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0113 EISENHOWER DRIVE
p2 - r\ rp�t l- i�' Town of Barnstable Building r:''. h* �. ! "e..i ,.,' � �`i .Yt„ Post"This.Gard"So-That"it is'Visible°From�theAStree 7 R rovetl P.,lans IVIustAbe:"Retained on�Job andahis Cartl�M"ust be Ke �" -nt •A»;SV3rAB1.Er. - .: �. .¢ ,; # PP ,' WAS& =Posted"Unt FinalS:lns'°ection Has Been-":Made�• • Where`aCertifieate,of Occupancyas Required;such Butldmgshall Not beEOccupied,until a,Final-Inspection has been made Permit - . .. :,. .,'ems.,.,, ��;,_�,�,'',.� ...�. s,R �s:u '. �aa».. k.�r.�..,��.a�r-a,:;�;,. .-a: �..�,-,» ._ :..�•...�, �,.�t . . ��..,�.,.: .:.,...��,a :: ..h„���,.;�.��,,. ,Pr ��.. - Permit NO. B-18-2073 Applicant Name: ADVANCED BUILDING SERVICES LLC Approvals Date Issued: 07/05/2018 Current Use: Structure Permit Type: Building-Deck Expiration Date: 01/05/2019 Foundation: Location: 113 EISENHOWER DRIVE,COTUIT, Map/Lot 039-143 Zoning District: RF Sheathing: Owner on Record: FITZGERALD,LAURENCE J Contractor Name a ADVANCED BUILDING SERVICES Framing: 1 r Address: 113 EISENHOWER DRIVE 3 LLC 2 .'� - Contractor<Ucehse 182162 COTUIT, MA 02635 � Chimney: IErt Project Cost: $12,000.00 Description: Decking replacement lower deck reframe s g �, '. Insulation: r Permit Fee: $ 110.00 Project Review Req: Fee Paiet: $ 110.00 Final: Date 7/5/2018 Plumbing/Gas k f� Rough Plumbing: Final Plumbing: ' Building Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by thi's permit is commenced within six months after issuance. � - Final Gas: All work authorized by this permit shall conform to the approved applcationanrthe approved construction documents forwhich this permit has been granted. ,, All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be-mainta'ined openifor public inspection for the entire duration of the Electrical work until the completion of.the same. a Service: The Certificate of Occupancy will not be issued until all applicable signature sii*the Building and Fire Officials are,provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work: . •.m,. "- � >�� u 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT � 4�wa4-vi � � , � o appu�cmN,�a.......'�... .1�......20....... ... . .... I h d�A89. Pc=k Fee........!.............. !..............Other Fee......................... 03 � ' 00 JJ6 . '� Total Fee Paid.....................l d�,;L1" ... ...... .. ...... . 36 3 TOWN OF STABLE Permit Approval by.. ....... .: ..f .0M....... 2!BUILDING PERMIT ... .. . ........ 0!!v�u8 APPLICATION Section I —Owner's Information and Project.Location Project Address 1/3 Ei i eA o / Village Owners Name ���'m Q 1 d ` Owners Legal Address City &2IUi7` State ;m Zip owners Cell# 6/7 9$2 8 6-50 E-mail !'&1x,. to/V.*7&. e/h ows wm Section 2—Use of Stractare Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Struc = ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alan Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description F e K - e is E, T act nndxhed_n/2018 _. ..... i Application Number.................................................... Section 5—Detail Cost of Proposed Construction /0240 O Square Footage of Project 1 Age of Structure Dig Safe Number, # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wining ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas .❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private — Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Y Side Yard Required Proposed - 'f Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated 2/92018 I ,.�......, -� � , . . � � ���-:...:.��, �' '' ' _ -_ -_ 'I�; 1. , � - - ..'._� * � �. -11 - -.1"_11-` -.- ..��_' _.' ' .. .11 e_. - I 11- - - - , - .... '...',_ - - ' - - - �I .�'��:�.� _.' _... I. ..-I . . ' ' ' ' ' ' - - . -, � " �.._.._ — ___ - — I � � S j_< _,_,.,_,___.' �'__....