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Home My WebLink About0290 MAIN STREET (COTUIT) �� 4?11,2 s N' s Application number Fee .......................................... ......................... .......... .. ................. x�sa Building Inspectors Initials........`..�. .................... Date Issued.:....1c.�.—... .�9......................... Map/ParcelD0— L./. .. ..... ......... -TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEAT]ERIZATION PROPERTY INFORMATION Address of Project: 90 1/Vlc cyl NUMBER STREET VILLAGE Owner's Name: 4a v-Z Phone Number Email Address: Cell Phone Number Project cost$ dr Check one Residential ommer ¢fit OWNER'S AUTHORIZATION244 N '� ,:. As owner of the above property I hereby authorize to make application for a.building permit in accordance with 780 CMR . /� w Owner Signature• Date: O✓01 / rLail TYPE OF WORK ❑ Siding ❑ Windows(no header change)# ❑ Insulation/Weatherization ❑ Doo no header change)# Commercial Doors require an inspector's review oof(not applying more than 1 layer of shingles) Construction Debris will be going to Cay"S.& CONTRACTOR'S INFORMATION Contractor's name `C�At,e,( PAL( cam. Home Improvement Contractors Registration(if applicable)# t $2VgJ (attach copy) Construction Supervisor's License# ` S�- (attach copy) Email of Contractor LA)t lcr� C ►f�l"; '/clhone number SAS 7 72.� ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTYIS IN d ►iternDlr n►CTR►/'T Vnll MI►CT'nRTdIAI micrnR/r doDRnVd/ RFFnRF d DFRM/T rAA1 RF ICCIIFn APPLICATION NUMBER.........................................................,... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total t . Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent' X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction- Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signatury.�� _ p —,.__ Date All permit applications are subject to a building official's approval prior to issuance. � p Town of Barnstable In �4 h "": •wx.a,.+ &':. 'R Y - a 3. i < 't x _ "w'm"ti^"'d. ...�. 's aAiuvsreesE Post This Card So That it is Visible From the Street Approved Rlans Must be Retained on lob and this Card Must be Kept �,� , 'J; xr^ss $ Posted Until Final Inspection Has Been Made b ° i63A ��' er 1t ears+° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made ` Permit NO. B-19-4018 Applicant Name: Wild,Wood Mill and Construction INC Approvals Date Issued: 11/27/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/27/2020 Foundation: Location: 290 MAIN STREET(COTUIT),COTUIT Map/Lot:. 022-008 Zoning District: RF Sheathing: Owner on Record: TOKARZ,THOMAS P Contractor Name:' -MICHAEL AVANT Framing: 1 Address: 290 MAIN ST Contractor License.:.CS-110575 2 COTUIT, MA 02635 Est Project Cost: $ 10,000.00 Chimney: Description: Roof Permit Fee: $51.00 Insulation: i Project Review Req: Fee Paid.; $51.00 Date., 11/27/2019 Final: Plumbing/Gas g Rough Plumbing:' Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by.this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents forwhict this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zornngFby laws and codes. This permit shall be displayed in a location clearly visible from access treet or'road and shall be maintained open for public inspection for the entire duration of the s Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are provided on is permit. Minimum of Five Call Inspections Required for All Construction Work k Service: 1.Foundation or Footing ' 2.Sheathing Inspection .� Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: s . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house-having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct building's in'the cominonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MG chapter 152,§25C(7)states"Neither the commonwealth not any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with'the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials } Please be sure that the affidavit is complete and printed legibly. The Department has provided a-space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as`areference riumber. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in' (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone'and,fax number: The Commonwealth of Massachusetts Department of Industrial Accidents ' Qfflice of Investigations. 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): W1,11 Wfad� "J—( 4 Ca' A 1--/I. Address: m A City/State/Zip: .-, Phone#: Are you an employer?Check the appropriate b Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• = 9. ❑Building addition [No workers'comp.insurance comp. insurance. required.] : 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no 13 Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. rr Insurance Company Name: (1 y l Qo� Policy#or Self-ins.Lic.#: �/1J �p. �p UL2� Expiration Date: �.a 00- Job Site Address: d q0 L/ a4,y[ ;+ City/State/Zip: Co �- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct. Date: //fir/� _ Phone#: s0 S°1 r1 2 d gS Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5.Plumbing Inspector 6.Other Contact Person: Phone#: A`��® CERTIFICATE OF LIABILITY INSURANCE °ATE'M"''°°'YYY"'- 10/7/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: John Lynch IV PAUL PETERS AGENCY INC PHCC, o Ext. (508)477-0021 FAX E-MAIL 680 FALMOUTH RD A/C No ADDREss: jay@paulpetersagency.com - INSURER(S)AFFORDING COVERAGE NAIC# MASHPEE MA 02649 INSURERA: LM INS CORP 33600 INSURED WILD WOOD MILL AND CONSTRUCTION INC INSURER B INSURER : 81 DEGRASS Rd INSURER D: INSURER E: MASHPEE MA 02649 INSURERF: COVERAGES CERTIFICATE NUMBER: 416611 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE _ POLICY NUMBER POLIOMMIDD YYYY FOLIC EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL BADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑PRO - ❑ GENERAL AGGREGATE $ JECT LOC .OTHER: PRODUCTS-COMP/OP AGG $ , AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ Ea accident ANY AUTO ;-`� BODILY INJURY(Per person) $ ALL OWNED ASC UTOSULED N/A AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $WORKERS COMPENSATION �/ $ EMPLOYERS'LIABILITY Y/N /� STATUTE EORHROPRIETOR/PARTNER/EXECUTIVEE.L.EACHACCIDENT $ 1,000,000 CER/MEMBEREXCLUDED? N/A N/A N/A WC531S616692019 06/14/2019 06/14/2020 (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required? Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOWN OF BARNSTABLE ACCORDANCE WITH THE POLICY PROVISIONS. 200 MAIN STREET HYANNIS, MA 02601 AUTHORIZED REPRESENTATIVE Daniel M.Crow y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Commonwealtiv-of Massachusetts Division of Professional Licensure Board of Building•Regulations and Standards Cons t;itfil' pgrvisor CS-110575 Exires: 06/22/2020 q MICHAEL AVANTt. 81 DEGRASS-kOAD r MASHPEE MA a2649. Commissioner " G�ie �ii�2��ao�e�efeaa�%�aJ1¢c�rse/ k Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE orporation ReaistratianS,;-.,.._ Exoiration 06/12/2021 y WILD WOOD M11- LICTION INC r MICHAEL AVANT, z ' 81 DEGRASS RD MASHPEE,MA 02649�- Undersecretary Construction Supervisor Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(991 cubic meters).of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information a ut this license Call(617)727-3200 or Visit www.mass.gov/dpl Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation i 1000 Washington Street -Suite 710 Boston,MA 02118 i Not valid without signature PROJECT NAME: ADDRESS: Cj PERAHT# PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN: BOX CT ) SLOT p a ¢ Data entered in MAPS program on:. . N BY: q/wpfiles/forms/archive �� '��3a3R � e `i�aaa I� Assessor's map and lot number .. ....` Q............... Q�oFTHero�f Sewage Permit number, ....�� ...... .. : ... � �� d� °� Q 1; BAS39TADLE, i House number 9 NAM ....................................... ........................... �p 1639• �0 tl MAI a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....................... . C' ?•�".............A....�? .... ............................. . ............................... TYPE OF CONSTRUCTION ...... ..........0, s-4..... .......0.6:.)..g!.........X.........19 �. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Z eta Location ...... ....al. ........ ..t�. .e.......................................................:..:...........:........:.......................................... ProposedUse ........:..........................................................................................:.... /� • � r Zoning District ..... .. .:•:.....�........*....................................Fire District ................... $� Nameof Owner ... ..5........... l�.. E°1.�' . Address .................................................................................... Name of. Builder ...7- . ®.. . . ".. Address ........... ... .. .. ..................................................... e7..s e�? Nameof Architect ......... .......................................Address .................................................................................... Number of Rooms ..................:...............................................Foundation ................................:. Exterior ® 16. .................Roofing .......I :. ..................................................................... s�. :... . Floors ........ .'�'. ...................Interior ......................................:............................................. .. } _ -Heatin`g ...:..........' ................................................ ...:.....Plumbing ....... ..'.."..."':.........-...:.............- ........................ Fireplace ..:. ::............................:........................Approximate Cost .. > .v.�......... ......................... Z7 / Definitive Plan Approved by Planning Board --------------------------------19--------. Area .... ...................... Diagram of Lot and Building with Dimensions Fee ....'........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .............. ................................. ... TOlQ\RD , TBOMAS No '22.63.9... Permit for ....BUILD................... ~ -.Two Car Garage ---- -.-----------...-------.. Location 2,9.[[ la.irl...Str.eet........................ � � C!otoit ----'------^-------~-------' Thomas Tokazo � � Owner -----.,---------------- �^ Frame Type Construction ' / ----------�---- ' --------------------------. ^ ~ ^ Plot ............................ Lot ----------' \ � . | ' � � Permit Granted —]D/Q�esober 5` —.]9 80 ' ' f � Dote of Inspection ........... , \ / . . Dote Completed -----.^�.�7.��.�—.]9 . . ' . . ) PERMIT REFUSED ^ � � ._____.___---,_-----.--.. 19 � .------_..------. ................................. ( ( � ^ —'-----''—'~-----'--~^`-------' � ' ' .—.---~.-----..—.--.^—.----. '—' '' ' .......................................................... .................... | �. . . Approved ................................................ 19 � - ' -------'—'----~^^^—~--'—^^^--~' . < ----'---''------'^-----^~'--^^^ ' ^ / � Assessor's map and lot number .............:............ ................. 0*THET0�o Sewage Permit number ........................................................ e Z BA"STAILE, i House number ...................................:.................................... MU 9 \�� 'ED MPY a'e TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................ TYPEOF CONSTRUCTION ...................:................................................................................................................. ................................................19........ F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...............................:....................................................................................................................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ................................................ . ..................Address .................................................................................... Nameof Builder ..............................................................::....Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ...........................:..........................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost Definitive Plan Approved by Planning Board ________________________________19________. Area ......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. TOKARZ , THOMAS 7�i=22—8 _D No .....6........ Permit for ...,F...ILD................... Two Car Garage ............................................................................... Location 29.0, '!gain. Street........................ Cotuit ............................................................................... Owner ..Thomas Tokarz Type of Construction .......Frame ........................................... ./.................................. Plot ............................ !Lot ................................ Permit Granted ......November ..5.,.....19 80 Date of Inspectic�,....................... .............19 Date Completed ..................... ................19 PERMIT REFUSED 19 .. .,� .�. .�f.' ........... ................... ........... ............. ................. ......... ..................................... ........ ................ Approved ........ ....... ........... ........ ...... ... 19 .......................................1... .. .. . ............. D rcStGN DATA r; VJIT AGiAC$AC.� C�tZc�1DE2 ____ LDA t`,4 P%wow z t to < S1, e C..P.D •�, r�� O Sepn C. T A.U4V- = 4A5 -c T>t S PoSAL PIT V;E SOTTOAn AREA, J � � T�aatk' Q P c o t�T t at.! T2A'I L. t 114 2 At W oe CX:f;+S f,�4 to �`�► 44 L ��j1 _ Ali} f� � {• r 4r, .7 G.► 'PeST ror FOP _ tpo' 4 visr S� Sw t_ 8ox Sc�Ptic Z tlhl � . � �G GAL. L GAGta �CT PIT CMR—T t F l at> R.,oT pt.Q.t.4 1 to ScAl..� ZGALt_ I!.�j U°`T r PL A 1-4 t erx.tcrtFY T"AT —r"f-- ;cw► 'DATJvN S"OwN 1-��R.�o.�t Go�.cP�-YS wlrN TtaE StDE.ul-.tom LdTS AwD 4ETBPGwC izEQU�2�E•ME�►Tti OF TWf-i tbw" e� 8 A 2 tJ y"�'A�-t3 P�A� r`oFL. ��.•#t�t tL �i�.�SN!1-{4�.1 G� u, SArles.-( Co MA--{ z(o, ER6,R t3A.)C-re qt t u4c.. 17 jSTr met> LAI.Jr> TW4 Pl•&W Vr UOT $ASED O U Au Il�,IKT90ME1dT oSTe�zvt i ca AA L5r5• 5U2vts'! T"G oFFSmT; 544DULD woT 15E U4LJ0 AS�i�-tG.At.tT r To -PET r-RM i"L k-07 t_t W S4. �t Tj t.:37 t.Ej /xAssessor's -map,;and lot number ..................±....................... 2 : .' , ".5PTIC SYSTEM MUST BE, l" _.�;ALLED IN COMPLIANCE Sewage Permit number ........................... �','sT�� ARTICLE II STATE _. . SAKI I ARY, CODE AND TOWN yo*TNEro�° r TOWNS` OF' BARI�f I T'I LE BARNSTADLE, • O 39. BUILDING f INSPECTOR • ^� � { - .. �� tit ., Y APPLICATION FOR PERMIT TO" v�,y1n�w�...q . ��S Ya.+'^��•�? .. . :. ......... *- TYPEOF CONSTRUCTION .. Qfi!d1.. . A .Yl 6........................................ .................................................._ x Gv t91t TO THE INSPECTOR OF, BUILDINGS: The undersigned hereby applies for a permit accordingt/o_ the following information: Q f Location .....`.Q V�.I.... l4tuk 4!... ... .6.M.'�A!: I!..u"►�,.... .... .�.... �.' .��..! .1� .. .:.... \....`�0 t .............................................................................. .. ........... .... : Proposed Use ........ .. ZoningDistrict ........................................................................Fire District ............: iur................................. _ Name of Owner �!V!ttri...�... L�. O' E .....................Address 33� 'V?�1�1�11/�.1... . . � _ ei �t. �`� �h1C 'R l— ` �QX l.O. �A.... I.L�P�C� jName of Builder ......................: Y111.�..ca..................................Address ................................. ................. C( Nameof Architect .. ..............................Address ................................................................................... a f� Number of Rooms �01iv ...........Foundation ...1. �6VLUtlL ....................................................... .................................................,,................. r �.. .. .aExterior ..: eJ...... ...........Roofng �5 .d...�.�. �1Uh .................................... Y Floors C � ......Interior LL { QII� �ev 40 2. Heating .1} ...r'�� +V.ek. :........................................Plumbing ......�,t„ ......... ............ ...........:............,...,.,.. Fireplace ...........Z....................................................................Ap roximate Cost ......3 .,.................... ............ 0Definitive Plan Approved by Planning Board ---hti-A eA_19________ , Area ....�.j �U...d..................... 3, o Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH � f w f8 110 / 70 :3z- hereby agree,to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... , . ., .... . ..... ............ Tokarz, Thomas P. 20981 one story No'................. Permit. for .................................... single family dwelling ............................................................................... L70cation ........1.2.9.0. Main. Street". . . . .............:..................................... Cotuit .............. Thomas- P. Tokarz Owner .................................................................. frame Type of Construction ............................................ ................................................................................ ,'.Plot............................. Lot .......... .................... �anuary 19 79 Permit Granted ........................................19 Date of Inspection ....................................19 Pate Completed ..................................*........ PERMIT REFUSED ............................ .......... ..... 19 ............................................................ ................... ..........................4...............I................................:...... ............................................................................... ................................................................................ Approved ................................ 19 .. ................................................................................ ................................................................... ......... Assessor's map and lot number .......................................... Sewage Permit number .......................................................... 0FTHErO�y� TOWN OF BARNSTABLE Z BAHH9TABLE, i "6 BUILDING INSPECTOR 'ED MPY p'� APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... .19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....................................................................................................................................................................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Nameof Owner ......................................................................Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .........................................Interior ............................. Heating ..................................................................................Plumbing .................................................................................. Fireplace .................................................. ...............................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ----..__________________._______19 ________ . Area Diagram of Lot and Building with Dimensions Fee '.......:..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .................................................................................. Tokarz, Thomas P. •A=22-8 . No 20981 Permit for ...,,one story single family dwelling............. Location ....... 110.........2SQ M�axl..atx eeZ......... .. .. .... .....................................C?to7. ............................. Owner ..........Thomas..P.,.JQI 3aj=.................... Type of Construction ......... ..frame.................. ................................................ .............................. Plot ............................ ................................ r Permit Granted r��January Date of Inspection ....................................19 Date Completed ......................................19 PERMIT R ..U..) .S. ED ......................................... .................. 19 . N............. Approved ................................................ 19 ............................................................................... v ��•""'. TOWN OF BARNSTABLE ;` permit No. __---20981 t Building Inspector Cash1-39 ----- - rua DAY OCCUPANCY . PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Thomas P. Tokarz Address 33� Main St., Cotuit PqO Main Street. Cotuit Wiring Inspector �L �/�, ` Inspection date J�/�� Q A Plumbing Inspctor d Inspection date ! G Gas Inspector l , �`� Inspection date ``Engineering Department j��{f, �`% ��/f� 1� ! �Inspection date "719 THIS PERMIT WILL NOT BE VALID; AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 757' _.f _......... , 19� r %rjBuilding Inspector VJIT 4t�►Q►2 L:QS�"1�DE� _ sync 'raa,u = 4'1 vtSPc>Sa,L. PtT �tvmvALL ACEA = 1 �5F , K<9 z '4; 'rc>-rA 4. t'y%4t 6N u f P �'t tr�t,.t PATE. t tit Z oww 4•, rV51'Soo 29 L9 TOP F1.lD • t00' 4fpv� _�Dt7 1WV. ,+.A { t5lt.. Box, q& 56YTtG tlhl. � TA V iC. l o �•' �AOC7 �{'�`� t l�I V. 'Cif.L M F rat. �•' LEAC" , l Ft T ti. 2'3/4= fx t ur° �20 Fl Lam" L,cx,6,T10tJ �}:�t�� t t carcti-t TNAT `r*4t-- rvvWDA-nc6�1 z +u "F-eEGsa.i G0MPL-%(5 . WITH T"r-- lt3EL.►fit Lars AwD SOX AC K {LEC totQ�MES•rLTti OF THE ?L Aa FCIL IF_()A"f4_ '� =-��t,il�.'�#•: Ta�c.r�a ate `�A 2.�STA6L 4L 213c.tsTra vzel> i,AAJr> yvevE� at i; T"(Py 14 UOT BASED oLl AU JW4T'WME"T 04T�VtL,�.b. AAA.SS• SUt��G'yt T41L Oe fr5�; '5"wLb %40T 4L ulyeo A F'(_tC.Ar.1"c' Ta ��T�6Wt��1E: LaT Lttl �� t '� :.j j..> 1 Assessor's' map and lot-numb r ....... ........ ?yO*TN E Sewage' Permit number ..d"............ .......... ..... .:. d� °� Z 311AR33TADLE. i t' House 'number ................. :...............................:... ........:.. voaea M p ►63 - 0� OYPY�\ TOWN .0F .� BARNSTABLE 6UILDIHG INSPECTOR APPLICATION FOR`-PERMIT TO ..........f TYPEOF CONSTRUCTION ................................... .... ................................................................................ ............... ... :: .......19.a..... TO THE INSPECTOR OF BUILDINGS:'. The undersigned hereby applies for a permit according to the followi g information: Location, .......... .7 ... - �1..............�'`.:[.... .................:...,..........."°�`� . .................................... Proposed Use .............. ......................................................................................................................... . . . . . . Zoning District ........................... ........:..............:......Fire District ...........� OL Name of Owner 7�'.................Address .. � .�.�}.:. 1..... :.`.......... �.. . .... rr Nameof Builder .. L .k .. .4 ..... ........Address .................................................................................... Nameof Architect ..................................................................Address .........................:.......................................................... dtL Numberof Rooms ............... ..................................................Foundation ...... . I.. .................................... 6 Exierior .......:......`'!'. ...:...:.................................................Roofing, ..............F.. . . .......................................... Floors ............... . . ...... ......................................................Interior ............ .................................................... Heating ..........lT..•�? ..............1` f.....W. � -..................Plumbing ................................................................................... Fireplace .......................; ,— ..........................................Approximate Cost .c� 0............ ............................................. Definitive Plan Approved by Planning Board ----_------_______-----------19---------- Area ....... o..... ................. Diagram of Lot and Building with Dimensions ......Fee r. ........... .... w .... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH L 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 ... �� ' ' ..... .c..... ....... ........ 02 . � �.�• Construction Supervisor's License ............... .. ..... ....... TOKARZ, THOMAS 24930 ADDITION No ......:........... Permit for .................................... am ng giaq!6' F filly Dwelli . ... ..........I.......... ....................................... Location 290 Main Street ................................................................ . ....... Cotuit ........................................................................ Owner . Thomas Tokarz f ..................................................... ........... Type of Construction ..F.r.ame... .......................... .. .. ....... ...............................................!............. ................. Plot ......... .................. Lot .................................... Permit Granted .....April 8. .............19 83 . .............. ....... Date of.Inspection 717....... ...............19 Date 'Completed ....... ...........�'na.......19 .......... ..,, 1 7-1 Assessor's map and lot numb r .............n...... P G THE Sewage Permit number ...... . .... .,I: ,........... ....... Z 33AUSTABLE, i Housenumber ........................................................... y Mae6 1 Apo,i63 q. \0� 'Ep YflY a• �'- TOWN OF BARNSTABLE BUILDING INSPECTOR J C: �i` APPLICATION FOR PERMIT TO ........................... ...............).�................................................................. TYPE OF CONSTRUCTION ..-"t-;YG�','l-e-.--- .......L.......19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followi g information: qr) `. .. .. .. !�..�....�� ........................................................ Location ...........1 3............1.�.! .......................... . .. .. .... ........ ProposedUse .............. r ► ' ........................................................ ............................................................. ZoningDistrict ........................... j...................................Fire District .............. .. ...... .................................................... Name of Owner ....... 5..........�.�... .Q�.;7n................Address .. ..l..a............ ..... ............ ..... Nameof Builder `°............Address .................................................................................... Nameof Architect ..............................................................,...Address ............................�........................ ............................... Number of Rooms ...............9 ii.................................................Found . ation ...... .... j.., �! (�t,,....�'0"n.�{U...�.... . Exterior ............... Roofing ........... ... ....t..ft .,.. ...................................... ...... Floors ......................................Interior ............ HeatingIT'Q..... ' 1" 1.....��l.G(' -...................Plumbing .................. ................................................................ . .,, ..........................................Approximate Cost ....d.. S.Q Fireplace ............................................... .......................... Definitive Plan Approved by Planning Board ---------------_---------------19________. Area ........... . �..�`'!.'............... . . Diagram of Lot and Building with Dimensions i 61.......00 � Fee ............. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r. 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 ....044-4-)... .....: `" '. '"""..- .... Construction Supervisor's License ...D..%�.. . ?.. �..... � TOKARD, TBDMAS 2-8 .......Sinol��..fran�ilv..I��lI ' ____. ' Location .. -------- ` ............... ................................................ ( Owner .. ^ .............................. ' Type of Construction ....Fr.aMe........................ . —'---------------...—�-------' � Plot ............................ Lot ----------' - �o�il 8 83 Pafmh Granted ---..^----.z---.lV ` x Doha of Inspection .................................... � . Dote Completed ...................................... � \ 00-/�� ' » ' ' , U TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION V Map 2 Parcel �8 ,,`� v Permit# .3 3 Health Division a,94% Date IssuedION �9�� Yconservation Division � 3�� S raj Fee ,5Z`�1, 72 0 Tax Collector SEPTIC SYSTEM MUST BE �QP Treasurer �� J INSTALLED IN COMPLIANCE �SjPlanning Dept. �— ,_ WITH TITLE 5 ENVIRONMENTAL CODE AND t OBTAIN Date Definitive Plan Approved by Planning Board TOWN REGULATIONS ROAD OPENING PERMIT OM ENGINEERING OW Historic-OKH Preservation/Hyannis "WR 10 CMi =104� Project Street Address t'--1 Villa,,. Owner To�✓1 tea �c�r�- Address 2�0 ;►--�.�+ �'>� Telephone Permit Request Q��c�ce.T7t= �x s-r� '—�� —=+C ' Aofl L� �/►�G pro w--� l r]��,� �•�G, two�, � Qa.ss�G� w,�-r' Square feet: 1 st floor: existing proposed$565 P 2nd floor: existing proposed Total new S� Valuation /Ofd Zoning District Q Flood Plain Groundwater Overlay Construction Type "I Lot Size I , 7_7 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Q Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes C7No On Old King's Highway: ❑Yes C/No Basement Type: ❑Full crawl ❑Walkout ❑Othe�01 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new If Half: existing 1 new -- Number of Bedrooms: existing 2 new 0 Total Room Count(not including baths): existing <2=� new 2 First Floor Room Count 4 Heat Type and Fuel: ❑Gas C2'0iI ❑ Electric ❑Other 7F-'&--a`^l Central Air: ❑Yes XNo Fireplaces: Existing ; New6P65)Existing wood/coal stove: ❑Yes is1'No Detached garage:❑existing ❑new size "�'` Pool: ❑existing ❑new size Barn: ❑existing ❑new size Attached garage:O/existing Cl new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Z Proposed Uset— � � �.i.�Al� Lam►� T [ L� BUILDER INFORMATION Name 1:24=� 04elephone Numb r. 1 ' Address z44 `^�' '-�' �T' License# O 22 Home Improvement ontra for Worker's Compensatio # 1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO (�v+•�PS=E"� SIGNATURE DATE 75 I3 0I FOR OFFICIAL USE ONLY iti 2 PERMIT NO. 4` = DATE ISSUED. . MAP/PARCEL NO. E ADDRESS VILLAGE OWNER DATE OF INSPECTION , FOUNDATION FRAME l a Q V Y lrn INSULATION t FIREPLACE ELECTRICAL: ROUGH FINAL F PLUMBING: ROUG�-I C �"' FINAL ` •'' =.J• is - H GAS: ROUGH? " �� 'FINAL r FINAL BUILDING, -- DATE CI,,OSED OUT a i ASSOCIATION PLAN NO. w m ` Q_ o t k r �p THE/ T.he Town of Barnstable BARN STABLE. Department of Health Safety;and Environmental Services MASS. A M plFDMA�p' Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW /f/#3c� ;:- Owner: \!" 't�\w CJ K VMap/Parcel: (`��i " P jectAddress: yn/l\Y1 —S,+— Builder: The-foh`eow�ing items were noted on reviewing: NQ 4-e3 s koix.-) -sp- 6AC V1 5 r)X pro W-<Cco( r a - a n:iH� Y j X `r Reviewed by: Date: I (9 q:buil ding:forms:review r " The Town of Barnstable assrtsrxett: 9q, 1 59- �e� Regulatory Services �Eo►�{' Thomas F. Geller, Director . Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Officer 508-862-4038 Fax: 508-790-62=0 HOMEOWNER LICENSE EMU TION Please Print DATE: I !OB LOCATION: number street village ,.HOMEOWNER": r—�4__1 • name home phone# work phone k CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner'shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building Rermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner''certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said proced quirements. tgnat of Homeowner - Approval of Building Official Note: Three-family dwellings containing.35.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EIt BIPTTON The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section!09.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they art:assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case.our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN .._..-,.... r-._r. a:�.,;,.,u,:�a.n•. ,:........., ,. .r�...-r..S-:w��r+a�rvm. •- �-..�...:r' raw-r-ti:�-.}....,."'._..,.: �..+4r IKE► The Town of Barnstable BARNSTABLE.� Department of--Health Safety and Environmental Services MASS. 039. Btiilding`Division 367 Main Street,Hyannis,MA 02601 I" Office: 508-790-6227 Ralph Crossen Fax: 508-790-62* Building Commissioner e Inspection Correction Notice '. Type of Inspection ��r Location �q 6 WWI W1 V) i Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: C-C e-T>- clgb\ w"zX' Please call: 508--862-4038 for re-inspection. �0 Inspected y—1 ./ Date �QJ i The Commonwealth of Massachuserts Department of Industrial Accidents st `=•'� , '� : 0117CeD/IDICS!/BSIIODS -� 600 Washington Street Boston,Mass. 02111 Workers' Com ensadon Insurance Affidavit WA M mu location hone f I am a homeowner performing all work myself: ❑ I am a sole 'etor and have no one working in anv ❑ ----- lam an employer Providing workers'crompeasation far my employeesworking on this job. n.............:.....,...:........,:::.:::.........:....,:,:.::,.,.,...,.. .r ........... 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I_duTtmd that a aff of this statement any be forwarded to the OM=of Invaded m of the DIA for coresa;e raMcadm I do hereby cent de pains mrdp ofery tthe mfominn provided above i i =d nedet s Dee 3 d, � - omdal use only do not write in this area to be completed by city or town omdd dty or town: permItMcense# ❑Buildin;Department LJIdCensin;Board ❑chsekiflmmedlate response is required Q Selectmen's OIDce ❑He2ealthlth Department contact person: phone Other Uvnwa 9195 PLU 11 .. I I M= I. 11 :1.110 • •:1.11�• • • �• • 1••1• �• • • • .1• Ld • • • • / • 1/ • 1 J: • w il•tY, • • • - • :/111• • • • ' • • 1 • •• 1 II • t 01*18141-1.,60 / .t/ 1 .1• •1•w•1 .1/• 1 • wY • •..1 .•1• • /• • ' •. /1 • • • • •• •• • 1• •M • • �11.1• • •�1 •1♦ • • • t1 Itl �1• ♦ M" •M • 1 Ma •11 • • 1 • •. •r• • 1 11 • • • Ii1•Y. 11 t ti I• 1 I 1 • •�✓. • 1 I ti••u • 11�•1/ • •�•••••�• • • 1 . 1 .•Im • .1 • • •.� ► • •11 • KI - •/ .t All 1111411 I 1 V 1 • / / 1 1 • - 11 1 1 1 .11 1 1 Y11 -. 1 •1 1 1 • I r j• I J. 1 •1 _ 1 11 11 1 1 I 1 • / • 1 1 1 • 1 / • • : 1 11 r' 1 1 11 1 1 1 1 1 11 I r 1 ' • 1 / / • 1• •1/ •.11••.4 •" •ItJIr♦sit logo 1 is1 .11 • •1 go•. •• la W in••1 V •U 1 I ..111�1 IUI• J• • «Htl■ 1.1 1 •.1 • •• .1• • • 1 • • ••, 1 « ••'. • •�1•« •) «•INI• .II« • I.1 •1 11 11♦•.• « �• U• w•1�IH•. • /• N1 .1• /M 1 •��1• • w�1.1 �• • •• •1.1• .1 1 t•1.1 ' • I II /1 •••1•.��1•. «•1111•w1 `I:1• •11 .••1 • • 1 «•tII11 .11 • • N•� .�11 • •♦ ' ••► 1 .1 .1• • • • 1• YIa• •10 4111 .11• 11•• 11 • «•1111• .t1 • /Y.III • al =Y. ..1 •41 91 I •r1 III Its fell1• 1/1 «w 01/ ✓.t/ •1 11 /1 .1•« I •• • 1� •• 1 1 •11/11.1�1 •• /I � •.1 •11.+II •1 It •11 all Y. yM • w1/•. Irl •'•11111.11 Y.1a •II •t II II II« •� 1' a'a l d •1 / 1 11 I ♦ /1 11 • •/ •• • • I VI • 1 Ito r ..1/11/ -•fife 11. MI i•1 •1 • •' 1 /l .I •I .1010) W.♦• •11 1• •• •.Y•1111 •1 w1 I dH• �• I L• 1 1 11 , • .I all�tl •1 1 111 t•Y. VM ♦ •Ill 1/ • 1 • • • I - •11 • I 1-. 1 •11 wY •HI • /♦ •1 �• IU �• I• • • Y. U r11.Ytiw «rIt 111.+I AY.I• •r1 • • • I /1 or. 9a1♦w/l .1 I• 111H1 a�1 I.• • • 1 1 1 r • •• /1 .1 •1 •1 • • 1 «•1♦11• w/ .tl • •1 •al/�• �.'J r 1 1 • .• ••1.w•1 ••• • 1 •1 • 1 /• III • 11 11 •1 1�•11 /1 •• y • 1 •�.Ya •r 11 •1.1. / /• «•1•IY. M •• 1 yy Y •11• • •1 .1• • K•11 • s 1 11 •• .II l• /• •••1.1.11 •11111 t w •• 1 t I I 1 Y_• -44- w• U•11t •.1 1 i• • /. 11 Y. • a•q•�• /• ,1 • •1•ti1I • • 1t •1 III old1� .1• ... ,�••1 ti.1♦ 1 •_w• t•% 1 , i1 • 1 w • •J:1• •11 • •• • •• -------- toll • 1/ • • .II « 1• • • 1 •• •�/ .t• •It 1 -�------- / � • •••w•1 ••1 w'/. I • 1•11 .1• • Y••' •Illt• •.1 1 1 11 11 1 1 1 � 1 A ' 1 •11 1 1 1 1 1 1 1 I 1 11 1 1 1 • I I I 1 1 1 1 1 . 1 1 1 1 1 I I I � I / • I I 1 The Town of Barnstable snxxsTasM - g Regulatory Services E16 o. Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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: �`' (=I Estimated Cost' 1 t Address of Work: Owner's Name: Date of Application: T I hereby certify that: Registration is not required for the following reason(s): �I []Work excluded by law Vui Under$1,000 lding not owner-occupied ner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date wner's Nam q:fbnns:Affidav OF NG BOA ONSTRUCTiiON REGULATIONS SUPERV SOR License• C `r. 002296 Number: CS BidtkdaW' 03/0V920 pir 03/07/2002 Tr.no: 19883 Restricted To: 00 JOHN J TAYLOR r' / • 195 FALMOUTH RD#13-B G. ' MASHPEE, MA 02649 Administrator f ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot square feet X$96/sq. foot= square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHERS square feet X$??/sq. foot= Total Estimated Project Value >n/ 2�� t0 N r •� , .7wcmA4parYsl Tab1aJS2.ib( Fmo7 Fadr r ` Pyd�l0rQa=d Twe`FamdY Reeidmibl Bdidbw filmW w* hmwiptit'MAXIMUMal ahzing MQ11I1NtJM t:o�g wall Floor Bam �' �EEldeo�►' Arvalue� Rvataa Wail 1� 5101 to 6500 Rnda�Degm Dade' Nomal WA p.4p 3= 13 19 'to 6 X iZ7s p3Z 30 19 19 to 6 No:md p 19 l0 6 S AEVE S I= oso � Nar mi T Isx 136 3= 13 25 WA. WA 1l 13'yi 0Ab 3= 19 19 '-to _.� NmW 13 2S WA WA =S AFUE V ' 0.44 3= iS AFUE 19_ .,_ - 19 w lo.._ 6. Iforaw X 11i9i p32 38 13 2S WA WA 19 2S tN A WANowT IVA Q423ti6 90AFL1E Z 1SY, 0.42 >s 13 190 90AFUE AA IVA 030 30 19 190 6 1. ADDRESS OF PROPERTY: Q Z. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: - Z�J• 5� 3. SQUARE FOOTAGE OF ALL GLAZING: a. 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chaff above): ' NOTE: OMER MORE INVOLVED METHODS-OF DE' RMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. RO VAL: INSPECTOR APPROVAL: BUILDING NO: a-f0rms-t98o3038 - — 780 CMR Appendix J Footnotes to Table JS.ZIb: skylights, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 W of decorative glass may be excluded from a building design with 300 fF 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 U*RC) test Procedure, or taken from Table J1.53a U-values are for whole units:center-of-glass U-values cannot be used. ' Mm ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves uted four R 38 e fWl insulation.thickness over the exterior walls without compression, R 30 insulation may l insulation and R 38 insulation may be substiorted 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 vertr'lated portion of the roof 'Wail R-values represent the sum of the wall cavity insulation plus insulating sheathing Crf used). Do not in 'or siding,structural sheathing,and interior drywalL For example,an R 19 requirement could be met EITHER by exterior S• . � to 9 cavity insulation OR R 13 man p� R-6 insulating sheathing. Wall requirements apply wood-fume (��,masonry,g)wall constructions,but do not apply to metal-same constnuction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 7 The R-value requirements are for unheated slabs-Add an additional R 2 for heated slabs. 'If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,.the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.ja NOTES: a)Glazing arras and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufact rer in accordance with the NFRC test procedure or taken from the door U-value in Table JIS.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(Le.,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). T w mom- �aw�s TaPD t.E 1-4 +, Lcl 5 �s� F; �f✓jlPSrinl�`Ta"p Go�S 15 .�.r, - ('D�P`�►',*�GI TA' .�LL r�PI �� 'tom 1'ZS // � __.,2� �" , r; /vi�r 22 - a ,4-2l 44'-9" 8�-2� l1a1-=pZ" " . 'c�G:TI ��r Pl"lN \C� ." 2. 2rJ 1 . 2.74 Ac. 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