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0026 MORGAN WAY
� I oxforcr NO. 1521/3 ORA MADE W USA 0 ESSELTE TOWN OF BARNSTABLE BUILDING PERMIT-APPLICATION. Map - Parcel. _Application # Health-Division Date Issued t Conservation Division .'Application Fee ' Sb Planning:Dept: Permit Fee' -1 L ck Date Definitive.Plan Approved by Planning Board Historic ` OKH Preservation / Hyannis �1 Project Street Address l/00_-�4 Village Owner�y e.6oYa.� ck�o a ri Address ZL h'l ln3 Telephone S O8 411D.R 2 3 613 Permit Request R,in =L-e_ -1;Ic-e ekc.►^__a ar� VC1y-_t a h IriA �7�Ye� 1 I a-F -Lti Square feet: 1 st floor: existing I Aroposed 2nd floor: existing iodFroposecl �'Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation ��a, a ov Construction Type C.JCb Lot Size in - Grandfathered: ❑Yes' ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . .UY Two Family ❑ Multi-Family (# units) Age of Existing Structure I b rs Historic House: ❑Yes 2"N'o On Old King's Highway: ❑Yes �o Basement Type: 2-1 ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) S, _�. Basement Unfinished Area (sq.ft) -� Number of Baths: Full: existing new Half: existing x9-- new A� Number of Bedrooms: existing -0"n'ew Total Room Count (note including baths): existing � new First Floor Room Count Heat Type and Fuel: 21 Uas ❑ Oil ❑ Electric ❑Other Central Air: i �Yes ❑ No Fireplaces: Existing New � Existing wood/coal std�r.L: ❑ s I�o � .- Y Z5 Detached garage: 0 existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:0 existing ,Q new= size- 0 Attached garage: O'b"xisting ❑ new size _Shed: ❑ existing ❑ new size — Other -- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ L. r''7 Commercial ❑Yes ZNo If yes, site plan review# rn Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name a r ne n+la4 te,9 in C, _ Telephone Number SC» _RCD —7Co->,C7 Address SCE Q (A- License # `7 +C1 Lp (-2_-- n4py )z-&W? Home Improvement Contractor# r 4 a ?CP Worker's Compensation #-7 D i 6D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE f 1 0 s FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Jt ADDRESS VILLAGE OWNER ' 3 s DATE OF INSPECTION: } FOUNDATION FRAME S< VA Vj s INSULATION� } l3 RAC9 r FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ® 7 Sr IfS DATE CLOS�EDOUT ASSOCIATION-PLAN NO 77 ti I I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- 600 Washington Street. Boston, MA 02111 www.mass.gov/dia 'davit: Builders/Contractors/Electricians/Plumbers Workers' Compensation Insurance Af Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): U Y T nG Address City/State/Zip: L.D + Car 1,-8jr7rA, Phone.#: S6'9 c2l`oa I Are you an employer? Check the appropriate box: Type of project(required): 1.91 am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees (full and/or part-tim.e).* have hired the sub-contractors ..2.0 I am a•sole proprietor or'parlber-- listed on the attached sheet. T. ( Remodeling ship and have no employees These sub-contractors have g. •Q Demolition workingfor me in an capacity. employees and have workers' y p tY• $ 9. ❑Building addition [No workers'-comp.-insurance comp. insurance. required.] - 5. 0 We are a corporation and its '10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[]Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name—: Policy#or Self-ins.Lic.#: —j P J lA?L) U 1 Q,D h)8 _�,—l �cpiration Date: Job Site Address: Cv r(1 City/State/Zip: V.13o YU%Sfc,�C+ Attach a copy of the workers' compensation p licy 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 crimi.rial penalties of a fine tip 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 Ida hereby certify under the a c•.and penalties ofperjurp that the information provided above is true and correct. Si atliue: Date: — r Phone#: Official use.only. Do not write in this area, ib be completed by city or town offcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in.the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the 1 receiver or ffi stee of an individual,partnership,association or other legal entity,employing employees. However the o tha n an three apartments and who resides therein, or the occupant of the owner of a dwelling house having not m 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 Frith 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-conkactor(s)name(s),.address(es)and.phone numbers) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no'employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to.fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town),".A copy of the affidavit,that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtainin a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of InvestigationS- 600 Washington Street Boston, MA 02111 Tel. #617-727-490.0 ext 406 ar 1-877-MASSAFE Fax # 617-72777749 Revised 11-22-06 www.mass.gov/dia VDAC TRAVELERSl ,-+ j WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (7PJUB-0160N04-6-12) RENEWAL OF (7PJUB-0160N04-6-11 ) INSURER: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 1. NCCI CO CODE: 13579 INSURED: PRODUCER: CARPENTRY UNLIMITED INC ROGERS & GRAY INS AGENCY 50 PLUM STREET 434 ROUTE 134 WEST BARNSTABLE MA 026G8 PO BOX 1601 SOUTH DENNIS MA 02000 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 02-21 -12 to 02-21 -13 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 1000000 Each Accident Bodily Injury by Disease: $ 1000000 Policy Limit Bodily Injury by Disease: $ 1000000 Each Employee �= C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A o� D. This policy includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE o� 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. L011369 DATE OF ISSUE: 02-21 -12 DS ST ASSIGN: MA OFFICE: DIRECT ASSIGNMENT 701 PRODUCER: ROGERS & GRAY INS AGENCY 2342X Nlassachuscl(s - Department tot'Public Safet Board of Building Re-ulation.s and Standards Construction Supervisor License Licianse: CS 57122 THOMAS S COHEN 50 PLUM ST W BARNSTABLE, MA 02668 Expiration: W212013 Tr;;: 16330 Office of consumer Affairs&Biness Regulation HOME IMPROVEMENT CONTRACTOR Type: W�f Registration: 110363 Expiration: .10120/20 14 Private Corporation NUMI't CARPENTRY U T ,'Q,-INC THOMAS COHEN 50 PLUM ST W. BARNSTABLE,MA 02668 Undersecretary R01- sTti Town of Barn-stable Regulatory Services yKAB& Thomas F.Geiler,Director 6,10- ` 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 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �o �,,�to act on my behalf, in all matters relative to work authorized by this building permit application for. I)OA t'� � A \4 L)'-'� (Address of Jo ) ignatu of Da Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. S�,/� �, ; � f� ( Z- .,wti..h�ri14 9 k s I " i.3� «-. J' �.>�����r We . .• a � ' may: ae`, s r ♦' s ' x a j� i' Q i' 4. I J v 'S :� ,�' �,- f ' � ,,r. � �•,,�r --•..ate,,�=,� _ � r- Lt ja (ij 4 t. a S t i;JAI I SMOKS DETECTORS REVIEWED ; r a t # t r f t r T Tj t t t t t : BARNSTABLE BUILDING DEPT. FIRE DEPARTMENT DATE BIOTH SIG NATURES ARE REQUIRED FOR PERMITTING + _ 1341, gig CARBON MONOXIDE ALARMS MUST BE INSTALLED PER fsL�—NJ, ��#1 ' MASSACHUSETTS BUILDING CODE f ! 1 I r 1 I 1 ' f f I ! to we D t I I ! ! 1 ma 12 K, � I C46 4.� _ ail '1n i O n I V -F73 0 I;b cl, - - -- i b C J LU N CC) 6� t— cn co 04 L C> CO Q U) r'n :> C= p I i THE►O{�ti The Town of Barnstable BA Aq-q LE. MASS • Department of Health Safety and Environmental Services ` t639' p�FD MP'4 Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �� Location 2!�/r`�ilUl26��() �� `l/0 Permit Number Owner Builder 'WZP'c G-rx y One notice to remain on job site,one notice on file in Building Department. The following items need correcting: / ST 7L 7 4C7- 4-- LC c CE(u ti -+- F1_-0ZV1e /&( ,57-77 ¢776/(_) . 