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0093 MAIN STREET (COTUIT)
LL l i}} 1 :y Daniel H Braman, PSK ��-t �f�l G 1�• O K�N l� 189 Harbor Point Rd Cwmnaq&" MA 02637-0361 Y': �A•®�A.tG �3 Ac�.�v i t 07- 22-ci 4 - 1A A.SS '5-Txt r- v ` V t 4 Cow .- D 15 1 iW rLd 012 w,.. � 1R9 A•,trt,.� �► �t� p�t.,oc9t2..� q` u' wj D.L. 15 -A toy Q , L-L.'q 4-0 ?,MCT Lot V.L. 115 x-t > w I.�op�. w3 L.L. 3ox(b � �� Q • u�E wa�35 0� wtoA dews►�n.s d r�•+r �,r-�+nn �.(p ova� V�•�►"� �1 S e we cV' ® � VA OFF DANIEL ST CTU�AL B, .off,®��� IS RAMSBEAM V2 . 0 - Gravity Beam Design Ligensed to: Dan Braman, P.E. Job: Johanson Res. 93 Main St. , Cot. Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X35 Fy = 36. 0 ksi Total Beam Length (ft) = 20 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 035 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DLl Pre DL2 LL1 LL2 0 . 00 20 . 00 0 . 105 0 . 105 0 . 000 0 . 000 0 . 280 0 . 280 9. 00 20 . 00 0 . 390 0. 390 0. 000 0 . 000 0 . 540 0 . 540 SHEAR: Max V (kips) = 11. 62 fv (ksi) = 4 . 62 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 50 . 0 11. 4 0. 0 1. 00 19. 22 24 . 00 19. 22 24 . 00 Controlling 50. 0 11. 4 0 . 0 1. 00 19. 22 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 58 4 . 51 Max + LL reaction 4 . 43 7 . 11 Max + total reaction 7 . 01 11 . 62 DEFLECTIONS: Dead load (in) at 10. 40 ft = -0 . 359 L/D = 669 Live load (in) at 10 . 40 ft = - -0 . 581 L/D = 413 Total load (in) at 10 . 40 ft = -0 . 939 L/D = 256 RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. Job: Johanson Res. 93 Main St. , Cot. Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W10X33 Fy = 36. 0 ksi T-otal Beam Length (ft) = 20 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0 . 033 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0 . 00 20. 00 0 . 105 0 . 105 0 . 000 0 . 000 0 . 280 0 . 280 9. 00 20. 00 0. 390 0 . 390 0 . 000 0 . 000 0 . 540 0 . 540 SHEAR: Max V (kips) = 11. 60 fv (ksi) = 4 . 11 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 49. 9 11. 4 0. 0 1. 00 17 . 10 24 . 00 17 . 10 24 . 00 Controlling 49. 9 11. 4 0. 0 1. 00 17 . 10 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 56 4 . 49 Max + LL reaction 4 . 43 7 . 11 Max + total reaction 6. 99 11. 60 DEFLECTIONS: Dead load (in) at 10. 40 ft = -0 . 266 L/D = 901 Live load (in) at 10 . 40 ft = -0 . 434 L/D = 553 Total load (in) at 10 . 40 ft = -0 . 700 L/D = 343 �2 1 z� a of DAME L E. BRAtfiAN �. STRUCTLI AL NO.365 5 "' too �fssiaN VIA T's Conuaci 1 'Tel SOS. 6Oa,�46•glo� F i.14 a��s,� Tealx gaa-790,2et►B atseet, F 18 ate" FPY TOWN OF BARNS&ABLE f CERTIFICATE OF OCCUPANCY PARCEL ID 009 012 001 GEOBASE ID ' 42942 _ ADDRESS 93 MAIN STREET (COTUIT) PHONE . COTUIT ZIP, - LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 87679 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT' TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS; Department of ARCHITECTS: Regulatory Services TOTAL FEES: , $25.00 BOND $.00 p�F CONSTRUCTION COSTS $_00 I 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 1}* * BAMSTABLE, MAS& i s639. i BUIh r ING- 1 BYLSIO + DATE ISSUED 10/18/20,05 EXPIRATION DATE THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m ^�C� C DATA I I Department of Regulatory Services Mass. i63� Fp Mpl A BUILDING DIVISION BY X .mod TOWN OF BARNSTABLE 1..,-: BUILDING PERMIT , PARCEL ID 009 012 001 GEOBASE ID 42942 ADDRESS 93 MAIN STREET (COTUIT) PHONE COTUI`.I' ZIP - LOT 7 BLOCK LOT SIZE I DBA DEVELOPMENT DISTRICT CT i PERMIT `76430 DESCRIPTION LIFT HOUSE AND INSTALL NEW FOUNDATION � PERMIT TYPE BMOV TITLE BUILDING MOVING PERMIT i CONTRACTORS: HAYDEN, ROBERT F_ Department of � ARCHITECTS: Regulatory Services � TOTAL FEES: $150.00 L J BOND r $.001 L O�fME CONSTRUCTION COSTS $35,000-0 I `752 ALL BUILDING MOVES 1 PRIVATE + BARN3rABLE, MASS. � 039. ♦� ��DMPrA I I BUILDING DIVISION ,.r BY u.t .1 A�__ I DATE ISSUED 05/06/2004 EXPIRATION DATE: j VL- j " THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK.OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY.PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: *APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. S BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: , SITE PLAN REVIEW APPROVAL h� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT �I, Q �3 %o s b 919 TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 009 012 001 GEOBASE ID 42942 ADDRESS 93 MAIN STREET (COTUIT) PHONE rF COTUIT ZIP LOT 7 BLOCK LOT SIZE -- DBA DEVELOPMENTy DISTRICT CT PERMIT 83190 DESCRIPTION 16'X 30' DECK PERMIT TYPE BADDD TITLE BUILDING PERMIT ADD DECK CONTRACTORS• PADRAIG J GALVIN Department of ARCHITECTS: Regulatory .Services TOTAL FEES: $80.00 BOND $.00 �TNE CONSTRUCTION COSTS $8,000.00 434 REBID ADD/ALT/CONV 1 PRIVATE n +► STABLE, MASS. 16319. 1 Ep�A k BUILDING DIVISI ONE BY DATE ISSUED 04/06/2005 EXPIRATION DATE 00 J- ,_� TOWN OF BARNSTABLE " BUILDING PERMS ` ,} r a- PARCEL ID 009 012 001 GEOBASE ID 42942 ADDRESS 93 MAIN 'STREET :(COTUIT) � {'� PHONE COTUIT ZTP LOT 7. BLOCK LOT DBA DEVELOPMENT' ._ 'x DISTRICT CT . PERMIT a. 83190, DESCRIPTION XFi k s`O" DECK PERMIT TYPE BADIDD 'TITLE ' ,. BUILDING PERMIT ADD DECK y CONTRACTORS: PADRAIG....J-`t*T,.VIN ARCHITECTS: • Department of Regulatory Services TOTAL- FEES: $80.00 I I BOND :o© try C ONSTRUCTION. COSTS $8,000,-00 .,,r. 434. - """RESID A D/ALT/CONY 1 PRIVATE � �t}�' • A s�uwsraB>�, r �. ;J � N �� �. •„''" RFD MPy A .4 ,y i PUIL, I G DIVISION •�...w...�,� . Y o DATE. ISSUED 04/+ 6/ 04?5 EXPI ATION DATE �? THIS PERMIT CONVEYS NO RIGHT-TO OCCUPY ANY.STREET,ALLEY OR SIDEWALK OR ANY PART-THEREOF;.EITHER TEMPORARILY OR PERMANENTLY. EN CROACHMENTS ON PUBLIC PROPERTY:NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED -FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON-JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS•BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- .(READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS: 3:INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4:FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO ITIS • STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS O yl7/, 1 •;^ncg ek I JhD I C o ( �-D 2 2 2 :I • I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT i 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD,CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I of :� 'S4 ,• ,:{;: �. r 'a 2 Op --- 2.4 [a% LAU) GAIC V IN BROTHERS Lie.Contractors 1 Paul M. Galin P&Jrang Galvin Tel 508-246-5101 Tel 508-246-5102 Rav_xna-7Qn-9.41 4 FAx FiAli-R7K-ARIA t -- 24 'RI GALVINBROTHERS Lic.contractors FaIld M. Galin PajranrGalvirn Tel 508-246-5101 Tel 508-246-5102 Fax F;nR-7Qn-%4i& Fax r%nA-R`)-.ri-f1An.,A I- j �J Ind uwp'luul GALVI BROTHERS Lic.Contractors Paul A Galvin. pal6ang Ali. Tel 508 246 5101 Tel 508-246-5102 Fax 508-790-2414 Fax 508-325-0903 16 Stevens Street,Hyannis,MA 02601 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(, I DATA 9" MA i1'. qE).S.rIi I r . M1 f-�•i•k � I`.��;r :!e i�J. t�.;'`�x�ry � e�,s l\i i . F' �.�`1' i i T" ", i 1 7 $ ER l 1.T C"i 3i I'L r,rF! %ys C'0N eRn,�TO j i-101,>>: _'1i-b .,_ .��e., Department of. Regulatory egulatory Services 'PO{{A ` . i Id BON 0 'i'1 [ si',r, 1+Ts ile a r •' q•.t:r? t A .1=I7 ., T+..ix_1./{1 � �I► * BA STABLE, MASS. t6 3 9� 1 „ � A Ik iI BUILDING DIVISION BY x' - 17'Zlr. 3.S9v9i.l { r'07r/'.20 l4 t;, j"A"tit ' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY_ANYSTREET,ALLEY OR,SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN=. ; CROACHMENTS ON PUBLIC-PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED.BY THE JURISDICTION.'STREET OR a W ALLEY GRADES AS ELLAS DEPTH AND,LOCATION OF P.UBLICS.EWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS.' PERMIT. RE DOES NOT LEASE THE APPLICANT FROM,THE CONDITIONS OF ANY APPLICABLE SUBDIVISIOWNESTRICTION_S''` MINIMUM OF FOUR CALL INSPECTIONS REQUIRED _«; I FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST-BE RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS ; THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE„SEPARATE' .N PERMITS ARE REQUIRED FOR • � 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MEGH- ' (READY TO LATH). FANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.' R 3.INSULATION.. ;OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION.BEFORE OCCUPANCY. i BUILDING INSPECTION APPROVALS' -PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS � 1 �C 1�74�n• �h 1 , lee 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT, 2 BOARD OF HEALTH: OTHER` SITE PLAN REVIEW APPROVAL fz �g ~ : ` WORK SHALL NOT PROCEED UNTIL, ;,PERMIT WILL BECOME NULL AND VOID'IF CON. INSPECTIONS INDICATED ON,THIS:: y =THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK LIS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR;BY` VARIOUS STAGES OF CONSTRUCT ,c MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION._ -NOTED ABOVE. TION. x ; r •a. 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J �' i �r � - � ^� ? $_�o�� ��, y a���r "` $,y� � �.. � � ���k�te�i '.� 1R �R y' '!J }y�A'Y ky�k'M�'��+�• � '.rF'� `"'k�.� "R'�� �'hNt a ?1 �: ..1��'�'�mJ 14� �` xtsa �i ��pw,r?fi•� +. ,.�^�yNjTt 5 R '• 3") ?�"S'tzt,�'� s �° '$>�L� f wl :" + RR am * 4 ,��#s+�Xrt� + •- e�"� ;� 7 � � - � �i'-` �1 .' r { 1 A,*,� t •;^�z g '� d"�„�` . ,x \F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 0 7 Parcel O/Z OW Permit# 93190 �� Ct ���► cam,d�.� u��, hs_ Health Division �- � vi��: Date Issued Conservation Division /> )I Application Fee Tax Collector_ Permit Fee30.b a Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village Owner Fh�J td(dG Y 0,)Wcr.M .0 f�cm Address .�,�7 l► lG �1� fa�c � _ TelephoneC Permit Request . �� nee& ay 150-ek c/-- U66r e— b " my vb CV1 ��- Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type j Lot Size Grandfathered: ❑Yes ❑No If yes, attach,supportin- ocumer&ion. CIO Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) -� ra Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hig way: 93es f;J 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 Use77 BUILDER INFORMATION Name � t��7l r�►- CL V%V Telephone Number Address '57- License# r �i O 1 3: l �ZGO Home Improvement Contractor# t�30 Worker's Compensation# PA,C 6`JCS' ) Le O2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C'LIA lF Lq tVV SIGNATUREE1 ° DATE `7' S 2(�0� L 'l1V FOR OFFICIAL USE ONLY `PERMIT NO. DATE ISSUED MAP/PARCEL NO. r - ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION C6I%� ,''� '" FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Ml ,i GAS: ROUGH FINAL FINAL BUILDINGA ? M L1C r -r S m j DATE CLOSED OUT `_{ 7 � ASSOCIATION PLAN NO. _ b to s iTi � S _ _The Commonwealth of Massachusetts -- Department of Industrial Accidents t 600 Washington Street Boston,Mass. .02111 r Workers' Com ensation-Insurance Affidavit-General Businesses address: city H,9AVAPstate,• C�?�6�� zi : ''Rhone# 50 -•- ' � work site location(full address): ❑ I am a sole proprietor and have no one Business Type: 0 Retail❑RestauranVBa/Eating Establishment worlang in any capacity. ❑Office❑ Saks(including Real Estate,Autos etc.) ❑ I am an em to er with em to ees full& art time.: Other am an employer providing workers' compensation for my employees working on this job.. J...i :J {Adial / 4 re 1�• city: •-•V /'�-�, ,�`• �phoiie.#:��.' .��✓ � •�`':.' •, 1'�"••; ,��j/, i(• �.' / !• �. an a ,1::;>,• MEMNON 001111,11,111=10 ME ❑ I am a sole proprietor and have hired the independent contractors listed below who have ifie following workers' "' compensation polices: coIIiDanyaarire .t citV.... ph'oiie,w y y. •'fv. <4+ omp tiy n l address:. . Cly: D�OIIE#. itofa 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$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u r the pains and p�naltie ,of p/e�jury that the information provided above is tru d e/orr ct Signat�ue !/ Date 6 �� _77 Print name - Phone# official use only . do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑•check if immediate response is required ❑Selectmen's Office Q$ealth Department contact person: phone#; []Other (revised Sept 1003) ° Information and Instructions. Massachusetts General Laws cht pter�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 mgre of the foregoing engaged in ajoint enferprise, 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. 