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// ��� R •x`r Town of Barnstable oFTMf�r�, Regulatory Services a .'BD,ILDING DEFT.' Richard V.Scali,Interim Director BARMABMMAW Building Division JUL 12:ZO17 39. Tom Perry,Building Commissioner TOWN OF BARNSTABLE 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# FEE: $ . SHED REGISTRATION . RESIDENTIAL ONLY 200 square feet or less k5 ; Location of shed(address) &age D,�• o ;ate Property owner's name 0 Telephone number "d O Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? , Old King's Highway Historic District Commission jurisdiction? -:KID If over 120 square feet,you must file with Old King's Highway - Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg 1/.P Y e REV:110413a Legend Parcels Town Boundary R? \306126 Railroad Tracks 13 Buildings E' �#171 Painted Lines !` Parking Lots 30.6136 Gt Paved 185 FM; Unpaved a Driveways 0 Paved e .Unpaved Roads 0 Paved Road \ — Unpaved Road Bridge 306137 i [3 Paved Median "Streams #2 Marsh, Water Bodies 306135 _ i 30613438, .. #17 Map printed on: 7/"/2Oi7, This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic 'Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are 6 Main Street,H annis,MA o26oi Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 3 7 Y O 21 -.42 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. is@town.barnstable.ma.us Approx.Scale: 1 inch= 21 feet cartographic errors or omissions. g TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_.�. �0_ Parcel—I - -_'Application # Health Division Date Issued e�—� Q� � 6® Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner \:• X2 n-e— PC Q Q (a1 Address gt02rl Telephone 1 _cZ I 3 C, J i V fi 7 d Permit Request Y\ 11 Q-eqjy , -1 a",c) _ ma SIDLO aE1 6A JZLQ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure _ Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (.sq.ft.) Basement Unfinished Area (sgZEE ) 3 � . Number of Baths: Full: existing new Half: existing _ .I nQv Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rolm Count_ fln Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other rn 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 I 1 Y\ IV1��1� Telephone Number % '72:15220 Address ! License # t Home Improvement Contractor# �` Worker's Compensation # O"`S !® ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY I APPLICATION# DATE ISSUED Z, i c MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH K FINAL _ .FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents a Off tce of Investigations s 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/orpnization/Individual): JM of New Bedford Co. , Inc. Address: 423 Coggeshall Street City/State/Zip: New Bedford, MA 02746 Phone#: 508-992-5770 Are you an employer?Check the,appropriate box: Type of project(required): i.Q I am a with 4 4. ❑ I am a general'contractor and I employer 6. ❑ New construction to full and/or art-time .* have hired the sub-contractors employees� Y ( p ) 7. Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ g ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp,insurance. 9. ❑ Building addition (No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other Insulation comp.insurance required.] *Arty applicant that checks box#1 must also fill out the action below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then lire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers' comp.policy information. I am an employer that is providing workers'compensation Insurance for my employees. Below Is the policy and,fob site information. Insurance Company Name: Continental Indemnity Co. Policy#or Self-ins,Lie.#: 4 6-8 5 5 6 3 7-01 -0 3 Expiration Date: 6/2 2/15 Job Site Address. \ �\l K1P�(' 1 � City/State/Zip: 1 Attach a copy of the workers compensation policy declaration page(showing the policy num r and expiration d'aie). 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 c1pq under the pat, d penalties of perjury that the information provided above t,s true and correct Si Da 1 Phone#: 508-992-5770 Ofticial use only. Do not write In this area,to be completed by city ortown offlelal. City or Town: Permit/License# Issuing Authority, (circle one): 1.Board*of Health 2:.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#r r Office of Consumer Affairs&Business Regulation IMPROVEMENT CONTRACTOR iReglstratlon: 103195 Type: Expiration: 7/6/2016 Private Corporation JM OF NEW BEDFORD CO, INC. ELWELL PERRY 423 COGGESHALL ST. � NEW BEDFORD.MA 02746 Undersecretary Construction Supen iw'r CS-104088 ELW ELL H PERRV/ 1454 MAIN ST . Acushnet MA 02143 05/20/2015 j ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) TM+ 07/07/2014 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 COVER AGE 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 pollcy()es)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 Applied Risk Insurance Services, Inc. PHONE I FAX Arc No ft • (877)234-4420 . (877)234-4421 10825 Old Mill Rd t. (ac,No). Omaha, NE 68154 EMAIL r. ADDRESS: PRODUCER (877)234-4420 CUSTOMER INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Continental Indemnity Co. 28258 INSURER B: JM of New Bedford Company, Inc., 423 Coggeshall St INSURER C: New Bedford, MA 02746-1758 INSURERD: CTL 1273 895070 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, ILTR I TYPE OF INSURANCE NSR NND POLICY NUMBER MPO/DLICY EFF POLICY EXP LIN ITS M D GENERAL LIABILITY. EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY ❑ a DAMAGE TO RENTED $ , B CLAIMS MADE OCCUR' I $ BP1 0000429400 1 1 /15/13 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERALAGGREGATE•• $ PRO• $ < POLICY J LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO ❑ I (Ea accident) - $ ALL OWNED AUTOS' I BODILY INJURY Per a on $ SCHEDULEDAUTOS $ HIRED AUTOS PROPERTY DAMAGE i - Par ecclZt $ NON-OWNED AUTOS Y $ $ UMBRELLA LIAR"OCCUR _ I • EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE ❑ A, GGREGATE g DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY X A OFFICER/MEMBEREXOLUDED ECUTIVE y N/A 4 6-8 5 5 6 3 7-01-0 3 06/22/2014 06/22/2015 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yea,dascribe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,600,000 1:1 Ell DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES(AttachAcord101,AdditionalRemarksSchedule,I?morespaceIsrequired) *10 day notice of cancellation for non-payment of premium. a CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Town of Barnstable BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601. - AUTHORIZED REPRESENTATIVE I783118 ACORD 25 (2009109) 01988-2009 A ORD CORPORATION. All rights reserved ` tIK*E, Town°ofBarnstable Regulatory Services _ t &kRNSTAWX, J MAes Thomas F.Geiler,Director i639 Eo " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma,us Office: 508-862-4038 Fax; 508=790-6230 h Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property P rty ,_hereby authorize to act on my behalf, in all xnatfers relative to work authorized by this building permit. (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to. filled before fence is installed and pools are not to be utilized'until all final inspections are performed and'accepted. Signature of Owner, ' �- g Signature of Applicant _ J Print Narne Print Name ...Date �- QFORM&OWNERPERMSSIONPOOLS \I �VE yy Town of Barnstable" Regulatory Services BARN Thomas F.Geiler,Director 9 MA88 �A 1639• . Building Division rEn a Tom Perry,Building Commissioner, 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.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 Person(s)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 performing 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 supervisor." 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:forms:homeexempt OWNER AUTHORIZATION FORM, I, ZC\ In4�c �c (Owner's Name) -owner of the property located at (Property Address) ` NaA4 S KA (Property Address) hereby authorize W (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building . permit and to perform work on my property. Owner's Signature Date TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Soto Parcel% 13 S Application # oO Health Division Date Issued �`- t ce Conservation'Division Application Fee p Planning Dept. Permit Fee TSB ' Date Definitive Plar Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 1\ Village 1�`CaiiN�S Owner CDw Address &oo k SeiZrlc t LFF CT. Telephone oZ OX (Qq 1 - Permit Request i nc�D�L K�-�e - ►�4 Fiky-N FLvvA- 45NT4 \NT%E--_R\os2, C)Rsl P Square feet: 1 st floor: existing I Sai_proposed 0 2nd floor: existing S`I 6 proposed U Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type L-T Irl bob Lot Size • Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 'A Two Family ❑ Multi-Family(# units) Age of Existing Structure kckpl- Historic House: ❑Yes Olo On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout I@ Other ?NV-M AL Ft�LA Basement Finished Area(sq.ft.) 0 Basement Unfinished Area (sq.ft) ST(v Number of Baths: Full: existing P2, new O Half: existing F- new, Number of Bedrooms: existing 0 new CV Total Room Count (not including baths): existing new 0 First Floor Room Count ••-- S Heat Type and Fuel: ;4 Gas ❑Oil ❑ Electric ❑ Other = . Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove:-_❑Yes No t �,e❑ Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing 0 new size_ Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 51 No If yes, site plan review# Current Use PAA%V %.Tus Proposed Use wQML;P_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Q\AC_ \►.\r- DP--A "Clr\� AcAAsL= 60v4ki J:1' Telephone Number -�50� • 71 1 03U3 Address P O eyy- \\ to License # If�,4-0(o P�A2a.�s \.� A �2•l�'o O Home Improvement Contractor# 1 DU`j 3 y Worker's Compensation # ,r4 G 3 S 9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y SIGNATURE DATE Ao/ /Y i FOR OFFICIAL USE ONLY . '• APPLICATION# ;a DATE ISSUED MAP/PARCEL N0. ;f ADDRESS VILLAGE OWNER r DATE OF INSPECTION: p FOUNDATION FRAME INSULATION FIREPLACE / ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. } ' The Commonwealth of Massachusetts Department of Industrial Accidents Offzce of Investigations ' d 600 Washington Street Boston,MA 021XX www.mass.gov/die Workers' Compensation Insurance Affidavit: ]Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly. Name(Business/Organization/Individual): L-n �r {SDI_u.%M, :at4 CpF-I r Address: City/State/Zip: oalo3 o Phone.#: 50%.= jj I - o3t7 Are you an employer?Check the'appropriafe box: -Type of project(required):. . am general 1. I am a employer with oZ 4 ❑ I a contractor and I 6. ❑New.construction . employees(full and/or part;time).* have hired the sub contractors 2.❑ I am a sole proprietor or partner- listed on the-attached sheet. 7. ®,Remodeling ship and have no employees . These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' y l? t3' 9. ❑Building addition o workers' co insurance comp.insurance t' [N 5. ❑ We area corporation and its 10.❑Electrical re pairs or additions required.] officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work g p 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site Information. 1 Insurance Company Name: Gv�NTYU�I.. �1�11A�- \NS�.1►�lan�tti (�O Policy#or Self-ins.Lic.M. Expiration Date: S' 3 .2011 Job Site Address: City/State/Zip: �C �� 1-A� QAl00 1. . Attach a copy of the workers'compensation policy declaration page'(showing the poUy 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 maybe forwarded to the Office.of Investigations of the bIA for insurance coverage verification. I•do hereby certify under the pai s• d penalties of perjury that the information provided above is true and correct. Signature: Date: Y 1'-1 l o Phone# Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: • Phone#: f r ACORU° CERTIFICATE OF LIABILITY INSURANCE -am[ DATE 07/26/2010 YY) o7/z6/zolo PRODUCER Phone: (978)562-5652 Fax 978-562-7120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION WELSH&PARKER INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 131 COOLIDGE STREET,SUITE 100 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HUDSON MA 01749 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A All American Insurance Company 20222 OHC INC INSURER B: Central Mutual Insurance Company 20230 DBA THE HOUSE COMPANY INSURER C: Central Mutual Insurance Company 20230 P.O.BOX 1166 BARNSTABLE MA 02630 INSURER D: Central Mutual Insurance Company 20230 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 REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECME POLICY EXPIRATION LTR INS DATE MMIDD DATE MMIDD LIMITS GENERAL LIABILITY CLP 7947920 02/19/10 02/19/11 EACH OCCURRENCE $ 1000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea oau . $ 300,000 CLAIMS MADE OCCUR MED.EXP(Any one person) $ 5,000 A PERSONAL 8 ADV INJURY $ 11000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PRO LOC IFrT AUTOMOBILE LIABILITY BAP 8627956 02/19/10 02/19/11 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 500,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ C X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) t PROPERTY DAMAGE (Per accidenQ $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ROTHER THAN $ AUTO ONLY: . AGG EXCESS I UMBRELLA LIABILITY CXS 7947921 02/19/10 02/19/11 EACH OCCURRENCE $ 1,000,000 OCCUR. Q CLAIMS MADE AGGREGATE $ 1,000,000 B $ DEDUCTIBLE $ RETENTION$ WC STATV- WORKERS COMPENSATION AND WC 7935926 05/03/10 05/03/11 TORY LIMITS OTHER EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT D ANY PROPRIETORIPARTNERIEXECUTNE El 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 N yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,600 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Business Personal Property:$52,000 with$500 deductible Contractors Plus Endrosement at$10,000 with$500 deductible Premier Plus Endorsement at$100,000 General Liability Plus Endorsement CERTIFIC T HOLDER CANCELLATION OHC INC, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DBA THE HOUSE COMPANY EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO P.O.BOX 1166 DO$0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS BARNSTABLE MA 02630 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 9� Attention: - Steven E. a ACORD 25(2009/01) Certificate# 41102 ©1988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 - � 91te &Mmowweald Office of Consumer Affairs and usiness Regulation 10 Park Plaza Suite 5170 Boston, Massac al setts 02116 Home.Improvement rNtor Registration. — —-- Registration: \100932 Type: Private Corporation z Expiration: 6/24/2012 Tr# 296738 OHC INC. DBA/THE HOUSE CO CT Jeffrey Goldstein m P.O. BOX 1166 w. BARNSTABLE, MA 02630 q Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 00 50M-04/04-G101216 ✓fie nsumen°""'e`� o�`�C'a°ac�Zu°e�a . License or,registration valid for individul use only Office of Consumer Affairs&Bdsiness Regulation g Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Registration:;�'�..00932 Type: Office of Consumer Affairs and Business Regulation Expiration: .6/24)Z012 Private Corporation 10 Park Plaza-Suite 5170 = Boston,MA 02116 OH INC.DBA/T�11 � OC31NY Jeffrey Goldstein 30 PERSEVERANO W4 T/�2 .4 mar Hyannis,MA 02601 �M"' y ?, Undersecretary o al' ,without signature 4 I *= Massachusetts- Department or Public Sat'ch Board of Building Regulations and Standards Construction Supervisor License License: .CS 42406 Restricted to: 00 . JEFFREY GOLDSTEIN P.O BOX 1166 BARNSTABLE, MA 02630 Expiration: 3/18/2012 ('otnmissiuncr Tr#: 17807 VARM Town of Barnstable Regulatory Services , Tbomas F.Geller,Director Building Division 'rhopas Perry,Coo Building Commissioner 200 Main SWd, Hymmis.MA 02601 www.tor►e.bn rostablamams OTme: S08-962-4038 Fax: S08J90-6230 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property 1 boob-.authorizc y QAQ mac. DRD, to ace on my behalf, in all=tress relatire to work authorized by thus btu.c, pezmit application fox: (Address of job) r -�� ly 1-7o1 v. sf e=wre of Oarnez- Date CL Print Namc If Property owner Is ttpplyisg for ptrmif,pleAsa cotnpktt the Homeo* ers License Exemption Forst oil the reverse sides C:1UsenWccollfklApprivu l,oed%Mletoe*MwiMows%TernpOtory 111LIMet FitestContent.OutfoekWDV9 7AAZ%EXIMSS.dw Revised 072110 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ) �h Map Parcel Permit# Health Division 11� 3qlo Date Issued ql i•9 G 3 Conservation Division _ Application Fee . Tax Collector Permit Fee 7 7 Treasurer , Planning Dept. COMCTION PLTCANTMtJSTOBTAArApp ENGWERM DIV1S ON�p1V Date Definitive Plan Approved by Planning Board CONSTRUMON. Historic-OKH Preservation/Hyannis Project Street Address Corn aer • - Y2P�"1� Village Hvanmi6 Owner a pi Ed KWAYlO IA S Address Snn f el'd'9&R ujt Telephone W2, � �1R 77 54o, Permit Request bit"Mt rw k kwam adXk 6q 4nal(Ir -hte_. ba LE *W, &r5rh.aq he"If-., Square feet: 1st floor: existing 103,2 proposed 2nd floor: existing 6 9Y proposed l7 Total new /9w Zoning District Flood Plain Groundwater Overlay Project Valuation ) Construction Type Eck q2b F&-9,q w& Lot Size 5ZZ RM f Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 10 Historic House: ❑Yes dNo On Old King's Highway: ❑Yes U410 Basement Type: ❑Full ❑Crawl ❑Walkout 'fit Other ti o 4 bps .. Basement Finished Area(sq.ft.) >U/4 Basement Unfinished Area(sq•ft) /V/4 Number of Baths: Full: existing . 02 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: M'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes V o Fireplaces: Existing New Existing wood/coal stove: ❑Yes 2 0 f Detached garage:❑existing ❑new size G11A Pool:O existing ❑new size Barn:❑existing Cl 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 r BUILDER INFORMATION NameQ� C�'1 (lyi�� ��fYUCi Telephone Number 7323 Address P 0 1/K J License# �75 MA Q.-)-taq'5 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �('Q,� ,IS,DD J Al � / n SIGNATURE L DATE 7 F FOR OFFICIAL USE ONLY r PERMIT NO. DATE IASUED 4' MAP/PARCEL NO. - ADDRESS VILLAGE } OWNER - DATE OF INSPECTION: r ; • FOUNDATION / d,� eZ YAo3 FRAME F/2ls'1 A � � � ® Pc INSULATION ,/ lniS d l�,�/® J o ;. FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT- ASSOCIATION PLAN NO. b t Z ,1 p The Commonwealth of Massachusetts _ - -:'— - Department of Industrial Accidents office of/oyeS MOMANS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: KazaAfk,i l d. location ,�/ �7 ci 1 hone# -7 7� / �6 ❑ I am diogneowner performing all work myself. ❑ I am a sole netor and have no one worku in capacity �.F11//////O%%%%/% ❑ I am an employer providing workers' compensation for my employees working on this job. NX .::::.:.:..................... man name::.. :....:.::....:.:.::. ... ...... ;'...:•.;:.,...; _ a n hX. an t} I am a sole proprietor,reneral contractor, r homeowner(circle one)and have hired the contractors listed below who have � - . the following workers' compensation polices; MUM ::. 11. < <' < ......................... address... :#: :.:;::::: :..:.... ::::::..:::::::::: , ...... ...:.... # natrranceca:>;>?:::o��;:;:• ::;:.��>�::::;:: >?'::::z: •�.;;:: �:'`..:��.'.: <,,<::;:;:»;<;..;:.;-::,;•:;:,, ohcv l�............ ...:...�...,. ...................... ............ c an :;na�ec XX X. X. 'addr :..::......: ...• •• -. . . ... ..........:............. ......:.: thane# .... ... � ....... city` ..................................... tounrance �. Failure to secure coverage is required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SI,S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me: I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincation. I do here.b kundert e p • and penalties of perjury that the information provided above is truo and correct., Signature Date 2 Print name I 1 net Phone# (r � ofncial use only do not write in this area to be completed by city or town official city or town: permit/llcense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office AV ❑Health Department contact person: phone#; ❑Other_ _ Omsed 9/95 P1A) ' s Information and Instructions t 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 enteiprise, 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 who resides there or the occupant of the dwelling house of dwelling house having not more than three apartments and in, P 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. 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 maybe cidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industrial Ac 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the Permit/license number which will be used as a reference number. The affidavits may be ret®ed 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 Me of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FZHE T° Town of Barnstable Regulatory Services + a vBAMMMABLE,�! Thomas F.Geiler,Director 39 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. . /� � �I_Type of Work: �,(�l�� � Estimated Cos Address of Work: 1 �(.e,�Yl o ex: ' Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ' ❑J b 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 UNDER PEN LTIES OF PERJURY I hereby a ply for a permit as a ent of owne 1 g5Zq/ Date ontractor Name Registration No., OR Date Owner's Name Q:forms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE • S Q, a New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE J�lv square feet x$96/sq.foot= ]RA/1- x•0031= 91133 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE lU square feet x$64/sq.foot= g/a x.0031= �3 plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.i� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= x.0031=. STAND ALONE PERMITS Open Porch x$30.00= (number) Deck _ x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) K` 7 Permit Fee 79, projcost." v IKE Town of Barnstable Regulatory Services 9MA-Qa 'g Thomas F.Geiler,Director 039. & Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �� (� &rw i ek &Skim to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Z C rJ C1 � i$ � C) Signa o Owner 61 Date Print Namiej Y QTORMS:O WNERPERMIS SION N (DIF ®PIE WTY P DN S mcll'T CUR STANDARD LEGEND NOTE:not all symbols will appear on a map ivi GOLF COURSE FAIRWAY r ° 1 EDGE OF DECIDUOUS TREES _ EDGE OF BRUSH ORCHARD OR NURSERY V�P'� EDGE OF CONIFEROUS TREES MARSH AREA i —---— EDGE OF WATER DIRT ROAD DRIVEWAY �-. PARKING LOT PAVED ROAD r" ------- DRAINAGE DITCH 1 PATH/TRAIL PARCEL LINE -------� y �y w ILo--MAP# i 210 PARCEL NUMBER #1"0 — HOUSE NUMBER �J 2 FOOT CONTOUR LINE ap tS —110 10 FOOT CONTOUR LINE i Elevation hosed on.NGVD29 4.4 SPOT ELEVATION 3........... STONE WALL -X—X- FENCE i - h r " ^ RETAINING WALL �L RAIL ROAD TRACK ! STONEJETTY SWIMMING POOL J t� PORCH/DECK C� G BUILDING/STRUCTURE F'"J- DOCK/PIER - HYDRANT e VALVE ® MANHOLE O POST Cr FLAG POLE . N O IF B A R N S T A B L E O E O O R A P N I C I N F O R M A T I O N S Y S T E M S V N I T o SIGN S STORM DRAIN PRINTED SCALE:IN FEET *NOTE:This map Is an enlargement of a **NOTE:The parcel Imes are only graphic rep DATA SOURCES: Ptanimehtrs(men-made features)were interpreted from 1995 aerial photographs by The James 1°=100'scale map orb may NOT meet of property boundaries.IRw ore not hue location;and W.Sewall Jay.Topogmphy and vegetation were Interpreted from 1989 aerial photographs by GEOD 0 UTIUIY POLE a TOWER 0 10 -20 National Map Aco mry Standards at ft do not represent actual relationships to physical objects CorporeHon.PlonimeMq topmph orb vegetation were mapped ro met National Map Acarary Standards i INCH-20 FEET* Ald sm 21 on the map. of o soils of 1,=100'.Ford igitaed from FY2003 Town of Barnstable Assesses s tax mops. O LIGHT POLE O ELECTRIC BOX iservation.dgn 0 08:44:22 AM 62/ Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Mas achusetts 02108 Home Improvem d''' ntractor Registration ;'r-j � j Registration: 100225 Type: Private Corporation �! AF Expiration: 6/12/2004 GREATER HARWICH CONSTRUCTdON CO �4l Philip Fennell PEI / PO BOX 441 w =' S. Harwich, MA 02661 ,"N, , Update Address and return card.Mark reason for change. Address F Renewal , Employment F_! Lost Card ✓!ze -�aninauuealll o��/�,Cwaac�ivae%!a ` Board of Building Regulations and Standards License or registration valid for individul use only g Y . HOME IMP�RQVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration 100225 One Ashburton Place Rm 1301 1k r-; Expiration 61O04 ry ��r—I ; Boston,Ma.02108• Type Pnvate Corporation GREATER HARWICHZdNSTR6`C ��r`ilip Fennell 30 Pleasant Bay Rd E`xt � E.Harwich,MA 02645 Administrator Not valid without signature A ✓fze �anvnza�zrueal!/ o��% ae�ruaeCta BOARD.:OF BUILDING REGU -ATIONS i j icense CONSTRUCTION SUPERVISOR ?Number CSC 045241 ° r BrrfhdateOg/OZ/1948 Ezpnrre 09L02/2004 'Tr.no 2771 Restricted00 PHI LIP J FENNELL� tr x r r BOX 441` S`HARt7t ICK -K-T2,W4 010, Administrator Permit Number REScheck Compliance certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release lb Data filename: C:\Program Files\Check\REScheck\Kazanows.rck - CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: i or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE:09/16/03 DATE OF PLANS: 9/16/03 PROJECT INFORMATION: KAZANOWSKI RESIDENCE COMPANY INFORMATION: GREATER HARWICH CONSTRUCTION CORP. (508)432-4360 COMPLIANCE:Fails Maximum UA=46 Your Home UA=88 91.3%Worse Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 231 38.0 0.0 6 Skylight:VS 304:Wood Frame,Double Pane with Low-E 16 0.420 7 Wall 1:Wood Frame, 16"o.c. 280 13.0 0.0 7. Window: CW 135: Vinyl Frame,Double Pane with Low-E 8 0.340 3 Window:FLEXIFRAMES:Wood Frame,Double Pane with Low-E 25 0.340 9 Door:PS 6: Glass 160 0.310 50 Floor 1: All-Wood Joist/Truss,Over Outside Air 196 30.0 0.0 6 The heating load for this building, and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as sa.dfiekm ectio 80C 310 and J4.4. Builder/Designe Date Q y� REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release lb DATE: 09/16/03 Bldg. I Dept. Use I Ceilings: [ ] i 1. Ceiling L Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation . Comments: Windows: [ ] 1. Window: CW 135:Vinyl Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ )No Comments: ( ] I 2. Window:FLEXIFRAMES:Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No I Comments: I Skylights: [ ) I 1. Skylight: VS 304:Wood Frame,Double Pane with Low-E,U-factor: 0.420 For skylights without labeled U-factors, describe features: I #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: { Doors: [ ] I 1. Door:PS 6: Glass,U-factor: 0.310 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Outside Air,R-30.0 cavity insulation Comments: Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. a ( ] When installed in the building envelope,recessed lighting fixtures I shall meet one of the following requirements: i. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling.cavity and sealed or gasketed to prevent air leakage into the unconditioned space. { 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 I L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the waim-in-winter side of all non-vented framed ceilings,walls, and floors. I Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. f [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table MAT 1. Duct Construction: [ ] I All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. I _ Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: { ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and AA I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1'. Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 Tor chilled fluids below 55 OF must be insulated to the levels in Table 2. i Table 1: -Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) TOWN OF BARNSTABLE Board of Appeals , r..DWARD A. ANDERSON Petitioner \ Appeal No. 1972-9 March lOa 1972 FACTS and DECISION Petitioner _1._ Xdward�, A� Anderson _„ _ eat pet t:ou on. Jan. _,19?2 a fil requesting a—vaoiie -permit for premises at _.w_ ,.C13gi 1�x...._....... _M._ Street, in the village of �Y. ?lis. , adjoining premises of Frank C.& 41-4arlene A.Bates, Lauretta S.Bearse, Lillian A.Byrd & Willard D.Wiuton,:rederic::: C. , Jr. & Joan K,Carreiro, Cocil I1.Pro omau,Anne Ewily French, I dward M.Gulachenski, John P.& Eunice H. Ireland,Theodore i;.& Nary J.Kolioo, John J. & Mary K.Keohane,Arthur AI.& Shirley A.Aiason, Fdward 'F.& Beverly M.hiorrissey,Ifoward X.& Helene A.Penn,Peter A. & jiargaerite A. Strand,Joseph A.& Ann A. Sul Ii,van,Albert E.& Marjori.e -L. Tracy, Sabestiuo Volpe,Robert Waldwan & David E.Dick, Shirley Waters. ............. .. . ....................................................................................................................... Notice of this hearing was given_ by mail, postage prepaid, to all persons deemed affected and by publish;ng in Cape Cod Standard.,Times,.,a daily nc. wspaDcr...published in. Town of Barnstable a copy of which is attached to the.reeord of these;proceedings filed with Town Clerk. A..public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass-.,,at P.M. _.._ .. Feb. 16s 19 72 upon said petition .under zoning. by-laws. Present at the hearing were the following.,member.;: Joseph A. Williams William Shaw - Roland Pihl _._ _......_..._....... ..__ ._._......_._..........._.............._.........._ Chairman At. the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. 1. i On » 19 , the Board of Appeals found f Kenneth E. Wilson, Jr. ,Esq. appeared in behalf of the Petitioner and presented an old recorded plan of land referred to in petition which shows lot with 50' frontage on Cumner Street and containing 5197 sq. ft. He stated that the land was purchased in 1960 and a building permit was issued in the same year to construct a single family dwelling unit. Mr. Wilson said that it has now come to the attention of the Peti- tioner, through a bank mortgage -survey, - that the dwelling does not Comply with .the sideline► requirements iqhichla.re 71' -and- this ,bui-lding is 5'-6' . He said that the Petitioner was requesting a Variance to allow the house to remain as it is. In order to comply with the zoning by-law would erdate a serious hardship for the Petitioner. He also stated that additional land cannot be purchased. Mr. Wilson said, .in his opinion, there is a substantial hardship and it would not derogate from the intent of the by-law to allow the structure to remain. The Board finds that there are conditions especially affecting this parcel not affecting the zoning district in which it is located generally; and that a literal enforcement of the provisions of the by-law would involve substantial hardship; and that relief may be granted without substantial .detriment to the public good and without derogating from the intent or purpose--of the by-law. The Board unanimously voted to grant a Variance. Restrictions imposed Distribution:— Board of Appeals Cle Try illi 11111. To}vn of DarnHtablo ,�Irlriirnnl. I' 1'r+nun inlnt'r,nlfill iluilrliul{ InnirnrLur (' I'ulrlin lul'uruwl'i+ui Jiy ».... .. .................................. .. r. • . lioun] or Appeals Cliriirman Joseph A. ViYyioms r J0 Ghh- //-2-7 441�sse:or's map and lot number ..1.�0.(p...... ... � 't SAP I SYSTEM INSTALL DJIV MUST BE 7�„ WITH ED �N CO GG Sewage Permit number ..... .. 7.l.. ......: H ARTICL M'aLfANC� 1 SANITApy�C� 'E �� SrA7. �QyoF to a ropy i TOWN - STAMLE, : OF BA:RNSTABLA,, ANDTOWN 1 9°� 169 _ _ 9UILDIN INSPECTOR. j �'Q MpY a' APPLICATION FOR PERMIT TO .....Remodel and add tQ. s Q - TYPE OF CONSTRUCTION Wood // � ., .... ............. .... ............. ................... .... .. > ........ ...........................:....................19........ "' *�- "p-�" *a`� .#«��4a s :a..:t,.T.7�¢ .�• ...; ' P 4 ��.'�r'(�,� '3�:T�xaap..�rx.�z�'r!�;As'iN�•..�(l�sz-�+:t<••w,wa .�+T#`'���. -. ,r<'�' T `1�HE` ITS* CTOR OF B JILDING Y The undersigned hereby applies for a permit according to the .following information: , Location ..1.1...CuTl7xler...R.Qad...... .........................................................:........................................... ProposedUse .....RQA1dQn0.P4................................................................................................................................................ Zoning District ......RB.............................................................Fire District ......Hyzr11lia....................................................... Jr. Name of OwnerIft'.t...k.Xx:,q...Mi.cha.e1..A.bo.de.aly..A"ess A...DUhieI...Dri.ue..,...Wo-me.ste.r•.,....Mas.s. Name of Builder .....` ho...Baralay..Co.rp.....................Address kos.t...Rd....... Cez2•te uil•�8..... Name of Architect Jane...E....GrIs.w.old.......................Address ...And�ove.r.,...1>has.s................................................ Numberof Rooms .....2..........................................................Foundation . ................................................................... ...... Exterior ....Wo.o.d...shingle................................................Roofing .........AP.Php lt...shix gle................................... Floors ....Virly1...&...Ilia x'dwmo.d........................................Interior .......D.rywall.......................................................... fA Heating Electric Plumbing ..One...hath....m T.uhrr.WC.r ay. ............................................................ LJ • Fireplace ...........................Approximate Cost 10,,000.,00 ..,.................................................... .......... ........................................... Definitive Plan Approved by Planning Board -----------____---------------19________. Area ...f�!. .. � Diagram of Lot and Building with Dimensions Fee ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. The Barclay Corp. Name .... w .G�{. `s1.!!�"s,./....-�ld�.......... , A—bodaeIy, Michael Jr, r � 20867 remodel and ' ----..�.. Permit �v .-----------. ,m � add to 2nd floor , ' ---------.---------.—.-----. ° ' ~ ` Location ........ll.. ..Street_______ -7 '^ .--.---.. An!� s......--.—..----- ' ,' Owner .--. . .....................Jr - -----' ------ v � U � Type of Construction .................ftqO(�----.. \ --.....--.—.--.--------..--.--.. � ` Pkoi .�. ' Lot ................................ — _—.. ----' � . � Permit Granted ----�0ove�be��..2��l9 ?�� ' Doteof Inspection ...................................... ��z �'� ` - Dote Completed ---..^��4.--..����,--.]V ' � - ^ ^ � ' - .. ' ' . . ^ ' PERMIT REFUSED � —.—'__.---,-....—.._.----..—_ 19 } -----_---------..---�i----.-- ' - � '�'-------'r---'--^^^—^~----^'—^' ................ .~..---.- �.. �------.-.—.—.—..--..,.....—..—..--... -----------.----.. lq ^ � \ ^ Approved / ` �r---r-----------^^'--'--'—^'i^' lL ' L----- ............................................................ � y J� Assessor's map and lot, number ti f, -7 6�1 Sewage Permit number .. ..::. .. :......! . .r .....:.i.... ' �0,*THEr0�4 VV011- 1-51✓�� .L'v a � t BABBSTADLE,MABIL i p DIN' JHPIE.1; P QED 8PY a' APPLICATION FOR PERMIT TO ...............riel and add to senonrl T'i oc�r ....................... ........... .... TYPE OF CONSTRUCTION ............... ....... ..................19........ - - -- TO THE INSPECTOR OF BUILDINGS:;-.- - - The undersigned hereby applies for a permit according to the following information: Location .. :1:..t.tlmn r„Ftc�;..ri....... travin.?....;... `:a,�a.:............................................................... ................................... Proposed Use ....,R.B3f-dQnCta ................................................................. . Zoning District .....RR.................................1...........................Fire District ...... T�Tnr,r,i e Jr Npme of Owneriv z'o C ?E'(T�r:..i4'fi; h.3cal l�,h,nc? lv..Address A..T?„�':,i�I...n�•,J ,r6 r r�:+ ,,,., �c� ,:ur.;..... 0 TM` Name of Builder .....`.L'ht'...Rs rr'.1.R..?... "..?..... .:...................Address l ?,� f17�� ..:pn�.. r�� .-n' ,,z�� t I .... ................... Name of Architect :T ,r1 .. F''.::...f,ric�rrc�l .................... Address ........................................... - Number of Rooms " ...Foundation ....�•............................... . .................... Exierior ... 1Jinnrl....ah incrl n ..........Roofing Is.nha.lt ...5h3no, ...................................; P Floors ?lv7...::. H�rrl�rrnnra Interior ......;?r,v°i... l1 .............................................................. ................................................................. Heating, l tir✓ ti°C'�C ................................Plumbing ...C1Yr. h a i. ............................................................ Fireplace ....................:............................................................Approximate Cost 1P vgipo QQ......................... ......................... UZI— Definitive Plan Approved by Planning Board ___-______ __19___:____. Area `�` �� �.. "�•.4 --- - ..... ... ......... Diagram of Lot and Building with Dimensions Fee ..........;e...... ram SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all.,the Rules and 'Regulations of the Town of Barnstable regarding the•above construction. The- Barclay Corp, Name .........::::1..: f .. ..... .....ta::::................`............... &bodeelv, Mioba . A=306,- ' \ ' \ 2O8b7 - ~� - remodel and No ------ Permit for .................................... ` ____�dd.t��.2nd.. __^_,..~ ............. Location ...........Il- . t................... -.���9���--�y�g���------.--.----. ' ` __- Ovxnar ----...�������.�K�gd��ly�'��^-.- Type of Construction ............fra8Ve------. -'------'---'-`-~^------^'----'' ` ^ _ Plot ............................ Lot ................................ ' �ove�ber 2? ?8 Permit Granted-.-------------�g . � . Date of Inspection .................................... ' Dote Completed .......................................lg � . . ' i � ' ` PERMIT REFUSED ) 19-'' ' .------7/-------.--' ~w°~- �r `~~~� ��� � / � --..-.�..-.`�-^..~..--.....-.�.-~..^..- . . K A p p(r v ed ................. g .~� � --------.--------.--....:..--.. / . -------~--`^^-------^^^'----^^ f b�Qy�*THE?���w TOWN OF BARNSTABLE i EARNSTADLL i 9� ,639. �3 Ar. BUILDING INSPfOTO • r APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ............/ .e "Lcl ddl'l. ....�T �, .. ........ ....................... ./ye� /......19.7, TO THE INSPECTOR OF BUILDINGS: The.-undersigned hereby applies for a permit according to the following information: Location .... .?... f�., .��. ...... . .:..........���.A.��d.S....l�.��..�..�.............. ................................... ProposedUse ........ ...../..*1*1V.. .. .del A.a.T.s............................................................................................................ Zoning District ......6..iz..'C =l�- !A..4.....Ro.,—M....Fire District .... . �......................................................... Name of Owner .//.1`kc fi �d.L � `..c................................. .... .... ..............Address ..././... �M. ..lAl..��...... . . / Name of Builder ,P4? �. . ./. ./f:..�C.. .i . ...........Address ��.��.. . ,,� 1.. .. ` ,..�. .. �hswk Nameof Architect ...................../"o:/.�� e........................Address .................................................................................... Numberof Rooms .........z.....................................................Foundation ................................................................................ Exterior .......i,.4,)C).,�).C1.. . .. ...................Roofing ..................AV..0.j'1�.f?:........................................... Floors © l� �� .........................Interior ��� G� t Heating ........ ........................................Plumbing ..................... .®. ........................................ Fireplace ..................!!J.0.....................................................Approximate Cost ���©'f..�� �d l?ar� ............ ...O.. �.............. .. ......... Definitive Plan Approved by Planning Board --------------------------------19--------. Diagram of Lot and Building with Dimensions �� Q / d✓ SUBJECT TO APPROVAL OF BOARD OF HEALTH 0 i 2UNo 414 kovse Iz o .a w oL0 w < m Li. , ----- Lj. wa � OO o, _ O C� -- � aW% < VI ICIT�Q►y FIM U,J = LUG j4. � Ld 4 < Lc1 cn LU S t c~ri - p <CL d z X -<n Az SLi�l�1� IZ < X ®®vas U-j , Uj < z� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Abodleey, Mike 1 14973 remodel dwelling I .` _ • ' . v-No ................. Permit for .................................... ........................ifif;....••11 Cumner Street....... . . >•. .` �. ; . �.� : ;� 3 .:' �� Location ................................................................ .................................... yannis............................ + Mike Adobleey .� Owner .................................................................. frame If Type of Construction ....................................................................... , ;t Plot ............................ Lot ................................ Permit Granted ..,, Aril 2 7 19 2 Date of Inspection ]; .. ....f.. .. ..' —.......19 p Date Completed I./.. ../.. ....7 ...........19 a I' PERMIT REFUSED ' f a. ................................................................ 19 l h - I ............................................................................... 1 ................................................................................ i ............................................................................... .... . ....................................................................... t Approved ............................................................................... .................... ......................................................... r i ^ w.. a '',-. Yunse-'x.• s.:� wi.wbau...+ • v. y�'F. RIGHT ELEVATION uj co r ` � � _ - :,r . EXISTING HOUSE • �� �� - I - x e y. i "g p�OpOSEn. _. EXI511NG HOUSE I 5uNpOOM EXISTING N 0U 5ECm , _ • EXISTING HOUSE : e _u U REAR ]ELEVATION t I'p0l'OSEG SUNt;00M " Lul Ia- co - EX15MC HOL15E EXISTING HOUSE 7 `? t - ^ � 0 ' LEFT ELEVATION _ - � � ... �, .. - c.. ..'max _ : ,.� �• *� a*'•�>, h r z 17AT1 OF � EINAL�ISSUE 9/1610 . EXISTING HOUSE v _ M01905EC SUNI;OOM w i _ SCALE UNLE55 01NE�IW15E cc y EXISTING HOUSE r z C3 s m - e , O ' CAGE # G a 121,x ae"caeREre X1N01U 7 C'- - ,A s a 1 i 12"X�5-'CONK.RETE - - ,. FILLED 50NO TIFF �9 3 r 3. CENCREIFF FUNS WcOf 8F-20 W/5"CONCRETE - .. :. ,. - •` ",t. - O OR FLOCK MR �' FILL 0 SONO FIDE fR F . " r e „ Y' 2 •" OOR R i.e. 1 r FEZ FL GIM as +i Y Y. , - Ys r F . I co Y Y Y ,. • , f- y t' • tF E• u - T e 1 •' •� I ; =r, ®rca e. . A G I I I I I " Y r : + I f r. _ I i i e h rtl • , I e s f. p y7^ • I y f I N US AL 5S w P 9/ 6 03 ' Y , { od, ¢, -------------------------J �. SCALD UNU�55 ' NOT�f7 , OTH�PIWI5� �. 24 0 CO . AN - • IFOUNDATION PL " a Co FLEXEPAW5AVGVY -SIZE f06E DE1ERMIWDINFEL0 1 + - I I I I II J I I _ - 5UNWOM E—,Al CEILNG LNE - O - a lz I 15/a"X117/8"LA, I) 1 �rPOW MC26f DEAM EX15t1N6 WALL f0 It mmmv 2615 I I I I f I - - _ - - :'1 Fri` r _ o 11 ___ ---- _ II_ li__-_-____ _ - A' 1 / 1 / O 1 e -I 1 - ���J99 MM I EXISTING FLOGR DROPS DOWN RAID VS'A9 SKYLIIES(VEREY IN FLOOR fO FLIYN W lfl 51 aNVING FIELD COMr,51n) I ., FLOOR L______________________ I � ® OP 0u N T PATS OF Z FINAL 155U� 9/16/03 - SCALE UNL�55 NOT P OTHSM5� Za.-0. IST FLOOR PLAN ' , 'Ks • pAL� I , EX15rIN6 CANREVER r7cCK ro P.mmov"D - 24'-a' _ 9-0' 5'-" 4'-5., 5'-9 Va.. g•-8 7/b" `q I ' 6 T MS A L Ew RA1ING 6 N —SG 5Y59M OVER I, EX159N5 SLIDER o lets let, 24'0" � ® � u N N ' WR 51Cam OE -____ ____-_---__ X12 er Kill ¢Ib"O.C. 58w91AT10N 12" - ' I NA I SSU�� 9/16103 .2%6 PM95IF.E 2Xla EL7, - iREA1E0 chCK JO1515¢Ib" JOI515¢Ib"of.. R-301NSU.AiION - E. 2 X 5M' b �r SCALD UN��55 -/ R-IS IN51LATION _ NO V - ------ ---=--------------____------- ----- OtNEt?V!/ISE .. _N .. 24 0" s co 2ND FLOOR PLAN CROSS SECTION MJ AG v Q KTCHEN V O V o FAMILY . • i[Ir , a . '7 ROOM O o EXISTING FLOORPLAN O o 0 > r r rMr� • U (n `O ' - �4 _ .. CI I ._ BA"H ' _PROPOSED �� - . KITCHEN I O ILA .. FAMILY ROOM ah REVISIONS - �. PROPOSED FLOORPLAN � �, ' 5CALE.114°_I'-0. " - UNLE55 OTHERWI5E NOTED 4 { 1 i