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HomeMy WebLinkAbout0062 HALLETTS LANE 4-) t II 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 M'� Posted Until Final Inspection Has Been Made. Permit �y.m�* lesw p•� v 1 1 liJl 1. Oft Where a Certificate of Occupancy is Required,-such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3702 Applicant Name: Approvals Date Issued: 11/04/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 05/04/2020 Foundation: Location: 62 HALLETTS LANE, MARSTONS MILLS Map/Lot: 064-010 Zoning District: RF Sheathing: Owner on Record: BROFSKY, HERBERT B&RUTH C Contractor Name: Framing: 1 Address: PO BOX 282 Contractor License: 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $ 2,800.00 Chimney: Y Description: handicap ramp and platform Permit Fee: $85.00 f Fee Paid: $85.00 Insulation: Project Review Req: � . Date: 11/4/2019 Final: Plumbing/Gas (( Rough Plumbing: \Building Official ' t Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after�ssuance. 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. I ' -. -- 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 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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: kilt- IKE Application Number...... ........... ........... BARNBrABLF, t MASS. 4JU14,011Vq Permit Fee.......................................Other Fee:........................ OFp T. TotalFee Paid................................................................ ...... �0 12019 TOWN OF BARN ` p A4VS Permit A roval b ............ ..... IV BUILDING PERAHT 48416 olo Map........................................Parcel............................................. APPLICATION Section 1 —Owner's Information and Project Location Project Address_ LKA Village Nnr:SVe,,'t� Owners Name—�A iaa I Owners Legal Address_629 ��c� \P S ' , City fy State A\ zip Owners Cell # 56E Lf ZO 3-7 ,51 E-mail r v ro F5,ky Section 2 —Use of Structure Use Group_ ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,00*0 cubic feet R/S�ingle/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction F] Move/Relocate [:] Accessory Structure ❑ Change of use ❑ Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition [] Retaining wall Solar El Renovation El Pool 0 Insulation Other—Specify Section 4 - Work Description T.P.0 inrintfti. 11/1 ions R T jApplication Number.......... Section 5—Detail ,A Cost of Proposed Construction p Square Footage of Project ' Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance.Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom I Water Supply ❑ Public NKPrivate Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: rl�.����') I am using a crane ❑ Yes No Section 7-Flood Zone Flood Zone Designation ,—,/ . Within or adjacent to a wetland, coastal bank? Yes ❑ No Imo" Section 8—Zoning Information f Zoning District Proposed Use Lot Area Sq. Ft.a - B o s Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) (� Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes D No Last updated: 11/15/2018 N 1 Application Number........................................... Section 9=Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # 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 Town of Barnstable.Attach a copy of your license. Signature 'Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: ���� �1C.e,47 P e 7 Telephone Number j O -U ,3 7 3) Cell or Work Number 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 Town of Barnstable. Signature Date ?61V. l APPLICANT SIGNATURE f Signature LDate, rc, Print Name 1j(fFt6Vt ?)n F-Sk� Telephone Number-50S gJ-O 3 7,3l E-mail permit to: y ' r �� ma)L' Lb m Last updated: 11/15/2018 e Section 12 —Department Sign-Offs Health Department Zoning Board(if required) ❑ Historic District ❑ Site Plan Review if required) tom' ( Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization i I, R as Owner of the subject property hereby authorize Tu f n e jr to act on my behalf, in all matters relative to work authorized by this building permit application for: (P 2- l ems LA-A-k PIa" -, fM M 1S Yy)-A (Address of j ob) � t) Signature of Owner date He"r-b-payt ►3 YD Fs Print Name i I Last updated: 11/15/2018 1 i The Commonwealth of Massachusetts Department 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 �usiness/Organizati7dual):_ U m. \' \ e"as ess-- i ./Mate/Zip: Phone#: S� 3 Are you an employer?Check t e appropriate box: Type of project(required): 1.❑ 1 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, ❑Demolition working for me in an capacity. employees and have workers' g Y P ty. = 9. ❑Building addition [No wo kers'comp.insurance comp. insurance. 