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( u , �.ram 3" �,, c x:�:'a. 65j;, '"`� ,��,�'g"� �'� �' ,! ,:., . 7'°` ^,-- ` .,�„ t „:� -,.r• i"'� > ;;�,. ,,� - _ ,,,,,� k.:i ;;.t `��: -..r- 4 .mod"..-"'- �"�""'• � �^,.y„;� °.«," .� 'r'�j f^'s^X�-t•' ^'a � } ^ ;.. � F � f •X ., �"" ��_` .. �ems•.�' ..,,,,�,. ",�,�_.,,�--"". _ ,+s�` ..,•. 'r' � "' ., - •� , ,,� �" '`".._.-yr•,Y ��,�- �(� �� ' � i H _ Vic.',`•`it��•""�•-�"' w �' v y • ., � { f,w•"�`."_ .�. _ 4f�+ is ,� �, .�� gy + �,. ^. r 4 M1' +� F cA .s Ar .•,.. '^":«�'s�"`•�,,,am 'tis-me,----"'.'y w `.•..r ,. ._...ram - � �_.- T_ � " - �..'`-: ,x SS � » 108 .Statice Lane,, Hyannis - 9/10/13, 1 J ` y L f j f r- i l . a � R w �.v _ u a w e , L, 77 MOO 440 ft n rb ok 4 � A , , �F Iz CP Po ,. XI" r c d, .. `A' S +�k.M�s,a.•r :. �, .tA :' t'K.. :• � .. � � � .«iF. _42, '_ �w - � ? ''fit �. � •V• a" i`' - � — - C 'a� �1 .0�8�Sta�t i�c � � H� � ► �n��- � .4 - � . ��. � _ ^.. �4 � : �; �� 1:OsStlti c e; H_ of / 10low �` x .�; �.. .' :?sip"� ,.� =-'r.___y��• �,��r 777 _ v # y S` Y 4 - w _..r.,'r�R. '`�.. � al►''Y dad" p_ .t M 1 r " e , yy� U " n �. r , 1 I ' 5r •! i 6 aw- .. 1 t A •"U ti i 1 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mappp ' Parcel Application # Health Division Date Issued Conservation Division `� ' Application Fee , Planning Dept. Permit Fee � Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address ('17 Village Owne Address &L Telephone Permit Request A-S J*E^Qn Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q .Construction Type� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) o Age of Existing Structure rL Historic House: ❑Yes '? o On Old Kind ighway:--0 Yes,JNo / ` a Basement Type: 'Full ❑ Crawl ❑Walkout ❑ Other ca ^ , Basement Finished Area (sq.ft.) Basement Unfinished Area (sq".ft) Number of Baths: Full: existing new Half: existing nevi Number of Bedrooms: existing _new , to Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other ' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:•Vexisting ❑ 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 �S-? Address`ZSS �� 0 License# CA�;q 9 y Z60f�,& <'""" Home Improvement Contractor# 0 ma' ° `�( �\ orker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM"THS PROJECT WILL BE TAKEN TO . �. SIGNATU DATE .• " FOR OFFICIAL USE ONLY APPLICATION# �DATE_ISSUED• MAP/PARCEL NO. ADDRESS VILLAGE . ' OWNER $` n 4 DATE OF INSPECTION: � �_FOUNDATI:ONm��n`�:�y�i"�r�-=!x�: �t��+ �~1• r ' � ; - P r, Y FRAME - r INSULATION FIREPLACE ;. -. ELECTRICAL: ROUGH FINAL PLUMBING:. ROUGH FINAL GAS: ROUGH FINAL n FINAL BUILDING- DATE CLOSED OUT ASSOCIATION PLAN NO. t w: I _ r Q ' The Commonwealth of Massachusetts Department of 1'ndust7id Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information Please Print Legibiv Name(Business/Organizahon/Individttal): J �• 1— 1,..i•� Address: City/State/Zip: kwa EPhone#: i-1 G®d L4--) Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4. I am a general contractor and I have hired the sub-contractors 6 ❑New construction empldy-ees(full and/oi part-time).* ' 2. am a sole proprietor or partner listed on the attached sheet. 7. Remodeling , and have no employees 'These sub-contractors have g. Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance required-1 5. E We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.�.I am a homeowner doing all work 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.E Roof repass fimnance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.E 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 thca hire outside contractors must submit a new affidavit indicating such. $Contractors that cbeck 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 mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Statdzip: 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$1,50-0.00 and/or one-year imprisonment,as.well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the andpenalties ofperjury that the information provided above is true and correct Si a e: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permitll icense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other Information and Instructions " Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as."an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership association or other legal entity,employing employees. However the not more than three apartments and who resides therein,or the occupant of the owner of a dwelling house having n_ p .. 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 suich employment be deemed to,be an employer." MGL chapter•152, §25C(6)also sfiates thi2t"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in�ance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation.of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate lime. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permitilicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The-C6�o6�eatth of Massachu'setts Department of 1ndustaal Accidents Office of JAvestigatEaus 600 Wash Gia Street Easton=MA 02111 Te1,#617-727-4900 eat 406 or 1-877-MA SSAFE Fax#617-727-7749 Revised 4-24-07 WWW.mas�,,gov 'a r i « i Owner Must Cemplete and.Sign Th6s Section If Us MIE .Builder t s as Owwr of pmpeny Michael Binnall ef}ra ao see 25 Geneva Road to act on my in an ors rektive to wmrk=Iomee- per=appricawn fo-- Svmivam Of Owner 0 c-! N w CST r*��Q�.cl,�- ©'C°o�y�✓o� re or License istrarion.valid for individul use only Office of Consumer Affairs&Busihess Regulation g. OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . e istration: Type:.. Office of Consumer Affairs and Business Regulation i 9 ,::105530 YP x iration::--7/-1-7/2014a_ DBA 10 Park Plaza-Suite 5170 �.,.r P Boston,MA 02116 MICHAEL A. BINNALL ADDITIONS!RE MOLD = 3 Michael Binnall 25 Geneva e a Road 2 South Yarmouth MA 02664'-' ut si gnature nature ' Undersecretar Not va d with Y � _ g Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1& 2 Family , License: CSFA-045408 `;. NIICHAEL A BINMALL { 25 GENEVA RD s S YARMOUTH MA 0 6'G � c Jy ,, Expiration i 04/22/2015 Commissioner i a Town of Barnstable *Permit �t"E'dwgr F. ira 6 t�s issue Regulatory Services Fee . BARNST BLE, NASS: $ Thomas F.Geiler,Director . "9. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town barmtable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY NO Not Valid without Red X-Press Imprint Map/parcel Number - + Property Address e • residential Value of Work$ l Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �0� f t `� �� Iris, Contractor's Name —Telephone Number Co-` -?36 Home Improvement Contractor License#(if applicable)SC9.� Email:till L�i.�► �� fL�� Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ERoaAa r am a sole proprietor $ P ❑ I am the Homeowner �Q13 ❑ I have Worker's Compensation Insurance ,�a® Insurance Company Name AWN 0�' .e�N ,4884 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) �e-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is req ' QAWPFII.ES\FORMS\building permit forms oc Revised 060513 i. Y the Commortypea of Vassachuseft Depurftsnit VfI7UI9S ial Accidents OTWe ofIM'atigadons 600 Washington.S`&eet Boston,MA 02111 wnnv.tnasmgovldia Workers' Compensatian Insurance. davit:BuildersfConimctorsMectricians!Plumbers Applicant Information Please Print LezibIv Name ndividual): l C. L t..— Address: QtylStatrJZtp: 7Z- phone -7 bO Are you an employer?Check the appropriate ox: Type of: o ect r 4. I am a contractor and I Yl�e � ] E �= 1.❑ I am a employer with ❑ 1� i6. ❑New won loyees(€ull and/or pat"=)* have hired the sub-rontiactors 4and a sole proprietor orpartner- listed on the attached sheet: 7- ❑Remodeling have no employees These sub-contractors have 8. ❑Demolition w for mein an capacity. employees and have workers' working y apa ty- 1 9. ❑Building addition [No.workers' camp.insurance comp.insurance. required-] 5.❑ Ate are a corporation and its 10-0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have were rcised their 11_❑Plumbing repairs or additions self-nrf [No workers'gyp- right of exemption per MGL 12-❑Roof repairs insurance mod]t c.152,§1(4} and we have no employees-[No workers' 13_❑Other comp.insurance required-] *Any agpti�at that checks box#1=st also fillout the section below showing their woskexe compensadonparmy ia€oro� I3omeoamets vrho submit this afudavit inx€k3fmg they are doing all wmk Rod dum hire outside contacors— submit anew at&dzuk mduating mrh- tmctors that check this box mast attached an additinoai sheet showing the name of the sub-conavcton and state whether ornot those eafifies h=e employees. if the sub-contractors 1we easplcyws,they rout provide their warkess'comp.policy number. I ern an efnptnyer ihrrt is prnti ig workers compensa ion insura ncefor my emglnyeaL Berate is fare policy and job sits informatrom Insurance Company Name: Policy#-or Self-ins-Lim#: Expiration Date: Job Site Address: City/State/Zip: Atfach a copy of the