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Home My WebLink About0161 PLUM STREET /lQz-am " , NO. 152 1/3 ORA r .. _.._.. ......_�,:.. ___ .._ ._ .,. - ., __ _..._ . _. _ •,.,:�-�_ _., -�° `/ TOWN:OF BARNSTABLE Permit No. 26978 --- 1 s,■,>f Buildh4l Inspector Cash PAN X OCCUPANCY . PERMIT Bond _-: _ _ Issued to Ad= & Elizabeth rh Davis,.y•�. �ys yAdddr�ess..e.y�� sAt 41 6/161. P 4.liia S xeet . �t Barnstable able+ Wiring Inspector Inspection date Plumbing Inspector' Inspection date 1 Gas Inspector - Inspection date V XEngineering Department Inspection date Board of Health, Inspection date 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. ..... .. �r1 ''. 192 .................. ........... ......,... Building/Inspecto'r BUILDING DEPT. Application NOV 12 2020 Fee .........L313- ................ ................................... ............. psis, = TOWN OF BARNSTABLE Building Inspectors Initials ....... ....................... r,/ 700Z40 Date Issued........................ ........ .............................. SCANNED 1111.2/.-70 1 Map/Parcel....Zy..�> ..IVIO....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESfWEATHERIZATION PROPERTY INFORMATION Address of Project: IZI/ 'Plv m 5 T" 1,,e-S7__ NUMBER STREET VILLAGE Owner's Name: Phone Number 5_2436,9 Email Address: a4 (IFele-e C/c;t • co Cell Phone Number Project cost$ 3500 .00 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: Date: TYPE OF WORK Siding Windows (no header-change)# 0 Insulation/Weatherization Doors (no header change)'#. 'Commercial Doors require an inspector's review Roof(not applying-mote than l.lay6r,of shingles) Construction Debris will,.be* g6ingto, CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration (if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. i 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 X X Additional tent dimensions can be attached on a separate piece of paper. Pui pose of Event Check one: this event is a: for profit non-profit event Check onc: 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/PELLET 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 S b- Cell or Work number �7� ��-.5 I understand my 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 To of Barnstable. Signature Date a o APPLICANT'S SIGNATURE Signature / ��—�- ��,✓ Date 0 All permit applications are subject to a building official's approval prior to issuance. ♦/LG t✓V//[[/EVIL IYGt!!L/6 Vf lIl ILJJILL/L L(JGL(J Department of Industrial Accidents Office offnvestigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n Please Print Legibly Name(Business/Organization!1ndi�,idual): / /�✓� l�/¢t/I S Address: /,�/p /City/State/Zip: (/L rn saL Iylci Phone#: S-Z Are you an employer?Check the appropriate box: Type of project(required): 1.. I am a employer with 4. l am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. emodeli ship and have no employees These sub-contractors have g. Demolition working fo-me in any capacity. employees and have workers' insurance.# 9. Building addition comp.- [No workers' comp. insurance P• 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. .Contractors that check this box.must attached an additional sheet showing the name of the sub-contractor and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 line of up to$250.00 i day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct- Signature: �C� Date: � �U 'to G r y Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Building Department Qp Brian Florence CBO ` Building Commissioner i MItN$rABQ.E. i MAM 200 Main Street, Hyannis,MA 02601 dJ9 �1� �t www.town.barnstable.ma,us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION p�� /G - G Please Prinl DATE: / U JOB LOCATION:- /(JI �/ i..-t S� tz A' —/3 /r+S /1- number Cstreet •C /_ village "HOMEOWNER": �I[��-i'1 �✓�vI� S?�i< - S��C,? Jl �(J" J S7� name home phone# work phone# I CURRENU MAILING ADDRESS: / /jza &,,1 f 7 �2bIP7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such.use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such , "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such-work performed under the building permit (Section 109.1.1) Trlz undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme4s. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fu:ly 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 to amend and adopt such a form/certification for use in your community. Town of Barnstable Building t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept KASenan u. . & ' Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2275 Applicant Name: William McCluskey Approvals Date Issued: 08/19/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/19/2021 Foundation: Location: 161 PLUM STREET,WEST BARNSTABLE Map/Lot: 195-040 Zoning District: RF Sheathing: Owner on Record: DAVIS,ALAN M&ELIZABETH BOHLIN Contractor Name: WILLIAM J MCCLUSKEY Framing: 1 h, Contractor License: CSS.L-102776 Address: 161 PLUM ST 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $5,000.00 Chimney: Description: Add R-37 cellulose, and R-10 rigid insulation to the attic. Add R-10 Permit Fee: $85.00 rigid insulation to the crawlspace. Air seal the attic plane and Insulation: r Fee Paid: $85.00 crawlspace with expanding foam. General weatherization. Final: Date: 8/19/2020 Project Review Req: � Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by th s permit is commenced within�six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection L � 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Erg s sC'T i �-- ----,.-�-. i - -•-� i Ljl'I;I��1 �1..I�llllll _ � ��- � � ' ' . rTT I-7 - li t r ' E±1 , DIE i NO RANGES TOWN OF BARNSTABLE Building Inspection Dep o t lu if 1 t H Q� G o t APPROVEC OKHRHDC - y - � .-.�..n - — .... .� ..-. ...+ ' wn:'�. yam,-^f/ ja•�!g.LTi� �,�K.�t - '^ � .n ' � � DnTE RECEIVED FD ND N ., .�ti ,� Till 1� N-ti �J�� N ..,-�� -=��_�N i�►�a�N =�z=\ ��;ateY -71 -- 4=� Ix 1 - SNP�ti�v -��'N N 1�?�N �N �,��•� -�(��N�'�N Z��' � n:�� -� X / i Ii _ SNOTS IA--ld f ; 103rod"i, L661g � NMCIIF i 31d4 — _. -+-1 •i I •il�Lj Ii1� it - -- - .. � �• Ii ��. I�I�lii I I ( li. I I ID 1p IMF i! 1 I i Tj - lIY d t i I ;Y - , � I, j � I Off•: t . ! t i I i I I I I �r -y�lill A 11 i I I l -- I� 'I' �• .I rl I _'_, -� � III ' � � I!I i �- II:•II; III�III!i° !I,i ;i` I I `;� �I� ! I"--I-- j�l!'Ij) �,�'' � li ! !' I II• I i I i I C� I+' IT.IIl_�_�—�.�' ^ ; 4-11 I t'�I �; '•i"r'I. '-p . ' II'' , �j l!�I!II �rI:I' I!, ,•'! I + ! '!1!I -�'. [ :;!.' ! I I ..I �!-�• .-- + + illi' li :I!, �;(II;I:I!I �(iil I � ► +I+�i!j�, !' ,I �:i!�.• I' . I I ji iiI !, ;jl I 'I It ! I I I , Lor� Lam % I -I 4l• " N M• �i 0 I [h l \ 6,1 7-3 I _ lfi - , L +�y I - Ce Z -.y AS BUILT " PLOT PLAN THE BEST OF MY INFORMATION, 5i4�',ti�r�_;lf� MASS NOWLEDGE, AND BELIEF THE SHOW14 ON THIS AN . HAS BEEN -LOCATED ON THE R ✓ ®HEAR/V AIC. - SWAN RIVER PLAYA OUND AS INDICATED. 