14-,'12 71-es,* - 14 Please call: 508�--8-6622-40M for re-inspection. Inspected by Date Commonwealth of Massachusetts Sheet-Metal Permit R Map `?�Parcel�_ X-PRESS PERMIT Date: MAR 2 9 2013 Permit# Q D !3 0 1,9 S Estimated Job Cost: $ Permit Fee: $ O 0 Plans Submitted: YES NO TOWN OF BARN ��FF iewed: YES�NO ��� Business License# - Applicant License Business Information: Property Owner/Job Location'Information: Name:0 4lZR?,�� ewy, n c h e-_ Name: i o CA O n 0 n Street: '3 O A MwA s. W1�p� Street: q(o ma r&An tAJP\y City/Town: P A I M O vi ti, Vw A City/Town: Telephone: 5'0 9- 7 �o `3 7 2A Telephone: gc—z E.2d o Photo I.D. required/Copy of Photo I.D. attached: YESA, NO Staff Initial J-1/M-1-unrestricted licenst J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft._�RL over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 32�,/Z ��;a�� : v , rya►-� 9 /� �r A�,c� r w',��. Cq a .d NSURANCE-COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No ❑ r f you have checked)�U, indicate the•type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Jlassachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Ownees Agent . 3y checking this box[], I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments . Final Inspection Date Comments Type of License: ,may y ;e1,Master t r 1 ❑ Master-Restricted r r Town ❑Joumeyperson Signature of Licensee ermit# ' ❑Joumeyperson-Restricted . License Number -5 rS U e$ ❑ Check at www.mass.govldpl ector Signature of Permit Approval I y The Commonwealth of Massachusetts Department offiidustrud Accidents Office of Investigations 600 Washington Street, _ Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation hisurance Affidavit:BiQ.ilders/Contractors/Flectricians/Plumbers A_ ppheant Information � /P Iy P 'leasa Print Le Name(BIIsii s/OIganizHd iludiyMnai)•al 0? �^',Q \ N `S�� TS• �l� City/State/Zip: 1 Y`n411�'ti . rh VAPhone.#` ��.1t ® `3 7 a tj Are you an employer?Check the appropriate bow Type of project(required):.- LEI I am a employer with 4. [] I am a general oantr c-rn and I . employees(fall and/or part timer. * have himd�sub- ��-cotor:s 6. El New construction . 2�I am a'sole proprietor orpariner- listed on the'attarl,wi sheet 7. ❑Remodeling ship and have no employees TheSe snb-contractars have 8. Demolition working for me in:any capacity. employees-and have work=' c insmzMeA' 9' 0 addition [No workers' comp.mcnranre _ �•. . required] 5..� We are a oorpoiati�and'its 10.[]Electrical repairs or additions officers have exercised tlieiz 3.❑ I am a homeowner doing ain•work. of exemption �MGI., 11.❑Plumbing repa>ls or additions el£ o war]= c � empd P rep . � � �• c. 15 1(4), and we have no �. Roof repairs ' ins anne required_]t 2' §employees. [No wormers 13.[] Offer comp.insurance regrrired.] *Any applicant that chcks box#1 Est also fill out the scction bclow showing thca via'compensation policy mfmmaiioa. t Hmneownms wha subtait this affidavit mdicaafiang$icy am doing all work and thin hire outside contract=mast submit a new affidavit indicating such. #Contractors flint check this box mast atfacbed Sa additional short showing the name of fne sub-contractors and state Whether urnot thosc eatitics have employers. If fhc mb-contmci bane employ=,ftmy mnstpsmd'c thca-wmk<as'romp,poficynomba_ lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. in sin-a„=Company Name: J Policy#or Self-ins.Lic.A Expiration Date: - Job Site Address: City/ Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy mini er and eapirafion date). Fallore,to.secmo coverage as required m der Section 25A of MGL c. 152 can lead to ine imposition of crimiral penalties of a fine tp to $1,500.00 and/or one-year mlpnso—eut, as well as civil penaltirn in.the form of a STOP WORK ORDER and a fine of up to$250.00 a day against thq violator. Be advised that a copy of this statement may be forwarded to the Office of I•rrvestivations of the DIA for n+mn-nce coverage yeriacation_ I do hereby certify under the pains-and penalties of perjury that the information provided above is true anti correct Si—.atuxe:• Q.l 1 Date: Phone 087cial use only. Do not write in this area,tb be completed by city or-town offtciaL City or Town: PermitUcense# -Issuing Authority(circle one): ; .'I.Board of Health 2.Bufldiiig Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i THE Town of Barnstable Regulatory Services 4 t t AARNf.R'ATif.Y s MARS g Thomas F.Geiler,Director i6sq. `Q, Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnsta b l e.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Buitder 7/4 `'�� S GADS ,as Ownet of the subject property hexeby authorizectiuto actor b Y ehal� in all matters relative to work authorized by this building pennit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not-to be flled.before fence is'installed and pools are not to be utilized until all final inspecti ns are performed and accepted. Signatur�of wner Gym Signature of Applicant Print Name Print Name Date Q TORMS:O W IEtPERMIS SIOI M OOLS TKE,�M 'own of Barnstable Regulatory Services suixsx�ar�, + Thomas F.Geiler,Director '`gyp 39. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstAbIe.rna.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomvng work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,*that such Homeowner shall act as super.visor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fomis:homeexempt N BASEMENT BASEMENT Job#: 10604 Supply New England Scale: 1 : 83 Performed by Erik Johnson for: Page 3 Carrigan Heating 123 East Street comfortQUOTE by Wrightsoft 26 Morgan Way Attleboro, MA 02703 12.1.05 RSU13685 West Barnstable,MA 02668 Phone:508-222-5555 x3013 Fax: 508-222-0492 2013-Mar-20 14:10:08 www.supplynewengland.com joheri@supplyne.co... •••Morgan Way,W.Barnstable MA.rup N FIRST FLOOR SUNROOM LAUNDRY PANTRY KIT./DIN./LIV. GARAGE BEDROOM#3 Job#: 10604 Supply New England Scale: 1 : 83 Performed by Erik Johnson for: Page 2 Carrigan Heating 123 East Street comfortQUOTE by Wrightsoft 26 Morgan Way Attleboro,MA 02703 12.1.05 RSU13685 West Barnstable,MA 02668 Phone: 508-222-5555 x3013 Fax:508-222-0492 2013-Mar-20 14:10:08 w.supplynewengland.com joheri@supplyne.co... ...Morgan Way,W.Barnstable MA.rup I N SECOND FLOOF BATH O 0 M.BATH O BEDROOM#2 01 M.BEDROOM TY] HALLWAY :4-YT TV]- ST"'IRSIOPEN I'b BELOW EAVE#1 EAVE#2 Job#: 10604 Supply New England Scale: 1 : 83 Performed by Erik Johnson for: Page 1 Carrigan Heating 123 East Street 26 Morgan Way comfortOUOTE by Wrightsoft West Barnstable, a 02668 Attleboro, MA 02703 12.1.05 RSU13685 Phone: 508-222-5555 x3013 Fax:508-222-0492 2013-Mar-20 14:10:08 jwww.supplynewengland.com joheri@supplyne.co... Morgan Way,W.Barnstable MA.rup SUPPJy.� Load Short Form Job: 10604 NEW E N G L A N d Date: Mar 20,2013 r7wre:,ie�,rusg� 2ND FLOOR By: Erik Johnson Supply New England 123 East Street,Attleboro,MA 02703 Phone:508-222-5555 x3013 Fax:508-222-0492 Email:johed@supplyne.com Web:www.supplynewengland.com • • • For: Carrigan Heating 26 Morgan Way,West Barnstable, MA 02668 • tit, A 4- • • Htg Clg Infiltration Outside db(°F) 13 82 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD(°F) 57 7 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 40 50 Moisture difference(gr/Ib) 35 33 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) M.BEDROOM 324 6927 4660. 242 212 M.BATH 108 1426 944 50 43 BEDROOM#2 274 5872 6363 205 289 BATH 84 1225 340 43 15 HALLWAY 122 2241 576 78 26 2ND FLOOR p 912 17691 12884 619 585 Other equip loads 0 0 Equip. @ 0.87 RSM 11183 Latent cooling 1111 TOTALS I 912 1 17691 I 12294 I 619 I 585 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ,t- + wrightsoft` 2013Mar-Mar 14:10:00 comfortQUOTE by Wrightsoft 12.1.05 RSU13685 Page 2 �+ ...ted\10604-Carrigan Heating-26 Morgan Way,W.Barnstable MA.rup Calc=MJ8 Front Door faces: SUpply ,,.; Load Short Form Job: 10604 Date: Mar 20,2013 1�1eTe rile Fnu;go tv E W E N G L A N D BSMNT/1ST FLOOR By: Erik Johnson Supply New England 123 East Street,Attleboro,MA 02703 Phone:508-222.5555 x3013 Fax:508-222-0492 Email:joheh@supplyne.com Web:www.supplynewengland.com • • • For: Carrigan Heating 26 Morgan Way,West Barnstable, MA 02668 Htg Clg Infiltration Outside db(°F) 13 82 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD (°F) 57 7 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 40 50 Moisture difference(gr/Ib) 35 33 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) BASEMENT 904 5894 2796 206 127 KIT./DIN./LIV. 584 12078 12768 423 580 PANTRY 40 717 654 25 30 LAUNDRY 88 1811 1303 63 59 BEDROOM#3 192 3322 2885 116 131 BSMNT/1ST FLOOR p 1808 23822 20406 834 927 Other equip loads 0 0 Equip. @ 0.87 RSM 17712 Latent cooling 2687 TOTALS I 1808 I 23822 I 20400 I 834 I 927 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. ^� wrightsoft° comfort000TE by Wrighlsofl 12.1.05 RSU1368 2013Mar-2014:10:005 Page 3 AC� ...tedN0604-Carrigan Heating-26 Morgan Way,W.Barnstable MA.rup Calc=MJ8 Front Door faces: r Project Summary Job: 10604 Summary Date: Mar 20,20U " E W E M c L A N o Entire House By: Erik Johnson iVplt7p 111P f1fJ5.JL Supply New England 123 East Street,Attleboro,MA 02703 Phone:508-222-5555 x3013 Fax:508-222-0492 Email:joheri@supplyne.com Web:www.supplynewengland.com Projibct Infoeffiati.bW"', For: Carrigan Heating 26 Morgan Way,West Barnstable, MA 02668 Notes: Supply New England provides only conceptual heating and cooling designs. We do not represent ourselves as engineers,therefore,we assume no liability for equipment selection or system design. This is the sole responsibility of the licensed contractor. Please see additional page for notes. 9 - • • • Weather: Otis ANGB, MA, US Winter Design Conditions Summer Design Conditions Outside db 13 °F Outside db 82 °F Inside db 70 °F Inside db 75 °F Design TD 57 °F Design TD 7 °F Daily range L Relative humidity 50 % Moisture difference 33 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 35779 Btuh Structure 27331 Btuh Ducts 5734 Btuh Ducts 3350 Btuh Central vent(35 cfm) 2174 Btuh Central vent(35 cfm) 259 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 43687 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 26856 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 2261 Btuh Ducts 1537 Btuh Heating Cooling Central vent(35 cfm) 778 Btuh Area(ft� 2720 2720 Equipment latent load 4576 Btuh Volume(ft) 16144 16144 Air changes/hour 0.48 0.21 Equipment total load 31433 Btuh Equiv.AVF(cfm) 130 57 Req.total capacity at 0.85 SHR 2.6 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 MBtuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1453 cfm Actual air flow 1453 cfm Air flow factor 0.035 cfm/Btuh Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.87 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wfl htsoft• 2013-Mar-2014:10:00 9 comfortt]UOTE by Wrighlsoft 12.1.05 RSU13685 Page 1 ted\10604-Carrigan Heating-26 Morgan Way,W.Barnstable MA.rup Calc=MJ8 Front Door faces: • 1 COMMONWEALTH OF MASSACHUSETTS _�- 'anctl ME AL ORK AS"A-MASTER-UNRESTRICTED �x ` `IS SUE S,T ' ABOVE LICENSE TO- 'A PAUL A_G_ARRIGAN ?, F t I POs BOX- 2084 f TEATICKET9\,,�`-._.MA.,02536 2084 �'3288 • 04/28/14 r:151029."'. - n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # O 0ZS Health Division Date Issued Conservation Division Application Fee' S Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board . Historic - OKH _ Preservation / Hyannis Project Street Address M 0 R G ^N LP A-4 Village IN ► 6A R&/Snt 6 1 e Owner jAj -1- b ea rZA- 00IV Address Telephone sp 9) C� Permit Request R ek't We S (t �0,4 PA A ��� (Sk PL* R.e Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation$ 3 °O`' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type Single Family ❑ Two Family ❑ Multi-Family (# units) i+: rn Age of xisting Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No c: Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Zt `� `r• NurTtb&of!B_aths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name R l CH "R_D 1. l4 LA ,A Telephone Number 7 9 '77 Address L FA d License # C S S_17 AiU� MA' O _Z 3-7 o Home Improvement Contractor# LP 0 q Z -7 Worker's Compensation # JX CC 003 0 1�0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C—p A) 5T_12.4 CT )Gill v-057— �eRrl SIGNATURE p DATE r �T T FOR OFFICIAL USE ONLY 5 APPLICATION# DATE ISSUED Y MAP/PARCEL NO. ADDRESS VILLAGE OWNER - . DATE OF INSPECTION: FOUNDATION FRAME r= r INSULATION ` FIREPLACE ' +' _ ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL 1 -GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . 1 ASSOCIATION PLAN NO.'' _ r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 606 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): HLA l.'rt"l STAT % �_S 7-0 1?,A--1-7 0 t\/ L _Address: . D. e Q: . 0 7— City/State%Zip: HAS ��� (o Phone#: ��� 61 . 765" Are you an employer?Check the appropriate box: 1.�54 � am a employer with _ 4• ❑ I am a general contractor and I Type of project(required); employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have -g. Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp, insurance.$ 9. ❑Building addition required.] 5• ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required] t c. 152, §1(4), and we have no 12.❑Roof repairs employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, lconhactors 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: Uj e(L P-0 L,40 Policy#or Self-ins. Lic.#: W. eC- OU 3 0 3 1 -7 p 0 Expiration Date: 13 Job Site Address:_ O 29 City/State/Zip: c 19,17?1! 774-1&/e . 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 under thqpaby and penalties of perjury that the information provided above is true and correct. Siggaature: p� ,/ Date: -�Zo- Phone#: �Jl 7 1-7 7 7 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: PermitJI.,icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6. Other Cont#ct Person: Phone#: I ,w. T/e ,m7na Office of Consumer Aff,,�airs&Bus.nes✓s Reguot OME IMPROVEMENT CONTRACTOR i License or registration valid for individul use only before the expiration date. If found return to: Registration-z I Office of Consumer Affairs and Business Regulation �1u4.b427 Type Expiration:==j:p15I2013 f 10 Park Plaaa-Suite 5170 r _, Supplemant!;rartl MULTI-STATE REST_Q_RAT(ON;IIfIC.CAPE COD Boston,MA 02116 RICHARD LAURfA,R29 P. 0.Box 2210 MASPHEE, MA 02649u�ay?e%/ Undersecretary s� Not vi lid withou signature --'�� il'lassachuxettx - Department of Public Sat•ety iLRAWi Board of Buildinl- Reaulations and Standar• ds Construction Supervisor License One-and Two-Family Dwellings License: CS 51784 RICHARD D LAURIA 1 LEAH DR ROCKLAND, MA 02370 i i Expiration: 4/1/2013.'