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0120 THIRD AVENUE (HYANNIS)
%;z a s TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION. Map Parcel (�` .7 'Application# 0: C 6-7 / c�.hk6Vy4 Health Division o1 j +oF 20 ' �� Date Issued itVA �g Conservation Division Application Fe Tax Collector Permit Fee f Treasurer Planning Dept. V U Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address > T-14�2/J ✓G Village U)9.--eT P®i-I Owner D o ku rq—t ✓n UCLA C H L A - Address /-to -tt t2-A 4vi- 6 0 _ Telephone Permit Request D `i r0a✓ '— ! i�� X- 3 �0 S(O/� /�-C�i O ri Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new 2�?/ S' Zoning District Flood Plain Groundwater Overlay Project Valuation i4(31 Construction Type 1-10©-4 Lot Size 101, Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Gir-- Two Family ❑ Multi-Family(#units) Age of Existing Structure /0' ) y,eS. Historic House: ❑Yes & No On Old King's Highway: ❑Yes Wo Basement Type: ❑ Full ❑Crawl ❑Walkout Mither Basement Finished Areas .ft.) Basement Unfinished Area s ft 'r Number of Baths: Full:existing - new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing -7 new First Floor Room Count Heat Type and Fuel: ❑Gas v9-Oil ❑Electric ❑Other - Central Air: ❑Yes Ao Fireplaces: Existing _ New d Existing wood/coal stove: ❑Yes oblo. Detached garage:❑existing ❑new size 'Pool:❑existing ❑new size arn:❑existing ❑Mw seize Attached garage:❑existing ❑new size , - Shed:❑existing ❑new size ---Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ )`' --' Commercial ❑Yes Wo Tf yes;site plan-review# Current Use Proposed Use BUILDER INFORMATION Name 6gid-vt P4 1 Pl'�GIA�7 CO Telephone Number 9 S qol S 4f 0 6 Address 4o.tl' w-1 Oki vim' License# 03 C 2,3— -t(Ly f L L-e _ A--otf f a� j Home Improvement Contractor# IV P4 Worker's Compensation# �L ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 1 -e v P SIGNATURE DATE 104 6 /o "7 } FOR OFFICIAL USE ONLY APPLICATION# , f ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME O(� [ �--o �`p Pz, INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services sit nsnss.ASS /�to. �. - Thomas F.Geller,Director �9— 1 ►9.. Building Division D 4 Thomas Perry,CBO,Building Coinmissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable. na.ns 'Office: 508-862-4038 ,Fa„: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Co C.- Project Address � � � — �� builder:_ � , /��C�� E C 6 /4-Y The following items were noted on reviewing: S UPPLr 7i O> . fc-C— w eC SP6c S Reviewed by. Date•.. --7 _ Q;Forms:Plnrvw ,per The Commonwealth of Massachusetts Department of Industrial Accidents Of lee of Investigations 600 Washington Street Boston,MA 02111' fvlvw.mass.gov/dia ' Workers''Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers _Applicant Mrrinntion Please Print LeLAbly Name(Business/Orgudzaiion/Individual): �T -,eA � LtC C-0 Address: i. tL- City/State/Zip: G 0 A�5)-Phone.#: S a-g Ito Q Are you an employer?Check the appropriate boat: ;Type of project(required):, 1.[] I am a employer with 4. 0 I am a general contractor and I 6. []New construction . emp -contr loyees(full and/or part-time). • have hired the sub-contractors listed on the attached sheet. 7. k2.emodeling 2, am a'sole proprietor or partaer- These subactors have ' ship and have no employers 8. ❑Demolition employees and have workers' working for me in any capacity.' $. 9• j4•Beding addition [No workers' comp,insurance comp.insurance. 10. Electrical r airs or additions required.] 5. 0 We are a corporation and its 3.❑ I am as homeowner Join ill-work.. officers have exercised their 11.❑Plurimbing repairs or additions ' myself.[No workers'comp- right 6f exemption per MGL 12.❑Roof repairs insurance.required.]t c• 152, §1(4),and we have no ] employees.[No workers' 13•❑Other comp,insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowoers•who submit this aff davit indicating they are doing all work and$ien hire outside contractors must submit a new affidavit indicating'such. tCantractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. if the sub-contractors have employees,theymust provide their workers'comp.potic'y number. I arri an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: 6 /� Policy#or Self-ins.Lic.#: �� �� A���J Expiration Date: /0 4 lob Site Address: 1'1�10 � ' 4 __city/State/Zip. Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in they 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 maybe forwarded to the-Office of' Investigations of the I)IA for insurance covera a verification. I do hereby ce under the pains and •es of perjury that the information provided above is true and correct Si ature• Date: Uo7 Phone# j'v �d-� f Official use only. Do not write in ihls area, to be completed by city or town official City or Town: ' Yermit/License# Issuing Authority(circle one): 1.Board of Health 2•Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Tama J==Iv(Cnmtt tubo • '. psrscrlptira Psekagd for ilia and Txv-Vx='P•Ruidaadal Buitdlag ',t3exte3 tr4t5' �'�a1s . &Axf, M • MIIYIMLR�1( C11=i cg alazing c4inq 1Vnil Hoar Hlscmrat .x rnt� dcu Slab Arc��Cja� U-ynluc= It-v�iue' ' &Ysluc� R•Ysluc3 WRl prsirnI 1701 ta,d500 Hcadng Dcgm Days Narms! IZ%.. 0.40 38 13 19 10 a Plomial IZ'rS O.SZ 34 19 19 I0. • g . IZf. 0:30 31 ' ;3 19 10 Narsust' I5va 036 38 13 23 IVA N/A. �. .2dormaI [T Is/a 0,45 31 19 l9 10 83 AF�TB Y 15% 0.44 3e 13' 25 19 AFUE jy 13% 0,32 . 30 19 19 14 � 0.33 38 • 13 ai N/,i► N/A Nartnal X NlAI Nc=%l Y R8'l,. 0,47 33 19 23 1�VA - 90 AFVE 1;•f �,qz 38. 13 19 I d la�r� t}.54 34 14 19 10 8 �TAFZIir AA , 1. ADomsS OF PROPER, y'. l° `fti/L� �- SQUARE FOOTAGE OF AU.F-XTERIOR.WALLS: VARE FOOTAGE OF ALL(3LAZIN'G: � 4, % 6LAZINQ AREA 49.3 DIVIDED EY'#2): j, SELECT PACKAGE(Q AA-sea chart ibave); NOS; OTHER MORE INVOLYF�METHODS OF DEiEAIvIIi�ING ENER-Cly REV'REMEN TS ARE,AVAILABLE. ASK.U8 FOR THIS INFORMATION' EUQ,DINGT.NSPECTDR A-FFR.OVAL: YES: NO: 4�,�s-©aG303e I �oFtHEro,,� Town of Barnstable Regulatory Services � r " a'` MASS. E nsass. Thomas F.Geiler,Director y � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1 }9TtfuYZ r'^ P4c,ft-,E-00 to act on my behalf, in all matters relative to work authorized by this building permit application for: V5v`' ya '► s P 1, ¢c (Address of Job) w Signa re of Owner D e L, 0 a �- Print Name If PropertyOwner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. A` Town of Barnstable �pF THE Tp�� Regulatory Services Y Thomas F.Geiler,Director + BARNSfABLE, .� MASS. q,A s639. A Building Division rEo � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and, to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.. 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 x applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner 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, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 1642. 0 � �206 � sLrNc✓"1 C�1�� �W r1 Q �rC�^1 f. .�. ' q 4 r, 00 25�t 10 (U � 4 v t�7 Zy�� Zor / 7 � 1 r 2��T ST2<S— T Tzw,v way CERTI FI ED PLOT PLAN LOCATION ��n2��srR�C !RNN�SolzTl ,a2p�L r2Tf/ /S LccAT1 SCALE . ...�,•-.?O �.. . DATE �L.Qa v 2,.A1E- PLAN REFERENCE 14? /aS as�/aw�v aN 4`S n t7WC <N T€ 1 CERTIFY THAT THE . ... .�. . .. G . . es „� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON, DATE .DG=C. Z ZdG7 /0O-qG-'32-7"� ��L/�L "' � REGISTERED LAND Si1RV S _-PAEA9 Ewa V A--n ,.I - _ LETT ELE Uh-T-70N - l�_ CISED _. J-F- �11 ULe VAY'90[J —P .e Any.— ' r lAlf. Yo //�y��,!///d)1 lI1I///��Lp/1r/ I fin/ I s A �, In/I^ / r3J.—HAaoN—CL�oN E.-JOII N<c.J n7^[IpB5:67Y - —E�-Io''_NCI✓_, ._ 0ILco IIUIti V/PF C U =-EE= _—r-- ,-- _ �- b"CDNC, P)A LI OFE2t10LE .^ FlNCIbr nnLT r'I_r _ '�I I VArn r Prot,- 3--- fII� .REYA nl fvi ST,'. -� &LIDicP -I I�n aXb P.T. 51LLrj I� 3 SEA. J i. \ 4�W v. W/S�AL ,r¢.:L]jJ/�1_./<S71z�� ].O�- O W.co NC. SLA n> a SHeD ch-rutn rz L- s F=-T-' ALIA , S rA,I y L OCAT EoN SITE 1=01iN.D A-770N PL N- �rFALE�Y"=/-Q'_ n Cr..a A�PIInLr Zoo F[Tlaa]8N cDVa,Jr�� aJ� sN/NGLE� ^r7vJ•' I'.� WALL§ ICE+ WArt P_ 3111E Lb ALL Overt "c nx.r �. 23D `LOOK �a,� c.VX.. PLC. rxv 1X.,5r .. I'll(, fx l PANE No rn.Inn . - - .. $Dr FIT+ 1/-E nll'E-D TJ21P tI-J 6'E Na SrLL rj '- [Poor VENT5 IF /1'E4, - = ....y 5 IXF rA1,C/A + )o T-F-IT -J�P1E 74:- 4- GUT -ro FIT . 1Joiu(7jF/�— k 0. Gay _ w� OEV Mr-tD&, III �� ..\. ALVM. Gvrr�rzf +JPoVrS ,. NEW 5 e f (7 Ae R 51 F. r ------ - �: sky ,Iealry Ie NCI' WALL TP 1nH1 5 "Ott yle le , 3 FAN rF � sT]D S r F, overFl 7- V n , /Jr F TD oor aK II;'R'/tm`I) 7 7".,7'JDl` E uT2Y DODl:' (' - �. E' LEhJE IN QI�TII Ir J Z, l..uT ]n I=rT .. 1 5-0 F NeLJ �.� axi s1/OE Iv'06 9'a--._ .I 7VA1L_ r o r DIaT 2 5E6 wlHr�r ynP_n ynF�cJ�� . Jtri® 'FMyV .7ti P.T.f/LI- V�!i-�/�r_ -Q' ✓,�,/ J,t/f, Anrc r)Dv s•oL. r_1'- ro n.E ee Tn/ C 8"roNC. LVAL1,5 ]•�/G,"y A'• .. o�wr —4TW-' i GDur'. FrG-y.'(7:?� Fl•/✓_/F/c . I 7- �r GRf1M1N1 /rfrJ�r,y_`Cr10nl- ILL�rY /-�" _ -DL e ate' Results Page 1 of 1 t Licensed Contractor Look Up Select the search method: License _= Maximum number of matches: 25 = Enter Search terms separated by spaces. 131802 Select Search type: AND OR «Search : Search Results City/Town Name Lic. Type Lic. # Restriction Expiration Street State Zip HYANNIS PACHECO, ARTHUR MI1 00 1 126 NANCYS LANEII MA I02601 Total of 1 Records matched. Back to Home Page BBRS Privacy Statement ht.tn.//dh_-,t,ite_ma.nc/hhrc/nnntrart.nl V70..007 i - aches The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental .CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.123.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation,form of construction or percent glazing,but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy t consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and construction/installation of"sunrooms", included below is a aon-required, open-ended list of product and design donsiderations that .a homeowner may 'wish to consider before actually constructing/lastalling a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize- potential..energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - - • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/.seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans j • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and.Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.123.1,,requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes'"sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. fl � '. ,' ) Sign ture of Actual Building Owner Date ) -ILr � a U ®1C L Print Name Address of Permitted Project �_J L2 Owner Address(if different than project location) Owner's telephone number Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number • Select Search type: C, AND C OR ,Searh Search Results Reg. No. Applicant Street City State Zip Name Title Expiration 105488 IF%TURH M. 26 Nancy's y MA ]I PachecoOwner/contractorCHECO Ln. Arth a Total of 1 Records matched. Back to Home Page BBRS Privacv Statement 5/2/2007 http://db.state.ma.us/bbrs/hic:pl i I+ + Il LJ E 61 1 1 FELrQ EL£�//.�TIrJJ _ LEF- El.'�v .J YL IT 1 -j-r T. �. 'R /WT EL£VA-T/DIJ Fop L/GF A-D L'�Tnr� Nlh'NS T� $H.g2D� /1�AI,p,VE- .7a HNL0/U-'77P�bb7Y ' •/of 1 li _ nr rA TV SU¢f ' DriO OJC. }• l q, rr nL p/tL LO 5fA^Y5 p ® O $W if.LDN 6E(t.. .33� L_ —� 132 B:•DON.G...Whws riXg•P 8' UuR 3 PCP -5, a a APEA RGoD` A(P PROD w GLt �y N v 2 wasp :ey ko a ... PerAiN r l.snd- aw O I'1 /J�W_SD»I DINING X2EA u ILET/rr O p1 dJ�b l',T. yl lt_o O �' I� GMf�Stlel7 2nOF W'FI�1J ,Q EV sT X W/M-ep p No o rl ad -14 E%I Sl•.__s.}GGFjS fLoort Pwcu- SLrki� y,':rD sT,ys `)NSU I.P.Towl ROo F__ 51rn N/ _ Rao c_w. AbPHF4.T__.R000 / y Isa FE 7 OUF2. _.�Ltx. < oUP/'u D'. x.PLy Rlb wd�ook Ixy /x5 c.8d5 R30..,_F.�oorF IaE+ mA'TFQ .Stt1£L.D_.d..V../'+ ✓A,.�yf .. (j DfFI.Y_t,I_£NT� (.ROOF VENTf. IF /LEQ,) Jx ro 2A.F.T.Er..g e-/&"OC x Ix$ FAIT .Q yoyFlr . WINDDIU-I fYT£/LID/L 41.41 voo MEDULE IX$ FR/E.ZE War MLDL. _�L.!� 3fe— 20. G.✓rs cne A�oM. ., ,�.urT�R.y -r3vD�:s 8 New ' �l NFW mau. srt'oP o - LIIL.//DEtsr-E 0. P SLOPE rN 8Q. .y ���Qi6"cC r ,.` fA.r, STUDS ..PW.N__wA- e�.N.S._1J.� sm y _..an.ytllv'Oa. 7'y"snac9 ,? e n ou aua r G oc j 2x4 SHOE •av Fort- - F�usN W�Fx.r z-r - , K o c/e°OL t✓�R tiA IL p+ 01211 `�jr ausT GAP _ K FUUND A'7lON- W ax,G FS_$.LLL� L� f 3 _ [/'t,X,' e- PAbf a oaa I r�a Fes, 'Town of Barnstable *Permit ° Regulatory Services ° res 6 months rom issue date s Thomas F.Geiler,Director 39- A•�� 6 Building Division r �Q�M ZQ48 Tom Perry,CBO, Building Commissioner OFegR 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-40Y&ZjF Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number -z"6 o G-) Property Address /oto -3 &yc-- W. Residential Value of Work *5-0 J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �;j I-0--e P4[-f L: o K 3 9 Contractor's Name 1 ✓2 A4, .elo&ffE G(} Telephone Number J d 8 7If.CxY& , Home Improvement Contractor License#(if applicable) J1 4 R ❑Workman's Compensation Insurance Check one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Names�`�` j v'rsu-e �-°- Co Workman's Comp. Policy# t,.Vc gig q 5-3� $� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ILte-roof(stripping old shingles) All construction debris will be taken to Crj$eL A--& S i S Y J ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side IPF,Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this pen-nit 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 is required. SIGNATURE: Q:\WPFILES\FORMS\building permit fOnm\EXPRESS.doc Revise020108 7. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ContractorsfElectriciansfPlumbers Applicant Information Please Print Legibly Name(BusinessJOrganizahon/Individual): AA--r M-CWCO Address: ! d City/State/Zip: Phone.#: �� P 7017'0 410 000 Are you an employer? Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors ADkLl;n a•sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees 'These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Build�ng addition [NO workers' comp.-insurance comp,immn-ance.t required.] S. ❑ We an a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myselL[No workers' comp. right of exemption per MGL 12.®:Roof repairs romance required.]t c. 152, §1(4),and we have no employees. [NO workers' 13.®"Other S'�191 rv� comp,insurance required.] wit3� Rr� *Any applicant that checim box#1 rust also En out the section below showing their work='cotmPcns4on policy information t Hmnwwn=who submit this affidavit in&caliug they arc doing all work and then hire outside conttnctots must submit a new affidavit indicating such. tConhactots that check this box umst attached an additional sheet showing the name of the sub•cont ac nts and state whether or not those entities have employers. if the sub-conhactm have employees,they must ptvvi&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: "'` f � + 4e -I—,. C� ) J Policy#or Self-ins.Lie.#: (N C 86 Expiration Date: I o / 3 / n 3 Job Site Address: 1 d ® •n o r el A-L� city/statdZip: y 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statcmerit may be forwarded to the Office of Inyestittations Of the MA for inm ance coverage verification. - I do hereby cepT under the p atties of perjury that the information provided above h true and correct Si Date: O Phone#- Official use only. Do=not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector, 6.Other Contact Person: Phone#: IL ^ Information and Instructions ..v 4. Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. d as"...every person in the service of another under any contract of hire, Pursuant to this statute,an employee is define 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 repmsentatives'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.ernployer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced•apeeptable-evidence of compliance With the insurance coverage required." Additionally,MGL chapter 152, §25g7)states`Neither the commonwealth nor any of its'politicad subdivisions shall enter into any contract for.the performance of public work unto 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)uamc(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies•(LLC)or Limited Liability Partnerships(LLP)with 4o 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. Bp 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. Sclf-insured companies should enter their self-insurance license number on the appropriate line. City or Towle Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of time 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 permiWicense 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 curr=t 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 mast be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e.a dog license or permit to btun 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 tti give us a call The Department's address,tcicphonc•and fax number. The Commonwealth of IMassaahusetts Department of Industrial Accidents Office of Investigations 600 Wuhington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFfi Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia Town of Barnstable Regulatory Services MASS.zE Thomas F. Geiler,Director 16.3 lEONv,`�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8` Fax: 508-790-623 0 `L Property Owner Must Complete and Sign This Section If Using A Builder Pa u CIE. , as Owner of the subject property hereby authorize tT'IA to act on my behalf, in all.matters relative to work authorized by this building permit application for: IF (Address of Job) 0 b i;tD®e Signat4e of Owner Dale Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. A" Town of Barnstable �OFSHE rpy� Regulatory Services saMszwsr Thomas F.Geiler,Director 9 MASS. Building Division Tom Perry,Building Commi ioner . 200 Main Street, Hyannis, 02601 vcww.town.barnsta e.ma.us Office`,, 8-862-4039 Fax: 5.08-790-6230 HOME0 ER CENSE EXEMPTION P ase Print DATE: `� Q f Cf JOB LOCATION: t U �l t� 'e nu mmb street G village ys C HOMEOWNER": �l Vl ( I C: ��Q— 7 — 2 �� tl . (�S 2 name home phone# ork phone# CURRENT MAILING ADDRESS: ,0�r( i.ty/to state zip code The current exemption for"hom 'wners"was a nded to include owner-occupied dwellings of six units or less and to allow homeowners to engag an individual for hi who does not possess a license,provided that the owner acts as supervisor. DEFINITION O OMEOWNER Person(s)who owns a pare of land on'which he/she resides intends to reside, on which there is,or is intended to be, a one or two-family d elling,attached or detached structures ecessory to such use and/or farm structures. A person who constructs re than one home in a two-year period sha of be considered a homeowner. Such "homeowner"shall su it to the Building Official on a form acceptabl o the Building Official, that he/she shall be responsible for all su work erformed under the building ermit. (Sectio 09.1.1) The undersigned" meowner"assumes responsibility for compliance with the Sta uilding Code and other applicable codes, ylaws,rules,and regulations. The undersigne "homeowner"certifies that he/she understands the Town of Barnstable Build Department minimum insp ction procedures and requirements and that he/she will comply with said procedures d r irements. a t ' Signatur of H mebwner 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 perfomung work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1_.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t'amend and adopt such a form/certification for use in your community. . J Results Page 1 of 1 Rome Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City, Name, or License number Select Search type: (, AND C, OR Search t Search Results Reg. No. jr Applicant Street City State Zip Name Title Expiration 105488 ARTHUR M. 26 Nancy's Hyannis MA 02601 Pacheco, Owner/cont ractor 7/17/2008 PACHECO Ln. a❑❑ Arthur Total of 1 Records matched. Back to Home Page st= BBRS Privacy Statement =+. http://db.state.ma.us/bbrs/hic.pl 5/2/2007 ' TOWN OF BARNSTABLE BUIL ING PERMIT APPLICATION Map Z Parcel Permit# Health Division --��4 = �y� Date Issued Conservation Division �'C� Fee 7 Tax;Collector to,volftm% SEP iC SYS U71 i;tisUE"' 6% Treasurer rr INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL,CODE AM Date Definitive Plan Approved by Planning Board '" TOWN REGULATIONS- Historic-OKH Preservation/Hyannis ` Project Street Address [01 O r"00 J+VE Village = BtY Pt I P n AT Owner D o Q-m-"It y r'1 q C LFAC14 LAr0 Address 16to i dI(R® AVE Telephone `l la 4 � Permit Request Fo_A e10f'0 11 n T-a0 e--, l' o 7 E-,Ooeo o.". Square feet: 1 st floor: existing SIP 7 proposed 3(v 0 2nd floor: existing 4 6It proposed Total new 3(a 0 Estimated Project Cost Zoning District Flood Plain t-- Groundwater Overlay Construction Type w 0 e.0 Lot Size 9,000 S P. Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 6L Two Family ❑ Multi-Family(#units) Age of Existing Structure ® � Historic House: ❑Yes Q NW On Old Kin 's Highway: ❑Yes MNo g g � 9 Basement Type: ❑Full W Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) L*0 d Number of Baths: Full: existing [ new ' Half:existing '` new Number of Bedrooms: existing J new 1 Total Room Count(not including baths):existing new c� First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes (A No Fireplaces: Existing New Existing wood/coal stove: ❑Yes WLNo De<ached 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 RMo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name rrki✓A fA- PAC_ g c0 Telephone Number Address License# 031 le 0 OL y �m J1YV Al S Home Improvement Contractor# /CS' 8 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 owr- Vic dry SIGNATURE DATE - ry 'FOR OFFICIAL USE ONLY Py�' ':SIT NO. 3 DATE ISSUED i MAP/PARCEL NO. x ti ADDRESS VILLAGE OWNER y DATE OF INSPECTION- ,.:FOUNDATION 'FRAME INSULATION I FIREPLACE ` ELECTRICAL_ : ROUGH- '-- FINAL PLUMBING: ROUGH; FINAL GAS: ROUGH: ;" - a ' FINAL FINAL BUILDING /O,� ' DATE CLOSED OUT , ASSOCIATION PLAN NO. _ F rt ' t r r OF"E . "�. The Town of Barnstable • BARkSrnBU& • ' ���' Department of Health Safety and Environmental Services iOrFo 59.' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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: �=010 T—d®�- Estimated Cost o 0p Address of Work: l r+ttR.® 6 V E lit/, H yAI-1,011S A R- i Owner's Name: 0 09 or►H ►'a'1 A G LIB G jj L-4r--, Date of Application: g I l® 1 g g I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f the owner: l® f Date Contractor Name Registration No. . OR Date Owner's Name q:forms:Affidav ' eZl�\ �_-__ The Commonwealth of Massachusetts ),I .== - -� Department of Industrial Accidents ... Office 01INYOSti RMONs � _� 600 Washington Street . ��, Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: iq P-T'l vQ /'A . /'O C-HE CO location: (9-(2 1VPM-Gy LN City f+'`I,"WiA.'t S phone# `7 7 C—0 7.0 ( ❑ I am a homeowner performing all work myself. ��am a sole r rietor and have no one workin in c achy ❑ I am an employer providing workers',compensation for my employees working_on this job. ...... - - - ::::.:_ I. :;::iii:>::>.::.:.:..::........::...::. ;:.i:.}.::.;:.}:.:::.::::- : an name:....: >. .:..:. coma v ;::::.: ....................... gai'it ss. :::::':::::: . >::::::::>:::>::iii:> :>:::::::>::<:::;:i:. ................ .,.::<::::. hone#;. .i. . ... .. .: .. . elty.. :. p lnstirance:cu - . .. ailcv# . .... ❑ 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:::::.::.:,....:.....:............:..:::..::.:::::..::::::.::..:::::.::::::::.:::::::..::::::'.-:..:..................................................X.r:::::.:,:.. comoanv name.. ...x... ...:. ..... ...... ::.:':::'..:-....... ............. ;; .::. .:..:::.... ....:.. ::::::::.:::..:.... .....:•::::::::..... :..............;::.:.:.............................::: .............. ............. ..................................::...................... .......... ::::.;.::.:::.:;.:. ...... ..... ... ..:... ............. �. v::.;v Yr--� wi::: }:.i:<Ci::^:.iii::.iiiii}?::}i.:ii'.iiiX?i:}iii ii}}:::T.}i:.:i:<.}':.i::.ii:....:::.;'.::.:.:::'.':%'4.•::v-}}:-::j'i::::•::;t:::::i:....... %i?>::::::::i::?.:»:::::::iv::S::::�::i}`: :<;t;::::Y: :;.'iy:;`>:i:; ::Y:::i:i::i::^::::Sii iiiii::i::::%i;;:::i::'::'::2:iii::>:::i:;nii::ii :''i:i:i:i::.i.''-' :>:::i:i:i:::::1.:::::L:i:i'^ii:iii iiiii:t:ii i;:vi iiii:::::i f?:i:':i:::ii....... ;. :::.�:..:.:':;':::i`:::::.):::: iii:::::::ii'.::.::::::::::::.::: ::':::: htlilti . '::.: ::... ... :::.:::.::....::.. . ......:.: ::iii:ii::i;:y:::.':::::..:::i>.�}>';i::: :':<i:;:ii:!^:<:i iii:::%%::ii;; �:;i:iiiiiiii is i�:::!:i.'4iy,'::::v.:iJiiii:is^i::i'-'`iisi!:'::ii':vii`iii:::i:.:}}j:!ti.<y:.`';'r::iii"�':::`??i::`:L:iii::iiiii':i:?{:`::::yjj:jj?:<:+'•,';::;:;::iy :;:;.;:;i:;:;i: is}:iti'•' :...... :'v':iii}iv}i:i:.:�: .........:-:::x:::::... •i;::ii ii:iii:::- ............. ...........................:::::::::::::.::...............:.::::::::.,::.,:......... v;::.4::::::.}v::::::. .. 4i.:•ii. .........................................:.................. ................ .:......::::::::..:':::....::::::-::::...........::................ .::::::::::::::..:..::.::::.:.::::::::: :::::::::::.............................................................::: nsnrance..ca..... 011 # ..i..:: .:.:::.::..:...:.>:::',iii:::ii::::•i;:::;<:;:;>-:::.::.;;......ZZA: :....: ....:::.:.. camaatty::nanmei ..................:::......:::;;;i..;.....:....:.....,:... .... .......... ... . ........ �_.. :•.::-:: :;:.. adifress: ...: ::;::ii.;.;,;.;i+iY:::::`:::isi:;::f::?:.i::':v.........:......:'::::::i::i iii::i::::�: ::�:!::!::::i::::i:':::::_:::::�::i::i:::::::i iiii::;:;:i^i':i'::::i::i::: ::yj::ii:::::::x. i::::i?:%i: ::ii::;:;:;::?±:; !:::::::i:+ :::::::::::::i::::::i::::i::::iiii::i'fiiiii::i::1ii::i::ii:2:iii::::!:iiii::iiii:2:.':::.:::i`i:%4i:::::i::ji.:;ii:i i:: :a61 ...:: +.:. . .... .... phone.#. .. . ..:.... .......:.:...........:......:......... .:::.::.:::.:.. ..::..:. . i:'2 .:::::......:.�::-:..:.:.:::::: ...:::.:.. .............................................. ...................... . 5i::i::;.:::::: ::%::::::%::;:r3r :i:.i::::::::.. %:: :::::i::i:;;:`i::::ii:; 1nsurance:co.... :':': .......... <>: o1i #.`.:»<: : . . %/ FaOme to secm�e coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 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 ' under the pains d penalties of perjury that the information provided above is Ow.and correct . . Signature d Date �b o Z? f _ _ Pont name 149-T H z/a? A P*C-l'/"g CIO Phone# -7 ) 1 -®q 96 . 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#; ❑Other (revised 9195 PJA) E s . r 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 thcieto 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 ed to the or town that the application for the permit or license is date the affidavit. The affidavit should be return city app 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 munber 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 peimit/license number which will be used as a reference number. The affidavits may be rctumed in- the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lmresugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 l tl M CU1t A 4pasdk 1 TaWadSZIb( "a ipttre Packages for sae and Twe4F=dY Restdentlal BoUdingr Sated with Fossil Fads MAXIMUM MUMUM Wall Floor I gm 31abE4- wecoo1i8 Ann'(%) U-valne= RrVWl R Voim &valuer Wail F�mW � EMa� Faunae R vmL "=I $701 to 6500[endow DeRees Daw Q 12% 0.40 3E 13 19 10 6 Normal R 12X OM 30 19 19 10 6 N� 9 12'b OJO 3E 13 19 10 6 U AFUE T 13% 036 3E 13 2J WA WA Normal U 13% QA6 3E 19 19 10 6 Normal . �+ �� •••• vi. B AFUE 1�7i 11L9.4 �e �+ ..+ tvn .�... 13% OM 30 19 19 10- 6 U AFUE X 111% 032 3E 13 25 WA WA Norma! T 139A C42 3E 19 2s N/A WA Normal t tVA 142 n 13 19 10 6 90AFUE AA 1E'/. OJO 30 19 19 10 6 90 AFEIE I. ADDRESS OF PROPERTY. 4 f/E b✓• ;f %I ®yAi rnASS 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. 4.10 4. %GLAZING AREA(#3 DIVIDED BY#2): 0 - 1 ' S. SELECT PACKAGE(Q—AA-see mart above): / NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR AP O AL YES: NO: q.fo=4980303a f 780 CMR Appendix J Footnotes to Table J5.2.1b: and Glaring area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, 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 If 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 -� ---- -•-d part:n ofthe me the conditioned spaca nuu LU vcuu,a c '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-b insulating sheathing.. Wall requirements apply to wood-fiarne 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.-am 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 am 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 �m es must be tested tprocedure_ w' the NFRC test and documented by the manufacturer uj accordance with in Table 11.5.3b. If a door contains glass and an aggmgate 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(035 for doors). 43 14 P{C+�J Via t o.v9E4 6�C�Lf �xi U ��Evri �T� (jELi` GRADE "a A- 4N0 MOM E : F�J�;��` S u t Ic..•�. w'qt..�- ti:v;,cR F��c' w(���j �;2E � �l+�C.K �,;✓ [i ti �tEltS :r,Ock (";-05A .drew vZ�-E'�X -'f Y. +,- CC.,.c,�FiF & �i S �� F 2 c;.,;. �.u_ C o �2•"'E1'2 � S PA CC Q j 1 a e -r rt r,�D �✓Tr IAI, 1-F y tf NN+S Pa Air r+A A S t Cc pe -- 41 —� r� c C�-CJC t2Enti. 'L w,rjGc it I H' x- "' IL JIG, I a � 1 i g E.p � C,4rePL i i;��!� ��y i• � c�-art � i co F�cc.2 u j I I I I I=Et i '. s AS EJ ter,✓ ; ri i ��i`•c . .;k4jez .. 5 5cF-IT F.�-1 oL i 1 �1, T w iXb j3 i s� lb."C;` pty r:..o 1�} s!� 5✓3 F� r r2 � fi n 44 X I C� c,QE i F P I E;e f I I �I i I i 1 PLC) INt, i - { w � a• 'r 1 ✓�e �cirr.iir trrruecrl/� r`.. ll t rrrini.:ri. j `!Umber. ;C:'oc- j . "YgNN1� ate\ HOME IMPROVEMENT CONTRACTOR Registration 105488 Type- INDIVIDUAL !` Expiration 07/17/00 ARTHUR M. PACHECO'. 26 Nancy's Ln G� Qom & 'nnis MA 02601 ADMINISTRATOR STANDARD LEGEND NOTE:not all symbols will appear on a map 1 O;� _ GOLF COURSE FAIRWAY N. c:. is EDGE OF DECIDUOUS TREES �-- EDGE OF BRUSH W266 ,_-~..- ,' �' _ _ ORCHARD OR NURSERY 1 , . . _ :" EDGE OF CONIFEROUS TREES L .. MARSH AREA -� 2 4 5 �� � - EDGE OF WATER 7T J,0" r~�1 DIRT ROAD �_..._ DRIVEWAY MAP 1 V�:5-3 PARKING LOT PAVED ROAD J eon t — — DRAINAGE DITCH ....... ; —- ...... PAT / RAIL T H T •,� -- , : .-- t -------`" _..._.................... PARCEL LINE # 2 _X, -" .. MAP no F---MAP# <, C' 21 E PARCEL NUMBER �AP 245 1 m +,r• 1- #tebo E HOUSE NUMBER ; 7 v ............. ........... 2 FOOT CONTOUR LINE 1r_M "" " 1.. 10 FOOT CONTOUR LINE ' >�'. \��•�-..-......._..___.._.....-...__-..-..,..._.. � i�4.9 SPOT ELEVATION 1 STONE WALL i Y X FENCE ------------- ` 4� 10.. RETAINING WALL } -} } RAIL ROAD TRACK , _._._._._... STONE JETTY , A P �,6 v_... 1 ,P 266 , SWIMMING POOL .._ Y1 PORCH/DECK 1 /4 BUILDING/STRUCTURE L DOCK/PIER/JETTY HYDRANT # 29 25 e VALVE O MANHOLE j 1 ... FLAG POLE 0 O POST 0' T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N I T 0 SIGN ® STORM DRAIN rl PRINTED SCALE:IN FEET *NOTE: This map is an enlargement of a **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 4 — scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE m TOWER w`* E 0 20 40 National Map Accurocy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=40 FEET* enlarged scale. on the map. at a scale of V=100'. Parcel lines were digitized from 1999 Town of Barnstable Assessor's tax maps. -0 LIGHT POLE O ELECTRIC BOX 1 % v EGG oi 7NE 17T TOWN OF BARNSTABLE 9� 0 RMSTAUL pY�`e� BUILDING INSPECTOR lrr�Je /J�y d�2c APPLICATION FOR PERMIT TO .......�..............................................�..........1'i.......................................:..... 2�-� TYPE OF CONSTRUCTION ................. ................................................................................................................... ............ ... 1.................19G/.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according toyer the following information: Location �� 6.e- .MT- ....../?yet.r>.% .7�i ..�� .... ProposedUse ............................................................................................................................................................................. ZoningDistrict ......................................,./..................................Fire District .............................................................................. Qss7� /5f. ./1�G../!tG. `....Address �e� 24 /g— /0o zT:..Name of Owner ... ............................ ................. Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ............................................................Foundation .C'$.�:�.... .....' Exterior ...........y!J.:.............. ...............................................Roofing ....... ......................................................... Floors ........................................................Interior ........ Heating .....:............................................................................Plumbing .............'r.�........................................................... Fireplace ..................................................................................Approximate Cost .................................................................... Diagram of Lot and Building with Dimensions n f /6,o 1 (o 0 0 1 1 /1�®�✓ n o2 FZ al z N �� o o � o �,/ I Z. 4 r )fir°X - t 1 �o 1� O.P uNDre I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. McLachlan, James A. Ale A5�ESSEa U.yea.. r Permit for C/� 3� w �oz7 c3�� P. Cch Location .......... . ............... ............... I ..04" AV-V ............................................ Owner .....l.J�l�°L�G?���1 .. Type of Construction . r�.....e... ' ............................................................................... PlotLot ....................�........................ . Permit Granted �ll/S.f o��......19 41 1 Date of Inspection ....................................19 X Date Completed ........;D.e.� 3.�.........19 K/e-ST- 1 { PERMIT REFUSED j ...........:.................................................... 19 I . ......................................................I......................... 1 .................:. ...................................... ............................................................................... ............................................................................... 4 Approved ................................................ 19 i r. a .. _ Assessor's maps and lot •n mbrer .....'.... :.. liq Sewage Permit`number `... ..yr .,J$ „/%• F BARNSTA r *THE T ON, 1 �N . O - -- ~ i SAWSTADLE,'•i DUILDING R: 9�0 t639• INSPECTOR C y $ f + APPLICATION FOR,PERMIT TG �. .c!.. .... ..� .... ........... TYPE OF CONSTRUCTION .... .......... :................... ............ .• V.r a z •. .. ... .. 9 / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........................................ ....D............. ... ...................... ............................ . .... .... ... ... Proosed Use cam'...... ......................... ..................................... ZoningDistrict .... ......................................Fire District ................................................................. ..........I.. n /J a I,, Name of Owner :... .alY► �.. .-..� GLC ..Address .. .� [... ......VY..:.. .. Nameof Builder ....... ....... . .. ....... .........Address .............. ............. ..... 1:`. ........................-. s .Name of Architect ......................�..rw. .,.:..:.....................Address .................................................................I.................... Number of 'Rooms Foundation ..... .......................... Exterior .W.4tc�......Sf'K!V(�. ...Roofing .......... Floors ........................................Interior ............v`'.. ..... .............. ...................................... Heating .................................�-�...'.. .........................................Plumbing .................. .. .. .. ........... ..................................... Fireplace .................... ...................................Approximate Cost ........ y� ...... ............................... Definitive Plan Approved by Planning Board,--------------------------------19--------. Area ................../......................... Diagram of-Lot and Building with Dimensions / �'� Fee ..... . SUBJECT TO APPROVAL OF.. BOARD OF HEALTH r � IQ _ • r I hereby Yagree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 1 . Name e. James A MacLachlan No 18292.. 'Permit for, M.0.0—on................ ri ~ ... ............................................ Location .......rd;: AvP;',�J....H,rarts± si ort. .... _ ; . '1 - Owner ..:...JCS.. ...Ma�I.arh.� n. . .......... r� _. .' r _• Wood Frame �. � 5 1 � ��' .^• �� - - . �,� � ..� Type of Construction .............. w , g �y Plot .....266 .13......... Lot .......n .......... Aft x- �✓�+� Permit Granted ........ j�AA.r.iI .6e:T:19 76 Date of Inspection ...... ! (..............:r?..... .19 Date Completed .:�.I. d'� F#. :•19 'PERMIT.REFUSED r ....... .......................... 19 .. ......................... i ........................ ....... ........................... .......................................................... ' <7 Approved - ....................................................................... ...- ` ..................... ............................ .................%. Assessor's map and lot number .............. ... .. ... Sewage Permit number I.d................... ............... .......... *THE TOWN OF BARNSTABLE ARWX TAILE, 163 NAG& 9- BUILDING ' INSPECTOR 0 M Ar. APPLICATIONFOR -PERMIT TO ................................................................. ............................................................ TYPE OF CONSTRUCTION ............ .................................................. ....................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ProposedUse .............................. ................................................................................................. Zoning District ................ ..........................................Fire District .............................................................................. ....... ..... , .,)�) • )4& r447A .Address ... a^ ..........W....... Name of Owner ... .............. ...............A... ......................... Nameof Builder J...../;�1.....t,��7...... ........Address .................................................................................... Nameof Architect ........................�?...rW.........................Address ............................................................................... Number of Rooms ....................................................................Foundation _&4_r,4 .............................................. Exterior ...w.r7�_J U441 1�,& a,61--_ ..................... .......................................Roofing ....................L�.............................................................. d� Floors ................ Aq-\.......................................Interior ....................... ...................................................... Heating ............... ............Plumbing ....... .............:........ ................................. ........................................................................... Fireplace ...................... ............................. ............................Approximate,Cost .............. ................................................. Definitive Plan Approved by Planning Board --------------------------------19--------- Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ---------- 91 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ...Name .,� ............................................................................ James A. MacLachlan No .... Permit for .....Addition............. ............... ............................................................... 4?d Location .... ............................................................................... Owner ...JW-es--A---1NLwLaah1-an Type of Construction ......Woo. ...Frame.............. ...... . ........... ........... ................................................................................ Plot ........2.66.........I. Lot ................................ Permit Granted .... 76 Date of Inspection .... .............. 19 Date Completed ....... ......................19 PERMIT REFUSED . ........................I.:......................... ............ ...................... .... ...... ........ .. ............ ................. . ... . ..... .. .... ....:... . ............... ....................... ...................................................... .......................................................................... Approved ................................................ 19 ................ ..................... ........................................ ...............................................................................