HomeMy WebLinkAbout0139 BUCKSKIN PATH i39 �u�c„J �qn�
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Cape Save Inc.
7-D Huntington Avenue
South Yarmouth, NIA 02664
Tel: 508-398-0398 Fax: 508-398-0399
3/12/18
Brian Florence CBO
Town of Barnstable
Building Division
200 Main St.
Hyannis,MA 02601
RE: Insulation Permit 18-52
Dear Mr. Florence:
This affidavit is to certify that all work completed for 139 Buckskin Path, Centerville has been
inspected by a third party Certified Building Performance Institute(BPI)Inspector.
All work performed meets or exceeds Federal and State Requirements.
Sincerely,
MAR 26 2018
William McCluskey TOWN OF
U"
Town of Barnstable Building.
PPost This,Card So That�t i5 Visible'From=the Street Approved=Plans Must be-Retained on Job and this Card Must be Kept
ostetl Until Final Inspection Haseen Made _ kY '
%639 ♦ a,, y
- ermit
°- Wherea Certificatertof Occupancy is Required,such Building shall Not'be Occupied`until�aF�nal Inspection has been made
Permit No. B-18-222 Applicant Name: George Maynard Approvals
Date Issued: 03/01/2018 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/01/2018 Foundation:
j
Location: 139 BUCKSKIN PATH,CENTERVILLE Map/Lot: 170-064 Zoning District: RC Sheathing:
Owner on Record: MAYNARD,GEORGE&PONTIUS, ERIN Contractor Name Framing: 1
Address: 139 BUCKSKIN PATH -Contractor License: ` 2
CENTERVILLE; MA 02632 Est. Project Cost: $500.00 Chimney:
Description: Remove rear deck and replace with stone patio A wooden:landing Permit Fee: $85.00
will extend 42"from the sliding glass door to three'11"deep stairs � Insulation:
# � Fee Paid:P S 85.00
onto the patio.
Date. 3/1/2018 Final: .
f.
Project Review Req: r
Plumbing/Gas
o g
Ruh.Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six"months after kssuance. Rough Gas:
n a_nd the-approved construction documents`for which this permit has been granted.
All work authorized by this permit shall conform to the approved applicatio
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
a, Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing 4 Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).. Fire Department
Building plans are to be available on site Q, ` �i -Z Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT V�
Town of Barnstable *Permit
Fz�t�es 6 nths r
�* - . Building Department Fer fom issue date
BARN3IABLE, : 1 han Florence,CBOMASS
\
Building Commissioner l
tF0 Mfd A �� a e 200 Main Street,Hyannis,MA 02601
® • www.town.batnstable.ma.us
Office: 508-862-4038 � � � � � Fax: 508-790-6230
EXPRs� T APPLICATION - RESIDENTIAL ONLY .
Map/parcel Number
Not Valid without Red X-Press Imprint
� �
Property Address I � g u�su ki t hn,vl ky L
Z Residential Value of Work$_ /fty • Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �P,QQ(� � A-RD
Contractor's Name �5vpv[!�j Telephone Number °360,27�5
Home Improvement Contractor License#(if applicable)_ 00797 Email: PS 0 CC Q_) jYA•,t00, fed )A,
Construction Supervisor's License#(if applicable)
�CWorkman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy# K2MC'[703s)5
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 1-4P4�_.
Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re aired:
SIGNATURE: (rnj9t_
Q:IWPFILESTORMST)PRESS2017
f
?lie Commomveakh QfMissadrusetls
Department of radu strid Acdd.=&
Office o,f�atians
60.0 Washington Street
Boston,MA 02111
MV1V,nraXLgav1dia
N11nrkers' Campensation Insurance Affidavit:BadersiC,ontractarsMectt clans/Plumbers
A,upfiC.ant Infarma{Tan Ple2se Print
Na=tSustuesstY7rgaaimtionlFa a1 � l. C t71N 4 e.. �10� C
Address: WWS (OW ( ! Imo)
City/Statef , Vn OM Phone-41-- k`3 6 0 7
P
Are you an employer?Check the appropriate bare: ' Type of project(re
quired):
1.[� I am a employes with. _ 4. ❑I am a general contractor and I 6. ❑New eonst<action
employees(full a. or putt-timed* have lured the sub-couhmckxs
2.E I am a sale proprietor orpartner- listed on the attached sheet 2- EIRentoMing
slip and have no.employees. These sub-contractors have g_,❑Demolition
worlung far me in any capacity_ employees and have wodken"
[ldo tvarlflers'comp-Wince comp.m=.gin I 9. ❑Building addition
required-] 5. ❑,We are a corporation and its 1O❑Electrical repairs,cr a,dditions
officers have esemised their
3.❑ I am a homeouner doing all wad 1 L❑Pfnmbingrepairs or additions.
myself r�To vtt&km' of a wgifion per MGL . 12_❑Roof 1ep�
insurance required-]T c.152,§1(4k andwe have no
employees_[lea woz1�' 13.El Other
coup_insarmw required_]
•tYrry appfics�ahat cbecksbos�1 mast aLsa fillootth�seeeioabe7aw�o�ug theirwmiced compeasatiaapaI'icy infoamBGioa_
t Homeowners wbo submit dhis affidavit indicating they ate doing zU waak=A rhea hire outade couttactotsmost submit anew affidx&indicating s:uli.