• t bnonissiuner Tr#: 12672 T Client#:34309 MULTISTA ACORDTM CERTIFICATE OF LIABILITY INSURANCE r DATE(MM/DD/YYYY) 9/11/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Starkweather&Shepley PHONE Sandy Benigno FAX ac No EXt:401 435-3600 A/C No): 401-431-9678 PO Box 549 E-MAIL sbeni no starshe ADDRESS: g p•com Providence,RI 02901-0549 INSURER(S)AFFORDING COVERAGE NAIC# 401 435-3600 INSURER A:American Safety Insurance INSURED INSURER B:Tower Group Multi-State Restoration Cape Cod Division,Inc. INSURER C Beacon Mutual Ins Co 24017 1135 Charles Street INSURER D:Hartford Ins Group 19682 North Providence, RI 02904 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNYYY MM/DDNYYY LIMITS A GENERAL LIABILITY ENV0307221201 1/01/2012 01/01/201 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occcumance $50,000 CLAIMS-MADE IF— I OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC $ D AUTOMOBILE LIABILITY 02MCPHX6227(MA) 1/01/2012 01/01/201 EaMBINED a..id.nl)SINGLELIMI7 $1,000,000 D X ANY AUTO 02UENHX6545(RI) 1/01/2012 01/01/2013 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X rive Oth Car $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS S B WORKERS COMPENSATION WCC003031700 MA 7/16/2012 07116/201 X WC STATU- AND EMPLOYERS'LIABILITY ER OTH- C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ( )50845(RI) 12/01/2011 12/01/201 E.L.EACH ACCIDENT SSOO OOO OFFICER/MEMBER EXCLUDED? N/A Mandatory i IF yes,describe under e and er E.L.DISEASE-EA EMPLOYEE $5OO OOO DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re:26 Morgan Way,West Barnstable, MA CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S411773/M411771 SSB MULTI-STATE RESTORATION, INC. FIRE* FLOOD*WIND* SMOKE*HURRICANE*VANDALISM Fed ID#050515889 CONTRACTORS REGISTRATION#140427 AUTHORIZATION TO PERFORM SERVICES AND DIRECTION OF PAYMENT jNv 16 -f-Do" rtnk- CP ,herein referred to as "Customer", authorizes MULTI-STATE RESTORATION,INC.,herein referred to as "MULTI-STATE",to perform anyyVd all necessary cleaning and const7tion services on Customers'property at'* aL 1M kJ)q' (�(� ► !k f-A Telephone: and with respect to items that need to be cleaned at a remote location,to remove and clean such items as necessary. Customer authorizes Insurance Company,herein referred to as "Insurance Company",to directly and solely pay MULTI-STATE. If for any reason the check should come to be or be made payable to the Customer, Customer then agrees to pay MULTI-STATE immediately upon receipt of the check from the insurance company. In order to expedite payment to MULTI-STATE, Customer hereby appoints MULTI-STATE as attorney-in-fact,authorizing MULTI- STATE,to endorse Customers'name, and to deposit Insurance Company checks or drafts for MULTI-STATE services. Customer agrees to pay Customers'deductible in the amount of$ that applies to this claim. F If the loss is not covered by insurance, ustomerl es to ay the ota ount to MULTI-STATE upon receipt of the invoice. Signature of Ow It is my understanding that the services to be performed by MULTI-STATE will be limited to those,which are authorized by my Insurance Company. Insurance Company Name Policy Number Customer agrees that MULTI-STATE is working for the Customer and not the Insurance Company or agent/adjuster. Additional remarks: rt bo"', er-7 "7 ls- I have read this oc and J,- etely understand and agree to same. Date Prince P.O. BOX 2210•MASHPEE, MA 02649.866-921-9111 •FAX 774-238-4422 i TcGeiJ -t- 4 rz L AN k7 -e--- rvrNej 57 7— ( 9 E 5`I7 Ib ram„ Gf/ `3 a2�✓S r- -Ale No ��� &/a 9 -iz-iz lf� �Qed �oe- 2 A,7 �3-Se cwf 1f-i 2- -1 Z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map T .� Parcel LOT `6_�0;yp.3 OF BARf4STA8&it# to®0"R / Health Division AFR .25 �� g:I Issued �o � 1 Q Conservation Division 2 Zia Z Fee �� Tax Collector U _— —r—r�G �"`—r� �D, Treasurer " D1VIS C%EEPTIC s1J�TE l�,6 UST BE INSTAL Ep IN COMpL"CE Planning Dept. WITH TITLE S Date Definitive Plan Approved b Planning Board EIMRONMENTAL CODE ANO pp y g TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address _,;Z-Lv Village ��z�S�C �f�SCC7.�\ Pwne''�Y',gt 3_f--,f O—C!�-_ Address Telephone Permit Request'' "X S—e_�so`(\ suxwz aM mac; (� --vo 2 1� �\ C . Square feet: 1st floor: existing proposed 19(4o 2nd floor: existing proposed Total new Valuation *\Ck . C5� . Zoning District Flood Plain Groundwater Overlay Construction Type 5 R Lot Size Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation. cc-r~ Dwelling Type: Single Family .35L�p Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes SNo On Old King's Highway: ❑Yes .Q No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other t ' Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other (� Central Air: ❑Yes IMo Fireplaces: Existing New Existing wood/coal stove: ❑Yes---U 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 BUILDER IINFORMATION Name b�0'Ms 42; elephone Number Address \ 13X,-_-) License# O-7 O ®153 a Home Improvement Contractor# Worker's Compensation# 3 S l.06C - Z3rj ALL CONSTRUCTION DEBRIS RESULTING FROM T ROJECT WILL BE TAKEN TO C aSV SIGNATURE DATE 0Z FOR OFFICIAL USE ONLY 3 . l PERMIT NO. 1 - DATE;ISSUED rrt E MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME' INSULATION FIREPLACE } ELECTRICAL: ROUGH _ FINAL PLUMBING: ROUGH 5:P-7 FINAL - GAS: ROUGH O; FINAL FINAL BUILDING �-_• = '- 7._..0 11k DATE;CLOSED'OUT k ASSOCIATION PLAN NO. Y RESIDENTIAL WELDING PERAUT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations '-- $25.00 Building Permit Amendment S25.00 FEE VALUE WORKSHEET NEW LIVING•SPACE (� 1 q f� g! � 5 \J � 16 square feet x$96/sq.foot= lJ x.0031= plus from below.(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE _square feet x S64/sq. foot= x.0031= plus fro below oib w(if applicable) ACCESSORY STRUCTURE>120 sq-1t >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 75 00 >750 sf- 1000 sf >1000 sf-1500 sf 100.00 >1500 sf Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Parch x$30.00= (number) Deck x$30.00= (number) FireplacelChimney (number)x$25.00= Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 ` (plus above if applicable) permit Fee v� ptojcost � � 1 g, 116• � � �x�s���� 6 LOT 164 L ` 165 C)- �w- 2 L0 0 7' �o_ �p� � 166 v k r� (Ind) o " MORTGAGE INSPECTION Plan is For FLOOD ZONE.• "C" RES. ZONE. RF This . Bank Use Onl TOWN: _MSS Z4RN.N`�48� '______ REGISTRY 0 WNER: �R1 �'_��C DEED •REF: _� �,Lt.� ---------DUYER: . 'NBLC9_�_ �fABY�✓N_YF)?5Acz _-------- DATE: _ ------------ PLAN REF: ___439,�15 _______-__SCALE:1' = 30 ---FT. I HEREBY CERTIFY TO B9Y�BNlf ��'T d� CARP_— `.:y nr ,,� YAN KEE SURVEY ___ __ _____ ______ ___THAT THE BUILDING t? sgcy CONSULTANTS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS �' PAUL o� SHOWN AND THAT ITS POSITION DOES ____ CONFORM A. 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE � MERITHEW INDUSTRY ROAD o No. 32098 e TOWN OF BARNSTAZLE_____________AND THAT 90 IT DOES__LQZ__ LIE WITHIN° SAPS MILLS, MA_ 02648 E SPECIAL - RD CrST TEL 428 0055 EDO$fJ-91 NRE A SHWN ON THE H.U.D. D FAX: ` 20-�500community-Panel # 250001 0015 UJ%NG 6'VOOR FROM HOU5E EXI5fM PECK 14'X20'(APPROX) I.2X8 Pf FRAME¢16"O.C. 2.5/4"X 6"Pf VEC" 3.06 P051`5 li` I 4.(4) 10"0 FOOfW,6 14' S.J015f HANaR5 6.VOL 2X8 REAM 9.LANVNG 8.5fAII5 PROP05EV IJP6M5 f0 0051iNG PECK I.fO AVV(4) 12"0 X 48"PEEP FIGS W/ ANCHORS + 2.f0 AM 5/4"f&G PLY OVULAY 5.fO A1717 bX6 P055 W/KNEE WCE5 x 4.fO AM 2X8 Pf VOL 1015f5� IN.&lice[WAILS 5.fO A)7V 20 Wr L DEAM 91(' 4 PROP05EP 3 SEASON PORCH ---� 14'X 14'(AMO)0 5TIVIO 5ra ENCLOSURE 3"EP5+ H ROOF 5Y5tEM (14'SPAN) -,HF-11 LEE]] H .1 Lj, NEW 6'POOR FROM PORCH (NOr SHOWN NJ / TETI NEW 6'POOR fH15 VEW) ` FROM PORCH I .� I •��� I I 1 I I I n i— - � —�i I I � —n , I --I n I• �- 11.. LJLJ LJ LJ LJ LJ- LJ LJLJ LJ 5fAIR5 NOf SHOWN FOR CLARKY ® O Pro- Sc�e:i/8"°I'-O" Vrawuq: etterl ivi ng VFr5ACa A-I AW D PATIO ROOMS 26 M N WAY BWEST A�15tAf31-E,MA 02668 I mg)393 (5N)�393 Q340 Pate:4116102 156et i of! LAYOUT FLAN5 WALL 5ECTION5 EX15TING BUILDING s FAA (MAX) (MAX) 5TUDIO (M ) p v• d I 81':'="" 81" I 81" 81..,' - ` r I 5TUDIO 51DE WALL(A) STUDIO 5IDE WALL(C) - A55EM13LY' DETA DM ALUM.PANEL HANGER r; ' y CONNECTS TO WALL STUDS ?a<« 81.k�$"b 81"x78"D OR ROOF RAFTERS B WALL SEE ALLOWABLE LOAD• (1� • TABLE FOR PANEL SIZES'. c f 14'-2" Y..f• '�' 5TUDIO FLOOR PLAN ,' 81 _ N 81 I M1141MUM SLOPE 1:12 , r" (NOT TO SCALE) �`, I e:•• GUTTER FA5CIA HEADER SUPPORT BEAM _ f _ 5TUDIO FRONT WALL(B) TRANSOM(OPTIONAL) ALUM.SLIDING AL'L•OWABLE'LIVE LOAD.TABLE-FOR.I5.ET..PANEL. WIT- .14 FT._OR LE55`5PAN) Tr DOOR OR WINDOWI e. ,.:, 20 P5F 1,125 PSF---%.1 30 P5F r,'35 PS F 40 PSF 45 PSF 50 PSF 55 P5F 60 P5F TEMPERED GLA55 3"HC �3'F;C+H C 45"NC I"'��';45"HC 45"HG 45"HC+H 4.5"HG-H 45"HC+H 45'HC+H', — ::"EP5+H r3 r'YS+H J 45"EPS+H:, 4.5"EP5+H 6"EPS+H 6"EP5+H 6 LP5+H 6"EP5+N :C'Ef 5+H:,-;. ' SLIDING DOOR.ON 51L 5`r';. R" •4e L) ;."E�1EY/Nq'A ,� SECTION WITH DOOP, a�,T -c'N.QTE5 FOR STUDIO CONSTRUCTION '. Q o ••' •"'••,•sy% FLOOR CHANNEL = '� ca /( c 1.STRUCTURAL MBABEP.5"$HALL COMPRISE 4.1 AND LOADS=20 PSF 10.ABBREVIATIONS":'`6 - $�v•: CRAIG jom" c �qc v 6063 T6 ALU�IUM EJfLRU510N5 PROVIDED FOP 80 MPH EXPOSURE A B,C D=DOOR `iC;;<:`. ti 1 y! jo = DECK/5 l ^ DM�DOORlv1ULL10N - 3 BY CRAFT- IC;NKIUFACTUP,ING COMPANY. 