35 ROUTE 134, UNIT 2 SOUTH DENNIS, MASS. 02660 DATE !�/•:5'�" SCALE: JOB NO. Ey- CLIENT: DATE REGISTERED LAND SURVEYOR pR, gY : SHEET OF LorS Z , , (�g N M, .. ,CAL PPROVED 0IKHRHDC y s7 v � C RECEIVED O G I 9 1990 , 1r G�G KI -G`S HIGHWAY F _I EA "AS BUILT" PLOT PLAN TO THE BEST OF MY INFORMATION, MASS KNOWLEDGE, AND BELIEF THE �_ �:; y, ;�, r_ ;. -, 3/7 / SHOWN ON THIS , PLAN HAS BEEN LOCATED ON THE R. St/ RIEARVER NAIVC. GROUND AS INDICATED. 35 ROUTE 134, UNIT 2 SOUTH DENNIS, MASS. 02660 DATE : ;%/yam":5'� SCALE JOB N0. may- z�%' ? CLIENT: ' DATE REGISTERED LAND SURVEYOR DR. BY SHEET OF I o vo '�i �+Asse�%Dr's offioe (1st floor): , -� THE TO Assessors ma and lot number 5?'t �T:*—� �� ,.�p . ...... .. .�.... .. , ., �mP�°90 SYSTEM Ml1$ � ��►' ° Board f Health (3rd floor):' _ j� � `y 'TALLED IN COMPLI Sewage Permit number .... ..... WITH 9TTADLE, . Engineering Department (3rd floor): ? z TITLE 5 'ov M639 a� House number ,��.�................... .. �I�1V6R®NMENTAL COD Mai° ................................'4 h�O � APPLICATIONS PROCESSED 8:30-9:30 A.M. and: 1:00•2:00•P.M. only TOWN REGULAVONS TOWN_ OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... ....... G4..........�1'l ................................................... r TYPE OF. CONSTRUCTION ....... ..............( ................................................... AEG.......!.Q.................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location >✓V ST 4-�: (�(Z S A C6 E- .� .......................................................... .!........! .......................................................... ProposedUse Qf.p. )C- ......................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. 1`V M ST Name of Owner .....M....�1.�......5.........................Address .1_10.3.... ... �..�....1)$T�.� ... ......................... Name of Builder ... ........ .......................Addresses- ..W..y.4 ....P^ J.t...... 2Fit,55Tr� ..{.:.!.`.'.I........... Name of Architect .5- L.—I.....T.O.WNSENi7 a-SoN......Address ?:P.:...... Oy 3�i �) 1�1�� CT oull.3 ......................... .................................... Number of Rooms .............J-1..—.................................................Foundation ..... .......................................................... Exterior ........ i-1.'..!. ...G.E 7A2 .........................................Roofing ....... ...... ....... Floors ......................................................................................Interior ..................................................................................... Heating ......................a........f9.(;�.►JE...................................Plumbing ......(.V.qNF............................................................... Fireplace ......................N 9.N...C.............................................Approximate Cost .......... .a.).v.v ........................................ Definitive Plan Approved by Planning Board --------------------------------19-.------ . Area .... .! . , ................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD -OF HEALTH 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 ...X ....................... . .............. Construction Supervisor's License .. ... /�N�►' --T DAVIS, ALAN M. 40 .3.0.3.14.... Permit for ....GARAGE ................... . .. .... ............ .. Accessory to Dwelling .......................................................................... Location ...16l...Plum...Street...................... W. Barnstable ............................................................................... OwnerAlan M. Davis .................................................................. Type of Construction .......F... ....r.ame...................... .. .. ................................................................... Plot .............................. Lot ................................ PerMit Granted ... December 19 , 86 .....................................19 Date of Inspection ....................................19 Date Completed .............19 �'.'rfj 0 - - -� ._.. .. .. w �, .. . . r . � ' � � � � � �f ��/ i � � � '� � - � � �F. �. �'' �� ,' �� '� ,� ;� �:`, ,, � � �-�� O 1� � � ` � � N v .. � �. �,,,........, ' 0 ��,c. .' �� ' . � � �� - r� "� ,,_ ., � � ,. � �.: R ,, .. ,. �. tom. � �, �.. � y I � �✓ -- �S �� u• '. � I v � 0 i �� •� � .. r I r rrrr i j I i I i ri Nit THE CARRIAGE " SHED CON STRUCTOW DETAILS \`\�Zttittttttrlln,/,�, CC •, Aw3 0 - N0. 8 9 5 o -o ELI TOWNSEND&SON,INC. CISTER, P.O.BOX 351 IONAL E0\��\` CLINTON,CT06413 DESIGN /I/II1111►t►�� PERSPECTIVE NO. V i;Ew 11-79 © ELI •T'OWNSP.ND & SON 19 7 ro,'60 SCALE; N.l%, SHEET Ica^T n ....... �'� '-Assessor's map. and lot number ..E�.:.-L� ..�� ...... oFYNETo r �/' 2�- Sewage Permit number .... ��.'.7�.7.. !!i ,��< /" 4( 7 � d�P�y �♦� :....... / - I BARNSTABLE. i (.'..../....J. rasa 3 - House number. ! ................................. ` w 0 i639• 9 _ OYP`16� TOWN ' F BARNSTABLE O i 6 UILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .�•�n, .•1..-.. . �,n �. �:.;C�....�i��....L� ..... Q!"'......................................... �u..5.7..........? y..........19.F.�! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .i�..... ................ ...... t.....-� �r-.C?��.......•......................................................... Proposed Use Zoning District ..........� .................................................Fire District /,..�..r+ ^ Name of Owner Address ..... �'.fr... Name of Builder h! ?.e... �.4 ..................Address ..`..l?� ••�,�rJ P!7. S yam. - -.�v .............. ... ............. f /. Name of Architect ..�.,a�J-s....7 r' r.. ..................Address ..Cc.:.�I<..... 1 /:�� ......r':..C)r., ........ Number of Rooms .....��'............................................................Foundation .4.0At.. ..... ¢r�� Exterior ....Roofing .... �.rJ....� 4.r A �t j L-ja s ,o..-.....C!a��.. Interior ... /. /.. �........f�..... .................................. FIOOrS r:�.P,..✓,n.S�a?:!t`.0.............�.:........... � � �:y:+.!...C�n..a+;... -'�'- l•Q. �r i Heating1. ..!ov.r ...... ............ .d......................:................Plumbing ...��:. ��•- .:�!.•...4...r�.��.. !!�. ..-.. T- Fireplace ...... In:`.r.fI...................................Approximate. Cost.—.4w-aI— ........................ Definitive Plan Approved by Planning Board ___________________-_____ �/ �/ -�'l :. ----- 9 -- Area ........ .. ........ Diagram of Lot and Building with Dimensions Fee ...� .......................... SUBJECT TO APPROVAL OF BOARD,,OF HEALTHv�� o 29 1 po 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 ..,kzfs ✓►9 �: i - d ....:.................................�k Construction Supervisor's License �� 31� DAVIS, ALAN & ELIZAB=11 A=195-40 No 26978forA StOrY ✓ ................. Permit ................................... ......Siaqlo..T ly..Dwelling........................ Location IRt.. ,......16 UM.5Ueet:............ .............T est. axz�stab�s................................. Owner .....aq)Al... .............. Type of Construction FraM............................... ................................................................................ Plot ............................ Lot ................................ Permit Granted September 17, 84 ........................................19 Date of Inspection. .....................................19 Date Completed ............................*........19 Assessor's offioe• (1st floor): ofTNETo Assessor's map and lot number .....................�....:w... ......:..:. o`' �♦ Board of Health (3rd floor): Sewage Permit number .. i BAK33TULE, t Engineering Department (3rd floor): /� oo rb 9• \� House number .......... o, 3 e .................................... CEO Hit d' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00 2:00✓P.M. only* TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......7e. _........ .......... !a,! .. .4................................... TYPE OF CONSTRUCTION ............... '....... � . F�. ....................�/(l.�1.C� ........... ....................................... .........TA C,.......I q-•................19..Q. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location I v 1 1 1_j�....... s.i................... �.: -h(1 N ,�,1 C��E....................................................... .......................................... ................ Proposed Use ............Cs 12.?.G: ............................................................................................................................................. ....... Zoning District ........................................................................Fire District �1 rJ o'1. ...:)A ).:5..........................Address ► 1? i11 M ; S�" . Name of Owner .:1......:.........:........ ..............................('? ..k.... Name of Builder ..✓?.!. ........SC `' !��. .�?.�........................Address- .... ..,....... ......t .o......... Name of Architect ......Address .......... J ..3'?..! C:1,.!v.!.�N.....� T.....J�`/'j Number of Rooms .............�—................................................Foundation ..... .......................................................... Exterior .........):- 0.iT. F...... .........................................Roofing ..... ......G 2.............................................. Floors ......................................................................................Interior Heating__ ......... g N ,..�1.!::::................................Plumbin .......N...j?N'............................................................... Fireplace .......................N. 2.. ►.r.................................................Approximate Cost ....' I o1, U U U ............................................... Definitive Plan Approved by Planning Board ________________________________19________ , Area ....4? . t..-�.... ................... fl- Diagram of Lot and Building with Dimensions Fee � S0. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ;ih� • 2 • 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 .. Z �..... 7�........ l .............. •//L............. Construction Supervisor's License n DAVIS, ALAN M. A=195-04(t 30314 .. "Garage No ............... Permit for .................................... Accessory to Dwelling .......................................................................... P. Location .... 161 Plum Street ,-W. Barnstable ............................................................................... Alan M. Davis Owner .................................................................. Type of Construction .....Frame......................... ............................................................................... Plot ............................. Lot ................................ December 19 , 86 Permit Granted .1.......................................19 Date of Inspection ....................................19 Date Completed ......................................19 i r C>17 4 , o e f d b - f, PLUM STREET,WEST BARNSTABLE#1 MA SHEPLEY WOOD PRODUCTS 97.1 0.53 NOTE: LOAD TABLE 2 BEAMS 1.75 X 9.500 GL3100-2.0 DESIGN CRITERIA 0.67 1.THIS GANG-LAM BEAM IS DESIGNED TO SUPPORT DESIGN CONSISTS OF 2 - PLIES FASTENED ONLY VERTICAL LOADS AS SHOWN. NOTE: LOADS SHOWN ARE FOR INPUT LOAD CASE(1). OTHER LOAD CASES TOGETHER (REFER TO NOTES). LIVE LOAD = 40 PSF VERIFICATION OF LOADING,DEFLECTION FOR PATTERN LIVE LOADING ARE CHECKED AS REQUIRED. LIMITATIONS,FRAMING METHODS,WIND (DIMENSIONS MEASURED FROM LEFT END OF SPAN OR CANTILEVER.) DEAD LOAD = 15 PSF TOTAL LOAD 55 PSF BRACING,OR OTHER LATERAL BRACING THAT DISTRIBUTION SOURCE TYPE TOP/SIDE LOAD FROM TO LOAD IS ALWAYS REQUIRED IS THE RESPONSIBILITY FT-IN-SX FT-IN-SX FLOOR SPAN CARRIED 24.00 FT OF THE PROJECT ARCHITECT OR ENGINEER. UNIFORM FLOOR LIVE TOP 480 PLF 00-00-00 16-00-00 2.PROVIDE RESTRAINT AT SUPPORTS TO INSURE UNIFORM FLOOR DEAD TOP 190 PLF 00-00-00 16-00-00 DEFLECTION CRITERIA LATERAL STABILITY. 3.DO NOT CUT,NOTCH OR DRILL GANG-LAM. WARNING NOTES: LIVE LOAD DEFL: L / 360 4.SHIM ALL BEARINGS FOR FULL CONTACT. TOTAL LOAD DEFL: L / 240 5.VERIFY DIMENSIONS BEFORE CUTTING THIS COMPONENT DESIGN IS SPECIFICALLY FOR LOUISIANA-PACIFIC ENGINEERED GANG-LAM TO SIZE. WOOD PRODUCTS. USE OF THIS DESIGN FOR ANYTHING OTHER THAN GANG-LAM DURATION OF LOAD INCR: 0 8 6.THIS GANG-LAM IS TO BE USED AS A LVL OR LPWOISTS IS STRICTLY PROHIBITED. FLOOR BEAM ONLY. I CODE COMPLIANCES MINIMUM BEARING SIZES ARE TO PREVENT CRUSHING OF THE REPORT ff 7.PROVIDE COMPRESSION EDGE BRACING AT GANG-LAM LVL BEAM.IT IS THE RESPONSIBILITY OF THE BOCA 96-8 3"O.C.OR LESS. PROJECT ENGINEER OR ARCHITECT TO MAKE SURE THE SIZE,SPECIES, DADE COUNTY 93-0709.01 AND GRADE OF LUMBER USED FOR THE BEARING PLATES ARE DESIGNED HUD MR 12148 THIS DRAWING IS NOT TO SCALE••• TO CARRY THE REACTIONS OF THE GANG-LAM LVL BEAM AND PREVENT ICBO 4 321 CRUSHING OF THE BEARING PLATE. FOR EXAMPLE:ON BEARING L.A. City RR 24854 NOTE FOR DOUBLE MEMBER NUMBER 2,A REACTION OF 7572.000 LBS ON A SPRUCE PINE WALL SBCCI 9490A DESIGN ASSUMES COMPONENTS CARRIED ARE PLATE WOULD REQUIRE A MINIMUM BEARING LENGTH OF 6-7(IN-SX). WISCONSIN 930021-W APPLIED TO TOP EDGE OF GANG-LAM,SUCH THAT N.Y. STATE 618-91M&MC LOAD IS DISTRIBUTED EQUALLY TO EACH PLY. PROVIDE ANCHORAGE FOR UPLIFT AT SUPPORTS INDICATED IN THE N.Y. CITY MEA 97-94-E ATTACH 2 GANG-LAM PLIES WITH 2 ROWS OF 16d REACTION TABLE BY NEGATIVE NUMBERS.ANCHORAGE DETAIL TO BE CCMC 11518R COMMON NAILS ON EACH FACE STAGGERED AT PROVIDED BY PROJECT ARCHITECT OR ENGINEER. 