ZCan=ct=thateI,eckthisbmtmastattachedsaaddiii— sheet sbnuiag the mmneofthesubca+trw►=and state whetheror not thoseeatitiesbave
—Pluees.If tbesnbc=tzctaesbave employee;dLeynmstpmvidedA&wwkers'c=pgpolkynumbm
I ant an entpIoyeer that is prn dhrg workers'compertsad-an insnranca for any*errnpfajwes ,Below is the policy arrd jolt site
informatiom
Insurance Company Name: -
Policy A'cr self-ins.Lic. Expiration Date:
Job Site Address: I)Lt ��� city/state/zip:-
Attach a copy of the workers'compensationpolicy declaration page(sh-avving the policy number and expiration date).
Failure to secure coverage as required.under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a
fine up to$1,50D 00 andtor one-year impriisonmenk as welt as civil penalties.in the fom of a STQP WORK ORDER and a EM
of up to$250-00 a clap against the violator_ Be advised that a copy of this statement may.be firwarded to the Office of
Invest ga#ions ofthe DIA for insurance coverage verification_
ido hawby certify tz t pains a idperrabYes of payary thatthe informagwi-provi&d abmw is true and correct
;Yienature: �/ Date: ( III
Phone i€ '
OBWid use ant}. Do not write in aria area,to be completed by tarp artown ofj`ieiat
City or Town: PerrmtUcense 4
fiming AIIthority(curle one):
1.Board of Health 2.Budd Department 3.City/rown Clerk d.Electrical Fnspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
Information and Instructions ,
Massachnsetts CTC n al Laws chapter IU regoites all employees in provide wo6eas'compeasatton for their employees.
PnrsrrM3t`to this statote,an rnrplvyee is defined as.°`_.evmy person in the service of another under any corttract of Miry
empress or implied,oral or ."
An employer is defined as"an mc�idnaI,pasinersb�,association,corporation or other legal etrEiiy, or arty two or more
of the Rxegoing=gaged is a Joint and includmg the legal representatives of a deceased employer,or the
receives or trastee of an individual,part ship,association or other Iegal entity,employing employers. However the
owner of a dweUjog house having not more three aparfineufs and who resides therein,or the occupant of the -
dwffi g house of Eater who employs persons t0 do make,cons(racdon or repair work on such dwelling house
or on the grounds or bmdmg appu�thereto sh0notbecanse of such employmr Abe deemed to be an employer."
MGL chapter 152,§25C(6)also stars 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 conimoawealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.."
Additionally,MCrL chapter 152,§25C( )sintes"Neither the conrinaawm1h nor any ofits political subdivisions shall
enter into any contract for the performance ofpubho work mutt acceptable evidence of compliapce with the fimir ncd._
req=-ements of this chaptm.have been Presented to the cn— - a antboity."
Applicants
Please:fill out the wofl='compensation affidavit completely,by checIong the boxes that apply to your sitnation and,if
necessary,supply sub-contractor(s)name(s), addresses)and Phone nimmber(s)along with their cerifficate(s)of
T,sr ance. Limited Liability Compames(LLC)or Limited Liability Parta=s s(LU)wifhno employees other than the
members or partners,are not rbgaired to cagy workers'compensation insurance. If an LLC or LLP does have
employees,apolicy is required. Be advised that this affidagit may be snbmith:d to the Department of Industrial
Accidents for confirmation of mm i sce coverage Also be sure to sign and date the affidavit: The affidavit should
be-r$tomed to th.e city or town that the application for the permit or license is being requested,not the Department of .
Tnamsti-ial Azgdenfs. Shouldyou have any questions regardmg the law or ifyou ale rcgan d to obtain a workers'
compensation policy,please call the Department at the number lisisd below. Self-insured companies should enter their
self_fijm 7a ce license number on the appropriate line.
City or Town Officials
Please be store that the affidavit is comrplelo and prided.legiibly. The Department has provided a space at the botbom
of the affidavit for you to fill out in the event the Office of Investiga_ionS has to contact You rem the applicant_
Please be store to fill in the pennit/licrose mmabes which will be used as a reference number. In addition,an.applicant
that must submit multiple permit Ucense applications in any given yea-,need only submit one affidavit indicating current
policy in�rrnation(if necessaiy)and Tmri "Job Site Address"the applicant should write"all lacati;,ns in (may 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 fare pmmits or licenses. A new affidavit must be fJled oiit each
year.Where a'home owner or citizen is obtaining a license or permit not related to any business or commercial vent=
(i.e. a dog license or permit to burn leaves etc.)said person is NOT regtmed to complete this affidavit
The Of of Investigations would I1ke to thank you in advance for your coaperafion and should you have any,questions,
please do not hesitate to give us a call.
The Department's address,b4ephone and fax mIMIber:
Comma TMI*of chnsetts
Depaximmt of IT;&Istdal Amid enta
(ice Of kv tio,=
fQ4 Waawmatan
laosto-n,MA 0�111
Tf,-L 4 617' -49W c�- 06 car I-M-MA&AM
Fay 9 f 27 727 7M
IZEvised4-24-D7 MR Sg 9PV/dia
a
71 i`
C1Y �_ JI.JL Cot Ed, LLB..
BBB.:
68 Winslow Gray Rd
West Yarmouth, MA 02673
508-360-2749
e-mail. rsocc(cD_yahoo.com
roofingandsidingofcapecod.com
H1C REG#170787; LIC # 102600
Job Address: 139 Buckskin Path
Name: George Maynard Town: Centerville,MA
Address: Job Phone: 774-256-4493
City: Other Phone:
State: E-mail: georgemaynard119@gmail.com
ZIP: Estimator: Dmitry Labkovich
07/26/17
We hereby.submit specifications and estimates to furnish and install new roofing as follows:
1. Strip existing roofing and remove debris. Calculated(2 layers).
2. All gutters will be cleaned out, grounds cleaned up and nails extracted withmagnets. We utilize
magnets so as to minimize your exposure to personal injure and/or property damage from nails
left behind at the.job site.
3. After removal of roof, wood deck will be inspected for splitting, rot or other deterioration.
Owner will be advised of need for wood replacement prior to commencement of wood
replacement work..
4. Along all eaves of house. Ice & Water Shield waterproofing underlayment (36 " wide) will be
directly adhered to the wood deck. Waterproofing underlayment is installed to eaves to protect
against interior leakage and subsequent damage from wind-driven rain, ice and snow dams, and
freeze back conditions.
5. Install waterproofing underlayment in full width (36 wide) to all valleys and 6" to all rake
edges. Install waterproofing underlayment at all vent pipe collars and any other projections and
skylights. Underlayment adds additional protection against leakage at critical terminations.
Over remainder of house synthetic roofing paper will be installed and nailed to the wood deck.
6. Install new white drip edge to all perimeter cave edges. Drip edge is installed to protect from
leakage and rot and to provide a neat and clean perimeter profile.
7. All existing vent pipes will receive,new aluminum vent pipe flashings with neoprene'gasket
collars, or copper if doing red cedar roof.
8. At all eave edges or roof, shingle starter strip will be cut an installed with sealing strip at lower
edge of roof in accordance with manufacturer's specifications. This provides a watertight and
wind-resistant termination for your roof.
9. Storm nailing: Because we live in a severe storm region, additional (storm) nailing is strongly
recommended by Roofing and Siding of Cape Cod, LLC, the manufacturers and the National
Roofing Contractors Association. Secure new roof with 50% more nailing, upgrade minimum
standard (4) four nails per shingle to (6) six nails per shingle, 1 1/ " long. Nails will be
galvanized with a rust-inhibitive coating.If red cedar roof,then using stainless steel fasteners.
10. Shingle installation: Supply and install roofing shingles according to the manufacturer's
specifications,according to the below selected material and warranty.All work to be performed
by insured professionals.
11. Install waterproofing underlayment surrounding chimney.Underlayment will extend up vertical
portion of chimney a minimum of (2) two inches. Caulk all lead flashings together around
chimney with Dymonic caulk. This is not a guarantee but a maintenance procedure. We cannot
guarantee chimney from leakage with roof job only. See chimney proposal if applicable. We
cannot guarantee existing skylights or venting units unless we replace them with new ones.
12.At peak of roof,an approximate(3)three-inch-wide continuous gap will be cut out of deck. Air
Vent, Inc. Shinglevent II solid vinyl ridge vent with external baffle will be fastened over the
opening in the deck. Shingle caps will be cut, installed and fastened over the vinyl ridge vent
into the decking with 2 1/2 inch coated roof nails. Shinglevent II comes with a 30-year material
warranty from Air Vent, Inc. Shinglevent II vinyl ridge vent provides you home with the
necessary exhaust ventilation to prolong the life of the shingles and the wood sheathing to
ensure a properly balanced ventilation system if used in conjunction with eave intake
ventilation; and provide cooler attic temperatures in the summer and less moisture-laden
damaging air in the winter.
The above s specifications are required to meet the National Roofing Contractors Association_ (NRCA)
roof standards, as well as to meet manufacturer's specifications for warranty requirements. Touch-up
painting maybe required and is not included in this proposal.
Roofing and Siding of Cape Cod, LLC warranty: products and workmanship (100% Labor and
Materials)for 10(ten)Years after installations.
CertainTeed warrants that its shingles will be free from manufacturing defects. Below are highlights"
of the warranty for Landmark-TM. See CertainTeed's Asphalt Shingle Products Limited Warranty docu-
ment for specific warranty details regarding this product.
Lifetime,limited transferable warranty
10-year SureStartTM warranty(100%replacement and labor costs due to manufacturing defects)
10-year StreakFighteflm warranty against streaking and discoloration caused by airborne algae
15-year, 130mph wind-resistance warranty
Landmark, with Life-Time Warranty
Labor$8,750.00
Materials: $6,480.00
If acceptable, initial here ' Color RESA W N S[M KE
We hereby submit specifications and estimates to furnish and install new White Cedar Shmi files on the
following areas:
Clap-board on the front,shingles on the rest of the house.
•
Specifications as follows:
1. Remove existing siding and dispose of debris;
2. Inspect sheathing for rot or other deterioration and advise homeowner of any additional work:
3. Inspect existing waterways at window,door and corner boards and notify homeowner of any
additional work;
4. Install Typar breathable house wrap.
5. Install new window and door drip cap flashing;
6. Install double first course of siding. Install new siding using approximate 5 "exposure
hitting tops and bottoms of windows and door openings as allowed (may not be possible at all).
7. Siding to be secured using rust-resistant fasteners '/inch to 1 inch above next course line;
8. Stainless steel nails 16"on center,flush nailed if using clapboards;
9. Shingle joints to be at least'/4"away from fasteners and,I away from previous course joints(to
minimize exposed fasteners when siding shingles).
10. Clean yard of all debris and utilize magnet to minimize exposure to property or personal
damage from nails left behind:
1
11.Remove and re-install electrical fixtures;
12. Last course to be' hand nailed using 45 box stainless steel nails;
LABOR : $4,940.00
MATERIALS: $5,450.00(Natural,A grade)
r
If acceptable, initial.here: i 1...
LABOR: S1800.00
MATERIALS: $2,200.00(Priined,Red Cedar Clap-board)
n1
If acceptable, initial here: t7,G'�! '7
We hereby submit specifications and estimates to furnish and install new PVC trim (rakes,fascia-
soffit-frieze; corner board) on following areas:
Entire blouse
Specifications as follows:
1. Strip existing trim and dispose of all debris.
2. Install new PVC trim.
3. Use"Coretex"screws and plugs system.
Labor: S4,330.00
Materials: S3,090(Soffit/Fascia/Freeze)
If acceptable, Zl?ltlal here: - 3
Labor: S1,635.00
Materials: $1,165.00 (Rake-boards)
If acceptable, initial here:^ -6-
Labor: $750.00
Materials: $530.00(Corner-boards)
If acceptable, initial here::
TOTAL PROJECT: 41,120.04
If acceptable, initial here: —yam
Job is estimated to commence approximately weeks after deposit received unless otherwise
noted here:
Work is scheduled to be substantially completed in approximately: days If acceptable, (both)
initial here:
Start and completion times are approximate and subject to change due to, but not limited to, the
following circumstances: weather delays, additional work on previous jobs,permitting delays,etc;.
This is the entire agreement. Any discussions or verbal agreements are superseded by this agreement.
Such agreements,even those of the smallest nature,must be in writing to,be recognized.
Any work above and beyond the specifications outlined in this proposal will be priced on request. All.
additional work, including travel time and Iumberyard runs, will be subject to extra charge. In the`
event of rot repairs, roof repairs or any related work requiring immediate.attention, we will proceed
without customer approval.
We look forward to working with you;please call if you have any questions.
Sincerely,
ROOFING AND SIDING OF CAPE COD,LLC
ROOFING AND SIDING OF CAPE COD, LLC will provide cleanup on a continuing basis and all
debris will be removed from site. All products installed by ROOFING AND SIDING OF CAPE COD.
LLC will be to manufacturer specifications. All work will be performed by insured professionals.
All material is guaranteed to be as specified and the above work to be performed in accordance with the
drawings and/or specifications submitted for above work and completed in a substantial workmanlike
manner. There will be no refund for special-order windows, doors or any other non-stocked materials
after three days from approved proposal. All warranties will be null and void if account is not current
and paid in full.
Owner to move all personal objects, furniture, etc., from work areas. All items against walls should be
considered for removal during any exterior siding jobs, additions, etc. to guard against damage. In the
case of any roofing and ridge venting, dust and debris should be expected and any items in the attic
should be removed. ROOFING AND SIDING OF CAPE COD, LLC is not responsible for any
damages if said items remain in place.
Curtains, drapes and window and door treatments may need proper reinstallation or replacement by
customer due to sizing on any window or door replacements and is not included in jobs contracted with
ROOFING AND SIDING OF CAPE COD,LLC
Any alteration.or deviation from above specifications involving extra costs will be executed only upon
written orders and will become an extra charge over and above the estimate.All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary
insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work
to be taken out by ROOFING AND SIDING OF CAPE COD, LLC. Owners who secure their own
construction-related permits or deal with unregistered contractors will be excluded from access to the
guaranty fund.'
This Contract not valid unless sinned by Corporate Officer:
Acceptance of Estimate
The above prices, specifications and conditions are satisfactory and are hereby accepted. ROOFING
AND SIDING OF CAPE COD,LLC is authorized to do the work as specified.
Payment will be made as such:
1/3 Deposit S� 2U_3 Ccvx
1/3 Beginning of work.
1/3 upon completion
G�
Date:
Signatures:
Note: No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of
such contract. You, the buyer may cancel this transaction at any time prior to midnight of the third
business day after,the day of this transaction.
e cParyvrnoncuealC�a�CiaCataccc�uJelta.
Office of Consumer Affairs&Business Regulation License or registration valid for individul use only
ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
170787 Type: Office of Consumer
Affairs
a
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iration:: �,2��g�20_1_, Business Re ulation-- 7 g
___ LLC 10 PLVIegistration:
- ark P
-a Plaza-Suite 5170
��� Boston,MA 02116
>OFING AND SIDINGflF C/�B�COD, LLC.
MITRY LABKOVICN- <'
WINSLOW GRAY RD
YARMOUTH, MA 02673
Undersecretary Not valid witho
I gnature
Massachusetts Department of Public Safety
?� Board of Building Regulations and Standards
License: CS-102600
Construction Supervisor
DZMITRY LABKOVICH
68 WINSLOW,GRAY RE, tee
WEST YARMOUTH MA;02673
/Irk_ Expiration:
C ruin' 03/27/2019
Commissio er
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Town of Barnstable
200 Main Street, Hyannis MA 02601 508-862-40
Application for Building Permit
Application No: TB-18-52 Date Recieved: 1/5/2018 0
Job Location: 139 BUCKSKIN PATH,CENTERVILLE
Permit For: Building-Insulation-Residential
Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776
Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398
(Home)Owner's Name: MAYNARD,GEORGE&PONTIUS,ERIN Phone: (207)631-8557
HAYES
(Home)Owner's Address: 139 BUCKSKIN PATH, CENTERVILLE,MA 02632
Work Description: Add R-38 fiberglass,and R-44 cellulose to the attic.Add R-19 fiberglass to the basement. Air seal the attic
plane and basement with expanding foam. General weatherization.
Total Value Of Work To Be Performed: $4,500.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: William McCluskey 1/5/2018 (508)398-0398
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $4,500.00 Date Paid Amount Paid i Check#or CC# Pay Type
Total Permit Fee: $85.00 1/5/2018 $35.00 1XXXX-X}DIX-� Credit Card
_ 0299
Total Permit Fee Paid: $85.00 ti5izot8 $So.OoXXXX-XXXX-XXXX � Credit Card
I 0299
la Maiq���
1
Town of Barnstable *Permit# QOIo/�/9
Expires 6 mondu from issue date
X-PRESS PERMIT Regulatory Services Fee o?
Thomas F.Geiler,lDirector,
JUL 1 2 2006 ]Building Division 6.
TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,Mtn;02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number / h
Property Address &e-e5:4",.1 � / � / V 4 d 26 z
Residential Value of Work #o?/e--6 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address N". AKrbGcgPF"$o&)
Contractor's Name //a"C /M Peoy. '-Pi✓C o/- _Telephone Number SW 77 9- 201 S�
Home Improvement Contractor License#(if applicable) l L/ ? 7 7 0
�Ionstruction Supervisor's License#(if applicable) D6 9/ Sa
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I the Homeowner
have Worker's Compensation Insurance
Insurance Company Name ���. �/ E��/ tw '
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box) +
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
Replacement Windows. U-Value o (maximum.44)
*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.
ome Imp vem nt Contractors License is required.
SIGNATURE: \. ✓� / z°
Q:Forms:expmtrg 1q OW\t' f✓11 Pro✓Q S PAC GCS 15 eor &4 p o �D�
Revise071405
Department of Industrial Accidents
Office of Investigations
W
a 600 Washington Street
Boston, AM 02111
y° www mass.gov/dia
.Workers' Compensation insurance A.fridavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lezibly
//��
Name (Business/Organization/Individual): (:?C (766 Z:�A/6 l/U I r2ey, fA£C .
Address: ZS / Y�ou6l•I 42 1zT• 2.6
City/State/Zip: i1kh-oJti1s M/4 Phone #:
Are y an employer? Check the box: 'Type of project(required):
1. I am a elrlployer with 4. ❑ I am a general contractor and I 6 New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or p artner-
listed on the attached sheet $ 7• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner ner doing,all.cork right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.] t . employees. nc workers' l� ,4 L,;,cvmp.insurance required.] 13. Other rY1 �/
"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 their workers'comp.policy information.
4 I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. /J
Insurance Company Name: Tll&�_ IAJ f. 1 G C�VC� I rc g• (7
Policy#or Self-ins.Lic. #: ��r 7 Expiration Date:
Job Site Address: /•��/ / GCS`/Gi � i City/State/Zip: UV7Z-_L,v1 Le_ Lr Q Z43 2-
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 rd nder t e par s and penalties of perjury that the information provided above is true and correct
Signafore I'G e Date: /
Phone#:
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.Eo2rd of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1
6. Other
Contact Person: Phone T:
i
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for thgir 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-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of
insurance. T-imitrd Liability Commmies(i1L.Q or Limited Liibafity 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 event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the pemut/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 burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions,
lease do not hesitate to give us a call.
P �
The Department's address, telephone 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-o77-MASSAF.E.
Fax #; 617-727-7749
Revised 5-26-05
w-ww.mass.aov/pia
a
v°JIM 1p ' Town of Barnstable
Regulatory Services
Thomas F.Geller,Director '
Building Division.'
TED Mpti � '
Tom Perry, Building Commissioner
200 Main Street $yannis,MA b2601
www.town.b arnstabl e.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
'If Using ABuilder
/wrl-7 ,as Owner of the subject property
hereby authorize ��j� G to act on my behalf,
in all matters relative to work authorized bythis building permit application' for.
(Address of Job)
Signature of Owner Date
Print Name
Q:F0F MS:0 WNbRMBRMLS S10N
ASS del
i
iTOWNOF BARNSTABLE BUILDING PERMIT APPLICATION
Map I ® Parcel 06 Permit# D '2 j
Health Division 7 37)/k1l) !� ,�� Date Issued
Conservation Division 0? DI& Application Fee
Tax Collector —7�/g�� Permit Fee 2
Treasurer SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Planning Dept. WITF;TITLE 5 --
Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND
T0IN MREGUL `'fON.)
Historic-OKH Preservation/Hyannis
Project Street Address �( L�Ur✓�� K I � _
Village II n
Owner yy,n . � l l� e a��� Address 29 D UC IL 5 6 0 -Po,- -k
Telephone 3
�(Dr1 p S� _ 2VOOV-e 10
Permit Request � S D S'� f
e utk yes S vre, d _
� , �l i c! vi � � a� � i>I•e C��S h
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 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)
y�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=sfove: ❑Yes �3 No
co
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exissT4 g ❑new sizes
CD -0
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: "r
yr
(./F r
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ '
Commercial ❑Yes ❑ No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION G /A
Name I v �� �5 �� �I Telephone Number St — l 2�''
Address S 0WtD W t2. Co( , License# 6-5 6 5-7 03 2
Home Improvement Contractor# lob 7y y
Worker's Compensation# G A W
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO &_44
SIGNATURE L�a ` DATE 1�Ur
,
FOR OFFICIAL USE ONLY
•
PERMIT NO.
DATE ISSUED
t
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION 0' �-vL, -f U•
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH-- : ' FINAL ,
GAS: ROUGH-,;: E`: FINAL
FINAL BUILDING
vu
DATE CLOSED OUT
ASSOCIATION PLAN NO.
