The URL can be used to link to this page

Home My WebLink About0010 SALT MEADOW LANE uu UPC 12643 3LOR HASTINGS. UN _... „ ,. �... _. --+- _... _..�'.'`' ..t..'"S•"r"'..�`�-"�"- - .,,,,"'ar_:_-"" --r`"tA+ri.." _ _+ate�"'"�.: 7• —_ ----..�-��, .. :1'._�_ �--._.��_�— 'y,.._... - Town of Barnstable _ _ Building µxvsreeM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS. Posted Until Final Inspection Has Been Made. s63q. �0 Fo►ea<' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Mgt Permit Permit No. B-20-974 Applicant Name: Oliver Kelly Ap provals Date Issued: 04/06/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/06/2020 Foundation: Location: 10 SALT MEADOW LANE,WEST BARNSTABLE Map/Lot: 1567018 Zoning District: RF Sheathing: Owner on Record: SPANO,THOMAS C&SUZANNE Contractor Name: Oliver Kelly Framing: 1 Address: 10 SALT MEADOW LN Contractor License: 128957 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $8,400.00 Chimney: Description: Replace existing Roof Covering Permit Fee: $42.84 Insulation: Fee Paid` $42.84 Project Review Req: Date: 4/6/2020 Final: Plumbing/Gas Rough Plumbing: �.Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. 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. t !. 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:' r,' Service: 1.Foundation or Footing 2.Sheathing Inspection _ _ _ _ _ Rough: 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 c tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). cr Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: (�� Assessor's offioe (1st floor): CF TN E TO Assessor's map and lot number ............................................ Board of Health (3rd floor) .Y R r n Sewage Permit number .........-................�. -...A. .-,..�.. . ... . . _ Z 136Sd9TODLE, i Engineering Department (3rd floor): s / �a rasa 39- House number I ! Q �.. Oo,tb A �e APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only t TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 7� (. v V �� '" \ K�4c,1. .......... . w.............. o I ...... ............................. ............................................ TYPEOF CONSTRUCTION ................ ................................................................................................ ........... ........� ........ v . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �.&.......s`? ,I.k.�nn�t.c, u.!-J.....�' �!�......... .z.5�.......v � ��u location ............... S...f,. .....,............4.R.............................. Proposed Use .... ............................................. West Barnstable Zoning District ................. 1fi.....IZI......................................::Fire District .............................................................................. f CA- Name of Owner G `r..!J.!.I.......................................................Address ..lc?...1,t.14wrvG� #039020 Name of Builder ......Sadler Associates..................Address ..1515 Hyannis 12d. ..................................... . . ..................................................... Name of Architect Sadler Associates Address ...15J5 Hyannis Rd. ,Barnstable .............................................. ........... Number of Rooms 1 red concrete Foundation .....P.......ou.................................................................. Exterior .........cedar...S'zing.;Les.......................................Roofing .. fibber...�r...asphal.t.................................. Floors E"COC� WOOC dr Wall .....................................................................................Interior .............................y...................:.................................. 1 Heating er`f�f:...,at C-,Jz i g I;r�. p RVC . Plumbin I�....................................................... Fireplace .........no...2.e................................................................Approximate Cost .....$15 ,PQ.Q ............................................. Definitive Plan.Approved by Planning Board ---------------- `!';_-_;-__19____--._,. Area ...(,/o.. Diagram of Lot and Building with Dimensions Fee .��'......................... ..... SUBJECT TO APPROVAL OF BOARD OF HEALTH d g � -7s 4 0 o ri J '110 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstablgarding the above construction. V— Namej.f :...............r .................... Construction Supervisor's License �� GREER, WILLIAM A=156-018 No ...30214 Permit for ...Build Addition ............................ Single Family Dwelling .......................................................................... 10 Salt Meadow Lane Location ................................................................. West Barnstable ............................................................................... Owner ....Wi.1.1.i.am...Gr.eer. ................................. .. . .. .... ..... ....... Type of Construction .Frame......................................... .......... .................................................................... Plot ............................ Lot ................................ Permit Granted 21 ,ed ........................................19 86 Date of inspection ....................................19 Date Completed ......................................19 I Assessor'syoffioe (1st floor}; 69�€UTO AIL07 Assessor's ma and lot number c THE o p `'r...............:........:.. COMMISSION r Board of Health (3rd floor): 3 61Zr Sewage Permit number • Z BA"STADLE, i Engineering Department (3rd floor): r'1�_ n/ A P P R ON MA8a House number v(}�L-\ '.......a. O t6 6 .......................... ............/.D............. eatable A88TVOZ10A O 39• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only' S MUS TOWN. OF BARNS , 5 iftt° I NMENTAL CODE AND BUILDING I.N S P E C �e wN REGUL►TIONS APPLICATION FOR PERMIT TO ...... ............ .L. , .!y.V,,... i' \ 7.'„K;��ta ` ` / .'TYPE OF CONSTRUCTION ..............l�Y..:DO.�............:......,............................:.............................................. .......... ........ .........19X TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �.�.......s.. . .. �.�!v1.`1; �. .....� ..,...... .!�.� ......!sx`►`� A�!!..�..V.?'.4.4c8............................ Proposed Use ....Re-Sid.enti.al...dijaingr.oam-ad.dit.ian/....expand...k.itohen.................... ' Zoning District s RF.......................................Fire District ..West Barnstable .................................................................... Name of O f ner +�� . G-�r�.`�.'�.............Address ../.O...S4-d4.,":vA-JP,.J....jk�ut./.w!?.S.C... ! •..••..•#039020 Name of Builder .....,Sadler Associates.... .Address :..1515 Hyannis Rd. ............................................. Sadler Associates 1515 H annis Rd. Barnstable Name of A"rchitect Address .... Sr ........................................ 1 .....................Foundation Poured concrete Number of `Rooms ........................................... ......................................................................... Exterior ;l Cedar Shin les Rubber or as halt ...........................................................Roofing .................................. ............................................... Floors Wood .....Interior .....WOOd & drywall Heating '-..Hot water Plumbing �.x Copper & PVC..............................:.............................. .............. .............. ...................... Fireplace ..........none. . $15 000 .. .... ................................................................Approximate Cost ............. an Approved by Planning Board ----------------------- -------19________ , Area /� %f P Definitive.PI ...i.a.. `'....... .............. Diagram,ofi Lot, and Buildingwith Dimensions Fee�� '.. ........................... SUBJECT TO APPROVAL OF .BOARD OF HEALTH -71- 374 DO & ` 1 l/ . 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 �.],.:LG-� ........ 30214 Build Addition No ................. Permit for .................................... Sinqle .Famiiy Dwelling C .......................................................................... 10 Sac M L-- eadow Lane Location ................................................................ West Barnstable ............................................................................... William Greer Owner .................................................................. Type of Construction ........tame.................................. ............................................................................... Plot ............................ Lot ................................ Permit Granted .......November 2 , ,.................................19 86 Date of Inspection ...........................:........19 Date Completed ............. .............19 E ei 0 ;7 0 > (4' 0 0 tr t: i3 a tc V,j o cap 00 I" T TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map Parcel !� Permit# Health Division 99� Date Issued Z 99 Conservation Division Fee lo�. Tax Collector '"'"'" L° SEPTIC SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 ' Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TccT �: �' LATI Historic-OKH Preservation/Hyannis ' Project Street Address 1 D sa-I+ -cc, W 7-k 'Village L Owner w Sr,c��o �'� .W AdAss mow•t Telephone 3 G �L S Ci ll Permit Request 0 1 L+r •2y s Square feet: 1 st floor: existing proposed a 5 I 2nd floor: existing proposed Total new Estimated Project Cost 2,000 Zoning District Flood Plain Groundwater Overlay Construction Type women - s Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family C9' Two Family ❑ 'Multi-Family(#units) Age of Existing Structure 10-3 5 Historic House: des 01No On Old King's Highway: Imes 0 No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other n13yxc_ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new — Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new / First Floor Room Count Heat Type and Fuel: ❑Gas UOil ❑Electric *0 Other Central Air: ❑Yes O'go Fireplaces: Existing / New Existing wood/coal stove: ❑Yes @-No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:a existing' ❑new size Q.5�Z_ Shed:testing ❑new size J11V Other: • Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION. Name Telephone Number Address 114�L License# C mkt V U 0 a Home Improvement Contractor# 1/00 J/ l� Worker's Compensation# -73 I e/o/,O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE xy DATE — 1T2 V/i J� FOR OFFICIAL USE ONLY PERMI 3 �- �-3 9 T NO. _ 11, y �t DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER' .,, 1 DATE OF INSPECTIOI - ' FOUNDATION r y FRAME �' 1 INSULATION lil�J ►"" , . ' FIREPLACE ELECTRICAL: ROUGH- ' FINAL PLUMBING: ROUGH= FINAL GAS: ROU,G,H" FINAL FINAL BUILDING • � IZ _c ; i" Ro Ci t DATE-CLOSED OUT t- f m , ASSOCIATIONTLAN NO. to ` • . t t S AA, Assessor's office(1st Floor): Assessor's map and lot number Conservation ' ' Board of Health(3rd floor): t Sewage'Permit number ' �r' t+sanrant c Rf yo rua Engineering Department(3rd floor): ~; ' ° ie39. House number i i �o acr a Definiti4e Plan'Approved by,Planning Board 19 APPLICATIONS PROCESSED 8:30;9:30 A-Wand 1:00-2:00 P.M.only• ' TOWNY OF ' BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �- �7 TYPE OF CONSTRUCTION k ,�6 �Z2- t9 9Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �� /r'/�' � � �� 7� a r /';AV , I i Proposed Use Zoning District r Fire District Name of Owner/j,/ Address d Name of Builder&2_2ZZ- Address d yS Name of Architect — Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing .9' Fireplace Approximate Cost z, otyo Area J J19 dl�j0 Q 00 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform-to all the Rules and Regulations of the Town of Barnstable regarding the above struction. Name Construction Supervisor's License x ac� l 2�3 7 GREER, WILLIAM & ALYCE No 3 5 4 6 3 Permit For Re—ROOF Single Family Dwelling Location 10 Salt Meadow Lane 1 _ West Barnstable "s. Owner William & Alyce Greer - y Type of Construction Frame _ r Plot Lot Permit Granted October 22 , 19 92, Date of Inspection 19 Date Completed 19 ! 1� ' �,►�To�ti oC� Town of Barnstable *Perniil rl ;�66 6(-g,95D �. 9 200? 1:7iires(rnonthsJiom u.ruc Jnrc Regulatory Services Fee � rrn�wsrnai�, •�•1' _ , i63y �0 v 7- Tilornas F.Geilcr,Director Building Division p Tom Perry,CBO, Building Couuriissionell f� 200 Main Street, Hyannis, MA 02601 www.town.barnstablc.ma.us Office::508-862-4038 F<tx: 508-790-6230 EXPRESS PERMIT APPLICATION - .RESIDENTIAL ONLY Nol Valid without Red a-Prins ImprinC Map/parcel Number of Property Address .L .. 01 . Ig2esidential Value of Work Miniuiuul fcc of$25.00 for work under$6000.00 Owner's Name&Address oLAL4a.. 4i+rI Contractor's Name Telephone Number Home Improvement Contractor License iE(if applicable)_ /.V3 :7) C� Construction Supervisor's Licensc It (if applicable) -)-N:Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy It Copy of Insurance Compliance Certificate must be oil file. Pcrmit Request(clieck box) �Re-roof(stripping t old sI►' ft9Ics) All construction debris will be taken to ❑ 1tc-1`00f(not stripping. Going over existing layers of roof) �J� ❑ Rc-side ❑ Replacement Windows. U-Valuc—(maximum .44) "Where rcquircd: Issuance of this Pcrmit does not exempt compliance with other town department regulations,i.c.llistoric,Conservation,ctc. ***Note: Property Owner must sign properly Owner Letter of Permission. Homc Improvement Contractors License is required. SIGNATURE. Q:rorms:cxpmtrg ltcvisc071405 - The Commonwealth of Massachusetts Page 10 of 10 Department of Industrial Accidents Ll , Office of Investigations 600 Washington Street �U14 f Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please L Print Legibly Name (Business/Organization/Individual): PA U L_ S C2 z C AU 1 Address: 1051 Main s� City/State/Zip: -p r V I %f YY\A02 SS Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.� I am a employer with 1 2— 4. ❑ I am a general contractor.and I 6. New construction employees(full and/or part-time).* have 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 working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all'work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers' comp. . .._ c. 152, §1(4),andiwe.have no 12.M 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:�� A�1�:crS Policy#or.Self-ins.Lic.#: l J l �(��!'��0`1 � Expiration Date: o Job Site Address:-O ML .�l�t_.1`t 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 ceroAunder the vains and penalties Jo erjury that the information provided abov is true nd correct. Si a Date: 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 It: i _ = Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation PAUL J..CAZEAULT & SONS', INC. Expiration: 7/9/2008 Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card. reason for chanwr. SOM•OSl06-P 'S-CAI COL...I Address •L .I Renewal I i l;mploymcn( Lost Cardu�C0490/� - , /ae 'V�a»rnnovuun� o�✓ ccc�ucoel�a Board of Building Regulations and Standards License or registration valid for i»diviclul use only lug HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 103714 Board of Building Regulations and Standards Expiration: 7/9/2008 One Ashburton Place IZnt 1301 Type: Private Corporation Boston,M .02108 DAUL J.CAZEAULT B.SONS,-INC. ?aul Cazeault 1031 MAIN ST C,..� .� -- r ------ _ JSTERVILLE, MA 02658 pcputy'Administrator Not v►lidwithout stgn tt e JeiZ Boar o ui"inglat egu 'bn4an ards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License CS: 26325 Restriction: Expiration: 10/20/2009 Tr# 6311 PAUL J CAZEAULT -- 1031 MAIN ST OSTERVILLE, MA 02655 Update Address and return card.Mark reltson for change. DPS-CAI G SOM 07/07•PC6490 El'Address I� Renewal .Lost Card a !aaaac/u�aella �r Board of wilding Regulation and lt Standards ;•h' Construction Supervisor License License: CS 26325 ^. ; Expiratlonr 10/20/2009 Tr# 6311 . iii I Restriction;..00. PAUL.J CAZEAULT::',: 1031 MAIN ST OSTERVILLE,MA 02655 Commissioner • .._,-- ••.-.• _ ..JI aii ,.l'I .:i y,1:J 11 U'JLV 4:lJJ ' YcYQeI OUJ".103 RightFax H1-2 8/24/2007 1 ;2148 PM PAGE 0031003 Fax Server ACO'RD. :CERTIFICATE OF INSURANCE DATE(MMIDOI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 07 DOWLING 8 O'NEIL INS AGC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 973 IYANNOUGH ROAD 2ND FL ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. PO BOX 1 COMPANIES AFFORDING COVERAGE HYANMS,M MA. 02601 22LGR COMPANY A TRAVELERS DIRECT ASSIGNMENT INSURED COMPANY I PAUL J CAZEAULT&SONS INC. B _ 1031 MAINSTRF,ET COMPANY C OSTERVILLE,MA 02655 COMPANY D COVERAGE THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED,ABOVE rOR THE POLICY PERIOD INDICATED,NOTVOTHSTANOING. ANY REQUIREMENT,TERtI OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICYCFF POUCYEXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(MNnDDIYY) DATE(MMIDDIY%l LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OCCUR, PRODUCTS-COMP/OP AGO. ; OWNER'S de CONTRACTOR'S PROT. PERSONAL 68ADV,INJURY b EACH OCCURRENCE 3 FIRE DAMAGE(Any one(ire) 3 AuroMomLE LIABILITY rs MED.EXPENSE(Anyone Peon) $ ANY AUTO ALL OWNED AUTOS COMBINED SINGLE LIMIT $SCHEDULE AUTOS BODILY INJURY( HIRED AUTOS BODILY INJURY PerAcddenl) ;NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE UASILITY ANY AUTOS AUTO ONLY-EA ACCIDENT S OTHER THAN AUTO ONLY. EACH ACCIDENT i AGREGATE S EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE S OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER S LIABILITY UB-0095B64A-07 08-10-07 OB-10-08 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE X 'INCL DISEASE-POLICY LIMIT S S00,000 OFFICERS ARE EXCL DISEASE.EACH EMPLOYEE s 100,000 I 07HER DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLESIRESTRIMIONSISPGCIAL ITEMS TMS REPLACES ANY PRIORCERTIFICATE ISSUED TO THE-CEIMFICAIE HOLDER AFFECTING WORKERS CONT COVERAGE, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TOM.AL 10 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT.BuT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO 013LIGATION OR LIABLITY OF ANY KND UPON THE COMPANY,ITSAGENTS OR REPRESENTATIVES.' AUTHORIZED ROPRESHNTATNE Charles d Clark Property Owner Must Complete & Sign This Form I If Using a Roofer / Builder. I I(print) Z a Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Son oofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of Job �� ea�v("J L V1 Signature of Owner Mailing Address of Owner Telephone# 6 Z - S 6 8 Date 12-07 i (Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the building permit required by your town, to complete your roofing project, thank you)fax#508-420-4555 v a � �1ce -�oynrzooz..oea/� o�✓�aaoadaael� ° DEPARTMENT OF PUBLIC SAFETY Q Oka 1, CONSTRUKI.ON"SUPERVISOR LICENSE Nue6er Expires: _ Restr�ctedIT4 �J! BB•. � L$ FRANCJS = 06AN' • all -442 BAY .,tN... _ E o ° Q 7 (� 0i e�onimmuc�a�/�o�•/�aooaa/euaeaa HOME IMPROVEMENT CONTRACTOR ; 'Registration 100718 L Type PRIVATE CORPORATION Expiration 06%23/00-, MOGAN 8 CO. INC. ��arF,r-a�cis'E. Mogan, Jr hy Lane 4 "°Mi"isrRnTOR Centerville MA 0.2632 :. e o ° I a 0 e b 8 A r 0 The Town of Barnstable Department of Health Safety and Environmental Services Building Division _ 367 Main Street,Hyannis MA 02601 Office: 508-8624038 i j Ralph Crossen Fax: 508-790-6230 Building'Commissioner 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: Estimated Cost Q,9-000 Address of Work: in Owner's Name: 1 �* S.ti s'�� -• c, Date of Application: 3 la J J�c, I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 Building not owner-occupied Owner pulling own permit Notice is bereby 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 OFF PERJURY 1 hereby apply for a permit as the agent of the owner. .3 a q 1619 i Date Con ctor Name Registration No. OR Date Owner's Name q:forms:Affidav Application to I '" ' - 1d..Kings.Highway Regional Historic 'District Committee in the Town of.Barnstable for a CERTI FICATE'OF APPROPRIATENESS :Application is hereby,made, iri triplicate, for the issuance of a.Certificate bf'Appropriateness under,Section 6 of Chapter 470. ts: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: t ,I-'•Exieiiorbui(ding Coristru`.ction: New Building 0 Addition [Alteration - Indicate.type of.building:'.-❑ House -'•-(�Garage� ---�L] Commercial-- ---[�-Other-- _ '2.'Ezte�ior'Pairiting:��•Q�••:' • ' � • "3 iSign3F 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___A l-1r, 9 ' AD RESS.OF'PROPOSED WORK ) S� It �t``��'"� �' l>c�✓v�S � 6SESSORS MAP NO. .I-• k�:. � .� Sit Sic; �_ r%�SSESSC3:.@S LOT NO. t-OWNER * HOME ADDRESS . TEL:'NOA��l FULL NAMES. AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent'property owners across any public }t-44#;street or-way. (Attach additional sheet if necessary). t .,;•N> SCE'0. Lo Sin-ct�" V..t`. _ "AGENT OR CONTRACTOR_ or c�ti ' rn OQc,,% +-Cto T a��• TEL. NO. "» 27U1.� NJ ADDRESS L/ /2 �.-::�.�'^� Cl,. v oZL"3 2_— 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). �. Cv tiv C.r•. .' 1 11 vu H i�uu✓ ;ti5= �\ V�.ew �aT �- c�• t w v� 1. ,1,l v w. -., .c9,�%`S. �. L « ice uut _,i e .k� �tvvLti- �(� g 41 C��n� caw, -ruo di 0�- 0i SVwr✓,�1 OicJ`rv`^ S, -`._ : t; T + `a'v�G• rt d D D M O -Contractor-Agent Space below line for Committee use. L . nq� (3urn- o� ti W R r`- 11 0 • e Certificate is hereby D e `V — I�{� meEER 7 ' Y.~. HW Y Approved ❑ IMPORTANT: If Certificate is ap�Ved, val Is subject to the 10 day appeal period provided In the Act. Disapproved. ❑ rTown of Barnstable , j Old King's Highway Historic District Committee SPEC SHEET T FOUMATION xis4_1V" SIDING TYPE W',k; CL'00,1, COLOR CHIMNEY. TYPE Al A COLOR ,PROOF MATERIAL COLOR ;PITCH`'' 12/� � I17 X COLOR b•eiS-t— SIZE X WINDOWS, ] ` TRIM COLOR ' /V� COLORS . ?DOORS .SHUTTERS . .. 41i4 COLORS °•: GUTTERS �i`5�1�^� COLORS:s DECKS -MATERIALS . GARAGE ,DOORS ltl(q COLORS SKYLIGHTS SIZE COLORS S+IGNS COLORS r..- . jENCE COLOR �pTgg: Pill out completely, including measurements and materYele/colbe used: Pour copies of this t, form. are.required-for submittal of an application, along w�i�thy8our cop�i&e��Ofhe plot plan, landscape plan and elevation plane, when applicab�s.N TT�� ^9r rl.,. t v. •r SPECSHT Revised 11/98 ' t SPANO REPORT PROPERTY PHOTOS 7: FRONT LEFT VIEW was • �j..f J^Y'v.1 � L REAR RIGHT VIEW i SSACHUSETTS i `0 �1 PONO v \ 3` f G �S 6 •yl • JO �� sr xt. 9 i o 0 t fah j`' Or�i,' as tF•' r..�6. ,c f r t v 5 p ,T+ S1 'ra P it 3S J. !32 2 .° 7° O 3 6 b ,i N . 1•v e � ?LtI.��Mp °° 1 Qt 1.01 AGE ?7 bush!?',�C ot-i %.-� — ----------- ------ - � ! �_SG` �-� 1Mt�.�v►.a . �c,� _ ,�,,rw�c,;� �i O 1�0� 31.y �tt✓J✓��L._l�,�odG.s :: . ►e�� ace tilt c, a Y�' ,1�� L�d1�,�., ---..�ao c, �,a ,�.s 0 2� Y ff � I b37 YYI�,,, �N c; I l.t �C c�11 R c-v Ls �.Lc Wl� iJ�L(o_ e 1+ wlcc-A),) l J�j c[` '. 41, :s I � � 17 1 � MOGiN&CO.,INC. 442 BAY LANE ............... CENTERVILLE,MA 02632 10 Sw 01 eJo 14 COD II 1 iI �zt L(4 ------ FT -(A 40 -k L)c Fli Ile t— T -------------- rc-v-\o u c- e-),r,s4.' a-rc- c- 0.) F I ' DlUGAN&CO.,INC. 442 BAY LANE CEWMRVILLE,MA 02632 i i I IIoo � G.fzS3 F Nor-ty, cli 0 1 i i i 4 I _-------- o� h f-t j vt 9.5 VJ J71 MAScheck COMPLIANCE REPORT ( I Massachusetts Energy Code Permit # MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-25-1999 COMPLIANCE: PASSES Required UA = 70 Your Home = 69 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value U ---------------------------------------------------------------------------- CEILINGS 294 38.0 0.0 WALLS: Wood Frame, 16" O.C. 369 11.0 0.0 3 GLAZING: Windows or Doors 34 0.460 1 FLOORS: Over Unconditioned Space 252 19.0 0.0 1 ---------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall' be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4 .4. Builder/Designer �;i' � �.-.- Date 3 .2. ' 10. MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .01 DATE: 3-25-1999 Bldg. Dept. Use CEILINGS: [ l 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-11 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.46 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2 . Type IC rated, in accordance with Standard ASTM E 283, with no more than 2 .0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] ( Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. r I MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4 .4 .7. 1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space,. including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer' s installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4 .4. [ ] SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2 .5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2 .0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2 .0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ) : PIPE SIZES (in. ) NON-CIRCULATING CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2 .0" 2 .0+" 170-180 0.5 1.0 1.5 2 .0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------- The Commonwealth of Massachusetts Department of Industrial Accidents '� _ `'_l � -=�� Olfice oflnsestigations s --' � 600 Washington Street Boston,Mass 02111 L Workers' Compensation Insurance Affidavit oruratta�rz„�/��/%%% name: location: cih' ohone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workin in any ca acity Iaam an employer providing workers' compensation for my emplovees working on this job. compnnv name: I f l r)G,cam,L^ J- C� address: LI'-I .I�cA . city C c L. v (C, V" ` Gat, 3"2 phone#: 7 7 5 02 70 C' insurance co. C I z,V.LL LL-. c . policy# 1 l-( t U 4 6 ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: companv name: address: city phone* insurance co. comnanv name: ::::::.. :•: ;::;>:;::>:>.;::.. .. address- city.- phone#? insurance co. Failure to secure coverage sa required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a nne of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature V4-r--/ -- Date �/�`-//5 Print name �.•� F o �.t �/.r. Phone# 7'7 5 c2 7 0 U oincial use only do not write in this area to be completed by city or town official city or town: permiUHcense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other :.... (tev=a 9,95 P1A1 L Information and Instructions , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any watt- 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 receive: 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate-a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither.the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the iosur ce requirements of this chapter have been presented to the contracting authority. Applicants '. Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 Dep:,=cnt at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicauL Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be refined io the Department by mail or FAX unless other anangemeats have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amce of lavesdoguo is 600 Washington street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat 406, 409 or 375