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HomeMy WebLinkAbout0304 WOODSIDE ROAD NO. 152 1/3 ORA Insulate Save Weatherizatlon & Insulation 410 Grove Sc Fall River,Ma u7s3 lnsulatessave.netCC O Z .-. n-4 O a a October 16, 2012 Town of Barnstable m Thomas Perry, CBO ON 200 Main Street Hyannis,MA 02601 RE': 304 Woodside Drive Dear Mr. Perry, This Affidavit is to certify that all work completed at 304 Woodside Dr has been inspected by a certified BPI Inspector. R38 cellulose insulation was added to the attic and R19 added to basement ceiling.All work performed meets or exceeds Federal and State requirements. Sincerely, Insulate 2 Save, Inc President CSL 103861 HIC 166311 W 60/60 39VJ 90L9L99809 91:ZT ZTOZ/9T/OT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION b } d5 f Map Parcel O a Z Application # Health Division ZT2 SEA' fib Pt i I: Ci I Date Issued `�� �� Conservation Division Application Fee V Planning Dept. ""'`� - Y�T -�,�„_, t, Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ HyannisP-V\ & ,—C--*-)r.-V,�— Project Street Address Villa n Owner u Address Wczdn UK Telephone Permit Reques 2. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay i'Project Valuatich 0 2c1` 60 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ��� S U -1 -7 n Address License # Home Improvement Contractor# CJ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `' '"'I / �- /�-- - DATE �7 FOR OFFICIAL USE ONLY APPLICATION# t , DATE ISSUED t- MAP/PARCEL NO. ADDRESS f VILLAGE i OWNER ':j DATE OF INSPECTION: FOUNDATION . FRAME + E INSULATION j l r FIREPLACE ELECTRICAL: ROUGH ` 'FINAL- PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO":r� -, t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t` Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): I AddressA 1. D bt't)1/ , City/State/Zip: Phone.#: 601 5DU- •U l Q Are ou an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with 4. I am 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. E] Demolition working for me in any capacity. employees and have workers'comp. Building addition [No workers' comp. insurance comp. insurance.# 5. � We are a corporation and its 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑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 13.g Other) employees. [No workers' comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name����j L I Ur _I M 2 M C.Q Policy#or Self-ins. Lic.#:4 v l:Io 1 Expiration Date: V a 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 tinder 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$250.00 a day against the violator. Be advised that a copy,of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains nd p naIt' s of perjury that the information provided above is true and correct Si ature: /� � Date: �/Llfi — Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f DArE fMM,Do,YYW) ,acoREP CERTIFICATE OF LIABILITY INSURANCE 06/14/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)• 9RODUCER CO NAME: ' U FAXIPHONEe. E : (508) 677-0407 (Arc, Non(5DBi 61 0409 ANTHONY F. CORDEIRO INS. AGCY. , INC. (A/C. N I C-MAIL 171 Pleasant .Street ADDRESS. I CUPRODUCER STOMER IC Fall :Rives, MA 02721- INSURER(S)AFFORDING COVERAGE NAIC9 INSURFC INSURER A Atlantic Casualty Ins. Insulate 2 Save Inc. INSURER a :Torus. Specialty Ins. Co. 410 Grove St INSURER c :Great American Ins. INSURER 0 INSURER E , Fall River MA 02720- INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: T-!IS !S T'J 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. NISR ADDL SUBR' POUCY EFF POUCY EXP LIMITS I,TR TYPE OF INSURANCE INSR I,yyp POUCY NUMBER _(MM/DO/rYYr) (MM/Dp,'TYYY) 06/12/2012 O6/12/2013 CH OCCURRENCE 5 1,000,000 GENERAL IIAtRUTr y y M 081000174 'DAMAGE TO RENTED 100,000 X COMMERCIAL G`;NERAL LIABILITY PREMISES(Ea oomrrence? S ' i 1,.A,MS•MA^u= X OCCUR MEO EXP(Mv one person) S 5,000 ! ! ! ! PERSONAL S.ADV INJURY S 1,000,000 ! ! ! GENERAL AGGREGATE S 2,000,000 ! ! ! ! PRODUCTS•COMP/OP AGG S 2,000,000 •:,E.N i.Ak,ORE:,�ATE:UP...:T APPLIES PER / S ' PRO. ! /LOt _— !-- -- . X POLI:;Y ,C`Y / �, _ ! !— COMBINED SINGLE LIMB 8 AUTOMOBILE LIABILITY (Ea accident) ! ! / .4NY BODILY INJURY(Per person) S i Ai:. tvNEf 0 AU CS BODILY INJURY,Per acadrm.:1 S % / ! -,r;i<DLLE ;.U'*:;S PROPERTY DAMAGE D RE%..