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HomeMy WebLinkAbout0012 CRAWFORD ROAD �o� l������✓mil/��� /�J�-- i i r i ore �a� S�6 Assessor's map and lot number .......... r-......�i��....... SEPTIC SYS fEM MUST B THE INSTALLED IN COMPLIA ,4 Sewage Permit number. ...............................S-.�7 WITH TITLE 5 ` ENVIRONMENTAL COD STanLE, Housenumber ............:. ..... ...Z.................I..................:...... ` rues �= TOWN REGULATIONI .�o,,�1639 \00 a - TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..:......4. ./!1. ......................... o ..... q f�............................. TYPE OF CONSTRUCTION .........1.�✓�.4�....���M� 133 .............................. ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby; applies for a permit according to the following information: �77-4 J f ay�J �' Co 7`� (;— Location .......... ..................................... ....... ........ .......................0....................................... ................................................. Proposed Use �.... s L ...^>C G— .................................................. cx ZoningDistrict ...... ... ...t•........................................................Fire District ..... . !...!............................................................... Name of Owner 24.4 V....... G2 L ..............Address ` ...5/Q n1� ... d.Q�r�r .. �.:.....��.. Name of Builder f !cf ..�...........���'/C........Address ....MC� /W Nameof Architect ..................................................................Address .................................................................................... .. t� Numberof Rooms .............. .�.............................................Foundation ..........................................................I......:........C: Exterior !f/ dC S��ttGy ... g ?'z............................................. .Z.�.Y. ..c`����... �/. �Roofin ......... .. t n / 0 .......Interior .....L/ 6 C Floors < ....... ...G�L � D. ............... ................................................................ Heating .................. .Plumbing ... ..... ` ........................................ Fireplace ........................................Approximate. Cost ....�,r ................................. . ` : - Definitive Plan Approved by Planning Board _- --1 ___-19U- --. Area .....f��.................... �d Diagram of Lot and Building with Dimensions Fee ......... . SUBJECT TO APPROVAL OF BOARD OF HEALTH AD ' �9 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of OB.arnstabl.egarding the'aboveconstruction. Name Construction Supervisor's License .......................... /�" .f... GREELEY, PAUL 28461 One No ..... Permit for .Story ......................... ..........Sin g l.e...Fam i.lx..Dwell.i.ng........................... . .. ........... . .... Location ...Lot 40, 1.2...Crawford. . . ...Roa.d...... . . .... . ........ . ...... . Cotuit ............................................................................... Owner .....Paul Greeley .................. Type of Conitruction ..............Frame............................ ............................................................................... Plot ......................... Lot ................................ Permit Granted ...S.e.p.temb.p--r..2.4...........19 85 Date of Inspection ....................................19. ra Date Completed 19 tc 10 M Z M THE MARIST Lt. BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 41 SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations ofthe Tow, n of Barnstable regarding the above construction. / ' Name ....................................... ' ' Construction Supervisor's License .................................. � ~ | GREELEY, PAUL A=5-41 No 461 Permit for ...One„St ry............. Single Family„Dwellin,& Location ......Lot 40, 12...Q.r.A,7fpxd..Rnad.. Cotuit ............................................................................... Owner ....Paul Greeley.................................... 1 .............. , Type of Construction ....Fri;MP............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted S.eptember. 24, 19 85 . . .. . . . . Date of Inspection ....................................19 Date Completed ......................................19 J o� TOWN OF B^RNSTABLE Permit No. _ - _-__ UUnn Building Inspector cash _--_ • +wu OCCUPANCY PERMIT Bond Issued to Paul Greeley Address Lot 40, 12 Crawford Road, Cotui . Wiring Inspector f �/� Inspection date Plumbing Inspector T 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. of 01 :....................... _.._ _......19 Building Inspector a i TOWN OF BARNSTABLE b�0 ♦ow BUILDING DEPARTMENT = s TOWN OFFICE BUILDING 039. � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #........... !,7 1 ......._...................................................................................... ........_....................................._..... issuedto ..... ... _ .......... .................................._...................._......_..............._...... v' Please release the performance bond. 41`'? . t I 3�1 i i i ! / I �6 O � 0 0 I a o I �\ 6 I � G� �0 I I I A f. .. `fir �►'•�� Ms�.ie�5 G� co "AS I �G,�cSs�+•e e•e•• � \ °°r i F"AS q , s: UILT PLOT PLAN TO THE BEST OF MY INFORMATION, ,9x- s�� c�- MASS. - KNOWLEDGE, AND BELIEF THE 0 j !7�`Tiv.✓ SHOWN ON THIS PLAN HAS BEEN LOCAT . t, �4s HE SWAN RIVER P1 R OHE4RNQ NC. GROUND AS INDICATED. , o'4P s9�y 35 ROUTE.134, UNIT 2 ROBIN � i i SOUTH DENNIS, MASS. 02660 i aI�c% DATE 17 SCALE:0. 4 L79- JOB NO. - r' Z_ CLIENT DATE REGISTERED LA YOR DR. BY : SHEET OF ft y WHITE & KELLY ATTORNEYS AT LAW ERNEST L. WHITE, JR. 102 NORTH MAIN STREET AREA CODE 617 (1950-1976) MANSFIELD,-MASSACHUSETTS 02048 JAMES R. KELLY \ ` - _ '339-2922 August 5, 1985 Town of Barnstable Building Department Barnstable, MA 02630 RE: Lot 40 Crawford Road, Cotuit, - Paul M. and Christine K. Greeley To whom it may concern: Please be advised that this office has examined title to the above referenced lot owned by Paul M. and Christine K. .Greeley.. After checking the records in the Barnstable County Registry of Deeds in connection. with the sale.on July 2, 1985, I was satisfied that the lot went into ownership separate from any adjoining land and that since this was within the seven year protective period granted by Statute,, the lot remains buildable. Title to said Lot 40 was vested in Alexander Skene, Jr. by deed dated August -I, 1972 recorded with Barnstable County Registry of Deeds on September 21, 1973 and has remained in his name until the conveyance to Mr. and Mrs. Greeley. Sincerely, ?James R. Kelly JRK/cz s YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you m. must do by M.G.L.-it does not give you permission to operate.)-You must first obtain the necessary signatures on this format 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main.St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. 1 _ DATE: 4 (7)11 Ilk Fill in please: - �rFT; APPLICANT'S YOUR NAME/S 2 1 �� lru BUSINESS YOUR HOME ADDRESS: 30 Lily TELEPHONE # Home Telephone Number WQ4 ON t'w}�gm - NAME OF CORPORATION. NAME OF NEW BUSINESS Q Cc TYPE OF BUSINESS ` Y IS THIS A HOME OCCUPATION? k1111 YES NO ADDRESS OF BUSINESS �' ��-� ' v MAP/PARCEL NUMBER [Assessing) of When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town a rmouth Barnstable. This form is intended to assist you in obtaining the informationyou may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSI NER'S O ICE This individ I h en inf` d an p mit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION A hori Signatur RULES AND REGULATIONS. FAILURE TO COMM NT • r i 12 2. BOARD OF HEALTH This individual has inform f h permi requir m nts that pertain to this type of business.. Authorized Si ature* COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHORITY) This individual h IT n or d of the licensing requirements that pertain to this type of business. �p thori i ure* COMMENTS: l J �117�, , IVA i Building Commissioner Office Town of Barnstable 200 Main Street Hyannis, MA May 19, 2014 Dear Building Commissioner Representative; I am applying to register my new business,Rue Cassis. This is a women's apparel company for which I will design,manufacture and sell products. I will use my home office for all administrative purposes. Merchandise will be sold at venues such as country clubs and retail stores through trunk shows. Customers will place orders and the items will be manufactured at a factory and shipped directly to the customer from the factory. I will not be using my home for sales,storage or as a distribution center. hj a11k eu. Terri Danaher Rue Cassis 12 Crawford Road Cotuit, MA 02635 Town fBarnstable ow o tom,, Regulatory Services Richard V. Scali,Director Building Division BMWSTABM MASS. $ Tom Perry,Building Commissioner s6gq. �0 '0rfn tu�p't° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: t A---Z, LJ Permit#: HOME OCCUPATION REGISTRATION . :Date: � Name: � �� V Phone#: ( l�� l 8cn Address: k c)' cy-A-W'Hor' 1` :yk—h Village. am(T NameofBusiness: �ru Type of Business: LX) l i lQJ 4� II�U' �( LM ap/Lo t: W INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,.vibr-ation,smoke,dust or`other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in.excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not,within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation: • No sign shall be displayed indicating the Customary Home Occupation. , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwe unit. I,the undersi have read h the ee wit abov restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc Rev.103113 6MMOn , o I ssachusotts Idlap- Parcel: Date. `f ToVyt4 f 13AV65 Permit.# Estimated Job:Cost: $ Plans S:ulrutted NO Plans Reviewed: S, NO Business License*. 6014' Applicant License. -7 Busuzess`Information Property Owner/J`ob.Locatlon'Iriform-tl- Name: yam, i ,�(,d�z Name: >�`' P Street: I S Street: Xx City/Town: S� Lt9 t Gt7° City/Town `� Telephone ..ec?rR'.3- - —�r-OcFe Telephone'., Photo I.D.;required/Copy of Photo I.D.Attached- YES ZXO Staff Ioitia! J=IIuI- uarestricted kense 3-2/lYI=2`-restricted to'dvvellings,3-stories or less and commerc at up to 10;000 sq. ft /2-sta les or less Resldezafil,.l 2:family V Multi-famly Condo t Townhouses Other Cgmmercial: Office Retail Industrial Educational Fire Dept. flpproval Institutional Other; Square Toatage:. under I0,QQ0 sq. ft. _ aver 10',000;>sq.ft:: -ikih per of Stories: Sheet Imetal work o be com feted: New Work: Renovation: HVAC: V Metal Watershed Roofing Kitchen Exhaust S stern I Metal Chimney/Vents- Air;Balancing Protijde detailed description`of work to be done 2. ItVSERNC CQV>4RlGE 1 have a carrent j[ y o :Ui� ce`pnlicy-or its eguiva!,e whi6h,meets�the�requiretii is bf M:G L:CK 112 Yes IM 14 0 if ly u havb,,bhe0 ,Yj ,j didatd title type ofi coue.ra' by.'ch�ciiing tha'appropri A# box:beipvir» 3 Al iaihwty:insurance-ptrtiiey Other.type-of it>Ide anity Cj Bold OWPdER'S 9N L,RAi�Cl;1iNAIV�F2.;I.am aware that the lice nsee,�oes,nat'have the.,i�surance coverage„`requ'ired by Chapter 192 of.the; iUtassachuse ts.Ger%ral Laws,:aril that mysignature on'this:perink pp. Lion j tti s.requirement ' Check Qne Op y j Winer';E Agent Q Signature-of Owner_or Qw pe.5,.Agent f By check�n this box[];1 hereb cart! that all of the details and information I have submitted or:eritered re rdin ?this a , IiCAion-are true anii. i 9 Y fY i } 9a 9 pp accurate'to the<tie"st of ny knowledge and that atl sheaf metal=inrork and`instal{atiotis:perfdr ned under the perrriit issued for t#wapplication vrilt.be in cofipliancewith ail perbnentprovislon of the;AAassaCtausetts B,ulding'Code and`Chapter'712 ofttie,General Laws; i Duct'`inspectson�-required priorto:inst lation installation YES' NO.,.. _ . Prof ems,s4iisijecl®oll$; 1 i Date Comments a i Fibid X-stoecti n Date Comments: } Type;of License: �Y [�Masfer I Frfie (]Master-Restricted :dyfTown QJ.ourneypeison ;Signature 7;c gee germ # �� ❑Journeyperson-Restricted License Number: Y i Creek at;w'vv�w;mass,e�od/dell I rrspectior Signituae of Penni#;/lpprovai e'-pmjaonr�errlt ;of iusac, US Deparae�st=g f �saaas�ra�ala: xi�s: Office of Investdga t ons 600 Waashirag#on Stream'` Bosliol bt 02111 �eaz�sgoa�/a,%a ' '96'or ;ers' -oMpensata�n; sur�tce AtfiawO Builders/Contractors/Electric /,Plz tbers A lacant"Info lion, Please Print t ' 1'° Name(Basnesslorganization/lailiivicat} C/ l7li`�� L/rt9jd rr -- Ad, ss: r Ci /State/Z � �e�iL Phone.#: I �3-� "- P Aze�6iu an endployer�CIaeckthe appropriate boz. :ape ofprojet(reginared} 1 I axzt a employer,with 4. El ad,2a general contractor and;I employees(full and/o p -#uue}, m have hired the stih contractors 6. Q ATew ccinstruct�on r hsted'.on xhe=attached sheet ;'7: Q Remodelhig; 2 ❑ I.am a sole proprietor o4artner <;. s , :and have no employees These sub=contraetors have 8, Q Demolition htP wark:ng for zne yr ffizy,capacity: ernplgye�s and have worlers' 9 Q Buxldnag addition [No workers''cow insarance�, ` coYnp,mstuance# 5. Q GVe afire a caz mkma and its ?0[]Ele tzic l'repazrs'or additidns 3.❑.I azn a..liomeownir doing all work officers have.exercised their - I l Q P:,lvmbiri rairs;ar=additions . n of ex on erVGL myself [No workers ;coxup emptl p 12❑ ofrepa rs: c 152 14 and wehae,no durance requsredj"t § { ).�., employees,[No workers' 13 comp:_msarance required.]:, . Any apph ant 8�at cheer bar#I mast a3sa fib ouf the section below showing fir vroikers'comsat an policy mfarmahon. t Homeowixcrs who submit this affidavit tadicatnng:"they az�dpmg all wjrk�d the}tire outside contractors msis sabaat a new iiav'sst indicating sael. tContractors that'cfieck thrs tax mast attached ad'ihhonal`sheetsbowitig the aatife';af tho s fib contractors=aisd statb.whether or not en fid Have.; employees•.If the sub sonttattibs tiave elflyee§„grey mastrrovrde theca+vazlrs'comg;poliiynrmmber. I am an e�aiployer that rs,pravid�ftzg ajar,leers'compensation insurce fvr;my employees. Belows the potuy aysd�ob bite informaYzon., •. . Insurance Company Name: -�O C l 4 ego "Z Poli #or Self ins Lic.a# �G' ' �6 0.�©D��/�'g�-0 ;Ecpiratron Date 6. d-0 l lob'.Site:tlddreas. City/Statel�ip;_ ®"�� ,° . Attach a,copy d--" •workers'a ompensatl: po$acy neclaraSion,page e policy nuzz ber an ra pnra an date). Failure to secure-coverage,.as.regi ued Wider,Section 2;5A:of OIL c 152 ean,,lea& the asz#rori of crizmnal,penalties of a fine up t6I1,500 b0 andJor one-year pr somzncz#,as well as civ penalfres�n the;form of a STOP W<3Rg ORDII2•and a:fine pf to$250 OO,a day against the violator. Be advisecl;that a cagy of this statement may be#orcvarded to the Oiee of Investsaataons;6f t]ie.DlA-for,insurance coverage xezificafion , X`ilo hereby certifj',tinder the pusats niid penalties=vf penury that tDie infbrntataon provided rabove:is true:mod corner i i I matre: �C9-!L, � a Uate ' C " Phone#t Off eial acre only. bb:iA "t.write m,fhis'.area,•tia be coprspW.' liy city or iown:of fficiaL City.dr Town: Permit/Licetise` J[ssuing Anthoraty 'e.one ] Board of Healtkt Z Buildang l3epartxaent 3.Litylo�vui Cif rk 4,?Electrcal Inspector 5 Plumbing Insp.ector 6..®then Contac#Person =Phone#:: I. t Town X44MstAble, � e��la�ory e> �es TboAnas i+' deal ,Direct er or �•� ua�d�ing I} s ®� Tom;Perry,R011din9 Comma"s"saoner 200Maiu Sheet,Hyannis,l4LR 02G01. www.towm"tAblamiXs 6ffice; 508=862 403.8; Fax. 5.08'79042116 Pl Ofty Omer must Crnplte and`Sign 'I'Ws Sec�i® as.Owner of the subject property hereb authorize Ce \ - �� to:act on my behat in-all matters=relative to work au,'tharized.bp th g'---b dh g pet=t (Addressf PO-of-`fences an&.1laiins are the res ons b ty of the':appl cant ]Pa�ols are,.:not-t- N filled.before,fe gee is instal.'ed and pools arc'..not to be utilized until all,final.inspections ire perforaned aiad.accepte`d.; Signature of"OwneY S g. attire of tlpplacaut Phut Name: Px�nt Name Date Q FOR1vI�i0WNE12PERMfSSIOM'O,OIS � S N HVAC Ratings and Rebate Calculator Page 1 of 1 Selected HVAC system: Outdoor unit: 24AN863OA003 Indoor unit: FV4CNF002000 Furnace: Cooling capacity: 28,000 SEER: 16.00 EER: 13.00 HSPF: N/A HCap 47: N/A HCap 17: N/A AFUE: BTUH: AHRI reference nr.4638125 https://www.mydcne.com/hvac-calculator/hyac-units/ 3/19/2014 • Adtek Software Co danaher 105 S Main St-Toluca, III 61369 12 crawford rd 815-452-2345-sales@adteksoft.com cotuit, ma Sales Consultant: chris manslage Job#: 09-24-2013 Date: 09/24/2013 System I (Average Load Procedure) Design Conditions Location: East Falmouth Otis Angb, Massachusetts Elevation: 132 ft Daily Range: Medium Input Data: dytdobr Dry Bulb Indoor Dry Bulb Latitude: 410 N Design Grains: 39 Summer: 82 75 Heated Area 1400 Sq.Ft. Winter: 14 70 Cooled Area 1400 Sq.Ft. Heat/Loss Summary (July Heat Load Calculations) Gross Sensible Latent Area Loss Gain Gain Walls 2039 9171 2701 0 Windows 197 5000 4570 0 Doors 42 1412 530 0 .Ceilings 1000 4404 2456 0 Skylights 18 747 2394 0 Floors 0 0 0 0 Room Internal Loads 0 4728 400 Blower Load 1707 0 Hot Water Piping Load 0 0 Winter Humidification Load 0 0 0 Infiltration 7887 425 1464 Approved ACCA Ventilation 0 0 0 MJ8 Calculations Duct Loss/Gain EHLF=0.09 ESGF=0.05 2576 890 770 AED Excursion n/a 0 n/a Subtotal 31197 20401 2634 Total Heating 31197 Btuh 10 kw of electric heat Total Cooling 23035 Btuh 62 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 1 _ ' __- LICE S " 9a END 4d NUMccBER -ap.. . NONE . �r44� .:: - 6 ryjj E i CHRISTOPHE1R LEE a 7 ANNE CIRCLE' n/ SANDWICH,MA 02563.2523 ee��ww DD 04-14-2011 Rev oms.2009 9 4 OMMONWEALTH OF MASSACHUSETTS BOARD®F SHEET h1ET'AL `WORKERS �{ ISSUES THE FOLLOWING L'IGENSE ° Y � AS A BUS I NE.:.SS , CHRI STOPHER L MENSLAGE c� ALL GAS HEATING AND COOLING INC 5 JAN -BAST IAN DR B2W �J `A6WiCH MA 02563 ti 62b o2/20/�6 �92503 ��" s C8MMW,WEALTH OF MASSACHUSETTS I SHEET METAL WORKERS AS A MASTER-UNRESTRICTED ''' I ISSUES THE ABOVE LICENSE TO zZ CHRISTO-PRIER L MEUSLAGE , PO BOX _550 r SANDWICH MA 02563-0 5,50 `0 27GG 04/20/14 1"46047 -.. LICENSE NO. EXPIRATION DATE SERIAL NO. Duct Leakage, Test Form Customer Information: Test Conditions: Name: William Danaher Address: 12 Crawford Road Date: 3/20/2014 City: Cotuit Time: 2:00pm State/Zip: MA 02635 Indoor Temperature(F): 68 Outdoor Temperature(F): Phone: 617-818-1319 Floor Area(ft): 53 Email: 1228 System Airflow(cfin): 875 Cooling Size(tons): 2.5 Building Address:(if different from above) Heating Size(btu): N/A Street: Primary Location of City/State: Supply Ductwork: Attic - Primary Location of Return Ductwork: Attic Comments: Total Leakage Test Depress Press x Outside Leakage Test Depress Press Test Pressure: 25 (Pa) Test Pressure: (Pa) Baseline Duct Pressure(optional): (Pa) Duct Flow Ring Fan Press Flow Duct Flow Ring Fan Press Flow Press. a Installed a cfm Press, a Installed a cfm 25 3 240 70 Fan Model/SN: Results Outside Leakage(cfm): Fan ModeUSN: Outside Leakage as% Results: System Airflow: Outside Leakage as% Total Leakage(cfm): 70 Floor Area: Total Leakage as% System Airflow: 6.5% All Gas Heating & Cooling Inc. Total Leakage as% 15 Jan Sebastian Dr Unit 132 Floor Area: 5% Sandwich MA 02563 508.833.5088 ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel_ i Permit# '$��(n q2 Health Division v to�� WW OIAXII Date Issued 240S Conservation Division Application Fee P Tax Collector Permit Fee Treasurer SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIR0Igf0ENTAi-CDEAND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis: Project Street Address / ('�h'AW rap,6 R 6 A p Village C 0 'T' U J Owner PAui. &R156j_EY Address 1 :A CARAWFdRah G'A/3 =C'd7,viT Telephone a '7 ((fe� ZY/ —,q 67 Permit Request ?R E(ei-A r E a Info v A 6 Er, 4' WdA AEc, J :r> r— Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 4 3do Construction Type Lot Size v( -3 Me) Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Cl Multi-Family(#units) Age of Existing Structure 0 Y e,4ks Historic House: ❑Yes CXNo On Old King's Highway: ❑Yes WNo j. Basement Type: %Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) v Number of Baths: Full: existing new 0 Half: existing _ new 0 Number of Bedrooms: existing new Total Room Count(not including baths): existing 6v new d First Floor Room Count Heat Type and Fuel: $Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ANo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Xexisting ❑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 `�'►�` +- - BU -DER INFORMATION Name Telephone Number { Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO , /1 a a t7 C/T SIGNATURE DATE FOR OFFICIAL USE ONLY " PERMIT NO. DATE ISSUED ' AP/PARCEL NO. ADDRESS < VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION As FRAME INSULATION f FIREPLACE ELECTRICAL: ROU�G11- M FINAL M PLUMBING: R0U,QI4 • FINAL rn GAS: ROUQ%HQ } FINAL FINAL BUILDING V7 -J t DATE CLOSED OUT M vn a ASSOCIATION PLAN NO. r ". r F I ti ` _ =1 The Commonwealth o Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street, a Floor it Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors �k ems= aI s �._ a. name: P,4 L4 L R �,ct. 6Y` address: CRAW r-d R 0 R 6 city 6!1 i U / -r state: zip: 0a2(--3 S- ohone# 7 work site location(full address): / 2 CRAW PdR 6 R J A© ) C Cl %✓ c i /)14 I am a homeowner performing all work myself. Project Type: ❑New Construction ZRemodel ❑ I am�a csole Proprietor and have no one working in any capacity. ❑Building Addition z9 ❑ I am an employer providing workers' compensation for my employees working on this job. company name: ` address: ........._. .... _.S_....__..._.. city ...ohone#: insurance co. 2011C # ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers'compensation polices: company name: address: city phone#• insurance co. volic # company name address: city: phone M insurance Co. ON# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.._ I do hereby certiify the pai and p Ines of p jury that the information provided above is true and correct Signature -V Date cr Print name- �� L�Y• Phone# ��q `yd�4 4Q c [contact nly do not write in this area to be completed by city or town official : permit/license# Y ❑Building Department ❑Licensing Board immediate response is required ❑Selectmen's Office ❑Health Department son: phone#; ❑Other03) " r ' A Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all'employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. , An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or,local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned.to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7te Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 r� - o�TMe t Town of Barnstable Regulatory Services i H Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permitno. Date • AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION convers MGL c. 142A requires that the"reconstruction,alto o tr0�addition at oany pre-existing occupied ion,: improvement,removal,demolition,or constructio building containing at least one but not more than four dwelling units or to structures which ate adj acent.to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: k � C��AOEl� �ii/T Estimated Cost � U0 Address of Work: U/�. 7�9 A" d,ti?6. Ad , ly Owner's Name: U'L- G L Date of Application: -3 d/ 0 6; I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied NOwner pulling own permit Notice is hereby given that: G�STERED OERS P ,LING THEIR OWN PE MEOR VINENlE�N IOtK DO NOT HAVE CONTRACTORS FOR APPLICABLE H UNDERMGL c.142A. ACCESS TO THE ARBITRATION PROGWA OR GU,&J ANTV FUND -SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor.Name Registration No Date . ° Aqy` Gte,cel—g � (29W Date Owner's Name Q..forms:homeaMdav ]regulatory Services saantszaar,E; Y :4 �.'p oM .k-.G-eiler •Director NAM M A,1639. ��•� : . . . v Builduig Division ::• :-Tom Perry;'B'fiiilding Commissioner 200 Main Street, Hyannis,MA 02601 ' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please.Print DATE:_ / d�&: _ JOB LOCATION: number street village "HOMEOWNER! U at--- ��ESL �Y �S�Fl—Lf�d—�c�-7 nWrne home phone# work phone# CURRENT MAILING ADDRESS: P.CJ city/town state zip code The.Current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER '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 strictures accessory to such use and/or farm structures. A person who constricts more than one home in a two-year period shall riot be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building-Official,thathe/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 procedures and ' require Signature of Homeowribr 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 persons)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, t' that the homeowner certify that he/she understands the responsibilities of a Supervisor; On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community; Q:forn s:homeexernpt �p 1 a C�4/�wFaR � 14oA�D e� o79air• 3 ' e I ��V o �;�• }sue i 'IDS iG p* MEA �y • Q �4. "AS ILT" PLOT PLAN . 10 TIC BMI OF w ofel""TION, fy 2� dd- 1 KNOIA EDGE, AND WIXF THE D i �p.',,,y.tno.✓ SHOW ON THIS t-FLAN HAS BEEN LACA � � R�81'IMAIt AY AC iGROUND .AS No SWTM Omsk am oam � ) - I 10. NT OA. 9Y t 9MFgT+OP, ! Di�:tq c9— 12- 6U VVr"*D' IZD ka &Fot-r a�IN -AR4 eS Pd LL t S 221 - 8S5� 81/5 Zao�S �%A Lie: f2 „: �,�a a6rl Nor W HI T'E 602A?'- Sl D�vdA l_L�- `roP bF RAIL To(k N� LASS YGeN �" Bov6 bG[.K SLR.FaLE . SPACING BETWM4 r3du�s-r�rtS G S" r 4 xu -ra,><ar�o �asTs F�STEsvtEt� ~ro a�a� Rim So 1 s-r ..t/do4t-y dwr e, vVAS,462 2 X X 1 T2EATD ® 7"D 15-rS lx9 pf'4#z&h/Y rock"Q 2 G- "• . 3)2 K!e TR(sQ7�1D(sl fZn�tZ y X� TP.�A7�1� FbST s-r .rP91� 'G' UP lb 3'O" (D/S?AR cE CdE-"W4 • PbsrS •G C,'0'�NNSt� O 6 T2oN P- ToP toNNaTioi4 o -ro 412D�2./ y�lt/ ° . O� p \ oo.• .o tea.. AP$ @ 8orrnM &crEp Fou�lcA�oN ANGNr7 t;, n l DF 'O y — �2� o° o 3� E Lalr1(Cs2�1D� SILL NA►LS r�eagA -rb Re a d, a &4LVA NI ZC-D OR 6%Z1,VaZ SM& . o 0 opo • c v 1"7 PP.LP�VD l -CtC - 6RECI-N &SIDCWLt:—� — 12 C wra 0 D., CoTj i r, 10.4 tQAw By ��n�s ���L�S l Sd��221 -$,Ss� 8�/s 2oos' - / 1-o I i �� , I�PP,eOX 96 i I AP&d. 36 .cG GG . /Lo t7hh �& of Town of Barnstable *Permit# �yl Expires 6 months from Issue date > ,►>�, : Regulatory Services Fee%639.► Thomas F.Geiser;Director N41T Building Division Tom Perry, Building Commissioner J U L 13 2005 200 Main Street,.Hyannis,MA 02601 Office: 508-8624038 TOWN OF BARNSTABLE Fait 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � Not YOU without Red X Press Imprint Saplparcel Number 0 roperty Address /off t' V u TAa. 6)LO3- , !Residual Value of Work Minimum fee of•$25.00 for work under$6000.00 )wner's Name&Address Pat,- I (SH' 44e� e C . 1-11 ;ontractor_s_Name ' G � Telephone Number come Improvement Contractor License#(if applicable) /4)?p'a, .onstrnction Supervisor's License#(if applicable)_ i )V1'� ]Workman's Compensation Insurance .< Check one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Commpensation f nsurance Company Name ✓ 6! . NoIkman's Cdn:m .Policy# �opy of Insurance Compliance Certificate must be on file. ?ermit Request(check box) f old-mo (stripping shingles) All construction debris will be takers to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U Value (maximum.44)• *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ' ***Note: 9perty Owner iga Property Owner Letter of Permission. v tractors License is required. 3igaatnre �Forms:expmtrg Revise063004 10 r... L * 0 Gallag er Roof & Sidir� --y ea 1 . your business" K J 1 U Corporation Rd. . 't Yarmouth Port, MA 02675 Pr `oral b 'tted to Work to be performed at Name r- �L . Street d S� _ Street oZ f �✓ c� to V Cn)' State City State Date / o Oal � Phone We hereby proposq to fiunish a rials d perform the n for the mpletion of r i ktG Q C� i ACleJSkr mH C rii jil a.CVirgr O '�G �c ve`` ea k a.� rim C Q c�vss' s II I �-3 � ,ram vu.✓ s 6�. -c � S t v t �e �r� l^iixG iHe .' I hS 2. ova - i 10, ------------ as oY n.a✓ �� 5 u J . . c' p A40 ✓ p/dyy O�r.s Iq� - I tom•'- � � _ D� � ,GI J � ts� y� �..." 4, All erial is.guatan to be ass ed,an a above work to be performed in accordance with the draw' and f specifications submitted for above k and completed in a substantial workmanlike manner for the sum of p�j� Dollars. f With payments made.as full e e Jd tul` a 30 "vr Cow on Acceptance of Proposal The above prices,.specifications and conditions an.saddh ory and are hereby accepted, You are authorized to do the work�s specified:Payment will be made as outlined above. Accepted Si G� Date 0 Stature. is The Commonwealth of Massachusetts Department of Industrial Accidents ofe Office of Investigations. 600 Washington Street t Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Eeldbly CIX C Name (Business/Organization/Individual): ___kT_T Address: ✓ City/State/Zip: `^ �& t*2Phone#: � Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors ,01-an a sole proprietor or partner- listed on the attached sheet. 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ElDemolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] ;Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company an Name: I 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 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 certi der ain d p nal es of perjury that the information provided above is true and correct. Signature: Date: 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 [.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"-the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia f ! f Board of Building Regulations antlrfitat a C icense or registration valid for individul ON only `_ HOME IMP VEM o: b ira ion date n rethe oex ENT CONT3ACT0 O ' t. $oard of Building Regulations anal Standards Registr .10925Q Orie Ashburton Place Rm_1301 ® 006 Boston,Ma.021.08 GALLAGHER R Michael Gallagher _t a 10 CORPORATION n G -� - r ---- YARMOUTHPORT,MA 02675 Administrator t re No valid without sign