12.00"C/C. ANCHOR GANG-LAM LVL BEAM SECURELY TO BEARINGS OR HANGERS. THIS FLOOR COMPONENT-HAS BEEN DESIGNED WITH AN INPUT DEFLECTION LIMIT OF L/360.FOR STIFFER FLOORS AND BETTER PERFORMANCE,U4801S HIGHLY RECOMMENDED. SUPPORT REACTIONS (LBS): CASE B E A R I N G N U M B E R 1 2 3 1 3033 6235 956 2 3033 6235 -956 3 804 3480 1149 MIN BEARING SIZES (IN-SX) 3- 0 3- 8 3- 0 9.500 }I 1.750 1 I 3.500 CROSS SECTION MAXIMUM DEFLECTIONS CALCULATED ALLOWABLE LIVE LOAD 0.18" 0.36" 11- 0- 0 5- 0- 0 -DEAD LOAD 0.10" 16- 0- 0 TOTAL LOAD 0.24" 0.54" Handling 8 Erection Miscellaneous Information Gang-Lam LVL and LPI Joist Specifications Louisiana-Pacific Corp. 05/17/97 BOCA (�` Temporary and permanent bracing for holding component The use of this component shall be specified by the designer of the 'Supports and connections for Gang-Lam LVL and LPI Joists to be specific Engineered Wood Products ` v plumb and for resisting lateral forces shall be designed and complete structure.Obtain all the necessary code compliance approval applications. 2706 Highway 421 North installed by others.No loads are to be applied to the and instructions from the designers of the complete structure before using •Common nails driven parallel to glue lines shall be spaced a minimum of 4" Wilmington,NC 28401 _v component until after all the framing and fastening are this component.If the design criteria listed above does not meet local for 10d and Y for 8d. completed.At no time shall loads greater than design loads building coder requirements,do not use this design.When this dray in is 'Do not c Local 910 762-9878 g g g eq g 9 cut notch,drill or alter Gang-Lam LVL and LPI Joists except ( ) be applied to the component. signed and sealed Louisiana-Pacific Corp is approving only the structural as shown in published material from Louisiana-Pacific Corp,any use National Wets (800)999 9105 Design Criteria design of the unit shown on the basis of data provided by the customer of Gang-Lam LVL and LPI Joists contrary to the limits set forth hereon, 9 and shown on this draw ng.Gang-Lam LVL and LPI joists are made negates any express warranty of the product and Louisiana-Pacific DWG # The design and"material specified are in substantial without camber and will deflect under load,wood in direct contact with Corp.disclaims all implied warranties including the implied warranties of conformity with the latest revisions of NOS and ARC.Dead concrete must be protected as required by code,continuous lateral merchantability and fitness for a particular use. SHEET #— load deflection includes adjustment factor for creep.Total support is assumed(wall,floor beam,etc.) load deflection is instantaneous. LOUISIANA-PACIFIC CORPORATION / WOOD-E DESIGN 97.1 COMPANY: SHEPLEY WOOD PRODUCTS JOB ID: PLUM STREET, WEST BARNSTABLE #1 STATE: MA CODE: BOCA PRODUCT: 2-PLY 1.750" X 9.500" GANG-LAM LVL 3100Fb 2.0E **WARNING- DO NOT USE THIS DESIGN AFTER: 1-31-98 VERIFY YOUR INPUT TO AVOID DESIGN AND FABRICATION MISTAKES. YOU ARE SOLELY RESPONSIBLE FOR ERRORS RESULTING FROM WRONG INPUT. THIS PROGRAM IS A DESIGN TOOL AND SHOULD BE USED WITH EXTREME CARE THAT INPUT UNIFORM AND CONCENTRATED LOADS ARE ACCURATE IN MAGNITUDE AND LOCATION. IF YOU HAVE ANY QUESTIONS OR UNCERTAINTIES, PLEASE CONTACT LOUISIANA-PACIFIC'S ENGINEERING DEPARTMENT. THIS COMPONENT DESIGN IS SPECIFICALLY FOR LOUISIANA-PACIFIC ENGINEERED WOOD PRODUCTS. USE OF THIS PROGRAM TO DESIGN ANYTHING OTHER THAN GANG- LAM LVL OR LPI-JOISTS IS STRICTLY PROHIBITED. DESIGN CRITERIA FOR FLOOR BEAM ------------------------------ LIVE DEAD SPAN ALLOWABLE ALLOWABLE (PSF) (PSF) CARRIED LOADING LL DEFLECT TL DEFLECT ----- ----- -------- ------- ---------- ---------- 40 15 24.000' TOP L/360 L/240 SPAN CARRIED IS NOT CONTINUOUS. STRUCTURAL GEOMETRY ------------------- SPAN 1 SPAN 2 -------- -------- 11.000' 5.000' TOTAL SPAN: 16.00 FT CONNECTION *** DESIGN ASSUMES COMPONENTS CARRIED ARE APPLIED TO TOP EDGE OF BEAM, SUCH THAT LOAD IS DISTRIBUTED EQUALLY TO EACH PLY. *** ATTACH 2 BEAM PLIES WITH 2 ROWS OF 16d COMMON NAILS ON EACH FACE STAGGERED AT 12.00" C/C. *** COMPRESSION EDGE BRACING REQUIRED AT 3" O.C. OR LESS. LOAD PATTERNS ------------- CASE SPAN SHAPE TYPE SOURCE W1 W2 Xl (FT) X2 (FT) ---- ---- ----- ---- ------ ------------ ------------ ------- ----- +ALL 1 UNIF DEAD FLOOR 189.5 PLF 0.000 11.000 +ALL 2 UNIF DEAD FLOOR 189.5 PLF 0.000 5.000 +1 1 UNIF LIVE' FLOOR 480.0 PLF 0.000 uF � 11.000 +1 2 UNIF LIVE FLOOR 480.0 PLF 0.000 5.000 +2 1 UNIF LIVE FLOOR 480.0 PLF 0.000 11.000 +3 2 UNIF LIVE FLOOR 480.0 PLF 0.000 5.000 + INDICATES LOAD IS BASED ON SPAN CARRIED AND INPUT LIVE OR DEAD LOAD PSF. SECTION FORCES CASE MOMENT (FT-LBS) SHEAR (LBS) -------------- ---- --------------- ----------- 1 7450 4326 2 7008 4285 3 2550 2155 SUPPORT REACTIONS (LBS) ----------------------- CASE BRG#1 BRG#2 BRG#3 ---- ----- ----- ----- 1 2990 7572 151 2 3033 6235 -956 3 804 3480 1149 CASE BEARING SIZES (IN) 1 3.00 3.50 3.00 2 3.00 3.50 3.00 3 3.00 3.50 3.00 LIVE LOAD DEFLECT TOTAL LOAD DEFLECT CASE SPAN ACTUAL ALLOW. L/? ACTUAL ALLOW. L/? ---- ---- ------ ------ ----- ------ ------ ----- 1 1 0.167 0.358 780 0.233 0.536 559 1 2 -0.016 0.158 3715 -0.022 0.236 2663 2 1 0.179 0.358 730 0.245 0.536 533 2 2 -0.026 0.158 2293 -0.032 0.236 1844 3 1 -0.013 0.358 10399 0.054 0.536 2396 3 2 0.010 0.158 5841 0.005 0.236 12835 STRESS INDICES CASE MSI VSI 1 0'.530 0.673 2 0.498 0.667 3 0-181 0.335 SLENDERNESS RATIO = 2.71 LIMIT = 10.0 • � Application to O/�j'✓� �� /� E Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a , CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts-and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building I$,Addition ❑ Alteration , Indicate type of building: © House ❑ Garage ❑ Commercial ❑ Other i 2. Exterior Painting: 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other ' (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE e % , /j�?Q ADDRESS OF PROPOSED WORK 1> /�J.�l1 (.i�-'<T ��;�c1,. 14FASSESSORS MAP NO. 5 OWNER a/��.� /�`l. l =f,:: G ASSESSORS LOT NO. , HOME ADDRESS �� S� l.:�=�%�i`—'.•=f—.,��Ye. TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across anv4,o11 street or way. (Attach additional sheet if necessary). � J i /'".1� Z /�I �'1�.:f�i ��_ LZ�>G �._��Tr�G•� Y\/�' ��CU16� S1��` CL ,n�c.�2_ /7`7 /��..� S'' G�-��• �• �-n �rrQ E_ G n Gy r c" Ila /7 S of,mil Uzi x%i5, AGENT OR CONTRACTOR TEL. NO. 13 ADDRESS Ir 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). j Signed Owner-Contractor-Agent Space below line for Committee use. Received by H_9,C:,...:..e,.. ®Ka"#RHp�-a-,, � i • Dates � � � � � � he Certificate is hereby io/jy Date Time OPT o By ulrn_ W Approved IMPOR ANT: If Certificate is approved, a�proval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ ,'cIZI L, i J DECEIVED OCT 9 1990' 01""D `t!F''G,;'S HIGI-TWAY Form "A-l" OLD KING'S HIGHWAY HISTORIC DISTRICT 4L ' Spec Sheet Foundation Type YP Siding Type L.tJ70"9d-- (71/1 .QIGL'Q.S Chimney Type Color Roof Material Q C� �',Qd 7 Q �� Color Pitch Windows 1,ej 6�X F - Id/A"� Size X Trim Color CGS , Doors _ �` ��'�X(o��/ W,9(2 ,-Ltf., Color �( Shutters ' woc'-t Gutters COX$ 9 7 Deck /K 0�-X A— 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 certified plot-•plan, landscape plan and elevation plan, when applicable. RECEIVE ® �►PPR��ED n C i 9 19901 CLG KINGS HIGHWAY PNEGAE .N Application to �NCN�P'p4 P GN 1 9.7 ® 87 E Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition ❑ 'Alteration Indicate type of building: . House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE 4 aD I9 7 ADDRESS OF PROPOSED WORK I ( I P(O rn S{ W •(JarOS"tASSESSORS MAP NO. ( q OWNER -Alan + CI rz-ok- i; Daly IS ASSESSORS LOT NO. HOME ADDRESS I C9 I Plum S+. W - SA.r()Sfadjle TEL. NO. 3cec'5 9?'�; FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). M0.fy" W\C-Vo ten IMLI Kaln S+. W • 6at`InS}ablt MA- DoU&p ? S�Cve Se kJ move 1 —1 q P I uAA- S-� . yJ . �v,rnS}ahIe MA-- -50-e..l A- Kafh)l e,n RoSzell IyI Plow,. S�- W (�)&pr)S�able John TohnSL)r) TEL No. AGENT OR CONTRACTOR . ADDRESS I L ChUr, W' PQCLrnS�cble MA 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). ,{ g' J) I G pn I white Japboar-d -Fron+ I,ahl+e cedar shlnjelq- .5ldesig edar �-�^"tic�Q. L ►3. �aw� RQ-rt C e-G{a,f h o w FOOT Owner-Contractor-Agent Space below line for Committee use. Recl,ived�,by-H:D.C. � Date a Certificate is hereby °�e� Date M� ►� `6191 me'' gyt3Er; :�:xi;:= --Q,, I f L L Ki„�dG'S 1-II �1 Approved ❑ IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period r • provided in the Act. Disapproved ❑ far 1 ��v v ir,er� �3 -af`f�e H 5 fan �`� A rv\ 0 C c)o-d %) - � r nsfa.b '►�o,r 1 Poov��r�en a3 C9-�rre lI s ►�an{ . W rn sta,b1� I`� vV - '�o�, ns f a b le MAMAOdI UO o c o �oa� r3o�C 58� r `.a i' � Town of Barnstable Old Kings Highway Historic District Committee SPEC SHEET CHIMNEY TYPE N 0 N e, COLOR ROOF MATERIAL Re Cedar- COLOR urcl( n PITCH I O WINDOW J 51r1c��f- SIZE 3U X 6 3 0 TRIM COLOR DOORS �o •llOU(5LE: F1'enCH moor COLOR vdV) Fi 1 a , X U 8 wood pfS 9rt-0-n SHUTTERS 0 n e- COLOR GUTTERS `� X 5 CIO G,)1l•e rs DECK GARAGE DOORS COLOR SIGNS COLORS 1 SIGNS COLORS SIGNS COLORS FENCE 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" except for new homes, but should show all structures on the lot to scale. . SPECSHT TOWN OF BARNSTABLE BUILDING DEPARTMENT 1-I0I-IEOWNER LICENSE EXEMPTION Please print. DATE JOB..LOCATION /�/. /�� 7— Street aemsr' ess �ectionNumber �- ot town "HOMEOWNER" "` '� ! ome p one or r p one PRESENT�MAILING ADDRESS / > . �town". �. tate .. . zip ThW current exemption for "homeowners" was extended to 'include owner-occu ied dwel.I*fngs. of six uni-ts .or ess an o al low such homeowners to engage an pn ivi ua .for hire who-does not possess a license, provided that the owner acts7as`,supervisor. (State Building Code Section , DEFINITION OF HOMEOWNER: Person(s-) 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 permi ec ion109. The undersigned "homeowner" assumes responsibility for compliance with the State Building' Code and other applicable codes, by-laws, rules and regulations. 'The `u.ndersigned "homeowner" certifies that he/she understands the Town of Barnstable Bui I ding. Department 'minimum inspection procedures -and requirements :,an that he/she will comply with said procedures and requirements: HOMEOWNER'S SIGNATURE APPROVAL'OF BUILDING OFFICIAI-_ Note: Three family dwellings 357Sec feet,' to comply with State Building Co 127.06,oConstructionl Control . Quired Y 8 I -000 HOME OWNER'S EXEMPTION The Code state that : "Any Home Owner performing work for wh-lch a building Permit Is required shall be exempt from the g (Section 109.1 .1 — L'Icensing of Construct Supervisors) ;Supervisorrs ; -pro d of this section If Home Owner engages a persons) for hire to do such work, that succhHometOwner shall act as supervisor. " Many.;Home Owners„ who ,use this exemption are unaware that they are ass the responslbllitles of a supervisor (:;ee A assuming. for. Llcensing Construction Supervisors Appendix 2.15 0, Rules and Regulations'. often;.resuIts In:serl;ous' ectlon 2.15) : Th'I"s lack of awareness unl (censed problems, particularly when . the Home Owner hires persons. * In" this case cur Board unlicensed person as It would wit cannot h licensed Supervisor.. The Homer downenine . ::as,sUpervisor .Is ultimately responsible. acting To ensure that the Home Owner Is fully av,,,ire of his/her res ons communities require, as part of the p ibllities, many certify that he/she understands the responsibilitieslof �a suaervlsot the lrome Owner last`:.Page of this Issue is a form current ) p On the care-to amend and adopt such a form/certiricateonbforeuseaIntYour You may Your community. f V r ' a The Town of Barnstable 9 M �' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 , Office: 508-790-6227 Ralph CrossenBuilding Comn Fax: 508-790-6230 For office use only Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: l'� �•y�/c�.n Est.Cost 3v. a Address of Work: �/l 7- Owner's Name 4,&, Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. _Building not owner-occupied C Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby ly for a permit as the agent of the owner: Date Registration No. I ;assachusetts General Laws chapter 152 section 25 requires all emplovees to provide workers' compensation for 111e] ,iployees. As quoted from the "tart". an cmpinree is defined as every person in the service of another under anv rtrtract of hire. express or implied. oral or«Titter. I c•nrpinrer is-defined as an individual. partnership. association. corporation or other legal entity. or anv two or mor = forcuoin;_ engaged in a,joint enterprise. and including, the legal representatives of a dcccascd emplover. or the =ewer or trustee of an individual . partnership. association or other legal entity. employing, employees. However the .•ncr of a dweliing house having not more than three apartments and who resides therein. or the occupant of the .-cllin" house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hou, on ill.