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0616 MAIN STREET (COTUIT)
., '� � � - i 1 L .. � � � f]]{J✓ + J ' 9 ,y. 1 i oF,Herot Town of]Barnstable *Permit# P� O Expires 6 months from issue date Regulatory Services Fee ��y x x x BARNSTABLE, +` 9� 1639. Richard V. Scali,Director Building Division Tom Perry,CBO,Building Commissioner PERM IT 200 Main Street,Hyannis,MA 02601 r`�pp�/ www.town.bamstable.ma.us MA 1 14 2015 Office: 508-862-4038 - TOWN q&: 5A79_ 0 0EXPRESS PERMIT APPLICATION RESIDENTIAL ® ABLE Not valid without Red X-Press Imprint L\Zap/parcel Number D. Property AddressM.A., /l , r CtITU/j ` Residential Value of Work$ ®, Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 77 Contractor's Name Telephone Number S4p,r — Sk 6 — 3U Home Improvement Contractor License# if applicable) '�� �. &A4+1 L. COS P (" Pp ) � ����y.� Email: ����0.12� Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec -one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance .; Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request eck box) , e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to I ' �0 tz7ff L#1o�iGL ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is requi ed. SIGNATURE: Di2b Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 S omvnaaoscaea`� Office of ConsumerAffairs&Bnsinesgul hone I ' OME IMPROVEMENT CONT License or registration valid for individul use only E egistration- _ ,19766 R4CTOR T before the expiration date. pirationi'$;i ype: If found return to: 28/2n15. Office of Consumer Affairs and Business Re = DBA lO.Park Plaza_ "tiEB6 CRAFT DESIGN ` " ' ! Suite 5170 Regulation s i Boston 021 1, DAVID WEBS 25 MEADOW VIEW DR " EAST FALMOUTH,MA 653fiw f Undersecreta I Not valid without •I t signature e N u Massachusetts -'Department of Public Safety Board of Building Regulations and Standa® C l V i s o r i s - CunStTiiCiivu`JiiN . License: CS-046 9 DAVIDHWEBB 3-2F.R U ie Road Woods Hole fv1A �254 L s .-)I-OLA Expiration 1012912M Commissioner Sda/Aoggsseyy•MMM :lIsIA uo13ew1o;u1 Bulsuaorj Sd(3 joj asuaoll Slyllo uoheoonaJ.Jo;asnV Si apo:);lwplm8 a4ei5 _ suasnigxsserry ayllo uop1Pa juajmm a ssassod of ajnllej JI 'aoEds pasopm JO QU166)PaJ ORM 000`9£Ump ssai.ureluoo ipRm dnoj2 asn XuE jo s2mppng-papuisajun e 1He r ' � o Town of Barnstable Regulatory Services BAMSMBLE, Thomas F.Geiler,Director 1639. ♦� ArFo �a Building Division i Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.to.wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ., to act on my behalf, in all matters relative to work authorized by this building permit application for. 1141�w co (Address of Job) 3 ignature ot Uwner ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. o•TznRk4C-nWN ..RPF.RM1.4RTnm + The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street t -Boston,MA 02111 .www.mass.gov%da , . Workers Compensation-Insurance Affidavit: Builders/Contractor. s/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: � M Phone# .Are you an employer?Check the appropriate box: Type of project(required): I.El am a employer with 4. am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). ' 2.0 1 am a sole proprietor or partner- listed on the'attached sheet. ,; ,7. ❑ Remodeling shipand have no em to ees .; These sub-contractors have p y � • � ' 8. Demolition , working.for me in any capacity. employees^and have workers' 9. Buildin addition [No workers' comp. insurance comp. insurance#." 0 g required.] - 5 0-We area"corporation'and its 10.