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0099 CAP'N LIJAH'S ROAD
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I �`J �l:,��,,Vf �0% ., tdi i-j, -,,;:�I I I t,..-�, : v ' f U - �,��s � � i It � ;,�,��-�,,,.�,,, �)�;:� �,�' , , , ; .OMP �1- �"M, -- t . - ,i--u-- M D1 CL 44-5 40 now �o soh o 4at Aw ',} Y Application numbe ...). )g. -may �* Date Issued......... �23y�: ................................. MAM Building Inspectors Initials............ ............. AUG 2 Map/Parcel..... ... 2 2 '� OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: q q IJ L�I 3"Pr� kUA'17 Cco Tb?- v NUMBER STREET . VILLAGE Owner's Name: J s tLir, Hy�`c� Phone Number -6 5® I Email Address: er GS I.C,,� Cell Phone Number 1 Project cost $ ® Check one Residential V Commercial r OWNER'S AUTHORIZATION As owner of the above property I hereby authorize ff ilclwl to make application for a building permi"thijaccordance with 780 CMR Owner Signature: Date: S 12-o 1 1 T TYPE OF WORK Siding 0 Windows (no header change)# E-1 Insulation/Weatherization Doors (no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles) . Construction Debris will be going to p�"}� (��r1'��(1h 0°�17°4 P CONTRACTOR'S INFORMATION Contractor's name N i( aw Home Improvement Contractors Registration(if applicable) # }$ �j q- (attach copy) Construction Supervisor's License# I y� (attach copy) Email of Contractor &A 7a 6& hone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFOREA PERMIT CAN BE'ISSUED. lk APPLICATION NUMBER............................................................ *For Tents Only* P, Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper.. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each'tent If food is being served at your event please obtain a Health Department approval between the hours . of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval, *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:,front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number ' ` Cell or Work number I.understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature ` Date All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �r(f/hQ lot 5 Address: C R t eC.i f 1 ` K4 KA City/State/Zip:SiYwNM MA. 0)-6 6 1+ Phone#: �;08 6 3 2 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with ' 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers', .Y P h'• � 9. ❑Building addition [No workers' comp.insurance . comp.insurance. 10.El repairs or additions required.] 5. ❑ We are a corporation and its P 3.❑ I am a homeowner doing all work officers have exercised their I I.0 Plumbing repairs or additions. . myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4)$and we have no employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.- *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.-Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer^hfy under the pains and penalties f er' ry that the information provided above is true and correct Si ature:' Date: Zb l 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.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 0frice of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.govidia , ��e�aoico�zairu,ea�/�.o���`aa�ar�ccoe%rJ 9 ' Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: Individual before the expiration date.;If found return to Registration Expiration Office of Consumer Affairs and Business Regulation 184379 01/04/2020 10 Park Plaza-Suite 5170 NICHOLAS G.BRADY- Boston,MA 02116 NICHOLAS G.BRADY 84 CAPTAIN WEILER RD. Not valid Without Signature SO.YARMOUTH,MA 02664 Undersecretary; E Massachusetts Department of Public Safety Board of Building'Regulations and Standards License: CS-108927 p4 Construction Supervisor t+ ; NICHOLAS BRADY ' 84 CAPTAIN WEILER iROi4D: SOUTH YARMOUTH:MAO 0266, Expiration: Commissioner 07/17/2019 . t ! a [„ ,ap n Lije Vi co In fu io f j mow..:.�, .•�. l� ,1��_�rt`�.+t r [ +�' �� fIn { 4.1 f •� JL all -- _2L_U coo C�o �� r s � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel - 1 G Permit# Health Division/ X<J� d• �� Date Issued Conservation Divi§j..,qn /W 01 j { Fee Tax Collecto, I��/ ®� >el l 7> SEPTIC SYSTEM MUST BE Treasurer l INSTALLED IN COMPLIANCE Planning Dept WITH TITLE 5 ENVIRONMENTAL COOPE AND Date Definitive Plan Approved by Planning Board SOWN Historic-OKH Preservation/Hyannis Project Street Address �''✓f��/�i /� J S (� Village C-e kA z ' l Owner Address Q Copf l G,_S of H Telephone — Permit Request 5 A 4 o G%1_ 4 00 t , 0 4—; 1 Square feet: 1st floor: existing 5; proposed,39(.� 2nd floor: existing %w proposed Total new. Valuation �IS70`6ning District Flood Plain Groundwater Overlay Construction Type _ex oa o i�,Ipf � Lot Size 1 S, U S-7 '50 11--t._ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family &-Two Family ❑ Multi-Family(#units) Age of Existing.Structure �5,` r S, Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: Z�,Kul'I ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new Half:existing 1 new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new ! First Floor Room Count Heat Type and Fuel: as ❑Oil ❑ Electric ❑Other I Central Air: ❑Yes Ca 4 o Fireplaces: Existing i New Existing wood/coal stove: ❑Yes ZM5 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 Name �� < �e l'()�t/ Telephone Number ° Address 2 �/'� (,. �f� License# 0A S G>L Home Improvement Contractor# Worker's Compensation# ` ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ///a a s� a FOR OFFICIAL USE ONLY �n RMIT NO. DATE ISSUED ' ; { t MAP/PARCEL_NO. •srt. _ ADDRESS S'= VILLAGE OWNER y DATE OF INSPECTION" FOUNDATION p1' 1 v nR,r v u S L)n v �' L •ot CGS - • FRAME '-' n" " INSULATION FIREPLACE ELECTRICAL: ROUGH 0 = :' FINAL, PLUMBING: ROUGH 'I FINAL - GAS: ROUGH r' rz5 FINAL FINAL BUILDING 7 f w i DATE'CL'OSED OUT ' j. ASSOCIATION PLAN NO. 