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0063 DOLPHIN LANE
�31�oCph/n �.ane A U"' TIV TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma `G- Parcel Permit# .7 W3, Health Division / Date Issued C Z, Conservation Division /i S� //��D Fee o o Tax Collector 0 log l� 0 0 _ A Treasurer ) Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ���00 blb-ie\ Lr Village � , kc , C) rk r Owner yo( V_.){.f to c it Address Telephone '50K- 6 l t -q Q? Permit Request 6AA TL/i o o T w\s- Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation b Zoning District Flood Plain Groundwater Overlay Construction Type SGv 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 )lo On Old King's Highway: ❑Yes „'2'No Basement Type: )(Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �--- new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes >(& Fireplaces: Existing New Existing wood/coal stove: ❑Yes �WNo Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size Attached garage: 0 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 INFORMATION Name 6+ jr� =�- r Telephone Number ��� Address �nr/ 11,0 License# 0-A `-Y tfJ f" 1 Home Improvement Contractor# Worker's Compensation# DLU L 13 9?D]3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE vvv�� DATE k FOR OFFICIAL USE ONLY L PERMIT NO. DATE ISSUED MAP/PARCEL NO. 1 ADDRESS - VILLAGE OWNER, -- Lr , DATE OF INSPECTION.- . FOUNDATION _ FRAME INSULATION FIREPLACE III ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING T y DATE CLOSED OUT h ASSOCIA r16N PLAN NO. a -s The Town of Barnstable X �. Regulatory &rvices fc59. y Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 508-862-4038 Fax: 508-790-6230 i Per mit 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. ice_ ` . . • Type of Work: h w \ Z- 0 f A ef 5 Estimated Cost og Address of Work: Owner's Name: \\ J`\,e P +y c c- - Date of Application: �111'O 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 Downer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. " CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE.. ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL.c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f the owner. Date Contractor Name Registration No. OR Date Owner's Name TabMJ=b(oon9haswQ Prescriptive Padrago for One and Two-Famiir Reddmdai Buddlop 80ad with fossil Fnda MAXIMUM 111MMUM blazing GLu=g Ceiling Wall Floor Bn®mt Slab °Ol1Dg Area'(Yo) U-value R vain Rrvaivat wyniod Wall Flerimeta P�� lets Padcsae I I I I Alas R'rvattmr M to 6500 Headml Degesn Dan' Q 12". 0.40 1 38 13 19 10 6 Now R 12% 032 30 19 19 10 6 NOS 3 12%. 030 38 13 19 10, 6 93 AFUE T 1 15% 0.36. 38 13 25 WA NI NOS U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 WA I WA is AFVE W 15% C 32 30 19 19 10 6 8S AFUE X 19% C 32 38 13• 2S WA WA Normal Y 18% 0.42 38 19 23 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: lc�lJ 3. SQUARE FOOTAGE OF ALL GLAZING: LC) 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a Footnotes to Table J5.2.1b: ` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ftz of decorative glass may be excluded from a building design with 300 ft of glazing area. z documented the manufacturer in accordance with o be tested and documen by After January 1, 1999, blazing U-values must the National Fenestration Rating CouncrI (NFRC) test procedure, or taken'from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full icompression,ulation thickness over the exterior walls without R 30 insulation may be substituted for R-38ns insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R_19 requirement could be met EITHER by cavity R-19 cavi insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. I The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).FIoors over outside air must meet the ceiling requirements. 7Fe entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b...,ements must be included with the other glazing. Basement doors must meet,the door U-value requirement d_scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3.4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 035.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 wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 The Commonwealth of Massachusetts Department of Industrial Accidents 0117crollampallOds 600 Washington street Boston,Mass 02111 Workers' COm easatinn Insnr=w ATIdavif i name: ❑ I am a homeowner ezfarmiagaLIwmkmysdE ❑ I am a sole propnetor aad bave.no one woddng in a= am an employer providing worer ks'oapeasatioa for my8 oa this job. ..........:n,v.•::::.v......... n:w:...... wvn w:.Nrwk:•:.wwi..... ::}:. •::::::n•.....................:......r: ::....: .:::::•:: •n:v;;lC .n vv\.w: .. - h.W.MYIt•:^7.MCf^RK:.vw`2`,.2\2!Nl.;!!;....,www+w!.w.}f.},.,y.;}... ..... ....... .-�::::n -......x...:............. ....... ::.::: �OOJOPFi2 ��..'. 4.v:.•f4�a WC '•:2�2Q.�,.:K... ... .........v. .. ...x. ..n.x h. .. ,•}::: .....;r ♦ -'..... rv:::::.v::':?i:.:•}::{:.v.:{iffy}}2iii:.}:ii' Y .... .... .......v,.. v J ,.v � f::v�:.,-:{.-.,;-.}v::::nv .: 4i::t��:�:.}:-:�:�i::�;:;:;._i -..w. .. .: ...;R,..:, •.v. ;;}..},n, ... ,. 