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1691 MAIN STREET (COTUIT)
l _ ���� � ���� s� t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health Division Date Issued /6 G L Conservation Division _ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �ic, lh(,I63 Historic - OKH _ Preservation/ Hyannis Project Street_Address (9 M(�k t A st, Village Cot L) Owner I Sa tp, "I n e Address l G I l Ccl u i+ Telephone Permit Request ,��a, ,. r f s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 22o Project Valuation C Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach=supporting,,Oocumentation. Dwelling Type: Single Family W Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'. Highwa' ° ❑Yes ❑ No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other ''~' Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Yv Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed'Use� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Daw I Q VcA eat Telephone Number �'C7� �q 7 -a,g,;r7 Address I b f 3� a r�s�dale Pep License # 0-5-0 �._ Home Improvement Contractor# 100 4 y g Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS-PROJECT WILL BE TAKEN TO SIGNATURE Doj_�_ DATE l 13 FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 4 G OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION Y. FIREPLACE ,r ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Y DATE,CLOSED OUT ASSOCIATION PLAN NO. �`= The Commonwealth of Massachusetts Department of.Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 www.mass.gov/dw Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Orgmn mfdon/IadividuO): P Q�V i a t)Q U a r e_.U Address: to R- [ 3b City/State/Zip.f6re4daf P- Ma, U,e Y 9 Phone#: 'bps'4 7� Are you an employer?Check the appropriate box: 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 ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑Building addition [No workers' comp, in comsurance P• required.] 5. ❑ We are a corporation and its 10.0 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 employees. [No workers' 13.❑Other . comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to 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 ce ' under the ra_z�� and penalties of perjury that the information provided above ' true and correct. Si mature: Date: l `� Phone#: X;0-` i Off cial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one):, 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursumt-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 buildings in the commonwealth.for any:_... applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the.affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia \ Office of Consumer Affairs&Busi6esGs Regulation ME IMPROVEMENT CONTRACTOR. _—k9jY434 gistraUon_ = �00448 T . lndividuai DAVID L.BOUDREAI' i' � �1 1. F -� i•Y 1 - _ - x.- EE David Boudreau , ? i 10.Route 130 Forestdale,MA 02 ry .. 644 Undersecreta _ - Massachusetts=Department of Public Safety^� t , Board of Building _Regulations and Standards- i x Construction erur ' Y I License: CS= -=026902-- 1 , DAVID L_B_OLI��tEAI 7 - - -_. FORESTD4E MA 02 t Commissioner Expiration _ 01/10/201'4 - I � - - 1 10 Im Will ..w -.m.,.�._:,_,,., .... .-ter• .._._,,.. __ tWam kJ ' r 3 _ � e I . 09 WOODED �R f IEST f T 113 T®F4. N EL, 6 Lem ' •� , CA CA CA CArv— Low BRUSH SCRUB FR r ° No. ® 1 F.F.E. mm'17<3`� TO RE ®�/E @PE PVC t® yea LEACH 'PIT �011T 114 STONE DR E� ARE A o , ®80 . 106.0 :L EA EX I T@NO L CH •PIT ;Q. FT. 1 " ! : BE LIMPED do F1L ;RES "� 4 S�WE DRIVE jilt .e ��� 3.; I HEREBY CERTIFY THAT THIS °FOUNDATION IS LOCATED ON THE LOT AS SHOWN AND CONFORMED TO THE TOWN OF. ZONING REGULATPNS, REGARDING SETBACKS FROM STREET LINES AND LOT LINES AT ,P2lE%TI 'Pf° AS CONST CTED, =06E °= r ROB .DATE ce c1, v 10� Ce �1®e. 15 - 4 Zo,�► t3 % `J p / cn S � e fit'' Be tttt ' r w• F Bot • Rd9h1 ["f� b6�P9"'�� _°` '..w.. _F °L_—...r-_..-.! , .. �'•J.. 1 w taw" 1 q soi r�tl gCIS low �....I.Irn• _�� cr)tuiIa hIA 02049 . { V t Bath p FKitchgen � 5'-11"x W-10"x °gym 91-0"x 16°-2" 8'-4" --_ ik _ Hall Two Car Garage , , , '6 Scre®m d Poic;h • 25'-3"x 24'-6" �26'-3"is I V-41' Foyer , 7 22-4"x ' r o., r Living Room ua 14°-10"x 10'-10" ------- ®pan To Above Diming Room . Bedroom/Study ' W-6"x 13'-2" Dock UP r 1691 Main Street Firs �loa�Sian 4 Cotuit, MA 0263� Coiling Height®81-2" 4' t°`2'. a a> sew 11r a•c'-o" Town of Barnstable °* Regulatory Services BEAsa g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder f� I, (o/h ���^� , as Owner of the subject property hereby authorize�O%U k 2� 15U a T Colo to act on my behalf, in all matters relative to work authorized by this building permit f q ! Vy a,v\ 5oL. (Address of job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant l�sFt NT� i✓ �0.�1G� 3000\YP-o' Print Name Print Name Date WORMS:OWNERPERIMSIONPOOLS 62012 ' Town of Barnstable o� Regulatory Services t Thomas'F.Geiler,Director ReRNSM&Br.R_ MA & F Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 WWWAown.barnstable.ma.us Office: 508-862-4038 Fax::508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village ` "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit: (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. i The undersign d"homeowner" certifies that he/she understands the Town of Barnstable Building Department minim insl5ection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomn/certification for use in your community. Q:forms:homeexemp.t %' h, I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON THE LOT AS SHOWN AND CONFORMED TO THE TOWN OF ZONING REGULAT QNS, REGARDING SETBACKS FROM STREET LINES AND LOT LINES ATTH TI AS CONST l- TED. ROB D,`..PL.V1 DATE to 108. 15 +o r 0 o , •S s y,ma /' o 1_ o tu ,�•p.F c �2�.3�S65 6 p0��• S H• � ff N , A W O W ' JY 19-7 68 �Z THIS PLOT PLAN WAS MAC, FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER NO CIRCUMSTANCES ARE OFFSETS TO BE- USED FOR FENCES, WALLS, HEDGES, etc. o. OF gss� FOUNDATION LOCATION. PLAN O�� tiG ROBERT ��, CST 3-A I 4 )LA ��Ze E. RAYMON 2583D o , C � I T- L) 1-7) ' 'osA ARROW ENGINEERING INC. FLOOD ZONE AL`M 10 CAPE DRIVE SUITE B � COMM. NO. 2'�0001 -Ob22G MASHPEE , MA 02649 / SCALE: DATE: OMR I � \ojg EFFECTIVE DATE AJ6 \02,138r2' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a`'t Parcel 001 Application# Q406767 3 9 c1 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee _ Planning Dept. Permit Fee 5 �3 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address f L q l M,+, 4 9 tea• ° ` Village Owner. P N1 V iz .r `.9�^ it d �f- Address (fy�r �^-• '�-� S`� Co Telephone 41-6 - [&q r Permit Request ® plGFJ $—rYJ. s2 ta7-: V0 R A4 [ :=� �� . o�i sT'7r N CWJ v12 !N i, IZ-J @ +P '.,4 :u C, jz �:�4 caV�t`��. Ta 1 2fJca•-.� In,t i—'t� dK Q�i �n A t_ Square feet: 1st floor:existingi3civ proposed ® 2nd floor:existing t 7_t proposed Total new 0 Zoning District jC.•Y Flood Plain 44 Groundwater Overlay Project Valuation 15.cl,„e, Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 20 If X25 Historic House: ❑Yes )4 No On Old King's Highway: ❑Yes XTNo Basement Type: )4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) `�®v Basement Unfinished Area(sq.ft) i d Number of Baths: Full:existing ".7, new 0 Half:existing a new 0 Number of Bedrooms: existing new 0 Total Room Count(not including baths):existing �! new 0 First Floor Room Count Heat Type and Fuel: X Gas ❑Oil ❑Electric ❑Other Central Air: )dyes ❑No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes )0 No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage:)i existing ❑new size 2� hed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑- Appeal# Recorded❑ ' Commercial ❑Yes �No If yes,site plan review# `f' > Current Use Proposed Use BUILDER INFORMATIONS Name �' � �•�`z Z;[ c 13 u� +� Telephone Number aA --3 Address P; ;3G�L ctGb- License# 0,94`7Cq 3 - C-07-IA-=► k-.� ej 6 z-&3-5 Home Improvement Contractor# 1 57 (Aq Worker's Compensation# 0 P>i C-i-1 T-1 -0 S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO W A-6Z'*4 '3 SIGNATURE�� �' ,DATE a it 15 10"j 4 'F• FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED { , MAP/PARCEL NO. x ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION A ®rX FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING nooe-_- �� i2 tm-j., DATE CLOSED OUT ASSOCIATION PLAN NO. Department of lndttstkal Accidents MIA M Officg of Investigations 600 Washington Street t y Boston,MA 02111 www.mass.gov/dia ` Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Ay licant Informatibn Please Print Lep-ibly Name (Business/organizationllndividual): 57-11ri-J'6 l 62-C•ic(A-tZ r t Y -`i3 :L-J?2 ZE c 6.4c }. Address: •mac `30X qh a' { City/State/Zip: -tom l-r o, ca2-G Phone#: 5;o6 -4`1 Are you an employer? Check the-appropriate box:. T`ype of project(required):- 1.O l am a employer with 'Y 4. ❑ I am a general contractor and I ' 6. ❑New construction . employees (fill'and/or part-time).* have hired the sub-contractors listed on the attached sheet $ 8• Remodeling 2.El am a sole proprietor or partner- � r.� . : i ship and have no employees These sub-contractors have 8. rDemolition' working for mein any"capacity. workers' comp.insurance. 9. ❑ Builftg addition [No workers' comp.insurance 5. ❑ We,are a corporation and its • required_] officers have exercised their 10.❑ Electrical repairs or.additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself;[No workers' comp. c,,152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers". 13.❑ Other ' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: ' t Homeowners who sabmittbis affidavit indicating they are doing all work and then hire outside contactors must submit anew affidavit indicating such. ' tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy inforrnation. I am an employer that is providing workers compensation insurance for my employees.'Below is the policy and,job site information. - Insurance.Company Name: kl VZ4> Policy#or Self-ins.Lic.#: 0&i 4 e,a `"7 - '7 "0.5 Expiration Date:• g i p e Job Site Address: CC *r-t 'r dv,-A City/State/Zip: pZGTS 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 caii lead to the imposition of driminal penalties of a fine up to$.1,500,.00 and/or one-year imprisonment, as well as,civil penalties in the form of a STOPVORK ORDER and'afine of up to$250.00 a day against the violator. Be advised that a copy of this statemenf maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: Signature: Date:*- l III V t.-7 Phone#: a zl n-7 -V ci.4'`?- Official use only. Ito not write in this area,to be completed by city,or town qjftcial City or Town: Permit/License# Issuing Authority(circle.one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massaqhusetts General Laws chapter 152 requires all employer to provide the service f another under any for their ctiofloyee� Pursuant to this statute, a' employee is defined as ...every pers on express or implied, oral or written." An employer is defined aS::P4?g�S1paL.:P�eqtiP': association,Fnrporation or other legal entity,or any two or more of the foregoing.engaged in a joint enterprise, and in the legal representatives of a deceased employer,or the association or other legal entity,employing employees. How�tcv..er.tl�e receiver or trustee of an individual,Partnership, . 