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0099 BERNARD CIRCLE
, i F i D�� � � �� V Town of Barnstable *Permit# ZN , 97 p� Expires 6 onth ro 18 ate Regulatory Services Fee sne�vaTnat�, t059 0$ Richard V.Scali,Interim Director -PRESS ITsbgy. Al Building Division AUG n Tom Perry,CBO,Building Commissioner 2 2015 200 Main Street,Hyannis,MA 02601 TO WN OF SA R N S TA g E www.town.barnstable.ma:us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL, ONLY Map/parcel Number /"71 01 OF L Not Valid without Red X--Press Imprint n Property Address "I �� �Gtr c�' C:c d e 64ey'✓r l e�_ Residential Value of Work$ — Minimum fee of$35.00 for work under$6000.00 c Owner's Name&Address a n;fj V I ,J O C O 17 S 73ear1lard Crde 6,1 ft°r Ile 2 C 3 2— Contractor's Name SOAfgj Q vvt , 0w)S EPA)/,So Telephone Number 'f61-2--F5�'` / gam Home Improvement Contractor License#(if applicable) q/7,3?`f SC Email: Construction.Supervisor's License#(if applicable) D 73/7o 7 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance n Insurance Company Name A) llUc7 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box). ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side [t"Replacement Windows/doors/sliders.U-Value .30 (maximum.35)#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. e SIGNATURE: . TAKEVIN_Muilding Changes\EXPRESS PERN=XPRESS.doc Revised 061313 Renewal Af 04 3AW RI Ilmueg36o7s bY/4R L RENEWAL BY ANDEIRSEN MA t q ix fti n245 Cr Limse#0634335 .u..o wuet,rM e�e�, 25 Albion Road • Lincoln,RI 628b5 tend Firm#IZ37 Phone 866:563 2235•Fax 401.633.6662 reaerairu-ni ras.ossssso' Soutb-im New Hugthnd Window%LLC d/b/a Renewal by Andersen of Southern New`Englaad CUSTOM WINDOW AND DOOR REMODELING AGREEMENT CW I �1 \ DrceafAgeemeric eu,*)StreecAAdresr.GgS- .-,nd Tp cove r P.t7�i.8au UWAddmw ' - .Qelidr tS' Number:_ t/V�TirfJ'GYOZYV6rkTelepAone Numbefi��IGi'.. .. Buyers)herebyj6indyand severally agrees t-'- -ch- the pi,oducts-and/or services of Southern New England Windows,LLC'd/b/aRene.-. ; by Andersen of Southern New England("Contractor'),in accordance%nth the terms and conditions described an the front and the reverse's£ r _ this agreement and on the attached speiafigpon sheets)(colledive)n tins"Agreement"}, O Historic p Eondo p..HOAT:, Total jobAmount1&/Rr__ irdmued Starting Dace Method of payment ' Q Cash 0 Financed Deposit Received(3376): Credit C."are accepted for deposit only maximum 1/3 of the - Balance at Sian of job(33%): -`4V prom ( 'so Leda Card I-YM6t Fain).By signing tills. Coinpl 'Dne. Agreement you acknowledge that the Baance at Start of job and.the Balance on Substvd"W /0-/,?�t1 `Balam on ArbmantW Completion of job cannot be:made by credky Gan lesion of ob 3 0/0� card and must be maw- "p j (3 _ by perxatal chetls.bank'dieck or cash Btryer(ti)agrees iuid taaderataade that this:Agree aeut constitutes t6 entire^onderedsndsng'tietweein toe parties,seal tliaY therraae7aaverbal wade standings chaallQ any of the terms of this Agreement.Buyer(s)acknowledges that Bayer(s) (l)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated espy of this Agreement,.iusluding the two attached Notices of CanceBadon,oaths date'Grst written above aad`.(2)was stilly informed of Stayer'$sight:to cancel this Agreement.DO NOT SIGN TIW CONTRACT IF THERE ARE ANY BLANK SPACES:. ()Uode feland Soles 0*).Notice to.Buyer:(;)Do not sign this Agreement if any of tits spatxs intended for the agreed terms to the e>ttent of then awilable informadoa ass left bliah.(2)Yon are endded,to a copy of this Agre-iment'st the time you sign it.(3)Yon taay,:at tray time pay the fall unpaid balance.due- er.this Agreement,and in so doing.yoa may be entitled to secesve a-partial-rebate of.the Soaatx gad.iasnrant charges (4)The;eellerhaa no right to ualawfa[ty enter your premises ..or commi t nay biii ch of the peace,to repossess goods pnr chased wader tbie_Agreement 5 You spa cancel elyih ement O.,... Y_. ASn if it has no been at the main office or a branch office of the seller,-provided you notify the wer at ids;ocher main off ce or branch office sho_wnin the_Ageeement iry eeg?istered os ceretSed maii�which shall be posted aotlater thanmidnig6t of the thrd calendar oRez the oa`which isle the dsy� day ba .- signs Agreeme>3t,atclneiiag8naday aad.any kolidayonwl iclit regular marl deiieerie"s am not made.See the accompanying nodee:.of eancelladon form for.as rsplanation of..liayer'e riglita 'Buyer(s)re"the consamet,educahon matenals,provtded by the Rhode Island Contractors Regisgatton Shard.. (Bryer's IrutiQlt)';' , . _.. ,.. Renewal "Aaderseu of Southei`ii New England s), Buyers); • " , i atu Stgnatun:' t Ptiina ni-at Product r _ t N Pent Name _ Manage Pant Name; ;YOU,TIM B-tJM4S),MAY CANCEL-THIS TRANSACTION,AT ANY TIME PRIOR TO MIDNIGIiT OF_THE THIItD BUSIIHESS DAY AFPBR THE DATE OF TM TRANSACTION:SEA THE ATTACHED:NOTICE OF CANGBLI:ATION FORMS' FORAN k3d4ANATION OFT1Ei R1G16r. _ � NOTICE`OP CANCELLATION Date of Transaction You may cancel' Dace of Transaction You irony cancel this on,,without any petnity or ow it", within. this transaction,without airy:petraity or obligation,vintliiri' three dsi�s irorii the above dabs.If-yell cancel.airy 1. three,bustness days item the obeys date.If you cancel,airy: ono traded n,airy.psymerets;made by,you under the' 1 property traded in,stir payments made by jrou undo'ills. or Sale;and any negotiable tnstssrrreent ene 1.cttted 1 Controct or,Sate,and any negotiable instrument executed ' by you' be returned witfdrt ten business days followinB l I by you will be'MWM,d within ten business-days following., receipt b.�r Iler of.your anceliation itotrce,and airy. 1 receipt 61r the Seller:of your."cancellation rsot3ce,and any search► )rtterrtt. ng,out of the tansaction will,be security, interest aching out of the'eransaetion will:;bb carttxled..lf you caneel,you iiutst rreahe available W'"the Seller 1 c-an"Ied If you cancel,rorou must males atrailaWe.to the Seller at your rsudtsece,in subs;artdolly as goodiundttion'as when I. at your realdence,en wbstandaily as Ili condition as when eceived,°t Bootie delivered ta.Ytiu under dtis Contractor, recei an foods delivered to you udder this Conttyief or or'jrou may1Fyou`wm'compry.WIRK ate.tnnctrons o S or you rnay,if you wish,comply with the instructions;U. die Seller regarding die return shipment of the goods at the die Seller regarding the return shipment of the,goods at the • Sener's e,i�e-c and risk ifjrou do make the gas available Sellees expense and risk f you do make the good;available Eo iris Seller and'die Seber does`not p ek them up.within oo ills Seller and the Seller does not pick theirs up vntfiin twenty d�rs of ills date of`cancellabon,ygii rnajrrepin oe i twenty,days of.the date of ntelladon;you mar_retain or spore of die goods widwut In further obligation.if yop ! d' of-die.goods-widtOujt airy further obligation if you fal to mains tite goods available to the Seller;or if ou agree j mahe th_e goods ay [Oleto die Seiler,or.if you agree , to rehrn.the goods to the Seller and fail fo do,s%ldwn you i to rstu_rn tiro ' t o Ole seller aril fail o do so,alien you ntinaen liable far go�dp�ertor-mince,'of all obligattions under;;tke: 'erforiiianee of all obbgatises under the remain stable.for 'Contract To cancel this tratesaclion;trtael or deliver_a sigeted " Contrac_LU cancel this transaction,rrisil.or deli ier a signed and dated copy of this,canedlation rwtia! or arty other-.� and dated copy of still cancellation notice or:arty other weitbeti nodce,o►seed a bete uri to Renewal. Andei'seis,of I wntten rtottce or send a:to to Renewal Mdenen of s egra:.. :Southern New .- at;2-Albion U o 02865 1 Southern New.E "and at if Albion Roil,Lin In,R101865 ' NOT LATER TMIDNIGHT OF _ i ,NOT LATER THAN MIDNIGHT OF (paw) (Date (NEREBY,CANCELTHISTRANSAGTIOf 1 'f HERESY CANCELTHISTRANSACTION ' k at!'!!'e, wtM:wnu. ,. anal - �6ur+r.slpii4r. �AIMtWrioi' .. - [ RM Cope White Buyer Glut Yellow; Buyer Copy Pink Southern New England Windows d.b.a Renewal by Andersen of SNE ' Massachusetts-Department of Public Safety � Board of Building Regulations and StaIndards License: CS-095707 BRIAN D DENNLSON .- 7 LAMBS POND CIRt, Charlton MA 01507 f Expiration Commissioner 09/08/2016 �, V�—f21� (�C7/"7/I72fi�12�l1cCGG+'�>'t. � ,t�/(��f�ti:3G�Gf?rt�e�,i• Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement.Contractor Registration Registration: 173245 Type: Supplement Card - SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9n92016 DENNISON BRIAN - - 26 ALBION RD LINCOLN,RI 02865 Update Address and return card.Mark reasan for change- sea l G 20M.0511 Address D Renewal n Employment Log Lard C�o.emcr.lttairs&Itusioess Iteautatioa License or registration valid for individul use only ME IMPftOVEMENTC0NTRACTOR before the expiration date.If found return to: �,(8 .office of Consumer Again and Business Regulation ;Reglstratlon: 173245 Type- I Park Plaza-Suite 5170 Explratlon: 9719/2016 Supplement Card Bostoa,MA 02116 _ SOUTHERN NEW ENGLAND WINDOWS U.C. - RENEWAL BY ANDERSON - OENNISON BRIAN 26 ALBION RD — LINCOW,RI 02865 V.drrsccretary Not valid without signature De Commonweah* of assachaaseft De.patient ofIndw&idAcadents 001ce ofInvewg4 ons 600 washboon S&ea Boston,M4 02111 www.wassgovla� Workers' Compensation Imumamce Affidavit: Buffders/Contractors/Eiechici s/plumbers A2gunt information Please Print Lgp bl� Dame (9usmessMMMZatiM&dMdual ` la!�t 2 1 Address: c;L t4 l I p-Ij city/State/Zip: LI"c-o�n� 09-Z,!� Phone M L[0 e you an employer?Check the$ppropAate bo= Type of project(respired): 1. am a employer with �O 4. � I am a general contractor a nd �. New construction employees(full and/or part-time). have hired the sub-contra 2. I am a sole proprietor or partner listed on the attached shee7. ®Remodeling ship and have no employees These sub-contractors hav8. Demolition working for me in any capacity. employees and have work [No workers'pomp.insurance comp.insurance.* 9. ®Building addition regttired.] 5. [] We are a corporation and i10.0 Electrical repairs or additions officers have.exercised the 3.® I am a homeowner doing all work 11.®Plumbing repairs or additions myself[No workers'comp. right of exemption per MG 12.�Roofrepairs incu�nce required]+ c. 152,§1(4),and we have employees.[Plo workers' 13 " lam comp.insurance required. A-1 e!e4 *Aay applicamt that cheeks bon#1 must also fill out the section below showing then we deers'compensation policy 'on t Homeowners who submit this affidavit indicating they ale doing all mark and then hire outside coairaet+ois must submit a new affidavit indicating such. sconttactois that check this box must attached an additional sheet showing the name of the sub-ca*actnrs and state whether or not tbase entities have employees. If the sub-cont:actais have emplmfees,they must provide their waders'comp.policy mmhber. Iam an employer that asprovid&0 Worm= coa�pensafiona ansrsrowe for emplopea& Below w thepo&7 andjob sae informadom Insurance Company N me: 0 41 Policy#or Self ins.Lie.# j/ Expiration Date: kA-=I I� Job Site Address: At¢.ach a copy of the workers'compensation policy declaration page(showig the poky number and expiration date). Failure to secure.coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA forinsumnce coverage verification. I do hereby e .he parrs andpenaltaes ofpejk7 dw anformadon provided above is tunas and correct c Si ature: Date: 2 Phone# Official use o4 Do not wnite in dds area, to be completeed by city or town official i" City or Town: Permit/License IssWng Authority(drde one): ` I.Board of Health 2.Building Department 3.City/Tolm Qerk 4.Electrical Inspector 5.Plumbing 1ppect®-` ' 6.Zther oolas/sDaa 7bRa 4.teezSift Tt CERMFICATE OF LAMM INSURANCE fS MWED AS A BlIATF t t=l�RI�ATI0A1 O�.Y AND CONFERS NO RIGMS UPON TIM CERIU iI:AEE 1d0l.OM THIS 6sRTIFlCA3E s l�OT. 73VEt �e I�DA g�1�.EXVENDOR AUM THE COVERAGE AFFORDED BY IM DOMES ®EI.O�! T1iIS CtOtYIFlCIdTt:DF DiSURAPdCE iDOFS i11or CflNSTtTUTE A CONFRACi'BETWEEN Ta lSSUINO INS AIi MORRED i -ta.,s �'� .r+ 8•§yR��i�._.��t�.`I°i �+, saa" ] 'eta'$i.�I :se"s�f399"0icgp..p�.}y7RLy�'^L��7w2p.�2.T...�..Dgaa�"�.`.Oe�...g1.� ,,,p� .t bav CC6laaaM JR6_'fa � Y(f e+at♦t[BOI�WY.AQiO YQa�({.�a,a,Ya41/ClYfli�R�W�Aa.li6L'��dta>Ider hs Ben afsildi 6ad5k ?ra608Ca'33illio a=Ham a may. Inc_ WNFACT E e1a 26 QmtvZp BlvdPHOUE P.O, saa 3052-02 No Em&3-1177-%3-73713 -efia-467- 70- N=bv311m, W 372305231 UIM REM,"+��s: •r•a•�v•i••.em a eta 4 c u a {C35t ae3a3aci3ve 2aea�oem CRa�s of am f 35425 _. Saab asaB 1:39.1 nd viodoma LLC eve -- a9/a/a a..,,..... , by Ha-asra ea - Esmi7 26.1lhiac Road 07571>Z c— afire 19801 Lincoln. sr 0266S 06URER is COVERAGES ter_ ORT FICAT'I_Paum 3_M_.W5291e0 P+i ttiU BBl3�: { i�1IS THAT Tnc FvJC�ea iM ireoLteu'sWC D)TE'j SELM IJAVE BEEN ISSUED TO rriE RS MW NAMW ASOVE FOR TW PO►. Gy PERtm �i ND r-A r, rM. MGrf �-�mtUG ANY ai: ate:r -ap� -M—W-_F AN-Y GM-M cz OR J e V. V—T- MAW CERMRCM—E IVAY BE WUW-OR UAY s--arAlK THE u+1,a.+?AME ED 3Y THE 20 ►W DISUMM IMIM-.X ','G,ALL THE 7EP-2 , � tSTLUSIONS AND C-OWD'MONSOF SUCH POUCIES_ilif MStU3YJfdMAYEAVE BEEN FOr IiL ByPEi1Da 4m. L i7lcQ=a3SURi1{VCE Pau�,xQ>. t RQUL7$F POt1CfFE3g LaBTs .°•! CCy'+�iC1At.G8'�FIL�lA$A1TY I - } CtN60E d1CH� S Y,OOD,000 OCCAR s zaD,000 i Ia 9EDEa'utYWGVM3aQ S 20,000 s �Ld;�S ��8l�G/2'vi3 oa/10lc'als' � [ P�SavnLSAOvs�tnDtr S Y,00D.000 R ems_-cTctl�„7�tr aT i j i ! G8l�r1Lr1GG Cv<7E S 3,00a,800 POLICY L-I m F RI LIM . { i 'F' 0bt1Ci`5-COLt.PIGPAt;G $ 3;000,OaG ' BTNEtt { S AVW 486ELWRt i• ! S,DOQ,ODO n "f ADO !! 6001LYpAM�Y[Rxpsso++1 5 ALLOYYWM S.'Hc'DLftHi Aim Aum S 2029459 j 08/10/2020 09110f2D15 WMYWMM0.-=CW=g S L moo)� ) I i 0 0 i GLAMIiPMGP 6 2029459 �06fa0J2014�0e/10/2MS g s,0o0,D0D r n� RETSMO�S g { ANYaiOPMSTOWPAMN 2:ODDa00D $ �7 MIA ODDQ068028 08/21/201@ 08J21/3015 ELEACHAMMENT t(rees DiiDBf j zoaa.000 I>YSc G�PitiD2[C�F cCF'i0.T1'.k�SE .tt i Pi.t -Ft i�£ [t8. 1,600,al 55i=4=As M2. ;tee eatataey Liana -VCI L. Ilioaasa Policy Lot-$2,000,000 .S DdDoaee Em. awlaymo- 02.406.000 s:'sCt�wAsaCFOI�aR'rt9a�sll,GCA�tb�stv�se�,s lacaRO�a,aamDo�RAnar��t,�,�yD�90mrQ�a�n ) CER71FICATE;HOLDER CANCEU AIM sHOMDAMYOFTMABOVEO POUMSBECMMELLEIIMNoRE t THE EKPFRATH* DATE THMM. N07= VML SE OR7:11r P" M c.�D-ss14Tl3rSiMMLtCTOFRO MM.- f 60DtL�II LLC AUTHOn121B7 REPRESEPITATIYE t 2$al8ica Rand O�••� Lincoln D2 0266S-0008 �uta ®ISM-2014 ACOM CORPORKU01L M d8ft FaMV66E .ACGM 25(2M4ffi1) The ACORD=Me and logo ato ragis and manta a&ACM Sit t-Ii:e529o35 lti9'CHiBastu yc iSo2i r e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MaP t � Parcel 10 � Permit# , Health Division Date IssuedZ— Conservation Division Tns ��� /�� Application Fees- Tax Collector & /<1,e� Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address AIA R h (Pe(PeC t, F Village C P_ 4) Ta:1f V, 'L E . �2l 3 Owner—_L;A1 �� to f.�J. DMx22,4 Atil. 4c o 45Address �'T 33?2 A/4 i7 CI Telephone o �- S� D — 3,o6 y Permit Request 3M,4L L / ��/��i��� /�®0 ,a» L At s c — 11,"p-KC kl A) Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7,570, ar- 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 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) r Number of Baths: Full: existing new Half: existing new - Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing X new size ' Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use 6 E 4,S o ry,y.4 L A) ,E y�ic / L BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT c DATE (o t FOR OFFICIAL USE ONLY PEAT NO. � DATE ISSUED MAP/PARCEUNO. ADDRESS !` +--' .VILLAGE + OWNER DATE OF INSPECTION: FOUNDATION 1 1 r FRAME r INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL' FINAL BUILDING ' DATE CLOSED OUT y ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts r �, = ' ...... Department of Industrial Accidents _ 600 Washington Street s Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ` name•--,�W N i b { W • �A L D lg.� location Q 99/e Al A41> CL. city 7—.4' > M hone# I am a homeowner performing all work myself ❑ I am a sole r netor and have no one worltin in ca acity ❑ I am an employer roviding workers' compensation for.my employees working on this job.: ::::::::: :r: �co �`{sa��riaa► . i:::.'•:........iii ::;;::>::}:ti:i r:::+:i::i i':;i:{+?v \!i :h`ii {?:i:::ij;i:ii'::i i5.{ii:.iiiTi:%!�iiiiii ii;;;:t;+.`, :i!::i iii: iii}:;:ii.`;ii:•iY`. - �`•��tt$rtss � `? .•�``� 5�#''? � }::�:: :::?:� �E:?: ::: ?:�� :::�?�� � :::';:%':?:�:::z:�?'i:�='��2�i:?: :��':::' : : %:':::•`••" `�':�.'•,.��%:`5:%`;'',"?`.`{ M. :....... ::}::::::.:.:.. jlfl .......} ;Y;:.:{•}::;.:;.:•:;;;•:;.:•::::.::•::?::-:.?:::F:.Y:::;•:-}:.:}:•?:•:•.�::.::.Y:YY:{;.:Y::.::.};}>.;..:o-:.YY:•}>:•::::-Y?:.}:.x•};.;:;-Y:.YFY:•Y:?::.::.Y:•}Y:.Y:.}:.Y:.Y:•Y:. ' < instlran i ::::;>;;::s:::<:; <::>:^::>:«>::::<" <i<:>: ;:;;::: ::>z <s:<;Y::+;Y:;-<:>}::s'<>:;:}::>;«};::« <::><;::>:<:? .. ......... ❑ I.am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have _ • the following ' •n workers...' olices: ....p:.:::.::::::.:::..:::::::::.::::.:_:::::.:::::::::..::::::.::.::.:::::::::,.:.:.::.::::.::::::::..:::..:::.:::..::.:.::::::::::.,.:::::.::,•::.:.:::.:;::x�::;::... tf112D3EtX!n }F::.::v:w:}::vv r.:..::..:..,v..........,.:.,..........;...;;.. f.. CiY .. :::..:....:..:•Y::::...;..::.:..:.......::.:.:Y::.:.. ...... U�1 11 ...................r..... w:•v:.�::::�:.;•:::::•:}:•::::::.�;;.}}':vv i";:y.;..u......n..........:.....:.................. ..r..{..{.:.:.�::: .. - .r..:..:?.�::::. ...:..,., 9v.y':::•r•:}i'�•}::::•:vn .... ...........................{..+ ...... ............n r....... ...i ::.. �..::::::;•Y{•.:m:::•: .::::::v.........•x::.:v:•:w::::•:?:;•.v...::::::;:':i:vnv•.Y:;:;..•.y?.};:+;..1•.•:::::::.: .... ...............r:....... ........ .:.v.v:::::.• ::...•.v::::::n:v:.iv:::..ar.. .v::. .:.iv? .y..... .. .:..:..:::.:.......{n.{L,...•;.•v;:.;.,..r..........:...v.. ......:...::.:::v:::.,:-v ...v:::::.:::...................... .. .-rr.:w:.vw::::::+v:}...... •�.:ii^}:{+: ...... ....:r::n.:::::.,:n.....::.v::::::::.:::v............. ..........:.:::::.f................................... ....:::..r.•{:iY??:viv::�:....:}::::::::..:..::..................:r... ansiFrraitee�co:;:.Y:;;:.:Y:•>:{.::.::::::::.:�::::::,.::::::::::::::.:...:::.:::::::::::.:.:.::.................................................... ol� '..:#::....•::::.:::::::::::..::............�.::..:::.::.�:::._::•::::.::::.:.::::::::::{:::::::>:::::;Y:.>:;.::�;:.; .,.v.:v:•:::.:;:.:::••..::.�1.:::4{vy:rw::v;...:..•.:..........::.::.}':::.v::...•:::.............•�:... ...n. ... :::yi`!.:................. . .::....v.::v:;}r:Y;•}:C�:{,;.}Y}:{{{•i:JY}YY:v:4?:.}i}}:vY:vb:,;:�:::ii'v?v�:��::.... .;.}Y'•}:•}:{•}:}}•. <t:>:....... ::. : .... :atldxess..:...:::::..... . ... .. ....... .:. . ....... . .. ..:: >:h XX T':4ii�:i?i:ti?}i:�j{i:Ti iii:::Y?: *•;: ::::::.:::::::::::::::..::•.::::.:..Y:•}:;•iYY:-YYi:;}:{.}•:}:•::{•Y:•}.;..;{.};•:;}:;{.}}:;:•;.}Y?:•}:::•}:::•:;.Yi?}}Y:•i::S;:.;' ._..:..:...........,.:.• +• ...... •Y}Y:::::::::.-:.}:•.v:::.:}}tj.Y:.:}4:;j;?:•Y};v.: :;�:;::?:;{;:•:;ii•;:::•:;::^;:•• +:-i.;i{�:=�'f.-:.4......0r.vr. ...... .. ..............................r.. n .......n....v::v...........,..:.............:. .....................fi.............. �: :i::::::::::.vu:•.,•.`.•::::::::::}:•{.?:::--;•'.:::•::.}•';-YYY::;viKS'�:-wtL:�:�i}i:•:i::iv:::b:•y:ri!,:n.. - .:::. alit.:.�•;.�:::<:...;:.;.;:.:::<.:.�;.;::;::.Y:.:{{..;{::;.:.::::.�;:::.:�,.::.:::::::.�:::::::_..}:::::.::..�:::._ Failure to secmre coverage a,required ender Section 25A of MGL 152 cant ad to the imposition of crlminai penalties of a flee up to S1,500.00 and/or one years'impitsonment as wen a,dvII penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I undez,tand"to* ' copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification I do hereb nder�theprAns ax enalties-of-P rlury that the-information-provided abnxeassr_ue-and_correet--- _... Si Date Print name. ` ! SQ C i� S Plione# S" , q a 6- 3 d Lontactpersow. ly do not write in this area to be completed by city or town oMdal city � •'� permit)license# - " OBuildingDi ❑Licensin mediate response is required ❑Selectm❑Health phone#; ❑Other (fevieed 9195 PIA) y ry f i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or,any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of f 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 and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and C. 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 owif you are required,to obtain a workers compensation policy,please call the Department at the number listed below:.' City.or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom'of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.�P �e. be sure to fill in the pernuthicense numbEwhich willbeed us as a reference number.'The'aflzdavits maybb'r _•to..,. the • . i Department b .mail or FAX unless other arrangements have been made: The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, . please do not hesitate to give us a call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts .-Department of Industrial Accidents 0111ce of IovestIoNons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 . °E'ME T° Town of Barnstable Regulatory Services 9KA W. �` Thomas F.Geiler,Director 'OIE039. A,e Building Division Tom Perry;Building Commissioner 200 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, requirements. along with other Type of Work: "o zo— C Ra Al D L19 1 q,/Z AF IV Estimated Cost� Address of Work: Owner's Named N j %L L Date of Application: (g/ o? 0 -z— I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ob Under$1,000 Building not owner-occupied ,Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor.Name Registration No. 4 OR Date Owner's Name Q: n-mhomeaffidav r s ' The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �D/9 4/,g 117, JOB LOCATION: / 10 SEX �4=K, C A E AlDrA �7'n�umber street village "HOMEOWNERf�n�) —�[ .4 d P3S j D�'��D~ name home phone# work phone# CURRENT MAILING ADDRESS: s A Nd 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 es and re a nts. r Signature of Hom owner 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. QTORMS:EXEMPTN # NOTE:not all symbols will appear on a map i \ GOLF COURSE FAIRWAY 57 MAP 148 ! � EDGE OF DECIDUOUS TREES \, EDGE OF BRUSH \\\ ORCHARD OR NURSERY 47 MAP 171 '"" EDGE OF CONIFEROUS TREES go� MARSH AREA — -- ----- EDGE OF WATER # 367 ' _�_= DIRT ROAD DRIVEWAY PARKING LOT \ \ IoE PAVED ROAD MAP 171 - -- — DRAINAGE DITCH / ————— PATH/TRAIL MAP 148 / PARCEL LINE** -i nuPtto�—MAP# 9/ �d" 21 E PARCEL NUMBER o 0 o � —HOUSE HOUSE NUMBER _ o.; # 39 lS �' ._-_ MAP 171 2 FOOT CONTOUR LINE ' —Eo— 10 FOOT CONTOUR LINE .81 Elevation based on NGV029 _ i/4.9 SPOT ELEVATION -111 STONE WALL -X—X— FENCE ® w RETAINING WALL 4^ .- 1—I RAIL ROAD TRACK �}�J --_-=� STONE JETTY Pow SWIMMING POOL PORCH/DECK 91 BUILDING/STRUCTURE _�-I _.,,_r..r. DOCK/PIER.._.l...s...._... HYDRANT e VALVE OO MANHOLE o POST O FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 G 1 N F O R M A T 1 O N S Y S T E M S U N 1 T p SIGN ® STORM DRAIN N PRINTED SCALE:IN FEET :NOTE:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James ca TOWER 1"=100'style map and may NOT meet of property boundaries.They ore not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE 0 20 4Q National Ma Accuracy Stondards at this do nat re resent actual relationshipsto h iwl oh acts Cor oration. Planimetria,to ogre hg and vegetation were mapped to meet National Ma Accuracy Staddards AdgMconservation.dgn 06/24/02 02:31:11 PM L Oster ille p e`� Assessor's map and lot number .......................................... d ® � 'j��/7� 0 SYSTEM MWT BE INSTALLED IN COMPLIANCE _Sewage Permit number .......... ..........`......... WITH ARTICLE 11 STATE /� N SANITARY CODE AND TOWN i MARISTOIILE, i 90 M639• I�� IG IINSPECTOR Or.9 APPLICATION FOR PERMIT TO build one family dwelling TYPE OF CONSTRUCTION .........wwood frame ............................................................................................................... .................... TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according'fo the following infdr4mafon: Location ...Lot...6.8...B.ernard..Qiza .e......Centarvil1.e.......................................................................................... residential ProposedUse ...................................................................................................................................................I......................... Zoning District .R.D.1 Centerville-Ostervillle ................................................:.....................Fire District .............................................................................. Normest Homes Inc. Nottingham Drive Nameof Owner ......................................................................Address .................................................................................... V Nameof Builder .Same..............:..........................................Address .................................................................................... Name of Architect none .....Address none Number of Rooms .6 fill 10" poured concrete ................................................................Foundation .............................................................................. Exterior Siding .............Roofing Asphalt .. ... ...................................................................... Carpet Drywall Floors Interior ........... ...................................................................... .............................................................................. HeatingWarm—Air plumbing 2 Baths ....................... ........................................... .................................................................................. Fireplace .................yes........................................................Approximate Cost ...$2......,..0...0...0......0...0........................................ Definitive Plan Approved by Planning Board ________________________________19_______. Area ......... .............. Diagram of Lot and Building with Dimensions Fee `. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Bw z' 4' ► 3V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. w Na ....... .. l .... Normest Homes, Inc. 16988 No ................. Permit for ,......one Stoxr single family dwelling ...... ....... . .... Location t Bernard Circle 9�....................................... 1 Centerville ................................................ Owner .............Normest Homes Inc. . .................. t Type of Construction frame ......................... 5 ................................................................................ Plot ............................ Lot .........L.6.............. ? _ 1 March 29 71.1. Permit Granted ....19 ............ ...................... Date of Inspection .. � L . ............. .... . . .Date Completed 9 I PERMIT REFUSED l �' ................................................................ 