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1421 FALMOUTH ROAD/RTE 28
R• � F^. ��II� V. 40 eb • tL Au I I ' 'rE a : �r mi .t 4 5 pJ i AANY. o t G ao , a ° I f r J CIO Cape Save Inc. r 7-1) Huntington Avenue South Yarmouth, MA 02664 CO Tel: 508-398-0398 Fax: 508-398-0399 � � a r. u- C 1/13/20 Brian Florence CBO Town of Barnstable Building Division 200 Main St. Hyannis,MA 02601 RE: Insulation Permit 19-3965 Dear Mr. Florence: This affidavit is to certify that all work completed for 1421 Falmouth Road,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey 7 lap . F Town of Barnstable ,,ems"E' ti Regulatory Services o� Richard V.Scali,Director, Building Division Paul Roma,Building Commissioner F` �r�►a� - 200 Main Street, Hyannis,MA 02601. www.town.barnstable.ma.us (r. Office: 508-862-403 8 Fax: 508-790-6230 PER AUTO. ��- a� l � FEE: $35.00 SHED REGISTRATION a RESIDENTIAL ONLY , 200 square feet or less 6 s - o�l �q//ny�� Location of shed(address) Village _ of,Pt Property owner's name Telephone number ` ,o ` �. is /y / oaq oq� Size of Shed Map/Parcel# e= y� s i Signature Date x Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? blo You must file with Old King's Highway Conservation Commission(signature is required) 4. ' Sign off Hours for Conservation 8:00 9:30&3:30 4 30 ' PLEASE NOTE: IF YOU ARE wITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE., PLEASE SEETHE APPROPRIATE COMMISSION FOR DETAILS. . THIS FORM MUST BE ACCOMPANIED BY A K: f. PLOT PLAN Q-fb=-she&eg ,n n!I /q /�. REV:06/20/16 1V 1 '' i�r��L' 1" g000 , „ .car . • t . 1 ., nIMn• Town Boundary g2345& Parcels FY2017 • ,� �, ,,'n „^ ,�� Address StreetNuinbersI ♦ = Buildings Decks/Patios 00 Above Ground Swimming Pools ,� ir` ._ .:,.,, •',• ,, - rP 00 In Ground Swimming Pools - ® Paved Walkways —_, Unpaved Walkways. '` , Paths , ^ - w ® Stairways Paved Roads # 1425 229-090 '^ V�'1j Unpaved Roads t. v T Paved Driveways - Unpaved Driveways Painted Lines Paved Parking Lots Unpaved Parking Lots Bridges Railroad , --X--- Fences - ^ —�— Guardrails --� Retaining Walls t Stone Walls � 229 091 �'�"` �`' "� ��^• �—�- Other Walls # 101t x >• Hedges Sports Areas N� 1 ) Golf Areas Docks/Piers - C ,g ® Boardwalks ''�-r.-'' Jetties t Streams c 4— — - Drainage Ditches, Marsh Areas ;✓ Water Bodies - t'"� �s Spot Elevations(NAVD88) Topo ro ft Contours(NAVD88) t "� Topo 2.ft Contours(NAVD88) { Wooded Areas {� 0.Street Trees ® Catchbasins x * Monuments Lamp Posts 11U Satellite Dish Manholes QE3 Fuel Tanks O Utility Poles Water Tanks T Signs Flagpoles ♦ .1 A • I 1 .. `. Town of Barnstable Data Source Human-made features, Disclaimer This map is for planning purposes only. It is 1 inch=30 feet N hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination - ---Feet Conservation D1Vlslon interpreted from 2014&2008 aerial photos representations of Assessor's tax parcels.They or regulatory interpretation.This map does no O 5 10 20 30 40 W E httD://www.town.barnstable.ma.us and may have.been updated from more current are not true property boundaries and do not represent an on-the-ground survey. •PAVBD TENNIS. i COURT t t 9t� 40 . ;: a Y{IIS PLAN I� A' .VALID COPY 01` AN ORIGINAL ;RfD STAMP AND •` .. . PARCEL 88—� 3f, 7. i aC•1� .. � 'f� .. ry"A I'r� '7i $'� '"- 1;: I•. . I'" { EXISTING SHED �� ••' 7:5 35 L r ra o- ., at f pgf#K1N� ib,'i .TOP NNL IN• �y4r'�' \ 1 'ia.' .3� 3.;a ' SEPTIC CQMPON ENT S �,: �'. . PARGEL 0-1 r FROM A5. BUIL7 —iGT FI)=Ib�LOC'Art10hJ T _ y Mao UlU 'I 1 .1 ,• l � ` , ' CT • '1 ; .7 SAS,# (POSED EI.EyATIONS .('X' BARKS.P..0INI . pu • � � ''� �. :I���ts�rS111�NAL l.�a� j .. F S IFt PF4tWF y 7 �,} NOT Pt>;. $•Wl`�11N�, :' i 1 t rytt 1 +• t � K'' � ; � • Ar TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel V Permit# ,2 Health Division Date Issued (� Conservation Division %e Lye Application Fee Tax Collector Permit Fee 's Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board o � Historic-OKH Preservation/Hyannis x / C7 Project Street Address lT l goodc — ors r Village !'012 z � Owner G Address ^' Telephone " / 2 5 — C' Permit Request /► 17 ^ © os //W1 Aallp Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If,yes, attach supporting documentation. Dwelling Type: Single Family l/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes UYNo On Old King's Highway: ❑Yes No Basement Type: U 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: ZGas ❑Oil ❑,Electric ❑Other Central Air: dYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes [3'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 Name unooa0 Telephone Number /7� Address �1 J License# � � Irv/ t' 0 7 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED �5 MAP/PARCEL NO. i ADDRESS *. VILLAGE s OWNER F M DATE OF INSPECTION: FOUNDATION FRAME / f INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. (' ' 4 f PAVED TENNIS.. ' r'. COURT t 44-.44.4 � r s �� 4Cd° 1 42. 1 4J. Th1S PLAN I$ A VALID COPY. 0� AN ORIGINAL;.RED STAMP AND •`• x-- �rF•:c� PARCEL 88— z 36 :j6 T . 15 kng J� f �.A At , \. I .. r=xlsTlNa SNeu R, ,p 7.-5 34 PINK3.6 ING , .TOP NAIL. IN. I �t C �SAr' \ T,a•" �t 35.6 3.:4, T,4 3 4 3 SERTIC wCOMPONENTS ` �/. PARCEL 88—:3 FROM A5-BUtLT !OT FIELb LOCAI ON. .: Z 36. • 35:." pw ND. G` AA JAM TH SCAU L 1 .. 4 •, �li7"�i17t )POSED ELEYATI0N5 ('X' JM ARKS P010):. i M r ,UR ,; gip ' �}, i PLC:. . p nIN Lg w Y4 r � Yfrh r �, N'QT >"KY?�R t , .i r t art v �'� •1 r r + j i 1 Comman vea�th of M, ssachusetts ' ttTA ceidens ,Department t u stri Ind • 0f 609 Washington Street _ Boston,Mass. . 02111 Workers'..Com ensatfon.'insurance)Mdavit.GeneralBusinesses ii address: �, 5 state: zi one work site location fall address :' []Retail❑Restaurant/Bar/Eatih'g I?stablishment I a' .a soleproprietoz.andhaveno one �Rsiness e: ice[ Sales(uicladingRt a1'Estate,Autos etc.)' rldng in anY capacity. Other ' a []I am an em to er with . etn to ees full&' art time), bo //% %%%//////m/a/�%%%%%%'11/%%//%///////%////% rlan on this'ob.. . r , z0��g Wxkers' compensation for my.employees wo , I an;em loyerpF a :• g :� ` , , ; ':��..�',,r.,, • ' ,. rw•l'J'r~ •F •I}!'{i .'t`, .Jt"ir• '''1'4�r''•'s'•i53�''tr '• t -'r' •`• _ "'�ti t,l':}•'•;:isf ti.r .r�,• �, :ts:: F :t ' f�{t5 .r .t• �t'3.`.j• i; '!• rt^v,..;:'(l�i" i :fi.' .•-y` ':k`• � • r.(.: S ti l�},tC• i• � ;, � •. . .' .::. .. _ ,y• ' ':. :Jr +. t r• '�i'l;,�a�` .:' .3••, COIil 8II a n aet 'l:rA �': ;1: 'its' ti : r;' S.q; r?Yt.r',�:+';.r.r •; iti ;l}:`'Ni•'L i(."%Irk i:r r. .fi• 'i '+ .1 •+•• • ,Lr .t, t .. ,t ;t.') ..,R''.,..i^.lri �i• ,i +'. r ,P.' �:,i . ' ••••„t•/t •! r r•.K.' S.. 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'7- . coin ari. iianie:�:� t:•.r:c - 1. ;` • r .A. 'Y•. , . �• •• ' '. ., 'r •4 •. .ro.. .ri. "i;1.:+' :t�+: �•'t S":UIL .' "L.!i:,i •t'Ci :}' :•t:'iti..: t. ,f ,• tr' t •, ', •n.`•t~; .i•• a;a .:� izi{ii•,c: .;'•;;,'r:•.. },,:;y•t,':t��` :�,t= r CI i• •,^ •.i.4• :rva'",I�t'y •. •� e•i!',,.,i .�;i tf' .•'••, t.•;,: 5• r: :s• a�;L I• t}y; '!:�'-I'r: 'Vs t;• ''�!;'.� t :s; ,�. r•}: :_r;:.•t1• ,�•,;i•.i':' =t!'R'�:if ea Li,• ':i,i� ,rt=' :{'i: i' •�•�S�••• .LL!• .r�•.t•:�"''„• r;. r. •.•, ..tie.,+:.�:a.+'': }.; 5.4,S�:S•.�.�" Ole,':fta :t�•n'': .ii.•. r♦ La. •: L','t••'Ce tiU�t,sr•r.t'I•'i;,•�' '•{;•::.5•, ':p,'�,. :.v'i.:.'it,: insu"rya :�.: . .. ••.�:: ". •' • ' to the sition of of a -r Sec GL can lead Failure to secure coverage required penalties�n the form of a 152 WORK ORDER and a fino of 0 0 Y egalnstmme I understand that X one years imp be forwarded to the Office of Investigations of the DIAfor coverage verification. copy of this statement may . I do hereby certify der the pai sand penalties of perjury that the information ation provided above is frue an tort qd Date Si&nattue •, • " hone# :. .• ' . . Print name official we 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 D check if immediate response is required []Health Department , phone#; DOther contact person: (sevaed Sept 7A03) ........,..•�ea.,w�i'il^..£•"� .`•'.�$f rsr—e�o-s.a.�ccr� Informiation and Instructions. . .:;. Massachusetts Gerlezal Laws chf pter�152 section 25 requires all employers pm �5 a O'�0adcr an contract employees; As quoted'from the `law',, an employe is defined as every pers y of hire,express or implied; oral or written. An errcp m a• toyer is defined as an individual,P�artnerslup, association, corporation or other legal entity, or any two or mare of the foregoing gaged. joint enterprise,and including the legal representatives of a deceased,employer, or the-receiver or artnershi association or other legal entity, emploYmg employees. 'However-the owner of a .trustee of an individual,p . P�. . dwelling house having•not'fnore than three apartments and who resides therein, or the occupant bf th. dwelling house bf another who emplbyspersbris to do maintenance, construction or repair work on such dwelling house ctr on the grounds or enant thereto shall not because of suchemployment.bedeemed to be au employer, building$ppurt ;; , MGL chapter 152 section 25 also'states that'ever state or legal licensing-agency shall•withhold the issuance dr renewal to operate a business or to construct buildings in the.E6n=onwealth for any applicant who has table evidence of commpliance with the insurance coverage requiii- not produced accep ed: Additionally;neither'the of a license or pe?°p??f ' coixnnonwbalth nor.any.of its political subdivisions shall enter into any contract for the performance of public work ug of compliance w insurance r with t�e iequirements of this chapter have been presented to the contracting acceptable evidence authority: Applicants Please f t17e�7° ems'•Conpensafim affidavit eornpletely,by checking the box that applies to your situation.,Please address and phone numbers along with a certificate of insurance as all affidavits may be submitted supply company name, 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 6 dustrial Cc14eAts. Should you have any questions regardiri the"Iaw"or if you are to ed obtain&•workers'•compensationpolicy,please call the Department at the number liste�ck.below. requir , , , . City or Towns . Please be sure that the affidavit is cbmplete andprinted legibly. The Department has provided a space at tine bottom of the affidavit for you to fill out in the event the Offic6 of Investigations has to contact you regarding the applicant Please of sire to fi yo the pernit4icens a number which wM be used as a reference number. The.affidavits maybe•retmued tQ• mail TAX unless other arrangements have b een mad4. Y' the Departrapt b�. . .. .:>' . . , The Office of Investigations would like to thank y'oa in advance for you cooperation and should you have airy questions, please do nothesitate to give us a•caFL•• The AepartrneutIs address,telephone and r. fax number. , The Commonwealth Of Massachusetts- 1)epartment.of Industrial Aeddents MIN of hiftsupdons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 Jf- Rn/i..1AAA _L •ant Assessor's map and lot number ...... - SEPTIC SYSTEM MUST BE INSTALLED, IN,COMPLIANCE- Se R . 11 STATE f�TE Sewage'Permit n,umber{�.............. �.......•.•.•.:•......•••• w _ WITH ARTICLE SANITARY CODE AND TOWN 7' TOWN OF .BARNST�.�IETNS. f ypf THE Tp 33'a0 LBLE, NAM BU1ILDING , INSPECTOR 639•Ar.`00 �? APPLICATION. FOR PERMIT TO .�.....i. !C7S.... 9. ' �n1 .\. ....................... .................................. I 9'��C+�G 1� r .(,. ... ....................................................... TYPE OF CONSTRUCTION .....+�.�C„2�.�.................................�A:........! .1. � � • ..................19........ A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Y..( `.....ca�. .....\.. � q�U. .l `4............................................................................................................................... ProposedUse .... ..:................................................................................................................................................................. f .............Fire District ..... .. .Q.................................................. Zoning District ...:...u••0••........ ................................�� Name of Owner .. .�.1ep°�\� °:. 19�..: ...............Address ��` �1� �'e.nSer�►� �...................................... ....... ............. Name of Builder .. ....VV.. ........Address . ....... t�!. ........................... Nameof Architect, ........... .....................................Address ............. .............�I........:................,..............,............ Numberof Rooms .......... ......................................................Foundation ..............PC:,.C.f................................ !d1............. ...Roofing ....... .!�Ql .......................................... Exterior .....���....:�..�5;.�,`C�,,° .................... g ..... Floors ...... .*t!NA. ...........................................................Interior .....:.............................................................................. Heating ............1 1l Q� /\.....................................................Plumbing ........../. Q.. . J................................................. .. .. . .. . Fireplace WN 0. .................................:Approximate Cost—.:..2ozk re- Definitive Plan Approved by Planning Board _______________________________19________. Area a ip. Diagram of Lot and Building with Dimensions . Fee ........... .........01................ SUBJECT TO APPROVAL OF BOARD OF HEALTH • � I s I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name!! `'"_ l!X.[. ....... ......... ........................ Bank, Merrill L. No .l$.967...... Permit for ..add..Ro CIS.............. ........ainglefamily...dwelling....................... � Location...Route...28.................... Centerville , .............................................................................. Owner .Lterrill..L.....8at3Jc ..................... Type of Construction wood..:-..srxeen... i ........................... ....................................:............ _ Plot ............................ Lot .... '................... Permit Granted March.. ........ 77 { Date of Inspection ........... ................19 Date Completed o k PERMIT REFUSED ................................................................ 19 ...... . ..................................................... ............... ...................... ........................................................ i ............................... ........... ........................ Approved ................................................ 19 ... ..........................................:. ..................... ......................................................... �- THE Town of Barnstable Op �p� Regulatory Services BARNSTABLE, Thomas F.Geiler,Director y MASS i639• A.�� Building Division lFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 1/ha?/o JOB LOCATION: number` �r street / village( "HOMEOWNER": V (it� �✓^ (� o name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requir ents. Signature of Home ow Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt r ,�+ to OH(0�0 �pFTHF rpy� Town of Barnstable *Permit# p Expires 6 months r sue ate Regulatory Services Fee , * BMtNSfABLE, v� MASS. Thomas F.Geiler,Director � �1,0 ArED nna't° ©� �1 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint, Map/parcel Number �" 0 1, Property Address -/��/ /C�1 c Co, .l esidential Value of Work 9�f 4/(� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Of Contractor's Name '1 S{/ Telephone Number, y Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ` Vorkman's Compensation Insurance . Check one: -PRESS PERMIT ❑ I am a sole proprietor ❑ I anythe Homeowner [.7�� - 8 Z010 have Worker's Compensation Insurance SEP, Insurance Company Name 47 ( TOWN OF BARNSTABLE Workman's Comp. Policy# � � CO' - d fZ499 �� — B q Copy of Insurance Compliance Certifica`le must acc ompany each permit. Permit Request(check box) e-roof(hurricane nailed)(stripping old shingles)All construction debris will be taken toLt�I Q ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side , #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requ' ed. SIGNATURE: Q:\WPFILES\FORMS\building permit fo XPRESS.doc Revised 072110 —d AR, LE S C 0,,, RE Y_ _ The RoofWsr RoofWl R goftn, K Cape. Cod c- 0 1694 FALMOUTH RD #115, CENTERVILLE, MA 02632 PHONE 1-508 -7TY5a-824.0 CERT`AI: NTEEQ L,AN. QM,A,RK,/ILU0QDSrCA,PE 30= AR ARCHITECTURAL STYLE' August 19, 20 10 RE.- R0QFtNQ PRQP0SAL TINA CAREY INSTALLATION ADDRESS: 1421 FALMOUTH ROAD 1421 FALMOUTH ROAD CENTERVILLE, MA 02632 CENTERVILLE, MA Tel: 508-775-9119 Home EM: tinacarey2000@gmail.com CHARLES COREY hereby proposes to perform the following services in a neat and professional manner and in accordance with the manufacturers specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles. Supply and Install CERTAINTEED LANDMARKIWOODS CAPE 30 AR: 30 YEAR WARRANTY, 10 YEAR SURE START PROTECTION, CLASS A FIRE RATED, COPPER/ CERAMIC STONES for a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,250 POUND, EXTRA HEAVY WEIGHT, 110 MPH WIND WARRANTY, CATEGORY 1IHURRICANE, STORM/HURICANE NAILED (6 NAILS PER SHINGLE), MULTI-LAYERED,LAMINATED ARCHITECTURAL STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR: COLONIAL SLATE Supply and Install A Combination of Either HICK'S VENTILATED DRIP EDGE or Supply and Install 8" WHITE ALUMINUM DRIP EDGE & SMART SOFFIT VENT SYSTEM. htti)://www.dciproducts.conVhtmUsmartvent.htm Supply and Install CERTAINTEED WINTER-GUARD (Ice& Water Shield) WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves;'Valleys & Under the Step Flashing on the Chimney and Gable Walls. Supply and Install #15 BLACK SATURATED FELT ROOFING PAPER Supply and Install AIR VENT SHINGLE VENT II RIDGE VENT on the Both Main Ridges. Supply and Install ALUMINUM &NEOPRENE SOIL PIPE FLASHINGS Supply and Install TWO NEW BATHROOM VENTS Supply and Install ICE & WATER SHIELD, LEAD, GEO CEL SILICONE SEALERS to the Lead Flashing on the Chimney. Supply and Install BEHR BRICK& MORTAR WATER REPELLANT to the Entire Chimney. Clean and Remove Debris from work area after job is completed. P I "*40RE. Ye. U, ' Ali C e.9 The Roofers9 Roofer" TOTAL INVESTMENT ------ -=-- $ .9740.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing,Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$60.00 per Hour CENTER CHIMNEYS: CHARLES COREY cannot Warrant your chimney against leakage or to be water tight to any degree because a properly installed PAN FLASHING or CHATHAM PAN FLASHING was not installed by the Mason when your chimney was built. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 30 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: CfIARLES COREY CHARLES COREY Warranties the Shingles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 5 Years and the Shingles your 30 Years if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY II HURRICANE-110 MPH WIND WARRANTY . CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. This Proposal May Be Withdrawn By Us If Not Accented & Deposited Received Within Thirty Days Or Before The Next Price Increase In Materials, CHARLES COREY carries Workmen's CQom ensation and Public Liability Insurance on the above work . DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: TINA CAREY CO CHAR CO Y HOMEOWN ROOFIN CTOR ` T4 �� 1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR ` Registration -5 ,36066. Type ? Expiration. 6f612012 Individual CO Y&COREY HQM:1MPROVEMENTS -41 f CHARLES COREX� 1694 FALMOUTH RQ #1�1�5i- CENTERVILLE,MA 02fi32 '- Undersecretary Massachusetts- Department of Public S,feti Board of Building Regulations and Standard Construction Supervisor License License: CS 2881 Restricted to 00 a .CHARLES`E COREY 1694 FALMOUTH..RD;#115 .: ,�r�t�tt;F CENTRE RVILLE,MAf'02632 --�— !� Expiration: 2/14/2012 Commissioner` Tr#: 14793 F . PDATEMDDY W vRDy CERTIFICATEOF—LIABILITY iVS� 9� �V /2010 y wwuc& (5,48)997-6061 FAX (S08)9190-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern.Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE , 439 State Rd. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. N_ Dal-WOU th, I`1A 02747 INSURERS AFFORDING COVERAGE NMC# .. mRm Ali Cape Exterior Remodeling LLC INSURER A: Arbella Nutual Ins Co 17000 640 Main Street --JWSURER8 AEIC Insurance - Hyannis, NA 02601 INSURER Dc: . Suite 3 WSIR ER E: THE POUCIESOF11S aMMSEIM HAW BEEN 9MAD aOTd E MWED)MED ASME F0RTWPOI11LY VaIIWA*Rn. ANYJEULVt8AENT.TERM OR'CONDTFION OFAMY CONTRACT'OR CInfER 3)O WNIENT WITH MRESP.EGT UO WHICH IRIS CERTIFJCATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-ATE LRAI TS SHOWN MAY HAVE BEEN REDUCED BY PAR)CI AB9S. .TAR TYPE OFWSURANCE POLICY NU DATE E1�IRATION LINTSITr GENERAL UABRM 8S00041933 01/14/2010 01/14/2011 EACH OCCURRENCE fi 1,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocaarence fi 100.00 CSAnIS r-- i OCCUR RIVED EXP(any aie person) S 5 A PERSONAL&AIN INJURY $ 1,000,00 GENERAL AGGREGATE $ 2 q.Q30 (j0 GEPPL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,00 POLICY 01 J�ECT LOC 01 i ALTTO{,RpMR.E LlAB ur COMBINED SINGLE LIMIT & —� P � � �FtILmBVNEDJAli7DS .� : SCHEDULED AUTOS BODILY INJURY S(P-p--) HIRED AUTOS NON-OWNEDAUT•OS BODILY INJURY 5 (Per acdit l) PROPERTY D GE $ (Per-ckW0) ANY AUTO GARAGE AUTO ONLY-EA ACCIDENT $ , OTHER THAN EA ACC S AUTO ONLY: AGG S; EYCESS4UUBRELLALL%EWJ Y EACHOCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ g DEDUCTIBLE S RETENTION S S ;.fl[XS007896012009 01/14/2010 01/14/2011:Rp X' TORY L1dB63s E6l '1 EXCLUDED?ECUTNFr—1_ EfLBEA�iN6�lC6II118 ;$ �a9tj I JUNKfttw7;n NH) I t V►sEASE-SA BAPLOYEE S 1,000"00 OWNER 111CUMED .000,000 >I CRIPfI061 llONs7YYBCATIDNsrVBitCLES,I NSAADDMBYENDORSEMENT:IsPEMLPPJ)VISKM ' el: 308-815-3099 CANCEU A11DM SHOULD ANY OF THE ABOVE.DESCRIBED POLIGESRIECANCELLED BEFORE THE-EXPIRATIb i 'r DATE THEREDF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED'TOME LEFT,BUT FAILURE TO DO$O SHALL . Corey & Corey The Roofers iWOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER ITS AGENTS OR 1694 .FaTmouth Road, Ste.11S. REPRESENTATIVES, Centerville, NA 02632 AUTHORIZED REPRESENTATIVE 7oanne Bretton CORD 25(2009/07) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Cominoiranealilr of ltfassachusetts ---- Departinerit oflnr itsirial Accidents Office of Investigations 600 Washington Streef Bostol'1, .,V.4 02111tiP`Ti'fi'.TTIaSS.gol�,✓dda IvVorkers' Compensation Insurance Affidavit: Builders/+C'antractors/Electilcians/Pl:umbers Applicant Information j Please Print Le 'blti Name (Bimnes,^Orgmization.'Iadividriai): K3 � Address:_i f e o y A% City/State/Zip: I AL Phone #: 1 Are you an employer?Check the appropriate box: Type of project(required): uii�e yP p j { eq dj: 1_❑ I am a employer uriih 4. am a general contractor and I employees(full and/or part=time). * have hired the sub-contractors ❑1 jew constnrc.tiou 2..❑ I am a sole proprietor or partner'- listed on the attached sheet_ y_ Remodeling shipand have no employees These sub-contractors have �p y �. �Detnoltiom working :for me in any capacity. employees and have workers' 9. Buiidin addition [No workers' comp.insurance comp-insurance.., 0 g required.] 5. 0 We are.a corporation.andits ME]Electrical repairs or additions 3.❑ :I am a.horneouner doing all uw.k - a'flicers have exercised their ILO Flu ing repairs or additions myself [No workers'comp. right of exemption per NM 12. epairs insurance:required.]t c_ 152, §l(4),,and.we have no employees. [No .workers' 13.0'Other comp.insurance required.] *Any applicant that checks box#1.mast also fill out the section below showing their wmrkers'compensation policy infornutian- t Homeowners who submit this affidavit ind%cating they are doing all wmt and then hire outside contractors mast submits.new;affidavit indicating snch- tCantracturs that check this:bcat must attached an sdditionsl:sheet showing the name of the sub-contrsctrns so.d stare whether or not those entities have ' employees. If the sub-conimctomhave employees,they:must provide their workers'comp.policy number. I ant an employer that is providing reaarkers':canrlreri;ralion irrsmrarrce for n y enrployeas. Below is the perlicy and job site rlforrrrah'ort. Insurance Company Name: AD Policy#or Self-ins.Inc.#: (J/LO "at 2Q(f�Q' Expiration Date: Job Site Address: i�/pf' /Q�( City/State/zip: Attach a copy of the'Workers' compens9 Lion policy declaration page(shooting the policy number and expiration date). Failure to secure coverage as required under Section 2.5A of Nf.GL c,. 152 can lead to the imposition of criminal peml.lties 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$250M 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 h ore bp eery er d aild peiialfies ofperjeery tltat tit--it: orrrrRti'on prmFide.d a.bo is true and correct. Si-waftue: Date: Phone# WOr Official use only. Do not write in this area,to be couiple6d by city or town.o iciaL City or Town: Permit/License Issuing Authority(circle orie): 1.Board of Health 2. BBuilding.Department 3. C'ity/Town Clerk 4,Electrical Inspector S.Plumbing Inspector &Other Contact Person: Phone M 6 Town of Barnstable ,,pFTME 1p� Regulatory Services Thomas F.Geiler,Director " "' 'MASS. g i Buildin Division .9 MASS. $ 16;9. ♦0 j0t�o Mp,(p Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT Date: 0 Rec'd by: Name: VO&I 6� PIIIV Ma /Parcel ComplaintP Location � Algiqg64 Address: 7/�1/ Originator Name: Street: �/ q Aga r Village: State: Zip: Telephone: So-- Ia �,/ Complaint Description: had� 3o h D,(2� Gl�/GYp JeweI�� o • �d . ;6#Sh�".r 2�04a _OL 1WWJ1W A01- .4ho 'a, 0 714e 699? �jFOR OFFICE USE ONLY Inspector's Action/Comments Date: -:'1 �- ns Inspector• ] \r j VA 4 (CL 1A S4 cA c, I Additional Info.Attached cZ 1 1` 1 1 �n41 wc, S toe.( n p vyn �e , by�q I Y-1 avt zI • i a -. i �... 'fit;r s'_a'''. t`li� ��1.e�.�1 'r'�\�,�r l.�11 `• ��`•\\ :-.,t'r^o�\,. 'A �,\ :a',� 1.t E ��' �~t,'tiY -L,�,°t \,�` ��` ^`t.. `� `1` � ;�•.y '.� •.�+,� � •°l ., t . r �.�, t.:t� �"t.fi L Lc � ��', t,�,\.ti t�•tt �.. 'k . '\ \ k f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# Healy t Division 2001 Date Issue 20 '() Conservation Division Fee >lo --Ta_xCollectopp, Fie- Y i TreasureQ::A �t ', �STEM MUST BE V INSTALLED IN COMPLIANCE Planning Dept. VUIT H TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address / W �/1� �1M& Village ` 6 Owner Address Telephone y ' p Permit Request /n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ' Zoning District Flood Plain Groundwater Overlay Valuation �:�� f Construction Type Lot Size /CA5 Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 7b Historic House: ❑Yes 4<0 On Old King's Highway: ❑Yes �Jo •-,- Basement Type: U'Full ❑Crawl T(Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Q Half: existing new Number of Bedrooms: existing new 0 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 Alo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:dexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes BNo If yes, site plan review# Current Use Proposed Use _ BUILDER INFORMATION Naam- �I��/� �A& Telephone Number Address= �/T�D����i P� License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO STG N ' DATE O FOR OFFICIAL USE ONLY PERMIT NO. x DATE ISSUED MAP/PARCEL NO. a ADDRESS r% VILLAGE OWNER {. DATE OF INSPECTION: FOUNDATION FRAME r 1 (!�> I , �J INSULATION FIREPLACE Y# ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH - FINAL " GAS: ROUGH FINAL -1 FINAL BUILDING ` DATE CLOSED OUT ;= ASSOCIATION PLAN NO. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE , 'square feet x$96/sq.foot= x.0031= plus from below(if applicable) , ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= . plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120 sf-500 sf $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 permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) , Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 - Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost 7:0 CMR Appends J Table J=b(mod) prneriptive Padmges for Oaa and Twa►Fataiy Rgddmdal B0104W Road With Fad F°ed M4xlmum � Glazing Glazing Ceiling Wall Floor sqwpmm H �p=CYI Area'(%) IJ-value= it valtu' R valuoo R►vwtn$ won Prate Pacfaa_e. I I I Rwabtep Brvab� $701 to 6500 Hating Dew DEW Q 12°4 0.4o 38 13 19 10 6 Notmal R 12% 0.52 30 19 19 10 6 No=zi i5 At'UE 9 12% 0.50 3813 19 10' 6 T 15% 0.36 38 13 23 WA WA Nmtai Normal mW U 15%, 0.46 38 19 19 10 6 a V 151/6 0.44 38 13 25 WA WA Is � W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 032 38 13 23 WA WA N0°0� Y 18% 0.42 38 19 23 WA WA Nomml Z 19% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 1 19 19 10 6 90 AFUJE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: j� 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERU24ING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a c J� y I 780 CMR Appendix 1 Footnotes to Table J5.2.1b: ' 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 fe of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.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 stun 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-b 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. T1 a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcrt the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b.s.,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d_scribed 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 J52.1a 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 035.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 Rvalue that coin Glazingor door components comply if the area-weighted average U- q reuirement for component. value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 • ���tME ram,c ti The Town of Barnstable + BARNSrABU& • 9 MASS, g Regulatory Services 4�A i639• �•` Thomas F. Geiler, Director, rE0 MA{ Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW. SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations.renovation,repair.modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: v . � Q Estimated Cost • Address of Work: Owner's Name: a Polp Date of Application: D� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law MJob Under$1,000 Building not owner-occupied vner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED RK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.14ZA. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for permit as the agent of the owner: Date Contractor Name Registration No. -OR Date Owner's Name q:forms:Affidav:rev-07060.1 s / / r�"� � I � � • I I I ��-�---- S�f-y✓Aji.�fryf Sy/tS'/•SS.S..i rim AM 11 1.11 J.••1 N .w.l.l.11l 1_ ••. .. II ■ 11 1 :111n . �1 H . 1111 1 •.�� rant.til C11 111 111 11 111. .I1..11 UI 11 •. . y r ■ :II . 1 111 1 M11111 Y• 11 1 1 ••1/ 11 . •1 .11• •I • JI - 11111 Y11 .) 1 1 11 1 ' 11 . ••.11 •.. ..�.. rlllll•..1 `✓.11 111 .• r.•. T.x•::.^ +?'6:�:^;:::i::i��v.:r�i:T;ax+:.a.�5iX4>y.f,..,'..•.v� a.�� v:aP k s.. . {iti':iv'•:.C:..:nv:v...iJT'<:::v�C�.. ,vh ' � \t _ +:{'::Cf/f.^'^'v h:� :,1:....•.. a..�nv;^•yY.J`�:'rMxYn3.:�`>J,�J+ +�.�.,,. i2• .:?�+�` :.{.>'$\:;.;y:.Vic.c w vim...: •.+v.»T:tiy,':ITS<:�. x 1I 11 u1 ; .� . . E3BuMcJ)eparunmmt Oucensing Board ■ ■'chi&ff Inunedlate response is required ■ / Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employersprovide workers' compensation for their to in the service of another under any coati�: employees. As quoted from the"law",an employee is defined as every P�� 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 ed in a joint enterprise,and inciudin the legal representatives of a deceased employer, or the recerve:or the foregoing engaged J g . -However the owner of a trustee of an individual,partnership, association or other legal entity, employing employees dwelling house having not more than three apartments and who resides thercin, or the uoimds cr house of � another who employs persons to do maintenance, cauttuct mP work oa such dwelling house o building appurtenant thereto shall not because m of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local,licensing.agency shall withhold the asuan�t who has renewai of a license or permit to operate a business or to construct buildings in the commonweal ditionallypp not produced acceptable evidence of compliance with the insurance coverage required• commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public wotic unn, acceptable evidence of compliance with the insurance:requirements of this dR=have been presented to the ca==''TM*'- authority. . „' r /77777 Applicants Please fill in the workers' compensation affidavit completely,by cbecIdag the.box that applies to your sites and Sul �pamy names,address and phone members along with a certificate of insurance as all affidavits maybe of inmraacx coverage. Also be sere to sign and submitted to the Department of Industrial Accidents Permit or license is date the affidavit. The affidavit should be returned to the city or to that the application for P being requwt4 not the Depar==of Industrial Accidents..Should you have my moons regarding the w"or if you ea zdcfa o lease call the Department at the number listed are required to obtain a workers' camp P lic3'�P City or Towns - fete and printed legibly. The Department has provided a space at the bottom of the Please be sore that the affidavit is compl ete affidavit for you to fiIl out in the event the Office of Iavestigations-has to con=ym 1e$arding the apphcauti. Please be io be sure to fill in the petmitlliccase number which will.be used as a tefez�ce nimlier. The affidavits may the Department by mail or FAX unless other anaagements have been made. Iuk im e to thank you advance for you.cooperation and should you have any questions The Office of Investigations would 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 Ofilce of Investlgatlons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 The Town of Barwtawe � M„ t� ' Regulatory Services 1659. 6 5�}��� Thomas F. Geiler,Director Building Division Peter F. DiMatteot Building-Commissioner 367 Main Street.Hyannis MA 02601 gax; 508--90-6230 Office: 508-862-:(038 HOMEOWNER LICENSE F.XEWMON Please Print DATE: JOB LOCATION: village n seat umber 'a / "HOMEOWNER": ham phone work phone+ Dame 6 Off CURRENT MAILING ADDRESS: sm city/townwn IIp code The current exemption for"homert"was extended to mclude own -occupied possess e s dwellings of six units or les s and to allow homeowners to engage an individual for hire who does not possess a license,arovi�that the owner acts as supervisor. DEF1r1rrI0N 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 to such use and/or intended to be,a one or two-family dwelling,attached or detached suuc ea accessory�not be considered farm structures. A person who constructs more than one home O cial on a form acceptable to the a homeowner. Such"homeowner"shall submit to the Building Building Official.that helshe shall be onsible for all such work erformed under the building errttit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. le ng The un denistted"homeowner'certifies that he/she understands the TOE sfBa ll�tnPBuildi said Department minimum inspection procedures and requirements and that h procedures and req irements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feetr lager will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EyD''TZON etrait is required shall be exempt from the The Code states that: "Any homeowner Performing work for which a building p provisions of this section(Section 1o9.1.1-Licensing of constmar�Supervisors);.Provided that if the homeowner engages a person(s)for hire to do such work.that such Homeowner shall act as supervis�assuming the responsibilities of a supervisor(see Many homeowners who use this exemption are unaware that duY proceed against the Appendix Q,Rules&Regulations for Licensing Construction Supervisors.Section ° 2.15) 1c ase.our Bid snot P soften most in PP responsible. serious problems.particularly when the homeowner hires unlicensed P �Supervisor is ultimately rap ari of the pertntt unlicensed person as it-would with a licensed Supervisor. The home°onsibili ies.Many communities require.as P e of this issue is a To ensure that the homeowner is fully aware of his/her responsibilities. ap oasibilities of a Supervisor. On the last pa= unuy that he/she understands the resP our comm application.that the homeowner certify care t ahead and adopt such a farm/cemficatioa for use in y form currentiv used by severs!towns. You may Q:FORNIS:F_XEN1PTN i � ft-lof — I;v p Q!0e) it 1 .. i � _ ,- I �. 1 .' � .. �� - ' � �- � r d r 4 _ y .-- i a' i `K� <S.11 a'fl � �, y +,. ,, a A. .. �„ '�.� r' a � � , a ti � - ,,. R �' is ;�s;�t�' Nti .� '-� __ I '1 V ` � .L �. � ��1.' _. - , � i � o C ,: 01 fq NN2 ats I ✓tie Toa7rvrnaruo a�,�l�auaefuroella BOARD OF BUILDING REGULATIONS -f License: CONSTRUCTION SUPERVISOR 17 Number: CS 065638 Expires::07/15/2003 ,. Tr.no: 2706 Re " PETER D FIELD PO BOX 16 COTUIT, MA 02635 Administrator HONE INPROVENENT CONTRACTOR Registration: Expiration: Z11/30/�20DOI �,Type,: Ind PETER FIELD L� �o 7!� PETER FIELD ADMINISTRATOR / HAIN ST/PO BOX 16 COTUIT NA 02635 E R TOWN OF BARNSTABLE ' BUILDING PERMIT j PARCEL ID 229 090 GEOBA.SE ID 14168 ADDRESS 1421 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP' ' - ILOT' B BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT CO PERMIT 26875 DESCRIPTION ADD 3CAR GARAGE SEW.PT.#96-833 I ( PERMIT TYPE BUILDA TITLE NEW BUILDING PERMIT ACCES I I CONT,CTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services I TOTAL FEES: $50 59 THE BOND $.00 O� ( CONSTRUCTION COSTS I 438 ADD RES. GARAGE & CARPORT 1 PRIVATE P...' * BARNSTABM # MA83. i63� A� f Fp BUILDING D VISION B, DATE ISSUED 11/05/1997 EXPIRATION DATE v ti x ', 4�tIN OF BARN S&f E1BLE BUI LDI G'PR11MIT,�. .;. PARCEL 1D 22 9.: C��D GE013ASE ID 9 4168 ADDRESS % �. I FALMCUT ROAD-(ROUTE P14ONE CTFlILL Z ' LOT 13i BLOCS DBA 3} 3T 130 t t DIS'TRICT CO ,PRRMI` ! _ 288�75 DESCRIPTION ADD SCAR GARAGE C�"t�,Pfi� ��-�8:�e3 � PERMIT TYPE BCSLDA TITLE N W, BUILDIOG P R.MI-` ACCES CONTRACTORS:, PROPER1 OWIER Department. of Health, Safety ARCHITECT St and Environmental Services `l�(3TAL t.FR - $8C 8 : BOND $ CONSTRUCTION COBTC,. '$18;320.+7C * BARNSTABi.E, MASS. �► 4 . . 1639. . �0 r,.. BUI}LDI/Nt DIVISION DATE .x UED �ft/66/199 XPl AT!0,i4 DATA -i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EW CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION:STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF.PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS: : - MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS- ARE'REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- _ (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. . OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 ' I 2 2 2 I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH L OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF-DATETHE,PERMIT.IS ISSUED AS TELE PHONE ORWRITTENNOTIFICA- TION.. NOTED ABOVE. TION: BUILDING PERMIT i='engineering Dept. (3rd'floor) Map Parcel Permit# I� House Date Issued �ST� ? _ 4 Board of Health(3rd floor)(8:15 -9:30/-1:00-4:30)q(o-&33 /D 97 Fee. 3 • s Conservation Office(4th floor)(8:30-9:30/1:00-2:00) L ` Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC MIST BE INSTAL PUAIVCE Definitive Plan Approved by Planning Board 19 ENVIRON 6 ' TOWN WBARNSTABLE TOWN R �DEAND CATIONS J Building Permit Application Project Str et Address A / c Village,:':T pl?lpfi //}}�� Owner Jam 3' N1 1/ e S Address Telephone Permit Request 3, Paz- of A ! 1 " -First Floor 8l� square feet Second Floor W o 6L/Onaw —4&6quare feet Construction Type , Estimated Project Cost $ J6 �,2m Zoning District RD 1 Flood Plain Water Protection / I p Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family �yf Two Family ❑ Multi-Family(#units) Age of Existing Structure �7 65 Historic House ❑Yes W No On Old King's Highway ❑Yes I <o Basement Type: Rf Full ❑Crawl 5dWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing r� New Total Room Count(not including baths): Existing New First Floor Roo_m Count �i Heat Type and Fuel: ZGas ❑Oil ❑Electric ❑Other Central Air ❑Yes YNo Fireplaces: Existing New Existing wood/coal stove ❑Yes B�No Garage: dDetached(size) X Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None QdShed(size) 119110 ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 11-alP691)1I91 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# -�-- NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR T]lk FO NG REASON(S) h ` 4 FOR OFFICIAL USE ONLY M PERMIT NO. DATE ISSUED. Y _ MAP/PARCEL NO. ADDRESS VILLAGEr ' , OWNER � - ... � � -• - :.'' DATE OF INSPECTION: FOUNDATION 6 fq FRAME INSULATION.. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ` FINAL x: GAS: ROUGHS itr-y FINAL t 1 FINAL BUILDING] I S co co CC ,y DATE-CLOSED OUTIS EE `ASSOCIATION PLk 0`? 0 C) t i 11/04/1997 23:42 509-775-9497 TINA CARE'Y' pA.3E 02 iz:a4ls7 Z2;10 FAX �O1 zeo�xAx55� e3:3z ses-7�9��s� TTNA CAREY p AW R12 Ao vc* ... OX4 G ` 1 •• , . 4, �19 a e v ` ` is The arns" ie / C- T ia Pj p��, I -- - --- -- . � _. _ _. += -- . - -� 1 .. yj _ .. � �rr.� {�jjT� . ___ _-__- __._____..__...._ ._. .. - - -.� _ � 'V � � � � _ ' - ._. ._ ____.-. 1 , i i V �� Q - _-' - � N1 / ' \ V / \ � ` \V\ � � � ,. I � ► -_ __ _ _ . _ ____ ____-- ____-_ _----_-_ . - - _ . _ �1---- _�_ - __ ____ _ _ _ _ �- � - �� � E r_ � . � i --- �_ ` � _�_ � �-� -�-�. I 1 i Tr 77 i1 ------ - - ------ _.. - - - -. _ ---- - -- - r - .............. v El . 1 i - IV h � ' _ G -- -� i o zmw to 1_-- ID X n , e ' •__ Dom-_—• � lV{a 20 r cz.r:7--o H... 1� 10, V411- - - --- V -- - LITTic 2-4-� tL - t PAVED TENNIS. . COURT 44- N �4.4 10 x r. ,. ) 1 v THIS PLAN I$ A' VALID 'CO-TAMP Or x 9� AN ORIGINAL :.RED STAMP AND to z ._.- PARCEL 88-2 36 EXISTING SHE( ?� a3< PAF#K1NG �� ` 46 r ��� �y4 .TOP N(�I21�IM M5`.;"• � ¢ V` 3 5 rr i .q S , ,4'. SEPTIC COMPONENTS "� �I PAR..CAL 8$— FROM A5 .BUILT IOT'FIELD LoOCATION. t 35 ti g ,: N: FND. LD 'O G ,`. .,, •chi, L 1 M t. r oc TOM )POSED ELEYAnONS ('X' .�rIARKS P:OIN�_). ti !UR { 0 TOUR STIES (jF. WN ,i ^ ?� ; W • rn, ronr.�Ct�. �w�a • � � �y - d i • i oil lk All , 'S i Ta !s n '. , p -- �� . � I� �.� - - - �- - � -_ Q � � :, --�- � �I ; , � � 'i - ` �; I� � _ � '� �` I i '> � � j , �. I' ,I � i, � i - I � I ' , ' - _ � _ ISU I - � � ' S • f � _....._ - -. '- - _ .. .. I. - � _� S� •� I I .� \ �� r-- _ _ _ ---- .---_ - - T-r-- _ -. � _ --�- , Ly { �hz� . it � ► � �� . v ! • i h c ; _ e G o - ~s � o� u. o i 10 o 20 2 oN - Yy - - _ - - -- v F a _ i �ror a 77- ro --V (V - - - -- ---- — c --- -- - - 1 . 4-- R -11/04/1997 23:42 505-775-9497 TINA CAREY PAGE 01 REALTY.�`,�YEC'U S of Cape U i antlyaunb 1582 Route 132 ,mA omi La I Number of pages mi chiding cove.;-sbret,.-_ Any pa'`%4;lltti,vrith this transizillssjo,� MARKS . d / U,5 Am? ty IIAO rZ7 � 6r A?5p 1we 75- IWO�(cP �i/lP as S�1�Co��ia�d�s alP 141"C�I. y Qir Ve r� , The Town of Barnstable ULM&,�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Raiph Crosen Fax: 508-790-6230 Building Commis: For office use only Permit no. ' Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or constriction 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: 2 Q'l /// Est.Cost /6 310 oD Address of Work: mal 14e �ro �`// /(_2 - Owner's Name Date of Permit Application: D I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied —Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner-- Date Contractor Name C7 Registration No. J4 • Tltc• Cettn nott lvealth of:1 tascachuscttr Deptrrttttcfrt of Ittditsrrial Accidents Oficeofftest/gatlons •�\.�';_ _,';�` 600 !f'asltingtatt Street Bustutt. Mass. 0111 Workcrs' Compensation Insurance Affidavit i l i :i n in f rni inn• --- P I Tp -�i--�..�._..r..r-._-.._---•__-�-------- ---- — A07/nc.1 i n tv 1 am a homeowner performi g all work myself am a sole proprietor and have no one working in any capacity .. � . ..� �—_..r.�r�r�L` __� _��-.._.. _act—��• — — . I am an employer providing workers' compensation form} employees working on this job. cnmti-mv rinme- atldrrTT- tin nhnnc#• incnrrtncr l am a sole proprietor. erneral contractor, o homeoti+ner ircie one) and have hired the contractors listed beio++ N no the 611oxving workers' compensation polices: cmmr1:tnv nnrne- 1(Irlrrcc� in�nr•-nrr rn nnlics' ._..._._ .._ ._.—_�....._. �....��—..�.— ��lr_r—ter _ —_—_ _ .•l• _ __ _ _ _ cnnmanv nntnt— ntldrr�a- rits•• nhnnc#• incurnnre rn nnlic�• ,loath additional sheet if neceisarv`----- �,�..._.., _,;.:......� _.. .. .••......�.......r. •...... _.._.,�...r,....._...: .._---••..�._...�_—_' Fatiurc to secure cmer-icc as required under tiectton ZSA of IUGL 152 can lead to the imposition of.cnmtnal penalties of a tine up to si.500.00 andiur unc%cars' imprisonment:t. %%ell as civil penalties in the form of a STOP WORK ORDER and a fine of S1110.00 a dad against me. I understand that cope of this statement ma, be furi�nrded to the(bite of invcstirztions of the DIA for coverage verification. /do iierenr terrify urrrirr the pttitts n pena its of prrjun•that the information provided above is true arid c rrect. c•,.. /LZL .,t_ ztvrc Datc Print name (�//�/ �>� Phone# r. �... official use univ do not,write in this arcs to be completed by tiny or town OM621 - t 1' city or to,rn: Pcrmitilicensc# �tiuiiding Department ❑Licensing hoard �. ^chrci:if imtnrdi:ttc response is required ❑ sciectmen's Urricr r- i: (_1l1c2ith Department phone contact Persun: >Y• ('tUthcr Information and Instructio»s Massachusetts General Laws chanter IS'_ section _'S requires all employers to provide %vorkers' ctullpenstttlon for employees. As quoted fturn the "1a++'". all empluree is defined as every person in the service of .3110f ier under uil\ contract of hire. express or implied. oral or wrinen. e ltitiv. or all+' My or ;. legal l individual. partnership. corporation or other � . nc•m !n •• lc . San indt P rP A p i cr �s dcfit d z. p the foregoing enanued in a joint enterprise. and including the legal representatives of a deceased enlplover. or du: rccci+er or trustee of an individual , parnlersflip. association-or other legal entity, employing* employees. Ho%ve•.•cr owner of a dwelling house ha+ ink not more than three apartments and who resides therein. or tile occupant of the dweilin�, house elf another who employs persons to do maintenance ;construction or repair work on such dwcllin._ or oil the _,rounds or building appurtenant thereto shall not because of such employment be deemed to be an e..J, MGL chapter 15: section :5 also states that e1-eri• state or local licensing agency shall withhold the issuance or ++aI of a license or permit to operate a business or to construct buildings in the commonwealth far sn+• icant who (ins not produced acceptable evidence of compliance with the insurance coverage required. .AQ..:iotlali+•. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the periornlz::ce of public wort: until acceptable evidence of compliance with the insurance requirements of this cila�:e Peen presented to the contractinc authority. Applicants Pleasc fill in dlc workers' compensation affidavit completely, by checking the box that applies to your situation ar.; sucplyin`, company names. address and phone numbers as all affidavits may be submitted to the Department of industrial .accidents for continuation of insurance coverage. Also be sure to sign and date the affidavit. The 'Javit should be returned to the cin• or town that the application for the permit or license is being requester. n :he Department of Industrial ,accidents. Should you have any questions regarding the "taw" or if you are requ:- o obtain a workers* compensation policy. plense call the Department at the number listed below. City or Towns Ple_re % ure that the affidavit is complete and printed legibly. The Department has provided a space at the bororr: the ��• da+it for you to f ill out in the event the Office of Investigations has to contact you regarding the applicant. P: be - -, to fill in the permit/license number which will be used as a reference number. The affidavits maybe returne: -:ie Department by mail or FAX unless other arrangements have been made. The Office of Invemigations would like to thank you in advance for you cooperation and should you have any quest: please do not hesitate to _give us a =11. The Department's address. teiephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents -• Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax 'r: (617) 727-7,749 nhone =. 617) 727--*900 car. 406. 409 or ; • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION N/ Number Street address Section of town "HOMEOWNER" &/iP �� ��i�` (C� /� ' • . Name H6me phone Work phone - PRESE. T MAILING ADDRESS Sg/�P 11S' aieb4a. City town State Zip code The current exemption for "homeowners" was extended to include owner-occsmi dwellings of six units or less and to allow such homeowners to engage an dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to r: side, on which there is, or is intended to be, a one or two family dwellinc attached or detached structures accessory to such use and/or farm structure; 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 Offic on a form acceptable to the Building Official, that he/she shall be resrons- for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the uilding Code and other applicable codes, by-laws, rules and regulations. he undo_,-S;-ned "homeowner" certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requiremen _ nd that he/she will comply with said rocedures and requirements. OMEOWNER'S SIGNATURE60/ ' APPROVAL OF BUILDING OFFICIAL rote: Three family dwellings 35 , 000 cubic feet, or larger, will be required :0 comply with State Building Code Section 127. 01 Construction Control. HOME OWNER'S EXEMPTION = The code state that: "Any Home Owner performing work for which a�tbuilding ipermit is required shall be exempt from the provisions of this section ' (Section 109.1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home Own shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction' Supervisors, Section 2.15) . This lack of awaren, often results in serious problems, particularly when the Home Owner hires unlicensed persons. . In this case our Board cannot proceed against the 4nlicensed person as it would with .licensed Supervisor. The Rome " weer.' act: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On t:: Last page of this issue is a form currently used by several towns. You may pare to amend and adopt such a form/certification for use in your community- ,, ..,�.�.,;,�..:�.!;3F"-e ,..,.�.w:.:.,,. ry��• .,ka': -',�9St.•.i-:dlU.�£�J.'�Y.�^'-t1rr'�S•l•.��'G6'L.t�!�r/y'gw.},:i15T8 �'n w;.�::,r.�a.*�s.:..l:�s w��C)�r ��a,•`rv�:;,'�yl.-c�i...3.r:R'_.;�j,�r ..y:;h"<.,,i :," u�^",2.�P'i`.1 -4.l-it}'x�t}ay,'".. 7.7 Assessor's map and lot number F Sewage Permit number ` !t/' ..... ........' cx t HETOydr TOWN' ..1 � RASm a BAMH TLBLEflh Era ' i y 639 ` r.. SULDINU , " s APPLICATION FOR' PERMIT TO .. •' .a 1�',�,.�......'.....�'...... ,l........i. �-c1�1....................................- ...... ........ TYPE OF CONSTRUCTION ............. .... ........ ........... ...... TO THE INSPECTOR 'OF' BUILDINGS. :�h ndersigned hereby applies for a permit according to the following information: n Location. .... r-Lt�i�....s 'v•.... ...�.... ..................:... ..... ..... ProposedUse ....`?.e.5............... .................................................................................................................. ..... ............. Zoning District ........!.......?.............................:........................Fire District .................................. ...............: ...................... 1+� Address .� ' ,• h Nam_e of Owner .rn .„ . \1... ..... A )A.\� CaAFaX• ,r.�`C11�tU�,�'±,1....�. ~-.......Address .!•�+rw^sC /t1..... ,;1P �tlt Z Name of Builder .......S?.... ..... ..................... Name of Architect .:....... - !. ..................................... ....... ...... ....................Address ............. .................... ........ ...... ... ..........:...i ••••••••••:• .. . ......... . .Number of Rooms .........:!..........:............................................Foundation. :/ Ir►! .C' ......... ....•r9;5•� �rn r� .s........:^............. Roofing . T�e��e�.`.�� ...... ..... ......................... Exierior '.....�t,... .. . .........:..... .......................Ro n ... :. .... Floors i)ol N ........................................ .Interior :... Heating .... .....;�'v K /,)' J :..:..........:..:.:............... ing ... Jf tS ice)C� :.............. Plumb' Fireplace 1V ......... Approximate. Cost r °� .. Definitive Plan Approved by Planning Board _______ ____-1.9------- . Area ....I��... .t. .....: .4;::" ...... .Diagram of Lot and Building with Dimensions Fee "^"` SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree ree to. conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. . Name'( t� �'T r. A a.''� ........... ----- . Bank, Merrill L. -�~�' ^~- No ' ~° 'lW9{�!-. Permit -.,���. --. ' � ......................... ' / Locotion ......Rmw��------------ ' ' -----~~~~~~^~~~~------r------ owner ' . Type or Construction ' .. ruo un ' . . ^ Permit Granted .M*g»*hC ~ ' --- of Inspection^ ^ ` Date Completed ' . . ^ . . PiRmmT REFUSED . . . _ . ` . . . � ..... ... . -'' '''6«--'. � ' �- � . ..-.---.�.-------.—.-.-------- \ ' ' -'-----'--------~~--^----'--'' . ........................ . . ^ - Approved ................................................ lA ' � . . . -----------------..--------. | | ------------------------^^- ' ' 24�-0 ZO'-o Ix/7 Rio4G RP/veNT 1V'!, U � O LL! � K) Ixb R.c1x10.' cA:/�iBI.IT L 2+•10 RiCleSC - C'j Lw�a pYf'O.G• O O ' oj I ----_------___---------- ' ------_------------- .. - �0 to to I I off wGli colyc 11 I r- -----------------� .( i Z I _i"\ z,.d•cT w.icc. O R I I rbOTINo ✓•V 1--nY I I I I �'1 (� � Y � /Zxu•P ' I tzlz 'vrP.P IX I uNCxCP--- I -ex4 T�' "ixb 4TR^PptNLs '_ C'0 . �ALLJN�RIP CCYyE , E—w10 x,2 b1"ECL GYI. J7 i • I I I (Zx2 PuwNty � '- I 'I I I I - I i _ ^+ h!vrP mARo i e.eHi�cLcs (t7larri-�ie I..w_HOF�.J - Z 4, 41 Zx!PT'GILL W/ 'h I Y I I t _Q I _`, R.13 Fet.W-JLlL(N dlT•I� ,` 1 I 1 V 4 I I I I I I � �>z vYr eve:Pa -Iq ® Fh1 rrL•bw-t+etco> � L C9 I I I o) +' N - I I I P.T.Zx9 GILL I^V 6'�t+C.OLa6 � Q1 I PIL-E��r�P vE� e U 1 I �-- -- ---------------� I 0 n'�wlv N3LJ L. �O{ING. I•.�Y (�� V U � I I vRoP Tor Or wALL - I E _ s` 4.1 N - .., 0 - ---------- - ---------- - SECTION 1 SECTION 2 Zq�-of Zoe-of FOUNDATION PLAN 3 7 $ S{�i CL)t'.q.r'7'•M wL HVR. ' 6 S t II -4 m LU Ai Ga_+c alb A9cN-l•t979 _� STAIR Aao.B -O C^�I-•IR21..1) I - O Uj (7fa,�4x7�WL HO tl- x-74HH—. AM1J 1 O 8 z ITS: d 0 Wlox�-P a .ee�e-1 N 6-0nc.ccra e�.�c C®-d wo�> - - - -- - i m m j Ca G6Y._!Nb¢G*•�-b1�1 � as _r----- oof >-----------T I - - -- -a I I 1 t 1 U I wood�+"�-- .ems .�•r z9Z9 I ; - ♦ a .ate w.rm9 I I I I j 1 I I-V a B I I + I I 0 I �na`oH.crnrl..oe I , DO I 'I I I I R�o-r�iKrr•t 1 - I I date 11. 9•01 a F , i0 I scab tat 0-o" (� + -wnao a.•w ear P�uA f . - d el_ol Zi_ol tz,_ot a_o1 Rv. .. FLOOR PLAN yN_ ROOF FRAMING PLAN euop"ht 2000 s - (� � o L tc) N N (:6'C i v In LD _ O lSl X o Qj-ti_ —RG GF-i—LZLo Zxb1s P tUr OG �- -7%D/1%S RG.Re.KE A r�scly, i2 D EreTG I^✓.HOIG BEG - - lo -, . �.,E,o �.I�G-Ua1Nb(lril Px P.) I; Lli Q T64 FIR 6�bT� � i -�"r R.<(XyjCr6r.L Rounrb L1I I I T 'I .11 GN 1x rz.c.PWEst o1J 1J �!� j Z%M P 1U•4 GOB GOnC.PAC 2�Go1JG.APK41 _ N 0 U Rb Fa.INS1A_.(c'vYr't.) - DETAIL FRONT ELEVATION SIDE ELEVATION. 11/2"-V-0" j '/."-11-01• 1/4"=11_011 � ti� ;3ti 91LU}C� Zu y r scar r�Tl-�oc�Raiam ` C w=-a LLJ N � O 0 (!)9 a FU.OF�IIVG _ Amu LaaHb(�I�GG. ; . L----------------------+----------------------------� �--------- ---� � : .e Now DETAIL REAR ELEVATION SIDE ELEVATION 11/2"=V-0" `— 14" it-o" 4"=11-01r A-2 'copyright 2000 `. .