[11 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 exemption per.MGL=• 12.0 Roof repairs t c. 152 4 .insurance required.] ' §1O'and we have no 13:0 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have 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 a'nd job site information. ,. Insurance Company Name: Policy.#or Self-ins. Lic.#: Expiration Date: Job Site Address:_i;C7 �Q f /�f}'il� S`J—s' City/State/Zip'CE7-T 14,l Ti, A;1�, 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 crimirial 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 ce tify nder the7tains and perialties'of p rju that the information provided above is true and correct. Si mature: ' Date: Phone Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# ' Issuing Authority(circle one): 1. Board of Health'2. Building Department 3.City/Town Clerk. 4:Electrical Inspector-5. Plumbing Inspector 6.'Other Contact Person: Phone#: _' W,0RKERS'CO PENSA*110 AND'E1�lIPL�OYLRS Lf�►�►�L11"Y�fNSIlR�1NCE�P�L1�Y �±2 �✓r per .fl „{ k ..- d 'S• "&=' -, it �� � `ti'� �:�,:� r� -:� � .:r'P sq�X a .r �.�i x r s� Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV01168000 1. INSURED: Prior Policy Number: New Robert F. Tyndall Producer: 80 Brigantine Avenue O'Briens Centerville Insurance Osterville, MA 02655 Federal ID Number:174560293 Agency, Inc. Risk ID Number: PO Box 610 Centerville, MA 02632 Business Type: Individual SiC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured:See WCE106. Other Work Places: See WCE107 2. POLICY PERIOD: The Policy Period Is From: 7/11/2014 To 7/11/2015 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states liste here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ .100,000 each accident Bodily Injury by:Disease $ 500,0,00 policy limit Bodily Injury by-Disease $ 100,d00 each employee C. Other States Insured: Part Three of the policy applies to the states if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. i Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment: Annually Servicing Office: Estimated.Premium.(Minimum Premium) $500 25 New Chardon Street Boston, MA 02114-4721 Issue Date 07/01/2014 �; (1 Countersigned By:_,; rnnvrinht 1QR7 Nntinnnl(--il nn(mm�encoFinn Inoi. no !+ _---. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 6 Parcel Permit# Health Division Date Issued �( Conservation-Division /A Fee oe7 L� Tax Collecto' �� ��(✓�l y } Treasurer l'odd •g ` . 0 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis JQ Project Street Address AA19 S r Village C0TL). Owner \ 111R 1f t,, Wdf elWi 110r Address 0 00x .? Telephone Permit Request S'7-R:tAP-r96 of Poor A 001 iojV of 10LYwal., AsPNALT �Sfftl is �o®o sR FF.�Ir"� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Costf 9•Sv. 00 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family O/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full . ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new (2 Half: existing d new C2 Number of Bedrooms: existing 3 new J Total Room Count(not including baths):existing new First Floor Room Count 4 Heat Type and Fuel: ❑Gas O'Oil ❑ Electric ❑Other Central Air: ❑Yes [(No Fireplaces: Existing O New 0 Existing wood/coal stove: ❑Yes EI No Detached garage:Uexisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O 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 FRA0 Lt 9 SUILW C COM.PAkKJ IAIC Telephone Number /-100 ' 1�99 d eza Address 5 f 1uhs rAo 01Z, License# v vo lj� /W NK L)L , 04 oa Q Home Improvement Contractor# �y� f /5 Worker's Compensation# 7Gf9 4 J eie 102l.k= ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lt.S70A , 0A SIGNATURE DATE _��/l' ` FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED MAP/PARCEL NO. r ADDRESS ? VILLAGE < OWNER DATE OF INSPECTION:' FOUNDATION F FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL < FINAL BUILDING - { R =� DATE CLOSED OUT ASSOCIATION PLAN NO. S , I 6 The Town of t5arnstante 9 � Department of Health Safety and Environmental Services r. .. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissione: Permit no. i 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. ouFk Estimated,Cost�?"P6-0. 'o Type of Work: RE- ►R �G YP Address of Work: 611 ^A)N S r, C o rw 7' Owner's Name: WAl Pt k L. Vykr Lb(/ t eivr , Date of Application: ��9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law [3Job Under$1,000 �B ilding not owner-occupied 9wner 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 Owner's Name q:forms:Affidav FTTJ s • ro Al,f/o�i s y. y s�f ,s1l lam% r 57 EM Y � . .. .a u ■ III Ic i ■ ,.•.0.mw.v> .... .... �.;,Ny�.v...;.......... rc<:u.^^ccM±ia>: ... ... oowDoov.wCP>3»wv.ro:.:,.'ux.'i^n.'o'+�,'.Oc..•vyxc,.oy:.- _1 ro� - 5 Mid: �aaaacl�iuell2"s Psi. „1,i� } ri"'34x;✓r'+F++.tkE ---- :-�— `exHOMrIMPROVEMENTieCONTRACTOR£ } b = `Reg lstratlon '117415` e�=� Typ PRIVATE'CORPORATION � ; ��,• • .� � u�� -• . �::. . a ��, , 4��Ezpir-ation�;��10%07�00 ����� ��` - - • 's 1�t Alr''l'1 � i+diy° t' J�}J , tetf i`R.�4 ,cam,!✓" s�i tt s°E ;, � � FRANKLIN BUILDING COIPIC _ � u,r..a_+a.,+3ti,. ..,._ .__ _ a..t .. ,.il�3•��r,.,E...4+.il+.h .r-y,, n 1f, DEPARTMENT OF PUBLIC SAFETY j CONSTRU ON SUPERyVISOR LICENSE TT , y.: Nu®ber Expires:,-', I Tom' 00. ' ,.•> L°4 E� LC�' • •� £ _ _ } •�' � r`�„„a. x��. �.d FRA�d1fL�N;``��/•02038. _• x �. s� �'# .�� � ' w�• z. 1 f , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONe Map US C, Parcel Permit# Health Division °``�' �✓^ �6 �- Date Issued Conservation Division Fee %'/_ O-V Tax Collector SEPTIC SYSTEM 11103T Treasurer��"1 INSTALLER IN COMPLIANCE Planning Dept. 'WITH TITLE 5 ENVIRCN1M6�cal ° Date Definitive Plan Approved by Planning Board. Historic-OKH Preservation/Hyannis Project Street Address ►^'t A-' -4. S Village � . Owner 0A4-m-w-l"-4 5tLsA•-1M _4HSJ:1_"IUCyHT'a Address- - ► 3 7 HLA4-1 Telephone F Permit Request To 046p C a.tZ F1 4 7o FCC r1 Tb E x, 5►7 Z�L--L- +.i 6 � McnJS . o b l (. K sb' p Square feet: 1 st floor: existing (006 ' proposed 2_oO 2nd floor:existing proposed .Total new Estimated Project Cost )0,-0.0 v - Zoning District Flood Plain ti4b Groundwater Overlay Construction Type 00 o' ;tZ +-J .S, Lot Size 1 36 A-c-. Grandfathered:`'❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 40 *ties Historic House: O Yes ANo On Old King's Highway: ❑Yes D!�No Basement Type: Wull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) r Basement Unfinished Area(sq.ft) "Number of Baths: Full:existing Z new '—" Half:existing new " Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing _ -7 new ' - 7 First Floor Room Count Heat Type and Fuel: ❑Gas O'Oil ❑Electric O Other Central Air: ❑Yes �"o Fireplaces: Existing, — New Existing wood/coal stove: ❑Yes ,)d 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# r, b Current Use Proposed Use ' BUILDER INFORMATION Name Ea��z T ►^ti`-C��b-f�e ( Telephone Number 42-0 - 5363 .Address ° 7cp.-KoY 10 go .License# 047�43 60714�'f a b z L35 ` Home Improvement Contractor# ! 0.4&5 s Worker's Compensation# 0000 =S a o - 0 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c E SIGNATURE DATE _ �I�I41 FOR OFFICIAL USE ONLY g' PERMIT NO. F •1 » DATE ISSUED A _ Y ,., _ t- �." � i ,. a .. .1:'.� •- t ; .. • r �s � -t • MAP/PARCEL NO. ADDRESS ;. .t i VILLAGE ` OWNER DATE OF INSPECTION; FOUNDATION ' FRAME { t f _ • .. } ft ' x INSULATION FIREPLACE < ElICTRICAL: ROUGH FINAL y t PLUMBING: ROUGH e FINAL i fy GAS: ROUGH " FINAL r FINAL BUILDING x. DATE CLOSED OUT ASSOCIATION,PLAN NO. r. _ , Thellown of Ba-rnstable e�arrer�. 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: W o o n i=2A.K F $C it-Z-Z,lf Pv-Xc 4 Estimated Cost 10 , v- r o Address of Work: w.A-• S 7- C o T'L-r 7- -Owner's Name: t,+ A-it-;Zz 9 r S'k-s �4n1 V,! �(�r;:t_w Q.C�F-1 Date of Application: Z1 0 ass I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. �,a���- r vk��c.tlz•.l-� 5g�,,lop/ 1>s Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav -__- - The Commonwealth of Massachusetts Department of Industrial Accidents Office o/Investigations 600 Washington Street VA. Boston Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. campnnv name: V z address: 70- r lb ao city: 6 o TV—, T" iw R phone#: 'Z-0 — 3 G 3 insurance cn. nolicv# "C t70 0 0 3 6 0 —0 0 8 ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name• address: city: phone#- insurnnce cn. Ditty#.. . . ;.;.:....:.....;>:.;.:.;:.;:;;.>::.... camnanv name: address: city- - phone#: ::.:.....:::.:.::.,....:.. insurance co. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S 1.500.00 and/or one vean'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. I do hereby certify under the pains and pe aloes of perjury that the information provided above is tru.-and correct Signature 0 4 Date Print name Phone# 20 -$ 6 Ccontactpermom. do not write in this area to be completed by city or town otIIcial permit/license# Building Department ❑Licensing Board ediate response is required ❑Selectmen's Offi❑Health Department phone#; ❑Other (tsvuen*95 P1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thl:r employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc=: - 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 c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece:ve-.- 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 c. 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 renew of a license or permit to operate a business or to construct,buiIdings,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 permittEcense number which will be used as a reference number. The affidavits may be returned 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. The Department's address;telephone and fax number: ' ' The Commonwealth Of Massachusetts' Department of Industrial Accidents Ottice of lauesugatlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext 406, 409 or 375 ' ' Tabta.142.1b Ph2alpd►e Padcaga for Dna and Two-Fan*Reatdmdal Haiubp Heaad with Food Fulda MI►7QMI1M AlaNa um Glazing alaaag Ceiling Wail Fhw Baas Slab N 6 g Arm'(%) U"dual gwalm; Wvaiva'- Rrvdna? Wall li �pmam FMtz�Naeicaa_e R.vdtta' .vdud 5701 to 6500 Headag Deme Daw Q 12% 0.40 3E 13 19 t0 6 Not�si 1t 12% om 30 19 19 -10 6 No=zi S 12•b 250 3E 12 19 10 6 iSAFUE T 15% 0.36 3t 13 2S WA WA Normai U 13% a" 38 19 19 10 6 NomW V 13% a" 38 13 2S WA WA =3 AM W 15% GM 30 19 19 10 6 IS ARM X 19% 0.32 33 13 2S WA WA Nomad Y 12% 0.42 39 19 23 WA WA Nomzai Z 18% 0.42 32 13 19 10 6 90 ARIE AA IVIS eO 30 19 19 t0 6 90 AFEM I. ADDRESS OF PROPERTY. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA 03 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR VAL: YES: NO: q-forts-080303a I Footnotes to Table JS.Llb: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylight, .and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl 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 JI.