workers'compensation policy declaration page(showing the policy,number and expiration date). Failure to secure coverage as requiredunder Section 25A o€MGL c 152 can lead to the imposition ofcriminal penalties of a fine up to$1,500.0a and/or one-year imprisonment,as well as civil penalties in the form of a SWOP WORK OF=and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA far insurance coverage verificatim I do Ziff eby c u ils and panatlies ofpt'rjuty that the i>zfor ma#ion prinided above iss true and correct Date: -•-� _` rs Phone#: �° ( 6 o " O„f cial use only. Db not write in this area,to be carnpletesd by tafy or torn officiaL City or Town- t nse# Issuin Authority,(circle one): 1.Board of Health 2.Building Department 3.Cityffown aerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other r t r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of.such employment be deemed to be an employer. MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall•withhold the issuance or renewal of a license or permit to operate a business or to construct buildingt`in the commonwealth for auy applicant who has not produced acceptable evidence of compliance with the insurance-coverage required." Additionally;MGL chapter 152, §256(7)s ates"Neither the common"ealth'Nor any of its pal tical,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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance Coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials ' Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: - ' The Commonwealth of Massachusei t ' - De=t neat Qf Industrial Accidents .o'ffice of kves'tigatio-w 600 Washboon Street Boston,IAA 02111 T61.14 617-727-4900 W 406 or 1-a77 MASSAFE Revised 4-24-07 Fax#617-727-7749 • w�_rriass_�ovr��ia Prqpert Must �; Owner GDnViete and Sign This Section if s¢ v_A Bde� Michael Binnall -by authorim 25 Geneva Road to act on my behA in an ors vdaive to vo&authorized by bu&fing pamit appLmfion for 3 �f Owner I e cpoaw��aoouver�l�/%�C��/laeanc/cc�eCtr I License or re istration valid for individul use only Office of Consu er Affairs&Business Regulation g- OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . f05530 Type:.. Office of Consumer Affairs and Business Regulation k%"Eegistration: 10 Park Plaza-Suite 5170 xpiration 7/17/2014: DBA Boston,MA 02116 MICHAEL A. B►NNALL,>ADDITIONS REMOLD . j Michael Binnall w. 25 Geneva Road South Yarmouth, MA 026 4".. Undersecretary Not va d with ut signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1 & 2 Family License: CSFA-045408 �r, IS .�` MICHAEL A BINPIAL ' 25 GENEVA RD S YARMOUTH MA 0 `�.•f+... ,`L �r,ti��' Expiration ! Commissioner 04/22/2015 . - I i i . i . o S. a Town of Barnstable �Pyof HE toh�o� Regulatory Services Thomas F.Geller,Director Building Division CbP sb;9• A�� rFo MAC Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Fax: 508-790-6230 Office; 509-862-4038 VEST FOR ELECTRICAL INSPECTION ELECTRICAL FERW=NITMBER (permit required in order to process inspection) Today's Date 3 Requested Date of Inspection --+-�� herebyrequestan' octionunderMassachusetts Generh� (Mectrician) �l C section 3L and 237 CMR�4,02(3). � Law chapter 143, , .. - The install-ate-a is.complete and.ready for inspection at (property Locati a Type of inspection requested: a Service Re-inspection Temporary Service„ [] Rough Re-inspection 0 Excavation Final R pection (� Service Inspection Of1PRough Inspection B • � n h �f rf P, ct on for Final Inspe Other' Owner or tenant + 4 dress,and phone �� v � s A Licensee's name,p License number act Licensee's Signature This section to be completed by table Inspector of Wires pR 11 2004 A roved Insp ection date Approved Pp This work was not approved for violati a folio cles Sectio the ect ical l } Code, Commonwealth of Massachusetts official Use only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3` % y _ City or Town of: Barnstable To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Map Parcel Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building �Q�11�j J's t�v�.J ;we Utility Authorization No. Existing Service`=0 Amps Volts Overhead ❑ Undgrd 21" No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a Completion of thefiollowing table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans 7 No.of Total I Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting g g g rnd. rnd. Battery Units No.of Receptacle Outlets 17No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices g No.of Ran es No.of Air Cond. Total N Tons lerting Devices No.of Waste Disposers Heat Pump I Number Tons KW wed Totals: _... etectionlA ri0tevices No.of Dishwashers S ace/Area Heating KW caill Munici Other P g moo: noecttio No.of Dryers Heating Appliances KW SectNo o y3lrvice r Avalent No.of Water KW No.of No.of Data Wiring:gotlo6' Heaters Signs Ballasts No.of Devices orb uivalent No.Hydromassage Bathtubs No.of Motors Total HP TeleNo of uni Deviates ions or-E ruingalent : OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exh''ited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: eAr Inspections to be requested in accordance with MEC Rule 10,and upon completion. / I cert(y, under the pains and penalties of per'ury,that t e information on this application is true and complete. FIRM NAME: 'C/ �Z LIC.NO.:6ys Licensee: IZ,82L_Signature LIC.NO.• , {> f applicable ene " x pi helicmline.)�)_a ` LBus.Tel.No.:791 Address: Alt.Tel.No.:OWN 'S I N E IVER: I am awa a that the Licensee does not have the liability insurance cove ge normally required�y la y ig ature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner',s agent.. Owner/A en l �. RMIT FEE: $ Signature ` Telephone No. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map r Parcel T Permit# G Health Division - ��r)� Date Issued Conservation Division . 1`��/� Application Fee ��. Tax Collector ,�Z/ Permit Feed �. O Treasurer sad013TAR Abr,,7..; Planning Dept. 'CTION PERMIT FROM T�3.r `GNEERUIG DIVISION PR10R TO ' Date Definitive Plan Approved by Planning Board ".O,QSMUCTION Historic-OKH Preservation/Hyannis Project Street Address o �W_ Le- Village Owner ki Address 4� Telephone Permit Request --zo vv�_ ® 3 ^ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type e o L- 4m,0— 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: �11 Full ❑Crawl 3❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) n 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 Cl Electric ❑Other S Central Air: ❑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:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name l —� r Telephone Number A L � Address\ License.# 0(o9 CK YIN ® �)S Home Improvement Contractor# f Z� Worker's Compensation# ALL CONSTRUCTIO DEBRIS R ULTING FROM-THIS PROJECT WILL BETAKEN TO 1C�0 SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. •j ; DATE ISSUED i MAP/PARCEL NO. r y ADDRESS VILLAGE OWNER l DATE OF INSPECTION: { tj FOUNDATION .940 FRAME d ,` d3 .Z z INSULATION I-IVS G -Zi FIREPLACE ELECTRICAL: ROUGH FINAL `yet PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT ASSOCIATION PLAN NO. _ f III [fill 1111 IC ec front elevation sf s e evaUon x 4'-114" - x m q s --- lett elevation --- x Jack O'Conner 108 Statics Ln. Centerville, MA `4 existing slider SCALE 1/4" 1' APPROVED - DRAWN BY Rick - - DATE December 07,2 03 REVISED Floor plan F'ropsed Sunroom Addition . DRAWING NUMBER i i -Joists to be wraped with in"p.t.plywood to 6"deep roof const.- 12"sauna tubes to be 4'deep full ridge vent 2xS rafters w/I/2"o.e.b.over - _ _ . - 15 lb.felt with 30 year shingles.over collar ties to be 2xS 0 I6 O.C. ---- Wall Bonet: y 1/2 blueboard _ 2x4®16' o.c. - ��L w/skimcoat plaster 1/2"o.s.b.w/typar over w/cedar shingles to - 6mll poly vapor barrier match exist. 9 - � Floor joists to be 16"on center o �4 ro all Floor framing to be 2x10 pt - floor Joists to be 2x10 p.t. scross sec. Q m band Joist to be lagged to house _ floor framing and Joist plan . Jack O'Connor 108 Statice Ln. Centerville, MA SCALE 1/4""I' APPROVED DRAWN BY Rick DATE December Ol,2 03 REVISED Proposed Sunroom Addition DRAWING NUMBER r The Commonwealth of Massachusetts �M - Department of Industrial Accidents =_ = afffce onflyesaffallaQs 600 Washington Street -= ` Boston,Mass. 02111 • � 'on Insurance davit Workers Com ensatl ovation: VZC� hone city I am a homeowner performing all work myself. ❑ I am a sole rietor and have n i o one workdn n ca achy MEMO a// r wa ers compensation for mp emjllo�ees working on this job. e 1 ?. n 4 ;•}x• 7::n: :?:.N :4;}Y,::,y{:{;:;,4} •;::7xwyv':? \;.^;. 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I do h eby certi t e p d e 'es of pedury that the information provided above is true co ect Date - Signature �• Print name C� Phone# official use only do not write in this area to be completed by city or town official city or town: petadt/licene# ❑Building Department ❑Licensing Board ❑5electrnen':OPHce ❑check if irnmedtate response is required []Health Department contact person: phone#; ❑Other • t��9ros rl� r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW LIVING SPACE (� square feet x$96/sq. foot= 9 .0031= J plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee S �. 0 projcost 1 1 • • `.oFrHE royy 'down of Barnstable Regulatory Servides 9Hss ram.$ Thomas F. Geiler,Director 1639. �,+ Building Division rFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME Z PROVEMENT 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. j Type of Work: Estimated Cos v Address of Work: Owner's Name: f Date of Application: 2 I hereby certify that: Registration is not required for the following reason(s): [Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWnRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTIES OF PERJURY 4Date ly for a permit a ag R3of a ow.o . . 3 Contractor N e Registration No. OR Date Owner's Name f ✓1, 7 +YXtTi)YtO9El �.� i"'�'U.IFJGL61'dE{.SQ�d r 5 BOARD OF BUILDING REGULATIONS I � c License:: CONSTRUCTION SUPERVISbR Number CS 069058 �+a 4 2t t - Expires 1?J31L2(L04 Tr.no: 5557 Restricted .00 RICHARD S TUPPER 17'COApH.MA 'NE WEST YAR.MOUTH, MA 02673 Administrator } \ ✓�ee�,'l�nq%rrwr�ancueatf/a a�✓(� i![6C�d ��=-,� I�cer;��Qf$sil�r�►g ate+�"+latiuns A��errdar�s tOV, NT CONTRACT.iOR - R4gistration 12W1a345<,• ' o ExI{irat qn 6/19/2004 ;Type individual RICHARD TUPPER RICHARD TUPPER 17 COACHMANS LANE VJ YARMOUTH,'MA'Q2613 rldminisir ,7� f j .. LoT 00/8 /3 73� Sq, Fl, Ave c.p.,era c®iv sy v�r/aaiv jj �0 a LvT &/y I certify that this pro petty; is located CERTIFIED PLOT PLAN in flood hazard Zone C p(outside the 500 year flood) as identified by the Depart.- LOCATION ment of Housing .and Urban Development(HUD) . %., SCALE / '3Q .DATE .... . .......... Date /61190. i/ /99 �"° - PLAN REFERENCE ,G,��a/G;.L.a 18 t� OF .. . . .. .. do Ae • ori�Y Si1Q yo . .Nn .2R�'1 . . . . . . . . . . . . . . . . . erPg. fSTF��Q . . .. . . . . .. ... . . . . . .. . : . . . . . .. . . . I CERTIFY THAT TH E A*iP,�W-- PA' �N;•�f , I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON, or easements except as shown and that this Plan was prepared under my immediate. supervision. DATE O1O"� REGISTERED LAND SURVEYtR Dec 09 03 12: 23p Bayberry Building Company 5087712116 p. l Bayberry, wilding Company, Inc. 300 Bearses Way, Hyannis, Massachusetts 02601 Telephone(508) 775-8822 Fax(508) 771-2116 December 9,2003 Building Inspections: To Whom It May Concern:: This memo is to advise you that Rick Tupper is authorized by our office to obtain a building permit for the construction of an addition at Statice Lane,]Hyannis. Siu ely yours, - 4�ycJ eques N. Morin,President Bayberry Building Company, Inc. From the desk of... Jacques N.Morin President Bayberry Building Company,Inc. 300 Bearses Way Hyannis, Ma 02601 Phone:508.775.8822 Fax:508-771-2116 Dec 08 03 02: 43p Bayberry Building Company 5087712116 p. l SAYSERRY:,BUI DING-CONPANY, INC.. 159TFalmouM:Road, SuiUe:41, CenteMile, NA 02632 we praOse to perform.all labor niy to comnplebe the following. Build 13'x1S three season poach as per builders plains to inchide Andersen S1U"68"sliding door,inchules insulate to code-elechic to code'-to include 3 electric outlets including one that is split with a'switch for a lamp One whip for each phone&cable will be provided to the basement. Ceiling and alr4 walls will%V sheetmk Roof shingles to be smne make and as ex�g roof on home. White cedar siding to match show color deviation due to of old es lick boards to be removed at location of addition and the sub premye treated she will be utilized. acco Guam and downspouts will be provided for new addition. And one set of stairs will be provided To the rear yard off the rennaining section of the existing decking. Price includes all materials,labor and incidemb to complete the above work witli the mderials as descn7bed above and the tymg in of ft old work to the new wodL we will_pr_o_vide all plans and permits.All waste to be removed to dump and said cost is incluided in this prop soar GE Payments to be made as follows: plan deposit;3sa/o deposit to startt 25%when weather tight with roof windows and siding; Ma upon full completion of the woA outlined herein. Contractoes signature: OwnWs.sigaat=:_ Date: °F Town of Barnstable Regulatory Services ; t sAxMBIX ' Thomas F.Geller,Director Huss. 16 � Building Division Ralph,Crossen,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION Location of shed(address)' Village (� 77 Property owner's#ame Telephone number Size of Shed Map/Parcel# s igna a Date Hyannis Main Street Waterfront Historic P*trict? m J = hwa Historic District Commission jurisdiction? Qtd Ku3g's-��g Y _ _ Cons en Commission(signature required) /S '20 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF-THE ABOVE CONIlVIISSIONS,THERE MAYBE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BRACCOMPANIED BY A PLOT PLAN j IN �,IAGF SHEb � �3 73.¢ .Sad. fJ►- '-j y *� 1 ip C'o"isTieucTi©�v Q �t0 . Lop" ai 7 Lost I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified by the Depart- LOCATION !� .� „!!'.`��'�/s� ment of Housing and Urban Development(HUD) . SCALE . .... .17ATE Date i`?42. // /99y PLAN REFERENCE Re'g. .Ld or' . . . .. .. . .. . . .. . . . . . . . . . I CERTIFY THAT THE I certify to its title insurance company SHOWN ON THIS PLAN 1S LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON. or easements except as shown and that this plan was prepared under my immediate supervision. DATE .... ..y,. . . .`�� afJ REGISTERED LAND SURV; R TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 273 109 009 GEOBASE ID 37557 , E ADDRESS 108 STATICE LANE PrtONE HYANNIS - ZIP - LOT 18 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY j PERMIT 41052 DESCRIPTION SINGLE FAMILY DWELLING (BLD PER 35423 PERMIT TYPE BCOO TITLE CERTIFICATK OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: DIME iBOND $.00 CONSTRUCTION COSTS $.00 i 753 MISC. NOT CODED ELSEWHERE � gARNg.LABLE. * j MASS. { 039. ED MA'S BUIL silo B DATE ISSUED 09/14/1999 EXPIRATION DATE ff��}}x��*{rgc �w� (+ �,�r/� ry��,q ;y..^t('� p _ g� _. _ ¢ 'fig. ¢ ¢ W6 .L is OR'S MORI "1 yr. JAC,��✓�.� i� _ .' � + �� Deparfinen L�of,Health, Sab.�t ACH ' :G - and Environmental Service TOM FEES: �. IME `t C ONST UMI Ulf COSTS ,�'GLF 'A l T I T,, .1)k� I' STAp9$ ` ; x BUILDING/DIVISION X 3u '.t.. To THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR'�SIDEWALK OR ANY, ART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT:SPECiFICALLY PERMITTED UNDER THBkBUIII IPd ,CODE,MUST BE APPROVED BY THE JURlSDiCTiON.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE QBTAiNED'FROM THE DEPAP.TMENT'OF PUBLIC WORKS.THE;SSUANCE OF.THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF'-ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: „: ° APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS 7k;iS CARD KEPT.POSTED UNTIL'FINAL INSPECTION; _ 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MAD .WHERE A CECERTIFICATE,OF.00CU- PERMITS ARE REQUIRED FORELECTRICAL,PLUMBING AND MECH- (READY TO LATH). f PANCY IS REQUIRED,.SUCH BUILDINGS LL NOT BE ANICAL INSTSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL-FINAL INSPECTION HAS B EN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. + SIM BUILDING INSPECTION APPROVALS ^PLUMBING INSPECTION A ROVALS ELECTRICAL.INSPECTION APPROVALS 01, 3 1 HEATING INSPECTION APPROVALS EN iNEERI G DEPARTMENT 2 e v� ! BOARD OF HEALT l OTHER: — - SITE PLAN REVIEW APPROVAL � ; • /� I WORK H PERMIT©Yi NULL AN V` S Ate` T PR . D UNTIL WILL BECOME U D OID IF CON. , C�CEE ,! IN S EGTIOIvS INDICATE[? ON THIS T I-!E INSPECTOR HAS APPROVED THE. STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY `t'-�rr,OU STAGES`OF CONSTRUC- MOh;T FS OF DATE THE PERMIT IB.ISSUED AS TELEPHE7NE C79 WRITTEN NOTIFICA I "F +r NOTED ABOVE. v.�� t TIQN. , ,r� r , �l i t , UIL 'a IN 4r � 5 p4g t + *e j N ICJ Engineering Dept. (3rd floor) Map C� �� Parcel o� .(Q Permit# 35-42 -3 . House# Z OF r S` Date Issued Z - [(b -� rd floor)(8:15 -9:30/1:00-4:30) %(,3 fPJs ► Fee Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) aZ�2ev� Ca� g) s�t ®'I - /z �--�x-may Planning Dept.(1st floor/School Admin. Bldg.) 6- VT. FZ, �FtME 1p;_ Defi Ian Approved by Planning Board _F�3 (p 19 ' • flARM, E. MA ` rEO MOB�`� TOWN OF BAARNSTABLE Buildin Permit Application s ` 1C`�Project Street Address Village Owner GiftiLeq C)Q, A Address Telephone 565' ``? `21 - `�'� to a Q�.vta4 Permit Request First Floor f 6 O square feet Second Floor // U square feet Construction Type ��- 1; dEstimated Project Cost $ - a f Zoning District Flood Plain CbuNl Water Protection _ A Lot Size Q sULe� Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 17)k- O Historic House ❑Yes No On Old King's Highway ❑Yes ❑No Basement Type: Gull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) — Basement Unfinished Area(sq.ft) /Z CO Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New �10 First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air A' 'es ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes f No Garage. ❑Detached(size) Other Detached Structures: ❑Pool(size) X'Attached(size) .1-3 X ;L ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes wfio If yes, site plan review# Current Use �C'�e&4j Z - Proposed Use re.Co- a Nli Builder Information Name Telephone Number Address License# C 3 7 `� Home Improvement Contractor# ,^kZJ a 0 Worker's Compensation# (00 NEW CONS RUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL C(/Op.)NSTRUCTION DEBRIS RESULTING //S��ULlTI1InNG FROM THIS PROJECT WILL BE TAKEN TO SIGNA vC& n. blrl.e:w DATE BUILDING PER IT DE ED FOR THE FOI,LOWWIrNG REASON(S) le 0 •a.r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ^- e. .!, • .' �� -' MAP/PARCEL NO. f r ADDRESS - j VILLAGE OWNER DATE OF INSPECTION: x - r i FOUNDATION, :B I FRAME /j ��YI ✓7/� aJ�� `'� j - , INSULATION 5 ' 75 ),�2) FIREPLACE - ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL., , GAS: ROUGH FINAL' FINAL BUILDING � r DATE CLOSED OUT ASSOCIATION PLAN NO. - - ~� Department of Planning.and Development wrNSWIr tB i kAb& �, Office of The Planning Board •env . 367 Main Street,Hyannis,Manachuaetts 02601 (508)775.1120 ext. 190 .June 20, 198y Aune Cahoon, Town Clerk Town of Barnstable Town Fla I I 367 Main Street Hyannis, MA 02601 ' Res UE INITIVE SUED VISION *701 - SPECIAL PERMIT MODIF1CA71ON . Open Space Subdivision #701@ 18a b rr Place ; Subcl I v i.; i or i P I ars of Land In (Centery i 1 I e) Har•nn-tab I e, MAss . Prepared for H.aylrcrry F'I;jc(. Realty -Trunt. Jacques N. Morin, Trusteei flan dated I2/2U/LM,1 LOW K Weller Englneersl Assessor's Map 273, Pat-eel 86, 90, 91 , 8 110-4. At a duly posted meeting of the ;Barnst.ab t e Planning Hoard held .hint? 19, 19139, it was voted to APPROVE the request to MOD I I--Y tile SPECIAL PERMIT, pursuant to Section 3-1 .6 6f the Zoning Uy l ew of t•,I rsr Town of Barnstable, to .a I I ow the reduction In s 1 deyard setbacks from f i fteef, ( 15) to eight (8) feet for all lots, with the EXCEPTION of l0t5 it 39 in suUBTUI157ron #701 , "Bayberry N I;jcO". Respectfully, m N Jos IS E. Bartell , Chairman fn nstable Planning Board l:z , Jkdsvk " y13 '7.�¢ .-SAP �1 5 lel q) .. OF eLEY ED . 00 SEAL LA�� 350� CERTI FI ED PLOT PLAN .�7/9 T�GCR. LOCATION . �9t�LG-,.�:1�!Aw.✓is� L�/vG SCALE ��= 3a.� . DATE .D :i.0)8 - LL PLAN' REFERENCE . } ^�. .. 1 r. .; i K 3. .' 3 4 '^y , F Y •j! R.. ��, W��. o,V / if .[./�_ /6� U �y e. ., •. ,. -...: `... a .: ., c 4 I CERTI FY THAT THE SHOW 4 ON TEIS PLAN IS LOCATED ON THE`GROUND .: AS St IOWN HEREON AND THAT IT CONFORMS;TO THE' SETBACK REOU REMENTS:OF THE TOWN OF low y 'y FREGISTERED LAND SUAVE`':�R CJJI x e GCOM 4AfOOWlDO 1 . - r ro runme TiT. . • iwrt acv�nan aar (��(� R� ® r tuul O 00 6 ® =� o 00 mm caw m mus.a• rO KATIQ TTP.ea. - 3 TWM Ills FRONT ELEVATION exx aw�� ecurave•-ra PLI}A( Ta BE �UfLT /N 72E11 � RIGHT SIDE ELEVATION - - ecuo yr-r•o• _ - g YI Buyer Initials: i Buyer initials:. Z Seller Initials: R . W - r Q Q ® o +3� o �a veff ®LLLLLLLLJNI W zmdi Z Z o o>- LEFT 51DE ELEVATION REAR ELEVATION SHEET NUMBER- . ee.1r.yr.ra eeuu yr•ro• - ,. U-l1� '' r1LE NAME, 92113A1 t D r - ' r no . NZN NOTO a0..rC"O.lfOl � `/G i' 4 - u .. Caaa.CTCR 10 VLIRT Tnc&eLLD-om i. o tot.nc"or eauTlacs A -------------- 4 0 y ATTIC 1R 6T.00an"TT&W..0 .fie.s _ IFrDOt6.e9 N51L ■.rTOte.T IV aLIROVK 1RarGVO/1• , LrAWAni vanc�+cavrsaV9mr wGLorep mwn ` R 4 4 s.As o coic clafflAcm iaTe raonw WALK .BEDROOM S TO� s 0= a 4 �I FULL BASEMENT g D•a ra art._ ea >, a•a :. .. •o _ ♦ 6'a i'a'.. _ _ _ Ty..L GliWdt WAU CCft"MTOI. PP r r r r r OW "'`' LAV. DINING RM. Rm CmNI a.reo.me.T.•TO =NO BaR nsv.aaaeivr HT.L_J g i_J _J L J L L_J L_J r 1 .4 SaruTLLr✓I..STUDS AT u•ODi T17.x•.as w•car.ca.r o off mr.3 �L J 7 FLY.elinoae c!m a Ur rmm.sa OSLL 7M Nm a.lm TO d Ts GARAGE i .Ta..e •.. 1w..Wa•can sue w/ :.Io aeT •Jr.v1vm To i G v1•rmoa.ee NSIL TT'r. :.G TiZ.Tm su § x Dmer.a Doom e.eooTr TANG FULL BASEMENT e•cacReTo ruL TQ 3 V coca-rum STm - F . — � _ -� .. ., - Tc•.s•cart.coat.rooTnc Nw, O BRor YYL IaR eCCW.MW ca.r.D to ra to ram• cr Comm----- -- M ----- - +3 O ncac�nre:._-ccacieTc •s ♦a - ra -c rR°t�°oar w.0 cow M IV e• va GROSS SECTION ►�—I'' Ca can rooaw a- - 5c We t]e OU D TIO LA - oc wro z z - _ oc O Q wc,Ex: c 00_ SHEET WiMBEBBE(R- PILE NAME. 9288A3 t • r-:• WINDOWSGI1EDUZ •m°' . ar Qn ROaU1 OmpqmG ROOMS �J o . _ t • : I oouac C4aQaf -a Vr.r-0 yr aaond to m m ran.asemn /C�`/J"u ar ro aro•.a••o Ur �m ame r 51.w 4 = y e t nm C', ro ais•.ro r m wmm ramumo .. 1- s DECK d n t rnacror co vs.a-:v. ANOC a crca +m ra°ua mn JN ' _- OGT c re .re stobw am ••c w CA=MOr .•-0 aro•. 4 .4=60 am r1.R rosua.ma ^,�„ oamcc mMc. r-r..•�•. rrc u. A� op=� �' n i KTUlt/px r1A1RRa r-r•Pt MN[ //11�[ m OOOCor .•-r.r-r rmeacma wxisra'we'mo oastra.'axua. so.W r aixse Til•/3 W r srDa¢ �CGE7� i "nR< e-0 aro•. -0 ro Alcv a CM ravuyalo Gv LIVINGF - a e• • : A-HO r .ro» —m aTa[rasuymo j DNNG - r t aT.w r-0 aro•a ro sro °aosm as sxR rmuymo /J(� _ o a W. s vs•.sc vow v §~ 4 MASTER - BEDROOM �swwae eN ywro a I n^ © ssa TMtav"r1( wwia i u'-a yr 6'd.v.• 9 aT.R K TO I t N 0 r-=-- ►ra au ' •uA•MI Lmm O GLOW rw Come Ow.am snTn _ 7 AT ALL coma a .ux 1 1 0.w LAV. *cu..°s�ai� 4 a eo I 0 m.e cs.ra wtw arcs �ts� •• © s GARAGE ® y S R a Q BATHER O FOYER .,I KITCHENO � w016"r I s O tart.ro I M � I YM� -1 � ❑ a I D J( 31 IJ .. s� .- ,� dz�. , • _ t ' I ,b ..ro ro ro• s•-r .<•. .•s• .•{• -a ao• a•-to• a••a a v a•o• _ - `I"�-',('1Ir� 2 FIRST FLOOR PLAN. rw a.a• uao vv u m sro c o Tro• stub vs•-r-w, u FIaBa-q®j ® to _ I BEDROOM - '.. `� ., t.•ava• toy�roosaan .: u•r ; ,.1.. .U.` Y BEDROOMo a r © BALCONY i Q C 3 © Of ta Lvt -E a.• I - • N -- _. O F o. `ut ss , I I �. `�� I F J tl j Q O O , I % I . ----------- CLOUTBATH 4 ► i_ L - W Q a �� ' oZZOQ tecer� t r"° i I w C.F 1 ® carol To terol�= 'i C . r ll L� SECOND FLOOR PLAN a a °` . xat.Ile•r•o• tiff NAK. . 92113A2 The Commonwealth o Massach usells . Department of Industrial Accidents . ,-•- BlllDed///ldP..sUpgUOAS 600 Washington Street Boston,Mass. 02111 Workers'Compensation Insurance Affidavit IN INERI161 namc, ' h4o r; location: — city j1hone# So —ita, J p I am a homeowner performing all work myself. p l am a sole proprietor and have no on-6 working in any capacity 112111111111101111 I am in.employer providing workers'compensation for my employees working.on this job. .. w w x...... w.w..vW 5p.:.pgw wwww.♦,:r.. . ........ ......... .. ........ ., .rr.:...a...w..r,.... rn.,..•.., n .. •rK.,w....,.. .r . .. rx...♦rr..,:.. ..w.r,.w...,a.w.r..r...n..n.,rw .w.,.r:..,....n...:..: .... ,....r.rh,.l....r.r.K : ..nnrv...n.:rr.,„....w..n.r.K ' ..Kn.r..., ��;;:::::::::�:::�::::: n ...• w.v.♦n n,•.Kn..a.wa •r, ,.L. .• .:.. 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I understand that a copy at this statement may bt forwarded to the Met of Investigations of the DIA for coverage verification. I do hereby cetr6 under the pains and penattles ojperjury that the inibrmasion provided above is true and correct Signatur@ Date a'l q O . Print name,�_sec U E C N MO it 1 L) Phone 0 b$ S $�� Ccheck y do not write in Chit area to be completed by City or town official permit/ikense a s-iBulldiag Department (]Licensing Board mediate responaa is required dSelectmen's Office (aHealth f)epartmcat • phone N; Other (Jcviud ws PIA) , 4 e I I MAScheck COMPLIANCE REPORT I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 1 I ( -Checked by/Date !I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 12-15-1998 & ' PROJECT INFORMATION: 108 Statice Lane Hyannis, MA 02601 COMPANY INFORMATION: Bayberry Building Company, Inc. 300 Bearses Way Hyannis, MA 02601 NOTES: Lot 18 Bayberry Place - Subdivision # 701 COMPLIANCE: PASSES Required UA = 338 Your Home = 336 Area or Cavity Cont. Glazing/Door ..Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1200 30.0 6.0 42 WALLS: Wood Frame, 16" O.C. 1690 13.0 0.0 139 GLAZING: Windows or Doors 288 0.300 ' 86 GLAZING: Skylights 25 0.410 10 DOORS 19 0.055 1 FLOORS: Over Unconditioned Space 1200 19.0 0.0 57 HVAC EQUIPMENT: Furnace, 0.8 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The C equipment selected to heat or cool the building shall be no grea r than 125% of the design load as specified in Sections 780CMR 1 0 and J4.4. Builder/Designer J Date / (��, �� h GTlie-eanvnaaruuea�i o�✓�aaoar/iu eka } DEPARTMENT OF PUBLIC SAFETY k :peFt � CONSTRIICQ�hSUPERVISOR LICENSE M!I Num6r TI Expires: `Rested� .. ," JAC,QUE N4RI1 !� 300 BEARSS'WAY '400WHYANNIS, MA 02601077 ! ! ib4 DEPARTMENT OF PUBLIC SAFETY 1.54456 . ONE ASHBURTON PLACE, RN 1301 BOS TO A;M�A 02108--1618 CONSTRUCTION SUPERVISOR LICENSE Ni_imbcr: Expires: CS 057770 02/16j2000 `w Restricted To. -1G Mi { 771 JACQUES N MORINi-Em _ 300 E3 E A R S E S WAY _ 1 HYANNIS, MA 02601 T _ Keep top for receipt: and change {-- of address notification. J