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0219 TOBEY WAY
+� .� �>. .. _ ` / _._ r ;% ,�� 0 �nr � � r -�'',:� .� , , I. t '�„ � t , ��� �� � � `��.. �- � � , �,� � 1 3 . „ op Town of Barnstable *Permit#o� �( pLain 6 months from issue date Nv Regulatory Services Fee snuxsr�a � . 1639. 6� 2013 Thomas F.Geier,Director Building Division gITN81%. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY of slid without Red X-Press Imptint Map/parcel Number L ),),Ll/ CJ� Property Address Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address DA 1"19 ��r,` 5�� ��X� hk I✓ S�! bv-� Contractor's Name PL'�' S�QF,tl5 ©a 5�6Yta e k,'D ilk Telephone Number Cj p' 776 3 G Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) . 7 1 O [pWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name ��L L o a Ci Workman's Comp.Policy# u ^�� Copy of Insurance Compliance Certificate must accompany each permit. Permit Re uest(check box). Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to S4 t,,A",G ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) 1 Re-side #of doors Replacement Windows/doors/sliders.U-Value �� (maximum.35)#of windows ❑ 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 Hom Improvement Contractors License&Construction Supervisors License is requi SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 i. Ltcense,or registration yalidt for:individul use only901Z1 l:#j ,.,u„issiuunn, - - .. - beforeahe expir.'atio.n.date Iffound•return to: £LOZ/ZL/Z :uolaendx3 � Office of,Consumer Affairs and'Busin,ess.Regulation - � 10 ParkPlaza=-Suite 5170 E Boston,MA'02116 ZE9Z0 t/W '3-1-11AHMN30 '3 E f £ 0LZ XO9 Od iZjnoN X` nHSO r 099t'L So :asuao11 al thout signature f I . . I asuaal-1 JosinJadnS uol;ona;suo0 _ sp.n'1►tr.traS Pua suopuln~).)m Itli i1.ri8 ,l o mro .f I 8 � --- - .- - �a�Ir.S �!Iilrid ua Ju atua•rr.dad - staasntlarssr.111 �• S -+� Nlatisachusetts- DepartincI t of,Public Safctl Board of Buildin!g Re�-ulations and Stand:u•ds Construction Supervisor License License: CS 74660 Cleaa.1aasjapufj t` ^ L09Z0 vW 'SINNVAH ,. JOSHUA X KOURI 'and Wl3 59 PO BOX 210 r t \ 12iflO1i t/C1HSOf CENTERVILLE, MA 02632 � � �.1- ti ONI O lO NOIf11211SN03 GNV-1SI T 3dVO Expiration: 2/12/2013 uol;ejodio0 a;Bnud tilOZZ/6/..ti ":uol;ejldx3 ; nniissiuncr Tr#: 12106 :ad/(1 9£669L :uol;ejlsl6aa M0i3VN1N001N3W3AQNdWI3WOH ` uogeinga-d ssba!sng,g sne3jV jawnsao0 jo aa130 • , y�aprn�nvDv/�/�o �r�Jvanr�oxurei�o li aj� { I anRNSPARM MASK Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder /ld,-,- ,4/(/-,as Owner of the subject 1 property hereby authorize C�Ae, 4&h 4ZS/A 4 -5 IVL4 G-ki`(31q to act on my behalf, in all matters relative to work authorized by this building permit application for: v v vV� v 6lYl h,`5�vr T (Addres of Job) I Signature of Owner Date Print Name _ If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QR1;6ZUBN\EXPRESS.doc Revised 053012 DATE(NNYDQ'YYW) A6- �' CERTIFICATE OF LIABILITY INSURANCE 5/15/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY'OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.- THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed- If SUBROGATION IS WAIVED,subject to the semis and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCER FRANK L HORGAN INS AGENCY INC CONTACT-NAME: 44 BARNSTABLE ROAD PHONE AJ No Evil: 508 775-5830 FAX AI Nol: (50 81 77 5-66 88 HYANNIS, MA 02601 - - -. E4NA1L ADDRESS- INSURER(S)AFFORDING COVERAGE _N_AIC# INSURER A: LIBERTY MUTUAL INSURANCE - INSURED INSURER B:. ---- CAPE & ISLANDS CONSTRUCTION COMPANY INC --- PO BOX 210 INSURERC: — CENTERVILLE MA 02632 INSURERD: - INSURER E:' INSURER F -- COVERAGES CERTIFICATE NUMBER: 13 5795 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-POLICY EXP ' TYPE OF INSURANCE -- ---A S.508 POLICY NUVIBER �IUVOQY NM/ U WM GENERAL LIABILITY EACH OCCURRENCE $ -- LrNMEPC,IAL GENERAL_UABILITY oaxrretca) $ , CLAIMS MALE I—�(XxI1R MED EXP one person)—$ ---_- - PERSONAL&ADV INJURY $ - GENERALAGGRECATE $ (-1ENL Aa-�RE('AATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ — - -- POLICY --- PRO. --- LOC $ ----- AUTOMDBILEUABIUty $ ANY'A ITO BODILY INJURY(Pei person) $ -- A]FIX-IS ED SCHEDULED D BODILY INJURY(1t3 wddett) NON C 1"ED. acd t $ --- HIREDfU1TZ-X; �AUTOS ---- -- $ — LUUMBRELLA UAS OCCUR EACH OCCURRENCE $ — EXCESS LIAB :C:LAIMS MADE AGGREGATE $ — DED I RETLNTICYV$ — $ — A 'OARS CCWENSATION WC5-31 S-377540-012 5/7/2012 5/7/2013 ✓ TORY'�`�S>-L TWIITS I.- AND ENPLOYERSUABIUTY .YIN _-_,_-- ANY PROPRIFriPVPARTNEsv'EXEC.IIrIVE N/A E.L,EACH ACCIDENT $ 100000 OFFICCRMFMIFR CX6I UDFD? .....__..... ._. . .._...-- -. ._-- --_---...._. EL DLSEk EA EMPLOYEE $ (Mandatory in NH) 100006 II Etir.ve;,R1rYn11PT1 t>e soda ncrl()F OPERATIONS �J irnv E.L.DISEASE-POCKY UMfT $ 500006 ( DESCRIPTION OF OPERATIONS/LOCATIONS/VEI-1CLE5(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS.. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE Jeff Eldridge c 1988-2010 ACORD CORPORATION. All rights reserved. - ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD arr �w.: r ox•he. au,e itcr:.rler 5/15/2012 8:59:09 AM Page 1 of 1 :`l.is .:erl:iPi.:ye� ::itical.=. �:1 sur.etrsrJcs ALL prev1ou51y 15sued ee tlficate5. I The Corramontvealah of Massachusetts Deparrtmerit of Industrial Accidents Office of Investigations IF 600 Washington Street Boston,M4 02111 immynass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/El-ectiricians/Pbunbers Applicant Infonnation Please Print Lexibly Name ok,.i essfOrgsnizationandrvid Q- Address_&- 9" �l U City/Stat&Zip: Plaane# Are you an employer?Check the appropriate boa: T 'am a general contractor and I �e ofroJectr P ( ��d): 1.VI am a employer with � 4. ❑ I g 6. ❑New construction employees(full and/or pact-time)_* have hired the sub-contractors 2.❑ I am a sole proprietor or partner listed on the attached sheet 7- ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have workers` [No workers'comp.insurance comp:insurance_$ 9. ❑Building addition required-] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp- right:of exemption per MGL 12.❑Roof repairs insurance required.]'t c.152,§1(4X and we have no employees.(No workers' 13_❑Other comp.insurance required-] `Any applicant spat checks boa#1 most also fill out&e section below showing theme workers'compen%&upolicy infonMiltion. Homeowners who submit this affidavit indicating they ere doing all work and then hue outside contractors mast submit a new affidwit indicating such. &Contractors that check this bra Est attached an additional sheet showing the name of the sub-contractors and state whath-er or not those entities have employees. If the subcontractors hwe employees,they must provide their workers'comp.policy number. I ant an einplo wr that ispa miNng workers'conWnsadon hmirance for my emp oyem Below is the policy and jo.b site informadon. Insurance Company Name: Lx1-��. vVM f',4 Policy 4 or Self-ins.Lie.#: ��(,�— �L� 7 L �}/ -EKPiration Date. z .// '' Job Site Address: 2 �! City/State/Zip: G tj Attach a copy of the workers'comi4sation policy declaration page(showing the policy Humber and expiration date). Failure to secure coverage as required under Section 2.5A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the-violator. Be advised that a copy of this statement may be forwarded to the Office.of Investigations of the DIA for insisauance coverage verification. I do hereby cav�ti,jy n7t and aloes ofpedhry that the inforinnfinn pro ded above is trite and correct. Si ttne: Date: ? / Phone M ' Official use only. Do not write in this area,to be comp ed by trig or totwt official City or Town: Permit/License 0 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: � a - BEAM A by Weyerhaeuser ATTIC FLOOR BEAMS(2 REQ'D) TJ-Bea6.35 3 1/2" x 11 7/8" 2.0E Parallam@ PSL User:1 10/1/2009 10:26:04 AM Page Engine Version:6.35.0 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED r b q 4!4!' Product.Diagram is Conceptual LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:9' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead ©, Vertical Loads: Type Class Live Dead Location Application Comment Uniform(plf) Floor(1.00) 280.0 90.0 0 To 14'4" Replaces ATTIC LOAD l SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other :? Width Length Live/Dead/Uplitt(Total r`eJ 1 Stud wall 3.50" 1.85" 20071738/0/2745 A& Rim Board 1 Ply 1 1/4"x 11 7/8"0.8E TJ-Strand Ri Board® 2 Stud wall 3.50" 1.85" 2007/738/0/2745 A& Rim Board 1 Ply 1 1/4"x 11 7/8"0.8E TJ-Strand Rim Boards 'CO rTf -See iLevel@ Specifier's/Builder's Guide for detail(s):A& Rim Board DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 2681 -2254 8035 Passed(28%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 9383 9383 19902 Passed(47%) MID Span 1 under Floor loading Live Load Defl(in) 0.267 0.350 Passed(U630). MID Span 1 under Floor loading Total Load Defl(in) 0.365 0.700 Passed(U460) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LL:U48QTL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 14'4"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel@. iLevel@ warrants the sizing of its products by this software will be accomplished in accordance with iLevel@ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel@ Associate. -Not all products are readily available. Check with your supplier or iLevel@ technical representative for product availability. -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel@ Distribution product listed above. PROJECT INFORMATION: OPERATOR INFORMATION: DAVE ANDERSON BILL RUBEL HOGAN JOB MID-CAPE HOME CENTERS 219 TOBEY LA_N_E7__7 465 RT 134 WEST HYANNISPORT MA PO BOX 1418 SO. DENNIS, MA 02660-1418 Phone:508-398-6071 Fax :508-398-4559 brubel@midcape.net Copyright © 2009 by iLevel@, Federal Way, WA. _ Parallam® is a registered trademark of iLevel@. C:\Program Files\Trus Joist\TJ-Beam\Job Files\ANDERSON-HOGAN-A.sms - - 0 ~ BEAM A ATTIC FLOOR BEAMS(2 REQ'D) by Weyerhaeuser TJ-Bea 6.35 3 1/2" x 11 7/8" 2.0E Parallam® PSL User:1 10/1/2009 10:26:04 AM Page Engine Version:6.35.0 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 14' 0.00" ^ Max. Vertical Reaction Total (lbs) 2745 2745 Max. Vertical Reaction Live (lbs) 12007 2007 Required Bearing Length in 1.85(W) 1.85(W)" Max. Unbraced Length (in) 172 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) 606 -606 Max-Shear at Support (lbs) 721 -721 Member Reaction (lbs) 721 721 Support Reaction (lbs) 738 738 Moment (Ft-Lbs) 2523 Loading on all spans, LDF = 1.00 1.0 Dead + 1.0 Floor Shear at Support (lbs) - 2254 -2254 Max Shear at Support (lbs) 2681 -2681 Member Reaction (lbs) 2681 2681 Support Reaction (lbs) 2745 2745 Moment (Ft-Lbs) 9383 Live Deflection (in) 0.267 Total Deflection (in) 0.365 PROJECT INFORMATION: OPERATOR INFORMATION: DAVE ANDERSON BILL RUBEL HOGAN JOB MID-CAPE HOME CENTERS 219 TOBEY LANE 465 RT 134 WEST HYANNISPORT MA PO BOX 1418 SO. DENNIS,MA 02660-1418 Phone:508-398-6071 Fax :508-398-4559 brubel@midcape.net Copyright O 2009 by iLevel®, Federal Way, WA. Parallam® is a registered trademark of iLevel®. C:\Program Files\Trus Joist\TJ-Beam\Job Files\ANDERSON-HOGAN-A.sms ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2-4 Parcel 24 o0 l Application #; oqoy(OS Health Division Date Issued d 1,Z)loci Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Pr Historic = OKH — Preservation / Hyannis Project Street Address 21'l Ter; / WA-V Village Owner q 1 D - t Address ?,1 WAd Telephone '° `�� I C Permit Request 'R .0C,;O. f14 Gt-0S'� Square feet: 1 st floor: existing 1150proposed 2nd floor: existing proposed d Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � ~Construction Type ,cJa </_- 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 o On Old King's Highway: ❑Yes ►o Basement Type: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) (� Basement Unfinished Area (sq.ft) _ d Number of Baths: Full: existing •— new (D Half: existing new Number of Bedrooms: existing'D new Total Room Count (not including baths): existing new First Floor Room Coun`F r t %AJ Heat Type and Fuel: Npas ❑Oil ❑ Electric ❑Other c' Central Air: -1Yes ❑ No Fireplaces: Existing New 0 Existing wood!'coal stove: ❑ s No co Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ Listing _B never;size- 0- Attached garage:Y existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes l to If yes, site plan review# Current Use Q�f lJ���-r � - - Proposed Use 4-w APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name,. P&Q t D AN Telephone Number Address S F65kF' � CQ PCf .E License# 0_1 S 441 1 Home Improvement Contractor# 32l7� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE G�J tl C frt L e a FOR OFFICIAL USE ONLY APPLICATION# ` 5 DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER � I DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 7 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT . ASSOCIATION PLAN NO. ti s � r Town, of Barnstable Regulatory Services Thomas F. Geiler, Director `r o k,' Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnst-We.ma.us Office: 508-862-4038 Fan: 508-740-6230 PLAN REVIEW Owner: b� Hn,6=.A Map/Parcel: Project Address C/ � �T nuilder: The following items were noted on reviewing: S PEck o - 'kN+'L- fir'° 5!7M=T7'(--- Revie*-wed by: � — Date: The Commonwealth of Massachusetts Department of Industrial Accidents j Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C--. F. V V w5LD y Address: 92 F,Q City/State/Zip: Phone #: �0e) _M� Are you an employer?IthecPhe appropriate box: Type of project(required): 1. I am a employer with "0© 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7.J`y Remodeling shipand have no employees These sub-contractors have g ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.# 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �y- Insurance Company Name: Policy#or Self-ins. Lic.#: CMG I�n Expiration Date: Z Job Site Address: \ V>f+ G City/State/Zip: � � — � r— Attach a copy of the workers' co pensat n policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DI.A for insurance coverage verification. I do hereb ertify under he pains and penalties of perLhat the-information provided above ' true a d correct. Si nature: ��f'� Date: 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to 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 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 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 Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 www.mass.gov/dia ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) F 22 12009 PRODUCER Phone: 508-398-7980 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Ins. -So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 1601 South Dennis MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Peerless Insurance E F Winslow Plumbing & Heating, Inc. INSURER B:Excelsior Insurance Comigany 8 Reardon Circle INSURERC:Arrow Mutual South Yarmouth MA 02664 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM DD Y DATE MM DD A GENERAL LIABILITY CBP9919974 12/1/2008 12/1/2009 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $10 0 0 0 CLAIMS MADE �OCCUR MED EXP(Any one person) $5 0 0 0 PERSONAL&ADV INJURY $1 0 0 0 0 0 0 GENERALAGGREGATE $2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 O00 POLICY PRO LOC JECT B AUTOMOBILE LIABILITY BA8218494 12/1/2008 12/1/2009 COMBINED SINGLE LIMIT $1 000 000 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULEDAUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY CU9 9.18 8 7 5 12/1/2008 12/1/2 0 0 9 EACH OCCURRENCE $2 0 0 0 0 0 0 OCCUR F-ICLAIMS MADE AGGREGATE $2 0 0 0 0 0 0 $ RDEDUCTIBLE $ X RETENTION $10 0 0 0 $ WC STATU- OTH- C WORKERS COMPENSATION AND WC1606A 1/1/2009 1/1/2010 X R LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT 1$500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ' OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $5 0 0 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $5 0 Q 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The certificate holder listed below is an additional insured for ongoing operations when required in writing in a contract, agreement, or permit for bodily injury and property damage on the General Liability coverage described below. Central Vacuum is a division of E.F. Winslow Plumbing & Heating, Inc. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE R CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Q Q ACORD 25(2001108) ©ACORD CORPORATION 1988 _ 1 — — a2aoc-cu�ivaeaa . . Ire oyamxaarviea�/ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 132379 Expiration: 1/18/2011 Type: Supplement Card E.F.PLUMBING 87 HEATING CO.:; bWl) ANDERSON r r „� r:_ s�s!` r• r 8 REARDON CIRCLE SOUTH YARMOUTH,MA 02664 Administrator t r n W N.- ��t �" �° -.� 'j� - _ _:;� - '•c \:.� ...=r '' �- i �c fie-Y-.�.:' •=r3c.._cx ti n. t p , SM MassachuscW4 - Depa •tmenl (if Public "afrh °-° Board of Builtlinru, Reuml ttion. :uul standards s .;instruction super visor -..cons . License: CS 49405 A Restricted to: 00 'x DAVID C ANDERSON + 34 WINCHESTER DR SO DENNIS, MA 02660 14 y �y� Expiration: 9/10/2010 t rmuti,•;.,n,•r Tr=: 2806 { - ..- -,-_..---- ✓� 'VO'rlLllt07t( ,J/ / fp r�s F re�;1,Fr+ly a,�,YG97r'JT` $tP" a.; r t R M-.. ilNl 4�✓lllldd[lCIt6LdG�4 S yl 4 B rd of Building Regulations and Standards HO E IMPROVEMENT CONTRACTOR s tt: a t r f Reg tration 132379 r r _ Exp anon 1/18/ Tr# 279547 ilk ri v, Corporation � f3fr E.F. PLUMBIN 4 ` AtSk I CO� INC etr� ' INSLOW �->.'' t 7 E, kttMtnt ,t}^iw ttt,�nf f ,oshtr`�rrt fi 1tY�iv( 4yt 1�R'fr,r �1t�S 7 t �f t{ tat.. REAR DON CIRt.,LE ;!, u 5� SOUTH YARMOUTH, MA 02664 Administrator >4` ., r t ` r'. a t `�`�5A^ t :'fi Y ��7 h E Y 7f.`.`t'• a w��1C �'w.• dux t r jar• 1;s `-tt ,e. � 1 }r tf.'1 ` t �ti1 e S•4 r y, r_ ;�. 1C \ y. c� r �- t ;a.,`2,t -1 ; w 1 F•� } ., b, 1 �e. ,,�,! ,ter r ,rt,.: ..Y 1 r` � 4+... •t# �.. f"• 1L,1 S� '!�.�\mot^t tu4�lr�'Cr�1.� f ,tix�\, k � 1"t ?i�� •.'1t'' G ti��Y y A x,t ft. �,c�Y r.,,.1\ 1 ,,_.� w.- _4� rty���'l`t aro}T , .'+L'a,f{h.tt j:. lz�.1�.;t.7 rt t+�h 4t .,x,= # C ,v� '>r Y}=. '�^ W•It, h�,y. Hutt X4. _ �`k�• z. tztl�ht��'•fie<�t:yi y , •� ,,,} 1, +• f• s �oB?� �. ^ �, -v t r, } �. e ,•.f�°.. �Yro�'..i�d # �� t S' r .w� , lYn4.'� 'f {it? C,ir, ya �;lS' •�'y {''Stttiit>!�'t�^i �t'�a'otY�Y't� C•R dtiV'� tfy, fh''t i:,;`k' ,.ya.., R � +4t t 1•�r. �?. � � c t h i t r,S,�_R ty 9r., ��4i�rp* �ja:.r t -tt,.1�i� l.��r t'7�1A�y 9,�.. M•� I t -••ttom� . Zri� 'S.i.}}���`�i]jn��(�;�zt' y:.ttr� Sit.f;�if�3 'fv A Z.i r r`!y`1r.�`� )( .�� ,V't�• }' :- ♦.. \t ♦�t �t y. r � ,� a r..r... .n.A � 445.} {}}� q.R� .�J,Z ��.�:F t ,f..��,rY, �'1, 44 t � ♦ �f f t }p p v V °r r +,9 r �r ,la�+ C,� THE r Town of Barn-stab-le do , Regulatory Services r qBARN �$ Thomas F_Geiler,Director fnr 16 Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 Prop erLy OwAerMust Complete and Sign This Section If Using ABuilder i, PAV « �-\O&Af4 , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. i OeV wk] qANNKNij�-- ( dress o Job) AY Sign o ' r date c +yx,-At\I Print Name If Property Owner is applying for permit please complete the Home owners.Licens e Exemption Form on the reverse side. Q:FORMS:O WNERPERM ISSION Hof Tr+e ray . Town of Barnstable o Regulatory Services BARNST,BLF- Thomas F. Geiler,Director ttt,tsS. g 16yq 0.1% Building Division PrFp►Ml Tom Perry,Building Commissioner 200 Mairi Street, Hyannis,MA 02601 vrmv.to wn.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HON EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work,pbom# CURRENT MAILING ADDRESS: city/tovm states 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 ROMEO"ER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the Stffite 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 scction.(Scction 109.1.1 -Licensing of construction Supervisors);provided that if the homcown'er engages a pason(s)for hire to do such work that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc 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 rasponnbilitics,many communities require,as part of the Permit application, that the homeowner certify that hc/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. Q:forms:homccxcmpt REScheck Software Version 4.3.0 Compliance Certificate Project Title: Hogan garage attic to walk in closet conversion Energy Code: 2006 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent Designer/Contractor: Toby lane David Anderson Chaz Hinckley .Hyannisport,MA 02664 EF Winslow EF Winslow design Studio 8 Reardon circle Courtland Yarmouth,MA 02660 Yarmouth,MA 02660 508 394 7778 508 771 3690 • • ��zt st a � � l�_.��,.,,:5" �S �< .ha,. #;�,.,x'a��.�'��',r�,' e� ���,w� ���`�fi .,.'3`,. wx.,k���' `"xs'";.r:. Compliance: Mabmum UA:35 Your UA:33 Ceiling 1:Raised or Energy Truss 150 37.0 10.0 3 Wall 1:Wood Frame,16"o.c. 310 19.0 0.0 17 Window 1:Wood Frame:Double Pane with Low-E 4 0.300 1 Door 1:Solid 20 0.300 6 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 150 25.0 0.0 6 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 2006 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory is I'�te in the RESch�Ilnspe�cfionecklist. n ,/ Name-Title Sign ure Date Project Title:Hogan garage attic to walk in closet conversion Report date:09/29/09 Data filename: Untitled.rck xft< Page 1 of 3 REScheck Software Version 4.3.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Raised or Energy Truss,R-37.0 cavity+R-10.0 continuous insulation Comments: Insulation must achieve full height over the plate lines of exterior walls. Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑Window 1:Wood Frame:Double Pane with Low-E,U-factor.0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Solid,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-25.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materlais Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-& Project Title: Hogan garage attic to walk in closet conversion Report date:09/29/09 Data filename: Untitled.rck Page 2 of 3 0 Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181B. Building framing cavities are not used as supply ducts. Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the International Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment NOTES TO FIELD:(Building Department Use Only) Project Title: Hogan garage attic to walk in closet conversion Report date:09/29/09 Data filename: Untitled.rck Page 3 of 3 2006 IECC Energy Efficiency Certificate Ceiling/Roof 47.00 wall 19.00 Floor/Foundation 25.00 Ductwork(unconditioned spaces)): Window 0.30 Door 0.30 NA Water Heater: k Name: Date: Comments: ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE,, AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRCJCTION (780 CMR 61.00) Applicant Name: � �' eUj0-� Site Address: Pr;nf rTown: Applicant Phone: Applicant Signature: r Date of Application: An CONSTRUCTION: choose ONE of the followin two'o tions 780 CUR TABLE 6107.1 PRESCRIPTIVE ENYNr M ELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS M 'MINIMUM Ceiling or Slab Optlon 1: Basement Fenestration exposed Wall Floor Perimeter Wall AFUE HSPF SEEI U-factor floors R Value R-Value R-Value R Value R-Value and Depth National Appl i an cc-a rrgy R-10, Conscrvatioh Act(NAECA)of .35 R-3 8 R-19 R=19 R-10 Oft . 1997 as amcndcd,minimums or mtr_r as applicabIr Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: REScheck Version-41.2 or r variant software analysis must be c �apleted 780-CM 6107.3.2 REScheck-Web whic, can be accessed at htt_p //www enerYcodes. oy/reschec ADDZTOIVS:OR'AX.TRA015:T0 E STING BTJLC.DZNGS.OVER5 YEARS OLD* — -- _ - -- *X3uildings under 5 years old must use option#1 or 42 in New Construction section above.' Complete the following formula to determine the % of glazing: (a) G s all & Ceiling Area equals Formula�(100 x b _ a) SF 100 x - _ ® �J % of glazing Q �) Glazing area eq uals ® O SF b . If glazing is<`40%.uge the chart beloW. If glating is > 40 % rocee.'d to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA.ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter ❑ Fenestration Exposed floors -wall Floor Basement Wall R-Value U-factor R-Value R-Value R-value R-Value and Depth .39 R-37 a R-13 . R-19 R-10 R-10, 4 feet a R-30 ceiling insulation maybe;used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings). ' SUNROOM-An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling ama of the addition. Note: Owner to fill out Consumer Liformatzon Form found in A f, 120.P d A]PI-II�{7 3k-I Ls� r.f WuifE L4.L45i —. L1•L.'.:.uL 4'-Ju r,x4 W-L -ciA7PJYUEDS M'J'.ib"4GYb70lr GL4+ f o^0.4 nco4 �' _ �- 1��fi-'El�BVlxflOtl....�.._..... _.:_� -R1GN"f•ti{.CVGcf10�I .. GCttc.F►ca - lc r d.a 508.428.6191 revlin �Ustom esigns ;ognynl p sss - - _ All Rrgh[s 175 410 _ V1A1D0�/GA7(or7) AW l—cfms4 .t. 21 L9^Z1.�L'✓R C..I.J. '�-C�:Srf C tiC'fAb:.E.CO✓T�� ... _...-..._.. __. y �K� Y( L (lO�! Y. ---- 7 -- — ---- — Al r Pr 11-1ry plans and layouts by DC 0 art for lnr loft of lhr./ tuftOmerf only A,,y otnrr loft �f bvicny promo:r C e 9 � yi 10 :J A i C r -SE9RDpM i _ .BCNSZGX�M w uP a.1 b! r r �I 41 I uL Ji ' mi - ! lo-z rxE t` _ � 91ti:�Vlr KItc�NEl.I I y p 508-428.6191 It :ZZ evlin b z�sn I -fi- Astom a esigns _ _. r•I <opy"gm C 1995 m An R.gn" lRA E L�� Resenea f __ l�.lp• I t•I I I I I I 61 o� 61 I I 11, t—' 0 4.,.. �,o.. ,o• ,•o- 4•0. ._ -plresf swot 2�a�f --f ' r� r - - 77,77, 77 ,ino 1.1 .7 7 .77 .7., (hf 7 OI t 7 CUS,els only Any o:n" m. ,e ur„wy p.on,or,e q -a16 �� bz . AiOJRIALI Si111y LES----.. - .ALUM.4U-rftg4 - I I - I vl.uiuw� LE:P M.14u1,.\apy Z4-ZA Ir.6UL � Iy Z4-11.14 j t-L o1 J wL - - I I � I Zq•lb l.x�2 � IL ' I ' I Q p �•`�. 3'-L' lo'-cam• � I tN r..;.,v.,.ah our.-4.•g..Tuei _.>3�V--_ I I KEr[D Gfc•. I PWF- s i I _,p•_ IlrzwfS 1 a 508-428.6191 evi in a� N p ust lre — - - I • I _ I - eSIS All R s 2'+' L'--z.r-, GOHPyV.T FILL @n O I � si Si DES G.9 'GpIJ 1.JrJ �.J n p � I- S I S� II I , I o i v O PI � Pr fllmina/Y DI.1n3 and I.ly0U1f by QC Dare IOr tht use Of IhClr (USIOmfr3 only Any other uSf IS Sl/ICIIy P/OnI CIIC y. - C«SOAROS:nN.t'M.tt-' .. -DG(•�7K-_��_ -;':�4M'.hltfiC.GC�NbQ:�011�(. ..:�►Yvee:GscaracwounnT. M.CS11Mt;s,t 4TlRLTt CMRSt - .. . ._-1�0114<fYfK':LISiMIAIt.— . -ti-c�T.•s?K'�l:sv¢!•q—='_ -� .�VTN►.SSf��I_Cd(t_DETAtc'Tr�- y IR. - '1�11TLRTh&If� �70� - i 3CT71t-.13tuat�_(_ I W�a MSUI\vCJlnRt.:. � �E o.n i �� 'I LLTTKK�fSa'Xt.t�_..: I ul'bLi1. tit+l'i 428-d197 f•S�Ts1VS_:=-�--.. . , I� •-?xe.do 1m�t+oo._.:_ _ � r '•a-sor. vain ccrc uctio+�c - I �i�SlOR1 yTS=C A C roes u :::• :j � e ttttae+.as Q u - v 0 ecc ••— — .. Prtlrminaly plans and layouts oy DC.D.are far tnr utt of tn<" Cuftom<'t onry.Any orne.Vie n Itr•crry Pren.— �l 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION EGG L Map c ! Parcel a �� Permit# 76 ?.,. Health Division �' Q �° ' STABLE Date Issued 151,91141.7 Conservation Division 20 � APR 2$ PM 129 Application Fee�� � Tax Collector ,, A 0 / Permit Feex tq-,? Treasurer _. C SYSTEM MUST BE r L 1 V 1510 P+1 1P4'LED IN C®NBPLIA(dC� Planning Dept. 'MTK TITLE 5 Date Definitive Plan Approved by Planning Board ""'� "��E fTAL CODE AND ti..,e..�ad�a: Historic-OKH Preservation/Hyannis "OW?l REGUUTIONS Project Street Address r Village 14 1 ,- ; � �n^� I Owner_ ��i,r� c�^/� Address 6�/�T� / racs/i� Telephone =U C2,'7- Permit Request Z&X vt U 40 .� Square feet: 1 st floor: existing proposed .ZF0 2nd floor: existing 5-2&1 proposed — Total new 2, Zoning District Flood Plain Groundwater Overlay Project Valuation ,3'��' 000 Construction Type r/ P J' Lot Size �2/61 7W Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Z,9 j Z Historic House: ❑Yes Wl�o On Old King's Highway: ❑Yes W No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) C Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 42 new Half: existing new —� Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing J new First Floor Room Count �f 0 Heat Type and Fuel: 4 Gas ❑Oil ❑Electric ❑Other Central Air: 4/Yes ❑No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ANo Detached garage:❑existing ❑new size Pool.❑e ' ting ❑new size Barn:❑existing ❑new size garage: 9 111Xa1f Attached ara e: existin ❑new size Shed: existing ❑new sizeX/� Other: wx Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use _ BUILDER INFORMATION Name D RR P,i4e,e,Q yt7 Z5 Telephone Number 6v c� Address A2b gcv.�s i�,�7-N License# ,;, Q/7,222- oM 0 Home Improvement Contractor# 7 E-1-7 Worker's Compensation# _ Vi 0-'1030`1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN' I SIGNATURE DATE la 0 FOR OFFICIAL USE ONLY PERMIT NO: + DATE ISSUED MAP/PARCEL NO. J R ADDRESS VILLAGE OWNER + DATE OF INSPECTION: 4 �` t, — FOUNDATION / I' c 'i1 s - / S FRAME /C/e .d7 f► 7/� / ®y 4 o� 5 INSULATION ^/ ,S (J A;'w/Q V �` 6 0 4 FIREPLACE , ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL fr { GAS: ROUGH ' FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 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= ?-6 FP0 x.003 l= 33 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= L (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) i Permit Fee /,}� projcost ;_: ; - �:• :. �T�c tCam n ea th of.�V1-ass*achusetts • e nts' • • e c a partmint a Instra ade d u r , ' 600'Washington Street _ �� • Boston;Mass. workers, C "I ensation,Usura.nce Affidavit-General)3usgnesses // / •-'- i�ttr.`.�,`.,y�f�r•, �►.�.'�. ,�•+��p•7�tf'+" 'n+tifSN"1"M• �. 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UZ1C1':1Y7 Vie' r 1 4 ��� rt3, '%� •• f'. 7•:Y •,t4'�`ri. .4,fs:.•.iiir�tLr'•J•"'•• +•h r'" th t 1''i•kt." i;::S "' 4 D to sit5o6,U0 zm or' .e. .•`�'yl i.�tif;,,. •.t'•4.i•• EnaYties Df afro LLp Snsiiranc 0Sitioa of crimfnalp aitlst me, I understand that X ent as Weil ed= eeities in the foYm of s STOP W0px oRDBR and a Ym catl O�AO a day ag t Failure to secure,coverage as required under SectioA 7.sA of 1viGL 152 can lead to the . one years'imprison be forwarded to the Office oflnvrstigatio3n of the DTAfor coverag , copy ofthis statement msY der pains and penalties b er ry th a Worm provided above is fruc a eorXe X do hereby certify Date i �i�ature r ____.+phone## JFSO print name v of�icialL}se one' do notwritein +arm tube eompletedby city or townoificia� [�Building�epartment permitliiaonsD# ❑Licensing Board city or town: ❑Selectmen's Office C)EU thDepartment , (�choekif mediate response is regui ed (]Other contact person: (,Vhed ScpL 2003) . e • • , Inf m-atioii and znstruetions• , r G al Laws chapter 15Z section 25 requires all employers to provicb''orkers' comp tidii fir their. Massachiisett$ f d:fromthe i°lsw", an employee is.defned as every person m the service o another under any contract ernplgyees; As quote . of hir 'express or i� ,e oral or written. e, er is defined as au individual,partnership, association, corporation or other legal entity, or any two or rngre of An ertmploy a 'oint enf rise,and including the legal'representatives of a deceased,employer, or the•receiver or aged in erp , re o employees. 'Howevei••the,owner of a o � of g 1 •vi,dual,partnerships association or other legal entity, emp o►ing an in •thous a bf• trustee of. 'not'inore than three apartments and-who resides therein, or fhe.occupanta.- the dwekhng dwelling house having• . another wI10. P1o3'S•persbns to ilo mai�o{euaTice,constrgction or repair work on such c1we7Ifrig hou e,ctr on the grounds or enanttberetos •butding hannotbecausevfsuch;employmentbe'deemecltobeEdprployer, ,•t . �pP ,•, , • . : .� . . .. i52 section 25 also'sta�tes fhat'every state or local licensing•agensy shalt withhold the Ssuanco or renewal chapter- t too operate a business or to construct buildings in the.cbnMnwealth for any applicant who has of a licens6 or Perna pfhe Ins , , not produced acceptable'evidence'of compliant a enter into an e c�iraccoveragfor th he of publicuntil cojr=onwealthnor.any.ofrts political subdrvisrons s Y acceptable eyi deuce of compliance with the insurance rbgtakements of this chapter•have beau presented to the contracting • 11• 1• , authority: . Applicants Please ti�ew ems' a msafm a€&davlt coripletely,by checking the box that applies to your situation., Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted 1�Y t of Industrial Adeidents•for confirmation of insurance coverage. Also-be sureto sign and'date the to the Departinen affidavit. The gfdavit shouldbe returned'to the city or town that the application for the permit or license is being not the pepa tment 6f; dustrial Accidents• Should you have any questions regarding the'"Ia "or if'you are requested, btain a•vrorkerE.compensationpplicy,please call the Department at the niunber liste�t,below. , •t required to o,. . • • • . . t. City or Towns . • , , Pleasebe sure that the affidavit is complete and printed Legibly. The Department has provided a space at fhd b ttoni of the a as t for you to fill 0-at in•the event the Offic6 of Investigations has to contact youxegardixig the applicant. Please be luxe to fi11in the perrrnt/h jse number which wM be used as a referdnce number. 'die.affidavits maybe xetuzned tq, arrangements hove the D ep at or PAX unle55 Other . • L ' ••• •L •• •.\ .• % The Office of Ihvestlg ations world Ike to than you in advance for you cooperation and should you have any questions, esitate to give W a'ca�L. Please do notb ' address,telephone and fax number: , The Depart s , • - The Commonwealth Of Massachusetts Depaxtment.of IndustrialArdclents ernes o1 iesiens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-77�9 Tow, of Barnstable Regulatory Services . � Thomas F.Geiler,Director q s639 �� $uildlug Division. k Tom perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 office; 508.862-4038 ' ' permit no• Data �i�U}A'STIT H01ti'MM]MPROYEMENT CONTRACTOR LAW SUPply'MENT TO pERMU APPLICATION conversion, wires that the"reconstruction,alterations,renovation,repair,modernize e a'ccu ied MGL c.142A req • or construction of en addition to any pre-existing ov,4 P -jmprovement,removal,demolition, lliunits or to structures which are adjacent to b ig coatainidg at least one but not more than four dweng h re sidence or building be done by registered contractors,with suc certain exceptions,along with other requirements, O0 _ estimated Cost S �,Q Type of Work_ h o r' . /�Z Address of Work Ovmer's Name: . Date of ApPlication: I hereby certify that: gegistration is not required for the following reason(s); , DWork excluded by law ' []lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: HERMIT ORDEALING'WITRUN MGISTERED OYMES PULLING TB MIR OWN OT CON I` CTORS FORAPPLICABEE PIOME 3MPR ARAN�TXwFUr D�ERIYIGL,142A, ACCF,SS TO THE AREITRATION PRO GRAM OR GT SIGNED UNDERPSNALTMS OF PERJURY a I for ape as agent of the owner; Thereby pP y ` onttact RegisltationhIo. Date ,a,B OR RPR-27-2004 13:22 FROM:PF_RRAULT BUILDERS C508a B33-G7,95 TO:12035987912 P.2 "down of Barnstable eguWo�ry Service �i . i Thomas F.Geiter,Direstau NAM %610. Building DiV1310D TemPerry, Building Commissioner 200 MsdA VrPfit, HyanM'g.M.02601 www.ta�vn.bsrnstabte.msi.us . Fax 508-750-6230 1ige: 508-8d2 d03g Property er Must Con plete and Sign This Section if Using A Builder {i vq w i� ,as Omer of the Sub}ect prOPertY X, to a t on rayhelaalf, herebys r in all znatrm relatrc to vor�authorised by Bull 4 pemh vpkatian for: f (Ad s fo oj . te ignarL=e of Owner . Yriat ' c�;i'0RM9:0�1SStox Board of Building egulations One Ashburton Place Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 017232 Expires:09/03/2005 Restricted To: 00 LAWRENCE A PERRAULT 10 DEACON PATH SANDWICH, MA 02563 Tr. no: 2217 Keep top for receipt and change of address notification. - � ��ie �amnca�rcruealC� a��lla:��ac�uaell BOARD OF BUILDING REGULATIONS j License: CONSTRUCTION SUPERVISOR P Number: CS 017232 P i Expires: 09/03/2005 Tr.no: 2217 Restricted: 00 LAWRENCE A PERRAULT 10 DEACON PATH SANDWICH, MA 02563 Administrator n Board of Building Regula.ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 137897 Type: Individual Expiration: 1/23/2005 LAWRENCE A. PERRAULT _ LAWRENCE PERRAUL 10 DEACONS PATH SANDWICH, MA 02563 Update Address and return card.INlark reason for change. Address Renewal Employment Lost Card ,� ��Ze U/aY!"L)ltaIl,UJeRLIiL a���Clauacluseltt \ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �=L- xj Board of Building Regulations and Standards _. Registration: 137117 One Ashburton Place Rm 1301 Expiration: 1/23/2005 Boston,Nla.02108 Type: Individual LAWRENCE A. PERRAULT LAWRENCE PERRAUL 10 DEACONS PATH SANDWICH, MA 02563 Administrator Not valid witho signature N Lo - roB,�Y �4Y S 29-F / Y.80' N 32•t CONCRETE FOUNDATION i ^ W i 36' A� im t, ' � N � a0 O « LOT 7 21916 + S.F. N 58.54,01 -� TOWN OF BARNSTABLE ZONING BY—LAW DATED SEPT. 14. 1989 ZONE RB / CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE. I NFORMA T/ON AND BELIEF THE DWELL/NG SETBACKS SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS FRONT 20' OF THE ZONING BY-LAW FOR THE RB DISTRICT. SIDE - 10' REAR - 10' PROPERTY LINES SHOWN HEREONy F^`������3 oes "�' - ?� WERE COMPILED FROM AVAILABLE 'Q»> o��� PLANS OF RECORD AND DO NOT FINK fM WHITING . REPRESENT AN ACTUAL SURVEY A, y• No.29869 ON THE GROUND. ISTE PLOT PLAN THE DWELLING DEPICTED ON THIS PLAN WAS LOCATED: ON THE GROUND . L IN BY SURVEY ON SEPT. 24. 1996 AND EXISTS AS SHOWN AS OF THE DATE BARNSTABLE, MASS. OF LOCATION. SCALE: 1'-40' SEPT. 25, 1.996 , THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC- PURPOSES ONLY AND NOT FOR $23 Route RECORDING, DEED DESCRIPTIONS. Yamuthport. MA. 026Y5 r' OR ESTABLISHING PROPERTY LINES. (508) 862-8182 F4 f:- (508) 482-5888 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 60 PROJECT N0. 95-240-L7 'j14 Ci4S�L� 1 r��Tl�tb�`Cult�''1Ll�7 r�xbl��'J,�,Zf1�pgtt}lxmtmC�] a far Oite mud Tr'�'F'��'H.cmldetttixl�A11dia�g zerlptlYrt pxekxg ' '` t,�rncM� 'XcattnglCcaling NiAXfTri y{IaII Floor c{rtpa,Cal zcicrm�Y' cell 9 • Irma slot to 6100 HEAHAK Ili Ax Narmal 13 19 10 6 Hamad I 'f. a.40 $ I9 19 10 6 IS AFUE Q Ix'f, a.sx 3o 13 19 10 Noal IZK a.da 9� 13 21 KA 6A rm Norte ' IScl. Q36 19 19 Id q AFm NIA NIA ' { AM i51� a,4# 19 15 10 141A Normal Y 15'A 30 13 25 NIA tlortal 11% a3� 33 19 3S NIA N6 g0 AFU� X IIy. 0.4x 3� 13 Ig 10 6 qa AFtT Y WK 0.42 19 1g is x Ig'h a.so 30 AA , �� ADDgE55 OE pROPER'Z'Y': See 1q, FOOTAGE OF ALLRIOR , Z G�/ b o 3, SQU� TA FOOGE Ov ALL GLAZIrt /� ' A #3 bn1TDED BY h °�c GL�SNG ARE C , LEc�PAC�.A'a8�Q~ see Chart abaYb): . 5 SS ��g,GY I�QVIREME�S R�QR�INVCL�Mg,�,OD 8�Og�R� op,Rp,AYA�ABLL, AS�•VSk'ORTHI � U�D�G IKSP�CTOR ptipYROV�.L; B �0; Yf,5' q•1a�;•fl80303a r Ur,�rE� AL 01 36- 2 �' WO-1 &4-161vallO h 33 -4�.67�) X2, 33 3X r,7- m o vev rya �,& A1,1 A¢�} j"gyp ►'� 70. E 0 / fix .5 • - is 7Zh //0 4 S� M �� ,,r :�''� ..,.�`/ r r +� �� � ••-� I r fi - . �J��# �r j?"to i--.-y .,y=-r -� E --`�� f�p'• a 4i: a�,a � M .� � {.' . � IASr'11AiJf yNl ...� �-;.ry• �.,.` 1�. ''•�'. -_], t... � � A� Y� y.�,vY�r.�. \ Y �-��.. I ::, � i•,F� .�,• k.� ,�- £��;7r•S,� - ,� �,,.,,Q *;. 6`NC41W1y0N.Cp�y a 4�5`� - T # f t' $ i�•F. 2 I- MF. 'Lei+.Cu1.Ga.9M 111rJJ{�.•- .L�NeA\I�s �{�y �'� 3.- 3 f3' "'C 3 I r .N+AS.10u erGK.7 ,L +r- •r' �-�� T e-�� ��:0�le Pr good '� �„ r '�.� �; _ � 1 �, a j _ +^ °� t .>t� .f� �� I •-r j' Tt Y, r•x - 4.+di f r a' - III Y r L i Sj y„J ,.•.s s ` SOB-d�B•b19T 3 usla►m a Esignls • r — - - GOOynQl�t QIJ'♦� •••••.� All trgnli vNahc �"'� paiervrff a�j J IL P vtinor era(off ���� - ...... .r As{JM LufKg t° .w�# .t eerb Gttr AA u.A' -a' � Y Q FFFF'-•••�ppp �yy �t �� r° '� RG.u t>rwl.rr•y.. Q �,t+ #1 a voRL sl.f►.pi��f'd^r?s'- ,�� a �_ .r 1•�.� ---- SSR+c x �7s ---- -^^• Al 3 c C Vrehm Mary plans and IayOVls oy OCO Arr for Inr we or me., tulrCimels onry Any Olner .11 .++i r,4 Ny pr.n.aq. < L ' w LM.4u+.r�sr pg A Vat Jq � � � 5 ..ALL 'S I; rs}� t: � ,M �,t 'f lr� ��� :i L�W► � ,-. - 5r' ci our r � � tpr� rMl*�rarwat sI+„•r..� k � t ; � R -• : t I��*�at1AAJ . ti+.{«.N...w.ow�w':e'•Iue.: Ifet I I ' seu sos-42S-st91 Ali' C mustorn isss 1, wu�yyKa ri r,"*r ra t*u:rule ak + L._J �r_L cQ1 +, I co>t,artil„�ta,.I,vJ:try �—•-•-y eeMwur �46� ' 1 ti PL% aR i' igs nl � Nl 0 J17 1 dry �' • _- -" - _ •- Irel—nor Dlanf rod JayOVlf by OCU arf IOr Ihf USP OI Inerr [O)torn l.s only AnY OI Mr Y{e r!I{rrC Tly `Ifpfl:Or[ 000 -- 06 a.� Assessor's Office(1st floor) Map Parcel Permit# Conservation Office(4th floor)(8:30-9:30/1:00- 2:00). A4 Date Issued _A� "'M Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee ', 6�, Engineering Dept. (3rd floor) House# 114E Planning Dept. (1st floor/School Admin. Bldg.) DeYtiveIan Approved b Planning Bo d f]�� • BARN�TARLE. PP Y g ►-` c �19 r*/ ` �O �S'� 6 9 � A TOWN O BARTS�T � o ®�/(!/f/H�"w Building-Permit Application PLVIret Address 7 ��� / )Y3YY v >,� Village Q Owner c Address ol, , U Telephone 72 -0�,J Permit Request _77� sinc_ a First Floor square feet Second Floor (,/� square feet Estimated Project Cost $ S:/O Zoning District Flood Plain — Water Protection Lot Size j � LGrandfathered ? s Zoning Board o ppeals Auu'thori tion Recorded �— Current Use Proposed Use y� Construction Type (1�d &IVX— Commercial Residential fiJ Dwelling Type: Single Family �614 Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House — Unfinished Chd King's Highway Number of Baths p? No. of Bedrooms -7 Total Room Count(not including baths) 7 First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached �— Other Detached Structures: Pool Attached !/) �G Barn None Sheds Other Builder Information Name "���®!Cr'Ltdr,:i`✓i � Telephone Number 2JL231Z Address ai 4c, /`c License AO , XZW741 Home Improvement Contractor# Worker's Compensation# r 1j9t x,cl/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONS TRU ION E ULTING FROM THIS PROJECT WILL BE TAKEN TO B IS POE—, SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) - - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. s ADDRESS s VILLAGE OWNER _ ► _ DATE OF INSPECTION: FOUNDATION FRAME'' INSULATION L�G ��// ooeC . -. FIREPLACE. /_4?4z2 - ELECTRICAL: ROUGH', FINAL-- - t ---,PLUMBING: ROUGH`• - FINAL GAS: ROUGH. -FINAL FINAL BUILDING DATE CLOSED OUT - - r ASSOCIATION PLAN NO. ' - 1 � d as , °F THE T°� M1 Town of.Barnstable Regulatory Services r + S BAMSTABLL Thomas F.Geiler,Director Tf163 Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 120 square feet or less Location of shed(address) Village I ,fiV/D f, d.0a t19,t/ -7-z29^775 /02 l Property owner's name Telephone number Size of Shed Map/Parcel# 3za l Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) ° PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND.APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg PLOT PLAN FOR LOT/ ln&cstc location of=use G aecc= y buaa—.& Addicam with dashed Uzm � SetvQase &Vasal( pm') Were IXI I (Lor ...................lc. rear) —. AbumcrIt lane II \ �1 Lot R Res:Ywd waste t= . ' c—.-. ^c.:. -_._._.�.. :!•:.._.. c;--.;der Sice.•_.., : .... ..........._ (LAM ...................fL =age) i . L-dots:atioo Supplied by �!sci. Nar= Foss, nt ' Af�V4ptfT6 � Pa(ftAr1dw� .. !� as � tp b b 40 LOT 7 21916 t S.F. N 'OWN OF VANMSTASLE ZONIN6 Or-LAW DATED SEPT. 14. 1#00 ZONE R8 I CERTIFY THAr rO WE Xtsr 00 An PR01=PMOML SETBACKS KNOKC06C. INFORM T10H AND ga f Or THL' DWELL 110 Snow IIEREWV cowatufB ro 7w Jfwtzonn dEroACKS FRONT ?O OF THE Z0111Hv MY-LAW PON THI: RD DISTRICT. SIDE 10' REAR 10' +� PROPERTY L 00 $00 HEREON .0j kk„01 It . HERE COMPILEO FROM AVAILABLE. PLANS OF RECORD AV DO NOT' � FRANK � . REPRESENT AH ACTUAL SURVEY p �ggQ ON 7w aftumv. f s ME DWELL INS DEPICTED ON THI a � ku �r PLOT PLAN P&AM It LOCATED ox THE anduND _ / in OY SURVEY ON SEPT. 24. IM AND �✓ BARNSTABLE. MASS. EXISTS AS INOWN As OF THE DATE OF LOCATION. SCALE't /'-40' SEPT. 25. 1904 tHI S PLAN IS FOR PLOT PLAN d fGl.E SUIti7n aw R tttlblNdllAlkv.10. PURPOSES ONLY AND Nor FOR St S Af f t R iA RECORD1No. DEED DfSCltlprloHS.- rorAt.atbrope. MA. Or5?'6 oR C'STAIL I SNJNG PROPERTY LINES. lil-ll" (tOD� �I!-S4t1S THIS PLAN IS VOID IF NOT SrAKPED AND SIGNED IN RED. 0 20 .40 80 PRO& CT N0. 95-vo-L7 =_ COMMONWEALTH OF "SACHUSETTS _ 'C^ -_LQ DEPAX MEN 7 OF INDUSTRIAL ACCIDENTS + 600 WASHINGTON STREET. ames Cam=ei, BOSTON, MASSACHUSETTS 02111 Comm.-ssione• WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, 4/ 9 (liccnsedperminee) with a principal pla of business/residence at Ili �az� i v (Csry/Scard4) do hereby certify, under the pains and penalties of perjury,that: Af1 am an employer providing the following workers'compensation coverage for my employes working on thi< lob. Insurance Company Policy Number [� I am a sole proprietor and have no one working for me. [) I am a sole proprietor,general contractor or homeowner(circle one) and have hired the eontraors listed b=ow who have the following workers'compensation insuraneepolicew Name of Contractor Insurance Company/Policy Number Name of Conmaor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 1 am a homeowner performing all the work myself. NOTE Please be aware that while homeowners who employ persons to do maintenance,eonstruaion or repair work on a dwc?ling of not more than three units in which"the homeowner also resides or on the grounds appurmnant thereto arc not gcncrzJl%- eonsidcrcd to he employers under the Workers'Compensation Ara(GL C 152,sea. 1(5)), application by a homeowner for a liccrsc or permit may evidence the legal status of an employer under the Workers'Compensation Act 1 undmizid that a copy of this statement will be forwarded to the Deparan cn:of lndusuial Acadcna'Of cc of Insurance for oovracc vc.11nc.21ion and th:z failure to secure coverage as required undo Section 25A of MGL 152 can lead to the imposition of criminal pc.i:a consisting of a finc of up to S1500.00 and/or imprisonment of up to one yc:::nd civO penaltiu in the form of a Stop'Work Order a_:c: finc of S 100.00 a day agains:inc. /D Sifncd this day of 4441 , 19 C. —� Lice:�scr.11'crrnincc � L;c.casorlPcrminor �G 23542 MAU p a a a �v •� EPARTMENT OF PUBLIC SAFETY � 9ONE ASHBURTO N PLACE, RM. 1301 1 BOSTON, MA:.02108-1618 • f 3 0 • 1995 a CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 u F fi �4E Ls v t c� TIMOTHY PEARSON # eP ach"bottom, fold , sign on POBX 519 _'T ;back, and� :laminate license card. CENTERVILLE, MA 02632 Keep .topfor receipt and change �a,"'of address.:notification. ✓/ze TDo7r��zo�recueacc� a�,/��ae�ivaelki I -- -- ---- �- 23542 Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY �. CONSTRUCTION SUPERVISOR LICENSE 00 - None ' Nuaoer: Expires: 1G - 1 & 2 Faaily Homes ?estric ed To: Ors Failure to possess a current edition of the Massachusetts State Buiilding Code r.N4THY PEA.RSON is cause for revocation,of this license.. POBF 5.9 CENTERVI LE, MA 02632 - tn #, o t & Y IY.�Y a 3 8/'3S-29-E- //9,80 M N tl' 32 t CONCR£T£ _ FOUNDAT/ON i M � 36•t No 3 N � o h 0 LOT 7 21916 t S.F. N -8'54 TOWN OF BARNSTABLE ZONING BY-LAW DATED SEPT. 14. 1989 ZONE RB / CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACKS KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING FRONT - 20' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 10' OF THE ZONING BY-LAW FOR THE RB DISTRICT. REAR - l0' PROPERTY LINES SHOWN HEREON �titN Of WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND DO NOT FRANK REPRESENT AN ACTUAL SURVEY WHITING N .� N0.29869 ON THE GROUND. as,� �►STEa�o aAc a ® ��--- THE DWELLING DEPICTED ON THIS PLOT PLAN : PLAN WAS LOCATED ON THE GROUND IN BY SURVEY ON SEPT. 24. 1996 AND EXISTS AS SHOWN AS OF THE.DATE BARNSTABLE, MASS. OF LOCATION. SCALE: I '-40' SEPT. 25. 1996 t, THIS PLAN /S FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC. " PURPOSES ONLY AND NOT FOR 923 Route BA "- RECORDING. DEED DESCRIPTIONS. Yaraouthport. MA. OZ675 OR ESTABLISHING PROPERTY LINES. (508) 382-8132 ;a x (508) 432-5$33 THIS PLAN /S VOID IF NOT i STAMPED AND SIGNED /N RED. 0 20 40 80 PROJECT NO. 95-240-L7 TOWN OF BARNSTABLE R CERTIFICATE OF OCCUPANCY ;PARCEL ID 000 000 062 GEOBASE ID ' ADDRESS 219 TOBEY WAY PHONE (508)778-07 `!�``+i`<`�'• WEST HYANN I SPORT, MA ZIP - ' LOT 7 BLOCK LOT SIZE iDBA DEVELOPMENT DISTRICT ' PERMIT 21690 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#17486) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY . coNTRACTORS: Department of Health, Safeti ARCHITECTS: and Environmental Services N r. ' TOTAL FEES: �110 BOND $.00 , CONSTRUCTION COSTS $.00 . ,; 756 CERTIFICATE OF OCCUPANCY * &AMEI MARS. s639� 1 ' OWNER MARKWOOD CORPORATION, A ADDRESS UNIT 10 110 BREED'S HILL ROAD BUIL D HYANNIS, MA BY DATE ISSUED 03/13/1997 EXPIRATION DATE - -_--- --- -- -- -------------__. IS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE iu 1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. a=z 4.FINAL INSPECTION BEFORE OCCUPANCY. 11 y, . 1 • ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ; 1 y l � 2 2I P HYANNIS FIRE DEPARTME1 bHIGH �w A� �"' jG 95 HYANNIS, MA xMA 02601 3c E li 3 1 HEATING INSPECTI PPROVALS ENGINEERING DEPARTMENT 2- BOARD 0 1 SITE 901 AN REVIEW APPROVAL OTHE �! r J,V ,PC 161 WORK SHAL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSP OR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARI`0 AGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TI OTED ABOVE. TION. Lit it { �`"I � � �: �� � ,7 �I ,� _ . `:, ; TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY i4 PARCEL IDWOOO 000 062 GEOBASE ID ADDRESS 21:9 TOBEY WAY PHONE (508)778-0734 WEST HYANNISPORT, MA ZIP - LOT 7 BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRI T i PERMIT 21690 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#17486) ,PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY i I CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, + MAS& OWNER MARKWOOD CORPORATION, 1639. ADDRESS UNIT-10 - - - - 110 BREED'S HILL ROAD BUIL I DIV IO I HYANNIS, MA' S BY DATE ISSUED 03/13/1997 EXPIRATION DATE i TOWN OF BARNSTABLE BUILDING PERMIT �. PARCEL ID 000 000 062 GEOBASE ID ADDRESS 219 TOBEY WAY PHONE (508)778-07. ' WEST HYANNISPORT, MA ZIP — LOTs 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT= 17486 DESCRIPTION SINGLE FAMILY DWELLING (SEW.PMT.096--419) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: MARKWOOD CORPORATION Department of Health, Safet3 ARCHITECTS: and"Environmental Services TOTAL FEES:, $262.91 Ox lam_ BOND -' $.00 � "�►� CONSTRUCTION COSTS $84,810.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P 4 MASS. gq. A10� .OWNER MARKWOOD CORPORATION, ><6 0,19 ADDRESS UNIT 10 110 BREED'S HILL ROAD BUILDING DIVISION HYANNIS, MA BY DATE ISSUED 08/26/1996 EXP I RAT ION.RAT E THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY AR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. • BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS U , J(e✓� 2 .c c'��l `c' 2 3 J 9'7 2 E .C3 HYANNI�FIRE DEPARTME At ��v�"�'�~ � /,14 1 95 HIGH SCHOOL RD. EX .G� HYANNIS, MA 02601 3 1 HEATING INSPECTI PPROVALS ENGINEERING DEPARTMENT 2 BOARD OF ILT ,a, iv)- (N, OTHE SITE N REVIEW APPROVALS r : V 'j t'" t; C ,.� hZ� r WORK SHAL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSP OR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOU AGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TI OTED ABOVE. TION. I I I I F--alPGAtEAC-+1 � I I I I ------------------------- P"MW WYRZW TYtOV i/�"XN-1/B"LK AIv I I 2XV-1'lfau/,Pu PS 1rin. ?X/�+lt+T.mFi.PafPJbst G/.q 1ee aN"OG. l/1'fJiC/ rmtY ,audsae G7A//WPX4f 6V fA751/�i k��XAU R•-/��� ea,aren..t,(r+sa�n�..ac�,/ F��f�fU✓ 1X610+/t+13fAb a{5"OC B•- vTarn�la� 9/1"6XPwm/ (O/tl4klJ --. Z1/1" Yryfby fl�/a"rJMleevK"04 ZX6ifnae&�JN(An NxlJ B" fd Gab feS IV:IWX ,'EYiKa/CN -------------1 p Pa C /u...[Im IYi.Nfaero 6'd' /O"fL'7l6OfLKS1EfLVCWl?IItlYC l'd' Y'!afetblG.vws6m/ ::.. � I I Q(T/"NQ./T'I!L'CCGN7FKfLfI/N'� AFDC'r/An0V / tEl fAMF/L'Il IfM3 I /NYYI//WA—'M V �M r 1 awe./ewfafoAceHwW. z.e�ss roacu /a1tlfA5/!Y/G7l'ONX]l IV4L pTSRYi/Gtl-IITAVV [2222"'..... 1VfGX 55 fffRUK/fRlKD fd57���Afx faM770 AV W, rerlBkn dke �a�r,• c�n�c,nv�z Canstrudlln 9 Pesigh Services TGI�NOGANl1 5/I NCH ,/ ala`edrEu Pl .A adraiah l 1 sdepcµ>tyd e r r a u I t LawrareAnearareadaereClrLP.H,W -aff, /0MWON519A#N 5�1/VMCN, MCI 02563 `awav� 2/,',,f6 YW11Y, W.NYfWN1FOPr�l ram—l�e�rpG'd�Q n»l,�a nr�t,waYwc r/r cw n wrrtia,panaesta,aflanrnr�A!'ma/G Mlt: 04/P7/04 a fD i I d e r s f'!au<5Q9>B33 6/B4 Fax.'C5G19>B33 dlB5 cw �/7/nONl7�'AWINGS 6 UOiBEA/M4`.• frdCnacruk'q GY✓14NVOK G.AI'cra/t R fL t . i I D t. ge s "WIT 2 �'� — -0� L c �"' i•t,L r - �.1 6w r L --A,fi.�,� -GU _ OAtE: DONALD I. MEYER Professional Building Designer SI' �' is •h:'1� A ' �� P.O. Box 532 a So.Yarmouth,MA 02664 (508) 394-5296 fr �� v I' I' t,Nro�m i I f r-339"' Mo.W' _ � f I ' W27108 O W1530R _ JZ, rot" der=� `•��I salsa -24'Mgh t 8308' C.?A��r� _ �• I stsR� 0.RMIGEII I--- _...... I I�untlry GONt � 1 I dwaY I k s �R x - - � I �I b. oom $ avtny room I ------ ---------- - --- ---------- - - -------- ------- --------- I I .. --------- ._.._ _._.� N ----- - --- -- her �^ All dimensions size ons desi nati ' g 20 This is an original design and must Designed: 2/8/2008 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 9/23/2009 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. i All ch Hogan as bui It.kit Drawin #: 1 g a 77v 14$" f--2411." 21" 70 142 24 i 7 is p ..: .........................._....._....... ......_ ............................. ... ...��� _.. ...--............. ._. 1 s ? . , t Oe ! 21 i" 4 a " .x- 3 i bedroom _ --- -- i m Walk-in closet f N N a Bedroom I ." 34r' 41 16" 24- Ot "U 163 z' ao f a 3 !V' - \\ _ r• / _ 151,e' ' 142y" 1► o ,QF d f p All dimensions _size designations This is an original design and muse Designed: 2/8/200 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 9/23/200C job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. jh��:Ho�gan�asbuilt second floor.kit All Drawing #: