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0057 LONG BEACH ROAD
, all' ji tP \ n ; n WH - r; Ian ' IR� .. n p ,. ��L� � � fir, • � ^ .F�..� � 1.c � ��ti��• � r r.. .., � .,A ! -19 ,', n all ,a (kD 5 i mot , �� Town of Barnstable *Permit# 0 eF Expires tl�s o ssu tg_ TOk Regulatory Services Fee (V� Richard V.Scali,Interim Director w i63� TA8L'p CFO MA'S A Building Division Tom Perry,CBO,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office:, 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 0 1 Not Valid without Red X-Press Imprint Map/parcel Number Property Address 7 a "i> - C:u ['Residential Value of Work$ qWC Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address LA✓� 59� "A A 6D Contractor's Name C,(oC.V_P_ L'ON)&f bj_&l(Lhsj J-1 Telephone Number_4z)e Home Improvement Contractor License#(if applicable) 13�(w Emaila-iE�Ift3�W1r1 -�Ll�dfL�G�Wt.p ice,�oovl Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ` ❑ I am a sole proprietor ❑ I am the Homeowner ' ©wave Worker's Compensation Insurance PInsurance Company Name Acid M,a4,r_i p Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) [v]'Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows . r #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of Jhe Home Improvement Contractors License&Construction Supervisors License is re ir`d r _ SIGNATURE: U T:\KEVIN D\Building Changes\E PRESS PERMIT\EXPRESS.doc Revised 061313 f Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Licenser CS-079605 STEPEIEN K CRQ�KER P.O.BOX#1372 ' l North Falmouth MA 02556 Expiration Commissioner 08/11/2015 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only . �OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - registration: 1w. 60396 Type: Office of Consumer Affairs and Business Regulation 7 xpiration: 11(12/2016 LLC - 10 Park Plaza-Suite 5170 Boston 02116 CROCKER CONSTRUCTION,_LLC': STEPHEN CROCKER 21 PADDOCK CIRCLE EAST FALMOUTH,MA 02536 Undersecretary of vali ithout signature ,4coRo® CERTIFICATE OF LIABILITY INSURANCEDATE(MMIOO/YYYY) 1 a 14 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: H the certificate holder Is an ADDITIONAL INSURED,the poBcy(les)must be endorsed. If SUBROGATION IS WANED,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 endorsemen s. PRODUCER PAUL PETERS AGENCY INC PHONE FAX No: PO BOX 669 INSURE AFFORDING COVERAGE NABS Falmouth MA 02541 INSURERA: AmGUARD Insurance Company INSURED - . @ISURER B KIRK M BATER INSURERC: 79 REGIS ROAD INSURERD: INSURER E: EAST FALMOUTH MA 02536 INSURER F: -TF:� 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLTR R TYPE OF INSURANCE B POLICY NUMBER POLICY EFF (MPWWVVMP LIMITS GENERAL LIABILITY EACH OCCURRENCE s COMMERCIAL GENERAL LIABILITY TO RENTED PREMISES Ea occurrence $ CLAIMS AAADE OCCUR MED EXP one S PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S POLICY JECT PRO- LOC 8 AUTOMOBILE LIABILITY eB E 'AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY IAUURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS nsa ft edanf - S UMBRELLA LWB OCCUR EACH OCCURRENCE $ EXCE88Lg8 .- HCEDE AGGREGATE S DED RETENTION$ $ A WORKERS COMPENSATION WC STATU. OTH- AND EMPLOYERS,tJABAIM YIN R2WC522984 - 11/7/2014 11/7/15 ANYPROPRIETOP ARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 10O 600 OFt�CEWMEMBER EXCLUDED? N❑ NIA !_ (Mandatary In NH) E.L.DISEASE-EA EMPLOYE $ 100,000 Iyes D ESORPTION d�onbe undeOF rOPERATIONS bet E.L.DISEASE-POLICY LIMIT $ 500,000 a DESCRIPTION OF OPERATIONS I LOCATIDNs I VEHICLES O seh ACORD 101,Additions Remake Schaduk i1 more space is requUetl) KIRK M BATER is covered by the Workers'compensation policy CERTIFICATE HOLDER CANCELLATION Stephen Mark Crocker SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 1372 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 21 Paddock Cir ACCORDANCE WITH THE POLICY PROVIS ous. North Falmouth, MA 02556 • AurfhoaaEo.,� 01988,2010 ACORD CORPORATION. All rights meerlred. ACORD 25(2010105) The ACORD name and logo am registered marks of ACORO oFt"E rgwti • anxxsrnsi.e, • Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner, 200 Main Street, Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owrier Must' f Complete and Sign This Section If Using A Builder I, Z(,fWb as Owner of the subject property hereby authorize l��C�Gu- Sll'11�,Ytt �-�t" to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date d Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:\KEVIN D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 DATE (MMIDWYYYY) ACC>RLX CERTIFICATE OF 'LIABILITY INSURANCE . 05/09/2014 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 endomement(s). PRODUCER Phone: 509-540-6161 Fax: 508457-7660 CONTACT NAME ,•_ Bob Alhetta ALMEIDA&CARLSON INSURANCE AGENCY INC. arloNE P.O.BOX 554 lac No E4_(508)_888 0207_ __.._.._. _I(5C4 NsI;. (508)888-0550 _._ Ea FALMOUTH MA 02541 _ ADgRApR Ess: ralliettalmeidacadson.com _-_.-- .._-@ .____---- INSURER(S)AFFORDING COVERAGE NAIC d INSURER :Western World INSURED .. ---- ------ —. CROCKER CONSTRUCTION LLC INSURERS :Ace American Insurance Co PO BOX 1372 - INSURER C N FALMOUTH 02556 INSURER D: INSURER E INSURER F _ COVERAGES CERTIFICATE NUMBER: 27321 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 INSR SUBR POLICY EFF POLICY EXP I,rR_ wSR.,wvO_ .: POLICY NUMBER _-- LIMITS -----_' A GENERAL LIABILITY NPPS082396 05/07/14 05/07/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY r - DAMAGE TO RENTED _ _ - 1 OO,000 :PREMISES(Ea oaurenoe) $ CLAIMS-MADE X OCCUR MED.EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 __.- PRO- POLICY JECT LOC $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT . {Ea accitlenQ $ ANY AUTO BODILY INJURY(Per person) $ -ALL OWNEDffUTOS CHEDULED :.-..._.._...._....._..._._.-..._...__..__.._ ..._ _..._..._-_._._.._____---- .AUTOS UTOS BODILY INJURY(Per accident) $-. ON-OWNED - ----`------ ,.._._-...._.._. ..._....----.._....... AUTOS PROPERTY DAMAGE $ .... ;(peracadenq UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE :AGGREGATE $ DED RETENTION$ $ We WORKERS COMPENSATION TORY LIMITS OTH � B AND EMPLOYERS' LIABILITY SB97938 05I1 D/14 05H0/15 :._.'roRV LIMITSANY PROPRIETOR)PARTNERIEXECUTIVE YEN- E.L EACH ACCIDENT $ 100,000 :. _.._......_.__....____._— ...... _.....:........__.___.__. OFFICERIMEMBER EXCLUDED? NIA , , E.L.DISEASE-EA EMPLOYEE $ (Mandatory in NH) - - - 100,000 It Yes,describe under t_...._.:._.............._.,........._...____-...__._..___.__..__—__ -: DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF FALMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Bob Allietta ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved'. The ACORD name and logo are registered marks of ACORD t co PRt r " MOB Town of Barnstable _ *Permit E f Expires onths f issue date Regulatory Services Fee r b�' Richard V.Scali,Interim Director. TOWN TABLE Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �j Not Valid without Red X-Press Imprint Map/parcel Number Property Address L z>.4 e; i5) `+[Residential Value of~Work 0 1 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address UL Lc � , C� S`t� �J C,ell® t Contractor's Name LL6 Telephone Number `jDe,3604 --3L�c:> Home Improvement Contractor License#(if applicable) 03�TL Email: L(�'1��)I'Y1CI;r/�. "oGge-a-2 C---X1- 13 Construction Supervisor's License#(if applicable) 4'_`5 °' 0'7 JL0 a ❑Workman's Compensation Insurance Check one: + ❑ I am a sole proprietor s ❑ I am the Homeowner have Worker's Compensation Insurance ; Insurance Company Name A e_c Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Pen-nit Reque t(check box) �J [t- [2e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �5A�11�, 41C1�1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side w ❑'Replacement Windows/doors/sliders.U-Value +« (maximum.35)#of windows . #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Own r must sign Property Owner Letter of Permission. cop of t Home Improvement Contractors License&Construction Supervisors License is r�qui e p SIGNATURE: r T:\KEVlN_D\Building Chan es\EXP SS PERMIT\EXPRESS.doc Revised 061313 The Con naotohealth of Massachusetts Depwtmeut of Industrial Acciderats fr Office'ice.of Investigalions. 600 Washington Street Boston,JVA 02111. ttmv.nmasmgov/'dia Workers' Compensation Insurance Affidavit. Builders/Contracturs/Electric anMumbers Applicant.Information `A" Please Print Legibly Name(Bussmes1'Organm ionladmdaal): �I`�"�e1xA1- LAIC Address: Z City/State/Zip: �+-T� Plane#_ Are you an employer?Check the appropriate box: T of project r 4. I am a enend contractor and I Type p ] (required): 1.❑ I am a employer u��:th ❑ g 6_ ❑New construction ,,employ (full andfor part-time)-: have a hired the sub-contracto s 2.P t am a sole proprietor or partner listed on the attached sheet. 7. ❑ ship and have no employees These sub-contractors hate g_ ❑Demolition working for me in any capacity_ employees and have workers' ❑Building addition [No workers'camp-insurance comp_insurance+ required-] 5.. ❑ We are a corporation and its l0.❑Electrical repairs or additions 3.❑ 1 am a homeou mer doing all work officers have exercised their 11.❑Plumbing repairs or additions If o workes right of exemption per MGL , myself � comp- 12.❑Roof repairs insurance required.]€ c. 152,§1(4),andwe.have no employees.[No workers' 13_0 Other comp-insurance required-1 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infornwtion_ t Homeowners who submit this affidxcc t indicating they are doing all work and then hire outside contractors tnttst submit anew affdavit.indicating such- tContracwrs that check this box mast attached an,additional sheet showing the name of the sub contractors and state whether or:not those enrtties have enplovees. If the sob-contractors hone employees,they must prnride their workers'comp.policy number. I ant an employer tha is providing workets'c©ugmnsadon insurance for xty earptoyeim Below Ls thepoticy card job site information. /' u Insurance Company Name: Policy#or Self-ins,Lic. —L� Expiration Date: Job Site Address:,5-1 City/State/Zip. �CJr � MA 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 andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$2+50.00 a day against the violator. Be advised that a copy of this statement may be.forwarded to the Office of Investigati e DV�ft ins ce coverage.verification. I do h . .bsI ce l rand. th and penalties of pedury that the in�nrination protrided dlim' u trues and correct: Si hue Date: ` ko, Phone#: t?,�}St at use ont3. Do not write in this area,to be completed by cite or IMM. ofrciat , City or To-am: PermitJLicense# Issuing Authority(circle nine); 1.Board of Health 2.Building Department 3.CitatToten Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f DATE (MMIDDIYYYY) ACORox CERTIFICATE OF LIABILITY INSURANCE 1*. �- 05/09/2014 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 Phone: 508-540-6161 Fax: 508457-7660 CONTACT Bob Allietta NAME: ALMEIDA&CARLSON INSURANCE AGENCY INC. PHONE FAx (508)888-0550 E-MAIL P.O.BOX 554 (AIC L Ext): (508 888-0207 Ac No:FALMOUTH MA 02541 ADDRESS: rallietta@almeidacarlson.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA Western World INSURED CROCKER CONSTRUCTION LLC INSURER B :Ace American Insurance Co PO BOX 1372 INSURER N FALMOUTH 02556 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 27321 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' ADD'L'SUBRi POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I INSR I W_VD POLICY NUMBER LIMITS (MMIDDIYYVI') (MM/DD/YYYY) A -GENERAL LIABILITY I NPP8082396 i 05/07/14 05/07/15 EACH OCCURRENCE j$ 1,000,000 X COMMERCIAL GENERAL LIABILITY I DAMAGE TO RENTED 100 000 i. PREMISES(Ea occurence) $ _I CLAIMS-MADE I OCCUR I ( - MED.EXP(Any one person) $ 5,000 ` I I I j PERSONAL&ADV INJURY $ 1,000,000 i ! GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j t PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY (PECT 11 LOC j $ AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT (Ea accidenQ $ ANY AUTO I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED I —AUTOS AUTOS BODILY INJURY(Per accident)I $ HIRED AUTOS NON-OWNED I I PROPERTY DAMAGE i $ AUTOS (per accidenq j $ UMBRELLA LIAB OCCUR ,I EACH OCCURRENCE $ _EXCESS LIAB CLAIMS-MADE' (AGGREGATE _ _ I $ DED I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH g 5B97938 I 05/10/14 05/10/15 ( TORY LIMITS ER $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y N i I I E.L.EACH $ 100,000 OFFICERIMEMBER EXCLUDED? i (Mandatory in NH) --� N I A I E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below j E.L.DISEASE-POLICY LIMIT $ 500 000 -- I - --- I -- — -- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF FALMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Bob Allietta ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i �1ME • • snaivs ABM '""S& Town of Barnstable Regulatory Services Richard V.Scali,Interim Director , Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 > a . Fax' : 508-796-6230 Property Owner Must, Complete and Sign This Section If Using A Builder as Owner of the subject property s . hereby authorize � AD 1,��1} ,(w act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Isla .15 F �. Signature of Owner Date �r.IGH>4Q� SPr�t„,�u,orL.o Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:\KEVIN D\Building Changcs\EXPRESS PERMIT\EXPRESS.doc Revised 061313 Office of Consumer Affairs and Business Regulation. ss` 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180396 Type: LLC Expiration: 11/12/2016 Tr# 260230 CROCKER CONSTRUCTION, LLC f STEPHEN CROCKERx - - — --- P.O. BOX 1372 - --- -- NORTH FALMOUTH, MA 02556 ..'='Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 � Address Renewal ❑.Employment 0 Lost Card e Uorrui�ca�uaercl�afC�� a:tcrcke,"'&a Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 1g0396 Type: Office of Consumer Affairs and Business Regulation xpiration:-: :1,-1/12/2016 LLC 10 Park Plaza-Suite 5170 Boston 02116 CROCKER CONSTRUCTION_LLC__` STEPHEN CROCKER", _ 21 PADDOCK CIRCLE :.. EAST FALMOUTH,MA 02536` Undersecretary of vali ithout signature ` L Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-079605 STEPHEN At CRQ�KER` ' P.O.BOX#1372 North Falmouth IRA SS J,4.. .rJ.�Sf . ""' Expiration Commissioner 08/11/2015 g e TQWN OF BARNSTABLE BUILDING PERMIT APPLICATION ff 6a 9� Map. 7 0( Parcel CIS pp/� lication # Health Division Date Issued � �`i, Conservation Division Application Fee Planning Dept. Permit F Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �9c. 10a Village CaAy'y i Owner �y" -� Address 230 17?D&� TelephoneJ' � C)44tcq Permit Request 64 iz , 5A X c:2 1?a V_/6L C,-- D :MurA C,�{Ax_&ID - ALL ate _ ?,tom Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation fob® Construction Type V Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other .� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal sfove: D�Yes ❑ No CD Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn ,p existing LJ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �.n Commercial ❑Yes ❑ No If yes, site plan review# co Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) I—ame Q ( �( Z. Telephon_e-Number-_.._5L C��S'SC— Home`Impr eMont:Contractor EmaiI V%tX- X,Z Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Wv" k' DATE'L FOR OFFICIAL USE ONLY 6 APPLICATION# DATE.ISSUED MAP/PARCEL NO'. ADDRESS VILLAGE OWNER DATE OF INSPECTION: 4 FOUNDATION FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Oc Lee— D kT RCLOSED OUT z ASSOTA'TION PLAN NO. t The Commonwealth of Massachusetts Department of IndusttialAccidents Office of Investigations 600 Washington Street f Boston,HA 02111 www mass gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant,Information Please Print Legibly 4-Nc;Ine(Business/Organization/Individual): A dry` City/St_ate/Zip:'` " IM Phone Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ttI am a general contractor and I employees(felt and/or part-time). * ave hired the sub-contractors 6 El New constriction 2.❑ I amm a sole proprietor or partner- listed on the attached sheet. . 7. ❑Remodeling t ship and have no employees .These subcontractors have K Demolition working for me in any capacity, employees and have workers' 9 Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.ElI am a homeowner doing all work officers have exercised their 1.11-1 Plumbing repairs or additions myself. [No workers'comp. nght of exemption per MGL 12.❑Roof repairs c. 152 4 p insurance required.]t ' §1O'and we have no employees.No workers' 13.❑Other. comp.insurance required_] *Any applicant that checks box##1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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'compensadon insurance for my employees. Below is the policy and job site information. Insurance Company Name: -m Policy#or Self-ins.Lie. Expiration Date: 151 t C)(,16, Job Site Address: 57 �-�1�, �`7 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 her c un pains and penalties of perjury that the information provided above is true and correct Si afore: Date: Phone#: Official use only. Do not write in this area;to be completed by city or town officiaC City or Town Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as-"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in'a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having nofmore than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)"also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call.the Department at the number listed below. Self-insured companies should enter their - self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submif multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a calL The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 Tel,#is 17-727-4900 ext 406 or 1-877-MASSAFB Fax# 617-727-7749. Revised 4-24-07 wwwmm.gov/dia _ ' F DATE (MMIDDIr" Ac LY CERTIFICATE OF LIABILITY INSURANCE 05/0912014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH13 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(5), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. IMPORTANT: It 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►I9hL% to the certificate holder In lieu of such endoreement(B)- _ PRODUCER Phone 508-540-6161 Fax: 508457-T680 CONTA�1" NAME! Bob Allletta _ .._.. .. ._...,._ ... ALMEIDA&CARLSON INSURANCE AGENCY INC. =Hone FAx AII:,N,a.exlr 508 800-0207 ,,, �Lc,Not: .(508)•888.0550 _ P.O.BOX 554 Aooaess: rallletta®almeidacarlsoh.Corn FALMOUTH MA 02541 INSURER(S)AFFORDING COVERA05 NAIL 9 tN6URERA Western World INSURED'— --— INSURERS :Ace American Insurance Co - CROCKER CONSTRUCTION LLC PO BOX 1372 INsuRERo N FALMOUTH 02556 INSURER0; INSURERE INSURERF COVERAGES CERTIFICATE NUMBER: 27321 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 NDITIONS OF SUCH POLICIES.LIMITS 5,HQVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR, nDD'L $UOQ POUCYECP POLICY EYP LIMrrs LTR "_,,, TYPE OF INSURANCE _,INSR�_WVD„ „• POLICY NUMBER _HAffit/1YYq I_IMMIDDIWVY)• — _ A GENORAL LIABILRY NPPOO82396 05/07/14 i 05107/15 EACH OCCURRENCE .li _— 1,000,000 MMAGE'M_9MTE"F $ 100,000 X COMMERCIAL GENERAL LIABILITY !PREMISE$(Ee orAIrance) _ CLAIMg-MADE X•OCCUR - M L : ED EXP(Any one pamon) $ 5,000 _..... — —. -" IPERSONAL,A ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP;OP AGG 5 2,000,000 _— PRO- '.$ POLICY JECT LOc —....—....._ .. . . — AUTOMO01LA LIABILITY i COMBINED SINGLE LIMIT $ — (Ea auddeni) ANYAUTO 9001LYINJU4Y(Perperson) 5 '• 'ALL OWNED SCHEDULED :BODILY INJURY(Per ec ideht) $ •- __ .AUTOS HIRED AUTOS NON-OWNED IPROVeRTY DAMAGE $, AVT08 I L. oeraocidc_nll__ _ "_. ._ 1 UMBRELLA LIAO OCCUR - 'EACH OCCURRENCE $ - EXCESS UAB CLAIMS-MADE: , !AGGREGATE DIED RETENTION$ 5 B WORkeRIS COMPENSATION SB979313 05110114 05/10115 ITOW LnelT6 AND EMPLOVRkV UADILT' - •' ANY PROPRIETORIPARTNERIEXECUTNE YIN EL EACH ACCIDENT $ 100,000 OcgC6A/MENBER EXCLUDED? NIA - —_ E.L,DISEASE-EA EMPLOYEE S 100,000 (Mandatory In Nw) P yec,dearpbe vrder E.L.DI9EA9E-POLICY UMIT $ 500,000 BC OERIPTION OF OPERATIONS 0010, i .... DESCRIPTION Or OPCRATOONS I LOCATIONS/VEHICLEa(Attaoh ACORDA 04,Additional Rcmarka Schedule,If more epaw iv reg'Arad) - t• ,gyp 4' •, n.�e fa CERTIFICATE HOLDER CANCELLATION tS SHOULD ANY OF THE ABOVE DESCRIBED?OLICIES BE CANCELLED BEFORE TOWN OF FALMOUTH THE EXPIRATION DATE THEREOF, NOTICE WILL B&DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIIONS- AVTwORlyGO amPRr�enin7rve �j—^ D I+y.J `� tT �� Attention: 5 S Bob Allietta ACORD 25(2010/05) (D1988-2010 ACORD CORPORATION_ All rlghts reserved.- The ACORD name and logo are registered marks of ACORD oFTME Ta Town of Barnstable Regulatory Services ELARNST"VAQQ iE$+ Richard V.Scali,Interim Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstablema.us . Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign This Section If Using A Builder V v ,� , I, ,as Owner of the subject property hereby authorize \r c4 to act on my behalf, in all matters teladve to work authorized by this building permit (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 performed and accepted. tore of&ner Signature of Applicant Print Name Print Name Da Town of Barnstable : Regulatory Services �txE Tom Richard V.Scab,Interim Director Building Division a RA 114SMARi F * - Tom Perry,Building Commissioner 9 16,.. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6250 HOMEOWNER LICENSE EXEMPTION 5 Please Print DATE. 1 JOB.LOCATIM number street j village "HOMEOWNER": name 1 home phone# work phone# CURRENT MAILING ADDRESS: 1 pp city/townstatli zip code The current exemption for"homeowners"was extended to lude owner-occupied dwellings of six units or less and to allow homeowners to.engage an individual for hire who doe's not pos ess a license,provided-that the owner acts as supervisor. DEFINITION F H011OWNER Person(s)who owns a parcel of land on which he/sheresides or in ds to reside,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessoryto such us and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered'a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall'lie re" onsible for al ch work performed under the buildin ermit. (Section 109.1.1) '•, $ 3 �The undersigned"homeowner"assumes responsibility for compliancellwith the��te Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barns ta a Building Department minimum inspection procedures and requirements and that he/she will comply ,.nth,,said procedures and re q ' ements. Signature of Homeormer Appioval of Building Official ! \ Note: Three-family dwellings containing 35,000'ciibic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act''as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness_often results in serious problems,.particularly,when the homeowner hires unlicensed persons. In this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ' n-��srovrr�e�Fnva�rc\t,,,;tA;,,o„rrmif frnmc\F.XPRFSS_doc . VftG'�dY/7/IIGQ9?.LCtCII���Q����/�(C/.'eJ�q'.C72CL6B�iS4-- -.� _.•. .�.«....,:.,.m,,�.ti.,.s _ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: W-lelgistratiow. ,T66154 Type: Office of Consumer Affairs and Business Regulation piration:�=4/29%2016a Individual . 10 Park Plaza-'Suite 5170 "`- Boston,MA 02116 STEPHE = --- N M.CROCKER STEPHEN CROCKER'TF 21 PADDOCK CIRCLE EAST FALMOUTH,MA 02536" Undersecretary' t valid without signature r Massachusetts -Department of Public Safety Unrestricted-Buildings of any use group which J Board of Building Regulations and Standards contain less than 35,000 cubic feet(991M )of Construction Supervisor enclosed space. License: CS-079605 STEPHEN X CR90qR P.O.BOX#1372; s North Falmouth I%A Sb6 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Expiration Commissioner 08/11/2015 For DPS licensing information visit: www.Mass.Gov/DPS PHIS ROOK ENGINEERING & 107 BEACH STREET DENNIS, MA 02638 .. CONSTRUCTION .r.w'�sn;r��' 1-508-385-8682 ENGINEERING DESIGN o CONSTRUCTION INSPECTIONS BUILDING, ALTERATIONS,& RENO 2VATIONS MEMO FOR RECORD: 16 May 2005 Subject: Residential 2nd Floor Joist Reinforcement Location: SPAGNUOLO, 57 Long Beach Road,Craigville,MA Builder: C.H. Newton Builders,Inc. Project No: P96-78 DESIGN/CONSTRUCTION REVIEW CRITERIA: 1. The following construction design work is based upon construction loads IAW Article 16 of the State Building Code,6th Ed: Florr(Live) = 30 Ib/sq ft (for Bedroom Spaces) Floor(Dead) =15 Ib/sq ft Mr.Jack Fitzgerald,Barnstable Building Inspector, expressed concerns about the notching of some of the floor joists in order to receive/level the strapping and the new 1st floor ceiling. To begin w/these joists were slightly overspan and the%spacings averaged 17". The site was inspected on 11 MAY 2005 in order to check these existing conditions. 2. In order to account for the reduced depth of some of the joists due to notching and provide some additional floor stiffness supplemental reinforcing using stock 2"x 4" material was directed: a.Open ceiling bays to expose one side of everyother joist b.Install 2"x 4" sister stock @ 34" %held tight to the strapping plane c.Glue &nail these members to their sister joists NOTE-end bearing is not a concern. The 2"x 4" members can be about 1 foot shorter at each end and still perform satisfactorily ,N.- T. VARNUM PHILBROOK,P.E. Philbrook Engineering �\1 OF &C'� i• VAF�LJM PIiILS No. 30p STER�� � �ss�aNAL � s 4: 4 { jI C.� //��`` .„T - •�cry I�.E- ��. u'� ya, 1 r. �y�y t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 206 P*el ON Permit#'77 Health Division 1 �. b /6 I � 'y° �, - Date Issued _ l f�3 ! °/ Conservation Division rl/a 4 cS —E� 9 /c�QV Application Fee . •Q D� Tax Collector �/�/ /�o �1 , (r a J v Permit Fee L`i d1,dr1.. Treasurer '� ,_ _ .__..•P�s'�l/i���t/ Planning Dept. NCE Date Definitive Plan Approved by Planning Board Eo\ AND Historic-OKH Preservation/Hyannis T OVVN REGULATIONS Project Street Address 57 T.nn Reach R � Village Centerville Owner Richard FX & Lucille SpAGNUOLO Address 230 Pond St. Telephone 617-522-6231. Jamaica Plain MA 02130 new Permit Request add or expand current sunroom (6 ' x 35 ' )p J2 =� Square feet: 1st floor: existing 1490 proposed 210 2nd floor: existing 960 proposed 0 Total new 210 Zoning District RD Flood Plain A13 & v1 6 Groundwater Overlay AP Project Valuation $ rye y Construction Type wood Lot Size 0 .65 Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family 3 Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 6 yrs Historic House: ❑Yes 93 No On Old King's Highway: ❑Yes 7 No Basement Type: ❑Full :l Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 0 Half:existing 1 new0 Number of Bedrooms: existing 3 new 0 Total Room Count(not including baths):existing 7 new o First Floor Room Count 4 Heat Type and Fuel: ❑Gas ❑Oil ®Electric ❑Other Central Air: ®Yes ❑ No Fireplaces: Existing 1 New p Existing wood/coal stove: ❑Yes No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size______.,._'Other: _ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use residential Proposed Use same BUILDER INFORMATION Name C. H. Newton Builders, Inc. Telephone Number 508-428-9013 Address 919 Main St. - License# CS 046192 Osterville MA 02655 Home I mprovement Contractor# 107888 } Worker's Compensation# WC 9 7 6 9 5 0 4 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bourne f SIGNATURE DATE II13ICr� I f FOR OFFICIAL USE ONLY °PERMIT NO. DATE ISSUED MAi /PARCEL NO. J . ADIViESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME � /44i � �� INSULATION FIREPLACE e ELECTRICAL:," ROUGH FINAL PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT• ASSOCIATION PLAN NO. t' .1 i ' L lib. •--do VI 1114JJ{�b•1•M✓b.�w r Department of Industrial Accidents =_ �- = Of19ce oflaYestlgat�vas _ 600 Washington Street Boston,Mass. 02111 4` Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole •etcr and have no one woridn inag ca aci y ❑X I am an employer Providing workers' compensation for my employees woriang on this job. ;:;.;:.;: ';.::.:.;:.;:.;:.::;•;:.;:::::;::: »:z :' :".<: :=sz .t] I .. 'Z. . ..... .............�I1C.*. ............. ... ............. Sddcess:::.; ::::.:•............... �iii3ub: '>::Q :51::::: :':::>:::>`: >:>:>:>>'`:;,.::'.;':>:::;:;:;:`` :;SI} ....KK .. . :.... .35: ................................................. _..: !:::.......:..:.: .:.::.. phone €....... . XXX ansnraaceta:: ..::::..: :. ::.::::::..::.:::.. :::. :.:.::::.::......_.. ................................. oiiEv.#.......................... ........................................:....,._........,,.,.,:.... _! ❑ I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the confra&'m listed below who have the following workers' compensation polices: 'COIDD8IIV IISm 'ad :::.::::•:.::::•.::::::::::•:•:::::............:.::..... ....i ;:•';::'jig'i'::i,:f;i::v :;i:-:':!�i ' OIIE f^:'j?:4i:•`::�4i:-i}}3>:?}:is0'::�:vA:?^...}::;�i}v}:+;:i }::-:isii:;:i4:$}Y:•: :?-ii:iv>:•{`:i`v':i?Q:C?::vi:; j::y:{: j:{:ii::ii{;:;{}: !rG:?•i•:?':ii::•iii:-:?•::is ii?i::ii:i-iii:! ..........................::::::::n............................:.............:.....:................. n...t:::::::v..::........... .�...:�. :::::.:�.:�. - - - ::#<;.:-:;:;:::Y;:%:;::u;.»>:::;:>::;;;::;:;:::::gs;:�>,;::;.!!:.:.:::;::;?..:!:.!.�.:::::;:,.:. -� LiGY ::': ........... X. :..... :... ...... ::;:::;:.:.:::::' lion ii:ti�ii}!?!"i�:i�jii::v:;:::;}:y�:��i:;ii.`i;i{:;:;:yj>:i:::�i::?::'i:y::�':?:'{::ti�::�:�titi'.�'::^::i:?:+:}:ry:is}:?:ii:�� :'�ii.'•i:;ii::;:i':: ................. ........... nsvraace.co.........._.................................... ............... Fanne to secure coverage as r+egsdred®der Section 25A of MGL 152 our lead to the imposition of criminal penalties of a Hoe up to$1,500.00 and/or one years'tmprl3omnmt as weR as civil penalties in the form of a STOP WORK ORDER and a Hne of$100.00 a day agabot mr. I®derstand&at a copy.of thin may be forwarded to the Office of Investigations of the DIA for coverage verlilcation. I do h rrti pains and penalties ofper1ury duct dw information provided above is trw.=d tarred S* Date igm David L. Newton Phd=# 508-548-1353 official we only do not write in this arm to be completed by city or town officfal city or town: permdt/liceme#. O Lkazzing Board a� ❑check if immediate response is regnlred ❑Selectmen's Office C]Healih Department contact perwn: phone#; ❑other flamed 9195 PIA) • 9 790 C?AR AppcWk J Table JSJ.1b(continued) y Preseriplive Packages for Oao and Two-Faruily Residential Boildlnp Heated with Fosu7 Fur's MA)dMUM MINIIVIUN[ wall Floor Basement slab Heating/Cooling Glazing alaang Ceiling � Rvalue' Wall- Perimeter Equipment Efficiency' Area'(•/a) U•value= R-value' R-value R vaiuee R value' Package 5701 to 6500,Heating Degree Days° 6 13 i9 10 rm Normal Q 12% 0.40 38 Noal ' 6 R 12% 0.52 30 19 19 l0 6 85 AFUE S. 12% 0.50 . 38 13 19 !0 N/A Normal T 15% 036 38 13 25 N/A 6 Nomud U IS% 0.46 38 19 19 10 l3 2S N/A N/A 85 AFUE y 15% 0.44 38 6 SS AFUE e 19 10 ar IS/• 0.52 30 19 Normal 13 25 N/A N/A �( 18% 0.32 38 N/A Normal y 18'/0 0.42 38 19 25 NIA 6 90 AFUE Z 18% 0.42 38 13 19 10 90 AFUE •/. 0.50 AA 18 30 19 19 10 6 1. ADDRESS. PROPERTY: 6-7 LD A-) 2. SQUARE FOOTAGE OF ALL.EXTERIOR WALLS: �C-1 3. SQUARE FOOTAGE OF ALL GLAZING: 4, /o o GLAZING AREA 93 DIVIDED BY 92): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE.,ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: 80 03a q-forms fl 3 r 4` d ... ✓� :l/JO?77//720?26r/2CLLLfL �L �I�GQ:002C17,RldP,C�d - BOARD OF BUILDING REGULATIONS F cense: CONSTRUCTION SUPERVISOR • i� ,ti Number: CS O46192 HAM . Exp¢es..09/i91.2005 Tr.no: 5031 Restricted: 00 DAVID L NEWTON 'PO BOX 922 „ FALMOUTH, MA 02541 Administrator • m CD N co -- Board of Building Regula ions and Standards Cn One Ashburton Place - Room 1301 CD ao - Boston_ tUlaasachasetts 02108 "' a� Home 1mpr6veme4- trractor Registration Ln _-z--_- Ln Registtatinn: 107888 - = Type: Private Corporation Expiration: 811OJ2006 C.H, NEWTON BUILDERS, INC.,; - David Newton PO BOX 922 '••.._,>==�_:-;_-;:�=_; ,.�.._' ----- __— - ---------- Falmouth, MA 02541 — :� Update Address and return card.Hank reas�m for cban e P t'T T -� ❑ Address ❑ Renewal ❑ Emptoyment U Last Card oasc�t .� srne•t�,ua-ntarz�a � ------ ----- ..... .. --....- ---- -- -----. - - - _._ .. -- J,4a•�»a�vsma�afe�l��z�°��a. Une�lls o - � Hoard of$oatding ReViations and Standards License or registrations vaiid for individul use only t �•a HOME IMPROVEMENT CONTRACTOR before the expiration date. Hfound return to: Board of Building Regulations and Standards _ Re------tloi►:_1878$S One Asbburtan Place Rmn 1301 -V 11100006 _FrkaerwraQonl C.H.NEWTON 13t1117R 1trfC.,,` David Merman _ _= 549 Main Rd 28A' = GG-..?�'� W.Falmouth,MA 02541 A�im9niatraiur NotvalidwihButsignature L rTl r9 N Town of Barnstable �Pti h Regulatory Services + BARNHABLE, ' Thomas F. Geiler,Director �PrE1 39. ph Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fay: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Richard FX Spagnuola , as Owner of the subject property hereby authorize C. H. Newton Builders, Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: 57 Long Beach Rd. , Centerville MA (Address of Job) y Si ature of Owner . Date Print Name 11.C!'1D T..f C•.l1TI)T.TRD DT7T7T ATC CT(lTT oFt�E T Town of Barnstable °i Regulatory Services saarrsTnBM Thomas F.Geller,Director NAM 9�p 163 61 Building Division tfD M� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 *nmtown.barnstable.ma.us 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: add/expand current sunroom . Estimated Cost_$12_, 0 0 _ AddressofWork: 57 Long Beach Rd.Centerville Owner's Name: Richard FX & Lucille Spacrnuo 0 Date of Application: �1 C I.hereby certify that: Registration is not required for the following reason(s): �/__ []Work excluded bylaw ❑Job Under$1,000 [Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING' UNREGISTERED HAVE FOR-APPLICABLE �UNDER M 142A. ACCESS TO THE ARBITRATION OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERJURY I here apply for a ermit as the agent of the owner: C. H. Newton Builders Inc �� Contractor Name Registration No. Date _ OR Date Owner's Name Q:fom -.homeafHdav I E P�pFT1iE�o�,O Town of Barnst able Conservation Commission BARNSTABLE, = 200 Main Street 9 MASS. �A 1639• All Massachusetts 02601 lFD MA'1 Office: 508-862-4093 E-mail: conservation@town.barnstable.ma.us FAX: 508-778-2412 Certificate of Compliance— Form C Please check the appropriate box. Enter n.a. if not applicable. Compliant Non- File No. SE3- *tot„ Com liant ❑ ❑ Work limit line was not exceeded by any alteration or cutting. ❑ ❑ A certified foundation plan was submitted to the Conservation Division. ❑ Before and after photographs of the undisturbed buffer were ❑ submitted to the Conservation Division. ❑ No plan deviations within the 50' setback from resource area. ❑ ❑ No plan deviations between 50' and 100' of the resource area. El Areas disturbed during construction have been revegetated. MulchinR is not.a substitute for vegetation. Drywells or gravel trenches were installed. ❑ ❑ ❑ Landscaping or vista pruning was done in consultation with Conservation staff ❑ Work limit markers (wood stakes) remain in place. Pool disinfection is by ozone injection El ❑ Post-dredge bathymetric survey was submitted ❑ ❑ Piers,ramps, floats and outhaul pilings are the permitted size, shape and confi guration ❑ ❑ ,Piers, ramps and floats in storage are the permitted size, shape and configuration This checklist does not relieve applicants and their representatives from compliance with other general and special conditions of the Order of Conditions. Please describe all deviations in your request letter. Please submit this completed checklist with your written request for a Certificate of Compliance and your check of $50 made payable to the Town of Barnstable, , Representative's Signature 'Date QAConservt\DEPFORMS\FORMC.doc rev:4/11/2002 I11/02/2004 13:36 5089970993 WISE SURMA JOKES ARC PAGE 01/03 MA.Schec'x COMPLIMCE REPORT Massachusetts Energy Code I � Permit �k i MA.Scheck Software Version Z-01 f I Checked by!Date I CITY: Harnrstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, ?)etached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-2--2004 GATE OF PLANS: January 7, 04 Revised 10/26/04 TITLE: Proposed Renovations to the Spagnuolo HQuee PROJECT INFOEVATION: 57 Long Beach Road Craigville Beach, MA CCWANY INFORMATION: Wise Surma Jones Architecta 24 Centre Street New Bedford, MA 02-140 Gregory Janes Project Architect 506-997-5977 x3 NOTES: CH Newton guilders, Inc, Main Street Osterville, NA COMPLIANCE: PASSES Required UA = 112 Your Rome = 112 Area or Cavity Cont. Glazing/Door Perimeter ft-Value R-Value U-Valus UA. -------------------------------------------------------------------------------- CEILINGS 498 38.0 0.0 15 WALLS: Wood. Frame, IV O.C. 459 15.0 0.0 .35 GLAZING: Windows or Doors 142 0.340 48 FLOORS; Over. Unconditioned Spruce 498 36,0 0.0 13 COMPLIMCE STATEMENT: The proposed building design described here .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 )x4i;l.ding, and the cooling .load if appropriate, has bean determined using the applizable Standard Design ConditioAs found ' it the Code. The HVAC equipment selected to heat or cool the building shall be no greatg1112 5 of the deeian load as specified.in Sections 780( A.4..Builder/DesignerK�jDate .Esc" , ...,.,,.,.�..,�:.,- � dye U U Jpg�L'� ��� moils * �a,73E11 �� 6x LU u � 11/02/2004 13:36 5089970993 WISE SURNA JONES ARC PAGE 02/03 MAScheck INSPECTION C4ECKLIST Massachusetts Energy bode MAScheck Software version ?,-01 Proposed Renovations' to the Spagnuol,o House DATE: 11-2-2004 Bldg.1 Dept..1 use 1 I CEILINGS: [ ] I 1. R-38 i come nta/Location c�iuk* o , lnbu w 14�LLS: [ ] 1 1. Wood ):Tame, 16" O.C., R�p-15 i CoIImtients/Loeat ion I I WINDOWS AND GLASS DOOR,';: [ J I 1. U—Ve.lue: 0.34 I >±or windows without labeled U-valuoa, describe features: I # Fans Frame Type Thermal Break? 1, ] Yeah[ ] Nc I Comments iLocation ., I .. I FLOORS [ l 1 1. Over Unconditioned Space, R-38 sat y� I Corunaszxt s I -at ion �sw r r' a LV' — I I AIR LEAKAGE: C J i dointe, penetrations, and all other such openings in the building i envelope that are sourzes of air leakage must be sealed. when I installed in the builr,[ing envelope, recessed lighting fixtures shall meet one of the following roqu.irements: I 1. Type IC rated, manufactured with nc penetrations between the i inside of the recassed fixture and coiling cavity and. sealed or I gasketed to prevent air leakage .into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASS E .283, with no more than 2.0 ofm (0.944 L/s) air movement from the than i conditioned apace to the ceiling cavity. The .Lighting fixture shall have been tested at 75 PA or 2.57 lbs/ft2 pressure I difference and shell be labeled, I I VAPOR RETARDER. f 1 I Required on the warm-in-winter side of all non-vented framed I ceilings, walla, and :floors. 114WERTALS ITIENTIEICATION: [ ] I Materials and equipment must be identified so that compliance. can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation. R-values and glazing u-values :gust be clearly I marked on the building plans or specifloa_ions• I I WCT INSULATION: ( ] 1 riucts shall be insulated per Table J4.4.7.1. 11/02/2004 13:36 5089970993 WISE SURMA JONES ARC PAGE 03/03 1 DUCT cONSTKICTION: [ I I All accessible joints, seams, end connections of supply and return ► ductwork located o4tside ccnditioned space, including stud bays or I joist cavities/spaces used to transport air, a►hall be sealed I using mastic and fibrouki backing tape installed according to the ( manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The 11VAC system must prov .de a means for balancing I air and water systems. 1 l TDTEP.ATT-19E CONTROLS: [ ] I Thermcstats are required for each separate 9VAC system. A manual I or automatic means to partially restrict or shut off the beating 1 and/or cooling input to each zone or floor ahall be provided. I I FM EQUIMNT SIZING: [ J ► Rated output capacity of the heating/=*I ing system is I not greater than 125$ of the design load as specified 1 in Sections 780CM 131.0 and 14.4. 1 ( ] 1 SWIMMING POOLS: I All heated swimming pools must have an on/off 'heater switch and ! require a, cover unless over 2aP6 of the heating energy is from 11 non-depletable source�3. Pool pumps require a time clock. i ( t I HVAC PIPING INSULATION: I MC piping caaveying fluids above 120 F or chilled fluids I below 55 F must be in:3ulated to the following levels (in.) : 1 PIPE SIZES (in.) I HATING SYSTEMS: TEIvtp (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. ZQI-250 1.0 115 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 I Steam condensate any 1.0 1..0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 110 1.0 1.5 1.5 [ ] 1 CIRCULATING 110T WATER SYSTEMS: I Insulate circulating hot water pipes to the following leVels (in.): l 1 ?I PE SIZES (in.) NON-CiRCU'.,ATING I CI.R:7ULATING MAINS 6 RUNOUTS I FEATED TPITER TE V 'I) : RT.TNOUTS 3-1" 1 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 1 1.0 1..5 s:.G 1 140-160 0.5 1 0.5 1.0 1,5 1 100-130 0.5 1 0.5 0.5 1.0 I ----NOTES TO FILLD (Building Department Use Only)------------------------- PROJECT NAME: ADDRESS: 0--9-;04 V PERMIT# �a PERMIT DATE: M/P: Q / LARGE ROLLED PLANS ARE IN: B O SLOT Data entered in MAPS program on: BY: q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 0 6 Parcel 01 8 r J,j$ Permit# 4 Health Division a a I -0,-7-01P Dat 4iat ssued Conservation Division I_�Lo %k. -3- 19� " ' / ` r' 13 Ap Tax Collector 'sd►1� ' Permit Fee / 4 4 ,6 c Treasurer SEP'TfC Planning Dept. �1UST9E INSTALLEDMONRJANC Date Definitive Plan Approved by Planning Board WNTMES ENVIRONMEWALCODEg- Historic-OKH Preservation/Hyannis TOWN REGULATIONS I - ProjectStreetAddress 57 Long Beach Road Village Centerville Owner Richard FX & Lucille Spagnuolo Address 230 Pond St. Jamaica Telephone 617-522-6231 Plain MA 02130 Permit Request replace 1st floor windows; raise living room floor; add a porch as per submitted plans new porch new pporch Square feet: 1st floor: existing 1490 proposed 760 2nd floor: existing 960 proposed 0 Total new 7 6 0 Zoning District Rn Flood PlainA13 & V16 Groundwater Overlay AP Project Valuation $7 5 0 0 0.0 0 Construction Type wood f rame Lot Size 0. 6 5 Grandfathered: ❑Yes CR No If yes, attach supporting documentation. Dwelling Type: Single Family 4 Two Family ❑ Multi-Family(#units) Age of Existing Structure 66 yrs Historic House: ❑Yes . M No On Old King's Highway: ❑Yes CA No Basement Type: ❑Full ®Crawl ❑Walkout ❑Other _ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 0 Half: existing 1 new Number of Bedrooms: existing 3 new 0 Total Room Count(not including baths): existing 7 new 0 First Floor Room Count 4 Heat Type and Fuel: ❑Gas ❑Oil ® Electric ❑Other Central Air: W Yes LT.No Fireplaces: Existing 1 New 0 Existing wood/coal stove: ❑Yes W No Detached garage::d existing ❑new size 24.2g Pool:(N existing r new size 2 Q x 4 Barn:Cl existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: t, :_Zoning Board.of Appeals Authorization -❑- Appeal# - Recorded❑ Commercial ❑Yes 0 No , If yes,site plan review# Current Use residential Proposed Use residential BUILDER INFORMATION Name C. H. Newton Builders, Inc. Telephone Number 508-428-901 3 Address PO Box 9 2 2: License# C S 0 4 61 9 2 Falmouth MA 02541 Home Improvement Contractor# 107888 - Worker's Compensation#wc 9 7 6 9 5 o 4 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Bourne SIGNATURE DATE 1 .19 6 10 4 } FOR OFFICIAL USE ONLY s PERMIT NO. DATE ISSUED MA?/PARCEL NO. ADDRESS ' VILLAGE OWNER �J DATE OF INSPECTION: FOUNDATION67T a FRAME INSULATION o S FIREPLACE t ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH m FINAL rn!— GAS: ROUGH ya IC- FINAL � � q FINAL BUILDING 1* C C) S� DATE CLOSED OUT 00 66 ASSOCIATION PLAN NO. Ri RESIDENTIAL BUILDING PERNHT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 2 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE q 2 b square feet x$64/sq.foot x.0031= ( Pj plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= 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= x.0031= STAND ALONE PERMITS th e C'ceV�ehT xo= 2 (number) xS I (number) -T?e S h1 w uo Fft"pp y x$25.00= 215 (number) e G. oun W o1- d J b Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) �1 L Permit Fee `—�' V1 Department of Industrial Accidents Office aflayestUgat/aos 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit xg name' location: CitV phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole have no and h no one woddnug in ca achy %/%%%%���/%/////�//%%%//////////J//////O/%/J! ❑X I am an employer providing workers' compensation for my employees working on this... job. . .::::: ::: : :.::::.::.:::::::::: :.. :::::::. :::.::::: .............................:.:.:...:.. .. C :: I�i:'xtron 131�11de1's,, . ItxL. : iiinrpanv name: : .;;:: :.:: ::::.: ............. ....... ... ..:........ ::: :anant3i _::.14 (L2541,:.:..: 5{}8'- ..4:8-1353::.>s s:;::: :::> > ':::. . ,.,..... phone# :;}i::>: - :i%:'<'`:;':: i ........:>::%:....t.'i.. > ' i<c:><:.:::.:.::::::;;rr:.:::.:>::: : :: :.; ...:.:.... ::;.:.....;.: ::::::>::....... �.:::::.::.:: :,:.�::::::::...:.. . .. . plicv# .. . MMOMMEMMOMM ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the conhacl<m listed below who have the following workers' compensation polices: > >> > i.2fii'i'i i.' 'f i?i?:is i:i: i; `2:.ti ........ 2i2: companv'liam % :.z>:.. <`2[['-?i <T ' ?[`[�>i >< �� t���?� %� (YE � t �2i[ ; c;i �i ' { ? [ iti > I;1 ? ii` Y[ i" 'z ••rcr k (me 1f.D :;lilies a as bhbn e <<>:`» ?. <XX :<„ e. �... ........... :: ... MA FaO:me to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to SI,500.00 and/or ape yesra'impriso®mt as weII as dvil penalties in the form of a STOP WORK ORDER and a ttne of 3100.00 a day against me. I understand that a copy.of this may be forwarded to the Office of Investiptiom of the DIA for coverage veriflcxdbn. I do h ert: pawn and penakier of pedury shot the information provided above it&up and corned Sigma Date 0 _ Print name David L. Newton phone# 508-548-1353 ofndal use only . do not write in this area to be completed by city or town oMcid city or fawns pesadttie# Oftffdlug epartmemi ❑tea Board ❑check if immediate respodse is required _ ❑Sdeetanm's 04' M _OHealth De pattmmt contact person: phone#-, Other fjewd 9/95 PIA) } WE t°�� Town of Barnstable Regulatory Services B"NMBL& " Thomas F.Geiler,Director 9 MAW. �ArFDMP 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 52ROVEMENT 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. TypeofWork: replace windows; add porch Estimated Cost$75,000 .00 Address of Work: 57 Long Beach Rd. , Centerville MA Owner's Name: Richard FX & Lucille Spagnuolo Date of Application: 1 /2 7/0 4 I hereby certify that: Registration is not required for the following reason(s): FWork excluded by law ❑Job Under$1,000 ElBuilding 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 a pta t as the agent of the owner: ' o n/C. H. Newton Builders Inc'. 2 Date Contractor Name Registration No. OR Date Owner's Name Qlorms:homeaffidav r r r �!/Ga4dQ.l.ILLIdP,�6 BOARD,OF BUI WING REGULATIONS_ (j cerise:,GONSTRUGTION'SUPERVISOR Number`GS 096192 r Expires 09/19/2005 Tr.no ~5031 * Restticted 00 . . DAVID,L NEWTOFJ �. PO BOX R22 ' FALMOUTH, MA.0254'1` Administrator '< } A , e I .^ ✓/:e ioanz'maru;�eucl�i o�..-'�/�crJuuc�zccdelta . s Board of Building Regulations and Standards license or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration slate. If found return to: Registration: 107888 Board of Building Regulations and Standards One Ashburton Place Rm 1301. Expiration: 8/10/2004 � Boston,Ma.02108 , Type: Private Corporation C.H.NEWTON BUILDERS, INC. David Newton 549 Main Rd 28A W.Falmouth,MA 02541 Y. —:- ... --- -...----------- — Administrator Not valid without signaltue °FWHE T� Town of Barnstable Regulatory Services WANSMM Thomas F.Geiler,Director 1639.prED3+� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, Richard FX Spagnuoli ,as Owner of the subject property hereby authorize C. H.. Newton Builders, Inc to act on my behalf, in all matters relative to work authorized by this building permit application for: 57 Long Beach Rd. , Centerville MA (Address of Job) - Sig4ature of Owner Date 1 C�h CL r d 1' .`� P(c-1 dJ LL O10 Print Name n.cnu�R c.nR nrn u n�v��rrc error The Town of Barnstable BARASS- E.u MASS. = Department of Health Safety and Environmental Services 1659. prEo MAC' Building Division 367 Main Street,Hyannis,MA 02601 rice: 508-862-4038 K: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: l Lo Project Address: Builder l Q-WJ L) The following items were noted on previewing: Cr O F 1 CU i sZ Q Q-vrI r 10 01 O.V0, —+0 t -� Reviewed by: Date: 1 °+' ?f,-..;f +S,A��✓-�':i.�' �a.e,.a .�+. 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Yi^ , Qb` foxy f�C3 ` V. ��:"'..� x -i ,a 1 :, u;x �°�i.. 'a�'�i` ':,+' aq/,F y -��m*yt ,Rra. >y>+rc'mr eF +a*a t x a •� _ . � + Regsu��ataryervrces -n, ,, v Rim t'4r'-+' `s �:"n '.. .,«m. '� � �' � �"h3'w'4a'"' � -•�' „ ._.. "'. .�, .s, �s dy . � � ,�� -"� "'k�'".a sl'.aaaa$� °�»""�'�A7.�. 'tm E rrv.` s - q9•.+.t'�"�.'.s'H. «x�• 1r"# - ;aE1, too. . "w tom-tl+- �� n `e.r $-..�•d x� 'a t t 'r i r ✓ 7-. r t' 3 r J tF m; a ��r, �•.�. "fir:' +x5 L,.. 3'"aS , `+...m�'�' zs-'i � �!"t.5z ;. �"� s'�" �p� r ,t�, .-,�tr��.�AB'�;,"S a'3';r?Nr -, I -� .v''�sar'43.4vax �».'+«.�:"�'`�����7:u ':°T til�r v�8,4.- «ndrar,,c+�`,yp„$dt�T'a,,;Wl� + ,.�iR�dei.> y.Fav�! S1r,rc5,F�h,J �"*l ryrr c�'AY:'6 w n3v,4„ ,..r y.,. a•J. '§'S d ' - _ rt� .� �!,. .�,.x e. > y ±��pP� ,d F # � �ax 'r tap�"�. ,�, ^":," y ,�� � k ne �..#,�,�.,,;��� i d`�,d•m nk�° r�"'r'� a�.4i' � ft'k �*t � d.�Ff '�rr-�z �•�al�$k:k -�' r � s✓� .r r5.- `f �; � � a �r d,�c s.+ u- _.. �`aa�' r �`,. � 1•�e..-�iw-r*,.. •:+4r ,.+�� 4 s�'�+•31 s t4 1 7 � ,ix•5 �I+'.`. .r " e�—'sc'b�:'.a."'c.. ,:" A` q�? ^��: i��! y�E�� §���`;a r�• s�tr�"�.s''�rE�;s�s't�3I «°^`�+r� ��.� � ���v �'^�. � n x�,. - � .�. z ;'.: k �': Qn�a3 !' NF�:'p ; �r -?s •�,1 ..d J� �' � ,� �Yr r* -• �''3„" ly/Y^' : �-h'dl �ri �riz"'.,Yi�`� Ri`� �y.�^ �..� �'��'�� #' S�'i9+..�u'«T`">Xs «.+-,r�"'$'wxrr•'�"""wp'�.''�- :,T��'X'«a��#Z,�"�.bra«'���`d�r�, y'1r^'�.ncyt'7vr�'.��wvx�n_'�'�p�ks{....+'; � �'-1�� f �vr�.^., ,�s,:�rw.. .+��^y''.J^c:•a rs ���,,,�e �' ��`af _ Ce IH . NEWTON BUILD ERS9 INC. MAIN OFFICE: OSTERVILLE OFFICE: MAILING ADDRESS: 549 Main Road 919 Main Street P.O.Box 922 West Falmouth,Mass.02574 Osterville,Mass.02655 Falmouth,Mass.02541-0922 TEL: (508)548-1353 TEL: (508)428-9013 FAx: (508)548-5330 FAx: (508)428-9245. II Town of Barnstable Building Department 200 Main St. Hyannis MA 02601 July 28, 2004 Regarding: building permit# 74411 for 57 Long Beach Rd. Centerville To whom it May concern: We would like an extension for the above permit. Due to our scheduling, we were not able to begin the project in order to finish it in the time our client had hoped for, so he has requested we wait until the summer is over to begin. If you have any questions please _• callus. Thank you. Sincerely, ohn S. Rodenhizer/CHN Builders JSR/bjb 0 PWA04 X"a9~-at 0 �FQK?!!QQ &Ota an o V4&&M4 W1�t bUNMA ,JUNI=b ANU 02/03/2004 12:09 5089970993 rsiut u�' Engineered Lumber Residential Guide _ v ° 1 S ecitic.atio�ns G^P L.arri �U�., ,�'�xc�a�tectuxa � Pert 1—General Pert 211—Products 1.D—Aeeedptivn 2.1—Prefebrioafed wood beams and headers: A. Work in this section Includes,but is not limited to: A. Acceptable products: Laminated Veneer Lumber(l-VL)beams and headers. '1. Georgle-Pacific Corporation,G-P tam LVL floor B. Related wW spe elf ed elsewhere: and roof beams. Rough carpentry. 2. Georgia-Pacific Corporation,G-P Lam LVLwindow ' 1.1—Subrniftefs: and door headers. A. Product data: 8.Cheracteristics: Submit manufacturer's descriptive literature indicating 1. Conatr or T thick material composition,thicknesses,dimensions,loading and veneers, eers, thinkprossurebanded,laparalledwood fob ricationdetails.- veneers,oath grain of veneers running parallel in the long direction. S. Shop drawings: 2. Seam depths: Submit manufacturer's literature indicating installeflon gX„,9yp,11X-,11;4",14",18"and 18",as required for details.Include locations and details of beefing,blocking, loading,deflection and span. bridging and cuttingforwork by others. 3. Beam length: 1.2—fltrality assurenoe: As required for span end bearing. A. Certification: 22�-AceaesoNee: Certify that materials meet spocifledrequirements. A. Fasteners: B. Regulatory requirements: 18d common nails and'"bolts. G•P Lam LVL is listed with major building codes.Contact B. Hangers: Georgia-Pacific for most current code compilence. 1. Contact Georgia•Pecif"ic or an engineer for acceptable 11.3- Voihrary,Storage and Mardlnw; connectors. A. Delivery: Deliver materials to the job site in manufacturer's original Part 3—Exseafion packaging,containers and bundles with manufacturer's 3.0—General: ideniffication Intact and legible. A. Provide Q-P Lam LVL beams and headers where indicated on B. Storage and handling: drawings using hangers and accessories specified. We and handle materials to protect against contactwith B, Install G-P tam LVL beams and headers in accordance with damp and wet surtacee,eirpesure to weather,breakage and manufacturers recommendations. damage.Provide air circulation under covering and around 32_acaestoriss: stacks of materiels. 