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0155 ANSEL HOWLAND ROAD
,, a, . � �� a � o v o h f � y a . � _ s .. � .. r. ' _ � u o i.i o �, .f: a t IKE Town of Barnstable *Permit# E�Tres 6 months from issue date Regulatory Services P'ee. '1 Richard V.Scali,Director.,{ 9�A i639 Building Division - M;Nuul , m ��� Roma,Building'Comissioner 2017 200 Main Street,Hyannis,MA 02601 T O" 11VOF,q,� www.town.bamstable.ma.us ; Office: 508-862-403` Aft, '�� Fax: 508-790=6230 EXPRESS PERNIIAPPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number . La_7 Property Address 4 5 b Gt (. �eIk Q3 Residential Value o fJ Minimum fee of$35.00 for'work under$6000.00 Owner's Name&Address �I 4AL& Contractor's Namer Telephone Number Home Improvement Contractor License#(if applicable). Email: " Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor m the Homeowner , ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. ' Pf eimit_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: *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 Rome Improvement Contractors License&Construction Supervisors License is Iquired.. - - _ SIGNATURES O; 7 111�wvY ' Q:\WPFILES\FORMS\building permit formsTYPRESS.doC 01/25/17 The Commomveah*qf_ &Ysadr=etts Depar neat&frndus&W Accidem& f lfwe oflmwsfigafions. 600 FPasl fitV=,Skreet w Batston,MA 0211 1pipm masygovIdif1 Workers' Cmnppem7 a[fianImuranceAffidavit:BadelSICtlnt'dCtGrS IeCtITt[SII�h]3nbers Applicant IuformaiigII Please Print �Y Are you an employer?Check the appropriate bay Type of project(required): I.'❑ I am a employes vrith 4 ❑I are a general contractor and I employees(fish an for part timed* Imve hired#fie sub=contmc vrs 6_ ❑Ides oo cE�oa 2.❑ I am a sale propiietar or fisted on the attached sheet . •7- El Run odeling. y These sib•-comdractors have. s5ip and have no employees $. ❑Demolition ,• , wadring forme in a employees andhave wodaws' any inSUIRTMI 9-:El Buildingaddition' [No wo&=W comp.i ce ' comp.n, required-] 5. ❑ We are a corporatim and its, Irk.❑Electrical repairs ar ad46ons 3= I am a homeowner doing all work' officers have exercised their. 11_❑Plumbing repairs or additions t a worloers riot. ti p 1s❑r. Roofr�s iw [No y c.152, §1(4)6 andwe have no : - employees.[No wod=e 13_❑Other ` cane-insurance required.] , 4•Aayapptieaat:9atcbedmbasI%Imastalsaffioutthesectio¢beiawa dugtheirwaxkes'cumpeasatia�pnT�cpiafoFmsuo� ' I�a�eev�aers-tc]so submit dris�da� mpg 8uey aze daio�alE Wa�c aid&ca lax o- sides cra�acmrs�s*submit a new affidam2 mdi�.ring mcb-, ICaat<sctoas- t rhedc flan b=mast attar* additi®a1 sheet shoRsag theme of the�and state whetheir ar natftre e�ties have " . employees.Ifthesuhta adtaeshm mplayea-%&ey=Utprm•d&&eu srarkr s'tomp.palicynumber- lam an\uipI er flint is prouidircg tvoricers'comper2safian urszirarrca fee arya emptvy�ees Botow is tire parity arsd job site ' ttt• onnatibtZ Insurance Company Name: Policy 4'or Self-im Zip Expigati 6nD2de: ' Job Site Addreim Cityl5tafelzip� Attach a-copy of the workers'compensationpolicy declaration pap(sheaving the policy number and expiration date. Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition,of crimiaal penalties of a fine up to$L50D 00 anchor one-y6iir impisoumeut;'ns well as civil penalties in the firm of a STOP WORK ORDER and a fine of up so$250-00 a dap against the violator_ Be a&tised that a copy of this statement maybe forwarded fn the Office of Investigations ofthe DIAL.for fi=mca coverage verifw&n. I do her, cc tinder t#e pains and psrjahky ofpcCr ry thatthe mforn a#i ap�rmuW ahm-a Fs true mid correct c f "Date-N YZJI� Sds s-i1 —29W a iaL use arr£y: Do ant write it dds area,to be cavrripteted by cite artatrn&J97cifiL City or Town: Per..iffAeense f Issning Autiority(drde one): - L Board ot<$ealth I l3u�ng Degartm mt 3.Cityfrmm Gluts 4.Electrical Inspector S.Plumbing Inspector 6.Oflrer Contact Person: Phone#: 6 formation and Instructions M snarl eft G, e-- l Laws chapter M regores all employers to Provide worla&cozopeusation far theiF employees. Q P=Sa=tto this statde,an a npk yw is&f=d as"__every person i a the sarvice of another under aay cautac.'t ofhire, r dress or implied,Qnd or written" An WTk yer is daf:smed as"an individual,paxtimmNP,associa.fi-am,corporation or other legal easy,or any two or more of 9ie foregoing engaged is a joint use,and incln(rmg the legal rep� of a.deceased employer,or ffic receiver or trostCe of an miividnal,partnership,association or otherlegal entity,a OPloying=3Ployaes_ However fhe owner of a.dwelling house having not more than tbree aPmiinwis and who resides iffierein,or the occupant of the - dwm1 ing house of ano$er who emplays persons to do mabh=M=,caaShn don or rUPZiX WDrk.on such dwelling bD=a or on.the grounds or bmldmg appmt=t;xfthemto shallnotbecause of such emplaymeanbe deemedtn be an employer." MGL chapter 152,§25C(6)also sites that"every state or local licensing agency shall wifhhoId the issuance or renewal of a&cease or permit to operate a DU-nmess or to construct bwldings in the commonwealth for any applicant Who has notproduced acceptable evidence of cdmplian.es with the ft suxaace.coverage required." Additionally,MGZ chapter 152,§25CM states-Telf mthe ca�aawealihnor az<y ofiLspoIiiical snbdiivisions shall flu into any contract for the prance ofpublic wont unizl acceptable evidence of compliance with thm insuian".6% regtm-ememts of this chapter have Keen presenfrd to the contxaating anth outy_" A PPlic=13 Please fill oil the WDII='compensation affidavit completely;by cher�g$ie bodes apply to your situation