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0063 HARBOR ROAD
3 `7dan kcti �d o/. f �\ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ®gip3w 3 , Map Parcel Application Health Division �' Date Issued l CJ Conservation Division Application Fee 6J2 Planning Dept. Permit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis D RECUT Project Street Address 3 A44or ot! J1 By Village 9V44!J;,f Owner ,re)S e-A_A C 10 0 4,k r('b Address 3 H-c+r ,6 o r Telephone 9— `7 7 6 . L1 9 077 Permit Request BeAroom (le oiSkaw �ni n �. n4 so 40fal"l Ft gcec mp (L) .1;sg,44'IZ'6.4J, (,04 It >�o d bl)�T44r__ a Square uare feet: 1 st floor: existing ro osed 2nd floor: existing ro osed otal new q 9—proposed 9—proposed C) Zoning District Flood Plain Groundwater Overlay Project Valuation 106 b Construction Type re rnAe-l Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 3c3 Historic House: ❑Yes X_No On Old King's Highway: ❑Yes KNo Basement Type: [,Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) — 0 — Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing new C� Number of Bedrooms: 3 existing .0 new Total Room Count (not including baths): existing _new First Floor Room Count 2 Heat Type and Fuel: Aas ❑ Oil ❑ Electric ❑ Other Central Air: Xes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑YesA No Detached garage: ❑ existing 0 new size_Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage:�existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# - Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name_AP,0!a r Conj. e A—O V. L LC Telephone Number 781— 836 "'S_/S_�02 r` J Address ���-1� No rf t ST License # Home Improvement Contracto # a 5�� YY? Worker's Compensation # on ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NA . de SIGNATURE DATE S a r 10 s { ff FOR OFFICIAL USE ONLY APPLICATION# _ t DATE ISSUED g MAP./PARCEL NO. - ADDRESS. VILLAGE _ OWNER er]ry t DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION t s FIREPLACE ` 4 ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL CAST . ROUGH FINAL i` } �= F:FN_A_ L BU1_LD,INGie • � .� �s °'�' 'r DATE CLOSED OUT Y ASSOCIATION PLAN NO. a J The Commonwealth of Massachusetts r---- Department of Industrial Accidents 1 _ Office of Investigations 600 Washington Street t�Y Boston, MA 02111 sy www,rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizationJIndividual): ejQ4rot on elo.DY1'►e�<i'7� Address: /6 SA- City/State/Zip: Rior444 Phone #: 3 7A tngo 6 nles� Are you an employer? Checic the appropriate box: Type of project(required): I. I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors.. 6. El New construction eiYiployees(full and/or"part-time)., - -.- .---._.._.._............. ...,...._ . 2-❑ I am a sole propriator.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 No workers' comp. insurance comp, insurance.4 ' 5. ❑ We are a corporation and its 10:0 Electrical repairs or additions required.] 3.❑ I am a bomeowner.doing all wor k. officers have exercised their 1 L[] 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 haven o employees..[No workers' . 13:❑ Other comp,insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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., f 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby ce ify unde fl ins and penalties of perjury that the information provided above is trite and correct. Si nature: tom-- Date:_1 Phone# 17/7 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2:Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.-Other Contact Person: Phone,#: t Tawn of Barnstable t r Regulatory Services v ^ 4 Thomas F. Geiler,Director i639- t� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 F www.town.b.arnstable.ma.us Office: 508-862-403 8 Fax: 508=790-6230 v F - Property Owner Must Complete and Sign.This Section If Using A Builder I, ., u Q , as Owner of the subject property hereby authorize 6 he TCY-1 N C$wl_ to act on my behalf, in all matters relative to work authorized-by this building perry-t. application for. (Address-of rob) <�jnuoOneefwr Date 1'nnt Mame If Pruerty Owner is applying for permit please complete.the Homeowners w rs License Exemption F p orm on.-the reverse. side. Q:FORMS:O WNERPERM1SS10N Town of Barnstable ' Hof Yl�ropy . :.j ReguI'atory Services , aARNSTAsLF, Thomas F. Geiler,Director Eqs. 16p- Building Division PrFo Mai'` Tom Perry, Building Commissioner 200 Main.Street_Hyannis, MA.02601 R'wtv.town.b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOhdEOWNER LICENSEyEXEMPTION Please Print DATE: JOB LOCATION: number s trmt village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as - supervisor_ 1 DEMITION OBBOMEOW ER Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a bombowner. Such "homeowner"shall submit to the Building.Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"ho=c,wner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that,he/sbe understands the Town of Barnstable Building Department minimum insp6ction procedures and requirements and that he/she will comply with said procedures and requirements. ti. Signature of Homcovencr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127,0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this SCCt;Dn_(Srctiorn 109.1.1 -Licensing of construction Supervisors);provided that if the homeov�ner argages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they an assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisor,Section 2.15) This lack of awareness oftrn results in serimir problems,particularly rs when the homcowncr hirrs unlicensed peons. In this case,our Board cannot prt)eced against the unlicensed person as it would with a licensed Supervisor. The horircowncr acting as Supervisor is ultimately responstblc. To ensure that the homeowner is fully awara of his/har rusponnbilitics,many communities rrquire,as par[of the permit application., that the hoMCD{'lncr certify that hcAhe understands the r,=sponnbilitics of a Supervisor.. On the last page of this issue is e farm currznt]y used by scvcral towns. You may care t ammd and adopt such a fom>Iccrtification for use in your coinnunity. Q:forms:homccxcmpt G3. �a�6o� lCc1 She c, r) C6 n s �cv J4v ZS— zo�h o % 5'0�� C„ F v tye w l-ia w eK 1 6 t Ff 00 J i ep �nsvl4 �on �► _ ��� walla are �� i x n 0 i C! r A j (^ i ,_ i i I _ i -I - - ' a ! I I � i TI i`► � a I 1 _ T+ j I I I 4I I 77� i 1 - _ _ i I I i HIS CERTIFICATE IS ISSUED AS AM TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN HE ISSUING INSURERS 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 and endorsement. A statement n this certificate does not confer rights to the certificate holder in lieu of such endorsement 4 PRODUCER Mason S Meson Insurance Agency Inc 456 South Ave Whitman, MA 2382 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Shepard Investments Llc P 0 Box 206 Hingham, MA 02043-0000 = THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 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, a 00 LTA ME OFINSURANOE POLICY NUMBER POLICY OPFECTNlDA-M POLICY EXPIRATION DATE A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY LIMITS ME PROPRIETOR! PARTNERSIEXECUTIVE OFFICERS ARE: INCL❑EXCL❑ 7435997 1/20/2010 1/20/2011 STATUTORYLIMITS OTHER CaerapeApplleetoMAOperatloneOnly. EACH ACCIDENT $ 100,00 _ DISEASE POLICY LIMIT - $ 500,00 DISEASE-EACH EMPLOYEE 100,000 DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS r_ RE:NO PARTNERS ARE COVERED BY THE WORKERS COMPENSATION POLICY-PROJECT:MARY KEANEY,63 HARBOR RD,HYANNIS w � r , MA, CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF TMEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ATTN:BLDG DEPT/BLDG INSP EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 367 MAIN ST,TOWN HALL WIMTE THE POLICY PROVISIONS. HYANNIS, MA 02601 AUTHORIZED REPRESENTATIVE i i W Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston; Massachusetts 02116 Home Improvement Contr'ctor Registration Registration: 159249 L . E %p Type: Individual iti lrlF I , r Expiration: 4/10/2012 Tr# 201092 JAMES J SKERRY JAMES- SKERRY ; w �, 7 SEAPORT DR. #4101 QUINCY, MA 02171 x J Update Address and return card.Mark reason for change. --- F],Address Renewal Employment Lost Card CAI 0 50M-04104-G101216 License or registration valid for individul use only ' Office of Consumer Affairs&Busr ess Regulation CONT C before the expiration date. If found return to: HOME IMPROVEMENT TOR Registration: 4' 9249 Type: Office of Consumer Affairs and Business Regulation Expiration: 4610/2012 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 4 S'J SKERRY 1-- j � 4MES SKERRY , SEAPORT DR !UINCY,MA 02171 r Undersecretary No valid with signature IYlassaehutictts Department(It Public Satetv?' Board of Building Mcgulatiolds, and Standards t Constructior.Supervisor License License CS 65635 1G Re'stricted,,to of JAM JES „SKERRY 7 SEAPORT DR 4410 , QUINCY, MA`02171" Expiration: 8/20/2011 ('u nun issirme.r Tr#: 22064� �ot.IKEr�y � Town of Barlistable *Permit# Expires 6 month ro a date Regulatory Services Fee, BARNSTABLE hLksS.1639. 8 Thomas F. Geiler,Director A �0 ' lED MA'1 m Building Division Tom Perry,CBO, Building Commissioner, 200.Main Street,Hyannis,MA 02601 - wwwaown.barnstable.ma:us Office: 508-862-4038 Fax: 5087790-6230 : .EXPRESS PERMIT APPLICATION - RESIDENTIAL-ONLY Not Valid wiihoui Red X-Press Imprini Map/parcel Numberd� f Property Address t � " residential Value of Work R ( eO Minimum fee of$25.00 for r rk under$60Q0.00 Owner's Name& Address Contractor's NameTelephone. Number T Home Improvement Contractor.License#(if applicable) Construction Supervisor's License# (if applicable)- / 0:: ❑Workman's Compensation'Insurance;, -PRESS,P IT ,. Check one: - k ❑ I am a sole pro prietorU� 2 2010 , . ❑ I in the Homeowner '; ,, �; • ' �TOWN OF. BARNSTA�k,� • . ❑ I have Worker'.s Compensation Insurance ; s Insurance Company Name l , Workman's Comp.Policy# k Copy of Insurance Compliance Certificate must'accompany each permit. ` Permit Request(check box) '. ❑ .Re-roof(stripping old shingles) All construction debris will be taken4o` ` ❑ Re-roof(not stripping. Going over existing layers of roof) t Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value v (maximum .44)#of Windows-. *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 o the Home Improvement Contractors License & Construction Supervisors License is, SIGNATURE: -t 7/) Q:IWPFILESkF0RMS1bui]ding permit forms\EXPRESS.doc Revised 090809 Y The Commonwealth of Massachusetts _ - Department ofhndustrialAccidents Office of Investigations 600 Washington Street t� Boston,MA 02111 M k y www.mass.gov/dia a 't:.Builders/Cont.ractors/Electricians/Plumbers. Workers'.Com pensation ens ation In surance A ffi d v Applicant Information Please Print Legibly. . Name (Business/Organization/Individual): Address: e o � �►-rCrr_ / Phone #: 5 6 7& " / City/State/Zip: �l�L/`rse Are you an employer?