19 ? i .. ..................................................................... ' t � S ..... ............. ................................................. ....................................................... ........0........... a' Approved f ............................................................................... , ..................... ......................................................... , t 1 I� Assessor's Office(1st floor) Map Parcel 6 8 Z_ i # //lo Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Date Issued UST BE Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)� I ee lli=ii- Engineering Dept.(3rd floor) House# IM T ALLED *A"MICE Planning Dept.(1st floor/School Admin. Bldg.) WITH_ UVERONMEAND Definitive Plan proved by Planning Board ,19 li OWN R TOWN OF BARNSTABLE - ' s Building Permit Application Project St2tAess 29 •-. Village - Owner"4 Address 3 f►-t/- / ice ' Telephone ~ �j l,�x,Iv �ci /2 /6 �iZ� �f10/d ?U 2S77 /.� eGMJ. M elf— . Permit Request ,�/�nt� i Sl�nl slued I+r&J rwV7WnU P Ak AW21,91A16 /V t9 First Floor *J& Ord square feet Second Floor square feet Estimated Project Cost $ ��0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential _ Dwelling Type: Single Family j/ Two Family Multi-Family Age of Existing Structure o24 S/°2S Basement Type: Finished Historic House _A Unfinished Old King's Highway _41 Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name -Zlk 60221 Telephone Number 57 Address ( A a7V17- License# A5'�7 632 A��j ZZ/ 4�v Home Improvement Contractor# JWorker's Compensation# ,19-alhW k/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE //C DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE - OWNER � � .. - •• -. _ �� � • DATE OF INSPECTION: FOUNDATION - FRAME INSULATION J �� FIREPLACE ELECTRICAL: r . ROUGH FINAL PLUMBING: ROUGH FINAL GAS: -1 ERO JGH FINAL FINAL BUILDINEX Sii 1,3 s'IC „ ._ DATE CL09ED-(9tT� ASSOCIATIONx�LA1��I a '� 1 ! I • - 6 f r .TAN— 2-95 TUE 15 : 48 1 P _ 03 rw 01-03-1996 __�,,, -,U••.:.__..IE-,; �' .ir1i1� ..ir. N'� Page 1 of 1 03=37:34 v4.42 ?1500!385,.i111 TJBEAMA }� M1.i;J 1'rlt''E: hH0thr CFNTI-_F� 15 MAIN 51. PO 80Y 99 ORLEANS, MA 02651 USA,'.,Phone! 508-398.6071 ROOF BEAM s .................... Name: BILL RUBEL Project Name: CAPIZZI HOME IMP. Page Title: 1ACOOS J08 CENTERViLLE '-- Based on Allowable Stress Design (ASD) UBC building code for TJM products available throuqh Distribution --------------------- Application......... Roof - Snow Deflection Criteria ( M Use .......... BEAM Load Classification..... ... Snow LL Defl TL Defl Member Top Slope(in/ft)... 0.000 Load Duration Factor,...... 1,15 Span 1 L/360 -1/240 Roof Slope(in/ft)......... 0.000 Live Load(psf)...............25,0 Fioor Oeckin$............... NIA . . - Y Dead Load(psf}.....:....... 15.0 Repetitive Member Use....... NIA Tributary Width( '-"},,.. 6- 0.00 Reinforced Overhangs......,. N/A LOAD: Class LOF Begin End . Live Load Dead Load Comment 1 Unif(plf) Snow _1 .1$ 0'- 0,00" 16'- 0.00' 300 180 Rep) < ?.I I .. i' xllit: 'E :, f i .InI I..'f 16'- 0.00" " --- S I ? E A N A 11 Y w T. S - A 5 D --------------- -Thl,i- r411 +.� Y; i ('<)r' FJM 01-c?cll.IC�t f7 c)1.1i Y .1 `,l.11"ay:,'1. .1 'f'Ili ;I rip G!!, f !:'�':: h �1l s. 111;.i� y:•,;i.<.; IMPORTANT! The analysis Presented below is output from software developed by Trus Joist, MacMillan(U M). TJM warrants the sizing of its products by this software: will be accomplished:in accordance with T.IM product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by.the software user. This output has not been reviewed by a TJM Associate. The maximum unbraced length(s) shown are based on the Controlling compressive forces on either the top or bottom edges of the member. Lateral bracing needs to be properly attached and positioned to achieve stability. Design assumes adequate continuous lateral support of 00 compression edge. Note: See Residential Products Reference Guide fo1- multiple ply connection., Maximum Design Allowable Control Shear(lb) 3932 3445 f 9081 264t LT, and Spin 1 undet Snow Roof loading Moment(ft-lb) 15721` 15721 c 2309C 147 MID Span t Under Snow Roof loading Live Defl.(in) 0,4)9 ,l 0.533 L/400 MID Span 1 under Snow Roof loading Total Dof1.(in) 0.?85 S 0,900 L/244 MID Span 1 under Snow Roof loading Span Max. Reaction Total(lb) 1932 393� Live(Ib} 2400 2400 Re uii ed B 9 rg. Length(in) 1.$7(W) 1.31(w) Max. Unbiac.ed Len.gth(in) 32 Copyright (0 1995 by Trus Joist MacMillan, a limited Partnership, Boise, Idaho. MierollamrM and TJ,DeamTH are trademarks of Tru>i joist. MacMillan, ,.TAN- 2-96 TUE 1 6 C 47 1 „ P . 02 CAP 2 Mid-Cape Home Centers J G O 43 t P.O. Sox 99 - 15 Main Street 3J Orleans, MA 02653.0099 cl T - t � V .The Commonwealth of Massachusetts 'Department of Industrial Accidents o flce#Mwestlosdiis 600 Washington Street .�7' 4 Boston, Mass. 02111 -` Workers' Compensation Insurance Affidavit LEE- -�.. location: cite �o7—!/iT— /�/� era-- phone d I am a homeowner performing all work myself. I am a sole proprietor and ha-ve no Qne "orking in am'capaciv, CD I am an employer pro\iding workets compensation for'my employees working on this job. y company name: address: ciq: phone#: insurance co. policy# :. .�Via:�-•-'er=�:r,,�,..�g'�-��" R ' am a sole proprietor. general contractor,or homeowner(circle one) and have hired the contractors listed belowv ho have the following workers* compensation polices: company name: address: City: / phone#: insurance co. policy �e ��� 9 3�a' company name: address: city: phone#: insurance co Porky Al Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a time ap to S1¢00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of S190.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the D1A for coverage verification. t do hereby certify-under the pains and nalties of perjury that the information provided above is true and correct Signature Date ���� /�'� Print name /r. •-�t �G® %'� Phone 0 9S� - Ccontactperson: ly do not w rite in this area to be completed by city or town oMcial - _ _ permit/license q nBuilding DepartmentLicensing Board mediate response is required QSelectmen's OfficepHealtb Department phone#;_ __ - - r'1Otber (revised 1/95 P1A) : The Town of Barnstable $ Department of Health Safety and Environmental Services P Building Division 367 Main Strut,Hyannis MA 02601 Office: 508 790-6227 Ralph Cm = Fay 508 775-3344 Building Commissionet For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,rqx&,modernization,conversion, improvement,removal, demolition, or construction of an addition to any pre-adsti:ig owner occupied building containing at lean one but not more than four dwelling units or to structures which am adla=t to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: /2 ZV7M '-r® t' ,P l Est Cost L49,4 Address of Work: zz &444 Owner.Name: "- 2wl) Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERWT OR DEALING WITH DNREGIST'ERED FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PER,fURY I hereby apply for a permit as the agent of the owner: Date Registration No. OR n1rP Owner's name AT PLOT PLAN _ FOR LOT # Indicate location of garage or accessory. building Additions with dashed lines --------------=----- Sewerage disposal (cesspool) ED Well 1g t I 1 (lot. . . . . . .. . . ... . .ft. rear) r I Abuttor s Abuttor s Name (Lot Name # I Lot # REAR YARD If this is a If this is corner lot, . .ft. corner to write in name write in of street. I name of +. P4 other street. b SIDE YARD SIDE YARD . HOUSE • �]-- - - FT. -- - - - FT� SET B CK ' . . ft. (lot.. .. . .`.ft.,' frontage) \ (NAME OF STREET) Information \ Supplied by MARK NORTH POINT r : HOME IMPROVEMENT CONTRACTORS REGISTRATION oard of Building Regulations and Standards One Ashburton Place Room .1301 I Boston, Massachusetts 021.08 HOME IMPROVEMENT CONTRACTOR I ______ ----- Jk Ala( -Registration 100740 Expiration 06/23/96 • Type —. PRIVATE CORPORATION j � � L HONE INPROVENENT CONTRACTOR... zlteoistratioe .100740 •Capizzi Home -Improvement , Inc . i Type -: PRIVATE CORPORATION ' Thomas Capizzi , sr . i -ERpirAtlon 06/23/96 1645 Newton Rd. Cotuit MA 02635. i CAPIitl Home Isproveseli, Inc I Thomas Capiui, Sr. 6g� Newton -Rd. I I AmM •Cotuit NA 02635 i . _ teslricled To: 10 • - DEPARTMENT IEPARIKE11 Of PUBLIC SATEII ONE ASHb'UR CONSIRUCTION SUPERVISOR LICENSE I 10 - Note t3OSTUN; Nrober: . Espires: 16 - 1 I 1 Faoily Notes CONS ERUCT iON SUPERVISOR LICENSE leslricted To: 10 Number: Expires: ��+--L• IAVID N IEBB Restricted T o. u0 °. j <y oow ISSKAa a 100 PION NOLLOY RO ti E FAINOUTN, NA 11536 .._ ;.. ,It!*_: . . . . . ' H;# THOIIA5.,X CAPIZZI JR 280 PE RCIVAL OR r . W BARRSTABLE, MA 02668 � ` SEPTIC SYSTEMI CQ�PLIANCE Arssor's offioe Ost floor): Iis-mLLED F?NEt Assessor's ma and lot number 1.11 6 8� E o o� ............................. Po 9 o and of Health '(3rd floor): C EPIVIRON Il6ffAL CODE �► / `O Sewage Permit number ................C f....( � ..................... °TOWN REGULATIO14 t 33AHd9TdDLE. Engineering Department (3rd'floor): ggq �( � oo M63e• ♦� House number ........................... ......1...9......m............... '''� a� o�Ar APPLICATIONS PROCESSED 8:30 9:30 A.M, and 1:00-2:00 P.M. only TOWN OF ' BARNSTABLE BUILDING INSPECTOR _ ) APPLICATION FOR PERMIT TO .......... ..�i . ......j. ...........c/ C•✓ .�.. ..�.� . .................................. TYPE OF CONSTRUCTION ..........!.... fJ.Q.... ........... � � ..�,................................................................ .......... ................19 Y TO THE INSPECTOR OF BUILDINGS: Cv The undersigned hereby applies for a permit according to the following information: Location ....... 9.7...... o .C... .......1_..1. .GAe ............ e' .."r G, -....v.........e ..................... Proposed Use (.! .. ....�1�..1. .�i�.......l......©.............................................. Zoning District ...... .....................................................Fire District - ......... .... .....................J.. ..............�....G....C..i............. Name of Owner ......hcch.ef7......&5e-i.17--I..W..Address ..... .................................................... ... r a ..... D.... ` . ....... 4 Name of Builder .... ........ v`� ..r�% 1.....Address ! K .... /.... Name of Architect ..................................................................Address ...........................................................:. ....................... CL- C-O-Icr!�;te- Number of Rooms mS........Foundation .... . ... .............................. ........�. .'.j .....5.�. � .. .......... .....l�. ce....( lR...s.........Exterior , ....................Roofing Floors ........�� �:. ..e ....... .v.�'1..C.......�/-c,,D . ....Interior .........1✓. G... ........E....... :1.. Heating � c................. .. g .................................................................................. Fireplace .......... ...................................................Approximate Cost ............. .> �d.............................. Definitive Plan Approved by Planning Board ________________________________19________ . Area Cv........ .'. . Diagram of Lot and Building with Dimensions Fee ... .,. .Q..:........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I � J Al i �0 l� -641 OCCUPANCY PERMITS EQUIRED FOR NEW WELLP I hereby agree to conform to all the Rules and a ulations of the Town of Barnstable regarding the above construction. Name ................... .. ...... .................... Construction Supervisor's License .....,�/.!%? .�.�.. i ROSEMFELD, HERBER �No ...2992.3.. Permit for ...BUILD ADDITION„ ....Single, Family Dwelling...................... , Location ....................... enterville.............................. - Owner .......Herber..Rosemfeld .... ........................... Type of Construction .....FXAMP...............:............ , ......................................................................... Plot. ............................ Lot :............................... Permit Granted ......August...1.6..............19 86 Date of Inspection ' /... ... ✓.r... :....19 . Date Completed ......................................19 M 5. rdo - M , Assessor's offioe (1st floor): 1� Q�uFTNE T �ssessor's map and lot nunumber ':.�. ..�........ S a :' Board of Health (3rd floor): �` Sewage Permit' number ....'..... ..... (... ................... 2 11AWSTODLE, S Engineering Department (3rd floor): 'oo M639, eC House number `e.......................................,9�....�?'�............... " a o rar APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M._only TOWN OV BARNSTABLE A BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............4.. ......... �............ '�r "���-......�.1.... A ..� ................................. TYPE OF CONSTRUCTION ............... J ?.d............... ............................................................... .........--�-- .............................. TO THE INSPECTOR OF BUILDINGS: � Cm The undersigned hereby applies for permit according to D the following information:Location 9 A �cs c,(C c �' e tom✓\.. ................................................... ( \ C, ............ ................................... ..................................... Proposed UseA 61r r/ /. ..1. O �''! i . . ......�-�o................... J . .................................... Zoning District ......r.`.........................................................Fire District ......... // Name of Owner hcrh.,� ..... �Se" /C(V.Address / f�� r L4a"` C CCU .�..... ............ .......\..... ............... .... ..... ..... 414 Name of Builder ....�!�".C.f ...).............. ...........Address j!......... ! J.... ...... ................................ .............. Nameof Architect .......... (..................................................Address .................................................................................... �m ;y��vfd Co�cref e Number of Rooms .............. .... .............. ........Foundation v....................................................................... Exterior ..........o/ .�.......(.............�........�...G�......................Roofing .......... ................. ,S Floors 1 ......�:r.........0 VGt..........�0.0..`-`....Interior .........( �... ....... ........5 4 !��GV....... ...................`.... reating ...........:-::...... ..... .............................Plumbing ....................tA O a'\ ..................... ...................................... I Fireplace ' ...................................Approximate Cost �i ®Q Definitive Plan Approved by Planning Board --------------------------------19___'+___ Area ` .:,, Diagram of Lot and Building with Dimensions Fee r} . ........................... } SUBJECT TO APPROVAL OF BOARD OF HEALTH .X I r 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 ` .G.. >,,:..... .................. Construction Supervisor's License ................?.!... . ROSEMFELD, HERBER_ A=171-082 29923 Build Addition No ................. Permit for .................................... Single: Family ..................... Location ...9. ..Bernard...Circle f Centerville _ ................................................................................ Owner ...Herber. Rosemfeld......... ............................. Type of.Construction Construction Fram - _ . e. ................................. ............................................................................... Plot. ............................ Lot ................................ Permit Granted August 16, 19 86 Date of Inspection ....................................19 Date Completed ......................................19 k V V f ti.� w • a�-� � � �� �_�- 31Y �f9ta!. a� . ��ee -sr ..r . f. �. � D d,3 i RIDGE VENT TYPICAL 1"x 6" COLLAR TIES TYPICAL ROOF CONSTRUCTION: ASPHALT ROOF SHINGLES; 15# FELT PAPER; R30 INSULATION 1/2" CDX PLYWOOD SHEATHING; TYPICAL 2"X 8" RAFTERS AT 16" O.C. 2"x,6' 0 IS" O.C. VENTED SOFFIT OR DRIP EDGE 3'-6° TYPICAL EXTERIOR WALL CONSTRUCTION: WHITE CEDAR SHINGLES AT 5' TO WEATHER SIDES & END ELEVATIONS; "TYVEK"OR EQUAL BUILDING PAPER; 1/7' PLYWOOD SHEATHING; 2"x 4" STUDS AT IV' O.C. R11 INSULATION, TYPICAL 12' 27x ID" 5/8" COX PLYWOOD DOUBLE SUB-FLOOR R19 INSULATION, TYPICAL AWNING WINDOW ANDERSON 2"x 10" ® 16" O.C. #A-31-2 C2) 47x 6" TREATED POSTS 3'-6° EXISTING WINDOW 1/2" CDX PLYWOO RELOCATED GRADE 4' e. 10" S E 8' 3 PLACES 16' CROSS SECTION FLOOR PLAN SCALE:1/4'=1' ZZl Home AA Improvement Inc. 1645 Newtown Rd �Cotuit, MA 02635 (508) 428-9518 Fax (508) 428-1547 1-800-262-5060 END ELEVATION SIDE ELEVATION ADDITION FOR JACOBS, CENTERVILLE SCALE:1/4"=1' SCALE:1/4"=1' JOB NO: REV.DATE: