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0067 ESTEY AVENUE
� ACTIVE I f 1 I as - - 1 �; E�y ��� O&THE Y Town Barnstable *Permit v � Expires 6 ni it h ont' ate Regulatory y Services vices Fee + BARNSTABLE, * - 639. � Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bam stable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ll � Not Valid without Red X-Press Imprint Map/parcel NumberT r, Property AddressAllp esidential Value of Work$p OD Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address L{�(,6 IsaQ 1 a� ; 011AOQ416 Contractor's Name .P A V L-J. CA ZL:-;�A U Telephone Number 5U a- �-v—%1�-+ Home Improvement Contractor License#(if applicable) Email: 0 fi1 l Le P C 4-2-eQ-UL. f C�►-� Construction Supervisor's License#(if applicable) a T, k;A: zYjk ❑Workman's Compensation Insurance r F, Check one: ❑ I am a sole proprietor 0 4 ❑ I am the Homeowner s 0 �ve Workers Compensation Insurance E Insurance-Company Name I g,j_S Go j�z_- i Workman's Comp.Policy# k/G — E j S - 3 a (Q 6 -q-6 j 2- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request heck box) e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to � �IOU✓�1 ❑Re-roof(hurricane nailed) (not shipping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. "*Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: C:\UsersOccollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook�PI01DHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ` Please Print Le ibl Name (Business/Organization/Individual): C4 CW �— 1 -So J Address: f (D-t)f H Cam) S67i� tt City/State/Zip: old�sPhone ' -7-) Are you an employer?Check the appropriate box: Type of project(required): lam a employer with _employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. [—]Demolition3❑I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4[:]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I 1❑Electrical repairs or additions proprietors with no employees. 12E]Plumbing repairs or additions 511 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.x 6.FJ We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�Othe_r:� 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 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. Insurance,Company Name: �1 ®� Policy#or Self-ins.Lie.#: Ux—3�S-•�JV V/\Y�11 O ab Expiration Date: 0 0 Job Site Address: W� City/State/Zip: C.t`1s0� Attach a copy of the workers' compens tion policy declaration page(showing the policy num er and expir tion date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of:his statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided aboveis true and correct. Signature: _ jj Date: Phone#: —Y Official use only. Do not write in this area,to be completed by city or town officiaL City or Town:r— ME( AQ Eks Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A�C 10ER11 Ilu CATS OF UABU II WSUL'1iWNCE DATE(MM/DD/YYYY) 08/11/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION-IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY PHCNN Ex : (508)775-1620 FAX(AIC No: no OR Sullivan@doins.com 9731YANNOUGH RD. INSURER(S)AFFORDING COVERAGE NAIC#P HYANNIS MA 02601 INSURER A: LM INS CORP 33500 INSURED INSURER B PAUL J CAZEAULT& SONS INC INSURERC: INSURERD: 1031 MAIN ST INSURERE: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 76558 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBS POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER- MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ ' - MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE . $ JE� LOC PRODUCTS-COMP/OP AGG $ POLICY❑ � OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED ISCHEDULED AUTOS' AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ FAUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE NIA AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION ER TUTE X STA ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? I N/A N/A NIA WC531S386670026 08/10/2016 08/10/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT I$ 1,000.000 NIA DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/Workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Paul CaZeaLllt ACCORDANCE WITH THE POLICY PROVISIONS. 1031 Main Street AUTHORIZED REPRESENTATIVE Osterville MA 02655 "'� C Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD l' ;r Office of Cnsu ner Affair's �usjness Regulation awn 10 Park Plaza - Suite J 170 Boston, Massachusetts 02116 Dome Lniproveznent Contractor Registration r Registration: 103714 Type: Supplement Card PAUL J. CAZEAULT & SONS, INC. Expiration: 7/9/2018 RUSSELL CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. SSA 1 Co 20PI-0511 Address Renewal Employment .host Card fice of Consumer Affairs&Business Regulation License or registration valid for individual use only 1`,=i before the expiration date. If found return to: -kfOME IMPROVEMENT CONTRACTOR P Office of Consumer Affairs and Business Regulation Registration:. • � B 10371 .,. Type: 10 Park Plaza-Suite 5170 Expiratio IN n; jjq)7 OT'8 Supplement Card Boston,MA 02116 PAUL J. CAZEAULT&SONS, C. RUSSELL CAZEAULT 1 D31 MAIN ST OSTERVILLE, MA 02658 Undersecretary Not valid with o ut%Wnature 1 M-ssachusetis ~Department of Public Safety Board of Building Regulations and Sta?ldards 1:1. l)n5t1'13l'ill?I)gU))C1'}'iS0)' - '•;'''0^ l License: CS-108157 \\ry RUSSELL( pLE U 2071 MIUN STREET Brewster ATA 0263I o b /H „F);rave, Cornmisslu,trr 11123/2018 s c I I Property Owner Must Complete & Sign This Form i If Using a Roofer Builder. I(print) - � ��� (t'-k)) ry , as Owner / Agent of the subject properly hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: I Address of Job G -7 S . 4' k)�(�4 h n'f i Signature of Owner Mailing Address of Owner hhc 1 Zd' S e �► a 07j10 � Telephone # Date 3 L)6 i . ( ( Please return this form to Paul J. Cazeault Roofing along with your signed contract. It is needed for us to obtain the building permit required by your town to complete your roofing project fax#508-420-4555 office@cazeault.com Town of Barnstable *Permit' OFF taY,r Expires 6 m ntiu from issue date Regulatory Services Fee r , E g, K,4%_., ✓G�� Thomas F.Geiler,Director �i(` 61� ,',„,�Building Division , �9 OIi!°Tom Peery;CBO, Building Commissioner 200 Ma n Street,Hyannis,MA 02601 •� www.tc wn.barnstable.ma.us Office: 508-862-4038 �� Fax: 508-790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint r Map/parcel Number Pro7esidential Address �-7 C S 1 6 P Y E y Ao,l►J S � , p a (�D� Value of Work b S 3 9 — Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address sw Sri r4 - ADZ LK Contractor's Name .410 University Avenue Telephone Number "71�- 3 S S —���9 - Home Improvement Contractor License#(if applicable) 1' Construction Supervisor's License#(if applicable) o fl 19 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I the Homeowner - have Worker's Compensation Insurance , Insurance Company Name 1�`�" Gt� ry` �C(�h-� d� Co Workman's Comp.Policy# W C,, So9 Sg 6 Z- 1 t7�►'�� j Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping.-Going over. #_; existing layers of roof) ❑ Re-side _ #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum'.35)#of windows Smoke/Carbon Monoxide detect s 4 flo r Ian arked with red Sand inspections required. Separate Electrical&Fire Permits required. *Where required: Issu ce of this permit does not exempt compliance with other town departrn/nt regulations,i.e.Historic,Conservation etc. ***Note: . Property Owner must sign Property Owner Letter of Permission. A copy-of_th ome Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: h E QAWPFILES\FORMS\building permit fornis\EXPRESS.doC Revised 053012 I , _ i • , I f I� � L ' I • , I i I j , _ KE DETEC � REVIE�IED ARN TABLE BUILDIN EPT. DATE FIRE�DEPARTMENT:-.I _ DATE BOT,H SIGMTURESARE REQUIRED FOR PERMITIAG, , i I . .s 14 r-va f , I f I I : I i4 I, y _ " c i , i i : • I .I : : t I O N tA , xA I. ® ( R- , : 1. : M -, I i. I I r . , a _ r a � ... .. _.. .. .. , ] ,I I � I I i - 'L•z : I I ' , r , r 1: i I ' I ' , r _ I I _ 1/Ji7- I I e•L i i ; I i :i I � i j ' i i ! - I i I i I , _ I I , , , ! CI i �— I : I ♦I _r • I I 4 �`^ jr14 I OAL : ' I I : I : i � I � t � : I _ I R : , : f I I• I : : I I I, Im , a , I, r I : : I � y , : r Y ! O , • r , I, I y i . , : I i : r 1 + f I I .I i I i i • I 17 of' . THEMAS Tom 9 k9 ,�� Town of Barnstable - Regulatory Serv]CPS Thomas E.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.ba rnsta ble.ma,us Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section Vl , as Owner of the sub' lectproperty hereby authorize A f,!�l to act on my behalf, in all matters relative to work authorized by this building permit application for:' Nl s (Adhress of Job) 7) l� 3f Vie!!1!f Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Norm on;the reverse side. Q:APFILEST0RMS\bui1ding permit forms\EXPRESS.dpc Revised 070110. MUM 'y F,le� Edit. Tools Help � ��.F , �� � � �' �� �.� � ��,�� ' a .� « �, x 71 FiN- ame 77 Tradesm ern a Name and`d: ADT SECURUYSERVICES�INC. A s +g 96$19 Address- LEE�THOMF'SS 41©UfiUER5I7YAVE, Telepllane° VI 781=355 5FS19 a ; . ` � 'E1ail _ '; � E' ' v " Fax t x —s.