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HomeMy WebLinkAbout0014 UNCLE JOES WAY y2l,� Js4 �% / - - 1' ' a o� TOWN OF B ARNSTABLE Permit:•No. ------ ." � Building Inspector 1 • Cash • naasrinc :_ - -------- .'ory o+Y' Bond ___________`--__-___ �JCCUPANCY PEFZMIT T ,ued to J., Albext Bassett Address Wiring Inspector 'frr ""T Inspection.date Plumbing Inspector l�/ �'� y a Inspection date Gas Inspector. tJ :Inspection date (Engineering De pa rtment - - ia ¢ Inspection datet.� ` ` ^'.."'� .emsif.^1 s^ c:..:,....:,< dBoard of Health `�y ,�� t� j Inspection date 3'HIS PERMIT WILL NOT BE VALID,I.:AND THE BUIx DING .SHALL NOT BE OCCUPIED- UNTIL SIGNED BY THE BUILDING INSPECTOR UPON,;•SATISFAC'TORY COMPLIANCE WITH. TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. . ...................... ........ ............... 19 . . .... _ ri In for . .. ..� . Buildi spec u# N tfr l 13 5, /h!6 LOT z o9,5 rr H. 2 A4WA.'"EAM" C4WAOF7'11-Y 7-h',097' rHE SUTA- 1A.14,F -HI LV ASA-jAOAVV OA✓ rim//'.r ,aL A+V 1S LOC 4TEiJ OA✓ TJ1Gs 0.Val �ociA✓D .ps �rti,Dw.v "&AVecI.v jQA✓0 7x Qr .T r t!M. coA.itrotAa 710 rwAX- zo.vi.vCZ• i�✓Ne co�va reuc 7'�a. h� '�L1��'.�',s� �792- e Assessor's map and lot number -'� ... / Bpi 7NE tp�4 Sewage Permit number .d.. .... . .y..........................., 0 SEPTIC SYSTEM "U 0 'NSTALL COMP META LE' ' House number. ,� LLLL ED IIV LIAS 1� WIT;>•a! TITLE 5 °o' 1639. 9� TOWN OF BARNST*Bid TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... C ....... ..... ............ . ....."' . .. .......:....... ................ TYPEOF CONSTRUCTION ........... ............:....................................................................................... ............... .............19.!" THE-INSPECTOR OF ZUILDINGS�, -j4A V The.,undersigned hereby applies for permit according to the following information: Location ...... .. .. ....... �.... �...... .... hn .o.f... ,. ...1 ... �!r1,r Y4�. 4 Proposed Use ...... .. . . .. ....................................... ................................................................................................. ZoningDistrict ........................................................................Fire A. ....Address ...District .....:................................... .. . .. .. . t� iGe—...... .. �: A.t/l!'� ................ Name of Owner . r Nameof Builder ..................`..... ..................................Address .................................................................................... y Nameof Architect ................�. ...............................Address .................................................................................... Number of Rooms .....................: .....................................Foundation ...L/7i1/L11.rr/.....FYI .. . ....................... Exterior ............047V�... ...........................Roofing ......... Floors I.���l1GlP............................................Interior ........ . ..L^ ...................:Plumbing ...... ............. ..` ..... ...�j.......... ::.............. Fireplace ........ . . .. . . . N✓..........................Approximate Cost ....... . . ................................. Definitive Plan Approved by Planning Board ________________________________19________. Area ....,lzl -121................... Diagram of Lot and Building with Dimensions Fee p�4r .... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH O/JD V �\y ` D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ... ...............................................................:.:...... PF J. Au^BERT Az 23038�. One Story mo -----.. Permk for .. .. w ` ` � ? - Single Family Dwelling A ! . -------.-------------.-----.. Location .Lot...#.2...l.4....Doole..Jme.'.a .V�ay Hyannis -----------'----~—~---------Albert J. Bassett Owner ..����.��.�--�---------_---. Frame Type of Construction -------------- � . ----l--------------------- YPlot '..-------- �t ----------.. ' ! Permit Granted ,APXil'2lp----..lg 81 � Dote of Inspection --. --lg . � � . o���6 . � . , v 'z!f 762 REFUSED , --..'^ ............ lq ......................... VQ ` . ---����. _- ------------.. '^ �� — '^ 1�. --_ —... ................................................ ---, ��---^---------...~..---. Approved --'-------------- 19 --------------~.--.--~—.—..... ^— . -- ----`-------------..---... ~ ^ . » ��� ^ -~,~ �.,�r� ".act 5..� • aim � �'ir� f'�l-J iyyzc.,/.Si�"�y Assessor's map and lot numbers ...... p%TH E t0 Sewate Permit number .::..c� . ?.. �..->..� y j ` Z EJflBSTADLE, i f" Hobse number .......... ,tf ................................................... - 9 MARL a Op 1639. \00 0 M10 Or• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .................:. ....................:....11::.: ............................................... TYPEOF CONSTRUCTION ..................%................................................................................................................... ................................................19....... TO THE INSPECTOR OF BUILDINGS: +" - The undersigned hereby applies for a permit according to the following information: Location ............................................................. . ........................................................ ................... ............................. ProposedUse ..........'.................I... ......................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ...:......................!.t........�. ....:..............Address .....:...................................................' �...!..........:..'.. Nameof Builder ............................:.......................................Address .................................................................................... Name of Architect ' —� ......Address ............................... .... ......................... .................................................................... Number of Rooms ...........Foundation ........ ' Exterior ....................................................... ........................................:`.:..s:::.. ..............................Roofing ............'..............: ..:..!........`..::a:....:.:...:..C........:.......... r / Floors ....... �F .... ......................................... ....Interior ...................... ..:....:.:....... Heating ... ........ . ........................................ Plumbing .................. Fireplace ................ ...- .........Approximate Cost ........:............................................................. i Definitive Plan Approved by Planning Board ________________________________19________. Area :..f.. .....2..................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .......................�......'........... ......�.......... BASSETT, J. ALBERT jA=292-3 5 No .2.30`'8... Permit forOne :t9.0 Single Family Dwellin .. Location ...L.o.t...#.2.. 14 Uncle Jo ' s W f.............................. ...... ..................Hyannis. ................................. J.. Albert Bassett Owner ..... ............................................................ I Type of Construction .....F.KAMP........................ Plot ......................... . Lot ................................ Permit Granted ....April 21, 19 81 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ..................................... ...................... 19 ......... ........................................... ® .. ....................................................... Approved ................................................ 19 ............................................................................... a , a Town of Barnstable *Permit Expires 6 mont om issue Regulatory Services Fee KAM snxtvsTns[�. Richard V.Scali,Director Building Division Tom Perry,CBO,Building Commissioner --200 Main Street;Hyannis;MA-0260 1 - -- VA Mtown.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number t ` g\, ,�i D n C t: Property Address 1"1 1!��l.�C 4ES W ��5 0A f CO-6 Residential Value of Work$ i Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address , a. cz�-C&adcd Contractor's Name S c Telephone Number Or Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) a ❑Workman's Compensation Insurance Check one: M ❑ I am a sole proprietor T r/�/p' 1 9 Q� ZI am the Homeowner ®"�'/V®Fb `®�6 El have Worker's Compensation Insurance [3q 19AISTA� Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box), Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits'required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re 'red. SIGNATURE: QAWPFMESTORM building permit formsEXPRESS.doc Revised 040215 ' 77ie Commompeakh of_ a.Fsadr=dit Departneazt o,f1irirldust hd Acciderrats Off we afI.rrt gad ns 600 WashfiAoon Street _ Boston,MA#2111 wymmamgovfdra Tdrkers' Campensa n Insni ra ce' a de Carnfract rslEIe f cianslP�amher5" APPHcautInfarm2affon Fdease-Prinfy— Na= SC�_NIad(ff Address Citg/s..te CM Are you an employerl Neckthe appropriate bow Type of project(required)_ , I.❑ I am a employer v-ith. 4. ❑I am a general contruckw and I Have hired.the subr-00nt aC-tors 6: ❑New c:onsimction employees(full artcl!`or part-time)-* ' 2.❑ I am a sole propaietar or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees Mese sob-contractors have g. ❑Demolition wading forme is any capacity. employees aid have wo:=s' [No workers'comp.insurance � comp.2mranc I 9. El BRuilcltng addition required-] 5. ❑ We are a corporatim and its 10-❑Electrical repairs or actions 3�KI am aofficers have exercised their 3. I am a homeowner doing all work officers Plumbingrepairs or'additions 8 wcukees' right of eapfion per MGL €� c.E52, 1 f and we have no 12. F.oaf repairs insurance requited]F (4), emp'Ioyem[No o wot=' 13_❑Other comp-insurance required.] 1 He AnyWica atcberlMTN=#lnmstalsafMouttheswd=bgaw�agdmkw texecn®peasad npoy �cyirmstioo_ Sameovruers Who sob=t this afiid=imdiratigg they am damg&U wo$and d enhae ruts&cont3vd=nmst submit anew affidarat mdiemin smcb fCannactam tbtst check this bus mast attached sa additi— sheet sbaaing the nameof ft scam=:W and state Whether or nut Phase eaddes bave employees.Ifthesvb cmtzctmbave empiayees;they7my pwWde their warkers'romp.palicy amnbm lam Rerlow is diepvticy and jab site infot�rrafion. ' . Insurance CormpaayYi:ame: " Policy 4 or^ ins.Lic.4: FxpiratiaaDate: Job Site Address` City/StaW2� p: Attach a copy of the workers'compensationpolicy declaration page(shooting the policy number and expiration date). Failure to secure coverage as r egtured under Section 25A of MGL cw 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 aadlor one-yam imprisaumeut,as well as civil peualties.in the fazm of a STOP WORK ORDER and a time of up to P30-00 a day against the violatur. Ee advised drat a copy of this statement may be ceded to the Office of Investigations of the DIA foe insurance coverage veri$catigm Ida herBby c ruder the pains and penaMes u fger jury that the in f ormadva prm d bm�s is bare and carrect it�sture: Date: a 7q Phone ik: Ojokiai am only. ,Do rat nerds in t is area,to be cvmp&tesd by city orturrn o iciaL City or Town; P'ermitUcense 9 Issuing Authority(circle one): 1.Board of Health Builffing Department 3.CAyfrawn.Clerk d.Electrical Inspector S.Phnmbing Inspector 6.Other Contact Person: Phone it: laformation and Instruc ions ` Massa 1=ztts Geo.=al Laws chaper 152 r q=m all employ ,m pmTide workers'compensation for&3r cmployees. Purstrant'6o lhis state,an.Mq7Iayee is defined as."_.evmy person in fine service of another under any contact of hire, emprew or implied,oral or writbeaf An.=npkyer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint else,and inc-brag the legal represCotativ=of a deceased employer,or the receiver or trustee of an individual,pmtx rship,association or other legal entity,employing employees However fhe owner of a dyvelting house having not more than three apartments and who resides therein,or the occupant of the - r�,nstmrt;on or air work on such dweIImg house dwelling house of aao�er who employs persons to do maintenance, rep I ent be deemed to be an loyer. or on.the ands or bin1�apptherefo shall not because of such eatp o3'm � MM chapter 152,§25C(b)also sties that"every stage or local F�agency shaII hold$ze issuance or renewal of a license or permit to operate a•business or to construct buiidmgs;fa the commonwealth for any applicantwho has notprodnced acceptable evidence of cnmplrance ePith the tasurarfce.coverageregnire&" Additionally;MGL chapter 152,§25C(7)states"Neither file commonwealth nor guy ofits political subdivisions shall enter into any contract for the pe Tmnance ofpublic woticuatil acceptable evidence of comphancewith fhe i„m=ce. req==ents of this chapter have been presenfe;d in the contacting a clhoiity- Applicants Please fill out the worlo'as'compensation affidavit completely,by checking the boxes that apply to your sifnation and,if aecessuy,supply sob-contrac ur(s)name(s), addresses)and Phone number(s)along with their certificates)of :T,sn ce. Limited Liability Companies(LLC)or Limited LiabilityPartnesships(LLP)withno employees other thm the members or partners,are not mquiied to carry worice&compensation ins cr If an LLC or LLP does have empIoyees,a policy is rmF red. Be advised thatthis affi kyltmaybe submitted to the Department of Industrial Accidents for confirmation of insrnance coverage. Also be sure to sign and data;ffie affidavit The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Deparimeaf of Irdustrial A_cmaert. Shovldyou have any questions regarding the Law or ifyou are regvsed to obtain a workers' compensation policy,please call fhe Departing at the n=bez listed below, Self-rosin ed companies should ento'ar their self-insurance license number an.the appropriate line. City or Town Officials . t _ Please be suie that the affidavit is complete and primed legibly. 'Ihe Depadment has provided a space at the bottom of the affidavit for you to fiR out in the event the Office of Investigations:has to contact you regarding the applicant Please be sine to fill in the pe�it/Iiccnse mnnber which will be used as a reference member. bn.addition,an app that must submit mubiple p=WHcanse applitmtions in any given year,need only submit one affidavit indicating current policy ininnatiom(if necessary)and under".Tab Site lam"the applicant should write"all locations in (cit.y or town)--A copy of the-affidavit that has been officiQy stamped or maticed by the city or to may be provided to the " applicant as proof t nt a valid affidavit is on file for Rd ne pe�itr or licenses Anew affidavit must be filled oif each year.Where a home owner or citizen is obiabaing a license or permit not related to any business or commercial venture a dog license orpemit to bum leaves etc.)said person.is NOT required to complete Pais affidavit The Office of Lnvestigafions would like to thank you m advance for your,cooperation and should you have any,questions, please do not hesitate to give us a call The DeparimenYs address,telephone and fax nwvbea: The f�o Ita of MassachnseM Depattmmt of hAustdak AocZents Gf I!=of jwegugati0= �osto-n=I�fA�II� Tt,-I.4 6I7-727-49W c,-xt 4€6 w I-M MA SAS Fax 617 727 7M Revised 4-24 07 �I Town of Barnstable o Regulatory Services Richard V.Scali,Director Building Division Tom Perry,Building Commissioner Hens 16;9. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print � I . JOB LOCATION: 1/`(IC e- U e_S W V\Y Nan r I 1 street vill "HOMEOWNER": .number name home phone## work phone# . CURRENT MAILING ADDRESS:���IM city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures.'A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The dersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro a es d requirements and that he/she will comply with said procedures and requirements. Sikg6re of Homeowner Approval ofBuilding 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. Q:\WPFILEMPORMS\buildmg permit forms\EXPRESS.doc Revised 040215 m� Town of Barnstable QED MA'S� Regulatory Services Richard V.Scali,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 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: (Address of Job) ic, Sign e of Owner Date 6W� SCk Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWP=S\FORMS\building permit fbnns\E)TRESS.doc Revised 040215 Town of Barnstable Regulatory Services ` Richard V. Scali,Interim Director Town.OF E BARNSrABIrw ; Building Division TA MASS. Tom Perry,Building Commissioner t , s639• 'OTE0Mp:IA 200 Main Street,Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 Fax- 508-790-6230 Approved: Fee: Permit#: © l36 HOME OCCUPATION REGISTRATION Date: ` 1 3,C) 1� Name:b`,�So f*� SQ \J C LO L Phone#:`W Address: ('�O E s�D S V\)mil Village: "ms Name of Busmess:___________ n � t � Type of Business: k�V ,VL U 1 \ Map/Lot: �9y INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: �u0 �./ Date: Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? y, For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. e� F Ohl z � DATE: � 'X l 'n please: dz�� Yu w APPLICANT'S YOUR NAME S: I SrJ� SaivolGlo ' BUSINESS, YOUR HOME ADDRESS: I G E 2 YYV �• � �� 7C4 1 � E TELEPHONE # Home Telephone Number "4'--- NAME OF:CORPORATION'.;: Q .. I o NAM E OF.NEW BUSINE$ TYPE OF:BUSI S5 lSVHISA7.HOME OCCUPATIONS 2!!�z YES N0 : ADDRESS OF BUSINESSn S:MAP/PARCEL NUMBER Z' (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSION R E. MUST COMPLY WITH HOME OCCUPATION This individ I ha ti:01717 r e o �enr t r q ireme�at pertain to this type of businessRULES AND REGULATIONS, FAILURE TO Aut riz i a At COMPLY MAY RESULT IN FINES. COMMEN ( 'n, 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3 � 3 N MAR 0 9 2001 BUILDING DIV. - -------- I /Q I 3 i s t � ® i C� r � t rP�� t3 / y'�'Sa•�� s 3 �t './ / s y � ark q, �� BUILDING DIV. s Y E ti :ter a MTV LE Mrs is .��a MAR 0 9 2001 yY � t.r�N.rY dµraVgi.Mvv•'• J WI- , � a 1 MAR 0 9 2001 BUILDING DIV. :�. q�,. ..w,.K,. „ , _ q 3 £ L i 4 g. K d u � r r �b BUILDING DIV a s ¢ , � a r a MAR 0 9 2001 BUILDING DN. e h p�. e e BUILDING DIV . r y. I � X° ,'�� A � "`" £'� ? h<� � .z ,yip,a• - A - s n r BUILDING DIV. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# �©� Health Division Date Issued,, �© Conservation Division - Fee Tax Collector Treasurer 1 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Villagei4 Owner A4 w1w i® Address w G Telephone Permit Request Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost �� /V c'0 Zoning District Flood Plain Groundwater Overlay Construction Type ROM f Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Y Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes kKio On Old King's Highway: ❑Yes pl o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces:,Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: w Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name G�'l� � 1� Telephone Number Address OR4/v& �/ ' ����/� License# N - Qrnfl Home Improvement Contractor# and Worker's Compensation# &yj&/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c• SIGNATURE fJ`L` DATE .FOR OFFICIAL USE ONLY z PERMIT NO. DATE ISSUED MAP/PARCEL NO. ¢4 t ADDRESS VILLAGE OWNER - DATE OF INSPECTION: t - ` FOUNDATION r FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL = a i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i L►srer�� t Department of Health Safety and Environmental Services °rec ram'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building,commissione: 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: 1 ( IUgfi f t d A& Estimated Cost Address of Work: ` �/ !/ 771 Gf/ Owner's Name: M vle* 0!�Iy Q Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under S1,000 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 PZRJURY I hereby apply for a permit as the agent of the owner. Date /ContrAtor Name Registration No. OR Date Owner's Name ' q:fortns:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street 4, Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name "` L location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole p and have no one working in any capicity I am an em 1 rovidin workers' compensation for my employees working on this.job.Hs OWN : :: . .;:_.. .. com any 5:.55:.:::;:;::: ::::..:.:.. .. ss.: :....:.::....::•::.......:.....::.::..................:.:::........ adage ::::.::>:.:... . .. ::.:.::....:.::. :.:... . . .. ......:: .. ........... ...... phone#� insurance co. oil ❑ I am a sole propri r,general contractor,o homeowner(circle one)and have hired the contractors listed below who have thefollowin workers compensation polices: g :..: .::. :::......... :...:.::,::::: :::..:.. ...., .:::::..:,::::...:........... ...company name ..... ...... :5: :•Y:{.55: ..... :.:.... ::;;. ........... ......... .................. ........... .:. .. ...... :. ::::::::. ............. ......:.�::v:::•::::::::.:5=5':•:::::.i}:{hi:4::.�::::v:: ii.` :4:::i::•ih: :::'?' }•.5'•55':}i::w:::::::.�:::i4i5i5}}}:i:::•:>::: ::4L•: ::.............::::::::: : :::::::5:^ii55: .:. X.X. -.:::. :•:5' r ::':55:^i .;:'::• •i?:6Y.::1i:5•i:•YY:vi: :•:::.: ............::::....................:.:. . ...? ..... . ... -..... ... . ....:.......... ......:'::::::::'::" ones#.;.::.::::..:.,.:...:.. .>:<.:.,...... ... ::............ YJ:3: ..:ii:::..:...:::::.:.............:...................;.....:... :ii:!:i:vii':::::::::::::.Yv:::i:::::::�::::�::._:_•.;�::.�:.�::i::::::::::ii:::::.�::::::::::::::::::::�::::::::::._::gill:i::::.�:::::::'�: ...............r....................•}•.555`:+{{�:i•5:•5:•YYYi: : •:::•Yi5:45:v:4i5i5ii5wi%4ji'ii::ii5:�%:iiiiii?iiiiii::.n?3:�is iii}iiiriiiii:�ii:�i+;i�iiiry:ytvv i'•:.-i .......... ................... ...... .. ........ ..Y...... .v ::.....::.�:.}• . ........... ...............v.: ........... -.. .... ....:..................... :::::•.:.{........................ ...::::::'::::' :5' :� 'f•i::' i ri�ii:Y:::i::{iiii?t::{ ...wF.vwti,M•,�:v,}................. ............... ..................fi.S...r:n..v......... .. ................n-.:::•:::::::::::::::�•::::v:x:4i:•:�:i:•SYYY:ii�:�:•5.,, 555 X. M. ciffmany name: >:::;:;;::::::<;>:::; address.. city- ttho MEN :�> :'+`t:is ii:4ii:"'•':i is :�::::::.�::::::.�:.i:::J`::Y.isisiYv45:v5:iJ:Yi::ii:•555:4:n;r^ i:<•i5iii:45}iii•.�:::.�:::::{::::::::::::.i'.}-.i�:.�:::{:::::•::.iv., �:"""':'%`•":•:•�::•.••••...••••v••••�,3�i::tiv'ti::::ii:i:i::::ivii:iiiiii}:S4iiiiiti ii:ii:i::,ii:'::+<�:iiiiii:+::i::�:i::iTi�:i5�$:ii:iii?iii:!:i::5ri: .......................... Faflnre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a one up to s1,50o.00 and/or one yeah'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a one of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification I do hereby c fy the p;nena7o of edury that the information provided above is&W..and correct Si tore Print name N �C� Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license it ❑Bndlding Department ❑Licensing Board ❑check if immediate response is required ❑Se altanen'a OIDce ❑Health Department contact person: phone ormed 9195 PJA) s . _ 9X e - 64 a1,11wd�k"a HOME IMPROVEMENT CONTRACTORS REGISTRATION i' Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 120456 Expiration 01/.01/00 Type - PRIVATE CORPORATION BIL-RAY ALUM . SIDING CORP JOHN O 'NEIL 40 ELMONT RD ELMONT NY 11003 f - ACCORD. CERTIFICATE OF LIABILITY INSURANCE ::�75 Pleooucs: Tf{35 CERTIFICATE Is ISSUED AS A MATTER OF iNFOPMA N COUNTRY INN INSURANCE AGENCY, O LY AND C1 M.9, Rs NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 217 MERRICK ROAD ALTER THE CCIVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 212 AMITYVILLE NY 117C? NSURERS AFFORDING COVERAGF B IL—RAY ALUMINUM SIDING CORD. INSURER AMHE INSURANCE CORPORATION OF Ny 13 4-10 ATLANTIC AVENUE INs mm it.CIGNA 'INSURANCE COMPANY RICMIOND HILL, NEW YORK 11419 114SU«-J:cRF—XLI+SM INSURANCE COMPANY INm muT oGUARD IAN INSURANCE COMPANY COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 7OR THE POLICY PEFUOD INDICATED.NOT'W?THSTANOWG ANY RECLVIRf1b e47, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUAA$fr WITH RE:-PECr TO WHICH THIS CERTIFICATE MAY BE ISSUED OR Mr\Y PEPTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;£tCCttSIOr3 RAID CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS—Tyre OF ad✓ ALQxcE POUCY NCIMISER POLICY EFFECTTVRZ POLICY COVATION cBvem LIAaa tT r. EACH OCCUMU NCE 31 , 000 000 X COMMERCIAL GENERAL LIABILITY FiAE DAMAGE IAnr om rmd f 5 O O O O CLAIMS MADE 15VE1 OCCUR MED EXP(Arty a+e onOr\I s•. 5 000 A IGLOO6886 05/14/99; . 05/14100 PERSOMAL 1.ACV MWURY sl 000 000 GENERA.AGGREGATE t 2_ O 0 O 0 0 0 GEN'L AGGREQ�ATE�LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO s 1 0 0 O 0 0 0' POLICY I f Ta 7 LOC AwromcsaZ UABMrrf COMEINED SNGLE UMrr s ANY AUTO (Ea&=Wave ALL OWNED AUTOS 900LLYINJURY s SCHEDUIJZ AUTOS rw""ON HIRED AUTOS — BODILYINJURY Y NON•OwNEo AUTOS' , pw wddeno PROPERTY DAMAGE s I tPv,ndmd i GARAGE LIAatLITY AU70 ONLY.EA ACCIDENT s ANY AUTO • OTHE9 TMµ EA ACC s AUTO ONLY. AITG 9 Excass uAmu-r—r EACH OCCURRENCE I s 3 0 0 0 0 0 0 occvR I_J CLAIMS MADE AGGREGATE r3 , 0 0 0,.0 0 0 B BINDER # 05/14/99: 105/14/00 --�s DEDUCTIBLE CI I 514 9 7 i RETENTION s a WOfOCBC CC n--N"TIDY AND I. g L�ORY�fMIC9 OTH C e""~O` LI"�'�TY BINDER # 0 5/1 4/9 9 0 5/1 4/0 0 LL EAcm AczootT s 5 0 0 0 0 0 C I 1514 4 8 E.L.DISEASE-EA EMPLOYEE 0506,000 EL DIsEASE-roucr umm s500 ,000 OTHER D DISABILITY BINDER # 06/OI/98 UNTIL CI I514 9 9 I I CA:3CELED .aEscPaPT1OIu as:oP'SRATION.ilLOCATIONSNSiN;it3/E7fGLU6pNs ADDED 6Y SrDOBtE3�e�f!!i>PECLALTROv1sDM3 R CERTIFICATE HOLDER IbUTIONAL IMZJPM; INSURER LSMgL- _ CANCEI_.LATION SHOULD A?!Y Of THE•3BOVE DESC no POUCIPS W CAHCtILFD CEFORE TPNE E?CPIRATIOM DATE T F.THE ISSUM0 INSLq=%lLL ENDEAVOR TO M.LL 3 0 DAYS WRITTEN NCT=z To THE com:ocATE HOLDEN NAmm TO THE LI}T.EUr:vumTo oo 30 a%LL WPOSE NO 05UGA=k OR UANUTY OF ANY ICING UTON THE IN•SWOL f S AGENTS OR RB7SSt21TA •-1 AtJT7iDi� !-- f _ - ....--•---`. . ��--��r�Eiu�., Map Permit# House# Board of Iiealth(3rd floor)(8:15-9:30/.1:00- Date Issued Conservation office Fee (4111 floor)(8:30-9:30/1:00-2:00). pUmMn�ihtrn�hf Id ; Deg SE TEM MUST BE ' 19 INS COMPLIANCE TOWN OFBARNSTABLE �� TITLE 5 ENVI NTAL CODE AND I _ Building Permit Application T�;1��� Rp�LAT �,►j Project Street Address /y jv4/e P ; Village �� Owner Telephone �p�,- Address /y �, / ✓v e 5 C� Permit Request J�,�� First Floor square feet Second Floor 'Construction Type e j square feet Estimated Project Cost $ Zoning District Flood Plain �U Lot Size Water Protection�O jU// b Grandfathered El Yes O No Dwelling Type: Single Family-�M Two Family O Multi-Family(#units) Age of Existing Structure 3 c� ;iBn¢s Historic House O yes �No On Old King's Highway Oyes Basement Type: ®-Full ❑Crawl O Walkout No ❑Other_ -y �- Basement Finished Area(sq.ft.) Number of Baths: Full: E7�f / New Bement Unfinished Area(sq.ft) - )�o.of Bedrooms: Existin —New Half: Existing New_ Total Room Count(not including baths):Existing �v,n New First Floor Room Count Heat Type and Fuel: • Gas Cl Oil O Electric ❑Other IV-47-- Central Air Effes O No Fireplaces:Existing New Garage: ❑Detached(size) Existing wood/coal stove O Yes ❑No Other Detached Structures: O Pool(size) -(Y ❑Attached(size) -- 1U1q&ne ❑Barn(size) M ❑Shed(size) �V z ❑Other(size) Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial O Yes l WO If yes,site plan review# Current Use Proposed Use Builder Information Name_ iU t'= S I e/I Telephone Number �j 73 0 cf[UCH Address /�y � T f S _S'("-' License# a h` ' �� U� �� _ Home Improvement Contractor# Worker's Compensation# 3 5 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)-SI ING EXISTING,AS WEL / PROPOSED STRUCTURES ON THE LOT. aPRO LAS� �H414 0 f )3 The Town oj=Barnstable r e- Doartment of Heultll Sufat ► and Environmental Services :' Eo Building Division f 367 Main Street,Hyannis MA 02601 3 y ' Office: 509-790-6227 Ralph Crossen Fax:.' 508-790-6230 Building Commission: _ For office use only 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: ' 5�.9 ,/ c%v / Est. Costh YP S UO�'1 Address of Work: lwG�� /o Owner's Name /�/✓>� J Gpc�� . Date of Permit Application: 7 3 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied .' Owner pulling own permit Notice is hereby given that: y ' .OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED r CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATTON PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY Ihereby appIY,for a permit as the agent of the owner. _ -/i('l/ // Contractor Name Registration No. ` Date , r r Date Owner's Name r 28 r r r r r r r r a N 4 N O M 4 i S 88.09.44'E 109.89 44 zI •= LOT 2 O l0/ 0 # S,F, � h � � 4 . 14 • s, N P3.0 2s�ly 05 S 6i 36• I5 g -�a 'OWN OF 94RNSTABLE ZONING DIY-.LAW DA ED_ 9$'EPT. 14. 198� ZONE # RB I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SETBACK$ f KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING f SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS FRONT 20' RON - 10' OF THE ZONING BY-LAW FOR THE RB DISTRICT. SIDE:.'-PROPERTY iNES SHOWN HEREO. THE LOT SHOWN HEREON IS IN FLOOD HAZARD ZONE C WERE COMP �LED FROM AVAlLA6 E AS SHOWN ON MAP, 250001 0005 C. DATED AUG. 19. 1985. PLANS OF fECORD AND DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. r` THE DWELLING DEPICTED ON TI S �' PLOT PLAN PLAN WAS �OCATED ON THE OROUND q IN PY SURVEY ON JUNE 23. 1994 AND A BARNSTABLE, MASS. EXISTS AS SHOWN AS OF. THE DATE OF LOCATION. SCALE: 1'-40' JUNE 24. 1993 THIS PLAN IS FOR PLOT PLAN /Z EAGLE SURVEYINO t ENOINEERINO.INC. PURPOSES ONLY AND NOT FOR. 10 Seaboard Lane RECORDING,. DEED DESCRIPTIONS. Nyannla, Ma. OPO01 CSTABLIS1ING PROPERTY LINES (508) 778-44ZZ OR FOR CONSTRUCTION PURPOSES. 0 20 40 80 PROJECT NO. 93-261 t .�a_ l��e �jv��t��tv�tcve�zGl� c�✓LrCczJJaC�uJefrZd ,r I: ` � � ct)I`rr4;nr.rt�rzs IZI•(� r F. 3c,ar c1 a 3lt.t cJ.r rlc► IZc�cltt. :ai tc,ns aric�j�'i�aiiclai c�ls L)rrO rlsirl�lrr i.011 1 :301 Z �<� ( 11 M, Hom. [tipm:)Vt-1,117t`I I C'0N I IZrli' ri)fZ f-)fn VA I f= r_i)I?I:,ow) I.a:c)i l I /99 9 Yp f - P r i c.1 I?caUFl-; of E.ir)r. l rrl`I TI•lr: lot) r)I T hlr:rIZ1 11131a(10t G,I1 1.4) 1 c BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 074251 9 Birthdate: 03/09/1963 Expires: 03/09/2003 Tr.no: 74251 . Restricted To: 00 JOHN K ESLER ' 100 OTIS STREET NORTHBORO, MA 01532 � Administrator f . t - 7 g'yC 'The Cortitno/tiveallh of il- ILSSQC/tt1sel/S } ° Y'� _r�� (Je l)eparllrtt�r►I t)/ lltrlrtslri(ll.I cC�Ill�lit.s Office at InivCSl/9affts >t� s ,�- ,h�• 2}� �r+ySf, J � c _ �pl�l� �Vt/5111/11Qlon�Slr,!et ?' "s 3° Workers Compensation trisurance:lttldavit ; + ,�..A � , 'AA r {� L N. 3 'L :. /�. ` •J Y �� ` .. to Ti.` dF! $ : f f a, •+ /V�i'iGUQ� / �/4 /��L :nano�e �f�-3�3`6Y�,o 4 f � '` yN J: ( am a homeowner performing all work myself. s n '{ r •ttttl a sole proprietor and have no one working in any capacirt . " , d r,l, v workers' compensation foamy employees working on his job. i; "t� }• � X' �., tam an emplo,er providing p 1 PA�z� . �aa r ;a--;✓ BOS Ede/. =,fi +� N� . 4` ' L'-r.e•.Pi-� .` /71e' 45 `{tl dRYj .)]d��L1sL % (LV /� �/,//•)�q, .,u s r.%z �.r�„'taa'�i����.k4"� 7hOne �.�✓ /J �-r T �S+F ¢ *fie *t'• 4t -�'q yet a j'St +rr € Sx•r / 1' CV� rs �` »in•UrintE CO `T�l� //_ L//G , . s s!t r ss¢�f1 i I'aM a sole proprietor,general contractor;or homeowner(circle ones and have hired:be conararors listed below who havew 4N `td ' t F the: following workers' compensation oolie r tri` 1 V fn 1. iij er * W t -in tirance ca. r policy r _ r s.r+,st 1 , r! g # + • :.: + . i`�r�i g x� ?�iY C]. c� i `AttACb-!* t10 1 lbtCt if atetilb 3 E slture;to secure toven%e si required under Section'5A o0lGL 1$2.con lead 10 the Impos111aa of erimind peaNties of s flat np to 51300.00 sad►or ,'�f�`���s'�}�" r zt d ant! I-itnprifonmcnl 1f+yell�f civil ptntltief to Iht fe►m of a STOP,��ORK ORDER sad a nne of SIOA 00 f dfr i�>1in11 me 1 uodent�ed joint ,iC<Ih t forwarded to the t)MCe or Invetlltulens of the DIA ror coversle•tnflcadon • " ,t. 'ry �x, t N 1 p and ptnaltit>r ojptrjurr that be information provides above tr(rut an hf f i kU }ti31 4 gr f Jei Itteby ttrri/i under thr otn.t d Ct.n 16i+", �fpY_fi'� t corm a- A. 5'a),�y11i13ttif�:: - ,� * b ,r Phone y S t ,Ilitlit illy 11tIH In rlq/ii►,/t l„Ihb ices la bt completed by city Ur town olflclal 9uddin De srtmenl h�•� t,�* s i+ r wit IY I,tMn at ,`i: ` ptrmlVlittntt f t p �- itleetmfn't Lice OlTlce ► 5r�m ,nevi$�1,'' �="k� sl+� niti.I(Itn,nti lie rrwpnnit,1 required ❑ }n.. �•t� ,,k i rl Other,�,�,�,�,� .:<�Aax •y s.�fi '�."w','� °y"'X1""w. Phone Mr t.l Y ' a 7 dx ,a.��, �,#w..,�,° �r{4�c?t''�aJ X�' ys�'•�P��..��4�y�•����•� ary � `' #,rr .'z3 ? s : 1Jc.#. ryx ',• # _ S ♦ t ZIP In accordance with the provisions of MUL c 40, S 54, a condition of building Permit Number' is that debris resulting from this project will be disposed of in a properly,licensed solid waste disposal facility as defined by MUL'a 111,8150 A. Y. The'debris will be disposed of in:Patio Rooms of Boston, 100 Otis Street,Northboro (Name and location of facility) Ax - y{"' 4 r t r * (Signature of permit applicant) 7 Date: X # iE J. x,.. ✓ x .. � -x s K � sY x ���_ i • ,Kd. xyy � 4.�, •''"i 3 fit -. - f , 4 n KZ Vf . a EXOI'fPICA(. GPEN11IG ISTING HOUSE W ALL Fv) WO ' W Z114 .. I Z _ a. � x a z I ? s� H 4 3 J aw =a n� .5 SEE NOIE :5 A NOIE :5 ROOM 1"L001.FLAN AI-IIM. _- 'ANF1. HANGER RAIN GUTTER CONNECTS TO WALL EXISTING _J HOUSE ALUM. SLIDING DOOR — TEMPERED GLASS I .I SLIDING DOOR ON SILL_ I ' conic;. SLAB W SECTION W/ DOOR FLOOR 6<6xW2 9xW2.9 IYPICAI EXP. JOINT— EXPANDER FIXED TO CONC. � FLOOR -- - -- APPROX. GRADE -- 8" THICK POURED CONIC. FIG. BOTTOM OF.FOOTING TO REST bN " •, UNDISTURBED SOIL BELOW FROST LINE 5TUD10 R00fJ,'5=C1-IOFJ A-A(C01,1CFETE F LOOK) I•� 1 i 5EE NOTES ON P AGE 5.0.2 �i LIN t etterli1 in6 tt^p A 1 1 0 H U 0 M 5 sludio43-12.t1w0 sludlo4b.dwg enplen 0 2 EV 705.1 5.0.2 .- n11/1.7 ROOF 1.11)I1N 1111(I IRAILL11 -- - - fllrlflCG.l IN 17AFIERS RAIN GIIIfFR ALUM. SLIDING DOOR ------- ----- ' TEMPERED GLnti$ •---- 1/4' - 7.I0" JOISTS.At Ili' '- --- SLIDI)G ODOR OI;1 'R L Iv 111 i�('K IrIG I'IFCI.S !•5 SECTION IV� U011lt f(OOR -� r1;1)IftE.0 FOR Af1Af;111Aftil ExnnpIDER FIxFD IO N((:KI�`(()! RUIW 10 DECK AS r•R I'.b1N UTACIu17 E'S Sr Ef,IFIL...Ii)N$ •• e. _. `l _ (S) 2.10' (IROf R I'If97 AI ._.__....�.III 11f11U7 7 7 I U 1 f I D H t SE-W 1 I In ePUR IGA / 4'v1" rRF.SSNRF. 11,I:A ILO IOSf-----------•� AI r.uU.�rnrl I -ELI!IfE ID IRR)SI:•lwtf IrPIf.A1.I- �- IF7O f'U•,I N7CIII II7 RA F TWO MAX. CONK. I(Ir)NNG .. - - Bottom OF FOOTING, to PIS[ OM UNOISFUROED SOIL F!Uf),v IRO:I 11•:I-- (' _,_, 5TUD10 F:001v151_C-1-101,1 A-A(ti-v001)FLOOR) n NOTES FOP FIGURE 50-1 A1dD 50-2. ` 1) 5TPUCFUP.AL t,lEMF3EP5 51-IAI._I_COF/1f'K15E 60631.6ALLIMItiLJtvl EX-I-PUS10N5 ' 51-117FLIED I3YCPAFIf 1311-F klANUFACT UKING COMFA(,jy 2) ROOF FANEL5 51-IALL CON5151-OF CARODOAPD I-IOHEYCOM[3(HC)OR EXFANDED POLYSTYRENE(EP5)FANEL551_IFPLJLD[3YCKAFT 1311:FMAh1UFAC"I UPINGCOMFANY. " 3) MAXIMUM 5FAt15 OVER 00OR5 5HALL ESE 87". 4) ROOF FANE1.5 511AL1_E-IAVE^,MIHIMUM FACTOK OF 5AFE1^(OF 2.5 AND 51-IALL DEFLECT L1:55'F1 W\'I•51--Ahl/t20 AT T I IE DE51GN LOAD, 5) ALL STPUCTUE E5 51-IALL[3E If,15 l`ALl_ED ACCOI;DIN'c 1�1 I II_MAIIUf=AC"fUKE'S COtv1FA�1)'PECOtY1MENDA110tJ5. 6) LOADING-5: ROOF: SNOW LOAR 35 F5F WIND LOAD . ' 20 F5 . DEAD LOAD 2 F5F WALL: "WINE)LOAD . �'(�PC, :_ PICK: x LIVE LOAD• zIO F5F ES'I IMAT EI)DEAD LOAD 1O F5F ` 7) T1h1.bEKf)E5.IGN,5IE55E5.: 6PECIE550UTFii=�t`I PIt�IE l'10.2 .a � ' RENDING 5I-KE55 Fh 1400 F51 (REPETITIVE) •COMPKE551OI`I PEPFI-NDICIJLAF: TO GKAIt, Fc '565 P51, 511EAR FAKAI_LEL 10 GRAIN Fv 90 F51 COMPPE55I0J FAKAI_l_El..TO GPAIN Fc 975 F51 MUDIJI-IJ5.()FELA511C111'I- 1,600,000P51 AI_I.11ML�L=K 51 IALL L;I:FF:L=5511f:C: FREA1 ED 8) _5OIL_L3EAF'.IIdGCAPACITY: I FOOTII IG5 51-IOULD F F-51-ON 501 L.I IP,VING A Prlltilltill_It,I E3EAPII,IG CAFACIIYOF I 2000 F5F. 9) F�O:[II\1G5: FOOTINGS 51-IALL M-LOCA1 ED t3EL01NFKO5 i LIIJt=.f=OOfINGS SHALL BE SIZED ACCORDING 10 THE AF'FI_IED LOAD AND LOCAL 5011_13EAKING CAPACITY.CON 4ETE5101 IAVE A t�I1Nlt�1 t�iLLllLiE'�' ��(v[= r TH OF 5000 F51 AT28 DAYS.etterlivin -A E 1 o R O O M S studlo4c.dwg eng\e iik 0r, a l51, i tt f lid FVP - ?�i�rsF� Property Owner Must Complete and Sign This Section If UsingY a Builder n - :il� as Owner of the_su�iect property . hereby authorize A. y,b i /�6e� 0.tl<)'10 act on m behalf,.in ... Y.. �u � �h s � ,�„a f -- Y , $� `f all matters relative to work authorized by this building permit application for(address of Toes W Ai f , it AK L Signature Owner Date S S,�3�1 Ri r 51 ` ♦5 l '. . •. � � U� ". s . a r'M !.. Owner-or Builder(As Agent of Owner) Must Complete and Sign This Section , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application for-, (address of job) �� —%... Gt/�i are true and' x XeFg�jY:,uftttfbtkgtti d' accurate, to,the best of my knowledge and belief AD Signed under the pains and penalties of perjury. 5 }{rf iFt�l a 3 r r= Print Name: }t e �ry� tt= s r r >' y� L�� a .fix •: ��� P � - i?r�,, $Ignature of Owner/Agent Date �xfi`� tt M.. t NFOitMw, l� ��'OR�VT .ax-m'�imxsit "w:.rariar The Massachusetts State Building Code (780 CMR) 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 J 1.1.2.3.1). 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 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 non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing 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 • 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 J1.1.2.3.1, 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. "ni Ce /2. �fE Signature of ctual uilding Owner Date Print Name Address of Permitted Project Owner Address(if different than project location) Owner's telephone number } ppp.- Y" /� �J1Alto � d h•.Y4S "btu a7tM - �f �V�n Y.tb - x_lT..�...a'x-..ss'.4�,u..,ta..cknu..'to:,Xa.:r4Ra'3�Aw:Jw.�ifGVtt -- .. r•�. Exception: Sunroom Additions/Consumer Notification:Sunrooms,as defined in 780 CMR Appendix, 'DEFINITIONSi,shall,be exempt from the compliance requirements set forth in 780 CMR J 1.1.2.3.1 and J L 1.3 provided that the actual property owner(not the owner's agent or representagye)g f the strUotWq onto which the sunroom addition is being made,provides a signed copy of the Sunroom"CONWMER INFORMATION FORM"(found in 780 CMR,Appendix B) to the Building Department. This signed"CONSUMER INFORMATION FORM" shall be submitted to the building official as a requirement of building permit issuance, and shall remain as part of the construction documents. If such sunroom additions are separated from the main house by a wall and are conditioned spaces,then a readily accessible manual or automatic means shall be provided to partially restrict or shut off the heating and/or cooling input to the sunroom addition space.That portion of a wall that separates the Sunroom addition from the existing building/dwelling unit, if an existing exterior wall, shall be allowed to remain and neither that portion of said wall or any fenestration within said portion and common to the sunroom addition, need comply with the thermal envelope requirements of Appendix J. 780 CMR J2.0 DEFINITIONS SUNROOM: An addition to an existing building/dwelling unit where the total area(rough opening or unit dimensions)of glazed fenestration products of said addition exceeds 40%of the combined gross wall and ceiling area of the addition. � i • • 1 a � w •EASILYgAFFORDAB_LE.• ` K m EASY FINANCING.,-, FREESHOPAT'tOMESERVICE. •ABSOLUTELY-NO OBLIGAkTlON TO SUYI •DON'T DE! end for ou free brochure toda w CREATE YOUR OWN SECLUDED RETREAT! tm ow, y 3 h v r p 5 pp � r r ' rr \�c. ten.* .yny} ✓ � h{' �, � i ! r r lit � 1 n i a x s , - F TEMPERED SAFETY GLASS. • INTERLOCKING,.SAFETY DOORS x .. . FULLY ENGINEERED;ROOF _&WAL°L SYSTEMSENJOY THE SEASONS IN k10 YEARMANUFACTURER'S WARRANTYTOTAL COMFORT! PROFESS IONALLYjNSTALLED BYj FACTORYTRAINED CRAFTSMEN , ae +� SEE s ... .:.ems............... > � ��� m �,�. •_ .sue-" ., i•"`�. " �� ��� t� a 1 Rv i r '. AA---- E • A• Avdivisiongof � PATIO® R O{ O NI S' �` � & . ` OR TOLL,FREE 5 fi ago L01 V� 100-Otis Street �,NQ�I I�OrO� IVI/1 _§O FWA M E R I C k LEISURE LIVING IN ENJOY CAREFREE • e 7 r z, D PATIO ROOM d,� + y 31, 4 {e + � r s s ; ^n .ems .' Al .y 'v mMtiq+mW `Mw R r M ; I WOULD LIKE MORE INFORMATION ON: At • £+,� ; ❑ Patio Rooms ❑ Enclosed Porches ❑ Retractable Fabric Awnings i Name l Address $ =. w g � i City - State - Zip � Phone = ` ' Best ti call OMorning a4fternoon'Ll me to vening BETTERLIVING PATIO NO OBLIGATION TO BUY! Mau to v TOLL r ROOMS OF BOSTON J FREE ® PATI0 '100 Qtis Street _ Northboro, MA 01532