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"I'll . . " I'll . I , �, I 11 .-I, r " 11�� �. l,"k,".-.,, ..... � f..rr j ,z, .j .j .h .h .h .h .h .h .h .h , .h �,-, M�3 .h �,- F,,-,�,,NL,Qpt,,3YX- 1. ''.,I, vii fff.r , - ,, �, . , 1`1 E-I I',?,.,4-,,4'�,,,--,��',,�--Ai,-R-'�.�w�F',�,", ,, �,;��-"t.�,��.""!,���,!',,�,� S I I I 11 I I -11 - I -..-----.--� !!!! i I , � I . I , , , , � I . . I Commonwealth of Massachusetts p,2 Sheet Metal Permit MapParcel co� j (10' Date: 137 Permit#C)© I �D�s Estimated Job Cost: $ �� o� Permit Fee: $ w. Plans Submitted: YES X NO PlansReviewed: YES NO Business License# - %Z 449 Applicant License# 7� Business Information: Property Owner/Job.Location Information: Name: 504 Name: ► 12-y ~� Street: ,^ $ Street: City/Town: vCj City/Town: C�r`1-WTZ.0\ �i 0 2_0 3� Telephone: So�f '�"�� 6>11,, L Telephone: 77LT— 4�37c2 Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO J-1/M-"- �cted J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. f 2-stories or less Residential: 1-2 family Multi-family Condo/Townhous r M I'T Commercial: Office Retail Industrial Educational .�` At 1.4 2013 Fire Dept. Approval Lis titutional Other Square Footage: under 10,000 sq. ft.X over 10,000 sq. ft. NujjaVn QU5:RNSTABLE Sheet metal work to be completed: New Work: Renovation: HVAC X Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 5 S��ryl 4 r �t p '`��fJ�✓IlN ® TLtpin r' Jz 4SURANCE COVERAGE: have a current liabili insurance policy or its equivalent which meets the requirements of M.G.L.'Ch. 112 Yes ❑ No ❑ you have checked Yes, indicate the type of coverage by checking the appropriate box below: liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ DINER'S INSURANCE WAIVER: l am aware that the licensee does not have the insurance coverage required by Chapter 112 of the assachusetts General Laws, and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent f checking this box[], I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and :curate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: [ Master t I/ le ❑ Master-Restricted 7 yfTown ❑Joumeyperson Signature of Licensee rmit# �t ❑Joumeyperson-Restricted License Number. ❑ Check at www.mass.g9v1dl21 n,-Hmr Ainnafirca of Permit Anoroval . TAe Commonwealth of Massackuseas .Department of Industrial Accidents 1 Office of Investigations - 600 Washington Street _ Boston,MA 02111 www.mass gov/din Workers' Coinpensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le blv Name(Bnsiness/Orgmizadm Individual):C C.�..,��-\ `�C Address:_ City/State/Zip: � �� (� (� GF� Phone.#:C L Are you an employer?Check the appropriate bog: 1.[� I am a employer with •4• ❑ I am a general contractor and I Type of project(required):. 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 g, Demolition working for roe in any capacity, employees and have workers' [No workers' comp.insurance comp..insurance.$ 9• ❑Building addition required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing aII.work officers have exercised their 11. Plumb' m el£ ❑ ?ng repairs or additions • ys [No workers comb. right of exemption per MGL insurance required.] t c.152, §1(4), and we have no 12•❑Roof.repairs employees. [No workers' 13.1,Other .: comp.insurance recpured.] • `Any applicant that checks box#1 must also fill out the section below showing their workers compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subn�t a new affidavit indicating such; $Contractors that check this box must attached sir additi onal sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they rust provide their worlmrs'comp,policy number. I am an employer that is providing workers compensation insurance for my employees. Below is thepolicy and job site information Insurance Company Name: Policy#or Self-ins.Lic. Expiration Date: , ZQ Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of Sn6 lip to$1,500.00 and/or one-year � crlminalPenalties ofa y 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 Oe of Investi ations of the WA for insurance coverage verification. ffic I do hereb ce y fy nder t e pa' and penalties of perjury that the information provided above is true and correct Si ature: I _ Date: Phone Official use only.'Do not write in this area,,tb be completed by city or.town official City or Town: 1. PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector fi. Other Contact Person: I Phone#: JACO® DATE(MMIODIYYYY) .. CERTIFICATE OF LIABILITY INSURANCE 07/02/2013 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(ies)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: Erica H O'Connor HART INSURANCE AGENCY,INC. PHONE 508-759-7326 x205 FAX 508-759-7633 243 MAIN STREET ac No PO BOX 700 E-MAIL ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC p _ _ INSURER A: ARBELIA PROTECTION INS CO 41360 INSURED Carl F Riedell&Son Inc INSURER 6: ARBELLA INDEMNITY INSURANCE COMPANY 10017 778 Main St Osterville,MA 02655 INSURER C: INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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_SH__OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR - LTR TYPE OF INSURANCE POLICY NUMBER MWDDY/YYYYMMIDDIYYYY LIMITS A GENERAL LIABILITY 8500033836 05/01/2013 05/01/2014 - EACHOCCURRENCE E 1,000,000 D E T�RENTED _ COMMERCIAL GENERAL LIABILITY PREMISES I S ij� o rrence $ 300,000 CLAIMS-MADE V OCCUR MED EXP(Any oneperson) $ 5,000 PERSONAL&AOV INJURY $ 1,000,000 -- ---------.----- GENERAL AGGREGATE __ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG f - 2.000,000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY 1020018223 05/01/2013 05/01/2014 COMBINED SINGLE UMI I 1,000,000 _(Ea accident l ANY AUTO BODILY INJURY(Per person) f ALL OWNED SCHEDULED BODILY INJURY(Per accident) f AUTOS AUTOS ) _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peracddent $ A UMBRELLALIAB OCCUR 4600033837 05/01/2013 05/01/2014 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I V RETENTION$ 10,000 1 $ B WORKERS COMPENSATION 0054000513 05/01/2013 05/01/2014 wcs ,u- oTH- AND EMPLOYERS'LIABILITY YIN LTS. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500.000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ _-500.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CERTIFICATE HOLDER CANCELLATION PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ` AUTHORIZED REPRESENTATIVE 1 C RATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of A O COMI)WON11 EAL.111 OF MASSACHUSETTS �M SHEET METAL, W 0 R K E R.;S AS A rAlASTER-UNRESTRICTED ISSUES THE ABOVE 1-10--NSE TO: C.ARL A PlEDELL CARL F RIEDELL. AND SONS 778 MAIN ST CISTERVILLE MA 02655-201. 1 .,.. 1 09/28/13 50598 Work Order Start Time: Carl F. Riedell &Son, Inc. End Time: 778 Main St. Osterville, MA 02655 • Work Order 27246-1 EST ARRIVAL: 7/26/13 TIME: 8:00 am Site Bill To JEAN'�SUGHRUE JEAN SUGHRUE 91 HAWSER BEND ' 91 HAWSER BEND .". CENTERVILLE,MA 02632 CENTERVILLE,MA 02632 Terms: Due upon Receipt Customer Code:SU9372 Cell Phone: Heat Source:Gas Home Phone:(508)775-9372 Key Here?: Heat Type: Boiler Work Phone: Customer#: 13,145 Annual Service: Work Ordered PER PROPOSAL: INSTALL 2 TON BASEMENT A/C AND INSTALL DUCTLESS A/C MASTER BEDROOM...$12,992.00 Notes or Comments Completed Notes Technician: Hours: Date: Return: Technician: Hours: Date: Completed: Printed Date:8/9/2013 Time: 1:44:12PM ®B STO CK®C!( LIST QTY. ITEM AMOUNT :• F RME kaft Air CaftdSfoWng 102 iied i78� Mlle,MA(}2655 Pn 0� � � www.caAdedeli.com ` aeus n'► tSM3 42"W5 Fax (50) 42"180 PHONE DUE - TO: Jean Sugbrve 508-775-9372 6/21/2013 ' 91 Hawser Bend .Os NABAE/LOCATION Centerville,MA 02632 t 2 ton basement a/c JOBNUMBER JOBPHONE Dick Mohre Rieda will install an "American Standard'2 ton basement installed central a/c system that will provide total cooling comfort for first floor living area of your home..Riedell will install air handler along with complete duct system that will supply air conditioning to living area via floor registers.Riedell will install a/c condenser outside of home on a supplied' precast pad. Refrigerant lines will be piped from condenser to air handler complete system.Riedel].will install new condensate pump and drain line along with new programmable thermostat.New.system will be piped by RiedelL Riedell will charge,start,and test system for proper operation. *System components* "American Standard" -Condenser 2 ton basement installed Air handler split a/c system ti P -Line set #4A7A3024 condenser -Condensate pump #GAF2A024S air handler . -Drain line 13 seer, -Thermostat R-410A refrigerant *10 year warranty on compresses and parts zing after equipment is registered within 60 days of installation* s 9 We PF MpOp ftg� tiere�to tuf ft ill BfK� CCRtpt� �c�W�ki�iTe above�ons,for the sulfa of Nine TSousand Eight Hundred Eightyzve and:00Affllollars dottars($ , 9,885.00 } Pai to be made as follow. posit of.$4,943.00 with signed proposal is requested_Payments are due as work progresses and balance is due .upon completion A$ma is tprarareeed ID be as sperlkd M WWk ft be cwipleW In a probssbnal "NUM aoo vft to Wndard pradow Any abMbM or deviation from ebm a sped Au ttzed transe�a��tiee�ea�edor$yupanwrdtenos�rs,andw�treoornea>aaxtra . r3vsrge aver and shave�e ass3rfrate.AH� rrporr ,ao at der s beyr d or>t oor�of Eklrner to leis, and oQrer necessary Our Note:This proposal may be vrorlrers are oovared bq wori®rs Cot>per ors w thdrmn by is If not armed wiitrin, 30 day& Acceptance of Proposal—The abm,pries,VwfiarmM and # .S mrefons are sMakdWy and ate try aompte&You are a&wrimd to da Iie work as spate FW~wM be made as awned above/. Date of Acaeptarw: �E 1 G 4 Ah uw �2 741 A,i- 69 d i! 2T0 /�xi R # 2 "l ✓�X�� S4 . c6NDC-'BSc - L �-� fin o - WebbConnect- Online Ordering System for customers F. W. Webb Company Page 1 of 1 EW)V H13 COMPA Y WMEDINNUT . Building Input Calculation Results Name sughrue Location 91 hawser bend Building Summer design temp. 91 Gain BTU 27998 Winter design temp. -10 Loss BTU 39575 Room Room temp. 71 Gain CMF 934 Label Zone Gain BTU Gain CFM Loss BTU Loss CFM Base Board Leeway as% 10 Loss CFM 748 Room#11 125998 1867 139575 1748 169 Number of people 5@400 Base Board 69 Ground temp. 50 Tonnage 12.3 Cooling air 50 Warming air 1120 Room Input Label lExt Wall I height Ifioor sq.ft. Zone Room#1 149 18 11128 CLOSE WINDOW e 1 1 http://webbconnect4.fwwebb.com/bin/f.wk?wc4.hc.print+@ID=16651-30090 8/2/2013 l TjO T 2 i �6, M ti LOT 26 a moo, v, r j '6 4tia 43 IN f� J ;i LOT 25" Plan is For FLOOD ZONE• -.C. RES 7.ONE. RC'" This ;vI.ORTGA( E i-;SPECTIOLL:N Bank Use Only TOWN: _G:E�TE811L[, ---- ---- . REGISTRY 01MER: 1. �fELI$.- 'COl�'7"F----- -- ------- D1aED RFF� _ZGl 'x �. --- —•- ----BCIYIT EP: ✓E�,lv_'X�'S7�dR _- -- -SCAI.E:i" DATE: _5�:19 __ --- - -- — PLAN REF: _23bc�-- ---- __ -- SURVEY y ND '��jV_e �___ - YANKEE I HEREBY CERTIFY TO� 1���.E1�p--�- -- `�`�° CONSULTANTS THAT THE tLDING ;.:� er CONSUL SHOWN ON THIS PLAN IS LOCATED ON THE ":`�� -•�U AS PAUL `�' �0B (SPITE 1) SHOWN AND THAT ITS poSITION nnEs _ CONFORM �;�� � *�`� INDUSTRY P. TO THE ZONING LAW SETBACK kEc�IJIRFhiFNTS AND THAT a1 # ME�ITHEV+d Y• OAD TOWN Or BE�R_iUSTABI, '----_�•_----- l� No. s.c'? 11R.S.MNS tstl , MA. oa_cSe IT DOES_ NOT _. LIE WITHIN THE SPECIAL FLOOD HAZARD � ^, J�° TEL: 425-0055 AREA AS SHOWN ON THE H.L.D, 11AP BATED_�W_9,le5-- '\,.1��-.�f,��ti FAX: 420 5553. Co nit •-P� el �?5p001 p01.5 HIS * _�` ,T 2�lADE FROM A :TAR MENT j �glC) T}PC PA L A—FIEFTI�'HE1V, PLS��---- SURVEY NUT TO BE USED FOR F�NC$S . ETA, r ----------------� I Existing House ; I jl —— —— / 5 - --- - - -- - ----- --- - w - ----{� Don I Remove wall j L--------------- LIVING AREA �a 0" 556 sq It iv-l" 9 8" F 26-r Floor Plan i r Home Improvement Specialists Jilt Sughru 91 Hawser Bend Rd. 25 lyanough Rd. Centerville Ma.02632 Hyannis, Ma.02601 f 5 u Ridge Vent 10/12 roof pitch matching existing 2x8 rafters @ 16"oc with 1/2" OSB sheathing&asphalt shing Soffit vents 2 x 6 ceiling joists @ 2x4 stust with plate height a 16"oc with R-30 match existing with 112"OS fiberglass insualtion 2 x 8 PT floor joists with 5/8" sheathing&w.c. shingles a plywood sub floor,5"(r-30) 1/2"fiberglass insulation rigid insulation and 1/2" 1/2"PT plywood plywood soffit cover under skirt from floor to grade with w.c. ` shingles&2 x 8 PT watertable skirt board at grade. ` 2-2x8 PT girt with 12"dia. concrete Bona tube footings to 4'below grade and anchors Home Improvement Specialists Jill Sughru 91 Hawser Bend Rd. 25 lyanough Rd. Centerville Ma.02632 Hyannis, Ma.02601. I Mill III I I I I I I T # LILEI- tt S A Front Elevation Home Improvement Specialists Jill Sughru 91 Hawser Bend Rd. 25 lyanough Rd. Centerville Ma.02632 Hyannis, Ma.02601. Grade Existing House Addition Rear Elevation Home Improvement Specialists Jill Sughru 91 Hawser Bend Rd. 25 lyanough Rd. Centerville Ma.02632 Hyannis,Ma.02601 End Elevation Home Improvement Specialists Jill Sughru 91 Hawser Bend Rd. 25 lyanough Rd. Centerville Ma.02632 Hyannis, Ma.02601 �Mo""106 16 juepartment ot neamibate ana Lnvironmentaiemees Building Division ` 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building*Commissioner . Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERBUr 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: iQesipeNT/AG AAPJ T/o.V /v X/1— Estimated Cost I 3/67010 Address of Work: _9� &A WSe e A&Wp Rcq14.1O Owner's Name: /LL SuCJS�iQ cJe Date of Application: 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 11"ROVEMENT 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:Affidav NE �== Q 600 Washington Street Boston,Mass. 02111 ���������� �� •�,m���� Workers' Compensation Insurance Afridavit name: location: city hone# ❑ I am a homeowner performing all work myself. 7 I am a sole aronrietor and have no one workin in anv ca acitn �am an employer providing tivorkers' compensation for my employees tivorking on this job. comnnnv name: "Id4f ZA P 96Pa&ill BW 7- .5AfG address: city: phone#-. . . insurance en. ! S T� 11MICV4 Wd 3.5'/3 y�0 ' ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed belotiv who hale the foIloi%ing workers' compensation polices: comaanv name: address-. ;:>•'"";•:•. .`.•• shone 4� �.. insnrnnce cn. ......... oliiv#------------------------- camnanv name- "'' •• `'• address: phone# . : . .. .... . :.. :,.::. ...:.,.,... .:•k:{:•.::fa•.::" ..::;aya N,:.:a.::.:::^f.:�p,.:.:.....,r.,.^,s:fr:...s...:.:,w:;".',.':.:., inuarance co. Fulure to assays coverage as required under Section 25A of MGL 152 can lead to the Imposition of tsimind penaitin of a ape up to S1.500.00 and/or one vears'imprisonment as well as civil pensides in the form of a STOP WORK ORDER and a I108 of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Olttce of Investigations of the DIA for coverage veri9otion. I do herrhy certify under the pains and penalties of perjury that the information provided above is i7a.mud coned Si�ature Date ��-��� ate` Print name Phone# ??.3=.2 0/.r oiltdal use only do not write in this area to be completed by city or town otIIdat. city or town: paudt!lleane to OBuilding Depaetntent ❑check if Infinediate response is required OlAcensiug Board ❑Selectmen's Ounce contact person: phone 1f; ❑gealth Department ❑Other lmvec 9,95 PIA) Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for'h etnplovees.. As quoted from the "law", an employee is defined as every person in the service of another under any cc—- of hire, express or implied, oral or written. An employer is defined as an individual partnership, associatiom, corporation or other legal entity, or any two or more cf the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the:e�.;•e: : trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the stroun^c building appurtenant thereto shall not because 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 issuance or renew, 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,neiiherthe commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work uz=E, acceptable evidence of compliance with the insurance requirements ofthis chapter have been presented to the coatr c authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certifi=of ksur,nce as all affidavits may be submitted to the Departm=of Industrial Accidents for confirmation of;nrnrance 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a spasm at the bottom of th-- affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applica= Please be sure to fill in the permitllicensc number which will be used as a reference number. The affidavits may be rettaa6d to the Department by mail or FAX unless other arrangements have be=made. The Office of investigations would Ii7ce to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. the Department's address, telephone and fax number. _ �•` . The Commonwealth Of Massachusetts Department of Industrial Accidents amce OI I=-10, - Box 600 Washington street Boston;Ma. 02111 ••• fax#: (617) 727--7749 phone #: (617) 727-4900 e= 406, 409 or 375 MAScheck INSPERIW CHECKLIST Massachusetts Energy Code HAScheck Software version 3,01 DATE: 5-5-1919 Bldg.] Dept.I Use I I I CEILINGS: 1 I 1,R-30 I Co®ant e/i.ocatlon_ I WALLS: [ ] I 1.Wood Press. 16"O.C..R-11 I Co®,nt./ocatlon I WINITMS AND GLASS DGORS: ( ] I 1.U-value: 0.44 I For windows without labeled U-values.describe features: 1 s Panes_From.Type­Thermal Breskl[ ]Yes[ I No I Dwmentan.mcatio I 1 FLOORS: [ J I 3.Over Cutside Air.R-36 I Commenta/Location I I AIR LEAKAGE: ( j I ,.Into, penetrations.and all other such opening,1,the building I ,elope that a of air leakage,must be,aealad. When i la.ailed In the building a,elope, ,ed lighting fixture, I Abell m of the following r,qulrementc: I i. Type IC rated.....lectured with no penetrations between the I inside of the re ..ad fixture and calling rev ity and sealed or I geeketed to prevent afr leakage lot.the a ..ditioned apace. 1 2. Type IC rated, in a ordance with SCantlerdnASiff E 2a3.with no I e then 2.0 cfm(0.944 Ls)air maV ant from the the I more itione0 apace to the ceiling cavity. The lighting flat... .he have bean teated at 15 PA or 1.57 lba/ft2 pr-ce, I difference and shall be labeled. I (VAPOR RETARDER: [ ] I xequlrad on the w rm-in-wint.r aide of all non-,anted framed I ceilings.walls. and floors. I I MATERIALS IDEETIPICATIW: [ ] I He teria le and equipment suet Ee identified a that tompl lane.can I be determined. Hanu lecturer ma oats Eor alto installed heating I and cooling equipment and s rvl ce water heating equipment must be I provided. Insulation R-value,and glazing U-181UOS must be clearly I marked on the building plans or specification.. I I DUCT INSCDCATIW: (] I More shall be insulated per Table 34.4.1.1. I I DUCT CONSTRUC7ION: [ J i All a .file joint.,a a .end connection.of supply and return I ductworks located outside conditioned apac. including stud bays or I joist cavities/spaces uaeQ to transport a ,ball be sealed us i,g meant and fibrous backing tape installed according to the nufetturar'e installation instructions. Mesh tape may be I ..Ittod where gap$are leas than 1/8 inch. Duct tape is net I permitted. The HVACsyet,,must provide a means for balancing 1 air and water systems. 1 I TLTPERATURE CGNIalLs: [] I Thermostats are required for each$opera to HVAC system. A manual 1 automatic even,to partially r,at rI a shut off the heating I end/or cooling input to each zone or floor hallbe provided. I I WAC EWIPMENT SIZING: _ [] Rated output capacity of the heating/cooling eyatea is I not greater than 125%of the design 10ed as specified I in Sections 110011 1111 and 11.1. f J SW3MMING POOLS: All hearse swimming pool,must have an /off heater switch and I require 0 tov unless ov c 20X mt the heating energy is from I -deplorable sources. Pool pumps require a time clock. I [ ] I WAC PIPING INEULATIW: I WAC piping conveying fluids above 120 P or chilled fluid. I below 55 F moat be insulated to the following levels(1..): I I PIPE SIZES(id.) 1 ]DATING SYSTEtiS: TPdP(F) 2"RUNOVIS 0-1" 1.25-,. 2.5-4" I Lox pre,eaure/tsmp. 201-250 1.0 i.5 1.5 2.0 I Lox tempera tore 130-20U 0.5 1.0 I Steam condensate any 1.0 1.0 I 63o=SYSTEMS: Chilled we ter or 40-55 0.5 0.5 0.95 1.0 I refrigerant Eel ox 40 1,0 1.0 1.5 1.5 [ ] I CIRCULATING HO'I HAIER SYSIPtfS: I Insular,circulating hot water pipes to the following levels I I PIPE SIZES(in.l ] HCH-CIRCULATING I CIRC S TING MAINS S RUUI'NOS I HEATED ITS WATER TENP IPI: RUNG 0-1" I 170-180 0.0 1 140-160 0.5 1 0.5 1.0 1.5 I 300-130 0.5 I 0.5 0.5 1.0 I ----NCTES TO PIELD(Building Department Use Only)------------------------- f • I I gAscneck 00NPLIANCE REPORT I 1 Messechusett.Energy Code I Permit a MASchock Software Voneion 2.01 I I I I I Checked by/Date I I I CITY:Earn.tab3s SLATE:Massachusetts HlID: 6139 CONSTRIICTICM TYPE: 1 or]Family.Detached HEATING SYSTEM TYPE:Other fNon-Electric R.slstav0e) mn: 5-5-1999 0OM8LIANCE:PASSES Required UA a 38 your home-39 At of levity Cont. G3aiingNvor Perimeter R-Value R-Vela. U-Vela. UA ----------------------------------------------------------------------------- CEILINGS 1.. 30.0 0.0 4 WALLS:Wood Frame. 16"O.C. 245 11.0 0.0 ]2 GLAZING:Window.or Doors 11 0.940 5 FLOORS:Over Outside Ali 12d I. 0.0 3 -----------------------------------------------____-______-_____-_____-_-___ =LIANCE MTMM : The proposed building design described here is ne latent with the building plane.epeclficatlove. and other car, submitted with the perm,[aPpllcet ion. no proposed building has been designed to meet the requirement.of the Me..ach...tts Energy Code. The heetinq load for this building.and the cooling load if appropriate. he.been determined u61.9 the applicable Standard Design Conditions found in the Code. no MVAC aq.ipment..lect.d to he at or cool the building shall be no greater than lIA O1 the design load as ep-ili.ddyet/bin Sections T800Qt 1310 and 24.4. V/7 eulldariDesigner r 9 4'llliltf,49tuJ8QG(.IL ��'�IitGGG^�flaP,C�d .. . - - - HOME- IMPROVEMENT CONTRACTORS RE S I t aACi 1 ONE 1 . Board of Building One Ashburton Boston , Massachusetts 02108 `; HOME IMPROVEMENT CONTRACTOR Piration 06/2�/00 Registration 10101.4 Type - PRIVATE CORPORATION CAPE COD HUMS TMPROVEME=NT SPEC . Robert A . MacLaughlin 25 Iyanough Road M1 Hyannis- MA 02601 - _ v�JJl. C!JpOJJiII&6'IJAIJCpGUJ Oily/�Q;JJIdCIZCIJ!'��J . OEPARTNENT Of PUBLIC SRFETY CONSTRUCTION SUPERVISOR LICENSE Number: Exoires: Restricted To: BO ROBERT A NACLAUGHLIN 25 HARVARD ST S.YARNOUTH, NA 02664 F MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 7 �� Checked b /Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 5-7-1999 DATE OF PLANS: TITLE: ` COMPLIANCE: PASSES Required UA = 36 Your Home = 28 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 120 30.0 0.0 4 WALLS: Wood Frame, 16" O.C. 245 11.0 3.0 19 GLAZING: Windows or Doors 11 0.400 4 FLOORS: Over Outside Air 19 19.0 1 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date I MAScheck INSPECTION CHECKLIST Massachusetts Energy Code - MAScheck Software Version 2.0 DATE: 5-7-1999 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-11 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location :. FLOORS: [ ] 1. Over Outside Air, R-19 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ) All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is -- not greater than 125% of the design load as specified - in sections 780CMR 1310 and J4.4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only) ------------------------- Assessor's Office' 1st floor Ma Lot &IPermit# �7SS Conservation Office Oth tloo Date Issued. 711 Board of Health Ord floor En ineerin Dept. Ord floor House# ��,Q Planning Dept. 1st floor/School Admin.Bldg.): 0 NIN,►®�'� ffrAs,6,MAW i Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) Cw S ®® TOWN OF BARNSTABLE Building Permit Application Protect Street Address / f `"/�(4,)S`/e B 19: �L� L'r a_� _ Villag Fire District (hvner -5 f/a/`l S4Z 4 llfw" Address f�9Cy5�ie Telephone -7 7 S - '937 Z C'�.4r r'E/L YiCC Permit Request: fl D D 7 wa P457c&S / - /2 X 5` ' W T// 9 L c, ,A/o,-i 5 c feE4E,cf r!Y(71 oSu 2C )Fod F 5ys'7-Z5vLr - b'/y/P *Al. R T7-/�c�f /z x /3 ©P9N P,9�cA w 7-H 12A9 Zoning District Flood Plain /v Water Protection Lot Size Gra dfathered Zoning Board of Appeals Authorization Recorded Current Use Propgsed Use Construction 1yo- Existing Information Dwelling Type: Single Family ✓ Two family Multi-family Age of structure Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds I Other eM1 Builder Information Name (�A P+"-Z-;Z7 1 b vlt 'n4&,d Vf vlf�ttfelephone number Address /ILO !0 W N License# 04 61 � �J T Home Improvement Contractor# L b o? o Worker's Compensation # 0 Z3 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 a a W Du Protect Cost Fee J�o 00 SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 3/29/95 -3-7553 j' 193.062 - 91 Hawser Bend - Centerville ADDRESS VILLAGE Sean Su'ghrue OWNER B , - t DATE OF INSPECTION: FOUNDATION. FRAME WSULATION FIREPLACE I ' ELECTRIC •AL. ROUGH FINAL PLUMBING: ROUGH FINAL GAS: �s�9f�'e ROUGH FINAL .^ • , ��, u FIN DATE CLOSED.OUT- ' ASSOCIATE PLAN NO. - ' g A� • � � ✓fie Ur a��n�rnulea� o������,zG�eC� HOME IMPROVEMENT CONTRACTORS REGISTRATION -ioard of Building Regulations and Standards 1 One Ashburton Place — Room 1301 1 Boston, Massachusetts :02108 i . HOME IMPROVEMENT CONTRACTOR I Registration 100740 Expiration 06/23/96 r Type — PRIVATE CORPORATION I I I HONE IMPROVEMENT CONTRACTOR. I Itopistratioa 400140 Capizzi Home Improvement , Inc . 1 Type -. PRIVATE CORPORATION- Thomas -Capizzi , Sr . I -Eipiration - .06/23/96 1645 Newton Rd . I Cotuit MA 02635 I Capizzi Home Improvement, Inc Thomas Capizzi, Sr. Newton-Rd. I ADM1N1STWOH Cotuit NA 02635 i Ah Restricted To: 10 - ETI DEPARTMENT 1F PUBLI[ SAF . CONSTRUCTION SUPERVISOR LICENSE 10 - Ion Rrober: .. . Expires: 16 - 1 1 2 Filily Holes Restricted To: 00 . DAVID H NEBB 00 P oyowajssar� 1UM HOLLON RO L E FALMOUTH, NA 0IS36 - � COMMO TH OF MA.SSACHUSETTS E % F DEI`AX;MFNT OF LNTDUSTRiAI.ACCIDENTS .. F- L 600 WASHINGTON STREET �' BOSTON, MASSACHUSETTS 02111 lames: CanooeV �c-�':ssrpne WORKERS' COMT'ENSATION INSURANCE AFFIDAVIT vEM,ely T - (lieenscclpermirtcc) with a principal place of business/residence at: s Aev T W/V (Ciryls tatclZip) do hereby eerti6% undcr the pains and penalties of perjury, that: ( J I am an employer providing the following workers' compensation coverage for my employccs.working on this job. Insurance Company Policy Number ( ) 1 am a sole proprietor and have no one working for me. ( J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed bclow who have the following workers' compensation insurance policies: Name of Contractor Insurance, Company/Polio}' Number Name of Contractor Insurance Company/Policy Number Namc of Contmaor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE: Plersc be awzre that while homeowners who employ persons to do mzinten%oec,construction or repair work on a dwelling of not more this three units is which the homeowner also resides or on the grounds appurtr==t thereto art not genc-DY considered to be employers under the Workers' Compensation Act(GL C. 152,sect. IM).: n by a homeowner for a license pplieatio or permit may evidence the legal sutus of as esaploycr under the Workers' Cotnpcasztioa Act 1 understand chat a copy of this stztcmenc will be forwarded to the Department of Industrial Accidents'Ofiiec of Insuran=for.cavcrzrc veriFincion znd that fzilurc to secure eoversgc as required under Section 25A of MGL 152 can lead to the imposition of_cdmin� pcnzlncS consisting or a fine or up to S1500.00 and/or imprisonment of up to one yc=and null pcnalues in the form of a stop Work Order and a fine of S100.00 a day sins C. • day of 119 j S� Signed this '' Licensee/Permirtcc Licensor/Pcrmittor j 7 5 s� The Town of Barnstable SA%N9rABLF- "A Department of Health Safety and Environmental Services r+rat' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. I i 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. T of Work: DEL(C Type Cos t st Address of Work: GI !7 6 Oct �c Omer Name: �1` � =' ".61 Date of Permit Application: I hereby certifv that: Registration is not required for the following reason(s): _ Work excluded by law Job under S 1,000 Building not oAmer-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 oNmcr: Date. t Contractor name Registration No. OR Date,' , if Ow ner s name' r #. I + ' LOT 27 , O ,l 0 LOT 26 DECK #91 _ 0 � Y lly LOT 25 RES. ZONE: "RC" This MORTGAGE INSPECTION Plan is For FLOOD ZONE: "C" Bank Use Only TOWN: -CLUERM45 -------- REGISTRY OWNER: AWFLI,1_LECOAVU ----------- DEED REF: -L61 12L_________BUYER: MEAN__1: JZU-GHEIZE-_____________ DATE: 5�J6/_94------------ PLAN REF: Z36�L27 ___-_____SCIU:Fe= 30'___FT. I HEREBY CERTIFY TO DOLALD P�iEN_��,� YANKEE SURVEY _ ___THAT THE BUILDING ZN OF SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS CONSULTANTS SHOWN AND THAT TTS POSITION DOES -___ CONFORM o PAUL cy� � s 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE A INDUSTRY ROAD TOWN OF ___EARN��&B&Z __________AND THAT G MERITHEW y IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD Nc. 32098 Q MARSTONS MILLS, MA. 02648 AREA.AS SHOWN ON THE H.U.D. MAP DATED-$,f�/�`J _ sr�aC!SjfR�-�o�`� TEL 428-0055 Com nit -Pane 250001 0015 C �� ..,�,s FAX 420-5553 THIS PLAN NOT MADE FROM MENT 14870 . DPG PAIIL A ME THEW, PIS~ SURVEY NOT TO BE USED FOR FENCES ETC. TOWN OF BARNSTABLE BUILDING PERMIT•APPLICATION t , Map /9.,3 Parcel , O 6 2-- Permit# Health Division �°" ��f%a� �� �/ y Date Issued Conservation Division G Yn ° Fee .Ta�e�eete�- E Treasurer G u TIC SYSTEM Fn41U3 7 EE INSTALLED III COMPLIANCE ; Planning Dept. Date Definitive Plan Approved by Planning Board ENVIRGI MINI �T14L TOWN RG Ltt� Historic-.OKH } Preservation/Hyannis _� n � 1 Project Street Address WSeR ,Semp IPPRP Village V141— Owner .S Address 9l J�iS�U✓-+`�.f' �0 P O Telephone = 771- 23 72-- Permit Request 10 X /2 !�G'N Square feet: 1st floor: existing/5 proposed,f�0 2nd floor: existing �� proposed Total new o • Estimated Project Cost /1610a Zoning District R C Flood Plain C Groundwater Overlay Construction Type Wogp 4 AMe o y sAv.VA Lot Size /S Q.S'o Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family J9 Two Family ❑ Multi-Family'(#units) t Age of Existing Structure Historic House: ❑Yes O No On Old King's Highway: ❑Yes ,�(No Basement Type: �d 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 ,3 new � Total Room Count(not including baths):existing 6 new First Floor Room Count Heat Type and Fuel: ❑Gas 59 Oil ❑ Electric ❑Other Central Air: ❑Yes V No Fireplaces: Existing NewAlw*zA7vR Existing wood/coal stove: ❑Yes A No Detached garage:❑existing O 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 4 No .If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ye ego "et Z&Z&gle-N r• iTeIephone Number 7 75- 8/,5 Address License# 0/0.350 X4ryA1_Z S Home Improvement Contractor# 70/a/y .l30,B MAG L Rayl*,V 1AI Worker's Compensation# We _3,s" ot� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO A�*9 '/o vA�c/6e L o tsoit/ SIGNATURE DATE '���9 t, FOR OFFICIAL USE ONLY !1 i PERMIT-'NO.,-- DATE ISSUED - MAP./PARCEL NO. j r •i ADDRESS ' ` ~ VILLAGE OWNER ' , f , y + .c( •. � .. ,. V � - • r * y Jai DATE OF INSPECTION: ' '•` f r FOUNDATION' �97 FRAME INSULATION. FIREPLACE ELECTRICAL: ROUGH ' _ FINAL A' y PLOMBING: ROUGH" FINAL GAS: ROUGH FINAL - ` FINAL BUILDING- DATE CLOSED OUT. ASSOCIATIONPLAN NO. ` • • at Assessor's map and lot numb r ... ............... ' i?N E t0�♦ Sewage Permit number �............. .. . ....... ........ ` BAR35TADLE, i ouse number ro a ft M 118 !� G 1639. \00 � T WN '` OF 1 �ARNSTABLE BURDIHG INSPECTOR APPLICATION FOR PERMIT TO .............�-!.1!..�.r .l. ...........� .l�i. .1..1VI. ....................................... TYPE OF CONSTRUCTION ............... .Ji� .f�C�,p.... . M.: !/..1 ............................................................. ' ................................................19........ a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... A.).15..er. A........... .O.E.M.0.........................C.E.IV. .—..n.:�.l�.�.L . ............................ ' Proposed Use ............ xew ... / G? R. .................................................. ...................................................... Zoning District ......... ha.�.. ........Jl..t.L.l. ............Fire District .................ei2v..l.! ...............�!'.v..................... Name of Owner 4YY1 %l.4.1......h.e.Ge >o..................Address .`���.......�7..���VcC.�lt .... a �h�,.............................. Name of Builder ..... c^ Address........ ......�............� .......................................................................... ...... Name of Architect ................., ..... .....................................Address Number of Rooms ...........:'......................................................Foundation Exterior .U O� S /n �5................................Roofing r w1-'4 Floors Gd h lit. /6..................................Interior /1 ��� ro G%< .................................. .............�.... ........................................................... Heating ...............................................I..................................Plumbing .................................................................................. Fireplace ........ ................................................Approximate Cost . ` ..�'...G..c'................. . ............ Definitive Plan Approved by Planning Board _______--------_----.----------19________. Area ........l.l..©�......................... ,Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r C ` s _ a y . A G, 64 0 I hereby'agree to conform to all the Rules and Regulations of the Town of Barristable regarding the above construction. A.�. ..c .Name ... ... . . ........... ... ....... ........... ~` --------------'' . . Locati 1-HaNaex...B.end...Rd..-------. ................... viII�.----------. ' Owner ..Aozelia_Leo6nt��--..------ Frame Type of Construction .......................................... -`-�.-----------------------. '' Plot ............................ Lot ................................ ~ Jo _8 Permit Granted ---����.� �4---'--lV Date of .........Inspection . 9 ! ' o��a6 �� ""." �" ".� ------. '-`,�-...,-' - PERMIT REFUSED ' ' | . '_.. ^ /~ ' �'-`-----'' --------�`' . �lV �� ~ ` ----'^'^---~---------`' -----'' .................................�..-..-.---~---.--- ` ~-.'^.----------,-----�.----.. . . --^----...-.-~..~-..-.-.------..' / ' ` lQ Approved -- ,------------'' . - -..�-------------.--..--------. - -----------'--------`-~-^-'-- ' � | � `. ] Assessor's map and lot number ... „9`3.-.��.. ...............r�� � � Sewage Permit number JB39TAD E i `•, House number :' i63q. \e0 If � CFO MPY a' TOWN OF BARN.STABLE BUILDING INSPECTOR a- APPLICATION FOR PERMIT TO F �.K-1.�........... , L.0D.L.�..i�:.�....................................... TYPE OF CONSTRUCTION ............... //J(7 ./............1..F 6:........................................ . ................. ..............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... .............. ........................: I=,III'T 72.�,��: : ,!c'............................. . .�.:. Proposed Use ............ ...... i.rx,n-6? ..: :........................................................:....... Zoning District .........................�/ Li 7� ./..1,(� 4 .............Fire District t� ��c' S`f.-,U, 9l ..... ....}// f...... ........................................................................... Name of Owner �?, `. .. ...d.... t cs i G .................Address .. �.......�/ t� C.F.. ...... f. .�1 .......... Name of Builder rCho%2 /�... ..Cli�i?rS Address .................................................................................:.. ....... Name of Architect' .......................:::—...................................Address .................................................................................... . Number of Rooms ............. ..................................Foundation C. 7 C;...� pf.. ! /..... .................................... iJl�a / T Exterior v.................................Roofing ....................y.......................................................... .... Floors C..t�.Ch ;�c..................................Interior �� ........................................................... Heating ...............................................7..................................Plumbing .............................................................................. :... Fireplace ........................... .....................................................Approximate Cost ............. ................................(...................... ' J Definitive Plan Approved by Planning Board --------------------------------19--------. Area .........Z/ ....................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 10*S �• 0 czrA86ci.8 a +. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... :V. .....�� :.: I93�S � LECO0T , A2�EI'ZZ\ ^.`' 8�= � I� . . ADDITION/ No — —. Pe,mhfor ------ --�-~ (� --..������-------------..Locati | . ..Beod_Rd:_______.. * . _..Centerville__________.. Owner ....AmeIi��.� ________. . � I� � Type of Construction —�]����--------. � � ^.-------------------------- . � p|ct --------'— Lot ................................ � July 8' Ol Permit Granted -----.--. .. 7V ^ ' � � Date o* / poc . . . . PERMIT REFUSED ' . � ' -------. ---------. lA � ' . . ---~—^--'~----~^----~------'' ........................ ....................................................... . � ... . ....................................................... . . ^---�--...�..�---~----- . . Approved ................................................ 19 ....................... ...............,,..,...............,...'........... � ' ~ .................... .......................................................... � � IUO t&/JCLF4Nr— ` h�tt_�! F Law •�tG� ,x 4. _ =4d0 G P.D. �Pf-1G ,TAt !1l = DtC tr�C %+•` loLoO C,.F?V � u us4 125C> Z,L_ 3 24' ram„_ Z� ToT A L Z?i - ,I!> -.p tD ToTr�L U��l L`( FL�)•�rl/ _ .L1L1 D Fa•!•l.:• c. ., s �- t� 1 e � t � F f ['I✓�ZGULL�TIt?tJ t~dTE:. . � {',: �[_•:',tiJ- UiL L�:,�. i ND. ; 30 r 12 w 1 it F't r _5 '1oz. ' Ir=lt_:i-D pt_c+T ram._ %.� -uc, =cam .i _t _ 40 Ar �1-•l 1�1 C—�. t �.�t_t• t,-j•y1� (�L-l.���I_\.�r �,l.f { t F••3. { {�. ,�{I 1 t ..�f 1..11'=;. �' , T( .i �1 S:C_'!yL)ii'.1=i1�i..'•J�+� Gi -VI-It_ _ 11 ,- - tt,. �-1 .' .;�_ V�A !\? 6 I L .tc_::. -t , �(• [": t_i>.t-•t t . � ��>'i" 1.."L�•> _tip c?t. ; r,�r._J t � �j,, t s> L_e.j t '',: r .�/� � '�t�.:_ �, t-'t- •� (--� •!I'l:-,BJ:—> �I.,f-r L-I r'^ �_ •-•--' / .•�.. - I ' Assessor's map and, lot�``number � ` � � v 77 ....... .. .. .. ..... r + _ _ i SEPTIC SYS.TEPJI.MUST BE INSTALLED ,IN COMPLIANCE x> = ,....... ........... WITH ARTICLE If STATE. Seyvage�'Permit number .................. u ;�- SANITARY CODE AND TOWN �r (.., ,. Q�o*THE ro�y TOWN' OF BARN I TAB LE 0z' Z 3 STADLE, 9� �pb 9r r, RUILDIHG ` INSPECTOR s�> �;f TA r1l �&:-e APPLICATIa- ON' FORPERMIT TO . ..........�... ... ... . .. . .......................................... cl TYPEOF; CCj.NSTRUCTION ........... ........................ ........................................ .................... y ...... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informat'on: Location �r4 r �..........� �.....4..,.01tM. z.. ............................................'.............................. ProposedUse .......dt! ........................................................................ ........ .. ........... Zoning District ...... !.. �..................................................Fire District .41!, ....� ........ Name of Owner ... ................r. ...... 1!I/��....................Address .......... "'........................... Nameof Builder ...................................................................:Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... r Number of Rooms .................6..:...r.......................................Foundation .........�a:.01. ..... ... ....................................... Exieriorn. ,..:.. :....,:.......................................Roofing ........... ..!... ......................... .................. Floors ....,,�.�.....� ...................:.......................................Interior .................................................................................... Heating .......�r.11Tc..6fJt.... � do........ .... ...............................Plumbing ............... ........................................................:...... Fireplace ......Approximate Cost .......................................:.................................... ........ ......... ®* .. .. l� ... ..........8 Definitive Plan Approved .by Planning Board --------------------------------19--------. Area 7��.........� � ....... Diagram of Lot and Building with Dimensions Fee ......... ...-................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 2 �'� G � • �� h3 I hereby agree to conform to all .the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................... .' ... � � � � ~ - ' ` . ` ^ . . � . . � ` - ` ~ ' ' . ' - . . ` . ` . . . - . . ` . . . , Locatiov.(....Haws.a.r...Bend'Ro d Centerifile Capevide Development frame PiRMIT REFUSED .................................................. ` - ......................................... .......................................................... ' . —~—.:—.....—.......^..----..' / . Approved l9 ----------..—.--- ^ � � . �. . .. ^ � —.—..--------.---~—.—.~...—..., . � ------.--..-----^..~—.--...... ` � 7 Assessor's map and lot number ....... ....... Sewage �Permit number ... . ................................... THE TOWN OF BARNSTABLE EAUSTAMLi, NAM 1DING INSPECTOR 1639- BU I go?M TION- APPLICA ......... ........................................................... FOR-�PERMIT TO ........... .......... . ........................ TYPE OF COkSTRUCTION . ........................................................................................................ 9 /2............. ........................ .......... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: xr�4 Location .......!�.............................................M........ .. .............................................................................................................. Proposed Use ............ ................................................................................................................................. ....... . .... .................. Zoning District ..........q , C, �— ................................................................Fire District .............................................................................. Name of Owner Ad'e. ................................................n...................Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................6.............................................Foundation ......... .................... .... ...... . . . ..... ........ . ..................... Exlerior ................ ....................................................................Roofing .................................................................................... Floors ........... Interior ........ .......................................................................... ............................................................................ Heating ........�c " ///: /, ej I / .....................Plumbing ...... ..................................................... ............................................................................ Fireplace .................................................................................Approximate Cost ...... I...................................... .............. Definitive Plan Approved by Planning Board --------------------------------19--------- Area .................................... Fee .............3 Diagram of Lot and Building with Dimensions ......L...I..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. N . .................... pme ......................... ..... ...................... Capewide Development A=193-62 No .................19573 Pnit for 1 1/2 story ................... single family dwelling ................................................................... Location 9.1..Hawser Bend Road ................................................ ....................... enterville ...................................................... Owner Capewide Development......,... ......... Type of Construction ............ zam................... Plot ......................:..... Lot .... ....... 26............ :. ptber 2 . Permit Granted .........S... .........em..................19 77 Date of Inspection ............. ......................19 Date Completed .................... .................19 PECITREFUSED............................... ................... 19 ............................. ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... t~Low . t to• ,c 4 -- G,pr.. �t PT t G"TAB ►t� _ dd,D,C 4r�U °lp = 6eeo '" u> I2D �.�sc. . { z�71(r7,Cjlo�. 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I J. . u�� � 7�3 ...�.�. � 1 TYPICAL EXTERIOR WALL CONSTRUCTION: WHITE CEDAR SHINGLES AT T TO WEATHER SIDES ELEVATIONS/-TYYEIC OR EQUAL BUILDING PAPER/1/2" PLYWOOD SHEATHING/2 x 4 STUDS AT 16' O.C. TYPICAL ROOF CONSTRUCTION: ASPHALT ROOF SHINGLES/15# FELT PAPER/ i/Y CDX PLYWOOD SHEATHING/T'x Ir RAFTERS AT 1 er O.C. j 2 x Ks at 18' O.C. _ ITq SCREEN TYPICAL 4"x 4 POSTS - 2"x 2" BANISTERS ® 6" O.C. 1"x 4" RAILS min ® 3' ABOVE DECK SIDE ELEVATION SIDE ELEVATION SCALE:1/8"=1' SCALE:i/g'=1' ; a 1'x DECKING 4 �x 4 POSTS Y x 10r ® 19, O.C. 121 13, GRADE 1Or SONOTUBE 5 PLACES (TOTAL) CROSS SECTION • ALL EXPOSED WOOD IS TYPICAL PORCH & DECK PRESSURE TREATED SCALE:1/4=1' PORCH DECK 14' i 12' Home Improvement Inc. 1645 Newtown Rd Cotuit, MA 02635 (508) 428-9518 Fax (508) 428-1547 " 1-800-282-5080 SCREEN PORCH & DECK FOR FLOOR PLAN SUGHRUE. CENTERVILLE, SCALE:1/4=1' 1 JOB N0: REV.DATE: TYPICAL EXTERIOR WALL CONSTRUCTION: WHITE CEDAR SHINGLES AT 5 TO WEATHER SIDES ELEVATIONS/-TYVEK' OR EQUAL BUILDING PAPER/1/2* PLYWOOD SHEATHING/2 x 4 STUDS AT 1 G' O.C. TYPICAL ROOF CONSTRUCTION: ASPHALT ROOF SHINGLES/15/ FELT PAPER/ 1/Y CDX PLYWOOD SHEATHING/f x Ir !� RAFTERS AT 1Ir O.C. 2 x Ira at 1 O.C. SCREEN TYPICAL i 4 x 4 POSTS 2"x 2" BANISTERS 0 6" ,O.C. 1"x 4 RAILS 0 3' ABOVE DECK ,y SIDE ELEVATION SIDE ELEVATION SCALE:1/8"=V SCALE:1 lir=1' 1'x C DECKING Cx 4 POSTS I 2'x 1 Qr ® 16' O.C. i 12' 13' GRADE , 10" SONOTUBE 5 PLACES (TOTAL) CROSS SECTION ' • ALL EXPOSED WOOD IS TYPICAL PORCH & DECK PRESSURE TREATED SCALE:1/4=1' e DECK PORCH 14' 12' I pip I Z z Home . I Improvement Inc. 1645 Newtown Rd Cotuit, MA 02635 (508) 428-9518 Fax (508) 428-1547 K 1-800-262-5060 f SCREEN PORCH & DECK FOR FLOOR PLAN { SUGHRUE. CENTERVILLE SCALE:1/4=1' JOB N0: REV.DATE: