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0104 BEECHWOOD ROAD
�d � `��EC f1 w d©� a2o ,� ti 1 of l) �- Town of Barnstable *Permit# 2_01,50 I,65q ExpRegulatory Services Fee 6 ths o e die + sAENSfABI.E, • . MASS. Richard V.Scali,Directo X-PRESS PERMIT r Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 JUL 3 0 2015 www.town.barnstable.ma.us 101'11 OF BAR Office: 508-862-4038 Fax Q_430 EXPRESS PEPdMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number WProperty Address r (>J94wd6 be_ h - ®Residential Value of Work$ 3 6 C-v Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address (</k A- `e Contractor's Name ��' ��ZL Telephone Number Home Improvement Contractor License#(if applicable) Ao 0'- Email: Construction Supervisor's License#(if applicable) 16 U 3 9 ❑Workman's Compensation Insurance 1 Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [ I have Worker's Compensation Insurance Insurance Company Name G S� 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 Gi ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) i ❑ 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 required. SIGNATURE: C:\Users\Decollik\AppData\Local\Micros \Windows\Tempo Intemet Files\Content.Outfook\2PIOlDHR\EXPRESS.doc Revised 0402t5 CAZEAULT\ ' ROOFING & REPAIRS PROPOSAL Proposal No. 14-1300 December 30,2014 To: Rick Mee Work to be performed at 104 Beachwood Centerville MA We hereby propose to furnish the materials and perform the labor necessary for the completion of:. NEW ROOF(Back) 1. Remove existing shingle roof 2. Install new aluminum drip edge 3. Ice&Water barrier first 2k all skylights and penetrations 4. Cover roof with 15 lb felt 5. Re-roof with 30 yr architectural shingle 6. Install ridge vent 7. Flash all pipes and penetrations 8. Remove all rubbish from project . Labor and Materials $3,600 All material is guaranteed to be as specified,and the above work to be performed in accordance with the specifications and completed in a substantial workmanlike manner for the sum of Three Thousand and Six Hundred Dollars$3,600 with payment as follows: One Thousand and Eight Hundred Dollars$1,800 Due with acceptance of proposal and One ThousandAnd,Eiight ndred Dollars$1,800 due upon Completion Respectfully f Richard P. ult, HIC# 168607 CSL#100393 198 Five Corners RoJr Workmans Comp and Liability with Centerville,.MA 02632 Mcshea Ins Ost 508-420-5482 Acceptance of Proposal No. 14-1300 The above prices,specifications and conditions are satisfactory and-are-hereby-accepted. You authnto do the work as specified.Payment is outlined above. ----------- -- -- - -7..3_moo IS Signature. 6te nie Co»►►nonrvealth of Massachuseas Depart►nent.of Industrial Accidents Office of Im►estigadons 600 Washington Street. Boston,MA 02111 wives.mass gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors!Electricians/Plumbeis Applicant Information / Please Print Le. 'blv Name(BusinessAkgaui--zationthuhvidual): 6c,Z - 4- � ���l�fj;j- q Address: 1 /U CO��'1 tx-r City/State/Zip: ��U`iP Phone#: SE Are you an employer?Check �7propriate box: Type of project(required): 1.[)oI am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction /''employees(fall and/or part-time).' have hired the sub-contractors 2.ElI am a sole proprietor or partner- listed.,on the attached sheet_ 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑volition w for me in an i employee; and have woricers' °fig Y capacity.� �`- 9. ❑Building addition [No Norlceers'comp.insurance comp.insutaih(e.i required �, i ❑ we are a Corpora,ii�a and its " 10.❑Electrical repairs en additions officers have eserci qd their 11. Plnnhbin re airs or additions ❑ I am a homeowner doing all work ,_ ❑ g P myself[No workers'comp. right of exemption per ZMGL 12.❑Roof insurance required]1 c. 152,§1(4),and we ha-;,e no ��� employees.[No wor�:�'; 13.0 Other comp.insurancerequiad.] *Any applicant that checks boa#1 must ah-4 fill out the sectiou below showing s1ev workers'cotupeasation policy information. 1 Homeowners who submit this affidavit m&cating"ey are doing all work ans then hue ale;aittracmrs must submit anew aff davit indicating such. ?Contractors that check this bmt must atme ted an addiJoad skeet shower the-me of the ie-cor.-imtors and state whether or not those entities have employees. If the sub contractors have espt ems,shay tmtsr provide their warless'comp.pahcti{number. I ant an employer that is prosiding nrorkers'conipensatio►t insurance jo rt enrplojrem Below is the poliq,and job site information Insurance Company Name: Policy#or Self-ins.Iic. (' n 0 36 �� Q� Expiration Date: Job Site Addr : City/StatelZip: J ess 3 , Attach a copy of the wor-hers'compensation policy declaration spage(showing the policy number and a=Pirahort�to). Failure to secure coverage as required under Section 25A of.I42GL c. 152 can lead to the imposition of criminal p u-4 s of a fine up to S 1,500.00 and/or one-year imprisonment,as well as ci il,penalties in the form of a_ STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to ther6ffi of Investigations of the DIA for insurance coverage verification. I do hereby certify render tit par and penalties of -"miry that the information prouided above is ee a d'cor ect F Si Lure: Date: Phone#: CS Offs al use only. Do not write in this area,to be completed by city or town officiaL t City or Town: Permit/License# Issuing Authority(cirde one): 1.Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Ago' CERT-tRCl4TE-QF LIABILITY INSU - �...•- RAN�cF THiS CER7t'FIt A7-E.IS ISSUED AS A-MATTEK-OF MMRMA•TION-ONLY AND CONFERS NO RIGHTS Upon THE CE�ATE NO 5THtS CERTIFICATE-DOES NOT AFFnu#ATIVBLY OR NEGATI4ay AItBiD, MMEND OR ALTER THE CO BELOW. THIS CERTIRMATE OF INSURANCE-DOES t T OONSTnVM-A tONTRACTT SAGE AFFORDED BY 7HE.FOUC[8... . REPRE TM OR PRODl10E A!ffitI THE£ I3FICME MOLDEIL N THE ISSUING IIiSURER(c.►),AH7i1i6kiED IMPORTA$II:H.the cm'Bsate holder is id ADDMONAL ;the pd cy(iesj mum tar tents and aogd of the POEcY, Uwtdn Pdkbs may rec&e aR em! SUBROGATION S WAMM,SUMO t to the CertNIMA hotderin lieu of such e^ l A on th[s e don nut a NKM rights tD the. uaeR Mcshm fa*ankas 165Q Fad Rs!R[28 9e Z 634-4 A� 866 215-8118 CW* viN%MA 02M. Aconss PO in" R1Nratd Camum Jr a 198 Five Comma Read o c MAo2612 Q -t:OVERl4� S TOCFRf�RI'tW1TTtIEPOLR i $$ply#IA B$N DTOTTiEH M A A VEF�RI7 PULE H. tAIDIGATED NS'iIM1RIfSTAtt Ki NY REQ IREMM.TERM OR N-OF ANY CONTRACT t#i� t RTiFiCA7E Nf�IY BE OR MY FISUA ,-711E. PMJMiFilfEl i i2E5FECT'fO.YYIllCiI3HtS ExCLus�lisAND�NDII30NSOFsu6HPts1C.�.LtE!liSSiDttlllltlAYtawa TM ISSUMMMAeLIfETERIiis,.:- 'REDtiCEp t3Y Pq®.CW�dg, � T�e� tt� rtaOia�tt AOm.psus n - 71DR AM M _ANY Q M A of EA191gHtO[QDDED� pG► MMMS ELMMAOC : (W�/�terl in Qnl.. - 8 tiss..d�aaar. OGSCRlTDl1 - . besck'Ton OF-WPMTJNM 110c"Im Mmou (perry l�Ot�.tol.Atl Re®r1s�fieq - �. 1 ammrdw Stye I�dlmdt�mm�]i -- Mp_ HE EXPIRATION DATEA8I311E POU 113 BECA ggM TaWn-of AMOFOAPCEWRHTHE RE0K NOTICE IMLLSEDELIVEREDIN BU ft DNA A 2M Main 9t - - - ACM 25(nim%. Ofli fConsumerAf s I Regulaf�oa Licenseor registration valid for�gdivsdal:ase offlp HOME IMPROVEMENT C131�ITRACflR before the eap�ration date. If fongd vet to Reg�sttat7Qrs t6860� Type. r t2ffrce ofGonsnmer Affals and 8' ExpuaHonEegelatfon usnte _ O�Z iridmd :` _ 18l'arkPla� $arte1?0. RICHARD P.CAZEA L ,1Ft ' Boston 3lfiA om IG RIGHARD CAZEA�L� 188 EIV!_CORNERS Rfl `� Undersecretasv Ndt Fandthon �- fsracc4 a�8 rrg,�eti2riv�s as R:a '�, Consti anon 5arrise -- __cF use:CS-40D393. RICBARD P CA7AII 198:We Corners Roan s 'Centerville MA 0$6.32 t ,,• Corrgnissioney l�Jti3l�`Ot d� . t • TOWN;OF BARNSTABLE BUILDING PERMIT APPLICATION Map 5 o Parcel Permit# /V\ Health Division � ��� � 3//����� Date Issued Conservation Division IG — Fee, cJ 31eA Tax Collector d . .�!/d [�,c,•-e.ct.e. �-.�/�'a'Y Treasurer` _ c� �� P �� � SEPTIC GYGM UM gE —f /� INSTALLED IN C'0l1PL Planning Dept'P . =��` UT ENVIRONNMEMNT 8 Date Definitive Plan Approved by Planning Board ALCODE A -'' TOWN REGULATION Historic-OKH Preservation/Hyannis ti �,� Project Street Address ii 0 H 1 J EF cV,, CQoa \ZG� Village gn��U �F Owner Address S c.�w► Telephone 50 V -7'7 ( 9 16 Permit Request Fa —'—ki y P_!e 'V�,ec._S 0yN �cS1C� , 'c ��La-yN Square feet: 1st floor: existing proposed A SIV 2nd floor: existing proposed Total new 2�5� Valuation L_�`?� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure \R16 Historic House: ❑Yes S3"No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl 2-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 5 new First Floor Room Count Heat Type and Fuel: 2Gas ❑Oil ❑ Electric ❑Other ' Central Air: ❑Yes ANo Fireplaces: Existing ✓ New Existing wood/coal stove: ❑Yes YNo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:A existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name g,cS,.. /�� a Telephone Number 5_0 ? 7 / Y(6 ,2 Address 1© •P 2C x_ abca �c l� License# �e I.i L �n A Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Sc,tJv-),,c- g S a v SIGNATUR4.2 DATE = .sow c i`' r v Yy]t 3 ' ti FOR OFFICIAL USE ONLY, _ PERMIT NO. } DATE ISSUED t ti MAP/PARCEL NO. , ADDRESS - �i'�-a VILLAGE s - OWNER 4 - SS DATE OF INSPECTION:"t .; - ! ` •. FOUNDATION ^ FRAME. INSULATION - r FIREPLACE ' F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH _t , FINAL - s GAS: ROUGH FINAL 1 FINAL BUILDING10 Yt F DATE CLOSED OUT Cs 4f ASSOCIATION PLAN NO. tHE The Town of Barnstable BARNSTARLk. ' `Department of Health Safety and Environmental Services 9¢ MASS. 0p O i63q' �0 "IEIDM ° Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location b E'��--ice'OW Permit Number ���� Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: eps Please call: 508-862-4038 for re-inspection. Inspected by Date - �.��..rwe-rr-r,.-.�..c.+-^'r�r.vn� .�-s..t.'4f`'Y;E*:.,,,Y`•rr%,.?r•."r".'s-y•-��^f2m->y,_.:k1:F''i'.s^"a°1.�,.:.....•;ayyr�+�._+,.` ..-.-4i^•3„L`,r„o�..��'•:�t+•.*a+v�Y.�•{s'�-;;'r,�,"wr�+r.�Lv..:,-.'. ;.! The Town of Barnstable • ,axrrsrnats. • MAE&039. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Z-2 �� Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: i Map/Parcel: Project Address: ! b vl ��G( 0 W) 9 Builder: The following items were noted on reviewing: O e v QYL_ �r l 6.{JL 6 t)C L S' VO,JS 0 orCn Please call 508 862-4038 for re-inspection. Inspected-by: Date: _ �( I q:building:fonns:review Ile LOMMOnwe=1 o xaysachusa= " Department of Industrial Accidents ' -� -�� � •� 011lctofl�tstlBatlots 600 Washington Sired Boston,Mass. 02111 Workers' Con ensation Insane davit i "i�/�.."���/l/��/i.'�i�,�///�/�/'" name: p,"C V\4 �� location- w city ce-:'A er) v l 11.Q phone# h- 77/ 16 ® I am a homeowner pcdb=mng all work myself ❑ I am a sole M=ew and have no one in any caaacity ❑ I am an employer piaviding wow' msatiioa fM waaiang 'ob.?:. n}•. tun• x ...;;.:................ .......:::v;.:....... •::.....Y..,.. .. .r...:.%4r.::....t :..,.,r a?v.r. ........ ..... :.•::..:•;:•::.Y:A}.h;•5::::•.v..::::.:}:.}/:n'n;R v. +rn:,::•::.ny ....:•:::.v.v::{.}};?.;::::.;ry}•.,,•.:•.v .:::•firm-.t:?-::::�:.v}K:b:::�?:.�>x":}}}v:::::::•:{4::::��'.:::�:)a?i::?`�:�:�:.. .... .:�:.v.r:.,}:.y..::}}:�!:t:•.vr.:=v}...!:\Yn t.:.......y..::•.v7^:!:•.:4�4%{•:>y.- .: h;}}.. �. -......�:.:...:... ...:.::i'i::::•+'.i•:::.... r...... 4x?:':v:i:}:•?4�:J:?4 .,h %4:•:4r.4:.};.v: ..:{ .:............. ,;::::�.nvvnv.::v:.t'.?i•.?.:.v:::::......•.:�:.......:{..........vn....r..t ..r. .. ....r( .::..n:•.v:.n;.:{.::;�.ii??: ..a..... .... ..... xv....+n,w.,., v..v::vv.w,v.;.. ....h. ..... ........ ..................... ...v::-•rnv4:;{:'}:.•. }. ;...y ...n.v•:ti4::•:.:....::.:vi ........:.:.:...:...:.:.:.;.yam::._. v.w::,�::,....;.n.:a;...::h?v •. •vv-• .. ,..hnv„ ..::•:fiy, fi Y..v.....n'^^S Yh: x{i::•... ..:::.\;:::''?.{'.,.'•.. .�.4}x::•ww-.vih.'.%:n:'•:i?{:'}•v}}:?{-{rnp::{::. 3datLJs.:. ......:::�:::'::.•:::.�:�::.;::::ry•;..... 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S it .� • •/ _. • •r.1. •111, 1 1• •.•1•IY. • • 1 wJ:• • •• • is .••• ••:Itl I. • of •• • ••111 rw1 toff/@ •w • 11 • IUMI • • I•. • 8#8 - •• • 1♦ •s • •••••�• it • •r •eb • • • • • .0 • t• • ../ .. • • • • • •• 1 1 11 11 1 1 1 , 1 1 •11 1 1 1 1 1 1 � 1 1 1 1 1 1 1 7=mliAppmfs1 r ` hrmaipttre PzzkaM for das OW Twe•Familp ReaidaarW Balldla Hand with Foaril Fade NIAMIUM hFumUM Wall Floor g Stab3� 8 Ann' j) LI-valae= &&vaira;� &value' Rrvab&J Wall ftd=cir I'rriaQe &valued &vw=l 5101 to 6500 Hering Degree Diva 0.40 1 31 13 19 10 6 Normal It 12% OM 3o 19 19 t0 6 Narmai S 12•l. psp n 13 19 t0 6 13 AFUE T 13% 0,26 32 13 25 1 WA NIA ( Norm! U. IVA oA6 31 19 19 10 10rma! V 13% oA4 32 13 25 NIA NIA 13 AFUE W 15% am 30 19 19 to ( 6 U AFUE LIL Is% OL32 32 13 25 -WA NIA ( Noma! Itr/. a42 31 19 23 WA NIA Nord 18% 0.42 n 13 19 10 6 90 AFUE IMe osp 30 19 19 10 6 � 90 AFUE 1. ADDRESS OF PROPERTY: R 2 e-C kN 66 c� 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 6 2• hP— 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. 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: NO: t q-forms-i980303a 780 CMR Appendix J ' Footnotes to Table J5.2-Ib: _o skylights, and � Glazing area is the ratio of the area of the glazing assemiIres (including sliding-glass eears, gh . 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 it'of decorative glass may be excluded from a building design with 300 ft of glaring area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with Fenestration Rating Council test procedure, or taken from Table J1.5.3a. U-values are for the National Fes 1; G (NFRC) !r'a ure, whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation maybe substituted for R49 insulation. Ceiling R-values represent the sum of cavity 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 include exterior siding, structural sheathing,and interior drywall For example,an R-19 requirement could be met EITHER by R-19 cavity-insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frae construction. "The floor requirements apply to floors over unconditioned spaces(such as tmcondi mtioned.crawispaces, basements, or garages).Floors over outside air must meet the=ding 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 grazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values 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 035. Door U-values must be tested and documented by the manufacturer in accordan=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. a be excluded from this requirement i.e.,m have a U-value greater than 0.35 . One door may qu ( may � ) c) If a ceiling,wall, floor, basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). ESTIMA TEO PROJECT COST WORKSHEF LIVING SPACE VaIue (high end construction) square feet X.$I 15/sq. foot= (above average construction) square feet X$961sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH �J �e� � square feet X$20/sq. foot= DECK r _ `: square feet X$15/sq. foot= OTHER `: square feet X$??/sq. foot= Total Estimated Project Value The Town of Barnstable • �►sNsrnar� • i639. �' Regulatory Services .. �e ED'N1P�� Thomas F. Geiler,Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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: .77)N e.6 . pot ep� Estimated Cost��7 c�_ Address of Work: /0 c f 1,�'z 12c� C o kAgn kA �P Owner's Name: Date of Application: I hereby certify that: , Registration is not required for the following reason(s): MWork excluded by law OJob Under S1,000 ❑Building not owner-occupied M&wner pulling own permit }' Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. { Z�/ Date Owner's Name q:forms:Affidav : . . : The Town of Barnstable • BAMSrABLB. �m�' Regulatory Services �E1,r„a+p Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: L d I �e w�3 12A number n street village ..HOMEOWNER": ��L�� t/-- In,ee Sn`b — -7 1 (4 6� name home phone# work phone# CURRENT MAILING ADDRESS: 10 Lk 1S Z 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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pro es and require L—ISignature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN R 0 ti (1 .zc) L 1 50 t' 110 r 187 f- 1.0 T 168 , LOT 169 , LOY' 176 �0 LOT 17,5 I<GS, vNF f�D-1" This MORTGAGE 1NSPECTTC>N AlA„ ;s r,.,I Aanit Use only 1'1,OOD -70M' TILL MSTANCES AN0 dEASURi:MMNTS ON THIS PLAN -SVIgULD BE VBRII1II:1) IIY AN INSTRUMENT F1112V Y. TOWN: c rvil._r.F__._. - _-- kh;GISTRY OWNEM _✓rAjV_Tg�1.V1�s _ DEED REF: �,r, ------ DtTYER: f?lC_dAlW-XDATE: ... n/Q8zT3� J • -Y-.I. ---- -.-_- , ? SAI,E: -� F 'T. I 1IERF Y l l K'1'11'Y '1'0 pB N..Aall- CD YANI{EE SURVEY 1'IIAT THE BUILDING SHOWN UN TTTLS PLAN —LOCATED ON THE GROUND AS CONSULTANT. STJOWN AND THAT ITT POSITION DOLS — CONFORM �' M► TO THE ''ZONING LAW Sl.,TVACX REQUTREMENTS OF THE No-am ` 4-OR (CITIT2 1) TOWN OF RARMSEA&I,h___. AND THAT �' �'� INDUSTRY ROAD IT 1)01,:S_JVO!_ LIli: WITHIN THE SPI-XIAL FLOUD IIAZARD I �q yam` OP MMLSTONS MML•3, MA. (J2r,48 AREA AS SITOWN ON THE �1 AJ.D. MAP DATE. 8 r rf1� .SUA�1Er IrL: 42S—OUJ:. FAX 420-555: A THIS PT-A OT 14ADE rROM AN INSTRUMENT suRvCY'PA'PAUL A. NOT TO 11E USED FOR Ii'U:KES BUILDING PERMITS VIM Z�H�6 rB 88688LL :IV NIeno :of )iL 85LIA 'wnnc:F PA•op-j.on `Pccc n7b anc i !AgA.Inc aa)lupl :lea ivac Vol s CON DFORMUI ir o^ sIINffooMs :: . . B I , Vlassachas State: . ho L 2_ 1) The Massachusetts State Building Code(780 CM) 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, constructinglinstalling a house addition with very large percentage of glass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.123.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration,orientation, form of construction or percent glazing, but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy 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 4"that a homeowner may wish to consider before actually constructinglinstalling 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 W --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 J1.123.1, requires that the actual property owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to --- issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with-this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. /in o 16 ZU a� Signature of Actual Building Owner l5ate O-ActVh oar &e-ck Wcx_4 Qck- CQ_v I (� _ Print Name Address of Permitted Project o 5-0 1� "72 / Sf 6 Owner Address(if different than project location) Owner's telephone number ri 3 J E k h � yyJ s'� \� •F fY � t' �S E N: F r ° ._ ew ..R.�.+NA1W,3+.4t^r.+✓ni+SN '� '1' ,' t� �j at `' a � p` ((\\ v ' 4 _ tly�cisWLn,4:C�Nwlerbl:�S�#5�ia;..R'I(MtCIY."dR:Ott'a/dMRYdtVkCW"SLk+V9l�R�,n'«df+i9".kMraG4•wrt.wdY:K.^ffnYNu,X '. +�9�Iai+,Flie.o'w+nW�tiY tuptpA �t S�+,Hm!�ytr1.'NYY?R+...tiv.MlCrkiCLC1KEGW1NtrrVu'W168Mjr1PA3k'2ArJ�'.4H1%1bUthkLYkltSm�$�War1:YUS'riXYbYW\1WMnk 1 _ \ • M a�nrvn�h.m awae 41415[.�p+•�a1+�No-KRu�M;+gty4¢NFiY.�bA:A•'dgi%Ntd��iiJ4M2et¢eiiktRtiW+vMµ,MfuMtswJ�aa4N+w.•ewt�c•:NMdw?�n+:Kd^euWK'1N•W Wl�.wz Y . ' �. M qM�i %Ia-nMevM`rwWe+Nw�vnM�ef,+!Rtr.rcw+�/+wiMfidenYYM�n�LuiC„Wa��.4'�kv:1�,pw+ anmanwwM'ysamnro��Nw_mwWn'r.•scwOw,�Kt,,.RY,sYN6t✓wwaenera�dA970Pr1a�vWamra+wEwKtwT KNM�aRW:Ails k i p �•,e-wrw+e.tenant.�vrc4G.'�V,r,..ewkThi+.'F+aw�F.awa:nfNq«nrWb!nrer.+raw!Y�roennnrarAc',.Nsv.+.r.++M«'u-�«vrrw•.�tnrasnr �^--••,.�,,,.•,,, €�+. �s�rw..�++,sR.+,my�orzznuw+w.ga+^+urn�arM�r�+-•n."av»Nrwvcm•�'nm�,nr•wn-.'�'+�rormv.+e±n_+sae.w©�e'r�,�.,re.r+v+ d � ax,.�wx�r�aarosmxy+eu�.Rerw, +x�'eeu�rrs..::x�a;s,�.znrye.:uw-�ua'wxu. �w.�.�rr.�..u:r�wamurre: �"• 'r'^+q3 ." AiGiiarigrx/FeC�eY`iMNOM'�,r,.'e-.::MMta•.vi+N'..k.�C:iM?'4.e:J0.NR4'xOYJAie`-'!dA>11mMraaf klfXVt¢vi!!:�:Y.N?R'Ji�l.!o:'M5�9�t!' y Pr fir r S ...... _.._ _.._ ._ _ . ...... 6x r 1. Assessor's:mad and_dotumbi�rt ...... fry, you THE Toy` Sewage Permit number n /av ,✓ G1 "/ �'J�S = HAHBn9aTa LE. Housenumber. ......................................................................... O 2639. `0 r E Jul a' TOWN OF -BARNSTABLE BUILDING U G INSPECTOR APPLICATIONFOR PERMIT TO ................................................................................................................................ CN TYPE OF CONSTRUCTION .....l ,c>O C.�............................................................................................................ J.�? .1.............................. ................19....r''. TO THE. INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: " Location .. .. ` ... ...... ...... -:!�".'!.......: er' '..1.�':c ........M pt........ ............. ProposedUse s 1;C ��1.� t•................................................................: ................................................... Zoning District .....RA.......I. ...............................................Fire District ...................... .................. Name of Owner � ..... C..� �`�. ......:...........Address ..qS„Gf-.e- A...�'A A I..S.. .:.. � CG Name of Builder .. S.! r)Address R:k..a.... (N. .......... Name of Architect ?r )n.....U.'').C.......:................Address �-'� 6 �....��k"'nn INumber of Rooms ......?.........................................................Foundation - "" Z.�cs 4® I: ff 1 K................................................. Exterior -1. .. l l.t :... ...,�? k(14.l Roofing ..: .Q +1. ....................................................... Floors hl�... �.�... . Interior .. . ... ... .,. ...................................................... .........., ...................... � ......................... Heating ..1- ..\Aj..... ..... (:)3. .......................Plumbing 1(r7n..A ....:t.....P.�.��.-.................................. Fireplace ................................................................ Approximate. Cost ...4�. i. ... r Definitive Plan Approved by Planning Board -----------___ _____:_19___-__. Area �� ? ...................... Diagram of Lot and Building with Dimensions Fee .. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1012 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree-to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name. C,............................. Construction Supervisor's License .. ...1. .................. MCKEDN, JACK AF�252-156 No .......... Permit for ... ............... 4�ie..Fxd�y..PW!4�ing ............. .... ......... .... ......... .. ... 104- Beediwoode Location ............................................... Centerville ........................................................................... OwnerJack McKeon .................................................................. Type of Construction . Frame Yp ......................................... ................................................................................ Plot .... ....................... Lot ...................... ......... Permit Granted July...31.......................19 84 ........ .... .. Date of Inspection ....................................19 Date Completed ......................................19 i TOWN OF BARNSTABLE PermitNo. -------------------------------- Building Inspector �in�erw Cash ------------------- � OCCUPANCY PERMIT Bond --------------- hf,ued to Address '.048echwcod Lane CenrervilI 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. -, 1 Building Inspector FROM TOWN OF BARNSTABLE, L F` Bt;iLDING DEPARTMENT Mr. ors � ���#�,.�.,�_� Clerk, MAIN STREET HYANNIS, MA 021 Phone; 775-1120 SUBJECT: -FOLD HERE - DATE Larch 29, 1985 MESSAGE l WZ Ji h� - .�.,� �. leted t nder� 26758' SIG ED fl ; DATE I� REPLY SIGNED N87-RMI _ - - - -RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER:SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Ass*ssor's map and lot number 6i,. v'I `` THE g7 STALLED P '`f Sewage Permit number A...�� 1.....t�l............. WITX ENVIRONMENTAL Z DARNSTAXE, • House number ........../ �.. -TOWN Rya(7,l.IIJ moo ""9.163 .... ................................................. �Q NOR a�! ' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....C:Q a S T"_ " C . TYPE OF CONSTRUCTION ...... � A.....� 'M .......................................................................................... J.S'... .......Z:.J`—. .............19g TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..4,,r� b�? eC� ©©� Ln �2x�T .Y.I."�....... ..A............................... .................. ... ............. ......................................... ............... ProposedUse ... .! -........................................................................................................................................ Zoning District ..... ...................................................Fire District .. .Q 5. ............................................. Name of Owner ..,Tft.QL...` t4&0.n..................Address ..1.`1Jr.. �.e ..4....`."k. .t.s� ...QC.k.... Ce!! Name of Builder M'��,. 1-N...�V. Q.M.. !CMcldress ),IlJ.4'5. g 2_1� e. � ...... . 5t... '�� Name of Architect J.f'3J ......................Address A....r ?r1n ...M�!................... Number of Rooms Foundation �0 1� Exterior .. ..� .:{ ... .!1.t ..... .. .lf �oofing ...PI.cS.PF �.. ......................................................... Floors ....cpm y.�.....................................Interior .. ` A , G ; Pv Heating .�..�.�......�.�.............�5............................Plumb Plumbing ..�Q.�.�......................0 ......4...6. $....... Fireplace .. i .5.. .. .. ..............................................................Approximate Cost ...5�..��. C7 ...................... Definitive Plan Approved by Planning Board ---------------—_---------19________. Area ...................... do Diagram of Lot and Building with Dimensions Fee f T�...... .. . ...... .... ...................... n SUBJECT TO APPROVAL OF BOARD OF HEALTH ���2 � ' S,;rly d/ I y ' 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. ............................ Construction Supervisor's License .A's. ..1.C).................. '�1oK9C-N, JACK . _ 26758� Permit for .....?..Story................ - P 1Y ♦ J Single Family Dwelling r.............. . cation ,,,Lot 168, 104 Beechwood o-WS, Centerville r � ......... .............. wrier .. Jack McKeon eon.............................................. 'rpe'of Construction ...Frame....... ...... .............. .......... ........ ...... .......... u'=fit'...............:.:.......... ..Lot ....... .................. +�'r +' �. f-`• f-. a �. � � - � , � - r�';mit�Granted ....`Tiny 31.. .... y ... '19 84 �. 'Jtee,of Inspection ........ ....19 %atek Completed r�r. `Y � .19 CO II MYCOCK, KILROY, GREEN & MCLAUGHLIN, P.C. y' ATTORNEYS AT LAW 171 MAIN STREET i+ BERNARD T. KILROY HYANNIS, MASSACHUSETTS 02601 OF COUNSEL " ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN, JR. MICHAEL D. FORD 771`5070 ADDRESS ALL MAIL ANITA J. MCCARTHY-DREW P.O. Box 960 JAMES M. FALLA HYANNIS. MASS. 02601 KEITH W. KAUPPILA July 24, 1984 REFER TO FILE # MARK D. CARCHIDI Mr. Joseph. Daluz , .Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Lot `168,. Beechwood Road, Centerville Property of John C. McKeon Dear Mr. Daluz: As. .y'ou know, the..-above lot does . not meet the current dimensional requirements of the Zoning By-Law as to- width. From September 3, 1971 to. the present, the above lot has been in ownership separate from that of adjoining lots. . 10h that date, the lot. was buildable by virtue of the former grandfather in our- by-law.. Because of the above;; our current by-law grandfather clause gives the lot building protection. If you need any ufther- information, plea-se feel -free- to contact me. Very truly yours, . Bernard T. Kilroy BTK:jlw . .I I / 7 � LoT LoT 176 o .,,, loo.72 e Cr2 8/6SF8 ( . 3 , r- Q1 N 10 4. 0 0 M N Q o In " i LoT' f 9 /oo, o0 N 5*91, 19 , so 'E BEECH \, 00-0 ROAb CERTIFIED PLOT PLAN ass. LCT l68 $EEcHwoop PA ROBERT E3RUCE ELURE IN �U SUytyc SCALE, / " 3o DATEt 71z71ey —RING Mc 1 CERTIFY THAT THE 1=0-N4.ario14, ZGISTEREo R�GISTIRED cu�I�T SHOWN ON THIS PLAN IS LOCATIEti CI,VII. LAND 400 NO. 83— 2- 03- ON THE GROUND AS INDICATED AND ENGINEER SURVEYOR OR.® s CONFORMS TO THE ZONI 0 LAMS Y OF ® RNSTAS E MAS S) T 12' M A I N S T R E.E.T CK SY-- •�--•--- .— / Z? H YA N R i S, MASS S. SHEET-J,•OF.,l„ DA E RED. LAND SURVEYOR