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HomeMy WebLinkAbout0008 HAMDEN CIRCLE f e P�oFt latti Town of Barnstable *Permit# 2�� Expires 6 months from issue date Regulatory Services Fee 5 MASS 9� 1639. ��� Thomas F.Geiler,Director prED1i1� Building Division Tom Perry, Building Commissioner Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Fax: 508-790-6230 p�� 2 2003 � EXPRESS PERNIIT APPLICATION - RESIDENTIAL OIN Not Valid without-Red X-Press Imprint TOWN OF BARNSTABLB Map/parcel Number Property Address Aww`S Residential Value of Work ; .J�%0 O Owner's Name&Address tM]r +V►1 ps- I'DI-e--cry VV N°e_\W�Nj c d vj ni r3 . Contractor's Name Telephone Number.©8°'oZ�fb- $ i70 Home Improvement Contractor License#(if applicable) :2-d c Construction Supervisor's License#(if applicable) 22 00 IF 7 ❑Workman's Compensation Insurance Check one: r, I am a sole proprietor o > ❑ I am the Homeowner c. ❑ I have Worker's Compensation Insurance w Insurance Company Name h-e- Prn 0 t oevvc ca M Workman's Comp.Policy# CPP d0 5_'>_9 O? O 0 Permit Request(check box) ❑'Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 19 Re-side 3 Replacement Windows. U-Value Q•2>3 (maximum.44) *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_. Home Improve t C tractors License is required. Signature Q:Forms:expmtrg 4 Revyse053003 °ft tq,,ti Town of Barnstable Regulatory Services BAMSTABMAM ce Thomas F.Geiler,Director Ec.59�+►`0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 f Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �Q 6T �L MQ G!i , as Owner of the subject property hereby authorize7:S_0W-cbc G,Mdl P�-CA",ma (Z.�„C�,�it o act on my behalf, in all matters relative to work authorized by this building permit application for: C, (Address of job) ey- Signature f Owner Date Print Name Q:FORM&OWNERPERMISSION ` :i �le �am�nzarrureall� ��aaaaclzuvelta p.. f BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ;. Number:,CS 009857 Birthd4te Al2/2311956 tk&'esE 12123/2003. Tr.ai :` 13275 Restricted:_'00 JEFFREY M CONRAD 10 LOCUST ST i HYANNIS, MA 02601 Administrator. =b D " � ✓�ze i�airvncarui�ealC� `7' /�abaac��u�aelta _ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 120659 x . Expiration: 2/19/04 Type: DBA "s LINNELL ENTERPRISES DAVID LINNELL JR 1 59 FREE BOARD LANE YARMOUTHPORT,MA 02675 Administrator / 5 r: _ rr Ass sbr's map and. lot number ....�.....:l.............� g...... p 7 SEPTIC SYSTEM Sewage Permit;num INSTALLED IN �� o L WITH a ITL ,Z AWSTAMLE, House number .........................:.................................� .... � ��RON MEND' 46 _ o war TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ...rL .4V.... N Ci - .... .........................�L �C�. .. .................. .......... TYPE OF CONSTRUCTION ........�o ....... 2��''nCo ........................ rV_N. ............................19 U... S TO THE INSPE64R OF BUILDINGS:' ` The undersigned hereby applies f r a p mit ccordin he ollowing information: tw Location ...... .... ............................................................................. .- Proposed Use ........... . ..-.......... ......... ..... .................... Zoning District .... ................................................Fire District .........:a..i. N.N............................ ................... Name of Owner. J4�y: .. ..Q- . .......Address 'o..:.... ?.........`....... .....b.u.� G�j � Name of Builder !`.a o...�.'... �' Y`�Q 1, .......Address :?.^�......... .....`,�1AA Name Name of Architect .......N..�.. .............................................Address .......................................................... ®� e2�—� Numberof Rooms .........