and,if nmessaxY,supply sub-conttactnr(s)name(s), addresses)andphanemimber(s) aIongwith r ce$tific e(s)of insurance: L;mitn Lia]ility Companies(LLC)or Limitcd Liability`Paxtaesships(LLP)wiSino employees ofiier than the members or partner are not rbqmed to corny workers'compensation igsarance_ If an LLC or LLP does have employees,apolicy is reganfd. Be advised-that this afdayitmaybe rr b m;tte3 to the Depa-tment of Industtial Accidents for confrcmaf m of insurance coverage_ Also be sure to sign and date the afdait The affidavitv should be returned to!he city or town that the application fur the permit or license is being requested,not the D ep ai(ment of hadnstad.A=deofs_ Should you have any gvrsLions regarding the law or ifyon are recpzffed to obtain a workers' ccinpen sago policy,please call the Departcment at the number listed below. Selfnftm ed companies should ear their s elf-fi sm-ance license number an the appmgziafe line. City or Town Officials Please be sure that the affidavit is compIdD a ndpxiofedlegibly- The Department has provided a space at the bottom of tie affidavit for you to fiIl but in the event the Office oflnvestigaflDns has to 8o11tictyou g the applicant Please:be sure to f Ell is the pennrt1license number which wM be used as a r efc=ce number. In addition,an.applicant that must submit multiple pemndlicense applications many given yen,need only submit one affidavit indicating CuI rent olicy information Cif necessazy)and mzder`Job Site Address"the applicant should write"all locations i a_ (�Y or � P _ town)_'•A copy of the-affidavitthat has been officially shed or marked bythe city cr town may be provided to the applicant as-proofthat a valid affidavit is on file for fatm a permits or licenses A new affidavit must be filled Dirt each "Where here a home owner or citizen is o btaining a license or peumit not related f3D any bu rotes or commcrcial T6ubD= (i..e.a dog license or peonit to bum leaves etc-)said person is NOT xequixed to comple#e this affidavit The 0f E=of Tuycs g;�^ns would Bat—to flunk you in advance for your cooper, and should von have any quEsfions, please do not hest to give us a call The Deparfine fs address,telephone and fax number: Co=30n1*of Massachmett. Dent of�AoDidenta Of f iae of 1nVe&tkk1�o B MA Oil IP Ted.. 617- -4 =t4fl6 w 1-977 MA, Fax 617 727 7749 Revised 4-24-07 qvfd. �VE Town of Barnstable Regulatory Services PIAM �, Richard V.Scali,Director s63q. � I Building Division. Paul Roma,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 -' • • I 0�/� AJ � as Owner of Y LA �� Own the subject property hereby authorize to act on ray behalf in all matters relative to,work authorized by this building permit application for: Ss. As*c (Address of Job) **Pool fences and alarms are the responsibility,of the applicant Pools" are not to be r filled or utilized before fence is installed and all final inspections are performed and accepted. Signature-of Owner Signature of Applicant Print Name r. Print Name - Date " Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable h Regulatory Services r dF Richard V.Scali,Director Building Division >42vsrwstc. + Paul Roma,Building Commissioner MASS. i639. A� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print /7 JOB LOCATION: /T� �f v� �,✓/dln� ✓�� e'en v / DZ 6-7 Z- number street village TI-IrOMEO_WNEK: •.Z ��'nn,B /'/ name home phone# work phone# C�l! C RRENT MAILING ADDRESS: Are� i.r 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 hermit. (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 pro/c &res and requirements and that he/she will comply with said procedures and requirements. Signature of Homeown__er____`� Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application;that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 r 1f4, Barnstable Assessing Search Results Pau 1 of 2 Y /y �! Home: Departments:Assessors Division: Property Assessment Search Results AL OWLAND ROAD 155 AN Owner: iP Q4V-C)-OYh S l yl be, gCTkC',h11 2vVtL� �1 -L] KUZNAROWIS, DIANE E Property Sketch Lend Map/Parcel/Parcel Extension ,a 171 /235/ � �+ Mailing Address ' KUZNAROWIS, DIANE E � ` 155 ANSEL HOWLAND RD ` t CENTERVILLE, MA. 02632 2005 Assessed Values: - 14 Appraised Value Assessed Value Building Value: $ 146,400 $ 146,400 Extra Features: $2,700 $2,700 Outbuildings: $0 $0 Land Value: $ 155,400 $ 155,400 Interactive Property Map: Map requires Plug in: Totals:$304,500 $304,500 1 have visited the maps before ZC �°or Show Me The Map- April2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: KUZNAROWIS, DIANE E 6/15/1996 10265254 $ 115,000 PERRY, NORMA A 10/15/1983 3907/259 $63,000 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $55.27 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $307.55 C.O.M.M.-All Classes $1.01 i Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,842.23 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $2,205.05 Due to rounding differences these values may vary http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing... 7/22/2005 y� Barnstable Assessing Search Results Page 2 of 2 Land and Building Information Land Building Lot Size(Acres) 0.34 Year Built 1983 Appraised Value $ 155,400 Living Area 1432 Assessed Value $ 155,400 Replacement.Cost$ 164,471 Depreciation 11 Building Value 146,400 Construction Details Style Ranch Interior Floors CarpetHardwood Model Residential Interior Walls Drywall Grade Average Plus Heat Fuel Gas Stories 1 Story Heat Type Hot Water Exterior Walls Wood ShingleVinyl Siding AC Type None Roof Structure Gable/Hip �Betlrooms'"�2'Bedrooms� Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 6 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,700 $2,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) �BMT"Basement Area'(Unfinished)j FTS Third Story Living Area (Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/D epts/AdministrativeS ervi ces/Finance/Assessing... 