HomeMy WebLinkAbout0036 SYLVIA LANE � e
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Town of Barnstable Building"M
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Pgst Th s�Card;Sq That it is,Visible Frgm°the Street-A roved Plans Must b ,,Retamed on Jqb antl this.Gard"Mustbe�Ke t
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M" PostedzUntil Final lnspectign Ha`s Wade-'
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' Where"a:Cert�ficate'gf..;Occu anc ';s Re aired such Bu�ld,�n shall Notbe;Occu ied until a Final Ins ection°has been°made Permit
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Permit No. B-18-1089 Applicant Name: Carl Rebello
Approvals
Date Issued: 04/25/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 10/25/2018 Foundation:
Location: 36 SYLVIA LANE,CENTERVILLE Map/Lot 189 077 Zoning District: RD-1 Sheathing:
Owner on Record: SLOWEY, DOMINIC&KATHLEEN Contractor Name Carl J Rebello Framing: 1
R,
Address: 194 MAIN STREET Contractor,"License GCS 084358 2
BARNSTABLE, MA 02630 Est Project Cost: $1,915.00 Chimney:
Description: Insulation&Air Sealing. Permit Fee:. $85.00 .
Insulation:
Project Review Req: Fee Paid ` $85.00
4/25/2018
Final:
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Plumbing/Gas um as
..... ..
Rough Plumbing:
t _ Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authonied bykthis permit is commenced within six months after issuance. Rough Gas:
a
All work authorized by this permit shall conform to the approved application and the-approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structuresshallbe in compliance with the local zoning by laws"and codes.
Final Gas:
This permit shall be displayed in a location clearly visible from access street or rod a and shall be maintained open for p fi ublic mspecon for the entire duration of the
work until the completion of the same. Win., Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials are'"provided on this"permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
Rou '
1.Foundation or Footin ._F g
h:
g
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection t Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
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
ram,
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
twE: Town of Barnstable BU. •
lldlri
Post This Card SoTkatitis:Visible Fromthe.Street :A �oved'Plans Mustabe°Retained on Job anthis Gard Mus be Ke t�
� tA1lTAW.6, .:ram,.. . �,r:, <x, ,�^ k 'a`' - " ,,.4,`. '�:P fiY.r;4
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M" Posted Until;Final Ins�ectiori Ias'Been'Made •" � ; ,
a�R Wher::e aCertificate'•of Occu anc ;as�Re u�red�such Build -shall N,ot�6.eOcc�u ied until a,F nal Ins �ctio�"'has"�been Permit
Permit No. B-18-1562 Applicant Name: SLOWEY, DOMINIC& KATHLEEN Approvals
Date Issued: 05/21/2018 Current Use: Structure
Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 11/21/2018 Foundation:
System Map/Lot 189 077 Zoning District: RD-1 Sheathing:
Location: 36 SYLVIA LANE,CENTERVILLE
Contractor Name Framing: 1
Owner on Record: SLOWEY, DOMINIC&KATHLEEN Contractor--.License 2
Address: 194 MAIN STREET .' Est Protect Cost: $0.00
AA, Chimney:
BARNSTABLE, MA 02630r Permit Fe: $35.00
Description: Upgrade Smoke Detectors-Hardwire 2 Locations to Code Fee Paid ' $35.00
Insulation:
Project Review Req:
Date 3 5/21/2018 Final:
Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
, 4 '. ? .
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sa months aftenissuance.
All work authorized by this permit shall conform to the approved application and theapproved construction documents forwhich this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and st uetuurres shall be incompliance with the local zoning by laws and codes.
This permit shall be displayed in a location clearly visible from access street or*oad an i d shall be maintained open for public nspection for the entire duration of the
Final Gas:
work until the completion of the same.
�s42VElectrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided�on th permit. Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing
2.Sheathing Inspection Rough:
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:
"Pe ons 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
0 - 1 ...... ....)Se.a ......Application Number.......... ....
=ABNSTASLF, Permit Fee................ ...............Other Fee........................
MASS.
i63 �
ED M� Total Fee Paid......... .......
' i
TOWN OF BARNSTABLE Permit Approval by.:............ . ....... on..... ....... ...........
BUILDING PERNHT Mv. ......... I.R... ........Parcel...........
.... ....
APPLICATION
Section I — Owner's Information and Project Location
Project Address 3� j�L y( A Village (�^/ 7?C4
Owners Name
Owners Legal Address ��'( LA '
State
City. Q n)�' � zip LitU8
ty Lk)
S` �f _ E-mail clC��i� i ��
Owners Cell# �j LA,
`Section 2 --Use of Structure
Use Group ,\: ❑ Commercial Structure over 35,000 cubic feet
D Commercial Structure under 35,000 cubic feet
#017 Sin e/Two Family Dwelling
Section 3 —Type of Permit
❑ New Construction LF ❑ Move/Relocate- ❑ Accessory Structure ❑ Change of use B.
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty Fire Alarm
Rebuild ❑ Deck Apartment ® Sprinkler System
❑ Addition ❑ Retaining wall' ❑ Solar
❑ Renovation ❑ Pool ❑ Insulation
Other—Specify
Section 4 -Work Description
T act nndated-7J9/201 8
Application Number....................................................
Section 5—Detail
Cost of Proposed Construction r Square Footage of Project
Age of Structure_ 3b±1 �2S Dig Safe Number
#Of Bedrooms Existing �j Total# Of Bedrooms (proposed) ,
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage [�moke Detectors
❑ Plumbing . ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply ❑ Private
Sewage Disposal ❑ Municipal Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes E3 N
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No u
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last undated:2/9201 S
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SMOKE DETECTO' S REVIEWED'
BARNSTABLE BUILDING DEFT` DATE Barnstable Bldg. Dept.
`/� Approved bv:
-R DEPART NT DATE
BOTH SIGNATURES AR'
c REQllIREO FOR PERMITTING Pel'Ill l l #:
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SMOKE DETECTOR REVIEWED
BARNSTABLE B ILDING DEFT. TE Barnstable.Bldg. Dept.
9�AApproved by �3•ar.�ye� 7Jmc�.IRE DEP .TMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERMITT/Nh Permit
Application Number................. .
Section 9-.Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell#
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. -
Signature Date
Section.10 -Home Improvement Contractor
Name Telephone Number
Address - City State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 .
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature Date
Section 11 —Home Owners License Exemption
Home Owners Name: O<Q 7
Telephone Number. Cell Cell or Work Number
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation r ed by 780 d T wn of aunstable.
Signature Date. C 1 O,7D l�
APPLICANT SIGNATURE
y V
Signature Date
Print Name ��/—cam�1� Z-- Telephone Number
E-mail permit to: A f U CJ�lC U L+ lA w2P e b L" A)
T....t. A. A.•Vn Mn1-o '
Section 12 —Department Sign-Offs
Health Department Zoning Board(if required) El
Historic District ❑ Site Plan Review(if required) El
Fire Department
Conservation ❑
For commercial work,please take your plans directly to the,fire department for approval.
Section 13—Owner's Authorization
I, UJC L , as Owner of the-subject property hereby
authorize e(,,ttO kedll'e- to act on my behalf, in all
matters relative to work authorized by this building permit application for:
r
(Address of job)
/(0 '/�
Signature of Owner date
et%7t� �
Print Name
f
1
Last undated:2/92018
.� Town of Barnstable Building
Post?This Gard So;That it,is V�s,�ble,From he Street ApprovedSPlans Must be;Retamed on Job andth�s Card Must be Kept i
+ MA1tN8'C'ABLti, - 4" °�
arat " Posted Permit
UntilFinal Inspection Has Been Made ; *.
° Where a�Certificateof Occupancy;is Required,such Building shall Not be Occupied until a Final Lnspect�on has�bee ade�
Permit No. B-18-370 Applicant Name: Peter Hassett Approvals
Date Issued: 02/06/2018 Current Use: Structure
Permit Type: Building-Sheet Metal-Residential Expiration Date: 08/06/2018 Foundation:
Location: 36 SYLVIA LANE,CENTERVILLE Map/Lot 189 077 Zoning District: RD-1 Sheathing:
Owner on Record: SLOWEY, DOMINIC&KATHLEEN _� Contractor Name:; r,Peter J Hassett Framing: 1
f �
Address: 246LEDGEWOOD DRIVE C n".tractorLcense 3111 2
HANOVER, MA 02339E yEstPrOJect Cost: $0.00 Chimney:
Description: Furnance and A/C Basement Install. Permit Fee: $85.00
Insulation:
Project Review Req: Fee Paid $85.00
Final:
2/6/2018
Plumbing/Gas
Y
a
Rough Plumbing:
Building Official
� s. final Plumbing:
kl Rough Gas:
This permit shall be deemed abandoned and invalid unless the work authorized by�this permit is commenced within six�months after"issuance. g
All work authorized by this permit shall conform to the approved applicatib/m rid thVapproved construction documents foch this permit has been granted.
s r whi Final Gas:
ur
All construction,alterations and changes of use of any building and structes hall be in compliance with the local zoning I y,laws and codes.
This permit shall be displayed in a location clearly visible from access street ohroad and shall be maintained open for public inspection for the entire duration of the
¢ <
work until the completion of the same. Electrical
The Certificate of Occupancy will not be issued until all applicable signaturesbytheBuildmg and�Fire Officials areFprovidedzon this permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work: If y � Rough:
1.Foundation or Footing g
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persbris 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
Commonwealth of Massachusetts
Q Sheet Metal Permit
Map I v Parcel O3
Date: I r FEB 0.6 2 � Permit#
Estimated Job Cost: $ i S , ,n ,' . 8NHN STABLE Permit Fee: $
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# 3 5- 06 Applicant License# °I
Business Information: PropeCfty Owner/Job Location Information:
Name: I"aszo dt - lw n,)b 1 �. Gt,V`(� I aim lma C o-�Z_kA
Street: Street:
City/Town.: fY�rn�°y � (7' � City/Town: UfYy _gLa ij l ip
Telephone: 09 36-:1 4 9 �-� Telephone- (> b
Photo I.D. required/Copy of Photo I.D. attached: YES NO J1 0,W 1 01
s fiInitial
J-1/M-1-unrestricted license
J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less
Residential: 1-2 family Multi-family Condo/Townhouses Other
Commercial: Office Retail Industrial Educational
Fire Dept.Approval Institutional_ Other
Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work: Renovation:
HVAC Metal Watershed Roofing Kitchen Exhaust System
Metal Chimney/_Vents ' Air Balancing -
Provide detailed description of work to be done:
a INSURANCE COVERAGE:
I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes❑ No ❑
If you have checked)LU, indicate the type of coverage by checking the appropriate box below:
A liability insurance policy Other type of indemnity [] Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct inspection required prior to insulation installation:YES NO
Prot ress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By ❑Master
Title Master-Restricted 2 l
❑ P) L
Cityrrown ❑Joumeyperson Signature of Licensee
Permit#
❑Journeyperson-Restricted License Number:
Fee$ ❑
Check at www.mass.govfdnl
Email:
Inspector Signature of Permit Approval
r
Town of Barnstable
Building Department Services
Mess.
Brian Florence,CBO
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable mans
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section -
If Using A Builder
i r
��ip �O '/�
�as ,o' f the subjec psopertY
hereby authorize Hi/J T Fe ' I+J 1 C to act on my behalf;
in all matters relative to work authorized by this building permit application for:
`36 SYL04 CAw C L/7L(P
(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
spections are performed and accept d.
