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HomeMy WebLinkAbout1679 MAIN ST./RTE 6A(W.BARN.) o F �. f 1� J c� cr- t O �z C\j F U-) i ILA w c • f t 1 e11 1 i S .� "1 •a ,3 r r i l i w� Assessor's office (1st floor): E Assessor's map and lot number .................... .j.. Q.;°��NTO�♦ Board of Health (3rd floor): Sewage Permit number ........................................................ Z B_AHd9T1►DLE, Engineering Department (3rd floor): rae i639. �00� House number ......................................................................... e rpv a. Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only t TOWN OF BARNSTABLE 45 BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .............W.0 5.a,.......... ................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. (? .....:n"?..G./.n....S4........... ... a.r: e...............................................'.................................. ProposedUse .....clU..SS.e A.................................................................................................................................................. Zoning District - f .............................Fire District ?^17. '.TCi ?.I e, .. ...... Name of Owner ..DC.?na./c .......: .GJQ.e.r E.............Address ../.G:.7L...... —0.110..L9.1......W.A arl?..... T Q Name of Builder ......J—o.h.L7....../.-.l.Q.&./s...............Address .y0.. .�. ...'.:�� !7... .:�.. '!�1.Q<`!'N. s Nameof Architect ..................................................................Address ...........................^........................................._................ Number of Rooms ....... .........................................................Foundation .. .0.iv.reG .'........�t U.�..�': :7`C�............. Exterior .......f•.11.h.�: ��......Ceda./.. ......Sh./:n.L�/a.eS..Roofing ....oslo�a j: .................................................. Floors .............�.<1O.0CJ.....................................................Interior .......................................... Hearin '?.C?r?..e.............. ........ - g ....................................Plumbing .........n.�.h. ..... r " ...... ............................. Fireplace ..........hC)./l.er .........Approximate Cost ....... `SOUO Area Diagram of Lot and Building with Dimensions Fee 1�3U i 3 a 2 10 130 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....................::............................................................ Construction Supervisor's License .....�,/...1. (�. ROGERS, DONALD A=196-009 No Permit for ..Ad!klo.................. Sinctle Family Dwelling Single ..........!�...........9....... Location .....1671 Main Street .. ................................................. West Barnstable ............................................................................... Owner ....Donald. Roser§............................. Type of Construction .......Frame........................... ....... ........................... ................................................... Plot ............................ Lot ................................ Permit Granted ... ....1.7.1...................19 90 Date of Inspection ....................................19 Date Completed .......................................19 'PERMIT COMPLETED 1/1/21 V;� Ada � o � �, Assessor's offioe (1st floor):- y Assessor's map and lot number .........//..... Board of Health (3rd floor): �/ Sewage Permit number t! R� .........0 .'....1..-... T'^ :• ; ' t Bsaas?wLE, S Engineering Depa"rtment (3rd floor): /,,' (� Vo raea House numbef 'l'':�:/..... O�f6}9.1W .....:. .... i 0 WO APPLICATIONS PROCESSED 8:30-`9:30 A.M. and 1:00.2:00 P.M. only' TORN. OF BARNSTABLE BUILDING INSPECTOR /� /if�Ff17G°a�L APPLICATION 'FOR PERMIT TO .............:...... �.... ............................................................................................... Gf/C1cU/� - " • TYPE OF CONSTRUCTION ............... ............................:....................................................................................... - " rr Te o 17 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ...... /�i//(d.. .....C! .. .:...... ! s.. /!/ /q/ L /1.................................................... .� C� r� s��,ql�.... �Proposed Use ...........t...:...../7�.............. �........... ..... ..... F� 1................... ............................:......................... Gl/ Fire District r Zoning District /. . ............ ...................`.+.-....�(/l.'... !,...::.................................. Name of Owner .7iv ,c� /(�UG'�PS %6�1� �//l�. ...... . ....... ...................................Address ................... ................'........... . ....... ............L. Name of Builder `S�yf.�Pl !4�('�k/... V.�..................Address .....10.4(....SC"WrR. A��E !/�/rvll✓6S /�� Name of Architect ...... %thG';/l0 /? , ! iole/............Address ................ ....................`................................... Numberof Rooms ................ ..............................................Foundation ..... 0 .. .......................................................... Exterior ....... ..J..... //!/�LS..............................Roofing ....... 51� �� r................. Floors Interior S%.C'F%,�BC,� .......................`.............................. ............ ........ .............................................................. Heating ......... .....s?? ...................:..Plumbing ... r...aC'v it)('el:................................................ ..�����'kn....T.....C•006 . Approximate $ c'`� .......... Cost Fireplace ................................... ..............1.......�....... ..............................:.... Definitive Plan Approved by Planning Board --------=-----------------------19-------- . Area , Diagram of Lot and Building with, Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH all (10 V, t 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 1 construction. Name ....... d Construction Supervisor's license ...... ........,..::, . ROGERS, DONALD 30437 -ig No ................. Permit for ..Remodel.....................Dwe....1.1ii .Sin4' e Family Dwelliha ..................!............................................. .......... . 0 Location ... �nf=....Main...Street.......................... .. .... .. West Barnstable ........................................................:�....... ............. Owner .........Donald...Rogers............................ .. .. . .. Type of Construction ...Frame.......................... ............................................................................... Plot•........ ................... Lot ................................. Permit Granted ....,February ....19 87j Date of Inspection ........... .......................19 Date Completed ........ .. . ................19 Assessor's offioe (1st floor): 0*1 V 0 Assessor's map and lot number .............. ... Board of Health (3rd floor): � /�R�A>IC� �— �r Sewage Permit number V �^ ' i 21asa9TsncE, Engineering Department (3rd floor): (� 'oa 1639- \e�° House number ......................................'..............�.7......�i.. !� '°�o YfPY d- APPLICATIONS "PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN p�OT ' BARNSTABLE BUILDING INSP ECTOR if?c�f�loa APPLICATION-;FOR PERMIT +TKO ......../F �L....E �.. ...................................................................................... TYPEOF CONSTRUCTION .............(� ......................................................................................................... + ..................T.e•!�....... .........19. .7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /6 7./.......�llA/rv--..ST....�! ..6 .�........w� J��9�f'/I/STfr1L.E-.e IrIA Proposed Use .....................�Ei�.�-..... Q�/.IgG�.. Xmq�P...... i /!l.!/ ZoningDistrict ...................... ......................................-Fire District ..................! ........................................ Name of Owner �D/U/�.(Z1.....!UCrCRS............................Address �.../�/�l/ ST'....� Name of Builder .....5. •%% Qh/...-Trt/5..................Address .....��?!/�...S000IDER,AI�E......IIvVfIzIll/S riM4.- Name of Architect ......�rEVE,V { �Q�r�in�,�. ...Address ...............s��� .................................................................. Numberof Rooms ................3..............................................Foundation ..... vC ........................................................... Exlerior ........... ..;!....SiV//Uli5..............................Roofing r Floors ......Interior ....S/ PT,t'OG,� Heating .........��~ CCTiP/!...... /SFi^'[7. i(? .....................Plumbing ......s(✓.....CSC iVif2. .......... ................................................... Ed�ic?....70.......C'00E— . o °a Fireplace ............... Approximate Cost ..............d...............T......................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ..C> .C . 0 Diagram of Lot and Building with Dimensions Fee D �d ............ ... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH l f _i OCCUPANCY PERMITS i.REQUIRED FOR NEW DWELLINGS tea. I hereby agree to conform to all the Rules and Regulations of the Town of'Barnstable regarding the above construction. Name )l�G �fli ''""� Construction Supervisor's License ..................................... ROGERS, DONALD Are i9 00 00 4a 30437 Remodel Dwelling No ................. Permit for .................................... Single Family Dwelling .......................................................................... Location ....16 Main Street West Barnstable ............................................................................... Owner Dona ...................ld.....................Rogers.......................... Type of Construction Frame ............................................................................... Plot ............................ Lot ................................ February 1-8 , 87 Permit Granted ........................................19 J Date of Inspection ....................................19 Date Completed ................-................ .....19 y )TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map to Parcel 0 Z7 ._ Permit# �l-Z 6 / TtIt�Ii C' SaPNSTABLEDate Issued J Z Health Division � 1 U g�' Conservation Division :5 Z0V t , 20-01 FLAY 20 P M 4: j Application Fee 00 Tax Collector Permit Fee �7` �2 - SEPTIC SYSTEM MUST BE - Treasurer �`l� f)iVJISIOP 6 ED 114 COMPLIANCE Planning Dept. T WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE XV ) OWN REGULAl I ' Historic-OKH Preservation/Hyannis Project Street Address I n9 rti 1 Village v 09 eyl Address � G Telephone 3( Z 6( � Permit Request (2k2a1-%,?-T'S QQZ !�J Aq,-./ Square feet: 1st floor: existing t 3 a proposed 160 2nd floor: existing proposed — Total new Zoning District Flood Plain �I� Groundwater Overlay i'"O Project Valuation Construction Type - Lot Size 42_4d0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family O' Two Family' ❑ Multi-Family(#units) Age of Existing Structure 4 O Historic House: ❑Yes &No On Old King's Highway: Yes O No Basement Type: O Crawl ❑Walkout 0 Other .. Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �^1 3 y Number of Baths: Full: existing .2- new Half: existing new Number of Bedrooms: existing Z new Total Room Count(not including baths):existing - new First Floor Room Count Heat Type and Fuel: 0 Gas C_Oil O Electric ❑Other Central Air: 0 Yes O'No Fireplaces: Existing New Existing wood/coal stove: O Yes t9'To- Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:0 existing ❑new size Shed:Ca existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes @46 If yes,site plan review# Current Us.,l ���Qw.��dkL_ Proposed Use 5 BUILDER INFORMATION Name S S 1 Telephone Number 3 Address S,r �• ,A� T License# l B Home Improvement Contractor# l d 39 a 30 Worker's Compensation# ALL CONSTRUCTION DEBRIS RE G FRO OJECT WILL BE TAKEN TO 1 C 3 SIGNATURE ;`sP. • ��'� DATEZ— LA` FOR OFFICIAL USE ONLY ' PF,RMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS"-- VILLAGE OWNER DATE OF INSi ION, . FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGE FINAL GAS: ROUGH FINAL FINAL BUILDING <;r DATE"CLOSED OUT ASSOCIATION PLAN NO. mRESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE New Buildings,Additions $50.00 , Alterations/Renovations $25.00 Building Permit Amendment SZ5.00 FEE VALUE WORKSHEET NEW LIVING•SPACE ? • square feet x$96/sq.foot= 25 0 x.0031= plus from below-(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>1Z0 sq. >120 sf-500 sf $3100 ' >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 STAND ALONE PERMITS Open Porch _x$30.00= (number) Deck x$30.00= J (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 (plus above if applicable) permit Fee projcost f �OFINE lqt, Town of Barnstable * Regulatory Services vBMMUMBIA HAM. Thomas F.Geiler,Director 019. �0 A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. n , n Type of Work: 14 S, Estimated Cost �S Address of Work: ��1 �'l�r�v.