7/22/2005 f July 25. 2005 July 2005 August2005 . S M T W T F' S S M T W T F S " ' 1 2 1- 2 .3 4 5 6 Monday 3 4 5 6 7 8 9 7 8" 9r10 11 12 13 10 11 12131415 16 14 1516 17 18 19 20 171819'20`2122 23: " 21 22'23 24 25 26 27 2425 26 27 28`29 30 28 29 30 31 31 TaskPad- 7 am ,❑�»TaskPa&' .; ❑✓ ❑ 9) 1❑ 800 goo 10 00 CENT 155 Ansel Howland Rd #84640 BFRM CENT 36 Braley Jenkins rd #82645 BINSU 1100 CENT 81 Victoria #85312 BFOD r� CENT 357 Great Marsh Rd Complaint i pm CENT 34 Bent Tree Dr. COMPLAINT 100 OST 35 Waterfield Dr#79141 BFIN C\ Notes . 00 OST 744 Seaview FENCE COMPLAINT I 300 Va (hoc� e ,400 Soo \ 6 90 ;, Fitzgerald,John 1 7/25/2005 9:44 AM { f • 1 I d nsel Howland Rd . , Centerville TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `'! Parcel 023 Permit# Health Division 5"e1 - Date Issued - Conservation Division (o�ti��� low Application Fee J-2) Tax Collector � a/4v'� Permit Fee `'~ _� '�� Treasurer Planning Dept. EXISTING\SW C EM Date Definitive Plan Approved by Planning Board LIMITED TO-_a_#OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address 155 AY)5- �4ow I QI"1Cl10 Village Ceniaryl- Ile- Owner I nc-> K U ZY)Q rr)1k31 Z Address 155 Ak-)5efl 1-1AA► )GLh,,[ R Telephone 5g` is -4701 Permit Request `J X (�� 3 Z !� r7 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation%,bbb Construction Type 1)0 Lot Size o 3q Grandfathered: .❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 Yes No On Old King's Highway: ❑Yes 'YNo Basement Type: D-Kull ❑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 t Central Air: ❑Yes No ' Fireplaces: Existing New Existing wood/coastove: E ,fps No Detached garage:❑existing O new size Pool: ❑existing ❑new size Barn:❑exis ing ❑tv size Attached garage:❑existing )new size►5�X2�/Shed:❑existing ❑new size Other: `•n co e� co r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes o if yes,site plan review# Current Use Proposed Use BUILDER INFORMATION n Name i �G , Telephone Number Address 15 �r License# __Lk 2 q H ��-1 Home Improvement Contractor# (�rrn 5 m t U . CI-) Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE PXEN-T-0 hU R�G,�ft) 04 SIGNATURE DATE J1AJYLA S I� , FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH cn FINAL FINAL BUILDING «. — 3 t� F ,y n7 DATE CLOSED OUT co ►'' ASSOCIATION PLAN NO. n t7 0 i 9 Town of Barnstable Regulatory Services Thomas F.Geller,Director EARI'1 LEg i I _ Building Division �p�ED a Tom Perry,Building Commissioner 200 Main Street,.Hyazn's,MA 02601 •. Office: 508-862-40S 8 T Fax: 508-7�90-6230 pennitno. - r Date ' AFFIDAVIT HOME MERE TO PETRNIIT APRPLICA APPLICATION SUP . -renovati ,modernization, conyers MaL c. 142A requires thatYthe-reconstruction,allerations,of an addition too any prrepae-existing owner-occupied lon, improv�nt,removal,demolition,or constru building containing at least one but not more than four dwelling units or to structures which are other scent to such residence or budding be done by registered contractors,with certain exceptions,along with ot requirements• t Type of Work: .1L Estimated Cc Address of Work ` Ovjuer's Name: y Date of Application: I hereby certify that: Registration is not required for the following reason(s); [Work excluded by law ❑lob Under$1,000 []Building not owner.occupied µ C]Ownerpulling ownpermit Notice is hereby given that; GISTERED OVMRS•PUtLING THEIR OWN PERMIT OR DpERALINME RK 0 NOT HAVE CONTRACTORS FOR APPLICABLE HOMEERMGL c.142A. ACCESS TO THE ARBITRATION PROGRAM OR GUARp1fTY FUND SIGNED UNDERPENALTIES OF PEP Y I hereby apply for a permit as the agent of the owner: s - Contracto ame Registration 0. Date OR ; . 5 4 Owner's Name Date Q:farms:hameaffidav ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE ; New Buildings $100.00 , Residential Addition $-50.00 zi, Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= �� • x.0041=. plus from below(if applicable) ALTERATIONSWNOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ / w x.0041= • a ACCESSORY STRUCTURE>120.sq.ft. 2 0.U. r> >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,0041= a STAND ALONE PERMITS ' Open Porch _=x$30.00 (number) Deck x$30.00= (number) - Fireplace/Chimney. x$25.00= • (number) _ Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee ` Projcost Rev:063004 e n0 CMR Appeed'a J TableJS-Z1b(eootinaed) It - .. • ' pm�riptire Paekaga for One and Two-Family RaideatLl Buildings Hated with Fossil Fuel MAXIMUM MINIMUM Ceiling wall Floor Basemeat 31ab Heating/Cooling Glazing Glazing Wa ng Perimeter Equipment Efllcien� Arta'(%) U-value= R-value' R-vala R value° wall 6 R velue' R-value' = Package 5701 to 6500 Heating Degree Days' 6 Normal 12% 0.40, 38 13 19 10 6 Normal R 12% 0.52 30. 19 19 10 6 SS AFUE g 12% UP 38 13 . 19 10 N/A Normal _-...T_..._.-....._.-..15%_-..-.-. _.....0.36_.-.:- _..._.38 13 25 N/A Normal--- - ---- -------.-.....