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HomeMy WebLinkAbout0250 EISENHOWER DRIVE ��� �1�C��Q����- '� � . . __ � - _ _�. __ _ 9 t TOWN OF BARNSTABLE-BUILDING PERMIT APPLICATION Map Parcel �lt� Application# �Q��®�� Health Division Date Issued:: Conservation Division Application Fee Tax Collector Permit Fee Q9 Treasurer Planning Dept. 1G Date Definitive Plan Approved by Planning Board O Historic-OKH Preservation/Hyannis Project Street Address 'teaCo rs�� ��� =r Village Owner -�� � ����� Address 2S� �✓���� � + � � Telephone f= Permit Request ezfa,wDD -x' �,�'ro ��o�T'%�,a �, xi¢'- Y G'1164-- ,Grp AVc2:!.-,5J (1 14 mi,9 /�3�d�c oy�d fekv #4Qs0 Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family W/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No .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 .� BUILDER INFORMATION Name�X/�.�,°D �5� Telephone Number Address ' f�/1�� � C�� .4&VI V'_ License# Home Improvement Contractor# Worker's Compensation# 72::� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE D ' I FOR OFFICIAL USE ONLY APPLICATION# f DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r4 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F FINAL BUILDING Ag DATE CLOSED OUT r. e.. r ASSOCIATION PLAN NO. t r r Town of Barnstable Regulatory Services. g"ru'�si'E Thomas F.Geller,Director � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs . 'Office: 508-862-4038 Fa 508-790-6230 PLAN REVIEW Owner: r/3 Erz s v E' Map/Parcel: 03 F Project Address 2So C—nsf:�Vh OVA-' Builder:� s T, The following items were noted on reviewing: L,b . Reviewed by: Date: 2/o8�a Q:Forms:Plnrvw 4 Town of Barnstable Regulatory Services &ARNszeBLFe MAM $ Thomas F.Geiler,Director 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 Property Owner Must Complete and Sign This Section If Us ing A Builder I, Jf46✓1FS 1- .J' S'D�� , as Owner of the subject property hereby authorize P C Ejf?-,0S111 -9U)C R/i'� to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) ignature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners Licen'se.Exemptiori Form on the reverse side. .Q:FORMS:O WNERPERMIS SION Town of Barnstable OF SHE 1p� Regulatory Services riAItNSi'ABI.E, Thomas F.Geiler,Director y MASS. 039. .0 Building Division rfD►M'1 A Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION V Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied'dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER ► Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildingpemiit. (Section 1091.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ' Signature of Homeowner Approval of Building Official .' Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt To whom it may concern; We are remodeling an existing bathroom in our basement family room and add a bar sink. There will be no dishwasher or stove. James F Ebersole Alice A Ebersole 250 Eisenhower Drive Cotuit,Ma 02635 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): K/G Qw ✓ Address: City/State/Zip: � Cy��!%�G� .� Phone#: Are you employer?Check the appropriate box: Type of project(required): 1. 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 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [ modeling ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• � $ 9. El Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its, 10. E ectrical 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 MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' t 13.0 Other comp.insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. . tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ,/�' / e / /1�J, '• T Insurance Company Name: ���Tt/�yV ��� �yi'J` �C�/T�'•�!� /�/ �O Policy#or Self ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: (/ I 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the pains and penalties of perjury that the information provided above'i�si ue and correct Date: U Si ature: Phone#: / Officia[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: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's 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 insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department-11s providea,,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 beus'ed­as-a reference n'umlier. In-addition,an applicant that.must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary).and under"Job Site Address"the applicant should wiiie"all locations.in. _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) *�+ 02/05/2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur D.Calfee Insurance Agency,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR www.calfeeinsurance.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 336 Gifford Street Falmouth MA 02540 INSURERS AFFORDING COVERAGE NAIC# INSURED Richard W.Yarosh dba Solartec INSURER A: Travelers Property&Casualty Co 9 Sand Point Shores Drive INSURER B: INSURER C: East Falmouth MA 02536-4738 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. INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE(MMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ _ DAMAGE TO RENTED S(Ea occur $- CLAIMS MADE OCCUR MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JFCT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F—ICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WC STATU- OTH- 'EMPLOYERS LIABILITY ER A 7PJUB777X870-7-07 08104/07 08104/08 E.L.EACH ACCIDENT $100,000. ANY PROPRIETOR/PARTNER/EXECUTIVE - - OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000. If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000. OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS JOB:250 Eisenhower Drive,Cotuit, MA You will get a replacement certificate directly from Travelers. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN BUILDING DEPT. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 MAIN ST IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR HYANNIS,MA 02601 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE <EPM> ACORD 25(2001/08) 'OT7MMEII CORPORATION 1988 Bo Wof 641.Yd gz Weg fafio�-a6'-gtan� it Construction Supervisor License License: CS 25780 F, Rirthdate: 8/28/1949 Sit Expiration: 8/28/2009 Tr# 3256 Restriction: 00 RICHARD.W YAROSH 9 SANDPOINTE SHORES DR E FALMOUTH.MA 02536 Commissioner — = Board ofBuz glci�iii Re�ulatl6ns and Stab rds One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Horne Improvement Contractor Registration Registration_ 100945 Type DAB SOLARTEC DEVELOPERS, INC. Expiration: /24/2008 Richard Yarosh 9 Sandpointe Shores Drive - - - E. Falmouth, MA 0253.6 Update Address and return card. 11ark reason for change. ^s-r=r��-Fro eo Address Renewal Employment Lost Card 1 D r ^r /OV d ` �® LL-=Z.4- Town of Barnstable o� Building Department - 200 Main Street 9 ALE,$ Hyannis, MA 02601 16 q. (508) 862-4038 rF0 MA'S a Certificate of Occupancy Application Number: 200700521 CO Number: 20070134 Parcel ID: 038018 CO Issue Date: 06/29/07 Location: 250 EISENHOWER DRIVE Zoning Classification: RESIDENCE F DISTRICT Villager COTUIT Gen Contractor: DECOT, PAUL Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN S73A'BLE' 8tj �tHE � A 11dlrlg Application Ref: 200700521 BARNSTABLE, Issue Date: 02/06/07 Permit 9 MASS. �A i639• �� Applicant: DECOT PAUL e rFG MAC A Permit Number: B 20070224 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/06/07 Location 250 EISENHOWER DRIVE Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO j + Nlap Parcel 038018 Permit Fee$ 307.50 Contractor DECOT,PAUL Village COTUIT App Fee$ 50.00 License Num 001282 Est Construction Cost$ 75,000 'marks APPROVED PLANS MUST BE RETAINED ON JOB AND it ENOVATE INTERIOR INCLUDING BATHS(2)AND KITCHEN.NEW THIS CARD MUST BE KEPT POSTED UNTIL FINAL FRONT PORCH INSPECTION'HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SAGEMUEHL, HANS W 81 MILDRED J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL address: 131 HUGGINS RD INSPECTION HAS BEEN MADE. ROCKLAND, MA 02370 ja plication Entered by: RM Building Permit Issued By: /� "'� ��� " ��� + !S PERMIT CONVEYS 90 RIGHT TO OCCUPY'ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,.EITHER TEMPORARILY OR PERMANENTLY LN(i ROACHEMENTS.ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDERTHE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTIOP:.j STREET OR ALLY.GRADES AS WELL AS DEPTH AND LOCATION�OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. !� 114E ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. + l[NIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: OUNDATION OR FOOTINGS. ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5 INSULATION. _ - 1 T<AL INSPECTION BEFORE OCCUPANCY. '!1;-iLRE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. v4vOkK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. 6'I;;.I3MIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF a_1;.TE THE PERMIT IS ISSUED AS NOTED ABOVE. SONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). r s Clay BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL` i..�.,.,. 5905 3 L5'o? nl�tr 3 �fl � �J 7 V 1 Heating Inspection Approvals Engineering Dept 4 I Fire Dept 2 Board of Ith s p� i .. ....., ........aa...oe.....,... ... .. .. .+n R T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma p� `� Parcel o` Application#,-9 Health Division Conservation Division (� Permit# Tax Collector Date Issued _ �o Treasurer Application Fee 15— U Planning Dept. Permit Fee 00 7® SO Date Definitive Plan Approved by Planning Board ' Historic-OKH Preservation/Hyannis Project Street Address I H hJ W ,Q rsOR, ` Village i S . Owner T�Q�r,�/ i�l (��.j�S ®��T_Address Telephone U — Y 71 8 Permit Request e. ti1 .w k. PQ 4* tZ4 9 K/q Square feet: 1 st floor:existing proposed 2nd floor:existing -- proposed —~ Total new " Zoning District Flood Plain �. Groundwater Overlay Project Valuation "7�i (� b Construction Type kEf "qt06 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 'Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure ,4 Historic House: ❑Yes AN On Old King's Highway: ❑Yes No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing newer.')9'H Po Half:existing j new — Number of Bedrooms: existing new r' Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: U Gas ❑Oil ❑Electric ❑Other { Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/codl stove: �0 YesS ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ©new .size <i I Attached garage:)'existing ❑new size Shed:0 existing ❑new size Other: `='' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes (Vf"No If yes,site plan review# rn Current Use Proposed Use (�— BUILDER INFORMATION Name c�COY" Telephone Number �� Address �`f C�(��� License# Q0 12, ��� Home Improvement Contractor# q3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v 0�A lC a . 4k1p SIGNATURE F4 I N DATE s ' y FOR OFFICIAL USE ONLY � C PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE' OWNER 1 DATE OF INSPECTION: FOUNIATION FRAME ! �'07 INSULATION ���f A FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING o a O DATE CLOSED OUT s ASSOCIATION PLAN NO. r ' i' f Town of Barnstable Regulatory Services BA1tNe1'ABLE. + . Thomas F.Geller,Director '°rE;;A:►,' Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN RENEW ,f=* ZC>0700�Z 1 Owner: Map/Parcel: 0 Project Address �—fqc-PVOQW 4-� Builder: 1100-C4& T C7 The following items were noted on reviewing: ��bun9� ��K AQUA SPIs� d� �XlST�NYr ri tit— C,w-cC tk . PK�o PC)s.(s�z -ZC-A) f Reviewed by: ✓ " Date: O Q:Forms:Plnrvw . The Commonwealth of assachusetts Department oflndustrial Accidents Offzce of Invesfigafions 600 Washington Street . Boston,MA 0211.1. Mt•vw.mass.govldia ' Workers}Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers' A Hcant Information Please Print Name(Business/Orgamzationaidividual): Address: Q City/State/Zip. k.Z CQ. Phone.#: Are you an employer?'Checkthe appropriate bax: 4, I am a ;Type of project(required): 1,;,I am a employer with / ❑ general contractor and I employees(fall and/or part-time),*. have hired the stab-contractors 6• ❑New construction . 2;Q lama'sole.piogrietororpartner= listed on theaitachedsheet 7. Remodeling ship.and have no employees These sub-contractors have g, ❑Demolitiol iworlang for me in any capacity, employees and have workers° [No workers' comp.insurance comp,insurance,$'. 9. []Building addition . required] 5: [] We are a corporation and its 10,❑'•Blectrical repairs of additions - '3.El I-am-a homeowner-doing-ill;work :- officers-have exercised their , myself.[No workers'comp, right 6f exemption per MGL l 1.[]Phmmbing repairs or additions in surance.required]t c, 152, §1(4),and we haven 12,�Roof repairs . . employees. [No workers' ..13,0 Other ' comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy wners,wh information. t Homeoo submit this affidavit indicating they are doing all woik and then hire outside contractors mutt submit a new affidavit indicating such, tContraators that check this box must attached m additional isheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,theymust provide their workers'comp,policy number. I am an employer,that is providing workers'compensation insurance for my employees. Belov is.the'policy and job site'' information. Insurance Company Name Policy#or Self-ins.Lic,#: ExpirationDate: Job Site Address' City/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date), Failure,to seewe coverage as required under Section 25A of`MGL c. 152 can lead to the imposition of criminal' P enalfl i 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 maybe forwarded to the.Office of Investigations of th for insurance-Meragre verification, ' I do heresy ce fy under t pai s p n 'es of p. 'ury that the information provided above is true acid correct Signature: 7 1 - Date: J=dL Phone#: _ Official use only. Do not write to this area,tb he completed by,city or town off ctaL . City or Town: Termit/License# . Issuing Autliority(circle one) •1,Board of Health 2,Building Department 3, City/Town Clerk 4,Electrical Inspector 5,Plumbing Inspector ti.Otber Contact Person: Phone#• Massachusetts General'Laws chapter.152 requires all employers to provide workers' compensationfor thejr employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hiie, express or implied, oral or written." An employer is defined as"an individual,partnership,assodiation, 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 truste0-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwellfu house having not more than three a artments and who resides therein,or the occupant of the g • g P 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 deened to be an employer." IvIGL 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,IvMGL ehapter-152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performa.ace of.public7.work until acceptdb}e evidence of•eoml l&dce�thtlie insurance requirements of this chapter have been presented'to the contracting authority,.'t Applicants 1 Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,d necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their certificates) of • insurance. Limited Liability Companies(LLC)or Canted Liability Partnerships(,LP)with no'employee s 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 re ed o that the a 4cation for the ermit.or license is being re este not the Department of turn t the city or town pp. p g qu � P 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 onthe appropriate-ae;, 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 perm icense applications in any given year,need only submit on;affidavit indicating current policy information(ifnecessafy)and under"Job Sife Address"the applicant should write"all-locations ut___L__(city'or town)."A copy of the affidavit that.has been officially stamped or markedby the city or town maybe 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 fo any business or commercial venture (i.e. 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 youhave.anli questions, please'do not hesitate to give us a call. The Depatttrnent's address,telephone.andfax number:. The CommoaWWth ofMmac=ds 7 putm�ntr of JndustdQ Acts ' put"of Investig—wous Bo4on,.MA 02111 Revised 11-22-06. Fax#617* 7-770 W .M=_86V/din• • r /TME -1VYrLi V1 LR1JLLOLCLU1G Regulatory Services 'MASASM *' Thomas T.Geiler,Director S. $ ; Building Division en Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town.,barnstable,ma.us fice: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFMAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL a 142Arequires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing ownez-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,alo g with ether requirements. Type of Work. i K' timated Cost �Q �c� u Address of Work:. S �-- - ,,l Q Owner's Name J � _�I C cfV I, y Date of Application.• TA w 0 �l 7 I hereby certify that: RegistratiQn is not required for the following reason(s): C3Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that; OVnRS PULLING THEIR OWN PERMITOR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMTROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c,142A. SIGNED UNDER PENALTIES OF PERMRY 4zte - apply for a permit as the ages of the o er:. Contractor Signature. RegistrationNo. OR Date Owner's Signature Q Vpfnes.forms:homeafndav Rev: 060606 f Table JS.Llb(eondlnoed) Prescriptive Packages for Oise and Two-Family Residential Sailillnp"Heated with Mmil Fuels MAXIMUM MINIMUM Glazing Glaring Ceiling Wall Floor , Rag ernew , Slab Heating/CooIing Am'(V.) U.value= R-value' ' R-value' R-value, wall Paimew Equipment Wcieacy' Package R-value' R-value' 5701 to 6500 Heating Degree Daywy Q 12% 0.40 38 13 1 19 10 6 Normal R 12% 0.52 30 19 l9 10 1 6 A Normal S 12% 0.50 38 13 19 1 10 1 6 85-AFUE T 15% 036 38 13 25 NIA N/A Normal U 15'/e 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA NIA 85 AFUE w 15% 0,52 30 19 19 10 6 85 AFUE X 12% 032 .33 13 25 NIA NIA Normal Y 18% 0.42 38 19 23 N/A N19 Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %.GLAZING AREA(#3 DIVIDED BY#2): 0S) 9\3 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-080303 a 780 CMR Appendix J Footnotes to Fable 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 wail'' 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. 1 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRQ 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 R-49 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. 'The 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 Ievels,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). .3 Town'of Barnstable . -. , Regulatory Services '., �SreB�, '• Thomas F. Geller,Director , UAS& 9� s639 ,�� BiI11dID Division _ p�FD►�1Ai� TomPerrp, Building Commissioner. 200 Main Street, Hyannis,MA 02601 Fax: 509-790-6230 Office: 508-862-4038 ,V4f. <., 7-"i Vi Property.0wx1er Must _ Complete and'Sign This Section If Using A Builder C- .. .. ectpropetty as Owner of the sub` l hereby authorize /C /C�1 c Xl ��Ct7 + `lG f to act on my behalf, av natters relative to work authorized by this budding permitapplication for: CCNI ;)gas;: (Address of job) �•' ,�r 1 ia. �yitt Fi.(Z dr f7 Yin #��z.i., 1 �/ /7� _ - Signature o ci f Owner Date P1 ist?'T e ^ Q:FORMS,aWNEP.P ERMISSIOH ' 0 1/31/ 007 10:53 kfl FROM: 5088`cM,11 COX cOrE; The C;—, TO: 1 50$ ,..,.'3bGo PAGE: 002 (DE CO" 4. AR WCIP - ' Li )erty' ISSUING OFFICE 354 Mutual. Workers Compensation and INFORMATION PAGE Euiployirs,Liability Policy .ACCOUNT NO. SUB ACCT NO: Liberty Mutual Insurance Group/Boston 1-487580 01 LIBIEKI Y.IMUTUAL.FIRE'INSUP-AXICE CO. POLICY NO. TD/CD SALES OFFICE CODE SALES CODE N/lt 1ST %VC2-31S-487580.066 XX X 4VESTON 102- REPRESENTATIVE 3000 i2 YEAR ASSIGNED 1989 Item L Name of COX CONSTRUCTION Insured - FEIN 22.2930747 Address. PO BOX:1096 RISK ID 304999 SANDWICH,AAA 02563-1096 Status 03 CORPORATION Other workplaces not shown above:.SEE iTEN-I 4 W,Dar Year Mo.Day Year Item 2. Policy Period:From 06-14.06 to (16-14-07 12:01 AM standard tiine at the address of the insured as stated herein. Item 3.Coverage ---------- A. Workers.Compensation Insurance:. Part One of thy; policy applies to the.Workers Compensation Law of the state: listed here: MA B. Employers Liability Insurance, Put Two of the policy applies to work in each state listed in item 3A.The limits of our liability under Part Two are: Bodily Injury.by Accident 1O0,O1)O each accident Bod.ily'Injuryby Disease. 500,000 policy limit Bodily Injury by Disease 100,000 - each employee C. Other States.Insurance:'Part Three of the policy applies to the states,if any,.listed here: SEE END WC 20 03 06A D. This policy includes these endorsements and schedules: SEE-EXTENSiON7 OF INFORMATION PAG ; Item 4. Premium - The prenuum for this policy will be. dclerniined by our Manuals of Rules Classifications Rates, and Ralin?, _ Plans. All information re ui.red below is sub ect to verification and chau e by audit. fhc¢tum LINE 110 t3.seis RaiLy alimaled Per$100 Estimated Code Total Anneal J of RE- Annuol Classifications INC. F'remituns munerat.iou Premiums SEE EXTENSION OF INFORMATION PAGE I: Minimum.Premium $ 500- (.MA ) Total Estimated Annual Premium $' 7w95 Interim adjustment.of premium shall be.made: ANNUAL — — This policy,including all endorsements issued therewith,is hereby countersigned by Authnrued Aepresentatj�e Dote 07-03-06---___ , - . Ux.Code Teim Orw r Audrt Basis Periodic Y y'ruent I.al*_Jia.is v I H.G. ome State Dividend RENEWAL OF: _z _ _ - 07 Q;06 NR l,t:� «C 315-487•SO.Otia GPO 4030 All - Copyright 1987 National Council on Compensation Insurance WC ea 00 01 A, .. c - IN&,qED CQFV - . Date: 1/31/2007 12:03 PM Sender's Fax ID:Anderson Insurance 7 Page 2 of 3 acoRQ CERTIFICATE OF LIABILITY INSURANCE DATE(MIdiDD�" KITCHTCH-1 O1/31/0707 PRU'DUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Anderson Ins. Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE member of the SAN Group HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 933 Webster Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marshfield MA 02050-3423 Phone: 781-834-6578 Fax:781-837-3756 INSURERS AFFORDING COVERAGE NAICr INSURED :NSLRER A: The Hartford Insurance Group �22357 •NSI_RER 5: Kitchen Tech, Inc. NCURER r Paul Decot P.O.Box 1030 PISLRERD Sandwich MA 02563 ' irJSLRER E: COVERAGES -HE POLICIES OF,NSURAI4CE L:SPED BELOW HAVE BEEN ISSIJED TO THE INSUREC RAMED ASGVE FOR TH=POLICY='ERIOD IND ICA1"ED„NCI RNI IFST:ANDINC- AJ,I)'PEnIJPEMENT,TERM OR CONDITION OF F44Y CONTRACTOR OTHER DOCIJMENT WITH RESPECT TC:V,'HCH THIS CFRTIFICATE Mal'BE(=.SUED OR MA`r PERT.AI>J,THE INS TRANCE AFFC.,DED SY THE POLICIES DESCRIBED HERE N iS P:I ISJE1`T_,ALL THE TER _,CU.SIOI4S aFJD Cf.,JC ITIp>dS'.,F:7.IJC-1 - POLI•l IES.A6G REG.ATE LIN4I"S SHOWN MAY HAVE BEEN REDUC EC BY PAID CLal1,15. - EFFEC LTR IhJSR TYPE OF INJSURA14CE POLICY NUMBER DATE(hIh.VDDNY) DATE(MMIDWYY) LIMITS GENERAL LIABILITY - EA(-, CCIJRR=NCE = 1000000 +COMMERCIAL GEt.EPALLI.ABIL�TY 04SBARW6440 — REMI E (Earrcur nre1. �T 300000 CLAIMS MADE + OCCUR E:J P(=Jiy onF pFr=,on) 10000 A X JBusiness Owners 10/15/016 10/15/07 PFRSahW-&ADVIVJURY 1000000 j GENERaL.A3GREG.ATE T 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: _ PRCDI.JCT6-COMP!OPAGG T 2000000 JE i POJC! Cl"!PR."- I LOC - AUTOMOBILE LIABILITY i Ot:7EINED SINGLE 1-'MIT ANY AUTO - ?Ea accident) . ALL CWNED.AUTOb -Br,DIL'i INJURY . f SCHEDULEDAUTCS iPer er=.en1 f HIRED AUTOS BODILY IkJLIRY - - � JON-ObN1EDA UTCS IP=r accident) _ t PROPERT'i DA;VAGE [Per acdder,t) . GARAGE LIABILITY AJ.IfO ONI,,'I-EA.ACCID=NT I'T I ANY AUTO I. OTHER.THAN- E.A.aCC. AUTO.GhJ'_1' AGG EXCESS/UMBRELLA LIABILITY E4CH OCCURRENCE - OCCUR ��CLAIMS r.!ADE DEDGCTIEI.E RETENTION vbf b a �i WORKERS COMPENSATION AND - •TDR'�LIMITS ER EMPLOYERS'LIABILITY A PWPROPRIETCRIPA}T%IEP'E,ECUTIVE 04WECNK0579" 10/19/06 10/19/07 EL FACHACC,IDENJT : 100000 GFF;CE:RIMEMBEREX.CLUDED! E1, f.:ISE.Ai>E.-EA.EMPLC'!EE = 100000 - - SF'E;:IAL PROV'SIOt45 b;Iow EL CISE.ASE-POJCr LIMIT 500000 OTHER - DESCRIPTION OF OPERATIONS%LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEI'AENT I SPECIAL PROVISIONS - - -- ` Showroom for kitchen and bath cabinets Re: Ebersol CERTIFICATE HOLDER CANCELLATION t BARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION . DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 ..DAPS WRITTEN Town of Barnstable N 0116E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Department IMPOSE NO OBLIGATION OR LIABILITY.OF ANY KIND UPON THE INSURER.ITS AGENTS OR Robert Mckecknie 37 Main Street - REPRESENTATIVES. - - Hltdnnl5 NlA 02601 �- � � - AUTHORIZE SENTATIY'E ACORD 25(2001108) ©ACORD CORPORATION 1988 Tl i Board of Building Regulations and Standards License or registration valid for individul use only HOME IMI2 VEMENT CONTRACTOR before the expiration date. If found return to: • Board of Building Regulations and Standards _ _' One Ashburton Place Rm 1301 Reg►strat�oh 4 3 429' fi Sf008 Boston,Ma 02108 t 4 = I f idual v ! PAUL D.DECOT — (! , PAUL DECOT �,���..` 13 MOODY DR "� Not valid without signature SANDWICH,MA 02563 . -Deputy Administrator _- UP um IJ, G BOARD VISOR RC CONST License ., 001282 i ".. I Number C�S a:# i 11952 `� { SOS Tr.no: 24415 I XPirps O !, PAUL D DECQ j, pO,gOX 5116 '°G ,° 0ammissioner I r tv z .rAm t'1 No :. VIn3 "J. z �` T ` 4 ism' �r.�� �` �•, 4, e CERTIFIED PLOT PLAN j D-✓ram" Z.vr/[a--G l3`/G?•uiS �:�.�� �u � �'��?,' 7 � �. _ N%'W CONSTRUCTION ONLY Y� � ` C07UI��_ DP OF FOUNDATION IS. _,� FEET4�' � �' IN p,BoVE LOW POINT OF ADJACENT <� �� k'? '1,��`,� '.� ► �. ` . rs OAD. s, SCALEv 90.f DATE : 2 / i31854 :( -Z Q E 01 Er, ING COIN BA ! CERTIFY THAT THE OCIA vo47/0 CLIENT;;,:,®tJTl:Rt:C1 REGISTEREDSHOWN ON THIS PLAN IS LOCATED CIVIL LAND 409. NO. SU Z¢ ON THE GROUND AS INDICATED AMD ENOINEER SURVEYOR pN:eY� ;/ CONFORMS TO THE ZONING LAWS OF BARNSTASLE , MASS 712- M`A t N STREET. CK BY; H YA N RI S, MA$.S: BHEET;., . 0A1� _.. REta. LAND SUNtVEY �I HE'°�ti The Town of Barnstable 98ARR AA,';- E. MASS. o! Department of Health Safety and Environmental Services 0 i659. �0 prEo MPS A Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �F)-em A Location aSo �,SPdI`icraier kz 106- (�r- Permit Number a 0 0- 00 �Z I Owner Builder L One notice to remain on job site,one notice on file in Building Department. The following items need correcting: I Please call: 508-862-4098 for re-inspection. Inspected by /in"el6-, z Date 3��9/n 7 r r The Commonwealth of Massachusetts ? . s Department of Industrial Accidents Orrice of/nsestigations = t 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit ; name: of U�d / 1CArkW'1r1eC�L location: 9!�4 J!aY S `TOlr� li' city A' as 14 P A t 154 phone# Z114 ❑�am a homeowner performing all work myself. LJ I am a sole pr lietor and have no one wofladn in any ca acity I am an employer providing workers' compensation for my employees working on this,job. com anv name address::. ;: cttw one: insurance eo. ❑ I am a ole proprietor general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: corn anv name: X. addcess ..•...:. :. . one:#. city' Insurance ca . ... ... cam anv:paint:: ,.. address: ctt9' phone ,::.. li nsufance co.; o cv FaIlure to secure coverage s,req�red m►der Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine np to 51,500.00 and/or one years'imprisonment as weIl as dvIl penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I mlderstmld that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under th p ains and enalties.of perjury that the information provided above is true and coned Signature Date Print name �'V �l 11`7 h of ;1 �i Phone# ------------- official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Select3nen'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 he 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 ' compensation affidavit completely,b the the box that applies to your situation and Please fill in the workers comp Y � PP 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 permittlicense number which will be used as a reference number. The affidavits may be redo i:d to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to,give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lovesugallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °F IHE The Town of Barnstable. . MASS. Department of Health Safety and Environmental Services 1659. 6. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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:J ► �q V ht Estimated Cost 00 O,Lxp Address of Work: 2,g b - S P v► ho vu-px— D Owner's Name: Date of Application: :d/3 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the o er. As A JJ4L0 68 0 Date Contractor Nam Registration No. OR Date Owner's Name q:forms:Affidav , G ~ Y ESTMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X S55Isq. foot= GARAGE (UNFINISHED) square feet X S251sq. foot= PORCH square feet X S20lsq. foot= DECK square feet X S151sq. foot= OTHER T h�11( W.` haxys "/ 0 square feet X S??lsq. foot h h `. 'X `b 4 S '� Total Estimated Pro'ect Cost & O 0 0� 00 d� a990915b i e /6obu , 0 �• .75 I G. p, o ,A a.g rV N �• 1.� No xL \ .z4r i Y r- -a� 3 6 CERTIFIED PLOT PLAN TDWN Zdr//..-G �•.`/L/l[v..rj -ti��<r �..r -.�,,,;�:'y.r . Z.U7 l N .*YY C4NSTRUCT1bN ONLY o � ` =' �`� "� ,- CO—F � _ OX't'.' - 0P OF FOUNDATION IS - FEET �` � IN ',BOVE LOW POINT OF ADJACENT f� su ` �� �� "�" �� � �+ ♦ OAD. SCALES / 90 DATE ' 2 113184 �+"_—Q Gd ENGINEERING CO./�IC� BA I CERTIFY THAT THE Fv��✓v,� /vr CLIENT.,_,_.., SHOWN ON THIS PLAN IS LOCATED JOB REGISTERED SHOWN NO. S_ 3�?`� CIVIL LAND ON THE GROUND AS INDICATED AW0 ENGINEER SURVEYOR OR.BYo -_j,A, ' CONFORMS TO THE ZONING LAWS OF BARNSTABLE , MASS 712 MAIN STREET CH.BYE .,.,. AAiV HYANRIS, MASS. gHEET,.�.;OF CZFG. LAND SURVEYOR I a.� i� � a � a V J � • k CO � U F ^V ro 6 ' w� U ! f11 I J 4 I� l � 4 � . i � r it I � � t k { F F jf cc) 61 0 o YY"u o'er 129 cp the o r � �� �. .7. �� _� �� { .S.-, �' ti t 'i F ^� �.. ` � r. i � f ..f 1 `s� �) y - j � } F ,` 1 1 _ � , , � � �_< � , _ � - i a t r , OEM HOME$IlIPROVEMENT CONTRACTOR; t Registration 110880 , � Trpe ° " PRIVATE CORPORATION ,..HJ ' - t �s :+��.�,�3 �� �ac�c�. ems•Wkh.'"�� M+t�; �'.zt... "CUSTOMODELINfi INC ;,7 rs ��W�; .����� tom+ x+ '• a x�z. gADMINISTRATOR APO BOX 26T 44 BAXSHORE DER r +�MASHPEE,MA 0264'9 T ra,.r xu�' _ +s,ui�7A�i`�''R�a ffia"-�"''r•' � +. cz''. DEPARINENI Of PUBLIC SAFEIV CONSIRUC114A SUPEREV�Ip 0 es 10ENS8irthdate Nutbe[ - 0612212Q00 06/2211959 dSOQ96., CS is � 10 Res1t�.C1e� j. PO 8DX 281:, • . �,�✓ tIASNPEE, NA 02649 _ .: TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map Parcel /� Permit Health Division Date Issued Conservation Division Fee 00 Tax Collectow N � - SEPTIC SYSTEM MUST BE Treasurer j�-- Gt�c� 4��3/7�D� INSTALLED IN COMPLIANCE 0a WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board - TOWN REGULATIONS Historic-t06 Preservation/Hyannis Project Street Address o i, r S e yt w (/- Village Cl 0 Owner 44�� 5` C'_g q w� U h Address 0 6 LO lJ ram.Telephone Permit Request VtR Square feet: 1st floor: exis ing-62 proposed 2nd floor: existing b proposed C> Total new Estimated Project Cost 4 U O 7 Zoning District Flood Plain� J � g Groundwater Overlay Construction Type C a r Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family P/� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes PVo On Old King's Highway: ❑Yes ONo Basement Type: )Zr�ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Q Basement Unfinished Area(sq.ft) C� Number of Baths: Full: existing new — - Half:existing / new Number of Bedrooms: existing o new Total Room Count(not including baths):existing new 0 First Floor Room Count . Heat Type and Fuel: ®"Gas ❑Oil ❑ Electric ❑Other a Central Air: ❑Yes Plo Fireplaces: Existing New (D Existing wood/coal stove: ❑Yes o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Vexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes P"No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name y�� d of Y,�,y �. Telephone Number 7 7 a 70 Address 7` f`� `Uv�P �' License# 0 0 -/ M 4,-S `L4 a • Home Improvement Contractor# 0 a 6 �C g Worker's Compensation# - ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 9 Pet- 0 vii `� SIGNATURE tl PJ� i DATE // I a 6 d O FOR OFFICIAL USE ONLY rj PERMIT NO. •-; A. '" DATE ISSUED' >. 4 MAP/PARCEL NO. w ADDRESS `� VILLAGE OWNER DATE OF INSPECTION: FOUNDATION `k FRAME c r INSULATION FIREPLACE , ELECTRICAL: ROUGH,„ ...., - FINAL . PLUMBING: ROUGHN i FINAL GAS: ROUGH, ` FINAL FINAL BUILDING •ems ',� -. ti r f DATE CLOSED OUT - ASSOCIATION PLAN NO. j a t Assessor's office(1st Floor): Assessor's map and lot number \ ) SEPTIC SYSTEM MU �THE>o`` Board of Health(3rd floor): ,�' �,����� INSTALLED IN COAAPLIAN . Sewage Permit number —T ' � WITH TITLE 5 i Deaa97'ADLL Engineering Department 3rd floor): rasa House number P ( ) 310 F`f`�' ENVIRONMENTAL COTE A o �6}9 Definitive.Plan Approved by Planning Board 19 TOWN REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only '.TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 5 C e— TYPE OF CONSTRUCTION , i'e 4 0 SC i/',e T ` L, \ 19 —L/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 Location �5 i . C'_ Y1 U C'. 1 J 6� i V'C� C- Proposed Use S C y'P e- y\ 1 v\ cy S P r a ()(LC K J,- v ►9 tr'o+-e Ci' t^v L111 1 kS CC-LS Zoning District - r �Jire District Name of Owner C- V, I Address �(.� L I Sr" � ' Name of Builder 41 -r 4(�`G9 U In Address `Tq .��% tlA Name of Architect Address 1 / Number of Rooms Foundation ��' y\C V t✓( �� Cl tU Exterior G{ V- t-ej ` Roofing Floors U.9 v n('I C Interior U Heating h U 6'1 Plumbing Fireplace Approximate Cost ji Area N Diagram of Lot and Building with Dimensions f Fee ©, s Lk!, - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License <:Z:'qG,Ct1ael�L s -M° HANS JR. A. No . 34179 permit For Screen In Exist. Deck . Single. Family Dwelling Location 250 Eisenhower Drive - Cotuit Owner -Hans Eag Type of'Construction Frame Plot Lot - - r, Permit Granted Fe u hrary 21 , 19 91 , s. , 1 Date of Inspection 19 t,• Date Completed 19 16. Cr 'ON ��3 «w _ t 1 F t aL Ij ..-m+ ti.- vi iG.c ,*-.,�'+. -.,.}.. ..vy::ti^:.r-"-•— '.a• .- .��,f.1^T-.4rI' ,... n..w++- -:,�s y,:r=-a .ti.. ^%�'y*y.A' .r-ea;-•�=w --,"r.t•w... ,rk*�__ ... Assessor's office(1 st Floor): p� Assessor's map and lot number t-) E To Board of Health 3rd floor) Sewage Permit number !,1 '"' �`i./. •� w� . w 1 DAaa9TADGL S Engineering Department(3rd floor): ��� �' rasa House number Y a.�(/ °o t639• Definitive Plan Approved by Planning Board 19 �r�r APPLICATIONS PROCESSED 8:30-9:30 A.M.and'1:00-2:00 P.M.only TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 5 c 4 er. K ` r TYPE OF CONSTRUCTION ! 1 i C r'�a r, \1 cc'.( tS �'" Kit r f�( F�?n- 19 TO THE INSPECTOR OF BUILDINGS:. , The undersigned hereby applies for a permit according to the following information: Locations Proposed Use C y r° P. c i . a' ,� �Tt E t� Yd ti'" t" a►n 1 k CcC-LS � � Zoning District 0 E . i j "��!',Fire District Name of Owner t ea I Address IJI P.V` � ►� r �C'. Name of Builder , I�0 1-1A�t f*1 �a t (nor r�� � Address _ Name of Architect - Address Number of Rooms Foundation Co h C V CI .P Cl u h C4 �. Exterior (�' .� / i �. p . Roofing > a�i� h 4j Floors Interior Q 'T t .6 P t� I Heating 0 h ' r- Plumbing / Fireplace F Approximate Cost � Area _ s: . Q. Diagram of Lot and Building with Dimensions Feel', — 16 , a a 10 64 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name G2 M ,+ Construction Supervisor's License � Q r HANS SAGS MUD L A=038-0 8 `°` H , 3 - 4179 P rmi F r Screen ii: Exist _No e t o Dec k Single F.amil�7 Dwelling Location 250 Eisenhower Drive Cotuit Owner Hans Sagmuehl, jr- Type of Construction Frame Plot Lot Permit Granted February 21 , 19 a 1 Date of Inspection 19 Date Completed 19 f TOWN OF BARNSTABLE Permit No. .- 6 d 74 Building Inspector s.urr..c Cash ------------—- — 03 °'"� OCCUPANCY PERMIT Bond -_ _-- X Issued to Bcayside Building Co• Address Lot :57, 250 •Eisernnower Drive,, Coti:# V Wiring Inspector Inspection date Plumbing Inspector � � _ Inspection date Gas Inspector r Inspection date y XEngineering Department ,p, ram., �, Inspection date 41 Board of Health_ y ��� Inspection date F,/ THIS PERMIT WILL NOT BE VALID,AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED,BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.6rOF THE MASSACHUSETTS STATE BUILDING CODE. ...................................................«, 191-1 ...7... .............,..........................-------.. .......... ... ..«..........«..««. Buildina/Inspector SL �► /6.o b , : .1 o a . 6c i Y R' b2 j L0 T Z c. � 366UC Zo -L E: CERTIFIED 'LOT PLAN j; �uru. ai i{ U 7m S y 1 `h.�1-/77 w�•-r7 _ v E N 1W CONSTRUCTION ONLY 3P OF FOUNDATION 18�..„ FEETa" ` 1� , IN . RI�O.VE LOW POINT OF ADJACENT .r'0AD, wa s�� SCALE, / ,I� 9� f` DATE , 2 / /3/84 , : A QGE ENQllll�'E'iilNQ CO./NCB BEI s�o 1 CERTIFY THAT THE F*OVA I) 471' CLIENT. E®19TERED REGISTERED SHOWN ON THIS PLAN IS LOCATED CIVI1. LAND JOd NO. ON THE GROUND AS INDICATED rAW4 ENGINEER SURVEYOR DR. ��; �"I'- CONFORMS TO THE ZONINo LAWS OF BARNSTABLE , MASS 712 -MAIN STREET . CH'ISYl ` HYANRIS, MASS: _.. . SHEET:..l,O'F � REG. LAND SURVEYOR Ye ,�z3�#'smessor's map and lot number .................. .. ... .. iTHET Sewage Permit number .............. ..........1 .. .. PTIC e. a �s d`� �♦'+► �, 34 a r Z B9SB9TODLE, • House number s�.... ? g.....:........... _ kiv TITLE 5 , Mom. CCD ,!s 00,s�t639. �0 TOWN OF BARNtlS, A"B"`LE 4 � r BUILDING . INSPECTOR -APPLICATION FOR PERMIT TO ...... .......E:7 ...... ... TYPEOF CONSTRUCTION ..... ..... ....................:............................................................... ............... /f.N......( ........191r.-I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the, following information: Location ..... .v~�•1..y.... ./. !1. .................eayl .T.......................................................................... ProposedUse ...... �®S�L' �iZ� ..........................I........................................................................................................... Zoning District ......./..1..:7.F...................................................Fire District ...... .......&- ......................................... Nameof Owner ........ -1. ...............................:....Address ........... ........................................................ Nameof Builder ................Address ..............�...........°:........................................ .................................................................... Name of Architect ....: r...l�c.... Q ..........................Address :. Number of Rooms ...... Foundation .... ....4.e7` .......... ..... ..................... . ..-................. Exierior .......��� ��' K....."....A��..................:...Roofing .......... �1........................................... .t Floors ........... .. ......UL4y. ...........................Interior ............ {.IIWf............................:.................... Heating- 777.�..L.T.../4 ........jod.... .............................Plumbing .............C..[% !F—...... ............................... Fireplace ..................................................................................Approximate Cost ....... . 7.................... .............. Definitive Plan Approved by Planning Board -----------------------------19_____--• Area ........L-11. o—........`.. Diagram of Lot and Building with Dimensions Fee ........................ SUBJECT TO APPROVAL OF ,BOARD OF HEALTH Yo - zti 3� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .Name ....cL7rl ../..... ...... ............ ............................... Construction Supervisor's License ...e��i ��.l: ....... B�,YSIDF BUILDING CO. 26074 ....n.... 9-rY............... No ...............::Permit for One Sto .....Single Family...Dwelling......................... Location C?t..5.7.c.....25.4..B!.5.w ?Qwe!;..Qx:iye- �a ........ Cotu .. ............................................ Ow% ner` .Bayside Building,Co.......... .... 3' ......` Type`of Construction JT r .................. ........... k ............................ ................ .......................... Plot Lot ................................. Y Permit Granted .........ebruar�'.+..14 ....:19 84 Date�'of Inspection C.."/... .19 '�� _ •y Date Completed . .....................7 19 `� • av r',. 01 s Assessor's map and lot number � `�....................r.... ?C%THET� Sewage Permit number ............................................ ........ Z EARISTAELE, i House number ......................... ?.U.... J rv�..................._ 'o rasa p t639. O N tr• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .4?K—:k "�:1�C i .... TYPE OF CONSTRUCTION .... oX "`' ,........................................................................................ ........... ..... .............. !.�' .m....... ........19.```::� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... c!....................!„i cJ/..T .......................................................................... ProposedUse ......l ! 5/c' {�r..................................................................................................... ............................... Zoning District ....... ,.'f ....................................................Fire District ....../c^ .......................................................... yall .....................................Address r Name of Owner ..........:...��,..............� ...............�!d................................ Nameof Builder ....................................................................Address .................................................................................... Name of Architect ..... ...!��c....... c �C:..........................Address .......... � ............................................................... Number of Rooms ........ .. ......................... .Foundation ... :4:.9J.':6M ...e:......Xg-e Q......................... Exterior ......1�//� ? rT1tr G;,....."'.....`vx".(.......................Roofing ........... ................................................. Floors /�!z 'P ............................Interior �*: d c�:cf................................................. Heating ....... .. ...........`J:.�....:T:.:...:.............:........Plumbing ................. ? ' :�:...... ......................................... _ Fireplace ..................................................................................Approximate. Cost ....... t `)...................................... , Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1Jt 1 ` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ..::::fi:.. ,: '.............................................. Construction Supervisor's License ...A1-�..�. ,v ........ 1 BAYSIDE BUILDING CO. 38-18 No .... Permit for .............. Single„Fami lY..PwP!4:qg...................... Location ...Lot,57 2591§erihqwer Drive ......................... cotuit ............................................................................... Owner ....1MY5idP-..13ui .ding..CQ.................... Type of Construction ..Fram.e............................... ........ ................................................................................ Plot ............................ Lot ................................. Permit Granted February 14, 84 ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 • Pi Lc. a o it I ---- 2 Mb o 4._ i` l i h p.. ALL lA,�li is _ — cv cc d -0or 8 ���� , r , A Q {e PS — a wood ry ®. t u i i I � I i 0 o . ,�� to � � 1. y t1� ) SUNROOM � � O y r— C14U EATING AREA KITCHEN BATH OMS BEDROOM ' E s HALL ; I DOWN N GARAGE u Po LIVING ROOM LU ul } BEDROOM W Q Q r LU UJ N O LU z O U4 lu cf MAIN FLOOR LAYOUT j I s t .S 1L �. N Cal EXISTING SUNROOM AREA OF ALTERATIONS TO 2 BATHS t KITCHEN w S Q 1V1-2!/ II INSTALL NEW WINDOW W/2-2XSHDR ® oO OO NEW VELUXQ- 0 o i SKYLIGHT -- ® O O AeoVE PROPOSED KITCHEN REMOVE WALL TO / ll — — i�OPEN UP TO NEW \ / 2 NEW VELUX \ / I KITCHEN AREA \ E— TUNNELED _ O -_EXISTING BEDRO ABOVE OM Q Q 1714 X SKYLIGHTS x / \ GARAGE AREA - - TYPICAL 2x10 FLOOR SYSTEM: a WALL 1 N - - 3/4" T!G PLYWOOD SUBFLOOR 3-O S _ _ DOWN - O 2x10 FLOOR JOISTS 616 o.c. _ u 'u R-IS INSULATION WNB C4 NE INSTALL NEW WINDOW ��2 N EXISTING OPENING a _ PROPOSED DEN omm— EXISTING LIVING ROOM EXISTINCz BEDROOM U } REMOVE OVERHEAD DOOR AND INSTALL - - 1i- ENTRY DOOR FLANKED BY WINDOWS tu - - --_ lu Z lu !EE W LU 21-611 41-611 41-611 21-611 • lu O I-OII 11-0 lluu N U � 141-011 ej PROPOSED 4XI4 COVERED PORCH - PROPOSED MAIN FLOOR LAYOUT li r r O O 1 " O O " w o � o Oz � - z oZ _ ozID u • U AREA OF GARAGE TO BE CONVERTED TO COVERED PORCH R FROPOSED FRONT ELEVATION r TYPICAL FRAME ROOF: 0225 ASPHALT SHINGLES 1/2' COX PLYWOOD 2x12 LEDGER EXISTING 2X8 RR 4 CJ 2x8 RAFTERS o Iro" o.c. GARAGE CEILING TO BE 2X6 CEILG JOISTS ® Ifo" o.c. INSULATED W/R-30 FIBERGLASS BEADBOARD CEILING VB TO FACE LIVING AREA wLu sixu NOR Z Q n m EXISTING 2X4 EXTERIOR WALLS OF O O GARAGE TO BE INSULATED W/R-13 "E tPA tRa" uj N O FIBERGLASS BATTS W/VAPOR 1 BARRIER TOWARD LIVING AREA TYPICAL 2XIO FLOOR SYSTEM: uj 3/4" TtG PLYWOOD SUBFLOOR z 2x10 FLOOR JOISTS ® Ifo" o.c, R-19 INSULATION W/VB O u-^u I II I II TOWARD LIVING AREA VJ F �O � —O wiN.Noow*o�w 1L- GILL OVERME>D OOOR OPENMO axe aixe Ncw O O 14 1_O 11 IN I-ATION WR O tyQpp GRADE uj u.l U PROPOSED PORCH SONOTUBE LAYOUT EXISTING GARAGE SLAB AND FOUNDATION rxaoNouee O w�earoor°mx FORCH SONOTUSE LAYOUT CROSS SECTION