� l�_ 6�2�►J p L.t, L Owner's Name: -DO a Date of Application: d) S 1 O"L I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDE NA SO Y I hereby apply for a permit as the agent of er: Date C for a e Registration No. OR Date Owner's Name Q:fomis:homeaffidav The Commonwealth of Massachusetts - Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit i name ST{�✓Y'1 1 S �� . location: (CP�.� 2 city ? • 11�N Rim%�`p�L'S G • Pt phone# 3eca-_ 9 i 2�; ❑ 'I am a homeowner performing all wofk myself I am a sole r ni for and have no one working in ca aclty %% %% /%%/%%%/%��/%%/%%%/%%%%%%/%%%/G/%%%/%��%%/O%%%%%%%%%%%%%%/G/�%%%%�%////%/ I am an em to er roviding workers' compensation for my employees working•on this job. ❑ P Y P................................:.:::::::::.:::::::::::..:..........:.:::::::::::.:::::::::::::.::::...:.........:::.:.::::::::.::::::.::::::::.::::::..:::...3::....:............................:::::::::::::::::. :cum an nani `fire :C1tY " anc . I.am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who...-. have r:,::.... the following workers compensation polices: :::::::::::::::::::::::::::::::.:::::::::.::::::::::.}:.}:.}:.;;:;;.;;:?.;:.:.;;:.}:.;:.;;;;;:<.;}}};:.;:.;:;.;:.:;:;.:.};:.}:.}:.} an n ame v m +�:CO A :}!::;:.';:<::4i:%}} :}?:;i:::i��i:;i:;i%i;i:;:jiji;{:?:�v. ...... ?:}:v:::::.v:::.v::•i:::::::;•}.:::i:::•:::i::.: ::::::.::.:::i�::ir•:ii'::: v.I....v es .i.';':vii 'i:;>::::$j iii ii i::ii..l%%?i i:ii ii>.ti:>:Y:;?iiiiiii>i:::>.>.:: i:;'}i}iii:•}i:•isoi};•:}}ii}}:^:^:•}:{<•ii:v:4iiii}:v:C:i:•:3::vi}y,??;?•}:;•:^:??.}}}}};v}Y}:;•}}:::::::• S:•:is S}i:::::::::::.�. :• ..... .....:.............:....:...:...:........:..:.:...:..................................:::...........:.::............:...........................:.......::: ..... ............. .......................................::::::::::r.......................r::.......................^:•.:w:::::w::.v}}':•.}:;•}ii'i}v::G::::....r............:v:}:.;� ....:::::^...........r::.v:.::!'•:::•.. •• 3:X. 2 .......... ...r.............. .................... .. vs:nw:•:v:.v:v.v:::.:v:+;:::::•::::::::::v:::::::..................• v. 'V}:3}}:f:: v:. ,. ♦........ }::;....:1...;.;• ......... ..... .....rr.....r........v.�•.: :...:::::::::N:...: ;w:�.v:.::::::::.. :.vi:3:v Y:4i:i�}}:;3:3:}yii:;•};:.q;}a}} ... ... .r............ .. .. ..... ...;•.:w::::::::::::::.:v:::::::::::::::: .......:.. ....... .. ... .. w. v:^}iiA}}!?.i:•i};;::::n�}::::::iii}:�:+.}•Y;J?: :•:•iii:•i}}}:3:;3::3}i ......:......:::.::•}}::•}ii:vii:;•i}i....... ..:::::: .:::::.'vi:;'•}:: :;i:: ............;i:;}:ii;::;. ...::.::::::•.::�.i.:; � ....}:^i;{tiff!?.i} ... ...........................::v::::^v::•.................. ii ....: :::., i:•.-'��iijii jiiiiiiiiiiii�+:�.:.... '�► � ....................::::..:...............................phone:#:::.�.�; .. ...:..;:::�:: a j4.y >:.:...: �... 2• dd ..v...S�ie•... ........:......... ::�. •:.�.•. -i:.:;::+.-.,..:_.:�. ........... y±. ;• NX ;'::...::::::::i..;.;i:..r::.:;;::�i:�:;:�::;r;•:.+.i3.3i;:}'�r• :;3i:::tr.?%c•: :::.:}::.i:.::::i}:.i};:.;i:.;;i;:<.}}:.}:.::.}:. i:..i}}:.i:.:}: :::<:gi l%1/I///1I//l ............. :..................::........... .. ess.. ... .... .,. addr aion b y:i•:J i:Cdiv.^ ............ '"(:}.:Ji:Jii::';;iii��ij;:;:<:iii:•}f:}:•}:•}i}i};^}»}i}Y.!i?ri`viiiii i:rii:v�::^iiii?i}:•}}iii}ii:l•i:4iii':i•ii:•. Fafiure to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of criminal penalties of a See up to S1,500.00 and/or one years'imprisonment as well as d9,11Raities in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I miderstmid that a' copy of this statement may be fo to th e o tions of the DIA for coverage verification I do hereby.certify u the pains and es of per that the information provided above is true and correct Date . Signature � r 'Tjf✓ 3.. Phone#. :::3 L 3� Print name � _ official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Depa�nent ❑Licensing Board. ❑checkif immediate response is required ❑Selectmen's Office _❑HealthDeparlment contact person: phone#; ❑Other (Devised 9/95 PJIa i 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 contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an"individual,partnership, association or other legal entity, employing,.employees. However the owner.of a ... l:kY 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 or­fenewal 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 insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit comPletelY,- Y thec�' box tlat a$ lies to your situation•and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe 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 cull°the Department 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 tine affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please.. be:sure,6 fill in the permrtllicense number whrch will be used as a reference numlier..The affidavits may lie'rehuned the Departmennt b `maiF or FAX unless other arrangements have been made: w 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 Me of Inves"gadons 600 Washington Street r , Boston,Ma. 02111 fax#: (617.) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 ' Tabls 1S=b(can!&ssd) posai Fads PrSteriptNe Pseka;a for Oas"d Tw*'Fgn*R=Wmdal Bs+WIRP rt"a'd MOM MAXIMUM Floor Snc+mmt gabgiCmling Glazing . Glaring B P Fdfid Ccilin w Aim'(•/-) U-vsluc= R-vsJud R-valua� &vd+d � T Padca?c . 3701 to 6500 Hesth�Dr�se Dae�+7 6 Nosmri 13i 19 10 Narmsl Q 1Z!'- 0.40 31 6 03Z 30 19 19 10 is AFM R I % 6 13 19 10 N� g 12:4 . 0.50 3t 23 NSA N/t T 15% 0.36 . 31 13 6 Normal 19. 19 10 !s AFVE U 1Sy. 0.46 3t WA 3E 13 ?S N/A as AF UE v tsi. o.a4 14 10 6 w 15% 0.32 30 19 NIA Normal X la% 032. It 13 ZS WA Nark l9 ZT ?UAy I EY. 0.42 3= 690AME 32 13 19 �..NA 30 40 AFZJE AA lE•/- OSO30 191910 T. ADDRESS OF PROPERTY: w 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS .2SZ 3, SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDID BY 02): t S:'SELECT PACKAGE(Q—AA-see chart above): G ENERG .. Y'REQUMEMENTS NOTE: OTHER MORE ASK US FO THIS OF DEM UA ARE AVAILABLE. BUILDING INSPECTOR APPROVAL: YES: NO: q.f0rms-f980303a Footnote's to Table 15.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyliehts, and 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 requirement. For example%3 ft= of decorative glass may be excluded from'a building design with.300 ft= of glazing area. = After January 1, 1999, glazing U-Yalues*must be tested and documented by the manufacturer in accordance with the Nadonal' Fenestration Rating Council (NFRC) test procedure, or taken'from Table 11.