'I3owevei the owner of a cwelling 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'siates that-every. state'or lbcal 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. ffffffffA Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address,and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents'. Should you have any questions regarding'the"law"or if you are required to obtain a-workers"compensation policy,please call the Departrnent at the number lists below. .. City or Towns . Flease 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 611in the permit/license number.which will be used as a reference number. The.affidavits.may.be.returmed to the Department mmil 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 BMW of wesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 o�t�toy Town of Barnstable - y °-� Regulatory Services saxNsrasr�. Thomas F.Geller,Director 4A 26:1 aim Building Division QED MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 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. Estimated Cost G o(3'r o v - Type of Work: • Address of Work: - { ►Y�w�► � ✓�t'Jd r Owner's Name: �haGv� 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: OwN RS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED E, CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the/owner: • � � Q� ����( � ���j Registration No. Date Contractor Name OR Date Owner's Name Q:forms:homeaffidav Tarn of Barnstable OF�E lOjyti , Regulatory Services snxrisras , t Thomas F.Geller,Director:NAM . Building Division Tom Perry; Building Commissioner 200 Main Street, $yam,MA 02601 �rwwA wn barnstable;ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Us ing A Builder ' as Owner of the subject property hereby authorize to act on mybehalf, in all matters relative to worlautho ' bythis building permit application for, (Address of Job) �� 0 4Sal=reof Owner at a cQn JoVcs�nsQn Print T*tame . . �4 3µk « 45 7r 10,G jG FTI q 1 lLI► MAIN 4SILOT 13 964.65 57,57..L, _z5 s O w I� _ _15_4 '15. - _. __ •20.7' 0"� W LOT 7 q . . rn v 1 AS/LOT 12-1 ZVI o y o 32.9' 31.7' o w BLDG. BARN . °p t 6 - y , _ N86'45'00 E 233.92 r 'Ol � .. �'d•�J•-�t' ��• $.`2Yi,..a eft a ��.�a a hya•�•�.•�-i��' 5Y"°�c.`a�••� ;aj�, '�*e :::s%^'!,<�:�a.�• y�.'.'..a.�::•:ti,�.x.f �aLr^.�F�a.f.�9!.v �.� e,�°Y�yg•� .L_�i`'��'v4{''..:i;.�� .. •:t�, _:t'� �5 f i--"�':•. ,; ny.�''a•.GYN;•i �y�8, `?.:.: 'c•:F•7c�'z,..t.. �5'8�,.�' :d' •"T``st:_ 1,j.,....,.. t •-Y: ,.S':�.. '=r'a :.'r'•^`-'':�t� S.M.'c�:r>�r:.:`�'� �k., :; `.> .j_t�'F^."h'ry�. •,o• v--.k •....,•a.w .;.i.:•.+•..r.-y.•:'��'`Frt�•....,.•.gv,:.. (-.,.. "'P,.,,>:.-�t ,i.;":.^ r;�.:.. ".tom; � ,.r6 xtc."' :.4::: ,:'.+�"*�:;.. _ .Y. :1f�j+- .n.: j::s:.:�:4:::yz�,1�.w41±%�j;.. Le':•,:�`•w C�wa :.M,:a'•r7.:.:��,:, x ,. C'.l�'.::!Z+r �.•r•:L};. .'I�^3:"Nfe' .'.•n :..:. -. ..Y:• s2,i:• :: :..'f. .. hS • .:y ..x.' ...[.--'•f...., ...r,. :. � .�•:X..: .. i.•. �A Yi.: .:l�LC:: ..Y-%: '•h:w - .. ,p G:'X:l4... .,j.t i:YF :at^r:•F`y.•µ:t:'� VOTE.• `PRE-EXISTING, NONCONFORMING TES. ZONE-- 'RF't This MORTGAGE• •INSPECTION Han is For Only FLOOD .ZONE.• "C" 1 OWN. 0TVJT-__ _ _'____ REGISTRY OWNER: I�ENIVK, ISAT&R)y____________________ SEED REF: _�1��}13_---------BUYER: L'I��'�L�K_ C�IIARQN_ rQH,N�'01v---=---------- - DATE: _1.�/llA _____________ PLAN REF: _495zb7 -_-_-__--__-_SCALE:1"= 40FT. HEREBY CERTIFY TO &CHARD__.5__D_U�1L----------- `H OF YANKEE SURVEY ___m __ --_THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL CONSULTANTS ;HOWN AND THAT ITS POSITION DOES ____ CONFORM -v A. � I 40B (SUITE 1) `0 THE ZONING LAW SETBACK REQUIREMENTS OF THE S . MERITHEW H INDUSTRY ROAD 'OWN OF R-AR�US'TABL�'-------------AND THAT A No. 3�s188 '•9��,�M.,,...-:„gyp MARSTONS MILLS, MA. 02G4fi T DOES_ 1VOT _ LIE WITHIN 'THE SPECIAL FLOOD HAZARD JQ TEL: - 428-0055 REA AS SHOWN ON THE H.U.D. MAP DA-TED_$/ 9�� _ 5 •'."� ' S :o a •tv- anel ° R50001 00?l Da�0 FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT 2$425 DCB , HEV•A. M , S _ SURVEY, NOT TO BE USED FOR FENCES, .ETC. � 7e - Board of Building_Regulations and Standards.' , HOME IMOVEMENT CONTRACTOR.. RegistFavion; 130184 Qr♦ 2,r/2006 # l� �idual PADRAIG GAL PADRAIG GALVk�' t - 16 STEVENS ST. HYANNIS,MA 02601 �SV$� [t �. 1.-. . .. dministrato r A fie RP 05F rz � B�`4"AaRD QF B N,- License: CONSTRUCTION SuELA TIQNS Number RVISpR 073839 - T Tr.no: 10959 Re tic a -� PAQRAhG J GAL1% 'e 14Yq�1� 1 _ • c S, MA 0260 m y commiss(61fdr TOWN OF BARNSTABLE TEMPORARY OCCUPANCY PERMIT PARCEL ID 009 012 001 GEOBASE ID 42942 ADDRESS 93 MAIN STREET (COTUIT) PHONE COTUIT LIP - LOT 7 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 82935 DESCRIPTION TEMPORARY OCCUPANCY PERMIT 077588 PERMIT TYPE, BTC00 TITLE TEMP. OCCUPANCY PERMIT CONTRACTORS: PADRAIG J GALVIN Departmentof ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND � CONSTRUCTION COSTS $.00 tME 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE (°* 0 » BAMSPABLE, • MAM 0 9. FD MA'S A BUILDIN D . ISION I Y DATE ISSUED 03/24/2005 EXPIRATION DATE 05/2,4 005 i TOWN OF BARNSTABLE zq 35- F BUILDING PERMIT T.„ PARCEL ID 009 012 001 GEOBASE ID 42942 ADDRESS 93 MAIN STREET (COTUIT) PHONE COTUIT Z.Ip - LOT 7 BLOCK. LOT SIZE DBA DEVELOPMENT DISTRICT CT ` PERMIT 77588 DESCRIPTION ADD,NEW 741SF. RENOVATE WHOLE HOUSE PLUS F PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: PADRAIG J GALVIN Department Of i ARCHITECTS: Regulatory:Services TOTAL FEES: $687.98 BOND $.00 p(r CONSTRUCTION COSTS $_00 I � M 434 RESID ADD/ALT/CONY 1 PRIVATE anxnisTnB> , BUELDING DIVI IO BY DATE ISSUED 06/28/2004 EXPIRATION DATE THIS PERMIT.CONVEYS NO RIGHT TO OCCUPY ANY STREET ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,.MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICAB,I;E, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. �BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ol 09 lfl^ rro 2 ' 2 �„a ,� -�15 2 ��� � lld ��!-•• 3 3 1l$�dS S� 1 HEATING IN CTION APPROVALS ENGINEERING DEPARTMENT Ok Re-rEr1p 2 d�-/ S _ p �' J OF E LTH OTHER: �Z SITE PLAN REVIEW APPROVAL C 3I(z3`� WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE . STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN* ARRANGED FOR BY VARIOU§ STAGES OF CONSTRUC- kdNTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. :: g .NOTED ABOVE. TION. DFfHE► � The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services 9 MASS. 0 f63q• �0 pfEDMA+a Building-Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 . Fax: 508-790-6230 I Inspection Correction Notice i i Type of Inspection 1—i n." Location Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: 011f ` !� o h� 4etzs /loA- —F- '7 c�6 CM9, Mr- r• 1' ckl S� T'e-4 ki'td 4.0 no rti D cr O/y" yl o tM.n cc 441A yo31/ Please call: 508-862-4038'for re-inspection. Inspected by -� Date i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �! -Map d IlParcel 2,©Q Permit# 77S�c ge Health Division M �` � TA8LE Date Issued 2K1 Conservation Division Application fee f; 4� 0 }� �' j �: 3� Tax Collector IJ1 Permit Fee (,• 3 7. �lv�Treasurer - _ "—?TIC SYSTEM MUST BE �� ����0 � n�"` � a — _. F ' SON7MILLED IN COMPUANOS Planning Dept. `-017 TITLE 5 Date Definitive Plan Approved b PlanningBoard °�"T*•,fw CODE AfC Historic-OKH Preservation/Hyannis Project Street Address q M419 ISTR E-r T Village C dT u I r MA Owner PRE-DFAICk- C TOP MA!LeVAI Address Telephone S0 /I 42S �440 Permit Request 'Tor�,en LQv4Tf E" co c� c dd Afcvv/ ��e_ r T. TK PLQ^ Square feet: 1st floor: existing 0- proposed IT 2nd floor: existing 60© proposed - Total new I $D Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing StructureZN Historic House: ❑Yes o On Old King's Highway: ❑Yes CrNo Basement Type: Oct Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 'e1 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 7— __new Half:existing — new --- Number of Bedrooms: existing 3 new _0 Total Room Count(not including baths): existing new l First Floor Room Count S Heat Type and Fuel: ❑Gas 210il ❑ Electric ❑Other Central Air: ❑Yes Ul"No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes I-No Detached garage:[existing ❑new size Pool:❑existing ❑new size Barn existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 5 YIN o If yes, site plan review# Current.Use Proposed Use Q 1 /�� BUILDER INFORMATION Name i7/ C)1%V1 y Telephone Number f 52Cam Address IUD �T License#_ ._� (� 7_5 5 3 Ff NZOAOR/°1 S Home Improvement Contractor# ) `�Q 1 G4= 02-L 0 I Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 200LV LAIVt> FJLL SIGNATURE x,4� DATE 6 FOR OFFICIAL USE ONLY 4 PERMIT NO. DATE ISSUED MA,f!PARCEL NO. ADDRESS' VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION ' FRAME ' INSULATION .r FIREPLACE Aell i Oie-' 3 CO-1 4�e ` ELECTRICAL: ROUGH FINAL e � f PLUMBING: ROUGH FINAL t GAS: ROUGH] : . FINAL rs� FINAL BUILDING !1?�©� `� Fes✓ r' ��. ,..' �1.o`�wa�� �9tS ! '�`i - DATE`CLOSED OUT.. ASSOCIATION PLAN NO. �Er To of Barnstable yoF °ky o� Regulatory Services. `yyn Hin$ ThomasF.Geller,Director 1659. Building Division �'pl�b MAC k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 , Fax; 508-790-6230 Office: 508-862-4038 permit no. Data A�I.DAVIT CONTRACTOR SOUpppIZNX NM TT TO ERMU APp APPLICATION M&c.142A requires that the"I or construction e o of an addition,to my pr34 e �existing owr�ero conversion* ccupied •irnproveraent,removal,demolition, building containing at least one but not more than four dwelling units or to structures which are adt scent to such residence or building b e done by registered contractors,with certain exceptions,along with other requirements, - r � Estim4ted Cost Type of Work- 1 2 I6 //o�J a'` Aadress of work• Owner's Name: ��yy , Date of Applicitlon: `-`" I hereby certify that: Registration is not required for the following reason(s): []Work excluded bylaw []?ab Vndex$1,000 , []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: Oy RS p ,LTNG THM3R OWN PERMIT OR DEALING ROYEMENT WORK 3)0 NOT g.-VF, CONTRACTORS FOR APPLICAB,•LE]dGp A IlYIP ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.14zA, SIGNED UNDERPENALTMS OF?MUURY Ihereby apply for apermit as the agent of the ow4er: 3 �G �GU/A �LL Contractor Name RegistrationNo. Date OR Owner's Name RESIDENTIAL BUILDING PEPMT FEES APPLICATION FEE i —� New Buildings,Additions $50.00 Alterations/Ren'ovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot=. G - x.0031= Z 144 4 `2)2 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= I Dq x.0031= plus from below(if applicable) GARAGES(attached&detached) ..� square feet x$32/sq:& x.0031= `--f ACCESSORY STRUCTURE>120 sq.ft.. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: . square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch _x$30.00 (number) ,Deck x$30.00= (number) Fire lacelChimney x$25.00 _ = . p (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 ReIocation/Moving $150.00 (plus above if applicable) ?J �51 Permit Fee projcost 1 ✓!ze T�o7nmiaozuie¢l!/a¢'✓?�aa�aclzuartYa �,: - BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number.:CS` 073839- i Expires::_01/12/2005 Tr.no: 10959 Restricted:_;06 PADRAIG J GALVIN r 16 STEVENS STD�i_%�✓' HYANNIS, MA 02601 Administrator < �1te"U/p�77mtO'7ttIIP�p'L c� �lLUGP.I�6_ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR - Regis on: 130184 Expiratio.m-1/25/2006 Type: Individual PADRAIG GALVIN PADRAIG GALVIN 16 STEVENS ST HYANNIS,MA 02601 Administrator ASILO T 13 264.65 JV81 57'57T o . i Lj�V _=25-6 34f -- .2a 7' O "1 5.0"-- LOT 7 r o AS/LOT 12-1 o y o 32.9' 31.7" ' . BARN ELDG. $ ro y L 2d N86'45'00"E 233,92 �' M1�,aCa.t �` x u,� 4 'Y ,�Y� {+t'', �w_ ;a'i"r $ t.. K� "e o n.l '.�r.,4 aF,�v `+Z}Y,ys,�,�j��y_s�n�r��?✓ d�.. �6 4F •r.,."r r. "h t';::, a• - J.m fig`' �..5` T VOTE- PRE-EA7STING, NONCONFORMING ?ES.. ZONE, "RF" This MORTGAGE- •INSPECTI.ON Plan is For FLOOD ZONE- "C" Bank Use Only OWN: _�9T�1� ___ --------- REGISTRY OWNER: I�ENIVY, _ISATHRYIV______________ ?EED REF: ,3-------------BUYER: 1Z--1 �" QN_�QH�NSS_0!V- DATE: -111,98 _______________ PLAN REF: -4,zl57 -------------SCALE:1----- - 40- ___FT. ------- HEREBY CERTIFY TO ELCHA 0�,�Z LV ___ OF YANKEE SURVEY =_THAT THE BUILDING tH SHOWN. �ND THIS THAT ITS POSITION ON DOES THE -GROUND CON ORMS ��``�PAUI. �f CONSULTANTS '0 THE ZONING LAW SETBACK REQUIREMENTS OF THE o A' �', 40B (SUITE 1) 'OWN OF _-_EARAUS'TABLE_______ t�i:RITHEW INDUSTRY ROAD T DOES_ NOT -----AND THAT ,9 No. 31)88 LIE WITHIN THE SPECIAL FLOOD HAZARD .��v MARSTONS MILLS, MA. 02648 .REA AS SHOWN ON THE H.U.D. MAP DATED v-J-�1-5j _ =-= SOQ TEL: 428-0055 -o a tv- anel u .250001 00?I D FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT L_ A. M HE V. S ----- SURVEY. NOT TO BE USED FOR FENCES, ETC. 25405 DCE oFjKET Town of Barnstable Regulatory Services ZAMSTA13LF,g' Thomas F.Geiler,Director KAM v$ 16119- .• Building Division ATED MAy a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder Owner of the subject property to act on my behalf, hereby authorize j ermit application for. in all matters relative to work authorized by this building p pP 9� vlr (Address of Job) �D S' ature of Owner Dat 1 Print Name Q:FORMS:OWNERPERMISSION The'Coriixi?an 'eath of Ma'ssachus'e#s ; . . --- De arhnent of IndusHat Accidents' . P ' 600,Washineon Street - Boston;Mass. .02111 =? Wor$ers'.Corn ensation.Usuramce Affidavit-General Businesses LL�� / voy •t jr'• •.a. •i' SST ,,�} _. •. . , state• � 465 1-14 4— Fratirig Establishment ' fish address : f'`v . work site iocafi'srnt sines e; Retail Restm REa1 Estate,Antes etc.). ain•asoleproprietox and have no one �R pfteeo Sgtb (including ❑ z ricin g in Ruy P "etn'to'ees full Sc art time: []Ocher ' %%%/MEM//% ca ace em to er w> ////%//////////%%%�%%/%%///%%///%%%/%%%/�%/%% sob : %//////////' %// Flo ees workin ,J leers' ebmoensationformyem y „n9onth' •;t :?,,'�,;. �.,:•;!; 'e 1 em�rloyerprovid_?ngviQ?; t.. ' r� e l •t'• ' :•tt•j •'' � •' •:. •t'r '1• ••t•.. t• .5.,."''.71':I ' + '' '1 ti Vt��SF:.t '(' ":'tj::••,3•: ' .: f{t� 'L:"'�• t� I t' .t p r•• '{•.•. `r{•.5•',1 t1::Ni'v. . .;i{�ti.:•j'••,t.. : r pt a t�. _ . siYnet_r i itt' •.t�. tt ti:.t +' r.. '•'•'• r' :{:' t rr. 5tp_:t: '7r:•.n I•�t'� '.:1}•'L;k t. 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'; 1ir'•'~� •r•:•s«. r•hi+5.��r•L.�•�.:''S:�r}'IaSFa:ik+' 1.•,.•• ,r, Ol1C•.TF� •�� ,e tr r•' •'i •i 'r ,Y;' t :Yr. .F. 1�4•'.d• .. .. r �sura�ce.cu:v ra•;:•,t:.; t.��,...:• .. •:.: .., . who have the follow>ag workers' '' . .. / hired the indepeadeat contractors listed below am a sole propriLAM aud'have ptasa polices :�-7 t���it�"i,�•;, =':i�.{LN�jr� t:.,;rlyd�r._., .•.•„ ,,.;r " •ti, • , • '; a•r• 'fit+:. ,t;•t• i {!'': •' ' T+. .+...� ..•. rt: ,,•' , • ''' :h' .l;'•.i :•�t4yh,,,�r.?.'' :'i''•.+r.}�':. 7' . . ''"• .r�,'t ':�'.•}•11t,'.•,P.�•'«•��;••:'•� ti•.:'{• t.r•t�t�:• .. •.,, sin L:I•i{t •;,..r.:T•,. t .y,_h' .:.'.• \�:;'• t L t•i'`•{�:':•• ?f� - .rt }4 ir.tn•:' '', II t ',� {t�.:'�:itrr•n�r \t�•� ;:t'•.. tir '1 :� :S:•.tiS. :a:�, t r COIII , ,5r.rtj •1�vSi it}ti'T-1f1� �' �' l.i .}• ♦ '' t t••-i•1 ' Ar•"''r. aJ `.' r'; t: + ray ;:,1•ra{;•. .t f'•rr«}•^•;a l.r 1C.'tS�.' (.:y .t,avrat.... r.:i .•.' r `t rt j;' •.n rl tS:. "f:a •t,' .L, ,. .. 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'N+".F•r• �.../••rfrt�" ati, }L.•t- t •Y:, ;r::{,...U'IlC +#::,r,. .2. �/��/�/����� ' ,{Jt'!e':q,�:�tt•r'l�•'�1'+':'{.{,jt.:rr,'ti�r�•r�". .,�rt..+1 rF;.•fir 't�lrr•t•r•kir,.jir.ii{�+tr, �L t:'At:i' rt ti.L t�t''.:'::d,'..:I•r!}J'.i.:.,.RTrR5Jea ,friusnee A. •.,.r:r?{P{.�,yrt..itr:b.,''.a't•:4+r.r�.a:..,.t l'td(t,�•'.l1'� ,:,t'•..t qi�.'•{+''f;•ist.oS.r', ,t •t ':•,': '".;�•�:,t' ... "�1.1'i'•'SY,t•NLFY' L ,"n•��.{'S•y�,..� ..'•i'::' ..t ?.' ` t. , .. .. .r. LoinMx,$and ,.,.:� ,, '` ';•.: l;,'.l.• -.,,'. ;••�•�i,, •• 'ti ' .. •',t ' • '• r ''•'�' t', ^++, •' •r' •• a, .'� ,h, �!}Li'},•.t;"t���LLtd•,.�.,'. (• C;.:�' +: 1...! 93dreSs• r , P ' r6..r .W" : `'r+:ir �y{•:.��'S.;' %'�i t�•r .r•... i �" t,• •• ;,. •'' t•' :�,.rr r."'..•,+' t•. r,} r:{; ', w4t'' ~' •IIOIiEi{. « 'S ttr .�';t�:'.. 1:, \ tr itt•: 11 ''\ t. ''r� t t + • '.,'.':'• t. r.•..rt.S's 'r•..5ti 5•"�ti;.:tt:': :r...vi' •'. .,; •'( ,/ 'r �. „ ,,� '•P•�'t_:.r•1•' 'y�•tt:ttt.• .,«,,.' .,t.�l:'}.•;7: 5' t. ,,;r titi.,,'•t,, Cl d t •' ' '• � '1S •r-,,, /'•r`', .Ar ••r}NL'.,�•tt'••t; _f.'}'}ta•tt •L' ' .SL '•:Y• .{•o 'S�1*A. y:r' a T' :;S' !+u•' '{`rl• t}4:; + ' r''��ti:P' •''•'rft • .13a •'t•• {it �tij wi:a4tt:� {;,•;,I 1}S'�iL�.�.4•' O�C,•af't •:1•.;•;v. tS.' r / fnsur?''a�bA{,I.. (.7::L`,k`..,'.s:':' r... a to si o0 00 an or one-" ositioia of criminallSenaYfles of nice up r5 ' Failure to secure coverage as required under Section 23A of MGL 152 can Toad to the imp .coye,nt vtell ctyapenalties in the form of a STOP WORK OF.UER and a find of 100.00 a'day again+t me. I understand that} one years impr be fot erarded to the Office of Ynveidgatiow of the DTAfor caverag°Yet lcation copy o f this statement may ' b cape under ihepains a an ties b f perjury that the informadon provided above is frue a�co �a� I do hereby � Date hone# - , ant US= _ o{rcw use only do not write in this sL ca to be completed by city or toms aMcI4 C3Bullding pepartgunt pz�tt{icenae# Licensing Board city or towns DseIet:tmen's Office onse is requirta QueslthAepartsnent , [}eheekif immediate rip phone (]Other ir; contactperson: ' • , .. .. , ..by. .. •• . .. o • !.:: ... , .^ 4 Information and Ix structf ons- General Laws•chapter 152 section 25 requires all emgloyers to pxovicc workers' eompe�satidix for their. Massacb . . r oted'fromthe 1° v'l an employee ia.defined as every person m the service of another under any contract MVloyeeS• lied; oral or written, of hire;eXP rerts.or� Aye yS defied as an individual,pa ersl4, association, corporation or other legal entity, or any two or mare of An emp o3' ed in g;jolt {rise,and including the legal representatives of a deceased,emgloyer, or the receiver or the foregoing eIIgag rtnershi association or other legal entity, employing�loyees• 'Howevei•.fhe owner of a trustee of an individual,P a. P� dwelling house,�yvog not more than three apartments and who resides therezn, or the;occup ant so the,dwelling House bf o lbys persons to do maint=mce, constivetion or repair wdrlc orx such dwelling fiouse rsr on the grounds or wl1 . P. tobe art 1 er, ., anotherto ezzt be'deemed oy , o hallnotb'ecauscQfsuch;emp ym .. •bw•ld�g applutenant theret s .. • • •; • '. . ' ' •'t • state'or local licensing ageney shalt withhold the issukn.0 or renewal ectibn 25 also'siates fhat every , 5 s , IyIGL chapter'1 2 construct buildings #he.contrmonwealthfomny applicant who has �•xnit to operate a business or to cons g � ,, • or ter' of a license . ,� the ' not produced aeceptabofits clonencalf euobdivisioons with enter iu o any coutracgfor th perfomm�nce of public work uat coixunonwealth nor.any.of its poll acceptable evidence of conT iboe with t�a insurance requirements,of this chapter have becaa presnted to the contracting authority: •., Applicants ' L box that a Lies to our situation., Please Please is klreweers'.eonpensatima€f&vitcorpp+letely,bycheclangtheb pp ,,., „ Y, supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Aepu tneit'of industrial Ac eidents•for confiZrnation of insurance coverage, Also�"be sur'e to sign and date the a��,�,1{, Tb,e�'idavit should be returned to the city or town that the application for the permit or license is being , d, not the t42a meat of;Tndustrial,�.ccideu'ts. Should you have any questions regardrn the'"Iaw"or if.You are requeste worker'•compensationpQlzcy,please call the Aepaz trirent at the nimabex liste�l�elo�sr. • .t required to obtain a ' City or Towns . . P leas a be sure that the affidavit cbmplete and printed legibly. The Acp t has pzovicled a space at the bottozri of the affidavit for you to fill olit in the event the Office of Tnvesfigations has to contact y_ou regarding fhe applicant tumee th ermit/licens a nu�nti ex which wM b e used as a reference number. '�'he.afficlay;ts mat b e returned tq to fillip e P , , e-. . b or'p,AXunlbss othez'arrangementshavebeenxnade•• , tb the A' artmen„-y. , hould you have mtions • eration ands y �y Qu • advance for ou co . ou in a van oP esti ations would like to thank y Y of Iuv g The Office . . ,. • ,. , , • please do nothes hate to glue u8 a call.• 'Ihe s address,telephone and fax number: Depment' ' alth of Massachusetts' • e Camrri.onwe , Th Department-of Industrial Accidents office of►ieslio mns 600 Washington Street Boston,Ma. 02111 fag#: (617)727-7749 I i 7 i I tsTtt�� I� I j � (ut� I � �' I I� j � J op i j , 4fC tt.- H .'�i _ k", f,$o C�� °J2�4 6pr-� SMOKE DETECTORS O.K. NEW SMOKE DETECTOR A ARE NOW LAW. EVEN THE ADDITION OF BARNSTABLE UILDING DEPT.NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY AND HAVE YOUR n 7- ELECTRICIAN TAKE OUT THE APPROPRIATE C� PERMIT AT THE FIRE DEPARTMENT. ----�j/. E-ilil — � _G 41VDErSou Dovole yivn/q ��r 11?C j7L"LL_ !''�.;r ' i i Ow1)er5;(JgCcra}lve ' � i � Shai�Jed lass w�n�oU f AV IIN � 46 PNExQson DOUGLE ,y")6- - i T�1PLE' 2S4g - ITT. __ - I 19N0�116oN r%ovb!�nun� _ - NDEKSpN --- -— 19lvDE�,��v -� fi ��ND�KSoN — -�,_ • r -T VIAL k CN I ® 101 � CANzD2`)L GEILIn�� - ()�gla �5 {Fi LPLC (, I I � ' (� �G bPGn� .� I• c6 - C�eLoW ' I I_ I y l i 2*0 f�• ' � � �U✓1 ItCXiw� �II - - . '! Jo %\> 19 Ll u Ro m --- O . `/_ ; III_ � fib'• R� � I - i �Up� y N` --- _ T — 12 611� I - • 6 ;I � ------��sue' _ — � ' rnuo �6GM i I _ 2/' is VP T-Q I. . I , I Ir. I • -Up �. r) f ...... .......... .. 1_....- ..-...... . . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , m / �C(�'J LI DATA - - " : , m t s � Y R : , • L .. : rt' �s r 4-7 i i I ��Ery BC CALC®2003 DESIGN REPORT-US Monday,June 28,200411:28 Double 1 3/4" x 11 7/8" VERSA-LAM®3100 SP . File Name: BC CALC Project:FB02 Job Name: Johanson Res. Description: Address: 93 Main St. Specifier: RAIL City State,Zip:Cotuit,Ma. Designer: None Customer: Galvin Brothers Company: Code reports: ICBO 5512,NER 629 Misc: Standard L-d-4o psf l 10 psf Tributary 12-00. 0 OW 0 F' .rr t .�*�,v9�"' a AIL AL BO B1 2880 Ibs'LL 2880 Ibs LL 790 Ibs DL 790 Ibs DL Total Horizontal Length-12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 12-00-00 Live 40 psf 12-00-00 100% Member Type: Floor`Beam Dead 10 psf 12-00-00 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 11010 ft-lbs 51.8% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs We 100% Tributary: 12-00-00 End Shear 3065 lbs 38.1% 100% 2 1 -Left Total Load Defl. U493(0.292') 48.7% 2 1 Live Load Deft. L1628(0.229') 57.3% 2 11 Live Load: 40 psf Max Deft. 0.292" 29.2% 2 1 Dead Load: 10 psf, Notes Partition Load: 100 1 Design meets Code minimum(U240)Total load deflection criteria. Duration: ." Design meets Code minimum(L/360)Live load deflection criteria.. Disclosure Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-10. Minimum bearing length for B1 is 1-1/2". the input must be verified by anyone Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+112 intermediate bearing who would rely on the output as evidence of suitability for a Connection Diagram particular application. The output Consult project design professional of record or BOISE technical representative for connection design above is based upon building Member has no side loads. code-accepted design properties and analysis methods. Installation Connectors are:16d Sinker Nails of BOISE engineered wood products must be in accordance a=2„ with the current Installation Guide b=3„ . b d and the applicable building codes. c=4" '— To obtain an Installation Guide or if d=12" a you have any questions,please call (800)232-0788 before beginning product installation. C BC CALCS,BC FRAMER®,SCM, BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, • VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS@, VERSA-STRAND-, VERSA-STUDS,ALLJOISTS and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 a ., . Y BC CALC®2003 DESIGN REPORT- US # .:D Monday,June 28,200411:28 Single 7" x 18" VERSA-LAM®3080 DF File Name: BC CALC Project:FB01 Job Name: Johanson Res. Description: Address: 93 Main St. Specifier: RAIL - City,State,Zip:Cotuit,Ma Designer: None Customer: Galvin Brothers Company: Code reports: ICBO 5663,NER 442 Misc: 3 2 Standard Load-4o psf i 1 o psf Tributary 06-08-00 BO B1 8667 lbs LL 8667 lbs LL 4790 lbs DL 4790 lbs DL Total Horizontal Length-20-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 20-00-00 Live 40 psf 06-08-00 100% Member Type: Floor Beam Dead 10 psf 06-08-00 90% Number of Spans: 1 1 wall load. Unf.Lin. Left 00-00-00 20-00-00 Live 0 plf n/a 100% Left Cantilever: No Dead 60 plf n/a 90% Right Cantilever: No 2 ceiling load. Unf.Area Left 00-00-00 20-00-00 Live 25 psf 08-00-00 100% Dead 10 psf 08-00-00 90% Slope: 0/12 3 roof load. Unf.Area Left 00-00-00 20-00-00 Live 25 psf 16-00-00 115% Tributary: 06-08-00 Dead 15 psf 16-00-00 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 67285 ft-lbs 63.1% 115% 3 1 -Internal Dead Load: 10 psf Neg.Moment 0 ft-lbs n/a 100% Partition Load: 0 psf End Shear 11439 lbs 41.5% 115% 3 1 -Left Duration: 100 Total Load Defl. U337(0.712') 71.2% 3 1 Live Load Defl. L/523(0.459') 68.8% 3 1 Disclosure Max Defl. 0.712" 71.2% 3 1 The completeness and accuracy of the input must be verified by anyone Notes who would rely on the output as Design meets Code minimum(L240)Total load deflection criteria. evidence of suitability for a Design meets Code minimum(U360)Live load deflection criteria. particular application. The output Design meets arbitrary(1")Maximum load deflection criteria. _ above is based upon building Minimum bearing length for BO is 2-5/8". code-accepted design properties Minimum bearing length for B1 is 2-5/8". and analysis methods. Installation Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intermediate bearing of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC®,BC FRAMERO,BCIS, BC RIM BOARD Tm,-BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND-, VERSA-STUD®,ALLJOIST®and AJSTM'are trademarks of Boise Cascade Corporation. Page 1 of 1 I -- a Duniet B. Braman, P.E. 189 Harbor Point Rd �,� ��� �•�R��_.