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' / •11 1 1 I 1 • / 1 1 I 1 1 1 1 1 / 1 7=CUR Appawkj t Table JLUb(condoned) Plan ppdre Peek"a for One and Twe-Faaaiir Reaidaadd Baiidlags gaud with Foaag Falb MAXIMUM MUMUM Cu can wall Floor gaaemms slab Hanowcooliag Arm'(%) U-vaiaci R value Wvahwl E; IkJ wag perimciff &pipmem Wad 1WCAW &wwwws R•Vahw 5701 to 6500 Heads;D D&W Q 12% 0.40 31 13 19 10 6 Normal R 129A OM 30 19 19 10 6 Normal S 120A 0.50 3i 13 19 10 6 0 AFUE T 15% 0.36 31 a 23 WA WA Normal U 15% OA6 31 19 19 10 6 Normal V 15% 0.44 31 13 2S WA WA 13 AFUE w 13% 032 30 19 19 10 6 IS AFUE X 12% am 31 13 2S N/A WA Normal Y 18% 142 31 19 23 WA WA Normal t IVA 0.42 31 13 19 10 6 90AFUE AA Isr. 030 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY:_ �' ©j C�/f/✓f r.9•�- t/� JwdJ S ,d t2 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. a l 4. %GLAZING AREA(#3 DIVIDED BY#2): 9 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUMEMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. { BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-090303a L r 780 CMR Appendix 1 Footnotes to Table J5Z.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented b� the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall. For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions, but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5Z.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). e , ESTIMA TEO PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= above average construction) square feet X$96/sq. foot= � g 1/ (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X M/sq. foot= Total Estimated Project Value /-6 BAR „SUB The Town of Barnstable 1659: ��m Regulatory Services '�Fo►�� Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 i Fax: 508-790-6230 0 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: ,;4 c; �J�� � ifi d)LICost- Address yp Estimated 3 �� of Work: Ci�i C �✓�s��`� L,'' ,9 !f�S �✓�, Owner's Name: Date of Application: //w 10/ I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Dat6 VContractor Name Registration No. OR Date Owner's Name q:forms:Affidav i UNREGISTERED LAND FILE NUMBER: 108500 DEED HOOK: 8000 PAGE:15 ATTORNEY; GEOGAN & GEOGAN. P.C. PLAN BOOK: 274 PAGE:5 LOT(S)•9 LENDiR: TELEPHONE WORKERS' CREDIT UNION PLAN NUMBER: OF OWNER: LEE E. & JANET E. KITCHEN REGISTERED LAND APPLICANT: KEVIN FUCILLO REGISTRATION BOOK: PAGE: DATE: 08/14/98 SCALE: 1"=30' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL. 0015C DATED: 08/19/85 MAP: BLOCK: PARCEL. 164 MORTGAGE INSPECTION PLAN 99 CAPTAIN LIJAH'S ROAD, BARNSTABLE, MA NA MEAGHER LOT 9 14,087 S.F. LOT 8 ;� LOT 10 ' ! 250 CONCRETE BOUND (FOUND) 116.50' MORTGAGE LENDER CAPTAIN LIJAWS, ROAD . USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT nDESLAAJq.AJL T jMS OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE"TITLE. ; �i 1 INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. &, A,�I�7V�.A111 L7, INC 130 WEST STREET,` WALPOLE,.,MA 02081 . THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED TEL.:(800)287-8800 FAX.:(508)668-4512 DEED OR ENCROACHMENTS WITH RESPECT TO BUILDING SITUATED ON THIS LOT EXCEPT AS SHOWN. ; „AA THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN OF A SPECIAL FLOOD HAZARD ZONE. • � ROBERT , THE LOCATION OF THE DWELLING AS SHO`,NN HEREON EITHER � BI EDWARD N SSONNETTE WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN N0. 31300 � EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL CISTE��� SETBACK REQUIREMENTS ONLY), OR IS' EXEMPT FROM VIOLATION ,IL wo ENFORCEMENT ACT:ON UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. I i 50"'o e'- 4a L� 31y Pd a ' _ a T r i J I t Y }^ i L I - h� Ir r 111 - 1 T . 1I r' a i E i is , f �[ � �, f •f �! �f �� 9 '�; �...e'�Cw� �, /� i v a � I � f I � 3 i a, 4 I i . ✓� Pomvmmrurea� a�✓1�a� BOARD OF BUILDING REGULATION License: CONSTRUCTION SUPERVISOR Number. CS 005414 Birthdate: 06/08/1954 Expires:06/08/2002 Tr.no: 2598 Restricted To: 00 PETER J APPLETON 37 BAIRD WAYS. CENTERVILLE, MA 02632 Administrator HOME IMPROVEMENT CONTRACTOR Registration: 103218 Expiration: 07/06/2002 Type: OBA APPLETON CONSTRUCTION r!;ter Appleton ���o � ADMINISTRATOR 17 Baird Nay Centerville MA 02632 i i I I i 1`I } y i 6� I 3JI" -r; 6- PI ' � a I�! + E Pew Aj lt`k) / I I i i i I .. Z ..i i f O �s � 0 i`ito U. --— -- ----- — --- --- — — -- — --- — i oi i ' F _ _ t _ _ — — , f I _ I 0 i A we- JK I . e - s f� c _ — _ 7 � I' V I I I ` .�. �i h � _.._.. ��..�� (" a A.J �� t� �a` c� ..�...�._--- . , �v✓���i� �G� � 3"' H �z 1 '�l �I� - _ - Engineering Dept.(3rd floor) Map . Parcel L( Permit# � House Date Issued �� O�'G�- f�f7✓Li )hoard of Health(3rd floor)-(8:15 -9:30/1:00-4:30) 76-3—,CRZ Conservation Office(4th floor)(8:30;-9:30/1:00-2:00) 43ja a floor/School Admin.Bldg.) INs SEPTIC . ST TEE' _ TALLED by Planning Board 19 WITH NCE MEN ,TOWN OF BARNSTABLEOWN REr-i� E AND, 1 ; Building Permit Application i/jectStre�Address 99 � Lijah' s Road � Y��Va � '* Village Centervi l l e Owner - ;--,Lee Janet. Kitchen ( ~ Address '99 Captain Li.iah's Road Telephone:.t'508-773-5958 V i t Permit Request Construct 6'x18'-2" single story addition/kitchen remodel First Floor . 600 square feet Second Floor mn square feet 4 1 Construction Type wood frame Estimated Project Cost $ 26,500.00 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family :p Two Family ❑ Multi-Family(#units) Age of Existing Structure 15 yrs. approxJIistoric House ❑Yes ZI No On Old King's Highway ❑Yes ®No Basement Type: ®Full $]Crawl ❑Walkout ®Other crawl space this addition Basement Finished Area(sq.ft.) 600 s.f. (exs i st i ng) Basement Unfinished Area(sq.ft) 108 s.f. Number of Baths: Full: Existing 2 New 0 Half: Existing New No.of Bedrooms: Existing 2 New _ n Total Room Count(not including baths): Existing 5 New 0 First Floor Room Count Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes U No Fireplaces: Existing 1 New 0 Existing wood/coal stove ❑Yes ®No - Garage: ❑Detached(size) none Other Detached Structures: ❑Pool(size) none ❑Attached(size) none ❑Barn(size) none ❑None ❑Shed(size) none ❑Other(size) none Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes . 93 No If yes, site plan review# - Current Use Proposed Use Builder Information Name Pirhird I Pnnn/nisartpr Spec ia1iStc Telephone Number 50I3 888-1113 Address 9 Jan Sebastian Drive License# o5s731 Sandwich, M 02563 Home Improvement Contractor# 108642 Worker's Compensation# 3RY-001289-01 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN Tf?'- by R.F.I. SIGNATURE DATE Jig/cal BUILDING PERMI 4NAIED FOR THE FO LOWING REASON(S) FOR OFFICIAL USE ONLY ` = PERMIT NO. l/`'✓ DATE ISSUED MAP/PARCEL NO ? - ADDRESS _ VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME ���' INSULATION — FIREPLACE ELECTRICAL: :,x-BOUGH FINAL PLUMBING- ZOUGH FINAL ' GAS: tU R9 UGH • �yFINAL FINAL BUILDIN DATE CLOSED OUT - ASSOCIATION PLANNO. s oFtNE rqy, 4�xrail ti The Town of Ba rnstable , anaxsTABLL 16 9.MASS, s`0� Department of Health Safety and Environmental Services Ar E `t Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only r Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Addition Est.Cost 26,son on AddressofWork: 99 Captain Lijah' s Road- Centervi11e, MA Owner's Name Lee & Janet Kitchen Date of Permit Application: 1/9/97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1/9/97 Richard lennnx/flicactar 1,nPriallCtC 10R642 Date Contractor Name Registration No- OR Date Owner's Name The CommonHtealth of.4M.vsac•husctts Department of htdustrial Accidents Office 8"flyestigatinns \Ji'�'' 600 N'achingtun Street ' Boston, Ma.u. 02111 `- Workers' Compensation Insurance Affidavit Llpplic tot information• �Please PRINT iebj�y name• Richard Lennox/Disaster Specialists locntion-9 Jan Sahactian flrivP yin Sandwich nht,ne# 508 888-1113 I am a homeowner performing all work myself. r7 I am a sole proprietor and have no one working, in any capacity ' :.+:. ..•�...•� .r.._;.v'.._._..-.......-......_ .•] "fn T!�.�T�ss•}er-+'./"R'F rA`Tr�. �ww.•!1'.'S.1�ntw_•w•��nw+�'e.+n+, winvr._+...nalw�.•Y^ _._-..._.. .._. ( I am an emplover providing workers' compensation for my employees working on this job. coinyancn•tme: Benabby Inc d/h/a r)i-,actPr Specialists address: 9 Jan Sebastian Dri ve. wit,.: Sandwich rhnne#: 508 888-1113 insurance co. Lumberman' s Mutual/Kemper poliev# 3BY-001289-01 - - ....._. _ .. rty.'.r,,,... ._w,.4�+•vw.h�- ♦ _.w .as'naV w•r _ ...r.... ..._. _. [j I am a sole proprietor. general contractor, or homeowner(circle ate) and have hired the contractors listed below who have the following workers' compensation polices: coml,:im• name: address: cite- phone#: insur•nce co nolicc# -_ 't.. _ Yam" - - -:Y" - .___. � _ � `T'^lr-'oi•^'S' .��._,_,: _ ..t..�+,-':•S'..-i_.__ _._ .._.�._--..._. _I_a_.r.�y....._...w�_.�r:ar'.r+.J�v�rrr.. -- Z�• - __����c�o�... �_._ compnnc n•tme• address: rity: phone 9- insurance co nolicv# .Attach additional sheet if neccssiirj;; _. ___-.. ._-.___.___.. ._ .iWTi�rla.���'�r�..I.:IF.t.�'?tL-J `�/HfM�-^•�r�3`�'r •••�"�-W�—S�"a_9M�e c i.w Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties ol•a line up to 51.500.00 andiur one wears' imprisonment as„cll as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a da%•against me. I understand that a cope of this statement mac be forwarded to the OMce of Investigations of the DiA for coverage verification. 1 t10 hereb[ cc ifj•t tder i ,pains and penalties of perjun•that the information provided above is true ands correct. Si e Date in Print name Phone it :. otTicial use only do not„rite in this area to be completed by cit} or town official 1 city or town: permit/liccnse# r'liluilding Department C3Liccnsing hoard t-. check if immediate response is required ❑Selectmen's Office f' r. 0I1calth Department contact person: phone#: M01her r'• rev+e;i: DNA) information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their `employees. As quoted from the "law". an en►ploree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An e►npl►Ver is defined as an individual. partnership, association, corporation or other legal entity, or any two or more the forcgoin�- en�,aged 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 haying 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 hou: or on the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chappter 152 section 25 also states that every state or local licensing agency shall -,vithhold the issuance o+• renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance-with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hL been presented to the contracting authority. 37 7.,--.,a..7 _.... - Applicants Please fill in the workers compensation affidavit completely, by checking the box that applies to your situation and suppivin`_ company names, address and phone numbers as all affidavits 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 anv questions regarding the "law' or if you are required to obtain a workers' compensation police. please call the Department at the number listed below. Citv or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t, the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any question please do not,hesitate to ;give us a call. �...y.,.-t•+.•._.... ...._.........,-...•. .--.....-..e-..-r....:-..�-�..ns..-_..,ate,....-......+rs.w rrw�.�.+.�:>....+.wwrR�. .wow++.+�e�..+.r..+v.—^.�.�w.•...�..r swglr.T."..e.-'v-.�nwn►,w�ow—. 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 fax #: (617) 727-7749 phone : (617) 727-4900 ext. 406, 409 or 375 Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY 8 3 012 -' COASTRUCTION SUPERVISOR LICBHSB 00 - None - Number 6zpires ,�;: Buthdate lA - Masonry only d CS 055131 111011199811/0111961� 1G 1 & 2 Pamily Bones s1 AesErictedToFailure to possess a current edition of thek ' <z }'' s Massachusetts StateBuildiaq.Code . ` -max AICHARD J L6N0%G" +< xt is cause for revocation of this license 14FREEDOM RD� � J,F _ s N {� OMEMPROVEMENTCONIRACTOR� I08b42��,� ,Type TDB EXp a on�;08720�98 :�R' �"`; #IS,STERSPEt?IAt�IST t� t � ���„Rkcha� 48�0 / 4 J�ii Sebastian ISV t`9#'v tYij���e v h'.t�•� 'r'�.tFh i. '�J W. - - - { ,t����fi ss-F�^C"SjF•��rS 5 i.i 4 j P ''`• s ... _ J1 App4canz' Ki TGHEN locCLtwm of-property:10 CzAt rVllle Lo-r s 40 M .Z z9 Aral 15,o67'if ltl• • L07 8 l ref. S000/r5 od nand: 250001 ool5C �oocteone-- C �,,�1+ off PAUL' cyH ,9 re6; cerrj- q-ffiatfus age T. GROVER t Cl �• on L'OG, '� CCU �� Q�$Cv'Pc�• llw0u �No 31311`1 qlu v►�el inq shown. hereon, Goer,Kot r I aU iM a s�?eCt a TF✓�:7�A & r o/Wf ilk Puma d, area with.am ei'Fectyve dare of 6 -19-85 arid. qfu locatiory op the dwelLin,� does Ito the local �orling 6y-laws in.¢ eet� at-the tWW&F-C"Micnm with, respectto horisontul dww s(mn _ set6ack TV or is mm.�r�rom, vtola�ton, ai oreerrurtt' scale: 1" - 40 Date: 12—l 7-93 M-,twt1, Linder AW5. GeneraL laws ChaptW-4,0X•5eCt'L6rV 7_ File No. 1067193 PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments. if any exist. either way across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification of building locations, property line dimensions. fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY". COLONIAL LAND SURVEYING COMPANY, INC. 269 Hanover Street Hanover, Mass. 02339 - Phone: 617-826-7186 _ Fax: 617-826-4823 SPILLER'S 568207 7- I � L I y, i I l� I � QaoF lJl (zGJ yy.N 7C� W1NQ6 1 if sn..c uwt 9 � TO cpstlex. TC Z/1STINw 6UNl,to}wy Nek(.Nr 0 Nt"lw l� u u,•, «" xr.-k l G>fiN 4' Q O f 10 16 3� �C['�'�ln1�r i- �O�NAf�•�1er� CRess �eclier� 000000 oo 1 aas R. f IC, D.L. F W) q Y2" c2Ap� 3•J�� C',Ql�FL• �(J Cecl Y.NSJ� . n 8 Flour -301sr 0'D.�• S',11 wj 1 Sil yr _ I I; i fi`�.6 .y• I 1 I - to Sv, 5 e. c- 77 i5 ToP u�e� �v,1►41D3J30 %P q . �N1�C� pAG C fit F ('t-�.t" � oftT $3 otT i O Xi 77 305 • - 4 Zf.: > e t & F3 y _ k' 7}A utJa3 'I'ti Zia fIGF� i 00 `p mot,; i 4 LM C. 14 7 �,/�]� .¢§ � 4 'J cif. y �. • x T— i j r i r DISASTER SPECIALISTS P.O. BOX 480 SANDWICH, MA. 02563 508-477-3622 Fax; 508-477-3633 01/13/97 Client: Lee & Janet Kitchen Res . Ph: ( 508 )778-5958 Address: 99 Capt . Lijahs Road Bus . Ph: ( 508 )771-3232 Centerville, MA 02631 Estimator : Richard J . Lennox Bus . Ph: ( 508 )888-1113 Estimate : KITCHEN DISASTER SPECIALISTS Lee & Janet Kitchen 01/13/97 Page : 2 Room: Front Elevation LxWxH:EL:28,5116124; --------------------------------------------------------------------------- R&R Wood window - double hung, 10 - 15 sf , High grade 3 EA Install Exterior window trim 42 LF Prime and paint exterior window trim 3 EA Install 1X5 rake and corner board 18 LF Paint rake and corner board 18 LF Siding - cedar shingle 125 SF Exterior - stain two coats 426 SF --------------------------------------------------------------------------- j Room: Gable Elevation LxWxH:EL:26,3 ; 16 ; 8; --------------------------------------------------------------------------- Wood window - double hung, 10 - 15 sf , High grade 1 EA Install Exterior window trim 14 LF Prime and paint exterior window trim 1 EA Install 1X5 rake and corner board 32 LF Paint rake and corner board 32 LF Soffit & fascia - wood - overhang 18 . 5 LF Paint exterior soffit - wood 18 . 5 SF Spike and Ferrow gutter & Downspout aluminum seamless 36 . 5 LF Install Freize Board 18 . 5 EA Paint freize board 18 . 5 LF Siding - reverse board & batten - pine or equal 5/8" 224 SF Exterior - stain two coats 500 SF --------------------------------------------------------------------------- Room: Site Work --------------------------------------------------------------------------- Dig foundation trench and remove stumps ( all excess soil 1 EA is to remain on sight and graded off from foundation ) no landscaping is included) Remove trees as needed 1 EA Rework gas piping from work area ( to front of house) 1 EA Install footing, foundation and 1" dust cap 1 EA Basement wood window sash w/ screen 19X32 1 EA ----------------------------------------------------7---------------------- DISASTER SPECIALISTS Lee & Janet Kitchen 01/13/97 Page : 3 Room: Frame LxWxH: 18 ' 2" x 61011 x 111011 demolish existing wall framing 1 EA Sill plate and sill insulation 30 . 5 LF Joist - floor - 2x8 - w/blocking - 16" oc 109 SF Install joist hangers 14 EA Sheathing - plywood - 1/2" CDX - floor 109 SF Stud wall - 2" x 4" x 9 ' - 16" oc 34 LF Header - double 2" x 6" 6 LF Header - double 2" x 10" 18. 5 LF Top plate - 2" x 4" 34 . 5 LF Sheathing - plywood - 1/211 CDX, front elevation exterior 96 SF Rafters - 2x10 - stick frame roof (using rafter length) 112 LF . Sheathing - plywood - 1/2" CDX, roof sheathing 160 SF Flash new roof line into existing sidewall 1 EA Flash new roof line into existing chimney 1 EA Install 4 - 10 ' 4"X10" beams as collar ties 1 EA --------------------------------------------------------------------------- Room: Roof LxWxH: 18' 6" x 81 011 x 01011 --------------------------------------------------------------------------- 25 yr. - composition shingles 2 SQ Install Anderson 22X27 Venting roof window 2 EA Vented drip edge 18 . 5 EA --------------------------------------------------------------------------- Room: Kitchen LxWxH: 18' 2" x 61011 x 111011 Subroom 1: Offset LxWxH: 91011 x 71611 x 8' 0" --------------------------------------------------------------------------- Demolish existing kitchen as needed 1 EA Install R11 insulation in wall 336 SF Batt insulation - 10" - R30 - the ceiling 177 SF 1/2" drywall - hung, taped, floated, ready for paint the 750 SF surface area Paint the walls & ceiling 830 SF CABINETRY Aristokraft Oakland Spice per plan material costs 1 EA $ 2473 . 83 install labor $ 500 . 00 Countertop - flat laid Formica 21 LF Install 2 30" butcher block tops with backsplash 1 EA Cased opening - jamb and casings 60 LF Stain and polyurithane cased opening 1 EA Window trim - stain grade ( jamb & casing stool & apron) 4 EA Paint/finish wood window (per side ) 4 EA i DISASTER SPECIALISTS Lee & Janet Kitchen 01/13/97 Page: 4 Continued - Kitchen --------------------------------------------------------------------------- Baseboard - 6" pine - molded w/ detail 65 LF Stain & finish baseboard trim 65 LF Softwood flooring - High grade 125 SF Sand, stain, and finish wood floor 177 SF --------------------------------------------------------------------------- Room: Living Room LxWxH:SL:17 ; 13 ;8114. 5 ; --------------------------------------------------------------------------- Paint the walls & ceiling 691 SF Sand, stain, and finish wood floor 221 SF --------------------------------------------------------------------------- Room: Dining Room LxWxH: 14'0" x 12'0" x 81011 --------------------------------------------------------------------------- Paint the walls & ceiling 456 SF Sand, stain, and finish wood floor 168 SF --------------------------------------------------------------------------- Room: Bathroom LxWxH: 91011 1011 x 41 611 x 8' 0" -------------------------------------------------------------------------- Stud wall - 2" x 4" x 8 ' - 16" oc 4 . 5 LF Remove shower stall and discard 1 EA 1/2" drywall - hung, taped, floated, ready for paint door 125 SF wall both sides and from were shower is being removed Bifold door set 1 EA Stain & finish door (per side ) 2 EA Closet package, shelf and pole 4 . 5 LF Paint the walls & ceiling 257 SF Remove existing tile floor, sub floor, vanity and toilet 1 EA Softwood flooring - High grade 12 SF Sand, stain, and finish wood floor 41 SF --------------------------------------------------------------------------- Room: Stairway LxWxH: 91011 x 41011 x 81011 --------------------------------------------------------------------------- Paint the walls & ceiling 244 SF -i DISASTER SPECIALISTS Lee & Janet Kitchen 01/13/97 Page: 5 Continued - Stairway --------------------------------------------------------------------------- Finish stair treads and risers 12 EA --------------------------------------------------------------------------- Room: 2nd Floor Hall LxWxH: 12'0" x 410" x 81 0" --------------------------------------------------------------------------- Paint the walls & ceiling 304 SF Sand, stain, and finish wood floor 48 SF --------------------------------------------------------------------------- Room: General --------------------------------------------------------------------------- Dump & Trucking 30 yrd dumpster 1 EA Electric per attached sub bid 1 EA Plumbing - rework all gas piping, rework plumbing for new 1 EA sink location and dishwasher location, remove shower and shower plumbing, gas pipe stove Remove contents from living room, dining room, kitchen, 40 MH bath, hall and stairway to basement clean the above area complete when job is done and reset all contents to their original location 2 men 1 day each each way and 1 person 1 day for cleaning. --------------------------------------------------------------------------- kses ' s map and 'lot number �' l j� ( . '`. [ ' � �� �� 76 SEPTIC SYSTEM. to 7 MUST q�; �!. IN TALLED Sewage .Permit' number ... l�iITN N COMPLIANCE ... ARTICLE ID STATE SA *THE To �.. TOWN '- OF BAR N ° TOWN Z BA" TABLE, 0 Y y" Miles cj i i t: °° o_aY a�em ; :R u ILD I N G I N.S P,E C T 0 R ai , 4` APPLICATION FORJIPERMIT TO ...:(.....CSi %cy°TL/ `r...... ............................................................................. v , a..................... /.a ' o TYPE OF CONSTRUCTION ..�.. ............ .........�6..�,�...�.�....:....................................... ,.; .......................... .................19........ n; TO THE INSPECTOR OF BUILDINGS: fThe undersigned hereby applies for a permit according��0/ to�the .�7..following ii'nformation:Location ......... ./..........". ...f JC.e . ................ ............. r-ill l ,r .� Proposed Use ..................................................................................... Zoning District ..... ..�..........................................................Fire District .....z✓iffl.........,..G/s. ................................. Name of Owner �G ��� .Address ���� ............................................... ............ ,,1.. ........`.1.............................................. ` '... - :Name of Builder ............� (�.. . .���.�-"^:...................Address .............. �.. . ....................................... Name of Architect .................:. Z. ......................Address .........y`�`'('' ..`...�................................................ Number of Rooms .............Foundation /® i'r.;FK Exterior f` �9� � ...ill.S�lJ......... ..4��''`....Roofing ....�%��P.... Floors i.e. ..:.............................................Interior .....,,1 .........�.j. ................ Heating /� �✓ ,Cy' ........Plumbing �. /3.dfyl�.........1�y ►. ........... .......................... ..... ... Fireplace ........ 1�7 SQ f.. ..................................Approximate Cost ._e.0.00_1�;I.aw...................... ........ Definitive Plan Approved by Planning Board ________________________________19________. Area ....... Diagram of Lot and Building with Dimensions Fee ................. .1........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH l o / . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the construction. Name .. ..4......%...�. .. ...'.. ...... ' --riillegen-Ferrone Associates M W575 1 1/2 story, ',N,o ................. Permit for .................................... single,.family'd*elling ............... ............................................................. CaOX Lijah Road Centerville ............................................................................... /f Tellegen-Ferrone Associates , 11.10 Owner ......................................... ..................... Type of Construction .........fr.a.me....................... op ................. .............................................................. Plot .........--17-1-....... Lot ......... ........... Permit Granted ................................August 10........19 76 17 - Date of Inspection . ... ,Date Completed ..19 PERMIT REFUSED,.,"' ............................................................ 19 4 ........................................ ....................... /* .................................................................................. ............................................................................... or Approved ................................................. 19 AI .............. ........................................................... Assessor's map and lot number ...........:: .'..w'. :,4 f;1, C�- . C. 3 ., Sewage Permit number .......................................................... •� � �FTHE t� °� T TOWN . OF BARNSTABLE C BARNSTABLE, � "b 9 : BUILDING INSPECTOR �MPY p' .3 APPLICATION'FOR PERMIT TO TYPE OF CONSTRUCTION f� �r..............................................................................................:...................................... ................................................19........ v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .% �� ram!-- r� % l Location ................:..................................................... .... Proposed Use '� ,av�'/.�-�.t .......................................................1_..............................I.................:....... .......,.............................. ............... Zoning District .. ......................../..............................Fire District r!nr�....... ....... ............. ..................... Name of Owner .'" � ram'� '`�..... .",..`077 -xJ'1+ier:.Address �'�r"�/�ci ............... .................. ............................ .....!3........................................ Name of Builder ''���r"�'Y'. ........Address Name of Architect Address ................................................... ............................... Number of Rooms Foundation � ��"�" C' -............................................. ............................................................................. All Exterior �/°... 0r":!,�.X00ee.,�J. MK!.........Z,1 -1.,..Roofing .... ....?• /� ............................................. j �IJ Floors ...... ...�..../,��•`•-�'" - .....................Interior ..... /�� n:..i . i n.. � .......................................... ........ .................................................... /" ttJ'�,, /',- r�..T .......Plumbin �a /3.. ..�dr /.�r>„ s Heating .............. --....................................... g ................I.....J................ Firelace ................Approximate Cost -�'`�� �............ ............................................. ...........:................................................I......... Definitive Plan Approved by Planning Board _------------------_-----------19________. Area ......:5 �....e1 . f..... L5, .............. Diagram of Lot and Building with Dimensions Fee ! '..' . ....:................. SUBJECT TO APPROVAL OF BOARD OF HEALTH D I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the,above� construction. 0 Name .. ... ... ..... ... • • Tellegen-Ferrone Associates, Inc. A=192-164 la575 1 1/2 story, No .......I........... Permit for ............... .................... single family dwelling ............t................................................................... Location ..... apt....Lijah...Road..................... Centerville ............................................................................... Owner .....;....:KRllnen-Ferrone Associates, Inc. .......................................... rs Type of Construction ....)frame.......................... .... ........ .........................I...................1.............'�. ............. ? tt 9, Plot ............................../�ot ...... ............ Crl Granted .4gustlo ...... 76 Permit G ................................ ...19 Date of Inspection ........ ...........................19a. ..........Date Completed .......�-V 19 P PERMIT- REFUSED ...................................... ......................... 19 ...'e........................... .............................................. ................................ ..................................:............................................ .......................... ..................................................... CA) Approved .......................... 19 ...................................... ..................................... . .......... } 00" 1 1 L-OT S) -70 + � 10 4� lr6a ` 1l r�'3g�3� O;� a�� S/LL E1-E.✓ ✓E PD,4D . PL. O T" OL A A/ L OCA 7-/OAI f /S(L.I LL4 4(: &'_ _ 76 SCALE_ _ �DAT� _ .` _...._ _ PLAN &16 FEQEA/CE LOB /n! P/-..AN 800,&:, 274 pL1N CF 40, eGf.O�G emu+ NEQE$y CEA?r/FY' 7'f•1A7 7AY�6 EXi57- o y /NG FOUNDA 7-ION GOCLI TiOw 15 GOZ2E ISTV Q 4s SHOWN AND-ic':c S__COAIFO�E'M W17,,v OF TW460WAI O c 1G, -rA-Z ---- CQO c164le- ; T.4 YGO/Z Ca.8'f? B, GI//GGOb(/.57: yi42M0 UT,T/z27PT MA. i A essor's office(1st Floor):; Assessor's map and lot numbeF 11Y12- /G Conservation Floor): "NSTAt':ED IN COMPLIA Board of Healthth(3rd floor---[ -' Sewage Permit number At. ;� : WITH TITLE 5. � sar"antt . Engineering Department(3rd floor)': ! E IRONME6 tAL C '7 �.. 11039. House number Y®i�7 ) Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only t 1 TOWN OF BARNSTABLE t BUILDING : INSPECTOR APPLICATION FOR PERMIT TO b�" O' a tta Ae� I ern h o u S-e— TYPE OF CONSTRUCTION _ rtZa"Y1 E:' 1s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 99 �aP� J ijr4l-15 Proposed Use �/1e2•-� Aou s e-=. Zoning District e Fire District Name of Owner ee c 4 le, en Address / 1D. Name of Builder 5A�'�A— Address Name of Architect $'r}r1'1 Address Number of Rooms Foundation CCiYI en 71 &-1-4/ Exterior /gL(.t r F2A�ri //�� i� PL�NEL Roofing i4LuM fftgol Z Floors ee-m°`4 Interior Heating ele C AZI e- Ae-4 Plumbinge- Fireplace ny�e Approximate CostSon� Area Diagram of Lot and Building with Dimensions Fee pl.4 plan a4ac6teA 44' 1p fps S2' Raab 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 ��✓`--- Construction Si ipervisor's License eb cy ti e KITCHEN, LEE E. &No 3' Permit For BUILD GREENHOUSE V Single Family Dwelling Location 99 Capn. Lijahs Road Centerville Owner Lee E. Kitchen _ Type of Construction Frame Plot Lot Permit Granted march 18 , 19 94 Date'of Inspection: - Frame 19 �' 1 Insulation 19 Fireplace 19 Date Complpted 19 a A HOME OWNER'S EXEMPAON The code states that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1.1 —Licensing of Construction Supervisors); provided that if' Hoare Owner engages a person(s) for hire to do such work that such Home Owner shall act as supervisor." Many Home Owners who use this exemption. are unaware that they are assuming the responsibilities of a supervisor (see Appendix for Licensing Construction Supervisors, Section 2.155) .R Thisal lack o lations awareness often. results in serious problems., particularly when the Home Owner hires unlicensed persons;. In .this case, bur Board cannot proceed against the unlicensed personas it would with licensed supervisor. The Home Owner acting as. supervisor, is ultima tely • ely responsible: To' ensure• that the Home Owner is fully aware of his/her responsibilities many communities require, as part of the permit application, that the Home Owner certify that he/she understands the�`res ponsibilities of a supervisor. You may care to amend On the last page me this issue is a form currently used by .several 'towns. community. nd and adopt such a form/certification for use in your a . zt ti iq• Y TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. - DATE 3//4,1 y JOB LOCATION 9 9 ea�ti. 4 I J/4h1S e0,Ile- Number Street Address Section Of Town "HOMEOWNER" lee E. ,ir/ en 7?�-SISB Name p Home Phone Work Phone PRESENT MAILING ADDRESS /� 2,gplj. ,[,[.JA#-S iQT) C&7k,4u/Ile 1)lA. City/Town State Zip Code The current exemption for "homeowners" was extended to include owner- occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work yerformed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations.ula 'bons. .The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOKIEOM4ER'S SIGIyATURE APPROVAL OF BUILDING OFFICIAL, Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction y i .13 '` i",CS Y"s., T«7 #»' .,,� +. ''L�Jer! ,•g,. `' -4z - ,M '' '3 n sew ' �' �,s;.ui.','*,�,�•, a_ '<a x^ .k.,k a ' gtiv ,a,'xf;� �. -i '...�..a -'. q':k + ;-�` `: ' ' .ter_ '" .5«• ..^" .. a a. pi i y r a t.. :'%c,�*, +. �...fit^"-.,�, + �li.n, v .,3 ''t "s '"'�'^.a. 8 #` Jk i v'%.g' a"^4 za-{w.k: ''S -. �"c,e'. §_ a ••+e+ z.. +. i S +. .:-x r r _ a ,r.s% r c aC..ts:t ' 1-F' °! a'+^", �, ., ,"'....i `}"E"' + `f.`F` ��'777''' r; =E -a.'e+ — ... .,c*,us,3,tifi -atd}.:a_ ',k - ''V . 441 ' A't� •-. . pap i €- 'G, am QA -t•_ .. � � ,.= a � r r ..�r t � � 1 ti i�. - ., °� �.3 — es so-,.-�'^�r a ' f • i��' ^ � 4'�a fit t�• � .�i •ti Y3' a s Q P C'. -4` to•Y �� ?� av�. 4 v E �-c sr p aA N r K s n w r99 a L,3 • r �� - c �4o v.a...era) zf -fit CL ` THE STRUCTURES' SHOWN cWNMNQ N PLOT'. PLA/�/' LOCATED WERE ' o Na -- _ ON THE GROUNDIs e eN E r ` Y NIS:SKETCH CF�VTC�yiGGc4s S� /S f0 �+ x °URPOSES R FF.o r a N a ` ! M,4 J ONLY AND SHOULD y • t L OT BE /y14• ;4, k s ti�a s wk ''' s 7TH£R PUSPOSEOR ANY ee.-.s�o f� /9BS /.. r �o a #€ 4 9�s Aj +. /)+ l//G/CC/ems a ESS/ G-Q- t+:' f 40F ORAL LANp/SURVEYOR CAPE do ' Sl1RVEY w F F F CONSULTANTS 'ROJECTn NO 03- 3261.MAIN ST.iROUTE 614 BARNSTABLE VILLAGE,MA 0263a F r - r ,r. r �` 'S ae'-� + ,�' �r;a.. ` � �" i, - '^'x �,.'�� ^-� s'. .s•^ � � '�" -k. s+-"- Sri-� 31.++.�. Y� �-rc ,,� { -.r � � �7x,ai S,#S# .r c k -- �-�--•F -T .s--,- lc.. �.,.� .ir.,'g t� {_5- ,x— '-.. z fz.,-'a" c.� +� .:_ �.., - .E .,. _-v .�. a' t_: •..c. ,+:-.. ,�' s-t. Assssb'r's�map and lot number .;✓ .a. .."` � -d CF TH E T��y Sewage-Permit number ........................................................ O _ EAEB9TADLE. i House number ........................ ............ .......... ....... y MABB. _ fps,1639• 9� 'Ep YpY a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......Construct Dwelling TYPE OF CONSTRUCTION Mood frame ............................................................ May 8 84 ................................................`'1 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location . .Lot...9...C.ap. '...Li:.ah.1.s...Road, Centerville....................................... ................................... ProposedUse .......SiTigl.. family......................................................................................................................... ....... Zoning District ..... esidential Cent—Ost . .............................................................Fire District .............................................................................. Name of Owner ..eTameS..K....Smith...... ...................Address .........Barnstable.......................... .......... Name of Builder J3I1128 Y. Smith .....Address................:.......................... ,............ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms 5 .....Foundation ...... poured. ....concrete. . . . . ...... .... . .. .. . .. .... ................................. Exierior clapboard & w.C.S. .......Roofing asphalt.................................................... ...:...........................................................:. Floors wall to wallInterior dr: all ........................................................... Heating 9 ,q..�farm air ........Plumbing ...........2 baths .. one .............Approximate Cost $55 p 000 Fireplace ........... .................................................... pp ................................... .......................... Definitive Plan Approved by Planning Board -------------------_-----------19_______ . Area .......................................... Diagram of Lot. and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ... <,�.,!vY L.j.... .,.. .. ........................... Construction Supervisor's License S�.. ............................. SMITH, JAMES K. A=194-23 Nb One Story Permit for .................................... Single.Family Dwelling Cat .................. Location t. Lijah's Rd. ............ ...................Centerville. ................................................ .. Owner ..........James K. Smith ........................................................ Type of Construction ....Frame.................I.......... ........ ................................................................................. Plot ............................ Lot ................................ Permit Granted ... ...1.5!.......................19 84 Date of Inspection ....................................19 Date Completed ......................................19