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0048 PONTIAC STREET
,�� i I �.. r '-4-Zl � 3 -2,o ' I 2 1:45 A4 s V-ej v e,5Ye4 t V) 6 4(L.e, i V1 b m-e_ ► o al c c awlCAI Uajvt C) - m vme- �y sw�a 7 P w sLl6« - b T e. ol 1"Ue Sd-olt -rju, (cui e-�-,f I<< u a� k4f rn� ` �7HE' ti TOWN of B * application Ref: BARAft Issue Date: 16.39. Applicant: Proposed Use: Location Map Parcel Zoning Distric Village Permit Fee$ App Fee$ Remarks Est Construction Cost$ Owner on Record: Address: Application Entered by: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY qNy STREBuilding u din OR SIDEWAL S rTnilIssu ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UN LLY STREETOR•ALLY GRADES AS WELL AS DEPTH AND.LOCATI THE ISSUANCE OF THIS PERMIT DOES ON OF PUBLIC SEWS NOT RELEASE THE APPLICANT FROM MINIMUM OF FOUR _M.THE, CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTIO 1•FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIR 3. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME D 4.PRIOR TO COVERING STRUCTURAL MEMBERS 5.ASULAT.TON 6.FINAL . (READY TO LATH). INSPECTION BFF uv.�� 41 G �L)����� rIQ Y V� � � �nn R h U �� (EO) C P - �' I t IKE ti TOWN OF B Application Ref: ELARMSSTABLE� * Issue Da te: ate: ,p 1639. rFG MAC A Applicant: Proposed Use.- Location Map Parcel Zoning Distric Village Permit Fee$ App Fee$ " Remarks Est Construction Cost$ Owner on Record: Address: Application Entered by: THIS'PERMIT CONVEYS NO RI Buildin Permit GHT TO OCCUPY ANy STREET ALLYgOR SIDEWAI ENCROACHEMENTS ON PUBLIC'PROPERTY, STREET OR ALLY URADES AS WELL AS DEPTH AND LOCATION OF PUBLIC ,11 THE ISSUANCE OF THIS PE NOT SPECIFICALLY PERMITTED'(JIJj� SEW RMIT`DOES NOT RELEASE THE APPLICANT FROM THEEl ( MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTST 1.FOUNDATION OR FOOTINGS. IO 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FI 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAM 4.PRIOR TO COVERING STRUCTURAL MEMBERS FORE FIR 5.INSULATION. (READY TO LATH). E 6.FINAL INSPECTION B .FC)DL- _ BIKE Town of Barnstable Regulatory Services BAWSPABIX Y Richard V. Scali,Interim Director y trtnss. �'ArE„r,n�a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us y Office: 508-862-4038 Fax: 508 7-90-6ZW NO ~ , NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL�OF r LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT t c l v n, I, v1 d /� ,4C Construction Supervisor License � # .���� - ; hereby certify that I am no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit # issued to (property address) 11y.4Nw,� �G on 12016. I also certify that on y 201 b I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. LICENSE HOLDER DATE q/forms/newcontr reference R-5 780 CMR rev:103113 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map X&9 Parcel i �' Application Health Division BUILDING DEFT. Date Issued )12)14 Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board TQWN OF BARNSTABLE Historic - OKH _ Preservation/ Hyannis Project Street Address 7®N¢,4G SfvCe.-I" Village Owner --` 4tn b ke- 141 ;�ilA K l Address �/� �oN /mac Sfi t yAtivi.�� U/ Telephone Permit Request p 1?,4 AY t iv ho uJe, 06 , � s 4-0 C0 0 45- - J�*eX.0 ,4 s Y, OOlin �©d Square feet: 1 st floor: existing A)Mproposed 2nd floor: existing proposed Total new Zoning District 7? 15 Flood Plain Al 0 Groundwater Overlay /JO Project Valuation 20001 00 Construction Type Lot Size v° V a C a E 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: 4,'�ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 0 Number of Baths: Full: existing new d Half: existing ® new Number of Bedrooms: °Z existing —new O Total Room Count (not including baths): existing new d First Floor Room Count Heat Type and Fuel: ❑04as ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes VNo Fireplaces: Existing 0 New ® Existing wood/coal stove: ❑Yes Dec, Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ©'No ' If yes, site plan review# Current Use AFe51 doiufq t 5'1v9`r Proposed Use L/4/X,e r,4id� �y '- — APPLICANTINFORMATION - - (BUILDER OR HOMEOWNER) Name C A h i ZZo H0*e T if I9-e iy,6 ' TAi L.-Telephone Number Address l 6 i t V t aJ- aO LV 4 !?D License # s 016 24� U IV t 11,4 0 2,& Y S" Home Improvement Contractor# 0 0?y 0 Email ` .e 1� e, C A P 1 he ins� �U�Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �fllY�rA-ILe. I SIGNATURE /Y'` DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. J i Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates c STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT -X I/WE, �a�-ie�G �yw � ) OWN THE PROPERTY LOCATED ATd' A ti , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PE IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING E. SIGNATURE OF OWNER: M /W/ OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANTS TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: mmm ME ME ME mmmmm ■■!!!■�!■®■■■!■!■■!■■■!!!! EEOEE■■!■ ■■■■!!■■■!!■!■!■■!!■■■■■■!■ME■■■■■■ ■■■!■■EMEMSMEE■MEMENEEMEENNEMO■OMSOME ■■MMEEMEM�■!■!■!■■■■!■!■!■■■!■■!■ ■■ !■■■■EE■■!■NEON ME MEMEEMEMEMEM ME M EE■■ ®■■■■■N■■NNNEEN■■EN■■■ENEN■■aEM ME NONE ■■■!■NNNOMM MOM EMMEMOMMEMOMMEEMMMEMEOMEN ME NONE OM iMl MEMEMMEMEMENNOMME MOON■E EMMEME MEN MEMONEEMOMMEMEMENONE MONO OONME■EE■■!■■■■MEEMOMMEM MEMO ON■!! EO 0NMENM■■ENE EE■ NEON lE EEEMEMEMEMEM EM NONE ■ ■■M■■MEN , Ei � ®EiEEE� �. !■■■■NNE ■■ ■ MEMO■■■ No MEMEMEMEMNON= ■ MEMNON MENEM MENEM ■ E■■■■■■ ON NEON■!EEO � . i�EN■! � s _ ■ OMEN ■!N!! ■ ENME■ ■N MEEMEMEM NEON�O ■!M■■ ■■ ME■MEMEM ■ EMEMMOME NOON■ OE MMEMEMME ■ !■■■!■■ NNONE !! MEM■MME MEN■ ■ MN■■■N ■■ MOON ■■ NMOON■O MEE■ No ■ EMM■NE MENEM EMNON MENEM M!!EM!■■EOO■N MONSOON MEMOOEE MEN■EEENEEM MEMNON No mom ■ MENEM MEN■MEM MMMEMON■ ■!■ ■ MEMEOONM■MEN MlMOMMME■ ■■■ No ■!!■MOO■MEN■EENNOMENEENO■M SOMEO■■!■MEMEMMENMEENEEM■ 0. ME 0O ME MEMMEMEMMEMEMMOM MEND MEMEMENMEMMEMEMEMMOM MENEMMO 0 EMMMEMEMEMEMOMME ME ■■■ MOOMMMEE®■S � NE MENNEN N! ■ MOM NEON ME ■!■■O■E■ME MEMEMMM MOMMMMEM E E N! N ■MEMOMMOMO M■O NEEMENME■MEN ■ NoME 0 momE000MEMOMONSONME MEMO MMMEMNON N! MEMENE®mom N! ■ �MMEMEMM■MMEMEMEMEMENONE No ■ -- mm mmm��mmmm mmm mm =I - ommmm M MEMMM M MEN ro Emommon MONOSSON M MEMO MEMO 0 M MMMW3W MENEM 0 0 MEMO MOMEN mill i�imom�i din i■oPi'■� ��■� ONE � MOSSM mom 0 ON mom mom ME MENEM mom EMMOMMEEM MEN SEEN MENSIMEME NONE 0 1 MEN ME ONE mom No M No No mom 0 0 1 ENO MEN mol NONE 0 ME 0 MEMO on MEMNON MEMO 0 MOMEN 0 so Iso mom 0 ME M NN MOSMEM M ME MOM 0 M isim I IN ME 0 0 0 ME so mom 0 0 M MEMOM MMMMEN mom ME MEN ME mom so ME ME 0 SEEN 0 mom MaEMOa■■■iE 0 MEMO "�'■■e��E MEN�■� INNs �MOMM� no�iii�ii i� LOT 5 N871 E'8'S0" 155.13' =�, 0 24.3 _ IN _ __-_ 1 / � -co o f 2.O'.HsE- 11_4 LOT 4 40_ ��^ U RAMP .26.3 .11.4 / c 12� ORCH 'I'- 162, 33's8718'50"W 1 LOT 3 i This MORTGAGE INSPECTION Plan is For FLO )D TONE: RES.. ZONE.- RB' Bank Use only TOWN: _HY, VLS_ —. REGISTRY OWNER: !'Al�1LELA K BURKLEY" DEED IZEF: _521VZ4.5 — — —BUYER: REFINANCE _._ — _ _ _ . DATE: 10,129193 RE — PLAN F; 236Z45_ _ —SCALE: 1:' �t'�_ Ia T. I HEREBY CF�R CITY TO SHAYYMUT ORTGAGE_�0_______ �itk 0f tj,,4o YAN (I�; `i lJR`�EY _ _ ________________THAT THE BUILDING ,��'"-'~�spy. C c N I_) [,TAN'I S SHOWN (�N ';'H S PLAN IS- LOCATED ON THE GROUND AS q PAEII- SHOWN AND THAT ITS POSITION DOES CONFORM 40 ; (:: i;l'CE 1) LAW SETBACK REQUIREMENTS OF THE j MER THEW " TO THE ZONIN 3 g No, 32098 oe IND JS f'I:Y ROAD TOWN 01 4/IRNSTABLE_____________AND THAT o 4� MARSTO 4S I!LI.3, MA. 02648 'IT DOES_-_N_�!T.__ LIE WITHIN THE SPECIAL FLOOD HAZARD . s�o fGIS?ER�S��a TE ,: 128- 0055 AREA AS SHOWN ON THE H.U.D. MAP DATED_�9/_&__ "� sac L FA .ti o_.5553 Co u nit Panel -250001 .0008 .D -- _ THIS PLANT' MADE FROM` AN INSTRUMENT 1 ?85, Bj§ PAUL A. biERII H FES SURVEY, NOT TO BE USE.) FOR FENCES, ETC. Massachusetts Department of Public Safety ! i Board of Building Regulations and Standards License: CS-076261 ,._�" Construction Supervisor JAMES MCCORMACK ' 73 FEARING HILL ROAD;j` . WEST WAREHAM UK.6576 Expiration: Commissioner 11/13/2017 Ali UST f - License or registration valid for individual use only before the expiration date. If found return to: Bce of Consumer r �r• r itfr7.lJrrC�CGIr/� Office of Consumer Affairs and Business Regulation Affairs&Business Regulation 10 Park Plaza-Suite 5170 " OME IMPROVEMENT CONTRACTOR Boston,MA 02116 �� Reglstratlon Expiration 100740 6%23/2018 Type: CAPIZZI HOME IMPROVEMENT, INC, Supplement Card JAMES MCCORMACK No valid without signature 1645 Newton Rd. Cotuit, MA 02635 - Undersecretary The Commonwealth of Massachusetf Department of 1ndustrWAccidents 1 Congress Street,Smite 100 .Boston,MA 02114-2017 www.mass-gov/dta Workers'Compensation Insurance Affidavit:Builders/Contmetare/Elechlduns/llumbers. TO BEFIMMM THE P IGAWHORITI: . Amaleantluformalion PlanePrmt.I. �lv Name(sod=ff/0rgea3 W0n&1&vid*:CAP12Z1 HOME IMPROVEMENT INC Address:1840 NEWTOWN ROAD — City/5fme/Ztp:COTUFT,MA 02635 Phone t 508-428-9518 Are you an employefl Gheekcthe apptnprhtte bm Type of project(required): l.Q I am s amployarwlth 44 employees(full.andlorPart-b=1* 7. New construction 2.[]I am a sole propdetw or parmersWp andhave no employees working forme in S. O.Remodeling m5'capacity iNo wadwe comp•insurance requ wAl 3.QI am ah=wwner doing an work myself.ENo workers'comp.h>str=w16quired j t 9. ❑Demolition 4.❑I ama homwwnerand wlU behiingcontracterstn conduct allark vw onmy property. Iwitl 10 Building addition mum that all contcacbm either have workers'compensation inavmm or are sole I I.[f Blemical repairs or additions proXidn with no employees. 12.C]Plmnbing repairs or additions S.n I am$Seasaal eontractorandl hscva i�ecitbeanbeGarsiislad oatho atfecbedehest I3.Q of s • These salrcoutracbors nave employees asd have wodc�s'comp.inatrmacs.= 6. we are itw and its of have amised their rtght Ofexe)ion perMOL c 14. Other lsz,11(4},and wo have naemployees.Dtoworlmrs'coup.insuregcerecluired.3 /+m *Airy appliceatthat chub boxpl must also ff1l out the section below showing their workers'compensation policy infl=X fon. t Homeownerswho mft tthis affdwitindlcatingthey are doing Eaworkand then hits oxide cu=ctars must submit a newaffidavitinilbding sash. tContraotaasthatcdra& tsboxmnstattachedanadditionalshediihowingthenameofthesubmuhactorsandstatewhetherornotthmea in have m employees. Ifthesalrcomttactorshavaernploy�tkteymastpmvid�thefr wnrkers'cor�r policy ram an employer Ad is prov1i f work='conVmmzBon inw=ce fVrnlp emyloyees. Below Is dwpolfcf mrdjob sfte moron. Insurance Company Nance:AmGUARD INSURANCE COMPANY Policy#or Self-ins.Lic. Am Expiration DaWL2 2512016 Job Site Address: A � PO MI-M G Cfty/gt&/r1p; Attach a copy of the workers'compensation policy declaration page(showing the policy number dud expiration date). Failure to sea>re coverage as required undaMGL c 152,§25A is a aiminal vidletionpwdshable by a fine up to$1,500.00 and/or one-yQar hnpiammur�as well as civfi penalties in ft f m of a STOP WORK ORDER and a fine of uP to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations ofthe DIA fnr ins coverage verification. I do hereby can*, der paths andpenaltles ofperjury ad the�brmatfonpro*W above Is trueandcorm si lG #.50&428-018 U Offldal use only. Do not mite to ibis area,to he cornered by city or town of,fidd City or Town: PermitlLieense# I sWagAuthority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f Aco DATE CERTIFICATE OF LIABILITY INSURANCE 129/ MIDDIYYYY) 12 29 2015 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(les)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 endorsements. CONT ACT PRODUCER NAME: ROGERS&GRAY INSURANCE AGENCY, INC. PHONE FAX No 434 Route 134 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# South Dennis MA 02660 INSURERA: AmGUARD Insurance Com an 2390 INSURED INSURER B: CAPIZZI HOME IMPROVEMENT INC INSURERC: 1645 NEWTOWN ROAD INSURERD: INSURER E: COT IT MA 02635 INSURERF: COVERAGES CERTIFICATE NUMBER: 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 DDL UBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE N RWVD POLICY NUMBER MM/DDIYYYY MMIDD GENERAL LIABILITY EACH OCCURRENCE $ D MA T E D $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence CLAIMS-MADE a OCCUR MED EXP Any one person $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ POLICY PRO- LOC $ COMBINED SINGLE I AUTOMOBILE LIABILITY Ea accident BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED Per accident $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION x' WC STATU- OTH- A WORKERS COMP LIABILITY R2WC655250 12/25/2015 12/25/2016 -- ANY DPROPRIE RS'LI BILITYEXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N 1 A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) J CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD J _TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION `4J Map P Parcel Permit# D / 7 ;7/ TA Health division I-1165, 19W04 ` , Date Issued 0 y Conservation Division i 2 G� i 1 ': ":.' PF1 60 j' Application Fee Tax Collector ni Permit Fee ly a a 1,/T- Treasurer s E CTING EPTIC SYSTEM Planning Dept.t. Li �,� #OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address � Aah, 4c- 5flee Village U aA 0111 lam- MR a I Owner Address An 49- Yrf6cf- Telephone (SoU 449 a 1126 74f4300 wme_ CLO92 J10-4lsi?_ cat Permit Request Ba/0- �,e Square feet: 1st floor: existing !i 67 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation M,5-00 Construction Type !,,/oaw 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 )d No On Old King's Highway: ❑Yes k No Basement Type: ®`Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /000 _S 5 �� Number of Baths: Full: existing ane new Half:existing new Number of Bedrooms: existing JWQ new Jv4o Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: V Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 150 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded 0 Commercial O Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name- I�66,kt° t. . Wem Ccm strVl-dvi Telephone Number Address.3( (omM ern sftft_' . License#M{ S�,t CUjs*S�oe vyf lic 05901) 57CIfvole M4 02obtj Home Improvement Contractor# /0 r3 Z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 FOR OFFICIAL USE ONLY r 7 v PERMIT NO. ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 61ZIf en B ft �/Q + INSULATION r f FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH i FINAL FINAL BUILDING _+ rr DATE LOSED OUT Q ASSOCIATION PLAN NO. 2 a LOT 5 " N8718'S0"E 155:13' 24.3' - 0 1/ c o �.o'.HSE LOT 4 4� 3 11 RAMP O --� \ 12' ORCH ��� — ,S'8718'50 LOT 3 RES. ZONE: RF1" This MORTGAGE INSPECTION Plan is For FLO >D ZOMEL "C" Bank Use TO N: _5I 2_AVYIS _ — __ — REGISTRY OWNER: !'AA1fLA K BURKLEY' DEED IZE:F: _..5219,1245 -- — —_BUYER: _EEFINANCE -- — _ DATE: _0 1�ZZ93 _ PLAN REF: z3s 45_ — — _ SCALE: ].' I HEREBY CI'RCIFY TO S �.WMIIT. tI�OR�'GAC _�0________ ��t� 0r� 10c� YAN �E;i :`71JRVEY --- - - - -- ..__. -- - -------------THAT THE BUILDING `� .. s` CC N ` .1 L TANTrS' SHOWN ON 'i'H S PLAN IS LOCATED ON TIIE GROUND AS o PAUL � SHOWN AND THAT ITS POSITION DOES ---- CONFORM A. 40 3 i::'_:IT 1) TO THE ZONIN LAW SETBACK REQUIREMENTS OF TIIE MERITHEW 4 No. 32098 � IND J,�I'F;1' ROAD TOWN OI' /l.h'NSTABI E_--_-------_._—AND THAT $ p vy� MA12S'CO J ' b1A. 02648 11' DOES_..NOT._.- LIE WITHIN THE SPECIAL FLOOD HAZARD �`�°��®��Is. c TE .: 0055 AREA AS SHOWN ON THE H.U.D. MAP DATED._V./___ F'A I.�I) ��J55 Co nunft Panel. -.250001 0008 D THIS PLAN NOT MADE FR)M",AN INSTRUMENT 1 ,8;; BJ.S' -y - =-P SURVEY, NOT TO BE USE.) FOR FENCES, ETC. m- S 4 _ { o . N �J Fou'Ile,�,aT:o,AJ d' M M o CERTIFIED PLOT PLAH LO T 4 PONT'I14 C. Sy' NCatJ CONOTRUCTION ONLY yOP ©F FUUW0A` i0W IS M FEET OW Ao®V ®ro POINT ®F A®sACEP'T ��� � �, SCALE: l =30 DATE 7/17/7` , 9 CC RTIFY THAj TW ®u/ti+Da iorli, CLCENT LEIS L 3EG➢ Y�RE� REO➢STERE® SMOV1 ON THIS PLAN US LOCATE-0 t d®O no. 7�D19 OW YNE OR®UN® AS R39CAWD :A°3D G➢COIL LAND � CONFORMS TO YF7E Z�®EdBg�® LAG10 GC�OOCJEGR< SUR�� UR ®R.Ov= A OF OARWST . . LE. VA g 33 NO. MAIN ST 712 MAIN ST. � aY� �• I'. /�. 9 � .�.� '' � r 7 SO. YARMOUTii, GLASS. HYANNIS,-MASS. < � ' 2 EEY 1 of ®ATE E LAND SURVaY®R o� Town of Barnstable °;. Regulatory Services ' i � # Thomas F.Geller,Director '`� i6�� •�� - ..Building Division • Tom Perry, Building Commissioner . ` 200 Main Street,J:�yannis;MA 02601 www.town.bamstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must } Complete and Sign This Section If Using ABuilder as Owner of the subject property to act on hereby authorize mybehalf, : . in all rriatters relative to work authorized bythis building permit application for., (Address of J ) 0 ' �e o Signature of Owner Date Print Name RESIDENTIAL BUILDING PERNIIT FEES APPLICATION FEE , New Buildings $100,00 Residential Addition 1 Alterations/Renovations +$50.00 Building Permit Amendment. $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE. �Q square feet x$64/sq.foot= Z Q x.0041= - f j plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ x.0041= ACCESS20 sf ORY STRVCTLW>120.sq.ft. > -5 00 sf 35,0 0 1>500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-]500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Parch x$30.00= . (number) - - - Deck x$30.00= • (number) • Fireplace/Chimney x$25.00= (number) Inground Swimming Pool ' $60.00 Above Ground StiYimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee �s,0 Projcost Rev:063004 ~� 780 CMR Appeaft J Table J5.2.1b(continued) prescriptive Packages for One and Two-Famlly Residential Buildings Heated with Fond Fuels MAXIMUM MINIMUM Slab •Hearing/Coaling Glazing Glazing Ceiling Well Floor Base perimeter Equipment Efficiency' Area'(%) U-value= R-value' R-values R-values Wall R-value° R valve Package 5701 to 6500 Hating Degree Days' Normal 12/a 0.40 38 13 19 10 6 Q a 19 19 10 6 Normal R 12% 0.52 30 85 AfUE 9 12% 050 38 13 19 t0 6 N/A Normal T 15% 0.36 38 13 ZS N/A 6 Normal U 15% 0.46 38 19 19 10 N/A 85 AFUE V 15% 0.44 38 13 25 N/A 6 85 AFUE W 15% 0.52 30 19 19 10 N/A Normal x 19% 0.32 38 13 25 N/A N/A Normal y 18`/0 0.42 38 19 25 N/A 6 90 AFUE Z 19% 0.42 38 13 l9 10 6 90 AFUE AA 19% 0.50 30 19 19 i0 1. ADDRESS OF PROPERTY: �- anncs oZ(�6 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 13� z- 3. SQUARE FOOTAGE OF ALL GLAZING: 2 CAS" 4. %GLAZING AREA(#3 DIVIDED BY#2): / 5. SELECT PACKAGE(Q--AA see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: N0: q-forms-f980303 a ' 780 CMR Appendix J Footnotes to Table J5.2.1b: .` Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and, basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross Null area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft2 of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration.Rating Council (NFRC)„test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U=values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see Table J5.2.Ia NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and.do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts Department of Industrial Accidents #NCO afka,9ifj8tim 600 Washin,ton Street Boston,Mass. 02111 • 1�Workers' Compensation Insurance Affidavit-General Businesses109 address' - .. /� a : Zd hone# SC GJV -/L state: �- work it,location fu address s Establishment Business e: []Retail❑RestaurantBar/Eatmg e 'etor and have no ens Grp • Real Estate,Antos etc, a sot opn ales(including' I am pr S g working in any capacity. Office I am an en Toyer with eln to ees(full& art tim ❑Other / / easation for-my employees working on this job. as employee providing ylprkers' comp , t COIDan name: , 1' y - :;,;;;;;•r' b?i ; . .... +t'•a' •1�,•?i •'. ,•*,1�•'t::fh.?. it i , ,"J,�.•• ,r.M'',.t' •�.f••• ''' •./'•�..{�' ,t , addrE33" •,fit: t A=. f,�, :��:• nt'' 't• ( �`.."� r�rf•• �rv�' ' v bone#• ' A. .,' .att 1 ♦ , 011 C. i�ff = •: ,'.:.Lq ••...t i• ,lnsuTanee.co! .•:j // / workers'.. / • d have hired the independent contractors listed below who have the following a sole proprietor an ` to ensation polices: ;. . :r �.,�: ;;�: �. ;,:.:.; ;x;�. ',E+,`l';;�.i: �� •_ }':eII• name:' .t �t^, ,, -r'.: °'• :,s�.: ~:.:.;'„•;•, `•• „ ;.", .'r. , .;• :,,,r .r .��•,a:i ,t;. 1� •' 'hone! ••L. .=•a:: :.i»f•5::,�"' •:''•'• I C1tV:.' .•K•;,.: S� .{\\:1`I^"' 'e"t,r' . ' .��.a: '�• '' :1^,i•s{�} 't•'.,Ay.r1. •' 'O11CV'# /NS401/01 ��. i',- :i fJTf:•'I f~ti: ''i'1.'' ,t •p�:.l,(�: N.•' \'41.r a•i,��,-h •' .,•yY'5 . . ,\,• -,1.,, •n,. ... ,i.( ,>.r.,• .i. .{' •\�.+. •i' • ,'.1:• :,, t:'•'f'.�',',, •.T '.i'.1• ''t .. ACV. insureaC.'co;J' r mz �///���� �/d/�� ��� / .. p... y ,sintme. Innderitand.thaI Failure to secure coverage as required Hader 9ectlon 2c f of Mr Qp wO RK 0t E and a fine of$00.0 ea da ae 63 f a�e to$1�OO.DO'and/or. one years'imprisonment as well as civil penalty in th the Office of Investigations of the DlAfor coverage verifieation copy of this statementmay be forwarded to I do hereby.cert' or th afns and penalties f p Ju that the inj�ormation provided above is true 2 d� O e Dat Si r�� � `� phone# Print name / - r — ' e a do tat write in this area to be completed by city or town official a{fieia]us my t permitlllcense# ❑Building Departmen , `' city or town: QLiceasiag Board ❑selectmen's Office ❑check if immediate response is required ❑HcalthDepartment , phone Mi ❑other contact person: ttevaed9ept1Ga3J _ Information and Instructions Massachusetts General Laws chapter�152 section 25 requires all employers to the service of avide workers' not�h under any censation for ontract ir employees. As quoted from the"law",an employee is defined as every person of hire,express or implied, oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more.than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.employmentbe deemed tobe an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance dr renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the affidavit. The affidavit of returned to the city or town that the application for the permit or license is being of Industrial,Accidents. Should you have any questions regarding the•"lave'or if you are requested, not the Department workers' cornPensationpolicy,please call the Department at the number listedbelow. required to obtain a City or Towns _ Pleasebe sure.that the affidavit is complete and printed legibly. The Department louas pe reged a arding the ace a he bottom f the '. affidavit for you to fill out in the event the Office of Investigations has a con y g g PP be sure to fill in the perrrnittlicense number which will be used as a TO number. The affidavits maybe returned to . the Dep arfinent b-Y nzai_l or FAX unless other arrazigements have b een 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. TheDepartment's address,telephone and fax number. ' The Commonwealth Of Massachusetts Department of Industrial Accidents ittfica of Ines igatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext:406 oF1HE ram, Town of Barnstable y Regulatory Services i3ARNSTAsr.E, Thomas F.Geller,Director MASS. 9�A i639' A�`� Building Division TEo rno+ Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Dlhp Estimated Cost_ Address of Work: PO/ltl4 o f eef' 'ann IS MA, N- 0 Owner's Name: aU f (LN Date of Application:_11 q �� I hereby certify that: Registration is not required for the following reason(s): FlWork 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 UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: at Date Contractor Name Registration No. OR Date Owner's Name Q:fomts:homeaffidav 4 a f /fie �amnraruoe o� ��ie l°om�nr�y I Board of Building Regulatiods and Standards HOME IMPROVEMENT CONTRACTOR BOARD OF BUILDING; LION ,�,� '. License C REC3'UL�a I' S Regis trdtto ; 105382 t ,p�NSTRUCTION SUPERVISOR Numbers�S 054300 -- 1,71200ti ual j B�rllcafe 17127 953 1lCTION . i i p1� 6b5 Tr.no: 7636.0 (FLLEY CARPE { Red ; tricec� ()Q John Kelley - JOHN F KELLEY 31 COMMON STRp l.�--;. "`� : I + 31 COMMON ST � �,' SCITUATE,.MA 02066 Administrator` SCITUAT MA 02066 rz. 6 Administnato. "' ————————5 8 —————_— i I .. IQO r '`i t I 1 KIT. ILII i ; I I I r----- 3830 ----------3830— 8 I Ilo \ � I ,r�III 62 N N150-cot o ; --5L BATH r - — L1 T- 2668 1768 3068 2468 CLOSE L2'c \ 368 1668 5' 7 i �5' LIVING A 4—\ -R-\--EL�-A` \--- -l-\- I ,, 8 —`lr— 1187 sq ft I I co 12'— I I in �,'tiLOSc i li I I MASTER BDRM !I ', F J F---� I I LOGON, "\11 LJ1 —306& —— 2844——-3046—— — !I Lebel, Douglas W# G-269-186 No .................20 395 Permit for story ..... ........... ...........sin le famil dwellin ................... Location ....................48 Pontiac...S.tre.e.t............... ............. . ...... . .. ............................11yannis............................................... Owner .........Pqyjl4s W. Lebel ............................................ t Type of Construction .........frAme...................... ................................................................................ Plot ............................ Lot .............#....4 ............... Permit Granted ...................J uly...1.7.............19 78 Date of Inspection .. .................................19 Date Completed .............. ......................19 PIM11REFUSED ..................... .......................................... 19 .. .. .... . ... ..................... ........ .. .......... ............... ............................................................................... ............................................................................... t. Approved ................................................ 19 ............................................................................... ............................................................................... t Assessor's map and lot number .........."r.............'.. rt .. Sewage Perm.+ number ............ TOWN OF BARNSTABLE y0F TN E t0 - 22 � • EAWSTADLE, M6 9 �e� DUI=LDING INSPECTOR Q kIFY�• f�? , / ' APPLICATION FOR PERMIT TO ......t... :S ���/ '^ ^' �' v ' TYPEOF CONSTRUCTION ..................................................................................................................................... ..........F ...fir'......................19.. ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..../—' ./- & �1l...... ''�.� .. �.!'.�........ f-,v, o�......?!;t�+.:�.410 .............................................................` Proposed Use ...... ................ ,.. ZoningDistrict ...... ...........................f.............................Fire District .......J. � I7............................................. b P t`�1�Y /4 �✓ Name of Owner ..................... ...... �;...�..P........................Address ....................... ............................., Nameof Builder .........................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .........5.........:............................................Foundation ........ ... r........ ........................................ Exterior ...�...�..�_�/ �titr�cf 7„�+r'�� nr v!r-......Roofing .........:.. '� �, 17 Floors /in �.11� Interior S �'� �'� � ...... ........................................................... ...............,..,.................................................................. Heating ')3 �' t-4- ,, ) --L, Plumbing .................................o040— '� ."1...�'•�1�''r.......................... ... . ...................................................... ... ✓; ... ............ Fireplace ...... /<?..................................................................Approximate Cost .......... ..n�� .................. ... - 11, r� .?rri " �-yam- Definitive Plan Approved by Planning. Board -----------_-------------------19________ . Area ............. ........,............. Diagram of Lot and Building with Dimensions Fee ` ^`y..........�.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH a �A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ...............................;................................................... s �. Asse or's map and lot number ......:.� .......,.... 'Sewage Permit number Z..: ...:.<;�........................................ d � ' �` Z BARNSTABLE i House number ....................... .(.......:.( ...........................:... _ ' Mae& �p t639• 9� MPS a\ TOWN OF BARNSTABLE BUILDING INSPECTOR A . APPLICATION FOR PERMIT TO .....................�..C�.......... .................ti :.. ....... :... .�.... ...................... TYPE OF CONSTRUCTION .................. -U ? ...........P:. .A ✓r�...0 ........................................................ ...... ........ :.......19... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fort^a permit according to the following information: Location .....' ..........r< ...........................................} ...... 4;?Y /�' :1:/ 0(.1, 5 ................... ProposedUse .......... ...fr.d..............1..Q.......... ?.l..................... .................................................... Zoning District ...............'.� ...........................................Fire District ..........1.1w%' i 7/,/r/t ...................................... Name of Owner .........1 � J.............Address ....3X .........1. .. �. �..j.+ -:....`J...�................. Nameof Builder ...........:.......................:................................Address .................................... ............................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................................................Foundation ........C .r ,OL!C ,1�*,�" .�`................................... Exterior ........................ rlfr .. .......... ..................Roofing ............. aTj %� Floors ........... ......`...�....................................Interior ............<��,tC�l.���.............................................. Heating ..................................................................................Plumbing .....................� ...................................................... Fireplace ...................`:......_._......A................................................Approximate Cost ...................................................... ............ Definitive Plan Approved by Planning Board -----------__-__-_-----------19_______. Area ....../r--eI ........................ Diagram of Lot and Building with Dimensions Fee .......:<'. .'..'��-"................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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. r Name .......:'.... ............. Construction Supervisor's License .................................... KELLEY, KAREN A=269-186 } 25650 <ANo ................. Permit for AD.D.TT.IQ.N.............. i SINGLE Family Dwelling ..F. r .............................................................. 48 Pontiac ................ t 'F - j ...Ely ann i.s............................................ t Owner .Karen Kelley ................................................................ Type of Construction Frame ................................................................................. Plot ............................ Lot ................................ Permit Granted ..:.October 14. ....... , 19 8 3 ............. .. Date of Inspection ....................................19 Date Completed ......................................19 A ' Assev4ors ma ando number � ./.. �` �6' ' map lot b ............ .. .............`...... Sewage Permit number .. ................................ p , Z BAUSTLDLE, i House number t YA°a:........ .. ......................... 9 °p 039. \0� � c - �D YAY Or• - TOWN :OF BARNSTABLE BUILDING INSPECTOR � e S 96�� APPLICATION'FOR PERMIT TO ..................... 7 .�........... �.......................... G...................... TYPE OF CONSTRUCTION ..................�?-'4 .. ........... .!... ........................................................ .....................l. ../..1.. ..:.,9.. ..3 P. TO THE INSPECTOR OF BUILDINGS: The -undersigned hereby applies for a permit according to the f llowing information: Location ......Y.F....:..... � .. � G........r.....! . .......... ....... . . r.(. .l.......................................................... ProposedUse ..........too` C�% �4...........° .1. rt .�-!. .. ..................... .................................... ..... . .. .. ... .. trict ...................Fire District .......... .. ... .........................:.Zoning Dis Name of Owner :.i ..:.......�`.. 1'E .............Address .....1.... 2C..ldd. 6. .... ...1..................f Nameof Builder ....................................................................Address ................................... ............................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms � .00.I. '.G.�.G-.f t........................ .........................................Foundation ......... I.V. ...�.................................. ' Exlerior ................ �l/?! .�. 5...........................Roofing ............. `" .�........................................ Floors ........... ,.Q.. ..LI ..�.. ....................................Interior ............ ........................................... Heating ........................................................0.. . ..................Plumbing ...................e.............................................................. Fireplace '� �..............................................Approximate Cost ......-5:9L �`.. .......................... ............. ....:............... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area A� ..................... Diagram of Lot and Building with Dimensions Fee ii........ ... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ..............&.1,...1. ..... ... .. ............ Construction Supervisor's License .................................... ,"KELLEY, KAREN f - 25650 ADDITION �.. No ................. Permit for .................................... A Single Family Dwelling ..............................................................0................ Location 48 Pontiac•••Street - Location Hyannis �• T.' ............;Karen Ke•l le.......... . .. 4� Owner Y............ ................ ToCnstructon ..Fae.... t FPlot . .. .... .?...... Lot ........ r ` Permit Granted .:::..........................October 14. .......19 83 r Date of-Inspection . ........................^ .......19 r ►-- Date Completed l.Wk............... `19 .- 14 . /gyp -•kF • �' !''� ',•' ....� ,�" �'"'� • I •4f �F r r ; •1 )� r t • Xssessor's map-and lot number /.. .f � E Sewage Permit number .............:- ...........................:............ a Z 9AMSTAHLE• i House number ................... .. ............................................. rasa 9� i639` \e00 �D YPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR 7 K/0 APPLICATION FOR PERMIT TO .. �,� 6 r�'eN � ........• .................. TYPE OF CONSTRUCTION ......... ............!".l rL �....................................................................... �( .. . ? . .�9. 3 TO THE INSPECTOR OF BUILDINGS: c The undersigned hereby lopplies for a permit according to the '461iowing inforjmaiion: Location ........4.8........ .............................................................. Proposed Use ....................... ......E. .4..�'I��Z. ... ,.l.. � ZoningDistrict ..................... .. .................................Fire District ............ :. .... ......................................................... a f 1. -. Nameof Owner R: ...... ..................Address .. ..... .......................................... Nameof Builder ... 11�. .5 ................................Address .................................................................................... Name of Architect .....................................................:.:..........Address ............. .................................... ...............................:. ... Number of Rooms .... Foundation OV ..................... E ... ................ ........................... Exierior .........................:.............................................:.............Roofing .....................................................,...............:............... Floors ...................................................................................:..Interior ...........�................-.............4...........:............................... Heating ..................................................................................Plumbing ...................�........................................................... Fireplace ............................................... ...............................Approximate Cost,....:....Zc5-0(.) ..........o .... /' Definitive Plan Approved by Planning Board.________________________________19________.' t I Area I � l Diagram of Lot and Building with Dimensions 1 t� Fee !..........'.4�.hf......................... p( SUBJECT TO APPROVAL OF BOARD OF HEALTH S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I, hereby agree to conform to all the Rules and Regulations of the To qoB stable regarding the above ' construction. Name ........ .................................... Construction Supervisor's License .................................... q r KESLLY, KAREN A=269-186 d 25100 ADD GREENHOUSE No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ..,48 Pontiac Street ................................................... Hyannis ............................................................................... Owner Karen Kelly ............................................................. Type of Construction ..Frame. ..........................................................................I...... Plot ............................ Lot ................................ May 23, 83 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 1 l 9 I A�rssessor's map and lot number ............................................. �0*THE tp P '- Sewage Permit number .............. ........................................ r Z BARNSTABLE, i : House number ................................r •-' ,- y .MA66 ... �p t639. 9P r O MAI A? f: TOWN 'OF . BARNSTABLE L BUILDING INSPECTOR APPLICATION FOR RMIT TO .. � `6��PE �N `.... ..... ..tF4................ TYPE OF CONSTRUCTION• ......:...nC.'T ?i ............. ...................:.................................................. .. . .... 19.�3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby' plies1for %a permit according to the following Wor�iation: Location .........4 45.. ....f a.N''C (. Cr.....� ... .... ' .�.....:.... ........... Proposed Use �. Gl :..... :..........i ZoningDistrict `' .............Fire District ............ ....................... ...... ......................... .... ............................................... Name of Owner .. �..1�� '....:.. .`:`.........::..........Address`..�..�.J. :..,.. .0... �' .....S }•. ..... ......... Name of Builder :..� s. .. .Address ....... ............ ............................................................... -Name of Architect .Address Number.ofRooms ......... ....:;U ................ .................................. ...............Foundation 011....... Exterior .................................................` Roofing ` Floors ...:.............................................:.:........................:.........Interior ............................:. Heating ..... .. . ...... ................Plumbing................................ ........................ ......................... . . AV Fireplace .........................................................................:........Approximate Cost ..:...... ��:. ... .. Definitive Plan Approved by Planning ,Board ________=___________ ______19________: Area :. l...... .. .. ............:.:.. l • Diagram, of Lot and�Buildingr with. Dimensions M Fee V !.1 ............... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH' • - , r y s OCCUPANCY,PERMITS REQUIRED FOR NEW DWELLINGS I hereby .agree to conform to all the Rules and .Regulations of the To o B stable regar ing the above construction. • Name ...:.... .. Construction Supervisor's License ........................ s KELLY� RAREN 1 �25100 , 4 ADD GREENHOUSE + No Permit for - '. Single Family Dwelling y ;: .. ............................................................... �, f ' location 48 Pontiac Street - - w_ r i Owner ..............Hyannis .... ......................r........... Type of.Construction .Frame............................. ( r ......................................... ......... •Y •`•�. ♦ F�• : - ` Plot ............................ Lot ......................... Permit Granted .... May...23,A..4...... ;{19 83 Date of Inspection• ,.. tDate Completed .................... Al IS �y S �F -~ •Y'.. • .. `t�� Y • � ��_�� • �`j ` • ` '. •' yam`•. 4 • '• ` _ ' ' ' : � c 'IO'T"`'�. TOWN OF BARNSTABLE _?-Q -_---- �` •�w Permit No. -------- »3t� Building Inspector g Cash mum ------__---- i oO�O Y0.Y OCCUPANCY PERMIT Bond -- X -7` No building nor structure shall be erected;and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Douglas W. Lebel Address BOX 194, I-,arstorb Mills lot #4. 48 Pontiac Street, Hyannis Wiring Inspector — Inspection date ��/� f �` \ 1 i Plumbing Inspector Inspection date Gas Inspector, ^ Inspection date 600'Engineering Department Xlw,' ,/ c�rlll.���d �� Inspection date I' - 79 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. 7 /„� 19.. Building Inspector i Ass or'snap and lot number �t ... .......:' ... ..... � 1`. ,*. �d. --P�'i( SYSTEM P�"liST B� i `'' 2�� i P �I° L L�fJ 61J COMPLIANCE o Sewage Aermit•number ..........::.. ......................... .. ........... r, WITH ARTICLE II STATE, F THE T ',^, , TOWN TOWN ' OF BARN3 ` �- - - : Ii EARRITADL n i Nu 9 MASL �1639.� BUIrLDING�: INSPECTOR Mpf a G �-i o i y. .• AP,,rLICATIONCiFOR PERMIT JTO .......1.0.54; c..�y ................... TYPE OF CONSTRUCTION ...........:...�.`. ....... � �ss l......................................... ............... ....... . .... ......................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby aJpplies for a permit according to the following information: Location .... �. 1,/ ...... .. fat.4....... `/..`Q........ c( !1f2�., .. `off. ................................... ProposedUse ......11.w...... w."1f..6 .... .1.......... ....................... ......../................................................... Zoning District ...... 1�.�y .........................................................Fire District ............ ..1?%/1•{5................ .............................. Name of Owner ....aw-4.S...... l...........Address ...Rex... ...... �??!1`� .S.�l.�..�'lGc, Name of Builder .......... .......................................Address ................................ Nameof Architect ..........................................................:.......Address .................................................................................... Numberof Rooms ......... ......................................................Foundation ........ 1•••/:.....r'................................................. Ex1e for ...1... 1..�(.`... ..,. .: � 4 �-(.....Roofing ...... �� �.. ................................................. Floors .....c4,/ ........................................................Interior .......... Heating pt..1..... c ✓�e. .."4o.L....L,�a.,4 .( ....Plumbing .......a 4i.fz ,......................... Fireplace ..... a..................................................................Approximate Cost .........dal ...... Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area ..... ..... ......... • S'0 Diagram of Lot and Building with Dimensions Fee / BJECT TO APPROVAL OF BOARD OF HEALTH �O/�I to,. S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the-,above construction. ' Name .. .. ... ....... ..... ......... ............................ Lebel,., Douglas W. N 20395 one story Location 48 Poutiaci Street , mis ' --------.������r-.------------ . , ' . l� ^ � . Owner ----..�������..�r.�����...----. � Type of Construction —.--------..�����`` --~--.`---.------.----~----.. ; ^ #4 Plot -----..--. Lot —..---.-----. ' . ' ~ ' . ' Jul� 17 � )r . - Permit Granted ----����-- �� ----. lV' Dote of Inspection -----------.:`lV . . Date ` PERMIT REFUSED . .........................-.—,...----..o—_. 19 ` / . . . � . . -- —./.---... - ^-- ���� ................................................. � � —..u�..�—..��—.—�e...o�ern.—.--....,.--., ' . � ' . ----.-----..---..^..—..------~..- ` ` Approved . . ' . ................................................. lQ -------..,-----.--.------.—~.... . . . , --------.-----.------....—~—. . � ---- 75, 341 9o� SF , r F' d� FDUND arro/✓ I 141 ¢ —E 27'+ ., ... _..- -...a :. .. :.., .. . .. ...'... - ,.y.. .n fi\: -. -- '.•x.._ ..._ry' _ • - _ .r X S *1"1ra •_:i+r �..+.r:.e y_`_3 7 S,0v �AU2° -F f57 j CERTIFIED -PLOT-." PLAN Lo T .4 pon/Tl.4_ Cc. Sr. NErd , CONSTRUCTION ONLY s /��.�} /✓/Vis TOP OF'' FOUNDATION ION W FEET 0n ABOVE -LOW POINT OF ADJACENT ROAD. it ; SCALE= l =30 DATE _ :7v/7; 78 -QDGE* EN CLIENT I CERTIFY THAT THE FDU/y0A?l�� �olsyv-.R REGISTERS SL!�0VJN ON THIS PLAN AS ,LOC 3T.Q� CIVIL LAND JOB N .: 78oi� ON THE 1�R®UI�D AS �C9®9CATI�® ��O I A C® 9FOI Ib7S ® THE ZOP40r3O LAW@',, SURVEYOR ' DR- BY: n1 OF SARNST LI. .IAA _ S il 33 NO, MAIM.ST 712 MAIN ,ST. C SO. YARMOUTH, 'VASS.: .HYANNIS,-MASS. = l,,.:,/ DATI M LAND SURVEYOR ; ..: BUILDER INFORMATION Name GG�r'�byrLa, Telephone Number Address $ �Ol'l (G c ST License# r7E) 5q / 7 mill S M/-02-Le 61 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUREi'dNJ61-- DATE Jl;ylOZ BUILDER INFORMATION L Telephone Number Name Vainly,, fluff p � 1 7� Address 4- P6 A f f G c- 54. License# 4 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE u DATE ��y�� I f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Z 5 _ Map -Z-/rr�-� Parcel Permit# Health Division 14"1447; Date Issued �Z Application Fee Sot Division Z Z�'DL ®® Tax Collector ia 0o 0 k c5/2y/d; - Permit Fee Q' Treasurer 1, —� D o�`Z SEPTIC SYSTEM MUST BE )1 INSTALLED IN COMPLIAN.PE Planning Dept. TITL Date Definitive Plan Approved by Planning Board ENVIRONMENTAL COPE AID TOWN RE911.11LAT NJ o Historic-OKH Preservation/Hyannis Co 't 71 1 � Project Street Address y� �G J- Village Owner tee% 13aA4eV_' 1 i Address Telephone _ 5_0 e 7-7 - / 720 Permit Request Ad&e , VIS&,k, ��P��/✓�ovS2 Ciox�� Q�C/ de,�, Square feet: 1st floor: existing /20d proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3000-DO Construction Type 1�24/le Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ®' Two Family ❑ Multi-Family(#units) Age of Existing Structure Zo R Historic House: ❑Yes U-No On Old King's Highway: ❑Yes E Mo J Basement Type: fffuII ❑Crawl 0 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 Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: 0 Yes 0'No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:0 existing 0 new size Attached garage:O existing O new size Shed:O existing 0 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 � Iley Telephone Number -7p Address 3/ �'D/�/LIr S License# O S`1300 SVlIU14�� 104 Oz0 G C Home Improvement Contractor# le r Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,6142 SIGNATURE DATE ��25'� ;> FOR OFFICIAL USE ONLY y vl PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS "' .� VILLAGE OWNER ) DATE OF INSPECTION:. ' FOUNDATION a 0B FRAME C' INSULATION FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - £�e FINAL ti 4: rn"7` GAS: ROUGH. [ ;_,, F NAL 4- k ; t� +° FINAL BUILDING " DATE CLOSED OUT-' t ° , € ► ASSOCIATION PLAN NO 1 r FTHE l°� Town of Barnstable .1 , Regulatory Services 9saxiv KAM. Thomas F.Geiler,Director16,59. , rfDMA Building Division Tom Perry,Building,Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be.done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Xd1t okV /k/ {/Gw Estimated Cost 20.0D. 00 Address of Work: S Owner's Name: 11-a-,14e 114 Date of Application: -r—/91' /Z I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied [d]"6wner pulling own permit 1 Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby y r a ermit as the age of t o Date '� Contractor Name Registration No. OR - Date Owner's Name Q:forms:homeaffidav The Commonwealth of Massachusetts - _— Department of,industrial Accidents OfBee of/nsestigations . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name• W�� �(�y location hone# 0 72 /226 city y� ❑ I am a homeowner performing all work myself. �am a sole r rietor and have no one workiu in an ca achy I am an em to er providing workers' compensation for my employees working on this job. ❑ P Y a cites ............... .::::::....::...... yy{{� �tSYran 1] . ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have n olices: the followingworkers compensatio p conpatiy n ante' > < < ? < ` ; ?5: : : :::: :::::::;:;: 'f :::: :::::2::'::`:::: ::; ;; 5:' ::2:;:::: ::::::;: ::: ::` adX. r # d hn `?:S::f::::i: :::is�:::;:j:'::i;:. :? ,:!i';i:;is�$:+sii:,i':v>.iLi:;i:;ri :;i:},:jL?. iii:%i yis;:5 ::;i:v:;:`;::i5•: ii:?:d: v is i::•: :ii`.:•::•:: ii i.ii:•i•::<::i: c ::.:•:•:J......iY:iYi:^'.'::Lv:;.y'i.:...:...... .... .. ....... ....... :.:..: X. N. :;.. .... .... hone#. inyn Failure to secure coverage as required ender Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 d/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c t pains and pendlties of perjury that the information provided above is trruo—und correct Date. `/ Signature �G Z Print name � �2 Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: Phone#; _J ❑Other (Oevised 9195 PJe� Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a . . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or buildingappurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the.performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required,to obtairi 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 perinit/license number which will be used as it reference number. The affidavits may be retivaeil to . the Department by.mail or.FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. 001 The Department's address,telephone and fax number: The Commonwealth Of Massachusetts .Department of Industrial Accidents Me of Invesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 I RESIDENTIAL BUILDING PERNIIT FEES . APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 96/s s feetx$ .foot x.0031=q plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq.ftj >120 sf-500 sf S 35.00 >500 sf-750 sf 50.00 ' >150 sf- 1000 sf 75.00 - >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= __ x.0031= STAND ALONE PERMITS Open Porch x$30.00=, (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost I M CMR Appaidit J• Table JS.Zlb(continued) Prescriptive Packages for One and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement Slab Hcating/Cooling Area'(%) U-value= R-value' R-value' R-valud Wall Perimeter Equipment Efficiency' Page R value° R values 5701 to 6500 Hating Degree Days' Q 12% 0.40 38 13 19 10 6 1 Normal R 120/6 0.52 30 19 19 10 6 Normal S 12% 0.30 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 WA N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 0 4. %GLAZING AREA(#3 DIVIDED BY#2): 573 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: J q-forms-f980303a 780 CMR Appendix J Footnotes to Table JS.2.1b: y I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR"R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 7 The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r � a a rz) �\\Z71.`� . e . v N . � C k C � 1A l��.�AL AL ti W OY H04E 1PR WENT ARMOR � RegstrataA:. .� 105302 A Ea�pirat i.an. O7117I2002 Type: Individual KELLEY €ORpENTR`Y & CONST". i l� -6.0 o Kelley, �C:@lNT10� S:tRF�ET "Al R I •� A BOD�O�='Bt�`fLuD Cv REGW��7�1"ON9 , �.� License. CONSTRUCTCON S011BRi6�S�R r i Number ds 054300 j BuWW 9Ill-W1953 `s E rcss 1�/f2J�OU1 Tr.no: 9485 Resfrftec To: 00 JOHN,F KIELLEY'A. F Z:31 COMMON.ST r.