- v` x' ' _ tom." ',�x- 5'v'., .✓ w a COntfaCtOr — ' fi . s�raree Putt Insu�rar3c�T �� r�nceornpar 47ud,� VuG AFFIDAVTi t� . l tAS t PL ES , x, Z.tt E Dafe 10 s-417Eli F 4 t v E�'7+{ ,..fi .s ? 3e� �a �'•,.:*w - ail .''fit. ri fi IT ' COfltaCt _ Esct' ^�%. '',, xq€5: ' ,"" ,d© 14 x >ra- Ce'��;phor a gat � n.Se� atd �' f e � x t 7 �, p , € - �'' iip ,,fibb a + InI -v e7 x° °H � w dw 1 ' rSl9bJECt ti(3 tlifit? + s. 2,5 �m av � f, :x c %6v file tradesmen fbf tle'Cu9riellt contfaCtt3G a `a a fit: -.. � J e t TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 324 004 GEOBASE ID 23556 ADDRESS 67 ESTEY AVENUE PHONE HYANNIS ZIP LOT 32 33 3 BLOCK LOT SIZE. DBA DEVELOPMENT DISTRICT HY PERMIT 63822 DESCRIPTION SINGLE FAMILY HOME - PERMIT #56037 f PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 ` 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE k s3rlisLE, MASS. 039. BUILDING DIVISI BY .? i DATE ISSUED 09/18/2002 EXPIRATION DATE TOWN O+: BARNSTAPLE BUILDING PERMIT PARCEL ID 324 004 GEOBASE ID 23556 'ADDRESS 67 ESTEY AVENUE PHONE 11YANNIS zip _ 1 LOT 32 33 3 BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT HY PERMIT 56037 DESCRIPTION DEMO-56032//REBUILD 5� DDRM HOME PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS:-"STANLEY, DEAN F. Department of Health Safety ! P � Y ARCHITECTS: and Environmental Services TOTAL FEES: ; BOND $.00 "N► CONSTRUCTION COSTS $239,616.00 1•� 101 SINGLE FAM HOME DETACHED 1 PRIVATE Pf*'''Fc` * BARNSTABLE, MASS. i639. BUILDING DIVISION BYE.., DATE ISSUED 09/26/2001 EXPIRATION DATE .. . s TOWA OF BARNSTABLE BUILDING,'.PERMIT PARCEL 1D 3 GEOBASE ID 23556- r A. DI LDS � s wiF_$T-1-1v Nt3 _s. PHONE ZIP I j LOT , 32 3�, w . - BLBLOCK SOT SIZE - DBA DEVELOP I ENT I, DISTRICT. HY PERMIT ' 56031 DESCRIPTION DEMO 5G0 �REBUIL,D 5,'BDRM HOME PERMIT TYPE. BUILD TITLE ;: NEW-RESTD'E TIAL BLDG ,.PMT CONTRACTORS: STANLEY,_ DEAN, F a Department of Health,Safety '' ARCHITECTS L C •11 ;j : and Environmental Services TOTAL FEES: ' -'l r BOND •- t $,0 l O TkE iCONSTE,UCTION COSTS. ti I. 101 SINGLE--FAM- HOME DETACHED 1 PRIVATE. P'.I4l� + j * 1ARNSTABLE, i { s MAS& l 1639. �0 BUILDING DIS�ON By DATE. ISSUED 09/26/2001 . EX.PIRATION DATE S � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY:ANY STREET,-ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- 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 YE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM-THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL"CONSTRUCTION WORK: , s i APPROVED PLANS MUST BE RETAINED ON JOB AND D >f._ m WHERE APPLICABLE, 'SEPARATE 1.'FOUNDATIONS OR'FOOTINGS' !,THIS CARD KEPT POSTED'UNTIL FINAL INSPECTION ' PERMITS ARE.REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS c`'HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE:' 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS `, :,ELECTRICAL INSPECTION APPROVALS 1 1 2 2 2 36(UO2, 3 1 HEATING INSPECTION'APPROVALS ENGINEERING DEPARTMENT 4 �) 210 � A� f o l BWa3jZpF HEALTH G 1 ryl�/,Yow OTH' M -SITE. AN REVIEW.APPROVAL` WORK SHALL VT PROCEED UNTIL PERMIT WILL BECOME NULL''AND,VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HASAPPROVEDTHE STRUCTION WORK IS�NOTSTARTED,WITHIN SIX CARD CAN BE''ARRANGED,FOR BY f7 VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE�PERMIT IS`ISSUED AS TELEPHONE OR WRITTEN NOTIFICA TION. NOTED ABOVE. i" �W, i a y TION. I I � 4 ED M1 I _ I I I n I V I I I I I ' I . N I I I I I I I r I I � r I ' I �t r -t- l� _ --5 y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _F /Zw`. (J Map 3 Z � Parcel 4-1Permit# l2it,,0 Health Division �/�/ �P _ Date Issued Conservation Division Ts k ,0/ ��3—_3,Y36 Fee Tax Collector '' glq 10 I 46m�� Treasurer. q �`�}N.•.g6T ly "oR Planning Dept. QvGtRs$g BRMfT FROM "F �1g1SI0Di�Rl 0$fir,. Date Definitive Plan Approved by Planning Board nw Historic-OKH Preservation/Hyannis U`- LOTS, 92- Ik"LICAfRi MU-"OBTAift Project Street Address �� \.� FROM ENGINEERING �� � � PRIOR i4 CONSTRUCTION Village �� A V-\t� ,\ Owner B���S Address C9� Telephone Ce \--k — S,:k C7 a p<i (,.I -Permit Request 1NC, a —z-r--\5A 0 Square feet: 1st floor: existing proposed 6M 2nd floor: existing proposed Total new a. k Valuation Zoning District Flood Plain Groundwater Overlay Construction T pe W Db Lot Size 000 Grandfathered: 4Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 16k Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes P-No On Old King's Highway: ❑Yes 54 No Easement Type: Full Crawl ❑Walkout ❑Other asement Finished Area(sq.ft.) V,.