-arc:unds or building, appurtenant thereto shall not because of such employment be deemed to be an employer. :;L chapter 152 section 25 also states that ever- state or local licensing asency shall withhold the issuance or ictval of a license or permit to operate a business or to construct buildings in the commuirivenith for any -)licnnt who has not produced acceptable evidence of compliance with the insurance covcraee required didonali;. neither the commonwealth nor anv of its political subdivisions shall enter into any contract for the iorntZttce of public work until acceptable evidence of compliance with tite insurance requirements of this chapter lia n presented to the contracting authority. )iicants se fill in the workers' compensation affidavit completely, by checking the box that applies to your situ:.:;on and ,iyin_g company names. address and phone numbers as all affidavits may be submitted to the Department of stria) Accidents for confirmation of insurance coverage. Also be sure to si-n and date the affidavit. The ovit should be returned to the city or town that the application for the permit or license is being requested. lie Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required a workers' compensation policy. please call the Department at the number listed below. - or Town.5 be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of iidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas -e to fill in the permit/license number which wiil be used as a reference number. The affidavits may be returned to =oarttnent by mail or FAX unless other arrangements have been made. )trice of Ittvestiaations would like to thank you in advance for you cooperation and should you have any questions. do trot hesitate to �anve us a cell. - eparttnent's address. telephone and fax number. The Commonwealth Of?Ylassachusetts Department of Industrial Accidents office W Investigations ° 600 N1'ashinbton Street Boston,Ma. 02111 fax #: (6I7) 727-7749 phone (6I7) 7274900 ext. 406, 409 or 375 "-.='• Tllc• Culll»uiIIII-call/1 of.4tassachuscrls DeparttlICIII of Industrial Accidents . �; ;" ' �-:!� . • pllfc�allayestlgatlons \• ::.. �. �:\�':`• ri:�' 6O0 tt iasltillgtolr Street ; Bustoa. Muss. (12111 1 �u� • � Workers' Compensation Insurance ARd:t%•it -- PI i ii n n inf rm inn• — �/ �Ii �� a v / -s IUtk !�S+ - AA vJ - C� � � S��h1-c /- �/t hnn•N �t'o a n I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity _ .�. .�.:.1•.—•+— I am an employer providing workers* compensation for my employees working on this job. rim t::rn• nnmc: - 1titlrrcc- •t�.. brine t!• instirnttcc cn. -...--- -. [� I am a sole proprietor. -encral contractor, or homeo��ner(circle v»e) and have hired the contractors listed eio�� the following workers' compensation polices: enm inv n tine• :Itlrirecc• • hone�• tin•• iwmr-incr rn. _ _.T_.- :_- - —_. _-mot�•.••.-..-.s: '+`_ rim im• nnmr* iddrviv- rin.- insurnner en Attach additional sheet if necesia—c�'�y.�'°" '' '1.+-`=�"�-•�"' " �• Frilure to secure ctn trace as required under section:5A of N1GL 15_can lead to the imposition of cnmtnai penalties of a tine up to 51.50U.UU uric cars' imprisri weftnin as re ui civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day apainst me. I understane cope of this statement ma% be furn•orded to the Oitce of Inc csti�eations of the D1A for coy en;e verification. !r!o l,rrcht•certijr trrrricr the pai�is attd penalties ojperfurr that the injormation proirded above is true uttd comet. on A A-� Date � r — 7 Si_aatury C"— - � Phone 9 Print name - '�•��"'N" acted by city or town otrtcial official use unfy du not write in this area to be comp Perm tuildini Department itilleciise i tin or town; c2t.iccnsin�Huard ` 0scieetmen's 0MCC t ....�;.rcuwrcd artmcn< TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JOB. LOCATION Number Street address Section of town "HOMEOWNER" Name Home phone Work phone PRESENT MAILING ADDRESS c-7— City/town State Zip code The current exemption for "homeowners" was extended to include owner-occupi 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: Person (sj who owns a parcel of land on which he/she resides or intends to r side, 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 structure. A person who constructs more than one home in a two-year period shall not bt. considered a homeowner. Such "homeowner" shall submit to the Building Of-'it on a form acceptable to the Building Official, that he/she shall be resnons: for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes , responsibility for compliance with the 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 requirement and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE 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. i 1.h, Town of Barnstable Regulatory Services • Thomas F.Geller,Director UMMSTASM MAM 039. 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 0� PERMIT# �G �� FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number ' Size of Shed Map/Parcel# gnature Date Hyannis Main Street Waterfront Historic District? /VD Old King's Highway Historic District-Commission jurisdiction? Conservation Commission(signature is required) 16 ILS 00L PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forma-shedreg REV:121901 zo/ "J ti , i N .0 I Lh v1 - [L -------�.- s 7'y 1 _ _ v I I M I 7 ^�e� t . r 19( .;' /�T'�a.✓ �✓.9f Low .v;E"1� ��J 9 •,r,.,,,,,,. "AS BUILT" PLOT PLAN • THE BEST OF MY INFORMATION, � OWLEDGE AND BELIEF THE SHOWN ON THIS , ° AN `HAS BEEN -LOCATED. ON THE R J. O�VE,4R/V /IVC. SWAN RIVER PLAYA OUND AS INDICATED. 35 ROUTE 134, UNIT 2 SOUTH .DENNIS, MASS. 02660 e i DATE : _.'-Z//Y ,:5 SCALE �:• JOB NO. ,;29'— zl - CLIENT /—S.. ?ATE REGISTERED LAND SURVEYOR DR. BY : SHEET OF Application to: apt¢°E��P�V P� .:�. �... '`•`:`:• . Old Kings Highwiy.Regional Historic District Committee in the Town of Barnstable for a CERTIFICATION.OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of. Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings,or photo- graphs accompanying this application. . TYPE OR PRINT LEGIBLY DATE //O S� ADDRESS OF PROPOSED WORK ��L �� ASSESSORS MAP NO. 9� i OWNER ASSESSORS LOT NO, _,U yO._..�_ HOME ADDRESS �/ s Gv_ ✓l,,,�s .� TEL. NO. �3(.��- � ��^" T AGENT OR CONTRACTOR AL"• I ADDRESS TEL. NO, i This application is for exemption of proposed exterior construction on the ground that, (Q� (1) It will not be visible from anyway or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved,show. ing location of existing lbuilding. �ye • Sher P-1 (o 2 x ��s�r�-t- I e-Ks S1_11_ G11911�1 Q_- SIGNED Owner-Contractor-Agent Space below line for Committee use. . Received by H.D.C. The Certificate is hereby Date Time By Date Approved ❑ The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. I Assessor's office(1st Floor): ✓�� T t Assessor's map and;lot number Board of Health(3rd floor): �D 7;orr, Sewage Permit number (Y Engineering Department(3rd floor): / _ Dsaa.yT►nLi ' House number G •�oT l� ��O 16 o• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only t; TOWN OF BARNSTABLE �' ill �f BUILDING INSPECTOR APPLICATION FOR PERMIT'TO li TYPE OF CONSTRUCTION �,�/n n ,C.„A 4P 1 b f 9�2,V, 19 �y } TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordiin-g-to the following information: Location L41e z /� 23-4,R nS A� Proposed Use M 11, e2 e A, - P 1,,ar r co, Zoning District !'rz �' �� / Fire District LV-5 -11 s4l�/P Name of Owner AT ,4i ei'C Address I l ?It.,.I Name of Builder l/.-a•.-, % i / Q— Address( /l/Prr,(7 ,, 17/',-al s J,,•;..� ,,;,��7 Q v Name of Architect rn a c ev—^ Address l�^.G�� F{•/l �. O �c Number of Rooms Foundation Exterior G��a.