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0108 WEQUAQUET LANE
/0$ Gee tc , u one - � . � 0 o S 9 � rr .. ' � '. �� .. _ .. - t 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map pp 25 Parcel � � -A lication # Health Division Date Issued L Conservation Division )�`� Application Fe S Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board c -t KH Historic Preservation/so O _ Hyannis Project Street Address G� Village Owner Address Telephone -7 7 O 7 Permit Request / � f� ����"� Flo �XA . r/e Square feet: 1"st floor: existing&O proposed 760 2nd floor: existing proposed,??O Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type o-LI A'ZW'L- Lot Size a �Ae L;Lr=2 Grandfathered: ❑Yes 'kNo If yes, attach supporting documentation. Dwelling Type: Single Family,,�6-- Two Family ❑ Multi-Family '(# units) Age of Existing Structure 2� �� Historic House: ❑Yes On On Old King's Highway: ❑Yes &No Basement Type: OFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ® Basement Unfinished Area (sq.ft) 76�0 Number of Baths: Full: existing new Z Half: existing (9 new /C;l Number of Bedrooms: existing-3—new Total Room Count (not including baths): existing _5� new First Floor Room Count Z- Heat Type and Fuel: ❑ Gas 2Wil tdElectric ❑ Other Central Air: ❑Yes ;"o Fireplaces: Existing V-"'New Existing wood/coal stove:0 Yes)d No a Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn;0 existing" ❑CD size_ �A Attached garage existing ❑ new size _Shed: existing ❑ new size _ Other ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0-�No If yes, site plan review# Current Use a Proposed Use ► . r-: APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `C Telephone Number J 72 72 Address 2 ( ( va p- TT, License # LdT75�? 94771 ek�_,. Home Improvement Contractor# 1,20 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THQ PROJECT WILL BE TAKEN TO �U Lv1 SIGNATURE TE s I r FOR OFFICIAL USE ONLY #' • APPLICATION# x . LATE ISSUED r ' i MAP/PARCEL.NO._ � • r r 1 ? ADDRESS VILLAGE OWNER. SS DATE OF INSPECTION: _FOUNDATION; t`�,So+ses lZ�la I� y�lfl r .. FRAME S",Mn►NG � IZ�t9�ls Q� I �ly bl Q�C '3 't INSULATION AA I: j I FIREPLACE y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL .f!. =GAS.4 �5 _t •ROUGH�=, RY << FINAL r .,FINAL BUILDING 4 - &_ 2,0 l 's DATE CLOSED OUT ASSOCIATION PLAN NO. t SMOKE DETECTORS REVIEWED �;�$�e�a�� 1 O DAT E o € € ----' `----------'--'-- - FIRE DEPARTMENT DATE '"""""'""'"•""•" BOTH,SIGNATURES ARE REQU;REG FOR PERMITTING T < I _ a I I --------- - - 0 rn L _ ~ O o o Y - - H•.,.....a-Ywl�w w I— _ O U i Y-e a.- - h PLOO � ; 'pu�N u..raf•••w.•f..t.,� � I -O• �. 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I( r ----- ----- - �Rs HPd a"Nn.I.Wwhlan.R>O (MWJ.nJ..fNI Fluer l'ms dcu.hiM hwY tj f.lOMeerIF - � � a ID .e P• 'I almp•en.LUtl leh.•yr� .. Wafe F.nYr. .«'n»wrwY.I.Y �` \/ U �: - r - 10.O aen>hWs./CYfeaY.i♦ f i I ti, tlimp.ens i.l . r Peurad unu.h..dum.IssF.> I ..j - i �` ^ aMd.pdY..psrbwrdu . • � �n s F--� i •� e ��L IJ r�nnngq xorloN a 3 g "-I- ------------------ � s .. vad.rvlyd�rrve� ' � ewaeny m.cren•A• sheer nuMseR, A400 p aSly-y 9p4i 6a6 s b�x 1 9 r ImIC�IwJ ®® n d a 00 a a0 — -------------------------------- ---------- ------------------------- I I ! A PwaxreLGJAna+ I I — 0 F • 6 LGP7 GLGJAPON ' - e - l Q .rain•-��-o• � _ � O. U Li EM Q §� o Li $� IMIR a��ga�3 . I 11 ]NIH I I t t t I - DRAYVWG TYPE. _ G e e CLGJA oN � P ��GH70.eVAPGN - Gia�wl'iou SHEET NUMBER. Too ff '! Z{' s��35ig'3�a * �� 6i�d�55ggi a gs9 � c d V a O v . .... .. 51/t .n i/tv .r.wmNNr ® ✓�bo`.`'e,, I-�-` ou} 4 d d I . s - � • p A f J•r mN.L. '3� �s Ll _ p slu xjl lit a�iS�go9p S a wra�.�.�Ahh•:am.•...No.+ �:;•::M::ra,uN°.n�w"s:..m.,w •• oRwnlNe rrre F'rc+Floor Pl.n y GN•wh�huM•hN SHEET NUMBER. A 2 00 Town of I$arnstab e u- MBLE s �oFTHE r°wti .Regulatory Services , M 3: 113 Thomas F. Geiler,Director` IARNSrABLB. ` Building.Division 1639. A. Tom Perry,.Building Commissioned,, 200.Main Street, Hyannis,MA 0260)1 IIISIO ` www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# ©i oo& 0 FEE: SHED REGISTRATION 120 square feet or less Clone , een le /le Location of shed ddress Village L Prope y owner's name Telephone number Size of Shed Map/Parcel Signature Date. Hyannis Main Street Waterfront Historic District?. Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is requireedd) Sign off-h-ours-for-Conser-vation_8.:Q0-9:30&3 3.0=4-:3.OJ PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE, PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.. -THIS FORM MUST BE ACCOMPANIED B PLOT PLAN vor ns-shedreg - REV:W506 _ 1 ai I ) v I ► -- 1 231 ` 7 7 S _ to ¢ Ilea; � % i I v tl m i I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date &/�q, �-7 /99�? CERTIFIED PLOT PLAN Of LOCATION 4W.A 7 9`e4,;, �•�t.�� o ti .. ...F� ...... .. J SCALE . ./.`.....3a .... DATE M >7/9 Reg. dot u m LAt PLAN REFERENCE I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE L'Y!S77AIC �4oYZ7 t/� or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF supervision. . . . . .WHEN CONSTRUCTED. 77zL� A. a' u�� -f ATEel.�7f REGISTERED LAND SURVEY �i , � _�� ��, . * � � � _ , �� _ � � ��� Y 'M"' I � � .�- Z �. N R � �� - i� ¢p � ��des A WC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph WindExposure Category.................................................................. .............................................................B 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................�_stori s <_2 stories RoofPitch ..........................................................................(Fig 2) ....................................... 512:12 iMean Roof Height ..............................................................(Fig 2)................................................ ft <_33' Building Width,W ...............................................................(Fig 3)................................................ ft <_80' BuildingLength,L ..............................................................(Fig 3)................................................. ft s 80' _ Building Aspect Ratio(UW) ...............................................(Fig 4)................................................. 5 3:1 �L Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................A5" S 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.....................................................::....................................................................... ConcreteMasonry.................................................................... ...............................:%............................... 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete onl Bolt Spacing—general ...............:..........................(Table 4)............................................... �in. Bolt Spacing from end/joint of plate ............................(Fig 5).....................................�in.<_6"—12* Bolt Embedment—concrete.........................................(Fig 5).......................................... in.>7" Bolt Embedment—masonry.........................................(Fig 5)............,............................... in.>15„ Plate Washer...............................................................(Fig 5)...............................................>!3"x 3"x'/4" 3.1 FLOORS - Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)........ ................._ft 15 12'or U2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................—ft <_d _ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... ft 5 d FloorBracing at Endwalls...................................................(Fig 9)...................................................... ....... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)..................... Floor Sheathing Thickness .................................................(per 780 C R Chapter 55 .................... �in. Floor Sheathing Fastening..................................................(Table 2).�d nails at in edge/LZ in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)..................... ft 5 10, �L Non-Loadbearing walls................................................(Fig 10 and Table 5).................. .�. ft 520' Wall Stud Spacing ........................................................(Fig 10 and Table 5)................... in.5 24"o.c. WallStory Offsets ........................................................(Figs 7&8)............................................—ft <_d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls........................................................(Table 5)..............................2x - eft_in. Non-Loadbearing walls................................................(Table 5)..............................2x -]2:ft_in: —L Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)................................................................. WSP Attic Floor Length................................................(Fig 11)............................................. ft 2013 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft_>_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)........................ Double Top Plate \ Splice Length ........................................................(Fig 13 and Table 6).....................................� Splice Connection(no.of 16d common nails)..............(Table 6)....................................................... AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CNm 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)...................................................... Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8).......................................................2 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table .9)................................. ft in.<-11' Sill Plate Spans ........................................................(Table 9)................................. ft_in.<11' �— Full Height Studs (no.of studs)...................................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).................................._�S ft_in.<-12' Sill Plate Spans...........................................................(Table 9)..................................�ft_in.< 12" Full Height Studs(no.of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ............................................................................... <_g,8„ SheathingType.....................:........................(note 4)...................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing Table 10 ................................................. in. Shear Connection(no.of 16d common nails)(Table 10).......................................................� Percent Full-Height Sheathing.......................(Table 10)..,.............................................. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)...............:..... Maximum Building Dimension,L Nominal Height of Tallest Openingz.......... ......................................................'......._22,<6,8„ SheathingType..............................................(note 4)...................................................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ Field Nail Spacing..........................................(Table 11)................................................. Shear Connection no.of 16d common nails Table 11 Percent Full-Height Sheathing.......................(Table 11).................................................. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... _ Wall Cladding Ratedfor Wind Speed?...:........................................................... .....................I................................. ........ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................................:..................(Figure 19).............. ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12).............. .............................U- plf \ Lateral.............................................(Table 12).............................................L plf Shear...............................................(Table 12)............................................S= plf Ridge Strap Connections,if collar ties not used per page 21.....(Table 13)..............................T= plf Gable Rake Outlooker......................................... (Figure 20).............. ft<-smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L=`lb. _ Roof Sheathing Type...................................................(per 780 CMR Chapters 58 anj1 59).................. Roof Sheathing Thickness........................................... .............................................. in.>-7/16"WSP Roof Sheathing Fastening..............7............................(Table 2)..................................................... yC(p \ Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness.pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment a e AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7ao CMR 5301.2.1.1)1 MEN THIS EDGE RESTS ON F+HA VING Um ai NAv$ AT GbJw -- - .. -�� 11 11 . 11 11 11 1 JI n 11 1 Y 1-I 11 11 it 11 1 r II 11 11 � 11 11 11 1 M 1-1 11 11 11 � 1 7 11 I/ 1 11 IL t ,,CC 11 It N 1 11 Y 11 IF,� 1 O JY 1-F F Il 1/ a 4 1 Ir F ii Il I I Q 1 1 r r �. 1 I11 n Z2 1r 11 1 Z 0o II n Ir g F 4. NII Ir 13 Ir 1 LL} =' 1•I - II II Z u Ir p 1 It d 11 Ir YJ 1 11 i1 It 1 11 Q t1 11 II 11 1 I r 11 u r r II fl 11 1 n 1 ii I11 y� eti IbL - tiles 0 UM.E CAGE ------ , NAIL SPACW i PANLL _ See Detail on Next Page Vertical and Horizontal Mailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CNm 5301.2.1.1)1 a a 1 1 1 *t 1 1 1 1 1 1 If 11 SS Z id DIA �1 Ii i � FFAbAING MEMBERS i i EDGE RtITERMET£ 1 1 k 1 � I 1 1 Z !F i i k 1 1 I _ r MIN. i 1 k �_- .� 1 1 ---- --�t__—_ . 5TAGGER� 3"MMd NML PATTERN PANEL PA1VE''!EDGE `i'k DOUELE MML WGE SPAMC.DETAL Detail Vertical and Horizontal Nailing for Panel Attachment ,r vi. M^� r Town of Barnstable i6S9. 10 Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO' Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize ' to act on my behalf, ffmall matters relative to work authorized by this building permit application for: {Address Job) w. / Signa of er Date Print ame If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the. reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 I i License or registration valid for individul use only Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR E before the expiration date. If found return to: Registration 152049 Type: Office of Consumer Affairs and Business Regulation Expiration 7126/2012 Ltd Liability Corpora 10 Park Plaza-Suite 5170 Boston,MA 02116 VCACOD HOMESMOt3El:LLC RICHARD AVERY'j /a,YAaj it- 116 ANTLERS SHOA*9W4. gay,fie E.FALMOUTH,MA 044 Undersecretary Not I Not valid without signatur _ ... Massachusetts- Department of Public Safety Board of Building Regsulations and Standards Construction Supervisor Licensor License: CS 84771 Re.stricted to;_ 00 RICHARD T. AVERY 116 ANTLERS SHORE DR E FALMOUTH, MA 02536 y. Expiration: 1/15/2011 t,411liti L�Slt�tiFP Tr#: 8462 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): I C r Address: 6�5' .0 u N �ac�J ��', YIfI 1j ZR_ City/State/Zip: ee- dl' O-4 T Phone#: -508 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. W am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole 6. ❑New construction ''proprietor or partner- listed on the attached sheet. 7. ❑,Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp. insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or addition_s myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 2Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under he pains and enaft*es of perjury that the information provided above is true and correct Signafore: Date: Phone#• 25-8 7?7. Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other . Contact Person: Phone#: s 11/09/2010 11 :41 FAX 5086722997 DIAS-INSURANCE 002/002 Apr-16-•10 02:.08pa Fromm T-806 P.004/006 F-996 ;E.kTIF11CAT C�F;I, S4UliAN E::� , ' r• ti �rI15*010 ti HIS CERTIFICATE IS la^S 11=11 AS A MATTER OF INFORMATION ONLY AND eCONFERS NO RIGHTS UPON THE %ERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Y THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 17HE ISSUING INSURERS AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. MPORTANT. If the Card MIS holder is an ADDITIONAL INSURED,the Policy(ies)must be endorsed. If SUBROGATION S WAIVED,subject to the berms and conditions of the policy,Certain pallcies may require Qhd endorsement. A moment n thle certftate does not confer Mhts to the cartlflcate holder in free of such endorsement PRODUCER Dias Insurance Agency Inc W Smylon Ave Fall River,MA 02721 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Prides Conarudlon Ine 1400 Worcester Rd.#7321 Framingham,MA 01702 VOV�17`S�.,ti_,' e • .A •.` .I' .'1 fti 'Y SIB •,L' .. :'r I• - 5.. THIS IS TO CEFMFY THAT THE POL CIES OF INSURANCE LISTED BELOW HAVE BEN ISSUED To THE INSURED NAMED ABOVE FQR THE POLICY PERIOD INDICATED,NOT WITNST'ANDING ANY RE4LAREIAENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVPTN RESPECT TO WHICH THIS CERTIFICATE MAY EIE lwuED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUMECTTO ALL THE TERMS,B=USIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVI!1320 REDUCM BY PAID CLAIMS. tAW50MUM POLICYNureeel Poucr9TeQnVEDATC rb 0gPIDA7B DYERY UABILr(Y RIETIM MITS AFiI�• • NCL D I=a 8291427 2/20/2010 2120f2011 9rAwMRrLNm ewr.a.AO�N w MA owns ar• CH A=DENT $ 1,000,00 Isense vau�w LflbR 6 1.000, DESCIRJ Isr�sr adausY>a; t.00a. . PTION OF OPERATIONSIVE;HICLIMPECIAL I CERTIFICATE HOLDER ceLLATION CAPE COD HOMES AND REMODELING swo=AwaFmmABmmau=oEupouwspEcANce, uEFOMTHs.. 116 ANTLERS SHORE DR CXMPATIDN CQ1THM154F,Nance VALN DEWS IN AMOADVICE EAST FALMOUTH,MA 02540 WHn TKG POUCY PRovf✓WA AUTHORIZED REPRF.SENYATIVE ACCORD„, CERTIFICATE OF LIABILITY INSURANCE o7r $78-$Ci4-0�7 THIS CRATE iS AS A MA1�R OF QIFQ�ATtiIN tXLJRANeE AGENCY INC AND CWFER6 NO Rietr 5 BESTiOICE IN6 UPON THE G>�R17Fifr/°►TE HOE DFR T NRlIJrICA76 Dom$ MOT AMEND PIZZA! 