� Cw maquA MA 02637-0361. CCTV tT, tit A A•SS 5-[A-C r. L.> t t..o e q° «• • �A� - yt.1� c>2. � O LAJ,3 L.I.. 30 X. U-0E W e3 x'3s ocLI VIM'« DAN9 L ® STRUCTURAL Z 2�0� I o Jdb: Johanson Res. 93 Main 'St. , Cot. Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = WlOX33 Fy = 36.0 ksi Total Beam Length (ft) = 20. 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 033 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 20. 00 0. 105 0. 105 0. 000 0. 000 0.280 0.280 9. 00 20. 00 0. 390 0. 390 0. 000 0.000 0.540 0. 540 SHEAR: Max V (kips) = 11. 60 fv (ksi) = 4 . 11 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 49. 9 11. 4 0. 0 1.00 17. 10 24 . 00 17 . 10 24. 00 Controlling 49. 9 11. 4 0. 0 1. 00 17. 10 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2. 56 4 . 49 Max + LL reaction 4 . 43 7 . 11 Max + total reaction 6. 99 11. 60 DEFLECTIONS: Dead load (in) at 10. 40 ft = -0.266 L/D = 901 Live load (in) at 10. 40 ft = -0. 434 L/D = 553 Total load (in) at 10. 40 ft = ' -0. 700 L/D = 3.43 Job: Johanson Res. 93 Main St. , Cot. Steel Code: RISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X35 Fy = 36. 0 ksi Total Beam Length (ft) = 20. 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 035 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 20. 00 0. 105 0. 105 0. 000 0. 000 0.280 0.280 9. 00 20. 00 0. 390 0.390 0. 000 0.000 0. 540 0. 540 SHEAR: Max V (kips) = 11. 62 fv (ksi) 4. 62 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 50. 0 11. 4 0. 0 1. 00 19.22 24 . 00 19.22 24.00 Controlling 50. 0 11.4 0. 0 1. M . 19.22 24. 00 --- --- REACTIONS (kips) : Left Right DL reaction 2. 58 4. 51 Max + LL reaction 4. 43 7. 11 Max + total reaction 7 . 01 11. 62 DEFLECTIONS: Dead load (in) at 10. 40 ft = -0. 359 L/D = 669 Live load (in) at 10. 40 ft = -0. 581 L/D = 413 Total load (in) at 10. 40 ft = -0. 939 L/D = 256 TOWN'OF BARNSTABLE BUILDING PERMIT APPLICATION -� Map / Parcel ' la 01a 00 �,rgiit 4((��3��' \\ Q� � � TOWN OF Bj�R �StAD I I i Health Division 1 -tt ssued y\ Conservation Divisions "PL7 Application Fee Tax Collector 2203 ® L Ll �— Permit e\ 50 I� I i Treasurer Planning Dept. , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ` Village ` Owner Address w Gd Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed V- 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 ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 1:r Historic House: ❑Yes '❑No On Old King's Highway: ❑Yes ❑ No Basement Type: 6rull ❑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 2 , 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:Cl 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 / �G� �� Telephone Number Address License# Home Improvement Contractor# Ire Worker's Compensation# 14MCNA ` ALL CONSTRUCTION DEBRIS RE NG FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE { - FOR OFFICIAL USE ONLY ` t PERMIT NO. DATE ISSUED „ f MAP/'PARCEL NO. r ADDRESS VILLAGE 1 OWNER r DATE OF INSPECTION: 1 FOUNDATION FRAME 4 INSULATION w - FIREPLACE IL ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' G GAS: ROUGH FINAL - �['t FINAL BUILDING DATE CLOSED OUT `^ k ASSOCIATION PLAN NO.- e'Comtnanvea�th of Massachusetts :., ,. . . - _ sirirtment arAccidents o` ' 6Q0'Wasf�ington Street _ ~ Boston;Mass.. 02111_ r—s' • � + davit-GenerlBusine§,s tintsuranceAf o m4orkers.Censa _ address: r state: work site locatio>i fat address :' ; ' e. []Retail D'Restaurauf Bai/Eafi g F.stablisbment Ii I aiaa sole proprietor and have no one Busu► s ' ❑Office Sales('including RSal'Fr ita Antos etc.) El in an capacity. '"'• ywrking f 'lo ees full&' art time: ❑Oilier �//%G///%�/% I em to 111111 %/%//%////y/%%/////////%%/%%////% / ////� /%%�%�// !cemneasation fQr my employees war g on this job.. , X am an;employer,pzovl. viozkers r '.�,•• :L pr: : t;r:t:: it,�, 4: 't 'j t' '•i' ' '`tf r .;".}' ti;••.� ..a •. t;t• tt1i't'. j•�S'r.:}},t• t r,•{-1 "• tt r ,:.• .. ''• ..P'a, •:.S•:.SJr '!,:'+ti i:;:: ,`i:�r p.i `fir•:.%:;1::'•.f•: 'COI'IIraII met- •:rr tt;. :•tyC„rtL:.i+i:.t•tJt �irl;�;,r.r,•.ry�'i• t•• •t�ti•:�ti•:�l .Ni•v. �. (,,ij S"'�,1t(.i ,. yr• ... r. .;., .4.'•'i�. �" J. r 1 r•a • .c'= �:+t d:'•y as..r\t:'�a:y;:•t:('r•. y:,rrv,•'Irti+ntL.r:. .r , '1 ;'t 'r� .P: �rJ,:�y' t.S':at r•.�+. .•.a:....5. .. � r,. �� .. ,� �•(, •ice f:t;;o.i�• is... v.; t;:q i r, •r��:•, 'r� ,A •} ..'. :•',• 5r ',j tip' ��• �" ,t.•;•`• •t• ,i.;r �t"jPr ej•• .�d� oIIe.#''''•• r ll. r.15 ;41 'L"'J ' df• :' ma's `lit' ..:'•4i i Ol55l• •, •'�jf �• ,i;�'' �' t t �; :•l?,: ;t. + (+iti" I •,. ,r ••,r t, t: ,t i'6 ,1. 1. r •A i, ti ', r• ,•11 •/ nsu3iat3ce.`cat +:+=•: • e f011OWin workers' / etor and'have hired the indePendent contractors listed below who have tli g Zration polices: t �;r;' �' `'a;'yp+�ti t .i.ti...h':+��: y-.o ,f mp .•�'. ,.. t .4t'r ;Pi•,,}r�.,�};r i}• t:Yr ,`I,t.••rt{�!.., i +.:: •.. 'i. ,t,.t• } ,1•Pl1�:M1i .`.r:'tt1,LF•t,!•r .ar !`•� fr,♦.• .t a •I. 1. 7, •1, 7:. i.A••'`'yt�.•r�'' .^•t.•'•i.,•.••. r:� t'41 .. ;trite' ,, trtt: i. COIII 9II t. s a::: ri \e: .i•ty';::r i' Sri' '.r ,t .��,ir t• + ,ri .,r,7:•}t'r • •" ".' 't i�: :'{rt:.:' � A.:•'' ; ��.. :ry•.. •'•t ! •.r.�4::Gt 1'1+� 'r:i L�,•i•. . T •�'. t .J •f��L,i• 1 t:'�'1' ,Llr; V. . '•h ' C. ,@r�'',i...S'i'��; a:;err .1. . L r.•',r..r {•+7h�.J• L , r •.t• t rr •'t:.,:..•. 't�, •r r,•r. ' .r,t .+.1, •�) .t.;u•r4„..., r."r •, •, {.;r y.. .r `.1 ,.l•:{r,•.:•:• � ., ,;,.: •1r.••j•,'m YIi -'P.. ,t,• .L, addre`s:..,: t•S..L.+�'• ;..1 y �1�. l y i .t�•.r. t j 1 }' '' L•','r;f• ••:'f, :'L:•'1..��•. ,•Lt. ''�+.ar•'•:i'�+r''yt r•1•�:'•rj:''tl{ .LS''..:• r -h-01I �t'P��•'; ti"�.t.. •+ '' a� '+••p{i•IF':f'+' ,•t...• •I. '! •r•'•• Jll':,r, 11e�ft.. ^• •' .. '' ,\„• •• .ti:.r.•• ` ,•C. t r ; r, .�... ..i... .:'r.'r1 i „t r;• :::•G '{::'•:�S^Z d': t••Y,•r,', 3'r.• . ar••.,yw,ll l.::: t.r r f'..1:�•�r•�t n..t. ,l. i.,�\J', t •'t S};yrt CI :. '' +,t".t. ••).•'•.•' .ri i1;1v� 'iV 3`h�i�'J:',i :'t•#'�t'• `' .e }:'•I:r •tr1•..Si. r�,,4;' ;Tr r},,,�,'}�r• ♦ y tp +. L' . •. •. rt r.. . •' y�..31"fi�ti t t' •i•:r:!}.•.y:ti S•1.,Gj.r�•L t:: rtt:t:•• '• + .• • J:+. ?'lr°.;'' a:l i'',w t• L t• 'Y:. 't .r. t...OlIC #f ,": ry.:.:.}'1:':.Z} :L ..r.• ��� �r't• . . . ••i•r+. •i• 1.,.�1 7:J3•�w(�• ri.ire''.+\ 4'N ' ' •r try 1tB'.rS••LL .++.• l;r , 4:i•C':"..r'1�,rr'tfLj•r�,':P.<!•,,11:."r•.ttr,.rt,' •+tip:.••t;:•i:.y,'t t',ti r•Y�•.<.S-•r••iti�.q.s:i'i...:r.i.•• '•, .'L•.la /'"•'L, �;;,4 a�t,r..�r {T, .ay,. .+.a"a.•. r• +t..r✓•••' ••iL j.'.= '•'('r,•�L ; ,i,. Iw". r.lr�ji! J iJ�t �"v .J i:. .C•• - , •.i+. t �• ;t; . :' • ' ' coin 921• paste.N.r .. t• ,t. !'r ' t, :,rti'i 14t1 r ` 1: irt(7� ^t ;fir�, :'ti:.. t:o • t, f�•1� .•lr�'t •� '�: 't.••• 'j• 'r r.• ',1,�:;,'`!L'Lyj•t,G:.�r;,a,:•+. ::1':;' i "i4,i+,�',L.L'ii .1,• CI .•'t• •.r' 'a'(;'•�..pt.ti.t5t'4Ji. ,+)) �}J•�;•j .-r •1.• 1a,.+1t. tt•"• Y;s: •;�' -tri t �.+.•' . '. •• '• . ', �,t,:• ,.••,t:(�•. ''��'';• . . j •. •..S' J. p' ar .t,, ,• t r .5..5 ., ••. _ :tl�+"+i'Jr rtiS JI'I —':°l.•w'.tf' '1•ta.i 'y't '• rt ♦I' V: t'. ' 't ' t lire ''•+rt• ,l .r' ,\ • ' i rip•'.}4''�" :. ee;s';P• t• i" ,•,�: •��:a�i:. t14.5'.•:t5'_�.11' 0'i1 •:frr• tit•.^,N�' t• fiiFIR siir$rilsebs+if:.,. , . MOON I '. . :I,r nre to secure coverago as required nnder Section Z5A of M t,I!TOP aWnORto o the 0 nd s fino Oftion of �0 e�y agasn,tt Me, vnlesoritfteupto$8�etaand that or Fall ent as yell as c en ties in the fo IL one yearn imprisonment . ' r copy of this statement may •' ded t Office of ves' atio ,'of the DTAfor coverage verification al 'erf u that the information provided above is frue and a lei b I do hereby certify under e p P Data , 5ipatm:e ol hone# print name official nse only do not write in thLI area to be completed by city or town oMcW permitllicensl:# []Building pepartment []Licensing Board city or town: []Selectmen's Office 3cheekif immediate response is required []HealthDepartment []Other phone#; contact person: (:evnedSept7Ao3) � _ ' �afornoation and Znst�ructions' al L'aws captex 152 section 25 xequires all e Mjssa mployers to pxovidc tvorkexs' compens4tidix far their c,1ii§Att$ Gener �loyees: .� quoted'from the I`1aw"., an employe is.defined as every person m the service.:6f another under any contract of hire;0XV091 or it l�A oral or written. _ 1 �. defined'as an individual,p'artnershiP, association, cozpoi ation or other legal entity, or any two or more of .An emp o3' the foregoing�gaged•in a�jvint enterprise,and including the:legak representatives of a deeeased,employer, or the-receiver or arinershi association or other legal entity, employing`employees.'Howevei•.the owner of a trustee of an individu4 P F� dwelling house ha�g•not Inore than three apartments and-who resides therein, or the occupant;of the dwelling house of another who. Plo�'Spersbxis to do main�keuance, constrkiction or repair work on such dwelling liouse.ctr on the grounds or errant thereto shall not because of such.e#loyment.be'deenaid tb be id employer, ba- ding,aPP •. . chapter 152 sectl 25 also''states fhat'every. state or lbealiUcensing•ageney shall withhold the issuance dr renewal MGL of a license or pe?'n?it to operate a business or to construct buildings in the.commonwealth for afiy applicant who has not produced acceptable*.eviaence�of compliance ha11 enterer int awIth the n e c ntracc6veragfor the performance of public work unto coixionwealth nor.any.of its political subdivisions s t y ence of compliance with tpe insurance rbquirements of this chapter have been presented to the contracting acceptable curd . ...... authority.wo .,, Applicants Please f tha workers'.eonvensatir a€ddavit completely,by checking the box that applies to your situation.•Please In supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be subrdtted to the Departm"it' Industrial Accidents-for cmfinnation 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 licens a is being requested not the pepartmeut 6�lndustrial Accidents. Should you have any questions regardinig the'"Law'or if you are requiredto,obtain a worker�r•compensationpplicy,please call theI)epazfinent at the niu bm listed below. 00 IN III VENE City or Towns Please be sure that the affidavit is complete andprmted Legibly. The Department has provi4ed a space at the bottom of the affidavit for you to DI Ott in-the event the Office of Investigations has to contact you xegardiug the applicant. Please b e sure to f 11 m the perrrntllicense.number'which wM be used as a referencb number. The.affidavits may be returned to. 1Ttn p}� �})'mai� •FAX unless othei''arrangements have been made,• • �•,..• '• L , The Office of Investigations world like to thank you inadvance for you cooperation and slionld you have any questions, please do not-hesitate to give a •' ' / is address,telephone and fax number. , The DeparEmen The Commonwealth Of Massachusetts Department of Industrial Accidents . Bitke of l�esens _ • ' 600 Washington Street Boston,Ma. OZ111 fax#: (617)727-7749 J, tram rrnIr.annn __t '.ff1t . Town of Barnstable . -� o� Regulatory Servi.des Thomas F.Geiler,Director szAI AIM, $uildiug Division 9 s6g9• •�� "l�o MP�k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. Date �IDAVIT 1[SMETT _CTOR w UPLEMN O PERMP APPLICATION construction of on additionto any p er-occu occupied MGL c,142A requires that the"reconstruction:alterations,renovation,rep eexmi tt�agw?tion,conversion, ersion, •improvement,removal,demolition,or four dvleing_ binding containB►g at Least one but not mor erd ontract zswith certain ex ptions,ale g with other Cent o such residence or building be done by registered requirements, tim4ted Cost `type of Work' Address of Work ' Owner's Name: lication: �7 Date of App . I hereby certify that: gegistrstion is not requited for the following reason(s): DWork excluded by law []76b Under$1,000 []Building not owner-occupied []Ownez pulling own permit Notice is hereby given that: OyyNEg,S PULLING TEMIR OWN J?ERIt�[T OIl4�IpPROYEMENT�rppKDO NOT M CONpgACTORS FORAPPLICAB.,LE HOME AC CESS TP, TO TSR ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c,142A, SIGNED UNDER PENALTIES OF PERJURY b a Iy foi a p emit as the age of owner: I hereby PP Contractor Name RegistrationNo. Date OR Owner's Name hP DF'{}�E Tpk�O� Town of Barnstable Regulatory Services s 13 STAXIA Thomas F.Geiler,Director Building Division - Tom Perry, Budding Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder the.subjectptopettp- hereby authotize .to:act on tnp,.behalf,. in all Mattets relative to work authorizetl•by.this building.PC=#-apphkation--for: (Address of Job) S' tote of Owner ate Print N me f Board of Balding Reg+a4ahons and fftanf i hl'O'ME 7M((RlR V1=IMIK T CONTRAG R ti Rego .tatfib07 i: piroip 7/ ''/2004 , r Private Corporation. ZAN HAYDEN BLDG $' o6e-vt Hayden % e r imax*96 T' s 10A=635 Y; i _�_.:.a.. .�-...e,.. ...�..«u:.�. _,,:..v�•wwe-pia iaw.•.w . . � .,, ✓,<ee Toanvnza�uae¢�e o�.�aaaac/auQe� BOARD OF BUILDING+F�EGULATIO'NS' ' License CONSTRUCTION SUPER^UI'SOR F Numbe� 016161 p1=iephes,: WV05 Tr.no: 3776 RSr�Eigrl00 i ROBERT F HAYD,EN F' 4 60 CHEO'H ROAD ! j COTUIT, MA 02635 ' • � I Adrwirnrstraor mmy s �• ,S ' e 'i o p cos o y ., HAYDEN BUILDING MOVERS,INC. POLICY#:AVWCMA1249632004 POLICY PERIOD:02/06/2004 to 0210612005 e: REPORT WORK RELATED INJURIES IMMEDIATELY TO: 1-800-699 6240 (Toll Free Number) This card is for identification purposes only and is not a guarantee that the coverage is currently in force. Workers Compensation Coverage Identification Card AMERICAN INTERSTATE INSURANCE CO., INC. SILVER OAK CASUALTY,INC. AMERISAFE 2301 Hwy. 1,90 West DeRidd'er, LA 70634 AMERISAFE (Please keep this card in your wallet.) OF Cotuit ,Fire -Mimrf ct CoTuff Water Mepartment P 1926 �9 4300 FALMOUTH ROAD, P.O. BOX 451 BUY COTUIT, MASS. 02635 PHONE (508) 428-2687 FAX (508) 428-7517 April 27, 2004 Town of Barnstable Building Dept. 367 Main Street Hyannis, MA 02601 RE: 93 Main Street, Cotuit To Whom It May Concern: Before any construction work is to be done at 93 Main Street, Cotuit Water will discontinue the water service from the main house and install a temporary water service to the old Santuit post office. Sincerely, Sheri Leavenwort-h Business Manager APR-22-2004 THU 02,05 PM KEYSPAN ENERGY DELIVERY FAX NO, 17818904898 P. 01 KeySpan Enetpy Delivery F;xormoor Simat TeI 61 i.723'F�512 April 77 2004 .93JI-fain St. (.bait House), C6wit, MA ,j•ir. Johansotr Thi,e letter is to.confrrIn that there. are no underground natural gas f icilities to the above r c crerrccrl proJrcrt}�, This was con frmed by c ur repr-esenlativc on April 22, 2004, 1 can be reached dircyctly at 50060-7502 should there be anY.firrther questions. - ; Johafztzc Ouellette Field Coordinator, Cal.7o Division KEVlN DINEEN ELECTRICIAN_ BOX 2815 NANTUCKET MA 02584 ..` MA LIC#33298E RE FRED AND SHARON JOHANNSEN "= 93 MAIN ST COTUTT MA MAP 009 PARCEL 012001`LOT 7 ATTENTION BOB HAYDEN THIS LETTER IS TO CLARIFY THAT WE WILL BE ABLE TO MAINTAIN ADEQUATE GODUNDING FOR THE ELECTRICAL SYSYEM DURING THE CONSTRUCION AND RENOVATION OF THE ABOVE PREMISES. ANY QUESTIONS CAN BE ANSWERED BY CALLING ME AT 508-292-0872 • SINCERELY KEV IN DINEEN ,. �4 + • V�'_ .. - +. _ J,f it ...P - i - 3 v 21 4; •^4 Uu y . GALVINBROTHERS ' Lic.Contractors Paul M. Galvin , Fadrang Galvin Tel 508-246-5101 Tel 508-246-5102 FAY gnR-700-2aIa Fax KnA-A2.ri-nanR . ASILOT 13 d� 284,65 w � � 25-6'=_- 34f :15_4 z -= W - - = -20.7' LOT 7 eNr. o AS/LOT 12-1 o y o 32.9" 31.7" ►., o, G $ BARN BLD h�. co 6t 0 0 14CO ` 233. N86'45'00"E 92` SCHO ONER ., DRI *A,S 3r s r ..a - - NOTE- 'PRE—EXISTING, NONCONFORMING RES.. ZONE.• "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.- "C" Bank Use Only TOWN: _QQ�UJr---_-------------- REGISTRY OWNER: Ke& Y_IfATHRYN____________ DEED REF: _,5J9�413_____________BUYER: Fh' DEh'[�f�'_ _3jAON 1QI�'ANOIV_____________- DATE: _11f11��8 _______________ PLAN REF: _495157 _________ _ SCALE:1"— 40 FT. I HEREBY CERTIFY TO ---------- of YANKEE SURVEY ----------------------THAT THE BUILDING tN SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS o� PAUL `CONSULTANTS SHOWN AND THAT ITS POSITION DOES ____ CONFORM i A. 40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE � MERITHEW H TOWN OF _BARNS_T.4BLE --AND THAT N No. '�398 INDUSTRY ROAD IT DOES_ NOT 9, _ LIE WITHIN THE SPECIAL FLOOD HAZARD •�,��;;, ..,,,w MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED-_$/�9,� 5 TEL: 428-0055 Co a tv- anel u 250001 0021 D ;, FAX: 420-5553 THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY, NOT TO BE USED FOR FENCES, ETC. 25425 DCB TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��� / Parcel T IfiN t=' B AR4STAftrpnit# 7583-7 Health Division �� '7� �� � 2004 MAC Date Issued y���oy 2 PM 41 00 Conservation Division 3I Ib� Application Fee I Tax Collector a 6 0 bc,- ! L t3/j 9 I Permit Fee / � Treasurer �, is �-- ��-. � I � s SEPTIC SYSTEM OUST BE Planning Dept. w-TALLEID IN C`0rZPL11.4a-,!m: Date Definitive Plan Approved by Planning Board !@TK TITLE 5 Historic-OKH Preservation/Hyannis T 'F Project Street Address J Village 607 7— Owner Jo Address Telephone Permit Request Square'feet: 1 st floor: existing _ proposed 2nd floor: existing proposed Total new V Zoning District / Flood Plain ' Groundwater Overlay Project Valuation / dv Construction Type Lot Size - 'Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family lid Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U(No On Old King's Highway: 0 Yes L2 No v Basement Type: ❑Full O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) -,O 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 O Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:O existing ❑new size Pool:0 existing O new size Barn:0 existing ❑new size Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded Q , Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION ,4 4L 6 Name P , �qt1 ���v,� ,�raLLe Telephone Number S-0� Address /G License# /Iq C2.,�6 D Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,�Odr/h oLy SIGNATURE DATE L7 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. S ADDRESS VILLAGE OWNER DATE OF INSPECTION: , FOUNDATIONloll FRAME i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING t _ DATE CLOSED OUT ASSOCIATION PLAN NO. F • i • _ The Comrrconwealth Of Massachusetts '. Department of Industrial Accidents' 600'Washington Street _ Boston,Mass. 02111 ensation.insurance Affidavit-General Businesses - ' ComxevoWorkers.. riT,y'4sU°'�n r U/�� address: /)L C7��/�!/�!� state'' A / yi ©.G l3�. hone# AL work site location full address Y-� re C06v L I Il [� I am•a sole propridor and have no one ' Bpsi. type: []Retail Restaurant/Bar/Eating Establishment working in any capacity. (]Office❑Sales (mcluding Reg Fstate,Antos etc.)' % � %er toyer wth ' � %///%////% %/%// % %�;�/,n� orkers' compensation for my employees working on this job. 1 am an;employer Pr ,• ., ' ,r;{'-. t 't:i`:{^ .',• •h�•'f�/1• �r:.•�.'.j• };'.7_ -'.," j:`li '.'i`1'�••:.ii:.s: •.l i''a','�: :5t:;,�•f�s: . 'ari" 'ernes. c: ,t.• comA ;. „'. . 'c Zf stdllress. ,. ..' r..;•. ( :_;'.,• ,•• ,• •;:•�;a •.a:• .. Liss •�__ ' •• C,' •� .','• 1� ,�: •r �•`'';y'i.. ':,{{. 21 '•.' ••�, Jir.4�k''e r.,.ti'�la%a•'.k:... IC Ul �' } •.r.• •c' c••J•.tt.. .4 .irisiirarice.co: '..i:" ta:•�y, . .. t•:.`•'. ., I he independent contractors listed below•who Piave the following am a sole proprietor and have hired t workers' compensation polices: • �•.;;• _., ;,:�•�,.fir;:. . • ..�•�.• t'•�.•t.t':i. ••S.° 5..i:' tt•. ial ';4,yt..t'rj.."•'•tii.. •r.{•��t:'::. COIII 8II name. •:r .Et.. t• %:i:. rit'r'ti'�'::a' •1,�^:' .. . . . :�-i:.',= -:r,'.r• 1�;tyi.�•. .. efldLe557. .a. c L' '`r Ki' 't.t'a7. :7.}ri••'f':;"}'`:e;'I'.. �i:f;� Li'.:_: �: .e �1•'(r' '�t•• •j./:'Y. 't: � ..1 ' i t '+. '•'^ '. 5r,.1„�4at1.::: �:i'r•.:is�'}. =R,; .S^t,t7^�.._,; ,tr:. CI• a:..;�iy" 1v" 'ri}si: •'.1' y• t` r r' 1' 'L'' •:1:• :i. •i"`+'r.: 'ti.i v:•aF? :i`'1; r: �;'Si:• '$ .�:.. �I:J: '-' • 1:�;_ .. •;i; •• ��•,�' a" y� '••. ': �� ',}:. •.J:''•'O'l1C a�1 •r 't, '{`i.?i: fIISi,YSIICe'C0. FM •, ;j. 'i.. {!:: t a?: •,. ''�: rt.n 1,;M 4 :''t�{ t.d.'.:.•+ , 4. y ..;.�•:t � . •''�•t�.�tJ •:�. •• .i�: ''+ YYr�:cr,.i::.• •r. '.;.i'.,;:• p}�i• '•i Y1.+ ..a..5ly_ .C. coin tiri. ria e _ ,;` ,, ''''''''''•' ' address: � . '• •; ,; ,; ,:. ,.,;�,�,;�•• , mfu .. ' .r .,4..t .ri. "i•i.:°' •,,•y i•• ::Lril.' .t.,r l :•,;+ }�t; :�' :'S: ,• .:_- •.irf. .:r, .[h,: ••i.7}.. ,"''. •1•� Z'l�:w.tr'' �t: : 'r au' • w•i-1 ''' ''�j. µ�'. :':l' 'a••,:. { .tir..:1{ � ` `•L I'='ri".:P t{.!.:;t, =:2' 'i: 'r tJ •., ..• •. -• •, •r.• .. .?T' .t�.:,..i:.,<'r• t:.'.�}:":tu'.J.a•• "OZIC•. :'ft i._ ,r. ',.i:; fn'siir�ncv�sb'+•:' �',:`!;,_� :i:' •:y�•:. .. ' , :•,:•w':•». ; ,,,:'•'`•� ties of a to$1,500.00 cri Failure to secure coverage as required under sec io the A of f a STOP WORK ORDGL 152 can lead to the ER and a fmsition f of$100 disy againstmme�I understand that IL one years'imprisonment as well as ctvflpen copy of this statement may rded to the Office of Investigations of the DlAfor coverage verificatloa I do hereby certify de eJ�sins and penalti f er' that the information provided above is true a d corp ct Date Signature 0 f ��3"dL; gLV ie7 Phone## tj8 print name Official use only do not write in this area to be completed by city or flown official permit/license# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office [}check if immediate response is required []Health Department , phone#; 00ther contact person: (revised Sept 20�) Information and Instructions. Massachusetts General Laws chapter 152 section 25 re uires all to ers to rovide workers' ensatian for their. employees: As quoted-frorn the 1`law", an employee is.defined as every person m the service of another under any contract of hire; express or implied; oral or.written. I er is defined as an individual,partnership, association, corporation or other legal entity, or any two or mare of An emp oy . the foregoing engaged in k joint enterprise,and including the legal iepresentatives of a deceased,employer, or the receiver or trustee of an individual,partnership,,association or other legal entity, employing employees. 'Howevei.the owner of a dwelling house having.-not more than three apartments and resides therein, or the occupanttbf the.dwelliug house bf another who employs pers�:to do.mainkenance, construction or repair work on such dwelling housli e or on the grounds or building appurtenant thereto shall not because of such.employment.be deemed to be ail employer. MGL chapter 152 section 25 also'states that iv.e'ry. state or local R.censing-agency shall withhold the issuance dr 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'evid.enciof••compliance with the insurance coverage required: Additionally;neitherthe' ' commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work unto' acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority: Applicants Please M is the workers' eompensat affidavit completely,by checking the box that applies to your situation.•Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the DepartmeritOf Industrial Accidents-for confirmation of insurance coverage. - lsobe 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 t!compensationpolicy,please call the Departirrent at the number liste�clbelow. required to obtain a.worker. City or Towns . Please be sure that the affidavit is cbmplete andprinted legibly. The Departlrrent has provided a space at the bottom of the he event the Office of Investigations has to contact you regarding the applicant Please affidavit for you to fill out in t we'which will used as a reference number. The.affidavits maybe retuned to be sure to fillip the permrt/hcense a the Npartmentb�.IIIA orPAX.uriless otheir'ariangements havebeenmade. ; The Office of Investigations would hke to thank ybu in advance for you cooperation and should you have airy 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 ' GMN of hi @st gatio is 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 _,,,.... .µ. i.<i•n ��,7,.Aonn a.4. An6 of a rod, Town of Barnstable Regulatory Services $ L,E,$ Thomas F.Geller,Director 'Pcb s6;g• ,� Building Division '�IFD MAC k Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862h038 Permit no. Date , AFFIDAVIT HOME 7NIPROVEMENT CONTRACTOR LAW SUppLEMENT TO PERMIT APPLICATION • MGL c.142A requires tha��ti eeOo�Co��ctionl n of an addition toeany pie-existing o�wr�er o,copied ion, • •improvement removal,d � bu:Ading containing at least one but not more than four dwelling units or to structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. M�`c'fVv I 1AIAI !jT. an / Estimated Cost / Type of Work: l c— � Address of Work. a� j jollanson Owner's Na : P.lLri�i ��IGtron me Date of Application: hu l©le I hereby certi{y that: Registration is not required for the following reason(s): []Work excluded by law []lob Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OW I'HOME 1N1PPROVEMENT WO UNREGISTERED NOT HA.YE CONTRACTORS FOR APPLY ASII ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERMY I herebby ap 1y foi permit as the eft of the owner: ontractor Name Registrationl�io. Date OR Date Owner's Name t .n rn ' 1 DF� r Town of Barnstable Regulatory Services 9 a x L& Thomas F.Geiler,Director - �pr16 5P. �• Building Division Tom Perry, Building Commissioner 20o Main Street, Hyannis,MA 02601 , office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section ' If Using A Builder �C 44C _ ,.d: f1�;as.O�vnet..of the.subJectpropetty- - - " heteby authotize4 kL / to.act on tny..behalf,. 3n all instters relative to wotk auth-0** cl'by this building'pe='t-application=for: (Address of Job) r , of et ate Print Nat�.e 5 op_3 .000 cf enclosed space ' (MGL C.112 S.60L) IA-Masonry only 1 G-1 8 2 Family Hanes Failure to possess a current ecmon of the e Massachusetts State Building Code s cause for revocation of this license. DIG SAFE CALL CENTER: (888)3447233 t . JItH�M7L?J86�t�1¢a`v4 O ✓l/GC!','1JllGfilloeo . BOARD OF BUILDING REGULATIONS F License: CONSTRUCTION SUPERVISOR Number: CS 073839 Expires:.01/12/2005 Tr.no: 10959 Restncted: .00 PADRAIG J GALVIN N16 STEVENS ST `i HYANNIS, MA 02601 Administrator THE CO JO.NWEALTH OF MASSACHUSETTS r € Present Re istration Nsr �; rBaardFof l3ualdtng Regulations and Standards 9 " ' ILame? tproyemk- V obtractor Registration Program = (�L/��; f r` _ One Ashburton Flace,Room 1301 Effective Date. a' �► t' r Boston,MA 02108 , { f t... 3 7 1=� I'f f U. Expiration ae E _3 7 P Application for Renewal URijiltration as a Home Improvement 14. f Contractor or Subcontractor-MGL Chapter 142A,780 CMR R6 Date Entered: (PLEASE READ BOTH SIDES CAREFULLY 1 BUSINESS NAME: 6A I/V &(CrrRz� S PA o(�ql Print the name in which the applicant is conducting business (SEE BACK OF FORM) 7 2. Mailing Address: 1 I V L (u ( � ) 7� G_ 1 2 Area Code ne.Numbe? 3. City: An" State: Zip: 4. Street Address(if different): ��/(Print street and Number,a P.O.Box is not acceptable for address)Cites;,,, StMe Zip 0 5. Applicant type:. Individual 8 DBA a Partnership e Trust e Private Cerporatid} e 1100=Wsporation 9 Limited Liability Partnership 8 Limited Liability Corpori _ Please Check One (See instructions on back regarding enclosinga city or town registration undue DBA or°fi aw•MGL c 110,§5&6) 6. )T Number.of Employees O (See back of Form) 8. Have you registered previously.imd this law?.' -----�- If so,under what? �S — Registration No: 9. Individual responsible for Home Improvement Contracts: . F (See back of form) mast . First MI . 10. Title of individual responsible for.Home Improvement C p IL. Does the applicant or responsible.individual hold bier constrtr erelated state,city,town licenses or registrations? 0"Yes ® No. Type of License or registration IIssu Lich orregistration# Ex iration Date. Name of Lirense Holder Ci,n�Tcr� Iry C- D�3331 v( ► r� vl� 12 List all partners!JR!gE4,officers,dir and major c#estnm(10%or greater of ownership).of-an applicant partnership or corporation below. Use additional See instr was bel eck here if ou wish to receive anapplication for.additional ID.:cards:for.ke y Lwzsons. 8 ..mast first a in 4plicant Business %Owner Address 13. Is the applicant claimi ,8lt from the registration.fee?(See the instructions on the back) Byes 6 No 14. Registration fee enclosed:' (see note 91 i on back) Guaranty Fund fee enclosed:.S ' (see note#2,_on back).. If necessary,include two separate certified checks or money orders-one marked"Registration Fee';one marked"Guaranty Fund". See instructions. on back for amount of fees.Make all certified checks or money orders payable to"Commonwealth of Massachusetts". NO PERSONAL OR BUSINESS CHECKS WILL BE ACCEPTED UNLESS THEY ARE CERTIFIED. Pursuant to Massachusetts General Laws Chapter 62C§49A,I certify under the penalties of perjury that I,to my best knowledge and belief: -have filed, ate tax returns an paid all state taxes required under law. 4s , `f Signature of applicant or ppli 's representative Title held with applicant / to INSTRUCTIONS I;OIL i trzmEWAL APPLICATION ITEM 1. Name:The name must be the name in which you do or plan to do business.It cannot be a different name than used for previous registration. Applicant type:If applicant is not a corporation and at least the surname of the principal or one of the partners is not included in the company name(db; r me),a copy of the'fictitious name certificate fled with.the city of town clerk must be included with the application. 6. Applicant partnerships and corporations must show a Federal ID number.Applicant individuals should show a Federal ID irumber if they have employees in addition to the owner. - 7. Number of employees:For the purposes of this application and 780CMR R6,the number of employees shall include affction related employees who worked 20 or more hours on the payroll in the weekly pay period prior to the filing of this renewal form. 9. Responsible individual:If the name in Question 1 is other than an individual,(i.e.,a corporation,partnership,etie.name of thduajperson responsible for the home improvement contracting work of the entity must be entered here..If the person so name- oTdtfonstruct1on—s%RXor license and owns 10%or more of the applicant entity,the applicant entity is exempt form the registration fee.Enter liceiHe and o data in, estion 11 and 12 and check"Yes'in Question 13. 12. Corporations or partnerships must include'offidW document which lists the required information,sucl9s pertinen@ j b'o„-of the Articles of Incorporation,current Annual Report,registration as a foreign corporation as filed with the MA.Wetary-oflatate,"or aerie current partnership agreement in lieu of listing the required information on names of partners;trustees,.officers,di�nd magi[owners.Organizations other than corporations must submit copies of any business certificates filed in cities or towns pursuant'fo1,Section 5.(Also known as the DBA or 'fictitious name law). 13. If appicant or responsible individual a ficensed-construction supervisor under MGLMI ,, or a registered motor vehicle repair shop operator: and is claiming exemption form the renewal fee,check yes on Question 11'adMENNia copy of ffie—="t lieenselregistration certificate with this application.(See instructions for Question 9 above) _ 14. Enclose a certified check or money order for the regWation Me Fle-appricanEs not exempt)and a separate k ertified check or money orde for the Guaranty Fund(if necessary,see below).Makes eclks ar ey ord_&_=Vyable to the Commonwealth of Massachusetts. Mail completed application for�ired docoation and certified checks)or money order(s) to:. 6B114lonte Irnprner>t Program One'iurton Place,Room 1301 _" '719MY MA 02108 _ ++»; A laIcations are n&w6cessed.orb walk-in basis.. Please allow up to 30 days.for processing.. ++* ._ Registration 5100(Rei,Wbie every two yea-fir:. Note#1 icensed.CSkuction Supervisors in good.standing under Chapter 143,Section 94;who register as an indvidual or at.indicated m instructions to. Question 9 above air ndu �� �'ts ered in accordance with Chapter 100A,.Section 2,are:exempt from the registration:fee only. Guaranty Fund C ons: (see instructions below for computation of contribution for renewals) ' - "- Zero to three employees ... »»..» ». $100.00 4 to 10 employees.... .».....»:...............:.».....»» $200.00 11 to 30 employees.......»............»..»»»..........».. $300.00. More than.30 employees »..».». $50000 Note#2 9 the number of employees has.increased so thatthe firm has gone into.another of the categonestisted above,you must submit the additional amount the contribution. _Examples: (1)Your firm has haeased,the.numberof won related employees from 2"to 5.You must now make an additional contribution of$101:. (2) Your firm has increased the number of constriction related employees from 3 employees to 11 employees.You must submif$200 to the Guaranty Fund:-(3)'Your firm has decreased the number of construction related employees from 5 to 2 employees.You do.not need toL submit any money.This office will keep your employees listed as 5.If yoi increase the number or employees in the future to the four to ten category,.you will not have to submit an additional payment TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapDO 9OC100/' parcel L-'T� Permit# ZINGEIEW Health Division Date Issued �112[4* Conservation tDivision r FeeTax CollectoTreasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village !�o%V i 7- Owner re_ oler/ d- ,e- YXanei JoA0AXon/ Address 0,96 044, ST Vt17Ae 4 /L BDag3 Telephone / / 94 4-46 S 60P? / n' Permit Request /o �yT 41�ra�n 1,1 Co i6v, a-,Z 44� A_/s 1�1,W /S I-L C$Idl Pod- 0��ICe_ a4d -44r c�_ A� — J2 T✓��� JCP�GrEn GCJkC( TcZ 2"-'0 (f/o �� proposed 2nd floor: existing `r~ proposed Square feet: l st floor: exis'ng p p g Total new Estimated Project Cos �� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family l/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 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 r� Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes a'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 dNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �L'( � - A�'n Telephone Number ��� �6� 1,2- � Address v� / � </�''���' License# � MA d�6;�Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ t! 1 1\ 4 - FOR OFFICIAL USE ONLY µ = Y PERMIT NO. DATE ISSUED 4 " MAP/PARCEL:NO. ADDRESS - VILLAGE OWNER �+��� ,- `? . , � � _ r •f t DATE OF INSPECTION: - - FOUNDATION FRAME • INSULATION FIREPLACE - -ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i } DATE CLOSED OUT ASSOCIATION PLAN NO. `' - •Z- Department of Industrial Accidents - a -- — ` ��//�• °°-;-.. � _=� , Ofl�cr al/ayestlgat�oos 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance davit ���� name: ��� CS�LfO� ' location: � hone#j2f <3 d 4 city ❑ I am a homeowner performing all work myself. ❑ I am a sole Metor and have no one workin in any capacity „ em laver dm workers' come ...,emPl°yees:�'°°�dng on this job. ::{{ >:», ............. Lb Taman p. -...::.p ::.::::g•:..: ..:..:::..::::<.: :.::;{?::..:,.:;;>}:.:..,,.:,:•:.}}:.;}:?;:;:;.:.;>:.;.;:.::?:.;}:<::.>:::::::::.::.};:.:<.:: , : .:.;::::: r .. .. :............. .. . comaanv name: - c�tv `• � >��>�•� "y�-`'�. �..,:. ::•.::::.. .::.phone#::. •.�. ,.:.. 6�-...... �•:�>:> insurnnce ca. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers co Pen. .sa:..t:ion:.:.o.li.:;c.:.:es:.: .... - } ;: . :. . ; ......... :.::::..::...:;;.:,..::::::.:.:::::.::::::.:::.:............:..,.....,.... ... anvnam addre ........;:..::.. . •.�:vi;j::ji>ri:ii.'��Si::�i:i:a}:r:>`G}:vi:L:iiii:4i:::;:;:};:�:}::'vi:iiiji}::j}i{i:{::xvy;:'rJ$i:�:::i��-�. 7 . . .........::::::::::.:�.i:::i:?•}`}:•}}}}i::ii:!4iii:ifi: i}.'{xi:iiiii:{{:•i:�iiiiiY�iiii:� x:$i:•?:x':.'::...:::::..v.�.�:.{.}:..::..-.;....:v}�.:�:..;.... � fi/' .. ......::.;...................... .... -.....n,xv:ru::•:•}::... .............w:::?4:^}:•}:?F??{:•}:•?•} ?i•}:iv ii: liix:iii?i::'vi}:}:x'vi:'r>'ii: :'::: ....... ..... ........... .n.v.............................1..:... ...;..:::::?• .:.....,..,.... ........O::r::::::::::?•k•::?v::.4nnv.:v:w::: :�::..........:..:,..........r::.:.........c.....•::::•:..:.............................:...::.... ....?.:.•o•:{.?�.•. mow'.::::.:.. :...:w: .............. o:�:>:�>�:: •:...... ..:.:::�:•.....::.v:�•:�:::.:}.::•::.v:::::•:.�:::.v:::...,......:::::::::.vr..[;r{:.tn,:::.::.r.::...::•t•}}}:•}:.;.,.:.:.,•;.?::{??.::.:::•..... oli insurance•ca.�::;..,..:.�;?<.;:•}>:?:;.:<?.:???.x:.;;{;:.>}:.;}:.:;}:<.::.:.:.:..:.:{{{.::.::.::.:}:.:;::::: '///// i --------------------- c any na ..::::.............. ........ ........... addresxx s: bone ...,..... ::... ,. ......:.. . -.:,.. ............ ................................. {..... ... ...... ........... .::............ .. :.::.::.:....r.:......:.::..,•::•:..:.::::::...:::::............;.::,?::?.::.::x........::.:.<::{?.:.:...:.::.::,..... ...::. ofice#.:::::,;.:::.:;;::.:??.::..,..,..::::.::::::::.:.:.::....... ------------------ --,..„--- ..:..:.::............. Failure to seems coverage n required mtder Section 25A of MQ.152 tan lead to the imposition of criminal penalties of a 6ae up to S1,500.00 and/or one yeans imprisonment as wen as dva penalties in the form of a STOP WORK ORDER and a tine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investieattom of the DIA for coverage verification. I do hereby certi thepauu mid penaltier of perjury that the mfonnation provided above it&UP correct Date Signature Priat name A I 6*— LA LV 1/7 Phone oincfal use only do not write in this area to be completed by city or town official city or town perrn"Cense o ❑Building Department • Ql,kwudug Board • ❑Selectmen's Office Q checkitimmediate response is required ❑Health Department • — ❑Other contact p arson: phone#; --.�•� all (te—9195 PIA) pF IHE The Town of Barnstable y ansxsTABLE. MASS, �0 Department of Health Safety and Environmental Services ArEo 59. a 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: <�� /VGA/ � ✓��'y" - Estimated Cost U 6 ��,� �� co Address of Work: 93 Z--V"f / Owner's Name: / 2'�'ic G� Ylli�� �2- .��Gc�'� �p����'► Date of Application: Z4.,/o0 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 /CXI I hereby a ply for a permit a agent of the ne Date Z. Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav 3 � - pI�J st CoE,11 L t/�eOo� New 1!�^��a f Pns as �,w Fc G o PLAAl µ°` ✓�e�i�a�rvnt4�uoea.� o�✓I�GaOdaC�ii�Ce�6 __.BOARD OF BUILDING REGULATIONS. License:;G,ONSTRUCTION SUPERVISOR Number. CS 073839 '- ESc Area O..VU 2003 Tr.no: 73839 --dad To: 00 PADRAIG J GALVIN `- 4 . - 29 SUMMER ST =� YARMOUTHPORT;•.,IfAA-02675 Administrator �. ONE INPROVEMENT CONTRACTOR Registration: 130184 Expiration: 01/25/2002 Type: Individual _ PAORAIG GALVIN PRDR91G GALVIN ADMINISTRATOR YARMOUTNPOR NA 02615 :. i - TOWN`OF BARNSTABLE BUILDING PERMIT APPLICATION Map 00 ti Parcel Permit# L� 'Health Division 3-4 'Z- -Y-`�� , `} ' Date Issue aas { FeeJ /Tax Collector " #L , _�reasurer - x SEPTIC SYSTEM MUST E ' . � ;t INSTALLED IN COMPLI Planning Dept. , WMWLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN RECULATiONS Historic-OKH Preservation/Hyannis t Project Street.Address ZJ / !:�p S Village u Owner 1recl Address 10,26 041 _!Zr WA911A67-le4 >LL Telephone � � • Permit Reques c-e-./e-..- +-d-- a Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new i Estimated Project Cos Zoning District Flood Plain 'Groundwater Overlay Construction Type AC L/,Ic/'�s- 44.1 40F ne) Ad— v Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.. Dwelling Type: Single Family Two Family ❑ - Multi-Family(#units) " Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes 0 No Basement Type: ❑Full O Crawl 0 Walkout 0 Other 2 X!'7w& &_Se,7e1 s Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new • Number of Bedrooms: existing fit' new Total Room Count(not including baths):existing ' new First Floor Room Count Heat Type and Fuel: ❑.Gas 0Oi1 0 Electric 0 Other Central Air: ❑Yes C(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:d existing ❑new size Pool:0 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 Wev, Telephone Number SOS 62 r Address �/ �� '� �C License# �� �✓1 ���' .come Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BETAKEN TO ' SIGNATURE DATE ./''�r J / ~ j FOR OFFICIAL USE ONLY , - c PERMIT NO. DATE ISSUED- MAP/PARCEL NO. - . � ADDRESS. _. .��f; � ' � w VILLAGE ~' , : �' � Y� - ,• _ �,. , . ,• - • ' . k OWNER DATE OVINSPECTIOW FOUNDATION FRAME ; � .. t •' '. INSULATION i r F- ", • . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH- 3Z r FINAL t ^ GAS: ROUG + FINAL FINAL BUILDING'` s�K- �- DATE CLOSED OUT tv ASSOCIATION PLAN NO.I� � to � Feb-04-99 15. 34 RIV00 SOUTH YARMOUTH 5087606917 P.01 R1VC0 RIVERSIDE hUILWbRK CO„rWC. Energy gating Data - Quick Reference Chart November 25, 1998 (All"u"values are for Total Unit as required for no,� Fnerw Codes except where noted with asterisk') Model Size IG Glass Glass type/ Tvta! Unit"U"Value mdtct Residential Thi;hOpM Ga t�l�tt Clear I 14W 1oL 90 Insul-tilt 30"x60" 3/4" SSI1.563" 0A8 0,39 0.37 SS Glass 30"x60" na SS 0.93 tbd na SS TDL 30"x60" na SS TUL 0.96 tbd na Insul-clad 30"x60" 3l4" SS1/).563" 0.49 0.40 0.37 Casement 24"x48" 3/4" SSM,.583" 0,47 0.38 0.35 Direct Set* 3/4" 0.50 0,35 Circle Top (KML)* 3/4" 0,49 0.35 Patio Doors -Glider" 1" 0.50 0.35 Swing' 1" 0.50 0.35 VINYL Villager(2) - DH' 3/4" 0.48 0.37 0,34 (w/Tru-Seal-Casement* 7/8" 0.43 0,34 0.31 spacer) Circle Top' 3/4" 0.49 0.35 na Patio Door' 1" 0.50 0.39 0.37 ftF T MIRROR p�TS j K-_T5 Hurd(2) - DH 3/4" 0.49 C.37 0.36 0.38 na Monument -Casement 3/4"J1"HM 0.45 0.33 0.27 0.29 na I -Picture 8t Circle Top 1" 0.46 0,32 0.27 0.29 na -Patic Door 1" 0.50 0.35 0.27 0.30 na CLA -� r- - JC ;-$$ 5C-75 In sal- Hurd(2) Dt� a 3l4" 0.52 0.4C J 0.39 0.41 na •Casement 3/4"/1"HM 0-54 0.42 0.38 0.40 0.36 - Circle Top 1" 0.51 0.35 0.29 0.33 0.30 i Picture 1" 0,51 0.37 0.33 0.35 0.36 Patio Door-Glider 1" 0.51 0.37 0.31 0.33 0.29 Patio Door-In-Swing 314"/1"HM 0.46 0.35 0.34 0.36 0.29_I Pozzi(2) DH 0.50 0,30 na -Casement 0.49 0.30 na Circle Top 0.49 0.30 na Patio Door 0.49 0:30 na A Alighis Velux - FS 0.56 na 0.37 _VS na na 0.42 &t®ta/i�Q4j�5 Benchmark- Solid Only Flush Embo A20 (3) - Landmark(EPS) 0.22 0.23 - Bench mark/LegendIlLandmark(Urethane) 0.19 0.20 for Side Lites see Benchmark detailed list ' Center of Glass"U"Value; Use NFRC Default Rating, after January 1, 1999 (Mass &Vermont only) t RIVCO data based on NFRC too test and s+mulation data procedure Performed by Architectural Te3ting Inc.and certified tW NAM 2.Data tar Hurd.Villager and Pozai windows franc Manufacturers NFRC tent".•3'_ ::=specified in Product Literature or Pfedrrei Perlor mince GL:ide _ he Town of B-arnstable Department of Health Safety and Environmental Services 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: Estimated Co Address of Work: Owner's Name: D�� /1 atee of Application: 7 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law O1ob 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 r a p rmit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name gl6mis:Affidav TaWadSZ2b( PA.. iptive Pacluqu for any and TweiFaaa4 Rya deatiai Boadlop gaud witty Foaad FaeL MAXIMUM I NUNIMUM Gluing Wing Wall Floor Ham Slab Nown /Cooling Ae Glazing U valooz &m1l � R-W=�' &value; Will paimew �pment pamicar{e Rrvatm0 Rrvaluer 001 to 690 Heada;Dege,ee Darr Q 12% 140 39 13 19 10 6 Normal R 120A 0M 30 19 19 10 6 Normal S 12'b 0.30 38 13 19 10 6 NAME T 13% 036 32 13 23 WA WA Normal U 15% OA6 1 33 19 19 10 6 Normal V 13% 0.44 33 13 25 WA WA tS AFEIE W 13% am 30 19 19 10 6 S AFVE x 19% am 38 13 25 WA WA Normal Y. 13% 0A2 3E 19 2S WA WA Normal t 12% 0.42 31 13 19 10 6 90AFEM M 13% OJO 30 19 19 10 6 90 AFVE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING G REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a Footnotes to Table JS.Zlb: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyiig and''�, basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wait ' area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 f of decorative glass may be excluded from a building design with 300 R=of glazing area. 2 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 11 The ceiling R-values do not assume a raised or oversized truss construction. N 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-39 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 tepresernt 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 ErtHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fume or mass(concrete,masonry,Iog)wall constructions,but do not apply to metal-flame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned cawlspaces,basements, or garages).Floors over outside air must meet the cei1mg 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 descried in Note b. The R-value requirements:are for unheated slabs.Add an additional R-Z for heated slabs. •If the building utilizes electric resistance heating use compliance approach 3,4, or S. 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 J5Z.1 a MOTES: a)Glazing area and U-values are maximum acceptable levels.Lnsulation 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 035. 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 035). 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(035 for doors). 43 �-'"__ The Commonwealth of Massachusetts Department of Industrial Accidents, Olfice of/nyestigations 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit ra f�2t7 �������� /������� name: location: 2,1 tv n 2 purl- rks odd' s Lhone# 'To? 961-- ❑ Lam a homeowner performing all work myself: I am a sEffl�! rietor and have no one tivorking in any capacity %� %//O%%/%/%%%%%%%/// %%��% % %am an r providing workers' compensation for my employees working on this job. company name: address: city phone#: insurance co. P0I1cV# r ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the follo«ing workers' compensation polices: company name: address: city: phone#- . . _....... ...... msnrnnce cp. policV9. / /G%//%///r0//; .::.::..:,:..::: :.::..... company name: address: cith: ... phone#: .. Insurance co. oll&# //%%/%///.%//%/:::M M/// / //%///%/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the;;pos;tion 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 OMce of Investigations of the DIA for coverage verification. I do hereby certifyunder t and realties of Deriury that the information provided above is true and eorre Q Si tore "/ -Date Print name Phone# omcial use only do not write in this area to be completed by city or town official dty or town: permit/license q ][13ftilding Departmentcensing Board❑check if immediate response is required lectmen's Office ealth Department contact person: phone#; ther (remca 9i95 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 coaff.z-. 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 receive: c: 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 retuuned io 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. FEE The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesugaunns _ 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 --� � 2 � �/re�oommeo9uaeall/c���aaeac�uaeaa 7 HOME IMPROVEMENT CONTRACTOR Registration 135142 Type - DBA 'Expiration 02725/00. r Galvin Brothers Paul M. Galvin -7f ummer Street p �r ADMINISTRATOR Yarmouthport MA 02675, UINIFUNIVI FRUQUXEMENT ACT. [Chap. 30113 . _ [Chap. 3013.1 UNIFORM PROCUREMENT AGI. i "Request for proposals", the documents utilized for soliciting propos- gl z' 30B:5. Competitive sealed bidding procedures. als, including documents attached or incorporated by reference. 82 Section 5. (a) Except as permitted under -sectio "Responsible bidder or offeror", a person who has the capability to 83 g �: eight, award of procurement contracts in the af'nount perform fully the contract requirements, and the integrity and reliability 84 dollars or more, other than contracts for the pros 1 which assures good faith performance. property, shall conform to the competitive sealed biddir 85 "Responsive bidder or offeror", a person who has submitted a bid or 86 forth in this section. _ proposal which conforms in all respects to the invitation for bids or 87 (b) A procurement officer shall issue an invitatic request for proposals. 88 procurement contract. The invitation for bids shall incl "Services", the furnishing of labor, time, or effort by a contractor, not 89 (1) the time and date for receipt of bids, the addre involving the furnishing of a specific end product other than reports. 90 which bids are to be delivered, the maximum time for This term shall not include employment agreements, collective bargain- 91 the governmental body; ing agreements, or grant agreements. 92 , "Supplies", all property, other than real property, including equip- (2) the purchase description and all evaluation crit P P Y� g q ip- 93 pursuant to paragraph (e); and ment, materials, printing, and insurance and further including services 94 (3) all contractual terms and conditions applicabl incidental to the delivery, conveyance and installation of such property. 95 ment. 30B:3. Procurement contracts; files. The invitation for bids may incorporate docume provided, however, that the invitation for bids specifi Section 3. A procurement officer who awards a contract in the 1 tive bidders may obtain the documents. The procure amount of five thousand dollars or more shall maintain a file on each 2 such contract and shall include in such file a copy of all written 3 make copies of the invitation for bids available to all p{ documents required by this chapter. Written documents required by 4 basis. this chapter shall be retained by the governmental body for at least six 5 (c) The procurement officer shall give public notic a years from the date of final payment under the contract. Except as 6 for bids a reasonable time prior to the date for the opt provided by paragraph (d) of section six, the records shall be open to 7 notice shall: ` public inspection. 8 (1) indicate where,when and for how long invitatic t obtained; . 30BA. Submission of quotations. (2) describe the supply or service desired, and r, Section 4. (a) Except as permitted pursuant to section seven, for 1 the governmental body to reject any or all bids; the procurement of a supply or service in the amount of one thousand 2 (3) if award of the contract is subject to the app dollars or greater, but less than ten thousand dollars, a procurement 3 {tr` committee, commission or other body, so state and officer shall seek written or oral quotations from no fewer than three 4 persons customarily providing such supply or service. The procurement 5 '' body; officer shall record the names and.addresses of all persons from whom 6 (4) remain posted, for at least two weeks, in a con quotations were sought, the names of the persons submitting quotations 7 g Y :�" near the offices of the governmental body until the t and the date and amount of each quotation. A governmental body may 8 +w invitation for bids; and require that procurements in amounts of less than ten thousand dollars 9 (5) be published at least once, not less than two be based on written quotations or be subject to the provisions of section 10 time specified for the receipt of bids, in a newspaper five. 11 tion within the area served by the governmental body (b) The procurement officer shall award the contract to the responsi- 12 ` For procurements in the amount of twenty-five ble person offering the needed quality of supply or service at the lowest 13 " more, or such larger amount as may be establi quotation. 14 lacy secretary, the procurement officer shall also f r t' (c) A procurement in the amount of less than one thousand dollars 15 publication established by the state secretary shall be obtained through the exercise of sound business practices. 16 such procurements. 1026 1027 Assess'dr's,office bst floor):, /1y) Assessor's ,map,and'.lot number ......A , ro o/. 0*1 E ................ Board of Health (3rd floor): Sewage Permit number .................. DAMSTAXLE, Engineering Department (3rd floor): NAM 1639- Housenumber ... oho YpY..................................................................... Definitive'Plan Approved by Planning Board --------------------------------19-------- - APPLICATIONS PROCESSED•8:30-9:30'A.M. .and 1:00--2:00,1 P.M. only' TOWN OF BARNSTABLE , BUILDING INSPECTOR APPLICATION FOR PERMIT.TO ...A ... ......................................................... TYPE OF CONSTRUCTION ............ . ... ............ ....................19-9.5 TO THE INSPECTOR OF BUILDINGS: The under K' ned hereby applies for a permit according to the following information: Location ... ...........0 ..........A,.... ...................................................... ProposedUse ..................................... ...........................................................I............................................... .............................. Zoning District .............Q,�f....... ........................................Fire District .............................7t)..0 .......... ................. Name of Owner Address .7V..... .....d:,.qT ......... WA el Name of BuAder ....................Add. ....... Mvt Nameof Architect .............. ...................................................Address ..................................................................................... Numberof Rooms .................................... ..............................Foundation ........................................................................... Exierior ..... ................................................................ ............Roofing ............................. ....... Floors ......................................................................................Inierior .................................................................................... Heating ...................................................... .........................Plumbing .................... ............................................................. Fireplace ....................................................................................Approximate Co P........... Area ................. Diagram of Lot and Building with Dimensions Fee .....45.0/................I........... 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 ..IJ/........... f 15� 41- / ® 0 0 -3 KENNEY, KATHRYN 36072 Re—ROOF BARN No ................ Permit for ....:............................. .Accessory.._to ............ -• - '93 Main Street Location ...................................................:........... Cotuit K ' athryn Kenne Owner ...................................... ....................... t �, Type of Construction ......Frame...'.................... > ...• .� • " ..+• n� Plot ................... 'Lot ... ........................... n Permit Granted ..'..,August 5,,, 19 93 �' Date of Inspection ............. 19 Date Completed ....:..1....7 .. .....^.......19 r� r ' `'rr ice• � ,�✓ l� 4 � .t J. COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 0"s9ssacurr®nt I OF ONE ASHBORTON PLACE , sscbrrsettaStateBulJNJnq MASSACHUSETTS BOSTON,MA 02108 reiaoaacfarr�rocatJan !7 c v N S E EXPIRATION DATE C O A S T IR. S U P E R V I S O R CAUTION 01 /2 5/199b � i Jr EFFECTIVE DATE LIC-No. FOR PROTECTION AGAINST RESTRICTIONS ._-u) f THEFT, PUT RIGHT THUMB NONE 06/30/1993 017111 PRINT IN APPROPRIATE ROGF_R -B REI D BOX ON LICENSE. Z PO BOX 145 ° BLASTING OPERATORS m m- COTUITlq 02635 MUST INCLUDE PHOTO. - PHOTO(BLASTING OPR ONLY) FEf 7V]•_ 0.00 ! ` I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY - -- HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER � ,�.ve.� ,THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF SIGNATURE OF LICENSEE THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. TONER - - �a ✓�T9p��I�JlO9Ell�Pq�{y HOME IMPROVEMEN CORAC'N R Registration 100035 Type ' INDIVIDUAL Expiration 06/08/94 j Roger B. Reid Carpentry Roger Reid 126 Le is Pond Rd ADMINISTRATOR cotui t MA 02635 x f a WWI. RTU r i f t 11 F r r - kS• k:�u f' r �'. is IV o-, ix:ZtZj, �lcl:(A, ' � k Ail ' � f fir• F p r g ,iN A7 y� .X�, Andersen Windows Qty Color RO Aprox Product# Duble H 1 White 244DH2O30 Awning 1 White A21 Duble H 2 White 2'6 X4'6 244DH2846 Duble H 1 White 2'4 X 3'6 244DH2436 Duble H 1 White 2'4 X 4'6 244DH2446 Doors 1 Steel 3'6 X 6'8 9glass over 2 solid r t �OFIKE r, Town of Barnstable Permit# 1l�9 Li Expires 6 months from issue date saaias'rABL 4 : Regulatory Services Fee Q A i639• ,0 Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number DO CIO 1 2-001 Property Address 2'Residential Value of Work Owner's Name&Address �2 �Q�'/G� L'' c��4ro� �d 4-1,4,v 9 O/V 224 9),Wl! A VE-AlOr Y 1(VVVP_ -fA4 1 L_ 600 90 Contractor's Name P CYO' t� t G�'�usM ,�1�` Telephone Number OP �6i S-lo l Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance X-PRESS PERMIT Check one: ❑ I am a sole proprietor MAY 2 7 2003 ❑ I am the Homeowner [ I have Worker's Compensation Insurance TOWN OF BARNSTi4BLE Insurance Company Name Workman's Comp.Policy# S / 6 1/ d O3 IC 0 —9—®9 Permit Request(check box) / r ❑ Re-roof(stripping old shingles) All construction debris will be taken to Y71cG4 ❑Re-roof(not stripping. Going over existing layers of roof) RRe-side a. ❑ Replacement Windows. U-Value (maximum:44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Signature Q:Forms:expmtrg . Revised121901 Town of Barnstable P�oF�'Owti Regulatory Services vMASS.$` Thomas F.Geiler,Director 639n. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 0601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L 'EfA.r'ltt C, a'Yl' SOY\ , as Owner of the subject property hereby authorize C ��V\ &AN � to act on my behalf, in all matters relative to work authorized by this building permit application for: Mai n 'A--. CAA 4 (Address of Job) < a7 03 ignature of Date . C -16 50 A Print Name (1•F(1RMC•(1wNRRPFRMTCRT(1N -'�'' BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR .I Numbee`,6* 073839 1 I. Rd ��2/2QOS, Tr.no: 1095 k Rest`.'VF� wed 1- PADRAIG J GAL1 16 STEVENS ST f HYANNIS, MA 02601 Administrator i BoardotBi3ldingRegulatwnsandStand aid s . 't } HOME IVEM,ENT CONTRACTOR. " Re_gis gat on 30184 (t � tam='If, /04 t %Adual PADRAIG GAL PADRAIG.GALVIN 16 STEVENS ST HYANNIS,MA 02601 A itustrA for . 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 U 9 Parcel0/.9 00/ �0 l �TTIOW d OF BARNSTABLE Permit Health Division 99 — —Ii Jq�AN _9 pM Z; 2 0 Date Is su d � " � —1 Conservation Division c. C. Fee ,' , 1+9 Tax Collector ✓ter A��` _(�2 Treasurer — a SEPTIC SYSTEM 6 WST BE `4 � INSTALLED IN COMPLIANCE Planning Dept. / v WITH TITLE S Date Definitive PI n roved by Planning Board \ M" ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic OKH ' Preservation/Hyannis Project StreetC60Z Address / �"��f 7 �j (_ 6 Z V/Z Village 4111L_ Owner 1' �r J arol -�Gv�j2��a ' Address dv26 01 Telephone elf 4 S_��� �✓i�►n L/f� IL F, 00 7J Permit Request /vei �c%�.S �r2 �Uv� l� ay�, QUl L�i?r. �L� j�ac� o/ ye,yilGot JcJm r J � , /td-c i o�,0 IV/?-F I ye-4 R- 6LGwLJ,IL lvCt/ 1 OY�1. /v�v t/�►i�c ar' lrr d,e, 04-h Aw 4405, Square fleel: 1st floor: existin .�n� proposed 2nd floor: existing proposed Total new Valuatio 0L9 Zoning District Flood Plain Groundwater Overlay Construction Type "+ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure (Q5 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Iv 0n-e Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing L new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: Cd Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes aKNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O 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 �m �'h Telephone Number SQy c)— 4 6 S-10-2, Address �� -5,�/��� /1/�' S% License# CS b�i Home Improvement Contractor# 13 0 f P/y r�? i�� 601 Worker's Compensation# - / /-z 610� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE P01 DATE _/Z 910 .;7 FOR OFFICIAL USE ONLY k PERMIT NO. DATE ISSUED t MAP/PARCEL NO. 4 a ''f 4 ADDRESS VILLAGE , T , OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL e t7` `° � GAS: ROUGH FINAL ` FINAL BUILDING :; c i , • rio � DATE CLOSED OUT ` F - + ASSOCIATION PLAN NO. '. �� ONE INPROVEHENT CONTRACTOR Registration: 130184 Expiration: 01/25/2002 Type: Individual PAORAIG GALVIN � PADR IG GALVINSUHHER ST. ADMINISTRATOR YARHOUTHPOR NA 02675 1�' BOARD OFi�UIL®IiN'CrREC1J aTplEN ���� License CONSTE2lJG1�4®N'SUPERVIS40��` Numtier '�3839 ' € 0Q3 Tr.no ;'83J1 bo To: 00 PA©RAIG J, GAL gg � YARM'OItTHP©RTfdAA O'2i7.5 � rrinlstratmr I i i RESIDENTIAL BU MMIT FEES " 0 3�-z APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$961sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= 3 ` _— plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$961sq.foot= x.0031= i STAND ALONE PERMITS Open Porch x$30.00= (number) Deck __x$30.00= , (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee projcost Table 45=b( Prescriptive Packages for Qna and Two FamilY Retldasdai Baildlap Heated with Frio Faeb MAXIMUM MufflSIM Ilaang Cik=g Ceiling Wall Floor 13nrmmr Slab U-vdueT it-value, R voiue Rr"Juos Wall PP P=kaae R.valve &val9w Vol to 6500 Hearing Degeee D&W Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 9 12!14 0.50 38 13 19 10' 6 85 AFUE T 15% 036. 38 13 23 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal V 15•/. 0.44 38 13 23 WA 1 WA 85 AFEJE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 23 WA WA Normal Y 19% 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 10 6 90AFUE AA 18Y. 0.50 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): 5. SELECT PACKAGE(Q—AA•see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMM41NG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a F tKE . .�. °: The Town of Barnstable KASM g Regulatory Services �p 1659. lEo,u,{ Thomas F. Geiler, Director Building Division Peter F. Di1Matteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no°m 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: vcwGs Zaexa EsAZZ timated Cost Address of Work: q7 Owner's Name: J, 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. Registration No. Date Contractor Name OR Date Owner's Name q:forms:Affidav:rev-070601 . The Commonwealth of Massachusetts Department of Industrial Accidents s. ,� =--•- 01J�ee ollotlastlPai7oDs 600 Washington Street Boston,Mass 02111 Workers'.Com ensation Insurance AWIdavff POWER/ ovation: city phone# ❑ I am a homeowner perk min all wodc myself: ❑ I am a sole proprietor and have no one woddn is any MMMMMMMMMMM � � woddng an this job. my I am as employer providing: easanan �°9� .................:.:..::::...::::... ..:. v:.•nx{:.:........................:.::4::•::.::::.,•:!\'NOOft�).QkY=Y�, 4.•}..�}7C '14•,yv' v.k:•.n•.:.:. 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