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Home My WebLink About0057 CAP'N LIJAH'S ROAD elf z n 0 i �" .- ,. v �. � � . - .; � . . - �I w �, ,: �� . � ,: ., :. �, 4; y < _. � F �.� ., .: .. - �. �.. � _ .. �� .. ,� _ ,. .. •� ,. ,. .. .�� y - - _ .. a :. � v �, _ - � _ - G Town of Barnstable Buildin , POStTh15 Card So That=rt�sUisible,From th`e-StreetA �roued Plans Must be Retained on°Job and this,CadMust;be Ke t " ��. pP s g`.,� 4 �:::.; �•.,.�:' .,'t",. ;�_..,,' ,�. �'v. � ; - _� �;'.� r � hr '.. �'�'< '. ,r wp ,.„. Posted Unt�F Final Inspection Has Been;Made � 4 - 3 1g3q s`` �. .. . . Permi Where a Gert�ficateof Occupancy;is Required,such Bu�ldmgfrsCaall Nat;be Occup�ed,unt►I a Final Inspection has been made. , Permit No. B-18-1629 Applicant Name: INSULATE 2 SAVE, INC. Approvals Date Issued: OS/23/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/23/2018 Foundation: Location:. S7 CAP'N LIJAH'S ROAD,.CENTERVILLE. Map/Lot 192-160 Zoning District: RC Sheathing: 14 Owner on Record: HOCHSTEIN, KEITH J Contractor.Name,-'.- INSULATE 2 SAVE, INC. Framing: 1 Address: 57 CAP'N LIJAH'S ROAD ` Contractor,License 180747 2 CENTERVILLE, MA 02632 Est Poject Cost: $3,364.15 Chimney: Description: INSULATION WEATHERIZATION Permit Fe $85.00 ' Insulation: Project Review Req: Fee Paid $85.00 PA Date 5/23/2018 Final: A F. _ Plumbing/Gas Rough Plumbing: ' ` Building Official .I Final Plumbing: This permit shall be deemed abandoned and invalid unless the work author zi ed by thiss permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents#or whichtti s permit has been granted. 41 � Final Gas: All construction,alterations and changes of use of any building and structures°"shall be in compliance with the local zornrig by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for putl�c inspection for the entire duration of the work until the completion of the same. � Y � � 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: Rough: Minimum of Five Call Inspections Required for All Construction Work: i ' x a h: 1.Foundation or Footing -� 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: . 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Application Number....................�"...(l. ....... , ' • Permit Fee..................... - ................ ............ I . MAY 2 2 2018 Total Fee 'aid �............ .. . TOWN OF HAHNSTABU T l QE BARNSTABLE Permit Apg�rc>wat by... ..... ..... ...........On.... .� I �� PERMIT , b ... APPLICATIONMv........................... ...........P ... . ........ ....:... ..:...... ... F , Section 1 —Qwners Inform 'ed 1 Pr4ject.Ad<iress ? �o cc.c� V e Village_ Offers.Name 1 e t`Lk Alec A V el/► Owners.: As—f-,9G P s [z�� city�� S. v 11 a-e- State. FYI A zip, D a 3 a owners'cell# fd f-sa-4 - ?P E-mail, 6 6 e 113 a 7 Section 27,;-Structural Type. Single:/Two Family Dwelling ❑ Commercial 4truaure over 35,t fl cnbi�€yet Commercial S=cft=under 35,000 cubic feet Section 3—Type of Per it [] New Construction ❑ Move/Relocate ❑ Access ry S#rlictdre, ❑ am.w. -Demo/(en€im structure) ❑ Finish Basement ❑ Pool ❑ Fire Alain. Rebuild ❑ Deck. ❑ lar pnu Stem Addition ❑ Retaining wall In"on Renovation Other— Section 4-I3e Cost of Proposed Consmwdon Y 36!Z/s— Square Footage ofjPFo,ect Age of Structure Dig Safe,Number #Of Bedroon3s,Existing Total#Of Bedroom posed) l 10;MHind;Zcne Compliance Method .(] MA.0 ❑ ?► M ❑ Dew i7; E S tlo31 Work L xl o0 ✓C'� � QLc_�Gs2 1L(�� -�`I�.GC �L2i�i !/erl a�_ ]��i �cvh �`C�Pry' l/�LLB r P17 11 i i &,Va_1 ems-s-&�2 ail e i T. T 4e_1 e `.n s u lo-,, 6 Q ells A P coo® �"i � Q��r��Ce t /o /R/L R�rou �� ''� /� r F/4o !aaa� qe Section 6—Project Specks ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom ii Water Supply ❑ Public ; ❑ Private Sewage Disposal ❑ Municipal On Site Historic.District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: e._��/�'� ��ya�'��: I ` using a crane Yes .❑.No �o r A� a L ,41"Ll 0 0,7 7 dL- v Section 7—Flood Zon Flood Zone Designation No Within or adjacent to a wetland,coastal bank? Yes:❑ ❑ 1 Section 8—'Zoning Info tion Zoning District Proposed Use I Lot,Area Sq.Ft. _ Po Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required . Propol Re0r Yard Required Propoied Side Yard Required Propo Has this:property had relief from the Zoning Board in the past? Yes ❑ No L 'do ag upea;10/3 2017 Section 9—Construe.Sul ' or. 5 Name L�S ev t"-L- Telephone.N �'o P—5 6 7 6 ?D Address y/o Kyo ve SY, City ,�a//��✓ems S Zip a 2a-O, License Number `a License Type Fld Contractors Rmail ��S 4 4-4,a s 4.y e lz.e-I- ell,# ✓'O —�d �6 P d I understand my responsibilities under the riles and regulations for Licensed '.a Supervisor in accordance 780 CMR the Aeachuset#s State Building Code. I understand the construaron gam,specific documentation required by 780 CMR/and the Town of Barnstable.Attach a' of your license. . Signature Date Section 10-Home Impravemei Cmtraetor Name , A�z/ La..,V5 e-z,114 Telephone N. r .5'0 F S 6 -7-G 7 0 Address 1�0 6 ru v e S'/, City 'G_&�y e-r Stal zip Registration Number.ZE 7 5°, Expiration Date l I understand my responsibilities under the rules and regulations for Home Contractors:.ta,accor. INWM. CAa the Massachusem State Building Code. I understand the coast on i proceddres,spec moms;ai d documentation,required by 780 and iha Town of Barnstable.Attach,a cop of your I:LLC... 7C- Signature Date .Section 11 Home.Owners.LtcDU el Home Owners Name: Telephone Number 6-0 Cell or Work N I understand my responsibilities under the rules and regulations,for Licensed. ctlon Sup is"Ift accor ce 780' CMR the Massachusetts State Building Code. I understand the construction' procedures,speck rs ari documentation required by 780 CMR and the Town of Barnstable. Signature ee Date APPLICANT SIG - II Signature A Date Pry Name �g4i_gl Tel Number 5'D E-mail t-to:. Le l Q 1,o r L�t. . 1�/3IC�E}I7 6.VVWv4,AVU JAI cut Health Department Zoning Board(if required) Historic District [3 Site p Review(if required) 07 Fire Department ❑ Conservation ❑ For .corirmercial work,please take yo�r plans directly to the.&e arbx�ent or ,f appravak Section 13 ' Owner's Autho ' tion a " Ei ✓ as Owner o the subject pro hereby authorize � �tho ��matters relative to works boil ' to act on my behalf, in all application for: (Address of jo ) Signature of Owner date Print Name Last update&105 I.IWI7 RISE Engineering 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT 508-568-1926 X-6610 FAX 508-568-1933 Page 1 PROGRAM THIS CONTRACT Is ENTERED INTO BETWEEN RISE CLC-HES ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED.BELOW- _ CUSTOMER PHONE DATE CLIENT WORK ORDER KEITH HOCHSTEIN (508)523-8968 04/24/2018 107494 03604 SERVICE.STREET SWING STREET 57 Capn Lijahs Road 57 Captain Lijahs Road SERVICECITY,STATE,LP BILLING CITY,STATE,LP Centerville, MA 02632 Centerville, MA 02632 DESCRIPTION QTY COST INCENTIVE TOTAL. ATTIC HATCH:SEAL&INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. VENT BATH FAN THRU GABLE 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated exhaust hose with gable wall mounted flapper vent to exhaust existing bathroom fan(s). ELECTRIC DRYER-VENT TO OUTSIDE 1 $147.00 $110.25 $36.75 Provide labor and materials to install an exhaust hose with wall mounted flapper vent to exhaust existing electric clothes dryer(s). AIR SEALING 5 $400.00 $400.00 $0:00 Provide labor and materials to seal areas of your home against wasteful,excess air leakage.Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. WEATHERSTRIP DOOR&ADD SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. INSULATE BULKHEAD DOOR 1 $110.00 $82.50 $27.50 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board at R-10 or greater with the required fire rating and seal the door's edge with weatherstripping,to, restrict air leakage. CRAWLSPACE:10MIL GROUND COVER 425 $412.25 $412.25 Provide_labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. CRAWLSPACE WALL R10 RIGID BOARD 483 $1,956.15 $1,467.11 $489.04 . Provide labor and materials to install R-10 rigid Thermax insulation to the crawlspace perimeter wall up to the sill and against the band joist. RISE Engineering ISE5 Dupont Avenue,South Yarmouth,MA 664 ENGINEERING 02 CONTRACT 508-568-1926 X-6610 FAX 508-568-1933 Page 2 PROGRAM TTUS CONTRACT IS ENTERED INTO BETWEEN RISE CLC-HES ENGINEERING AND.THE CUSTOMERFOR WORK AS DESCRIBED BELOW KEITH HOCHSTEIN 508 523-8968 4( ) 04/2 /2018 107494 03604 SERVICE STRtET BILLING STREET 57 Capn Lijahs Road 57 Captain Lijahs Road Centerville, MA 02632 Centerville, MA 02632 DESCRIPTION QTY COST INCENTIVE TOTAL YOUR INCENTIVE EXPLAINED For eligible measures,the Cape Light Compact is offering an a Tt►a incentive of 75%,with no limit,and an incentive of 100%for the Air Sealing measures. r Total: $3,364.15 Program Incentive: $2,766.17 Customer Total: $597981. WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF F lyHundred Ninety-Seven_&98/100 Dollars $597.98 UPON FINAL INSPEC PROVAL BY RISE EN CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY- - .UNPAID BA .SEE REVERSE FO M MPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. 00,41. NOTE:THUS CONTRACT MAY BE DRAWN B /FNOT EXECUTED WITHIN ATE OF ACCEPTANCE. 3O DAYS ACCEPTANCE OF CONTRACT THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU.ARE'AUTHORDED TO DO THEE WORK. AS SPECIFIED.-PAYMENT WILL BE MADE AS OUTUNETABOVE i Town of Barnstable o Regulatory Services tom ; Richard V. Scali,Director Building Division Paul Roma Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 5.08-790-6230 Property Owner Must Complete and. Sign This Section If Using A Builder I, KEITH HOCHSTEIN as Owner of the subject property hereby authorize ��S (Q �4 to act on my behalf, ..in all matters relative to work authorized by this building permit application for: 57 Capn Lijahs Road Centerville, MA 02632 (Address of Job) X Signature.of Owner Date Print Name If Property Owner is applying for permit,-please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Windows\1NetCache\Content.0utlook\L7U69LF2\EXPRESS(2).doc 01/2V17 li i The Commonwealth of Massachusetts Department of°Ind4strial Accidents n 1. Congress Street,Suite 164 Boston,MA 02114-2:017 w ►vww massgovldia Workers:'Compensation Insurance Affidavit:Builders/Conteactors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY, Apolicant information Please Print:Le ibi ,Name(Business/Organization7individual): Insulate2Saye,Inc. Address:410 Grove Street City/State/Zip Fall River MA 02720 . Phone'.#; 508-567-6706 . .:. Are you an employer?Check the appropriate boar ' Type of project(required): 11 m a emptoyerwith 20 a yees Cfull and/or part-time).' to 7 ❑New construction 2.0 i ant a sole proprietor or paitrzership and have no:employees working-for me in $, Q Remodeling r any capacity.(No workers'comp;:insurance required.] 3, I.am a homeowner doing all work myself.[No workers'comp,insumce required.]t 9. (3.Demolition 10 Q Building addition 4.01 am a homeowner.and will be hiring contractors to conduct all work on:my property. twill ensure that all contractors either have workers'compensation insurance or am sole I LFJ Electrical repairs or additions proprietors with no employees. 12.Q:Plumbing repairs.or additions 5.r.j lam a general contractor and l have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'.comp,insurance.: 13.D Roof repairs D We are a corporation and its officers have exercised their right of cxemption.per MGL c. 14,t @ tither I nsulabon 152;§l,(4),and we have no employees.(No workers'comp.insurance required.] 'Any,applicant that checks box#t must also fill out the section below showing their workers'compensation policy information, r'Homeowners who submit this-affidavirindicating they arc doing all work and then hire outside contractors trust submit:a-new a#yidavit int9iaating such,; -Contractors that check this box.must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees If the sub-contractors have employees,they must provide their workers'camp<policy number. i ant an employer that is providing workers cvmpensadeffinsurance for my emph4fees. Below is the policy acid job site information. Insurance Company Name: Liberty Mutual Insurance Policy/#or Self•ns.Lic. : XWS 56418741 Expiration Date.. 12/10/2018 o a� Ct /S.tate/Zt r /�1P�1 A Oa? 3 lob Site Address: `f7 O,D/l, y p Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under I>''IGL c. 152.,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as.well as civil:penaltics in the form of a STOP WORK ORDER and a fine of up:to$250.00 a . day against the violator..A copy of this statement may be forwarded to the Office of Investigations of the DIA for Insurance coverage rifi,vecation. 1 do hereby certify under the an `e ties of perjury that the informildoo provided above is true and correct: Si atur Dates Phone# 508-567-6706 Official vial use only.. Dv not write in this area,to he completed by city or town official City or Town: Pet mit/i:icense.#. Issuing Authority(circle owe)::. I,.Board of:Health 2.Building:Departtnent I C.ity/Tov n:Clerk .4.Electrical l'nspectar. S.Pluthbing Inspector 5.Other Contact Person:. Phone#: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Sulite 5170 Boston, Ma, usetts 02 1 fi Node rnprovem tracts r Registration T}+pe: Corporalc�n fZ Registra�on. 100747 . 'INSULATE 2 SAVE , INC. ` '' ration: 12/28/2018 410 Grove St Fallriver, MA 02720 Update Address and return card:;Mark.reason for change; 3CA'1 0 20WMII _ Cl Ate, t .. evyM!1, CI EI»pl+m} ner�t 0 Los#Gard Office of,consumer:Affairs&8usiness Regulatldn HOME IMPROVEMENT CONTRACTOR R i.stratian valid far Irtdivldual:use Only. 'TYPE;Corporation tyefare the expiratlan date. N found retursi•ta: Office of•Consumer Affairs and:business Regulation on ENRIEStibli s 12.28/2018. IQPark'Plaza-.State 6170 Boston;MA 021118 I SUTATE 2 H, Roundg s�art= 410 GroVB S# : tic " Failrivw,MA 027 � Undersecretary Not Valid withou#4t9n, tice Can�weattfi tat blAsacflc€se�s; - i vls oh of Prbf* n�ol Liconsurs . Board of BuiMM9 ftgts and Stattrieds con$ ki4 lSd€Sor 6s-'tw as t s ' 41 ROAM FALL RfitEft g Gt rnmissioner i J t ?s t c� CERTIFICATE OF LIAMITY INSURANCE °A 03/07/18 THIS CERTIFICATE IS;JSSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS f"THE CER-nmATE'HOLDER:THIS CERTIFICATEWESNOTAFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND'ORALTERTHE COVERAGEAFFOR 6W.: HE POL#CIES' , BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT.Commm A CONTRACT BETWEEN THE IS.- {&); RliED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT."If the certiF�holder is an ADDITIONAL INSURED,the policypes)must.have ADDITIONAL INSURED provisions or be endorsed.. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy'certain-polkies may regrJire,an eridorsemeft A statement on,. this.certificate does,not confer.r(ghts to the certificate holder in lieu of:such endorsement(s). PRODUCER NA�IEt Anthony.F..,Cordeiro Insurance PHONE : 508-677-0407 No): $08=677 0409 171 Pleasatrt`Street ADDRESS: hsouza@cordetroinsurance.Com Fail River,MA02721 INSLS):AFFORDING COVERAGE NAIL S INSURERA: LiberW:Mf1tIW111Stld'anCe' INSURED INSURER B Insulate 2 Save,Inc. INSURER C: 410 Grove St. INSURER D: Fall River;MA 02720 INSURER E: INSURER F: COVERAGES CERTIF.ICATE'14UMBER: REVISION•:NUMBM; .. THIS'IS'TO CERTIFY.THAT'HE POUCIES`OF 1NSURANCEtISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE°FOR THE'POEICY;PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITKRESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L7R:' TYPE OF INSURANCE POLICYIDW POLICY NUMBER LIMITS X COMMERCUIL GENERAL LIABILITY EACH OCCURRENCE. CLAIMS-MADE.Q OCCUR PREMISES.'V ocamence $ s MED.EXP(Any,one person) $. 5.aD0 A Y Y BKS56418741 12/10/17 12/10/18 PERSONAL&ADVINJURY $: 1;a80p00 GEN'L AGGREGATE UMITAPPUF.SPEP, GENERAL AGGREGATE $ '.. 2sOfiQ,OAO X, POLICY E]JPECT LOC PRODUCTS:COMP/OPAGG $. . OTHER: $ AUTOlIOBILE.LU181LITY GLELUT went : $ ANY AUTO BODILY INJURY(Per peisonj 'S. OWNED v SCHEDULED (Peracadenti "$'A AUTOSONLY X AUTOS Y Y BAA56418741 12h0117 12/10/18` :BODILYINJURY X HIRED NON-OWNED PRO AMAGE AUTOS ONLY. X AUTOS ONLY er aoadent $ 5;. X.UMaRELLA LLAB X occuR EACH OCCURRENCE S 2 000000.' A EXCOSS,LIAB CLAIMVAADE Y Y USO 56418741 12/10/17 12/10/18 .AGGREGATE S' ' 10 000• DED 1,....RETENTION. $ WORKERSCO1rPENSAT10Ef v PER O ANDEMPLOYERS LW811.ITY ^ STATUTE FJ2 ANY PROPRIETOR1PARTNERJEXECUTNE Y I N E.L.EACtfACCDENT $ $Bt1,000 A OFFICER/WWBER EXCLUDED? 1:1NIA XWS SU18741 12/10/17 12H 0/1'8 (Mandatory of NRi):. E L DISEASE EA EMPLOYE $ yyeess�descnbetuider R DESCWPT(ON OF OPERATIONS below E.L.DISEASE=POLICY,LIMIT '$ rJ6I3,SOD:' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if awe space is reww") . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1E 9RIE THE EXPIRATION DATE THEREOF,NOTICE WILL SE DELl M-E EY9N . Proof Of Insurance ACCORDANCE:VVrrH.THE:POLICY PROVISIONS. AUTHORIZED © 2015 ACORD.CO?I31MT70N. AB; ghts resermred. ACORD:25(20?16/03) The ACORD name and logo are registered marks of ACORD •.F Assessor's. 'Map:and lot num JY7Q TN E Sewage Permit number a9 v _ . ' 6BHs E B TODL i Holuse number :.'...... .. ..... ..... ....... .i 's' � •- 's 'EO YPY G k TOWN O'F BARNST,ABLE BUILDIN:G . .INSPECTOR APPLICATION FOR PERMIT TO1. .......1... .... ` l .e.......... C�. j! !r�. . ... j TYPE; OF CONSTRUCTION .......:�.(J Q.Q.C�... �! �.... ............................ ...................... ........... ........�..1.. .19.G • TO THE INSPECTOR OF BUILDINGS: The undersigned,he-re7by applies for a permit according to the following information: Location .......... ./......�' r.(�.,....^L�.Q!!\ ......./\�/J..'....... ................. .................... ............................. `Proposed Use ....... Q.r... .``�................................. ........ .....:....:......':. ................................ , X-) Zoning District ........:C .......... :.:.. Fire- District ...... ...e .l�.l. . .....:.(JJ.I..�.r �`.. Name of Owner ..... �-1 l� ....... C'.J.d�!.. .. .Address ........... .............. .......................................... Name of Builder ..C.:.�I.0 F..f........ an. Qom.(. ...Address ......PC0...... .....;.�i ...........� S. �.: lar. .. Nameof Architect ............................................... . ...........Address ............................................. .............................. Number of, Rooms ...............Foundation ...�0.4!<�.P .C. ...E'.............:. .................................. Exterior .... C.�.l V1.�.11S: V Q�.....Rf?L�'� .•...1... ,/(............Roofing, ....... P�!. G. .... S f�.(h �.�................:. Floors C.Q .P...�.'........cSlq ..........::...•....................Interior •.....rS UC: ...:........... ' Heating ................................ . ........ ...... .. .Plumbing .....................,f............................................................. Fire lace ...........�-................ ..............•..........................Approximate. Cost ...... ` ............................ p �1. Definitive Plan `Approved by Planning Board -----------_------_-----------19--------. Area ... —,.w........................ Diagram of Lot,and .Building with Dimensions . Fee ........... .v............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH' Proposed 7 r sz ! ,-75 �IJ . . OCCUPANCY PERMITS REQUIRED FORINEW DWELLINGS I hereby agree to conform to all- the,Rules` and•Regulations of,the Town of Barnstable regarding the above construction. �f Y '� • Name ... .:.<- .... In�2 ...a/lr... ... D ��(.` " Construction Supervisor's License �' CACCIOLI, JUDITH 1 p GARAGE ADDITION - `�, No ...26�,23 Permit for .................................... j Y ....... AQCe. . grY...to ",D,weling................ Location 573•Cap-4in..-Li.aah..Road........ Centerville �� Y• _ :. �, Owner ..Judith.,,Caccioli.. - - .r Typ-e of Construction Frame. ,t. .................. � •- �• .,: 1 •� :. 4. s _: ................. N* .. +. Plot . .. ...... Lot ............................... 4. Permit Granted ..March 29 , ..... 19 84 , Date of*Inspectiori :......-..........19 Date Completed ..................� ....1.91/ IN. ? a" t Assessors map and lot numbers./y7U............�9 !mi'3 leo `. N , Sewage Permit-number 4M, ... ...: .... ..,. HAHHSTADLE, House number .......... ....... ....................... I� Z 90o NAS 0 MOX d� TOWN OF: BARNSTABLE r/ BUILDING INSPECTOR f APPLICATION FOR PERMIT TO 4 ' TYPE OF CONSTRUCTION ........ d...... ...................... ....................... .................. ((C... ......1..(.....19./� •� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: /.Location ...y....... . ......1..�- C L !,,{ Q.�.........1� .'...:....... , ....... ,, .. . _ ProposedUse .......... ..................................................................................................... Zoning District' ............/..! d................................. :.......Fire District ......��.L��.�.1/(..�`.�.........n �Ul.. .. Name of Owner ...... iL.�!?....... .��'..►.p r ..........Address ..............�Q`?1:. .......................................................... Name of Builder ..C.'�1.�'� .... C!��Ietoc�.C , {........Address .... PQ.r.. .6.0.6......��a ........../!:.rl.��.f2Oz.... Q, .. r �. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...................................................:..............Foundation P{)l! f PCiI ..................................<" ^� ,. T Exterior .....6... C . .f.n1 r..... .... .II.I............Roofng ......as,0A a .. ....................v� / h ...........:.......:...... Floors ..�.C�.�.r.��...........,��Q�..................................Interior ........... .... ............ ..............:............................... 1 Heating ............ ....................................................................Plumbing ....................... ......................................................... Fireplace ..................................................................................Approximate. Cost .. . U...................... .z................ Definitive Plan Approved by Planning Board ---------------_---------------19_______. Area ........................ Diagram of Lot and Building with Dimensions ' Fee ....... ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH ' .. ;• � __.`_ram..•---'" ,,. Sj •A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Name ..... ........... 4 Construction Supervisor's License ..................................../ � \ CACCIOI,I, JDDITB A=192-160 ` -. �AIQAGIC A�)DI-��-IO� ' �o ---.-- Permh {or ----.- --- _�..Ac��_..to..�vvelli�g�_..__....... � ' �7 C��aio �i 'a� �oa� ----'_ -----_------_--------.. -----.�e! ----------- ' Ov,ner -Ju dith_Caooioli.__._____ . ' " Tv�~ nfConstruction ........ZX�5Jn.e._-----. ' - ' ~ ----.-.-..-~.`----.-.--,------... - . , Plot .............................. Lot ................................. , .. . . � D�a�ob '29 84 Permit �,on�a] ----- .. �� l� �. ---.. � . _-� ___- ------ -.— � . . � . Data of | ------------l9 ' . � ' Dote Completed -.-.--.-------lg ' ' - � .' . - . . . - ~ ^ . ^ ` . � . . . ^ ~ ' ` _ y Assessor's map and lot number .................... .................... v THE � � �� .♦ Sewage Per number ...... . ..... .. ty' �• °�► Z EARNSTLBL • House number ��® r MABB. ......:............................................ 039• 9� TOWN OF BARN � CO�pNlf-- � xSTAB \c SYS�E� W\j" pR�l CODE p\VD BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE011 CONSTRUCTION ..........................................................................................................:.......................... ........ : ..... ...19 z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: u�..:Location ... Z......e--1 .....4. ,.]..�Ai /S.... . ,..�........................ ............................. ......................................-.. ProposedUse .....!. „d,1ri. . ................................................................................................................................................. Zoning District �2 C. .................Fire District ...' Name of Owner �'! j?.!'.,.. .!.�1.. ......................................Address 7... �! �...... .L.}�A> iS....... Z ................. l � � P U Name of Builder .. ( I:� fir1�....................Address 1f �... ................... Name of Architec. >... :!?.!�X.......!�', �', ..0:....................Address C Number of Rooms ..... . ...............................................Foundation ....1� ?'?.C.!?'1 .................................................. _ Exterior � D : ..............................:...........:...Roofing ... Qv'2.C.k Floors 0. ...................Interior ( � Heating `/.`{�.� '.'�`?2 �?.. ��1�!.. . .......................Plumbing .....J..l .l(�. .......................................................... Fireplace . .. .4..�.f.P...................... ................ Approximate Cost .........6.Kr�..�. ...... . .... .... ..... .... .. .. .. �. _ s. Definitive Plan Approved by Planning Board ________________________________19________ Area ......................... ............ Diagram of Lot and Building with Dimensions Fee ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH APZ) \�(f',�� -fir _r I hereby agree to conform to all the Rules and Regulations of the,Town of Barnstable regarding the above construction. Name .s, .. ..!�. ...P........ :��...................................... King, Wayne No ...2C4$ ... Permit for ......40..tQ..d�cQUIX1g ............................................................................... 4 Location ............57... ...... ........................... ........:.................... , Owner W9YX1Q..K.7 Q9.............................. Type of Construction ..............frame................. I ................................................................................ ll 1 , Plot ............................ Lot ................................ t j a August 15 78 { Permit Granted 19 Date of Inspection ....................................19 ,Date Completed ................. .. ... ......19 i PERMIT REFUSED ' ........................... 19 ' y ................................................................................. i P .............................. e ............................................. k ............................................................................... x i Approved'......:..:..:.................................... 19 _ � �/'/C/y�••:`�r � � _ /..ate ' �L-- Assessor's map and lot number / ........................... �7 Q Sewage Permit number 1-f2-4. ...d:':... ^,_L Z BAUSTADLE. i House number roo mum e� ................................................... TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO P11!10;) pro n ..................... L........................................................................................................ TYPE OF CONSTRUCTION 4 W T" d, ............. ....................-�......19 .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... ..... ..� d. ..'�.... 7............................................:........:... ProposedUse .......................................................................................................................................... ...... Zoning District ................! ...../................................................Fire District ./...{'................................... Name of Owner ... .... ..................................Address -........ _ ........ ....a............... ................. Nameof Builder✓.::c!r; ! ............... ...................Address ............... ................ ..........................\................. c— 1 Name of Architect �..v' ��V c 1 ....................Address .................................................................................... .... - ..... Number of Rooms ..................................................................Foundation ....(. .?:�??.!.?.?.._ Exterior �! -� (?��ra'b. ��...............................................Roofing FloorsInterior r.... ............................................................ . f....... ......:........ .. ........................................ Heating /'� ( � +� {�,., ........................Plumbing /� tt1 .... /n.................. ....I.,. .................... ........................................................ Firelace J p ..................................................................................Approximate Cost ......... / .!, ..............................1....... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area . {_......:................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �7& S Yrd - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. �King,' Wayne A=192-180~ 2�488 add to dwelling N6 ......_--.. Permit for .................................... ' � -----^~-------'------------' 57 Capt. Lijab'o Road ' Location ---------------------. Centerville i ^--------------------^----- WaynaKio Owner -----------. ............................. frai 'rp" of C" s""`'""' ' . -----------' � Plot ' '_`g-- � ` uo/a on Inspection Date Completed PERMIT EFUSED —..........^. = -- -' ' ' ' ~/ .. ........... Approved -- ---------- lA -------'----------^----^'---' ' -----------------------~'—^' _ 1 C3)6Y f ,/J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel �0 Permit# Health Division ® Date Issued -2 -2 6 —D Conservation Division Application Fee 5hi oo Tax Collector- Permit Fee ,X - 1 2. Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTi CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address cly L-I Jyl of Village V 1 1,lkf-- Owner l +' A/"C"I Address 37 A I QJ4tJ AA1 - in y Telephone 1) 10, , / "S f ,6 V1 ®/i S Permit Request T MV I TWA) , S Square feet: 1 st floor: existing i proposed 2nd floor:existing —proposed Total w Zoning District Flood Plain Groundwater Overlay Overlay r , 1 Type W Ow R'�"C�Project Valuation_ Construction T e � ` Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting doc mentati6#?. cam: c� r--.. v r►'I• Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes [10 Basement Type: till ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) —a— - Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2-- new Half:existing new Number of Bedrooms: existing 3 new Q Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas . it ❑Electric ❑Other Central Air: ❑Yes ®'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:®'existing ❑new size Shed:❑existing ❑new size ` Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION f -7 '/ Name r,I�tiCSi�l Telephone Number) I`' 2' ��I l Addr ss tS i' r5� �'� VJ License# 74 1--- Home Improvement Contractor# � C/ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 7 SIGNATURE D E a . r FOR OFFICIAL USE ONLY PERMIT-NO. DATE ISSUED MAP,,PARCEL NO. _ ADDRESS . VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION o 16/1 14 , i - FIREPLACE ELECTRICAL: ROUGH FINAL 3 � PLUMBING: ROU FINAL GAS: ROUQ'HP a's FINAL _ FINAL BUILDING r Nrr 0 .: I.. t71 - DATE CLOSED OUT m o ASSOCIATION PLAN NO. s Ck P. . ti U fHETp The Town of Barnstable BARNSTABLE'' Department of Health Safety and Environmental Services MASS. "fFO MPy Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �► � Location S7 'n �- ►a � Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 1 /1 V erTl C a. k�D r� u 1 S f,- lc- Golc�y - ti � a` y f Please call: 508J-862-4038 for re-inspection. Inspected by fl _ Date--jolf1 y IHE�° The Town of Barnstable BAR $ a LE.MAS Department of Health Safety and Environmental Services 039. MASS: prEUMP�a Building Division 367 Main Street,.Hyannis,MA 02601 )ffice: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �8C—k S�-e i U, Map/Parcel:', 19 Z- Project Address: U �$ Builder The following items were noted on reviewing: I' 7 4 �iC C' CC -Q m�;n 22u3u r Reviewed by: Date: q:building:forms:review i Jay, 28 ,f t m j\'J/) � 24, L.DT t+ ' ( + JJJ fA �I i S/4 L Lf-6✓._ _ _ Ff T 460 V4 VDAD PLo7 PLAN L O CA Ti ON `e`_,�✓ jC� r SCAL& _ `4' 0,4 T& C".70- 76 � 4 CI C EVr1FY T"A 7 7AY/6 46X/;5T- N /NG lOUNDA T/ON L0C.4 r/ON /,5 .45. SWavVn/4N47_Dom :_CONFO, iy{�6//T.�/ Ts;NE $CJILD/n/6 3ET�`3.4C�,gEQU/F�M Z8.IY76 �J1� T otMN Cis F_13A-- _iASLE 1 40 ie c-eC �� o IV E c 44144-1. 1 T.a yl-oAe v • Town.of of Barnstable . �P of zxe roK�o� _ Regulatory Services s s SrAV L4 Thomas F.Geiler,Director fD 39, Building Division - Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508462 4Q38 Fax; 508 790-6230 Property Owner Must Complete and'Sign This Section. fi If Using A Builder . l°�,/U T�U 5. `�A/ ,:.. 'as-ow-net-of th' e".�s.�b'ect toe _......_.. ...._ . VIE s�,,</l .S hetebyauthotize KVO'�' >/1.�;. r to:actt�ntny..b.ehalf,. in all matters relative to�wotk authorized by-this building.petmi-t-appacxt on-for: r7 CA?`, ) Cam, U ' (Addtess ofJob) Sigma of z Date = J. P�intNy ,(lC 60-,HS7--i%tl r RESIDENTIAL BUILDING PERMXr FEES .' APPLICATION FEE v� New Buildings,Additions $50.00 g Alterations/Renovations S25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIMG'SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE x.0031 square feet x$64/sq.foot=_� I. plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf t $35.00 ' >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building pemnt: x.0031= square feet x$96/sq. foot= STAND ALONE PERMITS _x$30.00= Open Porch (number) K (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moviug $150.00 0�^ (plus above if applicable) permit Fee / `7 b J projcost Client#: 12900 2WBARNBU A ORDTM CERTIFICATE OF LIABILITY INSURANCE 03119104° ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR g y, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Associated Employers Insurance Compa West Barnstable Builders, Inc.P.O. Box 516 suRER6: INSURER C: West Barnstable, MA 02668-1124 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POL!C!ES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ ' GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $. ANY AUTO (Ea accident). ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS , (Per person) HIRED AUTOS BODILY INJURY. $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCC5002701012003 06/11/03 06/11/04 WC STATU- oTH- T MIT EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100,000 ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L:DISEASE-EA EMPLOYEE $100,000 If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions for work at 57 Capt. Lijah's,.Centerville,MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable Attn: DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN Building Inspector NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 367 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 1 of 2 #33665 JV O ACORD CORPORATION 1988 I IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such end&sement(s). _ DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,.extend or, alter the coverage afforded by the policies listed thereon. . ACORD 25-S(2001/08) 2 of 2 #33665 03/22/2004 13:56 508-3852818 ALL CAPE INSULATION PAGE 01 MASCheck COMPLIANCE REPORT I Massachusetts Energy Code I MASchec.k Software Version 2.01 Release 3 f Permit # I t ! Chef ed by/bate I TITLE: West Barnstable Builders I I CITY: Barnstatia STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-ElElCtric Resistance) DATE; 3-22-2004 - PROJECT INFORMATION: 37 Capt Lija,h's Rd Centerville, mA COMPANY INFORMATION: " All Cape Insulation & Supply Inc PO Box 645 E Dennis, MA 02671 COMPLIANCE: Passes Maximum UA - 96 Your Home - 95 Area or Cavity Cont. Glazing/Door :Perimeter R-Value R-value U-Value '� UA -------------- _ C&ICINGS 420 30,0 0,0 ^- WALLS; Woad Frame, 16" O.C. 420 i3.0 00 15 GLAZING: Windows or Doors 372 88 . 31 FLOORS: Over Unconditioned space 0.330 29 HVAC EQUIPMENT: Furnace, 84.0 AFUE 420 19.0 0.0 20 --- ^ ^----------^----- ---- "----"---^"---- COMPLIANCE STATEMENT The Proposed � g posed building design described ]le re is consistent with the buildingons, rid other cal Submitted with the permit application. The c a Proposed building hascula 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, th. 5% Of the design, load as specified in Sections 760CMR 1310 4,4 Builder/Designer �O a O�Date x f Board of BaHding Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration .120878 Expiration iil3/2006 TYPe 'Py to Corporation WEST BARNSTABLE BUILDEE�S'INC MICHAEL KIN GSTON 1170 RT.6A/PO BOX516 WEST BARNSTABLE MA 02668 � Administrator r Y BOARD.OF BUILDING License; CCONST REGUL �� RUCTIp N SUP ONS rnber., Nu 023212 ERVISOR } Birt :j g P 0112� 0Q6 MICH Re' ��ieteT 4 Tr.no: 19790 AEL L KING' j�Q ±3 9 GREAT HILL RD'.\, SANDWICH, MA 02.... Acting C` Mil oner PLOT PLAN ShMING AN ADDITION FOUNDATION LOT M. CAP N LIJAH 'S ROAD, BARNSM&E, A!A SCALE t' W 30 ' AW Y 1( cVO4 CANAL LAND SMYEYING 306 OLD PL YMOUTH ROAD, SAG maw 8vaj #A P1401✓ECT AVWSFR 03-AF4 7W AOdOITIa+V FOMA 7raV aV THIS PLAN MS LOCATE® SY AN INS SMEY OV 5IM104 AAA EXISTS ON 777E AS ShMN. �a P. s� RYLL !�l Na.32448 P Q sli�l� 13.8# '. . , 41. of ' �i AQD , o 00 0 V LOT 5A tMVCf S.F. I .._ I TC&O 'down of Barnstable oFTMe ro . -,� o� Regulatory Services Thomas F.Geiler,Director Building Division lan MPy Tom Perry,Building Commissioner • 200 Mama Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Data v AFEJDAVIT CONTRACTORROVEISONT w �SOhPPLE,NIEENT TO PERMIT APP CATION U GL c.142A requires that the"reconstruction,alterations, an -renovation, repair,prexisting Modernization, zatio orcc pied ion, M irnprovement removal,demolition,or construction bu�d�g containing at Least one but not more than four dwelling units or to struptures Which��ode=nt to such residence or building be done by registered contractors,with certain exce bons, g requirements, Type of work- 3L� Estimated Cost • r of Work: _ Address � • Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason($): []Work excluded by law []Job Under S 1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OR DEALING WITH UNREGISTERED OBRS PULLING THEIR OWN PERMIT Lk CONTRA CTORS FOIL A.PPTj1CAB.•LE HONIE IlMPROYEMENT W M UNDER M L c 142A. ACCESS TO THE ARIiITRATIOI`i PRO GRAM OR GUARANTY FUND SIG UNDERPENALTIES OF PERJUPy apply for apermit as the f the='by pp y �-V f 1 �� RegishationNo. Contractor Name Date OR Owner's Name I , ,7 cq The Commonwealth of Mas§achusetts i'• �'�,p h `'U` s _ - Department of Industrial Accidents 66a Washington Street _ Boston,Mass. 02111 r Workers'..Coin ensation.insuranceAffidavit-General Businesses `/ �,•�x•�Vy/�,,y'� •i .f ,: v9.• •':T``,�er'r►fy.,�•r• i �••',l` ..+. * I / Mz ��y :{I'�..''.%'a'Yft!/ -` 'ice' , t,, •• � .O • • . , 1_- ., "•� - address: r state: work site location full address I ain•a sole�roprietoz.and haven one ' $psiness Type; []Retail[]•RestaurantBar/Eafing Establishment El 1 am.a le any capacity. [�Of£ice[]Safes('including Real-Estate,Autos etc.)' El I cm to er with ein•lo ees full&b bi t time), ❑Other ie iiSi�aiiiiiiiiiiiiiiiiiii��iiii I aman employe providing wkers' cbm�ensation for my employees working on this'ob - :; CODS an II$nzet �` � t ' •s' ,t: ri : F, li,:;ir. :.`;..:f'«'� �i `r '�'. ram. •+ .h'�+.la', �' Y,,i •x., •J,' ,li•. i{•.� �• •. !'' .'x •..x("•• .x,'; ... 1 • . .t •,• i• "' ''�' '3' aV••r+, - •, •.,' 1,� �lai�!,il:: .'f:i.- It•�l{:.'.:fT'±�t:,t .. •1 i ,, i,\t:•': ' •4' f' '; •••f.ji;.', '•J:!. ..�:' • r•. ':ix•:.4•.• :I''••' S. h't}.. sddreSs'` I •t'N'j t• - •,•1 7• •i7••�'/•,"'.'S:`:k'.`,.. •O11C', "• ':•: ..r �t i••ar.'4'•i.•.'a,i'D,' : friswaiice.c'o:,r1.:�':,`r s "''^ I am a sole proprietor and 1711 -have hired the independent contractors listed below•who have the following workers' .compensation polices:6M all '•'ti ;'L.•, . . r' ft: alL�l:'.a:r'��th :4: t\�:' •{••' rx:art:'' I'•."�1�'.:ti' ,. .x. •a •;x: aL -L'..r;a';.t• . ... . 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':{ •J. �1 �', '::.�yy: r.�i� .t/',.: • .:ht''::,1•C•t: -�li• Fj 6 :�:'Jx. F _ t: `s:t tJ..;= 1 '.' li;'y••• w'-i; ••x :Q• :t: •x'••;t'`=i;• °v'..} :.� '•y:•�'� •ifl1 1,,:fart s:' :•� 'e4' 'i lI1SIl2821Cr'cb: 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$1,500.00 and/or one years'imprisonment as well as civilpenalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that copy o f this stateme may be forwarded to the Office of Investigations of the DU for coverage verification I do hereby ce : u der a pa' d penalties of perjury that the inform ation provided above is true and correct Q �/ Date ignatura' 3& Print name Pt t'Clov-, AL S C Phone# Y official use only do not write in this area to be completed by city or town official permit/license# ❑Building Department city or town: []Licensing Board []Selectmen's Office 0 check if immediate response is required ❑Health Department , contact person: phone#; 00ther (revised Sept 2003) Information and Instructions Massachiiaett$General 1 aws`chf pter�152 section 25•regiures all employers to providt•workers' compensation for'their•. employees: As quoted.from the `law'., an employee is.defined as every person m the service o 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 mare of the foregoing engaged in a�joint enferprise, and including the legal iepresentatives of a deceased,employer, or the-receiver or partnership, association or other legal entity, employing employees. 'Howevei-the owixer of a trustee of an individual, dwelling house having.not more than three apartments and who resides therein, or the occuPant�bf the:dwelling house of another who en�ploj�spersons to do maintenance, construction or repair work m such dwelling fiouse•dr on the grounds or building appurtenant thereto shall not because of suchemployment.bedeemed to be ari employer,': MGL chapter 152 section 25 also'states thafevery. state-or lbcal licensing-agency shA withhold the issuance dr 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 insuranee coverage requ a—'� Additionally;neither the' coi=onwealth nor.any-of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of corr�liarice with t�e insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill mr the w fkers'•eo�ensafim affidavit completely,by checking the box that applies to your situation.. Please_ supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Departrnent�of Tndustrial 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`Tndustrial Accidents. Should you have any questions regarding the""Iaw"or if you are required to obtain a.workera'.compensationNlicy,please call the Departmsent at the number listedbelow. City or Towns . Please be sure that the affidavit is complete andprinted 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 perrrnt/hcense number which wdl b"e used as a reference number. The.affidavits may.be.returned to. the D eparfinent by.mail Or FAX unless othei•'ari ange;Tents have been made. The Office of Investigations would like to thank ybu in advance for you cooperation and should you have any questions, please do not hesitate to give us a-call. The Department's address,telephone and fax number: . : • • The Commonwealth Of Massachusetts- Department.of Industrial.Accidents Bthca of WesUpfietts 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 .. Jr. //-dPn ► I%PI.AW%1% __.L.'Arc . 107494 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ( Lao Application # !� 10 1 H 3 Health Division Date Issued f'D Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 57 Captain Lij ahs Road Village Centerville Owner Keith Hochstein Address 39 Richards Ave, Shrewsbury, MA 01545 Telephone 508-523-8968 Permit Request Air sealing, install 670sq ft of R-30 to attic Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1529 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) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave, Cranston, RI 02910 License # 100459 u; 's k Home Improvement Contractor# 20979 N Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE 3/22/10 Erik Nerstheimer for RISE Engineering FOR OFFICIAL USE ONLY d APPLICATION# R DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: E FOUNDATION FRAME INSULATION 4 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT = ASSOCIATION PLAN NO. i i r t . The C®agamo' nnwetafth Of Magsachmsetts Department©f I ndusirial Accident dffdce ofllnvesdgationss 600 Washington Street - Boston lm 02111 vwrvw.mass.gov/dia. Workers' fCo>llmpensa tnoTm Ilnsulranee Affidavit-. BuIllders/(C®nI>r�e�®>i�/�llee�>rIlen�ns/]�Ilu>mul�e>rs Applicant f nffo>rmation Please RrinL Leg➢wy Dame (Business/Organization/Individual): RISE Engineering;� A Division of. Thielsch Engineering Address: 1341 Elmwood Avenue City/Mate/Zip: Cranston, - RI 02910 •Phone #: 401-784-3701 or 1-800-422-5365,+ Are you an employer?Check the appropriate box: Type of project(required): 1-9 1 am a employer.with 4. ❑ I am a general contractor and I have hired the sub-contractors , 6. ❑New construction employees (full and/or part-time). 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. I .. ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. workers' comp.'insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions .myself.[Nfo workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' comp msurancerequtred] 13.� Other Insulation 'Any applicant that checks box#] must also fill out the section below showing their workers compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. j am an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency, Policy#or Self-,ins.Lic. #: WC2—Z11-259874-019 Expiration Date: 04/01/ 10 Job Site Address: City/State/Zip: Attach a copy Of the workers' corn pensatiion 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do hereby certo��.the 'ins an penalties of perjury that the information provided above is true and correct. Signature: X-C Erik Nerstheimer for RISE Enggineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. Do not write in this area, to be completed by city or town official .City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/'Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �^ rage 1 0I 1 The Official Website of the Executive Office of Public Safety-and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License 4 100459 4 Restriction WS,IC Name Erik Nerstheimer City, State,Zip North Scituate, RI, 02857 ' Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search .J�ze. Uazzn�ynu,P.cr,�(,✓z ��il�CadQczc✓zcc�elt : _ M - . .. Board of Building Regulations and Standarrk Lkense or registration valid for individtil use only HOME IfUIPROVEME(VT CONTRACTOR r before the expiration date. If found "return to: Registration,:. 120979 Board of Building.Regulations and Standards` Expiration 3J.25/2010 I One Ashburton Place Rm 1301 Type Supplement Card T•tlsrc�ii,hta.0310$ HIELSCH ENGINEERLNG RIK NERSTHEIMER 341 ELMWOOD r RANSTON, RI 02910 - , iI —T Admrnisn ico Not valid without signaUrre http://db.state.rna.us/dps/licdetalls.asp?txtSearchLN=CSL1 00459 ACORD CERTIFICATE OF LIABILITY INSURANCE ®PID 27 DATE~D"m') PRODUCER THIEL-1 1O 15 09 The Preston Agency, Inc, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS ITS UPON THE CERTIFICATE PO Box 810 I IC)IR. �CERTIFlCATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOVI! East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Hartford Underwriters Ina. Co Thielsch Engineering, Inc INSURER B: Thielsch Group Inc. Hartford casualty imsuranoe Co Hi Tech Realty Inc. INSURERC: Liberty mtual195 Insurance Group Cranston RI 02910 Frances Avenue � INSURER D: North American ci Cranston . . . INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY'PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR LUSIU TYPE OF INSURANCE POLICY NUMBERUMI DATE pA� LIMr� GENERAL LIAN TY EACH OCCURRENCE $1,000,000 . A X COMMERCIAL GENERAL LIABILITY 02UUNTD5678 04/O1/09 04/Ol/10 PREMISES aocauence) s300,Q00 CLAIMS MADE OCCUR " MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000!1 000 " GENERAL AGGREGATE $2,000,0OO GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-CDMP/OP AGG $2,000,000 POLICY X �CT Loc Ben. 1,000,000 AUTOMOBILE LIABILITY Emp B X ANY AUTO 02UENM4850 04/01/09 04/01/10 COMBINED SINGLE LIMIT' (Ea accidem) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) - GARAGE LIABILTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $_ ` EXCESS/UMBRELLA LABILITY , EACH OCCURRENCE $10,000 000 B X OCCUR CLAIMS MADE 02XHUUF'6573 04/01/09 04/01/10 AGGREGATE $10,000,000 0DEDUCTIBLE X RETENTION $10 00O - WORKERS COMPENSATION AND $ EMPLOYERS'LIABILITY X TORY LIMITS ER !r ANY CERIM ETOR/PARTNERIEXECUTIVE %2—Z11-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT s 500,000 - OFFICER/MEMBEJ2 EXCLUDED? UIf yes,'desaibe under. E.L.DISEASE-EA EMPLOYE $500,000 SPECIAL PROVISIONS below OTHER . - ,. EL DISEASE-POLICY LIMIT $500,000 D Professional Liab. DVL000025902 04/13/09 04/Ol/10 `Prof Liab 2,000,000 A Leased/Rented 8 02UUNTD5678 04/01/09 04/01/10 zquipment 100 000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSKNIS ADDED BY BWORSEMEIT I�W1L.p RDVOMS*Except 10 days for non payment Of Premium. 'Holder is included as an additional insured when require_d,by a written contract with respect to the General Liability coverage. , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRNED POLICIES BE CANCELLED BEFORE THE EXPIRATION DINE THEREOF,THE OWNG DISURER MILL ENDEAVOR TO MALL *30 DAYS WRITTEN NOTICE TO THE CE11MO7CATE HOLDER HAYED TO THE LEFT,BIT FNLURE TO DO SO SHALL WPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE IINSURIK ITS AGENTS OR REP1ItE8ENTA7NM AUIII04RED ACORD 25(2001108) ©AC D CORPORATION 1 a��YiMC e1�.