Signature of Owner Signature of Applicant
Z5,
Print Name Print Name
0�3 C9,Z,t)cis
Date
Q:FORNM:OWNERPERMi3SIONPOO S
Bev:08/16/17
Town of Barnstable
Building Department Services
Brian Florence,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
aAmvszwm�.
MAX www.town.barnstable.ma.us
1 9.
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number sftet. village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
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.
DEFTNMON 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 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 buildingpemut. (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 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
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q;MPFIL.ESTORMSUilding permit fonns\MRESS.doc .
08/16/17
The Commoymeahtlt of-4&rsachuse&
Depwhnent o,f1ln�irrsbidAcc dints
- 17f Me a,f igatF is
600 Wasbbigfan met
Boston,MA 02HI
mPmmamgvP/d=
Workers' Cumpenmfcan lusm=ce Affidavit B il{IerslC!ontract n-Mecfti 'inn- Tl mthers
Applicant T"fatrsatin Please Print
�n LJ
cs �1 Phom4 o 36 8
Are you an emplayer?Checkthe appropriate box: ' 'Type of project{reqdred}_
L❑ I atom a employes with. 4. ❑I am a general seafiractar and I
* #rave hired the sub-con actars fi. Q l+le�v aaasfr a
entgSagees(fall.atadfor par�iime)_ .
2.❑ I am a sale prnprietos orgartner- listed onthe attached sheet ?- ❑Rein deHng
ship and have no,employees . These sob-coatract=have 8-,Q Demalifion
Working for mae.in any capacity.. employees,and have woders' 9 ❑Buil�addition
jN° 'C°mP-i'�'t`x"`-e cam-i,��� - 1��IIeehical or additions
S. ❑ We are a corporation its repairs
❑Plumbin airs or addt
d their ha
ve ave exE=eeir IL re fiam
3.❑ I ama homeo�er doing all week la P
myselE
right cif ese�fln per MM
[No�araiTaees comp_ _ ���§I{4h and 1�vetYo' L..❑Idoofrepairs
reid]Y 13.0 Otf2er
employees.END warms'
comp-insurzm a require&]
Any paTuyinfiramassan_
�1�nmeowuessw]m satmgt t�ris affid2�ii> t3iep SI£�m.�s1f�odC sgdtfiealsile aIItdd��aatat��matt SnIfIDitaaeTvai�da�t mdicaimfl sack.
SQ -ffi Lc ecjci�asb=m=tstmrdsmxmig-alamasizwiag&mrmnaofBiesub-ccuum:tassadstaaubelbecornm7awseeffdesbxm
e®3vyees.I€tbesa�SanimdnEshaceempIaf�,���I��ilma 'toffip.paTi�aimmbet. .
lam eat erltlaIaper tTirrt isprcnfriir;,workers'co �sr�i�n isr:ra�ca for Esc}s e�ra3�ees $e�riav is f7iepaTicy ar�d jati site
irzfiarmalion .
Insurance CampanyirFatue
Jan Address LV t GU LVl CifylStaf&Z�P: QIr l) I t-,L� .
Attach a caPy of the worker compeusatianpoRcy-decbratLan Faye(showmg the poRcY Sher and esplrzfinn date).
Failure to secum coverage as mquired under Sectim 25A of MQ.c-157—caa lid to the imposition of crimina4 penalties of a
fine up to$l,�l}Q0�sadJar one-year imprisaruaei�t,as vaeFl as civl,peualties is a farm of a STOP WORK O DERand a true
of up to$25{!-Da a day against the 4iol2dar_ Be advised that a copy of this sbkmexd maybe hrwarded.t a the Office of
Immstegdians of the DI&for insurance coverage;verificahan
Ida Hereby c wid_cr the parts and a.... that the igfor=a6wi proiirbed abM%ig hace and correct
Date-
Phme i�w gyn 4 4 3 U
tlffrci d am anly. Da not Arita art tits area,to be campieted by taty artown offwiQl
City or Toss: Fer Ci iteQse
Iss-ing Au$aarity(circle oae): .
L Board of Health 2.EuMmg Department 3.f Ryl£owa Clerk 4 Electrical Inspector S.Phwbmg Inspector
6.Oth w
Contact Person: Phouff#-
- -- - 6
Laformation and Instructions ,.
mm�=tts C,== l Laws clopf m M rmfn=all=npIvyeas'to gruvide wozkeas'=33p=.satiao.f='-ff '=Ply.
PrrrT IRMtto•this SbdnL-,an emPrU=is dafined es¢: myp,mson.in•hie service of another onsles a¢y eom tact ofhirc�
express or inxplied,oral or wriftm."
An nnpIuyEr is de fined as ran indxvidaal,parinasbip,association,coiporatian or affi=legal eufEty, or arty two or more
of the:R regomg engaged is a join er�pise,and incborlmg the legal xt�estr�irves of a.duxased earployer,or•Hie
receives ar trustee of an mdtvid aal,pa to 3p,association or other Iegal a t:*r,employing enploy=s. However fhe
owner of a dwcMu ghouse havh2g-mt more than tbrse apartmeotr End who resides•fherem,or the occapant ofthe -
dwelrmg house of auofhes who CMplays pers®s to do rnain=.ce,caasf net on or repair work on such dweIfing hoose
or on the gm=Os or bm1[rmg appudec rrttherefo shallnotbecanse of suck employmentbe dee-.medto be an employed."
MGL chapter 152,§25C(6)also star that'every sF f or local Ticensing agency shall withhold the:ssu-ce or
renewal of a Ecense or permft to operate a business or to construct bwIdnoegs in the commonwealth for any
applicantwbo has notproduced acceptable evidence of cdmpH=m with f1m Iosuxan=covexage regnited-"
Addilionally,MET,chapter 152,§25C 7)stirs aNehheer the nor any ofiis poITical snbdivisiaus shall
an into, any contract far-the p ofpvbIic wozictmifi acceptable evidz nee of compli�cewifh the msar�ce.
MT3im enfs of this cha r hxm'gem presented to fhe corEartmg axxthozity." .
Please f>II Obt the workeas'compe =tmu affidavit completely,by d=Jcmg the boxes that apply to your sitnahon.and,if
necessary,supply s)name(s), addresses)andphonenumber(s)alongwxLffi=c e(s)of
msm-.Tee_ L=rb-.dLnbl-Uy Campames(LLC)or L=atedLiabU3±yPart=Mbips(LLP)W no eMployee-s other f M the
members or p are not req�ed fo�Y wor�rsl crnrrpe�ion igsm�ce_ rir an LLC or LLP does hate
ernpIoyees,apolicy is requited_ Be advisedtbatthis affidayhmaybe snbm h--d in the Department of Industrial
Accideufs inr co�atim of msmm=coverage: Also be sure to sign and dafe the affida vie The affidavit should
be•retnmed to the chy ortownthatthe application for the permit or Eceme is bexngrequesfnL notme Department of
Jmdact aFj A ccd=fr, ShouIdyou have arty questions regaamg the law or ifyou am regrm ed tQ ob fa m a workers'
compensaffim pofiey,plmse calL tT ,De pmt ent at tbenumbcrlisted below. Self-msea-ed eompa:aies shonId er r their
self-ias rr-.mce license number on the appropri-dC;line.
City or Town.OM als
t _
Please be sine brat the affidavit is"lete andpxided.Iegibly. The Depart ne thas provided a space at tb=bonne
of the afffidavi for you to fiIl out in the evm±f3ie Office ofInvesdgaE=has to cadactyoraregardmgthe applicant_
Plmsebe,m=tn fllinthepen Jl ceosf:m=berwhichvMb,ensedas arcfereacem=bcr. InadrRion,anapplicant
-ff�must sahmit muYtiple pezmitJl C=se spplitations in any givers year,need only submit one affidavit indicating=Ent .
p olicy iafb ation Cif necessary)and under"Job Site Address"$e applicant should write"aII locate ms in (chy or
town)_'A copy of the-affidavitthat has be=officially stamped or mmkedbyfhe city or to may be provided-fn the
applicant as proof that a valid affidavit is on file for fnfnre'peamifs or rrcensw, A new affidavhzmzst be filed out each
year.Where ahomeowner orcYL=ais obfainiog ante=orpam tnotxelate:dto anybnsiotss or commercial
(Le.a dog license orpem it to bon leaves eft.)saidperson.is NOTxegrmrtl to complete iris affidavit -
The o ffi=o fl-avesfigafionswouldlilmtodmkyouinadv-anccforyourcooperationandshoBIdyamhaveanyquestions,
please do nothesRafe to give tie a caIl_
The Depture ar &s address,telephme and tax x®ber: - -
- • Thy�a�.¢nraxaZtir of ack�z�tts - - - - .
Deparbnmt ofladstcualAocidents
�Q.man t
BMtM4M&obi if
-Tv,,1_4 617- -4 mE 406 or 14M MA S.fiAl��F
Fax It 617 727-7749
WW Revised424-O7 - .5 9WICr
Popej®y Inc. ty
Cris
203 S. 10th St. -Fairbury, IL 61739 1 36 sylvia In
815-692-4471 -beau@popejoyinc.com centerville, ma
Sales Consultant:
Job#:
Date: 01123/2018
System I (Average Load Procedure)
Design Conditions
Location: Falmouth Area, Massachusetts Elevation: 132 ft Daily Range: Medium
Input Data: Outdoor Dry Bulb Indoor Dry Bulb " Latitude: 41" N Design Grains: 38
Summer: 82 70 Heated Area 894 Sq.Ft.
Winter: 14 74 Cooled Area 894 Sq.Ft.
Heat/Loss Summary (July Heat Load Calculations)
Grass Sensible Latent
Area Loss Gain Gain
Walls 606.2 1150 229 0
Windows 174 5437 8033 0
Doors 42. 983 424 0
Ceilings 893.524 4826 3215 ' 0
Skylights 0 0 0 0
Floors 893.524 6417 1608 0
Room Internal Loads 0 3860 ' 400
Blower Load 1707 0
i
Hot Water Piping Load 0 0 '
Winter Humidification Load 0 0 O
Infiltration 4197 "0 862
ovd ACCA
Ventilation 0 0 0 MJ8 Calculat o s
Duct Loss/Gain EHLF=O ESGF=O . 0 0 0 ,
z AED Excursion n/a 0 n/a
Subtotal 23009 19516 1262
Total Heating 23009 Btuh
Total Cooling 20778 Btuh 46 Linear ft.of Hydronic Baseboard
`Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA.All computed calculations are
estimates based on building use,weather data,and inputted values such as R-Values,window types, duct loss,etc.
Equipment selection should meet both the latent and sensible gain as well as building heat loss.'
Atek Accul-oad Report Version 17.3.5` Page 1
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• �THE T '
I �' CZ
t QUO Or
Sewage Permit number ......... �r� ,::'•..../..r
/ Z BASBSTADLE. i
House number ...:...................... ..........................._ °0 39-
• i 6 �90 0 MAt a•
T- TOWN OF BARNSTABLE
w
UUILDIING INSPECTOR _
APPLICATION FOR PERMIT TO ...........................
TYPEOF CONSTRUCTION ..................:.............................................................. ...::... *_... . ...................... ......
1
........................................19.:.....
7 TO"THE`-IN5PECTOR`OF-BUIL'DINGS.""--".
The undersigned hereby applies for a permit according to the following information:
Location ...
Proposed Use
"y•
Zoning District ................................................Fire District ...................................
Name of Owner .......................Address ............:
PJ r
Name of Builder ;'Address
Name of Architect Address
Number of Rooms ..................................................................Foundation
Exierior ....................................................................................Roofing ...........:......................:..::.......J:.....................................
Floors .> .............Interior - _.
............................ ......................:...................
neca rrrry .............. ............................................ PI-v m——g—..........
......... .......
Fireplace :.:......... .............................................................................Approximate Cost .. " r `
......... ................
Y C�
Definitive Plan Approved by Planning Board -----------_---------_---------19:_______, Area ......................:�J. ............
Diagram of Lot and Building with Dimensions Fee ��� f....................................
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 Y
construction. _
Name : ...... ..... ............ ...... .........................................
f'
Gibb, Dorothy A=189-77
20618 garage
No ................. Permit.�nr ...:....................... ..... .
...............................................................................
36 S''lvia ZWgd
Location ....................�................................
Centerville
...............................................................................
Owner Dorothy Gibb
........................................................
Type of Construction frame
..........................................
................................................................................
Plot ............................ Lot ................................
C
September 26 78
Permit Granted ........19
Date of Inspection ....................................19
Date Completed ......................................19
� - � I
PERMIT REFUSED
........................... ...... .. ...... 19
...... 7 ............
.................................... . ...................................
................................................ . ......................
Approved ................................................ 19
...............................................................................
...............................................................................
Assessor's map and lot number ...i...�..1: ..�.
... SEPTIC SYSTEM MUST BE
P�Of THE tp�I.
Sewage Permit number .........�.da�, . .lrl.
o
INSTALLED IN CQMPLIANC
ARTICLE II STATE i BaaAO tLE,:House number ....................... .................................. M
WITH AND to
'nE �TOW 90 39• �0
o
SANITARY CQ� tamara
TOWN OF BARN ntvT T E
BUILDING "INSPECTOR
.APPLICATION FOR PERMIT TO ..............11 rMapm11 0044,P&....................................................................
00
TYPE OF CONSTRUCTION .............!A... !.. ..s...........s.....4 ..qV.............................
. ... ���........:........19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies .for a permit according to the following information:
Location � 4 00I�..044 4�..............�' ...I I e`i,.........................................I............................. ......................
Proposed Use .r'P'14 A ............................................................................ .
Zoning District ........ ......................................... District
Name of Owner IfI.,YNS/,........4i*4................Address44.4.....%.� od.✓4....... �I V*4!
�r
Name of Builder 06*-00-6 ���� 40!.�.�:�..Address ..`'��.� �� '���
....................... .. ........... ........................................................................
Name of Architect .............Address r
Number of Rooms ..................................................................Foundation .... 0�/ ........ ...... . .
Exterior ...Roofing r
Floors ,��v i�t ... ._..�.................................Interior ...............................................:....................................
....................
Heating ....... .......................................................................Plumbing .................... ...................................... ...............
Fireplace ..................................... ...........................................A Approximate Cost ...,
i
Fire
P PP 1........................................................
Definitive Plan Approved by Planning Board ---------------____-----------19________. Area
..............
Diagram of Lot and Building with'`Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OFF HEALTH
�pd•a
a• Woos,
I hereby agree to conform to all the Rules and Regulations of the Town of stable regarding the above
construction.
Gibb, Dorothy
.
20618 garage . !
No ................. Permhlo' r ....................................
^
--'i�----------------~-----'
Location .......36_�iIvia..Road_.'_..'____.
^
� !
___.`,,_..... erville...............................
--------� *
Gibb �
Owner .............. ��������- ----------'. ' � ' ° ` ' '
. Ny, '
frame
Type of Construction --------------
-------------------------.
^ Plot ��---------. ---.-------� �
/
�
amber 26� 78
^ -Permit Granted ..'--.�����------.z]A
['ate of Inspection .. -...lV
� Completed Como �e6 .�.�I......!.� .............�]g
. ^ � -
°
PERMIT REFUSED
� --. --------_------.. lQ
--.. -
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-.----..�.-..-.------.....-.-_--~.
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Approved
.
lg ^
----------------
------..,---.----....------.--
'
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--.--. ............
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