HomeMy WebLinkAbout0030 ELIS DRIVE '3o �. � S � 1 v8-
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '
Map ;1oAW Parcel Permit# 1179' �
Health Division Date Issued A
Conservation Division Fee 00
Tax Coll r
Treasurer Planning De
De .
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address
Village l
Owner Address 111WS
Telephone (3,
Permit Request g 4rl'4 ,P r4 /q�R 7;;.r r � f � �"' ��
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Valuation Zoning District Flood Plain Groundwater Overlay
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 00' On Old King's Highway: ❑Yes
Basement Type: ull ❑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
r3
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas 3611 ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn: ❑existing ❑new size
Attached garage:wing ❑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 /� e�1t�('-Se`fTelephone Number 60
Address � ���� ��� �/� License# <�T t �
Home Improvement Contractor#
Worker's Compensation# —-----�I /
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO o 1��7
SIGNATURE �� « DATE
FOR OFFICIAL USE ONLY
PERMIT.NO.
DATE ISSUED
MAP/PARCEL NO..r '
ADDRESS � —' � R f., '�'' wr VILLAGE �' ``. ��, '��` • F, '�,," N � ," t
OWNER) ol
o ♦ T
1
ol
DATE OF'INSPECTION _ f.. �, .�; ' 4
FOUNDATION r
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL ` r;
PLUMBING: ROUGH FINAL ''# f•t" Y.,. `
GAS: ROUGH FINAL /, �� z
I' FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
4 `
t
i
. _.�. : a own o Barns a e l
• s�+axsrA= •
9 �a Department of Health Safety and Environmental Services
Ea rr+a� Building DIVISIOn
N 367 Main Street;Hyannis MA 02601
Office: 508-862-4038 Raloh Crosser.
Fax: 508-790-6230 BuiIdina Co=
Permit no. `
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERNIIT APPLICATION
MGL c. I42A requires that the"recaastruction,alterations,renovation,repair,modernisation,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at le=.me but not more than four dwelling units or to strac=which are adaacent to
such residence or building be done by rzgistered conuactots,with caraia exceptions,along with other
requirements. 1
Type of Work: /K f C R £% Estimated Cos 5
Address of Work
Owner's Name: ��%���
Date of Application:___
I hereby certify than
Registration is not required for the following reason(s):
Work excluded by law
QJob Under SI,000
❑Building not owner-occupied
QOwnerpuftg 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 owner.
xo
Date Conuactor Name Registration No.
OR
Date Owner's Name
o:forms:,lffidav
e amm
��tmerst of lndusvial Accidents . .
D Ol�asaflayestf�OQas
600 Wasiungton Stred
_ BOs..tOlLyam r�'^—
MM= OZIII
Affidavit
Workers' Camosatioa Insaraa
ea
Mn
I am a hom=o m�y caoacitY „
—� O
aroari
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a s forte�a9� °anus job.
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ota �Itmrt=�A thu t4iaSLOP�=ORDER
tam wAspa AofS100A0adad P
r a.�tu cta Secure
m• >COT - tathalum
onn vests'fin prisomo�m
cog7 of this statemeiu � fOTlfOn �O1�t iT trig/ C°lT[LZ:
j do nrreby c P s
Dane
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u:. ... b7�7°Ttoen
oiIl::s!use only do not Write in this arts to ba _E3guUing DenallLcild aran�t
❑Selecunest's QiZ7ee
dss or town: O$�th Dees utt
t esponse is required
:.a if Jr=:Slt[A �Qttte!
Information and Instracfions
vets to provide workers' compwsa�o:.fo:
Laws ter I52 section ZS requitzs rmPio. P service of another under may' -
�* Gen..ralP ersoa m the
�issacaus,,.s Io ee ss deim as�9P
�mpto�•ees. As quoted from the"law",an� Y - - ,
�f hire. e`:nress or implied, oral or wlittea. t or mo:. =
tea=or other legal entity, ar,any Two' .e^^• -
�er is defined as an individual,Parmersp, association, P etnatt of a dec=sed employer, or -
.•�n emplo including the���
en: ed in a joint enterprise, and iov�. However the o��» . •-
e foregoing or other legal sooty, .• horse .:
association or the o ant'ofthe dv:e,- _-
zuscee of an individual, p army who resids
d�,•ellinz house hazesVMJknot more than tbree ap oa sash dwelling house or oa
anothr.who employs persons h do be d=adtM.b9 Mn empioycr
aing appun=2=therzto sbaIl not because of sack
bull ' sbaII withhold the issuance fl'reue--
state or local Ucensing�c9
vital. chapter 152 section 25 also states that every is the commonwealth for anv aPpiicant wnc
't to operate a business or to construct bm'idm� Add �F?n,a:,=-a:
of a Iicense or permit P �the �P.e of public work u..
