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...�� - ,�:, � i 4� y^ it 1 Town of Barnstable Regulatory Services Richard V. Scali,Interim Director BUILDING 1)EpT. BAMSTASIX Building Division 6 A`�� Tom Perry,Building Commissioner MAR 31 2017 200 Main Street, Hyannis,MA 02601 TOWN OF www.town.barnstable.ma.us BAR IVSTABLE Office: 508-862-4038 Fax: 508-790-6230 � r PERMIT# / FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less l 04/0 � Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel #ature Date Hyannis Main Street Waterfront Historic District? r Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway - Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 C m� 4 FAX NO. :15088888667 Dec. 02 2005 05:59AM P1 COTUIT BAY DR . r43 00 EASEMENT L O T 18. '9 b STONE DUST M WALK NO Poe �Q ADP HALT 51 .41 SHED AN BAIL®��9G OF-PT. Jo 5AN q�- MAR 312011 .2s �Q \ TOWN OF BAPINSTAt3LE �o �\ N/F HELEN CABOT ALMY MORTGAGE LOAN INSPECTIO N MLI2690 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= .60 FT. P.O. BOX' 28 - DATE: DECEMBER 2005 SAGAMORE BEACH; MA. 02562 ,sS' 508 885 8667 . ' I CERTIFY TO G.M.A.C. MORTGAGE CORPORATION itiDN1At "�"' THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS ' TO THE ZONING OF THE TOWN OF BARNSTABLE. I CERTIFY THAT LOCUS, DOES NOT LIE WITHIN THE FLOOD . HAZARD ` ZONE AS, DELINIATED ON MAP 0018C COMMUNITY NO. 250001 >, PLAN EFERENCE: BARNSTABLE REGISTRY OF DEEDS 'REGISTRY OWN BOOK/PAGE: LC NO 3216C, SH 3 LOT NO.: 18 PLAN BY: GRETE M. BOHANNON BUYER: ; DATE.D:. JANUARY 3, 1975 THIS INS CTION N-O-rMADE FROM AN INS UM S - V Y AND ` N6T TO : USE D FOR FENCES, HEDGES OR .TO ESTABLISH LOT .LINES.. FOR USE .OF,.BANK ONLY. �•,�r :1 y1�l« CAPE CO® INSULATION KF�Ng Nt1A%At1 SCAAIMI S/RAT LOAM SUSPINOCD tATTf OUTTIRS INSULATION t11LINOt 1-800-696-6611 1'own of Barnstable Regulatory Services ) Building Division g , 200 Main St DO Hyannis, MA 02601 Date: 1191 'm 1b Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc, performed & completed the insulation and weatherization work dt the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector, All work prefornied meets or exceeds Federal & State Requirements. Property Owner Propert Address o�9 ?bst' Village Leo Gad d.e-}' �- Ro$ c©tv \t- Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls CUor lC Jaer)elpr,,"�Q/ , Sincerely 2CHrE ssi r, President Ins ation, Inc, ;v DEC 23 2015 TOWN OF BARNSTABLE BU L ING PERMIT APPLICATION" I AIKe nL 2hk� T�1�9 C Map ��S Parcel 0�� Application # Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee 00 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village 4)7 i l Owner A1.4o Address Telephone Z 4s Permit Request � Z,4�� oz,:r- 9X/ ,4� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation oZoa,!O, 0-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 XNo 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 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 CD Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal st*e: ❑Yes ❑ No ,z Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing]❑ w size_ T n Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: W c� � ev Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# � Current Use Proposed Use M APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name A�� ,�� ,��� Telephone Number �}- Address �/fr ,L��2 �?'