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Faiba+e to seems�ae regsdred mdsr Beaton ZSA otMGL L4 etetlaed be t6a iet�eaWea d tsimhati pesai!!es of a tb�a�to t1�00•QG andJor osn�+t a Weil ae d�peoaieiee.ta tha form ota BZ�OP Wt]SS OBD'EB eni a tme et;ii0a00 a dq ataimd ms:Ind tbst a . ="of a&statement my be torwsrded t+o the Onke otiatetiptiaas of DIA to�.eo essp tad I do hereby cctVy Flu paaa atsd ofPQ1 p vrUciabow is lane aitd tarred sDft I-RA - L� (C3 IIdat use only do not wrtta in this area to be oompieted b7 eily or taws 09WA l,.or town: �lNeeme N aB�dil,t peF chedcif tmmedf.te responseb required ❑SeL�en's Omce❑Heeith Departontactpeson• pbm.ti; — ❑Other (tens 9/93 P1A) - Information and Instructions sssachusem General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thr:r iployees. As quoted from the-"law", an employee is defied as every person in the service of another under any cam hire, express or implied, oral or written. i emplover is defined as an individual partnership, association, carporatiaa or other legal entity, or any two or.more of foregoing tined in a joint enterprise, and including the legal represattazives of a deceased employer, orthe'rtcrn'e: =ee of an individual,,partnership, association or other legal emity, employing empleYcu. However the owner of a veiling house having not more than three apartrmtns and who resides theme,or the occupant of the dwelling house of ,,.,.. r..�.,os rtpair wazic an such dwelling house or on the aoimbs.cr masher who employs persons to do maiateuaace, r, s dldiag appurtenant thereto shall not because of such employment be deemed to be as employer... ter I52 recline 25 also stairs that every state or hocal,Uceasing-agency shall Withhold the issuance or.renewai M. chap Itcaat wno has a license or permit to operate a business or to construct buildings in the commonwealth for any apthe rt produced acceptable evidence of compliance with the insurance ge covera required. Additionally, ,mmonwealth nor any-of its political subdivisions shall curet into nay acntract for the performance of public Work until :ceptable evidence of compliance with the n+s=z=requirements of thus chapter have bees presented to the cons =ng rthority. - - pplicants lease fill in the worlses' co®peaszd=affidavit completely,by checidaz8 the.box that applies to.your sty and address and hone mmzbcrs along with a c=ff= e-of insurance sign and as all off dam�y be PIS '��' p Also be sure'to tbmi to the Departancat of Industrial Accidents for ofiasuranrx coverage. . afe the affidavit The affidavit should be,retained to the city ortowath=the application for the permit or iic= is urtg requested,not the Department of Industrial Accidents. Should 99a have any the"law"or if S cu s required to obtain a worioers' campeasatiea policy,picase call the Department apt the number hilted b • Ity,or Towns has 'dcd a ace atthe bottom otter D artment sP Iease be sure that the a$da►vit is complete and printed lcgrbly. The ep P Uc= Pl=e EdIvit,for you to fill out is the event the Officz of has to caatact you regarding aPP e sure to fill in•the peakniccase au nbei which wffi be used as a z�entx number. The affidavits may be rcarmrn to ie Department by mail or FAX unless other aaaagemmts have been made. be Office of Investigations world Ii�ce to thank you in advance for you caoPetatim and should you have nay questions- lease do not hesitate to give us a call. � lie Dcpaztmcat'S address,telephone and faxmmiber: _ . The Commonwealth Of Massachusetts Department of Industrial Accidents amce at,luesduadbas 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 r iA 32—O u A A EW 2X4 WALLS 1/2" COX SHEATHING 3�.8�► R-13 INSULATION 1/2" 5LUEE30ARD W1 SKIM COAT SMOOTH FINISH PROPOSED NEW DORMERS ADDED TO EXISTING LIVING SPACE ON SECOND FLOOR c%' O E CAPE SUI S, INC, 333 SERVICE ROAD • SANDWICH • MA r SC 4 -0 A Y jil DATE3/11/02 ,Er$$E F'. CAPRIO REVISED RENOVATIONS AT GI RESIDENCE 63 DOLPIHIN LANE o WEST 14YAWSPORT • MA SECOND FLOOD PLAN Al 1 2Xi0 RUOGE 2X8 RAFTERS 2X& CEILING JOIST 1/2" COX SWEATNING ASPHALT ROOF sw NCAAS OVER 150 FELT PAPER OL E CAPE BUILDERS, INC. 333 SERVICE ROAD • BANDWIC44 @ MA SLUE I4 wl y M'tYi7EU ?iAgJ BY DATE JE86 RIO iE E P. CAP = La RENOVATIONS AT BERTUCCI RESIDENCE 63 DOL,PNIN LANE • WEST NYANNI6PORT • MA �?AY/4G�.WBEP SECTION A ., II I ! I I I I I 1 I 1 1 1 1 II It I i I 1 I I 1 I II II t Ii 11 II 11 I 1 1 1 1 I 1 1 I I 1 -------- --------------------------- ------------------------------------- I -_ --- ..__ ___ __- I 1 1 1 I 1 I 1 1 1 1 1 1 1 I i I 1 I I 1 1 I ( 1 I 1 1 1 II 11 I I I 1 1 11 it 1 1 1 I I 1 j1 II i 1 1 I 1 1 1 1 I 1 1 I I 1 1 1 1 1 I 1 I 1 1 1 1 1 I li 1 I I 1 I 1 i i 1 I II I ! I 1 I 1 I 11 I I 11 I 1 1 1 1 1 I 1 { 1 1 1 1 1 I I I 1 1 I ! f I 1 1 1 11 1I 11 1I t tl I I I 1 I 1 I I 1 I I 11 II 1 1 I I 1 1 I 1 1 1 1 1 1 I I 1 I 1 I HOME IMPROVEMENT CONTRACTOR Expiration: 05/12/2002 L JESSE 0. CAPRIO ADMINIS7RA'OR 2 KLATCH SAY MASiIPff' MA 02649 ✓!ee �oa.vnw�uuea�i/ o���/faQeacla:�oeCta BOARP4 BUIILDINQG.�RE'GULATI,ONS J License �EQ'NSTRUCTIONS-N. UlS®.R � i Numbe��CS 076�8'S'© ', B� 19J3 !✓moues '003 no: 746950 $. ResldctedTfol�`OQ I JESSE P t 2tB�LACKI�VA` GHWA�'__� .. ' ;.�'r, �� . MA�SHPE-,,.'MIA 02649 �nrnlslratar r Town of Barnstable 1ME Regulatory Services �F Tp� c Thomas F.Geiler,Director y Building Division v� MASS. g Tom Perry,Building Commissioner i6gq. �0 'OrEo Mpl A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: D Permit#: r7 230 HOME OCCUPATION REGISTRATION Date: `1 Name: Phone#: Address:��71 �Dl ��.. Village: Name of Business: Type of Business: 013 VA d —, l�l�l SU yt T Map/Lot: ()(0�- INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dw Ring unit. I,the undersigned,h e read and a ee with the above restrictions for my home occupation I am registering. Applicant: Date: D Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: �►+ Fill in please: YOUR NAME:__TWE �-���� APPLICANT'S �✓ �'' YOUR HOME ADDRESS'- L� BUSINESS rlotq Tele hone Number Home TELEPHONE v TYPE OF BUSINESS NAME OF NEW BUSINESS NO IS THIS A HOME OCCUPATION? YES PARCEL NUMBER a ! / Have you been given approval from the building division?vYEs NO III MAP/ ADDRESS OF BUSINESS you.must do in order to be in comp fiance with the rules and regulations of the Town of When starting a new business there are several things y you et the business certificate first you MUST go to Barnstable.-This form is intended to assist YO U in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at n per is and Ic elnsst es�r Town Hall] or i y the following office to make sure you have all the required P offices: GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following 1. BUILDING COMMIS 1D ER S OFF y e of business. This individual ha of med of a ermit requirements that pertain to this t p uthoriz d S' nature** COMMENTS: 2' 0-j 2. BOARD HEALTH requirements that pertain to this type of business. This individual has been informed of the permit Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY p ty pe y e of business. This individual has been informed'ofthe licensing req uirements that pertain to this Authorized Signature** COMMENTS: which you must do by M.G.L. Business certificates (cos t$3D.00 for 4 years). A business certificate ONLY REGII a the YOUR from the various departments involved. •it does not give you permission to operate-you must get that through Completion WSI ggliSAWROVALFORABUSINESSGERl1FIGArfONLY Y �FTME to Town of Barnstable rd Regulatory Services --e dolt T� S�s r " BAMSTABM ' Thomas F.Geiler,Director 9�A 1A1ASS. � g rEo�.t Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis;MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 120 square feet or less (03 pp t...���� L� � ����►iu iti\S Po 2ylt Location of shed(address) Village Property owner's name Telephone number /J7' q Size of Shed Mop arcel# Signat a Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) oy, NR, va 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 iiH�—ll—ee�tJtJ Uy•e:) bUSiUN SURVEY 617 242 1616 P.01i01 MORTGAGE 1ANFEUTWIN YLAIr r BOSTON 00-03362 SURVEY, INC. r P.O. Box 220 Charlestown, MA 02129 (617)242-1313 MAIN (617)242-1616 FAX APPLICANT: BERTUM LOCATION: 63 DOLPHIN LANE DEED/CERT: 9600-134 CITY, STATE: HYANNIS, MA PLAN REF: 139-11 r� mill LOT 41 13,463+1S.F. `off � Q 2 STORY - --lor �- DOLPHIN LANE 199410 Boston Survey SORware PREPARED: 05-09-2000 CERTIFIED TO: PRIME MORTGAGE FINANCIAL, INC. SCALE: 1 inch=30 feet The permanent structures are approximately located on the According to Federal Emergency ManaRemcnt Agency round as shown, They either conformed to the setback JOFMI �. g J. �, maps, the major improvements on this propeny fall in an requirements of the local Zoning ordinances in effrt at FIU98�LL 9 area designated as Zone (,1 the time of construction, or are exempt from violation en- t� a• forcement action under M.U.L. Title Vll,Chapter 40 A, #36717 Community Panel No: Z-rcvo! Section 7, and that there, no encroachments of major Effective Date: ^� • Z • �, improvements either way across property line except as NOTE:Zone C is areas of minimal flooding(no shedtng).This shown and noted hereon. designation is not based on an elevation certllicate. NOTE:This is not a boundary or title Insurance survey.This plan was prepared in accordance to procedural and technical standards for Mortgage Loan Inspections as adopted by the Massachusetts Board of Registration of professional engineers and land surveyors,250 CMR 6.05,and use for any other purpose is prohibited,This plan is not to be TOTAL P.01 Assessor's Office" 1st floor Ma � y Pe rmit#_; 7 _ 2 7 67 Conservation Office 4th floor Z Date Issued * Board of Health 3rd floor u; � �-� e7 �b S�b � S��� d Engineering Dept.t(3rd floor) House# �� �� A'v� A) o Y�� SEPTIC BAST " Plannin fDept. lst floor/School Admin`Bidg.): �v- -�a—e LED IN ��" � E 2 d),Ct Definitive Plan Approved by Plinning Board 19 WITH TI A lications processed 8:30-9:30 a.m& 1:00-2:00 .m. ENVIRON4 dEFN L AND PP P p ) T®I&N P.EG UL AT?OAS TOWN OF BARNSTABLE.! Building Permit Application Protect Street Address 3 Z'9 "e q l Village rG�G11r Y4-�?All' Fire District Owner Jflan'e s." �i A �oTC/,� Address Telephone S-D�— Z 9— (-y/2 1 Permit Request: S/-7 P/� r''�C y_ PiJG-`�G i� _ AZ -STOK y Cq Pce ST y t E APPRoklris47'94-y )000 s Zoning District Flood Plain Water Protection W + Lot Size - /30 9(13 Grandfathered �I�S Zoning Board of Appeals Authorization Recorded Current Use. Vlk44 i- ZoT Proposed Use L Construction Type Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement tune Historic House /'Ly Finished Old Kings Highway y�/rz Unfinished Number.of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone number Address License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost ��g: DO 6. Fee /3 U- SIGNATURE V V DATE UU BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ADDRESS n' VMJ AGE = OWNER r DATE OF INSPECTION: FOUNDATION Q FRAME . .INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING: j DATE CLOSED OUT: ASSOCIATE PLAN NO:'.a TOWN OF BARNSTABLE BUILDING DEP=. ..-N T Ii0ME01'dNEn r Please print. DATE Op C 116 M � `• JOB LOCATION ec Number Street address / Section of town: _ "HOMEOWNER" 'If , yZ I- (o O�Z 7 cl- Name Home phone Work phone--- . PRESENT MAILING`ADDRESS -4. 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 such homeowners to engage an nn- dividual 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 re- side, on which there is, or is intended to be, a one to six 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.P (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes,, by-laws, 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. HOMEOWNER`S SIGNATURE-4 APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be to co;,ply recuired with State Euilding Code Section 127 . 0, Construction Control. 1 "n';E Ot,;?< ,,' C EXE_.PTION Tire coce s`ate work for which a buildir.a permit is requirec be �from, the provisions of this section (Section 109. 1 . 1 - Licensing of Construction Supervisors) ; provided that..if Home Owner engages a person (s) for hire to do such work, that -such Home Ownez shall act as supervisor. " Many Home Owners who use this exemption are unaware that , they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and 'Regulations for .licensing Construction Supervisors, Section 2. 15) . This .lack .of awa often results in serious problems, particularly when the Home Ow reries Owner. hires unlicensed persons. In this case our Board cannot proceed against-.the-- inlicensed person as it would with licensed Supervisor. The. Home".&w a actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware 'of his/her. responsibilities,. man communities require, as part of the permit application, .that,the tome _Owrher 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 to amend and adopt such a form/certification for use in your community. i; 1 •Sf-���T �. of 2 ' L�YI-i��L. JAMES c3 ot3. 94- MAP 'L(.8 PG-L 17 9 . c=zr` 43 GGG A 2vN� P-Ts - 2a/io/to off. .1..! tee.4 b�, ��. 99�O "�- `. • 99 I. too TPr �LL 3. Q.• (�i. 3 w �i +t o c Ass.rMCD Rya.wa: 1 � - S I - �• 99! 1 r _ `J q 4o, -D j -TH 44 99.1 H OF v6 49.1 O '� ni � PETER ��• . t:, y SULLIVAN L,P. No. 29733 ISTO t So; coy �ONAL''E Bo,j�o•rp - ,�• � _ O L,=,r 4 1 99`°—-- — t3, w A Y DF '�4fr� PRc►i t' F�4t L9 ;wtTtii w . - 4 JO G^ C-aR"c:)wAr'R•£ PQesz�7ua4 9874 - <� FALL IlD.IA-S#.IT LcT✓ HAVr �J�S I6 N -PATA 51146LE RAW 3 $EUIE-WMjr F 2 Na 6A�F3Ar,6 GR�1JDEtZ. b 'PAIL%-( R vW I I o GPrj x 3 3 3c> G P 0 s PLIVW =0-4 i5A�K.tiEQ•Ek-iF SE'Pi'lC TA NV- - 330 e-P.D x 150 '7o 495 vPD LY7G I ooc.3 c ALLON S£P TlG"I +-SIG L vT A 17MMAL PIT I - boo GRLLaH / 3� s iatii= 51DEWAlL A2C-A LA " E 113 >< I. . o 113 4m, AA A P -19 TOTAL DAILY FUW = 33o G P p a PE¢zaLAT1 oN IZATE = Liss -mi Ar+ 'L M s ", #4 • SN OF M� yr � ��� PFTER e� �o H v SULLIVAN "^ N No. 29133 874 C� ST�P�° aL 4a>' a AL T v I�oc.t~ 0 3•o s3.9 3 Fv Sao + TF iol.y / PV•�• iN.i• 9s.5 l.o h M i Sv(ii'.wu.- 7%0 l O O d M iNv.90•o v ` vKT �N,,. miv. AI G Goo INv. 1FN' OCK TrNt GAL I.F,A[.a} i c, weLL- W,FA MEDwM is ALl._S tJGTURE3 sWr WA696P MPM TMA,4 4!'PEW s,r,,o sToifE 64AU- %F- K-Zo • cL= 93.0 ` V6\/ OPED Peon-1 LZ-- LoG�T1ot1 : W. N-lA N N I s P,=4r go scQ� 09.ol9GQ Ltr I = - VATI1=s 3/s /`14- _ PLAN Pef~EROIJCE• 1 CEZPFY l*T T►{E Pic p ow�tu� SNOW N HEZEDH (::DM L S wltA "ME $JPaUiJE . L�T 4 I f5 6eT�W: VeO- C 4c- TDIMN OF r ► 40 6 w-T �-OGdTISD 3 IDAx m it NYE INC. ?Z0X%l aJdL Aft 5uV-V6yo¢S 14K FLA0 IS N ® C*4 X14 JQi'TOLME+J'T' zw1L E+JGI14E.M SuplC`f AID %E OFFSETS 44001.' LI M BE o STerz%/ILL,E MA44 u5M T•o G= TABLIdSN Pt2ape2:Ty U Ne5 ,dPPLI Cq NT"� 1 A . o _ Frooil • O 00 1 30'0" 30'0" FRONT ELEVATION BACK ELEVATION SCALE 1/8" a 12 \ \ 12 IS , �- ST 1 \ 12 \ \\12 i \ RIC3ATELEVATION LEFPELEVATION i i ' 12' 0" KITCHEN M 3 10-1/2u o - N Co CO LIVING ROOM DINING AREA 64611 a. I-- 30' 0" 1 ST FLOOR PLAN Lp BEDROOM 2 BEDROOM 1 4 O QO N -_ - R BED OOM 3 301011 2ND FLOOR PLAN SCALE 1/4" = 1' 30' 0" _ e- - 31 3„ 2X8JOISTS zo L L3 /2"x7114' co M o � N , 12' 0" - 6' 6" 2ND FLOOR FRAMING PLAN r . o N I . co - - 0 12' 0„ 61 6" i 1 ST FLOOR FRAMING PLAN j 12 12 t 5 2 x 8 Rafter 12 12 / 2 x 8 ceiling joist 12 /� \ R-30Insulation \� \ \ a 00 2 x 8 Joist ' R-11 insulation j I9,a 4 x 4 P.T. Pot 2 x 4 Studs 2 x 8 Joist 41011 3 -2x10's 3 1/2"lolicolumn 8" 10 concrete sonotut a Concrete �- 241011 •- i SECTION VIEW sCALE: 1/4"= P - t � gr o3� 63• o6'T� N � r i . f3R8 1� r r T O r � w A t M � p L r y`. f � r i rn Of u H .aM Gfsslk I go oo.TD E6 ��• Ftr D LaC_ �A i� 0 3/i o �9 5 VN/A M A-D 2h b t 19 I Lc,-r 4 I Hsi # 6 3 Doi A rt,N CA-114 S 13. 463 SF GE DTI Fl E,(� LOT P L A u 1 i= ) F-/ 7-H A T, -m aFac>I.+DA'i1C sv L�C�T 1 OF-1 : H-/A t..-I t-,1PLI5 W! T1 I lfo=A1F= � ''> 30, bATE n I I N EA 1,4 O sar'T3A- 4 ��M errs o1= 734S - nV jt r�F` PLA>,-GA L=: tT 41 l.-t�..r`�'f��:0 V.!I il-i-�►.t T'tt� FIND P[.A r I...I. PLA w ►39 Prt<_E I r Ltd-Tt-: 3• t- ,m5 TYtI S i L✓\N I /�� aAxT�� 1 NyE� IHL . Np �J4CJ�{.� Ql-1 f�►J r r-�IST��U L+`t'N 0 SUQ�/C`�/Q D_ dS�l>= V I 1 M A U�GI� Io pE(�1ZMI/�✓= Lc-Yr Llt.r PPLICs�II-+T �/oJGt K �i5O32 _ f WILLIAM A. PRICE, JR ATTORNEY AT LAW _ t 6F BAYBERRY SQUARE 1645 ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632-2936 TELEPHONE(508)790.1221 TELEFAX(508)790.1238 December 14, 1994 To: Ralph Crossen Building Colm--nissioner .Town of Barnstable 367 Main Street Hyannis, MA 02601 STATEMENT _ Re: Contiguous ownership of Lot 41, 63 Dolphin Lane, (West Hyannisport) Barnstable, MA shown on Subdivision Plan dated May 10, 1957 and duly filed with the Barnstable Registry of Deeds in Plan Book 139, Page 11. 'Said lot is also shown on Barnstable Assessor's Map 268 as Parcel 179. Present Owners Daniel E. .James and- Dianne H. James Date Acquired December -24=, 1970 Date Recorded December 29, 1970 Title Reference Book 1495,. Page. 180 The following 2 Lots are contiguous as shown on Assessor's Map 268: Parcel 180 currently owned by avid t . E:vans and Rosemary- S. Evans - title by deed dated September 21,, 1984 as recorded -in Book 4256, Page 43 with said Deeds. Parcel 181 �'Lz.3 ren.. 1► '"u?2�d by Deborah Eiiei, Jaries and Daniel E. James, II - title by deed dated December 30, 1980 as recorded in Book 3217, Page 219 with said Deeds. I hereby certify that, according to the records of the Barnstable Registry of Deeds, Daniel E. James and Dianne H. Jcjmes did not own either of the aforesaid contiguous lots after February 1, 1985 (when the zoning dimensional requirements for Zone RB dhanged to one acre) . It is my opinion that since the Parcel 179 was a legal building lot prior to February 1, 1985 and the current owners did not own either of the two contiguous lots on February 1, 1985 that Parcel 179 is therefore grandfathered, should.be considered a buildable lot, and a foundation/building permit should be allowed. - Respectfully �submitted, William A. Price, J . , E quire S ' TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 208 179 GEOBASE ID 17184 ADDRESS 63 DOLPHIN LANE PHONE yann B ZIP - LOT 'LOT41 BLOCK SLOT SIZE DBA DEVELOPME9T DISTRICT HY PERMIT 979E DESCRIPTION SINGLE FAMILY DW LING - PERMIT TYPE BCOO TITLE CERTIFICATE OF OC�eipa��tment of Health, Safety CbNTRACTORS: and Environmental Services ARCHITECTS: ' t TOTAL FEES. r BOND CONSTRUCTION COSTS $.0E7 . * HARNSTABLE. * I ' MASS. I 039. OWNER E p ADDRESS H r 115 WILSON ? HOLLISTbN MA i BUIL - - DATE ISSUED 08/17/1995 . EXPIRATION DATE BY i DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION + BUILDING: DATE: COMMENTS:' PLUMBING: DATE: t COMMENTS: ELECTRICAL: '? DATE: 1� COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS 1N TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED ATTHATTIMEJ TOWN OF BARNSTABLE �..._ CERTIFICATE. OF OCCUPANCY PARCEL ID 268 179 G.ROBASE .1D 17184 ADDRESS 68 DOLPHIN LANE PHONE � yann.is ZIP i LOT LOT4 BLOCK. LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 9.796 DESCRIPTION SINGLE FAMILY DwFlUNG PERMIT TYPE BC00 TITLE CERTIFICATE OF OCDNI Pafthhent of Health,Safety CONTRACTORS:: and Environmental Services ARCHITECTS TOTAL FEES: Oki BOND .00 CONSTRUCTION COSTS .'00 -� + 1ARN3TABLE� + OWNER - ADDRESSAMES t 118 WZI;SON HOLLISTON MA � I BuIL I DATE ISSUED 08/17/1995 EXPIRATION DATE .BY I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- II CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED 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 I PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION,RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION I 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS I VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 'I • I 2 2: 2 I d I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I 2 BOARD OF HEALTH I OTHER: SITE PLAN-REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA ;I TION. NOTED ABOVE. TION..508-790-6227 j. I� I M C E , r -Tv�' .v;..`fC 9r:°X'`.., ''^ J>• l..y*'t°'`,�' gra " �, Ytl ,.. zR,C' " . rT Y�a $ 'TOWN OF BARNSTABLE, MASSACHUSE?�5 Fps', ,r :, Y INS PERMIT A-268.179 •1 .. OATS_ ' 19 PERMIT NO. NO* 37328 APPLICANT Jerome WOicj.K ADDRESS 115 Wilson St., Holliston, M (NO.) (STREET) (CONTR•S LICENSE) BUILD DWELLING 2 Single Family Dwelling NUMBER OF 1 PERMIT TO I_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) 63 Dolphin Lane Lot , West yann sport, ZONING CT— (NO.) (STREET) _ k t 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 SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION yy����yy����p.�� p (TYPE) REMARKS: Sewage 121KM 94-778 AREA OR 1,440 sq. ft. 58,000.00 PERMIT s 130.00 VOLUME ESTIMATED COST..$i, FEE (CUBIC/SOU@RE FEET) OWNER Jerome and Rita Wojcik S son St. , Holliston, BUILD! ADORES ''—F770F1' 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' OSTED UNTIL FINAL INSPECTION HAS BEEN 'PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A' CERT!FICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3 FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. •• ':`'�. . OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS' 2 2 l 2 o►Cep/.O�i/VG ?'rWil ro "c.co, -12 g HEATING INSPECTION APPROVALS ENJWG DEPARTMENT 2 nnrl�Z ' tt9 �9-B73-f HEALTH -7 'S b.37 OTHER \ SITE PLAN REVIEW APPROVAL PERMIT w!LL BECOME NULL AND VOID IF CONSTRUCTION WORK SHALL NOT PROCEED UNTIL THE INSPEC-�, - INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION F„Fy Map o Parcel 7 Permit# , Health Division '2-4-0.2 Date Issued ( z, Conservation Division S z ram, Fee Tax Collector —('� �__ 0`2 ' J� SEPTIC SYSTEM MUST BE /Pp Treasurer (� I N L INSTALLED IN COMPLIANCE �� 1 WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND TOWN REGULATIONS Date Definitive Plan Approved by Planning Board U f Historic-OKH Preservation/Hyannis Project Street Address L.Q�� Village W , 1A (CXf\ n 0 0 F Owner ilr1P (A-0 Cc- Address 5aVy,-,( Telephone - 0 (OI 1 Permit Request v:57; :t a(- 6 L,.'_ T C�+ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation ,� Zoning District Flood Plain Groundwater Overlay Construction Type 46 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units) Age of Existing Structure -1 Ar'5 Historic House: ❑Yes �No On Old King's Highway: ❑Yes N0 Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z 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 XNo 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 BUILDER INFORMATION Name�QS % oblk��A Telephone Numbers�b - 0 -0 T Address � Q oC'_p License# 0-7�o SS 0 R 1'_5CkV\rJ� OzS(a7 Home Improvement Contractor# i o G 77 0 Worker's Compensation# �l ri,J L 27 p �?7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �SQXC� K "S+e- SIGNATURE DATE -2AI �/ s FOR OFFICIAL USE ONLY j PERMITNO. DATE ISSUED MAP/PARCEL NO. _ •`- ADDRESS VILLAGE - OWNER �+ DATE OF INSPECTION:' s FOUNDATION E FRAME -+ f INSULATION r FIREPLACE k ELECTRICAL: ROUGH t FINAL PLUMBING: ROUGFI ir, , FINAL - s 1 " GAS: ROUGH '- FINAL FINAL BUILDINGfn . .*�, • DATE CLOSED OUTS ASSOCIATION PLAN NO. i ~� The Town of Barnstable Regulatory.Services 'Arfoy►10 Thomas F:iGeiler, Director Building Division Peter F.'DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 108-862-4038 Permit no. Date i AFFIDAVIT, HOME IMPROVEMENT CONTRACTOR LAW . SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,=ovation.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: GPx�e Estimated Cost r0 O� Cb Address of Work- 0 wner's Name: `� U e. Date of 4pplication:�2� 1 hereby certify that: Registration is not required for the following reason(s): - ❑Work excluded by law ❑Job Under$1,000 , ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS'PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE- ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL:c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ow er. • O( d ( `�O�d3� Date Contras or Name. Registration No. OR Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents == OfflCs 91/=850 MODS 600 Washington Street Boston,Mass. •02111 Workers' Comp ensation Insurance Affidavit %%�%%%�%%�/O%%%% � �������������������������������������� location:l o \it iJ t Q ci W �tn c 5 6� hone; ❑ I am a homeowner erfomung a1L work myself, ❑ I am a sole proprietor and have no one worl� in ca achy %/%/�%%%/%/%% %%%%///%%%%%%//%/%////%%//%//%%//%////%////////%%/%%%%%%%%%///G/�%//%%%%%�%�////%/ I am an era 1 er providing workers' compensation for my employees worlQng on this job. :%:8II' oat r}r., :{:: 'h•'.:?,•••?•??yt�i:;{::;?:..,:?.:::Q:i}:i::;:?};L.;:;?;.•;;,..;:^:•::f'?'•'•{{y}:t:;i:}}: :?1�4:•:!>i::•':•:}:,` L?;t:'':::y}fF:j:S,{::i{{•y?}r}isis���.,i•Y::V:•.::}v.v:::.�L.v:: ........:........... ...... --:. ............. ...:::...... Acldr eSSi �a f� I F •f• D n ................. -Al ...............................::.:. ❑ I am a sole proprietor; general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followin workers' compensation olices:.......•-.•........ :,a.:::,.::4::;.}?•.}•4}:;..}•. romin -r:ES7 ;;�':<::r:::':•:�::`:::;�;::;:�:��2;£%`:%:�:�:::':: :� :;::::_::: :' ":% ;'::%�i`?�:?%':'••.�: ;::�:: %?is'=::� :;%r:; c,•`:: °:;ti::;`:;"x:� ��;:;::•':?: �5:�:�::�:�;��� a (lt ........ ......... r....-......r.........:•............:..:............ ......:......::-�:::................................-�.....,.:::?:.. ::{{.:;.}>:•;:.•:............-::...-....-.....,........... .+.4..yr..,..:.....:% ;•}}:}1:�:�i1:ii�iii:::ti�{i$:{:iit:::�iiii i::iiiiii:�f:i:}:;+:•.:ii:::'�}} :i'-iii':i::i::'i'.i".'iiii�:!:ySti?:ii?:i:}ii:: ti-}•?:::iXv v. :••:<it:}:'ry{::i}::i'{!}Sii:v:::i}:>--:.>.:;:}:ii:}ry e:?:�ii::i:::j�i::i�, -s.•..:.}v:::::::..-vn•:rv:.,,v::::::::.w.:v+::i.;v{J.:••;.-'•r•.. a .............. ......n...• .....--..... .... ...-., ...-.... -_..,{•::.v::::.... :.::.r.:.nw::::.w:::::.v::.:.,{4}:•}:•}'v'+.•...::" w4•w•n}y•::-..A:v."•}::.--. 1nsnFattce:{a::<:;:zc>.;::::,,;•r::::.:.:v{.}:;<:.<:;.:�:;.:;;.}?:•;:.:;.}:4.;;•:.;:-?:-::::::•:::::•:::::....... .....:.:......:::..::::..:.::::::..:.,.;.. .....-..:••:.,. ...v:nv::v.v:::?:{Y.{;4:4.v::•+4:':}ii:v.:.n.. .r.,r.;, ::::::{•:vi}}:i-.vi.:..-::::::•.v:::f.S+S?,:...,.. -• '-_:.: ................ .v::::•:}:{:;.....:}:?}}:1}:;-:::::::::.v:::54:::.......Y.:i}}:{5::::}:•:4}}::;•}:•:•}:4X:S::;r:....:}::•:.v••.... :...... ......... ....r-... . .. .. ................. .......:.:...::•:::.vr•:::::::••.v.:...v::.:..............-....-..........:....... :.•.,+:•.•.{•-:::::•:.v::.Y.}}:•}}:hw.}:i]{.Yii�:r::4:::.,vViwiv:C:4:L:;{:};{:: v< <;:4vii•i:;:::$iii:'y::7j::n?:'i?:i:{:iiiii:?i:,.:{'::{{•}:>r:�:jj:! •••'S J 1-•}:'.i .:';ii:i :(:;i��:;::;:?:��?:i ;:L:�'..j:::.:,j? :i::':::;;:i�i:;:;;';:;{i::4:;:i':iii:i:i:i<i:4iYi i t�::i�:!i:;s v'�T:�i?:?:!,::�)'�':i:i:::::::!:?::�:•:�:;:j;'.�:?:v'::{:,>.;.{:i:;ii7'.'.�f�ji::......: .......:::. _{ ............. :•r:::.�::.�.::... ... ..: ... .... ............::...:..:::..:::::•::.�-•.:. hone:�:' ':`':.?>�>� �< < ;>u =�: �':»:;<;>> '<? �'r>{> �>;':�::;�:»:: <=<::»>? -:::•{•>.:r::::::r:::::•r:;•»r::::.�:::::.,:•:r:r:::•::::r:::.r:::::•:••?:::•:.�::.:.•::•::::::::.rr•}:{.;•:::r.......-..;.+.4:::r::::::::r:.::: r....: :�ltyil3'SM'�r:9C�i:...>:;}:•is�;:?•..:;;;}:::s;{.;:.<r;:{;:!:�.v.?:•}:.;}:;::r};=?:{{;•}:.•:x•!•}} l� Faflure to secure coveMe as required under-Section 25A of MGI,152 can lead to the imposition of crhntrml penalties of a fine up to 31,500.00 and/or one years'imprisomneni as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. Im►dersin d that a copy of this statement may be forwarded to the Office of Investigation of the DIA for coverage verification I do hereby c fy under►the ppa4ns and penalties of perjury that the information provided above is trace and correct Signature Date _ �5 ( t U Phone#�' Print name - official use only do not write in this area to be completed by city or town official city or town: pert att/license# ❑Braiding Department ❑Llcensutg Board ❑checkifianmedists response is requited ❑Selectmen's Office CHealth Department contact person phone#; ❑Other (trussed 9195 PIA) Information and Instructions [assachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their aployees. As quoted from the 'law".. an employee is defined as every person in the service of another under any contract 'hire, express or implied, oral or written. n employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of ,e foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ustee of an individual, partnership, association or other legal entity, employing.employees. However the owner of a welling house having not more than three apartments and who resides therein; or the occupant of the dowelling house of iother who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or ceding appurtenant thereto shall not because of such employment be deemed to bean employer. ZGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the:issuance or renewal f a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has of produced acceptAble evidence of compliance with the insurance coverage required. Additionally,.neither the ommonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until cceptable,evidence of compliance with the insurance requirements of this chapter have been presented to the contracting uthority. applicants Tease fill in the workers', compensation affidavit completely,by checking the box that applies-to your situation and upplying.company names, address and phone numbers along-with a.certificate of i.nsurance'as all affidavits may be ubmitted to the Department-of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. I the affidavit. The affidavit should be returned to the city or town that the application for the peznnit or license is ieing requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law'or if you Lre required to obtain a workers' compensation policy,.please call the Department at the number listed below. "ity or.Towns ?lease be-sure that the affidavit is*complete and printed legibly. The Department.has provided a space at the bottom of the Lffidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please )e.sure to fill in the perniitlliceuse number which will be used as a reference number. The affidavit;may be returned in he Department by mail or FAX unless other arrangements have�be'=made:._.--_:_�... ..._ the Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Tease do not hesitate to give us a call. the Department's address,telephone and fax number: . The Commonwealth Of Massachusetts' Department of Industrial Accidents OMce of lovesugatloas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-.7749 phone# (617) 727-4900 eat. 406, 409..or 375. _ Table JS2.Ib( Prneripttre Parl�igw for 06 and Two■Familr Raidaaatal Baildtew Salted with Faad Fast MAXIMUM M NMIM Ile Glanag, Glaring ceiling Wall Floar $taame�. Slab +n Area'(•/.) U-�� R valuej. it valual R valud Wa11 P Par�are Rrvahra' Eivalaor 5"1 to 6500 Heatiaas Degree DAW Q 121.1. . 0.40 3E 13 19. . 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12:11 030 31 13 l9 10• 6 ES AFUE T 15% 0.36. 31 13 42S � WA WA Normal U ' 15% Q46 31. 19 10. 6 Normal V 15,14 0." 31 13 TVA WA AFC W 15% 032 30 19 •10 6 1S AFUE X 1E•/. 032 3E- 13 ' WA WA NO�IISdY 18•/.' 0.42 3E 19 WA WA Normal Z 1E%. .0.42 3E 13 10 6 90AFUE • 6 AA IE/. O.sO 30 19 19 10 90 AFUE 1. ADDRESS OF PROPERTY: C 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): NOTE: OTHER MORE INVOLVED METHODS-OF DEYEUAMG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a Footnotes;to Table J5.2.1 b: Glazing area is the ratio of the area-of the glazing assemblies (including sliding-glass doors, skylights. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wail area. expressed as a percentage. Up to 1%0 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 fl of glazing area• 1 After January. 1, 1999, glazing U-values. must be tested and documented by the manufacturer in accordance with the National Fenestration Rating.Council (NFRC) test procedure, or taken'from Table J1.5:3a: U-values are for whole units:center-of-glass U-vaIues cannot be used. ' The ceiling R-values'do not assume a raised or oversized truss Construction. If the insulation achieves the foil insulation thickness over the exterior walls without comptrssion, R 30 insulation may be substituted for R-38 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the-sum of cavity insulation.plus insulating sheathing(if used). For ventilated callings, insulating sheathing must be placed between the condltioned�space and the ventilated portion of the roof. 'Wall R-values represent the sum of-the wa11 cavity insulation phis insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation.OR R-13 cavity insulatioa plus K-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry„Iog)wall constructions,but do not apply to metal-frame construction. 'The floor.requirements apply to,floors over unconditioned spaces(such as unconditioned mzwlspaces;basements, or Rarages).Floors over outside air must meet the ceiling requirements. ' '"Me entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_t the same R-value.requirement as above-grade walls. Windows and sliding glass doors of conditioned br.,ements must be included with.the other glazing. Basementi doors must meet the door U-value requirement d-scribed in Note b. 'The R-value.requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes 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 He Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. X-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer.in accordance with.the NFRC test procedure-or-taken from the door U-value in Table 11.5-3b. If a door.contains glass and an aggregate U-valug rating for that door is not available, include the glass area of the door with your windows and use the opaque door.U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average A value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area-weighted avenge U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). " 43 . i i s E 4s! ✓Zee eomiinaruuea�iac`iuoeC� � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Num'ber�CS\ 022375 Birthdate 0 /28/1950 Ii Expo si07/28/2003 Tr.no: 975 Restricfedx PAUL F CAPR'IO i 92 RICHARDSON Rb26 s, ; CENTERVILLE MA 032?- Administrator I Board of Building Regulations and Stan I iI Bards HOME IA OVEMENT CONTRACTOR I Rego T� 0111 /2003 i� _ YPe 1itilvidual PAUL F.CAPRIO 92 Richardson Road` =/'( Centerville,MA 632 G G 02 �-« Admim-trator D, 4 D ' D .D 4 UNFINISHED ------------- LAUNDRY _ ___--___- • I5 amp outlet STORAGE ell — • keyless porcellan light fixture I I I I C I 1 p p I I I I 1 I I I I I I 1 7 i •D - d a I I I I I , I • I5 amp switch Jill 11 11 11 1 1 1 D D • 4° ti D °Q 'D I4a PLAYROOM A DD 'Q D, °a v o v D F DS Cr4P SUILI� R.S, INC. SERVICE ROAD • BANDWIGH • MA I� •I'1/ ArPR7NED DU M BV 3 2JESSE P. CAPRIOENOVATIONS AT BERTUCCI RESIDENCE 63 DOLPHIN LANE • WEST HYANNISPORT • MA InAWNG M1JNBEfl BASEMENT PLAN Al elk SUSPENDED CEILING HEIGHT OF CEILING -1'-2" 2X4 WALLS o EXISTING all FOUNDATION 0 3-1/2" FIBERGLASS o WALLS ON FOOTINGS o INSULATION o 1/2" SHEET ROCK o - 4" POURED CONCRETE SLAB 0 OLDS CAPE BUILDERS, INC. 333 SERVICE ROAD • SANDWICH • MA "VALE 1/4"-1�-O� nPPZnVLD MAWN a 3-� 31/O JESSE P. CAPRIO x,,m RENOVATIONS AT BERTUCCI RESIDENCE 63 DOLPHIN LANE • WEST WYANNISPORT • MA SECTION A �,nw Nf, JNDCR a2 ly D. ,a I p, 4' °D 44 DD 4, a UNFINISHED Q LAUNDRY - ----------- _ ( • 15 amp outlet STORAGE ----------- D D • keyless porcellan II&t fixture I I 1 I I 1 1 TT I 1 1 1 1 1 1 D a 1 1 1 1 1 1 1 I 1 I I 1 1 I 4 Q 1 I 1 I ■ IS amp AWItch I 1 I 1 I I I D D 4. D '4 a, °D I A PLAYROOM 4' DD 4, ,a D, .a OLDS CAPE BUILDERS, INC. 333 `SERVICE ROAD • SANDWICH • MA SCALE 1/4"nI'-^II A111:1NED DRAM 8V DATE l�3 021 JESSE P. CAPRIO ?EN SED D° RENOVATIONS AT BERTUCCI RESIDENCE f 63 DOLPHIN LANE • WEST WYANNISPORT • MA TA'11111 n.INB ER BASEMENT PLAN Al SUSPENDED CEILINGS 41 HEIGHT OF CEILING ■ 1-2" 2X4 WALLS EXISTING 8 FOUNDATION. 0 3-1/2" FIBERGLASS WALLS ON FOOTINGS INSULATION o 1/2" SHEETROCIG o • o e 4" POURED CONCRETE SLAB o OLDS CAPE BUILDERS, INC. 333 SERVICE ROAD • S,ANDWICH -, MA iI.nLC 1/4 of_O' nPP7nvLD Dnmw DY -Tc 1/ 1 02 JESSE P. CAPRIO 7,,—,,, RENOVATIONS AT SERTUCCI RESIDENCE 63 DOLPHIN LANE • WEST HYANNISPORT • MA SECTION A rnwwc nNocn a2 E, Q � p N4 a. 44 UNFINISHED _____------ . a LAUNDRY ----------- 1P . 15 amp outlet STORAGE ■ keyless porcellan ilght fixture I I 1 I I I I I I I I I 1 I 1 I I I I I I >D Q Q I I I I J I I i 15 amp switch I I i I I I 1 D D 4. .D <a PLAYROOM _ a 4• • di ,D Ga D° 4. as a D, 0' CAPS BUILDERS, INC. v o v o v o - 333 SERVICE ROAD • SANDWICH • MA D, Q SCALE 1/�4%1-O� hRPRDVED ]?AWN BY DA E. /31/02 JESSE P. CAPRIO ?EV SED • a RENOVATIONS AT BERTUCCI RESIDENCE 63 DOLPHIN LANE • WEST WYANNISPORT • MA ]?A'!!NC N!NBER BASEMENT PLAN Al .,.r °f o SUSPENDED CEILING HEIGHT OF CEILING 1-2"2X4 WALLS o EXISTING all FOUNDATIONo 3-1/2" FIBERGLASS - WALLS ON FOOTINGS INSULATION o 1/2" 614EETROCK 0 4" POURED CONCRETE SLAB 0 F C,4PE BUILDERS, INC. ICE ROAD • SANDWICH # MA AppiovCD DRAWN 0Y JESSE P. CAPRIO .'A,CD RENOVATIONS AT BERTUCCI RESIDENCE .� 63 DOLPHIN LANE • WEST HYANNISPORT • MA SECTION A F� A2 NA NJLOCR