5.DEAD LOADS=5 PSF = :' ALLOWABLk',�LT3J��ARE BASED UPON 6.DOOR AND WINDOW LOCATIONS yrj _,ygNDOW MULLION ��C TYPICAL-STUDIbSE ON ARE INTERCHANGEABLE °F '•E��S'f o' NOT T0:5CALE THE LE,SSOIROFiHE ULTIMATE LOAD/2-5 U=U-CHANNEL OR THE06A6 ATSPAN/120. 7.GLA55 KNEE WALLS ARE HC='HONEYC01,413 PANELS Z. UATERCHANGEABLE WITH PANELS. EP5=POLYSTYRENE PANELS s PROJECT: CONTRACT O R: HC/EPS�EFERSTO CRAFT-GILT STRUCTURAL � �� sq PANELS WITH ALUMINUM 5KIN5 BONDED TO 8•N9DTH OF 54VALL M.Ay VARY PER H=THERMALLY-BROKEN a CRAIG J. HONEYCOMB/MYSTYRENE CORES(3",4 tk" DOOR/WINDOW LAYOUT UPTO 24FT. ALUM H-5TIFFENER Joss j . 14-On X 14'-2 AND 6"THICKNE55E5.).' :t?, 9.AUTHORIZED FOR BETTERLIVING O/H=OVERHANG `stnuctui�ru `r , P5F=FOU14D5/50.FOOT -ca +s 40324 5TUD10 ENCL05.URE ADJACENT PA1EL5 ARE CONNECT ED;USING DEALER USE ONLY. P=PANEL 'sti i c� RAWN 8Y:CJJ DWG NO.: , �', �: GlSTEP R''�'%` em50-14x14.cha GENERAL LAY&UT VINYL CLEATS CK Hs � N, ` FT=FEET `:,oLL SSlU lLL i SCALE-1';=50" 9 �°``� kc��s4 Wit, ALUM.=ALUMINUM A r�v+` DATE:11/2712000 � c, i7• _ _ , f• • 1 - t • a r !! . t View Document Page 1 of 1 MAR-27-2002 11 :35 PM 7813372673 P.07 i �':UP= P 'aer Artist CoMpl.�e and Sign This Sector If Using AlI, ya•Tio.nZePe: x�r P Ownerof'abja iec+�7or�r�, y b hX ( tr.a.—Patio R I T:7 all-1TG1tt., !is� ,e, Ont I,02 A ..��3� to acz.on rah; s c' �rl:a�rthoriz= rj r?�;.� ;,.•.,, : • 1 J. 4JO ff, • Q a'�;er�r i�E caer(R$.-..�•'i`di t Or?FFLt9�:)C�4inr.i.:G`.EfT�;iiBi@ 1i.:C�11L�.•��.i:fg:i>;4`gy, aat f o, C� , as O (d-Li1S of iw� p2 ;T3;e�rt 0 u7B 1!a`. 0} —r�:.a3ication Lor ac!raratcr to`.��e• D�_.—,Oi ny k,o=�'.sci-e end�-' S<gnsd cad tic�z^ss kM3 i 1 �1_.raT.�y�R`r1v'Y S Date • r. Print This Page http://pra.patios.com/ViewDocuments.asp?image=3-28-02-8-40-46-owner-okay.jpg 3/29/2002 i Town of Barnstable °^ Regulatory Services 9BAMSTABM Thomas F.Geiler,Director �iOtF1639. 0 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. Type of Work: �`" � �lJt r l Estimated Cost U v v Address of Work: VU,4- 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 ❑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 D NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND ER L c.142A. SIGNED UNDER PENALT Y I hereby apply for a permit as the agent of the owner: 'I Z S U - 1D12f.tiv MALoM4, PZTI o V�cIY1S Jr� Date Contractor Name Registration No. OR Date Owner's Name Q Iorms lomeaffidav F _ The Commonwealth of Massachusetts Department of Industrial Accidents alike oiineestigations . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit C� location: 2 G t Y ,wZC-,2S)14 VJA y.� city phone# ❑ 'I am a homeowner performing all work myself ❑ .I am a sole r rietor and have no one workiz in ca acity I am an a to er roviding workers' compensation for my employees working on this job. ................... .co a� t... .................................... . "Jo Ja );;:::::..:: :::::::�:::•:.:.. .... ........................ ❑ I.am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who...-.n olices: ensaho the followin workers comp •• �•- P 'com n ...................................... .:::....::........:.::........:.::....:..:.:.:........:.::.. ..SS:�;�:G:: i::?;: >: ::: �;:: �;�:::�:�;:�i�>::•}>:•;:�:�}:•>:�:>:�));)»:�;:�>:;.):�:�):>.•:>:.}::;�:a}i::s:;;.}:�:;�})i::•;;•;:�:a};:;;•}:;�::.>:�):�):.;:a::•:;•)}>:�:�):�:;::::«:•>::::::):�:;L•::�::�:�}))i:<•;;;:}::;•):•):a::::�:?;�)::+:..i::�i.'•;i.'•:; attilTe �:. ltt)n •:J:P.:::.:................................... .. .::i:!�ii)i)}:L:•.�.........n.v::::::::::.�::::v::::.:�:w::::::::?v.�::•.:;�:::.:Lviii:•:})::}:vJ}:•:?:.i}}:yv::4:�:::•i::i;i ::.�:..::::.:::.n::::n..�:.::::v::::::::::i))'r'r}iii�:^i}iiiiiij::i}:•ik<:�i:ii::iiii:Jii:�:i�ii)::iiii:' iii> :::::::::::::::::::::::::.):^;}i:v:9i}}})})}v...........:................................................):'•}Y•i)i:vi:4 w:.�•::::.�:::::::::.:::::::::}:::::::m:n:v.:�:.:::L.}}}y:::::i::•))::::::. .....:....................:,.................................... .........0 .. ... ... .....::•:::::::::•:::::::::::::<•i:•n:o;•ii):•):�>:�):::.::ai:�):;::::%-i:::;::'::::::::;•;•.......:............. <•:•is•ii:::;•i:�}:.;.,;.;;.;:.:::;.::.::::.�:.}:................... .........::::: :tngnrair c an.nartr €> «<: addr OSs. MmIlem.... on b h - ii: :i4.Ti..ii . :i+'riiii�ii��iii:?�:!L!!!:ri:ii�i'�:�'�$e:ti)•:::i`:viyi:::iii;?:^iiiiiAii:is$i:;isii::?yi::ii�ii:i�:v�:}i:i'I.;ii:;:iiJiiii}:{!i�:ii::�}ii};•:;:j�:;?ii:::�iii:�ii:y�:}:iii:S}: :Y F.r. . ......... ..............................:......................-.... .................................... ...............i............. Failure to secure coverage as required under Section 25t of GL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the fo of a STOP WORK ORDER and a fine of$100.00 a day against me I mrderstand first a copy of this statement may be fo ed to Office o estigations of the DIA for coverage verification I do hereby.ee u d pen of perjury that the information provided above is true And correct Date 5 OZ Signature _.. . OW PriaE name Phone# `Sfl q 3 official use only do not write in this area to be completed by city or town official city or town: permit/license# OBuilding Department ❑Licensing Board. ❑checkif immediate response is required ❑Selettrnen's Office ❑Health Department contact person: phone#; _❑Other (evised 9/95 Pllq • - t Information and Instructions i 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,neitherthe' 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,by checking the box that applies to your situation'and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding theor�f you are required fo obtain a workers compensation policy,please ca11''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 t ie 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 permitllicense number which willbe'used as a iefe_fence:number..The affidavits may bb'retutned`ti,�+ the Department b maiT or FAX unless other ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any_guestions. . 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 Invesdoatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4960 egt. 406, 409 or 375 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YY) 12/18/2001 vaooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph MCKeone ONLY AND CONFERS NO RIGHTS UPON-THE CERTIFICATE JP McKeone Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE INSURED Patio Rooms of America, Inc. INSURERA: HARTFORD INSURANCE OF THE MIDWEST John Esler INSURER B: 100 Otis St. INSURER C: Northboro,MA 01532 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT; TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUC_D BY PAID CLAIMS. INSRILTREXPIRATION I TYPEOF INSURANCE POLICY NUMBER I DATE M DDn'Y I DA MM/DD/YY LIMITS A I GENERAL LIABILITY 35 U UC 35019 111/01/2001 11/01/2002 I EACH OCCURRENCE I S 1,000;000 COMMERCIAL GENERAL LIABILITY i FIRE DAMAGE(Any one fim) I$ 100,000 CLAIMS MADE u OCCUR IMED EXP(Any one person) I S 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP IOP AGG f 2 000,000 I POLICY PRO- 0LOC JECT A 'AUTOMOBILE LIABILITY 35 MCC 302718 11/01/2001 1 1/01/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S 1,000.000 ALL OWNED AUTOS. BODILY INJURY SCHEDULED AUTOS (Per person) S X HIREDAUTOS BODILY INJURY NON-OWNED AU70S (Per seddant) S -- PROPERTY DAMAGE ' (.Per accident) S I GARAGE LIABILITY j t AUTO ONLY-EA ACCIDENT S HANY A'JTO I I OTHER THAN EA ACC $ I AUTO ONLY: AGG I s EXCESS LIABILITY EACH OCCURRENCE_ S OCCUR CLAIMS MADE AGGREGATE I s DEDUCTIBLE s RETENTION s I S A WORKERS COMPENSATION AND 35 WBC FI3935 1 08/01/2001 08/01/2002 I TCRY L MITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEEI S 1,000 000 - I E L.DISEASE-POLICY LIMIT 1 S 1.000.000 A I OTHER 35 UUC 35019 11/01/2001 111/0112002 Includes Richo:Copier AFFICIO 270 i PROPERTY Account 41997.706 to include Theft DESCRIPTION OF OPERATIONSILOCATIONS/VEHK:LES/EXCLUSIONS ADDED BY El DORSEMENT/SPECIAL PROVISIONS Certificate Holder is additional insured CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTI A: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN INSURED COPY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE-NO OBUGAT40N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I ACORD 25-S(7/97) O ACORD CORPORATION 1988 . • TAbis JS3.lb( Aar Fassi7 Farb procriptire Pseks;a for61 aadTw.,rsn+1P' �V t� ME"MMAXIMUM • •� U{Tl .. ; wall F100r BMW=, slvf F�fia� alaaag &vsluo' Wall Ptdwctw Aisa'(•/.) U raIue R•vslvr' R-valrse� Rwabw p�icaaL 5101 to 6500 Hesda;De>Srsar Dam 6 3f 13 Nananl 19 10 Normal Q I2!10 0.40 19 10 6 g 12% 052 30 19 6 EJ AFUE 13 19 10• Normal g 1Z:4 . 0SD 31 WAW 23 T 13'/. 0.76 . 3E 13 6 Normal 19. 19 10 11,AR U 13y. 0.46 3i NIA ]E 13 2S N/A i3 AbVE v 1S/. 0.4{ 14 10 6 w 150/4 U2 30 19 NIA Normal X IE'/. 032. ]i 13 23 NSA Normal 19 21 WA NIA LAZA 1 E'%. 0.42 3i 6 90 AFUE13 19 10 90 AFUE!E% 0:42' ]i l9 19 10 6 lE•/. OSO 30 T. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA.(#3 DIVIDED BY#2): S: SELECT PACKAGE(Q—AA-see chart above): G ENERGY'REQUIREMENTS ' NOTE: OTHER MORE INVOLVED METHODSFMETKTHIS INFORMATION. . ARE AVAILABLE. AS BUILDING INSPECTOR APPROVAL: YES: NO: q.forms-f9&0303a Footnote's to Table J5.2.Ib: 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 spacr,but exciuditig 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-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Counci.I (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 trtus Co .tGvetion- If the insulation achieves the full bstituted for insulation thickness. over the exterior walls without campressiou; R-30 insulation may be su vity 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. use Do not include 'Wall R-values represent the sum of the wall cavity Insulation plus insulating sheathing (' d)• exterior siding, structural Aheathing, and interior'drywall.For example,as R-19 regtnirzmcni could be met EITHER by R-19 cavity insulation'OR R-13-cavity insulation plus K-b insulating sl,eathiug. Wall requirements apply to wood*frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal=frame construction. 'The floor'rG4uirements apply to floors.Oyer 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 Iess than 50%below grade must me=t the same R-value requirement.as above-grade walls. Windows and sliding glass.doors of conditioned bz.,ements must be included h the other glazing. Basement doors must meet the door U-value requirement wit d_scribed in Note b. The R-value requirements are for unheated slabs,Add an additional R-2 for healed slabs. ' If the building utilizes electric 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 of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efFiciency required by the selected package. 'For'HeatingDegree Day requirements of the closest city or town see Table J5.2-la. NOTES: � ' a) Glazing areas and U-values are maximum acceptable.levels.Insulation R-values arc minimum acceptable levels. R-value requirements are for insulation only and do not include soructaral components. b) Opaque doors in the building envelope must have a U-value no greater than 03.5.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 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'(Le.,may have a U-value greater than 035). c) if a ceiling,wall,floor,basement wall,slab-edge,or crawl space wail 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- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). , ' _ 43 View Document Page 1 of 1 MAR-27-2002 11 :36 PM 7813372673 P.08 ' as:riK��cS. ,e.tziltld '�'J - F?Rea -��.•i'. 1ki� �,' T,4e 1+:�Sacl;e>-ens State$uildiag Code(80 Cb67 ' '• d_ t tins - ir,C.L' s 3- ,Motls t0 urs that houS85 azd house addition's ;'1^et aa.rgy ar:lc;cnry Standards, 71ds 5eppiCefental'COl1St�'l 'INFCFN.4TIGN -FOR-V. - in to be tiled zs part of tht building ps.:;it rppli on When a builds./con—dior or nou`,LOwT;. moans+ c:in3/i stalling a house addrii�n�Pit�v'ry!_rge of gl-e54�to op-J"s mall, ks to u: ,z- pacizl energy COMServatjot7 trernption option for ";wtroom" additions' to =_n, a?_isLng bot.!st (750 C_ 4ppendiy_ J, Sectiol J:.1.2.3.1). This 701W is not intmdcd to P^--vtnt, ' homi :eo n5r tfom Select:rl9 a "-TIL'�Orf1"oI ai V size,confivurati'm,or!'f11Bt16n, fo'R1 7-r=-nt Z"zring, b,;',a'bn ?S 0 y Ir..fspd to acSTCf I,p a rrJ�o. j� :]a In.',. ,F n ^ - - TT: . .'T, _ ']re &^•:.,� 6i flit F-1ro-:%Ct enb= ]^n:�.i•.' .l.i:. ui:� _. 'Ui M,,a^.0 a"s u.^., _»Zddl111on. .G_ =Jn._,.�f^•1 of 'uALO�rP.." sFTJ-.'_;1::, t6 ,.s";��5^�_3i � i;d�.ys rPP ,,... =O^=i1T�,tio, 1::.'+UG. :h:v to un-Cm-tSollCd _.lar=zln ..- 2nrcn.;'olled ra4ieti w a;•a;ink Gi tb- r7ain hov:ze.In tt}9 Ptje CtlAn eld _,.:7Fw 17 r.ir,7f✓1tiStS_13tiG?;Of ,.�❑r?]7$",-..,alttdsc help)�;j;l.^n�.r�rt_`e.rT R . -,vD�n-en..9'�list 02, Product and d 3 tb:Sj3e'ai oRS La r y T;eF r_. -, 17 � +P�t1 w i� d �D:T,,OJ✓f:i� Td J :oi:iii�Cr S.aV:e HCt��3Ly Cor_.Ct.-U.^.tfr,glri=', ng a "st:;rood" It is reror^msnd::J that,.vnr�ra err'c�ecu,t�, -c-Jisw _hese<rnbors :h -S_).g.r_.e.r- , culr, arr i1r1 d a c rdor,L6 :a1Ir p-ie_ r� tt:'..0 �J n't'izl•er,;.-?}' on Sz-d/or house discomfort In addition, tat qualifcMtio,- alid reputation cf the comjan- or iadivisnz s to ' a,�it„pOrtHT.'=O'SidcratiOAS. • VROTi—J-)CT AND D",&F1Qr4-CQT'SIU r QNS FZ,L.A,7`F.A TO"ST,:�ROOMS6 SOlnr Orientation rtad 7'?aturni Shodjng • Typa orGlazdng • F lsulating Solar hit gain • - - F'raca611tnt-crinls Olazilla to f.-amc sealin0 and.76a'rietlnf, n:a?er-ISFsI ssHl darp.b,111,y an!Ilp; weatlidr fig'irtt;^ss offlie Sunroom Adequ2t0,antil2tio.13-Operstble Wlndo 4s and raps ' 4pn1iea S!Ja&iag Systems , Iasuladoa levet in^co�,ivatis,and ceilings ' • Pcsaihle Sur room lsol2floa Fro;a• I:' e unain house via a-wklf zrzd/or door or siider ' � .�c7:`.inv anrJ Cgr�IFng I4T_.hcda:�T:ci_nc�,Zcaing tins Custrels I;ID�eo'Vraer A.cl;.n.oZyte 1g1n on t . 7'.R-Mcss?.husttts S;ats'u:ld:n^r` de �•tj the a I Y � � �}!a �c , 5 oa J,.I.2S.I,racu=:res tn`tat. c`ls_ �- sr` :'nGi o Wner's ag_nt or rep:esentative) r ipt of tli;CONSUMER D QRvr70NT FO?Jf prior to ism ance of a Building Pe,-,nit for d proj-ct:bat inClvde3 "suruoorn- additions o dII existing r-S106ntial builai g. 'In acro n e with this c.�uir.T9i t, t 9 v-dersig:,rJ hereby ac1T�o�+sdgss that a hs/i s l vs ra 3 l]S T"at on t ?hi: 0, t-IM- lit:onccnirs 31IM-DO71'=Fbr':and 5igr,a* , of/A�ual.r.�vi1�J: OWnc� D. �,4 �i VeltSr�CP� ;?rirt?w'ar,- r.ddre;s'of cr:•:fire' reject � ;i �J*ntrkJdr s'ifdifferentthanprojectlocalr:) r,1wrm-, te'--Phor,�nurnosr • f; h Print This Page http://pra.patios.comNiewDocuments.asp?image=3-28-02-8-39-59-stateipg 3/29/2002 /P�. •J�C 'V/orr'r/rzO�ra>rr.,Cl��z �'�//.,L:;::f'i��!✓ul Qi w Bnard of.Building Regulations and.StZridzn , c r a g f. i i 1 Li.cense or epistratibn Oicl or L.div idu_use on.v HOME IMPROVEMENT CON!Ti F5C?O= before tine expiration date. Zf%ound return to: Boar.d of Ruilditig Regulations and Stan.dtxds P.egjst[at g25168 One�sbburton Place Rm 1302 :Ezp rati on=70%21/03 Boston,NIP- 021.08 YP;e_r?r.`iv2te CArporatian PATIO ROOMS O•r B_n:6't>f INC' ANDREWS MAL&N 7-_ r ✓r�r ' r�� _ 100 OTIS ST NORTHBOROUGH,MA0i532 ------- -----. ---- Administr ator Not valid without sigrature �:�r��,• s.j •.';s{n�F� ...// ,ram /•,. �/`,�ii/.uJG!.vl.t.:G6:%4 �' . Sri ✓`•� :9:irai�2arzt/ie.:,-�.r�. t; BOARD D%BUiL7iNG REGULATIONS 7 s I n SUPERVISOR "'License: COKvTP.._GTI•_:N SJ. ^ ; "se. u70998 Number: .a• — 1= �x ire5:.0212012003 Tr.no: 7227 Restricted Toi 1G ANDREJU T MALOi\IE .- —pa/ 41 WASHIN'GTON ST r2' L NATICK, MA 01760 Administrator I i gyW=AVZT Y. 3ccorda-=ce +,�:.ta article 1 Section ''_i4.1.3 0= `..=tee t , St3t3rting CD��: 1 Cert L1l liV i.r=3iull debris ��553Ci�aS2%`tS res��lting =ro'-'' worms associated with Parma%t # or i di snos.ed c; at w=11 be �=op�_-y =V-�c; ; de ;--.:a by MGL om w35L dj 5705a� - 35 Sod • �l Signature of Permit 'pelican c E . L . HARVEY & SONSIN 66 HOPK l ( TOR RO - - W"ESTHO ° O , M.A -4t �E;r ��v�N6 P�� (R E 1 3 5 ) t 5 B 1 ir� Na*ne (iT any) OJLS 1991 the DpartlttP.nt Oi ea th/Code �ffecti�re Sentzmber 12, X•rticle 13 of the 1��s5 _ :. �ifOrCeZY1?s1t 3ctlAg vender C.'13pCzr 2 e da =-Csa i O_ Worcester ReVi5r••_.L Oa:i__arAcas icYu � 1" i -he proor + result OE this permit 3ebris' ganera�ed as a e=ised s'zall be a dated and signed ecA;p= zror� the lic_ disposal -Facility containing the following irfarnat_on. sae weight a,Zd vclu:~�e of tree ^esc=_niion�o= thuo debris, ac_ii��- -^e ^ the dispO�al ��ari5c tL- 10Cc� rc Ot t�_E O`r7Z1Er/OTJer3trJY Oi _eceret mist w'_s0 have a Sig 3tL1 t%S di spOSalS faC,llty• y r t�S �r�1Z8-^•Ce Failure p ,with th,e re^aireme-n-s O- o ccm 1y the City. will reszlt in en=orca*nent action by TOTAL P.02, �"E The Town of Barnstable 1 9. Department of Health Safety and Environmental Services , Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION Location of shed(address) Village 1 &etc,) Property owner's name Telephone number j 0310 Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) NJ vyf /Q THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedmg i 1 , o LOT 164 LOT 165 0 o rr o- c�o = DECK - - - __-HSE.-=*tz---1 N — — — — 0. 5? _ \ LOT o0 o�y 00' ' 166 L (/nd) o RES.. ZONE.- 'RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: ______ REGISTRY OWNER: BRIAN _T._QACEY� TRUSTEE-___ DEED REF: _-dVfl'Jz---------BUYER: �NBLCQ,L_X�fAR�_]Xff_FZUAC ----------- DATE: _32�95_________--_ PLAN REF: _439115 _____SCALE:1"= 30" FT. I HEREBY CERTIFY TO EAYBANK _OL'T_CA_C '.�`QE �y of YANKEE SURVEY ___THAT THE BUILDING AUL CONSULTANTS SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN AND THAT ITS POSITION DOES _ CONFORM. x PA. 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE o MERITHEW N TOWN OF ___BARNSTABLE-------------AND THAT 9 No. 32098 oQ INDUSTRY ROAD IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD �Fs �FCISTE�``� �a MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED 8� 18 _ ��oNq� �allosJ TEL: 428-0055 Communit -P nel # 250001 0015 C FAX: 420-5553 _ ____ c1_______—_-- THIS PLAN NOT MADE FROM AN INSTRUMENT' 16505 DPC AUL MERITFIEW. PLS SURVEY. NOT TO 131' USED FOR FENCES, ETC. StlC-L�' t AMIL-( 3 $E•DI?WM4' \ �O 6,A05AGE 6WINVEZ_ PAILS( FLOW SX uo=53o GPD i SE?FI C TA WV 33D�(I SU 7o' �-!S rrPD % ' l)iE loos GAL N\ l Dm"FO'AL PIT 'I-6w&L/3 _SrD49_ IeTP \` I-� 1`j��S� �IDCWdLL AweA = 132 Sf , 132 SF X 2 5 = 33o GM 1� 98 BoTToM A� = I I SF TOML te51614 = AA-B (Ifi, �6 tAIJpIL r 0 r TorAL 'DAILY gip/ = S500b ;,oJ_. PE.�CVLAT101 1 QATE =I iN2Mj4/Le% lop,\ TF � ,1#1 OF,e�.° \i7r zo N 'f� /fit ►� g` PETER J SULLIMINIAXTO w 09" No. 29733 P-G7So I TF=p2 a� �/bp 12.787 vir/:� Y ' � T Pvc m IOOD Y //✓I/• SUBSaL iNY DIST: IRV Ili idv /0/•6 S i'IC 4000 nv y�o Bo�c 9&Z t R c. -Lr rme •.. . GAL yS TANS." nc SAbd WIT't� �,_ xlSb S3, ' ' � 3/4!-1/y WMgEP- Oafs: Aw_ 5rzv_ruQEs ss.-r L. MAP ns PLL STONE MOW T11A�.1 4. VEW op�N s�r�c a✓ SJP�DIV ls)flIJ WALE. zc A-zo FINE 3 �---- G —+13 7nfJ I►Jb" `3a /I C /a (Sa A7ILa�z/�y 3J Sa►b 12 l6ezrIr-IED ROE PLAN w/S,Lr 40 Lo 1o11 : u/esr "BA2.IJ5r>AZLE NO PLAN QerEQE)4CZ- 1 CEV70FY 7+ AT T4S -Dw u-u.,w e. %OW14 WiXEDN c.oML wlTA l_Af_ Xr=uQE [AmTm IlIu. A v 15 Isar l_04 T-GD w t9 d TEE rLDM m1ma, PL PL -- �A"XTI:rz l Nye (W- p20R_:%los44L LAUD SufnVEyotz5 7�415 FJ A Q IS Ncr rSA/,JD oN AN ew 11_ 14 0,16114 EEZ5 5v2v1r-,t AIJD THe OFFSei"S 41.4oaa> uur Z3E a 5TE2vIL a MAC , uSC-i:> T'o GSTaBc.KN Rzape2 ry u Nc--S dPPLIcAN,I-��_ {t�slb� �UIL.�J11J(�. II�C. o l?, 1�2 i << �a. FouNb. 10 3, �� s 7 7 0o MoeeAN O A a • cE,eTi,�/Eo � ,oc�T �,�A�y Y 7-1-IA 7- T/-/,C-: ,r-o-vVaarioAV ,COC,4T/OTC/ ((�, BA2,V,5 48[.4- Sf/OWN yE�2E0.C/CpMpL YS �//Ty SCA L G— 7"•U�S"/oE.0/.vim A�vo SETBA Ck � - �• O�1 TE B• z 2,9l� �.4CA T,E'L� fyir'h�/N Tye' .cLaaaoG4/y, Tom//S ,E3AXT.E.E�E BASSO dot/,4i(/ �2EG/STE.eEp �C/p J.r. lJ.�li�'yar� /NS7-,eUiLl.Eit/T,S'!/,21/6Y€ TyE aST'E.2Y/.C��a U.SE� 7� OET�,�i�l/�E .�••�>T L./it/ES .4O�.L/C,4/✓7� —.'-ti w=r..---c.+rrr'.�.� '.';.^�J..- n.�,,,,,v,;...-• :.r� :Tw'tF �w r. .<i .. .v av�c. ar-..., .._-+...-� -.�--.:_—r `-•-ry---- ti..-..Y '7 TOWN OF BARNSTABLE Permit No. ..... BUILDING DEPARTMENT ................TOWN OFFICE BUILDING Cash 9 X HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY l Issued to BAYSIDE BUILDING Address 2-0 Morgan Way, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 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. j November 2 94 S I .. ... . .. . . .... . .. .... . .... 19................. ......... .......`t...................... ildin In Bug g Inspector r o �.. °.e TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit hass been issued for the building authorized by BuildingPermit—#.. �lO _............................................................._......._.._.................. _. ..._ . .. __ issuedt ..... ....... .%,..... 'c,.................................................... Please release the performance bond. .- �.� �.�. ., >:, ,. ,_'�•y -'•3 .�5 ..•>,t, -� i $ - � r �FY�, �,xr� s9 t.-�'x �?f`�'-'"7}".:X��r4 Y7�,�� � . �. .: . TOWN Of BARNSTABLE, MASSACHUSETTS SUILDIN .PE�RM�I�' A=175 G31 ays.a 3 PERM 94 T49 ^96g'�8 DATE 19 IT NO. .l�.�i1t) ADDRESS .e YJC1:i ') i v:>(i4t:) APPLICANT (NO.) (STREET) (CONTR'S LICENSE) a:liilel ea VSt l iii 1 al?.Cl� ClialJ' iy (Iv e LII'11 UMBER OF PERMIT TO (_) STORY J -OWELLING UNITS (TYPE OF IMPROVEMENT) IN (PROPOSED USE) AT (LOCATION) ;,.0 eloryan Way, lot #165, .West Barnstable ZONING RF DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) 'LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SjALL CONFORM IN CONSTRUCTION • I TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) Sewage #94-451 REMARKS: AREA OR VOLUME 1288 sq. ft. ESTIMATED COST $ 115, 000 FEE PERMIT $ 103. 25 (CUBIC/SQUARE FEET) )Son(Y OWNER isayside Building P.O. , rG' Lt: a BUILDING T ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ' MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR All CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS C11.viva-C A-A.J.JL1�� z 2 2 HEATING INSPECTION APPROVALS ENGIN ING PA TMENT I C GRse- 2 N C l? 2^cl y BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL e. WORK SHALL NOT PROCEED UNTIL THE INSPEC- ?E RM I T +�!