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',:a.; '`, J .Pn .11 r '"I- f .,; -,.4t,fr v `..Y.., f p.,s _ t w , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# (�� �5 Health Division Date Issued Conservation Division < ��• 0� Application fee t522 -• o Tax Collector Permit Fee 32 Treasurer SEPTIC SYSTEM MUST BE . Planning Dept. t INSTALUD IN COMPUANCE Date Definitive Plan Approved by Planning Board VVIT 'TITE S ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGlD4.TIONS Project Street Address S Cl C& Village c"m—&nA , Owner m 1 Address 40AITg, Telephone Permit Request __G "It ly, " 15- 00 FY11 1 UI rx"n —no .4>w mole Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation (7o,000 Construction Type dkTA, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Cl Multi-Family(#units) Age of Existing Structure Bf y Historic House: ❑Yes Cl No On Old King's Highway: ❑Yes ❑No Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _N O N G Basement Unfinished Area(sq.ft) Number of Baths: off, Full: existing new `�� Half:existing WON, 6 ,new Number of Bedrooms: --existing new Total Room Count(not including baths): existing new First Floor Rou-6Count ,•t ' Heat Type andFuel: ❑Gas Oil ❑Electric ❑Other ' = Central Air: ❑Yes 4No Fireplaces: Existing New Existing wood/coal stove: ❑'Yes ❑No ry r-- Detached garage:4existing ❑new size Pool: ❑existing ❑new size Barn: ❑exi ting ❑T-ew size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ®Yes ❑No If yes,site plan review# Current Use__ Proposed_Use - BUILDER INFORMATION Name Q.( r Telephone Number Address II License# nyo Home Improvement Contractor# Worker's Compensation# b 6 t a00 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOIYI D 4 _ SURE IGNAT fr- ATE EQ-3 FOR OFFICIAL USE ONLY � a PERMIT NO. ' DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE'- OWNER ' DATE OF INSPECTION: C, r - r (1 ' Leh O4 V�� C� �1 (3 �t�+A Y11 +�p� :1- _1 l C�Y��C.`� /�/ S�f C)lr'►1 kCe_ Q J _ZiU3� '* FOUNDATION ► FRAMES I - - 3 INSULATION f FIREPLACE ELECTRICAL: ROUGH ; 4 a FINAL PLUMBING: ROUGHpI` w. : FINAL GAS: ROUGH,) FINAL FINAL BUILDING ' ` ` z a' DATE CLOSED OUT � ASSOCIATION PLAN NO. f ^; r . PROJECT NAME �-1C-clk r mac_�. 'n -t- ADDRESS: S � Ql4- CZ, PERMIT# 054 PERMIT DATE: 1 1 3 M I R o LARGE ROLLED PLANS ARE IN : . . BOX 2 SLOT Data entered in MAPS program on: : ,. Z 1 BY: q/wpfiles/forms/archive The Commonwealth of Massachusetts - -- - Department of Industrial Accidents �+ = Office OffOYBsuffa ferns _ t 600 Washington Street --= Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: nn ' location. i 'qU UUU lC� ' I am a homeowner performing all work myself. 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I understand that a one years'imprisonment as well as ctvn penalties in the form of a STOP copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby c fy under the p ' and penalties of perjury that the information provided above is t and owed Date Signature Phone# Print name official use only do not write in this area to be completed by city or town official perndt/license# (]Building Department city or town: ❑Licensing Board required ❑9elechnen'a Office ❑check if immediate response 4 ❑Health Department contact person: phone#; _ ❑Other __ omsed 9/95 PJA) i Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide orkers' compensation for their employees. As quotelfrom the "law", an employee is defined as every person in the ervice of another under any contract of hire, express or implie�d;,eoral or written. An employer is defined as an dividual, partnership, association, corporation or ther legal entity, or any two or more of the foregoing engaged'in a joint rprise, and including the legal representat. s of a deceased employer, or the receiver or trustee of an individual,partners ' , association or other legal entity, emplo ' employees. However the owner of a dwelling house having not more three apartments and who resides there' or the occupant of the dwelling house of another who employs persons to do enaace, construction or repair wo on such dwelling'house or on the grounds or building appurtenant thereto shall not cause of such employment be ed to be an employer. MGL chapter 152 section 25 also states t every state or local licensi g agency shall withhold the issuance or renewal of a license or permit to operate a busin ss or to construct.buildings n the commonwealth for any applicant who has not produced acceptable evidence of co liance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political sub ' ions shall enter into an 'contract for the performance of public work until acceptable evidence of compliance with the ' ce requirements o this chapter have been presented to the contracting authority. Mow Applicants Please fill in the workers' compensation affidavit mpletely, b checking the box that applies-to your situation and numb rs along a certificate of insurance as all affidavits may be supplying company names, address and phone submitted to the Department of Industrial Accidents r co on of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to city or town that the application for the permit or license is being requested, not the Department of Industrial Acci Should you have any questions regarding the"law"or if you are required to obtain a wormers' compensation poh ,pl a call the Department at the number listed below. City or Towns i Please be sure that the affidavit is complete d printed legibly. Ddpoment has provided a space at the bottom of the affidavit for you to fill out in the event the ffice of Investigations contact you regarding the applicant. Please be sure to fill in the peimitllicens0 numb which will be used as a re ence number. The affidavits maybe retamed*io the Department by mail or FAX unless o er arrangements have been e. The Office of Investigations would ' to thank you in advance for you co eration and should you have any questions. please do not hesitate to give us a.c The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Once of Invest1gations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 o�tHE, , Town of Barnstable Regulatory Services . EARN a er Director � snxrii�s Thomas F.G iI , , 99, 26 9• •Q� Building Division '�TED AAAj A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax:. 508-790-6230 Office: 508462-4038 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, ction of an addition to any pre-existing owner-occupied improvement,removal,demolition,or constru 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. Estimated Cost 90�000 'Type.of Work: ��l�L� 'N � a . , Address of Work: oup.gTffi6 a Owner's Name' SEI`l Date of Application: �Z5 03 - I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Sob Under$1,000 []Building not owner-occupied KOwner pulling own permit Notice is hereby given that: •' TERED OWNERS PULLING THEIR OWN ALE HOMEOR DEALING WITIE1_IMPROVEMENT WORK DO NO HAVE - CONTRACTORS FOR AP 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 Contracto%Name RegistrationNo. OR c/ 5 1)- - ,,,+e Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 4 FEE VALUE WORKSHEET NEW LIVING SPACE 1-4-4--square feet x$96/sq.foot= d 2 4 x.0031= 5 1 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 3(0 square feet x$64/sq.foot= G 3 x.0031= 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 4� Open Porch 2 x$30.00= (number) " x$30.00 Deck = (number) Fireplace/Chimney x$25.00= G (number) x Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) 3 .� 3 Permit Fee � v - The Town of Barnstable Regulatory Services Thomas F. Geller, Director Building Division Tom Perry, Building Commissioner , r 200 Main Street,Hyannis MA 02601 'Office: 508-862-4038 Fax: 508-790-6230 i HOME OWNER LICENSE=Y1PTION ; ' Please Print `' a5103DATE' JOB LOCATION: 5,a9 OLZ SSE number street village - "Holyffiowr>ER name home phone# •work phone# _ r. . . CLMRENTMAUINGADDRESS: r)59 okz SCVVA1E t f i")N f Ef VbU.C. lu Pf 3Z city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellinjs of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is , intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a'two-year period shall not be considered ti a homeowner. Such"homeowner"'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) '. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable.codes.,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said v Signature of Homeowner c k • 1, t �+ Approval of Building Official ' r 35 000 cubic feet or larger will be requiredrto comply #£� Note: Three-family dwellings containing g with the State Building Code Section 127.0 Construction Control. " `HOMEOWNER'S EXEDOTION 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. Tn>mmp rhar rhr.hnmenwner is fully aware of his/her responsibilities,many communities require,as part of the permit x , - UNREGISTERED LAND it FILE NUMBER: 74113 DEED BOOK: 9002 PAGE:118/134 ATTORNEY: DAVID DERATANY PLAN BOOK: 497 PAGE:36 LOT(S)•2A LENDER: FIRST. EASTERN MORTGAGE CORPORATION PLAN NUMBER: OF OWNER: GREENBRIER. HOMES REGISTERED LAND APPLICANT: STEVEN R. BELANGER r REGISTRATION BOOK: PAGE: DATE: 05/10/94 SCALE: 1°=120' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY No.: 250001 ZONE: C ASSESSORS MAP PANEL: 0015C DATED: 08/19/85 MAP: BLOCK: PARCEL: MORTGAGE INSPECTION PLAN IN BARNSTABLE, MA N/F RAUSEQ N/F COLLINS N/F PADOVA - N LOT 2A N N/F DUKPUIS 0 N/F GORDON 62,540 S. F. 1.44 ACRES ) WOOD STAKE > 1/2 STORY DWELLING �D! ND. 555 N/F MORAN j16. A6;5 woo :. LOT 4 CONSERVATION LOT 3 RESTRICTION -- - N AREA EASEMENT A N/F JONES 1a5 1p0 r 107 gip' NOTE: EASEMENTS A,B & C ARE FOR ACCESS 21.71 115'p0' � EASEMENT B AND UTILITIES. 83 , C EASEMENT MORTGAGE LENDER boy USE ONLY THIS IS THE,RESULT OF TAPE MEASUREMENT, NOT THE�RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER., kDES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED 120' 0 120' 240' DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED 130 WEST STREET, WALPOLE, MA 02081 TEL :(800)287-8800 FAX.:(508)668-4512 -- ON—THIS---LOT EXCEPT. AS SHOWN.— _...�.._-..__ . . ..< THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN F A SPECIAL FLOOD HAZARD ZONE. EOWARD THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER , SONNETTE WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN y t 313M EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL �STo SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was. not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. ', 10 10 /�D V fi I HE fpyy� The Town of Barnstable Ass l.E.o Department of Health Safety and Environmental Services 'Mays' Building Division 367 Main Street,Hyannis,MA 02601 D8-862-4038 D8-790-6230 PLAN REVIEW )caner: S - Q Ma /Parcel f3 2 5� nno, p � rojectAddress: 90 1�. 9c c e (Z.4 Builder: S Q- c-kn CJ .he following items were noted on reviewing: I r fl\11 2 eviewed by i \/(-i t&c""' at_e Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 Data filename:C:\Program Files\Check\REScheck\#3725.rck TITLE:New Custom Additions CITY:Centerville(Barnstable County) STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 07/23/03 DATE OF PLANS:06/05/2003 PROJECT INFORMATION: 559 Old Stage Road Centerville;Ma. 02632 COMPANY INFORMATION: Steven Blanger 559 Old Stage Road Centerville,Ma. 02632 NOTES: MaCheck by Cape Cod Insulation INC. #3725 COMPLIANCE:Passes Maximum UA=220 Your Home UA= 177 19.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 356 30.0 0.0 12 Ceiling 2:Cathedral Ceiling(no attic) 490 30.0 . 0.0 17 Wall 1:Wood Frame, 16"o.c. 1215 19.0 0.0 62' Window 1:Wood Frame:Double Pane with Low-E 134 0.340 46 Door 1:Glass 40 0.320 13 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 833 30.0 0.0 27 - Boiler 1:Other(Except Gas-Fired Steam),82 AFUE COMPLIANCE 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 Massachusetts Energy Code requirements in REScheckVersion 3.5 Release 1 (formerly NMCchec4 and to comply with the mandatory rkuirementS listed in the REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and AA Builder/Designer Date 91 0-3 REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release 1 DATE:07/23/03 TITLE:New Custom Additions Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: { ] ( 1. Window 1: Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor:0.320 Comments: Floors: [ ] 1. Floor l:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Heating and Cooling Equipment: ( ] 1. Boiler 1:Other(Except Gas-Fired Steam),82 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. I [ ] Matiufactuirer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ) Insulation R values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and AA Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] ( All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 T or chilled fluids below 55 T must be insulated to the levels in Table 2. i 1`a�ile 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to lot Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts l"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) ' Proposal Cape Cod Insulation, Inc. 455 Yarmouth Rd. Hyannis, MA 02601 508-775-1214 Fax- 508-778-5735 DATE ESTIMATE NO. 1-800-696-6611 7/22/2003 3725 Insulation,Gutters,Suspended Ceilings SUBMITTED TO JOB LOCATION Steven Blanger 559 Old Stage Road Centerville, Ma. 02632 JOB SPECIFICATIONS PRICE Ceilings with 10", R-30 Kraft faced batts with proper vents installed at eaves. 2,590.00 Exterior walls with 6" R-19 unfaced batts with polyethelene vapor barrior. Basement Ceiling/Crawl Space with 10" R-30 Kraft faced batts with support rods. Slopes with 8", R-30 High density Kraft faced batts with proper vents. CONTRACT PRICE $2,590.00 Keith Presswood Proposal is good for 60 days unless otherwise noted. Work will be performed in a professional workmanlike manner. Jobsites are to be kept clean and free of any work hazards. Any alteration or deviation from the above specifications involving extra costs will be executed upon written or verbal orders,and will become an extra charge over and above the estimate, All agreements contingent upon strikes,accidents or delays beyond our control. Our workers are fully covered by workmen compensation insurance and we will furnish you a copy upon your request and your signing of this proposal. Owner to carry any other necessary insurances. One third of payment is due upon acceptance of this proposal with the remaining balance due upon completion. All invoices unpaid after 30 days will be subject to a 1 1/L%monthly interest charge. Thank you for the opportunity to bid on your project. Acceptance Signature It F �/V �� - ''. - - -giw .w :e, ash „. 7 i_ q® ' __ - Assefis*' Office lst floor Ma Lot � y--- Permit# ,; ,•r r 11 l I Conservation Office 4th floor ��;�----� Goc")' Date Issued Board of Health 3rd floor r ` Engineering_Dept. Ord floor) House# SEPTIC$ dP ALLE i TEE Planning Dept. (1st floor/School Admin.Bldg.): j��'� CE Definitive Plan Approved by Planning Board dU 19 A licat ns roc 8:30-9:30 a.m. & 1:00-2:00 .m. �� ®��� DE AND TOWN REGULATIoms TOWN OF BARNSTABLE Building Permit Application Pro'ect Str dress r :� oZ Village Fire District Owne rF>,n, Address' Telephone Permit Re uest: f�ch •. 7 Zoning Districty(- QQ )0 )0 Flood Plain Water Protection Lot Size-4 It's U 0 14 C(.PJL l Grandfathered Zoning Board of ApMls Authorization Recorded 1 Current Use Proposed Use Construction T Existing Information Dwelling TviDC Single Famil Two familyMulti-famil A e of structure Basement bN Historic House 1l1 Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count not includin baths) First Floor 1 Heat T nd Fuel-9:119-JrQ Ixo0AIDIV& Central Air Fire laces Gara Detached Other Detached Structures: Pool ttached Barn None Sheds Other Builder Information Name Telephone number Address — License# Home Improvement Contractor# Worker's Com usation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Pro•ect Cost Fee SIGNATURE Z DA S l BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i BPERM T FOR OFFICE USE ONLY A.DRESS VILLAGE OWNER DATE OF INSPECTION: w } FOUNDATION 4 /4 FRAME . , •, , � l�'_ € " , � � " - ' INSULATION FIREPLACE ; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH - FINAL GAS: ROUGH FINAL - FINAL BUILDING - + , o DAT E CLOSED:OU:I'_ ' ASSOCIATE PLANO£ cry �"rc •ice`,i ��• , 1 t k r - UNREGISTERED LAND FILL'NUMBER: 74113 DEED BOOK: 9002 PAGE:118/134 ATTORNEY: DAVID DERATANY PLAN BOOK: 497 PAGE:36 LOT(S)•2A LENDER: FIRST EASTERN MORTGAGE CORPORATION PLAN NUMBER: OF OWNER. GREENBRIER HOMES REGISTERED LAND APPLICANT: STEVEN R. BELANGER REGISTRATION BOOK: PAGE: DATE: 05/10/94 SCALE,: 1"=120' CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: LOT(S): FLOOD MAP COMMUNITY NO.: 250001 ZONE- C ASSESSORS MAP PANEL: 0015C DATED: 08/19/85 MAP: BLOCK: PARCEL: MORTGAGE - INSPECTION PLAN IN BARN STABLE, MA N/F RAUSEQ N/F COLLINS N/F PADOVA N/F DUKPUIS LOT 2A N/F GORDON 62,540 S. F. =_ ( 1.44 ACRES ) W000 STAKE 1 1/2 STORY DWELLING No. sss N/F MORAN rn LOT 4 CONSERVATION. LOT 3 RESTRICTION �► , AREA cD EASEMENT A N/F JONES 9 1 0� 21.71' � 1 � 107.10 NOTE: ARE FOREASEMENTS ACCESS C �� 175.04 ���6 EASEMENT B AND UTILITIES. F EASEMENT C MORTGAGE LENDER 1P0 USE ONLY ,9O THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. kDES LAURIERS & ASSOCIATES INC. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED 120' 0 120' 240' DEED. OR.. ENCROACH,'.7EAITS WITH RESPECT TO BUH—DINGS SLTIJATFD 130 WEST STREET, WALPOLE, MA 02081 ON THIS LOT EXCEPT AS SHOWN. TEL.:(800)287-8800 FAX.:(508)668-4512 THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN i A SPECIAL FLOOD HAZARD ZONE. THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHERNN WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN NoeS13Q0 EFFECT WHEN CONSTRUCTED (WITH RESPECT, TO STRUCTURAL RQZg* C SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A SECTION 7. (-13A GENERAL NOTES: ' (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage, inspection tape survey made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. f N/F NIF ROBERT 6 JOSEPHINE ) MARC 6 JILL N/F COLLINS DUPUIS WAL TER L. MORAN 1 — — 204.13' - — coz LOT 2A � 62. 540 +/- s.f. m / W N W '.1 LOT 3 v 43.7 0� -o O O G 142.79, 06.66' w m 0 123.88' } m O \ N o \ LOT 4 Z � 00 S1p6E # 89-302A CERTIFIED PLOT PLAN LOCATION : LOT 2A OLD STAGE RD. . (CENTERVILLE) BARNSTABLE,'MASS. SCALE : I " = 80 ' DATE 1128194 PREPARED FOR: REFERENCE : LOT 2A PB 497 PG 37 GREENBRIER HOMES I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. OFNE MgSsq� down cape engineering inc. H. ti 0i L ` CIVIL ENGINEERS LAND SURVEYORS 939 MAIN ST. 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ENVIR®It MENTAL CODE A. °'°�o 39 a`e xt Definitive Plan Approved by Planning.Board = J_ _f_-13__19 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only �jAr/00 vc A5,o� 88fnstatle Cun[ ac . 'ji: T.O,.., N OF BA R N S T A B L E 4 -D11 KBING INSPECTOR igned Date(" ll APPLICATION 'FOR PERMIT TO v ns��d�f I- �, ap[:/c C�i�TC it . / .......... /........................... ....................... TYPE OF CONSTRUCTION rx2 ...........................:...:................+...... /z 19..9y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it accordin to the following information:/- .. .Location ... . cf (ti ..... ... ............ . .. a�.........:. ��....... ...... ........ L.� . Proposed Use ... . -P...... {aXc, l✓.v,C.. � .................................. . .......!J ............. .......... ,........................ _ ................... Zoning District ............ . . ..:.:................................ .....:....Fire District ....'.�� Name of Owner `7 D pj 5id C exrv.Y M..... ...... .............Address ...............:..:.. Name of Builder .......... ! ....:..:..............:.................:...., Address S-0!tt•Q ............... ................................................................. Name of Architect •. rC�i - e.ty:. ....... S SC,` fs3�Address .............. ! ...Z� ..... ��Iry ............ .... . .............:.......... "%" � Number of Rooms ............ :. ...........Foundation' .......Paurled c°sr\e��. ... ....:............. f...................................... /� Exleiior .....C.�r? .� Roofing c7s�lialf ................ .... ........................... ........... h✓ C .....�V ? ..:.. r ........ ......�...... .. .Floors � .......................................Interior .... Jr lJ .. .....:`........i..................Plumbing .......a.......... a ......................Heating .............. 7....-.... Fireplace cE" ..........Approximate Cost.....`... O71ZJ , Q.fJ Area ....0.. Diagram of Lot and Building with Dimensions �, Fee ............... �.::`v�:............. x � r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS f I hereby agree to conform to all the Rules and Regulations of the w Bamsta6 a re arding the above construction. Name . ... - . .. . .... .. ....... ............................... Construction u rvisor`s License ................ GREENBRIER HOMES, INC. to _3.6513-�- �' 1 Z Story No Permit for: ........ ................... Sin le Faml Duelling i. ................�.....................y.. w Lot #2A559�,O1d S Road ' Location .......................................ta.....g.e.... Centerville .. Owner ......Greenbrier Home. `s,. Inc. .. . .. 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