�Q Basement Unfinished Area(sq.ft) \S Number of Baths: Full: existing new Half: existing new r�- Number of Bedrooms: existing new Total Room Count(not including baths): existing new C First Floor Room Count Heat Type and Fuel: �6 Gas ❑Oil ❑ Electric ❑Other Central Air: ,Yes ❑No Fireplaces: Existing New_ Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑ Attached garage:❑existing *new sizeA Shed:,Aexisting ❑new size Other: ng SEP 2 5 2001 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes .XNo If yes, site plan review# By -- Current Use -�Q Stic e ,-� A4 , `Q M e� Proposed Use BUILDER INFORMATION Name Telephone Number 50% (0C, Address <�. ^ License# 0 l Home Improvement Contractor# P R4;�) Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE _ DATE " c90 FOR OFFIG-IAL UUSE ONLY El PERMIT NO. DATE-ISSUED _ MAP/PARCEL:NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: fY,t _ FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ' ROUGH FINAL . GAS: _ ROUGH FINAL FINAL BUILDING fi DATE CL-OSED OCJT g ASSOCIATION PLAN NO. r • • • • • _ o 0' 01 W U gppear on a map LFIC, FAIRWAY j ykk, �•� EDGC+O�BRUSN „ r 4 ^L'. , f -a' fa• s pr. r J ' iF CONIFE VO OF WATER _ DIRT ROAD ;.. DRIVEWAY y : PARKING LQQT e PAVED RORb DRAINAGI ALMA T A MAP �!ARCEL-NU t t r �OU I SE N F*(,% MggS 32 _ g ,, ' F40T / j F00T CONTOU JI a `� A FFlle6 ft based on `. a. 1iL 67 t '� a ' `' SPOT EL1T( STONE ViA . t.�.. ✓ # 9 FENCE - RCTAININ .r �vL NE J, SWIMMING r' E�e� PORCH/DECK BUILDING/STRUCTURE +' D(kK IER �� HYDRA .y VALVE T y� �� 4. FIAG S i 1 N F O R M A T 1 t< 3' S E M S U N I T p, . ..` a. 1 - SI STORM DRAIN . iqup' ` 'jjteptesentatians 11 ASOtlRCES:Plonimehi� cda c.- grsUc oerialphotographsbyThelame ' r — i omtlons,and W:' II Campprry. Topogra vagetmwr e aterQ fre ic!ahotogmpFs by GEOD �a , UTIl1kY POLE ' to phys ml objects n.Planimatria,top phy,and vegetot ur+ 6 o meet Naton^I Mcp A umq l"=T00' Part ilwe were digitized f om F7? Tof Barrstahle Assessor's t n•�L+illi!\Clocerr,onrinn �nnnnn� 1n•Z'J•'�R onn - �y T SMOKE DETECTORS O.K. she, BARNST BLE OUILDING DEPT. m PERGOLA OVER DEC1cy�.O O V ���� 0 RT]ITf I LI-U-LL I fI I I I I ITl fT�1lT�l -� =oll -- MLJE:j ClUEJ�- .1 �01 FRONT ELEVATION p� SCALE,3/16- I'-O' zyy � W v epa �n w - j = - - _ _ _ -- _ -- UA FILE .. . 7 D' w L-iL,�i.',T. V IL U REAR ELEVATION SCALE:3/I6- SWEET Al JOB: 0007 DRAWN BY: KW DATE: 7/2</OI � iII - _1- �'Ir Ij'r N RIGF4T ELEVATION - w z N V LEFT ELEVATION SCALE•S/16"-1'-0' 5NEET A2 JOB: 0007 CRAWN BY: KW DATE: 7/24/01 WINDOW SCHEDULE KEy OTY DESCRIPTION MANUFACTURER/MODEL II PICTURE ANDERSEN P6045 65'_O" _ 11 TRANS 1 AWNING ANDERSEN AR51 DOUBLE HUNG ANDERSEN 2462q!-O° 7'-10° 14_O" 13'-4 5-10 7 DOUBLE HUNG ANDERSEN 2A422 DOUBLE HUNG ANDERSEN IB32 I PICTURE ANDERSEN P3535 2 CASEMENT ANDERSEN CR12 S 4'-0' I ROUND TOP ANDERSEN CTC3 2 GARAGE TRANSOM 12'> IOB' • 2 O WORK BENCH i`_��Rf--lA4Ii " - ANDERSEN FWH 906E 9 3'-n o :DINING... ..-... I « ce (❑ LIVING SUN ANDERSEN FWG 6068 L O i ROAM r — N N =I GARAGE / ANDERSEN FWN 3060 S WBY11 9TE L BEAFI A6P/ 7� I J 3' KITCHEN 4'-0" 4'-6°O 3'-2' O rte-use onenrn suoeA 7,_B, .s � Q �r�O^` y DE ._K ` tn �aWlji 4 TR O.N.OOC11 W/7 TRAMed.1)19'O.M. .6 2B'-B° m O -- j-- — _ BATH \\\ - 5'-4" 2'-2 7'-B" Q1 7'-0" II'- I 14'-6" N \ V _= 16 ;n N 10 n - LAUNDRY BEDROOI`� ` a ' F, YER ` #2 0 j6 N I01_3" '-4 171_5• 0 7•_0" 5'-5" a BEDROOM - Q M , m _ — m _ r j6 5Q -� N # V 2" /w� DROOI`T w N Q © © U II-- 4-0' 4 O° 2'-3 7'-10" II_ 140 — 22'_0' 2 '-0" SWEET A3 FIRST FLOOR PLAN .IOB: 0007 9CP�E 3/16' I'-O' DRAWN B�' KID DATE. 6/24/OI U aq 1 ry PIASTER � J _ UITE -- 6 _ rl M © GUEST SUITE DN b ...... ._ - O+ BATH v� __ 26•-O_ GARAGE SECOND FLOOR PLAN SECOND FLOOR PLAN SCALE,3/16' I'-O' SCALE:3/16•_I'-O' lr! V WINDOW SGWEDULE Z W KEY OTY DESCRIPTION MANUFACTURER/MODEL A 11 PICTURE ANDERSEN PE 745 W N B U TRANSOM AWNING ANDERSEN ARSI W C 9 DOUBLE HUNG ANDERSEN 2462 0_ (Y Z D 7 DOUBLE HUNG ANDERSEN 2442 E 2 DOUBLE HUNG ANDERSEN 1832 J F I PICTURE _ ANDERSEN P3336 a R- G 2 _ (/IBEMENT i ANDERSEN CR12 S N I ROUND TOP I ANDERSEN CTC3 �J I 2 GARAGE TRANSOM 12'.108' FFL SHEET A4 JOB: 0007 DRAWN BY: KW DATE: 712AI01 rn. D B • _--------a___________________________________._ -- ______-_____-________ m I< I-___-_'•�eu ur+oza sue � I I I � 1 I I _-e•.rr FLNC.wu I I --a.n•cola.wu I ; I I ane•corrlKuous roonrrG I I m•.Ic•.am.nws Foorlxc I I I I I I I �cnr re C9 p n i I in W I I i - I ; - •,,,I - I GARA6€ I I I M= I I I 1 b I I Vr - ; Z ea.rr i I � 1 I ry I I e•vr.s•.nKc.n.0 v.l.r. I I 1 I 1 I I I 1 la.m cawrnauous FavrlrrG , I 7,_0:: 1 =o wu uwoes sue o Au vloen sus I m - • — .