297 APPLETON ST STE 120 1LLTER THE t;GVERAGB AFFORDED THE S®OW LOWELL.MA 01852 f1lSURERS AacFORWN6 COv_BSAGE NAIL# s+syprm - YiSURERA: LLUYD$ .. — - AFRA ONTRAO'rOR INC a ae A1Ca C _ -— 43A CROSS ST IretIRER a SOMERVILL.E LOA 02145 VdLqWRIV -- - _ I -- I CO THE POLICIES OF IR�L)RANCE LISTED BELOW HAVE e�di koaM TO THE INSURED HAAAET)AWYE FOR THE POLICY PERIOD INDICATED.N�TIMTHSTAMM ANY REQUIREMENT.TMU OR CONDITION OF ANY CON7RAGT OR OTHER DOCUMtN I WI1tl RESPECT TO V*11CH THIS CERTIFICATE MAY BE ISStJEO OR MAY PERTAIN,THE Q�URANCE AFFORDED BY THE POLICIES QESCRIBED HEREIN IS SUBJECT TO ALL THE TBSlS, THIS AND COIfDMONS OF SUCH POLICIES.AGeREGATE LMM SHOWN VAY HAVEBEEN REDUCED BYPAID_CI.AR_15. IlAcH _. t�s - I srr tevrprie�rt occuraum i 1,OW 0� A �X coummto"wMiALummigm im(Eaoaaw s 100,Q00 �s�oc I x 16. weoocrtaaaae : _ 5.000 c I�J PHRSDIIALBAM"JURY s i.mQ� 2,OW,000 IGEN�Atsv'httt�►tkNMITAPPLIESPEIi PfOD M.CO11PAPAW s DODO PoUI'Y r l rM I-I Lm ANY AUTO !TVUUK ALLOVA"AllM � s 8CtIeIn/LEoattros -• -•- HUMAITIOS s t NONOMDAIII04 PROP11M DAMAGE $ CANWELIA RL"y AMCWY#EAACCEWIT i i ANYAM EA,== s ALROON YL 5 .A IJA�IY FJiCJiAMJIROFNCF. i s s i woRltEtaTtaltluo Tth X we a B EMPLOVEWLrA mmy Wr-OtRi A7 2165 12103FAM IZV&2MO EL6ACItnCgCS#rl s 100,000- ia o�ueERoccl�fnFop EL nRFAfW,fiAEMl4W9Z f QOt1 ri I F- .P000Y'tiff 8 500.000 anima t edlo�oP�An�tstLOD►�oxsrvNexcwstesDAt�r�rrs�Lv�o� < CIDiTlF TE HOLDER CMCELLA710M sla,Larw+r�T1Ie 6lPI1L�EcaN�LF!!NFl�Ql�IIEE>�RA710l1 DRW-THEMOF, OISIWR VILL sIDIMM m MUL � M1fB I1 1"M CAPE COD REMODELING U.0 I m tIE ,Is I NAM IO UW uWT.WT FALt=Ta am 26*WL 29 FOUNTAIN ST wl�alo No non fwuff ar mn Ro tipgq TAE Ntf UML ITS AMU OR MASHPEE,MA►0250 AGORD 25{2Murn WORD CORPORATM IM 1 1 1 1 � I � I�h 7 7 # W N4 a �11 I I certify that this property is located in Flood Hazard Zone C (but side the 500 year flood) as identified by the Department of Housing and' Urban Development (HUD) . Date &i.? y 1-7 /99y CERTIFIED PLOT PLAN OF � �zK LOCATION B �T.}1:8 CP ?la J' SCALE 7 . .............. DATE f..) � N j Reg. da >�e PLAN REFERENCE tee t t !?L.�'�!!.. 8.. :. . j I certify to its title insurance company that there are no visible encroachments I CERTIFY THAT THE G'Yi577.vc fly -l. ,vim or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROUND plan was prepared under my immediate AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF supervision. Bf�!e!V-S' ►�� • , . - ,WHEN CONSTRUCTED. DATE REGISTERED LAND SURVEY REScheck Software Version 4.3.0 Compliance Certificate Project Title: Garage to Bedroom Conversion/Bathrrom addition for: Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 108 Wequaquet Lane Phil O'Malley Kenneth Sadler Centerville,MA 108 Wequaquet Lane KSA design Cdenterville,MA P.O.Box 1149 Hyannis,MA 02601 508.790.3922 Compliance: Maximum UA:65 Your UA:65 om amw� �a1�IGJa:►� t�i�IGJL .�" Ceiling 1:Flat Ceiling or Scissor Truss 357 30.0 0.0 12 Wall 1:Wood Frame,16"o.c. 125 21.0 0.0 6 Window 1:Wood Frame:Double Pane with Low-E 22 0.310 7 Wall 2:Wood Frame,16"o.c. 271 21.0 0.0 15 Window 2:Wood Frame:Double Pane with Low-E 12 0.310 4 Wall 3:Wood Frame,16"o.c. 135 21.0 0.0 8 Window 3:Wood Frame:Double Pane with Low-E 3 0.310 1 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 357 30.0 0.0 12 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 h been designed to meet the 2009 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requirements li d i check Inspection Checldist. IJ -� - t z, ' I ' t Name-Title lSigriiaiu4 Date Project Notes: Calculations afre for Garage conversion and New Bathroom only. CS#39020 Project Title:Garage to Bedroom Conversion/Bathrrom addition for: Report date:11/30/10 Data filename:O'Malley.rck Page 1 of 4 REScheck Software Version 4.3.0 Inspection Checklist J Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R30.0 cavity insulation Comments: Above-Grade Wails: ❑ Wall 1:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 3:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes—No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes_No Comments: ❑ Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break?—Yes—No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubstshowers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. Project Title:Garage to Bedroom Conversion/Bathrrom addition for: Report date:11/30/10 Data filename:O'Malley.rck Page 2 of 4 i (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (0 Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showerstlubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. El Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Ll Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfnt per 100 1`1:2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 c1m per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to.R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Project Title:Garage to Bedroom Conversion/Bathrrom addition for: Report date:11/30/10 Data filename:O'Maliey.rck Page 3 of 4 r HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. El Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage r—15 (d)50 lumens per watt for lamp wattage>15 and e--=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: ci Snow-and ice-melfing systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title:Garage to Bedroom Conversion/Bathrrom addition for: Report date:11/30/10 Data filename:O'Malley.rck Page 4 of 4 2009 I ECC Energy Efficiency Certificate Ceiling/Roof 30.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): (a O.. Window 0.31 Door .Q j.. . Heating System: Cooling System: Water Heater:_ Name: Date: Comments: 'L i v ao� j cc IDB k v Town of Barnstable *Perrrftt ff Expires 6 mon from issue date Regulatory Services Fee ,�� sexrrsrnste. � . MABS'i639. Thomas F.Geiler,Director I p�� Ep MA'S `Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA-02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address a�g Residential Value of Work 'Minimum fee of$35;00 for work under$6000.00 Owner's Name&Address Contractor's Name /2 v'1 2 '� V Telephone Number sy 73 73 ., Home Improvement Contractor License#(if applicable) l� 7 Construction Supervisor's License#(if applicable) -PRESS IT ❑jWorkman's Compensation Insurance N O V •- 9 J 01�i Check one: I am a sole proprietor TOWN O BARNSTABLE 1 I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All.construction debris will betaken to ,8a,2��z. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) VL Re-side ��� .� /�y .r,��.P iP. �'�� vG�r�� #of doors ( . Replacement Windows/doors/sliders.U-Value a 3 2` (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter.of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is . requi ed.. SIGNATURE:. C:\Users\decollik\AppData\l.ocal\Microsoft\Windows\Temporary Internet F les\ .tent.Outlook\DDV87AAZ\EXPRESS.doc Revised.0721.10 The Commonwealth of Massachusetts Department of Industrial Accidents Office of.Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aipplicant Information Please Print Lezibly. Name(Business/Organization/Individual): !L/j Jl Address: y' /vD �l 7�U City/State/Zip: �Z�A� O�4 � Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. XI am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling . ship and have no employees "These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' comp. 9. g Buildin addition [No workers' comp.insurance p' insurance. . repairs or additions required.] 5. ❑ 10.We are a corporation and its ❑Electrical re p 3.❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers'- 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy+#or Self-ins.Lic.#: Expiration Date: . Job Site Address: City/State/Zip:: Attach a copy of the workers' compensation policy declaration page(showing the`policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well,as civil penalties in the form of a STOP WORK ORDER and fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' un��penafties of perjury that the information provided above is true and correct. Signature: Date:' f Ll� Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: : , ��::I. .1 I. . � ,., I ...I 11..��. --�,:. --:..... - �. I: ... � .I :, I - ..I -:�� . I : .., .� * . :: �� . 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CROSS ST SO Vi MA a2 I� a - t:.... t CO YHE POUCIiS IIiSURAI�LMM BiJAlA1HAYE MMN:I lu 7w IA�IIAED NAMED A8 .1 THE POLJCIf '`WENCATED t+lp71M7H5 rANtNAtG ANY;:R LICES IE.IT.TQZM ..CONWTION.�ANY COWFPAGT OR am L. D�C.V1"I:. Im RESPEGT`TQ dMi11CH TWS CER71FtCAN MAY.BE ISSUED OR - MI1 L.P.ERTAUy TaIE It�URAi E A BY THE DOMES kfEREMI IS SUBJECT 0 JLLL t1lE1.76iMS.EXGLLI810NS pND_GONDtiIONS L SUCH pOtaC ,AQ6E GA7EL i1FS.SHOMMAYHAVEBEENRi�Ed"-N-1.C1,AU_�S. :: easy - �,.: saavaall�nr._ 6aAetG1E f 1 X oar l l+ed lrt LCs1A91*! 11/17/2D09 7.. . '-. >s: PC uwnM s1. 1 QQ,OOD . .- .. . _. CLAWS WIOG �._CC—R..r . � - �. ESEDEU' am BIaCe = 5.Ut� .. PERBONALAADvYWRY S I. ATE f 2, . LwcivRaL+Aaa t 1TAPPlIES PRODUCIti•I.1. L:0P i , �; Y�-� n l aUll��oilz� V. siNeteuaur. Aw . Y$YIIRY s I B�ILYMUUQY IUREDAUIOS w8 9 i . . NfSt>f�NN6.DAt1IQ3 PAY I MIA6E I I _ :. a . ... :. GARAL�L,Aea�1Y. AIIrOON1,YjEAA= i ANVAUT4 ' S .. . : . ,...R :v:, * �. ..: I . ..I.�-::v 3�: 1� :.-�:, :L :*, � m 111IfAt$IIY eAesatxr�asro :L s . . :.1� a .GGQUR t v..V .- DE f S 1-�.�l .. L.1.DEMICTME f tYi1GNA0D x` B uAeanYV�v we an 2� 12 0. ELBAGtA lT s 1 ,�0 DtCaaat>Fov - E1iDASEEAEIIPLOYEE i �D QQ_ u ... 9s l u tour I sew. i E I • u .�. .. onmaL . :. :..,I , . . .. v. __ __ _ -. L - � : & .. ooal� rtoa► 5sv�a+IrJ s$��w sAan�BY ma"L+au.vs.os - ... . .�f.... 77777777 a . :: CERT!lQ1Cl1 HQLDI2R :'' T . .. st n w�toPr % r�lva Ot *4t 4 FaalFa7pCl+IIeE>tA 1A71tNa: mne ::. Mst ri %OW to W1i �%S MH8I7Et1 _. CA PECOD.REAAEtING11�C ::: eanl�run� DTotit�rraustaoo 29FNN ST _ V.weOoe%No boa, n ur awt> IP'OM:[ Its ac;tlts taB . M I HPEE AAA.i 2 . . . --------------------- ✓�aaoacuae License or registration valid for indmdnl use Duty Offiee of Consumer Affairs&B ess Regulation before the expnsdon date. If found return to: VHOME IMPROVEMENT CONTRACTOR j Office of Consumer Affairs and Business Regulation Regration: jA52049 Type: 10 Park Plaza--Suite 5170 Expiration: 7¢26=12 Ltd Liabit"dy Corpora Boston,MA 02116 CODHOMq11C � z T RICHARD AVERY;���� � J 116 AMIERS SHOFE r=1 a E.FALMOUTH MA 0?vtiy:' Undersecretary Not valid without signature J. 5 _ lassachusetts- Department Of Pasfiiic Safety Board of Building Itcwiations and Standards Construction Supervisor.License License: CS SM1 Restricted to; 115 RICHARD T A�fERY '� �: 116 ANTLERS SMQRE DR E FALMOUTH MA:02536 Expiration: 1/15l20I1 t'nnvuixci�mrr Tr*: 8462 : .nxrtsraa�, MASS. � tb� Town of Barnstable a A10� �fp Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I " as Owner of the subject 1 property hereby authorize i a- -'221 to act on my behalf, -r in all matters relative to work authorized by this building permit application for: 'Id' '�/JX- C/A )Z1 L0'-J 4L (Address Job) a �� � 0 Signa of wner Date &XV . V' Print ame If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 �oueaour� and k� number| map num ................................ � ��'�� _~ �evvoge Permit number —;/—��--.��`�,�—.u���w: � DAWSTABL �� �_ � House number --..��/�-----------------/'` - ' ������7�J ���� �� � �� �JK� �� � �� �K �� � �� � � �� �� ��]� ������|� �� �� �������� L BUILDING � NN 0 � �� N ���� INSPECTOR ��00 � 0-�� N ���� � �� == � =��� � �� �� APPLICATION FOR PERMIT TO ---..--------.--.--..----_-------^.-...-~---.^^-^-.~.—._, . I , TYPE OF CONSTRUCTION ----.—.-----.--.---.----_---.-----_----_.--.--.-------' _ ................................................l9........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according, to the;'following information: � Location ^ ,~ � . . . ...— . . �` Proposed Use ---!/,/—. /— . --3"�. l././. --.—...—...—..--,....—..------. Zoning District ----�.�' —/°^_ _ --- �— Dkr/i , / --------.-----.. ---.� --- _ — � - L � ~ 0 1-— ~ -- � � ) Nome of Owner —..,.x—..��.'^----./-----. .`—_.— � } | / � /T Nome of 8uU6ar ----------------------..A66reu —.--------------.—......----.—.. Nome of Arch .. ��� --A�6res � ' ......... ' ' ^�� ' Number of Rooms -----|~�---------------Foun6ohon —' — ----.^. Heating --�.'�.—�..�=�.��----------------.numung .��.����'/�—/..':/.�.--�..zK.�:—.`—�~������ \ / Fireplace ---../��...��------------------..Approximote Cos ............................................ Definitive Plan Approved by Planning Bound l9--------. Area —. ' Diagram of Lot and Building with Dimensions Fee ____. .............................. "- SUBJECT �� APPROVAL [>F BOARD Of HEALTH ~ ^\�~ � /~ / � +/~,_°~ ! . � - � � ^ ' ^ l ~' - . � - ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � | hereby agree to conform to all the Rules and Regulations of the construction. Name —,u ........................................... Construction Supervisor's License ' ` ly Dwelling . . . - Location ..Lot...4.�_l.08_ t ..I'aoe � ' - Centerville ----~—':������'.'-'--�---'----'---' � | ' Owner --.S-I' S_��zoot______.__.__ . . . . Type of Construction .....F��ou�.—..—.----,. � —._—....^-------.....''--.--~..---. Plot ............................ Lot ----------- / . - June 30` 83 Permit Granted ........................................lQ ' - _ Date uf Inspection .................................... 9 ` � 'Dote Completed ......................................l9 | / \ ��^- � � . � � . . � ^ . ' TOWN OF BARNSTABLE i ,°�i •. Permit No. ___ Building Inspector VLR73T►M % Cash _ °""Y•� OCCUPANCY PERMIT Bond ___—____-j_�/-91 � Issued to 5 L S Trust Address Wiring Inspector Inspection date Plumbing Inspector 'f ry'�, Inspection date Gas Inspector !? Inspection date Engineering Department.. Inspection date Board of Health Inspection date 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. 19............ +..: ../r% � �!�t .... Building Inspector AU VLb i i 4 � 0 o i � rA � w 3 L U 7_ 4 r� ILA T. I f-'ov,*.1� ;�•`"';vn.J C�rtTl�Ic.�.j'�Ar.1 I T 4 aUrzT LA— �'L:�J"tt f<'JI!_Lfy', gAtt►JSTnr3L.F , MA On the basis of my knowledge, information Luid -- belief, I certify to � To ,o ex Qarr�s�alol� SUM. M• uJ� tzul IGt< that as a result of. a survey m' de on the ground r30 V, J501 N o 1:N L nn ou on 2 , .I find that: The tructure(s) are located on the site us shown./n CAP/•u �e 7 cvn ,Laws The title lines" and .lines of occupation of the aLZH OF site are as shoini hereoa." The site ii- situated in*21ood one - c \so WILLIAM �yG Coranunity i'anel iJo.Z ayo/ oelsq Date: � WAR vlc71K No. 197 Date: � �F � C/STER O S`r Rv 'durwick,itLa i eo •Assessor's ma and lot number 'p :.....:....�J,.. CF THE TO Sewage Permit' number 0j` ��' � �♦� + BASBnSTULE. i House number '.... Z ...`.r1..8'....................................................... a Ic SY °,sue ' A,.e T o ,: �F�MPY TOWN OF E A; S� 'A�ayLE,ENVIRONMEN- e ���gw BURDING ;11SPE�C�T�OR� ' ` APPLICATION FOR PERMIT TO ................................................................................................................................. TYPE OF CONSTRUCTION ......................:.......................:..................................................................................... ........................................... .19........ TO THE INSPECTOR OF BUILDINGS: The undersigned he b applies for a pereaccoi.n to following information: 7 ................... ................................................................... Location ....... ................ ...,mit ProposedUse .......... .V....... .....`...... nl...�� /.7. ................................................ ........................... Zoning District .............�.... ........I.................................Fire District ............1�f....�......................................... Name of Owner .......!� .....Y..�........: /. �L)!M—Address .... ./... .� c�.�, ../.......... Nameof Builder ........................................ ............`.........Address ...............................:.................c.................................. Name of Arch itect�Q t.l.l. .. .f .1..�`.....:..Address .f-- ....1 .... � 1.... .� .1....� ...................................Foundation ......\1� .. Number of Rooms ................. ............ ...... ... ... . . ....... .................. Exterior ..............��.. .. ... 1..1..{�( ..1...........................Roofing ���1. ........ J 1. lF.. ......... Floors �.....................:...........................Interior :. [..�!. ........................ Ry� Heating .................................................:..:Plumbing .. Fireplace ........ ..��. 5....................:...................................Approximate. Cost .............................................................. ..... Definitive Plan Approved by Planning Board -----------_____—-----------19_______. Area ....1 Diagram of Lot and Building with Dimensions Fee v` �� SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnst le regarding ,the above construction. Name .. ........................................... Construction Supervisor's License r ...... ........ S L S .TRUST AJJO� l;D � I 25272 12 Story r No .... _ ... Permit for .................................... Single Family Dwelling ....... .... .......... .. ..... ......... Location ....LotWequa.114j • Lane i -Centerville ✓ - ' I ...................%;.......................................................... Owner ..S°?L..:.....Trust............. .............. .. / f ,Type of Construction,...Frame................. ~ ....... .................................................................... ' `• `_ s Plot ............................ Lot. .;............................. June 30 83 Permit Granted ........................................19 Date of�Inspection .. ..... ...................19 �• - + "-'-Date Completed r� .(..R.J.........19 1� 0 n Q 0 s- (3 z 14 :7 S:Z � 9 1 4- �4` �, " L 4- L Q ( 75 ---------- ........ E ............. L ................ ------------ ------ --------------- ---------- ------- 4- L A-wder--endl T-W 2 042 - 2 ------ lu N, 1 2 x :z 2 r_>eL,,� I A- --------------- Mf i k:+,' .�i,: � ' . ' 4 '.�J r �; � - �. _ I 1 � i ! I i is —.. _ __ ' I I _ tV �: FV tl Au ME W_ - - ----------------- a"how co F_ X V-4 1 / 21, 2 1-011 MX, 7 _._ _, _ -._ -- a _ 7 N, -- - 3 0— lu 0 CL \j ---------q�:Mill�::::jjlljj "Ill --- ........... 4 s) New 0— ) L < 0 X 0 4,A la be verified Icy eAcnerAj e,5,an+rA64-or W o A-u ,A a EA z o4� -,4-ru,6rAAl F,,,Ancl'�e_wig A - 5 L. 73 minimum of 7/ I evin6h( i I , I mm) And 4- maximum -,Fan of elt-�H-f cei- (2 4 V.e�, mm) be permi+4�e_J for oF,.-, >z nsn4 in one-, and P ,hA*lf bepreu4- 4-o -,paver 4+c ,�(,A2.e_J opcnin, 4 wl j a ' FrovidcJ-in 6t-tj&- 1 A61e DRAMN(S TYPE: -omponon4 , m emlncei in - wl+hl-lhe_ 'ri-ovk��,cn-, of -�he, F�[r-,+ Floor Pn li +-he, winJ far i-KIn 7 &0 6t-W— 1 .1,00. lk�OF IVIl SHEET NUMBER: MENIC W. DeANGELI STRUCTURAL No.35062' A LFj-_z- F�,m, F s A ,