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT 1S ISSUED AS NOTED ABOVE. NOTIFICATION. i COMMONWEALTH OF MA.SSACHUSETTS DEFAIr';MT-NT OF INDUSTRUL ACCIDENTS' 600 WASHINGTON STREET �amDmei, BOSTON, MASSACHUSE-M 02111 (U stone, WORKERS' COMPENSATION INSURANCE AFFIDAVIT V rnseclpt:rmitter) ' 1 principal place of business/residencc at: (City/smmmp) :cby certify, under the pains and penalties of perjury,that: im an employer providing the following workers' compensation coverage for my employees working on this .A )4i,,j- Gf/G / 3 /mot 9 0 /7 trice Company Policy Number am a sole proprietor and have no one working for me.. im a sole proprietor. ncral conttzctor r homeowner (cirde one)and have hired the contractors listed below 1ve the following wor c:s compensation insurance policies: of Contractor lnsuran¢ Company/Poliry Number .. - of Con:.:czor Insurance Company/Policy Number of Contractor Insuranc Company/Policy Number n a homeowner pc:forming all the work myself. NOTE .PJcuw be aware twit wbilc bomoo-men •Mao emoio-epersons to do mainteoa ct. eotutruetiom or repair•orx on a of not more tnaz tnrcc unto is water the aomeowmcr also resiau or on tzc prmuad.& appurtroa.nt tbereta am not rtoerx1J%- -cc to be cr_v*ovtn tinder the Wonccn' Comvccsauon Ac(GL C 152.sect 1(5)), application by a homco-mer car a license It may Mr_cocc the iepi suns of ax empiovtr timer the Worien' Compensation Act. tang that a coo• or tris stau-cot wiL be for-arced to the Dcoarrnent of Industz'a]Accidents' Ofnct of lmuranc io mkt on anc -ha- .Jurc to secure t:rtrur as mcuirce unoc: Section Z5A'or-MCL 15: an leac to the impnsiuon of e'.=LinL D aJnc +e or: tint or up to S1500.00 anaror impruon=.trt or up to one �n anc ci u pcnaiuu in the form or a Stop Wo'i t7r6cr arse a 10O.C.0 a day xfl;ns. me. COMMONWEALTH OF MASSACHUSETTS =? DEFA 7 OF LNDUSTRIALACCIDW S 600 WASHINGTON STREET ;anDDel. BOSTON, MASSACHUSEM 02111 Slone- WORKERS' COMPENSATION INSURANCE AFFIDAVIT en=/pt:rmiaec) , 1 principal place of business/residence at: v,2 6 3 a (CirylSra mpi) reby certify, under the pains and penalties of perjury,that. tm an emplover providing the following workers' compensation coverage for my employers working on this 't4- /7 V D/ race Company Policy Number . am a sole proprietor and have no one working for me_ im a sole proprietor, ncral contractor r homeowner (circle one)and have hired the contractors listed below . vc the following wor ers compensation iasu=m politics: — �-2P of Contractor Insurance Company/Policy Number of Conrrac;or Insurance Companv/Policy Number of Contractor Insurance Company/Policy Number a homeoi-vner performing all the work myself. NOTE_ .Please be aware that wbilc bom o•-hers wbo emoio-e persotu to do t LL'ntenants, eonstruetioo or repair work on a or not more tbas: tarec untu is wbich the homeowner aiso resiucs or on the rmuaas appurtenant thercto art not ceoer•u1`' d to be cr_oiovers unary the Woriccn' Comocasauoo Act(CL C IS'_,sat- 1(5)). appiicatioo by a homeowner i'or a 1/erase it msv Mc iocc tde ico suru of an empiover uaacr the Wortcen' Compensation Act rand that ; eoov or this statt-:rnt will be forwarced to the Deoar:atrnt of Industrial Aecdents' Ofnec of lnsursnQ rot cove- on anc ; ta: :aiiurc to secure covcraFc as recuircc unccr Sccnon 25A of V CL 15: an Icac to the imp=uon of ci r3aj oa:2j°es e or; tine orue to S1500.00 and/or irnpnsonmt+.t or up to one N1= and c%-u per:aiut:s in the corm of a Stop Wio-x t7rda and a 100.N a 62v a€a:ns: MC. 77411 / `7 AokOA&14 kAY W. Owndots Fire Dept:- REVIEWED i-700 imm - Q aw. Koi�s 8 z,irh v P Dim ED ME- DEN / 4S(�uo�T oov Sl-I�Wc�LE� � i _ FBI I� Hh F�l i J L LJr I'l-I it II T11 - i 11 ull, I � Lit! X�G•S I-1 l��,.1(>LE� ... 1 - I r i l ti ty' ?� ice, � I `�•..�. I I , I U- • I \�G. 5t1it�1G�.L- �=� I j I I i I i ------------ j A.SP..IA-4,L_'T. ._lZOoF sNir.JGLES / EIM I t � I I i a I I I I i I t it i d "i t •i I :I ;r � I i I: •I I I ' I • i i 20 1 Co. TfP-EA'TG-t7 \Voor-D 0EGK /�►Jr=> i C. • i i - I t -6 449 4Qr. � --��..Sw .000rL !r I I I� j o•v LA _. to K i o L{'E 0 -_[�I tJ i nl C-� 0147 - U"J`tL �� I 8, o•. / HALF -t-•IouQ. CocDcoR- -1-t E n r->E.2... I r Q T E 0 p 1 I-A. G'2S G A R.A a �. µ1614 HALF W4,L-L I Itt I C0� I 4''CON p2t✓TE SLA.r� I N PITCH 2" -ro oorOr'Z r oc v- CE I L- N G 'm N 0 1-4 o u SG fJ4LL i I r - \9 F3.E o. 20C) EN o rFz I FZ I GIt,rLP T I I I Q y , i So v S7 Cord STEP i 1 ro r a IL o" i rv,L 5, 40 41 rot S-7 !v2 S7 m r. -, [ e. S, J T��O /KoaT..E2. r�jE�7.R✓/. i .0 r SEo'ZOO/A eL. J -- ... AM4 t tv S. Ip II - -- fo co z5:"F ' •5 f�i F � t!V F'�-�-0�:F t>Z.ST .=.F.L,o.o 2 ¢' f�j.F 4* g,F !F O mlo. 0 _......___.._....__ 77 .a `0 cs 2 0 �- c o t-4r-rL. \V cn,'* frcn,CD-r t CCZA\JCL- FIL-t— T 5T 0 C-,,.rt--rc>f L CA� 71- 'Ll —F C4 12 ' 45' 12 • 0 %"e SEAL-TAD a.s HAur SFI ttJtoLES V.coO Fu2fLtt-iC_ B _I NSv.0 An UD U-'E--y-F---'. JXB�_p._INE FA CIA.: ' c Uu.r €mFPF r�nra*�^-.TA Low=cam �twnort ..F � - 'f!n'� F1�3tLEGt�-S INSU.LATI'O�J• SLED C`t_r.)A.rt.GL:e(�:pSoo2n't' F�Zo^�T fit, �s \V.H.tTcCE1�nR:SN7NGtLS jr- 7 6ArZ Qs E.G- t1lM '{ ILL S� 4 m �'°ee � /� 7t9:pun�a �n/n�=prcooFlt�G 9�c.o1� --TR`�1Cn�JC:A=�L-�i �N � ��--RGt�.nt.Q�rlrte7v • m � N ' '-GE'lsLT':Et 3f8:=1Cr Awn OATS: ,AN 9 L • • i COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY • seK, ®rlldl�9 + OF ONE ASHBORTON PLACE MASSACHUSETTS LICENSE CAUTION CONSTR. SUPERVISOR EXPIRATION DATE FOR PROTECTION AGAINST 04/1 9/1 9 96 �, EFFECTIVE DATE LIC-NO. RESTRICTIONS � THEFT, PUT RIGHT THUMB NONE r'T:�' ! 06/30/1993 005645 PRINT IN APPROPRIATE ' ;y •_,:��o BOX ON LICENSE. oBRIAN T DACEY 62 F ERBR OOK LANE BLASTING OPERATORS z CENTERVILL MA 02632 MUST INCLUDE PHOTO. . m PHOTO(BLASTING OPR ONLY) F E .0 w P �lii��� U l) NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY PAID HEIGHT: STAMPED-OR-SIGNATURE OF OMMISSIONER t _ I THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE I CARRIED THE PERSONO. IGNATURE OF LICENSEE D. P��o THE HOLDER WHEN EN II%iE �ER ' OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. '� r COMMONF EALTH DEPARTMENT OF PUBLIC SAFETY O ONE ASHBO_RTON PLACE MASSACHUSETTS . LIC-E N S E CAUTION EXPIRATION DATE CONSTR. SUPERVISOR 04/19/19 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE I'T:�^ ►"' ,. 06/30/1 993. 005645 a. PRINT IN APPROPRIATE JL :,�40 � SRIAN `T. DACEY a BOX ON LICENSE. ! � 62 FERBROOK :LAME BLASTING OPERATORS ; Z CENTERVILL MA: 02632 MUST INCLUDE PHOTO. m PHOTO(BLASTING Op' ONLY) FEF O•O o � � ' T717/ NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNA/OFOMMISSIONER 2 2 1993 THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF IGNATURE OF LICENSEE THE HOLDER WHEN EN- (�%■. D'o�`�.. OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. %;i �ER 4 L_ ' s'S or's fr a 1stlst F" loor): nl'b ��� ;� Jn6n�d BE As f �, l ,7, S, 39 Ash son s map and lot numb r ; IN 9 ALLC N Ca `Broad of Health(3rd floor) WITH`EITL � Sevage Permit numberq��ts_l A ENVIRONME�•9��aL .ntc Engineering Department(3rd floor): �/ LL, lY TOWN �'�EGUL ®� House number 39. (� Definitive Plan Approved by Planning Board F., 19 � �� APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only: TOWN OF BARNSTABLE � soma*46- w-- s oowHILDING - INfSPECTORPGR I ��l%'�'lD't� " TYPE OF CONSTRUCTION ,�LU✓�'t'� 19 TO THE INSPECTOR OF'BUILDINGS: The undersigned hereby applies for a permit according to the following information: �j Location f Proposed Use Zoning District Fire District —00 Name of Owner Address Name of Builder Address Name of Architect Address Number of Rooms O / Foundation 6,� Exterior /��/'i7 r G�� A Roofing Floors eft� Q V Interior Heating ���~ 'G� Z-� Plumbing Fireplace //2L� `rG/Z�Z��f�� Approximate Cost - Area Diagram of Lot and Building with Dimensions Fee �S , �1. 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 L`)�,,rvv Construction Supervisor's License T 771 �BAYSIDE BUILDING r No 3�a Permit For BUILD J DWELLING 26 Morgan Location West Barnsta Owner Bayside Bui ncr Type of Construction Plot- Lot . e Permit Granted August 23 , 1994 Date of Inspection' 19 Date Completed 19 Z