HomeMy WebLinkAbout0064 MASHPEE ROAD �. � \.
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OpINF1 -Town of Barnstable *Permit# 2-0 tl() t�g�
Expires 6 months front issue date
Regulatory Services Fee
+ BARNSTABLE, +
v MASS.
Thomas F.Geiler,Director E �
rl �„w:i� � O
Building Division
;�
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
y � .i i:i�,€ � i'
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red Y Press Imprint
Map/parcel Number �Q 7
Property Address M4S/Mj�lP__17 1 f
Residential Value of Work �i fhrL► erO Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
I�11 90)< ,-7 6
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) LNZb 0 t/
Construction Supervisor's License#(if applicable)
[4Workman's Compensation Insurance _
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner -
[ J have Worker's Compensation Insurance
VY
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to S e /IGi
❑Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (mahimum.35)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note:,` Property Owner mu si n Property Owner Letter of Permission.
/) A copy of them o e provement Co tractors License&Construction Supervisors License is
quired.
SIGNATURE:
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDVx7AA7\EXPRESS.doe
Revised 072110
i
pp 211E
Town of Barnstable
rFD MA'I p
Regulatory Services
Thomas F. Geiler,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I. l-&W L*RR 4 as Owner of the subject property
hereby authorize bIAI to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Addres of Job)
tgnature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc
Revised 072110
f y
7�e °� License or registration valid for individul use only
Office of Consumer Affairs&B siness Regulation g y
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration:,,L=P404804 Type: Office of Consumer Affairs and Business Regulation
Expiration: - ki%212 , Private Corporation 10 Park Plaza-Suite 5170
0 Boston,MA 02116
VLAADINOS BUIrA C ,iDSJGINC
Nicholas Lagadinb, °�
13 Thankful Lane ('���` �`� � g��.,�,e�
Cotuit,MA 02635 � Undersecretary Not valid without signat e
r
DATE(MMIDD/YY
ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/17/DolYY}1
PRODUCER 508.428.6921 - FAX S08.420.5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
7 Wianno Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 Box 494
Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC#
INSURED Lagadinos Building & Design, Inc. INSURERA: National Grange Mutual Ins Co. 14788
13 Thankful Lane INSURERB: Chartis
Cotuit, MA 02635 INSURER CC
INSURER D:
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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.
INLT R DD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LT SR
SR DATE MMlDO y DATE MID LIMBS
GENERAL LIABILITY NSB87460 01/01/2011 01/01/2012 EACH OCCURRENCE $ 1,000,000
DAMAGE TO
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence ' $ 501 OO
CLAIMS MADE a OCCUR MED EXP(Any one person) $ 10,000
A PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,06
POLICY JEC LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident) $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON-OWNEDAUTOS (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT $
ANYAUTO OTHERTHAN EAACC $ '
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION C STATU JOTFr
-
AND EMPLOYERS'LIABILITY MY LIMITS ER
ANY PROPMETORIPARTNERIEXECUTIVE� WC 004-30-3313 01/02/2011 01/02/2012 E.L.EACH ACCIDENT $ 500,000
B OFFICERIMEMBER EXCLUDED?
(Mandatory 1n NH) E.L.DISEASE-EA EMPLOYEE1$ S00,000
describe u.nderIf
500,00SEC0
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
Builder in Massachusetts
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
-Town of-Barnstable IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
200 Main Street REPRESENTATIVES.
Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE
Tina Correia LEOTCI. ..
ACORD 25(20091.01) 41988-2009 ACORD CORPORATION. All rights.reserved. .
Massachusetts- Department of Public Safet
Board of Building; Reguhitions and Standen-ds '
Construction SupervisoF' License
License: CS 12653
Restricted.to: 00
NICHOLAS A LAGADINOS
13 THANKFUL LANE;''
COTU IT; MA`02635.'' d, i
Expiration: 7/16/2011
Commissioner` Tr#: 19456
1 •
Y7ae Coninionwealtli of 11'assachuseta`s
- Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Workers' Compensation Insurance Mfidatzt: Builders/Contractor-s/Electlicians/Plumibers
Applicant Information Please Print Legibly
Naniae(Busines-ifOrgsuizatiowTndi%idual): ��Z�i�i�iYtdS $i)l _�rv�ca Z?V('
Address:
City e'Statp_fZip: C'UIl/i% G'} l7ZCa5 Pllone N Q
Are you ma.employer?,Check the appropriate box: T}ape of project(required):
1.[a I am a employer with 6 4- ❑ I am a general contractor and I
k ha�.,e hired the sub-contractors 6. ❑Netts constructionemployees(full androrpar3-time).'
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and ha:*e no esvploy ees These sub-contractors have g. ❑Demolition
:working for me in any capacity" emplogNves and have workers'
[No workers'comp.insurance cep-insurance.:
9. ❑Building addition
required.] 5. ❑ We are a corporation and its I'0.❑Electrical repairs of additions
3.❑ .I am a homeovmer doing all tivark officers have exercised their 11.❑Plumbing.repairs or additions
myself.[No workers'comp. right of exemption per t4GL 12.21 Roof repairs
insurance required.]_ c. 152;§1(4).,and xve ham no
employees- [No workers' 13.0 Other
comp.insurance required.]
*Any spplicaut that checks box Al trurst aLo fill out the season below showing sheer workers'compeusationpolicy infonnateoa
E Homeowners who submit ehis affidavit inditateng they are doing all work and then here outside contractors must submit a new affidavit indicating such
-Contractors that check ibis box must attached an addidoaat sheet shooing the mute of the sub-contrsttors and state whether o:not those euteties have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
Lain act ettep1gveJ'that is providing vowrkers'caraapensatlon fustirancO fOr aray eratpdoyees. Betoiv is the poNq and job site
fatfor'JJtR[f ore.
Insurance Company Nance: e(f��>7 S
Policy,".or Self-ins"I-ic. tV OU 4— 3b` 531 Expiration Date: �.
Job Site Address_ try iLG{. Cit} StaterZip: Mir' R"6�3
Attach a copy-of the workers'compensation policy-declaration page(shon=ing the policy-number and expiration date).