-Check the appropriate box: Type ofproject (required): 1. am a employer with 4. ❑'L am'a general contractor and I 6. ❑,New construction * have hired the sub-contractors employees'(full and/or pact-time). - -- 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 No workers' comp. insurance comp.insurance.$ required.]. .. 3. ❑ �Ve area corporation and its 10:❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work offices have exercised their 11.❑ Plumbing repairs or additions right of exemption per MGL - myself. [No workers' comp 12_❑Roof repairs: _� = insurance required.] t t, c: 152 §:1(4), and.we have no employees. [No workers' 13.❑ Other corn insurance required.] P. *Any applicant that checks box#1 must also fill out the section.below showing their workc�s compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all'work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this.box must attached ar.;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..'cotnperesation insurance for.my employees. Below,is the policy and jab site information . ' Insurance Company Name. Policy#or Self-ins."Lic;#: Expiration Date:1 Job Site Address: fjr/!2.- City/State/Zip:_ �lA d-' Attach a copy of the workers' compensation policy declaration page(showing the policy number arid expiration date); Failure to secure coverage`as required wder'Section25A of MGL o: 152 can lead to the ir#position of criminal.penaltits of a fine up to$1,500.00 and/or one=year irn]prisonment, as well.as civil penalties in the form of a STOPNORK 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. 1 do hereby eerti the pains ana penalties ofperjury that the information provided above'is true and correct. Ski'nature: Phone#: Official use only.: Do not write in this area, to be completed by city or town official , City or Town.: . Permit/License# Issuing Authority (circle one), 1.Board of Health°.2. Building Department 3. City/Town Clerk 4 .EI'ectrical Inspector, 5:Plurribing Inspector 6. Other Contact Person: Phone#:, T 111formatzon and InstruCtiOn sat for theiroes corn Massachusetts General Laws chapter M requires all employers to provide woekof anolh ers' P underoany contracl opflh`e, Pursuant to this statute, an ennplo),ee is defined as '...every person in the serve express or implied, oral or written" her l ty, or any two An e?nP layer is defined as ''an individual,partnership, association, Corpoaged in a joint enterprise, an Corporation nl lives of a edeceased empl y a er, orotheore of the foregoing engaged including the legal p . ying employees, receiver or trustee of an individual, partnership, associatio lm'en other and who resides des heroein, or the occupant of then he owner of a dwelling house having not more than three aparSuch dwelling house of another Who employs persons to do ma[because of such,employment be deemoed to bedaneelmpl y fse or on he grounds or building appurtenant thereto shall no uance MGL chapter 152, §25C(6) also slates that ''every state or local licensing)dgnns in thcy e comhmonavealth the sfor any r renewal of a license or permit to operate a business or to construct g applicant who has not produced acceptable evidc Of copmmonwealth nor any of its political with the insurance subdivisionsshall Additionally,MGL chapter 152, §25C{7) states"Neither enter into any contract for the performance of public work until acceptable evidence of compliance with the msrUance requirements of this chapter have been presented to the contracting authority." Applicants - ill out.the workers' compensation affdavit completely,by checking the boxes t%thpplcertifiy to ocate(s)ur s ,of on and, if Please f necessary,supply sub-contractor(s)name(s),addresses) and phone numbers) along v� insurance, Limited Liability Companies (LLC)or Lim ted Liability Partneran Ps(if an)with D LLC or LLP does havemployees e other than the members or partners, are not required to carry workers' compensation insurance. of �m to ees .e policy is required. Be advised that this affidavit may be submitted fo the o the Dafftartrn niThe affidavit ShouldP Ysign Accidents for confirmation of insurance coverage, Also be sure to ices b rtques e returned to the city or town that the application for the permit or Ie law or if you age requ red to oblainse I's be' tcd,riot the Da wortkers't of Industrial Accidents. Should have any questions regarding th Y compensation policy,please call the Department at the number listed belo}v,.Setf-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. `The Dnp�r smo contact yo�1 has aragarding the applica a space at the nt. of the affidavit for you to fill out in the event the Office of Investigatio Please be sure to fill in the.permiticr In addition, an license number which will byensedais need only submibone affidavit ndicatping�currrent that mttsisubrmt multiplepermitflicense applicalaons in any g y (City policy information (if necessary)and under"Job Site Address for marked by he a'plicant thecaty ortiown maytbe provided of the or town;>.''A copy of the affidavit that has been officially stampst be avit mu applicant as proof that a valid affidavit is on file for future per erm°t noterelated tonany bsew diness or commerca 1 venture year. Where a home owner or citizen is obtaining a license or p (i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. tion and should you have any questions, The Office of Investigations would like to thank you in advance for your coopera please do not hesitate to give us a call. The Department's'add.ress, telephone and fax number: The Commonwealth of Massachusetts Department of IndustTlal Accidents Office of Investigations 600 Washington Street - Boston, MA 02111 Tel. # 617-727 4900 ext 406 or ]-V7-MASSAFE Fax 4 617-727-7749 r '22/2010 . 09: 05 5084204474 PALUP�IBO INS COTUIT M PAGE 01 - „��rzv CERTIFICATE OF LIABILITY INSURANCE F,,A/21/2010 DDIYY PRODUCER (508)428-1943 FAX: (508)420-4474- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION William Palumbo Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4527 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cotuit MA 02635 (INSURERS AFFORDING COVERAGE NAIC#_ — INSURED INSURER A Travelers , 39357 RI:T CONSTRUCTION INC, INSURER B;Guard Insurance Co 31 MANNI CIRCLE INSURER C'. INSURERD:. - .: .._._.._._.............._......... _....._..-...------------ CENTERVI'LLE MA, 02632 INSURERe COVERAGES AT D.NOTWITHSTAN DING N FOR THE POLICY E D'INDIC E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE P RIO 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 OFSUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, . ........._—....—_ INSR hDD'L r POLICY EFFECTIVE POLICY EXPIRATION OEASUR"S, M -- POLICY NUMBER RM5IMMIDDIYYYYI I DATE IMM/OD/YYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -- i3AMAGE TO RENTff • X�COMMERCIAL GENERAL LIABILITYPREMISES(Ea occurrence)-........ A i CLAIMS MADE X OCCUR'680047EN705 8/1/2009, 8/1/2010 MED EXP(Any on9paraon), a_•_•-__ 5�'000 -- —- -- --- --- -- _ --- PERSONAL&ADV INJURY. $ 1 000 000 GENERAL AGGREGATE is...__, 2,.000,000 GEN'L S PER:AGGREGATE LIMIT APPLIES_ 1 f PRODUCTS COMPIOP A00 4 .2,,Q...Q_r_0 .0 -x. POLICY PRO I LOC --- AUTOMOBILE LIABILITY " _.. COMBINED SINGI E LIMIT $ ANY AUTO I (Es eccideni) - -- --- _ ALL OWNED AUTOS 4 r BODILY INJURY SCHEDULED AUTOS L Par por on) 0 - HIRED AUTOS ` --- BODILY INJURY $ NON-OWNED AUTOS - (Par mccldonl) t i — -------.— ----- � I • OPERTY Perec danlj DAMAGE �$ GARAGE LIABILITY AUTO ONLY' FA ACCIDENT' $ _ _.._ ANY AUTO « ! OTHER THAN EA ACC I!, I AUTO ONLY. AGG S EXCE3S I UMBRELLA LIABILITY c EACI'I OCCURRENCE $ _I OCCUR I_. CLAIMS MADE r AGGREGATE S__._....... - - ---- DEDUCTIBLE - RETENTION '$ $ 71 B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'L YIN IABIUTY __ TORY.LIMITS 1 ER__ ANY PROPRIETOR/PA RTNERIEXECUTIVE� E.L.EACMACCIDENT $ 500,000 OFFICSRIMEMBER EXCLUDED? "' - --- NAndgtoryInNH) -" W601ibe under - . .9737 12/24/2009 12/24/2010- _E�-DISEASE EA EMPLOYEE S 500,-000- SPECIAL PROVISIONS eelaw ! E.L.DISEASE-POLICY LIMIT S 500,00 OTHER .. DESCRIPTION OF OPERATION8/LoCA71ONS(VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS - Job: 100 Eetey Avenue, Hya=i.9 MA 026.01 -CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESGRIBED FoociES BE CANCELLED BEFORE THE EXPIRATION • Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 367 Main Stre®t Hyannis, MA 02601 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE (- - J LaRocca, Sr/SROCER �� ACORD 25(2009101) Cd 1988-2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD name and logo are registered marks of ACORD Is&ndS idin and Roo n a division of<1ZLT Construction, Inc. 31 9fanni Circle �. Centerville, �11A 02632 _ l , Joe Clougherty June Ir8,2010 63 Harbor Rd. Hyannis; Ma. We are pleased to submit the following specifications and estimates for residing._ - Remove shutters, window pediments, and louver cover. Remove existing cedar shingles. "' r Install aluminum window flashing. Install-Typar house wrap. , • Install Grade A R&R natural white cedar extras. , Re-install louver cover, shutters, and window pediments. Install diverter on roof. Clean up and.haul away all debris to landfill We hereby propose to furnish material and labor-complete in accordance with the above . specification, for the sum of. $3,850.00 Terms: No deposit required.' Payment in full is due,upon completion. All material is guaranteed'to be as specified. All work to be completed in a workmanlike.manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All ` agreements contingent upon strikes,accidents, or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. ;RLT Construction, Inc. carries General Liability and Workman's. Compensation Insurance: Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Start Date: Signature Telephone 508.420.5243 and508.776.8914 (Facsimile 508.420.1776 aiNo.. Ot5 mji irtnlent of Public Snitch QBoard of Buildrn-Rchilations and Stand ce di Construction Supervisor Specialty License ,. ( z L+eense: CS SL 99910 = I Restncted to:,RF WS 3 T r 'I E R(DNNIE TAYLOR `t 3,f MANNI CIRCLE,,` 'CENTERVILLE AMA 02632 ration 10/2612... a . let. Tr# 9991gy { Offtee of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR'' Registration 434286 ipS" Expiration 1_/22/2011 ., Ti* 293257 Type } ,Ind IiduaL l 7 a :r =RLT CONST INC;QBA I IE TAYLOR� SLAND SIDING&ROOFIN .. U t RONN 4 j e MANNI CIRCLE Of ' CENTERVILLE Undersecretary . E ,'.• },�, � ri'4 ♦. .-__ __. � •. �` -,_.�. _ice'..___ �� �;,'__. _.� 2.• - ,. .. - . License or registration valid for indrvidul`use only d before the'expiration date" If.found return`to Office of Consumer Affairs and B.usmessRe ulation 10 Park Plaza g I z,i ,Suite 5170 ' � Boston;MA 02ry �1 I 116 . r s71. Not valid withoat' nature J 'j x AJ, r `�_ �*�=�.+.'�,."•tvy .. . ....„ - .•-..;1....+^.•:. C-r• .R a.�.�F a,i-,r�,w ,,� e.,, :;.y,. g„ .._ ...r- ...� ti 8 ........t..-..;. f,NE, The Town of Barnstable O� BARMS�LE. ' Department of Health Safety and Environmental Services 1619- rEo►�y• Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection \v Location �o l (?a rC— Permit Number ' , 9'k--Z�-- Owner Builder 1�L One notice to.remain on jobsite, one notice on file in Building Department. The following items need correcting: - - v To l� n-f�--rt4YI ' 0-0 I- 6-le,U0(A) 1 Please call: 508-862-4038 for re-inspection. Inspected by J � Date 7- - 2- �. - TOWN OF BARNSTABLEQBUILDING PERMIT APPLICATION v 36� T Map �� �6 Parcel � - Permit# 4-4 Health Division Z 7 /'� �� Date Issued Conservation Division Fee U I y ldo Tax Collector ` 71/C1h f f °a "fC SYSTEM MUS I 82 Treasur INSTALLED IN COMPLIANCE •V�IITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board - TOWN REGULATIONS Historic-OKH Preservation/Hyannis " Project Street Address �4 A y-x-'b b k 'T( Villa9e A)iV " f. Owner —1 1 e 9 1+ ' e e�t Pi t.t -e rcZ y Address (0 3 Telephone S/g 2-7 - Permit Request v i l n P�, 1-1 ' YC.2-4 � AJ O 1 I oI/ ( w o e 2AP At�o�..�D .��- Q?PI. o.v Z - J'I17t?� e H � p� �,�.�= 13v � ( j OFF ApAr Or- 1ic4/-1P 0F9 Kt-tCk< ^� Square feet: 1st floor:existing 4 roposed 3 3 G 2nd floor: existing _ proposed R-- Total new 37(2 Estimated Project Cost Do 11, Y Zoning District Flood Plain Groundwater Overlay Construction Type Wofvh_ Lot Size Grandfathered: 0 Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 0" Two Family ❑ Multi-Family(#units) Age of Existing Structure j k 1 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: O'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) !t`l ,lumber of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new t First Floor Room'Count s. Heat Type and Fuel ❑Gas O/Oil O'Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing t New Existing wood/coal stove: O Yes o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:E(existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION , Name_AA C k A e ` Z tNZ Telephone Number Address 3 7 P Itia/e y J t AA"P License# E2_� Q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -� W AJ 1 SIGNATUR ` DATE 1 FOR OFFICIAL USE ONLY. ' v PERMIT NO. �`�-� • 'tea '< r, - . t ! - - I' • '+ - _ y r. •' . Ste_• DATE ISSUED MAP/PARCEL NO. of ADDRESS t VILLAGE ice. r s ,f, OWNER <t v DATE OF INSPECTIO; FOUNDATION FRAME% r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - f PLUMBING: ROUGH FINAL GAS: t ROUGH ^i FINAL BUILDING .y - • , Y•.. <` ---- . - - , ; < .- , DATE CLOSED OUT w. •off ASSOCIATION PLAN NO. , may ' + " 2 r e Town of Barnstable Department of Health Safety and Environmental Services` 1659. Building Division 367 Main Street,Hyannis MA 02601 r' Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 t Building Commissioner Permit no. t Date a 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. t Type of Work: A O O \1 e N Estimated Cost -3 b Address of Work: (v 3 4a,6 U h 3110 , Owner's Name: S o� r P I-} C ( e { 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. Date + Contralctor Name Registration No. OR JoieP1 C 10vr, Date Owner'h Name q:forms:Affidav --- - The Commonwealth of Massachusetts z. Department of Industrial Accidents eflice nfiorrestigaaafts 600 Washington Street j<1 r.7 •r Boston,Mass. 02111 Workers' Co Sm,pensation I;nsr�ur/alrn�ce Affidavit name: Al \ e kA 7 ` e,4J _L � location- G j 14A A ('J Ord 1 l 0 citV H ti AtiN t• S phone# `7 7 E ' L1 9 Z ❑ I am a homeowner performing all work myself. �////T� am a sole prop"rietor and have no one working in any capacity % % %% %�// %%%% %//// /O/%am an emplo}'er providing workers' compensation for my employees working on this job. compnnv name: (t 6 VA P k 10 V Z C---, f �69-. 1�( address: , .. city: © S 7 I A V M .{ phone# insurancc cn. lq 0 r\ 0 r ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the follo«ing workers' compensation polices: comnarn name: IZ t] 6,f V A address- r STD 34 ( l rl'fl 1e e city: /Ge.a nJTo A II phone�� Y Z �",a Y insurnnce cn. ACL# olkV# company name: :..:;:..:.:;.;>:::•;::.:. :: address: city: phone insurance co. oiicv# ................ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties ojperjury that the information provided above is tra..and correct Sienature )&adz r//���s Date - Print name .A4 i C kA t I J 11 f-tJ i- 1 Phone T2 Lcontact ly do not write in this area to be completed by city or town official pennitJllcense# Mudding Departirtent mediate response is required ❑Selecting Board❑Selectmen s Office .❑Health Departmentn: phone#• ❑Other 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 cam 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 receive.- 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 renew 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. 1 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 c' or town that the application for the 'ermit or license is m' aPP P being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. 4 The Commonwealth Of Massachusetts Department of Industrial Accidents Office of levesugatlons _ 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext 406, 409 or 375 r _ FT Eu EEi - �'. it 1-7101 _ I T;LT ELEVA-no.J R le,HT £fT�VAndAi .. - REAOL El(=VAnn - . LLu VGNc27� At)CWr7O,) 191AiJf . / n� e7 s�aao v n+AcouF-TOH of o & _ O u,x Igo• rA,.r � .li„ i H t�JN 3-ax STDhG, (hJ 6i.5 UA I (>65 - _ _ - .7.3•, I -j.- y.y* - 1 �o', j: '• it r�;' f. ;� li i�. ri nn It PLn.J' /3tA t-,lv_ I o.. _�dice - - .. GIVG ex+T Aia nsc �R .. .nnD 4n¢ V.r. .... _ A.4G 5 7DZCK CHAO(,) . _ SMfhT ,N nryq�/ ��✓W�-L .7xLP. �,. Al PH AL.T /LOOP -:'I 7'$2 SHIEa.D l^�7/'/'/ /1 n Ix B./Y.3..RA C♦:.. _ .. .' .+fau `e.l ALUM. &VTMX;.+/j PO ury .. cow..'aows a^J�Aw. eoAAo C 2,3r.VGROOy&. CN QIVM� 'yL J1 1 BT- fyPPORT'f - Fttio2 J'0.4n 6Ernaw) ALU\1, • - � 7 O � StY W/E'fcTc,?j10rJ r�+.e �/6"Ot^ ]-dr„�70P PLATv� i, ., . r Z�� - '1-�, HibN y1�M OOw�9oOR GHEDU LE O O z 3 °a GD:L pLy ,SNFATH,/JL NVw.0E2 RO• elA •+E - erHeA 7a`� a TA;LtTE SNWGLEy - � r / rVE.K n bs,fwosaa, - ip ;e V`n _ wl WrG SN,.a41.E/� 5"T•T.ht).�-- 306 ULLVr� x.',: OA.G STEOt J� ,JO'j 41IA W NDOW; a * - •� S�a'ia3u(np 4 o Ino 5���' D'j W]ALCAn.TR,nn C dTxct 9Lr STEeL . D BPm..e sseq -a-�•x-ro--' x - n W .. ax•o�e b" t: P:A' X3Du!u. .3._ax&=: EAm P.T• " y'H1OH o'/p) �_/DAOP D,Q.T Ay REQ , �on...awa. gK,z7 la . • ` Wj - . - BFLO:) %A.tDE- fTVCCO �1Jlsla - I j I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code ) Permit q MAScheck Software Version 2.01 I I i i Checked by/Date I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-20-1999 TITLE: Michael Renzi PROJECT INFORMATION: Clougherty 63 Harbor Rd Hyannis, MA COMPANY INFORMATION: All Cape Insulation G Supply Inc. P.O. Box 645 E. Dennis, MA 02641 COMPLIANCE: PASSES Required UA = 96 Your Home = 91 Area or Cavity Cont. Glazing/Door Perimeter • R-Value R-Value U-Value UA ------------------------------------------------------------------------------- -CEILINGS 340 30.0 30.0 6 WALLS: Wood Frame, 16" O.C. 420 19.0 19.0 14 GLAZING: Windows or Doors 120 0.310 37 GLAZING: Skylights 34 0.310 11 DOORS 21 0.550 12 FLOORS: Over Unconditioned Space 340 30.0 30.0 11 COMPLIANCE STATEMENT: The proposed building design described here 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 and J4.4. Builder/Designer Date 1 SPSTT Pe UO aWWW gpqu T504 ul Cpe qeSTQv TM Sa ASCIPW TIJ To yo Coy' IPS HAVC AfTIMSUP aMcc0a ro pGuf Qt cuol ,rpe pnIlyki pss peat qqrPrWT"Sq ValUd VPq 9bbTUSPIa WUYLVI MIR COUQUOUO rOnug lus PeWva Tcgq jo; IpTe MAIM' Uuq rus COOTT"d JOSO 11 AbIOUT9rs- q0VTaV0q fO YPI cv,- �npmjr;sq e;pp ;pq beywTr qhbTTr1rTWn: SVS 510bMa*q P1TjqTVn P�U PA914 TIMU: "T;p f;s pnjjqTva bTsuz' Sbs0;!T=TcuS* Wq SYRZ CSICITUTOUs Copv7jy;I�E ?1VIERE"j. I}psi RVan6o gniplua qmjso qGT?LTPGq P&L, TS --------------- --- ------------------------------------------------------------ acust wvL nucouql4fousq aosy, lio A 0 30A A MGM 31 WOO T' 17N'2012 WITT493- A 0 3TO A L"WUNO: 14TMIOMB 0;. D',-)Or,:A, 130 0 ATO AS myrI78. M901 11" 'To. 0,C Wo 114 it 0 A mirmw lip 30,0 30 0 --------------------------- --------------------------- -- ------ E-LTWItYL L-vinq B-nipo vviva r!y ytsg 01 MTV COUP' 21SMA-DOOL *Onr Howa V ndmw ccvsriym• E* Dr-UVT1- SM EON e0 Y11 Cate juenTV;7ou p nnbKjA luc COMM B"OEWMAi HA9jMTU' WI! vA Hvipoz bq Monapezu MAW W015HY11c1i 1AM AT006T IMP DVIE 1-70-Joi6 HEY11"O dMIEW !AbE; UCP6L c,", i?-j.bnu.i(>j j.%LE, 1 01 S taw!IN VVIC01 HOD' 0131 C1jj- Muscopil -- ------------ cpsyeq PALS;v KY?QeQ ZO-CAIL6 ASYMOM 1 nT Ey'r"A ` MAScheck INSPECTION CHECKLIST Massachusetts Energy Code ( MAScheck Software Version 2.01 Michael Renzi DATE: 4-20-1999 Bidg. l Dept. l Use I CEILINGS: [ ) I 1. R-30 + R-30 Comments/Location I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-19 + R-19 Comments/Location 1 WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.31 For windows without labeled U-values, describe features: N Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I SKYLIGHTS: [ ] I 1. U-value: 0.31 I For skylights without labeled U-values, describe features: a Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] I 1. U-value: 0,55 Comments/Location I FLOORS: [ ] I 1, Over Unconditioned Space, R-30 Comments/Location I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I 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 it i uro.�rq•+i)• Ivanfgrruu ?t-,,aTn&� '7Uq aTs,s,UCf �_�.sfn,32 fun.ar J,b cTe�LrA guq r,OOJTij6 odrfibn,eUr 9110 2r7-AT(;F> Mgri3T, JY-9r.TI)C' Edffrbuli7Ur unT2r ',�S { ).iE+ g6j9LGlfrJaq' pj91JnTYcrnl.Eit IJaUngfP Tor, 91- Tu r9JTeq psg;.71;d i ] I WgreT.Tgj,,3 j:jq r.dnTbvjouG rrJrraE pe rgelJrTtrrq no j,p:q cu71E,TTqur.,: cgu { 6V's'�fSI1+I'2 IL'iitl.LfL•ICY.IQ(t' { C6TTru6.' MITT:' gun Ejr.X.:;' bednrL,>a :,rr rpe V,9T,ur-rU-MTu4,3L 7r(_*c; or :ITT Uou--Aruf�,gr Tr..11-r.:q ! t BOY b;r7>'UB i i qrT 9Uq '2'-3TJ pe T PF�Tf'q a:H�f i pa;,v pef r, rea `=! ar s br oL I 2� Tpe-,.Tt.r, bL6u6111.0 i unuyrrri,u�q e, ;cam ro tpe C&IjfUn c§AT1A' ype TrdprTU3 fTxrnLo t woLe tur;u g o Cfu' (()-all r\II ) 9iL WCA81UOUf Tt.01W Cpe Cpr" I C° ZAbrl IC L'21:eq' :11 accoxgguc MIrr aCnUggzq va1w ' 391' MTrp uu i d2atcerrf, ro bEGAeur 9Tr T69K90e Tura Cpa nucougTtTUUeq z.beco- ,rsssrgh a; rpn .Lec9av8q FT=116 91Jq CGTTTUr3 cgr.TrA artq acaf�q OL T' t.hbe IC L?r0q' uraunrs?crateq M7rp uo beUOLLgrTOUS .09fAe=U rue 3pgrT iuca3c. OUn Or r.pe rOTTonrua Lodnrr.eurtiuc.^: t TIMI.9TT�,-I rU rVr5 pnTTg7UCa. SUAGTOE,e' L?cf3p_.-eq TTaturUQ r7`ygm.e2 l .-tJA-a TI is rp9r I?re BnnLCAn• Ot "IT, j9g1;¢�IP Wn3r, nl� g,.^,qj fJ M,p su r 7 l 7n'l�C Jnrrc�rL4r*OU? JL' 3";T or;,si ncp c5-VTIJaa ill rpG Pi7.i'Tq'un' r'T; i'c y;:V''F: i V C^UUiFUt•,S\T'OC9!'.TOu._.__ - i j,L,cougi r7ouoq ebeca' b-3u - i H I'C,T3E5' i I IXK7H2' { s COUIUI�UU'\rJC9C7Orr -' (( trvj!!1 I.NL,A_.._._____.—_._._— LpAT.wai PT.014r.,, l ips r 1,10 t"� 7,p-pon(' -•3i"ji"g�,V ii"..^"ifiLb'.3 !'jF.33C.`_.7wB St9r.7S.E.•. • GEti�I.aLY1.I.� ' ) I tt r9ufaa ..__._ j;r.gUra jAbT_ _._ w__ Zp,3LUHJT bLG'5j<,5 ( .! AE2 L 1 t1'D t )::OL M7IJgf}M2 MT1'ponr T90STGq (I'o.9Tr7.7sv 14fi2t;LTpe j:69 rPI.F3: i1wAgTnr4' 0 3f I MIMT:0rs2 YI-Ir7 r T'b22 DXP,2' I J ) { T' M009 LL2rllf- T P , C7 C Lt-7 a I5-1 l t myrm ) jC7w,.cour�•�rf5car';cU`—.__.._—_ __ ______—.__�_._—______ [ 7 i 7 b'-"sir •r 'r.,--srr i CEIViI' 7. t iee t 9Tgd I I;YJ.3: d-311-i)D'i .fl?cpgrr vA,.�;T 1,w2rpF;rr ?-Err.-i;n ,:gr_grnij CT I 1 marked on the building plans or specifications. I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not 1 permitted. The HVAC system must provide a means for balancing air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual ( or automatic means to partially restrict or shut off the heating i and/or cooling input to each zone or floor shall be provided. 1 HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from ( non-depletable sources. Pool pumps require a time clock. I [ ) I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in.): • I I PIPE SIZES (in.) i HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-l" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5' Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: 1 Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0 1.0 115 1.5 I [ J I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.): I ( PIPE SIZES (in. ) ( NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS ( HEATED WATER TEMP (F): RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 ( 0.5 1.0 1.5 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- 1 r ----TK)!i::' 10 1-TETT (rrrt73q;uii nebgl.ruT,ur P.l-3 i i IOU-ISO u I 0 0 2 1 r? 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'�}pg T Po a:r;;1()n I gfir,�mmjc roc,Q;Oq OnraTge COUgrrroua,q abpce' 'TU(-TtsgruJ arnq psh.2 C-1. [ I VIT 5CCIG,cSTT!le 1Cr7Uf8' .43gU19' quq COUDO:r T01!e ITT 2nbb T1': t4vc; LFrnLIJ I unu c'OG)annuiai• [ 1 ! Dnc;.E ',V111 Tsa Tuar7Tgf,F,q IOC-T. 41_•T+3 4.. ;.T. i Ln^u ai'ariL'vi m.i i i '6�Lj;.E•q =U ijie T:tT-lTlry,j fTi'J)i•. �J. L-i:�v...'L7C�>T:.•1�. 63 v� l OF Mqs� LF 9�y A RED G J. PACELLI 11 � 16189 0 y ,v 3Z Gor �3 SUR �8 1 g ZZ 0C, ,o 1 Bnd• 735- .. � 9Z•GS - ' . • «i s�in9 �e rvn wo�r.•- � � ' •- .. Edgc o�' Porernen / /9R,C902 i�,D c7�r� 4p Sea/c. A/on o/Pro/oos td o�wall..r9:. �rni0pi cmcn� zr, Own .0 , IA. an �s. /ocQ�cd ems' L�fi�4.-bey /2d loCa .& 0,7 Mc 9--Ve•.�c/ vt s/i owe - /�y4rarirf , /Nfr�. hGrrod A6,71 i� Cn o ,4 /! an --irs C /7/7Z C Sc�/Sac.E i-cq�..�c.n rn�s o� fife T wn o� . 460,17-T /.I . - � INOME IMPROVEMENT CONTRACTOR' Duistr:a..tion 111851 ,Type . .�-DBA ' "ExpiTatiOR D2/04/01 ,MICHAEL RENZI CONSTRUCTION. MICHAEL`i -RE NZI. PHINNEY'S LN -ADMINIa^1(Td4TOR�CENTERVILLE MA 02632 i . � ,. ✓fie �arnmw�re..uea� o�✓�aaaac�i�:et�a �z DEPARTMENT Of PUBLIC SAFETY` CONSTRUCTION SUPERVISOR LICENSE Number - Fi Expires: - - _ - � ��--- fiCHk T-v RENZI 387 PHIMNE45 LN i CENTERVILLE, MA 02632 i s essor's ma and lot!number p 1-0 'THE Tp� r' rem Sewage ;Permit numbei ..... ....................................:. 3 daI�PTI s //,w, /f Fl !al-E Z 33 ST/IDLE, i House number .. !. ....... Q"��$�ea r -' Mnsa Ar { TOWN ' n0.F.,..-� � SABLE zi '. • YG t ry • _R. ? y d BUILDING INSPECTOR C.• APPLICATION FOR PERMIT TO. .................................... 2.. {...y............... . .......... ................... . TYPE OF CONSTRUCTION ......�4-?!0 /� /"e .. tee%%� --z" "� , x3 ... ........... .. % ...............................,. _R ..................... `w 8.............19.�.z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit'according to the following information: 3 Location ....... ..17.r�F.../,?PZ . r-�..... .� �'.`7.4�7/?�S.......................E ..a.�T�..u... .................... `c ..................... esic!' ... i1t Proposed Use .......140e ... t/2 if. ......... .... �. i. .f ...... � ` .�., ; .. Zoning District ............�f.. .............................. .... Fire. .Diitrict.. .Ire.l�.G�.,GS.., , Name of Owner !.� yP��.... .....Cr.11�.(�rll :e�' .Address Name of Builder' ....................................:...............................Address .`............ Name of Architect �erT„tJ, n4q ti{.re '" Add ss; ...1��?G% A✓imrnX Number of Rooms ......... . .. ..• =.s. '.'F Exterior ....C.e. �`.: ... d'.:��cf/e... ......... iRoofng L !ic/ Gf//���clsc'q✓ . S� f�crT' :.... t' ....... 9' Floors ..............:.............................................................. ....]Interior .. may-�l.�f✓rf� ................... .................. �eG r> / .2 Heating .... ... ....... ..PIumE3in Cj0 G'' t``1 �� ...................:z-r��>s .... .. g , ..,. ,� �f...�...„l .............. Fireplace .. eS..................... ... ..Approx.inwte•Cost ' . . �,, Qo... 4 ......... .3. - Definitive Plan Approved by.Plann.ing..Board .�________ 1.Q �.___; a2� 'S!• ^ ®��'TA/I Diagram of Lot and Building with bi6ne6ii(5-ris'- Fee"............................................. ...... .. { SUBJECT'TD.,APROVAL'..OF OARD;,OF, HE,ALT �i , i , t•..1,. 4'` .. a eye-�w• (. •�s� �`°�. , �" :� _` , '! ,`a Ap'7. "��•` . .4 ,. °, ` • n . rn ,4 f 7.^3S� ghd 92•G.f 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. No % • 4 CLOUGHERTY, JOSEPH L. 24595 0 ................. Permit for ...Story -.S.in4.le...Family. . ...Dwelling.. . . .............. . .. ....... ..... ....... .. .... ..... .... .. .... .. Location63 Harbor...Road .......................... .................................... Hyannis ............................................................................... Owner ..................Joseph L. Clougherty .... Type of.Co'n'struction Frame .. .......................................... ....................... ................................................ Plot .............. ............. Lot ................................ Permit Granted .!�ovember 30.........1,9 82 ............................. .. Date of Ins,ection ............... ......19' -Date Completed ..........19 A ZZ End. OF Af.4,p � zo h o ALFRED y� Q� /�3 /O DecK o PACELLI 16189 H G/STD �y 3z Gqr Z3 sUR 1 0 � 18 n ' �g11-3 to ul�tf9 -t' — .. _.a- a�. �—' drrr� 1 �� lecserrc �raL Gh/S�in9 7�orvr, WO/iCs+. �D4rernen/ / /g R 02 ice/. i� . f4'V/ .�cc/G 30, %i77rovemGn� S�iodvn en f�ir�3 w�ai7 /S: L�31101-bei- A2d %ea a.� �sSc y��.�c/ or s/i a •� /7er,con Ono' fiSa� if �n�o�n�•ss �. t C /7/7Z C Schac.� rcQ�..�crrsens o� f�c `T wn o� . ,&o1in.3 A2 6/c . w TOWN OF BARNSTABLE Permit No. __2 _ ---------- Building Inspector Cash u+ Bond X_-_ _� . OCCUPANCY PERMIT �--------- Issued to JosePh L. Clougherty Address " 63 Harbor Road, Hyannis J � Inspection date Wiring Inspector Plumbing Inspectorf �„ ) Inspection date Gas Inspector Inspection date X Engineering Department Y, r Inspection datefi Board of health �qe—,I, ,�-, Inspection date THIS PERMIT WILL NOT BE VALIDAND 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. ..1 T/ Buildin' Ins ector Assessor's map and lot number ..............�1 .,.v� r/`. 7 IN E Sewage Permit number„ ...... .............................................+ �Qp _ Z ARNSeTSIiLE, •3 ..: House 'number ..: ........... . r r 'Fa MPY Cr TOWN OF BARNS TAB LE-- ' - BUILDING IN&FEr"_' ,�,� PY ` APPLICATION FOR PERMIT TO ..................................:................�..............��.................................................... TYPEOF CONSTRUCTION ...... ......................................?. '7 r�.............................. .......................... �.:.2.............19. '. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accord ing�to the following information:_ Location ....... .��.../ L'. ... �r-�.......... y n�5.............................. ' Proposed Use . ............. ............................. .. ................................Zoning District ............:.... ....... ...........................Fire District .. ;a ;: ! ..!)..l. .............................................. Name cif-Owner .v�... .....G.-.Ae X-.K ....Address .�� f.1Lfq,..t�� .. .. Yciihl�� .... ie , Nameof Builder" ....................................................................Address .................................................................................... Name of Architect ! ..•. . .............. aa.'...q' ! nx .rov�ft ,t>n�rr--ec/ Cfancrc-r�e f �D o78X z �f /8X/ G70r• ........Foundation ... ... C3X2Z Number of Rooms..............:.............................................. ........o..............:..:....................................... Exterior �'...19 �✓�i�-</ /�/jr!��Pc�/ .. 7 ci/:?`.. .... .. . C�.�.�...... ....! ..le......................................Roofing ............................................... �.r1.. .... .. . . . . Floors , ..........4:.......................................................................Interior //........................................... .......... 'Heating �.c'Gf��C_ .........Plumbin � ?Y /a�nfS.....7 ......Fireplace .. ...............................p X'S ..........................................Approximate CostSDlO............................................... Definitive Plan Approved by Planning Board ________________________________19_______ Area ................................ g Building with Dimensions Fee Diagram o Lot an ) SUBJECT TO APPROVAL OF BOARD OF HEALTH _—-�-'�r r ' //4 14 ••;-i�.._ �� 60 f 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.` Nam CLOUGHERTY, JOSEPH L. �- A=306' '173-3 24595 Two Story No ................. Permit for ................................. .. Single Family Dwelling ............................................................ ........... ...... Location 63 Harbor Road ......................................... ....... .......... Hyannis ............................................................................... Joseph. L. Clougherty Owner .................................................................. Type of Construction ...Frame ....................................... ............................................................................. Plot ............................ Lot ................................ Permit Granted .....Nov.ember. ....3.0...,,,,19 8 2 Noff.emb.er.... , Date of Inspection ....................................19 Date Completed ......................................19