- - U '15% 0.46 38 19 19 10 i N/A SS AFUE V 15% 0.44 38 13 2S N/A 6 ' SS ME W IS% 0.52 30 19 19 10 N/A Normal X 1S% 0.32 38 13 25 N/A Normal y 18% 0.42 38 19 25 N/A NIA 90 AFUE Z 19% 0.42 38 13 I9 10 AA 18% 0.50 30 19 19 10 6 90 AFUE OMIA17) A 1. ADDRESS OF PROPERTY: S � / 2. SQUARE FOOTAGE OF ALL EXTERIOR,WALLS:A 3. SQUARE FOOTAGE OF ALL GLAZING: �Z 4. %GLAZING AREA(#3 DIVIDED BY 92): &lc` - 5. SELECT PACKAGE(Q--AA-see chart above): • •' ! . - NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. ` BUILDING INSPECTOR APPROVAL: YES. 3 NO: t q-forms-1980303a 780 CMR Appendix J Footnotes to Table A2.1b: ti .t Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U=values cannot be used. 3 The ceiftg.R-values do not assume a raised or oversized truss constriction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R 38 _. . .__ cavity-_ _. insulation and R-38 insulation may be-substituted for -49-insulation: Ceiling R values-represent the sum of cavi insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not in exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame constriction. °The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the .same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d::scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ° If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2:1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a.U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable Regulatory Services NAM Thomas V.Ceder,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.uts Office; 508.862-4038 Fax; 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 11717C]COVi IS ,as Owner of the subject property hereby authonze 1 yy1C2`hA to act on my behalf, in all matters relative to work authorized by this building permit application for. 5 (Address of o-b) w �7. c ��rd. Signature of Owner Date --DI Print Name Id Wd02:Z0 S00Z 10 'unf b12-262S80S: 'ON Xdd i (apowad 6ucpltne RejO R41owil: WOd3 _ The Commonwealth of Massachusetts k,�_ " _ Department-of Industrial Accidents - , Office of Investigations - -- 600 Washington Street, 7r Floor Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Buildin lumbin lectrical Contractors .: p - ? rd ?s name: ' address: 55 kns e I w V YI CI r ciri eyl leyy 11 I e state: 1"� zip: phone hone# x 9 C - '� work site location(full address): 15. J Pbmd �� �6A:— ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel ❑ I am a sole proprietor and have no one working in any capacity. Building Addition •"9�.`.5�f �.:.,...��2�5''.�.s'7E'a.."'^�O:,w'�'�"o"�,u'�`�'�.C`x...:..�:r.z _ � x :. a..'i:�'t�'.rw,j ..� < .:•_ .,:.. ;€7 .- .�.Y.<. I am an employer providing workers' compensation for my employees working on this job company name" l Mb`�-h!l aSaI•1 1(b oca M 'III rtI �c address: IS city � - ... _-. ._ . uhone#: insurance co. ..,,,,v# . . I am a sole proprie eneral contractor, r homeowner(circle one) and have hired the contractors listed below who have the following workers'com ces: comoanv name address: 9Y.L ay 1(S �)a hone M U 1 insurance co. Yl olic # ' ` �S �'rnnr✓�� comoanv name: address StXL J Y-f r /�C (�/ phone# insurance co. /-� I H DOIICV# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. f do hereby certify under the pains and enalties ojperjury that the information provided above is true and correct. Signature /AI Date "C) A6,5 Print name Phone# 6 0 •'I?2-3c�CO V +- official use only` do not write in this area to be completed by city or town official ' :•city or town: � permit/license# ❑Building Department • ❑Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other • (mvLvd Sept.2003) f. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two orImore,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, associaiionor other legal entity,employing employees. However the owner'of a+ dwelling house having not more than three apartments:andiwho resides therein,or the:occupant'of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work,until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit 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. . f r City or Towns , Please be sure that the affidavit is complete and printed legibly. The Department has provided a;space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. f The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7`s Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 FROM :.Timothy Gray Bui ld.irig Remodel i FRX N0.'" :5035393714 ?' Jun.1 3S 2b35 11:219RM P2 BC. CALL®2003 DESIGN REPORT-U$.. ,, Monday.Juns 06,200510:3'. Double 1 3/4"x 91/2"V EFtSA-LAM®3'100 SP pile Name: 6C CALC Project:h801 Job Name: Address: ®ascription: City,State,Zip;, Specifier.' Rick Low® Customer: Designer. Code reports. 1060 5512,NER 029 Company, Mist; ' Standard Load 2C psf 110 pet._Tng 64 WIN III PITA NO so 130lbs LL • 128 Its ILL k 130 Ibs LL -� 126 Its DL Total Horizontal Length-13-0o-00 General Data + Load Summary version: US Imperial 1D Description Loaa'Type Rer. start End Type Value Trib. our,' Member S Standard Load_ Unt Area Left 00-00-00 13-00-00 Live 20 psf 01-00-00 100°k Type: Roof Beam Number of Span Dead #opsf 01-00-00 80% s: Left Cantilever: No' Controls Summary Right Cantilever; No Control Type -Value _ %Allowable Duration load Case Sparc Location ' Moment 831 f-ibs Slope: OM2 6.096 100% �a2 '1 -lattemsl . Tributary, 01-00-00 Neg.Moment � '0}t Its n/a 10046 End Shear 225 ibs 3.5% 100% 2 1 Left Total Load Deft, U3085(0.051"} * 5.8% 2 1 . - Live Load Deft_ L/ 071(0W6") 4.0% 2 .;. 1 : -Live Load; 20 Psf Max Deft. 0.051" 42 Dead Load: 10 psf fds>•tes a +r Partition Load; 0 paf Design meets Code minimum(U180)Total load deflection criteria- Design Duration: 100 Design meets Code minimum(L240)Live load deflection criteria. Disclosure Design meets arbitrary(T)Ma)amum load deflection criteria. The completeness and accuracy of Minimum bearing length for Bo the input must be verified by anyone Minimum bearing length for 81 Is IA/2". ` who would rely on the output as Member Slope=0,consider drainage. w evidence of suitability for a EnterediVispiayed Horizontal Span Length(s)t-Clear Span+1J2 min#end bearing,4-U2 intermediate bearing particular application. The output Cdnneo ion Diagrtatn code-accepted design properties above based upon building Consult project design professional of record or BOISE technical representative for connection design Consult and analysis methods. installation Member has no We loads, of BOISE engineered wood Cortnectois ars:1$d Sinker Nails ' �. products must be In accordance t • '� with the current Installation Guide and the applicable building codes. a-2 }-� -- _ i• To obtain an Installation Guide or if you have any questions,please call c_2-3/4 (800)232-0T88 before beginning12" ' product installation. 13C CALC*,SC FRAMED,0CI0, C / 90 RIM BOARD TM SC OSB RIM BOARDTM,BOISE GLULAM"", VERSA-LAMO,VERSA-RIMS,, VERSA-RIM PLUS®, VERSA-STRANI7 TM µ, VERSA-STUDC,ALL,JOISTO and { 4 AJSTM are trademarks of ' Boise Cascade Corporation: h JUN-01-2005 12:01 From:MARK SYLVIA INS 50842092'27 To:5085393714 P.1/1 ORaTM CERTIFICATE OF LIABILITY INSURANCE D06ro1 zoos' PRODUCER 508-428-D440 THIS C6RTIFICATL IS ISSU90 AS A MATTER OF INFORMATION MARK SYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 969 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THII POLICIES BELOW, 969 MAIN STREET INSURERS AFFORDING COVERAGE NAIL P W$URID INSLIRERA FARM FAMILY CASUALTY INSURANCE TIMOTHY GRAY BUILDING&REMODELINO,INC, INGURGRo 15 TOBISSET STREET wsURERC MASHPEE,MA D2649 INOURCRD INSURER D COVERAGES THE POLICIES OF INSURANCE LISTBO BELOW HAVE BEEN ISSUED TO THE INSURED NAMCD ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RSOUIR(IMCNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMCNT WITH RP8PECT TO WHICH THIS CERTIFICATE MAY 88 MaUE0 OR MAY PRRTAIN,TMN INSURANCE AFPCIRDEP BY THE POLICIES DESCRIBED HGRE114 IS SUBJECT TO ALL TH9 TERMS,BXCLLISIONS AND CONDITIONS OF SUCW POLICIES AGGREGATE LIMITS$MOWN MAY HAVE B111IN REDUCED BY PAID CLAIMS INSR' DD'Li PC ICYIFPCCTIVII POLCY RATION POLICYNUMWR g1lt8ltno�rx>_ LIMITS 0IN9RALLIA9ILITY EACH OCCURRENCO I 1,DOQ,D00 A I X;CDMMGRCIALOCNERALLADIUTY 12001XO540 02/2612005 02/26/2006 �°R9M e�sC141-1.olvanae) �@ 5DID00 I CLAIMS MADE : X OCCUR MEOEXPIAAyoMperson) i 5,D00 PERSONALLADVINJURV i ' OEN61r[ALA00A.IGAT111 i 21D00,000 QIEM'1,A00RE0ATE4IMITAPPLI4DPER PR0DuCTB1COMP4PAO!S Is 2,600,000 I -- POLICY PRE, LOC AIJI OMOBI44 LIABILITY aDNEIDISINGURUMIT f ANY AUTO ALL OWNCD AUTOS DODILY INJURY i $CWC0U460AUYM fP�rponml i HIR4PAVr09 ROOILYINJURY t NON,OWNCD AUTOb (PAr eceWanl) PROPDRTYDAMAOC Is (Pu eCCm�nN i GARAGE LLAGIUTY AUTOONLY IEAACCIDENT I . MYAVro - OTWCR?WAN I!AAtC i AUTOONLY AGO t Q14990fV119R9LLALIAI1LlYt QACHOCCUIIRCNCI i !OCCIJA* ICLAIMS AOCRSOATSD t Ii I{DeDUCTIOLO t .I RSTENVION WORKERS COMP9NDAT10N AND THY LIMIT. K OQR A 9rePLorERt'uAeu.rTr TO BE ISSUED 04/0il2005 04l01/3006 E L DACHACCIDCNT t 1,000,000 ANY PRCPRIETMPARTNF.RIHXFCUTIVE j OPFICEPINCMD14A04116UP499 [I L D13CABC I12AQMP6DY9C,i 1,OQO,000 .. SPP,QA4 PROVISIONS billow i D L pI$EASII POLICY LIMIT I I 1000000 OTH9R I 095CRIPTION OF OP9RATWNDI LOCATIONS lV9HIC69S19XC6USIONSAP090 RY 9NOOR84Mt3NT I404LIAL PROVISIONS CARPENTRY R ; KYZMAROWIS 155 AMSEL HOWLAND CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF YM9 ABOVE DIOCRIEED P0410II3 09 CAN09VAD 9EPORI TMI IXPMATION DAYS YMER90F,YH9 ISSUING INSURER WILL 9NO9AVOR TO MAIL DAYS WRITTEN TOWN OF BARNSTABLE NOTICE TO Tao CRRTIFICATI MOLDER NAMED TO THe LIFT,DUT FAILURE TO DO SG SMALL BUILDING DEPARTMENT IMPOt9 100 OOLIGATION OR 41AB16ITY NY II PON THE INBURca,ITS AG4Nre OR FAX TO TIMOTHY GREY deN+aeleeW rATlvee. 609 539.3714 LMH AUTHORMOD RIPROBENTATIV9 ACGRD2g(2001lOs) !ACpRD , RPORATION1988 ACORQ,. DATE(MM/DD/YYYY) PRODUCER CERTIFICATE OF LIABILITY TNSUHIS RTIFICATE IS RANCE ISSUED AS A MATTER OF INFORMATION 004 McShea' Insurance A enc Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g Y� HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED R & H Construction, Inc. INSURERA: National Grange Mutual INSURERB: American International Companies P.O. BOX 511 INSURER C: Worcester Insurance Company Marstons Mills, MA 02648 INSURER D: 1508-540-9074 Cathie I 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 oo'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY !RE CH OCCURRENCE $ 1,000 ,00U X COMMERCIAL GENERAL LIABILITY MISES Eaoccurence $ 500 000 CLAIMS MADE CI OCCUR DEXP(Anyoneperson) $ 10,OOO A i PI93748 02/15/04 02/15/05 RSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2 000,000 P1',':LAG:GREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2000,000 PRO- -1 LOC AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1, 000, 000 (Ea accident) ANYAUTO ALL OWNED AUTOS BODILYINJURY $ (Per person) X SCHEDULED AUTOS A HIRED AUTOS M9193748 02/17/04 02/17/05 BODILY INJURY $ (Peraccidenq NON-OWNED AUTOS PROPERTY DAMAGE $ (Peraccidenq AUTOONLY-EAACCIDENT $ GARAGE LIABILITY ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG $ EACH OCCURRENCE $ 1,000,000 EXCESS/UMBRELLA LIABILITY CI AGGREGATE $ 1,000 ,000 X I OCCUR CLAIMSMADE CUI93748 02/15/04 02/15/05 $ $ A DEDUCTIBLE X RETENTION $ 10 000 $ WORKERS COMPENSATION AND X ORYLMTS ER EMPLOYERS'LIABILITY VWC6006401012004 12/21/04 12/31/05 E.L.EACH ACCIDENT $ �500 ,000 ANY PROPRIETOR/PARTNER/EXECUTIVE B OFFICER/MEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYE $ 'fyes,desuibeunder I E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER Inland Marine CI 8G5893 02/15/04 . 02/15/05 LC5 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS i CERTIFICATE HOLDER CANCELLATION t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO IS Timothy Gray Building & DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN Remodeling NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 15 Tobissett Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Mashpee, Ma. 02649 REPRESENTATIVES. 5 0 8-5 3 9-3 714 Fax AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988 ACORD25(2001/08) I 12%.2C/2002 14:56 5083962224 PL&E PAGE 02/02 -- -. I, -.l,r•r. riu I uHr_ 1N5.�.. N0,790 P.. 12 CERTIFICATE OF UNSU .SCE DAN N .'D°„�; P]l03WC�L CgriFERSTNQ Gh Hx!' OR AJ.rl�`1R6T1� 0 V$9AGD�S•TIUN BY TFiL Plmwo T.emone&Buckley No7F Ina=i=Aelm ��+;, ��Y IncIna P 0 Box 160 COWANT6S AFFORDING COVERAGE Dmnisporn, MA M639 f II IMURB,D- Parick K Orcutt MWANY dba P&S Cobcrete �,m lam-mica A.I.M. Mutual Inance Co 37 Ladys Slippar Lane Mashpee,MA 02649 I p IS TO CuTIFZmFg T THL POUCMSCATIID NOTWaudG1�E MAY.U6ipN9 AND YTRO:{rq CiP SUCH POLICSBS. Ln121'I'S 6HOWN MAY HAVE HBEN RL•DUG' 9XlAIII CL.AIGlS. CO p01.ICYYiDLECR(VS roLttrmrn>HSTIO. L Y1fr50PD�uvnnr4Ad XILTCYIRAI'J'= DATEi(M4mof") AATpmwDDIYY) LndiTS 2g8 Llkamm GE gRA&AGGREGATE i rAMERC"GENERAL UAnilXY PR9iM,1CT04OMLPAN AGO, A D291JAD1C::j7CCUR PWONAL S:AAV,ROM S OWNER'S A CONTYACMORT PROT, EACH OCCURKSK5 s T-10 DO&Qf!Am aro pro) I MED.EXPD(Z(Aq ear Azad � , ,WY urcxwoast.>v LIAJiII.ITY i CotilPINRA ttWOLfi I S AVM LiAt1r L OWNED AUTO smLy INIURY CHEOLT.BPAL'TOS �0� rww) $ i IRM AVI'OS I nop"IMM 7lI NON-OWNDD Au7t4 GARAOII LtARII,RY . lIRRT'Y UMIAG6 6 68 L sm Y I AoH Ot;'Di)R mNCD f 4ELLA KAN4 Oa2R0ATD S asx tnAn u>hDRDLLA AORN I ' IS COatrlse"rION AM L x 0ymLLunn.m 6006181012004 LO/21/2004 10/21n005 ELP.ACHACCMIr S ,oao A Im PRamvrDRI IN= EL OWASE-MLG7Y WNtT' S LOW1000 ARTApT11s=3C m E PIUM ARE- 19L F1omoyEB S 1X0 0) MIS= } I r DCB�'1'�(D4�aF1'1RA'Pl UNdILOCATWh�UY3rBP8CLL!r$M5 C1t&7VICATE 110WER Cs'I,CULATLON s1LOCIt.D ANY OP THE(A90VE DEscsioEDPOLICES BLS CANGHII.ED SE.Ptu nm TWOTAY GRAY BUILDING &REMODELING E"MA ON "Tu nMR2,op' THE P%;Na COMPANY WIL LNDBAVOR TO BAIT. 10 DAYS p(RIMT M NOE TO TELL'CMtTMCATF.H4LDBR 1QAMW TO THE I,EPT,BUT FAiLuRZ TO mAIL SUCH NOTIC5 SRALL DAPOSE NO ORUGATION OR 15 TOWSHT ROAD LIASMrrY OF ANY KIND UKIN THE COMPANY, ITS AGENTS ,01 RURMEWA NES, AV!'LiO�'D R�RE9S*ITAT;<ve MA3FIPTE, MA 02�9 i ,,�' ,/�te �Or�t,�rwoc[aP.h���, r1�✓ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 102634 Expiration: 7/2/2006 Type: Private Corporation TIMOTHY GRAY BUILDING&REMODELING Timothy Gray 15 Tobisset St GL--•. "" Mashpee,MA 02649 Administrator t. " � ✓lie L�o�izircaru'uealC� a�'✓�ilaavac�iccoe��a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O46234 Birthdate: 11/30/1959 Expires: 11/30/2006 Tr. no: 3286.0 Restricted: 1 G TIMOTHY GRAY 15 TOBISSET ST MASHPEE, MA 02649 Commissioner e r The Town of Barnstable � L��' Department of Health Safety and n�-��� �ntal Services 6�9- Building Division 367 MainMainStreet,Hyannis,MA 02601. Office: 508-8624038 Fax: 508-790-6230 PLAN REVIEW Owner: i +c�V. i' , rls'r Map/Parcel: f C 5 5 Project Address 1 5 tie t `�;�. Builder The following items were noted on reviewing: LQ (7 I L �{?'" �n l Zip ' j; C' GjU•ti Y\ -a}-ev� C-6 0, 12 J l� lY'Q,. ��o � � Y,i rt n.4 c1 �i(� CtC!'• � ) )tJ' � �57�"' '��f7 iti r� 4^� Reviewed by: Date: 01 LACie Inspecclon Am ttcan� Tey 10cati:an ef-Ptvperty: Centerville Zor 9 go J deck one M dwelling Yto 155 o M Area 15,0o( ts.F Lor7 4, 3907 Z57 Mood Pamef; 25a o01 0015 G f-l0od gone: c- tri of v�sr i PAUL yGn J hereby cerrv{ tmt ttus mortgage inspwri"on wa -mpare -for a ef�ovER ti Pricz 5 A9ers, TC, anct Norwe,5v A4ortya9e, ��, ,, o 31311 ` 1w dweUtr@ Sttowty herCl m aoe5 nor full. of a speac a T EAA P OO& fta ar& area wt'rh,an effective daze- of 8 -19-tt-, and 'die 1,0 c h'ori, 01 the dwelling ' does conform rt'o the local ,coning 6y-laws uve¢F C4-1 cwtthe tune oFcomtYuctwn with, respectto hor4 rttal dtmensioi;Z Scale: I" setback t'�GiLLlrC rents Or' is ex�mprfrnm V101AhOtti eel orcemeltx-' Date: 6-9--9G, PlrctLotti under Mass. General, laws C4apter'40N-Sectt''0M 7. File No. 96-2-875 PLEASE NOTE-: The structures as shown on this plot pi n are approximate only. An actual survey is necessary for a precise determination of the building location and encroachmentlif any exist. either wa.v across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate properly lines. Verification of building locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY , INC. 269 Hanover Street • Hanover, Mass. 02339 Phone: 617-826-7186 - Fax: 617-826-4823 r3a -�,raann clo e� L1 V, to�yyl Dz6 r �►�n,v�G �ra�VVY, C� cmk h4 New �• }�, TOWN OF BARNSTABLE Permit No. __________...._______- INA"ITil. = Building Inspector cash � �YL OCCUPANCY PERMIT Bond -- Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL. SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...............I............................. 19_._ __ ............................................................................................................._... Building Inspector li �o GAcz.BAG� �jRah1DE2 •• A �D I� SEPTIG TA►JK = 33ox15c>% 49J6.PP 10.01 p ; D15P05AL PIT U5E oX � loo0 GAt / 13� `D V-a AaCA I r•r ` _ �l 50TTOM AREA= .. lr o 5 F•_ � 0 � i / it -{oTAL pA I I-Y FLov� = 33o G,Po — PouEdb, m II PE2GoLATIDN RATE : 1'"1N 2MIN ol`LG5S 40} / t}•T�. , OF R.Q *`jN OF RICHARD o ALAN BAXTER v JONES iI No.210480 N 251 M IT6�T �107 �G - SS TOP FNU i� NOLG- I� o +N+ 100v INV. LI �xlBSOiI� DIST. INS 2 I 000 INV, 0Ux rJZ•L [ANK Mec, Gay.. 5Z SpuD, LEAGI! �I P1.7 INV. ,INV.; w I T u 52,2 52•¢ sQ aqGaa�, 6Tv N •� 6n A 16 A I L. AAP0►4b . 8 -`'k' f5iv1 < Rr3R/ WIN .:L,6AQ At's i.A,JL MATMAL MLsb cawrIFICD PLoT Pl-Af-j SA IJb - ,► P4ZvF11...� L0Z47101,1 1(•L 12' N o 5 GAL E _ IL rj Slj .. �AT rc '7 I-j gP, ze N c.E 1 CEQTI�Y THAT THrc t-c�U►J�TIo�1 StiaOvYN NER6o1�1 GOMPI.`(5 y�JITN-TH6 SIoELIN1= !c>7 �y A1.1D 5G6T5AC 2GQ019-EMEN�"� Q F -TµE o W N o r- �a a4JSrA GL-G A N'D_l S Wr I.OGpt...-TED •WITVA T E GL000 PLA•1W P G .�:� 343 ��• �� bATE BAx•t'EcZ.e NYE INC. REG 15'c�2�v't-AND 5 u 2v E`(oizS 'T'ut5 PL&ti 15 Klort' (3n5FD ord AN o3rEczv{LLE - MP�s• �, , ►lJ•STR.UMENT Sv2vt `( �'TNE o�F5ET5 5Uou4`D NoT r�,a 'U5EoTG DETE.R./^.I PLICP,"-r 4C-A4 � '•�`� ��� �,�q� � ate- ��� ����/�'3' ; Asse'ssor's map,and lot number. ....................... �... ...: . . , Se ge Permit number ...... -�`�.- ` SEr tr` ' +► _ FT ETO ._ 9SHg3aTADL$ i House number .................................. �� ........... TITLE ao t dA14A1 0 ?IENTA u .a C pyPYa' TO OF. BA R NSA ALB% 3`°E'� ` BUILDING •INSPECTOR \APPLICATION FdR.,PERMIT TO .::....... . ...........;..........,h,, ...;............... .................... .............. TYPEOF`CONSTRUCTION ..........::.....................................................................r.................................................. 7 - .....,. :19. TO THE IN5P5ETOR7 OF BUILDINGS: 3.,, i _ The Undersigne4 hereby,applies for,'a-peirmit according to the following information: - ' J/A Location '' .... . ..... . ProposedUse ....... -........ . .................. ........................... ....................... Zoning District ............. ..Fire District ..... s s*fir•� Name of Owner.... Address Name of Builder'- ........... Address ....................... Name of Architect ..... . ............ ......Address ......... ..... .:_. ............................ Number of Roo s ...:..... -' .........,.,;;,.b4.......Found"anon+.. .( . . ................ Exierior ... ... . ...R�ofing ..:;....,. _. .�............ l..... Floors .......: ...............................................................I,to for .. ...... ................................... Heating ............Plumbing . Fireplace .. . .. ... y...Approkimal'e Cost ....... . :�....................... ............. Definitive Plan A roved b Plannin Board, __ ___,1 A_______. Area :.... pp y 9 --- ----- ., _.._.- .... Diagram of Lot and Building with Dimensions - Fee .. ..�.......... SUBJECT TO APPROVAL OF BOAR•D:'.OF�{E-AL-TH � , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .................... . ............................................. Construction Supervisor's License(.................... ............ - .SMALL, ALAN E. rti ° No .. ?�07Permit for One...Story.......... Single Family ...Dwelling............... Location Lot ......155 Ansel Howland Rd. 3 - .................Centerville A ... ... ...................... Owner Alan..E .. Small.......... _ „�,; e .. Fram Type of Construction ................ .............. ' •. •. .. .. a... .......... ................ ' _ • ] ; - .." Plot . ... ...:.......... Lot...' ... :....... , Permit.Granted .........................August-1 '.:.........19 83 S Dote of Inspection ..................a...............19 _ Date Completed .! s! �d...............119 ♦Y •4 Y (��-�G�4if`ate �f.�.�* " . • \ _ .. •.. .. y �..a:' Assessors map'and lot number .j............ .! � ,,�, ,�.�E f/ r. THE TO C!' ry 4. Sep.*.age Permit number .....1...... `............. .. ... , .. li BARIST/BLE. i Huse number ................................... ..<S .................... vo Naas i '/�, p 039. �o MAY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................::................................................. ........... ....... ...............1911 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a—permit according to the following information: Location ........ ....... k ' � 1 � ` ..................................... ................................... ProposedUse ....... i%Z,r/}".. .� .... ? ..... ..................................................................................................................... f �. ZoningDistrict ........................................... �.......................Fire District ... .... ......... ....... ..... .............................. ° r t. -'�' Address .." ' Name of Owner .....4 ......... ...... ................................................. f Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ................................... .; .......................................... A Numberof Rooms ...........:......................................................Foundation ................'?.........................,. . ... ............../............... Exterior A. .#......... .'................................................Roofing ........�."!�= ........r`........ .?...`....:�:.� .... ............ .... A.. ..... Floors :.....,........................................................Interior ....r'" ........f . ..... Heating ......................................................Plumbing .......Y. ....... r: + . : rr ................................... i Fireplace � `'� '�t�........................................Approximate Cost.......................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name.... ..................................... Construction Supervisor's License .................................... SMALL, ALAN E. A=171-235 No ... Permit for ..one Story......... .......S.inale....Fam.ily...D.welxi.aq.............. ....... ...... .. .......ling Location ...:Wt.l.......1.5.5..A nA.0.I...jjQ.Wjand Rd. ..................Centex.villp................................. Owner .....AlAn...E.....SMau........................... Type of Construction ....Fmame.............. ............ ................................................................................ Plot ............................ Lot ................................. Permit Granted ...August 18r..........19 83 ............ Date of Inspection ....................................19 Date Completed ......................................19 EXISTING ASPHALT ROOFING !/� ASPHALT ROOFING- _ - V P.ab VINLYAKEBD _S. 7YPK.Ea BbRV INYL - - - - VINYL SIDING . 1 ,♦ Wic OHMGLES TTP.ab VPIi-L ASPHALT SHINGLES CNR.BRDS. -- a TYP.L 15a ASPHALT PAPER - 112 FLY.SHEATHING td e — — - —, I FRONT ELEVATI00N REAR ELEVATION - _ - 1 _--VENTED DRIP EDGE - _ 5"ALUM.GUTTER y _ V FACIA - - IX SOFFIT ". MLD. - .. Y RIDGE VENT _ ttIDRIDGE IX FREIZE - S RAFTERS 0 16'O.C. _ - R ! VY PLY.SHEATHING rQ ASPHALT PAPER - ASPHALT SHINGLES _ ASPHALT ROOFING D EAVE DETAILS ' 0 _ _ EAVE �V VY PLY-SHEATHRIG GARAGE KRGNtN WALL TYVEK WRAP OR EQUAL 'S/e FL.WALLBOARD .r r�\ SIDING J Rb MSIILd.TION CONC.SLAB .- TTP.ab VINYL - 4 - CNR.BRDB. - ' LEFT ELEVATION CROSS SECTION A) r" _ 3 TYVEK OR EQUAL _ LIDc�RI=GE - 1/2 PLY.SHEATHING . - 2XS RAFTERS 0 Ib'OC. VJ'PLY.SWATHING l� ED ASPHALT PAPER .. - ASPHALT SHINGLES .. 2xlo,.c4 4 t. _ - " . SHINGLES STARTER R30 KSUIMa. as - SiG COARSE VP WALLBOARD , 2X&P.T.SILL _ KITCH=N } - - V2Xb SILL SEALER Ire'WALLBOARD EXTENSION - t o r__ 245 TOP RING 2"CLEAR EXISTING tt4•.6lb'Oc- r V2X12 ANCHOR BOLTS .. Vf PLY.SHEATHNG 3?'T/G FIRRO M"TION PLY. - TYVEK WRAP OR EQUAL NAILED 1 GUMP. BIDING SILL DETAILS o o RIS MSW_ " ) r CRAWL SPACE.,.,,...'.,...,... 9 - iL r CANC-BLAB/ - RIGHT ELEVATION CROSS SECTIBN XB t _ BUILDER TIMOTH7 GRAY JOB ADDRESS �� DATE REVISION 'DRAWN BY PAGE SCALE DIANNE KLIZMAROWIS DESIGN PROPOSED EXTENSION OF EXITING KITCHEN AND SINGLE CAR GARAGE. TO -26-2005 v JB a B OF a 1/4". I'-O" Q 155 ANS NOW �� ��✓r�n✓r EL AN D ROAD L '- CENTER V ILLE MA. NOTE: 1 PURG7ASE OF DRAUMGS LEAVES PURCHASER RESPONSBLE FOR COMPLIANCE WITH ALL 2 EXACT SIZE AND REMFORCEMENT OF ALL CONCRETE FOOTINGS 3 ALL FOOTINGS SMALL EXTEND BELOW FROSTLSIE VERIFY DEPTL • LOCAL BIAI.DMG CODER AND ORDUANCES.J B D�IGNB MAY NOT BE HELD RESPONSIBLE MUST BE DETERMINED BY LOCAL BOIL CONDITIONS AND ACCEPTABLE 4 VERffT'STRIICNRK ELEMENTS FOR DESIGN I61ZE BOB)3T50930 FOR 91IE CONDITIONS OR FOR THE USE OP THESE DRAOgNG S DURING CONSIRUCTION, PRACTICER OF CONSTRUCTION.VERIFY DESIGN UA1H LOCAL ENGINEER. WITH LOCAL EJGME=R AND BUILDING ORRCIALS- WEST BARNSTABLE MA.OY66S —_-----------————————— r-------------------� - I , i I • 1 , , 7X6 P.T.Bat TYP— ——S/S•RODE - - 1 1 =�=JIL.Jr=Jf=Jr `fII Jf_ I I 1 = 1 1� II r-- -- --i r-------------- -- I 1 ; d 1tl n n n I] ^----- ' ' d m n u n it � n m n u n 11 I' O CUT NEW 36' I'ENING, , I _ - 1 1 n= I I A inp II n p I' II W 5 G d l W 1 II In u "II u 111� 11 I '• 1 I '• 1 GONG BLABIII .a 11 n II 111 .II 1 I 1 1 3 THICK 1 1 1 I II. 111- Is. 11 11 II 'f 11 8°CONCRETE WALL I I S. II III X II 11 II -� II I A 14 11 11 II II -11 11 - I ' DAMP4-ROOFING CSA 1 I 1 1 A m- II 11 p II 1 11 9 I , I Q i , I V J 1 1 APPROVED./ a 1 _ 1 11 A in it Is U 11 it n U 11 - I' n • , 3 V J�'^ 1 1 ])CIO'. IS,O.C_ I •. I 1 ., I 4.bOVPJ9 IL 'A u V m n n X n 1111 n- I 1 1 I 1 I t Y x 6'KEY 4'POURED CONIC.SLAB 1 .. I I A IH II. II 11 11 f 11 II I I I L_____ ______ 1 _8===== ee - p•X 20•CONIC.FTG. s - _ �/ �`T ,�I/ ; . fi�J F. �meme ve= savova= a -�> I III EXISTING-1 II - I COMPACTED GRANULAR - 1 - .1 A IU n II 11 II r ——————————— , - - 1 1 II A. III ..0 - 0 11 0 -'1 .n.. - 11 a 11 FOOTING DETAIL 8"CONCRETE WALL ' ' - ' i.r--- --n' - n 'u n n 1 nis - - - $i 1 1 I 1. 1 n' n •:n n n } - - I I I it n n ' - 1 1 • I 'i 1 - �_— -—— — -- I ' I m n- 0• IL II I 1 'q I I DROP 11° I 1 1 1 • __________ _______ 1 Tr Ye• re• Y6' 10' e'o' L--T 1 i - p' n -m u n a 11I q m o II a 11 s'o• lO'o• , FLOOR FRAMING PLAN nI " Ill II a- n u t 1 I - 1j1 a Tn n n. a UI —it A U II 11 p 1 1 _. •-. - - ,II IP. -II II it II FOUNDATION PLAN W n u n n p 9 - , NEW FOUNDATION WALLS z r— - —— EXIST.FOUNDATION WALLS - W FIRE CODE DRYWALLI .". — '9 KITCHEN WALL ONLY ---- --- --' ® L-- l —I f 1 I _3S'o®16'OL�� q 1 OPTION t 0 8 n. l J II m I NSW KRCNEN I o 1 CABINETS ulo RmGE ®� GARAGE ®oq. 4 p 9DD0' ARFA I A EXISTING _ - I �w oc. A D .R9 i KITCHEN _ —be'.s b°Oc 1 I - 1 m Ci _ Fl 1 I Y - Y6' pa• Y6' 76' 4'3' 3'-4• LIVIN EXISTING NEW EXT.WALLS a'o• - ROOF FRAMING-PLAN - ._ NESU INLWALL6 - _ FLOOR PLAN r 1 BUILDER TIMOTHY GRAY JOB ADDRESS DESIGN PROPOSED EXTENSION OF EXISTING KITCHEN AND SINGLE CAP GARAGE. �€ REVISION PRAWN BY PAGE SCALE DIANNE KUZMAPOWIS 05-26-2005 � Jg I/4°_ � ��✓�'�n✓� 6 155 ANSEL HOWLAND ROAD CE NTER V ILLE MA. ,pWRCNASE OF DRAWaNG6IJSAVB PWRGNASE2IRf5FONSIg,E FOR C011PUANCE UITN Au T IXaa B�AND IIMEINFORCETEiT OF ALL CONCRETE FOOTINGS 3 ALL FOOTINGS SMALL EXTEND BELOW FR09TL1NlE V�'IFT DEPT14 NOTE- LOCAL BUILDING,CODES AND ORDINANCES.J B DNS GNS MbY NOT Be IE1D RESPONSIBLE MUST BE DETERMINED BY LOCAL SOL CONDITIONS AND ACCEPTABLE 4 VERIFY STRUCTURAL ELEMENTS FOR DESIGN 16 EST BARNSTABLE MA.0T66S BOB)380930 FOR SITE CONDITIONS OR FOR TIE USE OF TNESE DRAWINGS DURING CONSTRUCTION. PRACTICES OF CONSTRICTION.VERIFY DESIGN URN LOCAL ENGINEER. WITH LOCAL ENGINEER AND BUILDING OFFICIALS.