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling R values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness.over the exterior walls without compression, R 30 insulation may be substituted for R-3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall For example,an R-19*requirement could be met ETHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fiame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-same construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,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 It-value requirement as above-grade wails. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3,4, or 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 J5.2.1a ROTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 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 JI.53b. 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 FILE # K 3545 CENSUS TRACT # 132 CLhENT: .Zaltas, Medoff, & Raider DEED BOOK 3708 PAGE 16 PLAN BOOK 342 PAG 11 LOT OWNER : Randal P. & Ruth K. ough ASSESSORS PLAN -PLOT APPLICANT:M O R T G A G E , I N S P E C T I O N # P LAN ,;OF- .t':.5L.'A;N D.. By ill, C0TUIT ' SCALE : 1"= 80 . , NOVEMBER 6, 1992 tijF BAR UM : o F-T AL 38 AG� • w � h._,t ...+ F .i.Vf '.✓ . ..�. Fie `'j _!;, e, 1 C.r yr �` • ', i' /fi t, "� f ; �( (j-r 0. .. NJ IF G00D&L - ►mil I F F-DII l E GAR I i I/zsr ►30.0 I CERTIFY ZALTAS, ,MEDOFF & RAIDER, MIDDLESEX SAVINGS BANK AND ITS TITLE ' INSURANCE COMPANY THAT THERE ARE NO VISIBLE ENCROACHMENTS -OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION . THE LOCATION OF DWELLING AS SHOWN IS IN COMPLIANCE. WITH THE LOCAL ZONING BY-LAWS r -WTH--RESPECT-TO HORIZONTAL -DIMENSIONAL __ a REQUIREMENTS ., ; THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP . OF COMMUNITY #250001 `c �'�qc tnt�o 0018 DATED 7-2-92 BY THE F.I .A. a Land Surveyors Clvii Engineers i r y y �laP �.IISfIIri'�1M'ri��Ul'bP� �Q.,`�rit. Y 17Z Ailliiim f6t. . k 62740. GENERAL NOTES: (1) The declarations made above are on the basis of my knawledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made. for recording purposes, for use in preparing deed descriptions or for con— configuration may It structions. (4) verifications of property line dimensions, building offsets, fences, or lot be accomplished only by an accurate instrument survey. . tie ' t '..�. '�: q :,k.' Z »*.¢.Y '.`- , -� t s.•:P :v #ik 4 v� �'-.,. Ys°•Y i, ;,5:, ' .. t v ¢ y M «. ... � :. r. : pih;- s . 4 -, ` AYTN�.T s+e i. "@ T t .V4,:..T i 11 Nd 5S ieVCR O - Z S_.._._ ------ `.. • DEc.k eN z e, RAF'!-ef Sri e c nn T. � YL. ,♦J.' 7�1xH NlAD�� _ : } r a i I - -.__Z :a. 1 .,.t r pF-A L../n n I'•D_'_ • •' 4._a '�-:4 I e)� _. % .�Y i(, 1YW �i_�� ,£t�,y� y .. !�R'I PbST ___. ___ Ty P:CAL WALE SFSTOwl � - - }k,y . n I t " -�i Y; ...S•� D t.{Toy ire : E v£ex — — T9 1— +s �yvro•P.r..Te,oTS G�.l6 E.C.. . SPA y . . 1 4x-I 14.6.i,R TD3T5 � �t '� trt r �t � �4� � • rIft Sri N-,rC IiT' n (rt i 'I: i.-b" birMWM NF': MeM Ir11rM�MeNY1R111. ... ... .. Y4.•r Q.VVf-K ASPH A.T aaiwa.0 �Y[R 1✓�'T•6 2w0 14�PTII[S �.�� y, x9 IMAMX.. _. _._... scmrz<w� - e • I Ta P-GAL WAI. STGTOnL I D 7D srs I I � � K.�Ten Zo 4+R4 POST I DOOR v/(TCI-. IR.I VU[I-r, sTA[ZD ia9V.6.F�IIPDSTS�3''e"_4•.e..D.C. fthki .. � � .. � - � � � �.1,r 1[f I_.•.✓M,iG•,117 Vc RC 1.1 ' oAn: term . - ---- ✓fie 1�oon�maiuueal/� a�✓YLa.�vac�%u.:elt' DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION`SUPERVISOR LICENSE Numb Expires: --� Restrifted�Ta 16 r . yam dui STEVEN P MCELNENY PO HOW: COTUIT, NA 02635 ,HOME IMPROVEMENT,CONTRACTOR r�� $Registration'110485 '�- . _ �`q .. a l.Lai•« t cx, �.y ' Type INDIVIDUAL Expiration i10/20/00. Qt k' ,GROVER &'MCELHENY BUILDERS � . � � `�TE�►EN P McELIiENY . .,ADMINISTRATOR BOX 1058/523 MAIN ST a � � . •� � max; �:,.�, ,� „�. � r k'f_ --�-� �- k a /9k As'sdssor's map'and lot number. .. ` THE ( Hof Toy Sewage Permit number I Ot!✓,1�.. � y ....... a , 9�9flB9Ta E. House, number 9 S- L r .EO MFY Ar. TOWN .' OFF BARNS.TABLE .w - IUILDING I�NSPECT�OR . y i s �` 14 r ' •APPLICATION,FOR PERMTTh TO r�G v' �'R 5� O hl q o ....... .... .................... TYPE'OF CONSTRUCTION ' . ' .... ` ...C. .............c. .........19..b.` TO THE INSPECTOR OF BUILDINGS: - '�""F • The undersigned hereby- applies fot'a perrriit-,according to the following -information: , Location. ............r........................f�,�.i .................. I.�.......5• t.............. '.......C:�i •v. t.......................................... ProposedUse ....... . ..W . . ............ ............... .. .............. ' ...... r................................ . . Zoning Distract ....tJU ....... :.*'Fire District .... ... ................................. ........... Name of Owner ..:..R .......?...4:........... .................... .Address ... �1 ................................ c_o.!.....:............ 'Name of guilder .. :.:..............:.................................Address ....... .......... ........... :. ....+......................... Name of Architect .... Address ....... ......... ...... ..... ..... ...... . . .i :-. - ..Gc� GRCT4" �oOr1lIJ�S F S�� Number of- Rooms ................................................................. Foundation ..............hl........ ...............................................:.. !J _ Exierior CI,,P(p 6Ga l2'i1 S Pi�MLT.........!544 i l5 ��.................... ....I.... Roofing J( .......... , Floors.. ................ .... ........ ............. .................. ..:::...........::..Interior ............................................ .............................. Heating ..... ..%.1............ ... ..:...................................... ........Plumbing .................. ._........................ .......t............... Fireplace ........................... ..... .......... . .............................Approximate. Cost ................................................ Definitive Plan Approved by,Planning Board _= 4____________________19__=E____. Area �d G.. �:.... .... Diagram of Lot and-Buildin with Dimensions' g 9 Fee .....I.Q:... r"`:............ SUBJECT TO APPROVAL OF BOARD.OF HEALTH ' ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ir' , 1 hereby agree-to conform to all the Rules and Regulationsof the Town o BaVrnstablr.e.g.a.rding the above ! construction. Name; ........r. '.. . .................................. `* Construction Supervisor's' License � ' UGH, RANDAL 26063 MOVE GARAGE `' e No ... ..... Permit for .... ............................... f Accessory to Dwelling � ... .. ...........a. ... ........... 616 Main St a Location ....... .. cOtuit '. s. ..... ...................................4 .. ........ 73 �A - Randal Ough Owner ............................................. ......... . .... -'' r � Frame ; s� • Type,of,Constructiori' - ..... •t �. w. ........ 7 ,. Plot'............................ Lot u -' '+` Februar 9 Permit Granted ................. Y......�. .....19 84 Date'bf_lnspection ...................sir .......19 c t. , Date .Completed ... ..............1'9 J i 1 j rh;f� y; n r ' - • �a � w � - IN / S Assessors map'and lot number ................ ✓. ............ FTaeT • Sewage Permit. number ..'.!°..,.M.: r;,!2...�t!%........::,......: "I Z BAHHSTADLE, i House number ......................................................................... 900,0,MAO m� 'F0 MAX ale TOWN OF BARNSTABLE � , BUILDING INSPECTOR APPLICATION FOR PERMIT TO r v; u`.. `�....�� ©N To 4 °......................... ................................................................................................ TYPE OF CONSTRUCTION ............!..........::.... .' : '�1.:1 ................................................................................... .............. ................. .............19.. TO THE INSPECTOR OF BUILDINGS: -� The undersigned hereby applies for a permit according to the following information: Location ............................. �.....,-:..................... � � � `� ^ u � T' �. c nn' .......................:........................�.....................:............................ ProposedUse .............................. '( .............................. ................................................................................... ZoningDistrict ........................................................................Fire District ................ ........................................................ Name of Owner .....R` N�! �...........��.� .................Address L'...................................' - � �.o i u , r— ..... ................. .................. Nameof Builder ................................................................... Address .................................................................................... Nameof Architect ........tT�.....................................................Address .................................................................................... Number of Rooms ................�.................................................Foundation ........CcM TV�z ................................................ Exterior G k f RU(4 R_b . Roofing S P 14-0�T..........So %-C S F.'..... ................................................................. g ............................ Floors t .Interior Heating ........................... "....................................................Plumbing ........................ .:=.................................................... Fireplace ...................................Approximate. Cost . �;- ".............. es ... ................................................ Definitive Plan Approved by Planning Board ---------------_-----_---------19________. Area ......... A�i:.... �.:.. Diagram of Lot and Building with Dimensions Fee l�.. ........................ SUBJECT TO APPROVAL OF .BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega ding the above construction. Name ......... /. ~. .... ` .............................. Construction Supervisor's License �` '' OUGH, RANDAL A=36-28 r r 26063 Move Gara e -. No ......:.......... Permit for ......................... ........ r m Accessory to Dwelling.............. ................... ....................................... , Location 616 Main Street . Cotuit ..........................................................'.................... Randal Ou h Owner ...............................�.....................:........... Type of Construction ....••ramp••.••. , ............................................................ ................... Plot ............................ Lot . ............................. Permit Granted .-:::February 9, 19 8 4 . I Date of Inspection. ....................................19 _ ' t Date Completed ..' ' i I� • PAGE-Z I• .<� r' ti RARNST"'nF COUNTY LLy A. �ENN/� �• oo "q REGIS 1 Rl• OEEQS 06, '.TFF14t1OF 19EEKE5 , � �@„q _ �T E a IN . s D00K 3 9� 1 F ' L.� w �06 89 w 397. 0/. 80• moo/ .3� 51 � e� N 36 3 �jCA�..E CUP �1F 600/6 �N :. cr N - or, V. �� = ;i57 Z 758 Al _ 95.0 9 10ENJA"/N _ ¢ F. C2058y PLAN OF L-ANO /A/ 57 VALL EL flAG C07VI r AZA/ TAB L MA HA E ,r-`vim- -------_ .-------- ' K PV\N 0F_Hq RODE;er C. FA A�S7_ � G bRGE s ;_ -i. ' o W ( pow,JR. _i. LDEEZ:) 25(:)OX /38/ FA' /24 � • SR f 8y LOCUS,llel -�- - GEO,eGE LOW 4 co. - a,2T/Jay Tf/A-r TN/S ;-L-4A./ HAS 8-9WIZ-L0W 5T.2EE7' APP,�✓AL NOT ,2EQC//2ED UNl�E,� N B�E� P'�E'�'42ED/N COivF0.2M/Ty yA.�MOC�TNP�r, MA. THE sUB[�v�s/Oni ccvvreUL [..4 N/ W / 7W TNT 2UL ES A�/D 2E GCJL�T/aN5 `SOLE /"r,4Q OF T//r ,tZ 45/S TE;P:S OF DEEDS t3F TNT BAZAI- BLE PLAww/ a GOMMONV{/EALTH OF/yi45s�LC//!/SE77�. fiee tf�s suy-U dro 5 -A f BABlSTAfiL TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ^ ±Z..A9A.^ .^C.Cf..?.'^yZ. TO THE INSPECTOR OF BUILDINGS: -The-undersigned hepeby applies-for a permit accordlng-to the following information: Location 0^-C3U^\^ Zoning District Fire District ..(LstzJ:^. Proposed Use Name of Owner Address Name of Builder Address .CL^^?5r^j':rrS^. Name of Architect Address Number of Rooms Foundation CL.enA.X«>7:£^5^. Exlertor Roofing k.'S'iLt Floors .Criffr?:b::5nZ!TA52fe interior Heating Plumbing .'rrr........."rr. Fireplace .t Approximate Cost Difinltlve Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions y ^ // ?'* 3 O' i" fy) / 0 ,^ k\(3.a>v yr\ I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Bogatay,Henrietta o3 No ..Hi™....Permit for .?!°y.?...°S®...?.a.E. garage from Hajden's Gotuit IpltP.IV Location MS...?!iEe.et. Owner Type of Construction s,2£v^...Plot Lot May 23 Permit Granted 19 Date of Inspection 19 Date Completed 19 PERMIT REFUSED 19 Approved 19 6? •vA \^.1'I BAfiJSTASLE TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION Lt>.19./...7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: Location ,.,23:....,,ujlX. Proposed Use Zoning District Fire District J Nome of Owner Address Nome of Builder ...Address Name of Architect Address 4 lA Number of Rooms Foundation Exterior Roofing Floors ^i^i^S^OO.C5.C^...^/V.^..A.^Si,\'iv?,'..^....rL"iCi.k'lnterior Heating Plumbing .I'Viwrfe. 3 • Fireplace .VrrrTT.Approximate Cost Difinitive Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions 4 /.<- .X V ^Y'V j .0^ I hereby agree to conform to oil the Rules and Regulations of the Town of Barnstoble regarding the above construction. Name Bogatay,H.C. OT' No ^2-^9.^.Permit for Location Cotult Owner ??.;...9;....?.?.gS.t'.?y Type of Construction Plot Lol' Permit Granted 19 Dote of Inspection 19 Completed 19^^ PERMIT REFUSED 19 Approved 19 BAEHST&BLE TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION .04^.1..^^19.7.(C? TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the foNowing Information: Ccr/tLuLX"^. Zoning District ai?.Fire District Nome of Owner .Address Nome of Builder ....Address ^C.V.^ Nome of.Archite7Tj.^^^xS.t^4:„L@n^^.Address ..^l^O....\jU.^../i^' Number of Rooms Drrrr.,Foundation .... Exterior ....^Roofing Floors Interior ^.^.^..^..i.. Heating Plumbing I Fireplace Approximate Cost .* Difinitive Plan Approved by Planning Board ]9 3 Location Proposed Use Diagram of Lot and Building with Dimensions A .1^ 4^ o;^ fd c o o 16' c- 3: o c q:-j O < Li_(/) CD O^°-^LO Q Q Q >LlI O (J)<K Q >:>-i o G mS ^Q-yHQ-CC . UJ ID iJj ' CL ^< O DC >-zaDCS i-T-LC ^LU ^Q"^ E 2 Q CO < LU -J m <3: H LO2 < ^LU ^s£X^oLj-U Q-i» O en <iV _Q b~ o o H ED hi "O 0 LU CO ••S CD O fc>S 2y^H" CO •U -J J -J PS CO CO 2 2 oQ LU 2 CO <C 2 , LU h- MsJq: ^hj I hereby agree to conform to all the Rules and Regulations of the Town of Barnstoble regarding the above construction. Name J. r z. 2 <»i Bogatay,H. B, C. DECkW(5!) No .1.3M Permit for Location Cotuit Owner .?r..9r... Type of Construction Plot Lot Permit Granted 19 7® Date of Inspection ....!....4.19 la Date Completed 19 PERMIT REFUSED 19 Approved 19