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling R-values do not assume a raised or'oversized truss coastruction. If the'insulation achieves the full insulation thickness, over the exterior walls without compression; R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted.for R=49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if.used). For.ventilated ceilings,.insulating sbuthing-must be placed between the conditioned space and-the ventilated portion of the roof. Wall R-values represent the stun of the wall cavity.iasulation plus insulating sheathing (if used). Do not include exterior siding, structural Sheathing, and interior drywalL For example,an R-19 requirement.could be met EITHER by R-19 cavity insulation'OR'R-13'cavity insulation plus F-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions.,but do not apply to metal4rame construction. 'The floor•'requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements- ' TFe entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_t the same R-value requirement.as above-grade`walls. Wiadcws and sliding glass.doors of conditioned bz.,ements must be included with the other glazing. Basement doors=must meet the door U-value requirement d_scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3;4, or S. if you plan to install more than one piece.of heating equipment or-more�than one piece ofeooling equipment, the equipment with the lowest' efficiency must meet or exceed the efiicienry required by the selected package. For,Heating Degree Day requirements of the closest city ortown see Table 35.2.1a NOTES: a) Glazing areas and U-values are maxim=�aceeptahl .levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only;aad do not include struttaral components. b) Opaque doors in the building envelope must have a U ter-value no grea than 0.3.5.Door U-values must be tested and documented by the manufacturer in.accordance with the NFRC test procedure or taken from the door U=value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the ith your windows and use the opaque door U-value to determine compliance of the door. glass area of the door w One door may be excluded from this requirement�(Le.,may have a U all co greater than includes 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. GIazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value=requirement(0.35 for doors). . _ 43 Application to ' > ®Yb Rittg'o 30igbbiap 3egional 30iotDric Aliguitt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: E3 rp CHECK CATEGORIES THAT APPLY: Z� 1. Exterior building construction: ❑ New Rr Addition ❑ Alteration a Indicate type of building: ❑ House ElGarage El Commercial Commercial ❑ Other rnn 2. Exterior Painting: ❑ rm 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence El Wall ❑ Flagpole ❑ Other v) W TYPE OR PRINT LEGIBLY: DATE 0 �1 ?i r1(017, ADDRESS OF PROPOSED WORK` Vic, C' ASSESSOR'S MAP NO. OWNER `7c,�p�11� �i `BAgzm� Q,age1<, ASSESSOR'S LOT NO.QU Z77 HOME ADDRESS Z4'�Ag TELEPHONE NO. d j FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) AGENT OR CONTRACTOR ky- TELEPHONE NO. ADDRESS 't_3b>G 3 �� �� C>Z6�> C) DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. tJQ_,t3 t 2-X CSC, Rn P­a-a'�A. Signed wne -Contractor-Agent For Committee Use Only t ` - 1-1. . F-- APFKUVtU r i I ; This Certificate is hereby Date `o�'�"oZ--- 1 I Approved/ 'vied ' ( `1� APR 0 3 2002 I J Committee Members Signatures: rz L _f — W - so--r r� ,E m�7 r_4AAZ1_ �6�_ n,. ro i 1 J Town of Barnstable ' Old Kin 's Highway Historic District Committee . SPEC SHEET FOUNDATION SIDING TYPE `��-aA. � `� COLOR CHIMNEY TYPE � COLOR ROOF MATERIAL COLOR "�Apc -pV-C PITCH WINDOWS w>,O iI t\� COLOR SIZE TRIM COLOR ��� DOORS tj COLORS SHUTTERS COLORS GUTTERS COLORS DECKS MATERIALS I GARAGE DOORS COLORS SKYLIGHTS S---IZE COLORS SIGNS ,73 j�� Rr r� COLORS n APR 0 3 2002 ��I RVED L� AJPO FENCE r Z C)LA'. — --. -COLOR _m NOTES: Fill out completely, including measurements—and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 •s:... .... ..... .. .... ......... ui ,9 .......... ............. ;::::: :r •:{:::::: ..... ................... ....... .......::.?: �•r?¢:d?.?: SP.:J?•:�WKb"''' '>.yL<Y{�.°:.:. :• ° i• .}?' F:... ......'s._.,T ..... ..... ...........:.....:...:: • — ............ :. .... ...............ter--.-�:,:.• :. .......... ..•.... tse�n 3i i ti ke s: av3ti� i...L No s of waa r` 4 's ..? .:... i W.LF&. . ....:.................... ........ 3t: E. ::V1A<.: & ::::: ....... • ...5.. ........ ....... ......:........:....... • ••••::.vv:vnxvnv�v:n:::n::vvi::.' "` 03/03/2002 .15: 50 5083621089 APlYlGDQ_ PAGE 91 RQrjet-s West fiat-nstabfe c4-iald S, t A. LEM4 Court Ceftilkafe Ho. ................. in auk ........ 'p Sp'p 27. 1960 . .-wi Beal ............. ......... a;-1)q ta In ...... ....... MOPLTGAGE INSPECTION Ptd-.-%,N LAI*No. Donaid S. .7i APR 0 3 2002 A 5 1'; �'2- -lk*' Mi Cr ,b a . 0° 3 � t pg b ° t - L �y v v ti Y v cJJ 12- 1 1 � i CD F- I l - 1 -I -- DO /Z o � s 0 0 0 N c f MtURAppamUzJ TableJ=b(eominuag Preerip&e PaduLM for One and Two-Fandy Residential Boildingi Sated with road Fuels MAXIMUM M11gIMUM ILA�(n11 a . 9 Glazing Cdiing Wall Root BatemmtalWpmc Heanag/CooLag '(%) U-value= R valuer R value' 2 . WaU EMdmcy' Padcaae 3701 to 6500 Hating Degree Dare' Q 12% 1 0.40 38 13 19 1 10 6 Normal It Ir/. 1 032 30 19 19 10 6 Normal S Im. 1 030 38 13 19 10 6 as A a T 13% 0.36 38 13 23 WA WA Normal U IVA 0.46 38 19 19 10 6 Normal V 13-A 0.44 38 13 23 WA WA ES AME wI i5% 11 'vac 3; 11 19 11 1S Iv 6 gs nnta X 18°/. 032 3E 13 23 W Normal Normal WA No Y 18•/L 0.42 38 19 23 N/A WA Normal Z 18% 0.42 3E 13 19 10 6 90 AFUE AA IE•/. 0.30 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: Ltom`16� �',__���6 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: lJJ 4. %GLAZING AREA(#3 DIVIDED BY#2): n S. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a 780 CMR Appendix J Footnotes to Table J5.2.1 b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and 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 requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. 2 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 are 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 full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of 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. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include nxtarior sieftig, gl crnral sheathinva, and interior drywall.. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to m wood-frae or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces, 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 same R-value requirement as above-grade walls. Windows and sliding glass doors -of conditioned 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 an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install 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 selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements 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 and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. 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). cl If a,ceilinv_ wall floor FIACPN1Pnt.valh Clad-r..rlae;nr r,.rawl cfi��P.vall =n.,,n�nn..♦in��nl�oC fivn^- W 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- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 own of Barnstable-Planning Department r _ Old King's Highway Historic District Committee +MP �IO MR I 1 MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE: Z 21 SUBJ: Modification to Prior Approved Plan A minor modification has been approved by the OKH Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached 'h backup material for your records . Applicant (s) ►�/C� C�/LC.� (�V �'!1!� Address of proposed Work 7 Ma4- J Assessor' s Map & Parcel# [ 7 6 d 2, 7 Meeting Date Approved by OKH Minor Modification 166" m Chairman f Date If you should have any questions, please do not hesitate to contact me at ext . 862-4684 . rEMosc Parcel Detail Page 1 of 3 Logged In As: Parcel Detail Tuesday, Jui Planning Home Application Center Parcel Lookup Parcel Info Parcel ID 196-009 Developer Lot LOT 3 Location 11679 MAIN STJRTE 6A(W.BARN.) Frontage Sec Road I Frontage Village IWEST BARNSTABLE Fire District W BARNSTABLE Road Index 0955 Owner Info Owner I ROGERS, DONALD ET AL TRS Co-owner Streets 11671 MAIN ST Street2 City JW BARNSTABLE State MA zip 02668 Country US Land Info Acres 10.54 Use I Multi Hses MDL zoning RF Nghbd 0105 Topography Level Road Paved Utilities Gas,Well,Septic I Location Construction Info Building 1 of 3 Year 1950 SR�ct Gable/Hip TypeI None Effect 564 Roof Asph/F GIs/Cm Bed 2 Bedrooms Area Cover Rooms style Cottage Bath wall Drywall Rooms I_ Model Residential Total 3 Rooms Rooms Grade Average Minus Floor Bath Kitchen Stories 1 Story StyleExt �� ! Heat l Bath Wall all Wood Shingle Fuel � Split TypeNone _. I Found-ation Electric Building 2 of 3 Year Roof AC http://issgUintranet/parcelinfo/ParcelDetail.aspx?ID=14184 6/7/2005 Parcel Detail Page 2 of 3 Built 1950 struct Gable/Hip Type I None Effect 560 Roof Asph/F GIs/Cm Bed 2 Bedrooms Area Cover Rooms Bath Style Cottage Wa1l Drywall Rooms Total Model Residential Rooms 4 RoomsInt Bath Grade jAverage Minus Floor I Style �. Stories 1 Story Kitchen Style Ext Wood Shingle Heat -'--"""—"'"—� Bath Wall Fuel Split Heat None Found- None Type ation Building 3 of 3 Year Built 1950 S ruct Roof Gable/Hip TypeI None Effect 466 Roof Asph/F GIs/Cm Bed 2 Bedrooms Area Cover Rooms --- 1 _Int Bath ,I style Cottage Wall Drywall Roomstotal I '� Model Residential Rooms 3 Rooms . I Grade Minus Int -'--" Bath Average Floor Style I Stories 11 Story r—� Kitchen Style Ext Wood Shingle Heat --' Bath Wall Fuel Split Heat Type None Found- ation None Permit History Issue Date Purpose Permit# Amount Insp Date Comments 12/1/2000 New Addition 50305 $5,000 9/4/2001 12:00:00 ADDITION IS ON AM 2OF3 5/1/1990 B33749 $5,000 1/15/1991 WB ADD'N 12:00:00 AM 2/1/1987 IB30437 1$28,000 1 WB REMOD' - Visit History Date Who Purpose 9/4/2001 12:00:00 AM Martin Flynn Mea./List Bldg Permit Only �15/10/2000 12:00:00 AM Paul Talbot Meas/Listed 3/15/1988 12:00:00 AM M Sales History Line Sale Date Owner Book/Page Sale P 1 2/3/1997 ROGERS, DONALD ET AL TRS 10594/162 2 ROGERS, DONALD S 1293/241 I I http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=14184 6/7/2005 Parcel Detail Page 3 of 3 I Assessment Histo Save# Year Building Value XF Value OB Value Land Value Total Parc( 2 2005 $154,100 $7,100 $0 $147,900 3 2004 $123,500 $7,100 $0 $147,900 4 2003 $92,800 $7,100 $0 $46,200 5 2002 $88,500 $6,900 $0 $46,200 6 2001 $88,500 $6,900 $0 $46,200 ; 7 2000 $79,200 $6,600 $0 $34,900 8 1999 $79,200 $6,600 $0 $34,900 9 1998 $79,200 $6,600 $0 $34,900 10 1997 $88,500 $0 $0 $27,000 11 1996 $88,500 $0 $0 $27,000 12 1995 $88,500 $0 $0 $27,000 ; 13 1994 $96,400 $0 $0 $38,200 14 1993 $96,400 $0 $0 $38,200 15 1992 $109,700 $0 $0 $42,500 16 1991 $124,000 $0 $0 $61,800 17 1990 $124,000 $0 $0 $61,800 18 1989 $124,000 $0 $0 $61,800 ; 19 1988 $82,900 $0 $0 $21,900 20 1987 $82,900 $0 $0 $21,900 ; 21 1986 $82,900 $0 $0 $21,900 ; Photos I http://issql/intranet/parcelinfo/ParcelDetail.aspx?ID=14184 6/7/2005 JKAssessdr's office,(1st floor):, Q —.,-'—Assessor's map and lot number ... .... ..<...tD........v?.��`8S��+SYSTEM EST �pFTNE TO`` ALLEDIN Board of Health (3rd floor): ��rrT' Sewage Permit number .... ". . . '3 7..�. 1. WOTH YBT�C' '' .`..... .. . ................ Z B6Sd9?ADLL. Engineering ,Department (3rd floor): -JS ENVIRONMENTAL Gs;. �p0 t639. .l/ � 7 House number ................................. . (D ........ rjWNi REGUL 111 �o Definitive Plan Approved by Planning Board ________________________________19________ . 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 ...Qond.T/..v.C-1...../.0'....10.........L�.�R'/...��d n........................... TYPE OF CONSTRUCTION .........W.O.0.Cl.....T/:.'a.r.7..ley............................................................................ • a ...............................a5.11719.1.�.J... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location J6..71.....Mow)....4JT)........ ............c...G.... .Q�.�..�.............:........................ � LL .......... ProposedUse .....C1o..tseT..........................................................:....................................................................................... Zoning District ............................ ............. ..Fire District �� ��r.�.............. � . 9� . ........... Name of Owner ..�C7ona101......��.9.e�'.�' .. t�n....t�� .......r,�.:..�3ar s�ccl�le Address ,../....... / rI i-_ Name of Builder ......��..ohn....../.-'/..e.--1c6S.................Address A0.02a.?.../.e— .n�.It!!...f6C.xrntlk.�k Nameof Architect ..................................................................Address ...................................................................................... Number of Rooms ....... .........................................................Foundation .. fJC'.'.(. ........ D.�.�./c—:/c............. Exterior .......whzk......2eda.r.....a[.1:/. Roofing ...aoph /i ................................................... Floors .a.�CA d................................... Interior ?. e�. .... .Ck.......................................... Heating .........../.l.(J.n.�.........................................:............Plumbing ........n. nt ........................ Od Fireplace .....noae............................................................Approximate Cost ..........�Doo. . Area ........../.. .............. Diagram of Lot and Building with Dimensions Fee o0 • r,3o� OF 45 IQ to '/ t �zoo 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 ����G�l . Construction Supervisor's License ....1�..7..6.5..... ROGERS, DONALD 3 Add to 3749 CILN'o ............4.1... Perm'.i't for .................................... Single Family Dwelling . .................. ................................................. Location 1-6- } Main Street ................................................................ West Barnstable .............................I........................................ Owner Dona a..l.d.......Rogers .....og...e.....rs.............................Type of Construction Frame .......................................... ............................................................................... Plot ...... ..................... Lot ................................ Permit Granted ......T` EjY...1.7 ................19 90 Date of Inspection .............. .......19' Date Completed .............. ...............19 Application to CIA OPEC PpP�P� , Old Kings Highway.Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building Addition ❑ Alteration Indicate type of building: ❑ House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑ Existing sign [] Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). ! ` 67 TYPE OR PRINT LEGIBLY DATE f / •/ ADDRESS OF PROPOSED WORK fA 57' yo• 61 I`ASSESSORS MAP NO. OWNER ��O-Z/ A Z YD S. e,) ASSESSORS LOT NO. HOME ADDRESS IVIALN5-7- w " 1V:. TEL. NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). l'14I N S r' LD-) (A) i;t; �/?IQ/11S/���C o� 6l0� /� � :'� S lN• ��)z� /��ss G,.�.(�(� Ja AGENT OR CONTRACTOR O / !� 1 -� TEL. NO. 3-14A ,ego"t ADDRESS `> d A �7�' 1.P o=s A/ IiV �✓f���!`/ 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). y �US l Vd fi( j �' Signed 3l'L. �"' �`��•� fl r Space below line for committee use. APPROVEt� Owner-Contractor-Agent Received by H.D.C. R �ate. s , The C 'ficate is hereby Date rv � r E / Tim n01 ANK ) 1 By Approved_ I PORTANT: If Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ f { Form A OLD KING'S HIGHWAY HISTORIC DISTRICT Spec Sheet Foundation Type 7 0 Siding Type lil)f7/ / �farr SIi �r `= Chimney Type Color Roof Material Color .� Pitch � ! �� / ��. .Al-5- f�,�/,( i Windows /� �� G Jt� "J/� l�LSize C'_ i .rN, Trim Color Doors Color Shutters " Gutters r d' Deck Garage Doors /1 Color APPROVED Notes: _,Fill out completely, ®KHRHDC p y, including measurements and materials/colors to be used. Threel"copies of this form are required for submittal of an application, j R E C E I V E ralong with three copies each of the certified plot plan, landscape plan and elevation plan, when applicable. APR 3 1990 OLD KItiG'S HIGHWAY << Barbara A. , !; BARNSTABLE Donald S. R ers Land In ...............................,................... Belong ...°�.................. Deed in Book....1293.... Page 24C ing to........................ Land Count Certificate No. ... ........... ,,,,;,,,,, .Barnstable, of.Deeds in Book. Page. In. Registry.: Land in Barnstable by Nelson Bearse`& Richard Law, Sury ors Sept. 27 f�60 RecordedPlan ................... .. .. .... ............. ............. ... Date of [an ......................................... Barnstable of Deeds, in 185 �23Registry.................................... Book... .......No.. .... Filed Plan No. MORTGAGE INSPECTION PLAN THE. MORTGAGE COMPANY OF THE CAPE & ISLANDS Lean No, Donald S. &.Barbara A. Rogers SToniL {✓AC.L 14 O _ N \ 414 . f r za Ave \a M LOT 3 . LOT 4 2 �27.79) ONE!y °T Z9.6tv)� s� Oct. 27,1986 JN 50913 Scale 1'°=40 APPROVED RECEIVED OKHRHDC APR 3 1990 GL G KING'S H u" WAY s �. Ilk ou O r T4 Q 0 LET i i . i s f1 I I �( RECEIVED APR 3 1990 GLD KING'S HIGHWAY Q c> w � O � 7 �' 40 /If t I ,y RECEIVED APR 3 1990 OLD KING'S HIGHWAY 0 u W i Y 1 i / 1 P i(}1 APR 3 1990 0 K'NG`S HIGHWAY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map JU ParcelZ Permit# a - Health Division Date Issued s 1 2 Conservation Division O'er Feeo2�:x� Tax Collector Treasurer -�e—�—�- �1� ?/Z SEPTK"A' SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE _4 WITH TITLE 5 Date Definitive Plan Approved by Planning Board - ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address A 7 9 Al Q i*r- Strei_l', Village 11 Owner &�ftl�v` /IOcers Address Telephone 3 L b� S Permit Request X/ ��/'rcts'"�- !�ti-S,D'�-' Square feet: 1 st floor: existing proposed W 2nd floor: existing proposed Total newAW 216 Valuation �g16o6 Zoning District Flood Plain Groundwater Overlay Construction Type W60 Lot-Size a3 906 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. I"Dwelling Type: Single Family O'/ Two Family O Multi-Family(#units) Age of Existing Structure �sm Historic House: ❑Yes W4 On Old King's Highway: as O No Basement Type: O Full brawl ❑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 Z new Total Room Count(not including baths): existing y new First Floor Room Count Heat Type and Fuel: ❑Gas O Oil ❑Electric ❑Other V oy?tl Central Air: ❑Yes CTI o Fireplaces: Existing New Existing wood/coal stove: O Yes O No Detached garage:O existing ❑new size Pool:O existing O new size Barn:O existing ❑new size Attached garage:O existing ❑new size Shed:O existing 0 new size Other: A Zoning Board of Appeals Authorization O Appeal# Recorded❑ Cc'W'Imercial ❑Yes ❑No If yes,site plan review# Current Use Z'Week SiArr&M& C2AAe-e/ Proposed Use �r�,r►y'Pi BUILDER INFORMATION Name 1A,4c,,1-k 5'�an-/� Telephone Number -7P16 Address / License# t 5 no , Y3� A . 3 Home Improvement Contractor# ' &,!� _33 Worker's Compensation# !✓� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE L�f DATE z2qhoo FOR OFFICIAL USE ONLY T AIT NO. s D`71 E ISSUED c; MAP/PARCEL NO. ADDRESS' `o) VILLAGE OWNER DATE OF INSPECTION:-, FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` 2000f21 Application to Old Ki H s Regiong Historic District Committee n$ ' ' co In the Town of Barnstable for a NO _ . CERTIFICATE OF APPROPRIATENESS iv Appl;=do I is hwsby"wit*jejoillijeeW for the Issuance of a Cwdficm of 1lppropriatahess under sectioWB at 470. AM and Re IM-of U"sw*wsetts, jM for propar<ed work'as described below and an plam or b accompany"this appineaaon for: c CHECK CATEGORIESTHAT APPLY: i. Exwior Buiiding cwmue w. ❑ Naw Bul&V GAddition ❑ fir' _ Indicate type of 91 House ❑ Garage ❑Gara Corrwrwrclal ❑ Othw O I`1 2. Exterlor Pelot1 Mr 3 Signor Billboards: ❑ New sign Q Existing sign ❑ Repainting exisg sign 4. such ww ❑ Ponca ❑ Well ❑ Flagpole ❑ Other (Please read oth&side for explanation and requlrarrherrts).DATE �LT j6 TYPE OR PRINT LEGIBLY C /p, ADDRESS OF PROPOSED WORK 6 9 ��'ti J �� fn r . p�Es9pRS MAP NO• —199. OWNER J 1 rv.. LJ ASSESSORS LOT NO. I40ME ADDRESS ` Ashes, �4 _[AL ?2l.r TEL NO_ FULL NAMES AND ADDRESSES OF ABUTTING OWNERS` Include name of adlacent property Owners acmes MY public street or way. )Attach additional sheet if necessary). . AGENT OR CONTRACTOR ,v k'r w TEL NO. yd-P- L 910 ADDRESS OkDA- DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done Indudirhg materials to be used,if specifications do not accompany plans. In the case of signs,*0 locations of ex signs and proposed locations of new signs. (Attach additional sheet,if necessary). ? i X 1:2 ! ck fe,s i a r, o-- b toltv6'rt., )✓ - 5C.'r+%.m fl, Go ttc6t, O06�- F or- Cem ,t p;v� L to G �Ar Si�e •va�l� CiJ�k a-rvL 14 roe j'w.r � rn w�� ex;s�;� 3 "X y'y Gl�inp4`av" G o h, 03 GA Signed Ownw4ontranw Asm space blow tine for Cmn vdtm or, i R. o AAA P 0 �, D e Ce to is hereby � ate_.OCT ..,.•. 14 T 6= me TOWN OF BARNSTABIFvr��a 71Y�� to U KINGS HIGHWAY �} '['owa of Esr ' OM Ida Ukhway Euork Dishid COMMON SPEC SH FUUMATZOA SIDS COLOR IbOOF SAL COLOR PTTCCB y wnwiONS-Wook COLOR i SZ88 ,� X LI Twa CoLolt 4 DOORS COLORS ^•� g �f�} COLORS t $A3 J��i7 COLORS DECKS /' Td MATERIALS. -- t�' 30'6 I 6'11 �5'4 3' i 15'3 3'4 37 2'8 T 2'8- �37 76 4 4'2 i 0 6 5 5L Cios. LO Batr� ----- --i co g Existin `. .. ... . �— 149 Proposed i .._............ _ I � � I 1 I N Co CIOs. I r CIOs. Cios: --- 12111 -- r� N N bpi v `� Room Living _ N I 2nd r�edroom CD -.... CN . a�I ao --- rn Screened Porch 10 Proposed Addition For r-3'3"2 --- 5'6"6-- -- 38-.4----4'3 -- --- 4'6-� Barbara H. Rogers 1'1�--------- -- 12'6------- LIMING AR 8,9a —+-� 1679 main Street i 64 sq fft �� W. Barnstable , Ma. 02668 -22'4' (508)362-6185 F - - Drawn bytvlark A. Stanle}28-7810 October 24,2000 Scale: 114"=i' �p n r �r ` Q k d . rCR R ' ' 4U -fit Y, -771 3 } 4 S ��! ...ry„�.,:d"s3^e-�"s.:`„i �. ":_2"F"�3.C...-�., .sr.•'.t�' .. ,.+c�-:r ? �� .^--.�...F' .c.:CS.-r"1- �'`'` _ _"' 9� _ J«.2 ♦c. --„r. m' !:.;yl.S � ,a. '�k"G,i� _4+} ✓'atM�a_. i t �.. � s� �" � Ft.�.a�.' y�i� - �-ply,° � '.d, ,.""_P�'y.�`i✓ t"�,`-�s ��„Y�� ,t•, '�`.�.c. x. S'.Sti..`�-� r rh �v. d..J.a_- . �� .y��,r`-e.?^s..3e'r .�"'','�'�,�"-n r_l;.`a<.�>.-e'�a`.,I.C�4 t � ',�� � X.xFr YM'��'�^}� 4-..f���•- 6 Q �lnu{ �U l! ..:---a B..arbara A. 8 1293 ' Donald ogers Deed in Book................Page 24 BARNSTABLEBelonging to.. ••••..••R' " "'" ' of Deeds Land In................................�................... .. _ 1n.Barnstable.R696", ...................... ...............4 page............ - Land Court Certificate No..............•••in Book S Land in Barnstable by Nelson Bears fi Richard Law, Surv�y ors Sept. 21 9fi0 • .. Date at Plan ...................................... Recorded Plan .....ip••PlanBook•. .185.......No Filed Plan No. ..... .............»............. Barnstable ofDeeds, .....•••• .Registry.................................... ORT"GE INSPECTION PLAN THE MORTGAGE COMPANY OF THE CAPE ISLANDS M Donald S. S Barbara A. Rogers Loss Na STONE W.4Li- �'. �`' S7Z7f�C N LOT 4 LOB' 3 I® WAY 40- A401 �o Oct. 27,1986 JN 50913 Soak 1"-=40. VED§�V Barbara A. & 1293 Donald S. Ro ers ... Deed in Book................Page 24C Land in ...BARNSTABLE .... ......... Belonging to...................^........�............... of.Deeds... ... �n• Barnstable.Registry Land Court Certificate No.... ...........in Bonk................ Page............ .:. • Sury ors Sept. 27���60 Land in Barnstable by Nelson Bearse > Richard Law, P Date of Ian ....................................... Recorded Plan..... .... ......planB ...... �185 .......No...123 filed Plan No. ................................... .. Barnstable of Deeds, in No............ in........................Registry............................. MORTGAGE INSPECTION PLAN THE MORTGAGE COMPANY OF THE CAPE & ISLANDS No. Donald S. & Barbara A. Rogers Loaa '". STvN[ AIALL 414 OW / - LOB' 4 LOT 3 t `� 9i ,'�°• =� wti a411'�l •3S), (/29 AY 40. Oct. 27,1986 JN 50913 Scab 1"=40� 30'6- .r --611 —64-- -3' -ice--- 193 y 1:--3'4=-�—:�V7 + 218 78—1 .—3'7 T6 i. -4'2--,I i ! — -�-T j Clos. i KiC.. . ... ... Existing �a t I i -- -- — 14 9-- --_to -- l ! I Co Proposed L) . N i I , I N I i Glos. i i °� '•, I Clos. Clos. i i 12'11 -- -- j -...�i.. i cD i f N i — — i 41 - - v N b Living Room 2nd L edroomSP 8,5 i f ! m ! I Screened Porch SP �_ I 1 i N i I i Proposed Addition For . 3,3„2..4- _. ..5,6„6 .._....... �.. 3�g..... _._...4'3.... --4'6— �i Barbara H. Rogers 1 LIAING AREA ' 1679 Main Street 64 Sq ft 89_ _ --� W. Barnstable , Ma. 02668 (508)362-6185 224 Drawn byMark A. Stanle}28-7810 October 24,2000 Scale: 114"=1' Y l� ;t,1.1 b'�a�'l�YinM1,sa.F't.liZ�(V�:'�tt fit. f �r'�l%'"•�`�};�'f'',ri�'#�a`]-a4`'a':j�lk N'tj��`c+", r!•iy�3 �� �.:f t�r ip �£ t t ;� MI .".fit,.• .t.�`-0'7%�3n>:�f�j ,w,,2�:;Ctrs,:,; iy .;t;}Zf :,• 1,�I Y�..:..; I l Q� Piz- LA The Commonwealth of Massachusetts - Department of Industrial Accidents &NCOof/tNes9fFROos _ 600 Washington Street Boston,Mass 02111 Workers' Com ensation Insurance Affidavit name: location: >y Cen-fr' ,w,,^ ^�r, city L° N.irr y i//`� (/v`Gr• d�� ohm&009,*/Y� ❑ I am a homeowner performing all work-myself. �Q�I am a sole etor a"nd have no one woridn _in- cavacitV ❑ I am as employer providing workers' compensation for my employees working on this job.:::::::::::::..::..:::::::.:::::.::.. :' iapeoY tiatIIe h........:..... w:::::•.v:::::::::.v::::.�.�.�:.�::::::::::::.v::::::'w::::w::::::::.�::::..�::.:_:::v::::::•:::v:::::::v:�::•::::v:::::::::::::.�::::.v::.v::::::::::::::.v.:v:::::::.�:.�:::::::::::.v:::::.�::.�.............................%::..;...F. ..............::::::::::::.�: :::::. :::::.v::::v::::::::::v::::::::.�::.�.�::.�::::::::::Y::::::::::::::::::...................v........:.....-.............. x::x• v{r.•x:rev: ..........................................w::::•:::::::::::.v:.{4}}}}:4}:?•}:ir-}}Y}:v:4;•}}}ii:4:4•;{4};.y}}}:4}}:is?•Y:v:;;'v{>{?{3:4}}:i3:•}}i:...:..}Y.iiiii..•:'�•...:... ........ .................................v::::::::::.�._::::::•::w:::::::::::v:....:•:...}T:::::::......:::i{:L.v.v..v:.v::'-:4:?:;4 :::::::::::::v.v::::..........;;....., art 3 ::.�:.�:::: i'::::::.�:.�::.:�.::.�::::::::.�:•::::.:i;:.�::::;.v.�._:::::::::??^.:^:}:i::i}:'{{sYii}i:ii}}i:•i}}ii:•i;•:•:•:?i;i4:{.:??i•:^:}}}}}}}:•}i:•}yp:•::;L;ii}i}::}:�}}:?i4}:•}}:ti•::3iii:•;?•:•Y::}}}i:;:i3}}:•:•Y}::}}':; :::::::...::.:::..... ....... ::::.......::... , city ..........:::.:..... .....:...:::.::::..:..::.. o' :� < ....... ......... ,.. .................................................:......:..:..................:...........:.........:..........:...........................................................................:::::.................................................... ::::::::.::.::.:::::.;;:.}:;.;;;:.;:::}>:};:;.}i}:.;:->:;;.....:.: :::.;}::.;:::.:::::.3>}:;4:-};;}};;:;;?.;;;:.i}:.;;};;:.Y:.iii:3:.;:.};};:.:.i;;.} i>i} ::.}}:}:;i;;:.....:.:.....::::> >:::»:<::: }:;rilict► 'nsurarr ❑ I.am a sole proprietor,general contractor,or homeowner.(circle one)and have hired the contractors listed below who have thefollowing workers' p9mPensation polices:............................................:::::..::::::::.:::.::::::.::::.:;:::: :.:.:.:.::::.:::::.:::::::-.::::.::::.::.:::..-•:.:.:.::yw.k,>, :h«>.>.<:>:; ...............:.::.:.......................................................... .................... ~cam } { T i?::{:} {'{:; ;:j?:?i>i}ii:i:;isj::}}yiiiiitvi;^iii?i::'tiY,.::}};ii:ii`i:{ii!i• :::w:::::..:::::r:.v:n:;r3;??.:•}:3:•}}}}}:?;;;•Y:?•}}:•i:3i i}}: }T:::: K?iw:v:4:4:4}}:4Y}Y:3}}}:??{{?x::.�.vv. ........... ........................................ .......v......-................. ........v............: •?4::.v:::r::.?-.v::::•::::::::•::v.::::::::::::::::::.�:: ....::•:.:.v:•.v:::..v .y�..� v:,{v::.v.�::::::::v::.v::.w:::::•v:L::v:::.:;.+..v v:::.v:•m::::.v...:::::::.......................:::::::•:: ::.:......::...:::::::. ..............:..:.......,....: :::::•i2:2::::4:2.;.})}Y:?{:•ii?.:::::i:•:: }'4Y}Y?:::3; : .......... •::•......................:v::...:....................................................:....:::::::::•.�:::::::::-.�::::::::w:::::::::::::::::::vyw::}•Y}`}}}Y"�Y}}::.y.v iv......n:':4%: :4i:�:rii}-::.;.y!';;{.Y^y����p� ( ,h..v...n...?4Yi}}:?tiff :....................:::•.:.....................................................:::v.:::::.. ....:. .-....n.. .....:•.v•::r.:.::m:::.vr. .,f..n....4n•.:n. -.v-r.•::•:.?�..:^::x. .......r...:>!^:.{n.... •:}:f'•T.3?: fY�< . ...............:::v...v..............-..n.................................. n.....n:{w:::.vnY.r•:•. 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'tip............ ................................................:w:::n:v::;;}}}:•}•.4:}:::::::v.v.:''.:•:::::::::: :4):.:<v.�.YY:•Yi}:4i:?•}:•Y}}}}}}}}}}}:vti{:u':•::n;:2,.3.• ,...- :v.................w::r.:re............................................:.�:::::•. .......................-. ...::::::::::w:::re::••::::.v:.;......r....v....' x:::.v::::::::.v::rev::::::r:.:vre•.v:::.v::::: :,.....vv:{:.r•:vren, .%hYC{ay.•wvnw:: .............. ........................................... ::::::.v:nv.v-:::....:• v:::?:.�:?!OY}}w:rev Y}}:4:v::::;{.;{SYYY}Y}}:4:4.4:::rev:•.:v:::::::r:xnv::::::nv.v.::::::.v:::::::rev::.......................v...�.p?yv,.x....... .....�?...•.v:::re...:, .................. ....... .............. ............ .v.....:.......... ...... .................re•.wre�•}}}::?:•• r:...v4Y:w:F.x,4}:hvn• ..... rewrew::.4:.... ...........:... ..................:.. .............................:::w:::::::.r...........m::: ........A^.ty.:........ ::v:::::.v.:v:.?•:•:.�::::::::wr::>:2�:iih::::::.....:::::re... p•.:.... ?4 .................. .. ......::•:xv:Y:-S:-•:x::.v::::::::::::rev::•:r...:.................n..........re......... {.....:::•: INN F n re to seems coverage as required under Section 25A of MGL 152 an lead to the imposition of atnind penalties of a fine rep to S1,500.00 and/or .one years'hnprisoninent as well as dvil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I undersbud that a Dopy of tbis statement may be forwarded to the Office of Investigations of the DIA for coverage verifiatlorL I do hereby certify under the pmna andpenajdes ofpeF�y that the inforntafon provided above is frftp mid coma Signahire ,, Date Print name r' C od Phame# 101 Ccdityor ly do not write in this area to be completed by city or town ofiidal perudWcen+e# :ealth ailding Department censing Board mnediate response is requireddecdnen's Oda Department n• phi#; ther oraud 9195 PIA) 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 contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a,joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 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 insurance requirements of this chapter have been presented to the contracting authority. r Applicants ` - Please fill is the workers compensation affidavit completely,by checidng the box that applies to your situation and 1 • names,address and phone numbers along with a certificate of insurance as all affidavits may be supplying company Y 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 a odm'compensation policy,please call the Department 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 is the event the Office of Investigations has to contact you regarding the applicant' Please be sure to fill in the permiUlicense number which will be used as a reference number. The affidavits may be retsirned to the Department by mail or FAX unless other arrangements 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 office Of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat 406, 409 or 375 �F IME A . '1 The Town of Barnstable • a srn UL MASM& �m� Department of Health Safety and Environmental Services �E1659. p Building.Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 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. ,p / Type of Work: //\>nrn, �L�tPa.S �' Estimated Cost �Ob6 Address of Work:_,�i�7g ��'�' Owner's Name: /JCnr r1r 46U1�.� Date of Application: /1 o 06 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 rIBuilding rot 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. S-IGNEDTUNDER PENALTIES OF PERJURY I hereby--apply for--a-permit-as-the-agent of the Date Contractor Name Registration No. OR Date Owner's Name s q:forms:Affidav ' lie i�an>/nwox�ue� a�✓�aaoac/ucP,lla • BOARD OF BUILDING REGULATIONS UcerM: CONSTRUCTION SUPERVISOR Number. CS 005432 j.Birthdate: 03/20/1950 res:03/20/2002 Tr.no: 1910 Restricted To: 00 MARK A STANLEY 14 OXNER RD ( ! CENTERVILLE, MA 02632 Administrator NONE IMPROVEMENT CONTRACTOR U Registration: 116533 r Expiration: 6/23/02 Type: Individual { MARK A STANLEY BUILDER MARK STANLEY G� o-;f f2gVta/ 14 OKNER RD ADMINISTRATOR CENTERVILLE MA 02632