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 S ll n maintenance, �a of such employment be deemed to be an employer housenstruction or repair wo&Vu such dwelling or on the grounds or building aPP� ' MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the-commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commotiwealth 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 iequirements of this chapter have been presented to the contracting authority. Applicants Please fill out .the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)narne(s), address(es)and phone number(s) along with their certifigate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the ers or artuers; are not required to carry workers' compensation insurance. If an LLC or LLP does have . memo P d trial employees, a policy is required. Be advised that this affidavit may be submitted to the Department of In us 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 ffiavit for ou to fill out in the event the Office of Investigations has to contact you regarding the applicant. of the a Y. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple 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 or citizen is obtaining a license or permit not related to any business or commercial venture year.Where a home owner g (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts ' Department of Industrial.Accidents ..Office of nvestigations 600-Washington•S rpet� . Boston,MA 02111 Tel.#617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26.05 www.ma'ss.gov/dia Town of Barnstable Regulatory Services Thomas F.Geller,Director 9•Aj •`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.ma.us ffice: 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.adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work: lies`r�@ ^�>`G � Q� c��t�' Estimated Cost ct-wc,- Address of Work: l S l P1:Q4 5 . ' 1 r9 ( 7-L 7- Owner's Name: yq.J, N1 Date ofApplication: I i ,S I hereby certify that: Registration is not required for the following reason(s): OWork 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 WIMUNREGISTERED 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: 11i5�f/`� S'T ✓�� iMC-t_LH 57-7E-qq Date Contractor Name rjC, Registration No. OR Date Owner's Name Q:forms:homeaffidav �pFZHE Tay, w ' Town of Barnstable Regulatory Services • anxxsTkB�. • Muss. Thomas P.Geiler,Director 039. Building Division Tom-Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us )ffice: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 4 I, {� "7-1 S- ,as Owner of the subject property hereby authorize '`7'K v Kc fi'1i►�: t-�l i cAC`f j�;t�iLJ � c' my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) II Signature of Owner Date r— I Le-v-y-�. Print Name Q:FORMS:OWNERPERMISSION Btfa�oP�"(ffYQ3�i�`���i8�a I a" Construction Supervisor License License: CS 47693 j Birttadatb� 9/23/1958 Expo ' 9/23/2009 Tr#``"4549 r Restric ion G1 � STEVEN P MCELHEHY r} r s PO BOX 460 `4 � ` COTUIT,MA 02635 ` % Commissioner i • f • k a f i w ' ` , t; ��T 1 A' ✓!ce &.1rri1�uuP. Board of Building Regulations and Standards License or registration_valid for individul use onlyi' - HOME IMPROVEMENT CONTRACTOR before the expiration date..lf found return to; 'vi Board of Building Regulations and Standards Registration: 157699 One Ashburton Place'Rm 1301 Expiration: 10/29/2009 Tr# 260819 ; Boston,Ma.02108 Type: Private Corporation STEVEN MCELHENY BUILDERS INC 1 STEVEN MCELHENY VK 56 BOWDOIN RD. ..� MASHPEE, MA 02649 Administrator Not valid without signature s4; ` s t: b 5. • � f T<; t BOISE- Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor HeaderT1301 BC CALCO 9,5 Design Report-US 1 span No cantilevers 1 0/12 slope Tuesday, October 23, 2007 15:18 Build 91 04-00-00 OCS File Name: S McElheny_Stern.BCC Job Name: Andy&Jamie Stern Description: NEW STAIR HEADER Address: 1691 Main Street Specifier: City, State,Zip: Cotuit, MA Designer: Joe Madera Customer: Steve McElheny Company: Shepley Wood Products Code reports: ESR-1040 Misc: f'a i. 04-06-00 BO,3-1/2" B1;3-1/2" LL 360 lbs LL 360 Ibs DL 111 Ibs DL 111 Ibs Total Horizontal Product Length=04-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 04-06-00 40 10 04-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 427 ft-Ibs 3.1% 100% 1 1 - Internal be verified by anyone who would rely on End Shear 244 Ibs 3.9% 100% 1 1 -Left output as evidence of suitability for Total Load Defl. U19299(0.003") 1.2% 1 1 particular application.Output here based Live Load Defl. U25252(0.002") 1.4% 1 1 on building code-accepted design Max Defl. 0.003" 0.3% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 5.1 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Post 3-1/2"x 3-1/2" 471 Ibs n/a 5.1% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 471 Ibs n/a 5.1% Unspecified BC CALCO,BC FRAMER®,AJS-, ALLJOISTO,BC RIM BOARD-, BCI®, Cautions BOISE GLULAM- SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM . Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d a c a minimum=2" c=5-1/2" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 noises Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Trim mer\FB02 BC CALCO 9.5 Design Report-US 1 span No cantilevers 1 0/12 slope Tuesday, October 23, 2007 15:18 Build 91 01-00-00 OCS File Name: S McElheny_Stern.BCC Job Name: Andy&Jamie Stern Description: STAIR TRIMMER Address: 1691 Main Street Specifier: City, State,Zip: Cotuit, MA Designer: Joe Madera Customer: Steve McElheny Company: Shepley Wood Products Code reports: ESR-1040 Misc: 5".0"IllllllllllllllllilllilI $- q _ 15-06-00 BO,3-1/2" 61,3-1/2" LL 484 Ibs LL 496 Ibs DL 204 Ibs DL 207 Ibs Total Horizontal Product Length=15-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 15-06-00 40 10 01-00-00 2 Conc. Pt. (Ibs) Left 08-00-00 08-00-00 360 111 n/a Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 3445 ft-Ibs 24.7% 100% 1 1 -Internal be verified by anyone who would rely on End Shear -639 Ibs 10.1% 100% 1 1 -Right output as evidence of suitability for Total Load Defl. U717(0.252") 33.5% 1 1 g particular application.Output here based Live Load Defl. U1002(0.18") 35.9% 1 1 on building code-accepted design Max Defl. 0.252" 25.2% 1 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 19.0 n/a 0 1 products must be in accordance with current Installation Guide and applicable *%Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO Post 3-1/2"x 3-1/2" 688 Ibs n/a 7.5% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 703 Ibs n/a 7.7% Unspecified BC CALCO,BC FRAMER®,AJS-, ALLJOISTO, BC RIM BOARDTM', BCI®, Cautions BOISE GLULAM- SIMPLE FRAMING SYSTEM®,.VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b d a c a minimum=2" c=5-1/2" b minimum=3" d'= 12" Connection design assumes point load is'top-loaded'. For connection design of'side-loaded'point loads, please consult a technical representative or professional of Record. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Common Nails Page 1 of 1 BOiSE- Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam\F1303 BC CALC®9,5 Design Report-US 1 span No cantilevers 1 0/12 slope Tuesday, October 23, 2007 15:18 Build 91 File Name: S McElheny_Stern.BCC Job Name: Andy&Jamie Stern Description: SLIDER HEADER Address: 1691 Main Street Specifier: City State,Zip: Cotuit, MA Designer: Joe Madera Customer: Steve McElheny Company: Shepley Wood Products i Code reports: ESR-1040 Misc: 3 12_ 1 i 2 06-06-00 BO,3-1/2" LL 845 Ibs 61,3 1/2' LL 845 Ibs DL 762 Ibs DL 762 Ibs SL 683 Ibs SL 683 Ibs Total Horizontal Product Length=06-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 116% 133% 125% Trib 1 Standard Load Unf.Area(psf Left 00-00-00 06-06-00 40 15 05-00-00 2 Unf.Area(pso Left 00-00-00 06-06-00 15 35 06-00-00 3 Unf.Area(pso Left 00-00-00 06-06-00 10 10 06-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of:input must Pos. Moment 3214 ft-Ibs 20.0% 115% 2 1 -Internal be verified by anyone who would rely on End Shear 1526 Ibs 21.0% 115% 2 1 -Left output as evidence of suitability for Total Load Defl. U1717(0.042") 14.0% 2 1 particular application.Output here based Live Load Defl. U2573(0.028") 14.0% 2 1 on building code-accepted design Max Defl. 0.042" 4.2% 2 1 properties and analysis methods. Installation of BOISE engineered wood Span/Depth 7.6 n/a 0 1 products must be in accordance with current Installation Guide and applicable %Allow %Allow building codes.To obtain Installation Guide Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call BO . Post 3-1/2"x 3-1/2" 2289 Ibs n/a 24.9% Unspecified (888)234-0056 before installation. B1 Post 3-1/2"x 3-1/2" 2289 Ibs n/a 24.9% Unspecified BC CALC®,BC FRAMER®;AJS-, ALLJOISTO BC RIM BOARD-,BCI®, Cautions BOISE GLULAM- SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, Notes L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram b —d a fc 1 a minimum=2" c= 5-1/2" b minimum=3" d= 12" t Member has no side loads. Connectors are: 16d Common Nails Page 1.of 1 . DATE(MM/DD/YYYY) ACORDM CERTIFICATE OF LIABILITY INSURANCE 9/4/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mc Shea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# INSURED Steven P. McElheny Builders,Inc. INSURERA: The St. Paul P.O. Box 460 INSURER B: The Hartford P.O. BOX 460 INSURER C: COtult, Ma 02635 INSURERD: 508-364-1926 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVIL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X CU COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 50,000 CLAIMSMADE CI OCCUR MED EXP(Any one person) $ 5,000 A NPP916772 09/22/06 09/22/07 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- AUTOMOBILE JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OWNED AUTOS BODILYINJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Peraccident) $ PROPERTY DAMAGE $ (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHERTHAN AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CI CLAIMSMADE AGGREGATE $ $ 1 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X U - TORYLIM ICSTAT - ITS f, OTH TI ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 1 O O ANY PROPRIETOR/PARTNER/EXECUTIVE 100,000 B OFFICER/MEMBER EXCLUDED? 0 816 C 17-7-0 5 0 9/0 8/0 7 0 9/0 8/0 8 E.L.DISEASE-EA EMPLOYEJ$ 100,000 er SPECIAscROVI IO Y ` E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER ra DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIOIVS'ADDED BY ENDORSEMENT/SPECIAL PROVISIONS h CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Town Of Barnstable DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Barnstable, MA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP ESE ATIVEVA I /^_ V ACORD25(2001/08) ©ACORD CORPORATION 1988 Q Fo_F� O J-O O U O0 'W[�V A o cv b _ .,2 N VERIFY EXISTING FLOOR 41 O _ N - FRAMING PRIOR TO START („)Q q -• e - OF CONSTRUCTION& cc ro INSTALL NEW LALLY o COLUMNS AS NEEDED 2 x 10 FLOOR JOISTS - M EXIST.2-2 x 10§ Hl EXIST.32x17s , BEARING WALLS / 5!�0I F - 2 x 10 FLOOR JOISTS z ui N • !�76'o.e. ru Z=' 0 N REMOVE EXIST.FLOOR _ JOISTS AT STAIRS PER _ O N z PLAN ON DWG.A3 ` (r11 N H NEW MULTI LVL BEAM v "" Z � x h 2x 10 FLOOR JOISTS - EXIST.2-2x 10s E—!, r,� W w H I 2 x 10 FLOOR JOISTS - Q W I @ 16,D.C. d z NEW GLASS DOOR CABINETS REMOVE EXIST.SOFFIT - TO MATCH EXIST.CABINETS &INSTALL NEW LIGHTING BELOW A "' z CD ra 00 SCALE SECOND FLOOR FLOOR FRAMING PLAN DATE DWG. NO.: KITCHEN UPPER CABINET VIEW O . A, 2- ..� �� __ _...-._. _ _... a -- _• _ �._ ___ _ ___ ...._ _ _ � _ _. _. -� - -. a� -.. _ _. _. _ __r �.-.... _ ___._ _ U EXIST. EXIST. ————— LINE OF WALL BELOW——— - BKYCfGF�� -- ———— ——— ---------- U2 m ABOVE I NEW VANITY, FIXTURES,& W _— b FLOORING_ N N NEW >-°��� E HALFW F\n�,.+< . W.I.C. Ca� Q'.m ~ . W - EXIST. EXIST. `� W1 C°G F-3 W N REMOBATH #2 STUDY MASTER ` -------` Ems- La �c> O F s.o BATH' cn TO NEW BUILT-IN LASS- CUSTO w CABINETIBOOK ————— SH ..CAB. - ..SHELVES NEW RAILING NEW RAILINGS EXIST. MASTER , • I BEDROOM p EXIST. HALL NEW BUILT-IN �► NEW INETIBOOK- P. Z o REMOD. EXIST. I-� W V LIVING L------.--� W E- F, BELOW 0 w a Q_ EXIST. co_ � y Z EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. EXIST. ROOF ROOF -d to DECK DECK SCALE /4. V-0" ATE LINE OF WALL 8/28/07 ' BELOW DWG. NO.: PARTIAL SECOND FLOOR PLAN A3 , . ........... (1 .31i � I U1, KNEE IS"b6 \ tia aww � d s � MEvtCGI, \ 17 od r� Ti�TcD �VRi-Ls G,i A5S Srto.KE�t E.� 4 o Assessor's offioe Ost floor): FTNET Assessor's map and lot number .......Q l ...... p�........ Board of Health (3rd floor): ` Sewage Permit number u 2— I i BARBST&BLE Engineering Department (3rd floor): 'o rb 9• m� �- S 0 3 �0 House number ..:......................... ....Itrt.�� �...�—rJ.....::..,....... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only _ r TOWN OF BARNSTABLE /6 /BUILDING INSPECTOR , .01. Q APPLICATION FOR PERMIT TO ......, ..Qi. . ...............v.l. 0 TYPE OF CONSTRUCTION ..............a.v�. ..�.. ...... ;z..,:.* ........................................................................... TO THE. INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: t. Location' f(�.G�l.. ...... if. !....5..� T..�......... .T v�. ...................................................................... S i �-� �/ i l�..`/....:.:. Ems- € IV'� /A L.. Proposed Use ............... `..................................... .................................................................................... Zoning District ......./.✓.....P.... .............Fire District �o7G� T I` Name of Owner ......................Address Name of. Builder ...... �........... .. Address 7 �,c?i ns 7i• �-.+yI 4 Name of Architect ...S ,US S S o.�.-................Address ................................................................ S hl�� r .......................... Number; of Rooms ........�C.......................................................Foundation 0.v. .....C.0:NC..�.✓.L:�'..7 ... Exley io! .( !�.1. �.>.f�.....S. .C...�?:..L C C !*1 >�• 1_ �q l/ ....................:................Roofing �`I.�....�n�. .........�..-.T..cs./1.................................... Floors ......1./. ,l ......�...C�� .....................Interior ...;. /( .�� .e.p.............................................. .,,.. Q `` Heating . :......Plumbing .9'471/ :..... ........ . ... :....... 1 ram, Firepp lit Approximate Cost .... ../. UV �............... lace .....(J .......:....................................................... Definitive Plan Approved 'by Planning Board __________________________ 1. /......... ------�9-------- . Area .............. Diagram of Lot and Building with Dimensions �p�� -- 9 9 Fee ...............�.r............:..:.......... SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 �....... �De �.... � Construction Supervisor's License Cn.c�.Q...r..�`. ..... BONIN, ANGELA' .-A=017-0 01 No Permit for ..- -Two. . ...Story . . ... .. .. .. .... .. ........... Single Family Dwelling .......................................................................... Location 1691 Main Street ................................................................ Cotuit ............................................................................... Owner .......Angela. Bo n.in........................... .. .. .... .. .. Type of Construction ....Frame......................... .... ....... ............................................................................... Plot ............................ Lot ................................ Permit Granted .......Parch...1.1.!..........19 87 .. .... .. .. Date of Inspection ....................................19 Date Completed ......................................19 1 Assessor's offioe (1st floor): /+�%/� © �'/ �FTNEt� Assessor's map and lot number ............................................ Q�� �♦ Board of Health (3rd floor): Sewage Permit number ......... 2 Basa9TIBLE, ............................................... Engineering Department '(3rd floor): oo r039. House number r `e................:........................... ....................... �o way°'' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...........0 G.L..L.S� ..... Cc�F L /V.�.:............................ TYPE OF CONSTRUCTION .............................7....X.. IW E............................................................................ � r I .......F'e.".3,..............19g.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �Z:. ........r2,-../Y........ :7`...........C-. 9.7✓.t....y.�................................................................................... ProposedUse ................^ .............................................................................................................................................. ZoningDistrict ............................................................•............Fire -District .............................................................................. Name of Owner ✓. E.L.er:':.....71-Q.14.RY..................Address .................................................................................... Name of Builder .%��►..T..TZ.l.C.k... ..�'A. �.�4'�Y ...Address Nameof Architect ....n!/./1':..................................................Address .................................................................................... Number of Rooms .....J�/.........................................................Foundation .113.49.E(�......".. !ta "1s9..0 ....................... Exterior .............. .......`.[...............................................Roofing ........ ..... ./ut.lV..G.L1�'................................. Floors ...............{l!^! .L,... .0 1.1..3 ........................Interior ......... ............................................................... - Heating .........47.1..(. ...........�...............................................Plumbing .........!^..5...T....... ..C.�.?.P.Ex.................... p .............................Approximate Cost .. .. ... n..................... Fireplace .........�C.4.�!.�............................. .. .../Y ............................ Definitive Plan Approved by Planning Board _____________________________19________ . Area Diagram of Lot and Building with Dimensions Fee `_ L,............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 v�<....T... ......C...- . fir- ...................... Construction Supervisor's License .L.1�.0..5'...7,R..Q.... GELA _-_- ' AN / -30435 DEMOLISH DWELLING / No -----' Permit �x ..................................... ' ' . � Frame . . . _. . ------------------------' ` Location --I69�I.�D�ai��_S.tzeet _`___ . r - Cotoi- -----.--------------------- ^ ' Aoge�la Bouizz �}�nor ------________________ ' Frame , Typo of Construction .......................................... ` --------------------------� , . . ' Plot ............................ Lot ----------' ` Febrnazy I7 87 Permit Granted ------------�]V ,r ^ / Dote of Inspection -' -----'lV ,- Dote Completed --���^����------lP ' � . . | , ' . �' ' - ^ . � - . ' ` . (' /' : fi ar Assessor's offioe (1st floor): ,0�� /11 Q / Assessor's map and lot number .............................................C.../ .. P TNf Board of Health (3rd floor): ° Sewage Permit number ....... i 33AUSTAXLE ................................................ Engineering Department (3rd floor): oo rb 9. \0�° Housenumber ........................................................................ a. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............ ��/ U. ..��,5.�' .... 0 /V. .:.......................... TYPE OF CONSTRUCTION ..............................: 'r/fit. - '.......................................................................... ......../...7........F!!�.73............ _7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....f.. t..9..1........r7.....A.!v,,......5.`7'. Co T v.!...`I. ..........................................:...................................... ProposedUse ^'�ia.................................................................:................................................................................ Zoning District ....Fire District ............................................ Name of Owner .�?.!ti G'F ^.......3r?.!``.!.r .................Address .................................................................................... Name of Builder Address ... '. .... /` .�S.E'.'1,1,. <'^'.F...�?.?Z......./`7�!.S/d{�EE Nameof Architect ..... `'. ..................................................Address .................................................................................... Number of Rooms ......-?�..........................................................Foundation ..! .C.w.C'.l�..,......"..�1'�?. .7 !.�..C....................... Exterior ..............`t X......1........1.�..............................................Roofing .........ks/�Q.>.....5.�✓.:.�: C;..I...F................................. ....... Floors !�"`..y.4..... .�.!^. z.k. ..l...... .Interior .......... :1✓ Heating ?..!.!...................'................... ................... Plumbing ...`.... r ........ ...... ......................... _... Fireplace .........................................................Approximate Cost ..........,v„/ ........................ 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 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 . ....�.)..�................co... Construction Supervisor's License ..G./..r�r?..5'..J. ..(?... BONZ0, A0GELA A-"0I7-001 � ~~~~ � 30435 Demolish Dwelling og No -----.. Permit for .................................... Frame � ..................................................................'. 1691 Main Street Location ---------------------. Cotuit . --------------------------. �uge�a Bouio Ovvne, ------_-______________ ` Type of Construction - ...�rame----------- -------------------------- Plot ............................ Lot ----------' � February 17 87 Permit Granted ------------.�]V Dote of Inspection .....................................lV Doh* Completed ......................................lP ~ � � ^ � � c ' � - . . ` . ` . � / 0\ � ' Assessor's offioe (1st floor): Assessor's map and lot number ......:.�I ..... O J....... �, QyoF T►+¢Toy♦ IME ^ ` Board of Health (3rd floor): ?— 91 1. ��IC SYSTEM o" Sewage Permit number ....................................�................° TALLEO IN CO �E �. Engineering Department (3rd floor): oo 039. 0� ���.l/...1-J 5...:....... WITH TITLE House number ..:............................... s.-`0VIRONMENTAL CO APPLICATIONS PROCESSED 8:30 9:30 A.M. and 1:00-2:00 P.M. only. 'TOWN REGULATIONS A P P R O V E m SWN OF -BARNSTABLE ns ble Conservation UILDING� INSPECTOR Date a �s igned /� / APPLICATION FOR PERMIT TO ...... ....................... l..a....9Q.:�?..1I ................................ ..........._ ... TYPE OF CONSTRUCTION ............... ✓.9...Si. ?......F.-.M.^.r.e.......................................................................... /..7... 5U..............19.g.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........1.. ?.'j.. ...... 1y..'P. ...............T .......CO?'v� / .......................................................................... ProposedUse ......... l/G—L.� ./�/1'I�L ./ N�..l :.L....................................................................................... ..... Zoning District �' ...................................................Fire District eo7�i Name of Owner ... .........�.�.. ..�....���?./.�'1.....................Address ...(P!'!.?.... ..6,1�.P.�.�..1...�`.�-C:'��...�o.S}v�,M4. Name of Builder ...P.4-7/CK......C.O/�/- � ...Address ...... .�5......... ..�K.../ylA��! CAS/-f- �-S'S oC-..r:..........Address ....,.11......C^..P..�.....V.?�G!!.. ... ...........</�/9-S Name of Architect .................................................... � � . ..........�. , QQ �1q Number of Rooms .........Q. ..................................Foundation ..eo0r,- . ...Go/VC4/Lc 7,E' ................... . . ...... ....... . .................. /') 5N / I 27 / i�c�Exterioro ..... r ...Roofing ....... �S1 ...........Floors ......v. /�......�......... � .Interior ......rE'/. yl .! L.L.............................................. ...................... rieating .1 .......-0./L...........................................Plumbing ............pq,/ ... i¢7!75.:................................ Fireplace ...... .... ?,r`Q".............................................Approximate Cost /mod ��� ............ ./............................., . ............ Definitive Plan Approved by Planning Board ---------------------_----------19________ . Area .. 1�r/..&...`�f....'.............. Diagram of Lot and Building with Dimensions Fee f 9S.(a "J SUBJECT TO APPROVAL OF BOARD OF HEALTH Ap 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? .. . . ................ Construction Supervisor's License4...Q..�...7..u2G2 ... BO INJ ANGET.-A 'No ... Permit for ...Two StcJ.y ' Sing1e..Fam :-1 Dwelling ................ .................... � . Location ....1691 Mairi; Str-eet . .j ....... ......................... Cotuit° ............................................................................... - Owner ......Angela ;B n................................... lqType of Construction .Frame.... ....................J................. ...... . . ...................... Plot ............................ Lot ................................ Permit Granted ' . Marc�h...:':.1............::19 81 _ Date of Inspection 0... -Q..7...............1:9 a Date Completed ��..:�i:.:: ' ...........19 r ' rf t� � � , _ TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT` y DATE 19 i PERMIT tJO,' •it - APPLi%-ANT - ADDRESS 'I ,(NO.) (STREET) (I,�'NTR'S LICENSE) PERMIT TO (_) STORY NUMBER OF ' (TYPE,OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING,UNITS AT (LOCATION) ZONINGDISTRICT (N0.) -- (STREET) _ BETWEEN _ AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION.' - _LOT BLOCK SIZE BUILDING IS TO.,BE. FT. WIDE BY Ff. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M TO TYPE _USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) - REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST, FEE (CUBIC/SQUARE FEET) - OWNER. ?b E ADDRESS BUILDING DEPT. 9Y THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART TOEROF. ETHER TEMPORARILY OR PERMANENTLY. ' F_ ENCROACHMENTS.ON. PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- ® PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF P,UBLiC SEWERS MAY BE OBTAINED FROM THE DE.P_ARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLIC-ABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON jOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL,' PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR-TO-COVERING STRU URAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL IN IRE INSPECTION TO L_A7 FINAL INSPECTION HAS BEEN .MARE. -3. FINAL INSPECTION BEFO OCCUPANCY. - PO HIS -CARD -SO IT IS VISIBLE FROM STREET DING INSPECT OVALS PLUMBIMi INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /v 2 2 /z; Ale 3 HEATt INSPECTION APPROVALS ENGINEERING DEPARTMENT ) ( O �S OTHER 2 BOARD OFHEALT WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VQ I D IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE STARTED WITHIN SI;( MONTHS OF DATE THE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STA i ARRANGED FOR BY TELEPHONE OR WRITTENCONSTRUCTIOI\ I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. O .:,,,>.�fx,F:'f� : Y=..:T. yr-at....�.�r�<F+.�.a;,'x'+4::.,.�g.;�,:»;�""'. ..• ,r�....,se,,'rtr�"'x�. n`maw'�.'�.,,,,.,taw'7„`''`-_�!�`�`... _.--•=W-••q,.,+l.:�,=-r'.,,.._s.�T, +�,,3. _ TH9>, TOWN OFBARNSTABLE 30505 Permit No. ................ BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ■6 9 r "RcW,r► HYANNIS,MASS.02601 Bond ....� ..��$� . CERTIFICATE OF USE AND OCCUPANCY Issued to Angela Bonin Address 1691 Main Street Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL , SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. October 1.6., 19 Building Inspector o'�y��•'. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ »"t M ' TOWN OFFICE BUILDING � iva HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit �$.. ��® .......................................:..............................................:.......... ». »..........»............»»». issuedto ...............................................................................»...».. »_ .....»».»......»..»»..»»»» Please release the performance bond. TEST PIT -*l TEST PIT -*2 ELEV-z IZ4 I GENERAL NOTES ELEV— 1. ALL ELEVATIONS SHOWN ARE BASED UPON F-1 GIS DAB M 0 r 2. PITCH ALL LINES A MINIMUM OF 118" IFT, UNLESS f I OTHERWISE SPECIFIED. 4 w 000000 0 ® 0 000000 000000 () @ 0 000000 3. ALL PIPES TO AND IN THE SYSTEM SHALL BE CAST r "0000000 (D @ 0 0 00000 IRON OR SCHEDULE 40 PVC. L 7 000 o o o @ @ o c00000 ro mt ri 4. ALL SEPTIC TANKS, DISTRIBUTION BOXES, AND T( 000 0 0 @ (D 000000 moo, LEACHING PITS SHALL BE DESIGNED FOR H-20 WHEEL --------- 000 0 0 0 @ 0 000000 LOADINGS WHEN UNDER PAVING. 10 14 ()0000 (3 @ 0 000000 5. REMOVE ALL UNSUITABLE MATERIAL BENEATH THE 3 1 000 0 0 0 0@0 000000 INVERT ELEVATIONS OF THE LEACHING PIT FOR 4'-0' TYPICAL DISTRIBUTION BOX 000 0 0 @ @ 0 0 0 0 00.0 A DISTANCE OF IOFT. AND BACKFILL WITH CLAY- LIQUID, LEVEL I-L FREE SAND 8 GRAVEL HAVING A PERCOLATION RATE NOT TO SCALE I- 1. —6 1—0 -1 OF 2 MINUTES PER INCH OR LESS. NOTE- DISTRIBUTION BOX AND 1500 6. THE BAPNSTAB(_E BOARD OF HEALTH M!.)ST GAL. REINFORCED SEPTIC TANK BY BE NOTIFIED WHEN THE SYSTEM IS NEAR COMPLETION ACME PRECAST OR EQUAL, AND PRIOR TO BACKFILLING. OBSERVATION PIT TYPICAL- 1"x"jr- GAL. SEPTIC TANK TYPICAL LEACHING PIT 7. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS PERCOLATION.RATE= < ^ 4N:.' .i NOT TO SCALE NOT TO SCALE SHALL BE INSTALLED IN ACCORDANCE WITH TITLE OBSERVATIONS BY: T:)lv' NOTE-- TANKS REINFORCED THROUGHOUT WITH OF THE STATE SANITARY CODE AND ANY LOCAL 'sr RNc;To':\I3i_E'_ BOARD OF HEALTH ELECTRIC WELDED WIRE WITH 24-1/2 11 RULES WHICH MAY APPLY. ENGINEER: ARROW ENGINEERING INC. EMBEDDED STEEL RODS IN TOP & BOT- 8. CONTRACTOR IS TO NOTIFY ENGINEER, PRIOR TO THE DATE: Ii ,,i TOM. CONCRETE IS 4,000 PS.I. TEST. INSTALLATION OF SEPTIC SYSTEM , OF ANY DISCREP- ANCIES BETWEEN TEST PIT RESULTS AND FIELD CONDITIONS. 9. ACCESS MANHOLES TO SEPTIC TANKS AND LEACHING PITS TO BE BUILT UP TO 12 INCHES BELOW FINISH GRADE. TOP OF FOUNDATION ELEV.= 1*'__3 FINISH GRADE r-- FINISH GRADE FINISH GRADE OVER LEACHING "D" BOX AREA El EV. . ................... 'VEP �.f - FINISH GRADE 0\%tER TANK :tf v E E V ELEV,= ELE EXIST GROUND ML rn r x x V INV= T WASHED STONE A, INV.!Xi INV REINFORCED (10 DI BEVEL BE OX 3/4 1/2 CONCRETE WASHED STONE F� STABLE) ... C T `, ; F / / � F P TIC TANK BOTTOM OF PIT _ f EVEt ij "TAffi INV= ELEV.= .- L -- k cl A TYPICAL SEWAGE ' SYSTEM PROFI LE PRECAST 'LEACHING PIT (TO BE LEVEL Ek STABLE) NOT TO SCALE '5 LEGEND � l Je"1 PARCEL MAP SECTION LOT ADDRESS EXIST CONTOUR -.k PROPOSED CONTOUR 7E R�24-C EXIST SPOT ELEVATION 8 x 0 X'� PROPOSED SPOT ELEVATION 8 + 0 PERCOLATION TEST FLOOD ZONING DISTRICT HAZARD ZONE OBSERVATION PIT A . DESIGN CRITERIA NUMBER OF 8EDROOMS PROPOSED LOCATION OF DWELLING PERSON PER BEDROOM 'Z B SEWAGE DISPOSAL SYSTEM GALLONS PER PERSON PER DAY ___55_ y7 rA A r,l LEACHING REQUIRED 4,5 ��,Pr M A LEACHING PROVIDED DISPOSAL APPLICANT: ENGINEER$ ARROW ENGINEERING INC. f N C,Er P J N'N N SEWER DESIGN 13()STOf,� PLA(l' 10 CAPE DRIVE SUITE 8 C S I DE WA LL 1305 1 T W NAA. MASHPEE, MA 02649 BOTTO SCALE : DA' F� _THIFT : 0WNar TOTA!, _K� D BY'm Hy�� OPAWN 8Y, HY� 01 PI-AN SrALE AAL babsstabl TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ^P2>. TYPE OF CONSTRUCTION 'if./..19..^.^ TO THE INSPECTOR OF BUILDINGS: The-^ondersigned hereby"iapplles for a permil^according to tho^following mfornrTotlOn: Location Proposed Use Zoning District ...Fire District Nome of Owner CAWMMW...X.OB..^....Address ....f!.0T.U(.T:.. Nome of Builder Address fl^.L\r..if% Nome of Architect..Address .ifhsiiS^aA/.^COA/j/. Number of Rooms Foundation /•^ Ex 1erlor ./^J......9^2^.Roofing .,, Floors Interior Heating Aj^Sf.f/.^..Plumbing ./... Fireplace ....Afp.A)M..Approximate Cost ..Z?..<7.<?..:..'^....,... Difinitlve Plan Approved by Planning Board 19 Diagram of Lot and Building with Dimensions n pe-jJ OiO I{jp\\^ hereby agree to conform to all the Rules and Regulations of the Town^f Barnstable regardi construction. Name . '^'^7 4 A' /^rtr Opie,Catherine T* No .,?M Permit for f ain^^dwelli^ Location ,I i&ql Cotuit Owner Type of ConstnjLClii^T^^r^® Plot Lot Permit Granted 19^5 Dote of Inspection 19<^J' Date Completed 19 PERMIT REFUSED 19 Approved 19 %