�� License #�//r/T�� Yr Home Improvement Contractor# 4_��� r�y Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /L/2 P' PT �17 14 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED i` MAR/PARCEL NO. ADDRESS VILLAGE OWNERr DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION i ( J FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE--CLOSED OUT A-,S IATION PLAN NO. Massachusetts Department of Public Safety tql Board of Building Re ulations and Standards .......I g 5 License: 05.100988 QonstrUction SkipervJsor HENRY E CASSIDY• 8 SHED ROW WEST YARMOUfH :y 7 . A. Expiration; Commissioner 11/11/2017 Commissioner 11/,11I2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 j4. Kome Improvement Co: It.ractor Registration ' Reglslrallon; 153567 Type; Private Corporation Explrallon: 12116/2016 Trg 259188 INC CAPE COD INSULATION, ; HENRY CASSIDY —__- 16 REARDON CIRCLE 50, YARMOUTH, MA 02064 Update Address And return card, Mark reason for change. SOA 14Y 20M•p6lI I ❑ Address [] ReneYrAl ❑ Employment Lost C'q• /ee aovyrcovuvaa.lC/a�n/r/lw�d�r•o/ceoeC�'i .. '. . . Office of Consumcr.Affnlrs& Eiuslness Ragulatlon Ulcsnse or registration ynlld for Indlvldul use only ,TOME IMPROVEMENT CONTRACTOR before the expiration date, If found return to eglstratlon; ry:'S5557 Type: Office of Consumer Affairs and Business Regulation j xplratlon - 1,2'1:4;5�2Q:16 Prlyale Corporallon 10 Park Plaza �Suite 5170 CAPE.000INSULAT.i.0�l';;;1NC" '� "'1 Boston,MA 02116 HENRY CASSIDY to REARDON CIRCLED•` ' '•''+".. �'Atl f,c9,,_ S0, YARMOUTH,MA026S4• ' Undersecretnry N vRlld wl ut sign e Llte C,'orramonwealth of Massachusetts Department of Industrial Accidents :..'j Office of Investigations - ' 600 Washington Street Boston, 02111 . ,.; . :': www,mass,gov/die Virorkeis' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual); rat/ Address._ J) ••� GaJ1 � -0 Y J City/State/Zip; il. M' Phone #;' � Are you an employer? Check tb• appropriate box; I 1 am a employer p yer with � am— 4, [] 1 am a general contractor and I Type of project (required): i • employees(full and/or part-time)•" have hired the sub-contractors 6• New construction 2,❑ 1 am a sole proprietor or partner- listed on the attached sheet, 7, [] Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity, employees and have workers" [No workers' comp, insurance comp, insurance,# 9. ❑ Building addition required,) 5. We are a corporation and its 10,11 Electrical repairs or additions 3,❑ 1 am a homeowner doing all work officers have exercised their HE Plumbing repairs or additions myself, [No workers' comp• right of exemption per MGL insurance required.) t c. 152, §1(4), and we have no 12,[] Roof repairs em to ees,y p y (No workers' 13, Other comp, insurance required,j *Any applicant that checks box NI must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this aiTbrlavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ,Contractors that check this box must attaphed an additional sheet showing the name of the sub-conb•actors and state whether or not those entities have employees. If the sub-contractors have empibyees,they must provide their workers' comp,policy number. I am an employer that is providing workers' co 4nformalion, mpensatlon insurance for my employees, Below is the policy,and job site , insurance Company Name; /L%f �� Policy # or Self-ins, Lic, 9: t Z;5 Expiration•Date;Job Site Address; City/State/Zip; y�9�' h-t pt Attach a copy of the wbi•}''hers' 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 i-i,prisonment, as well as civil penalties in the fon-n 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 D1A for insura covera e verification. I do hereby certify d the pal an penalties ofperjury that the Information provided.above Is true and correct, Si nature: c Date: Z Phone#; Official use only, Do not write in this area, to be complete by city or town off.clal, 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 Ins ector 6, Other g p Contact Person: CAPECOD-27 BDELAWRENCE ACORO" CERTIFICATE OF LIABILITY INSURANCE 76TE/30/2(MMIDOrrM) 015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER CONTACT NAME; Rogers&Gray Insurance Agency,Inc. pH�NEc. AX IAIC No):(877)816-2156 IA N 434 Rte 134 EMAIL South Dennis,MA 02660 ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Peerless Insurance Company•see LIBERTY MUTUAL INSURED INSURER B:ATLANTIC CHARTER INSURANCE GROUP . Cape Cod Insulation,Inc. INSURERC: 18 Reardon Circle INSURER D: South Yarmouth,MA 02664 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR 7ypE OF INSURANCE POLICY NUMBER MMIDD� MMIDD�YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ' $ 1,000,000 CLAIMS-MADE F91OCCUR CBP8263063 ' 04101/2015 0410112016 DAMAGE TO RENTEU_ PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES:RER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO. LOC PRODUCTS•COMPIOPAGO $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY o COMBINED SINGLE LIMIT $ Ea accldenl ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY $ AUTOS AUTOS (Per accident) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIARHCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PERT OTH• AND EMPLOYERS'LIABILITY STAUTE ER B ANY PROPRIETORIPARTNERIEXECUTIVE YIN NIA WCE00431901 06/30/2015 06/30/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $ 1,000,000 If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMI7 $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ()CORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Cod Insulation, Inc 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD a t , z � Town;0f 0 ble og td�: a Wes ►' B`to� ig:�iv[sioh Tom pe�`Ya�nfg-Cmmonod�sfon�r . �DO�T�sSpi: Hyanuss.'.IvhA. l w�+Ov�dwialeu�a.�s CC Fax:-. *790-6234- 'QerSt.. ei l-eo a vd,-� ,.as«r fit test tP 1 Y P,SA. in aIIatoers: awvr aoa�ed ►x�iis` Perri aliwtn'far: (DId -pas t. Qa art' rf Mtn o Z :inasp��tio s.am--p o l a A,"/v a ani t �e :f'n�I Tamp x .aMIA TOWN OF BARNSTABLE,BUILDING PERMIT;APPLICATION. , Map Parcel . Application#c2' a0MO ca «i 1'i• �. Health Division G" Date Issued 5 Conservation Division (Application Fee ,. Tax Collector �, - ` ,Permit Fee, ') b .a .S Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ` l Project Street Address 0 all, - Village Owner ��vl Address '- Co fW Telephone / 7 /fir G Permit Request ai, verb -a,y V • Square feet: 1st floor:existing /600 proposed 2nd floor:existing proposed Total newS7 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type_ t Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure RD Vv'5 Historic House: ❑Yes 4110 On Old King's Highway: ❑Yes % No Basement Type: b Full ❑Crawl ❑Walkout ❑Other '4 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) . Number of Baths: Full:existing new Half:existing i new 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 t Central Air: O Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑,Y-0 0 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exissting ❑new size W1 En Attached garage:ffexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial UYes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION , Name___` L ✓ �� Telephone Numbers Address 07-.iVf. License# 4/>'7' ✓1�N• ®d-�3,� Home Improvement Contractor# LO 5S V3 Worker's Compensation# C d db//&D ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��„; � DATE a r FOR OFFICIAL USE ONLY ` APPLICATION# r _ DAB ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: h y 1 FOUNDATION S ® 6 ( ®.2,ZM FRAME drtz R SL j�a� 1age,fhc-*�- 44 , INSULATION t leU4U FIREPLACE ELECTRICAL: ROUGH FINAL f# PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING F! `G S a o� DATE CLOSED OUT ASSOCIATION PLAN NO. ' f The Commonwealth of Massachusetts Department of Industrial Aecidents ps Office of Investigations , ' d 600 Washington Street Boston,MA 02111 , www.mass.gov/dia Workers' Compensation Insurance Affidavit:•Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual):. Address: J City/State,/Zip: Phone.#: e ou an employer? Check a appropriate box: 4. I am a eneral contractor and I -Type of project(required):, 1. I am a employer with g 6. ❑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. 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition � working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions •3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions rnysel£ [No workers' comp. right of exemption per MGL 12•[]Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' .•13•❑Other comp,insurance required.] . 'Any applicant that checks box#I 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. , tContractors that check this box must attached an additional sheet sbowing the dame of the sub-contactors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their worker;'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees Below isihe policy and job site information. Insurance Company Name: !/G�� • Policy#or Self-ins,Lic.#: 'aaV// Expiration Date: Job Site Address: l a City/State/Zip: Z 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, 16 hereby certiq.ander the of -and ties ofperjury that the information provided above is it e a i carrec4 ' Sienature; � • Date: Z � • _ Phone#: Official use only. Do not write in this area,'tb 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#; r4 z►+E' ti Town-of Barnstable Regulatory Services Thomas F.Geller,Director Buffln Di 'slon rED MA'S b � Tom Perry,Building Commissioner 200 Main Street, Hyamais,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Pennitno. Date AFMAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO.PERMM 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- C6 h,5 _)3stiinqtJ Cost ,Address of Work: Owner's Name �a ei Date of Application: I,hereby certify that: Registration is not required for the following reas on(s): E]Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Ownez pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEAUNG WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT 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 a the Owl /0F Date Contractor Name Registration No. OR Date Owner's Name I T+�ate Jsz.3n(soaaatte� . . • puCdp}Tv Packsgei for due road Txc4 mily RuldeatislBa11d1oge13esti8 n'Itlt' 'FFe)x • �� ': 11fAXfMYTM • � Qlazing GJazlag Calling �4ai1 Fivor Bascatezt a Blsb 'Scadng/CcoUng 'C��) U valaex R-vAl2,J ' R-Yatut� R-Ydlue' Wail I'airnd=r 1Pmcat f6deary' A vnJuc� &talus 51D1 to 65DO EextlagDegrerDn� 1 0.40 i9 38 I3 10 a ?lorussl : 6 NorcaeJ 30 I0, i9 + l9 , I2y, ps0 31 I3 19 10 Isl+ 036 3E 13 Z? -NIA . ..NIA. T s 01 T+Jorasal U I3'�. 0.46 38 19 I9 10 IP/1 0.44 3E 13 23 N/A, 1YIA 3sAFUS 1' � E3 AF[lE . sy 15'r'. 0S1 30 19 19 10 Noms- ,X 13'r. 0.32 3E • 13 71 NUS► w�` Notmzl y 18%. 0.4Z 31 19 23 NIA NtA� Z 13% �,4z 38. 13 19 10 . . 94 AFVE I o`�i G30 30 I9 19 i0 6 90 AFEJE 1, ADDRESS of rRorEuY: . all A55 /k/A(- 2, SQUARE FOOTAGE OF ALL.BXrMOR'WALLS: 7� 3, SQUARE FOOTAGE OF ALL GLAZING; ' 4, % OLAZINO AREA 03 DIVIDED BY•02). 14 9, SELECT PACKAGE(Q--AA-sea chart ab Qve), NO' c OTHER MOP Il4VOLYED METHODS OF DE i G Ei�ERGY ggQVIREMENTS ARE AVAILABLE, ASK,US FOR THIS INFORMATIONI ' j BMD1NG-IN8PECT0R AM0YAL-' YES,. NO: 5 ins-©oa303a "(�r Towia �oF �ti of Barnstable, Regulatory Services Thomas F.Geiler,Director SATE �b'� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign. This Section If,Using A Builder I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to-fork authorized by this building permit application for, . -21 (Addre4ofob) /tetoreofer D Print Name ' E Q:F0P MS:0WNEUF,RMISSION i { 0,9 t. Expiration 7(_-7/2008 —AGE CRAFT 8.QlI!DI'NG&RE'0DELING RD 02625 `' . .��ee�'�amr�nw-rc�uea.�t o�./�aaaac�uiaelta 1� . BOARD OR,BUILDING REGULATIONS ,. icense: CON!PRUCTION SUPERVISOR Number: S� 050234 A Ex res., 2'8 Tr.no: 29204 • „Rest CC !' 618 SANTUIT RD f COTUIT, MA 02635\= Commissioner FE3-26-2007(MON) 17: 58 MALCOIb1 $ PARSONS INSURANCE (FAX) 1781-3441425 CERTIFICATE OF LIABILITY INSURANCE 02/26/2007 PROoZCEH (781)344 3200 FAX (7 81)344-1425 0RMATION 7 L TH18 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsions Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 527 ALTER THE COVERAG AFFORDED BY THE POLICIES BELOW. Stoughton, MA 02072 INSURERS AFFORDING COVERAGE NAIL N NSURED MIChael De uga INSURERA Associated Employers Insurance DBA: Village Craft Building & Remodeling INSURER 568 Santuit Road INSLIREF:C - Cotuit, MA 02635 INSURER ~- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HA%c BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINGANY REQUIREMENT.TERM OR CONDITICN OF AN1 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAl BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TH:POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS CE SUCH PCLICIES.AGGREGATE LIMITS SHOWN t,IA.Y HAVE 3EEN REDUCED BY PAID CLAIMS. IN bR CO' - a I r T'YPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION i GENERAI LIABILITY LIMITS iCO'AN E EACi'7-_URRENCEP •a , • S DANA>E T_ORERTED AI OCCUR OCCUR MED EXP�Anp:ono person) S i i ----- PERSONAL b AD'V iNJUFY g GENERAL AGG7EGATE S GEN I_A�GRE GATE IIMI-APPLI'S PER FNJUCY SRO_ :U PRODJCT$_CO,',IP/OP AGO S �. T JECT ' - _ AUTOMOBILE LIAPJLITY ANY CJTO, CONSINEJ SWOL-c LIMIT S (Ea acoidenj AL.'.OWNED,AUTOS ._..-......_— -- --- SCH-cDU'LEDL. ALT05 BODILY INJURY ---- -- ... per person) 5 HIRED A.u'TCS No",ov:NEG AUTpc BOXY INJURY ..__ ;Per scc derv) PROPERTY DAMAGE s (Per Doc dent) - GARAGE LIABILITY tEXCE5&Up,8AE Al1T��ONLY-EA ACCIDENT S OTHER T'-I.AN FA ACC S ALTOONLY: LLA LIABILITY - ACC S EACH OCCURRENCE S CLAIMS MADE ACGREGATE LEd S WORKERS COMPENSATION AND tY-05OO611401-2006 12%23/2006 - 12/23/2007 >rH• s edPLCYER3'LIASIUr1� X j?ATU" T Y I C A AN PFOPRIETORNARTNER;EXECUTIVE E 1.EACH AC DENT S 100,00 ?F ER/MEMBER EXCLUDED? .t yes oewite under E.L OISEASE EA EMPLO'!E 5 100,00 i SPECIAL:PRIJVISIONS hebY, I OTHER _ I E L DISEASE.POLICv.LWO S SOO,0OO DESCRiPTIDN OF OPERATIONS 1 LOCAT;ONS.1 VEHICLES 1 cXL LUS.ONS ADDED BY E.NOCRSEM ENT I SPECIAL PROVISIONS - esidential contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR18ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSLANG INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND'UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES.' AUTHORIZED P.EPRESENTATIYE ACORD 25(2001108) FAX: (508)428-77! 9 (DACORD CORPORATION 1988 Z—Z6. Y � 1 - °o 3 joda 20 oll sv� �� beom (,on Acr t op,yl Ito l Z-I✓✓, Nil iev* ra r-,, ,7t o L"V �7 " �V 30e Jam. 41- r ." a C✓ 67a ►ems �� ® ��� ,�-. 60fW�� .. 5cua�ac� �oa� P�ah L¢a -f-�re1+� �a✓ gag Did �� a 0) l a P64 t ! Y r- co (Y I e � 'y �. � � • 1 410 J `l ��� � `���� �'d� << �. n. �:� . �s ::�: �.} u. . _ . � - - _ .,r �--... -�_ "� �; . e,,�« _,_Xti �,.. t. �"- �.... ,,1;.. „ ° ,t: :�- ,t � E� ��.. .,, -� _-- --_ —. —_— _ _ __ _- _ •r �.�. __ '—"� fie. Li V O b � y r � x. a �po e D(d (1,s-j-z C-7 . IL • A �T (C-P qlo%yr- i ,:�i�'�; j . ' � �1I ' . �. "�� .. - ��1 �� h1-� -` f�� � � � �" r� / r ���� ��� ��T -�'J �®� i ;� .r f: - �M✓ ;,'��,�.d�j� i.�.,.. s;f°'��� �, _ ____ '� .� .7Sr'r r (��.�� ��� ���t �� ,� �_�� ��i i i � � N , + g :- t - 43Ve� .I d �.+�jMy �fa ,,, f�t ���� �,.,, �,. :=:� '. c(Oco' 6CG2-f�;� /-O-�7- ' �� �� � ;, i ''A� i� +�: ' �F r c a+ -pQ tNE Tp�� Town of.Barnstable - P� BARNSTABLE. Regulatory Services ' � ` 9 MASS.. .. , 10) Building Division - AlED MA'S>, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection te cam' .9 c . .'' �y eu�m4iberLocation Permit Owner �� `�"i :. Builder �°, !_ fn One notice to remain on job site, one notice on file.in Building Department. The followi g items need correcting: e� Lit. UCH 'PC— , e A 4) -Tzz 7 . u K (06 ,A U1 IPUt W Please call: 508-862-4P-38 for re-inspection. IJ Inspected by 0`— Date TOWN OF BARNSTABLE BUILDING�PERMIT APPLICATION' Map' S�5' 'A Parcel 0 Permit# Health Division � . � 'W' Date Issued - 2 *-65 Conservation Division lN .©Q' L__ Fee 00 Tax Collector , ..i CAC y ti x ,SEPTIC SYSTEM MUST BE" &AAA Treasurer . f� I INSTALLED IN COMPhIANCE 5 - Planning.Dept: _ WITH TITLE 5, FENVIRONMENTAL C07_ vAND Date Definitive Plan Approved by Planning Board TOWN REGULAR fro 3 Historic-OKH Preservation/Hyannis <J Project Street Address yl Village r j _. _ rOFrn�U e�S Owner Address Telephone Permit Request K' eZOT 2-6)i o 'Square feet: 1 st floor:existing proposed 0 2nd floor: existing �Q_ proposed Total new�� Estimated Project Cost Q Zoning District 'Flood Plain Groundwater Overlay Construction Type kiwi) Lot Size 3Z000 s" Grandfathered: ❑Yes ❑No, If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure JV Historic House: ❑Yes ANo* On Old King's Highway: ❑Yes N0 Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 0 Half:existing new Number of Bedrooms: existing_ new Q Total Room Count(not including baths):existing ? ' new ' l First Floor Room Count S� Heat Type and Fuel: 41 as ❑Oil ❑ Electric ❑Other' Central Air: ❑Yes M<o Fireplaces: Existing Newer Existing wood/coal stove: ❑Yes ANo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:fisting C3 new size Shed:❑existing ❑new size Other: - Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name e_ZP5 Telephone Number Address 45i2X iU License# /,flu S (2�2. i/�f how 0�331_ Home Improvement Contractor# 7l � Worker's Compensation# Lli PZ� 11-377 ,44/ ALL CONSTRUCTION DEBRIS.RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE R FOR OFFICIAL USE ONLY • r > '�• , • — 1 F• s - -` ' r ` •• .. a ' • '' .. f, '•' t PERMIT NO. � DATE ISSUED.„ fa y j MAP/PARCEL NO. t' ADDRESS VILLAGE • c r• OWNER DATE OF INSPECTION`' t �: - ` 1- • " . •- d A } �S 1 +_ FOUNDATION `v ,`CF a ` y FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH.;~ FINAL s PLUMBING: ROUGH Lis FINAL GAS: ROUGH' FINAL FINAL BUILDING odicm DATE CLOSED OUT �/V I • ASSOCIATION PLAN NO.i a ,HE, --. The Town of Barnstable BARMSTSASBLE,�` Department of Health Safety and Environmental Services . prFD 3 s. Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice R f F7 Type of Inspection .Q% _ Location a c a L� � U� r Permit Number . 4? Owner Builder C —IrNgz)Prpj k CO One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: C-A) csh n VI-4, \.,e G \,kl 1 V-) Please call: 508-862-4038 for re-inspection. Inspected by V—, 2tin) Date 14 a coruir O 9 3 V Z o / /g \ ,38 7 \ G 8 S.t u %:S v- o b / certyfy that the foundation is located as shown on this P/on and conforms to the Zoning By-Lows of the Town of Barnstable PLOT PLAN A coTUI T BAY SHORES 1 a COTU/T, BARNSTABLE, MASS. • ' ref . Scale / 50, April 24, I976: GARCIA ENGINEERING, INC. 94'Faunce Corner Rd.,IV Dartmouth, Moss. p� -3r376 s6ssor, ;map and lot number ........... ......:......... .....:.�.... , SEPTIC SYSTEM n SY EM MUST BE «'t ,2 INSTALLED IN .COMPLIANCE C C) i �!�' ,' ! c c, Sewage-"Permit ,number ... �.�- WITH P,.��,CLE'I I S�ATE :........... a g i SA V ITARY.CODE �i AND TOWNi �F?HE e �!1I re� r TOWN ,OF BAR�1 'SABLE i f Z BAWSTADLE; 9°� M639 Y 1 1I.LDI_ NG ' 1NHSP:ECT0R MAI ry APPLICATION; FOR PERMIT TO` ................................ ...................................... TYPE OF CONSTRUCTION ... mod. .T, �.. . � ... .... ..... ..... ................ ........ ................. ...... N, .............................................. TO THE INSPECTOR OF `BUILDINGS: The undersigned hereby applies for a permit ,according to the following information: Location ....... b T..,?�......`t Z-V tr...I..AY.. R i ve.....CO'Ttt tT.....r�a....'...................................................................... ProposedUse .....S.�µ�.LE FAMILY....1�ESIDS9GC...........................................................:..................................... N ...............Fire District .....1•OT U IT Zoning District ....::.......... .................................................................. tiRADtFeRD u1, $uAKVLEYjTRV5r9L n Name of Owner .CpIViT_,BA� Stig(�FS„R��M.TY'f RUS'J'Address .....{�T.='S A13�r1�f1 �D • LOTU tT .......................................................... Name of Builder YOMQS 6F C.AM C D =NC. O.Be 3 � M h oL6 o P X 4 CoTv�r....................35' .................. ......................................... Address .............................. ............... .......... �AvDF M16vElLE MEG,RO$rc M.A5S , Nameof Architect .. ...............................................................Address ...............................I.................................................... Number of Rooms ...... .........................................................Foundation 1.......... 8!IJYt 0....C.4jm Exterior .� 4►�.k!,. � C�..a�t�o�R� A 5 .N Al LT 5.0 Iw�e.�................................. Roofing ............................................... Floors OfIcE�. ......Interior y► 'cLAAC, pQA1�b�iuu,5 ={ RyWOL.L.............. ................. ............................................................. ............................................... 0jL VIRED •FORCED OoT U?Allrk Plumbing .'}o....mtfT DAKKSTRJLE CODE Heating ........................................•.................................... .................................. Fireplace ........ .E`-�.................................................................Approximate Cost ......�a .�>D ........ ...... Definitive Plan Approved by Planning Board ________19 1 �_. Area ........... ........_. ............... ... ........ Diagram of Lot an uilding with Dimensions Fee '' o ..........�.1.... . ................ SUBJECT TO PROVAL F BOARD OF HEALTH ♦dL`� tat utr- �3A , t�Q. 39' 298 ��• L oar i S EE E IYL q A 6¢ D SK rTCH A11ACg6-.b I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction., etitKa .. Name ...V! !!t! !! ....L.::`.. ........L•eS........... Blakeley, Bradford W. , Trustee Cotuit Bay Shores Realty Trust 18357 . one story, No'....... .....Permit for.................................. r r ' :',',single family dwelling - ' ......... . ......•............ Cotuit Bay, Drive - • �- r_ � x�-� .^ Location'..............:................................................. Cotuit r Bradford W. Blakelmy, Trustee ,x Owner .................................... Type of Construction frame-' ...........•.......;.................................. ..................... { t '• ,» - , - C- - ». n .Y PIOt ................ Lot ..................#18....... Permit Granted /Date of Inspection .G��. ../....�� .. Date Completed +$ �: 7.�..........19 PERMIT .REFUSED ` .. 19 • ., r. r -i ................................................. s• .... _ y .. _ r...................................................... ........ ...................................................... t�� r Approved ................................................. 19 .......................................................... .............. • ...........................................................:................... Assessor's map and 'lot. number .......................................... Sewage Permit number .. y �Q��F?HETO�o TOWN N OF BARNSTABLE Z BARNSTABLE i o M6 9 BUILDING ' INSPECTOR APPLICATION,FOR PERMIT TO ...... ....tt �:...