10. Electrical repairs or additions 03JEJ r ed.] 5. ❑ We are a corporation and its ❑ Pam 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' 13.0 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 anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify r the pains and penalties of perjury that the information provided above is true and correct Si a e. Date: ,� /,Y//V 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#: 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." I 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-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense 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: 1 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 Fax#617-727-7749 Revised 4724-07 www.mass.gov/dia SZ00 " T I < v :Z C Barnstable Bldg. DepTI > � roved by: Approved / Permit#: / • 13 � So ll�o._ u� � f ` MVs CCARTHY` _,F ABLE -Cv a RUCTION CO. l esi `tial and Commercial Builder 2014 E11,R 31 1. 35 SEAT TION SPECIAL ION March 15, 2014 let��t Town of Barnstable '3r Thomas Perry CBO Building Commissioner 200 Main Street. Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application 4201203251;Status A; Parcel 0 at 62 Hallets Lane, Marstons Mills, MA; Permit Type RADD and issued on 12:00:00 AM has been inspected by a certified Building Performance Institute(BPI) inspector. All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction '' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �_;�►�� a�� awl Map Parcel Application # Health Division• Date Issued Conservation Division Application Fee h Planning bept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address >� ff f k� LON Village h-.,L, Owner PIX6 =J: Address �Mt Telephone yj c-37 3/ Permit Request 5,0 i!"11, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ) J 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 (s —4 Number of Baths: Full: existing new Half: existing :5, new Co 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 M Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/Goal 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 pd. .__ MCce.iby Cono cdo" Telephone Number Address PO Box 52 _�, __ ..___._ ,.,�,. n�_a7n License # � Cell (508) 280-6964 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 47 //,� - FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE _ OWNER DATE OF INSPECTION: y FOUNDATION -FRAME INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL }. PLUMBING: ROUGH. FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO.'-"_ - The Commonwealth of Massachusetts Department 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 Le ibl Mike mcuarthy Construction Name (Business/Organization/Individual): PO Box 52 West Dennis, MA 02670 Address: Ce�5.08) 2 �� City/State/Zip: cs Phone#: ' Are you an employer?Check the appropriate box: Type of project(required): 1.❑Zamployees a employer with 4. ❑ I am a general contractor and I (full and/or part-time).* have hired the sub-contractors6. ❑New construction 2. 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.1 required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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 repa' insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.90ther 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: (� Ie .s ),,,. City/State/Zip: A,,.,4—_31f,/d Y4- 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify underlth5pains and penalties of perjury that the information provided above is true and correct Si ature: Date: 4 1 j— Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: OWNER AUTHORIZATION FORM I, N ER$ER-T i>ROF5K (Owner's Name) owner of the property located at GZ WALLerrS LArJE- ! IAR$T-Dtl S 41 LI-5 qq O Z 8 (Property Address) (Property Address) C hereby authorize C.- " r ccv-�, (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. ( Own signature - -. �----pate_ _. __._._-- --------- _------� APR 2 3 2012 Massachusetts -Department of Public Safety Board of Building Regulations and Standards - Construction Supervisor License:.CS-058633 t MICHAEL J MeCARTHY PO BOX 52 W DENNIS 1VA o2670 i ! Commissioner Expiration 04/10/2014 � ✓/ae T�anvnzo�.zcuect� � � -;--- ---�-- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: — ; Reg istration: . 169393 Type: Office of Consumer Affairs and Business Regulation ' / 10 Park Plaza-Suite 5170 Expiration: 6/1612013 Individual Boston,MA 02116 j MI AEL MCCARTHY = ! MICHAEL MCCART, Y � __.0 1` 6 RANGLEY LN. \+, .} Aill _- SOUTH DENNIS, MA-02fi6Q` 'j Undersecretary t valid without signature i _. i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION iMap Parcel Permit# !2c 7& .S'�' Heailth Division l I oh Date Issued /4`i' Conservation Division e O SEPTIC SYSTEM MUST BEee —7 INSTALLED IN COMPLIANCE Tax Collector WITH TITLE 5 Application Fee Treasurer ENRONMENTAL CODE AND Planning Dept. 9•. TOWN REGULATIIOe Sed in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address Village �2 Owner Address i�)PfyV14_ Telephone Soxclh— 3 3 Permit Request �I� �—d. �� ' :For a o C �a 2ov l Square fe 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 3 - ZoningDistrict Flood Plain Groundwater Overlay Y Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V' Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: O Yes ❑No Basement Type: Vull ❑Crawl ❑Walkout Cl Other Basement Finished Area(sq.ft.) Q 7k\ S4 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing �C,' new Number of Bedrooms: existing new *`-A Total Room Count(not including baths): existing new n, First Floor Room Count Heat Type and Fuel: ❑Gas > Oil ❑ Electric ❑Other Central Air: JYes O No Fireplaces: Existing New Existing wood/coal stove: D Yes O;No Detached garage:O existing ❑new size Pool:❑existing ❑new size Barn:❑existin`g O new;size c-1 c Attached garage:❑existing O new size Shed:O existing ❑new size Other: Zoning Board of AppealT thorization ❑ Appeal# Recorded❑ v Commercial El Yes o If yes, site plan review# �. — r- Current Use Proposed Use A BUILDER INFORMATION Name G Telephone Number 1 DI X Address !9(Do License# 0�Xl8g 3 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO( 41 SIGNATURE Loa, DATE x _ y• FOR OFFICIAL USE ONLY c PERMIT NO. J DATE ISSUED l e MAP-/PARCEL'NO. • ADDRESS. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r`r i`FJ lj . FRAME F n .1 r INSULATION E�3 - - FIREPLACE " ELECTRICAL ROU GIB FINAL, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL B FINALBUILDING DATE CLOSED OUT ASSO'CIATION�PLAN NO. / a y 4 U Town of Barnstable Regulatory Services ` uxivsrAgt.E;+ Thomas F.Geiler,Director —fa. �a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 - Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMTROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,.alterations,renovation,repair,.modernization,conversion, improvement,removal,demolition;or-construction of anm 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 Joy l (a.O0 v Address of Work: A IN Aida. Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 FIBuilding not owner-occupied ❑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 apply for a permit as the agent of the owner: -j Date Contractor Name Registration No. OR Date Owner's Name Q:forms1omeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $S0.00 Alterations/Renovations $50.00 Change of ContractorBuilder $25.0.0 FEE VALUE WORKSHEET , NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _square feet x$64/sq.foot= x.0041= plus from below(if applicable) . QARAGES*(attached&detached) square feet $32/sq.fL= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= ro (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Proj= u�,•n�znnd r Town of Barnstable ° Regulatory Services ' Thomas F.Geiler,Director Building Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 = Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �las Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r J S' ature o Owner� Date Print Name Q:FORMS:OWNERPERMIS SION CONTRACT TO INSTALL OW ENS CORNING BASEMENT WALL FINISHING SYSTEM Bay State Basement Systems, L.L.C. a',/b/a/Owens Corning Basement Finishing Systems of Boston (the contractor) hereby submits this pro- posal to sell and install the Owens Corning Basement Wall Finishing Systen and related items as described herein at the residential premises set forth below. This proposal shall not become a binding commitment unless and until it has been signed by the Contractor and the Customer. Contractor: Day State Basement Systems, LLC. d/bia Owens Corning Basement Systems of Boston 960 Turnpike Street, Canton, MA 0202.1 Telephone # (781) 821-0060 Facsimile # (781) 821-5552 Federal Tax ID # 14-1855297 Maas-- Home Improvement Contractor Reg. # 137043 Customer: Customer Name Street Address.-- --- 2 _ ii� i�'!1 -- ~�?`_v �..e- - --- --- City, State, Zip i elephone This is a contract between the Contractor and the above named Customer to sell and install the Owens Corning Basement Wall Finishing System and related items specified herein at the Customer's residential premises idertified beiow: Installation Premises: Street Address_--_— 1rYY - City, State,Zip Scope of Work: Are Sketches and/or specification sheets aftached? les G NC) 'All attachments are incorpercatea into and bec.4rne a part Gf this Contract Description of Work/Specifieatlon5: t inc - __ _u _� - ------ --- -- - Work Schedule`": ''ro �v�C, t1c�s + � z't A6t ``� � ►' Approximate Comrrre ement late: il"t.' e-1` it. 200 1�_z � � Approximate Com letion .'The proposed work sche q)e is a &rr1 to sr,d Stt f Gt to ;h:�ngA Contract Price: r� e Total Contract Price: S fA � ? Deposit with order. © Cash, �h8.ek# - -- - Balance Due: Terms: EV(:ash 0 Financw (Cash terms are 10%deposit, 50%on cornnnencement.4011.1.on completion) it _ -true n7t I.crm-non`cerTtGni {-- - - ----..�- ----- Due on Completion DO NOT SIGN THIS CONTRACT UNTIL ALL APPLICABLE BLANKS ARE COMPLETELY FILLED IN AND UNTIL YOU FIRST HEAD AND UNDERSTAND THE ENTIRE CONTRACT, INCLUDING ANY ADDENDUM ATTACHED HERETO, AS WELL AS ANY ATTACHED SKETCHES, MATERIAL LISTS OR THE LIKE, AND THE TERMS AND CONDITIONS ON THE BACK OF THIS CONTRACT DOCUMENT. YOU ARE ENTITLED TO A COMPLETE, FULLY EXECUTE'COPY OF THIS CONTRACT AT THE TIME OF EXECUTION. Witness our nand(s) and seai(s) below on this �------_--day of Contr- or/Auth d Rep nStae: Siynatw and Title -- — ------ -- ----------- Print Namf, - -- - - - DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Customer"': Board of Building Regula2ons and Standards One Ashburton Place-Room 1361 Boston. Massachusetts 02108 Home Improvement Contractor Registration Repistratiorc inn Tym Suwlenm t Card E pkafi= W9=07 OWENS CORNING BASEMENT FINISHING DANIEL WALSH = 960 TURNPIKE ST. -- CANTON, MA OZOZ I Update Address and return card.Mack reason for chang oPs•cAI a 5aa040Wc101216 0 Address Ej Renewal Employment 0 Lost Card Tk Bond of BaOdin Re=daGoas and Sta.dards License or registration valid for individcal am only HOME OAPROVEMENT CONTRACTOR before the expiration data If found return to: Roqftft2bM 137943 Board of Building Regulations and Standards p � T One Ashburton Place Rip 1301 Bost Ma.02108 - YPe`SUPPlemectt Card °a' OWENS CORNMG BASEFA 960 TURNPq�ST.' CANTON,MA02021 �l - ,ryu•� Astor Not valid without signature 7t`0 CMR Appndls J TableJ&Ub(eontinuaQ pmCriptive Packages for One and Two-F=Wly Residential Buildings Heated nitb Fouil Fueb MAXfMLJhI MINIMUM �g Wall Floor Basement Stab Heanug/Coolinl Glazing Giaziag Wall Perimeter Equipment Ef6eiency' Area'To) U•valuer 1t valucl A value R value° + R valne7 R--value Pa�1e ' 3701 to 6500 HeatingDegree Da Norma! Q• 12% 0.40 38 13 19 10 6 6 Norms! R 12'!. 0.52 30 -19 19 10 6 15AFUS g 12% 0.50 3E 13 19 t0 1,UA 14orr:ia� --—T_ < ---t3!/a—.._036____ 38 13 ZS ?VA 6— —Normal— - ---- - 19 19 10 15'le 0.46 38 13 23 N!A TI/A H AFETi"s. _ ... . V:;••: ,. :,ISy 0.44:. . 3E t9 19 10 6 E5 AFUE W - 151/4 0.52•. 30 l�A rm Noal. X 18% 032-' 38 13 25 PUA !9 25 WA NIA Normal y :12% ' 0.42• 38 6 90 AFUE Z .. • 18% 0.42 38 t3 19 10 6 90 AFUE AA •• 18% 0.50 30 19 19 10 1.-ADDRESS OF PROPERTY; 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3, SQUARE FOOTAGE OF ALL'GLAZING: .`iO - •• 4• %GLAZING AREA(#3 DIVIDED BY#2): � 5. SELECT PACKAGE(Q--AA-see chart above): !� NOTE: OTHER MORE INVOLVED METHODS OF DETEPMG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATIO BUILDING INSPECTOR APPROVAL: YES: NO: q4arms-1980303a 7g0 C MR-Append ix J Footnotes to Table J9.2.1b: lass doors, skylights, and Glazing area is the ratio of the area of the glazing assemblies (Including sliding-g basement windows if located In walls that enclose conditioned space,but excluding opaque doors)-to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requ ea. irement. For example,3 ft=of decorative glass may be excluded from a building design with 300 if of glazing ar =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer In accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U•values arc for whole units: center-of-glass U-values cannot be used. The.ceiling-R-values do not assume a raised or oversized truss construction. If the insulation achieves the fleli _ insulation thickness over the-exterior waIls without compression, R 30 Insulation may:be substituted for R-38 Insulation and.R-=3'8 1su14t0n riiay be-stibgthuted`foeR-49=insulation: Ceiling R-xahies-represent the sumo cavity—• -... insulation plus insulating sheathing(if.used):-For ventilated ceilings, insulating sheathing must.be.placed between . the conditioned space and the ventilated portion of the roof. rise Do not include` 4 Wall R-valu m es represent the su .of the wall cavity insulation plus insulating sheathing'(' d). exterior siding, structural sheathing,.and interior drywall.For example,an 11-19.requirement could be met EnmR by R-19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame constractis The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlon spaces;basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the sae R=value requirement as above-grade walls. Windows and sliding glass doors.of conditioned. m basements must be included with the other glazing. Basement doors must meet,the door.U-value requirement described in Note b. °The R-value requirements are for unheated slabs.Add as additional R-2 for heated slabs. . If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5.•*If you plan to instalI more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet-or exceed the efficiency required by the seleeted package, . For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and•U-values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels. R value requirenients are for insulation only and do not Include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested j and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e„may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different-insulation levels,the component complies if the area-weighted average R-value Is greater than or equal to the R•value requirement for that component.Glazing or door components comply if the area-weighted average U- yalue of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 FROM FAY'' NO. :979 651 2944 Oct. 11 2005 07:29PM Pi S&M op A RSWAIMM " 1 Ltd: QOMMWTION SUPEIQbi M D7 It.no: 3401.0 Tj V cowff4nww . L ' I �\ 00 ms qrQ i - VW5 �. �i 7 I � r .0011� avv � U\ 0 I a TM 6®2003 U.A Corp. Pub.No.58104 ` Assessor's map and lot number .l )..K.............,. FTHET Sewage Permit number ........................................................ BA"STABLE, i Housenumber ............:................... . ...................................... '°o 039 �a U MAI a�0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... a..C...h:{...' ............... .....G....j.?............j .. ... ...................... TYPE OF CONSTRUCTION ..................................................................:................................................................. ................................................19........ 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ✓..�....... ..`..........'. L-�✓..>t.. .......4... ............ �...... Proposed Use ..............:.... .�..�?. :..... .�: .�.�:� ....�J..... ..�.. ................................................................... IL ZoningDistrict ......... ....................................................Fire District ......L.. b........................................................ r Name of Owner 5 '............................................Address `�. <r/ Nameof Builder ...............5�...:./. f.......................Address ...................................................................................: Name of Architect ............................... ............Address .... .....:`?...U..........7.....11...... .....!✓!V........ Number of Rooms ........................Foundation jY1�.19� �M>i�i1r_A� ».................................................................... �lv Exierior ................................................................................... Roofing .........:' �:.... ..l7"..................................................... Floors ..Interior Heating ..�`.��y ...........................Plumbing .................................................................................. e- rl Fireplace ...... ............ ......... ? ..............................................Approximate Cost ..............:............. ... .............. ................. __ _ .. ..Definitive Plan Approved by Planning Board __ ________________________19___ ___ . Area / J� ... .. .................... r Diagram of Lot and Building with Dimensions Fee ........ , s 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 ........................................................fir......................... Construction Supervisor's License .................................... SUTPHIN, NILES 0. A=64-10 No .��9 76..... Permit for Bw ld Dwelling ................. Single Family Dwelling ............................................................................... Location Lot 6, 6.2...Hallets. ..bane ............... ...... ........ ......... Marston Mills ............................................................................... Owner ,Niles 0. Sutphin ...................................................... Type of Construction ........Frame.................................. Plot ............................ Lot ................................ Permit Granted .....October 10, 19 84 Date of Inspection ....................................19 Date Completed ......................................19 -7s `���;i�►oy TOWN OF BARNSTABLE permit No. -------_------------ - Building Inspector 1 �u,"T.0 Cash OCCUPANCY PERMIT Bond Issued to Sutpn Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering 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. ....................................................... l 9.........._ ......................................................................_........ .._ _..... Y Building Inspector .� •"'-�" Y':'-�t'." .t:, �-v, - -q,3.1•r -�,;<. :mil t-1. 'v:r ;� �Ki � .r y, y �r,�:, � 1�.'�- i 1 lY " `E` ono �•.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 .i MEMO TO: Town Clerk FROM: r-Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit # issued to 1... .. ................... Please release the performance bond. .FILE C2163 CENSUS TRACT CLIENT : Attornr-y John Sul.l i.van DEED BOOK 41.32 PAGE :t07. OWNER : Ni 1es O. Margaret M. Sutphin Pt_AN BOOK :, �0 PAGE 1 1 LOT APPLICANT : SAME ASSESSORS PLAN PLOT MORTGAGE • INS. PECTION PLAN OF LAND � l I . IN . BARNS ,TABLE OCTOBER 4 , .1084 SCALE : 1"= 40' My S� CD lU2 ' Lrn +IUD s , { - N/F LADD r LOT 5. CONC FOUNT)AT I ! hS CP CD cv '—' 1_O T b 20,700±s , F , t 1_`8 58 , JI� t d • . 1 H: A.; L`.L' EJS LANE i THE LOCATION OF' THE DWELLING AS SHOWN HEREON I S I Ohl COMPL I ANCE UI I TH THE LOCA'_ APPL .I CABLE ZONING BY-LAWS WITH RESPECT TO HOR .IZONTA!_ .�s� '.'•;g�•.r DIMENSIONAL REQUIREMENTS, i� KENNETI-1 THE DWELLING SHOWN HERE NOES NOT FALL WITHIN y7 R. A SPECIAL FLOOD HAZARD ZONE_ AS DELINEATED ON . c EERR ARA A MAP OF COMMUNITY #250001 DATED 4/3/78 BY r ,•z�ilso THE F , I , A , jyl� `Land,Surveyors Civil Engineers (1Dl�e 1.0$#ott f1u11�1 ` lIrbe� �[LO., P111C. [61 �Ilnion �ti', 1¢Iu clfura, 0 7-413 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot Plan tape survey inspection made to Hip. normal standard of care of registered land surveyors practicing in Massachusetts. (7_) Declarations are made to the above named client only as of this date. D) This plan was not made for recording purposes, for use in preparing deed descriptions or, for`con- structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. . • Assessor's map and lot number ... 'Mjx ............. d�fV O*THETO �Y wage Permit number ........................................................ 03 House number ��. .FK'1 ..................................... `A isn All �� B "PtMM9 LE. i l�x�old , Y�39-a�a� 0 MA TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Cg??Sr. -10 TYPE OF CONSTRUCTION .........Ilvg. .. ......................... .....s... ..................................................... ....................19 TO THE INSPECTOR OF BUILDINGS: The undersigned 40.1 `hereby applies for a permit according to the following information: Location `'7Gl T b gGtEt3 L-,qA#_= M!L/X.6Vb-'l /)I/Ll-S ........... ............................ .�i•.......................................................................�............. ........................................... Proposed Use ��. '.�? �� "C'� ..................... ...... ................. . ..................................................................................................... Zoning District ......... r....................................................Fire District .......C� O ........... Name of Owner .(�•..S�TP���....................Address �S� v `//"rCsfU�9/ I�✓�( �85j11�. .............. .. .................Q................................... . Name of Builder 20�h��..!f�l�/.�1 "..Y1................Address .���. .N�. r��:...Fv20GJ...7... .....:..::i�-�7 Name of Architect /14 !� �32�4G ,ST...�fJ� �Qfat✓.,J ...........Address Number of Rooms .......... ..................................................Foundation ........ Q1LQ� L�C�G�it�� ............................................................... Exterior ....... "' ...............................................................Roofing ......... / � I�.............................................. Floors .fix✓ .........................................................Interior ....... /.'fr .Y..4! ....................... ..Z.. �ra....... Heating ........1 � .........................................................Plumbing 2 �4 f1v .......�e........4-,r................................... .7 d► .� t o do 0 Fireplace ............. ...........................................Approximate Cost ............. 1.......................................... 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 .... . ....f..... .. .... ..�................ . ......................... Construction Supervisor's License V.z.10?6................ ,qUTpHLw, NILES O. No ..2.7.076..... Permit for ..Build..Dwelling ... . . ...... ........... .. .......... .... Single Family Dwelling ............................................................................... Location ....Lot...6........6.2...Ha.l.lets...Lane................ . . . . .... . ........ ........ Marston Mills �' v !'j ............................................................................... 17 Niles O. Sutphin Owner .................................................................. 47 Type of Construction ......Frame .................................... ................................................................................ p Plot ............................ Lot ................................ Permit Granted .....OctoberAQ ............19 84 Date of Inspection ....................................19 Date Completed ... :7: . .........19 If 0-