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0271 MARINER CIRCLE
i F, aWA?j.W g-�Lt-q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATI(''iN' Map O 39 Parcel Application # �ad �® Health Division f � Date Issued Conservation Division D Application Fee SU Planning Dept. TO Permit Fee Date Definitive Plan Approved by Planning Board ��4y0°`u� Historic - OKH _ Preservation/Hyannis -�roPj Stre/e�t Address f a r(`l n P_r Co to 'e caner 01 1I1aM T 4 v e-Iva Mu Wewo Ad:_ress" 7! &rivlWit` fY`G) Tblephone � 8' 'Z� .rmit R_ e st 13ji lWinq 1 ( J, 1 l�_ �xr-�C! �n►�aa- c�s� a! �' �c Y�®!/1a�d ,'��'IyP l eve f. quare�fe-?rW1st floor: existing proposed — weer: existing proposed Total new Z nip=!)Q trict F Flood Plain A/6 Groundwater Overlay (ProjectM / I'u bn� Construction Type Lot Size YG 46r e!c Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 2-, Two Family D- Multi-Family(# units) Age of Existing Structure 37 Historic House: ❑Yes &�No On Old King's Highway: ❑Yes 8Klo Basement Type: ❑ Full ❑ Crawl 9"Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing j new Half: existing / new j Number of Bedrooms: ,2. existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: MGas ❑Oil ❑ Electric ❑Other Central Air: 2'�es ❑ No Fireplaces: Existing_L—New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: dexisting ❑ new size _Shed: dexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Flo If yes, site plan review# Current Use Fs r <J&V r •�-1 e Proposed Use APPLICANT IN_FORMATION____ - -- --- (BAH OR HOMEOWNER) Name�l1A 1/0VX T° 11 I d ooll Telephone Number C rkess, =�1m6Lr l 06�Vr 1 re I C: License # / C6+U 1-r, M )q Home Improvement Contractor# CE i I w C(5t01 i ka 15L c a M Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 41 SIGIIRANT, v. FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. •ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION y _ FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services °U Richard V.Scali,Director Building Division Paul Roma,Building Commissioner MAM •200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: r-l n�°.h d>r'G`� �.d1'fY1 J+ n tuber village , "HONMOWNER7: I1 a naive' '' "`' �ome�pt/ion`e#� 9� work phone-# CURRENT MAILING ADDRESS: Z/ I a lc l Y) � The current exemption for"homeowners""was extended to include owner-occupied dwellings of siz or 1 esd 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. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and uireme and that he/she will comply with said procedures and requirements. . i afore of Ho ovmer, � _ 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. QAWPHLEWORMS\building permit fonns\EXPRESS.doc 06/20/16 { �IKE Town of Barnstable r Regulatory Services XAM Richard V.Sca%Director Building Division. Paul Roma,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder -as Owner of the subject property herebyauthorize to act on m behalf �. y in all matters relative to work authorized by this budding permit application for. I' (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilize&before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date QYORMS:OWNERPERLIMSIONPOOI S Yhe Colnrr omreakh of sadruseft. De'Para rent af1udastrid Acddezds �` - - �, �a,�'.bm.�tigat�rrrrrss • _ 600 Washington&reet Bakstont Al 02111 f"VM H1asmgvv1dia W+o-rImrs' Cumpenmfi=Insurance A—fEdaviL BuilderslCa.ntra Rect iciansThanhers AmUcan t 1nfm3f Gu Please Pi iu LA Y Ad&esr ,Q7/ %,rfAFw Are you an employer?Check the appropriatebam ' T f project L El �P I am a 1 viA 4- ❑I am a general contractor and I Type o PrJect(r �= * have hired1he Sint-contractor - ❑New consfr�fiim employees(fiiI1 a=Znjfor part-time).* 2.0 I am a sole proprietor or partner- 1i6f 4 81"he attached ghee 7• ❑Remodeling These sub-contractors have ship and lie;ao employees ;8.,❑Demalifion: Io and have wo&ers* Wading, farms is aug ifg F 3' 9. ❑B,uAding additica LNO wpdners! CaiIIp•iaaatxanre comp_inanrinml resutred_] 5. ❑'We are a corpoiafion and rfs 1{k❑Electrical repairs or ad�xom 3. �ama bomeavmer doing all work Officers lrava a ed fheir 1L❑Plumbmgrepaiss Or additions. of iog per MGL mpsel€[No v.�o=kets'camp_ . . d �t F 17.❑Raofrepairs fin c. 1 aadwe havre na enranceiP�*f'd,][ �� r`� 13_❑Oilier employees_[No Wodoess' cam-iasmzace required.] 'A Wffczntdmtcbecl-sboxit mast elsafMo=tthesw6=bervwslratdngdekwalezemmpeasatinupsEgriuffiemsn� ffanreovmerslehosabottisisaf dar i gtreymdaing0 o RnAffnnhimaatadecnt=ftzs m sacSi fCagnsctotsffia2d�ecictbFsboa[,MM=stt2r'h ffisdditi-sl sheet shoumgthe= eofthesub-cntrictamsndstgiewhethecarnorthaseenitiesbm- empigees.If the sub-cantadarshave empIo7Ws,they=xst•psmanade-t1W r wadtew•mmp.paTicy numben Ilitfl arr erxpF r f7iatispra�adux n�ar&ers'conrperesalitxrt i�satrafres f'or m}*errrpinl�eer ffeNv is i6urprrficy a diah site FtL�017rLfIL7OlL . Insurance Campanywa=: •Policy4orSeeFf--ms_Ile-A EV- imtiouDate: Job Site Address: Csiyisbfawv-_ rich a copy of the arlLers'comp easatioapoIi decTaratiaa page(showing the poricy number and expiration clate). Failure to secure coverage as required under Section 25A of MGL c�157—caa lead to the finpositioa of criminal penalties of a fine up to$UOQOU ancVGr one-yearimpfisonment,as w 11 as civil penalties in the fans of a STOP WORK ORDER and a foe of up to$250_00 a dap against the 4iolatcr. Be advised that a copy of this sWement sway be forwarded to the Office of Tzvestigaffi=of the DIA for insurance coverage vredficahon- IaFa leer iy ce tits ' s and Q per cry trurtflfs in farx art~prm rl a6a��s is bars are d arrrect Si»ature_ � Date= :.1 d Qo OJMdusewiri a rtnt avrita fit ff�a axeQ, r be zrrttspfeted by 'arfoirrl n jrciat City or Town: Perm:flTncense:g Issmng Anti�orit�*[ca-cIe one): . L Board of Health 1%tiding Depaztmmt 3.�jlTotga Clem 4 Electrical hmpector S.Phrmibiag Inspector f.Other Coact Person: A Phone#: 6 " laformation and Instructions `r Rssa c•7 rc�C7 emLc al Laws cbapt=M regq==alI boy='D provide wOIkC&coarpe��for them a mployees. Fa p ,as n7pkyee is deed as¢; ypersan.m the service of anotherumd=any ofhue, ass or bMplied,oral or-yu ftnn:' An employer is d�fined as��inclIvidnal,parfnersb�,assocmdan,corporation or other legal entry,or any two or more Of the foregoing d in,a3oint ,and inch uft$ie legal sepres�frves of a deceased e�aplayea,or th e receiver or tastes of an mdividaal,pmtneaship,associatim or other Iegal entity,emploYmg e3ploy=--- However the owner ofa dSveIIinghousehavingnotmore �31reeapmtme�m&-Who residest omio,or the,occ¢p'ant ofthe- dw zEng house of offim who employs persons to do maiz�ce,rnn�rLr-ti on or repair wM k On such M.CM p houuse an or on the grounds or bMwMg appmfe iE,r s1.11notbecanso of snch emplcspmeallbe daemed to be empIoyer." MOIL daapturr 152,§25g6)also sfafes that-every sty or local r�agency shall wMRDId dze issnance or a ashlers or to construct buo7dmgs In the eomnornwealth applic for any renewal of a ficease or permit to operate h „ amtwbo has notprodnced acceptable evideUce of cdMPrIanc�wlth the ias¢ramce.eoveJcageregII.ired- A&IitionaIly,MCTL chapter 152,§25C(7)sfafu s¢Neither the nor nay of its poIiiical subdivisions shall enter info any corrtradfmrthepmf==ce ofpubhowaricu tj a table evidence of compHancewhh 91e 'acs. requm MfS of this rhapt=have heenpres to the confmctmg.araiioz7ty." �Phca'rts ' Please fill oil the vwk='compensation affidavit completely,by cog the boxes•fiat apply.to your slflraizon and,if neressarp,supply s�-cOntTdL'��r(s)n3nIle(s),ad�es)mdphMD=MbeI(s)ajongwithth"'u ce��3)Of ihsmance. Lind Li&bflffy Companies(LLC)or I�imitedLiabiIityPatfne=7uFs(LLP)withno e�Ioyees ot3�er than the n>embers or parfa4 are not rbquied to carry woljcexe compensation insrnmm If an LLC or LT P does have Toyees,apolicyisreq�(A Beadvisedthatthisafddayk maybe snbmitfedtntheDeparme sirW ntofrndu A:=d�s for confamaiion of insraauce coverage: ATsa be sure to sign and date the affidavit The affidavit should be r etrmae to$e city or town the the agplicaiion fur the perms or license is being regaested,not th e D epar bneat of L�strial Are Ad M=Hyou have m1y q�= g the law or if are rimed to obtain a workers' =npmsationpolicy,plmsecalltb.eDepmtnentatthenumberlustz:dbeJow. Self-insuredcoaipamesslianldes�,'ertheir self-iiisTaance Hc=se number on the appropriate line. City or Town Ofadals f Pl ease be sore that tiie af5davif is complete:andpri atDa legIly. The,Department has provided a space at the bot b0m of the affidavitfor youlto fiIl Out in the event the Office oflnve�� has to con actyoaregard>ngthe applicant Pleas a be sure in f171 in file peMitllicense mancant ber which v uM be used as a reference n=ber. In addrtion,an aPPh affidavit indicating cou ent that must sab=t muNiple peffiitlhC=Se applications in any given yew,need only Sabmit one p ohcy M f0=,-&on(if ne y)and under"lob Sihe Aadrese the sh applicant ould write"an locations in (may err town).-A copy of the-affida-ef A has been offi6any gimped or marred by the city or ,t 07n maybe provided to the applicant as prooftbat a valid affidavit is on file for fatal 'Permits or licenses A new affidavkuorst be filled nit each. year.�,here a home owner or citizen is obtaiIIing a license or permit not relatMd to any business or commercial v�ae (i_a-a dog license orpenmitto bum.leaves eb,)said person is NOT r�dtn complete is affidaYit to thank yo u m advance for your coopwdimi and should have yon nay questions, ' wouId]I� T'se Office oflnvesfigailans please do nothesiftlft to grveus a cal T.he geparime�rt's address,inlephone and,fzxnumbea: .. - . Tha faME10aw i E Of Massachnsem- Mce l�egazfm�f?f 1zid�a�Ar�I�n� ' 02111 Fax#617` -7M xevised424-07 t v v cl a + + c� i4 � ➢ w 0,1 ! r + 14 dil Cal Jo � i } � 1. �p � �► i e.. 1 ! I ! I 1 I I I � E ___ -- - ..,__ _-__ _____._u__.._ra ___ --_��.�_ �.,,.�_ _��.��...__ .�.__�._...�_ ___. ____._,_____ _----�. - _ _w__...�.�.�,.�--_.--�-.�- -----�-� -- - ---- - - - -- -----_,_.._.._ __-- ` � -,.. ,� � - '�. 1 �, j 6 r A)d IKI ° l17 wxcv wNo )*r400v w ' I i Air Leakage Property Organization HERS Eveleyn Bauers Home Energy Raters LLC. Confirmed 271 Mariner Circle 888-503-2233 08/17/2017 Cotuit,MA 02635 Andrew Popielarski Rater ID:5363711 Weather:Barnstable AP,MA Builder Mariner Circle 271-after addition Mariner Circle 271 with basement.blg Whole House Infiltration Blower Door Test Heating Cooling Natural ACM 0.52 0.43 ACH @ 50 Pascals 8.14 8.14 CFM @ 25 Pascals, 1023 1023 CFM @ 50 Pascals 1605 1605 Eff. Leakage Area (sq.in) 88.1 88.1 Specific Leakage Area 0.00040 . 0.00040 ELA/100 sf shell(sq.in) 2.39 2.39 Duct Leakage Leakage to Outside Units Main CFM @ 25 Pascals 120 CFM25 /CFMfan 0.1565 CFM25 /CFA 0.0782 CFM per Std.152 N/A CFM per Std 152 / CFA` N/A CFM @ 50 Pascals 188 Eff. Leakage Area (sq.in) 10.34 Thermal Efficiency N/A f Total Duct Leakage Units CFM25/CFA Total Duct Leakage 0.0782 Ventilation Mechanical - Exhaust Only . ASHRAE ASHRAE Sensible Recovery Eff. (%). 0.0 62.2-2010 62.2-2013 Total Recovery Eff: (%) 0.0 Rate (cfm) 61 45 25 Hours/Day 10.0 24.0 24.0 . Fan Watts .36.0 Cooling Ventilation Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown.above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-building requirement under that version of the standard. Both values incorporate any appropriate'infiltration credit. Intermittent mechanical ventilation may be used if the flow`rate is adjusted accordingly. For example,the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM./Rate-Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. 01985-2016 Noresco, Boulder, Colorado. i Prwerty arvinwatm, 171, HERS Ew4eyn ors Hearne EnergRaters LLB.. COT&rr led 27t nariaerC rck -503.2233 013/17AM17 00tUit,NA CZS35 Andrew Popidarsld ftaf�rl t�5363761 itr�a[k.: W r',B a APl #4 6r1t`6 r Aiannercfrcle 27t3-after addition mariner circle 27t with bawmeaLbtZ Confirmed: - No PRVstr.y ID HERS Rating Index score 92 Post Improvement—As is Home HERS Rating Index score 96 Pre Improvement—Original Home Configuration Per Sections R405.3 of the 2015 IECC Performance-Based Compliance,this Home: Meets or exceeds the minimum requirements. Compliance based on simulated energy performance requires that a proposed residence(proposed design)be shown to have an annual energy cost that is less than or equal to the annual energy cost of the standard reference design.Energy prices shall be taken from a source approved by the code official,such as the Department of Energy,Energy Information Administrationas State Energy Price and Expenditure Report.Code officials shall be permitted to require time-of-use pricing in energy cost calculations. Exception:The energy use based on source energy expressed in Btu or Btu per square foot of conditioned floor area shall be permitted to be substituted for the energy cost.The source energy multiplier for electricity shall be 3.16.The source energy multiplier for fuels other than electricity shall be 1.1. R405.4 Documentation Documentation of the software used for the performance design and the parameters for the building shall be in accordance with Sections R405 4.1 through R405.4.3. R405.4.1 Compliance Software Tools Documentation verifying that the methods and accuracy of the compliance software tools conform to the provisions of this section shall be provided to the code officlal. R405.4,2 Compliance Report Compliance software tools shall generate a report that documents that the proposed design complies with Section R405.3.A compliance report on the proposed designshall be submitted with the application for the building permit.upon completion of the building,a compliance report based on the as-built condition of the building shall be submitted to the code official before a certificate of occupancy is issued.Batch sampling of buildings to determine energy code compliance for all buildings in the batch shall be prohibited. Compliance reports shall include information in accordance with Sections 8405.4.2.1 and R405.4.2.2.Where the proposed design of a building could be built on different sites where the cardinal orientation of the building on each site is different,compliance of the proposed design for the purposes of the application for the building permit shall be based on the worst-case orientation,worst-case configuration,worst-case building air leakage and worst-case duct leakage.Such worst- case parameters shall be used as inputs to the compliance software for energy analysis. Chris Mazzola .4Z Home Energy Raters LLC 180 State Road Suite 2 Upper Sagamore Beach, MA. 888-503-2233 Chris@EnerqyCodeHelp.com Certified HERS Rater-8873503 Senior Single and Multifamily Building Performance Specialist;. www.energycodehelp.com Energy Efficient`New Construction' Home Energy Raters provides support services to help homebuilders, architects,and developers navigate energy code... a s-3 oFn+� Town of Barnstable *FPPermit it - ' t Regulatory Services F'ee s 6 months from issuee T% i639. Richard V.Scali,Director � ��� QED MAr A � - " Building Division y. MAlV 01 Paul Roma,Building Commissioner /®W ��BB 4 W., 200 Main Street,Hyannis,MA 02601 N tJ� , www.town.barnstable.ma.us Office: 508-862-4038 , /,4t , Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 6-10 Not Valid without Red X-Press Imprint Map/parcel Number � � %..00F V 11 Property Address P ( Residential Value of Work$ Oo©lb ®- 0 0 Minimum fee of$35.00 for work under$6000.00 a Owner's Name&Address' , ,' l Q�'ZI O if lV\ey� C (rN Contractor's Name CQ C- a Telephone Number Eu-2 -7 7 C a2 Q 'O o Home Improvement Contractor License#(if applicable) 3�Q 1 Email: do—®r--y r®0�` e.� Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the-Homeowner I have Worker's Compensation Insurance Insurance Company Name 14r 2l t r Workman's Comp.Policy# SD Ct ( — 02® � (p Copy of Insurance Compliance Certificate must accompany each permit. Permit Re st(check box)Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to CO G' Fore 5 f _ (]Qt/`�1014 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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. opy of me Improvement Contractors License&Construction Supervisors License is aired SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 n s Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home ImprovementCon#ractor Registration Type: Supplement card t ' = Registration: 183202ARMEN SAFARYAN r , Expiration: 09/13/2017 gyp' 67 Sea St Apt A4W -- >``3 Hyannis, MA 02601 � +, SCA 1 0 20M-05111 Update Address and return card. Mark reason for change. ....... ......... .. ._--__. ...... _ ...._C7..n��-,,..�._G1.n........_...-.■___r_"7..c__t__�_..a._I'"t.■_._ter-�_..._..__._.----- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR a � TYPE:Supplement Card Registration Ex"_on 183202 09/13/2017 ARMEN SAFARYAN_ DB/A COREY AND_CQREY<': EVGENY SUSHKO 67 Sea St Apt A4 Hyannis,MA 02601 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSSL-106102 Construction Supervisor Specialty .,. ARMEN SAFARYAN 67 SEA STREET APT A4 HYANNIS MA 02601 Expiration: Commissioner . 10/02/2020 s COREY & COREY "THE ROOFERS ROOFING,SIDING& MORE 67 SEA STREET #A4, HYANNIS, MA 02601 PHONE: (508) 776-2900 CERTAINTEED LANDMARK LIFETIME-ALGAE RESISTANT ARCHITECTURAL, STYLE RE-ROOFING PROPOSAL October 8. 2016 BILL MULDOON 271 MARINER CIRCLE EM: cotoit@aol.com COTUIT,MA TEL: 508-428-3784 COREY & COREY will perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles(Both Layers) from the Entire House and the Shed.Re Nail All Plywood Sheathing as needed. Supply and Install CERTAINTEED LANDMARK PRO: LIFETIME WARRANTY, 10 YEAR SURE START PROTECTION. CLASS A FIRE RATED, COPPEsRICERA VIIC STONES for a FULL 15 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,240 POUND, EXTRA HEAVY WEIGHT, 130 MPH WIND"WARRANTY, CATEGORY III HURRICANE, STORM/HURICANE NAILED (b NAILS PER SHINGLE),MULTI-LAYERED,LAMINATED ARCHITECTURAL, STYLE,FIBERGLASS BASED ASPHALT SHINGLES. COLOR: CHARCOAL BLACK ` Supply and Install CERTAINTEED WINTER-GUARD(lee & Water) WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves, Under Step flashings 100% Coverage on the Shallow Pitched Roof Areas,Valleys,Chimneys and Skylights Supply and Install #15 BLACK SATURATED FELT ROOFING PAPER Supply and Install HICK'S VENTED DRIP EDGE on the Eaves Supply and Install AIR VENT SHINGLE VENT,II RIDGE VENT on All The Ridges Supply and Install ALUMINUM&NEOPRENE SOIL PIPE FLASHINGS Supply and Install ALL NEW CEDAR SHINGLES AND NEW STEPFLASHINGS on the Back Wall- Cheep of the Chimnev Supply and Install ALL THE NECESSARY FLASHINGS ON THE CHIMNEY TO MAKE IT WATER TIGHT (counter flash or add new lead)-------- e______________-_--____-_________---___-____-_______---__-___-__-________-$450.00 f C 0 ,R3 E Y & C O EY "'THE ROOFERS" ROOFING,SIDING& MORE 67 SEA STREET #A4, HYANNIS, MA 02601 PHONE: (508) 776-2900 CERTAINTEED LANDMARK LIFETIME-ALGAE RESISTANT ARCHITECTURAL STYLE RE-ROOFING PROPOSAL Clean and Remove the Debris from work area after job is completed. TOTAL INVESTMENT---------------------- $9,000.00 POSSIBLE EXTRA CARPENTRY: Any Rotted or otherwise Deteriorated Trim Boards Metal Flashing, Side Walling or Any other n Plywoodg Meg,Sheathing,Missing and Charged for as an Extra: Materials Carpentry Needing Replacement Will be Done g arp ttY g Plus Labor at the Rate of$40 per Hour (per person). EACH SHEET OF PLYWOOD WILL BE REPLACED AT THE RATE OFF-------$5£�.QQ P PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORD SCHEDULE: All of The Work is Normally Scheduled for Completion Within 60 Days of Acceptance. Please Make Checks Payable to: ARMEN SAFARYAN or COREY & COREY COREY & COREY Warranties the Shingles and Labor for 5 years CERTAINTEED Warranties the shingles and labor 100%for the First 10 years and the Shingles your LIFETIME if the shingles become defective CERTAINTEED Warranties the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANRY COREY & COREY Carries Workman's Compensation and Public Liability Insurance on the Above Work DATE OF ACCEPTANCE: l� /��Cv SUBMITTED BY: Armen Safaryan A9CEP EI,)BY: BILL' D ON ARMEN SAFARYAN HO OWNER COREY& COREY i The Commonwealth ofMassaehuseits Department of Industrial Accidents t7flce of Invesdgadons 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/EIeetricians/Plumbers Applicant Information Please Print LefbIv Nagle(Businessft nizadon/lndividua)•_Xr' 7 I = - t-y : A X -1�-• U-,.) d C 0 t- e Address: 6' S c{ ' G'�j City/State/Zip: Phone#: �7 7 C Are you an employer?Check the appropriate bor. I. I am a employerwith 4. ❑I am a general contractor and I Type of Project(required): 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' [No workers'comp.insurance comp.insurance.t 4• []Building addition 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 1 I.0 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' 13.0 Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractars that check this box must attached an additional sheetshowing the name ofthe subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am I an employer that isproviding workers'compensation insurance for my employees: Below is the policy and job site • informatinn. © // Insurance Company Name r'C7 G'f/ec' t rT'0 /e i` �O 5'�r�i C Policy#or Self-ins.Lie. .S't %-rc ,7 �0//A Expiration Date:_ �/2 Job Site Address: City/State/ZiF Attach a copy of the workers'compelis I 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 flue 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 yiolator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f e covera a verification. I do hereby certify �a' a d "';�,rs rjury that the information provided above is true and correct Si hue: J Date: 3 • Q '7-• 7 Phone#; 701ce only. Do not write in thisarea,tb be completed by city or town qywn: Permit/License# Issuing Authority(circle one): 2.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspec 6.Other tor S.Plumbing Inspector Contact Person: Phone#: I • A�--� 0 CERTQQ'QCATE THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMgno LIABILITY N���nQcON INSURANCE DATE(MM=N M CERTIFICATE.DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFCERTIF FORDED 9/16/2016 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B RIGHTS UPON THE FORDED By HOLDER THE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. THE POLtC1E IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the oli BETWEEN THE ISSUING INSURERS, � ) AUTHOR12E1 the terms and conditions of the policy,certain policies may require an endorsement A statement on this U OGATION IS WARNED,subject tt certificate holder in lieu of such endorsement(s). PRODUCER certificate does not confer rights to Hli Southeastern Insurance Agency, NAMCON .CT ley Paiva 439 State Rd. 9 �' Inc' PHONE (508)997-6061 FAX P.O. Boa 79398 E-MAIL :apaiva@soutlleasternins.com A/C Na:(508)990-2731 North Dartmouth IN NA 02747 INSU S AFFORDING COVERAGE SURED. INSURER A Arbella Protection NAIC 8 ran Armen Saf INSURER B AEIC IIISnraACe 41360 gy DBA: Corey and Corey 67 Sea Street INsuRERc: Unit A4 INSURERD: Hyannis MA 02601 INSURERE: COVERAGES CERTIFICATE NUMBER:2016-17 INsuRERF: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ygVE BEEN ISSUED TO THE INSURED REVISION A80ME FOR THE POLICY INDICATED_ NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH ER: CERTIFICATE MAY O ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WHICH PERIOD I�TaR RESPECT TO WHICH THIS TYPE OF INSURANCE ADDL SUER ALL THE TERMS, X II)COMMERCIAL GENERAL UABIL"y POLICY NUMBER POUCCY EFF POLICOY aW A i CLAIMS-MApE ❑ LIMITS X OCCUR EACH OCCURRENCE 0 TO S 1,000,00t GE RENtEp i 9520046441 9/18/2016 9/18/2017 PREMISES emurenee S 100,000 GENL TAPPU�AGGREGATE LIMI PER MED EJU�( one person) S 5,006 PERSONAL&Al INJURY S 1,000,000 OTFIER: X POLICY j� ❑LOC GENERAL AGGREGATE S 2,000,000 AUTOMOBILE LIABILITY PRODUCTS_Y COMPIOPAGG S 2,000,000 A Employee Benefits S I ALL LL AUTO COMBINED SINGLE LIMIT OWNED SCHEDULED ardent S AUTOS AUTOS BODILY INJURY(Per HIRED AUTOS NON-OWNED peen) S AUTOS BODILY INJURY(Peracciaent) 5 PROPERTY DAMAGE UMBRELLA LIAR Peracci nt S OCCUR EXCESS LIAB S CLAIMS-MADE EACH OCCURREN f OED I REtEN71ONS CE S WORKERS COMPENSATION AGGREGATE S AND EMPLOYERS'LIABILITY ANY PROPRIErORIpARTNERT)(ECtmVE YIN S PER B O andat r7EMBER EXCLUDED? STATTI7'E ER (Mandatory in NH) NIA DESCRIPnON OF OPERATIONS betavunder —500-5015091-2016A E.L.EACH ACCIDENT 9/18/2016 9/18/2017 S 1 000 000 E l DISEASE-EA EMPLO 5 1 000 000 E.LDISEASE-POLICY LIMIT S 1 000 000 I DESCRIPTION OF OPERATIONS I LOCATIONS'VEHICLES(ACORD 70t,Additional Remarks Schedule,may be attached if more space is required) f III CERTIFICATE HOLDER i CANCELLATION Display purpose Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ACCORDA DATE THEREOF, NOTICE WILL BE DELIVERED IN NCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ashley Paiva/Amp ACORD 25(2014/01) ©1988-2014 ACORD CORPO INS025 nmann The ACORD name and logo are registered marks of ACORD RATION. qE►rights reserved. Parcel }� 4ate t# Assessor's Office(1st floor) Map" 3 t Conservation Office(4th floor)(8:30.�9:30/1:00-2:00.) Issued /0 — �5-_9s" Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) . ®- L 1� ee &S-0, 0-7) ` Engineering Dept.(3rd floor) House# r Planning Dept.(1st floor/School Admin. Bldg.) O 16126 S P�6 IKE Defi ;et pproved by Planning Board 19IN PLIMCE i VINO�fI�EN TA L'CODE TOWN OF BARNSTABL ��� Buildin PermitA licationg PP Projedress rn /Z1/!/ ,� G ,Q r-� ��' 1�' / O Tvi Village 7-61 O 7 'Owner" .f 1yW_4AoDi✓ Address Telephone fo?,p— Permit Request /j/ t/ •.First Floor square feet35-"Z) Second Floor square feet Estimated Project Cost �f d?J?� d Zoning District Flood Plain Water Protection i Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 6:32 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE' /O O BUILDING PERMIT DENI FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 1 t DATE ISSUED MAP/PARCEL NO. w t ADDRESS t VILLAGE OWNER ' DATE OF INSPECTION: t ; FOUNDATION FRAME; INSULATION FIREPLACE t i ..- -.. t .. �, 1 , - ,.. - - -•� - p ELECTRICAL: r ROUGH FINAL PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT: ASSOCIATION PLAN NOs: � , t r i, - The Commonwealth of Rlassachusctts Department of Industrial Accidents ofice0/1HOSM9211OnS :"14 6O0 N'ashin,ton Street Busion,111fiss. 02111 Workers' Compensation Insurance Affidavit Anphcant Information: Plisse PMNT lest name: •� q�- t-4 10E-&Vly /1/1 ./ t G�rz t am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity rJ I am an employer providing workers' compensation for my employees working on this job. company name: address: s city: phone#• . insurance co. .,.:.,..,,.,.iec..... : 1 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. cih•: phone#: insurance co. policy# _. `.� .,.._.rt". ;_..- . yCF=.s-rc.:•.:Mwn^s-'a;.ri','_'Tr+:4':;^xr. 'z _,';�".; ... ,t 79�Y', .'alc!".�ry '�^!ia't_",.'^:,',.,�i' company name: address: city phone#• insurance co. ; n , �cy.# nAttach addithon te:•�^, «x. . u.s. w r= "` x Failure to secure coverage as required under Section 25A of n1GL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi under the pairs and penalties of perjury`r _tha)t the information provided above is true and correct. p ✓Signature ate /d/,;24 Print name E V/1� /v L C�l� (S®/V Phone# � Y— 0� �1� L official use only do not write in this area to be completed by city or town official city or town: permit/license# rlBuilding7OMce ': Licensin 0 check if immediate response is required Selectme �Heallh D contact person: phone#;_ rnOther (revised 1-95 PJA) - - z ! t r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their emplrnres--As-quoted from the "law", an ennplovee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An empinver is defined as an individual, partnership, association, corporation or other regal 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 T52 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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. 77 Citv or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile 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. '+^�a�rZ;xw..�.. .wr..s.s ^+.xv<-3 +t' @'�'e'+'v -+e+v.o +e4�^+✓.te '7""*'p"x'iA�'RT! '➢�a+ein�cPS+owfne. �,T"".a a�t t±•ww�sv"r 77, 74iw i►r a�-maas5 'nr"'" 7 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 fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 f , : The Town of Barnstable & Department of Health Safety and Environmental Services A. `° p Building Division 367 Main Street,Hymnis MA 02601 Office: 508 790-6227 Ralph Crossen F= 508 775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME E"ROVEMENT 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 arty pre-adsting owner 0ccepled 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. of Work: f C Est. Cost 7 r/Type L/S�1 �� �ddress of Work: �/� �/ U 7-0/ J ,Oaner.Name:,AD ate of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 BL ding not owner-occupied er pulling own permit Notice is hereby given that: CONTRACTORS THEIR OWNERS PULLING OWN PERMIT OR DEALING WITH UNREGISTEMw 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. OR ' & ` >.1 Date Owner's nanle . • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION 'Number Street address Section of town "HOMEOWNER" Oe� V' /� ���� �/a 00 Name Home phone Work phone • • PRESENT MAILING ADDRESS City/tow& State Zip code ' The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an in dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to r side, on which there is, or is intended to be, a one to six family dwelling attached or detached structures accessory to such use and/or farm structure A person who constructs more than one home in a two-year period shall not b, considered a homeowner. Such "homeowner". shall submit to the Building Offi+ on a form acceptable to the Building Official, that he/she shall be respons. for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the Building. Code -aad other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for whiGh:--a:.Inildiz Permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home. Owner engages a person(s) for hire to do such work, that such Home C shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assumin the responsibilities of a supervisor (see Appendix Q, Rules and Regulatic for •licensing Construction* Supervisors, Section 2.15) . This lack of awar often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "0`,tner, a as supervisor is ultimately responsible. ,4 To ensure that the Home Owner is fully aware of his/her responsibilities,. communities require, as part of the permit application, that the Home *Ownc certify that he/she understands the responsibilities of a supervisor. On last page of this issue is a form currently used by several towns. You mz. ff care to amend and adopt such a' form/certification for use in your communit I •r �ea .A=-'`jWgt-.!�.7c.A+�u'r�p.�e�x,..�ts.•(ua.wravaFnx. � .�(( ... t'Rt t t nR .� � y r-:_Its,-$7 id S S7 i 9.'f`sra' ?E+14' y�. +4s "f+�f.�Y' � t �' f�4t '"�"�k''y,��s�`'`fi.7`.` (�� � a. I .ro." •'-�. ft�x{.L►'MY: � �,,T...�,.,ar V?ry a ;.. y� r '•;,. n'�v'.(n �:wg, f I •_ f ^t •� x -.w e op +h I r .• } s' w�Kr� Kr A gf .. } i uw IL �. '`B, ) ..,:y-' :.p17�t,t{c°�t``4 F r � ^� n•fa� '�`'u�+�`J 8•+:st 1. �-�a �Y - J I 1 .x �. J x-t` ar�rt++ti,,'"�'a a. �� t *'} - - rF " (i'b a • - s .z *"xatx.s;>i:.. ��j4'`e F `S f .ro+ Q :ri..tt'..,£j.'Z. _ Zq .W Ir w or ij .. t 4 •-i'i��. g:8`-ir'i'i ii,># ,�•t�+'�S S^'r�s �Q �.i'.�'x.�w ►yAa)- v 36"Q d Q.,Sk � •r �t (��1 }� -<5(c' qi �t. q#.,S,S t .'nT't _ 1 14 ; yy�...� t T M 1 - . - � ! "k Y� 7 to u n.�y�r ���y� iF1'�A+•: f- _ - PLAN SHOWING ` z ' 'a FOUNDATION t 0CaTl0N� < G0TUl To MASSACHUSET T s # bi� - OWNED 8Y C4NS7,ei��°'. SCALE: 36 ' DATE Tu4Y NORMAN GROSSMAN------REGISTERED LAND SURVEYOR I _ x w�-:r t�}r- Vic_.. 'tc ti'yY r•: � q .�, -a- ._ I HEREBY _ CERTIFY THAT THIS FOUNDATION IS LOCATED_ ON MiE LOT AS SHOWN AND CONFORMS TO THE `TOWN G OF BARNSTABLE ZONING REG•ULAT/ONS REGARDING r �x� KYa.s�� -ORM H SETBACKS FROM STREET LINES AND LOT LINES . " ' f ; *�asstjuN -12775 0 M NORIGAN GROSSMAN' R.L.•S. DATEyv sloe F A: • '.ix.::::.y:.,�=;:.v.�_.ems - A�pl^-n !d H 1 �� f/ �(fltr try 4 OleI, Oaate / �l AP Ul" 4Ct 0 et• TOWN OF BARNSTABLE Permit No. _----_-_ ------------- { 11AUSTM Building Inspector • Cash ---------------------- MAI OCCUPANCY PERMIT Bond ______ *�227lZi No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. .....................................................1 19......_ _ ................................................................................._._...._._.. -- Building Inspector tl /2S'•ao � Now— // r/ O T, 546 L µ'.G a�C 2QQa� :� = Ivry u �t � yxh� O •J �)I�"..t O \10 �\ tt `jLn _n 1 o 41 �e. PLAN SHOWING 1� - FOUNDATION LOCATION i COTUIT, MASSACHUSE TTS OWNED BY Q <:56N S7 R COR P. SCALE : /��.� , �} DATE: ..Tv4..Y 6, /.�3c9© NORMAN GROSSMAN------ REGISTERED LAND SURVEYOR I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATEDw'-' ON TIHE LOT AS SHOWN AND CONFORMS TO THE TOWN �� -�10 OF BARNSTABLE ZONING REGULATIONS REGARDING kCR�A�1ti � li SETBACKS FROM STREET LINES AND LOT LINES . c rlstAAN 12115 D NORMAN GROSSMAN' R.L. S. DATE � 5 Assessor's map and lot number ..... ... .. .. *pppp� ouvinou NMO o`TN E Tp� Sewage Permit number ..� - ® 3C1031V.LN3WNoa1 d �� 9 � ARNSTAn i House number .. ............ 3a1,M`•_Woo N1w61•• ro MAea LE. .......................... ......... .................. an" WUSAS oud3 �"tfp MPV a�e� TOWN OF BARNS1639. ABLE . . BUILDING ;;] ISFECTOR APPLICATION FOR PERMIT TO . ................................................................................. TYPE OF CONSTRUCTION ..........G....."r .:. '...T:........ ...................... ............ ........................... . .. ................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... 1..... �......1.'.6 ..5�.� .. G ! .:..................:................................................... �r......... Proposed Use ZoningDistrict ............. ....................................................Fire District ........ ................................................ Name of Owner ..-7. ...C 12 .. Address ........... ....... .............. w..............� .........................Address ...............:. Name o Builder ..... .. ....... ................................................................... .Name of Architect ..................................................................Address .................................................................................... r— Number of Rooms .................. ............................ Foundation �(iC�l. ���-1G�1. ....... .. .... .............................................. .... n.............. Exterior ✓ � '" ....:.....................Roofing ........... . ../ ... .. . .� � Floors '....`..., ..`."........ ...............................Interior ........: Heating �``� ...........................Plumbing Jib Fireplace ..:........ ......................................:............Approximate Cost ...... ........................................ Definitive Plan Approved by Planning Board ____ ________ -------19.7.j. Area I/...7.� `r.............................. Diagram of Lot and Building with Dimensions Fee . .. .. ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH �All x I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re rding the above - construction. Name .G. .... ... . ....... .... ............................... ' THED CONSTRUCTION ' ^ . � ~ ' ~ O�eS i� o ����.{—. PPermit ----for ..����� ---- ' Single I7amill, Dwelling --------------------.-----. ^ - ^ ' ' Lot 56 #271 Mariner Circle ' Location ------.--------------- ' . ~ . Cotoit ........................................ ...................................... Theo Construction" Owner ---------------------- ' ~ ' . ' Frame Type 6f Construction ,-----.'-------.. / ^ . . ^ . ---.—.`---------..----..'--.---- . Plot ............................. Lot ----------.. ' JoIl/ l7v 80 Permit Granted —�-----_�-----,lg ' Date of Inspection ............................. —:'l9 ' . ' Dote Oak ^^`,~ . . M —. ^ ' . ............................ jL - -- . -r.......... —.--~—....----.--~.—.. ' ~ U., CUApproved ....... ------------- 19 _ ^ . � —.-.----.-------.~..---.--~.~—. ' ---------------------'^'---^' U ' Assessor's map and lot number ........ ......... ....... .......... Q�OF TN E r��y Sewpge Permit number ..(`.��........... �.............................. Z 33A"STADLE, i e House number ..................':.T..... MAH6 ..{ ............................. r 2639' �00� { 0 Mix a' k TOWN OF BARNSTABLE- T L BUILDINS INSPECTOR f APPLICATION FOR PERMIT TO ..................... "................................... . TYPE OF CONSTRUCTION .......... ! �!'�(/(y..... . ..... !t'/%i ......... . TO THE INSPECTOR OF BUILDINGS: - -' - The undersigned hereby applies for a permit according to the following information: Location ... .....�a^..�... .....�'..<�li�i'��.. .........0 ....,�;CA................................. ... 5 Proposed Use /,��, % .. y......................................... ................... .... 4 Zoning District ............................Fire District !.,`� Name of Owner ...,,.,/,,,�-d,,....�:�""i�,/;>w � ...... �..........,�............................................. :l.• 4. .....Address ...................� ....... ....... ,/,............... ° Name of Builder .. ....Address .................. '+ Name of Architect .'�..................................................................Address .................................................................................... Number of Rooms �� ^ Foundation Exterior ............................ ..............._,.................:..................Roofing .... ..........� ........................ i. Floors ' .....!:..` ..................................Interior ............ .................................. Heating / Plumbing ..................../......:.........:. ........... ..................:... ........................................ 14 Fireplace ...........!.,./....... .......................................................Approximate Cost ....... ..................................................... - 19 7 • l o 1 Definitive Plan Approved by Planning Board __----4A- Area r.+....................................... Diagram of Lot and Building with Dimensions Fee ^�.. : J SUBJECT TO APPROVAL OF BOARD OF HEALTH �.�.�''` �`;i� �. _ 4 3 � -L1�) 36 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. l Name ' L (! .. f/........%.....' ..... . ~ -- ' HEO CONSTRUCTION , Cotuit Theo Construction Frame Plot ............................/Lot ................................ PERMIT REFUSED 0�r ............... ............ ........ ........... .--- .......... / . -----' ----' / � ^ -----'' ` — '' ----' / � �� --- —.. lg Approved, ................ —'�~ — — --------~------~^----^—'---'' !� ---------------------^^---- |