1 9—iimitetions; install accessories where indicated and in accordance with beam and header manufacturer's instructions. A. Cutting' Except for cutting to length,G-P Lam LVL beams&headers shall not be out drilled or notched,except as noted in man- ufacturer's literature. B. Moisture conditions: G-P Lam LVL is for use in covered,dry conditions only. i Gatlr�la•PacsicCorPQrotton,Jenusry 2ae8 F ti'3 r M; x 02/03/200d 12:09 5089970993 WISE S'LF NA •JUNEb AWL; rraut t7� Engineered Lumber Residential wide G-P Lam@ LVL Beam and Header Design Properties 11/4"HE G-P Lam LVL Allowable Design Properties' Maximum lferdoal Shoat Maximum R491a ye Moment{R.1bs.) Wel�ht {IbaJ {10'InEl EI l Ibe) ls Dopth' 1�e 119Ho 125°h 10a°6 11r,� 12596 ;;r>,:�' i'1)d"': `'',3078� i558y "•98a ,a;i„'t a 1, �,�s. ;,r�,' [ � ';a, 9)S° 3150 8633 3948 8841 7637' 8802 269 4.4 ..,. ..,;. ,y,....;a., _ ,yY• a,�, 1:?..•. Gd r.e; lietiti:° 't ,; 9Y'dt;., ,�• `4f5< 11%"rf 3948 4531 4936 10123 11641 I=1 488 5.5 - .;5 `'a' y,fryw.i p•;ti.r:`.; S spry yy„... t;:,•:,,,•;.. .r1,,�;'`:"': Yy. ^� -YJ%oit1J,�1'.� .'Sn'I;D;;•':r^� .•,i, A-r"' ,„r" 1'�eP1 ,.•.+`.•PI.YD7 .,. '�e�,£ir,.,.6h. 18"' b320 6118 6850 ( 11n8 201446 2274' 1195 1.4 1.Table assumes beam has lateral support st bearng points and continuous lateral supportalong the compression edge of the beam. 2.isia"x 16"and deeper beams mustonly be used in multiple-piece members, 2-GE G-P Lam LVL Allowable Design Stresses Modulus of Elesticity E m 2.0 x 101 psi") 1, No increase to allowed to E or R, Flexural Stress Fb m 2950 psi" for duration or load. Horizontal Shear(Joist) F, 0 285 psi 2.For depths(d)otlterthan 121, CampressionPorpendioularta Grain(Joist) F, n 750psP" multiply Rby0210-s. 3112"2.0E G-P Lam LVL Allowable Design Properties' INatdmenu Nenlael 8�eer Mairimum Reairtive Moment WergM {iQ inch=libel Off)Repth 100Yo M91896 i23% 180Ye t1894 l 12546 �3•. s1.6 16856'`' ,6@.p:{.; -.f�'s@` .. BA" 6318 7285 I 7997 14133 Y 15310 17729 500 9.0 r. :tf3Y•. 3,{61 ti• F 'sl� 2 .' 1:.'ri 't8 e`,:.` iD'$ lta 7897 9001 9871 �• 21618 24861 27023 979 11-3 ib" lama - 12238 133300 37967 43602 47458 2390 15.3 :1.Table assumes beam has lateral suppor of bearing points and continuous lateral aupport olong the compreasten edge of the beam. 2.01 G-P Lam LVL Allowable Design Stresses Modulus of Elasticity E a 2.0 x 10°psl'q 1. No increase is allowed to E orF<, FleKutal Stress Fb m 3180 pars for duration of load. Horizontal Shoat(joist) F, m 285 psi 2.For depths(d)otherthan 12, Compression Ferpendicular to Grain(joist) Fu 75C psi"' multiply F%by(121d)", Contact your local retail dealer or C-P Distribution Cantor far products avall6ble in your erpa. " 64 Geor9le•Pselrle Carporatlon,January 2003- 402/03/2004 12:09 5089970993 W15E SLJKMA JL NL'ti AKU r(1ut el4 Engineered Lumber Residential Guide ,!Allowable Uniform Loads - Floor 100% 2.0E f-P Lam"LPL Span Allaweble Ullorm n Loede4 In ivands for Llheal 1`00 Ipl IV Trish.$0-P Lora LVL 6eanle 3'S"Thlctr Q-F Lem!YL Banns Cortditlert ph, !% 11'l," 11'A" 14" 11r ' OW 11'A' 114" 14 16" ta" Live load 113A0 a' 7ataiLoad 1028 Ides 133 1425 Ism 20M 2127 2850 2w 3151 3149 3147 WhEnd/1r28rp,lin,) 3.1/7A 3.2/9.1 4.01110.1 4.3/tO.6 46/120 3.1/7.8 ! 32/8.1 4o/101 42/10.9 4.6/12.0 4.8/120 4.8!12,0 ti: L.a to'diPl�1D`'.:A02 84d'<e; . ,,, _•.,.:, ;. �;n., :r� '•a, I ), �;';;,. �. t , '* 187!!' 184 e: x .r hurl txi'r�1: �1�+ 4xr. .411atle 1rt: r��1se; Uva load L1380 323 34e 558 648 848 898 1117 1298 10, Tote:Load 4w sit a" Tea 901 a i Ion 1398 1490 left 1814 1992 Min.End Ilnterg.(in.) 2.4/6.1 2.8/8.0 3.018.9 32/9.5 4.6111.8 2.4/6,1 2.8198 3,0199 3.6/10 44/11,8 4.6/120 46I12,A r�1'r: �`of6b$6Bd!•,:�1i'� :i39�^� ` .';'•?` :,� f+1Er>dIt tN_6 prl r,r7 T. ' lrx�N +r' "az/ Live Load L1360I 192 207 335 301 017 383 414 971 701 1234 12, Total Load M 308 498 557 729 588 612 995 1114 1457 1557 15M Min,Endilnt,erp.(in,) 1.714A 1.9/4,7 3.1/7,0 3.4115 4.5/11.2 1.7/44 1947 1117.8 3.416.5 4.6/112 411/12.0 4.0112.0 - r;�', "t.; ,?�t�.,) a,�.�•!:;J::>•�+�i'�§' �;9;'b Lw Lord U35D 123 133 218 252 402 245 288 432 504 OR 1189 14' Toml LoWl Ito 194 319 313 567 390 380 930 744 Ill$ 1341 13'M er!n.lnd/lnc6rp.pn) 1,513.3 1,5/a5 2115.7 7 P j v 4.ol100 1.6132 1.8119 23/5.7 27/8.7 4.0/10,0 4.0/12.0 4R11$D trOr,•..::a.108'.,: 9" (•.20Thc Ei'.; ^>`,2r: "r 4';; 4t4.S; ...;E82:ti'-'arifflo.: t; ';:afi'>,i •.:'Ibtditliatlt �'i fi�iid"ia filrri:t,�i 30 :;11�t .�n'` D .3�41 JAI 7A, t' 7 f'64�i:>r�d :<: e r; Lmo load LW 68 ..go 147 172 276 8 •100 294 344 551 W4 1117 .. is, TotalLoed 120 130 211 252 401 241 261 430 BOB 814 lose 1170 MIn.EndJlrtt.6rg.ihrJ 1.513A 1.513.0 19/4.5 2.1/92 3.3/8,4 1,5110 1.513.0 1.0/45 21/52 1 2318.4 45/11.2 4.8112.0 � ,. :L:i,�r111�8d' �=;•.' =75 11:5"' •�::'-.1�.• :�.�+•,�.;'�.;198;•°t.'18o>'s...;� r • t 8�, A44 c }r; -f6tlre td?":100` 1168 1 ` 4f0 r211,:. ;tyf•:t; ?;d2`Mt 5�7' 11�i1 -t �`ktlMYlihdJ;.lilt'9t t:t�lda�I','Y 7.�`' C:�9�40, .�1 •: �r,��7 °„1�; �:• > >;;ti1fI� �a4°��.� �td$ �e/�A•. Live Load 11380 59 84 IN 122 197 117 127 244 393 577 tD4 Is, Totollvad 84 91 151 1 178 33 188 182 303 351 577 No 1039 MIn.EndllntBrg,IM• 1b/3.o 1,5/30 1.513.9 i 1.714.2 2.7 6.7 1.5/3,0 1913.0 1.5/31) 1.7/9,2 27rq.7 19198 48/120 �J�uy :l:Y �Q}:: -rr 4�?f19 c 4.�'?1110•'� `i:'1TQg'` {n178', 1i. ':'!!+1';ii. �'; Y9': tab1Le8tl. Tr 77 't46 181.:^„ i 1$I r �f1t4E 14a 1d �ndfiirlrtil 11tR/'Lr!" `,i fli': < •5r4, LaveL034VW) 43 47 77 90 145 80 93 im tee 2w 477 597 Zp' TOW 1.044 60 85 "a 129 211 12' 131 219 250 422 625 972 Min.End/lhtnrg.11n.l 1.5/3.0 1.6/3.0 1.5/3.0 1.5114 22/5,5 65/3,0 1b!3,D 1.5/3A 1.5/e.4 Z2r5.5 3216.1 45/n.2 %,: ;:�'.: ::;�':? ?96: �t ilr:�Gfl1"-' �1i5' :'•7Q:". , - 138 '.. a'i :d.`;''';:vr6. ``II'•v -;1-',1� '�4:'?�J4 .`,'�:4r��'t:�'':. :��•v, .�,9.: o.v '+i•••',-� �i:-. .g ot.�. ..S•':'.' : 1/s,a:;:,;I IN'+;ao..:; l:rr: ' > i Lave Loed 1t380 47 46 53 85 54 90 105 lie 2N 354 24, I Total Load 38 62 73 121 TJ 124 141 243 383 515 Mln, lllm6rg.11n.1 1�/3A 1.5lao 15/3.0 1.6/39 1.513.0 15/3.0 1,5110 13/3,8 23/5,7 32191 ,�•. :ti':i "!• '•:,^^' 'i41':?' •;t'. r5°� ,:.11'.t:'�:-:��'' ti� a+t59 :;.` .2et,:�'';. � :�'�- ''1`Gt�}1:de8 t ,: Ts �;;-• ..ffi.•*• -�(�`;!• If8 � i2 , 1t�4` � , Live load 028 33 54 57 67 108 180 2g T"Load 37 44 76 75 H 150 228 323 Mln.End/1nt.B .Ilr► 111/10 1.513.0 1,5/3D 1,5/3,Q. 15/3A I•ri13A 1.7143 2.4/8.0 'Cap be applied to the boom in addition torte own weight SBA t10te6 on page 41. KEY TO TABLES Live Load L/360= Maximum live load limits deflection to V300 Total Load Maximumtotal load-limits deflection to LIND Min.End/Int Brg,fin.)= Required minimum end bearing for simple or multiple span beams and minimum Anterior bearing for multiple open beams based an p!ate bearing stress of 565 psi. See note 3 page 41. ,� Georsle-PecUic Corporation,January 2003 Engineering Dept.(3rd floor) Map Parcel "ermit# / House#, 4, L�� Date Issued c2 T _2- , -�7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30)pot a 2S C�Ljy o - Fee' ' Conservation Office(4th floor)(8:30- 9'30/1:00=2:00) Planning Dept. (1st floor/School Admin. Bldg.) ti Definitive Pla Approved by Planning Board 19iC ST BE �T 6NSTALL a LIANCE TOWN OF BARNSTABLE w -s ENVIRONMENTAL CODE AND Building Permit Application T®11UN REGULATIONS Project Street Address 5l Long beo,Zk W4 'r Village r F Owner [)r A` YY)r Address 2 bo RrM Telephone _ fir, ZCk^r�1 CA Permit Request rCY10V&'te zxs t s+erg bc&� Cn a-na �%Gj- (kc o s Fwc wuQ chw �) U•S.Q '01x3 i s )��- CND^1rn4t/�� rtX,6k r' Y�w�1 SI:Qc� c� dx IOrx \z oy) rrgkk -QvN-A- tie (Siti�eQ4Si4 First Floor square feet Second Floor square feet -Construction Type l�oafrw�� Estimated Project Cost $ 30J 0Ct),G1i) Zoning District Flood Plain ✓ Water Protection Lot Size Co 5 0.�-re-S Grandfathered ❑Yes ❑No Dwelling Type: Single Family p/ Two Family ❑ Multi-Family(#units ) Age of Existing Structure Historic House ❑Yes p/NNo On Old King's Highway ❑Yes ❑No Basement Type: ❑Full a Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New O Total Room Count(not including baths): Existing IO New 0 First Floor Room Count 6 Heat Type,and Fuel: ❑Gas ❑Oil U16ectric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes p•No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) a 0 X A�i ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes f�lo If yes, site plan review# Current Use Proposed Use Builder Information Name • B L-(,P-w tW13111 hers :UM 0 Telephone Number 562) 4 L$-SSA S Address.U , ,pp License# 04�&\cl 2 �Q�(�'M(D,6 Tk mass Home Improvement Contractor# 10-1 E rd� Worker's Compensation# Og W Q>6.1z8°0$1 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION EBR RESULTING FROM THIS PROJECT WILL BE TAKEN TO rSI GNATUREZ DATE SIGNATURE PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY -� PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 2 d`12 , INSULATION FIREPLACE ELECTRICAL: ROUGH' FINAL _ PLUMBING: ROUGH , FINAL GAS: ROWH V.. FINAL ! FINAL BUILDING - Ja6 p e i r kx _ r.. DATE CLOSED OUT; =� ` ASSOCIATION PLAN N . ' rr 4 • •E3 caW • - .. r ' i 4 i A i 9 i } .4 \ \3�. o �' � } 4.5 AU3 35-., �. �5:4 10 ? 14'` 5 i 8• % ---- 7.3 = i� 'g % ` . . �r 4 .�` i \_ . ,. �6.7 x , .7 }'4.2 f/5.3 3 { X 6.7 , ,� 17 ;•�8.1 7.4 19 -�8- .., �1 == 11.0 - -'" }�5.4 20 --- - -- Pr'oportV Ones ehown can the plan Emo for,tsss,:.ss'ii g pruf'pc,` .ss only Mketium.;►;ps to p1 yzical objects } NOTE: THE PARCEL LINES ARE ONLY GRAPHIC REPRESENTATIONS OF PROPERTY POI INnAMOZ TurA, A n r kio%— , 9 ,0% r The Commonwealth of:1lassuc/t usctts Department of!ndustrial Accidents _ Office ofinlvestiyatinns 600 ffkvhin;;ton Street Bn.cron, Mass. 02111 .• Workers' Compensation Insurance Affidavit �pplicant information• name• �l�3na�!��J�\ � 'pr awl. ►y'�rs 1 C�t�p�,i/ct 5Q�►C.�ttuvli) location• `51O� be�c`In r city C«i vile Phone# f� I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity . ^w„ ..aMkw'..�h R 'T^!t+e'eR'^.`3'ygt.`.+? f'T!T .'^.uw•�..-.eva.w. ,rwww<�Tr+w+nw.......M�'."^9 nT"a."?"'on�...�'�+o!1•n��...._._a. .,.. t...... ^......:.v.«-�:,..�a�.r...... 7....:.. �a:..r..:+n ..,,....:.:.,....y► ,_. i_y�,;=:f,._ - .x:�:r:L..�ara�..:...i�..._r:s.... __... -�:�;.__ ..,:_..—uw.[..�.1i•,,- _..�....�........--._..._—�..._ I am an emplover providing workers' compensation for my employees working on this-lob. company name: C, H 'A ,,,S�M u\A L address: ?• C) , city: 1rCJJC_V� M(4-E �a s�l� Phone#: Sa�' y�8'SS2U insurance co. �� � � Sv ee Qulwy nolicy# 6a\NZM-' SMO\ r .,-: --•......,.....:_.......,�X'.;m......... Warr va+�*as:•V+v�n..r. - ........ .... I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name- address: cih^ phone#• insurance co onlicy# __..__._ .... ..�....�...�.-._._. ...I�L..✓.ri...ar.:._.a.r.._as�.J.ri.r.w.n.J�l- ._.. _ya-.. .r ...'. r...�... : .:lw�.L:.i:OraiilJ. .� company nnmc• address: city: Phone#: insurance co Policy# Attach additional sheet if necessary---'T :.-•_.-_;��„-� :1:,�.L� �-•-��"l =�=-�t L�i��+�^�+'•`=+•�*+s -— '�t.+'zt►'�3ctc'-`J.=.�i sv —.r+a: Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one%cars imprison c t wel is civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this s atem lit } be to arded to the Office of Investigations of the DIA for coverage verification. 1 do h rebi•certify in er the at is nd penalties of perjury that the information provided above is true and correct. Sienat c Date 2`6'�1 Print name Dkv% I L,, ,Mewl Phone# y 2-8-SS•2.$ official use only do not write in this area to be completed by city or town official ` city or town: permit/license# rjBuildim;Department E ❑Licensimg Board E ❑check if immediate response is required ❑Selectmen's Orrice _ ❑Ilealth Department contact person: phone#; nUthcr k: Irevned 3;`-i I'1A1 I Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law an enrploree is defined as every person in the service of another uirder any contract of hire, express or implied. oral or written. An enzj orer is defined as an individual, partnership, association-.corporation or.other legal entity.'or.anv two or more of the fore�,oim,en-aued in a.joint enterprise, and including the legal representatives,of a deceased emplover, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees., Flowever the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwellim, 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal ol'a license or permit to operate a business or to construct buildings in the comt6invealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public work until acceptable evidence of compliance with'the insurance requirements of this chapter have been presented to the contracti»g 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 as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that tite application for the permit or license is being requested. not the Department of Industrial Accidents. Should you Dave 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. 777 City or Towns Please be sure that the affidavit is complete and printed legibly. The Department ltas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations Itas to contact you regarding the applicant. Please be sure to fill in the permit/license number wliich will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. y..ya.,.-r-....._..: _.,-_-......v:.,..... ,---r.+n..w•.-r.r..:-�r.a:... - -�.......e-........,+�rsl+-w-r�.d.o_:n,...+ire•+•7-te.w.+...�lr:��n,.+5o.—.,..r.+aw�•w+w�r-ra.:wn:.rrr.._^''•v*�w�a..��....-+.mw Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 FINE rq The Town of Barnstable URMABIZ 9� 9�06- ,m� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or 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: Vev%V spAi w� Est.Cost 30,M,u0 Address of Work: 5Z � bgo&A, (-A• Owner's Name 17r � 1`ti1rS ` i�� � spa n vd 1 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name f ��- i0 : O� BAR, STAB BUILDING DEPARTtiENT� COM PLAINT/INQUIRY *KLPORT Date I:ec'd Assessor-s No. Last Name ORIGINATOR stc F11'St N:s rte Villa e . State Zi Tele one: Home r Work De scri ion: -- �MPIsAINT '•� 4 Y ,INQUIRY Recuestor's Sly-nas�ure COMPLAINT Street Address LOCATION A= OF"FZC£ USE INSPECTORS Date '� ACTIOIZ/ '� Ins ector CO�t:TS n ` p r r i ca_O:: i CO?Y - E%i�FiY�1:T FILE y 1 -' ";PZCTO r R (R TUR!: TO OFFICE ECR.) r.zsc: TO DA� TIME 3 , FOJM Ate CCIq 1VUMF fi ., W OF W y� Q La w SIGNED t��'uaHeo cAt.}.. t Wtrt�nt.� st,vr�r waaTS1'f� WAS AMPAD NO.23-176-400 SETS NO.23-376-200 SETS Assessor's Office lst floor Ma 96(- inl$ Permit# Conservation Office Mh floor �- -�z- °j Yt�.�1�45 Date Issued Board of Health Ord floor `�-� ✓ � Engineering Dept. 3rd floor House# SEPTIC TEE 19 IN"AL.L.E ANCE (Applications processed 8:30-9:30 a.m.&,1:00-2:00 ENVIRONMENTAL 5 E AND 'MAIN P Fnq Al_ATOP Nq TOWN OF ABLE Building Permit Application , Proiect Street Address 571 LC1Al(-,- L3,t=A«-! QOAlm Village 4fEL/?z-/I //c-' Fire District Owner ( 1)A 4UA) Address 352- f./QMN1&NlJ S/" /ESTNUTd(/ L MA Telephone �D/7 73R - 7R 7 Z Permit Request: �,—A A. X '-tZI OXL- -nn �'-'-j n S t0 i"'Ilr yy,,,I rn 5-7& LTLa L CA AiVGC�) Zoning District Flood Plain Water Protection Lot Size `'3 3 3 za ,S cA -r-+ Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use 5i V Construction Tyne G✓ban / Eaistine Information Dwelling Type: Single Family ✓ Two family Multi-family Age of structure &1 4 Basement type /i/n d c Historic House R/o Finished Old King s Hi h�wav IVo Unfinished Number of Baths l- (/ OUEJ2 GE� No of Bedrooms �? /�iEi�2yainil s �Z �u�z �a2,,�c� p Total Room Count not including baths First Floor 3 Heat Type and Fuel C` Central Air Fireplaces Z/3Eo2cxe�t Garage: Detached 221 X L cl r *,&&,.Other Detached Structures: Pool =NG-20UA)0 Attached Barn None Sheds Y /Poo - NeA��+ Other Builder Information Name cjA2D S7-7t,--r'p2D Telephone number Fs9( - 7/v 6 Address 9 44 SulA,y l,AN e License# 'S OLko A0 ex jr 11.11H I J(0 Home Improvement Contractor# O lq U i o 9 9 Worker's Compensation # NEW CONSTRUCTION 0R 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 Project Cost o.' ©O 0 Fee �f o SIGNATURE DATE____ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 3/2 7/9 5 --3-5-5=5-- FOR OFFICE USE ONLY t 206.018 _ ADDRESS 57 Long Beach Road VILLAGE ..Centerville s Condron t - OWNER DATE OF IINSPEC t8N1. FOUNDATION r , FRANE INSULATIONR S FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 1 GAS: ROUGH FINAL i a5 s FINAL BUILDING: E 10 DATE CLOSED OUP , r ASSOCIATE PLAN ROD �_ .• y-ay h i J*AIQ4 Qn bgCE IS 1 115r n1� G I 1 ' aloto� __'_ �otob zb�c� o Tu 3 C 11 4 T �V/V 11/021,94 17:02 ''6177277122 DEPT ITD A C C I D 1600l ar - - �rn0 r7lfl7 n! i '/n f frZC� Mf ZZ aUa1oartnte,t�o��ndu�trial�eetde�l 600 !/Vu�&.Shy l James J.Campbefi &Ion, ii/amadmu16 02f f f Commissioner Workers' Compensation Insurance Affidavit with a principal place of business at: 14 do hereby certify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees working on this jolt Insurance Company Policy Number I arr :! sole proprietor and have no one working f^- -- in anv "n;e6ty () I am a sole proprietor, general coutraaor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. cc ,'o,t`.is S_iG:'.E'lI wif"Le ie.^+:ifC,Ei.Ic;:!.e OfTice cf of&,e DIA fbr eovernc VeriiKelion 2rci {Ji:UYc rEC':.-EC cncrzr Sc -on 2EA of MGL 152 :r,iuc t �c frnpcsition cf ciminal pcn2l;;es consdtne of a fine o!up to S 1,500.00 znt./cr Gn= yfz7S im-1rt,c'^Eni wEil ?s�C dil renahies in Cie r P WORK ORDER anG a fine of 5100.00z day against mc_ Signed.chis day of &4ec-4 , 19Al g Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department `TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 40S, 409, 375 T01,14 rC EA'�ST BLS BGiLDIA;G PE:'i°SIT ;l ✓�75-5-�J r ✓fP� ��Z ii�21�!��tiE�f� (i`i/. 2. jXX ��G�WQ���ZCIQ,�.GLO f HOM �IMPROV NJExNT CONTRACTORS i,'REw�GIS1 RAT ON Nsoa ulat1 ons � iid ne R t'a'ndarclsl x ii +r ,.-^s2'S :r'iY• . ^'�4 i �OAshburt'on Place ROAfT r13G1` .:frSer 7 aP'g s f+ t" 5.. +sc; s•'�;roF; s t e '. �> .., r •.& NFt a y,'r'E t tiuT�:�.�xa x 'NIk ,+.( tg.�5 F3o�sta}y-n., M�,"assachusetts 020660;8f _> x� o- '• .�s� t - ,' ',rx:..^�•" `{-FreEf Okat :;'� i-s ; i - r b t.,ey ,r xe '��.9'.9 - ,;, :+� .,+.+V` ,r.?; '.0 F s F• ,i f r„' C„ fF} HOME 'IMP RO, EMENCONTRRCTORF' `�RE gIStrat1,6.n O19O�° a +&ExPi`ration '10%09/ 36 Type PAR7NERSHxP; : `' f ors ''• w � .r '.i I b.�" "fr '. -�Oaix�no�uueall�o�..i`�.a,iNte.�uie!!r - 5e+ 'ti� 4Yg'= .r•�' 'y.ti1 ,� j Tyai,,G`G- HOME IMPROVEMENT CONTP,ACTOk. Registration 11.0190 ASSURANI.E�CONS'TRUCTIONzy xs Y� <' - 4. b> a r f K s# €� Sze s a Type PARTNERSHIP: YE [)WARD' ryT STA"FIORD• , :. Yry i Ez ir` kf ,, t �3 P ation 10/09/96 ern '. ` 94 SUSAN t_=N z K E H vq z : 4 "'q•" u AN E3REWSTER Mfi 0263 Y� ASSURANCE CONSTkUCTION Al EDWARD`T STAFFORD �A 3' caMQo ``Q'taS14 SUSAN LN -x,�`w .°+" U ,ri .r t�r x,r .f { ,fa�a•s a 1 .v-yp�J"i .. - c� �,p � t+ s' w Me n ADMIsTFwToa a... : BREWSTER MA 02631 �� •s..,+.�rK;�.,.��.,�;:. ,sx3'� �'� � .�>° ,��a xc� '�� ,t�ya. ��i.,,,._.k';.�a��'� •'fir}.a....,�� .s ..,n� � ✓1ze i�a�rurr�ovzurea ✓l�aaaa�6��oECta Restricted io: OG s DEPARTMENT OF PUBLIC SAFELY ' CONSTRUCTION SUPERVISOR LICENSE 00 - None Number . Expires 1G - 1 C-2 fa®ily Homes Restricted To 00 ' EDWARD T STAFFORD 94 SUSAN LN O COMMISSIONER BREWSTER, MA 02631 a rl �� � / �►�� �rDG/?�i — /�Z-z a - 7 7.. Assessor's ma and lot numberCI.fU..: ..J . ....... p " SEPTIC `SY �; S$F-.M MUST BE - INSTALLED IN CMPLIANCE Sewage-Permit number .......(�ta[a!r►�...: lW..1 �..�1 2 , WITH ARTICLE II STATE =� n ANITA.RY CODE AND 40m, ~ �FtHETO TOWN OF BAR STABLE BASH9TA8LE-1 ' 9 "6 q .e DUILDING INSPECTOR 0 N a' rt . v APPLICATION FOR PERMIT TO�� .: «U� �� �t::.. Eavc� �1«T / Dp .3odFlj��gclL j TYPEOF CONSTRUCTION ........................................................:.........................................:.................................. .................k'... ..........19.. . TO THE INSPECTOR.OF BUILDINGS: The undersigned hereby applies for a permit according to. the following information: Location ............ln��d�l�r:...3.Z C .... .Dl... ......... ................................................. ProposedUse ....1.. ltil.r�. ...... .....5/ ,i`.uT-!......... .... ..................... .. ... ............... .... •......................... ZoningDistrict ................� . ...`-......................................Fire District ...........................�...............................................:.. Name of Owner L.5;.....�.<O-..0.7r7........................:..............Address Jeri..lop :5 1;;......... .r r.��..................................... Name of Builder .. ...f�L. ��#.�t/ .....Address��1 /. fa.... ..... Nameof Architect ..................................................................Address .................................................................................... _ Numberof Rooms '................:....................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors . r....................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace .................................:........:..:....................................Approximate Cost ......46f.(x-.................................................. Definitive Plan Approved by Planning Board -----------_------_-----------19________. Area ............................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH '1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q Name .................. ..... ...:........ ..... ................................. - L.S. Scott No Permit for ..����n���-----. ' .--..' --'c�— — r-----------' ` v��— ' ' Locationm�:.�ox�c.��e�x��.]��.--------.. . , - � ..................centeo.V111�--.—'�------- - � � . Owner ..] ........................................ � . ' Type of Construction -------------- ' ' .-----^--------------------. Plot ............................ Lot ................................ 'Permit Granted --.. —�21—.]A 77 . . ' ' ' 0oto of Inspection .....................................lA Date Completed —' ----]P . '. . . � . . . -PERMIT REFUSED ..�.----,—.�-.--.-------�-- ]q - . - ^—..�—.---.--.---^-----..`------.. , . ------''--r-------^---'----''' —,-----'.z-------...—,^.�—.—.—.—'' _ / ��� ---------.~—.—.—.---. ..----... 'Approved �V ---------------- ----------------~.-------.—. ' � . � —.. . ---.. -----. ...................... . ------� . ' . , � k- ^ � Assessor's map and lot number SEPTIC SYSTEM MUST BE INSTALLEO("1N COMPLIANCE SewageoPermit number ..........:..... �7 ............................. t WITH ARl'#�'L� I! STATE " �FTNEr��y T®WN OF 1J1-lit.NS9so.I AND TOWN U d�Py 1rG, Gy ~� a : oaa1639. j D I7LD1 G INSPECTOR 9� 1639• APPLICATION FOR PERMIT TO .......k.I.l..M..N11.I/... ... .¢ .0.. ..................................................... ........ ,. TYPE OF CONSTRUCTION .............1%.v.M.i-VV{.'Yh..4 .1/fl�. ............................................................ ............../...................I a. •L f The undersigned/hereby applies for a permit according to the .following information: .................................................Location ........ v...../ei4....f �o.� ........loXIa........... ProposedUse ...... . ......../.. qg.)...................................................................................I......................... Zoning District .................X.Q..-J.......................................Fire District 1��/?L�tl°(>� .L. ..................................... Name of Owner .......�.f...!'. .770 /....`S. 0.7.T.......Address .�A..1� 1..:t..d.d lT.../`& ... �.✓�r tl?(�/ C�i Name of Builder /.! .... P!'.1.41K?r.e. .....&.............Addressr�19 , Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. I Fireplace ..................................................................................Approximate Cost ......1!5.-4 .0.............................................. Definitive Plan Approved by Planning Board -----------_-------------------19--------. Area .......................................... Diagram of Lot and Building with Dimensions Fee . ...... .................................. I SUBJECT TO APPROVAL OF BOARD OF HEALTH �,r� � W 3© 1 �0 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........................................... Scott, S. Lytton 20414 No -----. Permit for _.. .. ��� ��� _ pool ................. Location Beach� Road ---.-.--~--.-..--.------ Centerville ...................................................... ........................ ' . S. OwnerOwnerner ---..�-�� �� ����� -----^------- D � . ' ' Type of Construction .......................................... ' ` -----..---.-.-.—.-.---,------- � ' ~ Plot _.---~---- �t -.------.--.. . � | Permit Granted ----July .24--. . lQ 78 - . Date of | ` Dote Completed .......................................lg . . ' . . ' - ' PERMIT REFUSED ^-'--_'~'_.~^_.......... 19 ' . . . ' ...........................--..----,....--..-.- ~ - - r .................�-._-_-.---.~..----.~.-. ^ . ' . . .-'—.-...--.._.---.......---.~...-.. ' � .----`----.-..-.-.----.--.-----. ` . . ' . Approved ................................................ lA ' - - -----.- ------,�..._.__._.___.,_. | ' . _ -------`-----~------.........- � ,;A % % Assessor's map and lot number .............................,............ , Sewage Permit number ........�.:. THE r� o TOWN OF BARNSTABLE ro � KAGL 2 • i BIBB9TSIILS, i 9 �•� BUILDING INSPECTOR �► �F0 MO a APPLICATION FOR PERMIT TOi r' !�:� [ !.f.T�%1, /t'ENC.�C/�f/ f? lfl� 4.912 i c..i• '�r�lt�1. tiI .... .. . . .. .. . .... .......... .. ... .... .. .... ....... 1 TYPEOF CONSTRUCTION ..................................................................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......................................... h`....�...!'.. .................... •r/./.._. : .............. ... ' Pi-oposed Use .........................................r. .... /....;.G;;.../i...: :.................................. .. ........... ............... .. ...................... ZoningDistrict .............. ..........!:..._:......................................Fire District ............................�.................................................. Nameof Owner �.. �........ �;71.........................................Address .� �DD ............... .....:........................................... Name of Builder .. ? ,c:�c.t ... �� .....Address�.NlX/.1 . ... 1... ...! ....:. ../r..ti i:rr......... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ............... ......................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ...... ...:rr. ................................. Definitive Plan Approved by Planning Board -----------____---------------19_______. Area `..... . % -.. Diagram of Lot and Building with Dimensions Fee '�.......................................... . 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. Nam �. /. :.'.:/.....'.:......................... I L. S. Scott No ..... Permit for Rfp?.j4' ................. ............... 15.. ........ . Location ...:P5?A.9..A.9Ar,.h..U....... .......................... ...........�A=Arvine... .............. ........................... Owner .....L....S.....Sc.o.tt....... ............................. ... .. . .... . .... Type of Construction .......................................... .......................................... ............................I........ Plot ............................ Lot ................................ Permit Granted ecember ....21.......19 77 ...................... ..... Date of Inspect*-, n ....................................19 Date Comple d ......................................19 PERMIT IEFUSED .................................... ............................ 19 /... .......................... .................... .. ..... . . /............. ........................ ........ .. ... . . .. ........ ............... ..... . .............. .......... Aoi pp ...... 19 ............................................................................... . ............................................................................... "•.c .nf�+v wF''.+-.r�gr�—v,'r-n-.. .�.+,..^..r+-,.--ti.-.r-w��a�e+--.r�•!c."rov*•-,n��.-•w•+-+..,... ,.►.,,.+w•. a.,,-v.r.•r•....re-r+,-.•°.••..�..a...,..-.....,-.+-+...+.r-'-.�•",v+--�^-w•.ti^�.^----w,� r iAssessor's ma and lot number / 0/ ` /��p .......................................... r e4 r� Sewage Permit number. .............F..y�h �,6..........:................ • � C �f �¢Jy Jq�_e�.r � Q�OFTHE pO�♦ y ;, . TO)W,/N -f OF B A R N S T A B L E j! S 33MOSTADLE, • o pya�®0� BUILDING INSPECTOR CACk .:.,e ... �. y�a p APPLICATION FOR PERMIT TO ........�.. ......�..!<'/ I l; .... r' t 1................................................................. TYPE OF CONSTRUCTION .... �,•#3�M ............................................... f ........ . ..................19......... TO THE INSPECTOR-,OF ,BUILDINGS: The undersigned hereby iapplies for a permit according to the following information: Location .........:�.�.. ... (f f�................r.�......... p- ..........,:................. .. ............................................................. ProposedUse ......!. i!t1.'`,�1 �41..a? l •...... ,�` ,9r, ...............................:......................................................... Zoning District .. .� :............................Fire District .................... ..... ......:........................................................ Name of Owner .�. )— `,✓7-7191td....,`�•!•"O, .......Address , ,c'f{?�/t a�1 ^' °;•. /'°la�'lrr' . ......... .�:... ........... ............. .. ]......... Name of Builder /�. ... �s f' '�1�1� �.... ! :...........Address < L rG r . - Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior ...............................................................................:.... Heating ..................................................................................Plumbing ......................................................... Fireplace ..............................,...................................................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 -7/ r I I F�p Rhou e'' G L - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , 1/ //Gi r�rji� Name .. ...................... ............................................ Scott; S. Lytton 'Aa206-18 ;* 20414 private swimming No ........ ........ Permit for ............................. pool y ................ .... ....... ' ................................... 'Long Beach Road A. ' Location .............................................................. . a i Centerville _ ........... ........................................ .................... _ S. Lytton Scott Owner ........................ ...................................... x �a Type of Construction .......................................... .......... ......................... ....... .... .......... - Plot ............................ Lot ........ July 4 78 F Permit Granted ......................... ......... ......... ..............1.9 Date of Inspection \..........19 f Date Completed _. .>; .........19 f� PERMIT REFUSED ........ ............... .....\. ...... ............... 19 �......... ....................... 1 ............................................... ........................ ................................................... ...................... ' .... .. ...................... 3 ' Approved ............................................................ t ............•....- .... ................................................ -- ----- -- _ I --- --- ---- ---- - --- - -- -- TW WISE-SURMA•JONES-ARCHfIFM D3 MA EIrr NNEW .MA aEsao PAX EM 997-OM v � ., C.H.NEWTON BUILDERS,INC OSMVLL AND WEST PAIAfONH MABSRCEMtR3 ' OMNE OF Da5TING HOU5E 12)P. 7x1 IF GI - I I —J NWHOGONY DECRMG-TYPICAL . 045TING FLOOR FRAMING TO REI,iPH! NOTE. j NEW DOWN FILLM ABOVE 1D ON 14 BEAR ON NEW P.T.BILL MTP C G BeARRTOR ONE OF EBSTING DEOC TO BE RCPIKID INVLS5 5UT OONTATION OPENS NEW TO NOBH'ARCH ARE DiA IF METING BTIERS, f - AND IW fTF SURA&Lf1Y TO RECEIVE NEW FLODR FRAVENG MMAV BE RECIORM I�IBE ONG t5 PIERS, MF?.iBFRS-NOf6Y FRLTIOECr IF FRAMNG IS INADEOU4TE (3 P.T.2W GIROERS , _ �I P. 2Y1 T 1 I L r--11-- ---1 r--1r--1 L -1 — CONTRA SHALL 100105e EIESTING OONDRION5 LTO. P.T.45q'P06T ON GALV. . OF HOSE AWNG AND FOUNDATION AFTER EMSANG IMIE54TIGATE CONDITION OF PRE5UMED PER �STAlm-0W BASE SE[UIRD ro ' . - DCGIC HA9 BFl3T ROAOY®.NOTIFY ARpIDEQ R AT CORNER OF HOUSE-RI�AIR OR PEAA(Y 100 CONLIRIF FIFR o . CONDTBONI4 Aire NOT 5ATL5FACTORY FOR THE IF NECEBBAR1'TO REODVE NEW POET- T 30%006,I7 POOTTNG$MIN. - • -. 45'BELOW GRADE W/P4BAR5 - INSTAIIATN)N O IS NEW CDIW1LT10N A9 FHOVAI I.. I (' T I I.' ®0'O.GGW.-TTP FOR POUt _ I&W Pill.2-W ROOMfRPAaNGI®lC OG J - SEC IRE NEW D=TO EMSTUTG Tf NEW FRNdfEM. 7.F El4 TO MATCH AD.MOEM WING ..FLOOR FRAlANG TO REAIADI - REVISION . WITH GALVANQED JQST HANGERS ARATLHED TO L» " F.T. To n R,M HASH LACPINiM Io�Pe�P. _ r ---' ... .. ........ .. ........ Z P..2Y rG FABRIC A511ING . f -- -- L .—_1 ....... . . ... .. .... .......... ..... . < P.T.7+IP®170.C.TYPIfILPOR SPAN9WDE1:`bO b - 14'O PTTD®16.O.G FOR 9PAN9lB.9 THAN IY I .......... ........................................ Jso - I UNE OF DEFYING DECK TO BE R - - , - .. - . r I - 0 - I I I I I � tzTrr.z„I7 I __ a ................. . ................................... L ._. L J I L _ _ _. J P.T.7r,175TAIRFRAMNG THICK CONLRETE PPD TO - RECEVE PRANIING FOL CORNER STARS - RGM'OMM WTM W.W.F. I I TPKAL O5TAOODNG, f PROPOSIDRIIVOYA7tONST01HH P.T.GwMSTON"V. I` DR$MUSPAGNUOIASUA1b1PdtHMSE ` . f E�)P.T.2'.17 GIRDD6 (3)F.T.2-W17 5T D-OFF B15[5MURED TO. I0 CONCRETEmm SI LONG BEACH ROAD L 1 L__ I 1 J L__ 30i30a 17 FOOTRlGS MIR. I CRAIGYM BEACH,NA 4C BELOW GRADE WJ N13AR5 ®N O.C.E.W. - TI•II.E rod• laa _ Ia-Io _ IDa I��--------___g FIRST FLOOR FRAMING/FOUNDATION PLAN I SCALE- ( DATE: IANUARY 7,2OD4 t I DRAWN:GI FIRST FLOOR FOUNDATION/FRAMING PLAN DRAWING NUMBER PERMIT ISSUE' e wes SURMA ----- - F - ---- WISE•SURMA•(ONES-ARMEM m CHR>m slag NEW BEDdMRD.MA C=0 (509)997 WR - - PAX(508)997-094J . GETMAL COMPACTOR - _ C.H.NEWTON BUILDERS,INC. 0.41=VWEAKDW=PALNOVRIEL%3SA4p W" ---------- ----- -----. -.-_ _ —_— 1 2846 N9H284G WDN1E46 WDIt2546�1 . I 1 I W1 i __ I I •�.RERAGY DISTING W1NDD1V9 V4TN NEW UNf15 - AS MDCA RMSHTCIt SMX AIF TO VIA11 ARNLBIt RNISNS AS REtl11R®ro M4TR1 I U.PORCH 1 .� . I II " I II (7 I I 1 . IX.DINING ROOM G I U NEW BLUEDOARD AND VENEER ' • IVIATH PLASM ceuNG _ IX.IAUNDRY R6BUND FTO ACG WALL AND RO(X'AS l I REQUIRED TOTO RIGN EA NEW I r ROOFEWINDOWS AND TO a1 W PAVE AND Roor EDGE cerauwG wrtn FDRTDN OF ROOP TO I@.WN I I _..---I - IX.KITCHEN I I I 1 1 • \ I I I I I caNNecr ALL RDDP Doom wm TO EWDERYWE UNDERGROUND _ VLA A 4 0 SM PVC RPE RUN TO NEW DRMELL , NEW OR.Y WRL TO BE IDCAT®AT NOKTH-PAST OOKhM OF NOV5E . I SaEvTO wx0vE t I L 11 — ——— _ \ POOP RUN OR' _ 'F D(.SUN ROOM - 1 I ' _—_ II \ I IX.LIVING ROOM II�� _ R13.tOVf BBSTNf D[OC AND ROOP O1 I 3 WWWDDRm RE -00"T�.B-D RDrUV DgsnNGPAIROFD00P3 p - 'AND REPLACE WTFN NEW,51NGLL DOOR - I P15rTO AID REV4 Fo f MR"W COrFEITD CrQM-C DORDNATE TO BE OETFRMNEo ! BAYS IN BE D WaH BU AR WNDNON&G WCf WD!!C WNN tNPG 1 I ' .. pD0Rpy7pR.THOSE BAYS l6Hr FOR NVPC DUC19 SNPi1 BE RIRR® . CONRN6NEDWNNBWEBMMRD PED VBIEER PIASTER 'I I RSTALLNEW45wPPO5.WfTMNOASNED ---.-- - INSTALL NEW 4k4'POSS EW POSTS P- AND - . - —I $ —1- ' 15,WI UOI/S ro CONE%�r - - L I fi ------ AND POODNGS.. (3)5-I?LVLs - - - �I ?� NRV BEMA - ---_ -- - -- -- NEW CAS®BEANI _ I NEW 4WF05T -P15 I?LVLS--- - W'fRfIN REFRAA� WALL-TYP KJR 2 •I BACK PIDOWNG 2� i •j \\.- -I. 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II II PROPOSIB)RWVA770%7D788 _-_-_-___ DX&MBS.SPAGNU 10 M MHOUSE 1577 L�Om�GmBEAGI ROAD ��Td2 10-5 6-I 10-� - 1 106 �1WV RUBE CKMA - ------kkk--- Trn.E FIRST FLOOR PLAN FIRST FLOOR PLAN SCALE. SOME:I/4•-V-0 - DATE: JANUARY 7,2004 DRAWN:GJ If , DRAWING NUMBER A-02 PE727NUr ISSUE ®vV1SE-SURMA-10? S-AIiOfffBCT3 'Q OFtlr VISE-SURMA-JONES-ARCHIT M m CERM SEAT NBW BPMAOtD,MA Ono (S)11)W-ST1 PAX(508)99 OM C.H.NEWTON BUILDERS,INC O"MVBEP AND WE9r FALbOXYIXMAS ACHLW= - _ .---.-- - - - _ m P.P. TTpM OUT OQSTING OROS®RAPIER TARS WNH -- -- —_-- N01/CEDAR FASCIA AND DOPERS.li NEW AW/ANUM GUTIETt4 AND OONTISPOUISTYPKAL _ PROVIGE ODNNNWLL9 2 RSECf 9LRECK®4ET!( STRIP AIER!('NEW SOFFT II II IIFMII II II � II II • ` .. I I I I -.I I i t • - " EX.FF.El.a+0-0' fit I�I I I I I I I i I • EAST ELEVATION ' INSPECT D05fING MINI RASNRIG - REPLA2 WfM NEW L.C.C.FIA511ING " .. IP REQUIRED _.-INSTALL NLW'COWAVENF CONfINUOW RIDGE VENT . 5TR1P AND RF:SNI PJ0.5TNG RCOP.REPIACE - - - _ NTI SNPATNING IVNN NEW EXIFPJQt . �/\ `\ .~ - •S�I114 ovERieiA�SPrIn 'iT IIrn°a1�Roor REVISIONS: I RA'7F /'-'_`r \ s nN�Iro ce v+aimezro°NcrwE��euRE . .. ' r��/� —--- � _ a .. •. I TO MATRt PTOSUttE OP EMSIING SMINGIES - . _— T ..-\ `\\ •Y ' TWM OUT FJ0.5TNG 0WOMD UPTERTARS WIM . .. .... .. . . 7 M141NGI/R� TYPICAL .... ... ... .... ..... . - rF--TT----rr�1 ---- . . [FFMFff-jl -T---- ® ® SPINAL CONNNWW2',NSECTSO+ffiJ®VHRMTOM .- STRIP ALONG NEW Sa'FfT - -- _ -- . INSTALL NEW L.C.G.STEP Fill AT WALUItOOF INI65ELRON9. . ff- CASNG Till, II II II -- ® N'INEDN9.5 .... .. �1 1 I fl `_AW CEDAR-_ I I I I i I I (► - -- -'LL Ao TO ALL NEW o ,rPx�l rxOP oxiNovn,roN5 7D1rm l= ..- _ - �- I I I I I I E __ _ " I I I I I r-'2-0 SRAL -F1 COI TTOO MICRON A P.T.<� DR L@ MRS.SPAGNUOIA SUbRM HOUSE' Bi GRAM REM TO PVC DRNN R a 57[ACII)LICING ROAD MA I 7 NEW HECK Et=-0'-T —_-__1L PAINT®.ISMR STAIR RI5ER4.MSEUGOM'TRPPDS ELEVATIONS ' II I II I II I III I I 1 I II I _ i fi-10'0 GONG.RER ON POQfINGSEL FWNQ4110N PLAN r r r I r PLj r SCALE- DATE: JANUARY 7.2004 DRAWN:GI DRAWING NUMBER WEST ELEVATION SOUTH ELEVATION f A-03 PERMIT ISSUE ®WSE-SURMA-J0MS-AR(8f1'EIM INSTPil N[W FBFROASS USUTATONR:I9IN DFEN BAYS ¢Y� 'Sv¢t ` OP ROOF RAPIHC4 OP BhSNNG GDGS!B[DROOM MPIMAM y . -. & .`/ I U2'VENTRATION 9POLE.IN$TPLL NEW I/C BLUf'HOMD W(M VENEER PLASTER BOX OUT N9TRIG D6'05m RAFTER TAILS ALONG ROOF CAVE AS-__ 2 OLMRXD TO CONIINOUS I�N9EGT N9GRPHJ,&IA INSTALL OIN STWP ai " \ NEW ALUMINUM GUTTER AND D0WN9PON5 MJ ATE OPEN STUD BOYS OF E STING GUEST BEDROOM �T�Dp(�7p�� (� D/�Q�Q(�(� AND IN5TALLNEW IR'&LEBOARDYWH VENEERPIASTER i�R-SUM-)OWS-[11�4llllli�.lV - 74 CI RDIR STT� . - NOW B®PDRD,M A f1ZA0 94IS977 RE-9HINGLB ERISTING Dopum 5100WAU9OER - FAX CM 997-0993 - New AR INFILTRATION BARRI19t - GEtaULALCONRACrO RROCIP CON9TMUCTIIOW RppF fl y�W�DNTO C.H.NEWTON BUINC"EM,IN SIB't%ICWORRYWOW ROOF SNG�I7IMKs SEOU - - , ROOT PRAMWG MLI.♦B Rro FItAWNG mm FOR a37'BBVTliB AND W8S7'RALd10BlLL1A�A[ HUSEM ADDITIONAL INFORMATION FLASHING . im 7'-G' y f- 2.RIDGE I sE tw"TO WNL FTWA9NG e- ` LEoreR— ,'I - RRDOrRArrok-S1MMP5ONE1 3T REE(21& -TAN • R V�t POST UP NEW 244'STUD WALL FROM EMaIING O OBP mG[ �'•� NEW 2W COUNG JOISTS®I G!O-C. WALL TO BOTTOM O'NEW ROOF RIDGE .. O D95DNG FLOORING AN O flLL Brig WITH R5OWAAS5 BATTS-R-19 MINIMUM ER ro REMAIN - STRAP JOISTS AND RISTALL IlT BWEBOf�WITH DL P.P.B_ �' Q105TRAPFING OR VENEER PLASTER - flAS1ER-PNM ONLYI - 2wcOLLARTIEA48UNGjOISTS®IG•O.C. . FLL WOH BL.00KIN6 AND llJ����/����\��'/��lJ\JVV� TRIM AS REWIRPD B[IU'®1 - JOI5TBAYS-PAINT___ - Bm MORDMG-BR0.'SOD 0019 Vff CEDAR SOFFIT 9 FASCIA FLASH TOP OF COUR.4Y'TYPIf% --- ':LVC:HEADER RFPER TO FRAMING PLANSy .---- ----- ----- - .. s PC POST CAP-CR NEW HEADER AND POETS W e PLANS WNL - f --NLW HEADER-REFER TO FRAMW PWl PORCH M bE A` - - -_ - I BEYCNDJtEffRTD FRAMNG PIIJ6(SHOWN DASHED) � PP1Mm FIR BEAD BOARD APIL®TO IM85011 EO1N. STRAPPING SEQIRm TO BOTTOM Q COUNG JOISTS I I --' -_-- -- ..---------..--- --- LROWTI MOULDING I I CCUUMN5, ,m I I t I I • -I ro TU5CAN STIE ROUND.TAF_ FRP.OO UM N BY MELTON ClASSIC5.DESIGN I 92000C.(I2O BASE,IONS Mn ....___—_—.--_—_ _ --__.__..__..____....__.__.____ I ' • STRUCTL'Im COLUMNS.�flgD GLUEDARGUMJ MIELTON CLASSICS 1-BW9633060 . Cr5EO11R NEW F.T.NUDGER TO N 6LM BAWD JOIST WITH GALLVANUEV F - COLUMNS: ' __NAG BOLTS THRL P.T.SPACER BLOCK HANG DECK PRI'M1 LODGER- --CQUMRI BVIOND REViSJONS: I=TUSCAN STIE ROUND.TAPERS) WITH GALVA JOIST NAHGERS�V.CN J06T. - I -_—P.T.Cx6'FOIST W1DtIN P.R.P..COLMN F.RP.COLUMN BY M:LTON CLASSICS.DESIGN RSER TO FOUNDATION N01E DEIDW - .......... .... ... *' •- ►2000C.(I OTB BPSE,aE 70FI - I - , SUPflIm d HKVES ro BE FEUD GLUM ARDIIND - I I I . SIRIUQURAL OOLUM9S. MM.MN CIASS 63�060N5 I-800-9 {f .. . �G - I I I I SM13•PATTEUJ GRADE wv4E'MW)GONY WGMG DECKING --_-_.-- - -- -- - -- I vmm 5N4SG•tTC1URE F . . EX FP_�-wa .. . ... . . . .. .... ... ._664 ' • - NEW DCQ EL d a-T . .. ..... . .... .. . . ... . SCOTIA MOULDING _ I I . ' E _._._ P.T.FRAMING-REFER TO FRAMING PIAN9 PCR MRTMM STa AND 5PAONG . NOR: I - WWCEDARTRIM - . . ..... ....... . . . .. .. ... ---- CONTRACTOR TO INVr5DGATE EOSFING FOARDATICH ---- _ DETAILING AND CRSTRUCnON AFTER BQiTING DOCKING I YM•V.G.flR 5WOING SPACED 174'APART HAS BEEN REMOVED.NOTIFY ARCHITECT""AREA HAS SB P5CN GALVA W JOIST HANGER BEEN DPOSm TO DETERMINE F ADDTTIWTPL FOUNDATION CONCEALED HUC MODEL. � I WL1iK TALL BE REWIRm ro ALLbMCOAre NEW DBR - 6'WASHED STONE O✓Et WFm BARRIER FABRIC pRppQMRIMAnpNS"f pTEIg AID IDADING CONONOIS p OL p��BJp� -r- BRACE BACK NMER AS REQUIREDREQUIREDTY L1A. 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III-II�II�IIf III II I I I 1 III III IIk I LII�III-III-1I IILII-III ,1I III I - - I II - - - - _ - _ - _. _ _ - - I1 I I I 1=1!1I 1 I I 1 11 1 11 1 I I-1 I I I�I I L-I I n a =11 L-It`CO�CTDS,T(3MUD*GRADE4V —II _ DR F DRAINED INTO DRYWE L —I I—_=I1—II=I—III1 II= I_ SCALE - V DATE: JANUARY 7,2W4 ' I Ow CONCRETE MR SET ON TOP OF DRAWN:GJ _ F FOOTING SET MIN.4 BELOW FNbH®GRADE •I RouRi•oiR°aNG 'REwl�rmnsraR 9la ANo DRAWING NUMBER 5EC rION'A-A' a A-04 <I' a a a —` a PERAUT ISSUE 0 VPMSE•SURMA•JONES-ARCFVMEM_. -........ _ _.- ._ ._ WISE-SURMA•JONES-ARCfIlT M 24®NM S1R7ffif . - NOW BSDBORD.IM 02M (300J"7-5M PAX(SM 9 7-M GEORALCONRA OR, -._- C.H.NEWTON BUILDERS,INC . .—_— o=mva=ANDWMPALNODOlMA%ACffl M -- -- r. o 2�10- UT--�F In --r _ I, JI 9112'L EADEA� -- -- �`"I p II` A - ► I -IHHHI- I I w - -:. :: . .... .... . . ..... ..... 4 I II I I I I I I _IC-it .I I I I .... ... . 11 ........ .. . .. .. . .. I rsARBC4:2S9 01 B O.c. I ' : � �M GOLUR71®®ICO.G:IYACK— I I I I I I I PROWWRENOva710B MMIB 9 10 L2111,a to 1 1 11 M&Mn SPAGNUOIA MMHOUSE 57 UM BEAMROAD CRAVAILE BRACK MA TITLE PORCH ROOF FRAMING ROOF FRANUNG - - SCALE: N DATE: JANUARY7,2004 DRAWN:GJ - DRAWING NUMBER A-o5 _ PERMIT ISSUE ®WISE•SURMA•10NBS-ARCMrfECIS 16 CIL _ Zp .569.OJ'PS�E d l0 9. �B Os~` • "� s8 SUBDIVISION PLAN OF LAND IN BARNSTABLa f Q2t.`� Detai/ ` not fa scale Bear se & Kellogg, Civil Engineers November 3 , 1953 O 'U \ Z Se. N es'0 J'PJ'w— — — — — — .Co. a LONG BEACX RD. t6r .:3OS 1.77 /ZS.27 S 85+•03'PS_L �t . ....... ...... 7500 /P 7 { Via' /00.7P See�et�;// f Se• S eg'3B'O1'C S 09 38'01`L C 1V JA CO ti 0 b N 3 ,r ►� L of it +� ti O M see. b J-1-a L! Men Witer Subdivision of Land Shown on Plan 16914-k Filed with Cert. of Title No. 4744 Registry District of Barnstable County Y t'O corNfiiaeMs Of title Wray 66 Issued CW dw O'"' b1 i11°1' LAND REGISTRATION 011RCE cmf df 6W pbn 40 last to en kWh fi�os�+►'i6rQwrt 1A ��;L�,IT/953 R.corider. .r• c NOTE.,. f • - 1.) The property line information shown was f compiled from avoiloble' record information. information was obtained - '�'� ' • - 2.) The topographic - from an on the ground survey performed on • € September 17, 2002. - 3.) The datum used is NGVD '29, o'fixed mean -+� • o'• .u•. i OF sea level datum. ((BM used RM18) t o • •,f• rA ..:: q�.:•. �.�„••-00 Mal ills NA U.P. s covi�� Catch Basin hw Lendins /3 CB/DH ohw ON ohw �\ o L P G°` EAC Drainage Manh 20'Wide) �� D ® �N 8900.3'25" Edge Of Pavement °hw Location Map U.P. �}�' 1"=2,000±' 3� �— �2`J•L ° Crushed Stone Drive i 1 Limit of Registered Land \ \ l Water Go � \ \ / r---_ ® ZONE. Water Gate RD Garage — FLOOD ZONE: Area (min.) 43,560 SF l04 y With Above i Fronta a (min) 20 �` Crushed Stone Drive '� ' 1 Apertment / Zone A13(el=11) & V16(el=15) Width min) 125' `\ /io G 1% _ Picket\ Community Panel No. Setbacks: 7 ,---- Fence , � #250001 0008 D Front 30 � :a July 2, 1992 Side 15'' Rear 15' — r Wood Deck Porch Wood Ret.Wall Piket Fenc ASSESSORS. REF.: F — Mop 206, Parcel 18 Ln r,. 1 �y5a Conc.Pod .x,s I � OVERLAY DISTRICT: a � �2 °D Existing 2 Story orc EX sT PORcq I ^�� � ca N 0 Wood Dwelling 8o SF I ; `o ; a r x " AP — Aquifer Protection District d CD �o W I °�`: vs ��� As Shown on Plan Entitled a QQ20 0. / I "Revised Groundwater Protection v _ Poo/ � �. i _ •� 1 • / 48. Overlay Districts" April, 1993 Deck I c� / o Existing I ' Dwelling G C.X 1 ST, PROP. _OD pW/Roo= ewTT emsOs r-KN ESOPNAqN_-\ \` 9 U tvv I+. ....Edge of Lawn l ................... '.....'.L.. 1- _ MIT LI t-ANOWARA OF RCVEM �A rJ<r>JI Sf7lAM AL913= `lN1tFeNG s1%-T FEtacE \ Choin Link Fence Link enc ` ' , , O W/AougLE STAIGE.� HAy �- L{ q Chain Fe ' o° iV O ANUCAxPsNAMM R\ckAra S RA&s4joLo_ • -{� ` e 4p1 O •S-'7 Loy6 136•AC N PLC? NN o N3 Lot 2 P&0F.t•TL0CAZ0? CENrtRyi�LF.. ,ass N Lot 1 v cc --- -- - --_ _O Tb pwiedbwlam•�„_�,� o da•otCoodalocs rri 9 — OZE R13PLAG@ EX\STING oidacfConditions=Yett=cd MoAROWALK%N --� Q SAME FOOTPR\N T 10 � This A=wM be eonddaed an Dow a 10 — NON CCAMATERIAL 8 / Bevc — — t.%CiC11`JGW1T4 "1N 17�n - — — — - - / Glass SPACIN& --..- 6 �.. '\dgQo+ 6 — — — — — — — — - — — — — \ Beach Gross // Post & Rope Fence - - - - 6 - - - - - - 1 \ 6 - - - - - - t PARTIAL PLAN - - - - 7 — \ — •_ ._ - -. .._ �' � / Jam• ' / / \�_' � � � ` - - - - - -_— J ' Beach Sand �••� Beach Gross ,..... _ w `�,. Beach Gross .••- a 2 x PEWR •2 73 1 3 Directions to Site: From Barnstable Town Hall 01VIL take Main Street in Hyannis to the West End rotary; ./ SECTION Go part way around and take a right onto Scudder Ave; At the stop sign take a right onto Smith St. - BOARDWALK DETAIL which runs intD'Craigville Beach Road; At the far end of Craigville Beach bear left onto Long Beach EN LARGE SUN>ZOONi AND - WRACK LiNE. Scale: l/2 = I'-0 Road and house is on the left#57 Io/2Z�04 �tGK�5TA1R.5 — — -- -- -- -- •— — — — — — ADOED 9 23�03 CONSER�/. RtrvIS1oN 4/25/03 COMM•GOMM3NTS Title: PREPARED FOR: PREPARED BY: Sullivan Engineering, Inc. CapeSury Richard •F X & Lucille S-agnuolo Po Box 659 Po Box 718 PROPOSED IMPROVEMENTS 23O POnd Street Osterville, MA 02655 Hyannis MA 02601-0718 4� 57 LONG BEACH ROAD Jamaica Plain MA 02130 (508)428-3344 (508)428-3115 fox (508)790-7902 (508)790-7905 fax o -�.�. CENTERVI LLE , MASS. PSulIPE*bol.com copesurv@copecod.net 20 0 10 20 40 so Comp./Draft: M.J.D. Field W.H.K./M.D.H. Date: Scale: ►1_ Review: P.S. Comp Draft: W.H.K./R.R.L. January 6, 2003 1 —20 Pro j. # z z-03-7 Drawing # C502_1 p 1 NU 1 t_ - 1.) The property line information shown was - compiled from available record information. 2.) The topographic information was obtained u� :� •'--0 Ii from on on' the ground survey performed on }: - September 17, 2002. _+ - Q. - ► 3.) The datum used is NGVD '29, a fixed mean _# .••o•• - sea level datum. (BM used RM18) -'�' -• r Q ••"` U.P. ��.:•r t .r nl ilia i ': Catch Basin hw d• Public Landing CB/bH s Fnd °hW ohw ' o LP °hwGEAC °hwCAA DDrainage Manh - (20 Wide) ® aN 89'030,C). ffij, '25" Edge Of Pavement °hw U.P. Location Map `• 3� �— �25•L � ° lGote Limit of Registered Land 1"=2,000f' \ Water Go Crushed Stone Drive 9 ZONE. Water RD Garage FLOOD ZONE: Area (min.) 43,560 SF / With Above i \\\ \ / \ ( - ) ( - ) WidthFront (min) 112520 Crushed Stone Drive Aportment // Zone A13 e1-11 & V16 e1-15 ( ) Picket\ Community Panel No. Setbacks: Fence \ / #250001 0008 D Front 30' - _ July 2, 1992 Side 15' — Wood Deck Rear 15' r / Porch Wood Ret.Wall Piket Fenc ASSESSORS REF.. - \ \ Map 206, Parcel 18 '#5a Conc.Pod a '2 dl Existing exls'T REMOVE I Cb o F 9 2 Story arc S�pp{Z�H OVERLAY DISTRICT: - Wood Dwelling I l �a w I o / AP - Aquifer Protection District 4 d4 20/ I ,_: / As Shown on Plan Entitled Pool Q / "Revised Groundwater Protection Overlay Districts" - April, 1993 ex s r, Q / #48 --Wood Deck I / o Existing I sTQOVG GJt16T, j Dwelling s 1 Cb // / / zoo ` \ ! ! 1 PROP. E5 �W/RO59UO � DZ p SI6--K'N _ \ \ gXOP I/ CA S \ \ Ede of Lawn IDu,,c \ — Cb �� VIbRKLIMIT LIME LANOWARp OF 1tiVLSmrW1SVII11alSALS7QtS• +� � \ Chain Link Fence CHA\N L1NKFtTtGE= SILT FENcE \ ,,,,Chain Link Fence ' ' O W/nOugLE STAKEC HAti BALES SE3. y ci \ O . -{� o IV O nrruCANrswA?a-* R%ckAro sF,, -nluoLo N N O Lot 57 LoNr- [35AGN Ftp r n" TAO.T=LOCAMON: CE/)�C2VILLF, /h/9Sf o / 10 - ! 10 / + 11 10 — - - - - - - - - - 9 - i 9 - - - - - - - -- n� - - - 8 - - - - - - - - - - - NON CCA MAT ER SAL 'br2cKrr4GwIT1•r MIN %/Z!1 SPACING * L '- 6 --�\by o+ ✓ � — — — - -- -- I 6 - - - - - - - - - - - - - -- -- -- - - - Beach Gross / / Post & Rope Fence 1 t � - - - - - - - s - - _ �• 1 - - - - 6 - - - - - - I \ _ — - - - - PARTIAL PLAN Beach Sand ^- "" Beach Grass Beach Grass -0 .......__ 0. 0. J" ••�_-._.._.. ......_-• \ .off ' \ _�- 131:XIS SU •2973 , .' :; _ Directions to Site: From Barnstable Town Hall Chill ' take Main Street In Hyannis to the West End rotary; r SECTION Ur Go part way around and take a right onto Scudder z ;f Ave; At the stop sign take a right onto Smith St �— BOARDWALK DETAIL which runs into Craigville Beach Road; At the far end of Craigville Beach bear left onto Long Beach Sca le: 1/2 1'-0" Road and house is on the left#57 ENLARGE suNr200" A"ND WRACK LINE. ADDEO 9 23IO3 GONSEC2�/. R�vrSroN 9/25/03 GOMM•COMM¢NTS Title: PREPARED FOR: PREPARED BY.• SullivanEngineering,ullivan En Inc. CapeSun g� Richard F X & Lucille Spagnuolo Po Box 659 Po Box 7 PROPOSED IMPROVEMENTS 230 Pond Street Osterville, MA 02655 Hyannis MA 02601-071f rt 57 LONG BEACH ROAD Jamaica Plain MA 02130 (508)428-3344 PSullPE@ool.com 5 fax (508)790-7902 (esurv@ opecod fe O `L CENTERVI LLE MASS. PSuIIPECsbol.com capesurvcn�capecod.ne W O � 20 0 �0 20 ao so Comp./Draft: M.J.D. Field: W,H.K./M.D.H. Date: Scale: ►,_ Review: P.s• Comp./Draft: W.H.K./R.R.L. January 6, 2003 1 -20 Prof. # 2 z o3 Dro wing # C502-1 p l i NOTE: : u e 1•) The property line information shown was P P ert Y compiled from available record information. 2.) The topogrophic information was obtained �' 6 from on on' the ground survey performed on September 17, 2002. ' 3.) The datum used is NGVD '29, a fixed mean =+= Q••- '°` sea level datum. (BM used RM18) q,tl .~' I' .•f• rat lit. U.P. d�• Public h Landing C v 13 5 Catch Basin w w. r o- CB/DH °hw Fnd °nW 3 nr 4 LO °h G"- E' AC WR-0- A D Drainage Manhole (20'Wide) ® -�N 89'03'25" Edge Of Pavement °hW U.P. Location Map -� 1"=2,000±' • 31 —r --72= Water Go Crushed Stone Drive 1 Limit of Registered Land •1 \� —\L � r LONE. Water Gate RD Garage FLOOD ZONE. Area (min.) 43,560 SF With Above i Fronta e (min) 20 Crushed Stone Drive 1\ 1 Apartment / Zone A13(el=11) & V16(el=15) Width (min) 125' Pickett / Community Panel No, Setbacks: :4 0� , 7 ` Fence / #250001 0008 D Fron t 30 July 2, 1992 Side 15' Rear 15' - Wood Deck Porch / Wood Ret. all Pik Fenc ASSESSORS REF.: fad Map 206, Parcel 18 v� Z> 1 !r '57 Conc.Pad \ x J� rxsT Zo ; Existing 2 Story arc ► OVERLAY DISTRICT: z o„J� Wood Dwelling I Cb i AP - Aquifer Protection District CD MF�. PROP. '4 w1og ZNn I o / ���, As Shown on Plan Entitled 0. f�e wiDTHp�cK�rU`L Pool I �; // "Revised Groundwater Protection xoo _ ' a / 48. Overlay Districts" - April, 1993 Wood Deck rn / o Existing Ex�s�. NI 0 ' Dwelling \ a WOOD OMCK j \ 380 SF N SONAR-rue SION.t II V v ro L�......Edge of Lawn tD �� _.._.._.._,.....,.. -...-..--..- - - susaQtzwz,sett r - ..,..; �AIbRK`IMIT LIME LANDWARp OF RiMtSID PLAN r^ HA�N tN\<FtNGE SILT F 9� v J \ Chain Link Fence . , , 1 . O W/T�ou$LE STAKED HA`I @ACES Chain Link Fence - i p N nrrucaxrswuM R�chr�rD s PA�Nuoly N N 1 N N - Lot L :, ,tx✓►noN: CEgTf-a V1I- N , Lot 1 3 O 00 ` I Phis project hu akt adX be"«n,ed an order orconditions p n 1 — 0 96PLACE SMSTIN6 Order ofCondrtiona net yet muW POARCWALK %N / 4 SAMG F00TPt2%NT 10 / \ Z3is plan WM be Considered an 10 QO — _ Dw 10 Be p....- 8 ..........�.....-, W i Tta M I N Z / � �•; � C/7 2 X 1.�, NON CCA MATERIAL D12CK1NG n — — — - S PAC it3G _ — — _/ j1 -- -- -- -- -- -- 7 6t�oiPv \ ✓ \ �-tyPl -- - - - -- -- - Z.X L.t 6 —... goo \ — — — Beach Grass i t Post & Rope Fence 6 _ _ _ _ - - - - — — — PARTIAL PLAN OF 117 _ — \ REF 7 - - - - - - - LIV �t Mo.Ga� 6 - - - - - - Beach Sand Beach Grass Beach Grass = 2x ..... \ 5 Directions to Site: From Barnstable Town Hall + take Main Street In Hyannis to the West End rotary; SECTION Go part way around and take a right onto Scudder Ave; At the stop sign take a right onto Smith St. - - BOARDWALK DETAIL which runs into Craigville Beach Road; At the far end of Craigville Beach bear left onto Long Beach - - - - - - .- - - - - - - - - - - - - Scaled/2 = 1 -0 Road and house is on the left#57 -ADDED q�23/Da GONSERd• Rw�SoN 9/25/03 coMM•COMMtsNT.3 Title: PREPARED FOR: PREPARED BY.• Sullivan g .En ineerin Inc CapeSury Richard F X & Lucille Spagnuolo PO Box 659 PO Box 718 Q ` PROPOSED IMPROVEMENTS 230 Pond Street Osterville, MA 02655 Hyannis MA 02601-0718 q 5 / LONG BEACH ROAD Jamaica Plain MA 02130 (508)428-3344 (508)428-3115 fox (508)790-7902 (508)790-7905 fax , PSuIIPEOaol.com copesurvCn�capecod.net O ►.L CENTERVI LLE MASS. Q.j o 20 0 10 20 40 60 Comp./Draft: M.J.O• Field: W.H.K./M.D.H. Date: Scale: rr- Review: -S. Comp./Draft: W.H.K./R.R.L. January 6, 2��3 1 -20 Pro j. # a z o3-7 Drawing # C502_1 p 1