�...................................................Foundation .............................4....:..........:.......................: `��� .�..� �.. ... � �'S� t4lSRoofing ......... :Shs 'L1 ........................................... Exterior. .................... .... Floors ..........................Interior s.v1Z,'3C)j�ri�..` . � 1�4...C� ......48�� j ........... �..... ..'.?. t ..........:.................................. Heating '........Plumbing ....... �Z. Fireplace ........ N ..............................................................Approximate Cost .......� ® . .... Definitive Plan Approved by Planning Board ________________________________19________. Area ... .5 ....:- Diagram of Lot and Building with Dimensions Fee 6 D O SUBJECT TO APPROVAL OF BOARD OF HEALTH _1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na Gz Ls;�. ................:........... Construction Supervisor's License .az4o9 `U NI-' , MAM-0 P r� iry .6503 Permit for ............... ..... ))lira}le..Farm..y...Dwe1.].ixLg....................... Location- .... t..$4.c.....8..Harrden Circle...... - �� Hyannis ;� F . ......,...�. ....................................................'........... Y r'� 0wner .. .....Mario P. Gemin ane ................. a � • Type of, Construction Frame - k, r r PlotLot L................................ �L 29, 84 .Permit Granted M .......... .........,. 19 v Date of Inspection ............................. Date Completed ...12 :.19�1 Ot Or J i �z ,k, 1Zo.,�'------r b ' 9 14C 7-7 771 p�z:u I�D•�'77Dtj Lo T 83 0 Q _____ - - � �-AD � 0C.Q-rio.v: ..`YiC,4 4- J"� �FE e'C.c/GE: B£r►J G. LOT (4S �gfl34t-4 4F ' S .S NEC66Y CENT/FY TNRT TLIE 45C/l.-Z?/A/4 e� 5'HOsti/AJ dA! TN/S .t*L A4 AJ /45L G O C.oq 7-E ZD 0A.1 THE 4� Q !ice �OG/A✓Y� RS TKO rt/N !lEGEO�t! .4ND TKFiT /T '�'gr`S" CdaJFOGIr-•! TO Tf��" ZO.C./!�G r�,� $Q7 a ca ve's o.-= o,-- " ewo O COal3 7 C-'.=TE a. <-� .�, 83 -31Z y _ A JOSEPH P. pALsvz 4TELEPHONEt 775-1120 , Building Commissioner r EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR i TOWN OFFICE BUILDING HYANNIS, MASS. 02601 i I MEMO TO: Town Clerk , FROM: B/u/i -ding Department. i DATE: - An Occupancy Permit has been. issued for the building Irot.h,orized by Building Permit # -issued to Please release the performance bond. f TOWN OF BARNSTABLE Permit No 265a3 . --------0- Building Inspector cash - -- —- ------ OCCUPANCY_.- PERMIT Bond --------------------------—_-- i Issued to Mario P. Gamixilieune Address Lot 84, -8 Hamden Circle, liyalmis Wiring Inspector e Inspection date Plumbing Inspector/ f . �`s� ,A�� Inspection date r Gas Inspector �( Inspection date i i En neern rtment ,! :Y Engineering De a p /a t� � fl_a�'1Yr�"B-.e� Inspection date Board of Health ' ,) Inspection date l� THIS PERMIT WILL NOT BE VALID AND-THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. p C Building Inspector IL bTe ��k� .. i -70 r� Town .of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee -4 00 Thomas F.Geiler,Director Building Division �- Tom Perry,CBO, Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY '7 Not Valid without Red X-Press Imprint Map/parcel Number I Property Address c S Han p 4N ct-V a-N o-)Z S, Ni A. ❑Residential Value of Work 3, Coo e Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address -,AW __)i e.\I1,Aa _E)B YQ Contractor's Name �\1, - yV1 Corr `o�o Telephone Number A'No g—A.-,�o �7�S Home Improvement Contractor License#(if applicable) ;Z I-1 0 Construction Supervisor's License#(if applicable) 9,C7 ❑Workman's Compensation Insurance Check one: . ®PRESS PERMIT I am a sole proprietor ❑ I am the Homeowner AUG 15 2007 ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp.Policy# . Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [ Replacement Windows/doors/sliders. U-Value Z-_I (maxiiria i 4) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter ' Pe missy d . _} A c py of the Home ov ent Contractors License is required. SIGNATURE: Q:Forms:e)cpmtrg e Revise061306 11 a The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . 600 Washington Street Boston,MA 02111 UT. www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lehibly Name(Business/Organization/Individual): . � T_M M. Cb y r ,n Address: . '�� City/State/Zip: A'ig Phone.#: .,-c. e--� O 9�ci,�R Are you an employer? Check the appropriate box: -Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time).* have hired the sa'b-contractors 6. ❑New construction . 2. I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition comp,insurance.$. [No workers' camp. Insurance 10. Electrical repairs or additions required.] 5. [] We are a corporation and its ❑ eP 3.El officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . •13, ( Other VZ,99 s kPI comp. insurance required.] . *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who subrnit this affidavit indicating they am 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification.. I do hereby cerW&under the pains.and aloes perjury that the information provided above is true and correct Signature: Date: L Phone# Official use only. Do not write in this area,to be completed by city or town off City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: l� Information and Instructions r � Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to*operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compIfauce with the ins rance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have . employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. -The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below: Self-insured companies should enter their self-inaurrzape license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to BE in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. ..� Yhe Commonwealth of IMassaehusci is Department of Industrial Awidonts ,. Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4904 ext 406 or 1-877-MASSAFE Fax#� 617-727-7749 Revised 11-22-06 www.rnass.gov/dia f E� Town of Barnstable Regulatory Services anaxsreBr�, r �• �, Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,NIA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, � �oi �. ,��r � ,as Owner of the subject property hereby authorize �° act on my behalf, in all matters relative to work authorized by this building permit application for; . (Address of Job) 2 Signature of Owner Date � �. L-, \ � Print Name i QYORMS:OwNERPERMISSION ✓1ze t�arrh� ausealt� o� ac/ucaeCla Board of;Building Regulations and Standards. License or registration valid for;individul use,-only HOME IMPROVEMENT CONTRACTOR before the expiration date. 'If found return to. Board of Building Regulations ulatins and d Standards Registration 1.24074 One Ashburton Place Rm 1301 ;- piration 5%9/2009 Trtl 129558 Bos ton,bla':02108 Ex 4 c! Type DBA i Conrad Remodeling Jeffrey Conrad �� 535 PHINNEYS;N -=, "'~ t varid without signature CENTERVILLE,MA 02632 Adnumstrator .y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A " Map i;kc 0 Parcel N ? Permit# 70 9 3 Health Division 0�3�(S $—[2�-v3 f' K ONLY Date Issued z✓ 03 Conservation Division b/f do-N Application Fee 30, ® a' Tax Collector 3 Permit Fee`P Treasurer '//2�4 SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE VM TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUUTIONS Project Street Address YY) 7 W C l fkC.� Village o "X1_9 k`-& Owner Me 00 t-Q, M,,&—\va-w S. Address \�\Ow1 YJ eyy C J= Telephone S-O 5P- 7'71 — \3 SO r Permit Request F� Cove ek 0 Qi&:\_ Porr_1, a \/X � � t,� 4k ���1-.�� •� ON `i� �row�- ®� '�t.re 1^d� � �• Square feet: 1st floor: existing :1,0 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type Lot Size J od". Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. t Dwelling Type: Single Family �h Two Family ❑ Multi-Family(#units) -, Age of Existing Structure ' rS. Historic House: ❑Yes ❑No On Old King's Hi hwaY: ❑YesO No �g Basement Type: h Full ❑Crawl ❑Walkout ❑Other I N, Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) .zi[ A 0 : ( _j e- Number of Baths: Full: existing new Half:existing 7 Number of Bedrooms: existing new w Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil �A Electric ❑Other Central Air: ❑Yes JNo Fireplaces'Existing I New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size — Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage: CA existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# ` Current Use . _ s Proposed-Use- BUILDER INFORMATION Name �7) C)N(`ram Telephone Number `7 g Address ae, �h ewvw-w`_� p_,\s License#_C_5 DD GI sE z /CIA cOXC: 2 Home Improvement Contractor# t o pG ' Worker's Compensation# 08 CD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO � ►rd�,_`q',�ww��'�r .�-�-A3+��/ SIGNATURE DATE O// ` FOR OFFICIAL USE ONLY PERMITNO. - DATE ISSUED F MAP/PARCEL NO. ADDRESS VILLAGE - OWNER DATE OF INSPECTION: - FOUNDATION FRAME 6 !c INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING a , DATE CLOSED OUT ASSOCIATION PLAN NO. a The Commonwealth of Massachusetts -= Department of Industrial Accidents Offfce ofloyeslfgatioQs _ 600 Washington Street - Boston,Mass. 02111 'Workers' Com ensation Insurance Affidavit / i i location: h 'YV e S YV ._.. hone#�`�•-��O_�� �] I am a homeowner performing all work myself. 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'`:k.v4:::.••..vrrtii}S:,•i}:{•.:..{.,:.{:}.v}h•::r.... {{7:?:i:}.v.}}{?•:G}7':w}:ti{• :}.:{.:<.:V.'.:.,�..{;vx;•}.,..v.{jY '.•::{y,•}{•r;{..::4i:;4}{:•:r,•:4:::v.w•v•ry:+'::x.,.;,..v..i::::4}'^ f...P::v.?:::v:::•r is{f w:;:n•.,.,.....it}.4}.;,.,\G}.r}:. :$?'r,7x,!^:{•:•:?w..'•}v Gk{:•:}iv{{.Y.:,v,..v,..}..?:;:.....;;$:::•$ J;5::h^::.Y:..::}:•:":::...•+•}Y:......:{,rAh•;l.Ny+,GJ7}}iti:;!{{fir?•::: :}...} :n:r v....::r}hG..v.?.::•.-...{:.{::::::..:?i'i.{::$::•vY•ti:t:�: Q r :.:...•......x... that a 00 and/or tdred utder Section 25A of MGL ISZ can lead to the itnposidioa of crtmind penames of a nne QP to Sl,Soo. g,�nre to secure coverage a+req penalties the form of a STOP WORK ORDER and a one of sloo.00 a day against mr- I mtderstand ; 'imprisonment as�eII as dvII P or coverage verification. one ears p of flu DIA f g y be forward to the Office of Investigations copy of ails statement may Py _ d above is true a d correct I do hereby certify under the pains and pe aihi of Perjury that the information provide Date ��Z, '0 � - Signature Print name `e r YJ Phone official use only do not write in this area to be completed by city or town official perndtalcense if ❑Building Depariment dty or town: ❑Licensing Board (:]Selectmen's Office checkif immediate response is required (jHealth Department " ❑phone#; other contact person: ocviod 9195 PJA) Information and Instructions 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 maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 Office of Investigations has to contact you regarding the applicant. Please e Offi _ out' the event the g affidavit for you to fill o in . be sure to fill in the Pi iinitllicense number which will be used as a reference number. The affidavits may be retarhRlb the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Departinent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 010ce of lavestlgatlons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409.or 375 THE Town of Barnstable T° . Regulatory Services * B&4MSTA"BM ' Thomas F.Geiler,Director MAM 9`bA1639. A`0� Buildin Division jFn Myt g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: rJ Estimated Cos Do _ � � (s---T� �- Address of Work: l �?�� '�� ly)4' Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK 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 owner: V 0 e Contractor Name Registration No. OR Date Owner's Name QIonns:homeaffidav 05/30/2001 11:05 918028624926 PAGE 02 N 'p ' lk y; o n .1131 tv I�A '4. �',r•4 �•,•.'• w, D IE ,1 .. el r..I.. •�' G a .�.x.! � .• 1^ k @EF�CC.cJC�S QpATL"'•: T- Zdi- a_„�,� �•��'fi•:i1w;"rYyr • :•°' Tw,vY 7-.wr- �v�ca.,�. '`':s•`• =. .:; �' ���lti/AJ 1D�R./ �N/�' �L�irLf /13 L Q G�9 7r�� <?+V T�•d6' ,..' ' .="Z3, 7WOdIrT SUN J I 711. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR $: Numberi'CS 009857 Birthd.ter,J23/1956 ExpiresE.12{23/2003. Tusk' 13275 F Restricted RA ,00 JEFFREY M COND y 10 LOCUST ST HYANNIS, MA 02601 Administrator t _A e �anvreazu�ea o�/�avaac/u�aelta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 120659 Expiration: 2119/04 Type: DBA LINNELL ENTERPRISES DAVID LINNELL JR 59 FREE BOARD LANE YARMOUTHPORT,MA 02675 Administrator ,.i r i I►iE 1p Town of Barnstable Regulatory Services 9sARNSrAsi.s,$ Thomas F.Geiler,Director 03�AtfDr�na+0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, i� tN h2- (�CJ�D� S_U�-�_,as Owner of the subject property hereby authorize u cD"OA 11�b& 0-mr ` o act on my behalf, work authori in all matters relative to zed by this building permit application for: (Address of Jo f� Signatur f'Owner D to " 1Mo�� tom: M.olas M Print Name t Q:FORM&OWNERPERMISSION 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map oZ c1 Parcel L Permit# 13EF Health Division ?,A6 /-3�/8� �OIL Date Issued �t Conservation Division Fee SE:? -4 Tax Collector % %1311X ck INSTALLED IN COMPLIANC WITH TITLE 5 3 � Treasurer _�). Os�31 ��o•I ENVIRONMENTAL CODE AND Planning Dept. TOWN REGULATIONS MCAR DUST OBTAIN Date Definitive Plan Approved by Planning Board EOOPENING I NDMEG E V DtO# TO(CONSTRUCTION Historic-OKH Preservation/Hyannis L Project Street Address r YN-Vyt-op-v0 Village t�y W Yyr Owner MA�rla,�e_ Address GUJ%C�\,40_ V , Telephone SiD S!—7 a Permit Request AQ Q 1x \a� n 2ya Qeuyoo t`'�1he- f=�votr 40, -rkr- Square feet: 1st-fflloorr:: existing I l 00 proposed 2nd floor: existing proposed Total new Valuation a-/7 6 L" S3 Zoning District Flood Plain Groundwater Overlay Construction Type Woo& Lot Size /Oe D®® Grandfathered: ❑Yes C] No If yes, attach supporting documentation. 11 Dwelling Type: Single Family Ck Two Family ❑ Multi-Family(#units) Age of Existing Structure _, on, Historic House: ❑Yes No On Old King's Highway: ❑Yes C No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ter' Basement Unfinished Area(sq.ft) //0 D Number of Baths: Full: existing - new Half: existing --tr" new — Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: III Yes ❑No tj Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Kexisting ❑new size Shed:Cl existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plari review# Current Use - Proposed Use BUILDER INFORMATION Name Tees -!(!ey cow-PY%-�o Telephone Number E00 a�?p 9T 7 9 Address/0 License# D P5 CS 0045!,5::Z U wyv05 Home Improvement Contractor# 0 ? _ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 0610/1n l FOR OFFICIAL USE ONLY PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 1. OWNER . e DATE OF INSPECTION-J . k FOUNDATION �� o2Jp/ FRAME r INSULATION { FIREPLACE ELECTRICAL: ROUGH FINAL T PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINGCZ DATE CLOSED OU_T ASSOCIATION PLAN NO. � i rlie LOMMOnwe=2 of massacizusmTs Depamnent of IndusvidAcridents. —n47600 Warhington Street Boston,lYlass. 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I radars= mpF of this staument=F be foswmfdrd to tbo OMm alLwardpdom of&o WAfwcwamp veddmd=L I do narbv carry=de rhr pa&s sad pea aj a1�9 that the sajormasiaa pmvidad a 3ovr is trna as:at carrr� Pr...:name r�. o tiy,��{� Phase# 9 o tIIdal to a only do not"M is this arm to ba compieted by cdy or taws otIIdal dt►or to"! petndNicente�! �Buildia=DeParall: J check t11mmedlate rsspotue is tegtured QI.ltsasm;Board QSe3scaaea'r 01�_ �HealthDep:�a'' contact person: phonelt; ❑Other • :111 •r�l• AI \1• •••�K ••I••• M••1• rrr • •• • to •�\\1 I •,. 11 . • 11•r1• •�.• Iffm • 11•:•• •••' I/ • 11•• •f•� rl• . r :•111•w 11 :/1 \11.1•I:I. •A�— , •I 1• + •• •1• • r.•— •—•1.1.1• • 11' •t•p•w I . ••• • • .. • • • 1• . • .IIt• `I�1• •A 111 • U' . :11 11• . •�+ 1• 1111• 1•• II• ■I..• 1 •1• 11 I:11/ • .. • f, • 1 I �. 11 11 1 • • 'fir, •w 1•I:J 11 AY rl /• 11• r1:111•••rll•+ I•• `•1•r• •. • •1 :.• I ••JN ♦11 1• r1� •1• F•w 1.1 .111• yr• Iu111 •11.11 • •p•1' , ••• •Nt11 •• ••IM• ••o- •1••r:•1••A —•/ Y • •I• •:•I• '4• • I/ • M 1 rr /1.11•w • ••• ..••IN• •/ • •• • • • I /—r •I:IIM It/ 1• ♦11-1••r ••♦ •+ fop •••• •1• • I • • •1 .•••1 • 1• /•. M J•1.1•w • 11• •111/ rrl/r I •► rl• Al • 1•• •A •.•• •• \1 49 # ••' •• • • • •�•►• :Itl••1 •• , • 1 • /'• , 11• A 11: 11 11 1• 1/1 •' 11: 11/1 1.1 1 1 • • • • • . . 11' 1 •• 1 . 11/11 •A 11 11 Y7 / • • w 1 1 • 1 1 • I • /r IIA Irw 1 1 s1:• r 1:1•I �-n:• • r• • •U•r •r• • •• •�•Ir+• 1 IIr/1 . • •add r •M 11. 1• •, tl:•• • of • to•• • •• t • • • •A II• '•1• • •11•v I• 11• •M 1••\\II•w + •1:.1•r •1 • •• 11 • • • • • 111• •1• w• •• 1• •r/•. M.•/ .�• A.r • 1 • •1' 11•r••• •:/••• — • • • • •/ H • • Y� • ••••h• • II , • •1•Ir , 1.1.1- :I•H r • 1• • /1• ••• N• •1 • V •• ••• 1• •of • • • does w 1• •1- 1•• • •• F•• •• • 1• • 11• •• • Sit •1•q• 1••• h • . - • • • • N • U•Ih •• • •1• •N h • -• • A TEO PROJECT COST WORKSHEET ESTIM Value LIVING SPACE square feet X 3115/sq. foot= (high end construction) V/ (above average construction) square feet X$96/sq. foot= (average construction) square feet X 557/sq. foot= FINISHED) square feet X:S25/sq. foot= GARAGE � square feet X 520/sq. foot= ` PORCH square feet X S15/sq. foot= DECKG =�7 � OTHER >^w sP �� square feet X S??/sq. foot= 7 f oq o©0 Total Estimated Project' —r--- "�' The Town of Barnstable Regulatory Services Thomas F. Geller,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street.Hyannis MA 02601 Office: 508-862-4038 Fax: 508-7 90-6220 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142.A requires that the"reconstruction.alterations.renovation.repair.modernization.conversion. improvement.removal.demolition.or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors.with certain exceptions.along with other requirements. Type of Work: ;+tow wA h Estimated Co OD8 Address of Work- Owner's Name:* Oeyc Date of Application: M&!�o I hereby certify that: s Registration is not required for the following reason(s): C]Work excluded by law r7Job Under SI.000 C]Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERBUT 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 owner. t ,r, l��ro7 Date Contractor Name Registration No. OR Date Owner's Name Jl��oau�alU o�. �aooac�uaelta_ BOARD OF BUILDING RELATIONS i Ucense: CONSTRUCTION SUPERVISOR Nwaber. CS 00%57 Biro da w. 12/23/1956 EXPIM: 12/23/2001 Tr.no: 13457 Restricted Tod 00, JEFFREY-,`'IK'lMRAD. g _: f Ao I.ocwsT� � i yt'. F YANNtrS�02601 Administrator i ✓!e �ovrv..w�zaea`C� o�✓��aac/zusw,tta - - Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR RegistratioL05/0g/ —_... Exp lionType Conrad Remodeling Jeffrey Conrad 10 Locust St Hyannis,MA 02601 ~ Administrator I L r' MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Electric Resistance DATE: 5-30-2001 DATE OF PLANS: TITLE: ADDITION OFF OF GARAGE PROJECT INFORMATION: MR. & MRS. DEAN MELANSON 8 HAMDEN CIRCLE HYANNIS, MA.02601 COMPANY INFORMATION: CONRAD REMODELING JEFFREY M CONRAD 10 LOCUST STREET HYANNIS, MA.02601 ; NOTES: CEILINGS WILL HAVE R-30 WITH R-19 . 2X6 WALLS WILL HAVE R-19 Y. COMPLIANCE: PASSES Required UA = 50 Your Home = 49 Area or Insul Sheath Glazing/Door Perimeter R—Value R—Value U—Value UA CEILINGS 288 49 .0 0 . 0 7 ` WALLS: Wood Frame, 24" O.C. 377 19. 0 3.0 20 GLAZING: Windows or Doors 24 0.340 8 FLOORS: Over Unconditioned, Space 288 19.0 14 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. 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 an J4 .4 .' Builder/Designer 1� c Date U J MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 ADDITION OFF OF GARAGE DATE: 5-30-2001 Bldg. Dept. Use CEILINGS: [ ] 1 . R-49 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U—value: 0.34 For windows without labeled U—values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 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 lights must be type IC 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 insulation. VAPOR RETARDER: [ ] Required on the warm—in—winter side of all non—vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R—values and glazing U—values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. - Pressure—sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. NOTES TO FIELD (Building Department Use Only) 05/30/2001 11:05 918028624926 PAGE 02 1 �� ?!.h.,fig. ,`• -' �• SCAB C• �ATG�: S- ��- �_.....� �%+;'rd:.,.,yti; 1 AS s.+ec'�es� e�s�T�Fr- rWfa> IMAE 6u/LbUw46 .::•'?;' ' �, «LAVA/ OA✓ riylS AWL AMP.v /d 4CC1q7rED Q+V 72-OW AV-Is 40id1pW,+.I /•ICGCea^/ .e7,vb TWAT COw✓FOs�A I TO 7"1+r ZC.t/ rt/�r *• , . a LA4/NS C:)F TNT TbH/.v 0 � . . ,. sup 05/30/2001 11:05 918028624926 PAGE 02 40 Cyr AS TI'�y ����I , j�1AT�i S� Z�� �-..ram fN�4yi•iidw:.,� 4.. n `NGC 07� CCUr/Fr' TNfiY 77y� f+LA/Lb.AJYr '1^00 VA/ CA./ T",IJW OL.C1Af /fir OA1 7- .&E '�ovv� A� .�'.�a w.v NCG4'Ql�/ .c�,yts rNq r ,r ''"�.',;,�,, . ' •, 10. . � I TNr- TUWAI O,&-_jWCAMmilrr - �•.:;,T. SUR Y/9iE' OUTN. 38 r:.::• :. v. `� Assessor's map, and lot number ..:.. .. .�.....!. ......t!.. ., FTMET o Sewage Permit- number ....................................................:... � BARNSTABLE, i House number .F ' ""6a .................................... 9p pow 1639• 0� TOWN ' '.OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... 5:�wr .l .... �.- �. .�' ......�iwhli�................. ACC" � ZI i!V1, ....cc)t)h1 1 �L� 1 1 TYPE OF CONSTRUCTION ...................................... ...................................................... ....... ...... .. ...........19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit "a-ccording�,to �the ollowing information: Location ......L.Q.a.r.... .......................... ...... 1- ..... ............................... Proposed Use ..... N„��-L.\ ..... 'M1!M.�r.�--�I... .r.. .� ...�t........................................I......................... Zoning District.................`... ................................................Fire District ........ A.P`r. ..:.....................N.................. C�A +G ... Name of Owner G�r�m � � .......Address ...........: j Name of Builder `'� sS J.. .. .... '�l t P� ......Address -�.................... .......... . Nameof Architect .......N.. .............................................Address .................................................................................... Number of Rooms Foundation `�N.e���.... ......................\... ........�.............................................. ............ Exterior .............. ...,.....................,.. .. ....s.U...Roofing ........... Floorsf.. �, .-...�,...F-:...:.................................Interior ................................. .... ta.................. �, Heating r"" j �i "T ..,ir C:a! „1w� �r» ...Plumbing p�?,,.. .1 ............................................. g Fireplace ........ .............................................................Approximate. Cost .....::"T.O. .. .. ....,. ,........... Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area .. .... ...... r / Diagram of Lot and Building with Dimensions Fee ....... ................................. SUBJECT TO APPROVAL OF BOARD'OF HEALTH oti40 . f X f � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS a , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Ov Nam s.. ...:. 6.z.:..... . .... ...' s....... 7. Construction Supervisor's License '.....�........... GEMINIANE, MARIO P. A=291-187 , No ... ... Permit for ...Qne..S a ry............. ....,Sj.n91f--..Fan1i1y..Ewel g.. ....................... Location ..10t,..84......8.. ........ C13 ..................Hyannis.............................................. Owner ......Maria..P.....Gerninianp...................... Type of Construction' .....Fr ame.............. ........... ................................................................................ Plot ............................ Lot ................................ Permit Granted May...29 ........................19 84 Date of Inspection ....................................19 Date Completed ......................................19 i � . Cp • I 38,-0" Y-6`z 4'-8' - -6`x 4 8" 2'-0'x 4'-9" 5'-0"x 6,8 SD 9 24'-0- t!2 BATH 9 LIK tL I 3'-fr-- -43• QKIT./DINRM BED#2 �� 2'-0`x 6'�'PD °p "III 4 x BATH RM' I I N q f 2' •x LIV/RM N BED#1 2-5' I ip - '� N r to• k 2t•-4` 4 `7 2 i 15=11' 'v -'-' - 30' 3-1" 1 2'8"x W-8' 5'-0"x 4'-8" 2'-6•x 4'-W-6`x 4'-8' FLOOR PLAINiSMOKE DETECTOR LAYOUT 8 HAMDEV CIRCLE HYANNIS MA. CONRAD REMODELING Slf oKE DE 10,Locust Street ' : rECTQR O, Hyannis MA 02601 'VSTgBL BUI 20a D • . - ��o� � l�G DSPr � i ridge vent _ 25-year Bird asphalt shingles (to match existing) � 151bs felt., �(� "ov 2 x 8 rafter to sister on existing atleast°/a n h`CDX plywood vented dri - - 2 X S ceiling Joist R30 w/R19_ I _w(cshingles. j Z S�OKEDETECTORS 15 ibs felt \ ez sttng age `\` _ -V74 BARNS —2nQ' —A "CDX plywood ,' \\ TAB E BU L--N t)EPr 2.x816_O.C. Sill seal&2 x6 pt sill q -- ��.f'ovwOwl.•owl nlrl)FmFI Q� '3� T3�\ow • G�woF ---------------- FR�nn� t�tyATIotV �. Sc�a ��a I Poet MPk-t-M�5•�r�k1l`L LA1�t5pp�__ �_�lA1W n F C i Rom\ - Fi A r^.NEI.70'Nc`1J;�0 �FF b Tw CONRAD REMODELING V1R SAS .M£-Alv.SQn K._iC e G 10 Locust Street -- _AA j r�.rjr.v y...N>?. o;o0 Hyannis MA 02601 % --- C O v _ - Sc�k� t/�i t 1=ooT. EA S't', % EVAMlON MRa-IY1 K5. of I\. 7 6A SoN COMRADREMODELING ..LIAM� N 10'Locust Street -hyprruvolS; Hyannis MA 02601 l 24'-0" 8,0„ 91-01, 7 0 2'10"x 4'-10" -10"x 4'40 W A LO X .. .X - . . . o NEW BED RM. w -n .(V 3-4"x 6' o . 24'-Ot� --- ------ I cm M-3" 4�11 O . p Existing Garageco a X Din/RMCO rn O to J 1 - - - ------ 2'-8"x 3'-4" 2'-4"; 18'-2" 3 6" o 24'-0' Mr..& Mrs. Melanson Conrad Remodeling Floor plain 10 LoG,st street Hyannis,MA.02601 I , I r N I - 12 3'•. o I . ; - 24'-0" Mr&Mrs. Melanson Conrad remodeling „ Foundation plain J P t 1 y , + r 1 ! t d 1Y a o {, i 511 4 t, i a - f e i I ' f � r �38 F i SL 72 KA kk l i1m 1 i S - + II 2i + i f 1 i � SSl ' r + a � a S � J { F i