�.TJS `ON.,^WNE O ALi r1)S ......__— - ! % ! / 1,000,000 —__._..._.._...-_-_...-..._..__......_._.—..._..._...__.____. EACH OCCURRENCE S �. X UMBREW Lwe X OCCUR ! I AIiGRECiATE S 1,000,000 . 1{ EXCESS CWB CLAMSWADE: X c, c 10,000 --_.. S _ R-7_h TQ,N / / ! LAIC STAi U• OTN• rWORKERS COMPENSATION 'ORY LIMITS ER 1N0 EMPLOYERS' LIABIUTY Y/N / ! ' ff t,EACH ACCIDENT S 9f�q::,plE O4P<PT NE'4L'SECUT:vT i` NIA A / / , E L DISEASE•EA EMPLOYEE S (Mandatory In NH) E I- DISEASE•POLICY LIMIT.S „yes _ aES•;R!p. )FOocPA':IONSoelaw _....._._.._.._..._......._.._....._....__.._.._.____-_ O6%;2/201'. O6!12/2013 75,350 C Equipment Floater IMP 3759976 S'+np Storage Lm:d / ! venlae StoIB9e Lmu: 6,250 OESCPoP'lUN U% OPERATW"LS LOCATIONS VEHICLES fACaCP ACORD 101, Addrti—1 Remarks SChed:Ae. a more apaw iti revuua•dl '--__—`^— proof o- Insurance, Residential Insulation Contractor. CERTIFICATE HOLDER CANCELLATION ( ) ( ) LAUTHORIZE0 OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TION DATE THEREOF, NOTICE WILL BE DELIVERED IN I WITH THE POLICY PROVISIONS. PRESENTAJTVE %• �' ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD INS025.ai �c� 91te -Comwwwawaa Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 °y Boston, Massac)xsetts 02116 Home Improvement Ctor Registration Registration: 166311 Type: DBA •,it��-=�--,�� . :r_-----=.12,1,7 Expiration: 5/11/2014 Tr# 222532 INSULATE 2 SAVES;:•: ROLAND LANGEVIN r�,� c :r 1 410 GROVE STREET FALL RIVER, MA 02720 ; =7 �'!`�•-``' �`� U date Address and return card.Mark reason for change. �- [? Address Renewal Employment [].Lost Card DPS-CAI 0 50M-04/044101216 � -------"--- --" - -.-..... ._fIL ... ' _-------------•---"�-------_._._._..._..------__.___—...__., ILO egula6o� License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: A,66311 Type: Office of Consumer Affairs and Business Regulation Expiration: 5kx9.�,014 DBA ` 10 Park Plaza-Suite 5170 --"•...-....... •-• Boston,MA OZ116 =� VITE 2 SAVE1`r-_-�-_--- ;� �� Z ROLAND LANGEON= 03. � =" 536 EASTERN AVE:,x FALL RIVER,MA 02723 Undersecretary Not valid without signature Massachusetts- Department Of Puhlic Safety Board of Building Re�_ulations and Standards Construction Supervisor License License: CS 103861 Restricted to: 00 ROLAND LANGEVIN 536 EASTERN AVE, FALL RIVER,%MA OM, 3 Expiration: 8124/2A13 . ( ,nunn�i.recr Tr#: 103861 ACORO° OP ID:MG CERTIFICATE OF LIABILITY INSURANCE DATE(MM/WNr")THIS C ICATETIR iE tS ISSUED R A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER03M21I THIS CERTIFICATE S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCtESBELOW THIRTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BREPRESENTA OR PRODUCER,AND THE CERTIFICATE HOLDER ETWEEN THE ISSUING INSUIMPORTANT: e certificate hold i INSURED,the RER(S), AUTHORl2ED the terms andditions of the policy,vermin poticy(ieS) must be endorsed. If SUBROGATION IS W certificate holder in 1',eu of such en Polices may require an endorsement A statement on this certificate RIVED,subject to PRODUCER dorseme s. cate does not confer rights to the Partners Ins.Mizher Division 508.675-0308 riawME`T Helen Ga ne 560 Wilbur Ave. 508.675-3006 P"o"; :508-491-3174 Swansea,MA 02777 E-MAIL :h a n FAX No.508491-3108 Stephen Long-Swansea PRODUCER rtnersins rpllc.com c sTDMERrorr.INSUL-1 Insulate 2 Save Inc.MRED '"� S AFFORDING covERA6E Roland Langevin INSURER A:Scottsdale Insurance Com an # $36 Eastern Ave. INSURER B:Travelers of Massachuset#s Fall River,MA 02723 INSURERC: INSURER 0: INSURER E: COVERAGES INSURER F: CE�tTIFiCATE NUMBER: ;IND A ED TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMMEDNABOVE FOR THE POLICY PERIOD AFICATENMA E OR MAY PERTAINETHE INSURANCE AFFORDD, TERM OR CONDITION F BAY THE OR CONTACIES OTHE ER HEREN S SUBJECT TO ALL THE TERMS, USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RESPECT TO WHICH THIS TYPE POLICY NUMBER POLICY EFF 50U jW GENERAL LIABILRY LIMA A X COMMERCIAL GENERAL LIABILITY CPS1366499 06/12H 1 06/12/12 EACH OCCURRENCE $ 1,0001 CLA IS MADE 7 OCCUR PREMISES Ea oa arence $ 50,000 MED EXP(My one person) $ 5, PERSONAL 8 ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,0 GENL AGGREGATE LIMB APPLIES PER PRODUCTS-COMIP/OP AGG S 1100010 O' POLICY PR LOC AUTOMOBILE LIABRJTY . COMBINED SINGLE LIMIT $ ANY AUTO (Es ) ALL OWNED AUTO$ BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per axident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per a=kIem) NO"WNED AUTOS $ $ X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000, A X EXCESS LIAB CLAIM^I.rl1ADE UI3S0001144 06/12/11 06/12/12 AGGREGATE $ 110001 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU OTH- AND EMPLOYER$LIABILITY B rR ANY PROPRIETORIP�YIN 7OP25111 12/10/11 12/10M 2 E L EACH ACCIDENT $ 500100 EID?(Mendatory In NH)OFFICIUMEMBER EXCLUD N/A E.L.DISEASE-EA EMPLO $ �. if yyaass desWbe under DESGRIP'nON OF OPERATIONS belay EL DISEASE-POLICY UMIR $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aouh ACORD 101,ACdMnal Remarks Schedule,if more$ROe Is required) Honeywell Intematibnal Inc,its subsidaries and its and their respective. officers,directors,shareholders,employees and agents as additional insured$in respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE � ©19ti8-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORM i (O ner's Name) owner of the property located at �°der � ,►�:� ��� ������ ��� (Property Address) (Property Address) hereby authorize n so (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's tignafure, Gate 08/28/2012 TUE 15:41 [TX/RX NO 87711 (a004 i RISE ENGINEERING Completion A division of Thielsch Engineering Certificate 1341 Elmwood Avenue,Cranston,Rl 02910 PROGRAM R I S E (401)784-3700 FAX(401)784-3710 CLC-RCS CASE i29520 Page t ENWNEfitlNG CONTRACTOR 0050 Insulate 2 Save CONTRACT DATE START DATE ADDRESS 8/31/2012 10/3/2012 AUDITOR CLIENT NAME Corey Sibbio RVA ADDRESS 304 Woodside Drive CASE Marstons Mills,MA 02648 129520 HOME (508)685-8494 WORK O x- PROJECT NO CELL 508-680=6628 FAX RIS-81-12-0035:1491 Air Sealing Completed Start CFM50 End CFM50 70%OF BAS CFM50 Combustion Safety Testing Worst•case depressurization number_pascals CAG limit pascals Spillage failure: Yes or No Draft failure: Yes or No CO levels: pass or fail The following areas were sealed,as directed by the RISE Engineering.Energy Specialist: Basement-Crawlspace Attics-Kneewall Spaces Living Areas _Sill/Rim Joist _Wall Top Plates _Plumbing Gaps _Plumbing Gaps Plumbing Gaps _Door Sweeps _Wiring Gaps _Wiring Gaps _Door Weather-strip _Chimney Chase _Chimney Chase _Fireplace/Wall seam _Basement Door _Attic Hatch _Duct Register Gaps _Crawlspace Ducts —Joist Transitions _Air Con.Cover Kneewall Hatch Attic Ducts Exterior Items Sealed: Other Items Sealed: Comments: Perform 17 man-hours of air sealing,to include all appropriate blower door tests,combustion safety tests i w J RISE ENGINEERING Completion A division of Thielsch Engineering Certificate 1341 Elmwood Avenue.Cranston,RI 02910 PROGRAM (401)784-3700 FAX(401)784-3710 CLC-RCS CASE 129520 Page 2 eacwaeoKc and procedures. Energy Specialist's NOTES:A/S attic,bsmt.common wall at attic. W/S doors:to bsmt,to caz at bottom of stair.bulkhd.,side entrance(remove existing)install Q-Lon on all doors MENTIONED.SWEEPS AS WELL. A/S opening chase next to chimney W/rigid,and foam.approx 3'x3'. Seal heating and/or cooling ducts within designated unheated areas. Start at the largest ducts near the air handler. Highest priotities are disconnected ducts and large holes. Seal carefully all wall and floor cavities in use as returns. Apply mastic to all take-offs and duct size transitions. Seal all boots to ceilings and floors. 4 Man Hours. TWO CONNECTIONS AT TRUNK!ARM NEED MASTIC,VERIFY ALL OTHER CONNECTIONS OF VENT BOOTS.SECURE METAL AIR FILTER FOR AIR TIGHTNESS. Install 2.25" R-10 FSK faced semi-rigid fiberglass board insulation to 72 square feet of kneewall area. Tape all seams and edges with FSK tape. AT GARGAE HOUSE COMMON WALL. Install a 12" layer of R42 Class I Cellulose added to 1472 square feet of open attic space. Install prop-a-vent chutes to all soffit bays,using fiberglass dams as needed. A bag count must be recorded. The total bag couni must meet the insulation manufacturer's recommendations for coverage. Insulation must be installed evenly throughout the attic to a consistent depth. Dams must be provided around any Non-IC rated recessed light fixtures and all attic hatches,chimneys, flues, fans and vents. Keep any A/C condensate drain pans clean. Install ventilation chutes in(59)rafter bays to maintain air flow. Install 5 -4"x 16"soffit vent(s)as indicated on the sketch. Energy Specialist must specify the COLOR:BEIGE Insulate the back of the basement door leading to the bulkhead with 2"rigid foam board that meets the sections R- 316.5.4 and 316.6 requirements of building code. Seal all edges and seams with FSK tape. Install 225 square feet of R-19 kraft faced fiberglass to the basement ceiling. Joist Size:2X8 Specify Joist Spacing as 16": Other comments: VARIOUS LOCATIONS MISSING INSUL. I confirm that the measures listed above have been completed to my satisfaction.I have received a copy of the Certificate of Completion and hereby authorize the release of any final payments to the Contractor.I understand that this Authorization of Completed Work does not in any manner void any warranties provided to me by the Contractor. _.__�. —.. —.........._ .._..._—..._-... .........-- ..._ _.._—��.__.. —, _- _-._.......... Inspector's Signature Customer Signature i DATE DATE WI 112012 5:42:17 PM EVE The Town of Barnstable Department of Health , Safety and Environmental Services : .ARMABUL = Building Division NLU&► �0�'it 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M Crossen Fax: 508-790-6230 Building Commissioner 3303 ?,- Home Occupation Registration , 9 Date: 9_ Name: D(Z'6 v 16 8 !o Phone !#• 94 �� _ I3,f e %/3iSLG Address: 0 V woo D S 1 r L� V' e Type of Business: �i'/40 l�6e(�G Map/Lot: �a10,�?A INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anvthing other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residenual oluunes. • The use does not involve the production of offensive noise.vibration,smoke,dust or other particular matter,odors,electrical disturbance, heat, glare,humidity or other objectionable effects. • There is no storage or use of toxic or ltaztrdotts materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such utse shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of matcrials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,:tnd one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing die Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed car advertised as a business,the street address shall not be included. • n• Home Occupation who is not a permanent resident of the No person shall be employed in the Customa dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering 2'z�-Applicant: 617Z4,01 Date: 7� Homeoc.doc A 410s FEE A a y rt cs cc= TOWN OF BARNSTABLE, MASS. 19 w �b a� m •� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO III o� O O X3 (PROPERTY OWNER) (ADDRESS) A (S CIOt~a TO ..........................................................................................._.........................._.._._._................................................................................................................................................ Ey pRy (BUILD) (ALTER) (REPAIR) y O fU y L� F� (TYPE OF BUILDING) (APPROXIMATE SIZE) O W O w op LOCATION ........................................_.........__..........._.........._...._. .................................................................................................................................. __.._M V y (STREET AND NUMBER) (VILLAGE) mmNAME OF BUILDER OR CONTRACTO ........._.................-.............._....................-................................................................-_....� D. APPROXIMATE COST ........................................._............................................................_........ _...__...._..___ _ y w to to I HEREBY AGREE O CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN � 0 OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. a� o P9 c a �91 d to (OWNER) (CONTRACTOR) CIS 0 V6o d BUILDING INSPECTOR Subject to Approval of Board of Health. ' U � �� --� ---� a �. �� .,, �� i '� -— i � I TOWN OF BARNSTABLE BULK RATE ' COUNCIL ON AGING U. S. POSTAGE PAID ' 198 SOUTH STREET NON-PROFIT ORG. HYANNIS, MA. 02601 PERMIT NO. 2 l 1 _ _ _ _ � — ` /� !. i �;� a ti �� 11,, �1 � �. 1; e p - � � � i a � � �� ��� 6 f ��,*w..._�a.. ..��_.x�a. .._. �,-•,.•.�—... �.�_..�.,:�,_. t-a.�..<.1�..�:r-a�*u-w�....S.e�'^t*.'Ar'ryf4�4 Fi.'*.+t:; _,..-.. ._.,o,:,S.•'�y"T� Assessor's map••and lot number .. ..� � � Sewage Permit number ............. ..............`.:........... :: °`'T"ET°�� TOWN : OF BA•RNSTABLE L B)HBS'T L i r o�Yae BUILDING � IN_SPECTOR , APPLICATION FOR .PERMIT TO ..... ............ .............................. ............. ........ ............................. ...� TYPE OF CONSTRUCTION .........................4..:.........:.............................................................. ' A y• ............. . ...........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned he eby applies for a per according to the f lowing information: Location .......... ...... ............................. .... .. .�i� �'�!..•... ..................................................... ProposedUse ............................................................................................................................................................................. Tp+r7� n Zoning District ........... . ....:........................ ...........................Fire District t.... :.(...�.3„/. 35� Name of Owner �< rz_-� .................Address .../....... .. ........................................... ....G..................r-_1!,.... .. ... . L l Nameof Builder ..... ... . . . . . .................... . .......... ...Address ........ .. . ............ ................................... Nameof Architect ..................................................................Address ..................................................................................... Numberof Rooms ..................................................................Foundation ...............:............................................................... Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing ............,..................................................................... Fireplace ..................................................................................Approximate Cost ...... J./........... ......... .................. Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ............ ......... ......... ... dV Diagram of Lot and Building with Dimensions Fee I ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH • I a a 4�-- a �? �2 �CJ + 19J. Y3 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .... ....... . ...... ............................. Sampson, Robert D. _ ' No —� 9.... Permit for --fln1�b dwe—ll—lo~ ------- .. ---(.�aee.'�arzu1t..#l5409)__ _ ____. ` ---.. -----. . � —. ' — � Woodside Road --- ---------------------' ` -------.Wmm�..Baroa.tmble_______.. Owner .........Rmbert...D.�8 _______ ----- ' -----. Type of Construction ----'�����------ ` ' --------------------------. ' > Plot —��^------- �t ----------' / -` ' ^ - ' ~ ' � . r � ' ^ Date of Inspection ......... � Do�a Completed � ` lq ' � . ~' ^^ r~.., __� ___ . / ` � . PERMIT REFUSED . .--.--_—.------------- lA � --------.----------.-------. / ^ / ^ ^-------.~---.-------------.. ^- ~ ~ � i � ` .-----.—'---~..—....,—./�.------ —.--..--------------..~.-----.. , � Approved ---------------. lg . . -------.-----------'^---.---. � -------------------`�-----.. - Assessor's map, and lot .`numbers d �F. Sewage Permit number ...................... yOFtNET��♦ TOWN OF BARNSTABLE Z B9SB9T11DLE, i "b BUILDING INSPECTOR �'c�aY a• APPLICATION FOR PERMIT TO ...... '.... ......... .. ..... TYPEOF CONSTRUCTION ................................................................:.,................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... ........: ..... ......... :........ ........ ........... ... ..... .°......................................... ...................................................... ProposedUse ..................................................................................... . . ........................................................................ Zoning District ... ............... ...........................Fire District r ... i Name of Owner ........................... Address ....:.....'... n Name of Builder .........." '!�. .....:.: ....Address ......... �'' ` Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ................................................................: Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ................................:................................................... Heating ................................................................................,.Plumbing .................................................................................. Fireplace Approximate Cost ........................................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area ..... ..." ....................:... . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH NAl I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. \ Name ..... ::,_6::: _ ............................ Sampson, Robert D. � . 17309 flo1ob dwelling No i----.. Permit for ............................ ....... (see permit #15489) .......................................................'. \WAqg.�sl.gq .l�q�td............................ -------��#s��.8�gg���bl�-------.� - ' . . ' � Ovvne, ---������'D:.�/S�������—��----. | ` � . / Type of Construction ----�.r.ame................... ^ ' --------------------------' Plot ............................ Lot................................. S te�bm ll 74 Permit Granted --���---'�-----]V ^ Date of Inspection ------------lA . . ' Dote Completed ------------'lg ^ . ' PERMIT REFUSED ' -------.------------- =lA --------------------------. l ' - ^ .......................................................... . ` . � .—.-----.------------.------.. ' ' -------------------------.— � � � ., Approved ............................................... lQ � --------------------------' � - -------------------------... . ' � . . | ^' L . . i pGl7 �'� PG. i37 '4 M ° 7Z Z0 - Q 8� 4, CERTIFIED PLOT PLAN LOCATION BvsTA(3G� SCALE . / �, .. .... DATE PLAN REFERENCE 1 CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT'CONFORMS TO THE SETBACK REOUIREMENTS OF THE TOWN OF QG .cO.ST�BGE WHEN CONSTRUCTED. DATE MLY/2: io /55L3 .�7 jj �lJ E�o�o� SFyrypsoti/ — f�GT REGISTERED LAND GUR- tYDR Y COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 0 CO 101C OF MMONWEALTH AVE. MASSACHUSETTS I BOSTON, MASS.02215 LICENSE ENCLOSE CHECK OR MONEY ORDER EXPIRATION DATE CONSTR. SUPERVISOR FOR REQUIRED FEE, 06/30/ 1993 MADE PAYABLE TO RESTRICTIONS EFFECTIVE DATE LIC-NO. NONE 06/30/1991 . - 004173 COMMISSIONER OF PUBLIC SAFETY" 7,. T ": WILLIAM D MULLIN JR (QONO, END CASH' 90 ALDERBROOK LN W BARNST-LIL MA 02668 PlEASE Nd'Tt­FEE 'INCREASE PHOTO.(!LASTING OPR ONLY, FEE: A!D 1) A J'� 100.00 EIFEC .YEP.911 , 1989 TI E HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY ST MPED SIGN E OF TH MM SIGNER Q,( NOT DETACH' LICENSE STUB THIS DOCUMENT MUST BE ON THE PER F s'"OF ..E. C THE HOLDER .E.ENGA . SIGN NAME IN FIJLL-ABOVE SIGNATURE LINE CARRIED SIG LIRE F UC SE 0 ENGA,-L OTHERS RIGHT THUMB PRINT ED IN THIS OCOPATIO1 ar, C COMMISSIONER r)nM.7-A7.Aid7Q 4 Assessor's office(1st Floor): , Assessors map and l:idot umber , cam,/�'" �o�TNt to` Conservation 3 '` S — 3 dD 64 EM &1UST OE ��Q •� Board of Health(3rd floor: ' ' ff"30 CALLED IN GOAfipUANE i ssa»r�ntc Sewage Permit number 1NITH TIT rua Engineering Department(3rd floor): rJ �N�IRON�E �L TITLES '`•,�;39.►,•�' House number ®1' E AND Definitive Plan;Approved by Planning Board 19 WN REGULATIONS 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 13 A.Oy�,��- TYPE OF CONSTRUCTION _/,r/2 a!/) F'/LldivL' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District LZ r Fire District �• ��� Name of Owner �+'�L -T�i¢/ti�SOG✓ Address & d 9—' l.�0!) I/ W• �i�,�l�li, Name of Builder /Nl�L( yLl/ T�— Address 5D 4-e-06"P-64- L' w I Name of Architect Address Number of Rooms Foundation AS o--4 G�- L y �&r74, Exterior G�'�' Roofing "T1410'L— Floors l L(G Interior W UU Heating � '�G''`' Plumbing �v Fireplace Approximate Cost l 5 d Area z Diagram of Lot and Building with Dimensions Fee �� r 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 wt(lom Nth �, Jv Construction Supervisor's License b0 n'l) SAMPSON, ROBERT No 35701 PermitFor Build Addition t Single Family Dwelling Location Lot .#15, 304 Woodside Drive West Barnstable Owner i Robert -Sampson Type of Construction Frame r, '"Plot f Lot ' Permit Granted March 15 , 19 93 Ate Inspecrll Date Completed , 19 E a F f ;+ ?g r Y3 i , f . I ,.