� (,,.�.....��.. . ..• Me fin rafor ' Town of Barnstable �pF THE Regulatory Services '* Thomas F.Geiler,Director BMWSTABLE, 9 Mass. 1639. Building Division rEn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 5Z y Al 2 S Yc� i �4 `1.q& 'S/_ JOB LOCATION: number street village "HOMEOWNER": 3d6�- Jr 72o 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. 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 re ements. §, ature of Homeowner 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 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, a Supervisor. On the last page of this issue is a form currently used b that the homeowner certify that he/she understands the responsibilities of S p p g Y Y several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt • I P _ __ --.-. . The Commonwealth of Massachusetts . V -= - Department of Industrial Accidents = _ . Olfice of/nsestigations . - ' 600 Washington Street _ , Boston,Mass. OZIII Workers' Com ensation Insurance Affidavit . M. name: 1_ �,q IR,e���� . location: c l j2/✓-/i 4 C S,) . . ... !i � '"i/ hone# - I am a homeowner performing all work myself. . . ❑ I am a sole r rietor and have no one workin in ca achy % %% %%/%��% %% / ❑ I am an employer_ roviding workers' compensationfor my employees.working•on this job. • -::>:><s>::>:>:::>i;;ii iS:;.:.ii ii:Y:%:i>:.ii'r?:i::::ii`:"S iii;::i';:Si iii iS: :?:::<:_:::::<:i::'i.?':i.i::< ;:.;?;::.::.::::.:.. ?:;.??;:;.;;?;>:;.::.... .. ....:.......... :COIItIIBIIY;IIaIIYe :,...,.:•:_ ::::.:.: .r:......::..:......... :II� ::::::.;:::r::::::::::.: :%::i:::::.;:: ?` phon liiStlT ......2M... go.I . V/////////////////////////////Z////Z//Z////Z//////////////////////////ZZ////, ❑ 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: . ...................................... ..1................................ % % -,.....:::::....:............:...............,..:.::...:.:.;.?::. ????:;:::::.:.:::.:,::::........:.::::.?...?:.;:.;;:.;:.:;.;:.:;:. ?::.;,::. ?,::;. }.:.?w,::-,..:::.::::: I. is :iAlT e : >> 3......i i :' : :: ::fi% ::...:. :"' .? :? i`''ji i 'i s i<'':': a %i [ i ' '%:i%2 :?i ;; i ;y ::'': '.... ii:_:i?:ya' � ';< ; ' 'tonianv n .....................................:............. ........................................................:............. $die SS.7<:::::i: :::::;:::;;::::;:'::;:;::;:;:;::;:;::::;:::;;;:'•.:;::;;':.::::::?::::?>:?i::::i:2::::i':';::::ii i::> ;;::<::;::;::;::i::ii::::::::•;;: :••;:•>;:>:a::_:;•?:;;}:::::;;:i:•:: :.:::..::.:..........::::.:•.:::::::•::::::::•:::::::::::r:•::•:::::: ::•.:>::.:. '•:::iM:iS'L:>n:i� ::.4:x•. }'i.-" +:T??'�.ii iii:f>:::i:':i:iiii:.ii.... iii ti':;.i:3ii:C::iviiii:'.i iiji.+-.!({:jjS;:?:}:f:ii ii:.i:.iF{:ini:t:tiff i:• ............ ............ afte: .........w:::.:::.�::::::.....:::.:...... ..::.::.:......+.....:.................. ....... ...:i?iY..iiJ: ............. :::.:::w::::::.:•::v::..�.:............. ............:::.�:::::::::::.�................. ......::::.:i:•i??:::i .......-}iiy.w:.:...v:,• ,................................n..............................:.3,J.i}i ?ti ;. ;; v.}:}$:;i':;:;:;?i::.ii iiiij:;;�{f;,;;��':;:}:v:ii:::;?':i:>.:ii:=i?:'vi::i�:}i%:'ii±:.?r::::?;:;i;i:t::?::?:':ii':'::?Ltii�r ::.t'• :::•:::::::::....... :::::::::::::::•:v.�:::.,-.*X--".-:::.:�:::.�:,�: .�::•:::.�::::::..�:::•:::::::::.:v::: ..................................................... v:}:..::::..::•:::::::::.:.:•iii::•}}i'v....::•?i::{.:...........i...:.i ii......:i::;:-iiii:.ii i:.............a4:::v;.... l:. y .i.. .......................... :•..�:::..::..:..............r......:•:.?-i:•.:..::?:::::::.: i :•i?:??iiiii??}J:d??'r:•?;v':J?:?is??i?:ry?:•:.+.i}?}i?ii?:•i:•i?:9i:L:•}:•}?:i•}...................]?........ :ittanra e:ca i::>::i:<:>:::>:;«:;::: i::......:......::;::<>;:<::;i::>:.?:.?:<;;<.;::;:.;:.;:.;?:.?:.;:.;:.»:.??:.;:;;.>:;,.;:.;.:::: ?:.:::::::::::::::::: 01� i�//1,DI%/ >:;:;:i>i>i:;.i??:.::.;:•:-.----:..i..*;::::ii:ii::ii<;ii::::.::i<::i:;.i };::.?:.?:..;.;:.;:;:::::::::«:i::ii::: . an . : .:.::r;. .: ``'SF ' 'fi' ." 'M1 `!> < > 5`2:;... y: :?:.%. f °y i : <'>' ``k< ``%y j ':- `::`' %'> 2 ±' ``' t``'=<?.:.>:::. ??:;:i::? : >:>;s< :• : a es .. <`:. h :•?.: :.::::.:::...::::::•:::::::::....... :::::.....:........................... :....:..' CI ::. .:x:.:::-:.:.. :.. _........ ::::::...... :.:::::.......... :.:.... ..............:.......... ::•: % :....: s•;+.;:::..::••:::..r.........:::::::::r::::... ".+ ::::::::::::::::.::: :::•.:.....:...........,::•.:•:::..:•.:..::•:::,::.....................:.-..:............................ �j 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$1,500.00 and/or . . one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.• . --,- I do hereby certi nder-thepains-andpenalties-of perjury-that-the-information-provided_above_islrue.-andeorreet__._._. -_____.__... Signature Date -/ L .I. . - print name P 6_U4` K' . bulzl c-Lee - .. .. Phone# RY -7'Vrf - /-ZU official use only do not write m this area to be completed by city or town offidal . city or town: _ •• permitAicense# oBuilding Department .. OLicensing Board ❑checkif immediate response is required ❑Selechnen's Office . .. . . _❑Health Department , contact person: phone#; ❑Other (�evieed 9/95 PIN .. ..•. .. . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the.legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner.of a dwelling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because,of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. _ j Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation'inu r supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be to submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is _ being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law 'if you are required,t'o obtain a workers compensation policy,please ca11'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'tfie 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 pernutlhcense number which will be used as a reference numbe"r..Tlie affidavits may l;e'retuinecTt� the Department by mail:of 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 anyguestions, . please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 egt. 406, 409 or 375 i � i LOT 5 r 1 ` N8718'SO"L 155. .13' 24.3' rY ' ?�' 11.4' LOT 4 ram; 40+ 2.0. xsz� - �„ 4 RAMS' ti NI G.3 DECK 1-- C� I i ORCH � 1 _ 8 50 W i 8 ° 71 S , LOT ,`3 %ONL' ''B" This MORTGAGE INSPECTION Man is For FLO D %OA[E C' Bank Use On y T'OW:NE H)21N�7s _ — REGISTRY OWNER 1'AMELA K BUIME)-DEED H F;F BUYER: REIINA NC f,' --- ---- -- _ IDAI'E: LOI 2Z93_ -- PLAN RE,[-,-. L-3, 1145_ SCALE. I _r I II1 Rr;I Y CI I;rIrY 170 szl rMU7'. MD$TGAGF�D;-- --_-._-- �� r � ` YA f�J 1 I : ;U f �'l •Y THAT THE BUILDING R ��c ".•— ( ( 1111 '' !..1 1, 1'�N`1 SiIOWN I�.N III S PLAN IS LOCATED ON THE GROUND AS SHOWN .AND THA1, ITS POSITION DOES __.___- CONFORM � q-0 , ( _?; I E a) CO THE Z,ONfN A LAW SETBACK REQUIREMENTS OF THE MERITHEW o. a N .32098 'INO JS I i,'' ROAD `['OWN OI'' _ 9AJjNS'T/ _,E.- --- -- _—. AND `THAT MARSTO d,S N111-:i MA. 026,18 IT DOI S N(7T .--._ LIE WITHIN 'I.'HE SPECIAL FLOOD HAZARD AREA. AS SHOWN ON THE H.U.D. MAP DAI'ED.._7R��9� COr-u'n(Anit 1- Panel # 250001. 0008 D THIS PLAN NOT MADE I RDM -AN INSTRUMENT PAUL, ,�L11OL"f1r,11 PT S SURVEY, NOT 110 131 USE.) .) OR 11,NCI S, ETC.