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HomeMy WebLinkAbout0064 KILKORE DRIVE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 02: Parcel Application # O 7 Health Division Date Issued 17 Conservation Division Application Fee Planning Dept. Permit Feed < < Zl) Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address lLkd/LG Village Owner` & A6ac r % ima i i 12 ` i S �o� l A,*r_-b • Telephone 1rlwyc,�1� Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing 761 proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size i tare Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes Flo On Old King's Highway: •❑Yes L;kNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other _ Basement Finished Area (sq.ft.) Basement Unfinished Area (sari ci i 9 Number of Baths: Full: existing new Half: existing - neWn Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roo Count Heat Type and Fuel: IXGas ❑ Oil ❑ Electric ❑ Other Central Air: l(Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed; ❑ existing ❑ new size _ Other: Zoning Boar"f Appeals Authorization ❑ Appeal # Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use � �r�r„ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 57YEY4�_VO f 7 Address ,�,, � � Gil. License # r-S U/Z Home Improvement Contractor# d Worker's Compensation # Q1C S �315/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO < (o %1_/49 SIGNATURE 1111WIA14 DATE r 4 FOR OFFICIAL USE ONLY r ; APPLICATION# DATE ISSUED MAP/PARCEL NO. 'r. r G ADDRESS VILLAGE t OWNER Y 'r DATE OF INSPECTION: FOUNDATION„ r: r FRAME INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. .i The Commonwealth of Massachusetts , Department of Industrial Accidents u Office of Investigations 600,Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): L.PICt19���t���U11,1�IY1G Address: 13 '19&-1k FV L, UV. City/State/Zip: 66-N I e . at 00 G 3 S Phone#: Sib -qM- yD p- Are you an employer?Check the appropriate box: Type of project(required): 1.N 1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance. -9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their ❑ 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees. [No workers' comp.insurance required.] 13.❑ Other *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. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �1'%tmn4 lIN(t7W16 L Policy#or Self-ins.Lic.#: WL ail 5 3bq 11 '] ®IZ Expiration Date: Z 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 D1A for insuranc coverage verification. 1 do by erti tur under e p ns nd penal 'es of perjury that the information provided above is true and correct. 1 lL Si nae: . Date: Phone#: y 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#: ® CERTIFICATE OF LIABILITY INSURANCE 11 DATE(MM1D°IYYYY) ACORN THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LEONARD INSURANCE AGENCY INC CONTACT NAME: 683 MAIN STREET ---- OSTERVILLE. MA 02655 PHONE fAIC.No.Ext: I FAX WC,No): E-MAIL ADDRESS: _ INSURER(S)AFFORDING COVERAGE �' NAIC# _ INSURER A: LibeU Insurance Corporation INSURED INSURER B: I LAGADINOS BUILDING &DESIGN INC 13 THANKFUL LANE INSURERC: COTUIT MA 02635 INSURER D: ! INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 16152242 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR' j POLICY EFF POLICY EXP I LIMITS LTR I I POLICY NUMBER MMIDD/YYYY MMIDD/YYYY '1 GENERAL LIABILITY I + } EACH OCCURRENCE Is + } DAMAGE TO RENTED h^COMMERCIAL GENERAL LIABILITY I( j. I PREMISES Ea occurrence $. CLAIMS-MADE U OCCUR I I - - I MED EXP(Any one person) I$. PERSONAL&ADV INJURY $ J I GENERAL AGGREGATE is GEN'L AGGREGATE LIMIT APPLIES PER: - I!POLICY PRO- LOC PRODUCTS-COMP/OP AGG� $ ( — . is i AUTOMOBILE LIABILITY l - - !COMBINED SINGLE LIMIT _ x - I. (Ea accident) _ Is _---- I i ANY AUTO ) - i I BODILY INJURY(Per person) j$ ALL OWNED SCHEDULEDBODILY INJURY(Per accident) �_J AUTOS $ AUTOS t NON-OWNED + I i I PROPERTY DAMAGE HIRED AUTOS i AUTOS { - { Per accident $ I I { r is , i JI Is I UMBRELLA LIAB = OCCUR i i( I I - EACH OCCURRENCE ($ EXCESS LIAB CLAIMS-MADE ( - I AGGREGATE I$ ._J DED --1 RETENTION$ i ; " I - is 4 i $ WORKERS COMPENSATION LIWC STATU- 0jji- A i �WC5-31 S-384117-013 1/2/2013 1/2/2014 I TORY MIT$ tK AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN _ E.L.EACH ACCIDENT $ 500000 OFRCER/MEMBEREXCLUDED? ❑N IN-/A( (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ 500000 If yes,describe under i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 I I i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101.Additional Remarks Schedule,if more space is required) - Workers compensation insurance coverage applies only to the workers Compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN 200 (MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 ` AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD RT NG.: 161"-242, CLIENT C E: 157 989 Anne Chan 4/26 2013 5��6:0.6 AN P e i of,� ftis cerLi`,cate cance�l°s ands supersedes �L pr�viousTy issued