not produced accePtable evidence of coaiPfsan� i=� ract£ortb.
any of its atic l snbavisi®s o f s hem praseated to tae cosy
commonive:lth nor P Its; - _
table
�ridence of Banta the
i%i��'////' //// / r
:�ppiicantse Zbat aPPT to vour and
- . _
e n�li in the 'comP p- sate a� as an sEdas�its may be
PA address aad phone ambers am"i'm Also be sure to sign "
c =Y names, _ df -
-ubmi7 the Departme�of Iadtsstaal tp tlft aPP�On for for P�o: wee L
;ti,,.:.: "'� * should be scttuacdto the _ - le g� ' or• F
date the afudavzt. afisdavu yM- hMm=W quemedmg
being requested,not the DePartauen of caIItha Dattba namber listed be10w' _
are rw^uircd to cb a woi�5 -- - >:� //n ;::.
/atilt�i",l///!ir.
li i/ron,/n^'i
OEM
Ciry or Towns a at the b== o=�=
1i
m P'• _
��affidavrtu ct�piete aad.prt<d Y 'Ills D �e
P.a� emu to fM out mtbe eveattbe Office giber 1lte affidavits may'be
=�- avn for y �e number W3�WMbeasedas arefrza - _
ce sure+•o n�II is the p e brains&
V D etrt by mzd or FAX unless other - -
Moperattan and should yo hV any
rye y
Office of Investigations
would I ce to thank Y=m advaacx
i n^co do not hesitate to give us,a=EL _ �„7.,- a
TDIM r
The D����s address,ielePnon:and fax " -
The CGMMGUvveslth Of Massachusetts
Department oflndustriAccidents
Ontce of Imtestig
600 RtnsWngton Street
Boston,Ma. 02111
f=*: (617) 77.7-7749 --
T�b1s332.1b(maefaae� •�wim Foml Faeb
p p �for d ns sad Tws•Ssm�'Rsaidowmal BuRdlop
i.
MAXIMUM
QI � Cain Wau 1:7aar Has�ot Sttb Beaaagr��
Airs'O Q. ata� Rrvd� B,.valmt� : &vaia� wa P
SIOI to6600HaefasDer�eoDslr� No=zi
FRqQ
1rs aao 3: 13 19 10 619 19 10 6Noral
1Z:S I ass 30 asAFUE
1rs I a5a 19 to
25 NIA, NIA Nomsal
T 1 �6 s Normal
U 15'.S OA6 3f 19 m 25 AFUE
v 1sS opt 31� O- 2s l�i/A NIA
19 19 10 6. s3 AFUE
W 15ys a
m N/A Nmmal
x 1al. am U 23 N/A
Y 189A I 19 25 NIA NIA Normal
13 19 10 6 90 AFUE
Z 18!S I 90 AFUE
AA lays 19 19 to
.a
1. ADDRESS.OF PROMRr* ✓
e ��
a
2. SQUARE FOOTAGE OF ALL g$T=01MAIM6 .�.
3. SQUARE FOOTAGE OF ALL-GLAZD`G
J
4. %GLAZING AREA(03 DIMED BY 42): .
5. saECT PACKAGE(Q—AA. above
• : V -� G ENE�tGY REQUIREMENTS
NOTE: OTHER MORE INVOLVEDMEiI30DS OFD'
ARE AVAILABIZ ASK US FOR Z'fII5 BNIFORMA•TTO�N•
BUMDING INSPECTOR APPROVAL:
YES: NO:
q.ra�S-�go3a3a
780 CMR Appendix J
Footnotes to Table J=1b: _. assemblies ( g tag�lass doors, skylights, and
Glaring area is the ratio of the ama_ of the glazing but opaque doom)to the gross wail
basement windows if located is walls that Q be CCCICded�the U-value stquir=—...t.
arez, expressed as a perzxatage.Up be exrludedfiom a bnu7d'm8 design witk 300&of glaring nuts.
For=ample,3 fl of decorative 91M may the man m accordance with
s ASa January 1, I999,gla�g U-values m be meted MCI doh by
Ujm � ?!able J1.5.3a. U-values are for
the National Fenesuadon Rasing �� �° '
whole units:cc=-of-glass U-vabuea If the ksumoa achieves the full
a -values do not assame a raised @• ftd'trams r A 38
R •®, Rr30. amY
��i thickness over the e�erior watts withottt eompmsst , R � of cavity
insulation and R 38 insulat�na may be ��9 ' �. gshcs g��p�bciwce�
insulation plus insulating sheathing(if ursed)-F�ireatFtateti��. _ ;
the conditioned space and the veatimd g(if used),Do not include
Wall R-values represent the smm of � MR-19��could be met EMIER
ex=t)r siding,structt>raI in
sheathing, PhM R-6 Wan requirements apply to
by R-19 cavity insulation OR R-13 csvitY do aatappjYW saetal-ftme -
wood-iitne or mass(cencrem mmury,log)waII (�as ���basements,
The floor requirements apPlY to floors°�
es Floors the ��
or;arag ), over outside airmust with as Ins than 50%below grade must
•'h:e Mire opaque portion of nay iadividuml walls w s Sim doors of conditioned
race: the same R value ttquirement as above-gt8 � doors u mew the door U-value requirement
b,;emcnts must be included with the OdiW-
d_scriaed in Note b. _ slab.Addsa �forhented sue,
The R-value requirements asz for uahetaed 4.or S. If you p1�to install more
' If the building.uff=s electric z�ce tut�rmg tee=.-�_ the equipment with the lowest
than one.piece of heating meat or more -
eff cieacy must meet orexceed.theeflicienc7riquitudbyto '
For Heating Degree Day requirements ofthe-ciosestcttY brz sea'I'abk _- ,.
NOTES: ar-. _N-__ g�raI=are minimum acceptable levels.
a) G tes a:e lazing areas and U-vab m
dCMpWWM
R-value requirements are for insulation auziy th=M.Door U-values must be testy..
• must have s U- aiue ao grew .. arf @ tatcm from the door U-unlit
b) Opaque doors in the building envelope .
and documented by the m a with the- tFRC tit
��age U.��g-forthat door is not ava0able,include the
is Table J1 f the If o door contains w glass and ux the door'U-+slue to demmme compliance of the door.
glass area of the door with your windows
be excluded£tom this c(Le.May have a U-Va VMW than 0.33).
One door mayincludes two or more areas with
c) If a ceiling, ►floor,basement wall.slab'�8�'��I °07 '
• g-�is��than or equal to
t1wdifrerent insulation levels,the compouc=comply ty if the area weigizted average U-
o=door�ca��m�
,the R-value requirement for that component. Glazing D- CM (035 for doors).
of all windows or doors is less than or equal to the
value .
ESTIMA TED PROJECT COST WORfCSHEET
Value
LIVING SPACE
(high end construction) square feet X$115/sq. foot=
(above average construction) square feet X$96/sq. foot=
(average construction) square feet X$57/sq. foot=
GARAGE (UNFINISHED) square feet X$251sq. foot=
PORCH square feet X$20/sq.foot=
DECK square feet X$15/sq. foot=
OTHER�'C3;0 C lasquare feet X$??/sq. foot=
r !�
Total Estimated Project Cost
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Assessor's map and lot number ...V7.M... . 'o ~' SEPTIC SYMN
INSTALLED I 'P IAHM
- WITH ARTMLE II STATE
Sewage Permit number ...���.......... `.�.................................
SA€�ITAI�Y GOD M0 TOM,
REGUl.l MNS
THE T TOWN OF BARNSTABLE
SS �
i BARNSTABLE. i
NAM
0 M BUILDING . INSPECTOR
PY�''
�y
APPLICATION FOR PERMIT TO ....., - V- ! 1..1..1. .. .[...e.•. .........................................................
TYPE OF CONSTRUCTION ........ . e........� ........................... ..................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby/applies for a permit according to the following information:
Location .............. 1...�w ........ f U .. ��. ..'L.l..s................� �.. .......................
. ..... . .. ..
/
ProposedUse .......... ......Acs�...... a�G1/.......��.r......r.P� .T..E'.al............................................................................
Zoning District .�.re". �.�!°Gl j��Q:.l... ...Fire District .....//Y
..(fi.H.....!!d./...-5.....................................
L
Ap
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Name of Owner .. �••� ...... Address .1� Q........�PS1 �''G /. ....... G!`i if
..........................
11, 14 h al
Nameof Builder .......50.. -- iP.4f .......................................Address ....................................................................................
Nameof Architect .....Sa..jl�n...........................................Address ................................................................................./'
cex:x7�.,
Number of Rooms ...�.......................................................Foundation .�
,�. 1-'E�.��,,...... . ..............
. .L...l� /�-5
Exlel-ior ......I�1o..�off.......: f�./.... .�.j .!. ....................Roofing ... . : .� C,!.�...M�..
.J
FloorsCla-��p. �.H�................................................Interior .. . ... .. ..1. .......................................
Fieating �.,. ..................................................................Plumbing ..... e. �1 J
... '1 ...... ... .......................
Y
Fireplace ..... ............................:................................:...Approximate Cost ........../.. 0� Lg
J................................... . .
Definitive Plan Approved by Planning Board ___ ___________19-15- Area ... ....... ... ..
Diagram of Lot and Building with Dimensions - Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
4t
----------
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ........ .........................................................................
- ^
' .
Location --'on �9lL� I�����.
--^--------.
.......................... ......................................
Owner .............
Type of Construction ---f rAAe-------.
` x
----'—^--------------------'
/ .
Plot
�64
--------_. �t ___________ '
� (
Permit Granted --. lP 75 . |
|
(
Date of Inspection*
Z .....
.. �
Date Completed --- l� ��
----..
/
PERMIT REFUSED
'
-----_—.------------- lA
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--------------------------'
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...............................................................................'.
'
'-------'------------------'
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' Approved ---------------- lg
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[ ' `
[ ----''----------~^^^---------
�
-----------------------^—^—
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Assessor's map and lot number .........................................
Sewage Permit numbery............`l C/..................................
G °`T"ET TOWN OF BARNSTABLE
S BBHB$TADLE, i
9 ,e�� BUILDING INSPECTOR
0 MPY a•
APPLICATIONFOR PERMIT TO ................................... ....................................................................................
TYPE OF CONSTRUCTION ........ ................ ..................................�' .. �
Jj
.... /°•%..... ......j............./...19.........�''-
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies f_or a permit according/toy the following information: /
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Locataon ................. .!.... /..................�
r /i A T /.............................................................................
Proposed Use ...........................................................................................
Zoning District / I P /rt�f'l+ �/r� / Fire District ...../ (� �f ii! / ..r......................................
Name of Owner .................�...... ...,....1�.!`'.. f...... .................Address —..: ......................................................
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Nameof Builder .............^........................................................Address ....................................................................................
Name of Architect .......... ..................................Address ..................................................f
.............................Foundation .. a'.. C.. ... f'.F� /
Number of Rooms ......r?............................. j........................................`'......:..!".:�.............
Exterior ��/.^r r/ � , .../.... .6 ...Roofing �( ` l�,lJ .. a� .. ..
...........,...._................................../._ ...................................................................................
Floors f.....:!....-1 .. .. j �...... ................................................Interior ........... r .. l`.
Heating r / Plumbing .....!. f' �...riLrlt ... .
........................................................
Fireplace :..... ..: ........................................... ................Approximate. Cost ..........1'.�......J..�....................................... 'Definitive Plan Approved by Planning Board __r�/�. 19__7 Area ."� -`} ��
Diagram of Lot and Building with Dimensions Fee 1-*:"f.:..........� '.
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
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Name ..... � ........................................................G
Abmkeo» 8l1u
�No .....l.76�7.. ermit for- --- ...ooa...atory^_..�_.
singly dwelling
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Location �~��
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Owner E.1^"
...Ahovs
' --- Completed_ ..............
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ER/Aff REFUSED
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FER7tFtFD PL AN BLOT r - � a
L O G A F 1 A:NI:
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. 'C I tt �• `'�� DATE 97,3' .,.
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L�L/s �f/o.��its,PE7iri a r/�'¢ b A T
`tu'E#IR'EBY CERTIFY' THAT THE SUI L D I N G _ REG. LAND .5U RIVE Y0R_ ��
SHOWN OWTHIS PLAN IS LOCATED ON s - ---
=T4i - 6ROUND AS SHOWN HEREON
SH OF �=.
GEORGE G
LOW Jay y
�NSTABLE SURVEY CON5u LTA NTS, iJVC�:
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