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0494 MARINER CIRCLE
YYl Griner r - j y u I Engineering Dept. (3rd floor) Map Parcel Permit# 43 House#- -��y' Date Issued " 9 Board of Health(3rd floor)(8:15 9:30/,1:00-4:36) 2-7 Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 6 R n lL ®I 3 7a / - Planning Dept. (1st floor/School Admin. Bldg.) 6NSTALLE® �ANCE Definitive Plan Approved by Planning Board i;,' t!19 wl ENVIRONM E AND TOWN OF BARNSTABLE 'TOWN R ONS Building Permit Application Project Street Address gy /'1►QpIN�2t� Village Owner +"'' DWAINE °t Lj/9R7F Address Haq n/c2 c)QC«• r50sl �2 Telephone Permit Request et/i/&e7- O rya C AP2" A R A GG j r✓10 T,Y/R i First Floor goo square fee, q t Second Floor square feet Construction Type r` Estimated Project Cost $ _$&000 a oe) Zoning District Flood Plain- Water Protection Lot Size Grandfatheted p Yes ❑No Dwelling Type: Single Family ) Two Family ❑ »' Multi-Family(#units) Age of Existing Structure Historic House ❑Yes W[No On Old King's Highway ❑Yes 56 No Basement Type: WFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) !%0 0 Number of Baths: Full: Existing�_ New Half: Existing New No. of Bedrooms: Existing Z New Total Room Count(not including baths): Existing New l First Floor Room Count A Heat Type and Fuel: 3AGas ❑Oil ❑Electric ❑Other Central Air ❑Yes Jk No Fireplaces: Existing I New Existing wood/coal stove ❑Yes (KNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) f 1 X 2 Z ❑Barn(size) ❑None 9 Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use Builder Information Name R 0 D2 nQy11 ��� DA Telephone Number f10 Address /4 U/d lZ!S 1 ANC License# (� �� 5-7 14/b b C ! f Home Improvement Contractor# Lf C7 Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE. /G BUILDING PERMIT DENIED FOR HE FOLLOWING REASON(S) J4 FOR OFFICIAL USE ONLY . PERMIT NO. _` .. .' _. •fit,• — - � DATE ISSUED t MAP/PARCEL NO. -'- ADDRESS VILLAGE Le - - , ; OWNER DATE OF INSPECTION: FOUNDATION cc�� v w• ! FRAME ' U'2,t INSULATION.. FIREPLACE ELECTRICAL: ROUGH FINAL,- PLUMBING: ROUGH FINAL GAS: ROUGH: FINAL , FINAL'BUILDING I; - t ?`3 ' ' t i DATE CLOSED OUT= �a ASSOCIATION PLANE NO,., : ' " . . = The Town of Barnstable ��$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosser Office: 508-790.4=7 Building Commission: Fax: S08-790-030 For olnce use only Permit no. Date AFFIDAVIT. HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Est.Cost L Address of Work: Y o Owner's Name Dace of Permit Application: I hereby certify that: Registration is not required for the following renson(s): Work excluded by law _ _ ob under SI.000. Building not owner-o=upied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE PP O ZAM OR GUARANTY FUND UNDER MGL 142A ACCESS TO THE ARBITRATION SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner. X161, ��' Contractor Name Registration No. Date OR -' Owners Name Date r MCURApPOWW J TabkJS2.2b(eowhmed) Prescriptive Packages for One and Two-Family Residential Buildings fleeted with Fad Fuels MAXIMUM Mi1NIMUM Glazing Glazing Ceiling Wall Floor Basement Slab HI t2 n Cooling Arm'(Y.) U-value= R values R-valuee RrvaltteJ Wall PCs* Wer �pmeot Effici� p Rrvaiuee R-vaiuW $701 to 6500 Hating Degree Dare' Q 12% 0.40 38 13 19 10 61 Normal R 129A 032 30 19 19 10 6 Normal S 126A 030 38 13 19 10 6 85 AFUE T 15% 036 1 38 13 25 WA WA Normal U 15% &46 38 19 19 10 6 Normal y 15=io 0.44 3'e ;3 . 25;_ . _ WA 'R !S AFUE. . W Ism 0.32 30 19 19 10 6 1 8S AFUE X 19% 032 38 13 23 N/A WA Normal Y 18% 0.42 38 19 23 WA WA Normal Z IV/. 0.42 38 13 19 10 6 90AFUE AA 18% 0.30 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: / �i7 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 0-0 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 2_6 S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 W of decorative glass may be excluded from a building design with 300 ft'of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between �{��nnn.i.♦�nnsa�wonn+l..Ii f{.e%jent;jatOA nnr►1nn of t}1P rnnf j,..........d th .�............p........�_ _._ 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-ftatne or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements:are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include,structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 I DEPARTMENT OF PUBLIC SAFETY Y.. CONSTRUCTION SUPERVISOR LICENSE Number Expires: Restricted Tay 1G .. ROBERT:C DONALDSON 32i:REGENCY'"DR MARST09S MILLS, MA 02648 (L-D,� —cJ— c 7 x = , �., � _ � fir•; } 4 l A a ' c " 9 �U6R-rF 10 v eat, ,tea : r ' 1i y I o —� r \IVCP p ti i r f y is d�r�• � � � � s h f r— 1 - Me Commonwealth of Massachusetts Department of Industrial Accidents i0xce of/nsestigations �— 600 Washington Street • Boston,Mass 02111 zs Workers' Corn ensation Insurance Affidavit f�'�"`''%%%////��%%%%%///%//////////%////D/%%//''///�i,'/�//%%%/'!''%"`" 0 A 3 /iocatiivn: AitV A 12 S � /�/ �� hone# D O ❑ I am a homeowner performing all work Myself. �I am a sole p rietor and have no one working in situ ca acity ❑ I am an employer providing workers' catnpensation for my employees working on this job. comimnv name: address• city phone#: insurance co. oiicv# ///////%//ui//////////////////////i/%////////////////////ram//%///./////%//// .////////////////////%/////////////////////////////////%///////////////////////////////////////// ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: coo anv name: address- ::;:::. Mrphone#- :.:.::;:::>.::.:.::.:... . ..:,:, insarnnce co. ///// rnm anv name: address• dhr phone#e iesurence co.. Failure to secure coverage as required under Section 15A of M(=M can lead to the imposition of criminal penalties of a Me up to 51,300.00 and/or one vean'imprisonment as well as civil penalties in the form oCJ'STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of InvesdC1Md0gt of the DIA for coverage verification. 1 do hereby certi der the pains and enalties of perjrur3'that the information provided above is trams sorted Signature Date _ Print name o 6 e 1— o /u 4 k S o J-) # CcontactPer3on: se only do not write in this area to be compiete�-by city or town official wn: permitNcense is QBuaftg Department []Licensing Board once is rr aired ❑Seleednews Omce if immediate resp q �HeaM Department phone ss• 00ther. ;:.win 9,95 PJA) Assessor s;map and'lot number F'9 THE t0 SE 19 Sewage Permit number .f C1.-.J 3.�P......... <Vic../Lo4...R�?3-80` t i `sfi .Q. " y,5T EM M o� OM 9T/IDLE, i House number aes `1�� .......................................:, ! TN�TITIE 5 °0 i639.a\e� i mAL C DE 0 YpY af�f Vv��/ . TOWN OF BARN, '1A BUILDING, INSPECTOR APPLICATION FOR PERMIT TO ..................,,,�`�'`�... ..........................................' ..... ................................. ..... TYPE OF CONSTRUCTION ... .. ... .................... .......................:..................................... ...........:�� ', ................19.. � TO THE INSPECTOR OF BUILDINGS: R The undersigned hereby applies for a permit according=to the following information: Location .. .. /..... ., ........GOG f................................. ............................ ProposedUse ........ .....e....... .........................................................:............................................................................. ZoningDistrict ........ ......Fire District C.�.................................................. ...................................................... Name of Owner .............. ......................Address ............. ...........> ................ Name of Builder .. .. �'G...........Address ...................... ........... Name of Architect ..........................Address ........................................:.............................. .......... Number of Rooms ................ ............................................Foundation ........"`...... .? � / �r ............................................ Exterior =!/�C•..� .G /" .. .......... ....... ...................Roofing' .... / a .. '..... Floors1 ............................................Interior ........A...... ..(.C1............................................................ Heating /..!.:. :...... .::. ...`........ ....`........Plumbing ................1../ ...................................................... Fireplace ....................... ........................................................Approximate Cost ....... 17 . ............................ .. .... Definitive Plan Approved by Planning Board ______ _____ _ -3___ _19_?U. Area ...//.e. . ....... .:... Diagram of Lot and Building with Dimensions Fee .... .Gam`lrl••........ ................ SUBJECT TO APPROVAL OF BOARD'OF HEALTH ��� { ------------- 10 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .................................................... THEO -CONSTRUCTION '?40 ..225.8.0 y . Permit for ..................... .......... ...Sin le Family.. ................ ............................... ..... Location Lot....#.7.4...4.9.4...M.ar.in.e.r. ...Circle. r.c I e ... .... .... .. .. .. .... .. Cotuit . ............................................................................... Owner ...T.he.o...C.o.ns.tru.cti.on................... .. .... .. .. .. .... ....... ....... .... Type of Construction JFKAMe.......................... .............................?.................................................. Plot ...... ..................... Lot..................... ........... October 16 80 it Perm 'Granted ..................................f.....19 Date of Inspection ............................ Date Completed . ...................19 PERMIT- REFUSED ........... ......... ........ .............................r 19 - ................................. ........ .............................. ................................................................................. t .......... . .. ............. ....................... .............. J Y •' ' ' % • ^ f y............... T................................................. Approe& ............................................... 19 .............:..........6....................................................... .................... .......................................................... Assessor's map and lot number ...... .:................................. QyOF TN E T��♦ ` a Sewage Permit number n.-. 16?......... 9.-?3-8o w� ° �f Z-'H9HB9TA11LE. House number ...... i ........................................................ 9�G 16339 0� �.> TOWN OF BARNSTABLE �E �s BUILDING INSPECTOR APPLICATION FOR PERMIT TO f TYPE OF CONSTRUCTION ... 1:��!�?!;••• Ct.� ,e; P.hf.0 ..............:............................................ .......... d ...... .........:.................19. C. TO THE INSPECTOR OF BUILDINGS: The undersigned ,�hereby applies for a permit according /to the ,following information: Location ...4-! r."...... r...`!....... :'a�j ...(....... ...! ..........�?!�:�� ..� �.:................ ................................... ProposedUse ............ 1GU ...... ..... ............................................................ Zoning District � �.........................................................Fire District ........: ................................................... .............. — Name of Owner - !/� :............................Address (. � �... S.o......�ft r. �ji/ ✓ � .......................... ........ . . ... Nameof Builder ............Address .................................................................................... Nameof Architect - !�..................................................................Address .................................................................................... Number of Rooms ...................................Foundation ... .c.!'.f -12 Exierior ................................................,...............:....................Roofing ................................. ur Floors ......../. � �1�.....!... !.........................................Interior ........:%..�?GV/l(Q�.f� .. ......: ............................................................ Heating ........:.f:` `......./.".G:..... ...........................Plumbing ...................... ...................................................... Fireplace .......................,1........................................................Approximate Cost ......... ,:• .................................... Definitive Plan Approved by Planning Board __----__ ------19 Area f r�r::r:.....:. .......... Diagram of Lot and Building with Dimensions Fee �„ ........r-. .......: .:........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH s ti I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..................................................... THEO CONSTRUCTION A=24-93 No ...2 2-5.8.4. Permit for DrLe...Stary............ ..... .............. Location ..LC).t...#74....U.4-Mar.ijae.-K...C.ir.Q e Cotuit ............................................................................... Owner ....Theo Construction ..........e...o.................................................... Type of Construction ....ZrA... .......................... ................................................. .............................. Lo ....Plot ............................ 7............................ Permit Granted ......Uct o lae r...-1 fi ......19 80 Date of Inspection/.................................19 Date Completed......................................19 PER IT REFUSED .............................. ............................... 19 .............................. ........... .. ............ . ......... ...... ............................................ ........... ...... ........................ ...................................................... Approved ................................................ 19 ............................................................................... ........................................................................... TOWN OF BARNSTABLE Permit No. ------------------- _-_--- t VA"n.X Building Inspector .... Cash --------------- VIR OCCUPANCY PERMIT Bond ----__------- No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to I i het) GonstnjcI I.011 Address SouLh 'far with 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. ..................................................... 19......_ ............ ..`...................... ......._.......... _............_..__._.. ._._ Building Inspector `rr ., I r - k.• F c R S f - A >' t..^r '` °``, 4hi c .�x �, - d ,. 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