certificates. - / Massachusetts -Department of Pubkc Safety G: Board of,Building Regulations and Standards Construction Supervisor � _ License: CS-012653 13 THANKFUL JIC 1[N v Expiration �Ommissioner - 07/16/2015 ' • - M1 I t Office of Consumer Affairs and Business Regulation 01 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 _ Home Improvement Contractor Registration Registration: 104804 Type: Private Corporation f Expiration: 7/15/2014 Tr# 226379 LAGADINOS BUILDING & DESIGN,;'1N:C Nicholas Lagadinos 13 Thankful Lane �r Cotuit, MA 02635 pdate Address and return card.Mark reason for change. []3CA 1 i5 20M-05/11 Address Renewal: ElEmployment Lost Card CgIe Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: E egistration: .;104804 Type: Office of Consumer Affairs and Business Regulation - xpiration:--7./1;5120-1-4, Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 021.16 AGA INOS BUILDING&-;D;ESIGN`1NC S Nicholas Lagadinos 13 Thankful Lane :otuit,MA 02635 - Undersecretary g — Not vat; witho signature / r r RA MABL8, , 639. Town of Barnstable Regulatory Services Thomas F.Geiler, Director Building Division Thomas Ferry,CBO- Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, acmuz5' Mj+11 tld,l'Ak(a let C , as Owner of the subject property he.rebv authorize M(('.( � US to act on my behalf, in all matters relative to work authorized by this building permit application for: D/Z• 1aWN1 l (Address of Job) /1L Si re (_honer -- Print Name If Property Owner is applying for permit.please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 REScheck Software Version 4.5.0 Compliance - Certificate Project Malaroudakis Home Energy Code: 2009 IECC Location: Hyannis, Massachusetts Construction Type: Single-family Project Type: Alteration' , Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 64 Kilkore Rd. Nick Lagadinos Lagadinos Building and Design Inc. Hyannis, MA 02601 Lagadinos Building and Design Inc. 13 Thankful Lane Cotuit, MA 02635 508-428-4097 lagcon@capecod.net. Compliance: Compliance: 0.0%Better Than Code Maximum UA: 16 Your UA: 16 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 250 38.0 0.0 0.030 8 Wall 1:Wood Frame, 16"o.c. 96 21.0 0.0 0.057 5 Window 1:Wood Frame:Double Pane with Low-E 9' 0.280 3 Compliance Statement: The proposed building design described here is consistent ' h the building plans, specifications,and other calculations submitted with the permit application.The propo building has bee d igned to mee the 2009 IECC requirements in REScheck Version 4.5.0 and to comply with the mandatory Irements list d in he EScheck Ins ction Checklist. Name-Title ign u e Date Project Title: Malaroudakis Home Report date: 12/02/13 Data filename: C:\Users\Nick\Documents\REScheck\Malaroudakis Dormer.rck Page 1 of 1 Revisions: Date: T011"'N'OF FARM T HE o Oxx � LL E,r�,T�er1.. _li.:ii:.Y Q O 4 cu 9_<8. — Q 0-57• .-BS' 2-7j- _. 1a'-03' T-21b 3'-2' 3'-2' 11 7'-0�' wex.. - _ U o�wr 0 O c CID BA 9'-j $ _ Attic Storage Ply—W Fb Rough I OFFICE F—iN a I anwn 228 aQn _ oI' s—� a, —_--_—_8--_---- —OFFICE wn aan ----------—----— F•ul ICE s. smaaga � s _FT -- - WING AREA 1m 0-5j' 3-61' 1e— Cu Q Proposed Second Floor U N O ^L Drawn By: NAL Date:12-01-2013 Scale:1/4—1' , Sheet: ... A-2 Revisions: Date: xwy. U tT LL C C_ �.. w,.e:..«...m ...r..m....r,..r.rrwn...r. 0 C C . CO O CD �o 7 rn 3 aA.. NO v,oaem (Q 'oe CM > H Existing House E CO CU CL . Section C-C . _ D—n'Byi`NAL _ t Data:12-01-2013 Scale:114'=V Sheet S-1 Revisions: Date: r U N Q � i C N C LL _ r y/ ( O 0 4 O E v c Existing House Proposed Existing House o New Donner 29141/8' 70'-0' -7 Q 20'-5 3/4' 8'-10 3/8" 12'-5 5/8" 14'-0 1/2" 14'-1 3/4- m U Cl) E I ---11'-7 3l4'�4'-4' 1$7'-2 3/8- " 0 U� m J Storege _ - - 0 E - BATH '? � in •�„ re ea n Unfinished 29'-31/4• -Attic storage Plywood Floor Rough .. - 0 OFFICE Framing -^ zo]sort 56a sa n y N car w p YN '- .-0- � 4 OFFICE r-Q. - no can _ .q - U Q StorageQ N storage - 12 san LIVING AREA N M.'s Y 20--5 3/4" '-8 1/ 18'-0'- W-o" W-T Q Existing Second Floor ICU (D Drawn By: NAL - - 6ate:12-01-2013 - - Scale:114"=1' Sheet:. A-2 J Revisions: Date: m e c r , U N C m O • V/ � IL 2r-0• v ' 4'-3 1/2' 4'-0• _ 24'-0 12' N R 44' T3' 44' � X to m 0) C N N N � 0 n F-7 Q re..a FAMILY m to ., � C 0 O C = 9 Jcp---- MASTER BATH c 25'-0• W as 3 U• h d --j 3 00 r as 00 GARAGE GARAGE" U BEDROOM(�yJJ 1T-81/2' n9.an 279,q n- c a 9r Se ffi• • I I v LIVING (n zm c9 n MASTER BDRM 0 369 cp n - - - �+ BEDROOM ga�n BEDROOM r 0 Ill 1/2' 12'1' 3.4• 1 ING AREA 16-0' 7-0• 7-0• r-01 T-0 Cu 8'-3 12• '4- 9'-9' - '-7 1/ - —18•-0• _ 14'1' 14'-0'- Existing First Floor o d No work on First Floor " Drawn By: NAL ' - - - - Date:12-01-2013 . - Scale:1/4—1. Sheet: A-1 ' Revisions: Date: 0 U m _ C C 1 = _ � C O � CO D --- — �a a m E 3 U) o C 2 .� C ECu x Left Side Elevation u U E Cu - _ Cu O O Q- Right Side Elevation • - Drawn By: NAL' Date:12-01-2013 Scale:1/4'=1. d - Sheet E-3 - - Revisions: Date: U m u C c � F C N o 0 Qm y N 0 D c c ca o 1T I o °p Q E m to 0 • .. Existing House New Dormer 0 0 4 waa.vw rrr.a fD 0) 7 Existing House a U w��se caaswpw ... . TMI ... .................M�� - E N _ - ICU .0 Proposed Rear Elevation U N - R Drawn BY: NAL + r - Date:12-01-2013 - ' Scale:1/4'=1' Sheet E-2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map -�L Parcel � b Application# Quo ( 7 SQ_- Health Division Date Issued Z.. Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board p� Historic - OKH _ Preservation/Hyannis I Project Street Address dw 7 Village 111 Owner 12.( Address RWA 44AV. S Telephone ` — _7 5 Permit Request ` kAn 124- X%"�e l 02biiAa Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5700o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other N Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing lb/coal s` e: ;RYes b No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn '+ existinga�'❑ riv size_ 3 s 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 Telephone Number 608-crKLY1 �"' Address / License # L' S- �c i ja. /PLC fo2���- Home Improvement Contractor# Worker's Compensation # V Vr oil GA 9b 12bt�. ALL CONSTRUCTIO DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Mg _a SIGNATURE DATE n 9© I / i FOR OFFICIAL USE ONLY i ,APPLICATION# DATE ISSUED MAP/PARCEL NO. _ . 4 t ADDRESS VILLAGE OWNER i t DATE OF INSPECTION: } FOUNDATION i FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL z PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E DATE CLOSED OUT "°•' `� = u Y 3 .L.su ASSOCIATION PLAN NO. S The Commonwealth of Massachusetts T \� rA Department of Industrial Accidents . Office of Investigadons 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibiy 'Name(Busmess/Org niza ion/EadMdua! : , .__.. .Address:. � _(� . 0 City/State/Zip: Phone M Are you an employer?Check the appropriate box: 1.ElI am a employer with 4• ❑ I am a general contractor and I Type of project(required), ZI employees(full and/or part-time),* have hired the sub-contractors 6, ❑New construction 2. am a sole proprietor or partner- listed on the attached sheet 7. [ emodeling ship and have no employees These sub-contractors have g„ ❑Demolition working for me in any capacity. employees and have workers' co # 9. El Building addition [No workers' Comp.in�irrance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their - 11.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required.]t ' c. 152, §1(4), and we have no 12.❑Roof repairs employees. [No workers' 13.0 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• 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: ATM M10 at Policy#or Self-ins.Lic.#: �(�'�(�� `�)1 b 12 Expiration Date: O� 2 — f Job Site Address:� 1��\\y i ,Q „ �� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy num er and expiration date). Failure to secure cover e 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 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 y against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of e DIA for ins co , verification. I do hereby c fy under the pains alties •f perjury that the information provided above is true and correct. Signature: Date: Phone#: J a i :xw b�-cir c c or rown ol]zca 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#: I 1z, 1/1/2012 Time: 9: 29 AM To : Town of Barnstable @ 1508790,6230 Page: 001 DATE-(MMIDDIYYYY) ro CERTIFICATE OF LIABILITY INSURANCE 10i30i2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES .NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE"HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Paula Cocchi, AAI, CIC NAME: Burgin, Platner, Hurley Insurance Agency, LLC PHOAICNE (617)472-3000 AICFAX No: (611)47.2-7248 14 Franklin St. E-MAIL .pc@bphins.com AD INSURER(S)AFFORDING COVERAGE - NAIC# Quincy MA 02169 INSURERA:Safety Insurance Co. 39454 INSURED - - _ INSURER B'JUM Mutual Insurance Company Gould Home Repair & Maintenance_ INSURER C Kevin Gould d/b/a INSURERD i 15 Yearling Run Road INSURERE:' Bournedale MA 02532 INSURER F: - COVERAGES CERTIFICATE NUMBER:2012-13 MSTR NO A/I REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE - DDL SUB -POLICY NUMBER POLICY EFF MPOOL ICY EXP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ _. 300,000 DAMAGE TO RENTEDZOO OOO X COMMERCIAL GENERAL LIABILITY- - PREMISES Ea occurrence $ r A CLAIMS-MADE a OCCUR N N P00005370 /23/2012 /23/2013 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 300,000 I GENERAL AGGREGATE . $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $" 300,000 X POLICY JE C -LOC $ AUTOMOBILE LIABILITY - - _ - COMBINED SINGLELIMIT Ea accident) ccident ANY AUTO - - _ BODILY INJURY(Per person) $ ALL OWNED SCHEDULED { - BODILY INJURY(Per accident) $ A - AUTOS DIVED - PROPERTY DAMAGE.- $ , HIRED AUTOS AUTOS Per accident) $ UMBRELLA LIAR - OCCUR - .EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION N vin Gould Excluded X RY LAMITS OTH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE� NIA - - _ - E.L'F�4CH ACC IDENT - $ 100 000 OFFICERIMEMBER EXCLUDED? 6011619012012 - /19/2012 /19/2013 (Mandatory in NH) - - _ , E.L.DISEASE-EA EMPLOYE $ 100 000, .If yes,describe under - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 500 000. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Job: Kitchen Renovations. @ 54 Kilfor Dr. , Hyannis, MA; Operations Usual to Insured; C�FICATE HOLDER CANCELLATION (508)79'0-62-30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Attn: , Tom Perry-Bldg.Coxtttm 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 Prendergast CPCU CL ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All"rights reserved. INS025(201005).01 The ACORD name and logo are registered marks'of ACORD it ✓rie '(�aminzanuse� �•/�aaaac,..�: Office of Consumer Affairs&Bus�gess Regula HOME IMPROVEMENT CONTRACTOR' Registration '715729.4 Ty ` 13 DBA �za io`�s _ y, Exp�ra �. 4 - GOULD REMODELING HOME II+APROVEMENT KEVIN GOULD I - 15 YEARLING RUN RD ft ` I30URNEDALE._MA 02532 Up�etsszcreta,} Massachusetts'_ --- - -- Department of Public Safety Board of Building Regulations and Standards Construction Super itio License: CS-102272 JaVIN E GOULD 15 YEARLING RIIN ROAD BOURNE MA 02332 = . ao - Commissioner Expiration 06/24/2014 - I! V ;; •� o�,o Town of Barnstable { Regulatory Services yKAS& Thomas F.Geiler,Director . �p s6gq. �0 rFn► ►+" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I, e.O �/ � �� �� � "� , as Owner of the subject property hereby authorize 'i /`'e(J1�vl• act on my behalf, in all matters relative to work authorized by this building permit . (Address of Job) Pool fences and alarms are the ibili ons resp tY e applicant.of the Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 7 e of Sknatute of App cant Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 i 1 t� Town of Barnstable ram, Regulatory Services �Rxsrests Thomas F.Geiler,Director nsnss. 94, 1639• ,�� Building Division ArED µA'1 a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street 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. f 1, DEFINITION OF.HOMEOWNER Person(s)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 homeowner. Such "homeowner"shall submit to,the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner l\ t Approval of Building Official PP 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 section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:forms:homeexempt p�TMtTp TOWN OF BARNSTABLE 32819 .Permit No................. ' BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 61p• a. �">tor►r HYANNIS.MASS.02601 Bond ...... ' CERTIFICATE OF USE AND OCCUPANCY Issued to Greenbrier Corp. Address Lot #21 '64 Kilkore Drive Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. ...... June..12........., 19......$9....... . .. ........ ....enm.e,.. Building Inspector ,.Assesssws offioe (1st floor): THE 0 Assessor's map and lot 'number C�� F T f Q..� ¢ Board of Health (3rd floor): Sewa a Permit number ....................... ......... BABd3TODLE, Engineering'Department (3rd'floor): a 'o rasa House number 6 y - o�1639. \0� .. � ` APPLICATIONS PROCESSED 8:30-9:30 A. -anif 1:00-2.00c P.M ,only r OF B�A•RNSTABLE,TOWN M BUILDING : INSPECTOR *. n • j •. C APPLICATION FOR PERMIT TO ....:.... 'N v Srr.UC.. "O.e TYPE OF; CONSTRUCTION .....5.�""_C.0 ���r��-` . ...:t^'t��� 4zp`Z .................... ........ ... C9.Ll TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information::; ' Location ,E 4) /Jy12A/^-, S f................................................g. ....... ................ ... ProposedUse .. ............................................................ ....... ...... ..... ......................Zoning District .......... ..•........••• ............................ ...........Fire District '...........................................:.........:•......:... .:> Name of Owner �rrZL ,f�KdC� � P?.f�. t3O�f 5/v eF.vTi`Xv.z'tL ......... ............................ ...............Address .............. Name of Builder ��' C� ................:............:Address .....S.f' C� .............. .................................. ................................... Nameof Architect ..................................................................Address ...:.................................,.............................................. Number of Rooms .......................... j7ouszea� t'o,,�ICA iF .........................Foundation .:.. ....... Exlerior .......C'c/J s Roofing l,.oL'T Floors C c'f ✓! v ' ....................��............�........... .. .................................Interior Ssr�K.dLiL- Heating .....�.w ........ ins Plumbing'....... ..... ! . . .....:...:...............................:.:........... v `�. ......................................... .Ar Fireplace ...........:...........................................:......................... pproxi mate:Cos .Y5 on ez ----19 = ..../ :.. Definitive Plan Approved by Planning Board __________ _ ---------- Area (.� Diagram of Lot and Building with Dimensions Feef.. .`� !v - SUBJECT TO APPROVAL OF BOARD OF HEALTH f? 2' 1. ,yY x - x a V-76 � �!� • s i - • 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. , Name .. .W .... ............................................... Construction ,Supervisor's License .................................... GREENBRIER CORP. A.281,9.: Permit for .......... a 's.ing.he—F.ami.ly...Dxe. ]..i,Ia.g. ......... location .Lot 21, 64 • Kilkore Drive ; ................... ........................................... IL Owner ......Greenbrier Corp. .......r............. F Type of Construction `...Frame... .:................ 4 " ...................................•................. .... ......... ` w. .. « • • •• ' ' ' `. Plot ...... .......... .... Lot ............................. '•_ Permit rGra°need Apr i-I...21::,. ...'........19 89 �- C Date` of Inspection' .. .............. ` ....' 19 Date Completed . ........ .....l19 N w E DRAINAGE EASEMENT LOT 22 \ 12 00` 36. 6' N C; ti Y ~ -_j O � N � � � I LOT 21 v I 15,000s_ f. a 120 00' v LOT 20 1 4 17 89 INITIAL ISSUE CF NO. DATE DESCRIPTION I BY AS—BUILT FOUNDATION PLAN—LOT 21 WHITEHALL ESTATES PHASE 2 of BARNSTABLE. MASSACHUSETTS FW GREENBRIER CORPORATION I CERTIFY THAT THE FOUNDATION PAULA. SCALE: 1" = 50' JOB NO. 1398 Saga—:, LEVY y 0 50 100 SHOWN ON THIS PLAN IS LOCAT u No. 10617 ON THE GROUND TED. Ir h�,%ST , S u LEVY, ELDREDGE do TAGNER ASSOCIAM INC. ATE' REGISTER D AND SURVEYOR uum unscmtav= P1 unsangs 889 HEST VAIN STREET CENTERVn 2 VA 02632 LXIA �ssess=s offioe (1st floor): V Assessor's map and lot number .................'�........`...��...G¢. �� �oFTNE>o�,♦ Board of Health (3rd floor): C-' Sewage Permit number ' Engineering Department (3rd floor): t vo VAX& House number " f s, 3 `0 APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......C'u^iS-rruc-r l ((—z N6r, ...........................:.................................................................... TYPE OF CONSTRUCTION 5 ^'�� j �'i''`'��`� c. '�'�� . ..... ..d. ..... ............ .. (.............................. .............1....%.��,....................... .y.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Z 0 t 0 / ° k# ( - 1) E: , A/y/J-viv1.3 - . Location .............................i................................................/............... ....................................................................................... Proposed Use . S i.... .. . r..S 7 1111 ZoningDistrict ............... ......................................................Fire District .............................................................................. �*it(-Fwx K ,ex- e u'P ................Address ....Pr.6`:.. 5.�v '(�Fwi Kk v t t,i Name of Owner ........................... .. ..............:................................................. Name of Builder S�'`r��r Address ..... ✓''`�tr ................................................. .......................................................................... Nameof Architect ..........+......................................................Address .......:............................................................................. Number of Rooms ..................................................................Foundation (:r�N,,Cr4C s!- . .... .................................... Exterior ......... . ... . .......... .........�5 i.+n.L.T.i.............. .............................. ..................Roofing .:. ................................... Floors C� n��' t 1-v t SNt�zi �ZOC.- � ...................................... . ......................................Interior ........................................................ Heating .w� .......� ........Gins..................................Plumbing ........�.s...9"1 /1 ....................................................... "515;ram, � Fireplace ......:':.: ....................................................................Approximate Cost ....... .V. ....................................................... Definitive Plan Approved by Planning Board ------------g_`_�._________19 ( s Area Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH.41 w GP)f/�l� (iyx � r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and;,Regulati.ons of the Town of Barnstable regarding the above construction. Name ...(. .... ....�'e ............... Construction Supervisor's Licensel0..{. �7 .... . ........................... GREENBRIER CORP. A=272-005-005 No ...3.2.8.1,9.. Permit for ...... ....... .......Sin.gle...Yamily. ..Zlwellizg......... Location ....LQt...21.........6.4...Ki.1ko-re—Drive ...................HY C-M rl i.S.............. .......................... Owner ....Greenbrlfar 'Orp...................... Type of Construction ....Fraxae......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......Apri-1...2.1.............19 89 Date of Inspection ....................................19 Date Completed ......................................19 �04P 1111,90 - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7.7Z Parcel (L 4�S "_ Permit# 4 7 G �1• Health Division Sri3pQ7 -?)3q p Date sued a Conservation Division 4,FeTax Collector �-T OrRMASEWER ' Treasurer CONNECTION PERMIT FROM TAE anning Dept. t F to ENGINEERING.7�DIMONPFtORTo Pla nning _ O CONSTRUCTIA r Date Definitive Plan Approved_by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Lo 2 P, Village n1n Owner o MaLh � ` Address (e 9 �L i!�(a rze. kJ Telephone ! 77S- S-937 1414 ;v1n�e, WI 14 OZG,0 Permit Request d Z u c , , t-orm 0c4t&`A4 'Qeyht. /S x4 '� ` 4900hOX-M �lz� 6AlU X Z7� �u �� +- a� N +5� ra -c� . 17GP�WIet� t �i n�s� Zv�c� vuQ Square feet: 1st floor: existing 6& proposed °N_ 2nd floor: existing qn1 . proposed Total new F .. Estimated Project Cost OtT(,. Zoning District Flood Plain Groundwater Overlay Construction Type -6t 0Vd____ , Lot Size 5 Grandfathered:,0 Yes ❑No If yes, attach supporting documentation. ' Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure - Historic House: ❑Yes' gNo On Old King's Highway: ❑Yes Pf No Basement Type: LA Full ❑Crawl . ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z- new Z• _ Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing J new First Floor Room Count 6 Heat Type and Fuel: O Gas ' ❑Oil ❑Electric 0 Other Central Air: Uv Yes, ❑No Fireplaces: Existing — New l Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: O existing 0 new size Barn:❑existing, 0 new size Attached garage:O existing 94 new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yeses O(Vo If yes,site:plan review# Current Use Proposed Use BUILDER INFORMATION Name ( I I EY2 C Telephone Number Address License# 017 [a S.� �°(J-7/!.l_ ✓1'1 f`} DZ/ Home Improvement Contractor# lU 80l Worker's Compensation# Nl� S'S/o 7 f ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO /Z !%V01 SIGN R ��t DATE _ Zd ` FOR OFFICIAL USE ONLY - PERMIT NO. DATE ISSUED MAP)PARCEL NO t .. �. _} . _ ' ' ,• �. _• -, _ r - - � - `' '� .' ` f K tADDRESS. VILLAGE - A 3 _ _ 4 OWNER , DATE OF INSPECTION: , FOUNDATION )>/ fad Al.os"C %c :. r FRAME f ;z AdA7 ��� v 3 O '• INSULATION 6 -,ys o S ;Z i. FIREPLACE � } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH, FINAL GAS: ROUGH�c,.".`- FINAL' FINAL BUILDING 1Z1�? DATE CLOSED.OUT �, ASSOCIATION PLAN NO. _ l �, �_� ✓fie iilainirreo�zurea�i o�.,/�aaaaclauae%ra ` y I t� BOARD-OF BUILDING REGULATIONS q License: CONSTRUCTION SUPERVISOR 1 ' a Number GCS 012653 i Birthdate 07M16/,1954 4 /-1 i � I Expires 07/1672005 Tr.no: 13400 pu - f Restr�cteii NICMOLAS.A LAGADIIOS ,:�" 13 THANKFUL LANE, 'i .i CQTULT, MA 02635'"; 'f Administrator ".`=t. • - � <'lze �o7.znao�.zurealt/z a�/f/�aaactc/zuaelta __ ___ -- 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: Registration 1 4804 Board of Building Regulations and Standards �--p l{expiration /2004 One Ashburton Place Rm 1301 f ( � Boston,Ma.02108 IMf Y�c .P'riVale Corporation - Y LAGADINOS BUILDINGIF&DESION NiNolas Lagadihos- ?-_NYj,,/ 13 Thankful Lane ~ d Cotuit, MA 02635 �qjmnature _� Not vali witb i as. f. I , -�- The Town of Barnstable • RA l,$ Department of Health Safety and Environmental Services * Building Division 367 Main Street,'Hyannis MA 026o1 I I Office: 508 7%-6227 Ralph Crossen Fax: 508-775-3344 Building Qmmissioner For office use only • i i Permit no. Date I AFFIDAVIT HOME I YWROVEMENT CONTRACTOR LAW i SUPPLEMENT TO MRNIIT APPLICATION MGL c. 142A requires that the"reeotr_struction•alteration,rmwation,mpair,modernization,=nmerdcm, itmpr rvement, removal, demolition, or construction of an addition to any pro-existing owner ooapied building containing at least one but not more than four dwelling units or to smx ures whicl4 are adjacent i to such residence or building be done by registered contradots,with certain caoccoons,along with other Type of Work.ACV 14,.A Est-Cost—Z&—_D0 Address of Work:^A_I�1 Owner Name: Cr° - ►,I aj 112 r,0 t)d 2,1L I S Date of Permit Applkaticn: /7& 2 I hereby cenifv that: �T Registration is nat required for the following rrason(s): Work excluded by law Job under S 1,000 Building not cwntY-0ccupiod O WT,=pulling 0-0v a pe' m Notice is hereby givrm that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERFD CONTRACTORS FOR APPLICABLE HOME rWROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY f I hcrebv apply for a permit as the agent of the ou-ner: 71z-v Q 3 J` h, 1.*►9i�I V1 as Date Contractor name . Registration No. OR I Date Owner's game i i The Commonwealth of Massachusetts i - (; Department of Industrial Accidents � Mceol/nvestiMfgas 600 Washington Street R= Boston Mass. 02 111 `r Workers' Compensation Insurance Affidavit _ 1 �nnitcant_m armatton: - %.�....�:•�' '� ease:RR =]esstblv.: .,�::�-: ---� : - _ ~-�,:�,;::� �w� _ name: location: city si tone T I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ry-1 I am an employer providing workers' compensation for my employees working on this job. r com]22nv name: f>/L address: tiny: t111(j.jr 'iKll V[ &IE Phone# insurance c — olio # 6 I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address: cih phone#• insurance co policy# comn'tnv name, address- city- phone#: insurance co. oolicv# -��7�-;r•;-e-_��...�....��_ .r err Attach add_tnonaf sheet if necess_a� :� :: : Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SIS00.00 and/or one years'imprisonment as Nell 25 civil penalties in the form of a STOP WORT:ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be for%arded to the Once of Investigations of the DIA for coverage verification. 1 do her c rtifi,unde he a s and penalties of perjury that the information provided above is true and correct. Signature 0, Date 17Fy�/� Print name I 4 G /� Phonc o official use only do not N rite in this area to be completed by city or town of 621 1 cit or town: permit/liccnse# rlBuilding,Department 01-icensine Board ! check if immediate response is required C]Selectmen's Office { Health Department{ contact person: phone#,. rjOther I - Irnnnl i NA 1 i ............... ...........I........................................................................................................................... .......................................... FROM ED LUKASZEWICZ CANTON,MA. PHONE NO. 781 575 0118 Dec. 10-19?0 18:36PM P1 page[Ot: ro-�.N ck LaSaeno7 Si)o 42r-77JJ To FaK*503775.id37 Oat,'712rMW5 Tire 3 GE:03 MA �. Town of Barnstable Regulatory Services s�stKsrasr�.�. . 7hoat�F.Gefler,blrottor Buliding Division Tom Parry, Sulking Cansnts mer 200 burn Sweet, layrarntis,MA 02601 Office: 509-862-4038 Pax: 508-190-4230 Property Owner Must Complete and Sign This Section If Using A Builder I, . Me11A�egu 4,/,a r._ >sus 0vmet of dke mbjaetpropert7 hereby auth _-,&4,edL to act on my behalf, in at,matters z&6ve to work authorized by this btugdiug pexmit.application for: (Address of Job) ` o er Dace ' �ratu�r��ocaa�sroN 1 Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheckSoftware Version 3.4 Release la Data filename: C:\Program Files\Check\MECcheck\Mallaroudakis.cck TITLE: Mallaroudakis Home CITY: Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 07/28/03 DATE OF PLANS: July 16,2003 PROJECT INFORMATION: Mallaroudakis Home 64 Kilkore Rd. Hyannis,MA 02601 COMPANY INFORMATION: Lagadinos Building and Design Inc. 13 Thankful Lane Cotuit,MA 02635 COMPLIANCE:Passes Maximum UA=571 Your Home=540 5.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Wall 1: Wood Frame, 16"o.c. 1948 11.0 0.0 153 Window 1: Wood Frame:Double Pane with Low-E 227 0.360 82 Ceiling 1: Flat Ceiling or Scissor Truss 1600 30.0 0.0 54 Skylight 1: Wood Frame:Double Pane with Low-E 20 0.410 8 Skylight 2: Wood Frame:Double Pane with Low-E 31 0.410 13 Ceiling 2: Cathedral Ceiling(no attic)- 200 30.0 0.0 7 Ceiling 3: Cathedral Ceiling(no attic) 500 30.0 0.0 17 Wall 2: Wood Frame, 16"o.c. 897 13.0 0.0 70 Window 2: Wood Frame:Double Pane with Low-E 41 0.360 15 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1780 19.0 0.0 84 Floor 2: Slab-On-Grade:Heated, 5.0'insul. 57 14.5 37 Furnace 1:Forced Hot Air, 82 AFUE Air Conditioner 1: Electric Central Air, 10 SEER 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 Massachusetts Energy Code requirements in MECcheckVersion 3.4 Release la and to comply with the mandatory requirements listed in the MECcheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found i the Code. The HV quipment selected to heat or cool the building shall be no greater than 125%of the design load as e fie in Sec ns 7 OC 1310 an J4.4. c/ Builder/Designe Date G-LA, DI 11,111 -01 BUILDING DESIGN 13 Thankful Lane Cotuit,MA 02635 INC. 508-428-4097 Fax 508-428-7709 July 28, 2003z Barnstable Building Dept. Re: Mallaroudakis Home 64 Kilkore Dr. Hyannis 1 st Floor Walls 254 L.F. @ 7' 8" 1948 s.f. 1 st. Floor Ceiling 2200s.f. 2nd Floor Walls 117 l.f. @ 7'8" 897 s.f. 2"d floor Ceiling 757 s.f. Windows Mfg. Size No. S.F. each U-Val, Total S.F. Floor 1 Pella 2141-3 - 1 18.92 0.36, d 18.92 Pella 2957 16 11.93 0.36 190.90 Pella 2941 2 8.63 0.36- 17,25 0.00 Total First Floor Windows 227.06 2nd Floor 0.00 0.00 Pella 2957 2 11.93 0.36 23.86 Pella 2941 2 8.63 0.36 17.25 Pella 0.00 0.00 Total Second Floor Windows 41.11 0.00 Skylights VS304 3 10.484375 0.41 31.45 VS306 2 9.81 0.41 19.61 Total Skylights 51.06 0.00 Doors 0.00 Pella FWG 6068 2 40.80 0.36 81.59 Thermatru 3068 1 21.64 0.17 21.64 a: Thermatru 2868 1. = 19.36 0.16 19.36 Total Doors _ 122.59 ! N G � E I w E I ` I i DRAINAGE i EASEMENT i LOT 22 is ` �2 00` 36 o o Y � N O*; O ^ (0 O J I LO N i LOT 21 vC) 15,OOOs.f. a. 20.00, Q v LOT 20 1 . �I I I , i i i 1 447E 9 INITIAL ISSUE Cf i NO. DESCRLPiION gy AS—BUILT FOUNDATION PLAN—LOT 21 WHITEHALL ESTATES PHASE. 2 1 M BARNSTABLE, MASSACHUSETTS , p�tHo GREENBRIER CORPORATION PAUL A. y\ SCALE 1 = 50• JOB NO. 1398/f�as—tt I CERTIFY THAT THE FOUNDATION SHOWN ON THIS PLAN IS LOCAT y 0 50 100 No. 10617 ON THE GROUND TED. ,o STr� a IM,, EORME & 'FAGRR MOCIAM INC. D E REGISTER D AND SURVEYOR gum WZMM= nuum L mnemys 889 WEST UAIN STREET CENMVE f p ILA 02632 i .0 .S RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE God New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE a 7 square feet x$96/sq.foot=°/ l e9�2N x.0031= plus from below(if applicable) _ ALTERATIONS/RENOVATIONS OF EXISTING SPACE a s�� �G 3Sy_square feet x$64/sq. foot= � x.0031= plus from below(if applicable) GARAGES(attached&detached) —70 square feet x$32/sq. ft. © x.0031= c2 ACCESSORY STRUCTURE>120 sq.ft. r >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 . >1500 sf-Same as new building permit; a square feet x$96/sq.foot= x.0031= STAND ALONE PERMITSE - Open Porch x$3000= _ (number) Deck x$30.00 (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool, $60.00 '} Alove9Ground Swimming Pool t $25.00 Relocation/Moving. �'w $150.00 (plus above if applicable) y Permit Fee y's projcost n 60 L-BZ"09 Xed L60"Z"09'101 SON VW'1!nloo auel InPlueyl g� 6uiPpow8a'suoi;ippV'sawoH wo;sno z a aouapisa�j si�epnoje11en :Ioafad' m cn •oul ubisaa pue buippq souipebel t T IL a 0 a 0 IL �C 03 7 O (D - AZL Sl 29'P.44 N N v 8 N a c9 o n'Q W o rn H N r C) w N O L 0 OU') - m c o y AZL— SMOKE DETECTORS O.K. Revisions: Date: kOJ f,,/ Aff7 SARNSTABLg PUILE)NP PEPT: p�?roNt?L #,f,1TS cb c .D tT o rn o O c of m o tm a o • c :3 00 E to o o x m o m � U w J a000 _=- o�❑a Proposed Addition •. .Proposed Addition _r - Existing Front Elevation _ E O a Proposed Front Elevation_ Y ca L , ca NEW SMOKE DETECTOR REQUIREMENTS 2. ARE NOW LAW. EVEN THE ADDITION OF A , NEW BEDROOM WILL TRIGGER AN (D` UPGRADE OF THE SMOKE DETECTORS 0- FOR THE WHOLE HOUSE. YOU MUST - PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE PERMIT AT THE FIRE DEPARTMENT. Dawn By. NA-L Data:07-16-03 Scale:1/4'=1' Sheet E-1 .,. - Revisions: Date: c V m C Y — o C � - G m 96 Family Room Addition Future Sunroom Foundation E 9 ) ICUN - -)-°• 0) C —————————— ——————— '0 0 o r ------------� L--————� I Q I I I I m rn CD o I I o o m f 4 ft.foundation with Slab I 4 Ft Foundation With Slab———— — , — I I SLAB I SLAB I _0 E I.I I I I I .09„n x I I 220 n 0)cu 16 I CU U - -�-,- I LJ L—"------- I--------=----J L-----J —--- - - -� �� •L_c___ ---- --- F- 1 NEW B FT.BASEMENT L I -.FOUNDATION SLAB E III II I III x C 4 ft-foudatnwGARAG th Slab ��L- EXISTING BASEMENT, '0(aD� �II � II Inl. II _ II � - I I G7) I Ir I I. _ m I I � le v, I L----- —� I ----- —mb-- ---a,�-- cc -0 --------1L—_ -----.--- LIVING AREA' L ca Master Suite Addition Existing Foundation - Existing Garage Garage Addition j N Drawn By NAL Proposed Foundation Plan Date:07-1603 Scale:.114.=V Sheet - F-1 f; a a - 9 s e. 4 r , L x a L f 4 m x. s .Y 4 , a I I s I I 4 CD D Lagadinos Building and Design Inc. p I Project: Mallaroudakis Residence rfl Custom Homes,Additions;Remodeling o 13 Thankful Lane CoWil,MA 02635 Tel.508428d097 Fax 5011428- 0 - Revisions: Date: rn 0 - - - V Family Room Addition c � LL N o Q O m E N • - ea• � ;Foundation For Future Sunroom � 7 F T/ ui F c C 0/�j 70 m CO Ld •- O y F O a p e mw S nr p _C a:1 ifo�n E Y a i-- - x N t MASSERBATH -01 a zafsa lT ra °jO1i"��� a� a� e N GARAGE n` r—LCLr7 C.� NI}1 r BEDROOM ® I CD �.J. to f e$ LIVING - p------ MASTER BDRM C. mf ann I r..wvam I I 6 r/' 36B sy n O BEDROOM sawn BEDRa00M _ r _..._,.... ar. . Q Td 1.S i2' 6-fU] TO 1Rs{.Yd.{¢-111 a�}.Yfay}.Ya'.Ifd f Yd LIJ I'L � LIVtNG AREA f60 t r Yd W'- 1Td' 1Sa N S Master Bedroom Addition Existing First Floor Garage Addition p d Drawn By: NAL Proposed First Floor Date:7.10-M a Scale:1/4'=1' Sheet A-1 m x y CO V-x (CD a 7 a T . o o a0 y^ > w Lagadinos Building and Design Inc.. Project: Mallaroudakis Residence N n rn Custom Homes,Additions,Remodeling o 13 Thankful Lane Colull,MA 02035 Tel.5084284097 Fax 508428-7 09 $ w t Revisions: Date: c I o C .. a ,. O m qN . , -0 N Q C F CU .Full Rear Donner To Bath Wall 'o I �$s� m ai zr''' czar sa mr ,za se• as ,.o - N -0 O o m - storage - C E 2 . .swan „ - - m O .. .BATH c ie acft sv, Unfinished U U ss•r Attic Storage Pywood Floor Rough - OFFICE Framing - Sfe sa fi OFFICE aesaan C :. Storage -.. _ _- _..:._ •� Storage aspif LIVING AREA N 7sz as n Y O N Proposed Second Floor M w: U - N Drawn By: NAL Dale:7-10-03 Seale:1/4'=V Sheet A-2 Revisions: Date: ~ U to C C r L3) p N co 0 Q) N 7 N Q m N U O O C = New Donner E .2 @ O _, �.�.•:ate. - � �. s.o•ea.� _ New Family Room Addition - � �awes N New Master Bedroom Addition New Garage Bay - (0 O Proposed Rear Elevation cm U ' N a Drawn By. NAL • Date:07-16-03 Scale:1/4•=1' Sheet E-2 f ct f j $ fD _ Q l (p m • m t i• t A r .. N ` S CD n 7E 1 m (D rr j lit a. i • s m m o Lagadinos Building and Design Inc. n S w ,' Project: Mallaroudakis Home Custom Homes,Additions,Remodeling o 13 Thankful Lane CofuiL MA 02635 Tel.50042a•4097 Fax 500420.7709 m i 1 11'ili . . • t , I II a I N � l Ip ' _ 1 1 i , i F W 1 m N N O O CO Lagadinos Building and Design Inc. `N: Project: Mallaroudakis Home Custom Homes,Additions,Remodeling o ' 13 Thankful Lane CoWil,MA 02635 Tel.508428-4097 Fax 508-428-7709 m ° A 2