HomeMy WebLinkAbout0061 MICHELLE AVENUE A• se MUST
ssessors;mao and lot number ..... .... ..................1 .. EPTIC' �C�,�TEM Y THE
COMPLIAMP
SewQge Permit number ......... . .........................:..
....... TITLE
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'! EVIROIN N'SAL �wr."i', 3� E9 > BaaBSTSIILE. i t
House number ...................................... ....... ......... 039.
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TOWN
• - � �Fp YpY Or•
t TOWN OF •-BARNSTABLE
r BUILDING',' INSPECTOR # F .
APPLICATION FOR PERMIT TO .............................................................
TYPE, OF' CONSTRUCTION ..... : . ...... . ........... . ......................................... .........................................
3. TO THE INSPECTOR OF BUILDINGS:x
Ne'-unclersigjiecl hereby applies` or ermit according to a°'follo. ing information:
Location ....�4:!. /�. :. ... . .. .... ....... .....................
r
ProposedUse ....� .... ....... ........................................... .......... ........ ....::^.. ......................................................
Zoning District. ...Fire District
Name of Owne Address ....... ...
. ......... .. ..
I.� ....5 /... k! I ...
-Name of Builder ......'.Address 1.. ..........
&'
Name' of Architect ..................... .................... ......... ........:Address .....................................................
Number of Rooms ........:57..:. :................... :.............Foundation ..[.......... ..............
Exlerior .. � .. ?. .. '. U............................: ..:.....Roofi.ng
aV .
" Floors .................. ... ..............................................................Interior ..... j...................ll
. . .... .:...... ...
Heating ...... ......C.! .1!!�.............................Plumbing........../.......
Fireplace .............( .......:.........................:...............................Approximate Cost ....... '......... .... :...�................
�4.
` c.l J
Definitive Plan Approved by Planning Board ____ (________�___-:______.9.73. Area ...7: . ......................:.
Diagram of Lot and Building with Dimensions
Fee .....�....4��..
SUBJECT TO APPROVAL OF BOARD'OF'-HEALTH..
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of rnst r ga g the above
construction.
Name .. .... ................ ..............
Construction Supervisor's License .&04
QZT N F.Y HOME TRUST - - ., -� _ - qqq 1` s*: - _ - - •� - .. ,;
s:dao 27064 Permit for .lz. So?y.................
IS 31male Fa�?�ly..I?vr��.��,n�y ... ........ ........
1 i
L r Eta..�L3.G[1� G..�V.P.I1U�... '�
r r y
ation hnn ..a.�,.....
cotuit
� t.; .. .................................................... Lam. Ia.n�•w ��) /'N•��� ��.. y •, ,.. .. . � ..
Owner ...I)e1x' ney..JIQM-_.must....................... < `• i iyS .- .
..�
Type of Construction ...........................................
..... ........ .. ..... ......... ......... ........ ................. (I'2•
a Plot ............................ Lot .....
Permit Granted .....00tober..5. .... 9 84 t Q`
Date of &' .. . 19
Date Completed .o'�`............ . :"..."19 1
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li INSTRUMENT SUQVeY Fr T V4 U1=F5ET'S '5WO.ut,�
No-T CAE V5ED 'To INE�j APPt.IGA►�tT (�� j r��^v
i
Assessor's map and lot number ....e27........ .
7 ",-I QUO*THE
.. 1 >
Sewc2ge Permit number ........ ....... f...../ ` !�.......
Z BARNSTABLE,
House number " .............. '... ............: ro raea
i
i6 0�
39 �0
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO `-'�v►� L .
...............................................................................................................................
TYPE OF CONSTRUCTION ..... ,1 .... .. .............. ::..........................................................................
19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for ao permit according to ,the
e following information:
Location .. .l�' ..: . 1(�i, ., ...... r ........... ........................................ ...................................
.....
ProposedUse ...�r.---D................................................................................................ ..r...........................,.........................
Zoning District ......1` .................................. .....................Fire District ... ...........................
1 L'2,) "//a 11h I i�-
Nameof Owner...............A.a._ .......... ............... .. ...............Address ................................................... ......M�L.
��k wt��. 1 1 E !1 t t
Nameof Builder ... ..../...... ............... .................Address .......................,............................................................
Nameof Architect ..................................................................Address ....................................................................................
D ►t nn I
Number of Rooms Foundation IJI
..................................................... �. ........ .....................
Exierior ....... i ,....................................Roofng ..... � (/s l`
.,.(/..,.
..............................................:/1 � to
Floors Interior . ....................Heating `'tc^�! ! ....Plumbing ........ ...........11.....
.....................................................
..;.......................:............................................
Fireplace .............!....................................................................Approximate Cost ........... .......................p.
................
Definitive Plan Approved by Planning Board _____ _ ........... 73 �74 f�
9 -----. Area ........./...�........))........................
Diagram of Lot and Building with Dimensions Fee `�',
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable garding the above
construction.
Name .......!...........................................................................
Construction Supervisor's License .�...!.f L..L. ..'...........
DELANEY HOME TRUST A--27-63
No ..27064... 1�, story
V..... . Permit for ....................................
......Single..Farnily Dwelling
.......................................................
Location ...Lot 14, 61 Michelle Avenue
............................................................. .
cotuit
...............................................................................
Owner .....Delaney Home Trust
............................................
Type of Construction ...Fr.ape............................
.........................................................................
Plot ......................... Lot .....
...........................
October-5, 84
Permit Granted ........................................19
Date of Inspection ....................................19
Date Completed ......................................19
TOWN OF BARNSTABLE Permit No.
Building Inspector
I s►urna Cash
�y ,ego•
OCCUPANCY PERMIT Bond
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
....................................................... ............ ............................................................................................................
Building Inspector
_ FROM -
TOWN OF BARNSTABLE,
BUILDING DEPARTMENT
ENT
Mr. Francis Lahteine 367 MAIN STPEET HYANNIS, MA 02M
Town Clerk Phone: 775-1120
SUBJECT:
FOLD HERE
DATE
January la, 1985 MESSAGE
'Rork has been completed under Building Permit #27064 (Delaney Homes Trust)
Please release Bond.
SI
DATE
REPLY; Y/
]SIGNED
Ne7•RMI RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY •`
PRINTED IN U:S.A. ^
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT.
Town of Barnstable *Permit#,
Expires 6 m onths front issue date
-PRESS PERMIT Regulatory Services Fee =2 5 , 00
Thomas F.Geiler,Director
DEC 18 2007 Building Division
TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www,town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address �p
Residential Value of Work Q •Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ' C�
Contractor's Name_ Fes} 6AJ-C: 0YL0�2�t c � Telephone Number.50 3-
Home Improvement Contractor License#(if applicable) / ?�
b
Construction Supervisor's License#(if applicable)
aworkman's Compensation Insurance -
Ched one: 4 .
❑ I am a sole proprietor
❑ I am the Homeowner
ZI have Worker's Compensation Insurance
Insurance Company Name 0,0
U
Workman's Comp.Policy# 5,5 O L- 3 5 c5
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
0-Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
_A copy of the Home Improvement Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
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helm
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PRODUCER .............:::.�:._:::::;:•;:;.::::::.;;:•;;;:.;:;:;�::<::::.>;:.:::::;_.::•::.;:•:.>::>:;;:.:::;.;?:::R2:-::0:;.>;`:�;:;::::;.:;:-:•:::::::;:-;>:;i:::-;:.;::::>::::;:.>;: (MM1D 1YY) ;-:•:
THIS CERTIFICATE 10-15-07
IS ISSUED AS A MATTER OF INFORMATION
WISE & QUINN INS AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
449 PLEASANT ST HOLDER, THIS CERTIFICATE DOES NOT AMEND N
ALTER THE COVERAGE AFFORDED BV THE P EXTEND OR
OLICIES BELOW.
BROCKTON
24WCB
MA 02301 COMPANY COMPANIES AFFORDING COVERAGE
INSURED A HARTFORD UNDERWRITERS INSURANCE COMPANY
FRASER CONSTRUCTION LLC COMPANY
PO BOX 1845 B
COTUIT MA 02635 COMPANY
C
COMPANY
jo
THISIS TO CERTI :.:::::.::;>:-;:•;:-;: :-:.:.> ::::.;:;;:.:::::::......::::;:. ...
:-FY THAT THE PO ..........:: ::::::;:.:;:.:.; ;:.:.>:.»:: ;:::.::.;;:.;;•:.:::.:.;:.;:.:.:_:.:.;:;;.:::.:.::.;:::.:;.;;;::.;;:-::.;::.::>:>::.::.;::.::.::.::.;:.::.;::;:.;.:::.::::...........
LIC
INDICATED, POLICIES OF INSURANCE .....:.::.;::.::<::::;.:.:;<:»_::::»:<:;.;::::;;:;:;•;:;:;::>;.:.:.::::;:>::::.::.;>::::::<::;;:::::>;::>:;;.>;::::;::.;;::>ATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CCE LISTED BELOW HAVE BEEN ISSUED TO THE INS """`''"''``'' >'•?' = `> >`::>:CERTIFICATE MAY O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTOVE TO AL OTHE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAONDITIOE BEEN THE PO BY PAID CLAIMS.N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CO TYPE OF INSURANCE LTR POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
GENERAL LIABILITY DATE(MMDD1yV) DATE(MMWDIYY) LIMITS
COMMERCIAL GENERAL UABIUTY GENERAL AGGREGATE
$
CLAIMS MADE 0 OCCUR. PRODUCTS-COMP/OP AGG.
OWNER'S&CONTRACTOR'S PROT. PERSONAL&ADV.INJURY $
EACH OCCURRENCE $
FIRE DAMAGE(Any one fire)
AUTOMOBILE LUU3IUTY $
ANY AUTO
MED.EXPENSE(Any one person) $
COMBINED SINGLE
ALL OWNED AUTOS LIMIT $
SCHEDULED AUTOS BODILY INJURY
HIRED AUTOS (Per Person) $
NON-OWNED AUTOS BODILY INJURY
(Per Accident) $
GARAGE LIABILITY PROPERTY DAMAGE $
ANY AUTO AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
UMBRELLA FORM EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM AGGREGATE $
A WORKER'S COMPENSATION AND
EMPLOYER'S LIABILITY (6S60UB-085OL35-5-07
THE PROPRIETOR/ 09-26-07 09-26-08 STATUTORY LIMITS
PARFNERS/EXECUTIVE INCL EACH ACCIDENT •-$-••.-•
OFFICERS ARE: X D(CL DISEASE—POLCY UM IT
OTHER $
DISEASE—EACH EMPLOYEE $
50 000
)ESCRIPTION OF OPERATIOP7S/LOCATIpNSNEHICLES/RESTRICTIONS/SPECUIL ITEMS
i
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CE
:;:.:.�::;:.;:;::.>:.::.:.:::.::.:.;•.:.�::::;�::�.;;:>:::.:�:.;�::::.;:.::.::.::<.;;>;;;:::::.;::.;;:::::.;:.;:.�:::.;:.::.:.;:::::::;.::�;•._:.::::..:.......-- TIFICATE HOLD..........:::.:::::::;:�;:.;:;.;�::.:.;;:.::;:�:.:.;::�::>::::::;;;:.>:.>:<:.:.;:.;:>:; ;:;.:.;:::::>:;:.;:;:.;:.::<:;:;�>::.:.;;:::;:.:.:.;:;s;:t:>-:• . ;.: E R AFFECTING WOR OVE
RAGE.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE. THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
FRASER ENTERPRISES LLC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
PO BOX 1845 LEFT, BUY FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
OTU I T NpMEpTOTHE
MA 02635 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTA
yy,��,yg l�g���y.f♦`]�.f�y��t`�'('v:.�::i'�':::':.-::i:::::::::::isf:i:::i:::::i::fi:::::::::::::'::::::ti::::{::::i::::�iii::ii::::::.�::..........
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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): �}��'� �Q/04,:z�,T 1Z(.L t 10 A-)
Address: '-pod
City/State/Zip: �° A,(.�_j-� / 'l�} OZ 3,_�Phone #: _! 'D 0
Are you an employer? Check the appropriate box: Type of project(required):
1.0I am a employer with,!9 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers'
comp. insurance.$ 9. ❑ Building addition
[No workers comp. insurance p' 10.❑ Electrical repairs or additions
required.] 5. ❑ We are a corporation and its
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.4Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.❑Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'.comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: L 3 5.50 Expiration Date:
Job Site Address:_ l �-trc— City/State/Zip: C�)�� \/T-
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi der the ains and ties of perjury that the information provided above is true and correct
Si ature: Date:
Phone#: Jc— Z b �a
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
4
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One Ashbun...
Pla,e Standards
11®st®na Massa p aOOna 13®1
Home h,,v,0 ��e�t.� 21®8
O °apt®r PlP4 ltatio-.
F RASEp, R� Re is
tration: 1
PEAN. SER TI®N Co. TYpe: DaA® E® 9845
ExpYration: 3/23/20()9 Tr# 127920
C®TUITl MA ®2635 �
DPS-CAS gy soon-as�o�pcbaso
' .�
Pete Address
and return card.l9�gaa
I
reason for
Address renewal char, e.
)Huard®f Bnildin ---• - --•-- •------•- - g g Rj agulations and standards nt ?Lost card
HOflfiE iflAP -.
fWENi'r CON9TRACg®R Irisemse or
Registratioel: i 12538 before tlae � i3®n Valid for
��9ra#P 3/2�' 009 T 'Soard Of BUIl��On dais .fffotnadividul use one
e: •p�; it 127920 One Ashb g rations turn$®:
FRASER CONSTRUCTIONdI Boston, n8�on use Pm 1301 and Standards'
DEAN FRASER O.y .jam Mai®�1®�
45se RT 28 / I
COTUIT,MA 02635 — 1
I
• A, i�ratsr
Not vat without sFt�re I
' I
< = ,. CONSTRUCTION Fraser Construction
Roofing & Siding Specialists
ROOFING SIDING P.O. Box 1845, Cotuit MA. 02635
SPECIALISTS508-428-2292 Email: fraser constructionky erizon.net
www.fraserroofing.com
Phone 1-508-428-2292 & FAX 1-508-428-0123
RE-ROOFING PROPOSAL
PARTIAL MAIN FRONT & BACK ONLY
DATE: November 13, 2007
NAME: Ava Wheet d d�11 PHONE: 508-420-7258
MAIL ADDRESS: sam CELL: 774-238-2410
JOB ADDRESS: 61,Michelle Ave. Cotuit, MA 02635 S a q_-V 20 - 3 }�
FRASER CONSTRUCTION hereby proposes to perform the following services in a neat
and professional like manner and in accordance with the manufacturer's
specifications and local building code.
-Remove and Haul away all of the old roofing material
-Re-nail all plywood sheathing as needed.
Supply and Install- CERTAINTEED XT AR-25: 25 - Year Warranty, 5 Year Sure
Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self-
Sealing, 3-Tab, Fiberglass Based Asphalt Shingle with New England's Exclusive
COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE
Containment.
Color: color to match Gray Frost PRICE-$3,960 Initial
Supply and Install - CERTAINTEED XT AR- 30: 30 Year Warranty, 5 year sure }'
start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self
Sealing, 3 -Tab, Fiberglass Based Asphalt Shingle with New England's Exclusive
COPPER/CERAMIC Stones with,a Full 10-year Warranty against ALGAE
Containment.
Color: color to match Gray Frost . PRICE-$4,025 Initial
Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 - Year
Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant,
Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass
Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with
a Full 10 Year Warranty against ALGAE Containment. 5 year 70 mph wind-
resistance warranty or 5 year 80 mph wind-resistance warranty available with
six nails in common bond area, for an additional cost. See actual warranty for
specific details and limitations.
Color: Color to match Woodscape Birchwood PRICE $3,895 Initial
�ssible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing,
!lead flashing, or other carpentry needing replacement will be done and charged for as
an extra at the rate of$50.00 per hour, plus materials, plus 20% overhead mark-up
on total extras.
FRASER CONSTRUCTION Warranties the labor for 12 years
FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years.
CERTAINTEED Warranties the shingles and labor 100% through the Sure Start
Warranty duration.
CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the
Sure Start Warranty depending on the shingle that was purchased.
Any deviation or alteration from above specification will be executed upon written
orders and will become an extra charge over and above the estimate. All agreements
contingent upon strikes, accidents or delays are beyond our control. Owner should
carry fire, tornado and other necessary insurance upon the above work. We, if not
accepted within thirty days may withdraw this proposal.
FRASER CONSTRUCTION: Carries Workman's Compensation and Public Liability
Insurance on the above work, certificate available upon request.
DATE OF ACCEPTANCE: S 0 0
711 0,-,L., QQ
4-t
Ho owner Fras r Construction
J
The Town of Barnstable
Department of Health, Safety and Environmental Services
t&rtsneBIA = Building Division
1659- ��� 367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph M.Crossen
Fax: 508-790-6230 Building Commissioner
O Home Occupation Registration
Date: �� `
Name: _Phone i#• .. I—
Address: �0 k\C,h-P Village: l' ./l �T
06 J
Type of Business: A J)-P -\ MaP/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor,no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• Tliere are no external alterations to the dwelling•which are not customary in residential buildings,and
there is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
�— • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
'r pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
�.1 • No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,have read and agree-with the above restrictions for my home occupation I am registering.
Applicant: Date:
L_ Homeoc.doe
B ,
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......�.:. ROBERTGONNELLA h/,z
.:....................61.- ' € x;;;�1VIICHELLE AVE.
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"MUNNING BUSINESS---PEOPLE IN AND
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map U Parcel Permit 4 Permit# �
Health Division Date Issued , �9
Conservation Division f e l lo : Fee
Tax Collector �- �" 01 Lt� ����� WR j_S
1 SEPTIC SYSTEM MUST BE
Treasurer �4 ' 11, (C , INSTALLED IN COMPLIANCE
Planning Dept. ' _ VVITH' g
y ENVIRONMENTALCCDE AND
Date Definitive Plan Approved by Planning Board TOWN pEG�„p'flQNS
Historic-OKH Preservation/Hyannis
a
Project Street Address tl✓ {� Imo( �� U.2,
Village
Owner M/M -1—m Ii W&egj� 60&y Address �-
Telephone 4-.2-6 — 3'7 7 1 4
Permit Request & N X 20 r 964iZ_ ' A 6r7— S 1 17yy)
Square feet: 1st floor: existing proposed� 2nd floor: existing proposed ASMTbtal new
Estimated Project Cost l Q® Zoning District Flood Plain _ Groundwater Overlay
Construction Type
Lot Size Grandfathered: ❑Yes 3110 If yes, attach supporting documentation.
Dwelling Type: Single Family M- . Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes R-Kol. .On Old King's Highway: ❑Yes l3-11-011,
Basement Type: Dull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms:- existing_ ` new
Total Room Count(not including baths): existing new .. First Floor Room Count
Heat Type and Fuel: O Gas ❑Oil 0 Electric ❑Other
Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No
Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size
Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization 0 Appeal# Recorded❑
Commercial 0 Yes �o If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name- COI zir i` nnr j w- At_ Telephone Number 4td-F—q08
Address In"Oi y'C'm( License# 0 7--7- 7
Ci777/— 7 5 Home Improvement Contractor# 1 C3U 'I4/0
Worker's Compensation# Qq(o If 0!
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE �Q
l�� l
'FOR OFFICIAL USE ONLY _
i
f. PERMIT-NO.
DATE ISSUED � �`! N - 4 :. f _ _ •- _ ' . - . .. • .
MAP/PARCELFFNO:
` ADDRESS ," "°•: ��� ' ;• VILLAGE
do ,.-'' ,,:,<:. , . - - . •
•OWNER " .• "' f '
DATE OF INSPECTION:
FOUNDATION _$ ��`�J CAS r •; ,+ R
` FRAME J
INSULATION ��
FIREPLACE _ }
ELECTRICAL: .. . ROUGH FINAL ,
PLUMBING: ROUGH- FINAL
GAS: ROUGH-1 FINAL
° FINAL BUILDING
DATE CLOSED OUT = }
ASSOCIATION PLAN NfO.�y t ,
E
°F THE
�`�� The Town of Barnstable
r •
BARNSTABLB. •
Department of Health Safety and Environmental Services
039.
TEn wr Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. l
Type of Work: Estimated Costo
Address of Work: CO / /�G//e /ems•. l
Owner's Name: � -
Date of Application: `( hq Az
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
W//_/ /0!i 8 @ 4u k V. oa
Date Contractor Name GAI°i zz .//dM9 zav f egistration No.
OR
Date Owner's Name
q:forms:Affidav
n p: l
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office affnyestfgatinos
600 Washington Street
Boston,Mass. 02111
Workers' Comensation insurance Afridavit
name:
location . �
city phone# I oZ® 3 -7 ?0
Cl I am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any capacity
�Q I am an employer providing workers' compensation for my employees working on this job.
comonnv name: N,P/tz, Asmt &00r a os*,;W r
A/ I
address: �� 5 /ll eUJ 7V W* 9C' .
city: 0 Mir Afi•. r Iola/ 3S phone#: Satx)
insurance cn.A�JF-6 / ��(.�C S Cd olicv# -:&D
❑ I am a sole proprietor, general contractor. or homeowner(circle one) and have hired the contractors listed below who
have
the follo«zng workers' compensation polices:
compnnv name-
address
city: phone#r
insurnnce co. r1offiry# ..
.......;:....
3/2"/////%///;
camnanv name: :. ._. .. . :.::•::...
address:
cih phone#� -
.....
itunrancc co. :;:: olii v# :;... :
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or
one years'imprisonment as well w civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify under the pains and
dppennalties perjury that the information provided above is true and correct
Sienatur� Gam' d Date �D2) -
Print name jR A S C H Phone# YQ 7- /S!$-
Fcotntact
nly do not write in this area to be completed by city or town official
permit/license# ❑Building Department
C111censing Board
mmediate response is required ❑Selectmen's Office
❑Health Department
on: phone#; ❑Other
(Rased W95 PJAI
HOME IHPROVEHENF CO
Registration: NIRACIOR „�1 x3} .L.
Expiration: 100140 1;; I BOARD OF BUILDING REGULATIONS
' 6113102 j License CONSTRUCTION SUPERVISOR
1YPe: Private Cor
poratio Number CS Q57032'
c �;� .kqy �� :III
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CAPIZZI HOHE
jt s 645 IHPROV EHENi, r ti s
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Tr:n o: '51.4ihoeas zpir 972
ADMI P111i 5rNI ATOR HewtonRd. -Tdt0di 0
Cotuit _HA s
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01635 Y THQMAS X .CAPIZ�Z)
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.:•,; ..:.. 280 PERCIVAL DR I
W BAR NOTABLE, MA 02668 Administrator
- St'n8'afty�' � ve..ra+m•s .
rr N I
7; . �ie;Garrvinaru� ! aaoacfiu�telr*i j BOARD OF BUILDI G RE
p PAVMENT OF PU.BtIC SAFETY
License: CONSTRUCTION SUPERVISOR
Number: CS 007454
CONSTRUCTION SUPERVISOR LICENSE
H .
f, Num.ber Expires.
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RES,:f lCt�d TOt 00 Restricted To:- 60
'
I THOMAS CAPIZZI
FREOERXE V RgSCN III "' `' '
1645 NEWTOWN RD s
+*� %!1060 BOURNE°RD I COTUITA 02635 Administrator
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PLYMOUTH, MA '02360 j i �.
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MAScheck 03HPLIANCR REPORT 1 1
Massachusette Energy Code ( Permit A 1
MASchsck. Software Version 2.01 I
( Checked by/Date
1
CITY: Barnstable
STATE: Massachusetts
HBO: 401
CONSTRUCTION iYPt: I or 2 Family, Detached
HEATIf83 SYSTEM TYPE: Other (Nan-Electtic RAsistancel '
DATE: 6-9-2000
DATE OF PLANS: 5/25/00 -
TITLE: Wheat 020475
PROJECT 1MFORMATION:
Addition with bath
COMPANY INFORMATION:
Ceplzzi Home Improvement-
COMPLIANCE! PASSES
Required UA = 88
Your Home - 78
Area or Cavity Cont. Glazing/Door
PerLmetec R. v4tue R-Vabia U-VaGte UA
------------------------------------ - I1
•CEILINGS ---------- 326 30.0 0.0
WALLS: Wood Frame. 16" O.C. 462 11.0 0.0 11
GLAZING: Windows or Doors 32 0.320 10
Maps 17 0,2A0 5
FLOORS: Over Unconditioned Space 326 30.0 0.0
----------------------------------------11--
COMPLIANCE STATEMENT: The 'proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with iho pormit application. The proposed building has been
designed to meet the requirements of the Massachusetts Energy Code.
The heating load for this building. and the cooling load if appropriate,
has been determined using the applicable Standard Design Conditions found
In the Code. The MVAC equipment selected to heat or cool the building
shall be no greeter than 125% of the design oed as specified in
Serr,Lons 79AClfR. 1310 roL J4.4
Builder/Des Dete
f.
MAScheck INSPECTION CHECKLIST '
Wsseachusar,te Energy fide
MAScheck Software Version 2.01
Wheat, a20475
DATE: 6-9-2000
Bldg.1
Dept.(
[Jae
I
( CEILINGS:
( Cnmmsnts/Loral Lon s
I WALLS:
( ) 1 1. Wood Frame, 16" O.C.. R-11 -
I Comments/Location
( WINDOWS AND GLASS DOORS:
[ ] I 1. U-value: 0.32
I For windows without labe Led U-va Lues, describe features'. -
I a Panes_Frame Typet Thermal Break? [ j Yes [ j No
( Comments/Lorat Lon
1
( DOORS:
[ ] I I. U-value: 0.28 3
( Commeh ta/Lnrar,Ina
I
I FLOORS: . .
( ) 1 1. Over Unconditioned Space. R-30 _
I Comments/Loratioa
I -
f AIR LEAKAGE:
( j I Joints, penetrations. and all other such openings in the building
I envelope that are aourres of air Leakage-at be Sealed. When; ,
I installed In the building envelope. recessed lighting fixtures
1 08.11 meat one of the following requirements; _
1 1. Type IC rated, manufactured with no penetrations between the
I inside of the rer_asaed fLKtlire and re LLiag raVLty and sealed or
I gasketed to prevent air leakage into the unconditioned space.-
4 2. Type LC rated• in accordance with Standard ASTM E 283. with no
I more than 2.0 cfm (0.944 L/s) air movement from the the
I conditioned spare to the Ailing cavity. The lighting firtuce
1 shall have been tested at 75 PA or 1.57 Ib9/ft2 pressure _
I difference and shall be labeled. '
I '
I VAPOR.RETARDER:
[ I I Required on the warm-in-winter side of 811 non-vented framed
I ceilings. walls. and floors.
I MATERIALS [DENT[F[CATDIN:
[ ) I Materials and equipment must be Identified so that compliance can
I be determined- Manufacturer manuals for all installed heating -
I and cooling equipment and service water heating equipment must be
I provided. Insulation R-va Lues and glazing U-values must be clearly
I marked on the building plans or specifications. - -
I DUCT'INSULATION: - s
( I ( Ducts shall be insulated per Table J4.4.7.1. ,
I
I DUCT CONSTRUCTION:
[ i I All accessible joints, seams, .and connections of supply and return
I ductwork.Loratad outs[de rondit•Lonad spara. LncL1id[hg atud hays or
I Joist cavities/speces used to transport air. shall be sealed
I using mastic and fibrous backing tape installed acrordi.g to the
I manufacturer's installation instruction.. Mesh tape may be
I omitted where gaps are Lass than 1/8 inch. Duct tape is nor,
( permitted. The HVAC system must provide a means for balancing -
I air and-star systems,
I
( TEMPERATURE CONTROLS: _
[ j I Thermostats are required for each separate HVAC system. A manual
( or automatic means to partially restrict or but off the heating
I and/or cooling input to each zone or floor shall be provided.
l
I HVAC EQUIPMENT SIZING:
( I ( Rated output, capacity of the heatfng/roo LLng system.is. .
I not greater than 125%of the design load as specified
( in Sections 781)CMR.1318 and 14.4.
I
( ] ( SWIMMING POOLS:
I All heated swimming pools must have an on/off beater switch and
1 require a cover unless over 20%of the hearing energy is from
I non-depletable sources. Pool pumps require a time clock.
( I 1 HVAC PIPING INSULATION:
I HVAC piping conveying fluids above 120 F or chilled fluids
I below 55 F must be insulated to the following levels (in.):
I
I PIPE SIZES (in.)
I HEATING SYSTEMS: TEt4 (F) 2" RI1tWUTS 0-L" t.25-2" 2.5-4"
1 Low pressure/temp, 201-250 1.0 1.5 1.5 2.0
( Low temperature 120-200 0.5 1.0 1.0 1.5
1 Steam condensate any 1.0 1.0 1.5 2.0
I l GIOL[NI SYVEHs:
I Chilled water or 40-55 0.5 0.5 0.75 1.0 -
( refrigerant below 40 1.0 1.0 1.5 1.5
I [ 1 I CIRCULATING HCr WATER SYSTEMS:
I Insulate circulating hot water pipes to the following levels (In.);_" - -.
I PIPE SIZES (in.)
( 1 WN-CIPaILATINT ( C[RIJILAT1171 MAINS S.PllRYJIS
I HEATED WATER TEMP (F): RUNOUfS 0-1" I 0-1.25" 1.5-2.0" 2.0-"
( 170-180 0.5 ( 1.0 1.5 2.0
1 140-160 0.5. I 0.5 1.0 1.5
----NVIES TO FIELD (Building Department Use Only)-------------------------
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• ,O.1HEfp The Town of Barnstable
�P O
1 F!
• BARMSS. .
MASS. Department of Health Safety and Environmental Services
_ Y �
i639. �0
prFOMA�a, Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
r Inspection Correction Notice
Type of InspectionYn
Location (U ;0- .�11 -P Permit Number ���
Owner Builder (�67CIPJC
One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
S mo, t v) Q h V 1 l�_Y1 1,A
3-1) VV1 fJ
a nd opeds
Or. n b1m,6c
i
Please call: 508-862-4038 for re-inspection. ',
Inspected by
Date
��a� � ,