��,,,,a..�s s.�/es <�„ i 1:'S Roofing J J Floors Interior *)/i, s f h Heating Plumbing Q-QL- Fireplace !1 n Approximate Cost /Q, ,nr7— Area { Diagram of Lot and Building with Dimensions Fee ��. 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 ;� .��• � r e t' _..�-�.... �' Construction Supervisor's License_ DAVIS, ALAN M. A=195-040 ti No 34052 Permit For Build Addition Single Family Dwelling Location W.e s`t B?ar•.n s=tea=b�l e Owner Alan M. --Davis Type of Construction Frame Plot Lot Permit Granted November 8, 19 9 0 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/`1. d 11 9, 1 . X-PRE* SS PERMIT MAY 0 7 2013 Town of Barnstable *Permit# Fapires 6 rn zths o r issue drafe48 OF BARNSTABLLRegulatory Services �n �arvsrwsr.E. . _ MASS. $ Thomas F.Geiler,Director 1639. Building Division r 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 1.61/115 Property Address ®Residential . Value of Work 0• 0' — Minimum fee of$35.00 for work under$6000.00 rT Owner's Name&Address /�f�.C},.r 6'1/1 r JA(/►� go Contractor's Name ' St4-�^dy O `.O(2ES Telephone Number_(,2- 1Lj ) Home Improvement Contractor License#(if applicable) l S6-7)f4 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance \ Insurance Company Name Workman's Comp.Policy# r �k© \ Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris'will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Wmdows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. - *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. A copy of the Home Improvement Contractors License&Construction Supervisors.License is required. SIGNATURE: The Commonwealth of Massachusetts owDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 041S-54-J-d rig �y 60Ot;s Address: ':�l -7k�nn�, — �6� — City/State/Zip: Sk ,t' -02-T&I Phone#:(?7ct) Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I!JJ-Mn a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.: 10. Electrical repairs required.] 5. ❑ We are a corporation and its ❑ p s or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 I Investigations of the DIA for insurance coverage verification. I do hereby cer fy nder�thepzins and penalties of perjury that the information provided above is true and correct Si ature• Date: C2 3 Phon #: Of cial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or 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-contractor(s)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 to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia i Client#: 37120 2FBOCO ACORiDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil PHONE 508 775-1620 FAx 5087781218 A/C No Ext: A/C No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis, MA 02601 INsuRERA:National Grange Mutual Insuranc INSURED FBO Construction Inc. INSURERB,Associated Employers Insurance PO Box 285 INSURER C: West Hyannisport,MA 02672 INSURER D: 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 ADDL SUB POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS A GENERAL LIABILITY MPT9228G 1/11/2013 01/10/2014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAG TO RENTED PREMIS S Ea occurrence s5000OO CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JEa LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC5009322012012 6/30/2012 06/30/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S110874/M110873 LS1 L 077 Office 't&ors�i"rrr'Fi & HOME'IMPROV th/ '( License?or registration valid for individul usenly 4 EMENT CONTRACTOR before the expiration date. If found return to o• _ Registration: :456744. Expiration: '7/3T/2013 Type' Office of Consumer Affairs and Business Regulation Individual 10 Park Plaza-Suite 5170 i• ti- =_ :_ A AND r; RO LOPS = Boston MA � 02116 ,r ALESSANDRO LOPES 3 300.BUCK ISLAND�'RD '' i W.YARMOUTH,MA02673 ' �`— - �' Undersecretary s Not val' without signature .0 Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-095996 ALESSANDROHJFbPES`' 9 TIMBER WAY, Sandwich MA 02363 NA�.�..� Expiration Commissioner 05/09/2014 of�rGy _ •. - - �P� IARNSr"LE, MASS Town of Barnstable . TFp M pl A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main.Street,, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Property Ownet Must Complete and Sign This Section If Using A Builder h- � as Owner of the subject property hereby authorize Ak,5LA11 !H Lo pes to act on my'behalf, in all matters relative to work authorized by this building permit application for: / S� lti f 7 -Vns lR- (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on;the reverse side. : QAWPFILESTORMSIbuilding pennit formslE7?RESS.doc Town of Barnstable Regulatory Services BAWISreBre, Thomas F. Geiler,Director Muss 1639.i a �. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a..us Office:.. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION l Please Print DATE: o S 1 JOB LOCATION: number street village "HOMEOWNER": name :j", home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for-hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home'in a two=year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with-the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum"inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will be required to comply with the State Building Code ' Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the-homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q.Rules&Regulations for' Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware'of his/her responsibilities,many communities require,M part of the permit application,that the homeowner " certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. n.n�mrn r.crnn•/M i.. ArN'DO CCC A— 1 Assessor's office(1st Floor): T /-� SEPTIC SY5''Eglg� �•. Assessor's map and lot number J v INSTALLED INBoard of Health(3rd`floor): g f C,n` WITHSewage,Permit number " I f y &MRONME Engineering Department(3rd floor): TOWR EHouse number �i zDefinitive Plan Approved byPlanning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ; .a TOWN OF BARNSTABLE BUILDING 'INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION !/. 19 �Q TO THE INSPECTOR OF BUILDINGS: j The undersigned hereby applies for a permit according to the following information: Location / �i�,rn S /�,,e'T- tile-S / � s, 46 - Proposed Use Jrr�.oC � - Zoning District 4 I Fire District . 4-"ST /�►�'n st�'J Name of Owner ear- . Address A l / k,,1 S7— Name of Builder ..1/y Y.4., �a/�� Address (n /fie t-,n 4 D/'i,e- S� Arno T'"1 Name of Architect /1 `a c ef� Address ) "-a OL All C. O VIA, S Number of Rooms Foundation Exterior �i-e ` c; sc SedeS SL1,e, le Roofing CCQ/" M Floors Interior ZJ/r,S,4--- [�►�cc�/S Heating�Fs�iL/P� i- � 4.14,t, Plumbing y��-- Fireplace Ol n Approximate Cost ��0 evzrr— Area Diagram of Lot and Building with Dimensions Fee �� i i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform teall the Rules and Regulations of the Town of Barnstable regarding the above construction. .Name. Construction Supervisor's License DAVIS, ALAN M. " No 34Q52 Permit For Build Addition Single Family Dwelling 'Location. 161 `Plum StreetYj West Barnstable ;Alan M.- Davis 'f' Ouvner Type of Const yction •Frame C �. r Plot f I Lot ' N 7 I � rQ c.. Permit.dranted November 8 19 90 t - t i i rw N y { Date,.of Inspection 1�` /�� rl'19 4 't s - r� - Date Completed- �19 t+. ,..' -ii. � i � � "'� .r" � _lC/' �• � Imo^, V' ` .. f r ir lim o O .sip i Engineering Dept.(3rd floor) Map 'Parcel 640' .Permit# House# _ Al gate Issued (e 2 q Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) QH MAC a,8 Fee &-0 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) t^J - 7 s. 7 �� 70 Planning Dept. (1st floor/School Admin. Bldg.) Definitive Plan Approved by Planning Board y 19 rQ N �S TOWN OF BARNSTABLE qr of �F Building Permit Application Project Street Address P S41 �L�Y. LOT Village W (I)ar n s-VeA ki . v Owner Mo-n M • --DGQV1.5 F zo,6ef b,`4 V/ Address 16 / 12 1 t)✓n- sS- Telephone ! S u� (��— 2S 6 'J 1 Permit Request x a , 1 First Floor 391 square feet Second Floor y fnI_square feet arr � Construction Type Estimated Project Cost $ 301000 Zoning District Flood Plain Water Protection Lot Size y0` 000 59 4- Grandfathered ❑Yes ❑No Dwelling Type: Single Family [}� Two Family ❑ Multi-Family(#units) Age of Existing Structure I a Vear Historic House ❑Yes 4No On Old King's Highway ❑Yes XNo Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing c - New 0 Half: Existing 0 New 0 No. of Bedrooms: Existing -3 New 0 Total Room Count(not including baths): Existing_7 New First Floor Room Count 7 Heat Type and Fuel: ❑Gas UrOi1 ❑Electric ❑Other 4 Central Air ❑Yes Q<o Fireplaces: Existing New 0 Existing wood/coal stove Q14fes ❑No - Garage: 26etached(size) CO-(- Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ayl�o If yes, site plan review# - Current Use Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# 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 SIGNATURE DATE C9 " �I BUILDING PERMIT DENIED FOR THE FOLLOWING REASONS 4 f FOR OFFICIAL USE ONLY r . PERMIT NO. DATE ISSUED MAP/PARCEL NO. ti ADDRESS w VILLAGE j OWNER _ t DATE OF INSPECTION: �:� FOUNDATION a ` �-- t FRAME INSULATION ,/ D FIREPLACE ELECTRICAL: ' ROUGH FINAL PLUMBING- <nSROUGH FINAL _ GAS: � tJYb "H FINAL FINAL BUIL�DNGk�i FS DATE CLOSED OUTS <y O_"f ASSOCIATION PLAN NN.d,� 5,. .. '^Ash essor's 14 map and lot number ... Q. F THE 3. t — Sewage Permit number .... (O BJS8SUBLE. i 3 House number .......... /� . o�O M6 9 3 `0 'FD YAK a' i TOWN OF BARNSTABLE BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ... t.l .....fva. ....hla.,o.�..................... ................ 'f ti TYPE OF CONSTRUCTION Alkwl......;0 ....w•,;d....I`�/z....L9s. f ......................................... r '!y�i.5 .....?.7..........19J�y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....40.4:.... .�l ...... ...........j4!� 1.4.......... ...................................................... ProposedUse ....% .f e: r.. .'42.e........................ ... ..........................................d..5 :.......................... , Zoning District .......... . .. .................................................Fire District ............. .. .^..... '... Ix / / s'. 9.... ��- e"f 1. ?d;. :k. Q r - Name of Owner . . . .sw.r.�..-F.... . .r..L�3,��.:�:........ .'emu.. Address .... . ..��.fua.. .............. ..... .......4s........:t.N»�s. Name of Builder /`�!��P.l. •l/a.w.. .lti........................Address .. .....?.:eEcrr! °J1....1 �:. : .....y�-.�:r..--.P...Y.�... • r, Name of Architect ..................AddressV...... ....�?�.1�� ......... �! Number of Rooms .....Y..........................................................Foundation .. .....�ctrtcr.. Exier.'ior F��w. ".... ,y,.7.vn ...C..�s ....!'! �`��..e �Pr.....Roofing ...J2-*..cj...CA°4r l ` Floors 1 �.:.J...�'..... ...Interior CAD.!✓.e►. .4 .:5.....Q.!4. C..:.�!�4 ��0. ............................ t' Heating 441.. ..+�!.r-.....�.�...... l ........Plumbing ..t'.el. 7"'® � Fireplace //4 pp......0..!+r..::�-..........�r.....GG ...................................Approximate . Definitive Plan Approved by Planning Board -----------_______-----------19_______ . Area ' Diagram of Lot and Building with Dimensions Fee -57 SUBJECT TO APPROVAL OF BOARD OF HEALTH �}�,(�� { `V \ I2 N_ ,.y y y 3y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ti I hereby.'agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above, rl" construction. Name .,e4� .�: ..... ................... Construction Supervisor's License --,WDIS, ALAN & ELIZABEI'H a 26973..... Permit for ....1 z..Stor............... Single..Fami—Y...r?WeJ]. I ....................... Location ...WtA ......161...P.7.um.Stx'eet.......... .................=gft$.t.. atable............................ Owner ......AlPKI..&..F17,2rtth..mavis............. Type of Construction ...Frame............................ ...................................................... ......................... Plot ............................ Lot ................................ Permit Granted ....September 17,........19 84 Date of Inspection .......s.............................19 Date Completed .....oCs'. :.�s............19 t 26978 TOWN OF BARNSTABLE Permit No. ........__--------- l �� I Building Inspector Cash ------- AA OCCUPANCY PERMIT Bond __X__ Issued to Zan ,� ZUZ8l,_-1i1 DWj'S Address u 1 P IL'1 .`,i C r '!B4— Barns i:.&la Wiring Inspector `7 �� Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health _ + !/ j,if t Inspection date r 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. F � Jam. ......................,.................. ._......................_.» Building"Inspector T' FROM TOWN OF BARNSTABLE BUILDING DEPARTMENT Mr. Francis Lahte xte 367 MAIN STREET HYANNIS, MA 02601 „y�r a...«.. •ti .a.., a�.�.. Town Clerk Phone: 775-1120 - ;y SUBJECT: FOLD HERE DATE February 20, 1985 [A E S S A G E a•-w raw ts.a bw rA�A.s rw& " Work has 15een-ea rpleted, -Pem it #26978� A1an.& Elizabeth Davis),, .l,yyge!».. �;!ffi'L`! q,w.a»,a+4 +'w^t�ro�r,. „•ir+i..a , Please release Band. - '+�'•aY+yvo-+w« ...�r.wr-�n..r wwB r►.,r 4.�vsV 4o.w Y�ffi'+�wr�-+n-s'. - .. SIGNED - DATE N � I v� 1 - SIGNED N87-RMI - • RECIPIENT?RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. .r 1 t t N . M \ 1 1 �VA1� 1 1 , Lo 7-3 s7' 1 � L r�T 7 ZN OF �s rt�AA>�,,,. OBI IL t / WILLIA WL Voli o 341 �� C', , C�.�7iF,✓ �-�f��" T.5!/1: f0 vvD— �� ' icy✓ t.✓.¢�' Lac �Tas17 a"_j C,H 0 �. PLOT PL TO THE BEST OF MY INFORMATION, 2ws�'�''.8«' , MA46L _A0 'KNOWLEDGE, AND IIELIEF THE SHOWN ON THIS � PLAN HAS BEEN -LOCATED ON THE SWAN RIVER ANC GROUND AS INDICATED. 35 ROUTE 134, UNIT 2 SOUTH DENNIS, MASS. 02660 DATE `� SCALE: 7� l�`8 • G%�. G� JOB N0, - zH9 Z- CLIENT: DATE FtWISTERED LAND SURVEW pR. BY,t SHEET . OF i . .