� a�A9G iul.eis 35t�u4�77J Also for RISE Engineering, a division of Thielsch Engineering, Inc. Gaskell Associates, a division of Thielsch Engineering, Inc. BAL Laboratory, a division of Thielsch Engineering, Inc. ESS Laboratory, a division of Thielsch.Engineering, Inc. ALCO Engineering, a division of Thielsch Engineering, Inc. Water Management Services, a division of Thielsch Engineering; .Inc. ',. R Federal a t r Registration ss2s RISE ENGINEERING RI Contractor Registration No 8186 I A division of Thielsch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 820120 ' 1341 Elmwood Avenue,Cranston,RI 02910 f {" (401)784-3700 FAX(401)784-3710 CONTRACT Page 1 RI S THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING _ DESCRIBED BELOW CUSTOMER " PHONE - - DATE CSentp Keith Hochstein (508)523-8968 02/17/2010 107494 SERVICE STREET - BILLING STREET "..'� 2 57 Capt-lijahs Road 39'Richard Ave U L� SERVICE CITY,STATE,ZIP BILLING.CITY,STATE,ZIP •-� ri ' Centerville,MA 02632 Shrewsbury,MA 015 �f c JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 12 man hours. $792.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class I Cellulose added to 670 square feet of open attic space: $737.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. $1,,344.710 ' r WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF F ***One Hundred Eighty-Four&30/100 Dollars $184.30 -UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY ' UNPAID BALANCE AFTER 30 IrYS.SEER ERS FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND.CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES _ AUT46TRACT E INEERING CUSTOMER ACC PTANCE I r� NOAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE —� SATISFACTORY To US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE i f 6 i 2� 39 -- a -�' Ex�s�►,, , ,24 0 ,� ✓'"y~Y'� f l � F� ' iJ � � 4� L�; 1; K ( s1f t I 36 t j A �j I l S/LL �E✓..______ Ff�T 4E30✓E PD.dD RL07- PLAN L O CA T/ON rr SCALD — / •�_ ,` '' D.4T� 6-2��- 76 PLAN 24e F&A2En/CE : ,361A AG L.G''r ,.a►M. ,6A 45 Skl0k,,/1✓ /n./ A E26 Y CEPT/FY 7-1-IA 7- T/-/E EX/-57-- H /NG FOUNDA 7'/0 / LOC.4 T/Ow i5 GMPPE 'L4 S�Rv .4.5 3f OWAI A"D_DO4 �--�`ONFOz,,-f/' lrq ?s-✓E $U/LD/NG 3ETC3�4C.C�,�,EQUiPLML�iVT ZB /9 ( OF THE j,Toat/n/ O` F� -- 5i.�Lt_ GLca :� ,e — A. — — — — — �• ZA1s 3uz�t�yoo �C"L-L��"3�h.0 /�,�i�.�d N� 9 6ViGGOvi/ST. y.A2M4ciTXIJ�O.L�T M4._ d sessor:s -map'and lot ,number ..... - a REF'CIC SYSTEIITI MAST B CN 7 INSTALLED IN COMPLIANCE ` Sewagex Permitr number ... ..� Z.t`,t—.. .....{........`.... WITH ARTICLE E II STAT E '. . SMITARY CODE AN® TOWM 3s �oFTI IEro�� TOWN'— OF BARNal.. �.� 0 Z BAHHI.9TdELE �^ M639 � B-UItIDING INSPECTOR � r APPLICATION-FOR'PERMIT TO .....D. ............. r.J l 1 t TYPE OF CONSTRUCTION ........1.�l.tD.o& ... �.. .........................�2'.:.a0..........19..'J.(a R TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies:for a permit according to the following information: Location ... ...... ..n.......1,JJ:(r1. ....1CCy�.:.1.... .Q .Y1 ..Q��AJ,4..Q..Q.4<......Qa_, . r..................................... ProposedUse .....Tuujl�,nl........................................................................................................................................... Zoning District ................CS...M...............................................Fire District .... ... Name of Owner AA..... ....—.Q-7.nL5 Name of Builder ...............,Q.IY.Y.18.....................................Address .................... �11!'YIR.... ... ............................................ Nameof Architect ............... . . ..6 Y4K...................................Address .................... ...,............................................ Number of Rooms / 11..............! .................................................Foundation ......�:�......p.Q-l�t.11_R.C�...�. .. . . . ....... . J.�. �.....�.b.0Ck�..CL. g .. .......A5.p.h&aExterior ......... ... ........Roofin ... .. ............................ f Floors .........1.i1 IC..........�.. ..1/l!1t;r...............................................Interior .......... .�.......sa�.. .r6 ............................ Heating ........ ......:.....................:...............Plumbing .........L.1J.1:�L. . Fireplace ........MQb ..-.....1 1 Cam................:.........Approximate Cost ........ ... ................../a........... Definitive Plan Approved by Planning -Board _:__________________--------___19________. Area ......�.............. . ............... Diagram of. Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH P11 li9 . hereby agree to conform to all the Rules and Red@ations of t Town of Barnstable r2g&4ing the above construction. _ Name .................................................. l Tellegen-Ferrone Associates � .. 18488 - e~-- 1 1/2 story, No ... ......... Permit for ............................... , ngle 'family dwelling y Location 4Capt'n Lijah Road ................... _ - , Centerville ...................................................... ................... 'Owner Tellegen-Ferrone Associates. '.................................. frame.......?.:........... Type ofI Construction Plot ............................. Lot ...................... . Permit Granted ..June $II 29 .....19 76 z T Date of Inspection �rp _ 4 Date Completed . . .......19 4 PERMIT REFUSED - ....................V ........... .. 19 ............... .. ................................................... ....................................... ................................... .........................................................- 4 ` y' 4 ............... ......... ............................ " .... ...... - .. •� _ �..� - ,. �-�� -, Approved ................................................ 19 .......................................................... .. ...... ,.,` «h ..................... .......................................................... ty - j Assessor's map and lot number ..... 0"C/2CL— U/ r;Z K Sewage Permit`number .........2? r...........:.........:............. ��QyOFTMETO�� TOWN OF BARNSTABEE . • yam• • Z EAUSTABLE, i Y 6 9 am �e`� BUILDING INSPECTOR . 'FPy a' . . G APPLICATION' F ...�ra►nh-�n....1: : :.....�!'?.?.....�.n.!a'` .'.. ! .. ......................................C . OR.PERMIT TO TYPEOF CONSTRUCTION ... ....:.................... :.................................r................................................ ................................................ {• TO THE INSPECTOR OF ,BUILDINGS: The undersigned hereby applies for a permit acc-o-r-d�ing to the following information: t 1 Locatjon ... . 1 . ..`'...... (?r h..a...... ,r � n„In,,..K c �� _.!!? � ,o ..! .l..f. .2.. !. Oxl,?,: J' ProposedUse ..... �:.l....:f............................................................................................................................................ Zoning District .....................Fire District � �' � / 1� ; !. ......... .............. Name of Owner4.R. .; 0. ?.�s.� ........................... ... Name of Builder ................` t!.1^.: : ........Address 1��. ............................... ..................................................................................... Name of Architect 111 ,, < ................Address ..................... ?! !mo„............................................. Number of Rooms f^ I )' h -{h "� �'h Foundation ................. .............:.......::......... Exlerior ......s!.,5,�.... t 'v 14 n }a ,,_ t , /t 1) ev n h ' ...........Roofing Fi X Y? #� C? /S (�" .................. Floors I n ,..`• .Interior ' �f, t .?.... . ti g _ C't t 1 - �t(1 Plumbing .........I..i:/, _fi(1 t - i Heatin ......................................................... ................................................................... Fireplace � I } . ..Approximate Cost ........h r .. )................................ Definitive Plan Approved by Planning Board ________________________________19________. Area ......�.................................. Diagram of Lot and Building with Dimensions Fee } SUBJECT TO APPROVAL OF BOARD OF HEALTH egg { I hereby agree to conform to all the Rules and Regulations the Town of Barnstable regarding, the above construction. ame .................................................. ..................' Telle gen-Ferrone Associates A=192-160 pi 18488 Permit, for .....1...1 2 s.t.on�". ................ ............ Nod family dwelling ............................... ..51Capt'n Lijah Road Location .. ...................................................... Centerville .................................................�/.......................... Owner ...............T.e.1.l.eg.e.n4.e.r.ron.e...Ass'o.ciates .. . . ...... . .. . . ...... . ........ . .. . Type of Construction frame .... ............... ................... .........................................../. Plot ........................ .. Lot .... Permit Granted ............June._. 29. .........19 76 Date of Inspection ....................................19 Date Completed .......................I. P ... .........19 PERMIT7R FUSED ......................................,......................... 19 I .................................. ............................................ /............................................. ............................. !/!' ........... 1..7...7' ......... t................... ............................................................................... Approved .............................................. 19 ............................................................................... ............................................................................... r Ai.._!_2 r�r� I : I I I r E I Y_ f ------- _ ( _ ' 1 I i I I I i 1 {r I I } i I a i - , "�..i� c�'(v ( F= F ��J4 I l 6/0 K ff r - t ' II I f I I 1 I I i I I t I i 7 , i 1 , y I ! j ! I I � , I I I , � I i ,.'_ .,'». { .I :wl.. I .'. + ` _ , S i• i t I f __. ro �: I I ' • i I 1 I i 4 { ! � R t { 1. 3 ; jT j• L, t. j I I t i 1 : I 1 : i �_�M fin E R ,'O t�� + — ; R ► { - —i_ —z• X . ��,r � S.l��E �� .3EUTGP � �U' F 4� iL s��a� -a�L�'�eTs t , AA 11 !•L T _.. / EVEN A I _ E W v `', _ ' O , r Gem WILL �7�— lGGf lZ4 . P O RAD E O�_- KE` E 9ORS _.. ! ; i OR TJr—!OL , U ' � H E ® �. ' -TM• ------------- I � LAN E UST .._ w . .7 ACCORDINGLY ' AND HAVE YOUR _ m. _ '/ ECT E OUT THE APFROF'R9A ShyS __ i E — .._ — FIRETHE DE CIA�J TAK� T ' PARTMEIVT. { r i- I 1 4 , : , , r 7 i �� ✓� : I I I i W : E SMOKE I z { =X c S 1-1Na QRNSTABLE BUILDING DE. C: Lip'-�rt�l'� o►� /-�-cg�.s f; I I , , j I I I I i f r ' i I N 1 _ , , : i _ TY ------- ------ SHELT OF L K.A INJI-A fE D 6 11 OATF CATE_. .............. �2CI .......... I t A16 �---------- ' ' I I h i I I , t � � ; f i 1 i ! � LL I I I 1 , � I I ' ' - i ' I I I� ; ----------- —------- ............ ql clu/,Vl,ow r,>o T7 ---------- - -------------- 7-71 JH LH i3Oow_ ........... 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I ! ;�1 v�+�9-�z�cJ� � � ' , I ' z�., ' _ � �i � — itlI I I -41 �R oyq j it I - I ! ! � . t : Hill jI� I f E i i I I I I IT �/j/1 �l�l�/,✓JJ--(._ I I f t I y y n`n/� /�� /� ��/� �-W C i t t E Z I i d0 I_- - c cK 1 i , � I 4 i 1 I ; i - I /�.�, Z •6i. f. i. � I� !v _! L. j_ �� .t :k=�---�:._:. .;. 1, I � I (q I /u rN i -- - t ' t i ' � ! t•, I i + � I I ... '� �,�`}�6�C� I I— { ... _ _ .- -_ t - .-.-,_.)_,......-,-._.___-�.._e_�;_.,_ i I v I I i Lr41 L < - -_, --- --- — -- x - I 1 I i ! sc- I _ __ I . -I —I� I I , �. I , �Il07iCtl7E C:v : _-EG _. _ 1✓ _.. -- -- _. . --- - - IIvii T ! I - - _ � �. _s I ' --- (v pG — i If o 1-70 I j ! I �t. i 1 I - — ----- — -- .. t r 1 I j I j T I G I EXTERIOR SPECIFICATIONS PROGRAM WINDOWS, DOORS, SLIDERS, SKYLIGHTS I ! ! I _' I ! _T �oB H-6Cf STYj(AJ 416�7 JI-H t AIAAI ,�I 7 g �� / 7) I SHEET ado. OF i Roofin /L ci i �3 JJJJ Rough Openings j I j I 7�� - �^ G' 1 ! ! ! I , I ! ! CALCULATED BY K DATE�_Z ' Sheathi g Paper / m � Unit # s Width X Height ! Siding(s)� C _ CHECKED BY--_-- _ QATE _-- /!/ —'o— / ii I -^5')-7'j�3iI;,7 f-�I�`✓_�iii,i�_ 'j`i,a'ff�_-/�$N�.�!1Ii�N+1/'-6 0�G I1Iy III.I_-S�__-.-t.1 C•-_,_i'.-__-__C—--_-;1�Ig"ayt8�_ ^QIhI _— SCALE — in Exposures 4/ rCff 4y a 2 TW 210Y1 Q _ i�4� ` LS' Zg 3!Sheathing Pa er__— 1 r99 2, /91 AIL Pr 9,r eS � ' ,e s /Co► Soffit Trim Frieze Kick / Window Casings Door Casings / ;Rake Bds Trim T Venting @ Ridge �SGahle @ Eave — -- c%I1'iIiI I Windows _ Ext. Finish �fl; Cnt Finish UMI/37 Divided LICIMs VS4'� Screens Hardware10 _._ . � Doors /t) 7t �ti V IS ---�-1_�- -- '_ -J1 A—_ ._ _A 6 74to Finish c1 FEn@Sp Hardware 10 .. /V / L F ,^ Screens Ad 77CW P� /b .c Hardware - - -70VLIAM r. �te Openers � l�l �� N + ,L 6 f} - � : ; : } i r a _ . i ( I � i _ i I ._�._._�._• ' ._ 4 - - I -_ � f i i_ i I i i i i ! I I i � } j '. nr«wrr"e�rwrw�wrw�wrwrs. .- t k DESIEN CRITERIA.' GENERAL NOTES.' Fl. THIS PLAN IS FOR THE DESIGN AND SAL INVERT ELEVATIONS.' FTL'�-1 �� __.u'_ .. . BEDROOM DKF.,'lIM6 110 SAL��7AY hEA BEIJYIt'lOM COCONSTRUCTION OF THE SEKAGE DISPOSAL Qvlav" j•4 •» FACILITY OKY. ' INSTALL A GAS BAFFLE EOUAI.S _�1'�'4 GALS. PER DAY. INVERT A T BUILDING r nb IN OUTLET TEE. L A A 0 00 R. ALL CONSTRUCTION METHODS, MATERIALS AND INVERT IN A T SEPTIC TANK q ,, r SEPTIC TAW REGUIRED.' MAINTENANCE FOR THE SEPTIC SYSTEM SHALL 4� ,bJ ACCESS COVERS MGST BE KITHIN CONFORM TO MASS. D.E.0.E. TITLE 5 AND LOCAL INVERT DUT AT SEPTIC TANK 'SV 6 OF FINISH GRADE. 'I*MAX LI 0 6PO X 200,1' O GAL. ` BOARD OF HEAL TH REGULA TIONS. INVERT IN AT DIST. BOX 'a'.s -t�`�"-�c „:--- SEPTIC Ti','r.'' PROVIDED.• A 1 �0 0 SAL. ' 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT AT DIST. BOX qXj��0 ED STONE VEHICLE LOADING (I.E. UNDER DRIVEKA YS, ETC. INVERT IN A T S.A.S. 3/4"- Da A. SIZE OF LEACHING FACILITY AEG►UIRED SHALL BE DESIGNED TO li✓ITHSTAND H-20 LOADING. BOTTOM OF S.A.S. d 1 .4, MIN' 2 EFF• KAS ED STONE L IOUID U-=5 j �7` DES.t6N PERC. RA TE » MINUTES/INm 4. ALL SEMER PIPE SHALL BE SCHEDULE 40 OR OBSERVED GROUNDKA TER ' " DEPTH y` APPROVED EGUAL. ADJUSTED 6ROUNDKA TER 10 GALL L'NS PEP DAY m I DIST. PROPOSED S.A.S. —�'} 1500 GAL. BOX C�-1.-�,o 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE SEP IC T "10 ) SIZE OF LEALJ�IING FACILITY PWOVIDr?, 1-900-322-4644 FOR LOCATION OF tp TNP,EE- rpO �,�tLoN GAPAGI�'� GOdJG , UNDERGROUND UTILITIES. 7 I N�, E- LAC} 1 N a G P A1J1E3�R-S W14 .S.O ti 9G l �C �6 "OPTIC TA/YK G D-BOX TO BE SET GbV A SIDEIvW L �� S.F. X 0-,L+ 6. DATUM IS ASSUMED �w r C BED OF COMPACTED CRUShED STGWE 6 7. NO DETERMINA TION HAS BEEN MA OE AS TO COWL IANCE ��,�» 0 f P��c �� fZWrRA0TOR TO &4 TER TEST D-BOX Tfl BOTTOM �3 S.F. X O-� 322 - 6P0 X17H DEED RESTRICTIONS OR ZONING REGULATIONS. ShW LEVELNESS. TOTALS Z 2 S.F. 6 Q GPD IT SHALL REMAIN THE OKNER'S RESPONSIBILITY TO OBTAIN ALL REGUIRED PERMITS, SPECIAL PERMITS, VARIANCES, ETC. FOR THIS PROJECT. N 016�--� SOIL TEST PIT DATA - REVISIONS., IT SHALL REMAIN THE OMNER'S RESPO SIBIL I TY TO HA VE THE PROPOSED DNEL L ING FOUNDA TION T.P. -1 T.P. 2 N0. 0,4 TE REVISION DESIGNED TO ACCOUNT FOR THE EXISTING GRADE Depth from Surface Soil Horizon Soil Texture Soil Color GRND' E!_EV, t�/2d 6AND. ELEV. AND SOIL CONDITIONS A T THE LOCH TION OF THE (Inches) 6.K. ELEV. G.K. ELEV. PROPOSED DKELLING. (USDA) (Munsell) DATE• Z 6 4 O � Alp skal �A�� /��fj' v2 / g TEST Br eoz A✓ITNESSED BY.' IPA-V 17 n W S`T�i�?`aTS'� Ladin Pont 4\ .I Shirley Vr / G, i� / Z� - PERC. RATE ,! MIN. IN. Stoney /l� �og � a S J.. '�N FM Pt r7 _ C ii /� J �1 [R 11 �' i• 1 II ` s`�h�d .. a I l l `�5 l aA L / r M(CtiN IF 51 } Or ( \�f• /i ( - w x Lewis /✓� ny > N r:32? 0 / a; z 1 t ' .. 4 +� . ' •�,LOCU n Pt ,'a q4i� rllrl Q.tis w ,' S4. w^ ( it �_�„ -,y, ,. _ ..: , ,. ;. .• ,, .,,n :+ ,ram - G / �'`l/ •/' A { J.."O Hayes P t !/ - --- _I 'D Y V/7 . i�.`�.0 �i�b• , ,'� 5 rea < _ ' nrry �// '• •1'' �` r pay -i�i ��::/, , )3j nr/� 0 ,) rr�•,.C i\/ �•.�B°,5 �%';� Darn ��is f °°' � ,�y rh l C 0)L. NO7E ' T PU�9Pr THE EXIST ING SEPTIC TANK :AND u fib lu 1`T -1 A '1` 11L LtACr,' PIT AND FILL WITIV CLEAN SAND. 11 Y LL41 cU. �r • S ,. b�w l s -rO 11*E C� SOIL. V�ZD+"�'� �„.'�{!� R�.•�7 L,•�G fir �-•J 1`'Y� -.=r -..;.'. ' . APPROXr EXIST. LEACH. PIT '9e T - ,;% '1Zq - LAAVfUWErT 3• Ali I f w�•w w w r PROP, ADD. eo, i rB. { K. ~TOPE FOUVJA TiV �+,N' ��i , .l'.lS ; _ -- 100�00 (ASSUMED�� J_ • (� r -..-' O,� � t , '�.. �N►.....r..r vr•I 1� J 1 1� 4,ra/P� \ O 1/ ' VI �.• I Q s t ; -,-- PL Oi PLAN ..SHOYIl`✓G A PROPOSED ADDITION PRORaPO 5Z7 ��'I�EZ AIDUPGRNDE OF AN EXISTING- SUBSURFACE LOT 5A _ _.�— , SEPTIC DISPOSAL SYSTEM / j I LOT 5A, CAP Al L IJAH S ROAD, BARNSTABLE, NA 142. 46 APPROX. SCALE 1 " = 30 ' FEBRUARY 6. 2004 GAS 6 IYA TER ! CANAL LAND SURVErING I - SL"RI�ICE ; E NOTE.' EXISTING 3 REDROOM Dh'FLLING h'ITH A P�?OPOSED BEDROOM IN 306 OLD PL YMOUTE! ROAD, SAG. M01?E BEACH, MA j ADDITION. 4' BEDROOMS TOTAL PROJECT NUMBER 03-124