Failure.to secure coverage as required render Section 2 S.A of MGI,c. 152 can lead to the imposition of criminal penalties of a
fine up to Sl 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 DLL for in tuance coverage verification.
I do here Y c .rff,ilia a th ns atrd,pe alties of per3rary that flee infor'Atadon pr-ovided trbove l's trtt and correct
Si frets: ! Date: e� /
Phone I;: �i^Official rise only. Do taut ivrite fie this area,to be courpleted kV city or town ofciai
City or Town: PermiVIAcense 9
Issuing Authority-(circle one):
1.Board.of Health 2.Building Department 3.Cityfroum Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
t
Map 6D 7 Parcel a 3 3 Application#d"
Health Division
Conservation Division ,t Permit#
Tax Collector } ' t Date Issued a(-P 0
Treasurer -- Application Fee
Planning Dept. _ Permit Fee 6D
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address
Village _ ('t7fU 1
Owner Lcam trl C WL CAI?2ag, Address G-6 I%Wcx: 4b GM 1T N1 XI- OLD 3s
Telephone d y 26 T7(, G I
Permit Request %�1\115 1Rsc�Yl t3t�1T� fit,t�ls M 141 l U 4e- l S l I 143P4T_
(;Z:�'3E1)Rod VIA _-�7ri,mdu aoem �� Q ffi'i fir'
Square feet: 1 st floor:existing ioz proposed 2nd floor:existing 7L5 proposed Total new
Zoning District IQ F Flood Plain Groundwater Overlay
Project Valuation 3 om, cO Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family JP Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 716 Basement Unfinished Area(sq.ft) A/
Number of Baths: Full:existing Z new / Half:existing new
Number of Bedrooms: existing Z new
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: 21 Gas ❑Oil ❑Electric ❑Other
i
P^•J
Central Air: ❑Yes I(No Fireplaces: Existing ` New Existing wood/coal lstove: D Yes 6ANo
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑nrw size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
n ;=
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes 4No If yes,`site plan review-# -
Current Use Proposed Use t�e��t ,✓Irr-P
_ BUILDER INFORMATION - `-
Name i d Telephone Number
Address JVIG(✓1 � LAUG License# /Z S 3
Home Improvement Contractor# Loy go
Worker's Compensation# 718 -7,,4;-41
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e,_ ,S0_&L
SIGNATURE DATE
Y
FOR OFFICIAL USE ONLY
"
PERMIT NO.,
DATE ISSUED
i MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
a FOUNDATION
FRAME
INSULATION Q71��'1 y rw(Sy
f -
FIREPLACE
�y
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL } -
FINAL BUILDINGZV,61V
DATE CLOSED OUT
ASSOCIATION PLAN NO. _
- 1
TheTown of Ba' stable
KAM
, ` Department of Health Safety and Environmental Services
Building Division
367 Wa Street,Hyannis MA 02601
OMM.- 508 79"227 Ralph
Fax SOS 775 3394 Bumng Camrtdssioner
For office use Only
Pemdt no.
Date
AFFMAVr)r
ROME D(PROVEMENTCON'I'I CTORLAW
SUPPLEMENT TO PERhIITAPPLICATION
MGL C.142A requires that the"reooustntction,altetAt3ons,renovation,err motion,
i building
cont, wnxning I, demolition, ar oottsMrctiart of an addition M tray Pf*t ding owner O=g)ied
bttilditig containing at least one but not more than four dwelling units or to SMWWM whiCUgre
to such residence or building be done by registemd Conbadors,with certain paoqdoK along with other
toquirrment!~
Type of Wark:,.-p a Est.Cast 3 GCS
Address Ofwork: C���jfj �= ,L�7
0%,nerName:_ r"O QW-Zr7Z
Date o[Pctmit Application q 4
I hereby ceaiFv that: `
Registration is not required for the following neasan(s).
Work excluded by law
Job under$1,000
Building not owner-ocerpied
_,Owner pn1ling on Pam
Notice is he Y gi,.Tn Iml:
OWNERS PULLING THEIR OWN PERMT OR DEALING VMH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME WROVENENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL e_ 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a Permit as the agent Of the owner:
l C a p 0
Date Contractor name
Registration No.
OR
Date Owner's name
REScheck Software Version 4.0.1
Compliance ,Certificate
Project Title: Carter Basement
Report Date:09/19/07
Data filename:C:\Program Files\Check\REScheck\Carter Basement.rck
Energy Code: 1995 MEC
Location: Cotuit,Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 6%
Heating Degree Days: 6137
Construction Site: Owner/Agent: Designer/Contractor:
64 Mashpee Rd. Leonard and Carol Carter Nick Lagadinos
Cotuit,MA 02635 64 Mashpee Rd. Lagadinos Building and Design Inc.
Cotuit,MA 02635 13 Thankful Lane
Cotuit,MA 02635
508-428-4097
lagoon@capecod.net
Gross Cavity Cont. � Glazing UA
Assembly Area or R-Value R-Value D•.
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss: 896 19.0 0.0 46
Wall 1:Wood Frame, 16"o.c.: 240 19.0 0.0 11
Window 1:Wood Frame:Double Pane with Low-E: 10 0.300 3
Door 1:Glass: 40 0.300 12
Wall 2:Solid Concrete or Masonry:lnterior Insulation: 660 13.0 0.0 55
Floor 1:Slab-On-Grade:Unheated: 64 0.0 --67
Insulation depth:0.0'
Boiler 1:Other(Except Gas-Fired Steam):85 AFUE f
Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed b ' ing has been ned to meet the 1995 MEC requirements in
REScheck Version 4.0.1 and to comply with the mandatory r ents liste 'n e R Sch k Inspection Checklist.
N%CUV c,_' LRC�B o w as '� s �'tl �v
Name-Title Signature Date
Carter Basement Page 1 of 1
yP�ppYHE Tpk�p� Town of Barnstable
• Regulatory
�. , : g y Services rvices
Sop 1"S. � Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize
to act on my behalf,
in all matters relative to work authorized by this building permit application for:
G —LORI,r
(Address of Job)
Xsiegna_t`ur�eof Date
Print Name
QTORMS:OWNERPERMISSION
The Commonwealth of Massachusetts °
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information - - Please Print Legibly
Name(Business/Organization/Individual): L-11 L C
Address:
City/State/Zip: rCM)l 1 YA I�} d jo 3 t' Phone#:_ OR)-<{zb-40
Are you an employer?Check the appropriate box: t
Type of project(required):.
1.(w I am a employer_ with 11 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 t 7. �Remode.ling on the attached sheet.
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers'camp. insurance. 9 El Building addition
[No workers' comp:insurance 5. El 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 I.❑Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.] t employees. [No workers'
13.
comp-.insurance required: .,
Other
]
*Any applicant that checks box#1 must also.fill out the section below showing their workers'wmpertsation policy information.,
t Homeowners who submit this.affidav t.indicating they are. oing all work and then hire outside contractors must submit a new affidavit indicating such.
+Contractors that check this box must attached an additional sheet sfiowitsg the name of the sub eotitracYors and their workers,comp.Policy P P cy information.
I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
'inform ation _.
Insurance.Company.Name:_ &ftie4r_0 In_ _T__A4r1TA"r_4A /90
Policy#or Self-ins. Lic.#: Ms tit -1k 7� 1 Expiration Date:
Job Site Address: .6q 1/VL City/State/Zip: Co -r ,M 6- pug
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 S 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 S?50.00 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 he c%rrify it de if e pains and!penalties of perjury that the information provided above is true and correct.
Si-nature: Date:
Phone#: 29 1 L126- q6q?
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical11 `Inspector 5. Plumbing
Contact Person: Inspector
6.Other
Phone#:
04/25/07 WED 11:06 FAX 1 508 420 5406 LEONARD INSURANCE AGENCY 2 002/002
ADDOBL�,, CERTIFICATE OF LIABILITY INSURANCE DATE 04/25/20Y 7
04/25/2007
PRODUCER (508)428-6921 FAX (508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
7 Wianno Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P 0 Box 494 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ostervil l e, MA 02655 INSURERS AFFORDING COVERAGE NAIC#
INSURED Laga inos Building & Design, Inc.. IN$URERA. National Grange Mutual Ins Co, 14788
13 Thankful Lane INSURER2: AIG XS8009
Cotuit, MA 02635 INSURERc:
INSURER D: -
INSURERE:
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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE uMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR-L7& D' TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER LIMITS
OENERALLIABILITY NS087460 01/01/2007 01/O1/200$ EACH OCCURRENCE s 1 000,00
X I COMMERCIAL GENGRAL UTABIL(TY DAMAGE TO RENTED $ 500,000
CLAIMS MADE OCCUR PREMINFIR IF.
MED EXP(Anyone person) $ 10.000
A PERSONAL&ADV INJURY 5 1,000 000
GENERALAGGREOATE S 21000,000
GEHL AGGREGATED LIMIT APPLIES PER: PRODUCTS-COMPlOP AG(, S 2 OOO,OO
POLICY JECT LOC
AUTOMOBILE LIABILITY -
COMBINED SINGLE LIMIT $
ANY AUTO (Ea 2ccideni
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
BODILY INJURY $
NON-0WNED AUTOS ..(Par aceldenl)
.PROPERTYDAMAGE $
(Per Seeident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO - OTI-IERTHAN -EA ACC $
AUTO ONLY:. AGO S
EXCESSJUMBRELLA LIABILITY. - EAC!-I OCCURRENCE S
OCCUR CLAIMS MADE AOOREGATE $
$
DEDUCTIBLE
S
RETENTION S
WORKERS.COMPENSATION AND WC8934483 -01/02/2007 01/02/2008 we ATu- a— -
EMPLOYERS'LIABILITY YI-IMITS ER
B ANY PROOPPRI RR/PAARRTNER ECUTIVE E.L.EACH ACCIDENT S 500.000
OFFICEMBERIF yyeess desaibe ender '
E.L.DISEASE-EA EMPLOYE $ S00 000
SPEIAL PROVISIONS below EL DISEASE•POLICY LIMIT S 500,00
OTHER
DRCRIP ION OF OPERATIONS J LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL pROMSK7NS
1 der on Cape Cod.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANS I CA BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE
IStaceX Spear
ACORD 25(2001108) FAX: (S08)428-7709 40ACOkD CORPORATION 1988
2
i
-j> �, �'�-�anvmazurea�ll o��/�aaaar�ivaet�a '
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 12653
B�rthdate 7/:16/1954
Expiration 1,161,2009 Tr# 15610
`Restriction QO' i i
NICHOLAS A LAGADINOS '
13 THANKFUL LANE,-'`<_-'
COTUIT,MA 02635 Commissioner
a
��ie 1�iaarimanusesc�.�o�,.�/laaaue�ucoeC,?'d -
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 104804 Board of Building Regulations and Standards
Expirakton :_7j15l2008 One Ashburton Place Rm 1301
Type Pnv4e Corporation Boston,Ma.02108
LAGADINOS BUILbING'&'DES:IGN;ANC
Nicholas Lagadinos,
13 Thankful Lane
Cotuit,MA 02635 Deputy Administrator Not vali i on signature
I
I
Town. of Barnstable
Regulatory Services
STAB
MASL Thomas F.Geller,Director
'°r ;�;►`�� Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fa 508-790-6230
PLAN REVIEW
Owner: f2't`�i� Map/Parcel: O O 7 O 3
Project Address 6`� /11,9s�P ' �r Builder:
The following items were noted on reviewing:
Wf&u a a c.1 N ..yE cy r2 6;4 m-ca Acts r
C/
ODE
/A)
LCc t �I T H �a� ate R�@ ram.<K�-s. UST/�G• — s<..1°P�-`�
14iR 0--/e&7X- ? t/
ry
Reviewed by:
Date:
Q:Forms:Plnrvw
�Lsh r
October 17,2007
Robert McKechnie
Town of Barnstable'
Regulatory Services
200 Main Street -
Hyannis, MA 02601 - `
Mr. McKechnie,
As per our telephone conversation yesterday, I would like to explain the intended use of,
the lower level of my home. I refer to the plan submitted for permit#20072363. We
intend to use the family room for our TV and entertainment room as well as part of a
guest suite when family and friends visit. We would like to have a bar sink and a small
refrigerator in the room for our convenience as well as that of our guests. The countertop
will be limited in size to accommodate the bar sink and cover the refrigerator. The
family room and the guest bedroom and bath will be a great place for our guests to be
alone as well as offering us the second floor bedroom area for ourselves. There is no
intention of creating an apartment area.
If you have any further questions,please call'<508-428-4766>or email
carterhouse64gaol.com. The area is near ready for sheetrock, so it would be helpful to "
we know that we can have the sink and refrigerator soon. Thanks in advance for your
cooperation and understanding. -
Very truly yours,
Leonard F. Carter
r
.:•� - r O FS P Nn
F, -
. - STAMP:
N
Existing Deck o
20'-8"x 9'-5" o rn
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12'-2"x 13'-3" DINING io
9'-11"x 13'-3"
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of 12'•6"x 16'-2" LIVING
c
14'-9"x 13'-6"
8'-2' -10' 3'-6'
CLOSET
4'-7"x 5'-2" DATE ISSUED:
OS-07-07
REM90NS'.
y' -10' 18'-10�-
Existing Layout ORAWK Br. NL
891 sq ft 32'-0'
DRAWNG x0.:
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Existing Deck o
- - - 20'-8"x 9.-5^ H
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23Ne San emove Casement Window Remove Slider Install a °
nstall Patio Door Patio Door m o o a
C J a y
O O J W
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-
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io Remove Wi dow
DINING and Clo,$e In 0
22'-4"x 13'-4", - W
Same BAth 2 Q
av Wall Location w M
r� A a F-
=5
b - Section coc Q 1-
Remove Closet Remove Wall a
m -- --- --
SectiorL__________
__^ = ltlstatttktstt---- --- --ERtefd-BU8fhlP ------ aA V
Ceiling Beam necessary
A
Rem ve Window and °ice
New D uhl6
Case ent VJindow ove
KITCHEN LIVING ew riple Casement
12'-6"x 13'-^ 15'-e"x 13'-5" 1 Ioxe I Out Window
N DATE 155U(p:
OS-O7-O7
u1 aEw5rW5:
New Window New Window New Window
Same Location Same Location Same Location
'-34' '-10' is'-loll 10' Dawn+Br. NL
Proposed Layout 32-10
898 sq ft DRA" G NM:
A2
STAMP:
Section A-A
Triple 9}"LVL
.Beam r n
o N o
C O n
O
2x10 Floor Joist .200 Floor Joist
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U a U e m
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Joist Hangers + m y o o n
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Triple 2x4 studs on each end o _Zo o n E
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200 Floor Joists
3.2x10 Girt
OATS swm:
os-oT-oT
3 j"Concrete filled talley REWSIONS'
Column
eRwwi Br. ML
Concrete Footing
Oruxoio xa:
S2 .
ri
SMOKE DETECTORS REVIEWE F 1
V �a �-�
32'-0"
BARNSTABLE BUILDING DEP 1. DA
1 1/ " 11'-0 5/8" 6'-10" 12'-3" 11 1/4"
FIRE DEPARTMENT DATE
BOTH SIGNATURES ARE REQUIRED FOR PERMITTI
O IMF ORT NT- UPGRADE REQUIRE
11'-3 3/4" 0` STATE UILDI G CODE REQUIRES THE UPGRADING �
�� (- SMOKE DETECTORS FOR THE ENTIRE DWELLING N A O L-
ONE 0 MORE IEEPING AREAS ARE ADDED ORCREATE
FO
�' 12'-3" � a
`— NOTE: A SEP RATE PERMIT IS REQUIRED FOR E N
6��� � INSTAL TIOH F SMOKE DETECTORS-THE ELECTRI a"'+ 11
TL �F-- PERMIT]DOES LOT SATISFY THIS REQUIREMENT. 0C
Uu
N 0 BAT N o C
r� �.•x 7`- FAMILY =
CIJ
BEDROOM 1 r-1 V x 13'-4" y .a
10'-9"x 14'-10" C "I
- C
�a
_ N
cc
CO
CC
00 00
" 04 .. N
9'-0 3/4"
N � � •
HALL f UNFINISHED
OFFICE '-6"x 12'-10' t 1 r-1"x 13'-2"
8'-6"x11'-4" U� CARBON MONOIUDEALARMS N
MUST BE INSTALLED PER ;"'L 00
4 M/SSACHUSETTS BUILDING CODE G�
cl
�.
Carter
Proposed r
Basement Layout
896 sq ft z
z
11 1/8" 8'-9 5/8" 10'-4" 11'-11 1/4" .a
'
32'-0" A Z c
32'-0" Existing Deck .�
o. n 23, 0,. 10 20,$"x 9'-5"
New Window
Same.Location Remove Casement Window Remove Slider Install
- Install Patio Door Patio Door
7 7—
cj
New FG OO IAJ
LO
ti ShowerL
U0 �0 Cr
V _ Q C4 0
Remove Kitchen Cabinets A l;
Install new floor � ��- 00
�. N
• - o Washer/Dryer b4 000
_ Remove Wndow >:." p Fh 0
DINING and Close In X
22'-4"x 13'-4" w
Same BAth - .z Q
Wall Location _
N Install new side door _ - - 0�
_ - 00
�. _ •b N�
• - Remove Wall Section L? W
Remove ClL Extend Beam if necessary - - ►a C
--- -__Install flush _- --- --___N Ceiling Bea N
13'-1 3/4'. New Trim
door at top 4-1
of stairs '�" `e' 'eRt1'
Need Center of Kitchen Window. Remove Wndow and move .I
New Double - New Triple Casement
Casement Window Boxed Out Window
KITCHEN LIVING
12'-6"x 13'_5" 15'_9"x 13'-5"
UP M I��
I�i M
0
I I Trim Beam over front door -
Remove Box over front I (VCZ
r7� door
New Window New Wndow New Wndow
Carter Home Same Location Same Location Same Location
Existing First 8'-3 3/4" 4'-10" 18'-10 1/4" 0 z c
u
Floor Layout 32'-10" A z
902 sq ft
A2
10'-8 1/4" 8'-6 1/2" _ 12'-9 1/4"VN
k
M
cli
cc
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Lr
Ob
n BEDROOM •p S BEDROOM., N H
0- 10'-0"x 22'-1„ 12'_1"x 22,_1, C, CO O
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in 31'-0*x 4'-7„ in ra$
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Carter
Existing Second Floor 32'-0" z N
728 sq ft
A z
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-I
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
a
01
Map Parcel 183 •Application.#
Health Division
Conservation Division Permit#
Tax Collector Date Issued,
Treasurer , Application Fee �®
Planning Dept. Permit Fee.' ZCO
5
Date Definitive Plan Approved by Planning Board C
Historic-OKH Preservation/Hyannis
Project Street Address M pre)1
Village )
Owner 1„mAzD L'w72 T Address In L. 12'�)
Telephone SO&- �7_ rCOTU 0—, VY�I� DZ 63g—
Permit Request �1'25f �002 W►K 1) A(dne, nn:T
1
UZI 1V`
Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 20,M D. 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 Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No
Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) `Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing new Half:existing new
2 Number of Bedrooms: existing new
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
i
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑,pgw size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: ZE.
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ <j
Commercial ❑Yes j No If yes, site plan review#
Current Use , Proposed Use w
BUILDER INFORMATION — - CD in ;
Narw (V!Ck l 6 S Telephone Number y 1' y0 7
Address Ly License# („ -3
('aa IT.. We /I�! �� Home Improvement Contractor# 104 A01
Worker's Compensation# 7(y��
ALL CON!::7 DEBRIS RESULTIN ROM THIS PROJECT WILL BE TAKEN TO �fQSfi1l�
SIGNATURE DATE �G 7
FOR OFFICIAL USE ONLY
H.
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION ��N �(� (07 AI' qt,
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
.k GAS: ROUGH FINAL
FINAL BUILDING 86
/ lV 8 �� 7 R A'7/
L
DATE CLOSED OUT '
ASSOCIATION PLAN NO.
1
The Commonwealth of Massachusetts
a
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111 '
www.massgov/dia
Wotkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information - Please Print Legibly
Name(Business/Organization/Individual): t.A C C
Address:
City/State/Zip: cm 171— YA 14 '0 j,2 S' Phone#: Sz)R) '4Zb 4()�_
Are you an employer?Check the appropriate box: Type of project(required):
1.rV I am a employer with 4. ❑ I am a general contractor and I 6 Q New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I•am a sole proprietor or partner- listed on the attached sheet.t (,�Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers'camp.insurance. 9• ❑Building 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' 13.0 Other
comp.,insurance require
d.j.
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy.information..
t Homeowners who submit this.adavit•indicatmg they are doing all work and then hire outside contractors must submit a new affidavit indicating.such.
'Contractors that check box must attached an additional sheet showing the naive of the sub=contractors and their workets'comp:policy information.
ram an employer that is providing workers'compensatton insurance for my employees Below is the policy and job site
ttaa..��;��.:._
Insurance Company Name:1�t CdV1 �V1 tr�r'Vlatc�g�� �G
Policy#or Self-ins. Lic.#: Expiration Date: t I
Job Site Address: h� Mm2i f- 0� . City/State/Zip: �/'r'
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 tip 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 S250.00 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 here cc tify undo he p s and penalties of perjury that the information provided above is true and correct
Sig*natu.re: Date:
Phone
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing.Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6,Other
Contact Person: Phone#:
j
i
Town of Barnstable
Regulatory Services
• r
� � 3ARNSTABLE, f
y� Mnss ,eg Thomas F.Geiler,Director
1
I �E6396 Building Division
( � Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
iI
� j
Office: 508-862-4038 Fax: 508-790-6230
1 `
f
Property Owner Must
( Complete and Sign This Section
I �
If Using A Builder
II ,
I .
� -, as Owner of the subject property
hereby authorize to act on my behalf,
I '
in all matters relative to work authorized by this building permit application for:
(Address of Job)
, I
. s
Signature of Own. Dad
I
i
iPrint Name
f
I -
i
Q:FORMS:OWNERPERMESION
i
i -
j ,
.04/25/'07 WED 11:06 FAX 1 508 420 5406 LEONARD INSURANCE.AGENCY 12002/002
ACORQM CERTIFICATE OF LIABILITY INSURANCE DATE(MM10°"YYY,
04/25/2007
PRODUCER (508)428-6921 FAX (508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
7 Wianno Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P 0 Sox 494 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ostervil 1 e, MA 02655 INSURERS AFFORDING COVERAGE NAIC#
INSURED Laga inos Building & Design. Inc. INSURERA. National Grange Mutual Ins co, 14789
13 Thankful Lane INSURER 2: A=G XS13009
catuit, MA 02635 INSURER
INSURER D:
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.
IIm WSW NSR ADD'L TYPE OF INSURANCE POLICY NUMBER PDLICY EFFECTIVE POLICY EXPIRATION
OENERAL LIABILITY MSB87460 Ol 01 2007 01 01 2008 EACH OCCURRENCE LIMITS
/ / / � 1 00000
X COMMERCIAL GENERAL LM al TTY DAMAGE TO RENTED g SOO,,OO
CLAIMS MADE OCCUR MED EXP(Any one perwn) S 10.000
A PERSONAL&ADv INJURY S 1.000 000
GENERAL AGGREGATE s 2 000,000
OEML AGGREGATE LIMB APPLIEg PER: PRODUCTS-CDMP1DP AGG S 2 000.000
�' PRO- PRODUCTS
MLOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) III
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY S
wer hereon)
HIRED ALMOS
- $
NON-OWNED AUTOS BODILYINJURY(Par accldeno
PROPEM Y DAMAGE
(Per accident) S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO
OTHERTHAN EA ACC s
AUTO ONLY, AGO S
EXCESSRIMBRELIA LIABILITY EACH OCCURRENCE S
OCCUR CLAIMS MADE AdOREGATE S
. S
DEDUCTIBLE
s
RETENTION S
WORKERS COMPENSATION AND WC8934483 01/02/2007 07/02/200$ WC ATU- OTH $
EMPLOYERS'LIABILITY Ry ER
B ANYPROPRIPTOW1PARTNETUEXECUTiVE E.L.EACH ACCIDENT S 500.000
OFFICERIMEMBER EXCLUDED? E.L.DISEASE•EA EM g IF yyeess describe under 500.000
SPECIAL PROVISIONS below EL DISEASE•POLICY LIMIT s 500,000
OTHER
DC LPrION OF OPERATIONS r LOCATIONS I VEHICLES I EXCLUSIONS ADOED BY ENDORSEMENT r SPECIAL pROMSIONs
1 fler on Cape Cod.
CERTIFICATE HOLDER CANCELLATIO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI.LE01MEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Hyannis, MA 02601 AUTHORIgDRFPRESENTATIVE
Stacey Spear
ACORD 25(2001108) FAX: (508)428-7709 40ACOkD CORPORATION 18$8
2
✓fie {oomv�azoneuea�.b�✓�adsac�utGel�
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
x I
Number: CS 012653
IQ Birthdate: 07/16/1954
Expires: 07/16/2007 Tr.no: 316.0
Restricted: 00
NICHOLAS A LAGADINOS
13 THANKFUL LANE
COTUIT, MA 02635 commissioner
i
I
✓6e "�arnmrazcvea� o�„/�oa�zuaet�a
Board of Building Regulations and Standards
License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registratiow 104804 Board of Building Regulations and Standards
Expiration;;`;:=7 1512008 One Ashburton Place Rm 1301
__Type,._Pr�ute Corporation Boston,Ma.02108
LAGADINOS BUILDING&'1JE:SI.GNINC
Nicholas Lagadinos,1...
13 Thankful Lane
--Cotuit,MA 02635 -- Deputy Administrator Not vali i ou signa ure
dp'tttE
- - The Town of Barnstable
'{"O& g Department of Health Safety and Environmental Services
a619 �e
►+ Building Division
367 Main street,Hyannis MA 02601
Oboe: 509 790-6227 Ralph C
mssen
Fax: 508 775-3344 Building Commissioner
For office use only
Permit no.
Date
AFMAVIT
HOME LMPROVEMENT C4NTFACMR LAW
SUPPLENMNT TO MRMT APPLI<CATTON,
Mtn.,c. 142A requires that the"teoonstruction,alterations,renovation.fir,moderniufioo,co on,
itnl UMMent, Mmaysl, demolition, or construction.of an addition to asiy ping owner oocupied
building containing at least one but not more than four dwelling units or to structtues which am adjacent
to such residence or building be done by tegfsterod Contractors,with certain McMipas,along with other
Type of Work:__ .,1�01NI/9� F Cost /J71r1,/IJ7
Address of Work: � 0S M° c. f2d, ('lfflj)T—
Owner Name: /�O
Date ofPermit Application: _
I herebw xrtifv that:
Registration is not required for the following reason(s):
Wank excluded by law
]tab under S 1,000
Budding r:o6 aw-ricr-0.xupiod
OwTKr puffing ovm p=ah
Notice is hereby given that:
OWNERS PUUJNG THEIR OWN PERMIT OR DEALTNG VMH UNREGISTERED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO TAE
ARMf7RATION 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,
Datc Cantracror name
• R.egistraGo No.
OR
Date Owner's name
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: Carter Remodel
Report Date:05/08/07
Data filename:C:\Program Files\Check\REScheck\Carter Leonard.rck
Energy Code: 1995 MEC
Location: Cotuit,Massachusetts
Construction Type: Single Family
Glazing Area Percentage: 20%
Heating Degree Days: 6137
Construction Site: Owner/Agent: Designer/Contractor:
64 Mashpee Rd. Leonard Carter Nick Lagadinos
Cotuit,MA 02635 64 Mashpee Rd. Lagadinos Building and Design Inc.
Cotuit,MA 02635 13 Thankfu Lane
508-428-4766 Cotuit,MA 02635
508-4284097
lagoon@capecod.ent
ae-
Gross Cavity Cont. e UA
Assemblyor or •••
Perimeter U-Factor
Ceiling 1:Flat Ceiling or Scissor Truss: 891 30.0 0.0 31
Wall 1:Wood Frame,16"o.c.: 910 19.0 0.0 44
Window 1:Wood Frame:Double Pane with Low-E: 75 0.330 25
Door 1:Glass:. 110 0.330 36
Floor 1:All-Wood Joist/Truss:Over Unconditioned Space: 891 1.9.0 0.0 42
Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other
calculations submitted with the permit application.The propos as been designed to meet t 1995 MEG requirements in
REScheck Version 4.0.1 and to comply with the mandato it ents listed in^ check lnsp tion Checklist.
Name-Title Signature Date
Carter Remodel Page 1 of 1
i
�B I II N S�IG�N 5 13 Thankful Lane Cotuit,MA 02635
n 508-428-4097 Fax 508-428-7709
,...�.,s,���>..��. .�.u✓,,.; .,,,.:r ,.µ.. ,:.me. ,,.�u �.'. -
July 20, 2006
Barnstable Building Dept.
Re: Carter Residence 64 Mashpee Rd. Cotuit, MA 02635
First floor window and door replacement and interior remodeling
First floor 891 s.f. 7'7" ft.walls 1201.E R-19 Insulation
Windows
Andersen Window R.O. Size S.F. Opening Total S.F. U-Value
First Floor
Windows
3 WDH244 30"x 57" 11.87 s.f. 35.61s.f. .33
1 WDH2432 30"'x 41" 8.54 s.f. 8.54 s.f .33
1 CR235 32"x 41" 9.11 s.f 9.11 s.f .33 -
1 CN14-3 66"x 48" 22 s.f. 22 s.f. .33-
Total 75.26 s.f.
Doors
2 36"x 80" 21.90 s.f. 43.80 s.f. .33
2 60"x 80" �.33.33 s.f. 66.67 s.f. .33
Total 110.47 s.f.
Thanks,
Nick Lagadinos
. - •rr • - "`+cti.r+rr',•.:`^,i. .v« a .�'.i,rs...,r,1.. A.+1'+1" .s- .. ..'./.T r ... ;^f'. '.r""• . w"i, y^ ,,, .. cj•.'y%..rw.ra %5r�`. L''.�"b„ •.f ,. y .
ppME r � Town of Barnstable
9ARNSTABLE. _ Regulatory Services
9 MASS.
s67q. Building Division --
rFD MPS s,
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice
Type of Inspection
E Location 4 V C 77 Permit Number
Owner Builder Lath �ti
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
l�
QUA CD Z C-�; 7" e�
n:2-
f
Y
VJ
p
Please call: 508-862493'8 for re ins
e ion.
Inspected bVJ
y
Date `�/0 7 "
Assess�r's map and lot number / .f............ ..........
....G...r ' oFTNeTo
..8/.: ...3c '? SEPTIC SYSTEM MUST SE
Sewage Permit number ....... .............:........... c.."'INSTALLED IN COMPLIANCE
d
.- Z BAUSTABLE, i
House number ....� � TITLE
. ?............................................ .......:..... w � 90 NAea
tiEIVE/IRONMENTAL CODE ARID ��p039-
MAYA,-
TOWTOWN OF , , BX'RNS�T'Xb'fES
BUILDING INSPECTOR
! APPLICATION FOR PERMIT TO .......j..l.. �.I2........ . .......... ... ..............................................................
TYPE OF CONSTRUCTION ..............lN.. ...... ..... .........................................................
M.�.].
......................19V
TO THE INSPECTOR OF BUILDINGS:
The undersigned
hereby applies for appeejrmit according to the following information:
Location .........iP1 Z...........6.:......!a1./ 4�x,ew. ........C.. -. ............ . .. ....................................
I
ProposedUse ..............................................................................................................................................................................
ZoningDistrict ................. . ..........................................Fire District ..............................................................................
Name of Owner ..! ......./..4 SS&V�"!�....Address
Name of Builder ........c.J. .................................Address
Nameof Architect ..................................................................Address ................:...................................................................
Numberof Rooms .............................................Foundation ........ .................................................
Exterior .......r/. ............................................. .......... 5
Floors .........P.................................................................:......Interior .................. ................. ....G......................
Heating ........ ...............................................Plumbing ...... ...... ....... ........ ..................
Fireplace .............. �..}�-,� ..............,..:.............Approximate Cost
......... ..57
. .......... ... .. ,. ........
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ......G....F .s�.........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
t
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /ems
Name .. �1 .. ?.
. ^ ^
. -
`
Build One 1/2 Story
`
vw-� Single Family Dwelling
'
---..�.—:.�—.---------.--------. `
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' I�oS]� ^
Ov«n�r .uoun__^ _a�e \'
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Type of C6nx�uchon —..��a�x�----.---.. , '
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Plot ...-------' Lot ----------.
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. August Il, SI
:Parmh G,on*»6 --------'-----lV �
-
~Dote of |n zJy^
-----.]� �
, .
C��.
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PERMIT REFUSED -
* - .
— — —.�.' .—. ---. .. . .. . - l�
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Approved ................................................. 19 `
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eel CERT./,--Y T/PK*77 7"Wo ' :i G/fL.O//vCy .• ;+ 28085
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TOWN OF BARNSTABLE -_---_--_.__
``, •a Permit No. _ ________.----
t NAMITk L Building Inspector
Cash --------------—"'----
�o
OCCUPANCY PERMIT Bond ----__--------_- 3
"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 J&ILI I'Cd711f12t€ Address 1.5 ::uGCq)tN1kj1W-RCN .:GY, ;AA.u_aaL;
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.
...................................................... _....._......................._....
Building Inspector
0.1
Assessor's map and lot number s/ �r....^.`3.3.......
Q�'Of THE
Sewage Permit number ...........f/� )��s 7........................
Z BASHSTADLE, i
House number .......:1... ....................................................... r rAea
1639. \00
If 0
TOWN OF BARNSTABLE
t BUILDING INSPECTOR
r�
APPLICATION FOR PERMIT TO .. ........... ..............................................................
TYPE OF CONSTRUCTION ............ /...... . _ ..........
. ......................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........�.1..........:�.?.:.....� l4:< .......: ..........�. ............!...< :T` 4.. ................................
ProposedUse ..............`...�...........................................................................................................................................................
ZoningDistrict ................. ..........................................Fire District ....... "...D.............................................................
Name of Owner .....Address .SS .t�.'......
Nameof Builder ........�. .................................Address ....................................................................................
Nameof Architect ........................................:.........................Address .....................................................................................
Numberof Rooms ..........._ ...................................................Foundation ........ ..................................................................
Exierior .......<y...;/... c`:................. Roofing /✓.S
Floors ` .. ... ...................................................Interior .......... ....... CC` ....... 1�. . .... . KK...................
Heatingi.s.........;.....................................................Plumbing ...... . ............................................................
Fireplace ............... ................ ..............Approximate Cost ..........� d .........................
Definitive Plan Approved by Planning Board --------------------------------19y--------. Area ..........................................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
F
r# 4
Y
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....... ."::!&...//„��. �>...� * �*�-�-.......
4.-
McSHANE, JOHN A=7-33
C5 6
No .........233.....7... Permit for ......ne...............1 2.........Stor....Y
Single Family Dwelling
...............................................................................
Location „Lot B 64 Mash
�ee Rd.
cotuit
...............................................................................
Owner John McShane
..............................................................
Type of Construction Frame
............................
................................................................................
Plot ............................ Lot .......................... -
Aug t 11, 81 n
Permit Granted ....19
r
........Z
Date of Inspection .... ....19
Date Completed ..... ........... ...........:.......19
PERMIT R FUSED _
...................................... '...................... 19 w ,
........................0 ...............��. . y.........
.................................. .. ...... .... ...........
.....................................................................:.........
Approved ................................................ 19
...............................................................................
...............................................................................
Engineering Dept.(3rd floor) Map d��- Parcel 0.33 rmit#
House# 9- ate Issued '�= ! 5'
ro
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` ; ' -C'Ad
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) 4-11
Planning Dept.(1st floor/School Admin. Bldg.) M ra SYS � UST BE
Definitive Plan Approved by Planning Board INSTAI.LE tANCE 19 W1
VIRONM DE AND
TOWN OF BARNSTABLE TOWN R IONS
6 °" Building Permit Application +;
Project Street Address T
Village �C_0 7-U j 7— �
'. Owner I_bo H.4 L$ (3/0_1Y61-T Address 5'/ e L, L/q iy a-*�/iy�
Telephone fv l 7 ) `c1 a U 91
Permit Request 6:X 7 L-Nb EX i V-, bcc& 9 Y /J 0 • _4? /CT
First Floor square feet Second Floor square feet .
Construction Type GU FC4 ay
Estimated Project Cost $ ( 9 d-O
Zoning District C t Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ;gj Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes Id No On Old King's Highway ❑Yes Ad No
Basement Type: ;4 Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing i New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heaf Type and Fuel: X Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use S_�(F -c-,�,.L (�, Proposed Use S
Builder Information
Name PA V Z (-® Telephone Number(S-66:-) 14 -
Address Q® 6 H€/tR\/ 7-kF F P,.P License# ® 5^tlL4-
Co`-' 17- Wit D `n 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 I .P DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(
_ A
111117
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO. _
ADDRESS VILLAGE
OWNER r I
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL., r
PLUMBING: ROUGHS FINAL
GAS: 'RQG s^ FINAL
, ` y
K: t l r ✓
•FINAL BUILDING; �^W47
rD
. j
ga
DATE CLOSED Q
r
ASSOCIATION NOS =;
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The Contntottirealth of Atassachusetts
' a
Depttrtntent of Industrial Accidents
�. OfficeOf1570=iga11017S
600 fl aWtitt(;tun Street
Boston, Ma v. (12111
;_ Workers' Compensation Insurance Affidavit
i_li �intinfor matiiiL PIW a PRINi'lebjlz("�'"'�"�"^'—'"'�
name: ��U o 01
cit%- C D 7-U f i', V4( k9- ohnne 0 `f `a�s' �'S 07 4
I am a homeowner performing all work myself.
1 am a sole proprietor and have no one working in any capacity
_. ,....—..;�..,n...-sw.�.ct--w..�-17�+a+--..i•*-.'-�---.+..+.e.'T:..,e_. ..t�-.,........--..,...,...Y..�__
Cj I am an emplover providing workers' compensation for my empiovees working on this job.
cootnanv name:
address:
phone#-
insurance cn.
I am a sole proprietor. general contractor, or homeowner(circle one).and have hired the contractors listed below who have
the following workers compensation polices:
company name: U
address•
cin•: nhone#•
insurance ro.
� �.._._.... .._ ._.�_-.....-. -I-cf�..�+•...�.�••_ - ._'T•:Y- -_ ••d- - lr���::��t�iT'•f!7ww:s ._Tr..._ �^ �.ti....i�..._..__"r-
cnmnnnv name:
atltlress•
rite nhone#•
insurance co. noiicy#
.Attach additional sheet ifneccssatj�: � i �j_--�i•.:ae�.yy �!'�" .i^ '+`.y..,• �...�..vs '�'.T �.'�"�
Failure to secure coverage as required under Section.5A of NIGL 152 can lead to the imposition of criminal penalties 01'2 line up to 51.500.Oo andior
one wears' imprisonment:is.well as civil penalties in the form of a STOP 1VORK ORDER and a fine of S100.00 a day against me. I understand that a
COPY of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification.
I tlo herebt•certify utuler the pains and penalties of perjure•that the information provided above is true Pand correct.
Signature Datc
Print name . PA U L- 2 D U`-t Phone# `���' 4-�
o(ficiai use onh• do not write in this area to be completed by city or town official
cite or town: permitAicense i! riguilding Department
Licensing Huard
0 check if immediate response is required 0Seleetmen's Office
C311caith Department
contact person: phone#: r'IOther P.
i.
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the:
employees. As quoted from the "law", an emplt ree is defined as every person in the service of another under ally
contract of hire, express or implied. oral or written.
An entrilover is defined as an individual, partnership, association, corporation or other legal entity, or ally two or morf
the fore�,oing CnLaged 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
oNyner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the
dwcllin- house of another who employs persons to do maintenance , construction or repair work on such dwelling, hot
or on.the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe:
MGL c-halter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance or
renci al of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant %,w•ho has not produced acceptable evidence of compliance with the in 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 1i
been presented to the contracting authority.
Applicants t
Pieas._ fill in the workers' compensation affidavit completely, by checkinff 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. Tile
affidavit should be returned to the cite or town that the application for the permit or license is being requested.
not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required
to obtain a workers' compensation policy, please call the Department at the number listed below.
City or•I owns
Please be sure that the affidavit is complete and printed legibly. The Department lias 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. Plec
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any question.
please do not hesitate to _,live us a call. .
ter`� .. .. •. . .-.-- ... .:.:.. .. — _ ._ :7'.- :E'•...
Tile Department's address. telephone and fax number:
The Commonwealth Of Massachusetts :
' r
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375
WE
. The Town of Barnstable
j � 9' Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
I
For.office use only
Permit no.
Date
AFFIDAVIT J -
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:--'c k 1-E N D —r-7XV% ptc% Est.Cost I
Address of Work: 4 k A S 14-166E l�_i) C-®?" iTi vti 14
Owner's Name b b O P L D � EST
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
t4 I/—, -? P A v L_ 12.0 eAg 0 o
Date Contractor Name Registration No.
OR
Date Owner's Name
.-
t. Restricted To: 00
! DEPARTMENT OF PUBLIC SAFETY I
CONSTRUCTION SUPERVISOR LICENSE 00 - None
Nuober EzPires: Birthd-te: lA - Masonry only
CS 7052325 96/05/1991 06/05/1947 1G - 1 & 2 Family Hues
Restricted To:-,
Fd1fro fo POaasss s urroat
PAUt K' ROMA Code to*&a*@ for n►ocefl o�
• Fg BOK.b53,90 CHERRY TREE RD
^::'COTUIT, MA 02635 ofthlA110006o.
i
K
\ -TIM'�o�xmo�ewe¢/.d o�✓t{aaoac%uaeCla a,:.
HOME IMPROVEMENT CONTRACTOR
Registration 115918
_;;type--,. INDIVIDUAL
Expiration 05/01/#�
PAUL.K ROMA .'
PAUL K. ROMA
� &y--WCHERRY TREE RD Pl,:O;-BOX 653 '
ADMINISTRATOR COTUIT MA,02136
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