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HomeMy WebLinkAbout0086 OAK STREET (CENT./W.BARN) a -•, .. -._. .-- ,. ,... `°. � "'.. '' c '.,fig '�'�;.. r.. �. `42'.u„F, in +y",�v - �'�' •�.eY,•` ,',y-xi' °:t�f .a�4!Sv `;�` ,�,. v r § o - . Town of BarnstableERW Building , PostVA W ': .hisACard;So.Thatat�s\/isible From�th StreetAA-` roveciARlans<Must be ReLa ned on lob and this CarOr d Must b <Ke t Posted lltiti)Final l s echo Has Been`RAade r ' a692:: ilUherea':GertifieateoOc nc °�s Re'"cared such" uldin stiallNo` be O cu i duritila Fna!!ns ectionhas beer:t made. Permit Permit No. B-17-879 Applicant Name: William McCluskey Approvals Date Issued: 03/31/2017 Current Use: Structure Permit Type: Building-insulation-Residential Expiration Date: 09/30/2017 Foundation: Location: 86 OAK STREET(CENT./W.BARN),CENTERVILLE Map/Lot 173-011 Zoning District: RF Sheathing: Owner on Record: DWYER DANIEL A&DEBRA A ContractorrName. WILLIAM J MCCLUSKEY Framing: 1 �0, Address: 86 OAK ST Contractor License& CSSL-102776 2 WEST BARNSTABLE,MA 02668 .. EstProject Cost: $2,700.00 Chimney: Description: Add R-30 cellulose to the attic.Air seal the atti?2plane with expanding PernnlEe: $85.00 Insulation: foam.. $85.00 Fee Paid: Project Review Re Add R-30 cellulose to the attic.Air seal the attic lane with final 1 q p Date 3/31/2017 expanding foam. Plumbing/Gas a 4 _. Rough Plumbing: Building Official Final Plumbing: - This permit shall be deemed abandoned and invalid unless the work autfiorazed by this permit is commenced within sot months after issuance. �, � A Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for whack this permit has been granted. All construction,alterations and changes of use of an building and structures shall be in compliance with the local zoniri b taws and codes. g Y g p g Y Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. K RO 31 A_ Electrical 4 r The Certificate of Occupancy will not be issued until all applicable signatures�by theSuilding and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing >" Rough: 2.Sheathing Inspection .H : ,,. *;: .. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: -4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) ` Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,.Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable " p 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-879 Date Recieved: 3/29/2017 Job Location: 86 OAK STREET(CENT./W.BARN),CENTERVILLE Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic.No: CSSL-102776 Address: West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: DWYER,DANIEL A&DEBRA A Phone: (508)367-0831 (Home)Owner's Address: 86 OAK ST, WEST BARNSTABLE,MA 02668 Work Description: Add R-30 cellulose to the attic. Air seal the attic plane with expanding foam. 0l +��•„ Total Value Of Work To Be Performed: $2,700.00 Cn Structure Size: 0.00 0.00 Oroo Width Depth . , Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when,a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other,code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and- specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed; William McCluskey 3/29/2017 - (508)398.0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost $2,700.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 3/29/2017 �$85.00� XXXX-XXXX-XXXX-Credit Card 0299 j Total Permit Fee Paid: $85.00 Cape Save Inc. 7-D Huntington Avenue, South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 4/27/17 Town of Barnstable BUILDING DEPT Thomas Perry CBO Building Commissioner MAY 2 6 2017 200 Main St. Hyannis,MA 02601 TOWN OF SARNSTABU RE: Building Permit#B-17-879 TO: Building Inspector(s), This affidavit is to certify that all work completed for 86 Oak Street,Centerville has been inspected by a third party Certified Building Performance Institute(BPI)Inspector. . All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey f ' Bk 28265 P 1.90 07-16-2014 a 10 24cx DEED RESTRICTION WHEREAS, Daniel A. Dwyer and Debra A. Dwyer,of 86 Oak Street, West Barnstable, Massachusetts 02668, are the owners of the property known and numbered 86 Oak Street, West Barnstable, Massachusetts 02668 and described in a deed recorded with the Barnstable County Registry Deeds in Book 13879, Page 303; WHEREAS, Daniel A. Dwyer and Debra A. Dwyer, as the owners of said property, have. agreed with the Town of Barnstable Board of Health to a restriction as to the number of bedrooms which can be included in any principal dwelling located on said property as a pre- condition to obtaining a disposal works construction permit in compliance with 310 CMR 15.000 State Environmental Code, Title V,Minimum Requirements for the Subsurface Disposal of - Sanitary Sewage; and - t WHEREAS, the Town of Barnstable Board of Health, as a pre-condition to granting a, disposal works construction permit for a septic system in compliance with 310 CMR 15.000, State Environmental,Code,Title V, Minimum Requirements for Subsurface Disposal of Sanitary:- Sewage, are requiring the restriction on the number of bedrooms in the principal dwelling constructed on the property be put on record with the Barnstable County Registry of Deeds by: : recording this document; NOW THEREFORE, Daniel A. Dwyer and Debra A. Dwyer do hereby place the following restriction on said property in accordance with their,agreement with the Town of . Barnstable Board of Health and Town of Barnstable Building Department, which restriction shall run with the land and be binding upon all successors in title: 86 Oak Street, W. Barnstable,MA may construct upon the lot a principal dwelling that contains four(4) bedrooms. Daniel A. Dwyer and Debra A. Dwyer agree that this shall' be a permanent deed restriction affecting the property located at 86 Oak Street, West Barnstable,MA, more particularly described in a deed recorded in Book 13879, Page 303. The foregoing restriction shall remain in force only'so long as the property is serviced by a private septic system, and said restriction shall terminate and be of no force and effect upon connection of the property to a public sewer system. v f Executed under seal this day ofItily, 2014. XOW14LA )0, 0,k Daniel A. Dwyer Debra A. Dwyer COMMONWEALTH OF MASSACHUSETTS Barnstable County On this day of 3 =ai�F2014, before me, the undersigned notary public, personally appeared Daniel A Dwyer and Debra A. Dwyer and proved to me through satisfactory evidence of identification, which was M_ ik„a "c g n%_. to be the persons whose names` are signed on the preceding or attached document, and acknowledged to me that they signed it.. { voluntarily for its stated purpose. ATHERINE oAUPHINAIS VANBUREN :- Notary Public Massachusetts Notary Public i Commission Expires Aug 3.2018 ; My commission expires: . r BARNSTABLE REGISTRY OF DEEDS r �IMME Town of Barnstable Regulatory Services BARN9 hose IE�,* Thomas F.Geiler,Director •i639 �� 1639 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 21, 2014 Daniel & Debra Dwyer 86 Oak St. MA. 02668 C_e%A��V i lc RE: 86 Oak St., Centerville Map: 173 Parcel: 011 Dear Mr. and Mrs. Dwyer: This letter shall serve as record and notice of several violations at the above referenced address. The following issues must be resolved to bring the property into compliance: 1) Work done under building permit number 66285 (addition) must have all required final inspections and approvals. 2) Work done under permit number 70448 (pool) must have all required final inspections and approvals. 3) A separate building permit and all subsequent inspections and approvals are needed for all work done beyond the scope of the above permits mentioned. Thank you for your prompt attention in this matter and please be advised failure to comply by April 18, 2014 will result in further action taken by this office. By Order, bfy L Lauzon Local Inspector jeffrey.lauzon@town.bamstable.ma.us (508) 862-4034 TOWNDF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 Permit# Health Division d U 2 z . c Date Issued I k o Conservation Divisionil " L Y� �� Application Fee Tax Collector d0 0� O k N�- - r S?/I8/o 2, SEPTIOrSY {E Bank ld-%.r-E� � INSTALLED IN COMPLIAfVC t',g `7 �® Treasurer O k /�� �- /�g/p � WITH TITLE 5 Planning Dept. ` ENVIRONMENTAL CODE ANE Date Definitive Plan Approved by Planning Board TOINII REGUI. TIOallo Historic-OKH Preservation/Hyannis 3 �,NS Project Street Address _ - K 7—,l Village Owner 2:)A1 l el i web✓n- 0U q e i.�, Address 61 Telephone ! 08- Permit Request d 6�, Gf e:;, �� (/>0 00f) 1 2,0—d .r/2e0® tom( fi 7���v of ✓�c2? Square feet: 1st floor: existing 3 proposed fir.-2nd floor: existing -7 0 V proposed -2- 332 Total new f Zoning District Flood Plain Groundwater Overlay Project Valuation L o 006 Construction Type 4,1 p Lot Size 13 79 L Grandfathered: O Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ZTwo Family ❑ Multi-Family(#units) Age of Existing Structure-.,,J Historic House: ❑Yes ca No On Old King's Highway: ❑Yes 3< Basement Type: 0Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A�- , Basement Unfinished Area(sq.ft) `2_ Number of Baths: Full: existing new Half:existing / new f Number of Bedrooms: existing new Total Room Count(not including baths):existing new Z 0 First Floor Room Count Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other Central Air: ®'Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size �/ ❑T r Ate. Qerhou� Attached garage: El existing El new size Shed: existing new size Other: r � � N � Zoning Board of Appeals Aut orization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# av cn `a Current Use �� o1 e- Proposed Use - CD BUILDER INFORMATION Name ®V f , �Gl.> 61,� Telephone Number Address License# 4-1�)m -egg epcd2r4_&Z Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE //� / l7 DATE . FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , MAP/Fi&.RCEL NO. -.ADDRESS VILLAGE OWNER _ f DATE OF INSPECTION: . -- f y r FOUNDATION FRAME INSULATION Zf -- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGHr FINAL' - s � ,• FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN N,© ` i • R a RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 ®• Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET F NEW LIVING SPACE //3 6 square feet x$96/sq.foot= / o l 6,56 x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE c} © ® () square feet x$64/sq. foot= 6 y B® 0 x.0031= � ` �• Y� plus from below(if applicable) GARAGES(attached&detached) / 3 �/74 square feet x$32/sq.ft.= 1 3 © ®4?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 Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) ` Permit Fee [n `• projcost Ito CMR Apperdrs 'table JS.Zlb(coutluued) Procriptive Packages for t7ne and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Atra'(%) U.value' R-value' R-value' R-values Wall Perimeter Equipment Efficiency' Package R-value° R-valuor 5701 to 6500 Heating Degree Days' Q. 12% 0.40 38 13 19 . 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 1 6 . A 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 " 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 . 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z I s% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ✓i Tie Vt1 l f �'Y� • 2. SQUARE FOOTAGE E OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(93 DIVIDED BY#2): f 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: q-forms-f980303a ' `ppIKETp The Town of Barnstable nP p„ BARNSTABLE. Department of Health Safety and Environmental Services 7 .1ASS. 0 pTfO mm Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: �tu ,�'iI� Map/Parcel:.f �/a/� Project Address: ��� �/ �^� C,AA-rl-� Builder: The following items were noted on reviewing: 1/ Ad/11`l ) 0 M 0/4T/DNS °�g" B�L.d ty �r�2r�f�!y,�i�IGG u t�e/NG- �TG, �i r�rs f: ),,4A9 /ill v. 6 < l-04 V d Af00'i', 5� 'Oq a d9» 9 577-i/LG UXl�lzyc- JL 13 6i- kl 'av�D�T/0��! ��Y1�s pzi2 C017 �£: /tJ/eNrsL�[7 y� �DD �i71/�/�FGJYiYli1� CXfNSIO /�GL�2 /�/Lo�M� f�rl��r�s �z 3� ho ON 4f " S/'1-A5y CuteB c-7-wra-ly- 6� ,46Ge AXJ i P✓/'71W&e,-- /l >i�lws t)N 064 4,41-1,I es Ya T Al J C�iG!.�rG �► o FX C!_6�COD ' ,;Z X( f ��"w- Alm, d2 ®L c7 PG 47..,'- /o 977ic Der RAly LC�1N0©�, Sc��ry,�v1 iz51'�•ss�N� ` Reviewed by: Date q:buildin g:forms:review f OFFICE U-SE-QNLY PROPERTY ADDRESS: ALCULATION FOR PERMIT COST TYPE OF ROOM ETC NO ADDITION X F = �� ALTERATIONS ,;Ia X a6 BATH BED ROOM 3 R----- Z` CERTIFICATE OF OCCUPANCY S ;2- COMPUTER ROOM DECK OPEN DECK WITH ROOF - - DEMO ITION DEN up 1 X 4 ° DINING ROOM 9 = FAMILY ROOM = 166 z' FIREPLACE 3 FOUNDATION ONLY GARAGE NO. OF BAYS A j gig GREAT ROOM ,o 3 ' KITCHEN I LAUNDRY ROOM LAUNDRY ROOM LIVING ROOM MUD ROOM. OFFICE PORCH CLOSED #ale- 9-5164 M.- : �-75, is 6 ;-- PORCH OPEN x - 3 Q� REROOFING SHED STORAGE AREA SUN ROOM HEATED SUN ROOM UNHEATED SWIMMING POOL ABOVE GROUN D SWIMMING POOL ING WINDOW REPLACEMENT The Commonwealth of Massachusetts — � Department of Industrial Accidents - Office ofloye$ffffz moo$ _ t 600 Washington Street Boston,Mass. 02111 Workers' Com ��tion Insurance AM name $f �A r location. /!6� ci �J+� / L�1� hone# 91 am a homeowner performing all work myself. ❑ I am a sole netor and have no one worlds in ca achy I am an em 1 er rovidin workers' compensation for my employees working on this job.::::: : ::Y xom an >nam . i...........??? Ef... ` 'i'' < iEss' fib'iiSiyiii? 'iii?ii%i?fi>ifisii:iiiiii?'ii::ii?isi'Eii?E�%'E>i>;iii��?'ii:i?ii:i:':2`:{?:'?c`;?:::>'' }`` itdre "oTi"' .cv risuran ❑ I am a sole proprietor, geaeral contractor or homeowner ' cle one)and have hired the contractors listed below who have e follX. XXX owin workers' co ensation polices: ................ ::::::::::n:::n:::.:•::.::•.:..:.�:.:.::::::::::::::::.v::::n::::v..:::::::::::•.:...v:...::...:.�::n::::::::::•::.�:::::::.v::::::::::......................... .........................................v:�:•:•:j;:y?'4?'r::4: +•v:N'ri:::nv::•ie:• ::::.w:::::::::.v:.;:Li'4:?v{{??^:{?4:?L:•YY:9iY:h:{{{?:s:ij:{t'ri:+iissisi :: :Yt::�rii::vi:' .v::iir.vr:inviir..•••••••...••.. •...xw:. ��•��•ii:�:•:;:;'Ci{;J:}�:<h:;::tti2�ii:iv:;:�Y:i$i::i:�1::•:�J{:y,Lj2iY:•:�:is y>'({:}%^•,:y}.v .:{{v::{1:?:�$'r�j$$}i{iiiij?'ri:vi•i:;'F:{iiii:;{:i'Y�'i'v•w• .. .........v...;.}v:.YX:•Y:{v:•YYYi:?::::ny?.v.?:::nv.:::: ............................::::.�.?•::::::::.�::.�.�:.•:::::.�::?•?::•:}>:•>:ao:4<:•Y:{•:>:i::{?{{•i:.i?:•:•Y:{{•ii:{•???:i•?:•::•i:•?:{•:•iii:::ii::ai':it:�i:•?::t•rr:�ti•ii:•?::::._.:::.:r. .: ...........................::::.::.:......................:....... one.#yyam�,,,, - �vY.:.?:.•:ai':;:^ ::::;:?.+�::::.:::::::::::.»:•:::•{<�{•>:�::{:::::::.?;:.;:.>'r{{•:{r�::{?::::�::�i:C:j�?:�ii:::is�:{{:�i:J::i?i:•iYY:�>::�??:{•?:•i:•::�:::•:{•:�Y:{.>:•:•:{{•:?::•::::.v.ii:.ii?:•:9>:•...........::::.v:::.: ..............................::•:.�:::::.�:.:�::{{•:::•>::•::�?r:::.?Y:•Y:.Y?:.>:+•::•?Y:•r::.Y:�:?:::�YY?:�:�?:•Y::::•Yr;?;::`:Y:�Y:{•:�YY:?{•Y;;•Y:•Y?:;oYY?:;;•:{•:'::. ... .•.K:"'. 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Ce'C4<?yid?>:F;; ^<.:�:`;�; >:�;a#yf::;:;:;<::^{>:>::<::;<::::::»:<;::::;;::�::::::>;<;r;:<;-::::>:::::;:;;:>:;:s:>��? >:;<:�,<'::�::<£•<::::> {l tr�ran ....... ..... ti> > "sa Y nun :,.. :adtltessr :{:>:; .?;'::..... ...:..:.::.. ............ ::•::.::.:.;:•::;:{.:;..;:;:•::.;.:•::::.::•:??::?•:;<>;:::<.:;?:>.::•»»:;::.?::.;::::.»:: :?:?>:>»<:;<>Y:;>:::::•.:::..:.::::.:;>•:.::.;::::;.::::.::{.:..:•:...:". one:# t>ltw•. :%:<�:�:•iii:L'?isi..:v>:^i:?.t'ist :i:::i:;:;'i?�{j::;:}}i}::;:}?`?:L?:;:;:i�i:+•j:.';•'.,:'?�ii$'?6i...�.:i::$:i:;i$f?:.+`::; .?��]1:�:`;s?�:���.{`:??isr':?;i:;:::?f:•:;Y:;. t.��j.:.:,:::...�:�:>^.'�.;ti;':i�'�:..�:::x:::?T:r:..., Faibn'e to secure coverage as required under Section 25A of MGL 152 earn lead to the imposition of criminal penaltles of a Saes. to derstamd1,5N.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a 8er fi 5100.00 a day against me: I understaad that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct S' ture Date -- - Print name 6 ti 9 Phone official use only do not write in this area to be completed by city or town official city or town: perndt/license# ]OD tment d ❑checkif immediate response is required fficementcntact person: phone#; Umwd 9/95 FJA) r 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 employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 r please fill in the workers co ensation affidavit completely,by checking the box that applies to your situation and comp supplying company names, address and phone numbers along with a certificate of.fimn n_ce as all affidavits maybe ' submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and x is ' k date the affidavit. The affidavit should be returned to the city or town that the application for the peraut or license being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a 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. The affidavits may be retachR 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of InvesugauOns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 p�rripttrs PseksV, is r aaa anrd Fnsrs MAXIMUM 4Ya11 Flak Ss a Qls�ng . GLuani Azar('h) Ci-value R- iue� R•v+'s �ynFnel p�euza S7flI to 6500 He:d�ptSri*�'� 6 Ns� r—q 1Z.4 0.4a 33 19• 19 � ' 10 � irJ�E 75' �— Nocsrssl 13 6 0.3b . 31 19. 19 10 t1AFtlE U .15Y. 0.46 11 ?i!� !vA !S AFVE 31 13 y 1 S'/. 0.44 30 19 I9 14 N!�' 7S NrA NIA Neal X Is,/ 19. 03Z. 3= 13 21 TVA ?vA 9'0 AFt7E 3E 6:. Y 1Eel; ' 0.4Z 13 14 10 90 AFLM x 1 E'/. 3E 19 10 6 O.SO 30 19 1'. ADDRES5 OF PROPERTY: 2, SQUARE FOOTAGE OF ALL oR WALLS: 0 O tX 00 SQ VARE FOOTAGE OF ALL GLA�NG: 3. 4, % GLAZING AREA.(#3 DNIDED BY#Z): CT PACKAGE(Q—AA-see chart above): SELE D METHODS OF Dili G ENERGY'REQUEMENrS NOTE: OTHER MORE INVOLVE ARE AVAILABLE.•ASK FOR THIS MORMp,'r10I1. ntnLDING INSPECTOR APPROVAL: NO: YES: q�fo rms•{�803 03 a • Footnoie's to Table-15.Z.1b: Glazing area is the ratio of the area of the .glazing assemblies (including sliding-glass the lig-r�oss�waI bascn cnt windows if located In walls that enclose conditioned space, but excluding opaque dears) area, expressed as a percentage, Up•to 1% of the total glazing art:a may be excluded•from the U-value requirement. For example;3 fct of decorative glass may be excluded from a building design with.30Q ft of glazing cord = After January 1, 1999, glazing U-values'muss be tested and dure, or eayfi�vm Tablealcl 5 3a. LTcvalu as cam for the National' Fenestration Rasing CuunciI (NFRC) test pro whole units:'center-of-glass U-vaIues cannot be used. a The ceiling R-values do riot ass .11 ume a raised or oversized tT[TGS R 3Q u an may be 5ubstitused fair R-3S i thickness over the exterior walls without compress n, a sum o f cavity ' insulation • II- Ceil.in R-va.Iurs repi•cseas th 49lnsulatio S • insulation and R-�S insulation may be substitutrd•for R must be laced between ups sheathin P ilia .iasula�g g insulation plus insulating sheathing (if•used). Far.vcntilated CCi ga, , the conditioned space aadliie ventilated portion of the.rocf. sheathing (if used), Do net include Wall R-yalues represent the sum pf the wall eavity.iasulati° �1 9 requirement could be met EITHER exterior siding, structural Sheathing, and interior'drywall. uutmenis 'apply to by R_15 cavity insulation'OR nas '�yie wall.constructs ty insulation plus na l��m Wall construction. wood-fr#c or mass (concrete,masonry, g� S.The floor•'requirements apply to floors•over uneonditlaxied spaces (St ch as uncanditlened erawlspaces,basements, or garages).Floors over outside air must meet the ceiling scquire'a=M- depth Less than 50°/a below grade must 'Tl-e entire opaque portion of any individual basement wall with as average mc_t the same R-value tcquirement•. above-grade walls. Wlmdows and sliding glass •doors of conditioned ba.,emenu must be included with the other glazing. Hasemcut doors must meet the door U-value requirement d-scribed in Note b. The R-value requirements are for unheated slabs,Add an additional R for heated slabs. If the building utilizrs elet:tric resistaacc heating use compliance approach 3;4, or 5. If you plan to install more than one piece•of hearing equipment or.more'•than one Pic= of cooling equipment, the equipment with the lowest' efficiency must meet or exceed the efficiency required seIe:ctcdV kzgc•required trY ' .la 'Fcr'Heating•De}•ee Day requircmdrits of the closest city or town see Table 35.7 >+tOTES: alucs are minimum acceptable levels. um acce table•levcls.Insulation R-v . a) Glazing areas and U-values are maxim p cam ���• • R-value requirements are for insulation only and do not include structuralP han 035. Door U-vaIues must be tested b) Opaque doors in the building envelope must have a U-value no w cadure cr taken f vm the door U-value and documented'by the manuctu farer in.acectdance with the NFRC test Ff°r door is not available, include the in Table 11.5.3b. If a door contains glass and an aggregate U-value rating glass area of the door with your windows and use the opaquehave a U-valueucgrcat�r than p compliance of the door.' One door may be excluded from this requirement(�. , y c) if a ceiling,wall, floor,basement wall,slab-edge,or ciawi sew c�' component R�aluedis greater than or equal to different insulation levels, the,component complies ifthe area gh titdthe-R-value requirement for that component. Glazing or door uemp°�m nt(6.35 for oorsts.comply if the ).weighted average U- yalue of all windows or doors is less than or equal to the U-value rrtq _ 43 IME�° Town of Barnstable Regulatory Services BARKSTAUX, ` Thomas F.Geiler,Director 1639. `0� Buildin g Division TfD Ma's� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost L�� i o� � I/�� �/ �y1 Address of Work: � i A V� T Owner's Name: )q i(g i + N Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑�B, ding not owner-occupied Iowner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav r y �] The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 )ffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: $� �/ JOB LOCATION: A , number street ' / r village "HOMEOWNER": I A A)I e-1 V(_(a�P(1 4 � 7 — J /0 0G S Q VYl'Qi name home phone# work phone# CURRENT MAILING ADDRESS: 6,4 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more.than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of B arnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. planca�e -30 ' l-6-8.*. N.... AGC Cape Oak .60 ar ute fl �,' Cowrie y o• f 1. . r 90wsdatu�rt 10560 NotNO.-& o j .caul in Ce►zte'w.i,l,Lp., Ma . r $ 9o,t Xcuen 9eucert r geinre a Co t o land as ►own on a p.twt teco4zW .irr Gk. 330 p�. 98.. . Aua 44j400IS:.9. lay GUh ane y gaa.a.e t t Cry 2-26-79. u� ,4 k located o►2 th.e V wund as jJww►t VwAeotz, and *"-td. the, 48 tback &Z yogi eine� of the 9own o f aaAn4 tabt e, 3aie I-6-86 , j lv b t , ,r 1, t t i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M6P_ Parcel Permit# Health Division Gl .-�iS as-bc.�" �� I i� �� Date Issued � ' d Conservation Division S• '� �w ?: ( Application Fee Tax.Collector t Permit Fee P Treasurer 7 `� Sf Did �QpT1C gySTFtJ MUST IN ll ...Planning Dept. ? ` ST USP IN Cal PLtA� �- Vag TITS Date Definitive Plan Approved by Planning Board .. Historic-OKH Preservation/Hyannis Z-A Project treet Address Vill Owner / ��i Address s Telephone ® � Permit Request d Ro m el"i AJ 4AIRT 7/,?Z6,0) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _Construction Type Lot Size gq►_WO F7- 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 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 ko If yes, site plan review# Current Use _ - -= _� --Proposed Use;- -- a -- LD R INFORMATION / NamePC//-A- Telephone Number,/ �50? ZM aq E g Y Address d License# r _ 67 Home Improvement Contractor# Q OA Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE WO DATE �'/O' ►" FOR OFFICIAL USE ONLY PERMIT NO. .— , DATE'ISSUED MAP/PARCEL NO. ADDRESS r VILLAGE ' ' OWNER DATE OF INSPECTION: FOUNDATION' FRAME!— INSULATION. s FIREPLACE ! ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH _4 FINAL ' GAS: ROUGH " FINAL77— , r FINALBUILDING t+s -anae { R ; : a = , DATE CLOSED OUT ' ASSOCIATION PLAN NO. - l' i The Commonwealth of Massachusetts Department of Industrial Accidents office 0111085f a f0/!s _ 600 Washington Street r Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i city � h yhone# Co ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one w"kin m* ca icity p.7 / %% %x 0n:// I am an em 1 r workers' compensation ... ..... .::. :::::::..;:.:.:.. .................... ..........:.. .:::........ .................................... :�{i:is i.;:::'::•}i}: ::i}}i:i•i::'•:ii:v^?':'?:j:::iii:;}::}}}::i:•}}}::•::::.;.; ............ .... :::::.:..:..... ......:v:.�:::::•:: :•v::::: .............. ::•:. <•::: ::::.�::::.�.:::.}:.}:i!:.:::•:�:}:}i:•i'"ii.}':.i''::Jii' ;>} .:i-i'it.�'' ... :::. :.::::::::•:x}}}}}};!i•i}::.�::•:::{.; :;:?;::.:::•.v:::::. •.:' ::v:.::.�::. .:: - ..`:': 'ii•:..::. .vr:54:i•:;[•:<::•::.�:::.�::::.}. ... ::•.- w: ::.::• :.v:....,..:..•. .;.�.}i}}'::•::...:•:: ..i: ::::. ::::. ❑ I am a sole proprietor,general contractor,or hour er(circle one) and have hired the contractors listed below who have ere com pensation ation po lices:'n work the following . ...mP.......................................... ....................... j•:\:ii`v:i}:}:i`vii:i:: .}:•?::ii:+.iY.isv:i}ii:i:'GiSi:{'iiii:i:iii::i.'!+":ii}ii::?:4:: :ii:}::::'�'riii'r:;i sure. .. ::•: ................ ................ ................ :tour an n .:.... ....:.:.:,.:....:.:.... ........... <:»> �.......:.;s F ... .................... ................................................: ................................................ One.# ..::...::.:::.:;::::::::;•}•.�::..::•::.�:x•.:,.;...:...,.x•. ......................................................... {i:::'ti:..^iiiiY.{...4:}i?i::ii:L:!ji:;i:iii:•:�ii:`v'�'L}}:•:{{i:«:C:v::i4}:•i:}:i•:v}:L};n;ii}}:•}::;:;:isi}:;�:ii:............................' ......-......:...v,.......,.....-........... ::.::::•.:•. COX .......................::.�::4:::::::vn�:::::{•}:v:}}i:i::•i}}}}}:•i}i:i:•`:::::i::ir::.:�`v'::nin:v n�::i:::.:v}};::•:Oi.{{::i:r}:}:v}:;'r,:;::}:;}i}{}:?i:i:::. ....................:.............. :•W\:}:�:•}}:. ..{A••: :L::•:::?:v:::;:.�i!:}::•}}:{:}ii�i:::iii::i:::;},i.}}:«}}}}}}}:::}:�i::i:::;::4� iiii::}:::i:iiii:ryii:i:i4ii;:}ji:i{i':{:r::::i........u..:::::: :•::•:v.�...;. Q ,.. ? i;:jt;:}::i; :i'::i{:;:ti:::;isi>; :;is :,:!i:: :;i:,}.?:?!.:{:j:iii>:':::ivii:i�>:i:::::i:;ii'i:::;..:::•::•::::v:::::,:.-.Y : e�:? i;':;:L;:;i:}>.;i'vi:.'rT::::: :• anv na�u ..... ...... ' vi:{iw:j }:^}}:•:}}ii}ii'isiii:J:}:•::i:}ii: : :L}}}i}:�}:S:•}:'}:Y'vii }: ':•:::.::}::• :•}:jv':'}.:'•:'.:: •}:;::::::�::::........... vF:::::.:!:i::::: }?}:•}:•}ism:i•i}}?':.:::'iiti4:2:ii:iv;::.}}}}"•:i•:.::•}}:•::{•: '....:}i:�:v;:;:i;iil!ii}i:i:� ::i�':i::y:i:.i:::... .. ne''�f ' :�:�` :v ...................... M► «a ;;<- ua�ce �. gaibzre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of crbainal penalties of a fine up to S1,500.00 and/ one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pen 'es of perjury that the information provided above is tru}and correct Signature Date Print name Phone# —4) � • oigdal use only do not write in this area to be completed by city or town offldal city or town: permittlicens:e ::D artment ard ❑checkif immediate response is required fficetmentcontact person: phone#; (revised 05 PIA) 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 employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 inmw ce requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be retnmed 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. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 IME Tpy� Town of Barnstable Regulatory Services 9snas .e,STABrg` Thomas F.Geiler,Director `bArEs6.39. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: d� C/ Estimated Cost A. 60 �9Address of Work: Owner's Name: Date of Application: A 22, 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: � �C2 . Contr t r Name Registration No. OR Date Owner's Name s Q:forms:homeaffidav oFt r Town of Barnstable P Regulatory Services * '^ ASS.Mnss. Thomas F.Geiler,Director .� � �prFD 39. p10 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 F I v , as Owner of the subject property hereby authoriz c to act on my behalf, in all matters relative tow k authorized by this building permit application for: (Address of Job) -6 Signature of Owner ate O FR)PA W VM Print Name Q:FORM&OWNERPERMISS ION CI02 :3113/89 M7Wwcljms M MA163 IDI 1-1-,D w MILIAC , 114u11G(d 1.1• "1.R"—.M(b -IIOIIEt •j AT TJC 1A AI.10 IW Yl E ,ME. J %ot,3 p E 1 Gn1Y 5 --- LANS FOR 2 a OTHER ITEIAS IN BRACE) I I 11 tr P PANEL PRE-RIBRIUTED STAR MY - dAGONAL BRAQ S-3/B•�Y.BOlTS —ii S TTFAND 2 D 20 idTH100FSS` L 1 R&12 ALY.�. / T`T ( L YDlTL LNCR �,p SECT.OS/2 AND FABRICATE •) NS FOR LOCATIONS STAIR LEE STAR ASSEE1Bf.]' 5-3tes M.BO175 THER ITEMS 14 BRAG- N1TT5 AND IIIIL4ESi3 1 ' • TTP. 1 ` — A 20 MIL FiE-FABRICATED m ML7IACIOIESS _ VINYL L START ASSEYBLr v/In CA.GALW STEEL STAIR LINE , COlo"RIM STAIR LIE //�� S-S/BtihL9MJ5 MILS a1O2 ,s 3N' AVIAELEND - T In SERIES 550 6 650 STAIR CORNER 1 SERIES 750 STAIR CORNER 11 SERIES 850 950 EA 1050 STAIR CORNERNIAPAFOOTOR UCT%M _ . ON�L/ FRAME ASSEi6LT z T/, ( LTrP10al M1ERE SNOMI _ RE-TURN s =• FLYER _ FiTER I `�-{Vy}-f- 2 — --_, _ = - 1 • .Sj PETLY TFAC D" E„AtEI 2 -1 •LINE I z •A�FR-AAE I � a- � 1 ,;,E7� PErs..FExrLT - --. -'�"• T TTPKJiL .-i«3': r 1 g><TS :. SHADED AT AREAS nR1P AND 1 J ga�i n 2 PORnoms .L c p 1 r MOTOR i A+ A/EA PREST Mrs r m _ 1- I .G,^_' - r AREAS ton p 7 T •• STAM ARE OR ID G �---►———� MAY BE .1 .'It' 510iOP7N I7 0 Irx 2<>�eB�. SF SERFAR. T?D0 Al..C►P� m CATED AT 1 I n SECTION T o m � SUE SiR)Mi�Isoo- "' SF S"AREA6�GAL- 'I X YDR•Z• - TIRDI ` O1 m zb.O.395.SF SLM AREA 6 29900 GAL.CAP L-—— .————� z . m 3 SERIES 2000 8 2050 INGROUND TTP,c"i°aL WHERE LHOMN A i SSIZE SHOWN.1044 TBI SF.5Ei1F AFEAE=4a00 GAL.CJIP O .:,.c 1 •. p LTER nAO A� PERMa7E� IM ATTOO YOTOii SAIR.S ARE OPT1D SAFETY LIIE --_ i T E SERIES 2100 8 2150 W GROUND &2 WO" .CA.se ►o-EL a=x sF SIRE•REA TL.1 z j _. smRs ARE 1 SERIES 2000 8 2050 INGROUND _TXXIAL PERMAFF7IRr '-:. 1 Y ATTaC1 LsAFEr LIE .a 11NMOED RVITIOHS �• 'S=I_ _ -.-FRAME AssEAlev o r A L--►_---► 1 2 rTP1cA RHERE sloMnl >ul.� ` • _ saE S—N:16.3Y 567 SF sRIF AREA-L ZOrZO CA-CAP - V.T:: 'SO A•U"AIILE 0*�1'T13 SFSMEAREAL24933 GAL.CAP 20•�3'ass SF SERF REAL z=z3 611E GP SERIES 2100 8 2150 INGROUND . ., • _ • .. n t-` � y ,5 q'. .. �12P VQ4Yfq➢2O/2U/PQLCIG O� �C�fL�dC�. '.s1 (]�9� Board of Building Regulations and Standards' I p- ' HOME IMPROVEMENT CONTRACTOR Registration 128202 Expiration 3/10/2005 rt .. + Type Private Corporation HOLIDAY POOLS WALTER ZUROSKY ' j 53 CAYUGA AVE MASH PEE MA02649 Administrator •" J h• t S�{ .t,. C C s \ 7 M i,I o° a �a � d ;iersProi ertyCasualtyAJ wx�enor7}avelerrcroup WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6KUB-627X481 -A-03) RENEWAL OF (6KUB-627X481 -A-02) INSURER: THE TRAVELERS INDEMNITY COMPANY NCCI CO CODE: 11347 INSURED: PRODUCER: HOLIDAY POOLS INC MYCOCK INS AGCY PO BOX 61 20 SCHOOL ST MASHPEE MA 02649 PO BOX 437 COTUIT MA 02635 Insured is A CORPORATION Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 04-22-03 to 04-22-04 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here- MA 0 B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in Rem 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit o_ Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: SEE ENDORSEMENT WC 20 03 06 D. This policy includes these endorsements and schedules: o SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. f DATE OF ISSUE: 05-01 -03 WC ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: MYCOCK INS AGCY 297SB 011280 JUL-28-2003 01:43 FROM: TO:5087901897 P.1 J UL-GC-GClU'J 14•YJJ JUU 1 ncriJ I CRIY .JURU J td'ILL• ✓GIV 1 JV 1 V J 1 1 V+•V+ of.�s�s�.l�rd - .. . . •� . . : O , ; '.� "ems.. •4,. ', .60 'I r r'• .� j'/ I i i ).t Plan o f .Chad -in C&SUWi.LLe, 9**•Kasten 9d sen a tot of ta.sd c o a. 4d Orz in "w4Ad in / a r, U EKp&Sid d. a:ab-7Q. o , s., f ouadat44 a4wwn pas th i& ptmt •i . :acted o.t:Vie• jtomd ad ehowrc theowm d m wt4 zh+ 'il4cck 14z :e 1-6-86 '• � j :e•���K• •3�c'- 1 . T[ITPI P.01 I errnit: -� r Town of Barnstable �OptME rOwti Regulatory Services ate:. Thomas F.Geiler,Director snxtvsrnaz e. ee: Building Division s 9 MASS. g 1639. Peter F.DiMatteo Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT, Owner: i'j4 Dwv 2 Phone: g �J D.�' 517a- Install at: - Y' S Village: iyt.fie rUI'� Wi 6a-vgsfialle-, 44K oaf 6 Map/Parcel: / 23(0 /1 Date: A/i Stove A. ew/Used . B. Type: Radiant/Circulating C. Manufacturer: Lab. No. D. Model No.: Chimney A. New/ xlstin (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? N6 D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth /1 A. Materials: �6�CiC G B. Sub Floor Construction: Installer Name: Address: Phone: Location of Installation: APPROVED BY: �; S �� S Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 '1 ate►► . ��- S� 4v Town of Barnstable Permit: oFtHe r Regulatory Services Date: - „����, Thomas F.Geiler,Director 2-1 Fee: BAPNSrABLE, * Building,Division 9 MASS. 1639• Elbert C Ulshoeffer,Jr. Building Commissioner AIEp �A 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT 0 &0:5 —I-,I-I — W I Owner: 2 Phone: Address: Cp Village: C-e ►✓1+e rj 1 l l e Map/Parcel: v l Date: Stove A. New oUse B. Type: adiant Circulating C. Manufacturer: a p«Yl ',So YI) Lab. No. D. Model No.: /N -3 i i Chimney ' A. New/Existing (If existing,please note date of last cleaning) B. Flue Size C. Are other appliances attached to Flue? tJ O D. Pre-fab Type and Manufacturer E. Masonry: X Lin Unlined Hearth A. Materials: �p L B. Sub Floor Construction: Cf M t9 Installer '` Name: 40 yv o- p vy VN e- Address: DGt k S� Phone: Location of Installation: a yyl{� 4 APPROVED BY: Please make checks payable to the Town of Barnstable *This constitutes an official.stove permit after inspection,photographed, and approved by the Building Inspector Stove.doc r' AsMssor's map and lot number .../. ......... . :. r' HE I I �} 6C-. : SEPTIC Sy STE�fI I�IUSY ®NIPLI Sewage Permit number .............�5 5................. INSTALLED IN C o� TITLE 5 WITH ADLE, i House number ........................�/�� .......... CO ...................... ` ; ENVIRONMENTAL LA.f1O11639.am� 6 ' TOWN REGU �0 . , c yar a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... .......�.n4°.. �,.1.. ,....ri�4.411!n;cp..........................:........... TYPE OF CONSTRUCTION 11J®d prk.... ...............I q..I►T TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ............LDf...//............ u. ..s....'........4.!'°� Fvi.� J. ............................................ . .. ............................. ProposedUse ........ ........................................................................... . ... ....................... ........................ ZoningDistrict ........ ..�...................................................Fire District ............ ................... ................................ Name of Owner .....V./.ltis..,t...kaY.�! ... Pn..........................t Address ..........�e.Plm...�f. .�.......................................... Name of Builder .......?l.C.r!!:r.:4... .. .... .......................Address .......... ....:,:.1 a r,-n:.��t.:......... ��5 "- Nameof Architect ...............Sq.". r.........................................Address .................................................................................... Number of Rooms 3 L ..w .............Foundation ......�4Lk't. .dh � ... . ...................... .... Exierior .....G.Ia�?doarG�..l...5�. j°�, ...........................Roofing ......q-51.41--F............................................... Floors .Interior ....`'`! ' Heating �� _ r�o� .b Y?:Mq(..Plumbin '� � Fireplace ..........W Ao.4l.. ?.1! .. C !`r.(!!.....................Approximate Cost ........./. 3 O D J. ............ 6 X 3 Z Definitive Plan Approved by Planning Board _________________________------1 9--------. Area •.....,.. Diagram of Lot and Building with Dimensions Fee s�ppyy O� ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH v1 U �! ��j �^ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ ..-W— ................................ .......................... Construction Supervisor's License .... D..�f8.7..�.......... FENNER, JIM & KAREN o 288 9....... ....... Permit for .... ...Stor .............. .......Single..Family,..Dwelling ....... ........................... ....................... Location ...Lq ........8.6...0a.k...S t r.e.e.t............ Centerville ............................................................................... Owner ......Jim & KarenFenner At, Type of Construction ................ Frame........................................................................................................... Plot ............................ Lot ................................ 86 Permit-'Granted January.................January 15,.........19 Y Kate of Inspection ... ... 9 .. .... Date-Com I d ... . *­ ...........19 0 1% / A-3 J. Ptapt 5c�az 1"-30 1�aZea 1-6-86 AN 0 s A.GC Cape tir�zr.e� Jd�griia 'Mee. 02601 ati� _ F C C'G (3ak ,tot: �9 60 ca Q� CO .,� IV- .. -. V 9owsdgfiioa 105 0 pto-t fMart 0 .taid in Ce zte�ui,LLe, Ma. �cs 9o,t Ka4,w 9ennea >'3 Axe a tot o f hand ad, aJwwn on a /�,� �1�t,�100=�'.�. plan �teco4ded inble. 330 p�. 98. 19q Whit," r, gas.a e t t 2-26-79. i u f the foundation shown on this plan iA toeated on' the qound ad. 4wwn dw-, wn, and mee t d. the 4-e. aek &zgwr i enwn&'o the gown of 6a&nAtabte i Date 1-6-86 i ~/ r . fi _ .cRr 3� f .x.d't "�" ..4 .. .. G - - ;. .p,,.. iti ,-'w%''a• •. .. -. .. •. , .. o.,>i.r+�..�,�._ :•�,,-,.+1•„y„ � •- r o�txero• TOWN OF BARNSTABLE Permlt No. .§A4�....... BUILDING DEPARTMENT { B"g; TOWN OFFICE BUILDING Cash • ............. .. v HYANNIS,MASS.02601 Bond �. ...x..j � CERTIFICATE OF USE AND OCCUPANCY Issued to Jim & Karen Fenner Address Lot #11, 86 Oak Street C:'�ni•�rvillQ_ Mza�Gz�rhxaeat'1'cz USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN , REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Octobar 234, , 19 86 �r �(Gt�i C''�,l.w ................. .... .. .. / . Building Inspector f / ` TOWN OF BARNSTABLE BUILDING DEPARTMENT i �A877T = TOWN OFFICE BUILDING 7 MYl HYANNIS, MASS. 02601 �o rn�c►. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy (Permit has been issued for the building authorized by BuildingPermit #) ...» ... ...._ ..::--. ..................».............................»................»»»»........»... issuedto ............. _»...».. ..................1.................».............. ...............� »...»» .....»».»......»..»»..»»»..» Please release the performance bond. r , y , ee - f { . < , , P , _ < : 4F u d , T o a-ell t R f -C.. Es ro i - < 4 i a t C v a YR �i , . a r D s R :r r , , E , w, z l , SS o ,1 ,y F a : < .._.... � -,..bww.vw.,+w..�-..+ram—..�........+—..,.�.., —.......�..�.r.�.....:...r.—.,��- — .e...... '�----..-..�.. `�.'r^"""` y r, 1 A r (n rr a Y s r i 'l q5 . e . c 's "b r� s . : t� t Duvq V ( ,riyk 6 04 r : u u , s Ce 6Q?7°F/ , } z3ed. 4 3 .44 fo 41 i C.✓' p � M x L � 6 c . . , •w 7F i E F . f � f r . 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