'1
y
I "
P�OFIHE 1p Town of Barnstable
Regulatory Services
Z B"NSTABLE, " Thomas F.Geiler,Director
MASS
v� 1639• �`� Building Division
pTED MPy�
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, along with other
requirements.
76
Type of Work: y`''- ? Estimated Cost 67{ 7
Address of Work: 1� UCI�S)Lj i
Owner's Name:
Date of Application: 7
I hereby certify that:
Registration is not required for the following reason(s): ..
❑Work excluded by law
❑Job Under$1,000 t
❑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 here y appl for a permit as the agent of the owner: /D07y()
OS' ffv �(22�
Da e Contractor Nand Registration No.
OR
Date Owner's Name
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03/26/2003 15:21 5087601407 NORCROSS & LEIGHTON PAGE 01
ACORD„ CERTIFICATE OF LIABILITY INSURANCE °"03/26 Y''
IL�1 03/Z6 03
PRODUCER THIS CERTIFICATE Is ISSUED-AS A MATTERINFORMATION
Norcross t Leighton Cape Loc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
C.J.McCarthy Ins.Agency,Inc. HOLDER.T}Bs CERTIFICATE DOES NOT AMEND,EXTEND OR
437 Station Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
So.Ya►smouth MR 02664
phone: SOB-394-0946 lax:508-760-140'� INSURERS AFFORDING COYERAal�
INSURED . , INSURER A: Stational Grange Kutual. Ins. Ca
ruuRER B: Safety Insurance comany
C� apai Rom I roveE>ent Inc. INSURERC. ftallyd Insurance Group
G twit INSURER
INSURER e
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MOW BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN TYPE OF INSURANCE POLICY NUMBER TEmll=w LIMITS
oENEAAL LIABILITY EACH oCCURRENCE $1000000
A X CQMMERCULLGENERALUABILRY MPS02733 04/01/03 04/01/04 RIRE DAMAGE(Anyone Fn) t 300000
CLAIMS MADE OCCUR MED EXP(Arty on.Pam") $10000
PERSONAL A ADV INJURY i 1000000
OENERAL AGGREGATE $2000000
OENLAGGREGATE LIMIT APPLIEOPIER: PRODUCTS-COMPIOPAGG s2000000
POLICYM S.'i El LOC
AUTOMOBILE LUIBILITY
ppMBINED SINGLE LIMIT :
$ ANY AUTO 1601064 04/01/03 04/01/04
ALL OWNED AUTOS BODILY INJURY
S SCHEM&MAUTO$ (P�rp.,�„) $1000000
X HIRED AUTOS BODILY INJURY
$1000000
X NON-M"FDAUTOS
� AMAGE $500000
ft dwvo
OARAOELIoure AUTO ONLY.EA ACCIDENT S
ANY AUTO - pp�T{�11 THAN EA ACC $
MJTONLY: AGO f
Excess uABIuTY EACH OCCURRENCE f
OCCUR CLAIMB MADE AOOREOATE t
• 3
DEDUCTIBLE i
RETENTION d :
WORKERaCOMPENSATbNAND ][ AI
IMI ER
UUA Il
EMPLOYER&LLTIY Y
C CJA1PC401043 01/01/08 01/01/04 E.L.EACH ACCIDENT $100000
EL•DISEASE•EA EMPLOYEE S 100000
LL,DISEASE•POLICY LIMR t 500000
OTHER
DESCRN'TION OF TIONSILOCATIONSlYEFIICLE UiIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUINO INSURER WILL ENDEAVOR TO MAIL .lJL-DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIOATK7N OR LIAAILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR
REPRESENTATIVES.
AUTHORED ATIvt
lid
ACORD 26-8(7IYT) COMPORATION 41141
,,•r_ +►+Haa•aM'kta+•rwww�'.mrv�!NFtnf'��?aJ!5,ya�•gwrs�n,y^.+r:dor.' :w�r.ta:� !1r�;nn•.t:k� �ru�:.r;.enraa�+,;"'r7 z:,tr.v.tiasr�rw, ,r. . . ,,,�,,.�.
i'
• `.ri\ ✓/!I! '1001JG1J[OIU�� O��.QGJ(LdLUd�
(loan)of Building Regulations and Standards
�L
HOME IMPROVEMENT CONTRACTOR ;
�i• Registration: 100740
c°r;ri1
Expiration: 6/23/2004
Type: Private Corporation ,
CAPIZZI HOME IMPROVEMENT,
11romas Capizzi,Jr.
1645 Newton Rd.
Coluil,MA 02635
Administrator
7f� ' �P. 1lJOlJI•lJtOft1lJCtrll� O��jp�nCll/dC��d
b 130ARU OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
t
: .;
Number: CS 057032
R. + Withdalo: 09/26/1963
F-Aires: 09/26/2.00 Tr.no: 5790
Restriclod: 00
TI IOMAS X CAPI7ZI ill
200 PERCIVAL DR
W BARNSTABLE, MA 02666 —�
Adminislralor
i
�OpVE rqy Town of Barnstable
Regulatory. Services
BARNSTABLE. Thomas F.Geile.r,Director
MASS.
�Alfn 39- Building Division
Tom Verry, Building Commissioner
200 Main Street, Hyamus,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must Complete and Sign This Section If Using A
Builder
I > , as Owner of the subject property
hereby authorize ~�nr�.�(J�- to act on my behalf,
in all matters relative to work authorized by this bu ding permit application for(address of
job)
Signature of Owner qdte
Print Name
s S
The Commonwealth of Massachusetts
Department of Industrial accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Workers' Compensation Insurance Affidavit
Applicant Information: PLEASE PRINT
NAME D WI QS U YJ l Z 1 V
LOCATION l l �c I' S K
CITY I STATE ZIP CODE 0?(a-j2 PHONE = 77
O I am a homeowner performing all work myself.
O lam a sole proprietor and have no one working in any capacity.
Q I am an employer providing workers' compensation for my employees working on this job.
Company Name (�l rove im e
Address 'n�
Y"1/` —zip Code ��3 Phone R
City �o� U 1 State p /
Insurance Co.
( l V�i �-I�+i l Sl 0t�� Policy T CA W C'`'�
// /D I b`� 3 Expiration Date � 1
rJ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the
following workers' compensation policies:
Company Name N
Address
City State Zip Code Phone 7
Insurance Co. Policy-r"r Expiration Date
Company Name
Address
City State Zip Code Phone
Insurance Co. Policy Expiration Date
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to
S 1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a
that a copy of thus statement may be forwarded to the Office of Investigations of the DIA for coverage
day against me. I understand
verification.
do hereby e tify der the pains and penalties of perjury that the information pro�v7ide above is true and correct.
a`r Date (
03
Signature Q- q
Print name
7�D ry�aS (_S/�-p-1ZZ1 ��. Phone R 1-1 Zo — l �"l� ,
Official use only—do not write in this area—to be corriQlaed by city or town official
PermiNicrnse O Building Deparanent
City or town O ucensing Board
O selectmen's Office
O Health Department
O Other
O check if immediate response is required
Phone 4
Contact person
"
.. . �.' 111 '
03r19/03 vV'k.0 09!3' ' I 'll
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1 FAX 6 , 11 HARVEY INDUSTRIES ��+ 11YONIS WHSF Ili. 00l
3 1, 0.3
P MENERGY SIAR
.�
r'� Ar1TNEnJ IGOBDBt
TEST [RESULTS
Harvey Manufactured Windows and Doors
U-Values in accordance witi•I NFRC-100 • Based on residential sizes
• U- and R-Values are subject to change without notice •Whole windom, values
Air infiltration results are subject 10 changP without notice
All vinyl windows with Low-EJArgon quality for the FNEROY STAR"program throughout the U,s.,
- _ Revised 1131103
Clear InButated Lu1wL' Low-F,JA.tgon* A I r
U-Value R-VAltlp O-Vdua R-Value ll-velhta It-Vdtto InlilUalfoil
.VINYL WINDOWS rr,ll�rr
Classio Double f-lung (Mechanical) 0.60 2.00 0.37 2.70 0.34 2.94 05
Classic Double Hung (Welded sash) 0.60 2.00 0.38 2.7A 0.33 3.03 .04
Classic Double Hung (Welded Sash A rarne) 0.49 2.04 0.36 2.78 0.33 3.03 .10
Classic Auoustical Double Hung STC40 0.23 4.35 0.18 5,56 u,17 5,sA .09
O� signature Doubles Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34,;'. 2.94 _04"
ignature Double Hung (Welded Sash)-� 0.50 2.00 0.37. 2.70 . 0.34. i 2,94 .11'
>Slimline Double Hung (Welded Sash) 0.51 1,96 Cl•38 2,t33 6.34 2.94 .08
Sllmline Double Hung (Welded Sash & rarne) U_60 2.UU 0.38 2.63 0.35 2.86 .09
Slimline Single Hung (Welded Sash FA rarne) 0.50 2.00 0.38 2.63 0.35 2.86 .03
Vinyl CasetitenVAwning 0.47 2.13 0.34 2.94 0.31 3.23 .01
Vinyl Ca.sernendAwning and Thermal Panel 0.31 3.23 0.25 4.00 0,24 4.17 .01
Vinyl Desi.1 shapes 0.49 2.04 0.34 2.94 0.30 3.33 --
Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13 UI3
Vlrtyl Picture Window. 0.46 2.17 0.31 3.2.3 0.28 3.57 .01
Vinyl Welded Dear_Ilite 0.50 2.00 0.34 2.94 0.31 3.23 --
Vinyl T2oller- 2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03 .09
(2-lile)
u7est rc-iull;;art basycl on commyrcl,l sl2en,,
'letup.Clear T�rrip Low-rf ' Temp,Argon :fir
IJ-Vmltlt: R-'value U.Vrlue R-Vnluc U-Value R-VAtut hdihraliotr
rl',nrlP
PATIOJLUGI'13 <
Harvey Solid Vittyl Patio Door 0.49 2.04 0.40 2.50 0.37 2.70 .09
Air infiltration is in accCtrdance with ASTM E283@�25 mph.
"Tfm use of tempered Low-E glass may effect ENERGY S tnR•quallflcation in your region_
U-and R-Valu®a are subject to change wiliiout notice.
v Ass � � -
essor's'map and lot number ./..... ............!�.. ........ '
SEPTIC SYSTEM MU � �S pF TN E TO�y 5 r
J
Sew/gePermit number .�.Q.-S/.5......U.. :.. .. ]l/Bo •.> DWAUED IN CO
d 6 BJHHSTLE, i
Nouse number .. .` .....:.......................................... �yH Z DL
rues
MENTAL CODE 16 Ar
q. m�
�F TOWN OF BARNSTABLE
BUILDING' INSPECTOR
APPLICATION FOR PERMIT TO ......1)au.id..Raab.l T,ru.st...................:...............................:.......:.........:
TYPE OF CONSTRUCTION ....,,wood f.rame
.. ..............................................................................................................
September„12 �q 80
TO THE INSPECTOR OF 'BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....Lot 27 Buckskin Path Centerville
Proposed Use ....single family...residental.........................................................................................................
Zoning District ...,,s.f.r. Fire District „Centerville—Osterville
Name of Owner .,,David Realty Trust Address .P'.®.Box 308 — Centerville
.................. ...................................................................
Name of Builder .same as above ..,.,...,,,.Address
.Name of Architect ..................................................................Address ........................................................................._..........
Number of Rooms $ix ......Foundation .... Poured concrete
.................................................. .............................................................
Exierior cedar shingles ,..,.,..,,Roofing asphalt shingles
................................................... ......................................................................
Floors ...........Ca.r.pet. ...ing. .Interior ........:...dry. wall....... .. .... .. .. .................................................... .. ............ ........................................................
—Heating f.h.W. b gas ...Plumbing...........�?:V.C..............................................................
Fireplace ........brick..and.•block...................................Approximate Cost ...... .40, 000. ..........................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ..13f.
84// aS.................
Diagram of Lot and Building with,Dimensions /t
Fee ... .........................................
..
SUBJECT TO APPROVAL OF BOARD OF HEALTHON�
167,
ZO7—
a
024
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . ...•........................
[-;,AVID REALTY TRUST
p KY
i No �.2 51 it for ....... ......... erm
Single Familyj?��o�;��.inq
.................................... .....
Location ..L.Ot...#..2.7...1.3.9...Buckskin...Path
.. ..... . . .. .. .. .. ....... .. .... ..... .... .
Centerville
............... ...............................................................
COwner ....D.ay.i.d...Rea.l.ty...Tr.u.s.t................
.. .... .. .. .. .... .. ... ..... .. . ..
Type of Construction ...DrZjMQ.........................
................................................................................
Plot ............................ Lot ................................
September 179, 80 t
Permit Granted ....................I.............. -
t,
Date of Inspection Z�................19
Date Complet d ... ... ........ ............19
ism
M, PERMIT REFUSED
.......................................... 19
6r
. .. .........................................................
....................
.....................................................................
Approved ................................................ 19
.......................o.......................................................
......................................................
�� 4r fit". -�-. :w.�,- .�.._. ——..._'." .•�
MA
t G G 1Z T t!_�{ "3i i-i,�T` r t-i CJtJ ha D A�1 h a r�t»lc]�•Cr!�F 5�l�F.1 t=t=E F a�,l c
WitlZU-Int-A GCkV%(ILVS Wl%1-t "r"t-lEr 7tL7 LtF--tC;: � Z-7
Awe SETt�AC4 WL-*QuiZGAALf.ATy bP TNts
`"caw W At1.' ."C3l.L^a ``/t Lt 1 C�FIt.b1 p 5
A1-1 t7 5U t?va,—(a c�;
Ti-ft5 at /al�i IS c.. OT
� "-,Ar-, .�l
Lc)"c' t_tr;�;�}
o`M't
.•gyp TOWN OF BARNSTABLE Permit No. _----------------_ ------
Building Inspector
� siu:ran Cash
oo ,ego.
�0vo OCCUPANCY PERMIT Bond ___
t "No building nor structure shall be erected, 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 T).3vld Real tv Tru9 Address Leni=erville
Wiring Inspector Inspection date �-
fr
Plumbing Inspector ' Inspection date > '7/ .
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
.....................................................1 19......__ ....................................................
Building Inspector
Assessor's map and lot number ...... .C .,.!......... ,! '
QyOF THE
Sewage Permit number R.n.:r ......r?..C :..R.;A.......`�
t BAH39TADLE, i
Housenumber ................. {'...................................................... yO HAS&
p 1639. `e0
�E a MAY a•
'TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..............................................................
TYPE OF CONSTRUCTION ..,,,,woad frame. ... ....... ......................................................................................................
...dent emk�er 1? 19. Q.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....Lot...27 Buckskin Path
...':...Centerville....................................:............
Proposed Use ....single family...residental.........................................................................................................
Zoning District .....s. f............................................................Fire District ...Centerville—Ostervill..................
i
Name of Owner ..David Realty Trust .Address .P..O.Box 308 — Centerville
.. '
same as above
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address .................................................................................... .�.
Number of Rooms 25a ................................................Foundation „....poured concrete
...................................................................
Exterior cedar nha
..................shi.........gles.....................................Roofing ............asp.............lt..............shingles.............................................
carpeting drywall
Floors ............................................................Interior ....................................................................................
Heating . .h.tt' : ......by -a .. Plumbing p.v.c.
................. .... .. ............................................................
Fireplace ........b.ric.k....an.d...b.l.oc.k...................................Approximate Cost ......$..40,.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
/07-
W ti
1
{
S
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ......................
A=170-64
DAVID REALTY TRUST'
No 2.2al.3.... Permit for QX1.e...S.t OX.y............
......5.iAg.I.Q..gaAily...D.W.el.lirLg...............
Location ....Lo.t...#.2.7....13.9...B.q9k.ski.r1...F.ath
.... .. .. .. .. ....... .
Centerville
...............................................................................
Owner ......David...Realty..T?;�ij.�;.t..
............................. . ..........
Type of Construction ...ZrAMe..........................
................................................................................
Plot ............................ Lot ................................
Permit Granted ..September ..18,....lg 80
...................... .....
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
O
....................G.. ........... ............ .....
.......... 0000��............ .............................
.............. ..... ../........
�,V -V .................................
........... .................................................
......................................................... .....................
Approved*................................................. 19
...............................................................................
............ ........ .................................................