�. , __ _'... '...".' . .... . ._�:.��' --:�' I .� :i. , . -�'.� ._-, -1 -1" � . ' ' .. ,''_. _ . _.._�.'-._.-'�'�', ' .' � I 11 , . ,..1. 1. � _ '_....". . _ �f�l�9. gi 'a '- Qt�.f t 9 4;°6 Ott -1 - tf 'iDenni � l,R. r6� 5fl I; ik0�8 t"" tt 1 �� NIe'ne`K A 67+ t�' 1 �i tnt�t�aea d� CoEuii f491a I '1.- II Ir_RA t - - - - Rer�true t xx .e��f�ac' ' d k n�4*q. 6dt Wilt 6w0f, � rn�c_mesa 0w, replaoo � Ir � �� -1 ttr e h d is gee if Bh _111 Pm �n t�' at�r t t i c t�I�em ,a � Ioi f��I Team �� t$ i�cfi ,uni�ile, t�ml€ r cl fz� ,pls by �a -.#i6 h � C dpt5��q#p�s, r srr4'kY CaWmd grad k4ni t6Wor d€"ck,M #outs t b �" "m r #� { �`d jet tf fa IPVC cdinpcasiitr I�t� 4d 4 fr�fn F art l;4n . ' I ' Cl0 . .. , X t3 &h LS i�x '. 1 sse a�,rt��dY.rntrarx TT�L �� ;�Q a f Sfiht�tp is aali�bar S(?da�� rNa erFdlHar�t wad Iit +d� iks';ssdm�te anlas� :1' destsed in�+ g yr4�R *k lI�earrrr 'an tae �r,�Gti 4i "" Q� martyr er�ri+r tlrev ��f � /` ff, 6/�� of 6 AM tO ., i i,+ to C �c ✓(/ � �� Qr AAsC3 l e&56D 1&��tr iiC�f r � -.. �wt�r its{itTT��Ya�fk rT M To�, OS ESTI sic � r �ar�.k k bMT ti �� 1p1 B e4eps!et ecitstftr� g � �''/L/n1. z �/ l -F � yi ,� �� _ , . 9 . .. ;;. , , , ..:. { k e . c .:,:. I''..�.�' 444igge I Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Thursday,July 05, 2018 10:01 AM To: I advanced bsllc@gmail.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-2073 Applicant, Please be advised the above application has been submitted incomplete and the following is needed: 1) Owner authorization needed identifying the applicant. Please do not hesitate to contact me with any questions.Thank you. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon(@town.barnstable.ma.us I 6/26/2018 Gmail-Authority ai! Phil Jamieson.<pd.jamieson54@gmail.com> Authority , 2 messages Ktona,Arlene<Arlene.Ktona@nemoves.com> Tue, Jun 26, 2018 at 6:07 PM To: Phil Jamieson<pd.jamieson54@gmail.com> This letter is my written authority for Phil Jamieson-Advancing Building Services LLC to request a building permit for work to dine at 113 Eisenhower Drive, Cotuit, Mass. Any questions please give me a call 617=998-6504 Arlene Ktona Sent from my I Phone *Wire Fraud is Real*. Before wiring any money, call the intended recipient at a number you know is valid to confirm the instructions.Additionally, please note that the sender does not have authority to bind a.party to a real estate contract via written or verbal communication. Phil Jamieson<pd.jamieson54@gmail.com> - Tue,Jun 26, 2018 at 6:08 PM To: "Ktona,Arlene"<Adene.Ktona@nemoves.com> Received,thank you. [Quoted text hidden] https://mail.google.com/mail/u/0/?ui=2&ik=677340cdO7&jsver=QyRwmk-slyw.en.&cbl=gmail_fe_18062O.l4—p2&view=pt&search=inbox&th=1643e247... 1/1 ADVABUI-07 ASANZO �--D pTE(g@A9IDWYYyn CERTIFICATE OF LIABILITY INSURANCE y7�z317 THIS CERTIFICATE IS 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 C;ERTIMATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the holder is an ADDITIONAL INSURED,the policy(es)must have ADDITIONAL INSURED provisions or be endorsed. I it SUBROGATION IS WAIVED, subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s).PMRO I CONTACT nee.Certificates@hubintemationat.com I License gUCER E C(HO"ry:Et):(508)945-0446 1 FAX No:( }945-9136 265 Orleans Road :E-MA I North Ctothant,NIA 02650 NAIc g INSURER(S)AFFORDING COVERAGE INSURER A:Capitol to Insurance CO ration I10328 kISURED ' I INSURER B: - � 'INSURER C Advanced Qid-R>Wtg Services LLC � I - 15 Captain Wright Road INSURER D: South Yarmouth,MA 02664 I INSURER E i INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I NDICATED. N OTWITHSTANDING 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. AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R i �ADDLISUBRi i POLICY EFF POLICY EXP I LIMITS TYPE OF WSURANC£ I { POLICY NUMBER I _ A ;X COMMERCm i.GENERAL UlAw tTY EACH OCCURRENCE 1'�'� i- I DAMAGE TO RENTED i 100, 0 1 I I GANeSMADE ; x I OCCUR ICS1700081501 102/02/2018102/02/2019 PREMISES(Eaors2. 005,000' I - I MED EXP(Anyone oersonl b 1 1,000 000 PERSONAL&ADV INJURY i S ( ( ,2 000,000 r I . ?GENERAL AGGREGATE S. GENL AGGREGATE LIMIT APPLIES PER i ( 2.000,000 iJ POLICY I I I LOC ! I i PRODUCTS-COMP/UP AGG!5 ( RC 1 i I OTHERCOMBINED SINGLE LIMIT S J I AUTOMOBILE LIABILITY i I ! - ; �' MN I I 'BODILY INJURY(Pe<ne,son ANY AUTO S I OWNED ��$ CHEDULED i BODILY INJURY(°er accident''S I _a AJTOS ONLY AUTOS I j sVO DAMAGE I%S e� NON-0WNED e i - F-1 AUTOS ONLY _.�AUTOS ONLY ( 1 i i S ; ( i IEACH OCCURRENCE UAB OCCUR 5 ( UMBRELLA _i �: AGGREGATE ^ F I EXCESS LIAR i LAIMS MAD_ i DED ;RETENTION$ ` (. I I I PER OTH- WORKERS COMPENSATION ATUTE ` ER i AND EMPLOYERS L1AB�TTY Y/N I ;ANY PROPWETORIPARTNERIEXECUTIVE -� - i E.L.EACH ACCIDENT ;5 j :OFctCERIMEN!BER EXCLUDED? L_I N./A E.L DISEASE-EA EMPLOYEE S (41IAr m NIA i I . f ves.desabe a der E.L DISEASE-POLICY LIMIT S DESCRIPT?ON OF OPERATIONS bebw 1� DESCRFPTk3N OF OPERATIONS/LOCATIONS/VEHICI E (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION f °SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I ED BEFORE I.+' THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELVERED IN Evidence of Insurance I ACCORDANCE WITH THE POLICY PROVISIONS. I , AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION:'All rights resew The ACORD name and logo are registered marks of ACORD -.__.-_._ .._..__.___..._._...._.._.__.._.....__...__._..-..._.._._-.._-......._.._._.-.-._.._-._"_.__.-_...._. ..___...... tom`° orper I`JP,:cK _ Barnstable Bldg.Dept. JJ Approved by:" l.3 Eisali oww or. permit#: �S 2_Q23 �- co-1 Ui 7-, a 0 2 S PT ZX►o_T0is/5 LL 16 o.,c Z-Y/0 joiSj N Son STAC CREW LAG 6aTS 61 O.C. M1 ....._..._......._......_.--__ ____w.�._._......__.__._.._.r.. POW 113 �i S'C,O �cc,u dt ufr-a IL X aA, PVC sr;57 e 2)( l0 r �i .a phi V7 �➢ - j roof P 0b P[-fi W Loci) JC`c 6� S 13 C�seo�ow� ��uP 4 190 __.. ....... _ ..._ .. ....... ......... _ . ...._...... ... ._ . 4 �� .._._.._.__..__..__.__.._..._..._.-.__.__._......._...._.._._...._____.__ ... _.__.._.._..'._ ..M1. . .... CIV N1 /y Ex's IAIG DCCI PbFlA Barnstable Bldg.Dept.Approved by I l3 Ei se4-)A oww dr' Permit#: 7-3 Coiu, �1 0263S --------------- - --- -- --------- -------- --...---- - ` PT Zx1oWTO -5 v 16 " O.0 ZYlo J oiS% Lo to C bt.,Ck N ��� Sonv+v sT{�G�CkE� _ (-AG QoCTS 61 O.C. (�RoP®spa PLOW o a e'i Seo pow dt� Hovse • �C'C r�t��.C�3 4 PVC slt�e-F o ey Sri V7 / Foof rf-O POSE6 FLAW L-VCV=R tC--c C��uP104 { Massachusetts -Department of Public Saf.etyzp Unrestricted-Buildings of any use group which Board of Building Regulations and'Standards contain less than 35,000 cubic feet(991m')of Cnnstrurii�tn Supervisor enclosed space. License: CS408653 ., YERVAND GHAZARY € 15 CAPTAIN WRiGHT South Yarmouth CIA 0 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Expiration Commissioner 12/11/2018 For DPS Licensing information visit: www.Mass.Gov/DPS Y - --= - �_.-......„ -- ._.,_-_•�__. ,.,._-ter - :�. ,� ��1e C�amvrrtacicaea���i n�C%�Gtt6:tuofitt�e�o Office of Consumer Affairs&Business Regulation Registration valid for individual use only _o( HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 -, TYPE:LL E 1 Office of Consumer Affairs and Business Regulation l Reg�sfratwn Expiration 10 Park Plaza-Suite 5J70 R, .yti #$2f3L ._. 05/31/2019 Boston,MA 02116, ADVANCED BUILI3ING SERVICES LLC �i -� YERVAND+GHAZARYAN �,2 y 15 CAPTAIN WRIGHT..,]"-_•; Ot V Without signature S.YARMOUTH,MA 02664 Undersecretary r I , The Commonwealth of Massachusetts. Department Industrial Accidents eP ment of Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gav/dia Workers' Compensation Insurance AfGdavit: Bulders/Contractors/Electricia.ns/PIumbers Applicant Information Please Print Legibly Name(Busbess/organizatiorubdividuan: �1�An Address: 749-o /�f /3�J . Z/2 City/StaWzip: , �eo g)-C - 1,161 Phone#: c? 3 6 �5OS— Are you an employer?Check the appropriate bow ro t(required): . I am a general contractor and �a of project(P ] � �� 4 1.❑ I am a employer with g 6. ❑New construction employees(full and/or part-time).* have hired the sab-contractors 2.® I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers'comp.insurance comp.ffisuranoe.t required.] 5. F1 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MOL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no —employees.-[No workers' 13.®Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 1 t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. �Contraetors that check this box must attached an additional sheet showing the name of the sub-contractors and state-,yhether or not those entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees Below.&thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 3'/ / ; 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 imprisomnent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under 9 and penal'e-of perjury that the information provided above is true and correct: Si e: Date: 06 aZ /8 Phone#: Official use only. Do not write in this area,to be completed by city or town q ffcial City or Town: Perk&/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector. 6.Other Contact Person: Phone#' i WILUAM RASE IS MORTGAGE FINANCING INFORMATION NOTE:The information below is required by federal taw 12 CFR Part 1026.38(r),when mortgage financing is involved and providing such information will reduce the likelihood of closing delays due to this requirement. This form must be filled out in Its'entirety and accompany all offers to purchase regardless of the financing company. PROPERTY INFORMA® Property Address: 113 jp1senhower Dr �.;.. •. _ City State Zi _.._ BUYER_tNFORRAIION. Buyer Name(s): James W. Ktona, Arlene Ktona Buyer Brokerage Firm: _ William R,aveis—zs®act,u$etts.._ c n _._ _..-_ Buyer Brokerage Address': Trsx�"Fa3 is,-,RoadL:,_she�on-.cT 064s4 „�� Buyer Brokerage License#: 6524. State: . r ► _,_.______.,_. __„ Buyer's Agent: r Churchill ' Jennife Buyer's Agent License# s028892 State: MA Buyer's Agent EmaiE ( 508)922 3035 (: Buyer's Agent Phone Y' ' ..:.t ,.....:....-y.:`.-...-.....w.-:. ..... .::., .....i+-... ..: Y - .�.„.».�..,,......E ..:,r•..,+.._.•_.w.n.. -:.:..-mow.. ,.:.;. - .... . 4 .... SELLER INFORMATION Seller Names) Eileen Cavanagh y 1 Address 113,:..Eisenhower_Dr- ,._..w u City:State,Zip Cotuit, MA 02635..-2720w _..-._ _ rr,.:. ._ .... ... a _ Listing Brokerage Firm i Listing Brokerage Address G State. Listing Brokerage License# i Listing Agent ,.r, 1 State: Listing Agent License# 4 Listing Agent ent Email Seller's Agent Phone '_Provide ih,°address ror tit ilutiscd cnttit tfrrn hruLeragbl twl tkx WC21 sates of"'tcc f2A)3r10f5 I�ogt ge PinamAns itifonnation_3 doc Wrilt9euRaersRssfZ*kKic•tHpnwuth.24Rteu�SlieCiPtyn-AhMAa235� Ph:wei!PRAil775i f0. 60E7b7T1il 3l2Crsc+4onc+ ygnn�ftr Ctr utrr d Pro6usao HIRt ZipFosit•�ny z+pi.oPa 18070 fawn kola Rou3.Fraser Ahx]tipan 49p26 tPPNbtd{P 4LN..49* - I� Application Number............................ Section 9-„Contraction Supervisor Name yPa69:.0d( Cr�� A . Telephone Number -7-7�- 83 6 S St2S� Address IS— Wr)41 City :5. Yav-MaglAtate rn f- Zip 4?6 6 9 License Number License Type Expiration Date /2 // Om Contractors Email a422 " 40 # -775f 836 SSoS I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedues,specific inspections and documentation required by 7 and the Town of Barnstable.Attach a copy of your license. Signature - Date OK A-7Ije Section-10—Home Improvement Contractor Name e! d Telephone Number • 6 =0-9— Address 1 - City S. &fmO<10g1 State IW# -Tap ®Z�i6�i — -- Registration Number /Sa./(,Z Expiration Date 0.S13/ Z el J I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b! and the mwn of Barnstable.Attach a copy of your EUC... Signature Date d6�L,z� _ Section 11 Home Owners License Exemption Home Owners Name: P$ Telephone Number 6/3 Cell or Work Number I understand my responsibilities tinder the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific impections and docunietation required by 780 CMR and the Town of Barnstable. Signature Date u: APPLICANT SIGNATURE Signature Date Print Name — I I - 0,9 �v Telephone Number 836 - E-mail permit to: b V,4A1 A3 S LACj /"*A'Ve C0 f' L_ Section 12 —Department Sign-Offs Health Department © Zoning Board(if required ❑ # Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ ' Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization L ,'as Owner of the-subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job) ' Signature of Owner date . Print Name l Last=&ted:2/9/2018 ` �- Zb'75 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 931 Parcel IM Permit# Health Division z S z Z�� g/4%� Date Issued 9 Conservation Division d 31 100 QLLC Fee 7 7. 6 r'Tax Collector 3l/tea ad d It J<A 0jZ,S Treasurer]) 1114&zr _ SEPTIC SYSTEM MUST BE - INSTALLED IN COMPLIANCE Planning Dept. WITH TITW S Date Definitive Plan Approved by Planning Board f. ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 0 J,0 L �iJ�" Village r O 7 U Owner L'say�Z 9ele/4I-0 Address //.3 eAl h aw6--rL Telephone cf®k•• -W—d0-7 7 Permit Request C0A)SfP e)d' .4 ��`x Aa! O,U& �-Yldlly 4D,0di QAl f� Square feet* 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay . Construction Type 1Jo®j� L-21 Lot Size . /�r Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.,/- Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ®'l�lo On Old King's Highway: ❑Yes Wr o Basement Type: ❑Full U Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half: existing new ,dumber of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas -Oil ❑Electric ❑Other !c> � Central Air: ❑Yes @*f4o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use //mo�tt BUILDER INFORMATION Name 'Roo yE 4' 1z/c Telephone Number .-,5O9 .36Q fI-If 7 Address /�'-D. 66k /005 License# 0s7.3��- /��,�°S7 N/bW1 Home Improvement Contractor# 7s/ Worker's Compensation# tda?00ao ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 3 (Tn t FOR OFFICIAL USE ONLY rr PERMIT NO. w DATE ISSUED MAP/PARCEL NO. f r ADDRESS „ _ VILLAGE - OWNER : t x DATE OF INSPECTIQ1 -� � FOUNDATION 2 /-)-o FRAME D INSULATION ~ FIREPLACE w ELECTRICAL: ROUGH FINAL � r ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ FINAL BUILDING . : a 'sue= c } DATE-CeOSED OU_T A t ASSOCIATION PLAN NO,. , Xv p � *_T r . The Commonwealth of Massachusetts � = -- - Department of Industrial Accidents' r 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance Affidavit name: { location: city nhone# ❑ I am a homeowner performing all work myself. ❑ I am a sole pr rietor and have no one workin in any capacity I am an em to r providing workers' compensation for my employees working on this job. #ram<.5 coataanv name address ...... citvtJt f nhone# c instuance co. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: :.:....:. ... com any name. ..:::...... address. , .: X. cityA ::.::.;:..:: ;:':>':>:<::<:::::::::>:>;::::::>':> ::>:»:;::>;>:::nhone :v:: :::::'!:{<:::;:';;::: ::;::;::.:......:;:;'i::;.y..;;:::.ii:::C:hiii:^:'S{in}:.�.:.:::•.�::......... .:i::::v:•:::i:.:!::.:::::::i:::•: ?i i:i•::h:iii:ii:•::•:i......•i:•::::i::.;.:.ii:J.:^:i.i:::<::•:'i i•:::•::?n::::.:::�:�:ii:•}:4i:'.}iv:ii:ii•ii:i}J::iifi:??:<^:is olr insnranc X. ca any name. :::>::::::;...... address. - : > >::::: :::;;< Bone#. A n in..nrance oli 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 S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification I do hereby certi the p and penalties of perjury that the information provided above is trae and coned Signature Date Print name v� N ®tJ�l�CJ� Phone#,55,105 <l���6�/�i��7 official use only do not write in this area to be completed by city or town oflicisl city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) 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 and supplying company names, 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 fe 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 Omce of Inyestlgatlons 600 Washington Street Boston,Ma. 02111 ., fax#: (617) 72 7-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 MCMRAppmftJ Table JS21b(continued) prescriptive Packages for Ore and Two-Fatuity Residential Buildings Hated witb Fossil Fuels MAXIMUM MINIMUM Wall Floor Basement Slab Heating/Cooling Glazing Glazing Ceiling eat EfEciawy' �'(Va) U=value= R-value' R value' R value' Wall Perimeter Equipment Paekaige R value' R value' S/01 to 6S00 Hating Degm Days' Q 12% 0.40 38 1 13 i 19 10 6 Normal R 12% 0S2 30 19 19 10 6 Normal FUE S 12Y• 0.50 38 13 19 10 6 SS Normal T 15% 0.36 38 13 25 NIA N/A Norrmal U 1S'iG 0." 38 19 19 l0 6 Normal V 1S•/. 0. 4 38 13 2S NIA NSA 85 AFUE FUE W ISY• 0.52 30 19 19 10 6 ES Normal X 19% 0.32 38 13 25 NIA NIA Nomalr Y 19% 0.42 38 19 25 N/A NIA Normal Z 18% 0.42 38 13 19 10 6 AF[JE AA 19% - 0.50 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: yq • 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: O /� 3. SQUARE FOOTAGE OF ALL GLAZING: ft 4. %GLAZING AREA 03 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table A2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall.For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. Tie entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and.use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 ESTIMATED PROJECT COST WOR&SHEET f ' Value LIVING SPACE square feet X S55/sq. foot= t�/ /Q2® GARAGE (UNFINISHED) square feet X S25/sq. foot= PORCH square feet X S20/sq. foot= DECK square feet X S15/sq. foot= OTHER square feet X S??/sq. foot= Total Estimated Project Cost / /�D• a99091'b �p IHE A y� The Town of Barnstable a``� Department of Health Safety and Environmental Services 59 TEa Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Fax: 508-790-6230 Building Commissior.e: Permit no. Date 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: A1717/4 n K Estimated Cost �O6 Address of Work: 11.3 FiseAi how ex- �L Owner's Name L /r_ Date of Application: && �® 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 Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav L.C. PAP. _3631cl 4 2 - o, �35 _ O= o - LOT 41 -- . e - 6 t 0- 11/ tt 71 i Zone = RD 2 A N - -C/ Minimum Frontage 125' Minimum Area = 209000 Sq. Ft. - - CERTIFIED PLOT PLAN Zµ OF MA LOCATION .COT k1 IT. �Py SCALE �. .' O. . ;.... DATE NOv. 7t1OMAS THOMAS E. KELLEY CO. o L� LAND SURVEYORS PLAN REFERENCE 346 LONG POND DRIVE SOUTH YARMOUTH, MASS. GISTEita` 02664 .�,� QI�IS,1Q.� .❑�.�CTS .� 9 �� -AS . .0N- Q�w Coup- .Q�av . . I-CERTIFY THAT THE .t4L�!�tO.q'Ct0►t. . SHOWN ON- THIS' PLAN IS LOCATED ON-THE GROUND W.E.D R E k LT Y 7R U S•T AS'SHOWN HEREON AND THAT IT CONFORMS TO THE--- ZONING LAWS OF THE TOWN OF 570 MAIN . s TREE"` 33P�Rtr�T.AD1-�. . . . . . N CON UCTED. HYANN lS , MP�55• . - :. . . DATE_.Nov .IA.jgYS PETITIONER : - REG. ND SUR EYOR �iw�[u�"�ipari+i:.' ✓L �y# BOARD OF BUILDING REGULATIONS tense: CONSTRUCTION SUPERVISOR y; Number: CS 057382 I Bir"!W: 07/27/1960 r gores: 07/27=01 Tr.no: 1753 Restricted To: 00 q� JOHN D BOURQUE 468 CEDAR STD WEST BARNSTABLE, MA 02668 Administrator HOME IMPROVEMENT CONTRACTORS RE*GISTandarRATION �.' Board of Built ng Regulations and S 0 -; Ashbt ,rton Place Room 1301 Goston ,IMassachusetts 02108 HOME IMPROVEMENT CONIFZACTOR Registration 109751 " Expiration 09/24/00 Type - PARTNERSHIP BOURQUE & COLE 'C STOM HOMES & REM \ .° JOHN D . BOURQUE P .O . BOX 1005 t MARSTONS MILLS M 02648 l f I 6.CitftNG—�pcasE----._ —ELE/Al0!✓ �_. __. apamwL I ELEY pN�_ S {EtlIfLCA I "OR V �l - - ' SL+Dtn ^I • I �as/)d� LA,irCj ��E�AI"rsr! C R+pGE POLK ITPL 1 I i I --- -- EwsnN c ilavrE j I � ron I` sl,ocra { dAf+1 faR DEN All slJOFni 1 sljoi t --orrws Rclow GPrx FatdG BElow 6r.Rbb Foe tii16 � E�V4T)oN A ECEvAtior� � 4 1 EwrrixG/#s�.s �/ FXsi/NG NooiE xb i I � JuwaFo e„�t�,rF,prdG � I � i 41-7,N6 ibgli �fia735CON G/tpnF i I I fX/:r,r1G �AgkE E,'rr,�'c Gfi1a E _—..V XjbJ \ R.b Slu+ -�NRRDkbp D��0� FLOOR ,arsriD SNoE /J I � , �'1 CONC FW7TW I TYP,«L S&TiQq /' Lo-� 2Z L.C. PL_p.0 363 t�{ N Lb -v 42 O /3 b a L.o-r 41 21 ,t14 Fo JaoP toe P- 01 . 60 f Zone = RD 2 �- minimum Frontage _ 125' Minimum _Area 20,000 Sq. Ft. CERTIFIED PLOT PLAN LOCATION OT.Q I T. MA,55. OF��ss'cy SCALE Is .39/ . DATE'-N O V. M5 o TNom G THOMAS E.-KELLEY CO. c E. LAND SURVEYORS PLAN REFERENCE . . .SN•q�/►.( A S• Lci-.•r t346 LONG POND DRIVE 4c1 `�QTS�•tT•P��•icc S�CT.IOnf '� SOUTH YARMOUTH, MASS. crsz€� o� 02664 o suw� �4 T Co up-r CERTIFY THAT THE SHOWN 1 / SON . THIS PLAN IS LOCATED ON:THE GROUND \N.E.D R E k LT Y R U 5 7 AS'SHOWN HEREON AND THAT IT CON FORMS TO T�iE ZONING LAWS OF THE TOWN OF �7C). MAtIv':.STRE.E:*�' N 33 . . CON UCTED. 1-iYAtv� iS ASS.- DATE .NOV .lA, 9,-c$ PETITIONER : REG. NO SUR EYOR Assessor's map and lot number ....`... /J. . .. I�!STigLE "SST QE TE Sewage Permit number .......................... ......... ..................... G CGD9 � *T"Er°�� TOWN OF BARN STAB LE S BAE.BSTsnLE, i 9� OpYAr* BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... . tJ..... ........ ....... -4!� TYPE OF CONSTRUCTION ....................................................... .................. . .......... ..... 1.....,97j. _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /.'—T. .Y ......�R.v.&I' ......�gf..................... .......................................... ProposedUse .........................................................................................................................................:..........:........................ Zoning District .......... r .Fire District o:.. :.......:........................................ /... . ...7................................................. Name of Owner/A/e! .., .t�l G:. ...4.1&................Address ......f1 fleo:, . A , Nameof Builder ....................................................................Address .................................................................................... Name of Architect .......Address ........................................................... .................................................................................... Numberof Rooms ......6.......................................................Foundation ....a......;. �............ .......................................... P Exterior .....� .ti� 4,..........................................Roofing ..... ... ..... .................................................... .................Interior ....... .. ...�.. ..Z�.............................. Floors ....�� 1i................................................. z,. HeatingF .. .....Plumbing..... ................................................................ Fireplace ...... ...........................................................................Approximate Cost ............3 ............ Definitive Plan Approved by Planning Board ________________________________19________. Area �.l.. o....S as Diagram of Lot and Building with Dimensions Fee ..........3�......... ........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations.of the To n?of Barnstable regarding the above construction. Name :, v .............. Dacey, William E. 18055 permit for ,, one story, .................. i single family dwelling . ...................................................................... location Truman Lane ................................................................ Cotuit .......................................................................... J Owner William E. Dacey ................................................................. Type, of Construction frame ................................................................................ Plot ............................ Lot ............ 41.............. i 'G November 18 75 zy Permit Granted ....19 `. .................................... t Date of Inspection .. f./��/�rO!. ... —` Date Completed ....... ....... ................/... , t 3 PERMIT REFUSED ............................................................... 19 .................................................................. ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... 3f1y`� Assessor's map 'and lot number ....................................... Sewage Permit number .......................................................... �o`T"ETo�. TOWN OF BARNSTABLE Q Z BARBSTA13LE, i NAM r BUILDING INSPECTOR a MAR a' APPLICATION FOR PERMIT TO ... ��''�� � TYPE OF CONSTRUCTION ... '!� .�' !`*'.: ��+ a ,• ............................................................................. j .............. .�I"1....'..,.. ......... .19 TO THE INSPECTOR OF BUILDINGS: y' The undersigned hereby applies for a permit according to the following infoor'mation: S LocationT.... 1...............................................................1 ' fz ...................i.. G �,,/;..1r .... 1 ProposedUse ............................................................................................................................................................................. r, Zoning District .... ...................................................Fire Distract �'........Name of Owner �e: JA.................Address .��. .. /.�✓; 7 i�tl...: .�......../Lil...... , •. . `. // Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms � Foundation �(1 ...�-�'�-''� J// Exterior .............. .........................................Roofin .. .u1:.g ............................ .................................. Floors ..y Interior .... ....... ./�.` ��/L .......................... .............................. Heating fa ....Plumbin ....'...................................................i roximate. Cost <l �- Fireplace ........................................................................ . p / (� Definitive Plan Approved by Planning Board _________ __ ------------------19--- --. Area ....'.., �7±�...s r............ Diagram of Lot and Building with Dimensions Fee `'�f' SUBJECT TO APPROVAL OF BOARD OF HEAL H C 1 e. i G1i� w I hereby.�agree to con/Zee ( all, ,III and Regulations o n of Bar regarding the above construction. Dacey, William EYM1331KM&Y'atV 18055 one story, single family dwelling Cotui frame- Permit Granted ......NPYembejr..18..........19 75 Date of Inspection ........../....................19 PERPAL REFUSED � --------------------------' .. —.--.---.. � ^ a-� ri ,�' ------'—'' ----- ...................................................... Approved ................................................ lg ~' ~\ J ' r ^ -------'-------^^^^—''--^—^^--'' � -------------------------... .