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0051 EATON COURT
�� i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application �� sC� Health Division Date Issued /C-;,_-4 l Conservation Division Application Fee Planning Dept. Permit Fee l oZ-cri Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis V Project Street Address Village _���,�' Owner T r io Address 6Z1&7_�, � Telephonel5 Permit Request Square feet: 1 st floor: existingproposed 2nd floor: existing proposed Total new Zoning District J Flood Plain Groundwater Overlay Project Valuation QMV, Construction Type��� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 'z7 0 R o Dwelling Type: Single Family Two Family ❑ Multi-Family((## units) . , Age of Existing Structure �G C -I',— Historic House: ❑ I�Yes No On Old King' Highw�. ❑ s C k< Basement Type: ull ❑ Crawl 0- alkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sgft) T' Number of Baths: Full: existing_ new _ Half: existing c>�- new Number of Bedrooms: existing onew CD rn Total Room Count (not including baths): existing new ` First Floor Room Count y� Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: Wes ❑ No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes e—f o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# T, - Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named v Telephone Numbers-�� Address �� .� License # `7 7 ' 2��. Home Improvement Contractor# Em ao �,�'a!/�,c° C'a/ �5�- �Worker's Compensation # ALL CONSTRUCTION DEBRIS R SUL ING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /3 (> i ' FOR OFFICIAL USE ONLY �• APPLICATION# 711 DATE ISSUED E ;MAP/PARCEL NO. ADDRESS VILLAGE r . OWNER DATE OF INSPECTION: — FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL — PLUMBING: ROUGH FINAL f 4. r GAS: ROUGH FINAL t FINAL BUILDINGz. DATE CLOSED OUT ASSOCIATION.PLAN NO. c The Commonwealth of Massachusetts ,z Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Bwlders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: Po, V . City/State/Zip: Phone Are yo employer?Check the appropriate boa: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I _ employees(full and/or part-time). * have hired the subcontractors 6. ❑New construction 2.❑ I am a sg.le 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' - - 9. 0 Building addition [No workers' comp.insurance comp.insurance.: ` required.] I5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.El 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 13.❑Oilier employees.[No workers' 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 employers. If the sub-contractors have employees,they mast provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 7 , ��— Expiration Date: Job Site Address:_5,/1 7 City/State/Zlp: 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 c r the p d p ofperfury that the information provided above is true and correct I Si at3re I Date: Phone Qfficial 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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-contractors)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 insurannce. 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 permitllicense 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 (Le.a dog license or permit to bum 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 Depaztment of Industrial Accidents Office of kvestigatians 600 Washington Street Boston,MA 02111 Tol.#617-727-4900 W 406 or 1-877 MA.SSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia .aco CERTIFICATE of LIABILITY INSURANCE THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 96TWEEN THE ISSUING INSURER(8),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:ode oertiff�ale holder Is an ADDITIONAL INSURED,the pedicy $)muss be endorsed.If SUBROGATION IS WAIVED,w�ect the term and oonditlans of the pollcyr,earleln poRNas may require an endoreemwt.A statement on!!Ns eartltlrate Goes not cormp rights 10 the wrollcate hQSQer In flaunt ettch endoneemorA(s). PRODUCER CONTACT NAME Ay ILOd Ris)c tnam nao ffo viaoa, roe. . AO.NEwExt). (877)234-4420 (A)C,Nok 877 234-4421 10825 Old Win Rd E-MAIL !� 65154 ADDRESS: PRODUCER CUSTOMER ID 9 (877)234-4420 INSURERS)AFFORDING COVERAGE NAIC r INSURED INSURERA: Continental IndsmLty Co 29 CaI:'fl9i' away t INSURER e: dba (tC*V s m,31d4:npl and RaWdeliM INSURER C: e0 BOX 1080 Cotnit, H& 02635-1080 INSURER D: INSURER E: CTL 1273 767949 INSURERR COVERAGES CERTIFICATE NUMBER: MOON NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS-OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODL SUER POLICY EFF POLICY E7IP LTR TYPE OF INSURANCE INSR WYD POLICY MBE MWD umrys GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑ �I DAMAGE TO RENTED �f PREMISES ---- $ . M DE6 C�OCCUR MED EXP am PERSONAL a ADV INJURY GENERAOAGGREGATE GEN'LAGGREGATI!LIMIT APPLIES PER: pRDDUCTS•COMPB:ypAGG POLICY PROJECT f7 LOG AUTONWILE UABILRY COkdBINEO 8W GLE LIMIT ANY AUTO a (Ee accIzIng BODILY INJURY I ALL OYJNEDAUTOS Po. $ SCHEDULEDAUTOS BODILYf RY PROPERTY DAMAGE HIRED AUTOS ammem NON-OWNED AUTOS ° 5 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAWS-MADE AGGREGATE $ DEDUCTIBLE i $ RETENTION $ $ ' WORKERS COMPENSATION ��T�ffMUMff ER AND EMPLOYERS'UABAITY ANY PRDPRIETORIPARTNERI YIN E:LEACHACCIDENT $ 100,000 EXEC1 ICER/MEM$ER 1V 1 N/A 6-805700-041 Od /31/2013 3i/1tJ44 EXCLUDED? anal torylnNN) �J E.LDISEASE-EAHMPLOYM S 100,000 II yyeaa,deacrlhe order SPECUILPROvmIONSbelow E.L.DISEASE-POLICYWW $ 500,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(Attach ACO d 101,AWliflansl Rwna ke SdwdLft It more spars is rsqulrsd) CERTIFICATE OLDER _ CANCELLATION ��� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THH EXPIRATION DATE THEREOF,NOTICE WILL.BE DELIVERED IN ACCORDANCE WITH PO am 1080 THE Pau"PROVISIONS. aOftit, N& 02635-1080 AUTHORrZEDREPAESENTAMNE A=$ Bs+aljwt mumm ic 1783119 AGORD 25(IID09" Tea ACORD Mma and►opo.Ir ro0lstated madw et ACORD 0108-2009 ACORD CORPORATION.AD 0411111 Mwved. Massachusetts- Dep:u tnient B of Public Safch o tr'd of Buildi.n Rc,,ulations and Standar Construction Supervisor License dz j I One'-and,Two-family Dwellings 'License: CS 77754 i CAREY C G. _ ROVER. i PO BOX 1080 COTUIT, MA 0:�635 ` Expiration: 13 it ('ummissiuncr' 1Z/20 Tr#: 7083 J oa��r�eaacuecr��/'9 i4dac/ccaeliJ License or re istratron valid for individul:use only. + �1 Office of Consumer Affairs&Business Regulation g. ME IMPROVEMENT 4'sONTR�CTOR before the expiration date. If found return to:. V,,, istraUon 144322peOffice of Consumer Affairs and Business Regulation iration 9/23/2014: DB'A10 Park Plaza=Suite 5170 Boston,lVlA 02116 GROVER BUILDING+'R6 ELWG i.: j . CAREY.GROVER �< ...56 BOWDOIN RD � --s9 - ; MASHRE , MA 02649 r UrjH�ersecreta ry 1pt v d without signature ofIKEI - Town,own of BarnStabIe Regulatory Services _ .Thomas F::Ge�4er,nT)irector �� q, 1630- .� Building Division RFD MaS Tani Perry,Building commissioner 20{3 Maio SLreei,Hyannis,MA 02601 wwtv.toYrn.Usr nst bte"_ma.us I Fax 508-790-6230 Offit;e- 508-862-4038 Property Qwne17 MAW - C,c�rnlaeie and Sign ` `his Section If U ins A Builder , as Owner of the subjeck propemt' hereby auhorizx C. to act on my behalf, ;n A matters relative.to wark.authori ed bythi building,permit application f or: _ {Address of Job} a S' aa of C}v�ner - --pat r, Print ame If Propert; Owner is applying for penut please complete the Homeowners License Exemption Form an the inverse side: gY s ✓ Ott) qly _ 1° IMA 2 Aoo I. n�Fok Qo/k" 410 A/6 p 1 r EXIST.MLIAN TIES + . ®IB'os. 101VN O t p f?D T'A EXIS EXIST. 11 7A13 �!tw O BATCH BEDROOM �EX19T. :j pal 11 _ EXIST.MMTS E%IST.JOISTS - EXIST.SEA 7a r INSTALL NEW SLEEPERS •i I �"• S]If PLYWOOOTON TON _s{ NEDW OF EXIST.89W nBUILDING SECTION @ EXPAND. BEDROOM NEW GAMEROOM A - A Al Al 12 EXIST.D - NEW ANOENSEN r ° TVVM41 Z - lra 1Ja FLOOR PLAN INAPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE EEY-ONC 1200-SQ. FT. PER LEVEL MAY REQUIRE THE NSTALLATiON OF ADDITIONAL SMOKE DETECTORS.. NOTE. --EPA;-''TE PERMIT IS REQUIRED FOR THE RIGHT ELEVATION " `A�Ll„TiON OF SM,,KF DETECTORS-THE ELECTRICAL ?ERFA17 DOES NOT SATISFY THIS REQUIREMENT. ���COTUIT BAY DESIGN, LLC NEW REMODELING FOR: �°°•� SCALE: oRAWINONo.: oxme MAREF=11 onnmr�rnonroeunror 43 BRE4VSTER ROAD `°"°e`"°""�""°°"`°"'""`r°" 1/4"=1'-0" _°wnvuX wn T"°m"r0+r NAGLE RESIDENCE Al MASHPEE,MA. 02649 °°'""°""°'�°"°""�"° PH.(508 274-1166 TM�°����r����° P„��IN�,�..N.o,n��o� DATE FAX(508)539-9402 51 EATON COURT COTUIT, MA �°°"""""°°"�°�"°"� `" 9/16/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' �J Map 05 Parcel �l Application ' 13 4 p/ Health Division Conseivafion Division L` 3�/260 Permit#` I Cl Tax Collector Date Issued Treasurer Application,Fee Planning Dept. N Permit Fee L Date Definitive Plan Approved by Planning Board N I A ►�� ��g �� Historic-OKH N/A Preservation/Hyannis JA Project Street Address "N CQ1 R:C Village (dTy I i Owner I -.63 17 N A&L6 Address 1A- cANY0tq krA Pya o AtAmQ1CA 9/r90 Telephone 4tO :Y2:NORe15 i� 50N, INC- WR-115 0457 Permit Request A MM' kyt?<cax.. 9_7 k d 2t DRmw W( L&-moo � 4,60NN�UP_Anw OF AXE LCOROQ M5 A KITME 1 VINE N to Room tr, oyA oaj (IJAUGE E1 A%, 4 DEC M—/7 � �G� - �'ors Square feet: 1 st floor:existing proposed 0 2nd floor:existing 5co proposed 650 Total news Zoning District Flood Plain N/A Groundwater Overlay A t Project Valuation Construction Type WT? r '� Lot Size 1• ®2 AU• Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ,W Two Family ❑ Multi-Family(#units) Age of Existing Structure T-7 Historic House: ❑Yes %I No On Old King's Highway: ❑Yes 4 No Basement Type: ;4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) NIA Basement Unfinished Area(sq.ft) 19-7 0 Number of Baths: Full:existing 3 new Half:existing new 1D Number of Bedrooms: existing 4- new 2 Qr lmt z im(r 399_",6 To 1k Total Room Count(not including baths):existing PI new First Floor Room Count Heat Type and Fuel: ❑Gas 4 Oil ❑Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size N I A Pool:❑existing ❑new size N 1A Barn:❑existing ❑new size A_ Attached garage:0 existing ❑new size N 1A Shed:❑existing ❑new size Other: UJA Zoning Board of Appeals Authorization ❑ Appeal# (VIA Recorded❑ Commercial ❑Yes A No If yes, site plan review# Current Use -�,3(pr q cf� Proposed Use p A. N 1 BUILDER INFORMATION Name LF7. NQRII?N N i 1W6- Telephone Number Address W `�SA lJ' T UVT License# C 0153�"1 A- Home Improvement Contractor# (COI�- Worker's Compensation# WCC 5OM67 0( 2M(o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE { r' FOR OFFICIAL USE ONLY lY r t f i''PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATIO FIREPLACE ELECTRICAL: ROUGH FINAL `• PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ` FINAL BUILDING 4 DATE CLOSED OUT rr ' ASSOCIATION PLAN NO. t 08/25/06 FRI 08:19 TEL 206 441 4119 THE EDGEWATER 2002 Town of Barnstable _ Regulgory Services Thomm$.Gener,Director '� , BU11CUn9 D171910A. �f Toth P", $uII • dag Commiuloner 200 Mafia atmet $ymis,MA 02601 7Pv�wAown barnsts,'ble ma uo OM=: 508-86z-403 S Fa; Prope*Owner Must Complete and$tn This Section, -If Using A BW1der ; Y � DE..mcs as Uvmer of the subject PmPer7 hereby authorize • , UD-K. 5 ZON G_ to act on mybeM, in all rust=relate to woA awthor;zed bythis binding permit application for; l T 1r MA Addnss of b) signature Date Print N=e F.Z.N. F-Ayc# • Q:PORMS;p9VNb�'�vII$SION RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.0 57(7 �d Change of Contractor/Builder $25.00 ---- FEE VALUE WORKSHEET NEW ING SPACE 40V / �21 square feet x$96/sq.foot= 6 x.0041= plu fr below(if applicable) ALTERATIO /RENOVATIONS OF EXISTING SPACE _ Ir ._. Jr'Jr square feet x$64/sq.foot= a x .0041= ` is s from below(if applicable) GARA (attached A detached) square feet x$32/sq. ft.= —x .0041= NIA J ACCESSORY STRUCTURE>120 sq.ft. �p >120 sf-500 sf $ 35.00 B( � >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0041= VIA STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= J11 A (number) Fireplace/Chimney x$25.00= /A (number) Inground Swimming Pool $60.00 A/ Above Ground Swimming Pool $25.00 . A Relocation/Moving $150.00 IVIA (plus above if applicable) Permit Fee Projcost Rev:063004 i °FIRE�°� Town of Barnstable °^ Regulatory Services ` STAB ASS. * Thomas F.Geiler,Director y truss. � � �'OTfp,19g Awe Building.Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 4�0 AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Na 411 ON A ATE 0 N Estimated Cost Address of Work: 5 `i (,ti��� Owner's Name: M Ir. 0aM66 P, Date of Application: V$ 124- V b I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contra or Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 �,q �/rLG' �nCi'JlG'JJ'J.O-l2CUL'CLLC/U 0��.!v�C7.:1D11C1'LllJN�,J Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 102014 One Ashburton Place Rm 1301 Expiration- 6/30/2008 Boston,Ma.02108 Type: Private Corporation 7 ERNEST B. NORRIS&"SON INC /' rz Craig Ashworth 385 Sea St Hyannis, MA 02601 Deputy Administrator of valid without signature r ✓lie �arrv�rcaiauealC/:, o• illa;xsac�i�aretl3 , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ? Number: CS ' 015851 y Birthdate: 09/28/1953 d Expires: 09/28/2007 Tr.no: 5196.0 Restricted: 00 CRAIG N ASHWORTH j 385 SEA STREET G— A HYANNIS, MA 02601 Commissioner 771 • .T.--:ram.....u_�- .:. Y: - y. a Date: 8/11/2006 Time: 11:18 AM To: @ 7,15087757877 Dowling & O'Neil Page: 001-002 Client#:646400 2NORRISEB ACORDTM. CERTIFICATE OF LIABILITY INSURANCE 0DATE 8111106D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Associated Employers Insurance Compa E. B.Norris&Son., Inc. INSURER B: P.O.BOX 486 INSURER C: Hyannisport, MA 02647 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R DD' POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGEREMISESS Ea occu( uRENTED Pence) $ CLAIMS MADE F-1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRCO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accdent) GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WCC5000673012006 05/03/06 05/03/07 WC LIMIT WC LIMIT OERS PER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROP RIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable- DATE THEREOF,THE ISSUING INSURERWILL ENDEAVOR TO MAIL 1n DAYS WRITTEN Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 'lYd riles 6..- 'iylD"! �^'G.rU1M�+.• ,w.:., -4iy� ACORD 25(2001/08)1 Of 2 #43940 MAK © ACORD CORPORATION 1988 r r .f NAGLE RE.RPT MAscheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAscheck Software version 2.0 I I I I 1 checked by/Date I I I CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-23-2006 DATE OF PLANS: 08/21/06 Jy T1TLE. ;NAGL'E &,Residence COMPLIANCE: M4 SES Required UA = 75 Your Home = 72. Area or insul sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 555 38.0 0.0 17 WALLS: wood Frame, 16" O.C. 230 13.0 3.0 16 GLAZING: Windows or Doors 32 0.400 13 FLOORS: Over unconditioned Space,, t`` 555 19.0 26 ------------------------------m STATEMENT: The propposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and 14.4 Bui 1 der/Desi gner ©M 6 3 6014 I'SX, Date__. ___zi 0 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software version 2.0 NAGLE Residence DATE: 8-23-2006 B1dg. 1 Dept. 1 use i I 1 CEILINGS! [ ] I 1. R-38 Comments/Location 1 WALLS: [ ] 1 1. wood Frame, 16" O.C. , R-13 + R-3 i Comments/Location WINDOWS AND GLASS DOORS: Page 1 r i NAGLE RE.RPT [ ] I 1. u-value: 0.40 I For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location i FLOORS: [ ] I 1. Over Unconditioned Space, R-19 Comments/Location AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. Recessed I lights must be type IC rated and installed with no penetrations or installed inside an a propriate air-tight assembly with a 0.5" I clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing u-values must be clearly I marked on the building plans or specifications. DUCT INSULATION: [ ] I Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. I DUCT CONSTRUCTION: [ ] I All ducts must be sealed with mastic and fibrous backing tape. I Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE .CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. i HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling. system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. MISC REQUIREMENTS: [ ) I Refer to 780 CMR, Appendix J for requirements relating to swimming I ools, HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department use only)------------------------- 0 - --- ---- _ _ - - --- Page 2 .� Department of Industrial Accidents HOP . 6 S6, Office.of Investigations: 600 Washington Street 1' - Boston,MA 02111-. www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers kuplicant Information Please Print Legibly '-1ame (Business/organization/Individual):. U16 - kddress: /�7 g5 6'A "-;F l Phone#• 5 ©�city/State/Zip: O,�1 ) 6 AA 07_60 90 cJ gyre you an employer? Check the-appropriate box:. Type of project(required):- 0 !am a'-employer with 4, ❑ I am a general contractor and I . 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ❑ I am a sole proprietor or partner- listed on the attached sheet t ?• ❑ Remodeling ship and have no employees These sub-contractors have 8. Demolition working for mein any capacity. workers' comp.insurance: g, ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required,] officers have exercised their 10.❑ Electrical repairs or.additions ❑ 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.] ny applicant that checks box#.1 must also fill out the section below showing their workers'compensation policy information: `• iomeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such infractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. . im an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site Formation. ,urance Company Name: b0 k)U 0 L & O ' W, `C, I�J C,i) P-A N Cl licy#or Self-ins.Lic.#: „ �v01 100C Expiration Date: b Site Address: w U City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ie 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 one up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. 'o hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ature:. ..6JCi• N©U Tl - Date: .;Lo ()6 one#:. 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions . fassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, &press or implied,oral or written." or other legal entity,or any two or more .n employer is defined aS:`.`att individual,partnership,:associatign,corporation f the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev..er:tlie wner of a dwelling house having not more than three apartments and who resides therein, or,the oempant of the welling house of another who employs persons to do maintenance, construction or repair work-on such dwelling house it on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." vIGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or •enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant 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 ;rater into any contract for the performance of public work until acceptable evidence of compliance with the insurance -equirements 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-contractors)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 of 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 mast 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.of licenses..Anew 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 (ie.a dog license or permit to bum 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 9f uvestigations " .600.WashingfoA Street- . Boston,MA 0211 L. Tel. #617-727-4900 ext 406 or I-,877-MASSAFE Fax#617-727-7749 tvised 5-26-05 www,mass.gov/dia r - DATE 6/13/06 PROPERTY ADDRESS 51 Eaton Court i Cotuit MA 02635 0/_3 On the above date, the septic system at the address above was inspected. This system consists of the following: � � 1.- 1-1000 ga.P2on .6ept.ic tank.- 2., 1-d.ista.i&ut.ion Boxo 3., 2- 1000 gaUon .teaching p.it ',l Based on inspection, I certify the following conditions: 4., 7h.la .izs a 7.it.2e Five zept.ic zyztem (,78tode) 5.1 Septic •system .i.3 .in fl>copea woak.ing oa&en at the paesent t_imao SIGNATURE Name: Robert A. Paolin.i w Company: Joseph P. Macomber & Son Inc - Address: P. O. Box 66 Centerville, Mass 02632 c.s Phone: 508-775-3338 or 508-775-6412 JOSEPH P. MACOMBER & SON, INC. Tan ks-Cesspools-Leachfields Pumped &.Installed Town Sewer Connections P.O. Box 66 Centerville, MA 02632-0066 775-3338 775-6412 ; • COMMONWEALTH OF MASSACHUSETTS z ExECUT1VE OFFICE OF ENVIRONMENTAL AFFAIRS r , DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—.NOT:FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PARTA CERTIFICATION Property Address: ..51 Eaton Court o ui Owner's Name: VirQiriia Deal Owner's Address: Same Date of Inspection: 6 1 3/0 6 Name of Inspectori(please print) Robert A P.aol'ini Company Name: g. 10, 11acomB S:o.n Inc.. Mailing Address: _ CPn azVi e, flozz..02632 Telephone:Number: 5 0 8-7 7 5:3 3 3 8 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to:Section.15:340 of Title 5(310 CMR 15A00). The system: XXX Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fail .Inspector's Signature: Date: The system inspector shall submit a copy of this inspection report to the.Approving Authority(Board of Health or DEP)within 30 days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner.shall submit the report to the appropriate regional office of the DEP.The original should be sent to-the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ""This'report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Page 6 pf 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL:SYSTEM..INSPECTION FORM . PART C SYSTEM:INFORMATION Property Address: 51 Eaton Court " Cotuit MA 02635 Owner: Virginia Deal. Date of Inspection: 6/1 3/0 6 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms.(actual): 4 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms)--4 4 0 Number of current residents:ankno wn Does residence have a garbage grinder(yes or no):ram Is laundry on a separate sewage.system(yes or no): a o [.if yes separate inspection required] Laundry system inspected(yes or no): n o Seasonal use:(yes or no): Z004=70, 000 ga22 �s on q�D=191., 78 Water meter readings, if available(last 2 years usage(gpd)):'2 0 0 5_10 6. 0 0 0 ga$2 o n�s G?[7 27., 4 0 Sump pump(yes or no): no Last date of occupancy: COMMERCIAL/iN-bUSTRIAL Type of.estab)[islunent:, NIA ' Design flow(baked on 310 CMR 15.203): and Basis of design''flow(seats/persons/sgft,etc.):.. Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no):_ Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL.INFORMATION Pumping Records _ Source of information: N� Was system pumped as part of the inspection(yes or no):— If yes,volume pumped:_gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system . _Single cesspool Overflow cesspool _�Privy —Shared system(yes or no)(if yes,attach previous inspection records,if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank —Attach a copy of the DEP approval -Other(describe): Approximate age of all components,date installed(if known)and source of information: 17 4ea24 Were sewage odors detected when arriving at the site(yes or not.�_ 7779 „` .,�h � .5w:sr;,;.�,s. .a# .��ca�=sr,..�..�* .�:"1.'-q�szhF'"n',"'!°wr: 'r' •`.,.�.r:�. �k,r� _ - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 51 Eaton Court Cotuit MA 02635 Owner: Vitctinia Deal Date of Inspection: 6 f 13 f o 6 BUILDING SEWER(locate on site plan) Depth below grade: 3 0" Materials of construction:_cast iron _40 PVCX other(explain): Distance from private water supply well or suction line: 20 t Comments(on condition of joints,venting,evidence of leakage,etc.): ao.in-t s appeaa . t ic�ht.�. No 2eaka,ge., Vented. .th2ough 'ho.0 se veat SEPTIC TANK:y P-(locate on site Aan)?0 0 0 yet$1 o n s Depth below grade: 240 Material of construction- concrete metal_fiberglass_polyethylene _other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no):_(attach a copy of certificate) ^` Dimensions: Sludge depth:_.as ce . Distance,from top of sludge to bottom of outlet tee or baffle: t a a ce Scum thickness: t a a c e Distance.from top of scum to top of outlet tee or baffle: t a a c e Distance from bottom of scum to bottom of outlet tee or baffle: taa ce How were dimensions determined: m e a u z a e ah Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Pump tank eveay 2 ye.aaz Iniet 9 out—et tees aae. in .2aee an ..cs auc uaa y .so.un .� GREASE TRAP: Nd(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_polyethylene_other (explain)- Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or bafflc: Date of last pumping: Comments(on pumping recommendations, in18t and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): gaeaze taap .ia not /2ae sent 7 f Page l0,of I 1 - 'OFFICIAL INSPECTION FORM<—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE'SEWAGE:.DISP.OSAL SYSTEM INSPECTION.FORM ----�~- , PART C SYSTEM INFORMATION(continued)' Property Address: 51 Eaton, Court Cotuit MA 02635 Owner: V i r�i n i a . ncza l Date of Inspection: 6.11 3.10 6 .SKETCH OF SEWAGE DISPOSAL SYSTEM Pro-,(ide a sketch of the sewage disposal system including ties to at least two permanent iefererfce landmarks or benchmarks..Locate all we115 within-100 feet.Locate where public water supply enters the building. f .. . I 10 P�pF�METp The Town of Barnstable RARMA P y NS'fAeLE. � Department of Health Safety and Environmental Services SS. t639' `0� pTEO MAC s. Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection � T /�l S Location 57� �i��ti C'�"- 0-�- Permit Number 26 Owner Builder C6 00 n )e t S One notice to remain on job site,one notice on file in Building Department. The following items need correcting: &4'r14 Q-A) s N -7a ICE To 5 C� i t Please call- 508-862- for re-inspection. Inspected by / 6 l VC Date s ``,� •e TOWN OF BARNSTABLE Permit No. - 1 ,,,,,TLU Building Inspector ,eo X" Cash _---��fj$$�^^•�� r0 Y�Y�' � A�,�• J OCCUPANCY PERMIT Bona No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. .....................................................9 19...... Building Inspector { i t C> ti a I 0 'N .ST- 40'- 47"L , lo' + P.- G• / Q , +. � :ice Rt.;��f E ``• rs5 ,r''� N � ' � 4 26 ii .41 i4=L 0 T; 43 9 I°hereby certify. that the. = PLOT PLAN foundation. is located as LOT 43 shown and conforms to the Zoning By-Laws of the 7�n�ti GRETE �y��� „ COTU/T BAY SHORES" Town of Barnstable . , Ii� BOHANNON. IN t %o, 26106 Q r s �� *k COTUIT, BARNS TA BLE, MASS. Petitioner_ : Stephen Reno t s ST Scale l '=40' Sept. /9 , 1979 /0 Erwing Rood, s BOHANNON LAND SURVEY CO. Weston, Mass. -West Bridgewoter,Mossochusett402379 r Assessor's map and lot number ........................................ oF THE tad` Sewage Permit number ........�.1 "A AIMM •�� � ADLE, i House number ........................ ...�...< ...,..................... I-1/ W W TffE 5 ro rasa ENVIRONMENTAL COD t639 TOWN OF 'BAjtNSTAtTT-0 . - T°ors BUILDING INSPECTOR r APPLICATION FOR PERMIT TO ` QS� . TYPE OF CONSTRUCTION .............17Z.2 ........Z� ... iD'e ...... ............................... ................................................. 19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perm according to l following information: Loc .. y.............................. ... ........................ ............................................... .......................... __ ProposedUse ......`..����/ �'S..'etc°' '4P......................................................................................................... ZoningDistrict .............. .......................................................Fire Distr- t .............................................................................. ��a9d `�,' /c / .T�/c' �d �7 Gl�CS Opt/ Name of Own .?��........................................�c7.........'.'.�...Address ..............s`/!���)-....... ...... i r %.. Name of Builder Address .......�r'/L''JErJ��< ' Name of Architect ..................................................................Address .......�....................4cP� ....................................................... �Number of Rooms ............... .........................................Foundation `a'r!.Pr lD 7�E,, ...................................... zW ��/��Cf" =�U�� �f_ �5,/J�/�/7� c�ii`i/ail/S. Exterior . ... .................................�.............................Roofing .......... ............................. . Floors . DQ� Interior ..................................... ........ g ie'zt`°� ..�m��l/ls7 2�'...... ..�G g Heating :..........Plumbin .................................................................................. ma" Firepl // ..........� .....ace `.... ..... ....... m .�.. Approximate Cost ..... r ..................................... .. Definitive Plan Approved by Planning Board ----------------------_---------19________. Area /9� s ' Diagram of Lot and Building with Dimensions Fee /.............................. . .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH �O�OO (,Ogvid S'I�1L£R) 1 I hereby agree to conform to all the Rules and Regulations of the Town of arnstable regarding the abov construction. Name ....... , ��. .. ........ .... .... . " Simler, Stephan Reno & David A=55-62 '''�o .2-168.4.... Permit for ....1 a..Stary,...shigl.e ' ..........family..dwelling.................................... . Location ....lat..#..4.3....59...F.Q1^.SY.th-U......... '......................LtQt.IIJ.:G........................................ r ; Owner ..S:taphan...Reno...&..D.ui.d...$J.MIer..... r 1 Type of Construction .......frame...................... ............................................................................. . j. !-Plot ...... Lot ................................ Z K ` Permit Granted Sol 19 79 Date of Inspection ....... .................:........:.19 /� �tr Date Completed .... ....... . .........:.:.......19 � • PERMIT REFUSED / .... ..... ........................................... 19 ............................................................ ''~ t INC - 3 f ..... s r ID r 9 App .4.!4.! ................................... 19 . ..................... ......................................................... TOWN OF BARNSTABLE Permit No. --------__--------- 1 »n.>< ; Building Inspector cash rua --------------- ^- 1679. 00CUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to "" ri i"td1" Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department 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. .....................................................1 19...... ................................................:......:....... . ------. _..............._._.._. ._ Building Inspector K� \ LOT 60 - /V 73'—/5 33" LOT 59 7 /•P.{i�d. /•P. pro- yG1G Z �o LOT 57 w 1. 02Ac. N LOT 56 N 43 Q O OWNER: �Q 0 n Edwin M. Deal �- 7041 Stonebrook s Q h West Bloomfield - MICHIGAN, 48033 of At.: F GRETE o: M., -� o BOHANNON, CERTIFIED PLOT PLAN OF "°'�1`6 Cad. OV O•1 L 0 T 5 7No"SuR //COTUI T BAY SHORES / l certify that the foundation is IN located as shown hereon and conforms COTUIT, BA RNS TA BL E MASS to the sideline and setback requirements Scale.. / = 40' July 7, 1979 of the Town of Barnstable. BOHA NNON LAND SURVEY CO. 99 Pleasant St.,West Bridgewater,Mass. Registered Land Surveyor t-num Asse Vor's map and loHE Sewage Sewa a Permit number (7" e�P L1 dDLE, . House number ......�.... ..........C�... ..................... I.......... C0114VVITN ENVIR TITLE .5 YPY a\ TOWN OF `-BA`RN:STA TAL,T10,4 ��. � . �S �- BUILDING ~-INSPECTOR APPLICATION FOR PERMIT TO ..d/1a-4......:S/.d! ........ ....................... TYPE OF CONSTRUCTION ...1.4)000.....I.:WAM.F..0....................................:.................................................... ::..:. ...........................19.77r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .07".. 5.7.....G.Q.T.v/.t.. 9.y...s$/tAK '.5..........CO.nu.1.1'. ??A.....................: eA..7.O.w....G'Au��'7................ ProposedUse %....... ....................................................................................... ZoningDistrict ...........R, ................................................Fire District .........Ca k.................................................... Nameof Owner .; C?W.e/..< a............... .................Address .........:...........................:.............................................. , Name of Builder .......4SIOA.........Address ......c . !L.( S!.1.-I..079�...iS.T...... 1!0IRAV..,64d./04 Name of Architect 1,Z.:....►SE4,0F01Pd;....../9. 'Q!...........Address .!Yl....lt/ erall.�✓G. `dIY.:5' '... A/'�E .��G �j� S. o /"ori� Number of Rooms ............g...................................................Foundation /..,...................��...... ............. Exterior ,!^b!& ....G:/./9/.°A.C101'V.;.....GF.hj•. t' .5�1!"Roofing .I.' Z,..'0e.YA.A.7.....,. 1.f1/l!4. . ..AS'......................... Floors `........ ...Yl.....................,..............Interior AlelvF....T�2/.''?..."..�St�i!t!..C.Gfs.7'...!�•C/ STiG/ Heating /-,7 .C.C.4..... 0.6�..........Plumbing ./�A.A..'s —C ........................................................... Fireplace ..............Q.&A:.........................................................Approximate Cost .... ' Gm a...............:... D�....,..�`e. ............ Definitive Plan Approved by Planning Board ________________________________19________. Area � :. .: '`�. e '!........ Diagram of Lot and Building with Dimensions Fee ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH / I 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � � � ... 21446 Deal, Edwin Nd ....z1446.. Permit for .1�..6.te2°y.dWej.j-ij1g. ............................................................................... Location ....lat.45.7..Eaton--Gour-t....h9e.+-51 Cotuit ............................................................................... Owner ..........Edwin......... .Deal.. .................................. ........ Type of Construction ........fmng........................ ............................................................................... Plot ............................ Lot ................................. Permit Granted .........JULY.....10.............19 79 ..bate of Inspection .....................................19 Date Completed . ....... . .0///.......19 0 PERMIT REFUSED. ..............it..... ..................................... 19 ..... . ...... ... .. .......... ............. , . .. .. . . . . .. .... .. .......... .... .. ... ...... 5. .......... ...... ..... .. . ... ........... . .. ...... . ........... ..O.!t;. .......:- , i I Approv'-2 ;a...... ............................. 19 roll .................. ...... ............................................... ............................................................................... 33A"ST LE, 1639 TOWN OF BARNSTABLE BUILDING, INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Exienor Diagram of Lot and Building with Di mensions Fee5j;0..A��....................... 1UB11CT TO APPROVAL OF BOARD 01 HEALTH | hereby agree to conform to all the Rube and Regulations of the Town of 8ornshz6|u regarding the above ' construction. ` - ' Noma .............................' ` --~^— ^^^---- '' -- 21/46 E.-al, Edwin r ^/ A=55-1.3 No '.21/4A6—. Permit for l -..stary .dsmalling ' ------.----------~--------.. � � � Location —..lot.*57.....5l.'Eaton'-Cxxu:t........ ' ----''' ..................Owner ...............Edwia.ye 'Ime***,*,,***,*****,,*****, , .............................. | . , ^ ........................................ . - ' Plot -_ � Permit^ Granted Date o* InspectionPERMI REFUSED . ^ [ " � � ^ ____ l9 Yb9f ... — � ./ — --------. . ----�, ..�--1—L—.--------. '—''—^~~—^' ---^~^'---~^'—'---^—' � . � ----^---'l.'^^^^'---^^^------'--- � u Approved � ................................................ lg � ' ----^----------^—''--^—~—'---' � | | ____,______.,______.___..^,,~,.,.. | � � .. ~ I'E c� I I > ` wort crxa I I I I ; I I 11 I I I I wn cn. I I t I I I I I I I �r CXISf. M5V.PATH �XISf. PUBLIC PATH I I I I 1 I I I I I � � I inva air wzr�; �b�vz�txs. i �w�nr CLOS�f CL05�f 11 11 , I I I I I I I I i 11 . I I FAMILY I t I I I I I t?0OM eeisr.,-n newu M exisr.o•a .44 FMSTP.HALLWAY I I I I I I I I I I I I I KIfCHN I r — i I NSW I C0 r�EpuAwrs — M5V. 02FOOMLAI I I I = II t I/2 PATH _ co II �XISf. II CL05�f II 1 FOYEP, VNING AAA j HALLWAY LIVING t?OOM I I I I F�AUNIXY { CARBON MONOXIDE ALARMS MUST BE INSTALLED PER r MASSACHUSETTS BUILDING CODE GAP.ACZ SMOKE DETECTORS REVIEWED -51P�NC� �lql � sc&e: 1/9",1'-011 51�AfON COW mvm rsv: MKBAABLE BUILDING DEPT. CorUlt,MA Jars ©ATE PATE: 08/26/06 PIp5f FLOOP, PLAN RAW fnf : v4 -r a PIpST PLOOF PLAN ' FIRE DEPARTMENT nzAv�Nu�: DATE A_I BOTH SIGNATURES ARE REQUIRED FOR PERMITTING a . IMPORTANT � STATE BUILDING CODE REQUIRES RATE REQUIRED SMOKE DETECTORS FOR THE ENI IRE THE UPGRADING OF ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A INSTALL gTION OF SMOKE DE PERMIT IS REQUIRED FOR THE PERMIT OES NOT SATISTECTORS FY THIS REQUIREMENT ELECTRICAL A A-2 POOP A55EMPLY 12 2 x 10"RASTER @ 16"o/c 41 EXI5f,13ATH EXISt, 5;8"CVX PLYWOOD%EAI1NG / / CLOSET 30#PELT PAPER / / C3PPM#2 6nl?M#3 741165W 5NINGLE5 - - - - - - R 38 2 x 10"JOIX @ 16"o/c n O 2 x 6"PPI..PLATE EXT.WALL A55EMDLY H&LWAY#I UNPINISN 2 x 6"5TU7 @ 16"o/c 11 / S, �, I I CL05Ef#2 CLOSET" ATIC R-I3 PiAff IN5ULATION / / U_ -1/2"Cf7X 5HEA11% TMK WHITE CE17AP SHINGLES OP M#I CL05Ef#3 O - / \ / 6A7N#2; 12 / HALLWAY#2 C 10� I lo/12 2 x 6"PLATE b R-19 2 x 10"FLOOR JOISt ` 110/12 POPIMEp 5ECTION NACAI,� F? 5112�NC� SLPLE: I/4"91'-O" 51 EAfON COURT of vmoy..: MK VASE: 08126106, - COTUlf,MA JOD u: 5ECONb F0001? PLAN VRAN9NGME: 5�CONI7 FOQ� PLAN A-2 ' 1