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0165 GREEN DUNES DRIVE
;,: ., .. B _ • - ¢ . � a'.' x, zyr*-�f �i.k fit. n �t 7 �.' s} ��S c� K r'a..� � ,. „ e . ,mac 'y _,'p '' •: a v v r s Application number..-.. ........... ............ ........... Fee ..............................tb� ..... DAMMA • qM& • � Building Inspectors Initials..... . ............................. 1 . �, OCT � 12019 t,3 1J Date Issued...... ....... .................. TO1-!Aj kA 8AR11I ��L �r Map/Parcel....... ... .— ..31/na/ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: _ NUMBER c STREET VILLA E . Owner's Name: Scx 2.\ S 049 rQ Phone Number Email Address: Cell Phone Number Project cost$ pop . t11, Check one Residential V Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize M Qu 5 i C!Q. C In C, ErJ to make application for a building permit in accordance with 780 CMR Owner Signature: :Date: ► — Z61 9 TYPE OF WORK ED Siding 0 Windows (no header change) # ED Insulation/Weatherization 0 Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # �� ���� (attach copy) Construction Supervisor's License # Le (attach copy) Email of Contractor��\ 6) Q 1 C6a fil f Q)1 i one n ber 5"Q1� �'l Jj2 5�(� ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ *For Tents Only* 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. Purpose of Event 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 pm4:30pm. 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 F_ APPLICANT'S SIGNATURE Signature Date s [ All permit applications are subject to a building official's approval prior to issuance. Town of Barnstable Building Department Services BMWSPABM ` Brian Florence,CBO Building Commissioner RFD MA'S� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, n M U L���V 15, Q� , as Owner of the subject property hereby authorize mo'ytc- X C.P _ LV1 a to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are erfortned and accepted. Signature of Own Signature of Applicant C'(V\U e- S t 1 01 rd Print Name Print Name Date Q:FORMS:O WNERPERMI SSIONPOOLS Rev:08/16/17 DATE(MMIDD/YYYY) ,4c pro® CERTIFICATE OF LIABILITY INSURANCE `� 1 10/10/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Jeff Hoisington MARSHALL INSURANCE AGENCY INC a/Co"N Ext, (508)480-8808 ac No): ADDRESS: jhoisington@marshallinsurancegroup.com 2 SOUTH BOLTON STREET EXT INSURERS AFFORDING COVERAGE NAIC# MARLBOROUGH MA 01752 INSURERA: LIBERTY MUTUAL FIRE INS CO 23035 INSURED INSURER B: RICHARD ROOFING CO LLC INSURERC: INSURER D: 365 GREEN STREET INSURER E: NORTHBOROUGH MA 01532 INSURER F: COVERAGES CERTIFICATE NUMBER: 459499 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICPOLICY NUMBER MM/DDY EFF MPW CY D EXP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMACLAIMS-MADE OCCUR PREMI T E TED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS N PROPERTY DAMAGE HIRED AUTOS AUTOSUTOS NON-OWNED Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? WA WA WA WC231S612776019 06/01/2019 06/01/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable - Inspectional Services ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD RICHARD ROOFING CO., LLC 365 Green Street Contract Northborough, MA 01532 NAME /ADDRESS Samuel Geisberg CSL 065036 c/o Bernie Daigle HIC 128211 165 Green Dune Reach us at Richardroofing.com Hyannisport,MA DATE 10/2/2019 DESCRIPTION After a close inspection,we propose the following specifications for a roof replacement. Labor,materials,dump fees and permits are included in this bid. 1. Shingle roof replacement;29,000.00 - Removal of existing asphalt shingles and rubber roofing on the entire pitched roof and disposal of all debris on a daily basis. All landscaping shall be properly covered and protected. -Installation of D-style drip edge at all perimeters and 6 feet of Certainteed ice&water barrier on the bottom part of the roof as well as around the chimney,pipe flanges and up all valley's. -Synthetic underlayment will be attached to all remaining exposed areas of roof. -43 squares of"Certainteed Landmark"architectural shingles are to be installed onto the main roof with 1 1/2" roofing nails.The shingles are to be "hurricane-nailed" and sealed with additional silicone. -All chimney and pipe flashings are to be replaced. -5 year warranty on workmanship through Richard Roofing. -Certainteed 4 Star warranty cluded in bid,with a Lifetime warranty on materials,as defined by Certainteed Corporation. Lar,dlrn Grl� ���ru 2. Rubber roof replacement; 8000.00 -Remove existing rubber roofing only and disposal of all debris. 50%deposit due prior to start of job and balance due upon completion. TOTAL SIGNATURE Page 1 RICHARD ROOFING CO., LLC 365 Green Street Contract Northborough, MA 01532 NAME /ADDRESS Samuel Geisberg CSL 065036 c/o Bernie Daigle HIC 128211 165 Green Dune Reach us at Richardroofing.com Hyamisport,MA DATE 10/2/2019 DESCRIPTION -Install 9 squares of High Density 1/2"polyisocyanurate insulation over the existing roof with screws&plates. -Fully adhere a.060 mil Firestone rubber roof. -New edge metal to be installed. 50%deposit due prior to start of job and balance due upon completion. TOTAL SIGNATURE Page 2 � �- ✓ I RICHARD ROOFING CO., LLC 365 Green Street Contract Northborough, MA 01532 NAME /ADDRESS Samuel Geisberg CSL 065036 c/o Bernie Daigle HIC 128211 165 Green Dune Reach us at Richardroofing.com Hyannisport,MA DATE 10/2/2019 DESCRIPTION 50%deposit due prior to start of job and balance due upon completion. TOTAL $37,000.00 ACCEPTANCE OF PROPOSAL:You are authorized to do the work as specified above.Any alteration or deviation from the above specifications involving extra costs will become an extra charge over and above the estimate. SIGNATURE Page 3 CJ�" "_l", 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): l l C �� �� Ac dA Address:3 !� Gn.ciapf1 s (-'eQA City/State/Zip: NLAANVVo V \ Phone#: 50V ? I�P 5 LI 0 Are you an employer?Check the appropriate ox, Type of project(required): 1. I am a employer with 7_ 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' � y p tY comp. insurance.: 9. Building addition [No workers comp. insurance p• required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. 4roo?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#I 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.#'W 5 ti2 l Q71�7 ko 9 Expiration Date: Job Site Address: 1 1p �j1( Q� v��Q� 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 cep fJ'a der the p !es a s of perjury that the information provided above is true and correct. Sianafore: Date: 2� 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#: fin F7na�»nnriniiG�n�✓/�aa�l'J2�aJr,//J. ._._._..._..._�. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR 1yYR�E:LLC Registration Expiration 42821- j 03/10/2021 RICHARD ROOEf1YG Ilk V"11 MAURICE J.RICHARD 365 GREEN ST 61 NORTHBOROUGH,MAy01532 Undersecretary Commonwealth of Massachusetts j Division of Professional Licensure 1 Board of Building Regulations and Standards Con sitwl i�iiS�ifi ryisor CS=065036 <y. ' E5tpires:07/25/2021 MAURICE J gICHARD 31 i 365 GREEN ST Y s NORTHBOROtFI'IWA �1532 �` Commissioner - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A n2 Map Z 14,rC 13 6 s Parcel ' "C3 /S_8 9Y.- Permit# F.t� Health Division Qf ~- . Date Issued Conservation Division Fee �..�0 0 Tax Collector ;7-o-vl 9 LJ q��//0,-A Treasurer .S& ll Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address %d� (r�-p e� �L7 u e 'D a2 Village IN I Owner 1 CS b Or h Address `l S Ht 2 4 S7- NA®'Zq(.y, Telephone 4 %7" 7,3 I _ e9, 3 2.7 Permit Request "To ry move_ a-1 X !o Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation �, 6 0 0• p Zoning District Flood Plain Groundwater Overlay Construction Type M Asc pg y sr-e--k Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family >X Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 6 4- Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Cl existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes KNo If yes, site plan review# Current Use 45,Per9 4urcli Proposed Usea . BUILDER INFORMATION Name_ L 14-z-i e c- Telephone Number c5'03 Address I2t> License# C S 1 6 v 26.0 1 Home Improvement Contractor# 0$ -2 3 S Worker's Compensation# Ct 114 5 t>3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO DATE SIGNATURE �� Z 6 a FOR OFFICIAL USE ONLY { - t P9-AMIT.NO. - } DATE ISSUrED MAP/PARCEL NO. ADDRESS ~'` VILLAGE r OWNER-s r DATE OF INSPECTION: f.. FOUNDATION FRAME. < - y- INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING f - t DATE CLOSED OUT P i ' 1 ASSOCIATION PLAN NO. t RESIDENTIAL: SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft. (Sheds,detached garages,gazebos,etc.) >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—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ ® (Number) PORCHES it$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 Tlie Commonwealth of Massat:huserts — _ Department of Industrial Accidents ' 011fCt oll�asllOallOas 600 Washington Street ' Boston,Mass 02111 Workers' Com ensatioa Insurance ATIdavit =5 RIM 062 name: f—I u WI 1-J C— City Yf}�N��9 o r-G� M�- ehtme 11 V a S 7?! �'/ ❑ I ata a homeownrs perfatffiag all worJC iaysel� ❑ I am a sole gvpnetor and have no one wordng in anv capaatP em�ioper�ttvvidiag warkt:ts'co�easasiaa foz:ay!=,Play=*wm*iag on this job l }J}.i�i.�.I�/ }i'{.}i?.i:•:'!t:.r}}!NY.i:.};.vwYw:.yw:n«nxv..�:R.vw;w.:.i`Cv^Yi. ..:!!Mfn^QYYMZCCd!wMln!M'�Kl ..,.::•:n}+y::.,x::::::::..... :•v+%•3,:•xr^:{.Yi}:}NiY:::::,.0:•xv:.:.: ..... n..... ..:.... +.n... :Z �Q '.. 4%;ifP.v•. 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V QT t o t-lS Lrrtde!`E Bruner�.�.. SQp ,b.QGL�. 189N��a�nt� t�rj CzREra►.1 7L3 Es �QiVE �ai�touar-a3si Pao�cCT 1.C; L ?=-.dL-S lo - -DCStc." 0^ DGele. �C1-10Vl��to►1s ���� STATE � vil.�tt�l� �©t7rc ho�SG 1 o Oerj Q V --� N h te d f cr � F�lllbc�c�. be.�o� as rw.Ge SSa�4 \ fc rncjthc.eIr cc k lfr Gc.nk wct"' Rew�o�� dick- VS c�wwvec�, . DANIEL E. BRAMAN p o STRUCTURAL - 0.36595 � G / b CAM ►��f�S/pNA► to vv� �L f �1 CN s� F a vj a P y TO Use Nl� v�Q� l2� t •ea x t 4 dr �31 2 � � v3-t µ � 8 C 'Ta-Ec- ca 14` Ct>uT , 'D4a cc-v- .tea 'i'-N- LU (co . CoRGt'. 50 + 144 �wQ 4-1 -L 4-24 53 A2�s 24r©sc� o t W Sic Z4 staff� ? C:o�c Slab. 0 I a yci0-1 ��g� �oC.As F-i- ��e wa�ow.�wwr�r �i�u����i�aos�■�e���ur�rwlla r� �� ' t � x MS Jos��'.t`,1'x� � iAS1' _T 7• rys .... � ��`,_ L � �..i� ��.�f 1 - •-- s. r2�&Uu �..: y"�C71•ti��^t ►�i��i;V� $l.fAr' on pi ; Y . ,.. � mom ��: a •, L of Not _ f 10: 1p�I Plot eyq s �I 'Ft4 go Y �;�i�i.��'� 4 V two kr 1 ,..�-• � :"�, 1 I"JI'm lift ME Mom ny — yet• ,t'#�! — '__ ... '!� t � A �0 /��� M ( � ,. IN�s b � • ��', $ Yr Via. q , The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:_7e,6400 o*ioPj c3..�, Estimated Cost Address of Work: r UE_ Owner's Name:' S AM + 19 A SL c�;r Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given.that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR q:forms:Affidav :rev-122001 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR j Numbes:C$ 010538 I' + Expires' Vffli/2003 Tr.no: 12657 !I ,ll i Restricted 00 \ TIMOTHY R LUZIETTI / 1.19 POND VIEW DR f (_.� 1 I' CENTERVILLE, MA 02632 Administrator i i.. Board of Building Regulations One Ashburton Prace, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Number: CS 010538 Expires:07/01/2003 Restricted To: 00 TIMOTHY R LUZIETTI 119 POND VIEW DR CENTERVILLE, MA 02632 Tr.no: 12657 Keep top for receipt and change of address notification. . T ;��d �nn nli.nrrmn.r�/� r�. �/rrJanr•�/i,ln(f) - - IlearJ nL11uiIJin�flcRulalinns nnJ$InndnrJs HOME IMPROVEMENT CONTRACTOR Registration: 108238 Expiration: 0114102 x Type: PRIVATE CORPORATION LUZIETTI,INC. Timothy Lu7lelll 955 Rt. 132 Hyannis,MA 02601 d` Administrator 1 i rV 7 44Yfn i wlnAr AT T'n�e 3 QePT AT Tb�e Tam fc Q5 i ka -c 3"m (�t �t� r t'�uitOaNC F�4m�; 8A QJ N O O O CD CJ i 49 E ` . 189 Harbor Point Rd 26i7 1 nn Cruunragnid MA _ �1 ' • _.._. `,. t-�.c��•i'�►-t�1c.�: ��..e_c���..TJ.L,.2 .tTj '�L.L...s 4•0�5� 20�s _ S ITe V-LsLT , -co v G w �c�ST t.► • C.�c� ems. �l"�r.o�,S 3.-' Z. l._-o '� elk ,c. w-t. -el ,. ,tsc 3 - t3 x a z LQ LOF � s 8 , EL E. R �. d T L H 4 ®f ssl E� If 0�� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application#` e:�z�� Health Division Conservation Division Permit# Tax Collector Date Issued a� ;• Treasurer Application Fee Planning Dept. Permit Fee 6��.� Date Definitive Plan Approved by Planning Board oK 312-?1°7 Historic-OKH Preservation/Hyannis Project Street Address l �` R. F ru l7 W ES Q.T V C Village k+ev v i kle Owner Sck Vw-U e t a e,--,V)p v Ci Address 41 SS C 0 TZA� E S t2/=-T" Telephone Permit Request W n+e v- do.)N c,a q e J u-e fo V au S e .f ree Z e , Plec�S e see a pa,e1\.2 ra W f %n C 'S c�b (�+Ca is o f 9 Y S 1p'r i mgvj ®,`D.g buv `-� VaDOp_-Ae tskA\O� o srt s r�.w,�.�e a�cuv e.2 �,�,, f Q U1�s4si Je �r W Gus Q Square feet: 1 st floor:existing 'd sa proposed 2nd floor:existing proposed Total new ��b�a Zoning District Flood Plain Groundwater Overlay . Project Valuation �� d� Construction Type f Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting document ion. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) '' = ' Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes? ❑;fVo Basement Type: ❑Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) I fo 9 Ss r-`r Basement Unfinished Area(sq.ft) Number of Baths: Full:existing �. new Half:existing I �ew Number of Bedrooms: existing new Total Room Count(not including baths):existing 17 new First Floor Room Count d;N Heat Type and Fuel: ❑Gas Oil 6{Electric ❑Other Central Air: ❑Yes �No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes JAo 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 J �.. v BUILDER INFORMATION Name 4/, Telephone Number 3 Address License# O `-f 6 Home Improvement Contractor# / D Worker's Compensation# 44' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOIOo S ` '1 SIGNATURE G DATE 3 - Z Z G i FOR OFFICIAL USE ONLY E PERMIT NO. DATE ISSUED MAP/PARCEL NO. , # ADDRESS VILLAGE OWNER I v DATE OF INSPECTION: FOUNDATION II i FRAME �lZ� i INSULATION i FIREPLACE l ELECTRICAL: ROUGH FINAL n t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING C� tin/( a i DATE CLOSED OUT s 3 ASSOCIATION PLAN NO. 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 AIDPUcant Information J Please Print Le 'bl Name(Business/Organimtion/Individual): . .Address: City/State/Zip: ��c.v?� /�i��1�� Phonk. 1�_121_l D !Z1 Are you an employer?Check the appropriate bo . Type of project(required):. 4. I�am a general eontractorrandkl 1.❑ I am a employer with t -�_ 6. ❑New construction.. employees (full and/or gort-time).*, have hired the sub-contrractors r, _ 2.❑ I am a'sole proprietor or partner- usted on the attachedsheet. 7. ❑Remodeling Thesesub-contactors-have g, []Demolition ' ship and have no employees �,..- � _ employees and have workers' working for me in•any capacity. �P a 9, Building addition comp.insurance#� [No workers comp.insurance �r�''` 10. Electrical repairs or additions required.] 5. We aie a corporation and its ❑ p 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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 13.❑Other employees. [No workers comp,insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who subrru't_this-affidavit-indicating they yare-doing all-work-and-then-hire-outside-contractors-must submit a new affidavit indicating such. tcontractors that—ccheck this box must.attached_an.additional:sheet.showing_the-name_of the sub-contractors and state whether or not those entities have �mpIoyees.—If-the-sub= ontractorsc 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: �' -P r '�( ,��z� Policy#or Self-ins.Lic.#: 6" '7 3..= q ! Expiration Date: Job Site Address: � J� p� "h �� �,'N ;2'—_City/State/Zip: '',l ' • Attach a copy of the workers'compensation policy declaration page(showing the policy numbe and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pens ties of erJur' y that the information provided above istrue and correct. 9 Date: Si ature: -- Phone#: FBoard only. Do not write in this area, to be completed by city or town official n: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all'empioyers 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 receivmor_trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dweling 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Compatues'(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 maybe 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 permittlicense number which will be used as a reference number. In addition,an applicant tkatmust 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 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 io 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 Cora oiawWth.of Mmsavhusefts Deputment of lafttrzal A.eezclents Office of lavestigat arks 600 Washingtoii Street Boston,MA 0-2111 Tel.#617-727-4900 ext 406 ar 1-877-MASSAFE Fax##617-727-7749 Revised 11-22-06 VAW.mass.gev/dla i °FTHE ray, Town of Barnstable Regulatory Services B"NSMBM Thomas F.Geiler,Director 9 MASS. q'ArFo 1639. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. (� Type of Work: Le t UV S u e- i s"�-- �_..,Estimated'Cost 0v v Address of Work: 16�5_ Of E E VU [DUAV S Owner's Name: v%e, U Q_ y;?y C, Date of Application: 3/A a / 0 7 I hereby certify that: Registration is not required for the following reason(s): FWork 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: go /I Date `'�ontrtractorr Name.' Registration No. OR Date Owner's Name 6 t Qfirms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings S 100.00 Residential Addition $50.00 ' Alterations/Renovations S 50.00 Building Permit Amendment $ 25.00 FEE VALUE WO•RKSHEET NEW LIVING SPACE square feet x$96/sq,foot= x.0041 plus from below(if applicable) , ALTERATIONS/RENOVATIONS.OFEXISTING SPACE / 3`19 square feet x$64/.sq.foot= 9 56 x.0041= 3 I y plus from belo w(if applicable) GARAGES(attached&detached) square feet x$321sq,ft._ x,0041= ACCESSORY STRUCTURE>120 sq,ft. ; >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 STAND ALONE PERMITS Op'..Porch x S30,00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool S60.00 Above Ground Swimming Pool $25,00 Relocation/Moving S150.00 (plus above if applicable) Permit Fee Projcost Rcv;063004 �t .,• ; ��"- `�•e��y3��>,���,tj�� a°��� �6 � � � ' I.IY�aW iIle } �� 4 CONSTRUC'�IOw�� i�V� V. I N tn : Tr no° �3�10� • k ANGELO D PA 103'ADAM STomth ,, A • ldb'ai`�oPPdts �c113� d�Pl� HOME IMPROVEMENT CONTRACTOR Registration\. 126204 � ExpiraUb'1_�5/4/2008 . . ITi i } y�Pe f�ldvidual ANGELO D.PA&Wi ANGELO~PAOLINI ,Y "a 103 ADAMS STRO NEWTOWWA 0245W °` Deputy Admiaistrato 1, Mom''' ilu ,,4,- nY H �-� x F•r' q F IMassachusetts'g�a��► iNl p f cause forrev 0 a$ufldfn n of the , .y� #' a ode`:fF�,f : ���1^.r�y fi.��� �'`"y�✓`°{s�y�J .:,! r�r'L_ i Yt '�4��i , . License or registration before the ex ati6n valid for indiviaul use only Board of P�ratidn date. If found return to, uildin One Ash g Regulations and Standards ' { urton Place Rm 1301 -` J '+ BOston,Ma.02108 t valid withou t I 1 signature �' . a Town of Barnstable Regulatory Services Thomas F.Geiler,Director `A39 16 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyamnis,MA 02601 )ffice: 508-862-4038 Fax. 508-790-6230 Property Owner Must Complete and Sign T1ra..is Section If Using A Builder �tw' P, as Owner of the subject property hereby authod?c—Loloi.v_., 6 o- to act on nay behalf, in all matters relative to work a❑tbotized by this building pertnit application for: �U5 areeWJ �UtAaS. tia.v.v�iS. h7As5 (Address of job) Signature of Owner Date Print Name Q:PORMS:OWNERPERMIsSION I 'd Z9BS-zLL [09L] 2i9gsia2 wes eLE =0I 90 62 .add 03/21/2007 14:52 FAX 508 655 8853 EASTERN INS COMML 1a003/004 ACIQRI T. CERTIFICATE OF LIABILITY INSURANCE 0(11 MMrDDEYYYY, 03/20/ZO07 PRODUCER (B00)333-7234 FAX (S06)655-8853 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION EASTERN INSURANCE GROUP LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 233 WEST CENTRAL STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR NATICK, MA 01760 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. " INSURERS AFFORDING COVERAGE NAIC# msuReo Pao ini Corp INSURERA! Hanover Insurance Co. 22292 101 Adams Street INSURERB: Citizens Insurance Company 31534 Newton, MA 02458 INSURERc: Hanover Insurance Company r' INSURERD; American Home Assurance Co INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NO'fWITHSTANDIN ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT41N,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL YHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIEG.AGGREGA"fE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOlTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - LIMITS aENERALLIABILITY ZHNS15279408 11/01/2006 11/01/2007 EACH OCCURRENCE $ 11000,000 °,d COMMERCIAL GENERAL LIABILITY. " - r - DAMAGE TO RENTED S 100.0001 CLAIMS MADE IF]OCCUR MED EXP(Any one person) S 5 000 A X XCU Inch uded PERSONAL SADV INJURY S 1,000,00( - GENERAL AGGREGATE $ 2,000,001 GEN'L AGGREGATE LIMIT APPLIES PER; - PRODUCTS.COMP/OP AGG S 2,000,00( POLICY -X] JECT LOC - AUTOMOBILE LIABILITY ABNS15279209 11/01/2006 11/01/2007 COMBINED SINGLE LIMIT ANY AUTO (Ea acclaenl) $ 11000,000 ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULEOAUTOS (Perperson) X HIRED AUl'JS BODILY INJURY - $ X NON-OWNE D AUTOS - (Par acridenl) PROPERTY DAMAGE' $ (Per eccldenl) GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO OTHER THAN'? EA ACC S AUTO ONLY; AG13 S EXCESS/UMBRELLALIABILITY UHNS15279508 11/01/2006 11/01/2007 EACH OCCURRENCE $ 6,000,000 X ,OCCUR CLAIMS MADE AGGREGATE $ 61000,000 C Fx DEDUCTIBLE-RETENTION $ 10,00 $ WORKERB COMPENSATION AND WC8973241 11/01/2006 11/01/2007 X WCSTATU- 0 H- EMPLOYERS'LIABILITY TORY LIMITS Q ANY PROPRIETORiPARTNER/eXECUTIVE E.L.EACH ACCIDENT $ 500,OO OFFICERAdEMBEREXI;LUDED? E.L.DISEASE-EA EMPLOYE S 500.000 IE Vas,describe under - SPECIAL PROVISIONS"low E.L.DISEASE-POLICY LIMIT S SOO,00 OTHER ZHNSIS279408 11/01/2006 11/01/2007 $229,000. Limit A Leased/Rented quipment DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS ' CERTIFICATIE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES,BE CANCELLED 8EFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER NBLL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, TOWN OF BARNSTABLE BUY FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 165 GREEN DUNES DRIVE OF ANT KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. CENTERVILLE, MA AUTHOR17COREPR961INTATIVE Rosem ary Fulham/PMA ACORD 25(2001108) OACORD CORPORATION 1988 03/26/2007 22: 40 16175278421 PAOLINI CORP. PAGE 02 Regulatory 86nlccs -Mk)Ik 'x'homas X Geller,Director. IM Tem-Perry,8udldIug Cotru tMoner 200 Main Strec% Tiya�,MA 02601 • w�ywetovr�•barnatabae.zna.va . &ce: 548-�62-d038 Fax 508-790-6230 Date , AFMAVV UMU nWROYEII+IFNT CONTRACTOR SWPLZMM TO PEMM AXPL ICATYDN Mt3� o, 142A requires that&0"recanstn:ction,altezatioas,renovating,repair,inoderaization,convMin-p., imptov=en remo-vai,de=lition,or cawtmdion o£as addi i=to any pre-existing owner-occupied bw ding cantzining at Ieast ome bvt act more I=fcur dwaning t'mits.w to stttuotb-res vrbfieh'are adje.ceat to 1 gush ruidenoe or bivldiag bo done by=&taxed waimcton,with ceztaim euep`aow,along wig otb= requiceaaetita. -I (� -nl 'rype of work ra • Edk ted cwtt Addreas of Work. b.v';S S., agvner'&Names . C p✓r _ -- - Date atA.pplicatiow- 3 ! 7 i hr,eby cardfy that; m&tratim is got regvired for aJ10 follcwitig reason(s); Work excluded by law n7ob Under$1,000 ®�rv1c'dagaot owner-occupied - ` C10vuex pullzas ova pemait Notice k hereb'y given that; OWNERS InMLING TiXIR OVMPBRTM OR DEAz,A`;G' j7H Tr GISTZRED CC3N'j'UCTORS FOB A"11CABLI R0=D0R,OVEri3N7 WORR DO NOT HAYL ACCESS TO TIM ART MI A'7."xON'PROGRAM OR G1[1'ARA,NTYFMIM 77N'DER_MGL•a.142A• 210=U'fNDEXPEN.ALTMS OFPtMIRy T lxreby apply far a permit as the aged of the apt eri Dar ' Contxactor5igriatsxe Regstra osNo. OR Date Owner'a 8ianatssxe gr�vpfli cs•formr:hsm+ea�6dav . i r. -• �l NOTES NOTES There is no work to be performed NORTH ALL THE DAMAGE WAS CAUSED FROM A PIPE on the exterior of the existing BURST RESULTING TO structure. MAJOR WATER DAMAGE. FRONT OF THE HOUSE ALL THE WORK IS TO REPLACE TO ITS ORIGINAL CONDITION. BREAKFAST ROOM 1 T --6'4 GUEST BEDROOM Replace wet insulation in the , ceiling and front wall Complete bath Repair the drywall ceiling restoration Install new hard wood floors as shown > o DW Install new panel as needed to 16- Sand floors match the existing as close as possible Complete kitchen restoration O OO as shown on attached plan. OO HALF BATH CLOSET L. 23'8 MAIN ENTRACE 11,10 CM SITTING ROOM � Sand floors N Install new hardwood floors o CM ----------------------------------------Replace existing beam, K UP specs to be supplied by a 12' Structual Engineer. N OFFICE Sand the floors DINING ROOM LIVING ROOM Replace the insulation Sand floors Install a new ceiling1 E-) Q, Sand the floors d Paint the ceiling � M Lr SUN ROOM OK 24'3 13'3 Mr.Mrs.Samuel Geisberg 03/16/2007 165 Green Dunes LIVING AREA FIRST FLOOR PLAN Hyannis,Mass 2525 sq ft 1: NOTES: All work consist replacing all damaged material due to the house freezing.There will be no work 66 6' done on the exterior of the existing BATH#1 structure. O © Complete restoration as shown. All areas where the walls and We will not disturb the interior of ceilings have been damaged will be updated electricaly as required. the shower stall.we will replace No structural required in the r-Bath#1 Bath#2 the shower valve. basement level oO The tile floor will stay as is. "v 23' - BATH#2 Install a new accoustical ceiling and new light fixtures. HALLWAY New insulation as needed. Carbon Menoxide New walls,new lighting {} New accoustical ceiling CM GARAGE WN 57 - 7o 7- Cedar New insulated garage doors with LAUNDRY ROOM closet new mottors. UTILITY ROOM New blue board walls with smooth New insulation and fire stop as N New Oil Furnace finish plaster. requireed. New electrical panel Replace slop sink and base New 5/8 blue board with smooth 12' cabinets. taster finish. �' P New accoustical ceiling. Paint. New lighting P Wine room New stair treads UP u 4 28' POOLROOM 2,3 12'11 New insulation as required. SITTING ROOM a Repair the blue board ceiling. New Insulation as required Repair the crown molding Repair the ceiling and walls using New red oak hardwood floors blue board and plaster. New lighting as needed. `�° o ih Stain to match stain finish as close M io New red Oak flooring. New matching chairail panel ¢ as possible KICHENETTE matching the existing. CM Paint ceiling OK Stain woodwork to match and paint the walls and ceiling. 21 BASEMENT LEVEL Mr. Mrs Samuel Geisberg 165 Green Dunes 3/16/2007 LIVING AREA Hyannis,MASS 2227 sq ft including garage Y. Li 14'7 142 — 15,11 1'9- 13'3 M a Daughter's bedroom N Baby's room 11'11 e" °' Master batzo �01 ° Sand and stain floor Replace the pad and carpet. io Master bedroom OO Q CY) 4'8 2'8 v 2'1 ua LO EXISTING SECOND FLOOR LIVING AREA PLAN 1864 sq ft 9'8 Samuel Geisberg 165 Green Dunes Drive Hyannis,Mass Guest bedroom o Full Bath Guest bedroom _ F70 3/1 612 0 0 7 117 Saunep SO O O 44 44 9'10 NORTH 143 71,_ J, �\ \ ........ LL DI GONA \ `- LZZY/SS N N U) I 3 F3 B18T \ \B36Ss T' / 24.DISHW DB15-41B12A-R co N O / REV A SHELF CUTLERY DIVIDER I 6232-14*"-52 M �' � WOOD IN D615 „ ALMOND COLOR N TRAY ORDER NECESSARY !!! vDIVIDER SCREWS Cl) M .......... / i ,ail r1 ..............._. T M �j I�i 4W6-5SHEL N �l WICKER BASKETS o J r DEP1 01 L �..... �. 33;6'--- °i i N cno REV-A-SHELFCD A ; cn ao ST50-21 -52 N DEP1 01 L 4 coALMOND u, D cf) r N C DEP I 1201 L412FDL ;' _.....-33 s".....__... r' V 3 . o irn CD DEP1201L. GG t W O 4 N WO ! I i � I ' N M a 0 �9�„ IN- 0 I i CO SHOi/ATCHING HOUSE 29�ROMDOOR STYLE- FLAT PANEL 5PC DRAWER W FULL EXTENSION DRAWER SLIDES A CROWN:4" HIGH FLAT STOCK WITH H-2 PROFILE A it I (1)LONG EDGE' o CROWN 24 R o a� .J N - l' c0 STOCK_RICHELIE.U...6"...PULLS ...... L0 co COUNTERTOP: I i COR AN w-l i. o j 4"COVE BACKSPLASH A ##T36'1284— 3 ADD 1 1/2"TO ISLAND BACK o } F e " 143 e" All dimensions size designations given are 2U Q, This is an original design and must not be Designed:3/12/2007 subject to verification on job site and TecHNotoGles released or copied unless applicable fee Printed:3/13/2007 Iadjustment to fit job conditions. has been paid or job order placed. i JD-GEISBERG-3-12-07.kit All Drawing#: 1 Scale:0 3/8"=P 33" 1 33" 15„ , 33" 30,E i 16" i Ii I i N INL24242 '' W3327: D W1"542—L f Iry\ W3342 W3042 1N1,6421'F342 LO � N DD D DD N (0 M F696, TEP9624 36 REF2e 2D`to DD o DD D M GiB3-3,'SS DB18=4D B33SB B133424TDRDC3636SB 33" 30" A 18' 3$" 13" 36" 4 1z 19 3,E 82 ,„ 651" 4 ; 2 A 2 All dimensions-size designations given are 2C� This is an original design and must not be Designed: 3/12/2007 subject to verification.on job site and' TECHNOLOGIES released or copied unless applicable fee Printed: 3/13/2007 adjustment to fit job conditions. has.been paid or job order placed. JD-GEISBERG-3-12-07.kit JEl 1 Drawing#. 1 12" 131 i ii i ':I� \ CN W1F 342 2 R 'IN �ry to 00 (0 \ W (0 \ _ o ❑❑ 0 o o 1 I U) - - o (0 M co DC3636SB-L F330B18T 836SB8T 24 ©ISHVi% DB15-4[B12A-R F 36" 18" ;' 361, 2 " �' 15" — 12" 4 28 ' All dimensions_size designations given are �O20 This is an original design and must not be Designed: 3/12/2007 subject to verification on job site and TECHNOLOGIES released or copied unless applicable fee Printed: 3/13/2007 adjustment to fit job conditions. has been paid or job order placed. JD-GEISBERG-3-12-07:kit El 2 Drawing#: 1 � r ..._....._........_........_................_...._ 52" ...._....._..._...- -..__..._._........._ 30" .._.._...._.......-..._�'_....._..._....._...... 30" .._....__.. -- 30" .._..._.__..__...._. !.-...._. 24�� ............. ! I W30.30 W3030GD-- W3030 WPC2430-R o LJ I 0 00 00 00 0 \ j 0 OU27681J °) °) i BR218415 _ _� O o -IN 0000 `". LO00 o DB36-3D 4DIS1-1 IQ1 B243424124RBFRF330 I o ! Z DB271624-3D o n Yr 6 1 n � �� n j 3'f / 1 n f 26 2 36 ,;' 2 234 30 4 1 21 - i 32 z 2 j 12 q" -._...-------- __-_-_ - _ 8 7 3,. / / 43 391 % 22 5 n All dimensions_size designations given are This is an original design and must not be Designed: 3/12/2007 subject to verification on job site and TECHNOLOGIES released or copied unless applicable fee Printed: 3/13/2007 adjustment to fit job conditions. has been paid or job order placed. -TD-GEISBERG-3-12-07.kit El 3 Drawing#: 1 _.._..-1431.E__....._.__.......__.......- .... ._._......_._..__._.._..----- --.._._..... -------- 71, —24" 119 B N N CV i ;IN WPC24D 0 �-µN V TF384 UT361284 j� '" 24RF330co 1E�G i j 27" 36" 80 7 �i i e All dimensions_size designations given are ZO 20 This is an original design and must not be Designed: 3/12/2007 subject t verification job site and released or co copied unless applicable fee Printed: 3/13/2007 o o TECHNOLOGIESp pp adjustment to fit job conditions. has been paid or job order placed. JD-GEISBERG-3-12-07.kit JE14 Drawing#: 1 P7 � ( 99 . ......... .... _ o o o©o0 0 t II I y Note: This drawing is an artistic 20 Designed: 3/12/2007 interpretation of the general appearance of 7ECHNOLOGIESVI Printed:3/13/2007 the design. It is not meant to be an exact rendition. JD-GEISBERG-3-12-07.kit JD-GEISBERG-3-12-07.kit Drawing#: 1 r. f t r Assessors map and lot number -- ... ........ .. *THE 1 �O T0IY Sewage Permit number. .c�. 1�eS t i'r ,. f ,fi' WQ a d BAHHSTADLE; i House number..'.... ............... .....:. :.. ab3.... 9�OA 9' -D bpY.a• i 'OWN O BAD -Sr"A.BLw' •,.t:;��'(�..�� �,f j L1�r�� d 4�u C!wt i' ,,�;}�Tbr APPLICATION FOR PERMIT.TO Construct full foundation under existing dvrellin� with .. ........ ... ....... ..... .. µpartial 'foundation and add garafe(attached)(garage is presntly seoarate)' - TYPE. OFI CONSTRUCTION•, . Concrete .............................................. 19........�1 TO THE`INSPECTOk OF BUILDINGS: The Undersigned.,hereby applies for a, permit according to. the following information Location.........1.6�'.t5' Green Dunes West Hvarini;snort Md�s Proposed Use ...::.... l3as®meat ... ...... ...... ZoningDistrict � ... ....Fire District Centervil]e Ost;ervi llR .. Name of Ow"ner {ram•' Joh n Gikas Address same Name of Builder MT'< Jo hn Gikas abl '.. ....... ......... ....... esse .........:..........FvQ i�ri7, Ct Name'cf-Architect ..1........................................ ..............:..Address .... ...:. ......I..... . Number, of.;'Rooms ... ... : .. ..:.. .......:....Foundation ... .......................... Exterior Brick Roofing �a�r,�..asPhal f on r?1 ranf Floors cOnCrete ' :". :Interior ...::k nfj n,chori Heating ..... Plumbing ......... . a»nrn Fireplace .::.............nnnf�...........:.. Approximate Cost ..'. . 3 r�••y 'Y 9 V.V Definitive Plan Approved by. Planning Board ___ _____ 19---------- Area ................. .... Diagram of •Lot .and.Building with. Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF' HEALTH. attached,' I hereby agree, to conform to all the"Rules and Regulations of•.the jown of Barnstable regarding the:above construction: ' • � /r r� i'f f1I°� Name ..........J. 1 ......................................'.............. GIKAS, JOHN 245-13-1 aYS-/3- No 2 316 2 Permit for ...RELOCATE GARAGE Sin le Family Dwellin _ ............... .....................X.....................g.............. Location 165, Green Dunes Drive .. .. ;3 Owner ..John Gikas ..................................................... Type of Construction .....same......................... ................................................................................ Plot ............................ Lot ................................ g. Permit Granted June 1, 19 81 .a Date of Inspection 19 Date Completed ......................................19 3 v . c PERMIT REFUSED , ........................ /............................... 19 ......................../.................................................... ................................................................................ ...... .. ..� .......... .. ... ...................................... Approved ....... ::.............................. 19 ............................................................................... 4 ` :. ................................. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, '-1 S& Parcel Permit# Health Division 14 07V4 Date Issued o Conservation Division Sa 1 D/ �/D s�� ��T Application Fee Tax Collector O�Z 1'C — �l�- `— 1plaoi Permit Fee 11111T W/ 00 1 Treasurer — �— _ � 2 I(�� SEPTIC SYSTEM MUST BE Planning Dept. / INSTA!.LED IN COMPLIANCE VIM TOLE 5 Date Definitive Plan Approved by Planning Board FWRONMENTAL CODE ANO Historic-OKH Preservation/Hyannis TOWN REGUL. TIONS Project Street Address J 4y &RE EP D U WF_5 D R I V E Village C_epJ-c-P_rv%l(t Owner _5 0D H O E.L G eA S 6 EP2G- Address L1 S C o'A 6LI e S- T , 6k we I-ri A Telephone C® 17_ 139 —2 30.7 Permit Request tc> F ii6r,6A SPA r r, s-AMe 7-Fac—iC pr�r�' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Zy,Do . Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentatio"m Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑A dNo o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other `fu Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2� Number of Baths: Full: existing 9 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count QHeat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:Cl 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 Telephone Number 7 7 Address IQOA:r> License# C _1� V\ Al-i z h R 0 Ma-0 t Home Improvement Contractor# / a Worker's Compensation# C 1 4 So 3� 4,0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'ID v dd1 SIGNATURE DATE 6 2 V Z��2- 47 • FOR OFFICIAL USE ONLY, PERMIT NO. DATE ISSUED F t + MAP/PARCEL"NO. K b tea` a t DRESS i - VILLAGE OWNER DATE OF I:NSPECTION:,,x' FOUNDATIONS FRAME 4 j INSULATION FIREPLACE ' r ELECTRICAL: ROUGH FINAL AJ� PLUMBING: ROUGH ' ._ FINAL GAS: ROUGH FINAL' li J - s 5� ✓ r FINAL BUILDING - s- DATE`CLOSED'OUT ASSOCIATION PLAN NO. ZHE Town-of Barnstable _ CF �p� _ �- Regulatory Services sexresTns . ' Thomas F.Geiler,Director y Mnss � �p 059. a�� Building`Division rfD N1A'� . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date + i 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 structures which are adjacent to units o r to stru J than four dwelling uni budding containing at least one but not moreg , such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of °'''4- �eQ 5?A Estimated Cost Address of Work: ILS- C f ew '>+sr•�S y' IAIA Owner's Name: S Date of Application: 6 r- 50 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 FIBuilding 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: ; ��T z 1®R 2-R, Date Contractor Name Registration No. OR e ` Date Ov�ner's Le .,_a The Conkmonwealth of Massachusetts - - Department of Industrial Accidents _ Office oflnyesti98dans• 600 Washington Street Boston, Mass. 02111 Workers' Com ensatiox Insurance Affidavit o NO ocation: -t �erJ `� S W/- L �. 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F��a to seNre covera;e ii requirednnder Section25A'of MGL 151 can]ead to theimposition of eziminalp enalties of a fine np to S 1,sow)o and/or one years' prisonrnentaswenascivffpenaltipi�ofInnof TOI'ottheDIAfrwo cOenge rs���ono0adapagainstma I�derafsmdthata' copy of this statexnent=y be forwarded to the • , . - - ' that-the-rn ormatian-providerlabnueaslcu�au_d_coirec't I do hereby certi hepains-andpe es-of-p¢rjury f • Date , � • Signature :• • ... ;•• :.. ..• s -7 7/--�/ r '-( Z - Print name�t �'® _ ofIlclalu a only do not write in this area to be completed by city or town OMci2l [ 13exmtttUcense# ❑Ljce iLicensi deprtment a city or town: •• nl Board ❑Selectmen's Me cantactperson: Information and Instructions eir Massachusetts General Laws chapter�152 section 25 requires �employers person serviceers' compensa of another undeornanp o�ontract employees. As quoted from the ` w , an employee is d every P . .of hire,•express or implied, oral or written.. An empla er y is defined as an individual, Partnership, association, corporation or other legatentity, or any two or more of luP 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 ham not more thanthree 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 ndwwelling house or on the grounds or thereto'shall not because of such employment be deemed to employer. building appurtenant renewal tes that MGL chapter 152 section 25 also sta eov�ery co stru to licensing buildingsin the comma wealth fort tany applicant who has of a license or permit-to operate a business not produced acceptable evidence of eobmd1plli.S ce h ll the into any contract for the insurance coverage 1perfoanAdditionally, ance o public workuatr7 commonwealth nor any of its polrtical subdivisions acceptable evidence of compliance with the insurance requirements of this chapter have been presertted to the contracting authority. .111111111111111AW Applicants •- • lease fill in the workers' compensation a ffidavit completely,by checking the box that�pe�t���S�y� P _ supplyingcompany names,address and phone numbers along with a certificate o_snsur _ submitted to the Departrnent.of Industrial•Accidents for confirmation of insurance coverage. •Also be sure to sign and date the affidavit. The affidavit should'be retumed to the city or town that the application for the permit of license is r" being requested, not the Dep artrnent of Industrial Accidents. Should you have any questions regarding the"law"o �if yQa bta�in a workers' compensation policy,Please ca1L'tlie Depai taierit at"the number listed below.: aie required,to o City or Towns .: •" Please be sure that the affidavit is complete and printed legibly. The Department has provided ache applicant. ce at the li antb Please�& affidavit you to fill out in the event the Office of Investigations has to contact youregarding PP r� fore1C u�sibei whichwilLbeus�d as a reference nuui�ei, TFie affidavits maybe'r tE?•,. b e sure,to fill iri e.p ;. -.• , eiit ti `fmail or.FAX unless other arrangements have been made. ,... . ti the D ep artm ,r„ y. ... •• • • •• • . Investigations would like to thank you in advance for you cooperation and should you have estions The Office of ,.,. . - please do not hesitate t.o give us a call. _ ' ess telephone and fax number. s addr ep :^ ThCCommonwealth Of Massachusetts ._Department of Industrial Accidents office of Investlgatlails 600 Washing#n Street =_= Boston,Ma. 02111 fax 9: (617) 727-7749 ' «i 7) 727-4960 e" 406, 409 or 375 °014Er° Town of Barnstable Regulatory Services BAMsT'BLE, " Thomas F.Geller,Director T MASS. g �prED MA'S Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 e i 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. VA Type of Work: RF_N►0%1�E�6+s�►ry Fc+� ,P+"3'' Estimated Cost Zi�-0`� G�#-7--e- Address of Work: I(� Greece b y N fS `DR x4f- 1 s Owner's Name: _1�AMU L GEt5,bF_V - Date of Application: ®tT il H • 2 00 '1L 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 El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No., OR Date Owner's Name Q:forms:homeaffidav , Town of Barnstable �OF THE TO�� Regulatory Services BMtNSTasLE, 9 Mass. $ Thomas F.Geiler,Director MA'�a`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Check One: ❑Shed ❑Deck Pool ❑Porch —]Gazebo ❑Detached Garage FO LL APPLICATIONS: etermine map and parcel number and enter it on application. (This information maybe obtained from the Engineering or Building Dept.) ❑Completed Building Permit Application Approval/sign-offs are required and XH btained at 200 Main Street: ❑Historic District CommissionKing's Highway Historic District (North of Route 6) lms Main St. Waterfront Historic District (see map for boundaries) oric Preservation(if applicable) ❑Health Department ❑Conservation Commission ❑Tax Collector r 4' ❑Treasurer ❑Homeowner License Exemption Form(if homeowner is acting as general contractor/builder for project) or Copy of Construction Supervisor's License must be submitted (except for in-ground pools) ❑Worker's Compensation Insurance Affidavit must be submitted. ❑Home Improvement Contractor Affidavit must be submitted (residential only). ❑Copy of Home Improvement Contractor's License (residential only if applicable) ❑Permit fee. SHEDS/DECKS/OPEN PORCHES/GAZEBOS/DETACHED GARAGES: ❑Plot Plan or mortgage survey required to verify zoning compliance. Placement of proposed structure must be sketched in and the distance from property lines indicated. The location of the septic system should also be shown. ❑Two (2) sets of plans (8 1/2"x 11" or 8 1/2"x 14) showing cross section and framing schedule. ❑Prefab sheds require factory brochures &specifications. ❑Prefab sheds require a copy of the Home Improvement Specialist's License unless the homeowner is applying for the permit in their own name._ POOLS(250 sq. ft.and over or 2' deep or deeper require a building permit) []Plot Plan or mortgage survey showing the proposed location of pool and the distance from property lines. Plans must also show location of backwash pits if applicable. ❑Construction Drawings or Factory Brochure & specifications. Q:forms:shed-deck LIAR-21-2002 THU 10:20 All OLDE CAPE ;, INSURANCE 5Ua7i5:�521 P, O1 , FEB-01—<<^.0©2 10:45, R14 Nr*.hur p. Cal f+ro Ins. 3041 467 17.1E F.04 ACOROw CERTIFICATE OF LIABILITYINSURANWT-wCE r>ATa ► vRotwocrt ®Al Ali A MAT1I?N T. A LY NPri� MO ROtfHT� VFPry RE CIERTIPM.�LTiBAntrum b.OEM*In"anne Agatoy,160. QLbAtpl, TNI# CI RTIMAT>f D43IA4 NOT Ah7ppNI1RDID BY A!fdl? tatt�--�-��� San olfford Strut INRUR&ka AFf4MMU 001fIRA3E Fglrnouth MA triSA�_a991----------•- - ,.,evmAn LUZIM f P00W W, _ rNavutn A TIA�Ilscoyflltegldal IrMiuf#din�Co. 11tAIrwRd n�ev116Rq:...)nlaepkf �0►1'fldgl►1fIMCOfgQ}lY� Hyohnim MA OAWOi-i(6RIl rM—..-. _ -- 1 ._ �81�1MN. ......_....-.—....-v.ti...._-•--... - Ti��PO4..101gi C1�INKU1MN19R 61fTWfr OBr6owHnv�a[En leauGn xoTP1611d9Vi'�I�►tAA1RP At10Yl pQpl7Hr POLICY Pkry1W If�tl11T�07.1FOfVtf141t7'byW 1lO ANY KWOLMMrAVINT,T5fW oR CONDITION Or ANY L:ONI-nArT tm rrT►grt PMUMMOT WITH rtr%MOT 10 W101i T}AO O5>rlMOATE WY pR M9UnD oR � rAAYFERTAIN TT191MlURAntOAn�PORDND�YTNi8PQ1.lCIII�DRalcraeet7HpTNp1y1�1gIJKA6CTTOAu.7TiGTT.R1AC,ixOIUWON81WUow+4�Tklr{aOrIWpH FVL1Clr49,AObRr.OATE L.MrTB SWYWH MAY HAVII IMNKM pXVVM0 AY PAID OLniywk - ll 7S:1L4LIN99d�A►+vG_ MNJCT NUHt1ER - T A �r�0warnaALnr�>o �upllaTY Ct4 tIQO>< OR1011olt OA/Q1P08 J(fQ fd+lY9!!?nrAa_ -,aL �_11 VLAIMY MADE x 1 DOOUA tnRP..aF jAnYnitt wtrexL a,OOQ --�-- .EIlWtR41�.1,1JCV_I►LWiYIY- IIjOQ�QOd, A� �.1uahW �IMrt Brew _ C19-DOMM/LW Ama TI Mom IAtTJCT LDc! AVtomoi m UMI,.IITY ANY AV110 Q�h1eCINNp,7r1OLC LIMIT , 1 ALL MIND AIJTOe YDCIIY Ir y— O I _-- Ac1i>tnvA.ro nv,tfs , r 1r�17M1r wPlD AVTOe N0N4ArME0 AVTpe � I If06I6Y r nAwanr I MAUTY ANY AUTO - •— Iwo TTVIY.IAAAaCAT].CI aTT1rhr�� -lUiA24 1 VvTvLA Atf1H f1011_M! � TMDRTQnA COWFF43ATION ANO ��.�•.•--_� RMRLOYMAr LWAILITY I wCQ i d.onl2O I ' ,FA..rACN ADO►tNarlT_ —}1 - Rl�o111tAta1�q.1 MiMILOY 9t�},�1: OTM[)t -----— T LAIIT DesenTTYnnu Oc hAi11�TY10A1 nO+l pM�M1.Y�p��pTOriM lhoMb Mr prvti�►afie:NfNPUOUy rrTpyAp�pA1e....V . CFRTOFICATG NOLDE{i x AuotaONux+ul!S-10o,w,'ngn Tw; NM.L 1TIOM TIMMNOFR"VABLE n+a,tonunorTNtAsoviCMWM xnP(&k3AhMCANUaAxv.armnrmMwIKATIOr 307 MNN STREET twit t'HIMWCW.THE INW140 INGMNR WALL IMWAVnp rn MAII.,1t',1p.DAf, MTVM W1166 Tw INN eMIMTNIOATS 11"gR KvAM To Tl Iq LIFT,?1R NVL V"Trr Do qu IRIRLL WAKI 5,MA URI WNW rry DMLKIAnO)4 6AA Q ANY NOW Urm TNP VOA!Apk ITa AVCWN tW M/T"MraO nar'A BeCNfJj; AGORA 2 U-$(M7} b A00 t? h�ri)eao I I 41 7.8 ' l1:21 M .. �t �- f0. I i # 14 ` J I s I "101�AP'145 � F F w yang l t Y �. \. \ ! \ �� �� \ \\\ Z �'� as g '� � � � \� s� � �r: � '�`• -� .n'a x 1 F:\dgn\conservation.dgn 10/08/02 12:13:51 PM Pool Lip ;Oct 09 02 01a57p Ceisberg 617-739-9294 p. 1 { t. oti. i I f 8 AQ 2., Lot 6. . f P,2tfl� lot d9 ` I 6PAU • -b . Zia � `�...� '; a - nn to bQ, d, wdhjjq r w r, j- dAd mriv,. , Be@&C*� AM � n or re ,ow - . 11, 95 WOOL ? . *'��'6' tV Y'4�aQ6 d��$� amgmw►reC �sU7 l4v2.'7log &0�b9 BEN@ AA P .e�n�.• " s I 'MEN - .ru - 3 (�ePT AT Cuouin A ou ` a M 1 Q v � An isA ` r rn N 0? O O N L - - v�tn -Vomrir7za�¢cueral�.0/:illaava"JuWea - =3_= Board of Building Regulations and Standards License or registration valid for individul use only -HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 9 _ Board of Building Regulations and Standards One Ashburton Place Rim 1301 x i 04 Boston,Ma.02108 Type: Private Corporation LUZIETTI, INC. Timothy Luzietti 111 AIRPORT RD. LG d« ✓ `� ..._ t�ILCnC ._.. Hyannis, MA 02601 Administrator Not valid thout Sig ' ✓�e �omzinzaazzoea144 o�w/.aara��rcaeCld rl BOARD OF BUILDING REGULATIONS ,�� �, License: CONSTRUCTION SUPERVISOR . Number:. CS 010538 A Expires: 07/01/2003 Tr.no: 12657 Restricted: 00 TIMOTHY R LUZIETTI 119 POND VIEW DR ,� CENTERVILLE, MA 02632 Administrator 13 ft. Change existing waterfall fountain 13'diameter to spa 10'diameter 3'deep 10 ft. Existing el� Blue stone co Ing r 100 Diameter 79 eq.ft.. New wall and 32 per r Blue stone coping ..®. S 11 bench Sea Existing column �d1 ice;, t s 4 ft. Stales Piping to go here 77 `. .; .. lU2lETTI POOL&SPAS 1.11Airport Road Hymnis,MA'02801 Scale: 1/4"=V 0 608-771-4142 Filter,fiter pump, - heater,Air blower, Ozonator.set on path Mr. and Mrs. Sam Geisberg blocks 185 Green Dunes Drive' Hyannisport,MA October 8,2002 METHOD (GUNITE-AIR PLACEMENT) Filter/Pump � MATERIAA unt of deleterious substance shall not exceed the limits DECK BY OTHERS prescribed in ASTM C33. Proportions by volume shall be be(1)one r part cement to 412 parts sand.Sand shall contain not less than 3% 21' I weight.Cement and sand shall be nor more than 6%moisture by we mixed thoroughly in a power mixer for at least 1 12 minutes..3 to 6 6 ft.6 in. VARIES BOOND BEAMAND snnorH gallons water content per bag of cement. 2 ft. 7 ft.s in. s ft. GUNITE C AS NEEDE D Minimum air pressure shall be 45 psi on the gun tank where 100 feet I or less of hose is used,pressure to be increased to 5 psi for eac h AA shall be 1 5/8 inches. A - additional 50 feet.Maximum nozzle diameter si a hove air pressure at the I at least.15 I 2"MIN. Water pressure shall be p nozzle. 0 O.C. #4 BARS @1 FORMS&GROUND WIRES: The forms shall be built so as to permit the escape of air and at .�: such a manner that 1 n they #5 BARS @ 10"O.C. rebound Ground wires shall be installed.in I STEEL:USE#5 BARS�1d' accurately outline the finished surface as indicated on plans/or i. specked by Chang O.C.VERE.BARS TO BE e Order.They shall be located at intervals sufficient to insure propure thickness.Wire shall be stretched tight WIRE E RT. INTERMITENT LOCATIONS and shall not be removed prior to application of finised coat. PLACEMENT: Return TYPICAL REINF.DETAIL All surfaces shall be dampened before application and material shall Return NOT DRAWN TO SCALE not be applied to a surface on which free water,exists:Material that rebounds and does not fall clear of the work shall be moved. PLAN VIEW Rebound shall not be used in any portion of the work. ,.., Any or in place , of material which sags is soft contains sand SCALE:10=V-0' pock r shows other evidence of being defective shall moved. _ SHALLOW END material.Mortar blocks,metal chairs, ' and replaced �ps-or with new spacers with wire ties be used to secure the reinforcement' (#. 7 ft.6 in. 8 ft. y 6 ft.6 in. e LINE OF CLOSEST firmly in position as shown on plans. IN WALL OF POOL AHEAD Gunite shall be applied in layers 1 to 1 12 inches thick,the total WATER SURFACE I' OF DIVING BOARD thickness obtained by successive placements being up to 5 inches.: Establish definite means of checking the thickness and moist curing. 11 TEST: A placed concrete shall consist of y compressive strength test of air cimens sizes G'x 1 Z'or 152mm x 305mm)cylinders.One I threes ( if � test will be conducted a 7 days.The remaining two shall be tested at •7 be obtained for each days m gLOPE 1' GENERAL NOTES 28 days.One set of test specimens shall work from nozzle person. E a to - � - . 5� 1.Width,length,and depth dimensions may apply . 2 FINISH: d round IN an f forms n outlined b 9 1• ha ou y Specs) thickness&shape SCOPE pools of any shape.(see Spe ) Upon reaching t 2.No diving boards to exceed 1 C in length. wires,the surface shall be rodded off to true level and grade.Low 3.All electrical references to be designed and installed Spots or depressions shall be brought to proper grade by placing " SECTION A-A by licensed personnel and accordance with all additional air placed material.The surface shall be broom finished to i x building,electrical codes.(No reference herein is secure a uniform texture.Rodding and working with a wood float shall ' SCALE:10'=1'-, be held to a minimum. OF intended to indicate certification by the Design 5, � �• Engineer.) Rebound or accumulated loose sand shall be removed and disposed - ' Q � 4.All motors,filters,circulation pumps to be sized by of by the contractor. 0 P others. o -+ S.No accommodation is made for backwashing by ASTER PLAN means of a leach pit. PLANS,SPECIFICATIONS&DETAILq a• _ 6.The dimension"x"on drawing denotes extension of FOR A GUNITE SWI ° LIENT'that area as required.The basic reinforcement will be . -regiured as will all other speciication requirements.It UZIETTI POOL AND SPAS DIIl1L may also require additional return lines,and skimmer. ROUTE 132, HYANNIS,MA 02601 capacity may have to be increased. ATE: DRAWN BY: 7. All pipe schedules to be PVC Schedule or copper/ f30/� SCALE: 1/8" = 1, W, brass a ;1,"x � ,� ,>, - .L„$ t'�'ti lZt 2+LA(3?"�11t�o.�:"PT.�"IC�'F31�f{a".mr.�adPPEt• _7t7`�`�'1"e..e,4iCP4T 4F3 s,an�! _ -'. -. ax""�'�"� y a +,7,y7�'4�d� A �Cx..,� -.r.'tf?]R'"_',� rfi6"a.�-xc•'�9�"..'''1'.do�3Cu+r' 42 rat"S�"]lT.�F`'�t�S'"� '" '.� I r "J. -w� r,•r•d � ti L'q t` a'3E� AF`'�'G.',76 s!"vkJFs�F,]FT'""F9t>•LkF�. r76 1 r"1 (�'� i! � .., dP.,...,I ,u71"3 M"IMP M CAW F" 4"rWlW We.; WTZE'".d EPIE!Jfa T r .u=�-✓n 16""flE'a''�`;s°'Iv� sR'la,vall7: 7�j6LzC .cif isioT'�C`' .l'ri'',1F"�Be>7 '�r� 7,i"f'•'?"a.3 r r xr` [ ki�v r.,,n C(""ukf�'� Gat?N4T .77t."'W r<M"rAla k w�l z' C r'3st 1(F["$"i'e1•eai"y9 x.CM_ +rr _ .e.? 9[�'S" 1sa, 1F�' ,"�7LC`^"'7f r •`*'JNs�4n'�2xu'' "•�fw iPLT� 'TdiF-t"�G.1u'3'^�® v`�`F's` --j— '-5;,'�71'..'.LTNHxYd.,lw' � ��"""i7 E33"''7r S T7=CTr7 C' TMM.(' s '7(XT.WiF7'4"^'1F` to P"if:,st:1F •sIA^aW ?ill .,;ca r p.�� .i L t"".11'`�"'u.`�[ , ' L. f :; h GI+1'-r A If 3 s3NC w 1C 3 F E Sl fk a €f lm3ss C w 2F1 , 7Euf T 7 Cn SC ✓�l FE ra e r".r��-* ' PP]- 2" s ,'ni.7E Z..s31^ !' Ct 7F'�Z'ic rX"'""S�Ti psi gin. _ w �.9� ,..k_..Yt .WJ 7i r s3 t":' E "1 JC "'i t'3 1'7 Lwa �rxti` 31' t P'.. v�G.d ry f`%is S:.�f t'�`li tir r (t r i l; r �.,^fit '"CCIi u^-+(~y N s -a "'' P:;.F r �,rla .+tlt ,.i, �Sx`�3 wl.:ur�''•Il 1 -mf . ZT ter.--c, �'..„•�8. ' � -" ire • �r ;%lFt.�'8 d...i k-.5,•'* '. "NA.4 W°�W, F i 77 w x F ; n s Y t rj x r ti �C't 'i f w y fi Y i„ .i � R: •'� 3 k �- t ^�."`k '�r� ,. t r a.s + � f 7 i x � t{%e w s�. II , I I i As iis map and lot nu ber ............................................ n �F7NET0 Sewage- Permit number, .. �� d SEPTIC SYS TEM MUST �+ 2 BARNSTADLE, i House number ...........................................:....... INSTAUED IN COMPUAN rhea /► �p YPY A,. WITH TM 6 TOWN �O F BAR �,,����Aooi AN® TOWN REGULATIONS BUILD GSpE C AGO. :drrN®A-7"�an 4L6 CPF2 619ao16 F, APPLICAT F R P RMivT TO Construct full foundation under existing dwells with Ip1� p g......g.. ..................��................;..................................?? ..w partial f tion and acld*"g*ara a attached ara a is oun a g g presntly separate) TYPE. OF CONSTRUCTION ,.....Concretq..............:.......................................:..........:............................................ �...June.............................19..8.� ..... .. TO THE INSPECTOR OF BUILDINGS: ;,,.'< The undersigned hereby applies for a permit according to the Jollowing information: Location ....... � Green,.Dunes Wes Ii o �.......... ....Y44X1g.;...................................... Proposed Use .....................................Basement ................................................................................................................................. D Gez� exv3,a.fie-R; tesx ��,� Zoning District ........1[1.,,..�... ...........................................Fire District .... ............... . Name of Owner Mr... John Gikas.....................................Address .....sA?> ...................................................................... Name of Builder Mr. Jo .h..................................................Gka9Address ...... t4e..........................:........................................... GL.ia/! ,�4 nO� .Name of Architect ...:..............................................................Address .................................................................................... Number of Rooms /../��"�d�d�6�/'iS.....................................Foundation ..Q0r1Qretl5.......................................................... Exterior .•B2'3,Ck.......................................................................Roofing ...>II .ASpbalt..Qii.garage..x:Cof..................... i Floors concrete..............................................................Interior ...unfinished.......................................................... Heating ..................................................................................Plumbing .....UuAd27-•&Y•®8.................................................. w r Fireplace .............none................................... .....................Approximate Cost ...... ........................................... Definitive Plan Approved by Planning Board -----------____---------------19________. Area ............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH attached d-50 61 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... .. .... --At ...... ........................................ GIKAS, JOHN Jo 23162.... Permit for RELOC.ATE GARAGE .. .. .... ...... 7. a ing1.e...E.ami.l. ..Dwe•lling............... r Location 165 Green Dunes ,Drive Drive .. .............................................. ....... West Hyannis �4 / R 0 port -, " � C .................John r Gikas..... ... � .......... � o• ... ` 0' Owner ` ................ U T' pe,of Construction. ......Frame .............. J .r u Lq ................................................................. . .............. �t �� - n Plot ......... ................ Lot ............ C 7 Y �s 3 Permit Granted " ±^ June 1, -. j?19 81 Date-of Inspection r Date Completed ............ .................,. ...19 c C' c C PERMIT REFUSEDrk l , ......................................I 4i' 19 �'i H R! �✓ J ............ e.: ::' ... ......C^ ............... C _ O G.' Imo' ,ry 0.7) ............... .. ................ _ ........ ........... . ��e .•. .............................. ' ........................� m , �fi• ........... .............. 5 c: 1 Approved ... 19 c, ..........................................................7................._ - > I ............... ................................ '4i.. a 6 t 3 1 'tee t or AIN \ t 6 1 �aecn �vnas �'' rS 3 31 T 4 r p Pe k^-, A w l-) 3/O �2 �l✓ " 7 O s'� j'1 t �-- -_ _.__ __---- _ _.__ _._ k C Y A,+o �c,1. r^�a C.�c,M",Y �/b �,. �.! x y�o z y — '?.yy' w x _ 1 ply j ! T 9 n o o tR 9/0 7�" W n ' /oy 13' it _ ��� �. � o 0o R � `"'`� 2- I o yz." v�/ x 6 - 10�'yt�► ` �� x :! OTL i i / nn M ovP- ' .5-06,1ccT To C1n-7e- G• Wa1'tR /h a �eR ne.c�S -t-o (;t c�ostrt To , C,Y�1 M,�t� - "D. VnoeR 1EXisT Gast^ to Sean To - Nt e - +,�tion �� fV c �., 2 xs I e F t L o -to lM c c o/`1a,Owtt- v S'tt.I K5 p 9.0:i fe s �sTc M c3Yr I ! 4 C � { i c 3 7:7L ^- • 30' 36 Y3 G ASIT - '0 I µto 8 xj µTR A3►T / UT; ,t,es i r { f }i oY\ -Fo o4 a n.s S - y } CIS T S� i �aSC Se�T' r'1 t 02awn ts%t C#,RL