HomeMy WebLinkAbout0008 BRIDGET'S PATH g �R i DGc-Ts �t FlY�F�
ACTIVE
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
J7
Map f Parcel - Application #01610ow
Health Division Date Issued (` Z
Conservation Division J Application F
Planning Dept. Permit Fee 23Lt• (o U
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Addresse! ' S ?A-rh
Village re i i ePville
Owner ezu F' 12r7-ef Ytr4.5' Address
Telephone 8 YC- 0 8ct/
Permit Request 1- 4 dV /'6c a4 ,Adot I l 14 40at su,d C4&CL
Square feet: 1 st floor: existing el(, proposed Z13A 2nd floor: existing Ste_proposed -: Total new 1760
Zoning District Flood Plain Groundwater Overlay
Project Valuation yC 006 Construction Type Woo
Lot Size /6.390 Sa g7- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family U2,' Two Family ❑ Multi-Family(# units)
Age of Existing Structure o rs Historic House: ❑Yes S No On Old King's Highway: ❑Yes ❑ No
Basement Type: UB"Pull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) —A^ Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing a( new Half: existing new
Number of Bedrooms: existing-&new
Total Room Count (not including baths): existing G new ( First Floor Room Count
Heat Type and Fuel: ❑ Gas Mrbil ❑ Electric ❑ Other
Central Air: fl'Yes ❑ No Fireplaces: Existing _New -6- Existing wood/coal stove:❑Y& No
Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: existing 3 new sizerg
Attached garage: ❑existing 0 new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r9 `-
r
Commercial ❑Yes ❑ No If yes, site plan review#
xy
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name G° A-4,,1e.S 7.11.7'S l Q S Telephone Number -271— /q/0
Address 1,93 "1//G Lu _Oe^ License# ac S3
Ce-1 Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pa-Wi p
SIGNATURE DATE //l3 11C)
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
_ OWNER ,
DATE OF INSPECTION:
FOUNDATION
FRAME � T*T.-J6 a 3 -1 d gf l�
INSULATION
FIREPLACE
{` ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
If
FINAL BUILDING 5 LS 10 *6 0
DATE CLOSED OUT
ASSOCIATION PLAN NO.
r
The Commonwealth of Massachusetts
Department of Industrial Accidents
' Office of Investigations
600 Washington Street
_ Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / Please Print Legibly
Name (Business/Orgariization/Individual): ?�
Address: /95
City/State/Zip: G?,v re ,!/i//e o,dik�Phone M _0 19
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer-
m to er with 4. 1,am a general contractor and I
p y • 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2. am a sole proprietor or partner listed on the attached sheet: 7. ❑ Remodeling
ship.and have no employees These sub-contractors have, g. F1 Demolition
employees and have workers
kin for me in an capacity.
working y , p y - 9. Building addition',
[No workers'comp. insurance comp, msuranceJ . .
required.], ' S. E] We area corporation and'rts 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I L Plumbing repairs or additions
myself. [No workers' comp. :.. right of exemption per MGL 12.❑ Roof repairs
insurance required'] t c. 152, §1(4),and we have no t
employees. [No workers' 13.0
Other
comp: insurance required.]
*Any applicant that checks box.#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or,notthose entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees.` Below is the policy'and job site
information.
Insurance Company Name:.,
Policy#or Self-ins.Lic.#: : "� Expiration-Dater
Job Site Address: " City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date)._ '
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ,
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify u penalties ofperjury that the information provided above is true and correct
Signature,: Date:
Phone# ,5'C 771
Official use only. Do not.write in this area, to be completed by city or.town official
City or Town: Permit/License#`
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4..Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
1 .
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as":..every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the
e event the Office of Investigahons has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The
Department's address telephone p e and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax # 617-727-7749
www.mass.gov/dia
Town of Barnstable
Regulatory Services
1A�TlBTAIILE, Thomas F. Geiler,Director
v� 163rg. k $
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 508=862-4038 Pax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A builder
%/f S��?S , as Owner of the subjectproperty
hereby authorize l°h,4V1 e5 ?,,`LTS/®S to act on nay behalf,
in all matters relative to work authorized by this building permit application for,
8 a�icl e�",S �i6% %exfii Ile .� "
(Address of Job)
Signature of Owner ate
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWN ERPERMIS SION
Town of Barnstable
��'IFIE Tp�
Regulatory Services
r Thomas F. Geiler,Director
sAxxsrAt3z.E,
"S" Building Division
pTFDy Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: village
number � street
"HOMEOWNER": hone#
name home phone# workp
CURRENT MAILING ADDRESS:
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/slie understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that be/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
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:\WPFILES\FORMS\homeexempt.DOC
CURRENT ZONING
BARNSTABLE CODE SECTION 240-13
ZONING DISTRICT: RC
MIN. FRONT YARD: 10 FT.
MIN. SIDE/REAR YARD: 20 FT
CB-DH(FND) LOT 18
.01
PROPOSED
DECK
s ,60 I 0 ;
SHED
o
0 >>
Exg o
CO
W Deck �;
o' 28.2' LOT 20
� �2 23 j Existing ;; .
S 40 0� House `\ �i•� No00
CB-DH(FND) PROPOSED
ADDITION -" i'
C\2 m
C'J LOT 19
Z o 16390±SF
OW ern. ��NE
O
0.1 EN N S
Q ?'C
OM RECOR
0 DRAINAGE
EASEMENT
i
LOT 12 �A CB-DH(FND) / EPSEM�N�
LOCAITIONYSTEM FROM TOWN 0 0 �2 1223 ZO W
OF BARNSTABLE HEALTH 0 5
DEPARTMENT RECORDS /
0 P�
� PR PM
PO R
ASSESSOR MAP 169 PARCEL 110
FLOOD .ZONE C
COMMUNITY PANEL NO 2500010015C
REVISED AUGUST 19,1985
RECORD PLAN BOOK 324 PAGE 75
LOCUS IS LOT 15
DATE OF SURVEY 1/7/2010 DAVID R0,
30 0 15 30 60 120 p� C. m
THULIN �+
o N0.39403
( IN FEET ) q, P
1 inch = 30 ft. �v
SITE PLAN — PROPOSED ADDITIONS DRAFTER: DCT REVISIONS: DAVID C. THULIN, PE, PLS
8 BRIDGET'S PATH CHKD DESIGN:Y. DCT
0- BARNSTABLE (CENTERVILLE) , MA 211 MILL ROAD
0 SCALE AS NOTED ��IVVV EAST SANDWICH, MASSACHUSETTS 02537
FOR CHUCK N 183 LONG VIEW DRIVE, CENTERVIIIL JAN. 11, 2ot0
LLE, MA 02632 WP 01 PPP (508) 888-2345 FAX (508) 888-7259
s
Areas;1
C, it 53f11, 1. t)1
It
�.Check
Compliance
1;1 .SCOPE, 110 nsptt
Wind Speed-(3-sec.gust)........ .......... 6 .
Wncizxposure Category.............
g ..: .......
1.2 gd KtCASLIT`E stones.,.s.2 stories _
Number of Stories(a roof which exceeds 6 in 12 slope shall be considered a story).�_
(Fig 2)=.. ;.:: ..3.12 <_1532 _.—
Roof Pitch ..:...........................::.....:.. /Sft 3'
Mean Roof Height...................... .... (Fig-3 : 7-7
—
Building Width,W...................................... (FT9 3} _ --
Building Length,L ....(Fig 3)::. .. ...... ....... f
it s:8+3`
�ft �30,
Building Aspect Ratio(L/VV) .......... ...... :. ....(Fig 4)`.............. 6 8°
4�misvat ktesgtrotuf Tauest,c3�en�}2 .....<.. g 4).;:.....�..........
�<
1.3 FRAMING CONNECTIONS (Table 2)
......,. ... ....,:,..
General compliance with framing connections.,...;. .
2.1 FOUNDATION f
Foundation Walls meeting requirementsof 780 CMR 5404 1
Concrete.............: ... ........:
Concrete 9atas w:� ._M... ......... .................... ........
2.2 ANCHORAGE.T:O FOUNDATION'3 r1
5/8'Anchor Botts imbedded or.6/87.Proprietary Mechanical;Anchors as an:alternative in concrete only,
Table 4 �`7``'"
Bolt Spacing.-general ••• • ( ••.to s s"-1'2°
Bolt Spacing from endryomt of plate ....:::......:: (Fig 5):
Bolt Embedment-concrete.. ..• in.z 7"
>1$,
sooEMbedment=McWV x /"
PlateWasher.......................... ...... ...... ... ........ (Fig 5).... ..... . .... . ...... ......... .
3.1 FLOORS
Floor framing member spans checked •(per 780 CMR Chapter 55)
Fi 6
Maximum Floor Opening Dimension........................ ( g ) ••••
Full Height WaIPStuds at Floor Openings Tess-than 2°from Exterior Watl(Fig 6)..;..
ms) E{acx t;Setk�ack .:..
................:_:ft S d
Supporting Loadbeanng Walls:or Shearwalf. ...... .. (Fig 7)
Maximum Cantileveredfloor Joists ��//ft 5 d
Supporting Loadbean . Walls or Shearwall (Fi9 8)
Ftooiaracing at Endwalls (F!g 9) ' "'
Floor Sheathing Type .... (p
er780 CMR Chapter 55} y^ ly iet�Pc1..••:
Floor:SheathingThickness................. (per 780 CMR Chapter 55) ....I� �n•
�os;Staeati�i?hg.Fasteair .. - ••... (Table 2).. d nails at _in edge 1 in field
4A WALLS
Wall Height Ft 1
g .0 arrd Tabu 5)... ft
Loadbearing wails., .•.....• - ---77--��
Nan-Loadbearing:walls................................. (Fig 10 and table 5) .. ?� A'r
,(Fig;10 and Table 5):.. c.
Wall Stud Spacing In.s 24 0
(Figs?&8 ... . •IL ft S d
Wall S:tcr[3r offsets _ .. . ):..: ----
4.2 EXTERIOR.WALLS'
Wood Studs.. 2x _ >ft inn , /
Loadbearing watts.. {'Fable 5} ........
v
Non-Loadbearing walls.............. . ...................... ...(Table 5)....... ......... ..........2x -_ —ft —in
Gable'End Wall Bracing'
Full Height .ndwall Studs................ (Fig.10)
Ft 91 ft}Wl3
WSP Attic Floor Length-,- ....•. ( 9 )
Gypsum:Ceiling Length(If.WSP not used),, (Fig:11) �!a'� 1P ��� ft Z 0 9W v
and 2 x 4 Continuous Lateral Brace @ 6.ft o.c. .fFtig 1') 1.....• ••. ••• •
or 1 x 3 ceiling fumag:strips. 16"spacMg.min•w#h 2.x�.blocking @ 4 fL s�arin{f 1n 1 nd .or truss hays.
Double Top Plate
Splice Length
...(Fig 13 and Table 6).. N0....k�4!�14......:�ft
Splice Connection(no.of 16d common nails):............. Table 6 -•••••
h llffnet Off,
ssach
Loadbearing Wall Connections
Lateral(no.of 16d common nails)......................:.........(Tables 7)..............:.........................................
Non-Loadbearing Wall Connections
Lateral(no.,of 16d oomman:gails)....... (Table.$}. ........................................._ ....�.,
Load Bearing Wall Openings(record Car est openin. but check all-openin s for co liance.to Table 9)
9 g Table 9 9� a�14� in 11`
Header Spans ( )�
Sill Plate Spans (Table-9).. a� xY ft_�_ m s 11 —�
Full Height Studs(no:of studs)...... . . . .....: (Table 8}. .. :::..........>. . ... :. :....... . :: .:.
Non-Load Bearing Wall Openings(record largest opening but check all openin s f mplia.noe to Table 9) y
Header Spans...... .. (Table
Silt.Plate Spans.. (TabJs 9) ik 7 R�1 in.s'12°
......:.....
Full Height Studs(no.of studs) (Table 9} ..... —
Exterior Wall Sheathing to Resist Uplift and Shear;Simultaneously.'.
Minimum Building Dimension,W
Nominal Height of Tallest O ening? .....................
gnote 4 t 1� ,!".n ie y
Sheathing 7ype.............C..�x .............. ( )..�
Edge Nail Spacing (Table 10 or note 4 if less)
Field Nag Spacing...... ... ........(Table 10)
Shear Connection(no of 16d.common nails)(Table 1.0)
Percent Full-Height Sheathing ........(Table 10) ....... ,.%.� L''
5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).::..................
Maximum Building Dimension, L . �� y
Nominal Height of Tallest Qpeni,ngz ••••••...�! s 6'8"
Sheathing Type.............: ...D..! (note 4).. i1a, . Ct al..........................
Edge Nail Spacing-.-------------_: ::(Table 11 or note 4+if less) ...................... 11. in.
Field Nail Spacing................... (Table 11} .................�_in.
Shear Connection(no of 16d cbmmon nails)(Table 11) ....
Percent Fuil-Height Sheathing .. .....(Table 11) .... ..... ...:'yam
5%AddEtional S(ieaWthg forWall WYh Openlnp V V IDesrgn Concepl1s)��
Wall Cladding ���
Ratedfor Wind Speed?....................... >..... ....................................... .......:.....
5.1 ROOFS s
Roof framing member spans checked (For Rafters use AWC Span Tool,see BBRS Website)
Roof Overhang ...................................................(Figure 19).... ...... ft•.smaller of 2'or L/3 y'
3IUM�W Rafter Comectiws ekt4adbearing..Watts
Proprietary Connectors
Uplift.......... ...... ..., .........(Table,12) ... :.... .........U=2 94 pif
Lateral....... (Table 12) --.•-•.•••••• Lip
if
... able 12 ........ ..................... lit
!�
Shear................... ......
Ridge Strap Connections,if collar ties not used per page,21'... (Table 13),,....... :..... .,........T== r A1:
i 20 ft s smaller of 2'or U2
Gable Rake Outlooker.................. . F.,(; 9ure ) -- .�—
Tfuss as#ia�et�+�snes.5i�a� oad�eadsuy:rOdallc."
Proprietary Connectors
Uplift........................
.................... ...................
14)............................................U= lb.
Lateral(no.of`16d.com n nails) (Table 14) ...... .................L= lb.
Roof Sheathing Type....C..QW..JM1Y.we.p em ............ (per.780 CIUfR Chapters 58 and
59)......
Roof Sheathing Thickness............................................. .... .. ... ......J in.?7/16"WSP
Roof Sheathing Fastening..................I.....::.:.:.......:. (Table:2)...:.... . ..:.. ::..............,—
1. This checklist shall be Met in its entirety,excluding the specific exception'noted in 2,to comply with the requirements of
780 CMR 5301.2.'1 1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not
required per the WFCM 110 mph Guide: —.
a. Steel Straps per Figure 5
b. 20 Gage Straps per Figure 11
c. Uplift Straps per Figure 14
d. Awl Snaps Per Ftwe 17
e. Corner Stud Hold Downs per Figure 18a and Figure 18b
2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent fulkheight sheathing
requirements shown in Tables 10 and 11.
3. The bottom sill plate in exterior walls.shaft be a minimum 2 in.nominat thickness pressure treated#2-grade.
i
-12/30/2009 15:56 5088889609 MAP INSULATION PAGE 01/04
REScheck Software-Version 4.3,0
Compliance Cer�tifi',tate
i
Project Title: CHUCK PALTSIOS
Energy Code: 2006 IECC
Locatlon: Centerville(Barnstable),Massachusetts
Construction Type: Single Family
Conditioned Floor Area: 430 ft2
Glazing Area percentage; 20%
Heating Degree Days: 6137
Climate Zone, 6
Construction Site: Owner/Agent: Designer/Contractor:
8 BRIDAL PATH
I CENTERVILLE,MA
SIM
i
Compliance: Maximum UA:100 Your UA:98
Door'Area or R-Waltie R-Value or
IPerimeter or
Ceiling 1:Flat Ceiling or Scissor Truss 430 30.0 0.0
i
Well 1:Wood Frame,1611 o.c. 630 19.0 0.0, 30
Window 1-Wood Frame:Double Pane 124 0.300 37
SHGC;0.30
Floor 1;All-Wood Joist/Truss;Over Unconditioned Space 430 36.0 0.0 14 �
i
Compliance Statement: The proposed building design described her3 Is consistent with the building plena,specifications,and other
calculations submitted with the permit application.The proposed building has been designed to meet the 2006 tECC requirements In
REScheck Version 4.3.0 and to comply with the mandatory requirsmi'nts listed in the REScheck Inspection Checklist,
' 1
Name-Title - Signature Date
i I
i
i
i -
i
" + Report date: 12/30/09
Project Title;CHUCK PALTSIOS page 1 of 3
Data tilaname: Untitled.rck ,
12/30/2009 15:56 508.8885609 MAP INSULATION PAGE 02/04
i
REScheck Software 1/elrsion'4.3.0'
Inspectian C►hecklist
` Celll ngs:
I
❑ Calling`I!Flat Ceiling or$cissor Truss,R-30,0 cavity insulation
i
Comments:
f
Above-Grade Walls:
❑ Wall 1:Wood Frame;16"o.c.,R-19.0 cavity insulation
Comments,
Windows:
❑ Window 1:Wood Frarne:Double Pane,U-factor.0.300'
i
For windows without labeled U-factors,describe features;
I' #Panes Frame Type Thermal Break!, Yes No
i Comments:
j .
1 Note:Up to 15 sq,ft,of glazed fenestration per dwelling is exempt from U-factor and$HGC requirements,
i
Floors:
j ❑ Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-30.0'eavity Insulation
j Comments; -=-- - --
Floor insulation is installed in permanent contact with the underside of the subfloar decking.
Air Leakage:
❑ Joints,penetrations,and all other such openings in the buildirig envelope that are sources of air leakage are sealed.
i (j Recessed lights are either 1)Type IC rated with enclosures seafedlgasketed against leaks to the ceiling,or 2)Typa IC rated and ASTM
j E263 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance From combustible materials and a 3"clearance from
insulation.
Sunrooms:
❑ Sunrooms that are thermally Isolated from the building envetcpe have a maximum'fenestration U'factor of 0.50 and the maximum
j skylight U-factor of 0,75.New windows and doors separa".ins the sunroom from conditioned space meet the building tharmal•,nvelope
requirements.
Vapor Retarder.
j ❑ Vapor retarder is installed on the warm-In-winter side of all nth-vented framed ceilings,walls,and floors;or It has been determined that
moisture or its freezing will not damage the materials;or othw approved means to avoid condensation are provided.
Comments:
i
Materials Identification and Installation:
Materials and equipment are installed in accordance with the manufacturer's installation instructions.
❑ Insulation Is installed in substantial Contact with the surface being insulated and in a manner that achieves the rated R•value,
Materials and equipment are identified so that compliance can be determined.
Manufacturer manuals for all installed heating and cooling equlpment and service water heating equipment have been provided.
❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications.
, i
Duct insulation:
❑ Ducts In unconditioned spaces or outside the building are Insulated to at least f2 9,
rJ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6,
Duct Construction;
❑ Air handlers,filter boxes,and duct connections to flanges of Fair distribution system equipment or sheet matai fittings are seE:,;a and
I mechanleaify fastened.
i
i
—.._.w.._:.. _ ..__..._.�_._.:-—.... ...........
i Project Title, CHUCK PALTSIOS a Report date; 12/30109
Data filename: Untitled.rck Page 2 of 3
`12/30/2009 15:56 5088889609 MAP INSULATION PAGE 03/04
i Q All joints,seems,and connections are made substantially airtight with tape's,gaskating,mastics(adhesives)or other approved closure
systems,Tapes and mastics are rated UL 1.81A or UL 181 Bt
Building framing cavities are not used as supply duds.
Automatic or gravity dampers Ara installed on all outdoor air.intakes and exhausts
Additional requirements for tapa saaling and metal duct crimping are Included by an inspection for compliance with the international
i Mechanical Code.
i
Temperature Controls:
1
. F
A manual or automatic means to ar6ally restrict or shut off the heatirg and/or
Cats exist for each separate HVAC system. p
Thermos P Ys
D cooling input to each zone or floor is provided.
Circulating Service Hot Water Systems
Circulating service hot water pipes are insulated to R-a
Circulating service hot water systems Include an automatic or adoessible manual switch to turn off the circulating pump what,the
{
system is not in use.
Certificate:
' i
❑ A permanent cartificata is provided on or In the electrical distribution panel listing the predominant insulation R-values;window
I Vectors;type and efficiency of space-conditioning and water heating equipment.
i
NOTES TO FIELD:(Building Department Use Only)
I ,
j
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1
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I I
I
i Protect Trtie: CHUCK PALTSIOS - - - �_-- Report date: 12130109
Page 3 of 3
Data filename:UntitledAk
I
*12/30/2009 . 15:56 5088889609 MAP INSULATION PAGE 04/04'
2006 IECC Energy
Efficiency jCerftificat
Insu lation Rating
Ceiling!Roof 30.00
Wall 19.00
Floor/Foundation 30.00
! Ductwork(unconditioned spaces):
Glass&D.. 1
I ,
Window 0.30 0.30
Door
®A0
Water Heater.
Name: Qate:
i
Comments:
i
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Massachusetts- Department of Public SafetN
Board of Building Revelations and Standards
Consfruction:Supervisor License -
.�
.,Lice,nse:.CS 6653
Restrictedto00:
�. .. :�.
=zCHARLES&TALTSIQS, ` {yl
483 LONGIMEW DR s F
4'CEN TERVILLE,IMA'66632 '
�v
Expiration: 9/22/2011
CommiSvione"r Tr# 2790 -
_..
�fze �anvrr�a�uuea�I� o� °°"�' P License or registration valid for individul use only
Office of Consumer Affairs&Business Regulation before the expiration date. If found return to:
HOME IMPROVEMENT CONTRACTOR i >Office of Consumer Affairs and Business Regulation
Registration'^�114644 10 Park Plaza-Suite 5170
Expiratioa.�1D%8/2011 Tr# 288141 i
Boston,MA 02116
Type BA IN
_. 'Tot
C.PALTSIOS BLDG&RE�VIODE41NG
CHARLES PALTS1OS
183 LONGVIEW V - - --
,e
CENTERVILLE,MAr63 ;r% Undersecretary• Not valyd without signature
( t
E�q
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map .l Parcel_ Permit#
Health Division �J ` ? J cr, � � Date Issued — 19
Conservation Division i4�1 opc Fee 77' d
Tax Collector � t It,lot l�N i "y "°'� E° % �
HkliY&LL IN COMPLIANCE
Treasurer &I.' O t ��ATH TITLE 5 Cc S
�, 1C
Planning Dept. ENVIRONMENTAL'CODE AND
TOWN REGULATIONS
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address r- -bv' b �
Village O-e-'l22!& //p ,a,4 .
P
Owner �efw F 'L4 Address
Telephone 0.1;--
Permit Request . S i ' ecch G-V
�cPc,���c nt es wt�.� �� �� I-b 2-�t �' L c✓ ►'I A�;
Square feet: 1 st floor: existing 76 2- proposed 2nd floor: existing M_ proposed Total new`
Valuation �d20� Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family C§ Two Family 0 Multi-Family(#units)
Age of Existing Structure � /,r K/5 Historic House: ❑Yes O'No On Old King's Highway: ❑Yes 6_90
Basement Type: 6"Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing / new Half:existing new
Number of Bedrooms: existing9 new
Total Room Count(not including baths): existing t� new �- First Floor Room Count
Heat Type and Fuel: 6 Gas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes L4 Fireplaces: Existing New Existing wood/coal stove: ❑Yes &<O
Detached garage:0 existing ❑new size Pool: 0 existing O new size Barn:O existing ❑new size
Attached garage:O existing ❑new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization O Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION ;
Name Telephone Number
Address f 63 License# el!!6 G S3
Ile -go ego 00?6 3:L Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO J/u w P
SIGNATURE DATE /// 7/0/
r
'4 FOR OFFICIAL USE ONLY
PERMIT NO.
T DATE ISSUED �.
.4
MAP/PARCEL NO.
ADDRESS VILLAGE
.^ OWNER • � � . i ' � �1 ,_ - ..
DATE OF INSPECTION
# FOUNDATION '
t _
' FRAME V I
,t INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
r ;
PLUMBING: ROUGH ' - FINAL '
GAS: ROUGH FINAL
t FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
i
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-13LIcensing Board
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Of THE t� _
Th• e Town of Barnstable
9q, �0 Regulatory Services
�Ec�►+' 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: 1 ,5L seco l- Ai2z, Estimated Cost Wo
Address of Work: C /30,Al,v 7' �,� � �Q�Tc���r/ls'� ,5 S_
Owner's Name: P� ,La Ta St"/ f
Date of Application: ///9Z` /
I hereby certify that:
Registration is not required for the following reason(s):
t []Work excluded by law
[]Job 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.
OR
Date Owner's Name
gl6mis:Affidav
i ✓fie �o,,,,,,zo�uueallf o�,/ 000cfeuaeka
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number CS 006653 s
i,
Birthdate:.09=944 e
t
,,. Expires:Og/M001 Tr.no: 4742 ) j
Restricted To: 00 !
CHARLES G PALTSIOS' '
_ 183 LONGVIEW DR :� '
CENTERVILLE, MA 02632 Administrator
mmv�p.P'
UNE INPROVENENT CONTRACTOR
4lstiatioa012
;
` IQal��ana�
PACTSIOS BLD6,A RENODEII
- ,
z HARLES PAlTS10S x M�
do�i ONGREN OR
WMINISTRATOR CENTERVILIE NA 02631
'E� � ,
MAScheck COMPLIANCE REPORT I I
Massachusetts Energy Code I Permit # I
MAScheck Software Version 2.01 I I
I L
I Checked by/Date •I
- I I
CITY: Barnstable s
STATE: Massachusetts
HDD: 6137
CONSTRUCTION TYPE: 1 or 2 Family, Detached
HEATING SYSTEM TYPE: Other (Non-Electric Resistance) C
DATE: 1-8-2001
DATE OF PLANS: 8-23-2000
TITLE: New second floor
PROJECT INFORMATION:
# 6 Bridgets Path
Marstons Mills, Ma. 02648
COMPANY INFORMATION:
Chuck Paltsios & Son
Building and Remodeling
183 Longview Drive
Centerville Ma. 02632
NOTES:
MaCheck by Cape Cod Insulation INC. "
# 1788
COMPLIANCE:. PASSES "
Required UA = 108
Your Home = 90
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 336 30.0 0.0 12
CEILINGS 354 30.0' 0.0 12
WALLS: Wood Frame, 16" O.C. 656 - 13.0 0.0 54 `
GLAZING: Windows or Doors,. 35 0.330 12
HVAC EQUIPMENT: Furnace, 81.0 AFUE
-----------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit.application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building, and the cooling load if appropriate,
has been determined using. the applicable Standard Design Conditions found
in the Code. The\HVAC equipment selected to heat or cool the building „
shall be no greater than 125 of the design load as specified in
Sections 780CMR 1310 and J4.4. -
Builder/Designer Date '
Tie,-
r Kew( 71
t
MAScheck INSPECTION CHECKLIST
r MassaChusett3 Energy Code
MAScheck Software Version 2.01 '
New second floor
DATE: 1-8-2001 +
Bldg. 1 r
Dept. ]
Use
I CEILINGS:
[ l I 1. R-30
I Comments/Location
[ ] I 2. R-30
i Comments/Location,..
I •
WALLS:
[ ] I 1. Wood Frame, 16" O.C., R-13
Comments/Location
I WINDOWS AND GLASS DOORS:
[ l I 1. U-value: 0.33
I For windows without labeled U-values,, describe features: x
I # Panes Frame Type Thermal Break? ( ] Yes [ ]' No
( Comments/Location
I '
HVAC EQUIPMENT:
[ ] I 1. Furnace, 81.0 AFUE or higher
I Make and Model-Number #
I
I AIR LEAKAGE: F
[ ] I Joints, penetrations,. and all other such openings in the building
I envelope that are sources of air leakage must be sealed. When
I installed in the building envelope, recessed lighting fixtures
I shall meet one of the following requirements:
I 1. Type IC rated, manufactured with no penetrations between the
I inside of the recessed fixture and ceiling cavity and sealed or
gasketed to prevent air leakage into the unconditioned space.., `
I 2. Type IC rated, in accordance with Standard ASTM E 283, with no
I more than 2.0 cfm (0.944 L/s) air movement from the the
I conditioned space 'to the ceiling cavity. The lighting fixture
I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure
I difference and shall be labeled:
I VAPOR RETARDER:
[ ] I Required on the warm-in-winter side_ of all non-vented framed
I ceilings, walls, and floors.
I .
MATERIALS IDENTIFICATION:
[ ] I Materials and equipment.must be identified so that compliance can
I be determined. Manufacturer manuals for all installed heating
I and cooling equipment.and .service water heating equipment must be .
( provided. Insulation R-values, glazing U-values, and heating
I equipment efficiency must be clearly marked on the building plans.
I or specifications.
I DUCT INSULATION:
Duct's shall be insulated per Table J4.4.7.1.
I DUCT CONSTRUCTION:
( ] I All accessible joints, seams, and connections of supply and return
I ductwork located outside conditioned space, including stud bays or
I joist cavities/spaces used, to transport air, shall be sealed
I using mastic and fibrous backing tape installed according to the
I manufacturer's installation instructions. Mesh tape may be
I omitted where gaps are less than 1/8 inch. Duct tape is not
i permitted. The HVAC system must provide a means for balancing
I air and water systems.
I
I TEMPERATURE CONTROLS:
[ ] I Thermostats are required for each separate HVAC system. A manual
I or automatic means to partially restrict or shut off the heating
I and/or cooling input to each zone or floor shall be provided.
I HVAC EQUIPMENT SIZING:
[ ] I Rated output capacity of the heating/cooling system is
I not greater than 125% of the design load as specified
I in Sections 780CMR 1310 and J4.4.
[ ] I SWIMMING POOLS:
All heated swimming pools must have an on/off heater switch and
I require a cover unless over 20% of the heating energy is from
I non-depletable sources. Pool pumps require a time clock.
[ ] I HVAC PIPING INSULATION:
I HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in.) :
PIPE SIZES (in.)
HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0=1" 1.25-2" 2.5-4"
Low pressure/temp. 201-250 1.0 1.5 1.5 2.0
I Low temperature 120-200 0.5 1.0 1.0 1.5
I Steam condensate any 1.0 1.0 1.5 2.0
I COOLING SYSTEMS:
Chilled water or 40-55 0.5 0.5 0.75 1.0
I refrigerant below 40 1.0 1.0 1.5 1.5
I ,
( ] I CIRCULATING HOT WATER SYSTEMS:
I
Insulate circulating hot water pipes to the following levels (in.) :
PIPE SIZES (in.)
I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS
I HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+"
170-180 0.5 I 1.0 1.5 2.0
I 140-160 0.5 I 0.5 1.0 1.5
I 100-130 0.5 1 0.5 0.5 1.0
I
----NOTES TO FIELD •(Building Department Use Only)-------------------------
SMOKE DETECTORS
ARNS SABLE BUILDING DEPT.
w�nar�•�NP _ y �-7+—
h'�ovn�t-,_vas. •
L
rt "jW
sY•aE si..fxc GoF- r�� .c•ae- _ i'
•uc rib` . �
EXissavE snYz _ �/ / O
RAI
Ctosaf
c aF.vir
ofl
y'
ON 183 LONGVIEW DRIVE
C. pALTSJOS 5 S CENTERVILLE, MA. 02632 o TAL
EE: •VYROVED Bv; sE m OEY:
PFVIEED
771-1410
BUILDING &
RE
MODELING LICENSE # 006653 Dn�WiwD MU�6EN
•Y[w F/RIANO FffNOGNAfM�C56 SUvnvCO. '
- Y c
2—
All
< ,
G �Lse 7
1 7-
ca
_ y
ve co
�p►110M y J JAMES K. SMITH �`P q, �
REAL ESTATE- CONTRACTING -CUSTOM BUILDING � ■���
P. 0. Box 12.4 Rte. 132 'na+s•;
uMirtoss�Es Barnstable. Mass. 02630 (617)771 -4715 Hyannis,Mass. 02601
TO: Joseph Da Luz RE. Insulation in Basement Ceiling
Veaaage
Dear Mr. DaLuz:
'Re: insulation in basement calling at Lot 19 Bridget's Path.
As of this date, the insulation has not been installed, but will be
installed as soon as our insulation subcontractor makes the material
available.
DATE March 5, 1979 SIGNED
DATE SIGNED
TOWN OF BARNSTABLE , Permit No. 2051
8
{ n.� i Building Inspector cash - - --
°"'Y OCCUPANCY*: PERMIT- Bond X
No building nor structure shall I
e-a ected, and no land,building or structure shall be
used for a new, different, changed,-or enlarged use without a Building Permit therefor
first having been obtained from the Building'Inspector' No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector,"
Issued to Janes K: Smith Address Barnstable
lot #19 200 Taramac Road, Centerville
Wiring Inspector
Inspection date
_..�
Plumbing Ma pe or c�! Inspection date
Gas Inspector r Inspection date
e Engineering Department / Inspection date u
77
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.
/ 9 e I _ V./I_.......... 19
L!Building Inspector
Assessor's map and lot number .... .:. . .. ... ... .....: .�••
y0 tHE TO
F.-P- SEPTIC -SYSTEM MUST BSewage Permit number _ INSTALLED IN COMPf_IAN
WITH ARTICLE I I:STATE E = BAEBSTADLE,
2-00 Mae&
House number ...............................................'................... = SANITARY CODE AND TO 9�039• `0�
REGULATIONS. MAY or
I TOWN- OF MBARNSTABLE
BUILDING IN§PECTOR
APPLICATION FOR PERMIT TO ... S,�NST �,?4T:.... ,.?lt lf~a.1.�N.�a..............................................................
TYPE OF CONSTRUCTION ........:...� ts;, off......... &NRF.............................................................................
................ E�..�`f
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....�017.....A.`q...... AJi J'<MIh -.....SS . . . ... E . ... .—V ....:........:...
ProposedUse .I D 1�l;T I i?dt.................................................................................................................................::.....
Zoning District ..... -................................Fire District ....0 Gh�T't� �lll C- s l_LC-
...........................
Name of Owner �pcMCS Y .....C�l�!! ....................Address �►�2Ns i f�3L.E
......................... ....................................................................................
Name of Builder .. •.... ''11..1..1�.....................Address .... ;lad i..1 .f ...........................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ....... .......................................................Foundation .Rf`. >....... Ci? .T.G.....................
Exterior .�rP�1PEzti.t�....I'p...C�?�f.N4E.......................Roofing ........ .......� ........................
Floors .... .. A&L.........................................Interior ..... 4�. !AI,.(
..........................................
Heating ... ..N W..... jf.....014.......t...................................Plumbing .......... ............................................:.....
Fireplace .............ON.F...........................................................Approximate Cost ..... I.�. �.®...................... �........... ....
Definitive Plan Approved by Planning-Board -------------------_-----------19________. Area ................... .... .............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH GNP'
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .....!^... a,. .....�o.1,k. ...................
Smith, James K.
3 w ,
-KI
20918
o ................. Permit for .......1..1L2..Stax:y......
.......... ingle„fame,ly...CIWel_Ung,.....���'9V�1
Location .......... T4r2 {oa ............... a
....................Ce terviLl.e.............................. r. � --► _
Owner ............James..K.. ..Smith.......................
Type of Construction
............................................... ...............................
Plot ........................ Lot ..........#19..............................
�.
1
Permit Granted .......... .19 78
/ .. -7 y
Date of Inspection .. . ....:...! 19
Date Completed .......................................19
PERMIT REFUSED
................................... 19 r ,.
................................................................. ..... .+
........................................................................... ...
-
Approved ................................................ 19
_
.................... ................................... ..........
a
1,2 7
Assessor's map and lot number ......e:721�....................e 14c,
............. "f E ro
Sewage Permit number ............ ... ................................... ..
MARNSTAILE,
House number ..................................................................... MAB&
1639-
MO
<A
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .... .r
. ... . ...............................................................
.... .. ..... .... .....
TYPE OF CONSTRUCTION ............ .........T.!oh!�aF..............................................................................
................................................I 9.D.?
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...... ......... 4 r
......................................................................................... .............................................................
ProposedUse .... ........................................................................................................................................
Zoning District . .. .........Fire District It I- 7 - (,\7%-rr7. - t.L—L.c-
. ..... . . ... ... ... ...................... ... .... ...... .. .. ................: ................ ... a. ......
Name of Owner Y,...... . .........................Address ...a WST
...........................................................................
Name of Builder ......
... ........ .. . ...."
. ......................Address ....a�m ............................................
Nameof Architect .7....................................................Address .-'�..........................................................................
Number of Rooms .......4........................................................Foundation (- -rI7-
... ...............................................
Exlerior 0. ......................................................................
... ... Roofing .......
Floors ....... ...... ALAA..,.........................................Interior' ..... (J........................................................
Heating g.......
.. ....
....................................................................Plumbin ...................... .. ....................................................
Fireplace ...............�NS.............................................................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
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
NameL....................... ..... .......................................
Smith, James K. A=169-110
`r
No ...... $- Permit for ....1„1/2„story,,,,...
sin.aT roily„dwelli,n
Location ........II:....
................ . .. qd........ .... ....
.........................�'*ntervi.,J.�..............................
....elamA K.« ................r51]17,tikl Owner ................ ..... P.
Type of Construction ... f amp........................
............................................................
Plot ............................ Lot
#19
Permit Granted December 19 ...19 78
Date of Inspection ....................:...............19
Date Completed I..........19
PERMIT REUSED
t
.................................. . ................... 19
rA�.. ....... z. ........... ........................
.......'.�........... . ..... .............................
...................�. .. ....... .... .. ...........
............ ........... . ..................
Approved ......... ..................................... 19
...............................................................................
...............................................................................
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