____.._________ _- 9 nPOCKEi + ,_-O•i ,-6-0' ' 1[�P!� ----_-28�=4�_ ____________ N m I I L I lj J I__J I ----- ----� I L____ 1 v I I s�a:�srra munM I I I I eswlno•e�z•mrx•err. I , I I iv I `si A s F.Loa+cvBcre eueiJS o I I I I I 1 _ ' r , r 1 r r , _ r -I r �1 i BEAM POCKS B M POCKET I _ _—_ ¢� _ U! r ---------- Q $.I' VM � i �� u o - ----- - I 1 u N ----- -- - ------------------ ----- — ° W i nd. (Y z m I j lao•.� mri�u� v.l. i ; U 2 I I � coon I I 0.1 L-------- --------------- ---� i U 5NEET FOUNDATION PLAN 51 JOB: 0007 DRAWN BY: KW DATE: 7/74/01 RIDGE VENT-- "�. 2.12 RIDGE BOARD `aq12� R90 F.G.INWL ASPHALT SHINGLES l.0 9/B"COX SHEATHING 0 P !6� - CONT.VENTING DRIP EDGE — / O. 1 .e I.1, •""""�"" _ _' -' ° FASCIA 12 SECOND MEMBER ALMINM GUTTERS 9POUT - FRIEZE UM RIDGE BOARD AND MOULDINGS �. 11yy i . W 2<I P 16"O.C. '`� ''' MASTER 5UI TE ............: II-�JL.-..➢ Oe��a_p G^�r_ ( .�-..-T:. 11�yyy 2XASTUDS P Ib'O.C.RIS F.G. 1/2 PLYWOOD SHEATHING TYVEC WRAP GL FOY $ I )Ip�b BEDROOM tt3 w.c.SHINGLES S'T,W. I m m .-1 y � 2x1 s P 16 O.C. 16 .C. - —P.T.2%6 SILL 91LL SEAL ANCHOR AT S'MAX aS i ,It II' I 1 BASEM�� it 6'vT-9'OONC.WALLS F-1 I — DAMP PROOF BELOW GRADE II A SECTION 12 5 r S2 5CALE: 1/4" I'-O" 12 y (II I�I�III 2rBe P Ib O.C. �12 12 `06 oe Z1.2 / A` P o2.6'a P 32 O. 0 12r; FUTURE ROOM c W O le, ul 10ICE O_ V' .' OZ STEEL BEAM F- - B/B'FIRE RATED Q w - KITGPEN PALL GYP.BOARD v BETWEEN GARAGE - m e GARAGE AND LIVING SPACE v ..��� COMC.SLNB 2.10'.P 12"O.C. IO e _ _ PITCH TO DOORS . _.._ 61 - -�1ZIJLI�Il111. iJ IILf IL_'f-JCS._-If_- !i(l FF III III Ll.jl 1 Ill II-li'�' `-ll-Ifl 11111 � _... . IIF III II}-., III I 114 .fl Ilj II` III IIIIIF III lit 411r -n1 111I II 111,II 11n —COMPACT FILL Ili 0 Il II� SHEET j il�Il� 11 f1 N B SECTION C SECTION D SECT SECTION ,C�, , 52 SCALE: 1/4" = I'._O" --- 1 SL SCALE: I/4" = l'-O' �j2 SCALE: I/4" I'-O° DRAWN BY: KW DATE: 7/24/01 The Commonwealth of Massachusetts Department of Industrial Accidents Office 01111FOS i989985 _ t 600•Washington Street - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name 'ZNV A- "4. location: CitV vhme# L ❑ I am a homeo er performing all work myself. ❑ lam a sole r rietor and have no one working in anv ca achy to er ravidin workers' compensation for my employees working on this job. ...... ..... .. I am an employer g P Y P...: .. tom an ;name.:: lie K ::. itswance co: �,- ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have rkers' compensation polices:0 w the following mP :. min an name:.. X. atldressr .... .. .:..:.:..... .... .;:.::.. »'>>...:::::::. ri Ilan :::.:...........::::::::: :..:::::::::.�::.. .........:.................................................... �:;::::::::::.......... ....................... ......::::.:.......: : :.:.::::...:::::::...:::.... :...:::::....... .......................:::::::::::.�:::......::.� .................................................................................. :<'�CQ ���:�:':;`:>Si1:`i`( i;.y2; :i5 lRianCe anv names: addressi: - ci Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine ap to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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 verification. 1 do hereby c under the p ' pen es of perjury that the information provided above is true and correct Signature .� Date Print name 'C/� a Phone# official use only do not write in this area to be completed by city or town official city or town permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) r Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate-of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain. 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 reta rh d 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. FEN The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department.of Industrial Accidents Office of invesduations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE � 4—square feet x$96/sq.foot=2 "s CQ,�Co x .0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >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$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck —I—x$30.00= 420 (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) Permit Fee a projcost f 7k �omrr�uveal!/ o�✓ aaac�cuaell BOARD OF BUILDING REGULATIONS c Uaense:.CONSTRUCTION SUPERVISOR Numbem.CS 035037 Birthdate Q1219/1959 f �1 Expires 01/1912002 Tr.no: 15179 e c id To: OQ' f:. DEAN F STANLEIF s _ 359 CAPTAIN LWAH RD_ n CENTERVILLE, MA 02632 � !N' Administrator AW rSTAR SERVICES CO- The NSTAR Companies Boston Edison ComElectric 2421'Cranberry Highway ComGas Wareham,Massachusetts 02571 Cambridge Electric September 12, 2001 James Circo The electric service & meter at 67 Estey Ave. , in Hyannis were removed on September 10, 2001. This was done at your request. Barbara Trocchi Customer Service Rep. f PERMIT NO:3 ZL 3 : SEPTIC ABANDONMENT PERMIT TOWN OF 13ARNSTAB LE OBTAINED FROM HEALTH DEPT.'1—> S Cd N SEWER CONNECTION PERMIT Abandonment F:ermlP Not OFFICIAL USE ONLY Re uired :..:,. :•{.:;:}:.;., .�''�4"k>; >::: ........ :: >< * oc2'';'•'�'�p•';}k• x.. „ N rfi {�ay.�:}:Lc}r::;r,•.t;ka: c.•^•p�•+'{ ;f•• y .}%;{,.. .,v,.%{} :yti .�,. ..?\tii%i}]CvS:?'i;{.}}iv'{.::h'..t"'v •h•. vhv\i{:•: Assessors Map No •: ;, ., ;? ' 00 Assessors Parcel No Street: lei :{•:.,?•.:::y ti' ' �a \• x } Pillage. yy�r��r '�' - R:'}k;',v.'fitifi xa .. v%{ + PROJECT CONTACTS PROPERTY OWNER(Miffing Address SEWER INSTALLER Name: �'►��'� c�2CO yd�I Name: — T141 r 7ri Address: G—7 t-S 1Z= AY c Vjt Address: Phone: j Sly o ^ (0�'�7 Phone: Z a . License No: OWNER'S AGENT/ENGINEER Name: Address: Phonw. PROJECT DESCRIPTION REGULATORY REQUIREMENTS :: :isi\}1i+G:ilG:f'/J,.!fLi::S;.;:;F.r•';?:::ti{'r'':4:`.i:;.2;.:y'r'.{:••:?: '••+J.{{�r{•'i:iti:•i}r.3:4 ':j;`+iX4:';�\:;}�j,�G�:{ h... :..{v {i:l.., `••:•}'•}:•^•.>:i.:{ti??4 v+..,C.'-i:2•viJ :r}... :.fi.v•r ...........::•:.}r•}}:•}:??fir:•:::-:{{.:�:�}•}:•:::•:::::;:•: r.+ ..... »•¢+?:>h:?:;v{?vt:?i:' }k?fir'{•:YY.? . ' iM:,{�F4!?:;:y :{•:: :�i •,..:•::.}}:>{:,,{:;,.<:>;M,CT�i�..�s•...�'�E.....>;{, .' .}•:::.}:: actions must be done in accordance with the lUUM9>«F€:�3��1`3t�[�'�:<::.:.:•:::.�:: ,{..,..:•..::::...:::.,.::.:{.:w: :.:.'a?s::::..;:{:r..�•.:.::>:.}•.;:.>:}}s::}a^{r: installationotallsewerconn >:.::•::.}:•:.:; {;:..:..: :>.t}::{. .;:•....... }}::::}}z?{}::::%:s:.}::•}p+.� The �. ?«;�:.><:•};:??{.<}}:.:.:{.:{.}:{:.}:•:::}•::::.::::.. stable General B -laws an provisions of Article XXXVI, Town of Bam Y regulations Issued by the Department of Public Works. Before excavating RESIDENTIAL within a Town Way the sewer installer must also obtain a Road Opening permit and comply with the Construction Standards and Specifications COMMERCIAL outlined therein. At least 48 hours prior to the installation,the applicant must notify the Department of Public Works,Engineering Division for the purpose RESTAURANT___ of Inspecting the installation. The Inspector will complete the Compliance Sketch locating the installed lines and connection. By signing the Application, INDUSTRIAL the applicant acknowledges and understands the regulatory requirements and STANDARD INDUSTRIAL CLASSIFICATION NO. understands that failure to comply with them shall be grounds for revocation of the Sewer Connection Permit and the denial of any future application. NO.OF BUILDINGS No.OF BEDROOMS_ �� �jCA--L 7 SIZE OF PARCEL ACRES `0 -� vtrt:L- ESTIMATED DAILY SEWAGE GALLONS `��o l...c.T-tox3 PIPING:LENGTH DIAMETER Has I EXPECTED INSTALLATION DATE SIGNATURE(INSTALLER/AGENT) DATE SIGNATURE(DPW APPROVAL)' y DATE 7 n �...� .�. � ---� .. -\ .. 6 ,�� \9�C,�, . �1 s� ,� �d• z� �14, `� S° - 6� , _ � y ! t �l -- J1 uo'ca bHRNSTABLE WATER COMPANY 508 790 1313 P.02i Barnstable ATER P.O. Box 26 uth Road COMPANY Hyannis,Massachusetts 02601-0326 508/775-0063 September 11 , 2001 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN HALL HYANNIS MA 02601 RE: Water Service #4563 67 Estey Avenue, Hyannis Dear Sir: This is to confirm that the above water service, #4563 , was shut off at the main an 9/10/01 and the meter removed from the property as the owner informed us he intends to tear down the existing building at that address. Sincere` ane Morse, Clerk Barnstable Water Co. TOTAL P.02 PERMIT NO: SEPTIC ABANDONMENT PERMIT TOWN BARNSTABLE P 3 OBTAINED FROM HEALTH DEPT. lSLvy,A e cwcO SEWER C RMIT Abandonment Permit Not Required OFFICIAL USE ONLY y x -- :;..:}.. ,:ifs:.,:::::;x•;.r..,..: c•:•:;',{v{{;?: .:w•.{..r::•,,;Yf{. 5:; .:;: Assessors Map �� . ..�{r.,.... ...�,..�.:••,�{� 3 •' '�•Assessors Parcel No co / Street ;r {>:,`x: :, :•.'v Village: PROJECT CONTACTS < PROPERTY OWNER(Mailing Address SEWER INSTALLER / Name: O r U -�r✓/"�' Name: n / Address: �� / / �, Address: l Phone: Phone: - License No: OWNER'S AGENTIENGINEER Name: Address: Phonw.. PROJECT DESCRIPTION REGULATORY REQUIREMENTS ............. :>I*�0lt{1E; lt�[t�t;'til : %}r>•ryn?'`':•Y:i '�y':'2}:'nv'ii?{}{':L•'i,''ki v:•`':'..,: y.{+if:.. J .........:. ...:.....:... Q :: ::i::i.?�,'.:;:;i:A,v,:.{::•R•>C•2•{.:ir............ ;x.::n:.:. {#����"a4:•i#:'iv . "; «;••;;~:�a>��:{�:•,„'? ••�:'» i:::t•<:k:.,:;,.. sewer connections must be done accordance with the :•f:::::::>::.:;:;:;:.::>?:.:.:>..:.:, :;. :•c.Y:••:<{.s; .:.::..:.^:::�• ?� The lnstallatlon of all zz:::>::>: {:::<:.<:{:>.{{...:?.;:;... ..:......::.4...,.......,........ provisions of Article XXXVI, Town of Barnstable , General By-laws and RESIDENTIAL regulations issued by the Department of Public Works. Before excavating within a Town Way the sewer Installer must also obtain a Road Opening ! permit and comply with the Construction Standards and Specifications COMMERCIAL outlined therein. At least 48 hours prior to the installation,the applicant must RESTAURANT notify the Department of Public Works,Engineering Division for the purpose of Inspecting the installation. The Inspector will complete the Compliance Sketch locating the installed lines and connection. By signing the Application, INDUSTRIAL the applicant acknowledges and understands the regulatory requirements and STANDARD INDUSTRIAL CLASSIFICATION NO. understands that failure to comply with them shall be grounds for revocation of the Sewer Connection Permit and the denial of any future application. NO.OF BUILDINGS NO.OF BEDROOMS SIZE OF PARCEL ACRES ESTIMATED DAILY SEWAGE GALLONS PIPING:LENGTH DIAMETER EXPECTED INSTALLATION DATE SIGNATURE(INSTALLER/AGENT) - DATE SIGNATURE(DPW APPROVA -77a C � oFZH�row Town of Barnstable Regulatory Services BABMSTABLE, " Thomas F.Geiler,Director 9 MASS. Q'AlEn 1r a�0 Building Division Peter F.DiMatteo Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 14, 2001 Mr. Dean F. Stanley 359 Capt. Lijah Road Centerville, MA 02632 Re: Circo Residence 67 Estey Avenue Hyannis, MA Dear Mr. Stanley: I have reviewed the paperwork and plans submitted for the above-referenced property. The plans are sufficient to receive a building permit as submitted. As we have discussed before, in order to receive a demolition permit for the existing house, shut-off notices must be included from the various utilities. Once we receive those along with your permit application, this office would be able to issue the necessary permits. If you should have further questions, feel free to call me at 508 862 4034. Sincerely, Thomas Perry Building Inspector TP/lb g010814a 4:o Cir'co MAScheck COMPLIANCE REPORT - Massachusetts Energy Code I Permit #. MAScheck Software •Version. 2 . 0 Checked by/Date 1 CITY: Hyannis STATE: Massachusetts HDD: 5973 _ CONSTRUCTION TYPE: 1 or 2 faini-1y, detached HEATING SYSTEM TYPE: Other (Non-Electric ''Resistance DATE 8-9-2001 ` DATE OF PLANS: 8/9/2001' - - TITLE: Energy Report . PROJECT INFORMATION: Circo residence ' COMPANY INFORMATION: 41 _ y Dean Stanley COMPLIANCE: PASSES Required UA = 627 . Your Home =, 512 'r 'Area or Insul Sheath Glazing/Door Perimeter : R-Value'R-Value' U-Value U A - r . CEILINGS % • 1888 4. 34 . 0 1'. 0 5 WALLS: Wood Frame, 16" O.C. 3208 19A 3. 0' b. 17 3 , GLAZING: Windows or Doors `, 609 0 . 300 18 3 i DOORS 21 . 0 ..350 7 , FLOORS: Over Unconditioried Space , '1888 19"o t 9 0 ---.-------------------r_--------- - ---------------- ----jd ------------------ COMPLIANCE_ STATEMENT,: The proposed building design° represented in-- these document`s is consistent with the building 'p'lans;' specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. Page 1 Y f �> Circo ` 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 specified in , sections 780CMR 1310 and J4 . 4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code , MAScheck Software Version 2 . 0 Energy Report t DATE: 8-9-2001 Bldg. I Dept. I Use CEILINGS : [ ] I 1 . R-34 + R-1 - I Comments/Location. i WALLS : [ ] I 1 . Wood Frame, 16" O.C. , R-19 + R-3 WINDOWS AND GLASS, DOORS: [ ] I 1 . U-value: 0.30' I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes . [ ] No Comments/Location I DOORS: - [ ] I 1 . U-value: 0.35 - I Comments/Location FLOORS: [ ] I 1 . Over Unconditioned Space, R-1.9 Comments/Location AIR LEAKAGE: . 'Joints, penetrations, and all other such openings in the building envelope that .are sources of air leakage must be sealed. Recessed I . .lights- must be , type I.C . rated' and installed with no penetrations -,or installed inside an appropriate air-tight• assembly with' a 0. 5" clearance from combustible materials and '3" 'clearance from insulatio n. Page 2 t Circo r VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values-must be clearly I marked on the building plans or, specifications. DUCT INSULATION: , [ ] 1 Ducts in unconditioned spaces must be •insulated to R-5.. Ducts outside the building must be insulated to R-8 . 0. I DUCT CONSTRUCTION: , [ ] I All ducts must be sealed with mastic_ and fibrous backing tape. Pressure-sensitive tape maybe used for fibrous ducts. -The HVAC I system must provide a means for. balancing air and water systems. TEMPERATURE CONTROLS : ` [ ] I Thermostats" are required for each separate HVAC system. -A manual I or automatic means to partially restrict 'or shut off the heating and/or cooling input to each zone or floor shall be provided.° " I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity-'of the 'heating/cooling system -is I not greater than 125% of the design load as specified I in sections 78OCMR 1310 and J4 . 4 . MISC REQUIREMENTS: " [ ] I Refer to 780 CMR, Appendix J for requirements relating to swimming I pools, HVAC piping conveying fluids above '120 F or chilled- fluids I below 55 F, and circulating hot water systems. , ----NOTES TO FIELD (Building Department' Use Only)--------------------=---- t t Page 3 Town of Barnstable Regulatory Services •.4smST LL ' Thomas F.Geiler,Director 9� i6� �E1639-�64 Building Division Peter F.DiMatteo Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 14, 2001 Mr. Dean F. Stanley 359 Capt. Lijah Road Centerville, MA 02632 Re: Circo Residence 1 67 Estey Avenue Hyannis, MA Dear Mr. Stanley: I have reviewed the paperwork and plans submitted for the above-referenced property. The plans are sufficient to receive a building permit as submitted. As we have discussed before, in order to receive a demolition permit for the existing house, shut-off notices must be included from the various utilities. Once we receive those along with your permit application, this office would be able to issue the necessary permits. If you should have further questions, feel free to call me at 508 862 4034. Sincerely, Thomas Perry Building Inspector TP/lb g010814a OAK L #2 RD G 00 #4 #3 ft 9.9 co @ CB/DH FOUND ES A EV = 7.65 ar, NGVn LOCUS HYANNIS HARBOUR #6 LLJ < -j Q- M A J., LOCUS MAP 8/BRB SEAL V) GUY WIRE NTS #7 by POLE (9S) 0 0 CB/DH 0 M - - - .- / .... ". 11 #120/ FOUND Z Z 0 J. I, C4 C* At �CB/BRB SEAL P 0 N D #8 0 j, j Al B 0 R D E R I N G V E G I T'A T I V E! WETLAN D NIA.),ff- A 0 A. lop, 00. #9 0 X PARCEL A '00/'PLAN BOOK 206 PAGE 111 #1 Oi/ DEED BOOK 12.593 PAGE 319 -AKE PARCEL AREA # 0 SET f, Cl ±29,086 SIT SEWAGE PUMP ZONING DISTRICT: PS L !' 8` /. 1 cl(I STATION OVERLAY DISTRICT: AP 0.67 ACRES 7 BUILDING SETBACK REQUIREMENTS FRONT= 20 SIDE= 10 REAR= 10 CB/DH C2 1" 4, #12 'J, FOUND , C-V -o" 15*")n • A, LOCUS PROPERTY IS COMPRISED OF: CA I BIN ASSESSOR'S MAP: 324 LOTS: 4 & 5 iv 'j" 3 DEED REFERENCE: BOOK 12593 PAGE 318 & 319 #13 PLAN REFERENCE: PLAN BOOK 34 PAGE 29 (LOTS 32-37) 4- f -A-) PLAN BOOK 206 PACE 111 (PARCEL 14 A. COMMUNITY PANEL NUMBER 250001 0006 D (REVISED JULY 2. 1992) eof F.I.R.M. MAP ZONE A9 (EL. 10) #15 COASTAL BANK (STATE DEFINITION) #8 ALL UNDERGROUND UTILITIES ARE APPROXIMATE AND /1 ,n' SHOULD BE VERIFIED IN THE FIELD PRIOR TO ANY 6 e+ „ ♦/ 1 t t CONSTRUCTION BY THE CONTRACTOR DATUM FOR THIS PLAN NGVD h cdwol/ THIS LOT SERVICED BY TOWN SEWER PUBLIC WATER J* MARCH 23, 2001 WATER EtEV 3.79 A" PROPOSED♦ HOUSE #17 ' Top OFF EL 12 0 TPf<E SET ping 6' 67 Este y Avenue flagstone alk i i.,i,i Clawn X 0 0 O�0 C) T.B.M. 0 HYDRANT #1211 SPINDLE EL 11.79 Hyannis, Massachusetts pe PREPARED FOR 7 2 J #7 James D. Circo CB DH CB/DH FO D OUND TITLE 10. ILI#19 Af WETLANDS PERMIT PLAN 81..9 CP ` 'ETLAND DELINEATION BY ENSIR 2 v DONi.%LD G. SCHALL, SENIOR BIOLOGIST MARCH 20 & 21, 2001 Baxter, Nye & Holmgren, Inc. FIELD LOCATION BY BAXTER, NYE & HOLMGREN, INC. MARCH 23, 2001 Registered Professional T.B.M. 0 CB/D FOUND Engineers and Land Surveyors ELEV = 12.78 812 Main Street, OsterviRe, MA 02655 FZDOD ZONE Ag (EL. 10 NGVD CB/DH FOUND F (508)428-9131 Fax- (508)428-3750 Phone LEGEND EXISTING FENCE GAS EXISTING GAS LINE EXISTING TREE LINE 0 20' 40 60' —DO-- WATER VALVE (S) SANITARY MANHOLE OF A4 @ SEWER PUMP SCALE:1 20' DATE: 5/7/2001 N ELECTRIC METER STEPHEN M GAS METER N 0 CATCH BASIN REV. DATE: REMARKS #6 -a- UTILITY POLE 216 A STAKE -P GIs T�� CB/DHEI CONCRETE BOUND /0 CV) ��9 ell # WETLAND FLAG & NUMBER DRAWING NUMBER #6 -a H:\2001\2001 —017\SURVEY\worksht\2001017CC.dwg 2001 -017