooms: 3 existing" new Total Room Count (not including baths): existing new First Floor Room Count 9 Heat Type and Fuel: ❑ Gas XOil ❑ Electric ❑ Other Central Air: ❑Yes XNO Fireplaces: Existing . New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ i Attached garage: e s?i g ❑ new size _Shed: ❑ existing ❑ new size _ Other: No Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# _� - Current Use s 0 LF \1 Proposed Use SAwE, APPLICANT INFORMATION 41A � C , (BUILDER OR HOMEOWNER) 5 6 g — 7 3 7 -tk 6 4 cti t �a 2` I Name �/ r�D� LSIJ��c/ Telephone Number Address ►vY`Y /vMID 31-0 License# P6.U, Home Improvement Contractor# U 7 L orker's Compensation # C�.�bOZ7(�10 � �7 W` 6*SlWa ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ON �/Z- VA C L_ N�dr� SIGNATURE DATE D f ' - FOR OFFICIAL USE ONLY ti APPLICATION# DATEISSUED t MAP/PARCEL NO. 3 ADDRESS VILLAGE f, OWNER - DATE OF INSPECTION: FOUNDATION 4) Svn+�y FRAME S"�cir/i�k Ok - 09 aR"cjk- INSULATION lD/-�,/wp "3/oz(0Z io/oF/o8Ro?4— FIREPLACE ' ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ����� l�Y�/`� G 5 /ArF,*C i DATE CLOSED OUT G I ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 lvww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f ' vJPlease Print Le ibl W Name (Business/Organization/Individual): of _ J 910 y _� Address: City/State/Zip: U4 ; (l' ��` hone.#: �_I) �-' 1716 y 7 A;'1 an employer? Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-tirn.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. De ion workingfor me in an capacity. employe have workers' Y P ty $ 9. , Building addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. ^�, A�, -n7 ,,1 _I � `� Insurance Company Name: (�`�l/1�-1'1 6 4 " W W V�y , Policy# -7 `� 0=Q0 7 Expiration Date: (Q Job Site Address: �I v"� G \ Attach a copy of the workers' compensation policy declaration (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDEltand a fine of up to$250.00 a day gainst the violator. Be advised that a copy of this statement may be forwarded to the Office of ___Investigations of VeAA for insurance coverage verification. I do hereby cer u de a ns nd penalties of perjury that the information provided above is true and correct. s Si ature: Date. _ Phone#: ?✓ t: 7 Offccial use only. Do not write in this area,to be completed by city or town of City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Ins' trncti®ns Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three 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." j MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for_the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation.and, if necessary, supply sub-contractors)name(s), address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department'of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel: #617-727-490.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 1.1-22-06 www.mass.gov/dia r Assessor's Office lst floor MaD 1171t , Permit# Conservation Pffice 4th floor Date Issued Board of Health Ord floor, SEPTIC SYSTEM M 1 Engfnecring Dept. Ord floor) House# INSTALLED IN NCE :J WOTH. R N® � Planning Dept. (1st floor/School Admin.Bldg.) 9—N-VISON EN's Definitive Plan Approved by Planning Board 19 TOWN RE o Md (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) �4todd TOWN OF BARNSTABLE Building Permit Application Proiect Street Address ® low �c_e.n'I-�` Village W e- - RC1611r4 4-0-Ve- Fire District (hvncr / `t w- Address Telephone (� Lto Permit Request: Zoning District r Flood Plain Water Protection Lot Size Grandfathered Zoning Board of ApMls Authorization Recorded Current Use Proposed Use Construction Type Existing Information Dwelling Tyne: Single Family Two family Multi-family Age of structure Basement type v Historic House Finished (L�CQI�" ti Old Kin 's Hi hwa I�9-b Unfinished Number of Baths a�- No.of Bedrooms 3 Total Room Count(not including baths) �� First Floor Heat Type and Fuel l v�ac�e r-`6V4 Central Air (itm Fireplaces no Garage: Detached - Other Detached Structures: Pool (40 Attached Bam rw None L/' Sheds PW Other Builder Information Name (SCA,)f Ue-.(- Telephone number Address License# Home Improvement Contractor# Worker's Compgnsation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7�5 Pro'ectCost Lw �0O Fee SIGNATURE c DATE_ LA BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OITICE USE ONLY ADDRESS � ,wry VILLAGE West Barnstable r1 OWNER Heidi Ungermann DATE OF INSPECTION: FOUNDATION INSULATION d 0 . FIREPLACE ELECTRICAL: `ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: '' F`' ROUGH FINAL FINAL B:iALDWG: DATE CLO$EIt:OUT: ASSOCTATgyPLAN NO. Aji� \� _ Application to 419 a PPP S+P MSS<<P'n�S Old Kings Highway Regional Historic District Committee 9 9 4 in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in 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: ❑ House ❑ Garage ❑ Commercial ❑ Other wo F 1=1Q'k4C 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 ` S i �Ce�s / /� DATE ADDRESS OF PROPOSED WORK W It Yob ASSESSORS MAP NO. ( ` 6 OWNER 12—I i ASSESSORS LOT NO. c�1 j�� �,f HOME ADDRESS �_sg: 4 k-" S C�®ve- TEL. NO. ���' ` �(D FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). AGENT OR CONTRACTOR SCZ'0t&. Ch.. C-OVe- TEL. NO. ADDRESS 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). I � Signed v✓ " �l'[rNO[`[iz_ Own r-Contractor-Agent Space below line for Committee use. fieeeRR�m-"b H.D.C. , L5 , �D to Certific s hereby r O (� 'r` " 'C D r o S �T,ImeSEP a l Bye 1AMIARNSIABLE _ LD KlNG'S HIGHWAY Approved ❑ �PORTANT: If Certificate is approved, approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Town of Barnstable 1 Old King's Highway Historic District Commission I SPEC SHEET FOUNDATION C SIDING TYPE 1-'Ct-4 ux S,`cf.i A01 A n cLjctCOLOR (/�Cty-c.�&0 6 CHIMNEY TYPE _ (/� /� COLOR ¢ �- ROOF MATERIAL CiL.S .7 l S L%4 �e COLOR C' (-e. UlC i.c .PITCH 7Z L WINDOW CLZS�IryicG� W)vu�s SIZE ,Zr�u� `Y'(( u+ 3 TRIM COLOR Cc c DOORS COLOR SHUTTERS r /C:L GUTTERS /L© DECK GARAGE DOORS COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified", but should show all structures on the lot to scale. sPEcsHT C� CRAIG R.-SHORT, P.E. 14 TORY.LANE,DENNIS,MASSACHUSETTS 02638 OFF.(508)385-6530 RES.(508)385-9513 . ABUTTERS LIST OF ROBERT & DEBBIE DONALDSON (owners) + HEIDI UNGERMANN Map 176 Parcel 16- 1 (Applicant) MAP 176 PARCEL 16-2 James F. & Shiela Barry 100 Summers Run Annapolis, MD. 21401 Parcel 16-3 Robert and Jo Ellen Rice 159 Parker Road West Barnstable , MA. 02668 Parcel 19 James Jenkins 227 Pine Street West Barnstable , MA. 02668 Parcel 18 Nancy Johnson 245 Parker Road West Barnstable , MA. 02668 Parcel 17 Gloria Armstrong P.O. Box 1185 Saugus, MA. 01906 Parcel 15 Irene Martha Lampi 240 Parker Road West Barnstable , MA. 02668 Parcel 23 Philip Peterson 15 East Harding Avenue Lagrange Park, IL. 60525 * Parcel 27 Denise Bearse 165 Parker .Road West Barnstable , MA. 02668 Map 1.77 Parcel 5- 1 Dennis Bechtel 164 Parker Road West Barnstable , MA. 02668 Parcel 5-2 Town of Barnstable 2 367 Main Street Hyannis, MA. 02601 Map 196 Parcel 3 Pasquale J. Russo P.O. Box 207 West Barnstable , MA. 02668 By_ _ Date Abutters identified 4/27/94 Craig Short, P.E. Professional Civil Engineer • Custom Designer • Builder Member ASCE 0 MALSCE 0 .0 9 i I oop v , 4 p � vi SZr 1 LO V f P Iz w ` s I ` c ^J 13 o t � 1 i � (Tomnw/zwealth of WaJJacliuiettJ _ �e�arfineaf oo���iu�u�frial �cc�denfs 600 f/Vailtcncgfon Street James J.Campbell &11on, Majiac4ajetb 02 f f f Commissioner II rr Workers' Compensation Insurance Affidavit (licensee/pertnittee) with a principal place of business at: - (cicy/snte/Zip) do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number () I am a sole proprietor and have no one working for me in any capacity. 1 am a sole proprietor, general contractor o omeowner circle one) and have hired the contractors listed below who have the following workers' compensation policies: . . B m -e- Vo w (It vout c.j- p3�w �: Lea-so (`�w�l - W CC 1311 xk s( IN 01 Lt Contractor was-�u�{-i�o�, nsurance Company/Policy Number WC 131 adog3 W9803s Contractor �— insurance Company/Policy Number Contractor Insurance Company/Policy Number () 1 am a homeowner performing all the work myself. I understand that a copy of this statement will be forwarded to the Office of Investigations of the DIA for coverage verification and that failure to secure coverage as required under Section 25A of HGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this �L. day of 0,46e.r 19 q�{" Licensee/Permittee kl Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617- 7-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE �Gi �� JOB. LOCATION Number Street a ress Section of; town 11 HOMEOWNER" Name Home phone Work phone-, PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on -which there is, or is intended to be, a one to six 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE 14eaC er'YI�OC-Gt•��. APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that.:if. a Home Owner engages a person(s) for hire to do such work, that -such .Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and 'Regulations for .licensing Construction' Supervisors, Section 2. 15) . ' This..lack of awarehes often results in serious problems, particularly when the Home' Owner- hires unlicensed persons. In this case our Board cannot proceed against'. the-; <: inlicensed person as it would with licensed. Supervisor. The. Home"bwiier7�actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her, responsibilities,: man communities require, as part of the permit application,. that the 'Home 'Owner 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. . Yo:u may care to amend and adopt such a form/certification for use in your community. The ToWT1 trtnr I l I1 �►� 13uildinb lli�tst0n 367 Main Strect,Hyannis MA 02601 Office: 508 790-6227 mph Crossen Fax: 508 775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the-reconstruction-al(erations,reno%ation,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,azth certain exceptions,along with other requirements. T3pc of Work:_ Lo-r- I per vim- Est.Cost Address of Work: Owner Name: Date of Permit Application: I hereb<•certify that: Registration is not required for the follouing reason(s): Work excluded by law Job under S 1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: O��T'ERS PULLING THEIR OWN PER,%,TT OR DEALING tWI H UNREGISTERED CON-IRACTORS FOR APPLICABLE HOME IMPROVEI`C-:1N'T WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARA1,77Y F TNI)UNDER MGL c. 142A SIGNED UDDER PENALTIES OF PER-URN' I hcrcbN'apple for a permit as the agent of the o\�-cr: Date Contractor name Registration No. OR Date Owner's name ._ y' ::aF,• g ,..+r" 'Y'',; ,+/� + %sPr*r�,'.}'�wt�.��'n�A7vx;�r:',K•:'sf�r;�C+4exf.7 r',` ".:rria �4�'� ^lty$'+W'SY41Je 7 do Assessor's office(1st Floor): Assessor's map and lot number Q ! o*T Board of Health(3rd floor):/�f Sewage Permit number , DABS LL' i + Engineering Department(3rd floor): House number Definitive Plan Approved by Planning Board 190 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only Cr TOWN . OF B.ARNSTABLE BUILDING. , INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION (,(,cod FTZAM G y"C, 19 _ ` TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location - 1 018 r 0 upr�- lfJ/S�� GU i b�/� Trp 57 Proposed Use 3A (�'4) S T 41Z X 6! Zoning District Fire District Name of Owner ILO wt D k> c0 S Qj,-N Address 5)4-t" e— i Name of Builder M 2 Address Name of Architect SA M i:—: Address I Number of Rooms Foundation Exterior WoC> u i5VARb Roofing �* Floors S Interior r 494 'Heating f Plumbing Fireplace N !M� Approximate Cost P�v Area v� Diagram of Lot and Building with Dimensions Fee If It— to l3A/tp OCCUPANCY PERMITS REQUIRED FOR NEW_D.WE CtNC� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name il=4� tt3 Construction Supervisor's License 27 S3 57 DONALDSON, ROBERT A=176-01.6 . 001 34313 Relocate & Add Barn No Permit For Accessory,,, o Dwelling_, /Co/� tv-Ae r- 1 Location Y v West Barnstable Owner Robert Donaldson Type of Construction Frame Plot Lot f Permit Granted April 30 , 19 91 'Date of Inspection 19 -Date Completed 19 17 Y jioRM&COMPLETED Assessor's map and lot number .....�. (�....r..����..- I Q�pf o ET Sewage Pei mit number .........RS..:7(?. 2... ....... d�' ,�♦� / ``/ S^ Z. BAWS'TADLE. i House number ...............�.......`.. ......:......... ', 9 PAS& 1639. 6 �E0 mo d\ ro �; TOWN * OF BARNSTABLE ®, P8 l2/3/8eelf� �s > BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. 1�� ...1- ....5 —(�.0...................................................................... TYPE OF CONSTRUCTION ...............4Qf�e ...�`!d!47..'J..L.:............................................................................... I .07:7... .....19.0.?... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby'-applies for a permit according to the following information: _ Location ...... ........ .(d-.....`:. n..�... ...... `. ........ �.%. �`'�....... � _,. . r.��•• .Proposed Use .......... ..................................................................................................................... ...........Q�k�T).A( .. ZoningDistrict ........................................................................Fire District ...................L.. ..............: ......... Name of Owner ...!4.a C'.............^ .... '.... grvsglu! Address ... ... ../J?r.C��..4.4./ ..!�t!i.:....f. �?l.?-c;?�1 Name of Builder -... ...... . .......Address ......... ' o ....�7 ..... I P2..... J7 : ....... . .....:... .... ....... ... l� ..� ��� Name of Architect ..2�r.. (,.U......f(.�? .f'.....`.u........Address .,TT� !/� ...z.)...... r'e.................. Number of Rooms (4-11 ........................................Foundation ..:pa12. Exierior .....:.........`. .. �',a. <........: !?./. -. ..�° ........Roofing ...!y'S �iaf...':5�1..vd�!�. :. CC........:..... .............:.................Interior .,...... .....:................................ ................................... Floors ......................i'.P.�.QD g F!17,..�•7.!............ .. g �r ��721� ............... Heating Plumbing �- Fireplace .....................N%V.E..............................................Approximate Cost, . .. .. O.p. ::........:............ ...:......: .. Definitive Plan Approved by, Planning Board ____----------------------------19________ . Area ?..la.......................... Diagram' of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL.OF BOARD OF HEALTH l�'3� s O-b y ail, s y 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 ....... DONALDSON, ROBERT & DEBBIE- !A=176=16-1 No ..2892.0... Permit for ....11.5.t.Q.ry............... .........Single...Eami-Ly..Dwalling..................... Location ........2.1...Old Country. . . v...Way Lot...#.8 .... .... ...... West Barnstable ............................................................................... Owner ..........Robert &...Debbie...Don.a.ldso.n. ...... . ........ .. Type of Construction ......Frame.......................... ................................................................................ Plot ............................ Lot ............................... February 7'�Permit Granted ........................................19 .86 Date of Inspection ....................................19 Date Completed ...............................1:........19 r= zo z3 too'Co. 1� CBZtICATlfJ644F`E ��Y[P,'�LO,AI ` � ��`PP.1��:n Ls`h�c�.�ip:La� ib,tr.IR-Tlcate;f��skLe[ssua�i�gf.aicg�tft�ste of�e�e�� u�c����ectis��`6i 7 a 70 tOMA:am�a��d:far• l::Qpo."se.�.wo e 9I�A� 'a go�parl<Yiog this a P 1 s d sS,rlf;ed b�lo�et.a�d o�iPLa � �l�ii[tQs;`Qt WEa03 . �Lcati_�ti.� /�_� S�S$ J�V FADia�Q1C.0 Nar,IZQei A d Fi# �a 1 _ -Liz et ' �a�P-Ltd- �'tsi#Ql,�s„s-cep-ligp:�q.P4-�.��X1At s�sttuciQrloj�t �e�9�ob�,i3xl�at; - I �LiauG�n Fe>wtef�P1�a[lY "al, l c p�ace� Qy 1Lat1l101acategojGl(,Slecfa��de tl .ito exgLnPtion,ty'OId King��:1.1.gh�nra" 62e�� o ��p. � Q�ID�ss �Cec '.aP_licabJ,g,bo snoyr.�9�.�.ocaSi9.Q`t�ti�.s,��td���.a��sd�dLo,:�:1�,1t ,�ed1X 5'rr i., 1 t ee•' !. _ f 4.✓t� QFJ � J'°�, y✓FI,Y.� r R'��j..—stir &'C4579 1 {Qs1 'r,fIWA W, 4OT ...R _ . . TF e`categonf..W15AI;;e�_itled•to b. . ' f - - �' the, ack�of t is orm. Assessor's office(1st Floor): O// _Q � • Assessor's map and'lot number TME>o Board of Health(3rd floor): Sewage Permit number ?d;aW``&BLL0YEn Engineering Department(3rd floor)' House number --A 39 Definitive Plan Approved by Planning Board 19 WTIALLED IN AvOiM��im APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only WITH TITLE 5 TOWN OF BARNS' r5p`"GRULAT����'D BUILDING INSPECTOR APPLICATION FOR PERMIT TO I�C/¢�¢ sc l O /t IU TYPE OF CONSTRUCTION to p O FT M IL EL 19 r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Z ( © t 8 C O UPT to , 6;/4 TrE 5TA I i bo Proposed Use 7114ro Zoning District Fire District Name of Owner D Address e— Name of Builder 514 M,e Address Name of Architect SA MC Address Number of Rooms Foundation Exterior Gy o o � Roofing S D 4"W Floors 1 413 Interior Heating /V a)n P Plumbing �b'%�� Fireplace Max- Approximate Cost Area ov Diagram of Lot and Building with Dimensions Fee SV l OCCUPANCY PERMITS REQUIRED FOR NEW DWEL 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 OL S3 JZ /-7 ' rS. DONALDSON, ROBERT No 34313 Permit For Relocate & ADD Barn - Accessory to Dwe,11incr Locations a West Barnstable - Owner%' Robert Donaldson _ a r Type of Construction Frame , Plot Lot 30,.ril Permit Granted April �19 91 ' `Date of Inspection 19 L'Date Completed / 19 - G Client#: 12900 2WBARNBU ACORDr. CERTIFICATE OF LIABILITY INSURANCEFDA 106108°"""'' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling $d'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR g y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Insurance West Barnstable Builders, Inc. INSURER B: Associated Employers Insurance Compa P.O.Box 516 INSURER C: Commerce Insurance Co. West Barnstable,MA 02668-1124 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR D POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DAT M DD DATE iMMIDDIYYI LIMITS A GENERAL LIABILITY MSO43965 01/24/08 01/24/09 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $SO OOO CLAIMS MADE F_x1 OCCUR MED EXP(Any one person) $5 000 X BI/PD Ded:500 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY E I- F-] T LOC C AUTOMOBILE LIABILITY 08MMHVV651 04/16/08 04/16/09 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $1 OO,000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $300,000 PROPERTY DAMAGE $1 OO,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSAUj TION AND WCC5002701012008 06/11/08 06/11/09 X WC STA IT OER TH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Mike and Mark Kingston are included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN Attn: Building Inspector NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED R PRESENTATIVE doo ACORD 25(2001/08)1 of 3 #51950 LS1 o ACORD CORPORATION 1988 r` t 1 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). I i DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. i i I i ACORD 25S(2001/08) 2 of 3 #51950 �/ae �anvnxoozu�ea� a�✓�aaaaclzuaelld Board of Building Regulations and Standards UluHOME IM VEMENT CONTRACTOR Registrations, 120878 Ezpiration�3�/1.3/2010 Tr# 263426 ! - \ rI TyPj,l z to Corporation WEST BARNSTABL�EBUI= 110 S INC - MICHAEL KINGSTON J j 1170 RT.6A/PO BOX;5;T6�,.,a` WEST BARNSTABLE,MA 02668 Administrator - _ ........ - a - Rofis and Sta ' I Bo�d of Budding g Construction Supervisor License License: CS 23212 . Try '22413 } .` EXpitto 12/2010 Mio Os ` { MICHAEL L KINGSTON 9 GREAT HILL RD .,e`' Commissioner SANDWICH,MA 02563' -- - _ - 06/105/2008 07: 35 5088889609 MAP INSULATION PAGE 31/04 REScheck Software Version 4.1.3 Compliance Certificate Project Title: WEST BARNSTABLE 13LDRS Report Date:Owos D8 Data fllename:Untitled.rck Energy Code; Location: Massachusetts Energy Code West Barnstable,Massachusetts Construction Type; 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 17% Heatng Degroo Days; 6137 Construction Site: Owner/Agent 161 PARKER RD DeSigner/Contractor; WEST SARSTABLE.MA 7121 Cvmplianca.11,146 Better Than Code Maximum UA:54 Yota UA:68 9 ►s Ceiling 1:Cathedral Ceiling(no attic) Skylight 1:Wood Frame:Douole Pane 1160 30.0 0.0 5 Wall 1;Wood Frame,16"o,c. 3 0.290 1 t"41dow 1:Woad Frame:Oouble Pane 320 19.0 0.0 1G Door 1:Solid 56 0.280 21 1& Floor 1:All-Wood Joistftruss:Over Unconditioned Space 0.280 6 Boller 1:Other(Except Gas-Fired Steam)84 AFUE 140 30.0 0.0 5 Cornpllanca Staft3r7snt: The proposed 0uilding design deswibsd here is consfsiant with the building glans,ss ecirications,and athar calculations submitted v..ith the Pamtit epplication.The proposed bulldtng has been deli ad to mee;the Massachusetts Energy rode requirements in RE3check Verion 4.1,3 and to comply Niih the mardalory requiremente listed in the RESchsck fnspsaion Chedvigt,The heating lead for this building and tha cooling load if appropriate.?esmoetorminad using the applicablq Standard O ign Cvndltivns found In the Code.The HVAC equipment selected to haAt or cavno gre9ter than 125°6 oft esSectiona 7t30CMR 131�nd �n ioaC as speGfied in MeV Date I Pro;octTitle:WESTBARNSTABIE BLDRS-•-----•---•--.....,._..------•..._.........--•--- _,_..�-----__.-..--------._._.... _ Report date:OG/95108 Data filename; Untitfed.rck Page 1 of 4 r 06/05/2008 07: 35 5088889609 MAP INSULATION PAGE 02/04 REScheck Software Version 4.1.3 Inspection Checklist Date:06/05/08 Callings: ❑ Coiling L Cathedral Ceiling(no attic),R-30.0 cavity Insulation Comments: Above.Grade Walls: 0 Well 1:Wood Frame,16-o.c„R-19.0 Cav ty irsulation Comments: Windows.- Window 1:Wood Frame:Doubie Pane,U•faetor:0.280 For wirtdows without labeled U-'aCtors,describe features: #Panes Frame Ty pe The Comments: rmal Break?,yes No Skylights: D Skylight 1;Wopd Frame:Double Pane,U-factor:0.290 #Panes Frame Type 'hernial Break? Yos No Comments: Doors: l7 Door 1:Solid,U-factor:0.280 Comments: Floors: d Floor 1;All-Wood JetsVTruss:Over Unooncuticned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: +� Boller 1:Other(Except Gas-Fired Staem':84 AFUE or higher Make and Model Number: Air Leakage: [] Jolnte,Penetrations.and Wl other such openings I..,the building envelope that are sour-.es ofalr leakage are sealed. When installed In the building envelope,recessed lighting"xturos#Wiest one of the foll0aing rain leakage a 1 Type IC rated.manufacture with no penetrations between the inside of the recessed fixture and calling cavity and sealed or gasketed 10 proven;atr leakage into the unconditioned space, 2. Type IC rated,in accordance with Standard ASTM E 2e3.with no more than 2.0 cfm(0.9"Us)air movement from the the conditioned apace to the telling cavity.The lighting fixture has been tested at 75 PA or 1.57 Ibslft2 pressure difference and"I!be labeled, Vapor Retarder: ❑ Installed un the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Iderrtif"rcatlon: ❑ Materials and equfprnent are identified so that compliance can be determined. ❑ Manu%L:lurer manuals for all installed heating and cocling equipment anc service water heating equipment have been provided. 0 Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building pians cr spetlficallons. 0 insulation Is installed according b.)manufacturers instruction3,in substantial contact wlth the surface being insulated,and in a manner that achieves the rated Revalue without compressing the insulation. Project Tito:WEST BARNSTABLE BLDRS FZAPry,ei-mu:00/051013 Data filename:Unhiled•rck Page 2 of 4 06/05/2008 07:35 5086889605 MAP INSULATION PAGE 03/04 Duct Insulation: Duds are Insulated per Tablo 6106-4.4.3. 'Duct Constructlon: i� All accessible joints,seems,and connections of Supply and return ductwork located outside conditloned apace,including stud toys or joist oavftles/spacos WSW to transpar,air,am sealed using mastic and ftbrouA barkir, to r installation Instructions.Mesh htpe may be amitAd where gaps are less than 1/8 inch.Ou l tape is not pGrmitl d the r•ranu►acturer's ZI The HVAC system Provides a means for balancing Sir and water systems. Temperature Controls: Thermostats exist for each separate HVAC system,A manual or automatic means to partiaby restrict or shut o't the heating andlvr cooling input to each zone or floor Is provided. Heating and Cooling Equipment Sizing: Rated output capacity of the heating/cooling system Is not great6r than 125%o!the desfgrt Iona as specified in Sections 79001vtli 6106.4. Circulating Hot Water$ystems: d Circulalins hot water pipes are insulated to the levels In Table 1 Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 7,p°/,of the heating ensrgy is from ncn dsptetable 30UVt*s.Pool pumps hav®a time clock. Heating and Cooling Piping Insulation: 0 HVAC piping conveying fluids above 120 degrees p or chiffed fluids bolOw 55 degrees F are Insulated to the levels in Table 2. Project Title:vVEST BARNSTABLE 6t_ORS Report date:06IM08 Data Slename:Untitled.rck Page 3 of 4 06/05/2008 07:35 5068889609 MAP INSULATION PAGE Ni 04 Table 9:A#infmum lnsulatlon Thickness for Circulating Hot Water Pipes y Insulation Thickness.in by Pipe Sizes Mestad Water NO"'C(rculating Runouta Circulatin Malnr,and Runeuts Temperature(IF) UP to 1" Up iv 1.25" 1,5"to Z.0' Over 2" 1 10.180 1.0 140.160 0.5 2.0 100.130 0'S 9 0 1.5 0.5 0.5 O,S 1.0 Table 2:Minimum Insulation Thickness for HVAC P/pss Piping System Types Fluid Temp, Insulation Thicknase in inches by Pipe Sizes Range('F+ 2'Runouts 1"and Less 1.25'to z,(y' Heating Systems 2.5"to 4" Low Pressurnrremperature 201.250 Low Temperalurs 1.0 1.5 41.5 Steam Condensate(for teed 1,0 water) Any 200 1.0 2 0 1, 1.0 'S I Cooling systems 1,0 1,s 2.0 Chilled Wat0f,Refrigerant and 40-55 0.5 Brine 5e1OW 40 1.0 10.0 0 7j 1.0 1.5 ,.5 NOTES TO FIELD.(3uilding Department Use Only) Project Title:K'EST BARNSTABLE 6LORS Report dmo. 06105/08 Data flioname: UntMed.rck Page a of 4 did 10 Harb6r PoW Rk ................. I. 'M � � .; .-� � ��_--.off- � i- I. -(3(ill b > LV L-Tt--t4) • isv ziS .......... • co. L v .... ...... a off® D IEL E. QC ---Z -C W-d z RAMA nr.Booz r i v► is a�l Cif. A,4- ' i t!► elck 10.:�►4 Cif.. cs AL.'S f2� t5 D4'- i ' - f c ' (LSD L-.A t-.,L � / i | � -- _- _ �_ � 'P 2 V? »'C- f L-� L.t F T ' I i i ; wx" cam. itS_ 3 o v F-u, vu. t oQ"S 1 1 + I l i i i l I i � { j l � ;-i-;-! i i�i i t i��i i t i IJ 545 LJ- ± i I i j - _� ! I I I ! I ! i ( i + tj� 3 pj I i j s � -._s._5 oa i 31�,_�__--�-���,_ I i i l l l i �� i {- , °--- I J I j I r i J- I -b I OIL- 0 17-6 IL-J! its AL ZIA, 4ZTplto A.%klL C —LU 46-1 LJ t.J.- -77 U 46. ilpt> ix; "5'T .......... - - .---- -- -.-----.-� --' f--l- - --' - I a AeNkA, .......... CPA i ---------- _Q JL ........ ........... .................. r .. %r AWC Guide to Wood Construction in High Wind Areas:110 mph Wins!Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Z Check Compliance 1.1 SCOPE / WindSpeed(3-sec.gust).................................................................. ................................................ 110 mph r/ WindExposure Category..........................................................:....... .............................................................B z/ 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)-I—stories <_2 stories Roof Pitch 1L ...........................................................................(Fig 2) ...........................................7 <12:12 ✓� MeanRoof Height ..............................................................(Fig 2).................................................�� 5 ft 33' ►--f- ✓ Building Width,W ...............................................................(Fig 3)................................................ ft 5 80' ✓/ BuildingLength, L...............................................................(Fig 3)..............................................:..�ft 5 80' Building Aspect Ratio(L/W) ...............................................(Fig 4).................................................�__<3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................� <6'8" 1.3 FRAMING CONNECTIONS / General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..................................................................................................:........................... ConcreteMasonry.................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION'-3 "-� �Slo 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..........................................(Table 4)............................................... in. Bolt Spacing from end[joint of plate.............................(Fig 5).................................... in.s 6"-12" Bolt Embedment-concrete.........................................(Fig 5)................................................. in.z 7" Bolt Embedment-masonry........................................ (Fig 5)............................................ in.>_15" ✓Plate Washer................................................................(Fig 5)..............................................>_3"x Tx 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6).................................................. ft:5 12' /✓�--' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... A/I Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft <d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft _d tk-�Floor Bracing at Endwalls....................................................(Fig 9)................................. .// Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).�/Y...n ......... ..... Floor Sheathing 4 Thickness .................................................(per 780 CMR Chapter 55).... .......`......... in. Floor Sheathing Fastening..................................................(fable 2).._d nails at in edge/—in field 4.1 WALLS / Wall Height ✓/ Loadbearing walls........................................................(Fig 10 and Table 5)........................... v ft s 10, Non-Loadbearing walls................................................(Fig 10 and Table 5)...........................Ti-ft _<20' ✓`/ 1 Wall Stud Spacing . ........................................................(Fig 10 and Table 5):.................iL in.5 24"o.c. IL AA—Wall Story Offsets ........................................................(Figs 7&8)............................................ ft s d 4.2 EXTERIOR WALLS3 Wood Studs 1Ut� Loadbearing walls........................................................(Table 5)..............................2x�- U ft 0 in. ................ able 5 ..............................2x - � ft in. Non-Loadbearing walls................................ R ) � � Q Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10)................................................................. 1✓I/�" WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11)............................................................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate SpliceLength ........................................................(Fig 13 and Table 6)...................................._ft Splice Connection(no.of 16d common nails)..............(Table 6)......................................................... r f AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (780 CNm 5301.2.1.1)1 N - Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)....................................3 ft_(.)_in._<11, Sill Plate Spans ........................................................(Table 9).................................._ft in.5 11' Full Height Studs (no. of studs)....................................(Table 9).....� ............................_........... 2, Non-Load Bearing Wall Openings(record largest opening but check all openings for complia ce to Table 9) a/ HeaderSpans.............................................................(Table 9).................................. ft 13 in.512' Sill Plate Spans...........................................................(Table 9).................................. ft in.<_12" Full Height Studs(no.of studs)....................................(Table 9)......?7V� ...... ................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W �- Edge Nominal Height of Tallest Opening2 ............ .............. �¢..... ..... t <_6'8" 7LO Sheathing Type..............................................(note 4).......te(r..... 1.�!C .... .Nail Spacing.........................................(Table 10 or note 4 if less)........................in. t� Field Nail Spacing..........................................(Table 10)............................... ....... .......�2` in. Shear Connection(no.of 16d common nails)(Table 10).......7................3..I..':2................_ ✓i Percent Full-Height Sheathing able 10 ............. ,/ 9 9..................... .(T ) . . ... . % M�k 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Building Dimension,L MaximumNominal Height of Tallest Opening2.............................��LI...k..... .............. Sheathing Type..............................................(note 4)......1.� ..... x...� ................ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 11 ...................... [ , in. no.of 16d common nails))(Table 11).................. ...y ....................... Shear Connection ) _�.�r .. / Percent Full-Height Sheathing.......................(Table 11)..................................................3 % ✓ Wall Cladding 14 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS / Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............(�`` ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)....................:.......................U={7l) pif Lateral.............................................(Table 12).............................................L=t7j0-plf Shear...............................................(Table 12)............................................S=�l Of Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= pif Nj,or Gable Rake Outlooker..........................................(Figure 20) ............._ft<_smaller of 2'or U2 vieTruss or Rafter Connections at Non-Loadbearing Walls N Y� Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral (no.of 16d common nails)...(Table 14)..................... . ...............L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) .. .. .... Roof Sheathing Thickness........................................... ............................................._in. 7/16" SPA ✓/ Roof Sheathing Fastening............................................(Table 2)................................................. ......— Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 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. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. r AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 Civet 5301.2.1.1)1 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member 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 joist 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. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment WENTH IS EDGE FdNM ON NGMESdNALS- 16 11 11 fi 11 1/ 1 ll 11 1 u 41 1 11 11 1 11 t1 11 11 11 I 11 11 1 11 11 11 I H ;I 11 t1 I 3 1 7 11 11 _G 11 Il r 1 q II 11 rt.� 1 Il a !1 1 1 1 0 fi ii � t z II 11 Ir � 1 a I/ p] 17 11 a 11 11 I i 0 r l I r 1 - I � 11 � 11 11 1 1 11 I r t IL u 1 Q II tl W 1 V II 11 F I I 11 11 t I 11 f 1 1 N II 11 1 • 11 I /1 11 t tOUS E CDGE MILSPACWG , 1 PANEL_ a �, See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment r - AWC GWde to Wood Construction in High Wind Areas:110 mph Wired Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' a o' 3 ZQ ; ' r t: r F r � r i � Ir OL a a ra FRAMING MEMBERS i , EDGE BITERMEDIATE r � - yg• � Z i i � � $"6AQd• i i r r -L- r r _�_..�� --���� ��-.�i- STAGGERED 3"Mltd NAIL PATTERN PAS PANES EDGE `i" DOUBLE NAIL EDGE SPACWG DETAL Detail Vertical and Horizontal Nailing for Panel Attachment ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Site Address: Print Town: Applicant Phone: Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM' MINIMUM Ceiling or Slab �1 ].: Basement L1 -Option Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE F1SPF SIsl12 R-Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of .35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or greater as a licable Note: This form is not required if you choose either.of the two versions of REScheck as.listed below. I Option 2: �. REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 V5,L j(UN) L6. I . j . i REScheck—Web which can be accessed at http://www.energycodes.gov/reschecly :ADDITIONS..OX ALTERATIONS TO::EXISTING.BUILDINGS.`OVER 5.YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %.of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) SF t . 100,.x — _ % of glazing . (b) Glazing area equals. e SF b a If glazing is <.40% use.the chart below. If. laziri is>:40.%o proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Wall Floor Basement Wall U-factor Exposed floors R-Value. . R-value R-Value R-Value R-Value and Depth .39 1 R737 a R-13 R-19 R-10 R-10, 4 feet i R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access o enin s ❑ SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P JOB SHEET NO. OF W&st-Barnstable r tilders, Inc. DATE 1170 RT.6A West Barnstable,MA 02668-1124 CHECKED BY /W K16• fAf&5TW DATE C;4LC —(o r-�9144wyj I— kot, F t 7 Ia .17 7 1 -4k- .cj-- -4,- 1-1 i t 7 7—. T- 4�- L 4--- 1-4- I—--- I -� ! — i I I I � 1 �I��� ' � I >'l�i �--Y,>/ n� � �-_ I I I I —�-t-- —I - I I — I, .4J.- + --tTj....... I I TI '14 -C�. F 1. 4�- IN --------- L; L A— LJL 7L CIA 4 �17-7 r R�.I ..�._L- .�.. I I ! ( i'�-i-fi I -� I 11- I I j i I ;. i C i 11z8 jY ; .T,�j.,,,,T T JOB West,Barnstable 1. -iilders, Inc. SHEET NO. OF CALCULATED BY • -- DATE�/�`� -� 7170 RT.6A • West Barnstable,MA 02668.1124 ( r` E BY DATE BCA / CNCNED LE i It %..4�- 1 it I i , ! , , - i , : I t' .......... : i I I I I I i I I I I I i l l ! l i l I I I 1 ! !• -_�_ i i I i i I. I ! I ! I _�_.�--j—�----. fll1 ► i ! I ! I I I I I ! : ! i I 1 �-- -- 17-7 71 I , t SIC. �,�-. n.C•� �•� I � I i i I _ �_ (/JU7�f IF�I��l:� �G_ 7 �i--- -1 __ ..!' '- - -.1._ .1_J_ , - ! -!—� -�- -'r�� i- ` -/'ram--'--r ... !- i i. '•i p �--- -!�-..-I 1 I ! I ' I -- I�I - - —�-I- �- _ I i , ii ! ( 1 1 f �. !-L L JOB "J"e'U/ I V > S West Barnstable I icilders, Inc. SHEET NO 3 OF CALCULATED BY xAt*l DATE ry I 01 1170 RT.6A West Barnstable,MA 02668-1124 64IX� Kj(, JAI CHECKED BY p/()(, DATE SCALE t - , f 1 ff I Pit L : \ i - >� I— I—_ ! aGV.>[ "i lI __i 1 � ! _—i I i I _ , i— j -j—�_t I .J" • --' -—'-- ' —�-�-� I_ K (c : If — �--�—�--I --I---�---i---1"._'f��---{--' ---- --- I II �� - - " 1 - --I-- - - ! ► I ! ► r I 14 - - -- -1 1 - - --T --- — L IL fit �rye -r -- I 1 j .a--tom �?,J" __!-LL__-i_ ��r.,•_v,1, ' � I ! ! I I ( '- I - --' - - I if : — '— - - - ---=- r-- - - -- - - - — --r—�-i—� ——!—� Fi; I El i - - . • I I � I v I ! 1 i ; I �"— !- i I I I I i i ' —.L...�—. i_. ...' I. �L� I cIS6� - !- f-i I - = - - j : : 1 yv I JOB ff X 411 /['['t i) West Barnstable 1 Lilders, Inc. SNEET NO. u-Y,u OF 1 CALCULATED BY DATE- '/L 1190 RT.6A • West Barnstable,MA 0266E-I124 w ��1 ATE CHECKED BY I r �u SCALE !� 1 I I , , ! i I I l i ! I I I i l l ! I I i I -�--r- I ! i � ��✓ -- LJI J. i ---i-- I 1 _ ; I r7I— „ tr - -- I -- • , 151Ctrt_ t� _l I— t Tn9(a117 ^� I I I I i I i I I I i i I - . '�� % :� .._ j ! !--i !--- -1= ! ► i - ! .�°�"•.. J..: e':..LJr) (I � ,PI'/l i 1— r K _�✓_�_�� i t , , � I i Sy..�.r j_I�?H-�i I I I I I r� :; ' i i I i ,+JI// i•l�,Aj h I i I JOB UL SHEET NO. OF— West.,-Barnstable i zilders, Inc. CALCULATED By DATE _�� 11 70'RT.6A West Barnstable,MA 02668-1124 CHECKED By DATE SCALE I jJ1 if .1 i I 1 I ( i I_ ! ' - — -1—.. I �.- --�- ---r-- —;--�— i -_11_—'I,—''I_ I ' -It---1 �-- i F 1#[ i I T 06 "s ✓V"!A// i 4-- �_F �Y�4— _. 1)(6 r4v? 6 ov I r 7 , L _pl�o T__ . V,5-7 Af61 I A__ rnZ 1A T-1 lilt Ao T 7 2c c4VIV L4 -4 (-3�krall _M _tA If E7 6A) r lilt ,J M, 41 it:t T bl -f- t --A 1_4 L It I T_ 44 if ;1A i'.; 19, T I Parcel Lookup Page 1 of l �.•i ;4..1..• �p .;• , Logged In As: Parcel Lookup Tuesday, Augu Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options Search By Parcel 211 Map Block Lot 176 616 001 Search <Prev Next> Page 1 of 1 Rows/Page Parcel Location Owner Village Map 176-016-001 161 PARKER ROAD MOSS, HULDAH WB 17601600' Parcel Lookup Page 1 of 1 Tr ,,rram�, �� ir�i . * a* Owl Logged In As: Parcel Lookup Tuesday, Augu Road Lookup Condo Lookup Multiple Address Lookup Reports ® i Search Options � Search By Street I� Street# 121 Street OLD COUNTRY Name Village JAII Villages Search I No records were found that match your criteria - • ��� `��/ -aNn. 'v!.�. .4t • 30 3"?;S'�"�'-Asa-��'s�.,"���:`�a-�i\a�-t3".� �.. '.. : :� , . -.,:. �j �.: off. ,. .�� ..' .�� ':- ;,'� _::�-•'�.::- �� 'ask'. / ��' �� I `\ �`' •.... 47� IIN Flo ---- j n 4to - .._. . . � f . : ,fir •:(��� �� .� . . _ � k/1 �,��'�� '� \ \/- .. ��:Y ' ��� .-�') •�� .-r�-.�./l �' �: `U t.�7N. oOHEr Town of Barnstable Regulatory. Services " B'' ST"BLE' Thomas F. Geiler,Director y Hues. � � Fo;. A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, o; AA-0 g"S , as Owner of the subject property hereby authorize ���'��/ '1J�"� to act on my behalf, l in all'matters relative to work authorized by this adding permit application for: 1 6 t (Address of Job) Signature of Owner Date S5 Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q.FORMS:OWNERPERMISSION , y ' �oftHe t� Town of Barnstable a. "T Regulatory Services BARNSrABLE, Thomas F. Geiler,Director 9 MASS. Building Division lED MA'I A Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 "1ww-to A,n.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 -------------------------------________ HOMEOWNER 'LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village . "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied 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 ovens 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 •rrdersigned"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 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. I 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 tha4the 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 fonTVicertification for use in your community. Q:foims:homeexempt oF,HE; ti Town of Barnstable Department of Health,Safety,and Environmental Services y BAMSTABLE, r '""SS. 039. Conservation Division ,��' 200 Main Street,Hyannis MA 02601 I ' Office: 508-862-4093 � Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION Property Owner Telephone number i Mailing address " 17 Project location Map/Parcel# to k J 4 U'J so-/%A l e s only �i N-c7w3 'cJ,I'7 Project description i The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes,as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * t ewalis(this does not include stonewalls for retaining wall purposes,grading and/or fill) Signat ref "1-bo if Date Reviewed by Dat _GIS Plan Attached(fee charged for plan) Q/WPFi les/Form/MinorAct y , r Barnstable Old Kings Highway Historic District Committee 200 Main Street, Hyannis, MA 02601,TEL: 508-862-4787 Fax 508-862-4784 y ASAS3. a - 1639. ArfOMA'�� APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four(4) complete sets, 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, drBvings, or photographs accompanying this application for: co Check all ategortes that a I �> 1. Building construction: ❑ N Addition L� Alteration � W r"�(.n 2. Type of Building: House ❑ Garage/bam ❑ Shed ❑ Commercial ❑ Other 3. Exterior Paintin,g,.roof ❑ new roof ❑ color/material change, of trim, siding, window, d8or M 4. -Sign : El New SigniL ❑ Existing Sign ❑ Repainting Existing SO 5. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: —f `-a I/ Address of proposed work: House# / (0/ Street: . � 1 Village W_ 64tV S741 C'f-Assessors Map Lot# Description of Proposed Work: Give particulars of work to be done: C.O! S-Jyw G- I f X AP /ZOOM 4V I TI W gbq c 4 f I Nf," 164 W A10U4 3 Ck A� 70 it/� I� , z. T r L r.1- 10 V3rLr-, Agent or Contractor(print): C-? Telephone#: �. ' 3�O� • L Address: V(pJ'��'Lf t` 7 U:..: 'f0/j Contractor/Agent' signature: - NOTE All applications must be sigiold by the curt:ent owner X Owner(print): _�;-� i S S Telephone#: ,�Q$ (�,a 6`(If X Owners mailing address: d v✓, y- o L f-Uo ( t f iZ u` "T A v 1 , 1 f Owner's signature:. �S S 14-u U,L I S S For committee use only. This Certificate is here APPROVED/DRIED (HISTRIC (fin 2 Date Members signatures V L5 00 v 8 2008 o ✓ ARNSTABLE RESERVATION Any conditions of approval: COm��d6 Q:I GMD-Groups101d Kings HighwaylOKH New AppIOKH Cert Appropriateness 07.doc 1 Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 copies Foundation Type: (Max. 18"exposed) (material-brick/cement, other) P0 ULL Siding Type material: Vj J Color: �A-Chimney Material: Color: Roof Material: (make & style) /1'47W U-577/ �'�lor: Si/{r'TtL �� o/ ftA+T �( e-X4 S 7-7A Trim material P� 1-( ��. Color: T(.( Roof Pitch:.(7/12 minimum) Window: (make/model) f material VIAI'11- n cko color LV41 Size(s): W t' 2�� X �� t/ At q /� Z (' 7l X �1 E / • c4r Door style and make: lcx_ C-n A/t, MK material k.AJ�0, Color: A/47 !✓��' Cft- Garage Door, Style Size Material Color I✓+/� Shutter Type/Material: Color:. Gutter Type/Material: �>iQIV�Ivy/ts� T_ AW W%----Color: Decks: material Size Color: Skylight, type/make/model/: '?,��W X material Color: Size: Z Sign size: Type/Materials: Color: Fence Type (max 6') Style material: Color.- Retaining wall: Material: `- Lighting, freestanding on building illuminating sign N NTq1 Please provide samples of paint colors and manufacturers brochure of style of windows, doolrs,gara e fences, lamp posts etc Town c4 ..11, ADDITIONAL INFORMATION: old , aCal 64 Signed: lan preparer) � /jd /� ti'6 print name ��� !mil � tel.no. . {9?. (p� Location of application: ((�0 Street no. Street Village .A,( A 2 Q:IGMD-Groups101d Kings HigkwaylOKH New AppIOKHCert Appropriateness 07.doe He U.ae� �A C o►v�.r c�,tl �ta�r�.a• ' �Gt,pP6aGT y¢NA /U/�SES �� I 4 45 Starlight Lane JAMES C. SCHROCK, P.E. Eastham, MA 02642 CIVIL & STRUCTURAL ENGINEERING Phone (508) 240-253.5 Fax (508) 240-1464 jim@jimschrock.com Mike Kingston 7-31-08 West Barnstable Builders, Inc. PO Box 516 West Barnstable, Ma 02668-1124 Re: Dining Room Addition Heidi Moss Residence Dear Mike, At your request, I have examined the sketches and design calculations for the 10'x14' Heidi Moss Dining Room Addition and have prepared construction details to ensure that the structure will be able to withstand the high wind provisions of the Massachusetts State Building Code. Attached, please find three sketches. Since the walls of this structure are mostly doors and windows, we must rely on the roof and it's. connection to the existing house for lateral support. The first sketch details how the new plywood is to be attached to the new rafters and how Simpson LTT19 Ties are to be used to tie the new roof to the existing.,structure. The remaining sketches address uplift and ensure that the rafters are tied together, the rafter heels are tied down to the wall, and the plywood is applied to the wall to ensure that it is tied down to the foundation. All other aspects of the design are the responsibility of others. Please contact me if any questions arise. Sincere y Vj OF JAMES C. J es C. Schrock, PE SCHROCK STRUCTURAL h NO.43113 TEAE . SON �-31—egg 45 Starlight Lane JAMES C. SCHROCK, P.E. Eastham, MA 02642 CIVIL & STRUCTURAL ENGINEERING Phone (508) 240-2535 Fax (508) 240-1464 jim@jimschrock.com JULY 31 , 2008 NEW SIMPSON LTT19 TENSION TIE WITH "'xY 8d@6" INTO THIS RAFTER LAG BOLT AT 16" SPACING INTO EXISTING STUDS NEW 2" ROOF PLYWOOD 8d NAILS @ 6" ALL FOUR EDGES 8d NAILS @ 10" PANEL INTERIOR BLOCK EDGES TO SUIT EXISTING 2nd FLOOR WALL STU D BEND TIE AND NAIL AS SHOWN NEW 2x 12@ 1 6" RAFTERS 2x12 BLOCKING AT TENSION TIE f } , 1 . EXISTING - � 2nd FLOOR Horizontal LTT19 Installation TYPICAL SECTION AT ADDITION ROOF CONECTION TO EXISTING STRUCTURE 45 Starlight Lane JAMES C. SCHROCK, P.E. Eastham, MA 02642 CIVIL & STRUCTURAL ENGINEERING Phone (508) 240-2535 Fax (508) 240-1464 jim@jimschrock.com WRAP SIMPSON LSTA18 TIEDOWN STRAP EVENLY OVER RIDGE AND NAIL TO RAFTERS WITH 2x4=8 8d NAILS ALIGN RAFTERS AT RIDGE TYPICAL RIDGE STRAP DETAIL 45 Starlight Lane r JAMES C. SCHROCK, P.E. Eastham, MA 02642 CIVIL & STRUCTURAL ENGINEERING Phone (508) 240-2535 Fax (508) 240-1464 jim@jimschrock.com " CDX PLYWOOD SHEATHING 2x .@ 16" RAFTER C SIMPSON H2.5 RAFTER TIEDOWN I, WITH 12 8d NAILS 2x4 TOP & CAP PLATE 2x4@16" STUD 48" MIN PLYWOOD 2" CDX PLYWOOD LAP. LENGTH SHEATHING TYP ALL WALLS F TYPICAL EXTERIOR WALL SECTION �rI 1--lTTTTT L ! i ELEvf-rio&l FRONT Bo> 4?6 I ScPIP �6„- � � f[�STOVI /✓'� D�S�In� svg say ,� P 7 rcy �� ce�nrer STA�� 24` 3'06 • - AISlf io' STA�I � D AW D.D. scl1�� FROM r log 5a H71 FL.,or PLA-tl SGa�E ��/��"— 2 � Pa,�isroc✓ %%/� D�gb5r I _ > r�^�� a,.». :t'# S`5,4�c���.�,••��a�F �. p�fct'-.^-�..a k..'z,..: '1.vy,�G? a c s k�J fc:.?-.. s r::,,_fcxi,c,.: -Y .i,3.2U. �Y-�7;= *•'t31f5's'_'F:..�.�..2%>;, �1;� JS:. �I.9' SS"'':! M . .; '..,:- - ,. ... �*.. �.: .:. ,x.�..:.,. Y2`h.^t�1.. 5 �':tf'�1`JfC"� `i��' `�'��+.k, �..��• F..��w'�„ �-5 ..•d y`7 -1' �. :.: .. .:..• �- r, ...-.. .. ..,.._. 5�..F#-f � .. a - .x`.�k�a a ?�" _ .; v,;�"""I�{q'�,r°c'Y '':G ij "h To 41 . IM eur /D c�wp►Ip Ww ........ 74. . �4 t CUT owl I cee 1e m .f cP'' — T^ pg94 gone 30SSan.� 53' TRUC R°Oro 0 - pµT $,f dP►r►^ Pn�KeT _ P86L 24 f T°poi S.R6 geRm "Lelo•✓ Top !WA IdT Gurour ;12 i pg�I� pg4¢_ T �p f I 3 plAceS SS epo Se�r�orl o� r 321 /f'DVA/✓<ED /BARN Corvsr. FoGA�hT(0^� /12Idi �Dun9'Prw�aN r t .' wC ...a g.,.. .� '2 Fr�. ',�f�u��'�'kx-cs�'''�" l��@ *s-'�'"�-�3 .�� .��," qt cu-'3.�sr'�'F '#�'.y ��''"t' ["ate -7• ,, Con't114N 0U5 Ve V,T f2: 2.xlo i 7 db(axb 's ,. 294. rA44— 29e.L, -X( Co/(4 i• 4z(, Pos'r • �g��ywoo�.�luo� � � 2 xB f6"na �oK►'S ( 2ri2 i!ww� 2X9 )e*in 2k6 /6"oc r. 9.(e past /Q(o ' . . l2 ve�Ticnl r+-v sid�n5 U(o P.T.PMP GIaL�Ier Fx.�Rrri! ' I' zr�, �L"o•L, ' '9j1 SIR � conc.crP u/a�� 92" deed v�fadr in� SrruLrurv�( . CRo55 SeG7ior/ ouAN-ed ),)AwV �onsT e .Al3 rOId Al,�/, o 3I'6 S SLA�� Lin, Shc. 117/ Town of Barnstable *Permit# Expires 6 month from Issue date Regulatory Services Fee ✓'� IMAE& (� ,0$ Thomas F.Geiler,Director Building Division ��T'� Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 1`76N boo Property Address IU( t�A� ,L. it W S T It Q'N511� i3f. Residential Value of Work (�(� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address f 1 O55 Contractor's Name im A'qyw L-A� Telephone Number S 3—3 fL�3 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X-PRESS PERMIT I am a sole proprietor I am the Homeowner O C T 1 8 2006 I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# US 5 5 u b7ZI-1 04 ! I S(1 U Copy of Insurance Compliance Certificate must b on file. Permit Request(check box) 1 Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Ho mprovement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 ,. The Commonwealth of Massachusetts I I Department of Industrial Accidents it Office of Investigations q",` J 600 Washington Street Boston, MA 02111 r I www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 1V pF j 1+�.)J 1 A Address: 55 �� �7 yi;�1 ►�i Z� City/State/Zip:G'1,�la.(L J i t-Tt- O A (207- Phone #: Sa& '_7 6 3- 31_`13 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. Nave am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* hired the sub-contractors 2.` I am a sole proprietor or partner- listed on the attached sheet. t ? ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P tY• 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its ME]Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.2]Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce tify he pains and penalties of perjury that the information provided above is true and correct Signature: Date: 101 I Ioo Phone#: 0 3 5 L Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: to �1ze -�ommzazcueal!/z a�,�raaac«crceelyd - •• ...__...-----..:_.... .. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR' before the expiration date. If found return to: Re9 i_stratio_n Board.of Building Regulations and Standards =_ 143975 Expiration.nzr8j � One Ashburton Place Rm 1301 ,.2008 rype:_-Individual Boston,Ma.02108 IATHAN LAKE `4 iIATHAN LAKE i�;: 54 SKUNNET RD` (ENTERVILLE,MA 02632 Deputy Administrator -'Not valid°without signature r. xt �� �1ME t�A �N 1AWWABI& x Town of Barnstable 9�g 639. Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1 lc—Aau"t— to act on my behalf, in all matters relative to work authorized by this building permit application for: ILA P a Loe-y La"641 (Address of Job) Signature of Owner Date 1 �LgCQ ! 7� S S Print Name i Q:Forms:expmtrg Revise071405 • ► ,, , �. ' ., v`�Z �+►.� -; ,< .� `moo 17) 1pt ' � I - - - _ �• � - - r �t ' �� Ec 3S.D - -10 o ' \ ` S w�tz S ! Ire-"it S • 4-._ 3N�, , / M el- M M i y1,t �ST� rsa ts�s3•�b w�T���S + tfS 3.x.. J M r mew o I ' �' / r + �� , / � ZStJ �:►a/ I , ., + CD N 3 f"t►.»r AI v/ "'1'. s 'b -` A.` OA AAAN O t. TO XT O FI t-I GRAM MI. . Z / WITNIhI ONti FOOT OF FitJIgH GRADrm Ovelz LEAGH ARE f + - . ' . � ��".• � - /. - _ _ 10'MIN �0►1 � � t7tstQr6 OF p"EA 4TONt�. Fb bj _ VIA.WVbt � 8ox Zt � t M PCsRV1 Oe� S COVE-iL T y-� PR E VENT 1yoN66 FCC `/ 2L9VEc ! INt=►LTRA110I 5 / r-- \ /, , i/v1 \ to M111i • +N. \AI r t Mw.`�sr AI M-FGav�2-Lt i�iE � '{ ���, ice..� � . PrTc.H 2 h mwrw L,G 14 y4 F �t t11 ,?4�0 - / U .ucj AGIN WAIN / _.._ ._. 5,SC) INVERT Rt' Imo. -- -1_T - - ALL ►TY 4S,lo"] i �4 �IA. W.C. �.1 AQGrJ I►�VI SwA tR m K tNVt;RT PIPE �4 1Jc�G AR C3AGE G RItJ oER r � �•�39,oo 20 m I tJ d ETA I !, , ''f'♦'_ .••�' •--�4 , OES IC�1� �' ►y\PUTT N V\ TbW_ Ft'zt-irb fe��: wVLL �.Oe,: S.EPJ G 5y5'f'EM C4N 5T}RU MO OF �►�.DRD�MS _ 3 _ Al,ar CON FO TO '1' E / ! --1 / H R/v1 tJv1R� P. NAAEN-rAL GoDE TIT O � o �,,,,.► / . / �• R16V I.tea E 13 7- 1 7 7 4t ThtE l G J•I L. Vtl c4 .-/- • `\ ,&_ :;j - �cz Ew ;H,�, O0AlZ0 Or REAL;tt4 42�IL1` TI o N U IZA"i`I +I U +►. TANK, DI Slu I,OJT) t��ECr' EZ�Q 'D. LAGS GAPJ� {�Y 3. 5� BAN b I..�ip►Gt-�I PIT TO F, p �... \ �v 4C42 W1, ; sun 129.► ,. �._ / `: 2 M1>LJ . CIO REM 41v;m r�GATH � PrZOA��E� LE,�GN CAPAcC.!'fY - .` i 1 / D� ... �. ' �. , aQ• '�`� �` M cf'il� a 'LOpW PSI II _ 1 im 012l%JSVdA)/ Nor To 99 L.00,A`t�17 � OF _ , ira1,4 `�► � ` - a w�tlz5rr' c.1Nw� }� ZD ��`" CRAIO� 1 f.1 vi GT L1SEt� ��r = -- �'' 1_^`..—�►'` ' _ V' / y W �''� SHORE y Lac -rl 0 �,�E�-r .� CIVIL. LTS 4 4 -7 AS -Pc-Z. `-55" ^L L P I p E A.tio Ft -� -j-o A9 �f• r��� ''�;• r _r, 4� �•,n���-j- To ar DARNS. 2to 09 VEEt7S pr of CA;T lev',I SCHED jEr p �p •3E�-ra '�'' p 5 I v. O � ZEr-lov-mob ENGINEERING L-E AG.L.t �'�..�.�.:. �v�.l.,tJ Fit�:b r U�-t, �ptt.1 D ` `.►�:.-- i _ - ��� ,' �'���. . ,�� >r_ .� " t_A�.�� �•�:�t° - .���:,��.,. , . . _ � - ■ ■ DESIGNING SURVEYING ' • -. � I NC SHORTA&�Y APPfZOd�►�- I DENNIS, MASS. 385 �28' f " , + C. Sc AG .T�.__. 1 Tc��n/f �� ... .......................,..-.ur ••+w.+w•.rw..-,............«...+ .,...-... . .-.-._._ ._._.-I ,1 � �/ T• -_s.�..�. � f � r/ t Y,•✓ •, - .Y.. -. •• . ; l-. 4tw 1. L.1 `A 1 L G A 7! A /•3 l � .L ` 7v' ��; P • ,1,• G T"J 4/ . 5 C7 f t 4F :!;,ff 7' r%7.."°<7� Mc7ILSL p� Ti-7 (3.'° K 6+/2 7p f v f i Zvl tv`l L e )1e/k vk 10 �v / 'r W,0-0: 7 � . ... • �� ' A;L�. _ . _. �• F'�G'.t7�' k4CIZ,4.E l i ten. I `/�•/Es 7- C:;L f7/` J �1' x � � n i, % f� - I'') v 0.!. .�e►" S r I a i •�r - Y, :,�, T ^✓ el + i i�'�-/ } vAI t G H/Kr Z CA • ! •>ram-•, '` .. � � _ „ �,�, / / �� � --- --- ----- --• _. . 13At..r/ p_ n__=._ -x ` Z d 4 �e i 471���- T"C?-1� i i' / 9e 5 , 14 N �� t� Tr- F5 cXiST. _ ti vv L A / ! .�tlL1yG; s ~ SITE PLANR..ff P L�-; � � �-� .�pc,..� ,.' �, ,�,Z,� ,/1�,,�,� �' =, ^ ' SHOWING PROPOSED CONSTRUCT 10 LOCATION 21 OLD C 0U!�/ Tk ` VvyX �v: ,V .57"�441LE v,/ / 7"I-'/ A rj Q !Z 1p7X�":'t. r-:. c*j^ z• !T• ..;/Y _ p - �- /--- -- / /—I^ �^} ,/ - -- f 7 l 'yrJ 7/9�/ 7 �' t�1 t� F 0 R . J y ./ `�`+` ST t M"� a/"I► •Y DATE REFERENCE : LOT - AS SHOWN ON REVISIONS : r i F �t\, c�alca YL_ SCALE t- SHORT J CIVIL J No. 27483 .0'1")�*'�fC,J ST E R��-,tip`. CRAIG R . SHORT ., P. E . PROFESSIONAL C I V I L ENGINEER 1A TAMV I AMW neUNifR _ MASS O2638 eltl �n 100Y A) /V Flo X/ / Cole. Q Aj 3-15 7) CERTIFIED PLOT PLAN L 0 C AT 1 0 N 7" SCALE: DATE R E F E R E N C E e—'<D 7- C=, 4:S -S 0 38f� I CERTIFY TO THE BEST OF KAY KNOWLEDGE AND BELIEF FROM INFORMATION AC QU I RED THAT TH E SHOWN ON THIS PLAN IS LOCA�T N THE GROUND AS SHOWN HEREON OF DATE PROFESSIONAL LAN15 SURVEYOR JOSEPH M. IF THIS PLAN DOES NOT BEAR A RED SE ALB. SIGNATURE, THEN THIS PLAN MONAHAN,JR. Cd* J . M . MONAHAN ., J R . & ASSOCIATES No. 13OW 15 AN UNAUTHORIZED REPRODUCTION AND J. M . MO NAHAN, JR. & ASSOCIAT PROFESSIONAL LAND SURVEYORS & ENGINEERS isTvwo, "q- AND/ OR THE PROFESSIONAL LAND SURVEYOR OR ENGINEER WHOSE SEAL TOWNE PLA ZA - 900 ROUTE 134 SOUTH DENNIS, VA . 02660 su APPEARS HEREON DO NOT ASSUME ANY RESPONSIBILITY FOR ITS CONTENT