�.`....'.....t........... .. ...:..::.......'............................................ TYPE OF CONSTRUCTION ................ ........... '`.......................... ................................................................. .......................... �... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ,Location .................... ......... t............................ -.f............. ......... .........� �..:.'..................................................................... ProposedUse ............. . ....l t......':•nrn.. ... ...t.........'...................................rr..............................................I......................... Zoning District .......... ... .....................................................Fire District ...............L...t.C................. Name of Owner .: C. !.t.'.'...LAu 4�t, �. h� j..I.% �.'..i "I.Address .......... � .. . 1.. Ii I' ........`....�t. IT.......................... Name of Builder A'......t......t.`......�• .t s✓...... ........... .............Address .... e..��.....:......................................................... Name of Architect N1 If L L ..................... ., , :..................................................... Address .....l�.i...�.........................� .:.'•.. t Number of Rooms Foundation P C L t I E -h t W P 1- 1 f ..................................�....................... .............................................................................. `�rItttrlt � t ►t # Pj(,Ilt:t, � •irttltj .�' ir, iCr Exterior ....................................................................................Roofing .................................................................................... Floors t_ F ...................Interior .........I4.. r . • l R I ., . ! ( t C................ ( =1 . tit. IFS � � r • lltt -t . I�I , iI 1 .1tiPt�`i111t'.t-( (`/ lit Heating ............................................................................Plumbing ................................................................................... Fireplace `/ ...............................................................Approximate Cost �' C r C7 .................. .................................................................... 1 , Definitive Plan Approved by Planning Board ____________________'_________19____r'_. Area ......................................... Diagram of Lot and`,Building with Dimensions Fee SUBJECT TO APPROVAL`OF BOARD OF HEALTH -- tj , ,# 1 u . n � 1 1 /tY• / r 5 t t t N t ►) 6 e I) �,t.' TC I I .1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....(......{.....'..:..........'.......:..�I ... ,�......±.................... Blakeley, Bradford W. , Trustee A=55-46 Cotuit Bay Shores Re Ity Trust No ...18357... Permit for .......... sing.l.e..f.amily dwelling ....................... 13i Location U�... .. .................................. Cotuit ............................................................................... Owner Bradford W. Blak..e.l..ev......T rus. tee ............................... Type of Construction ..........frame..................... .......................... .............. .............. Plot -1...............#I..-8..-..,............ Permit Granted .......Ap,,,.r.1.1 30 .... . . ........................19 76 Date of Inspection ..... .........................19 Date Completed ....... ............. .............19 PERMIT REFUS D ................................................................. 19 ........... .... ............... ..... ... . ............... ............... 1 . . . . . .... ........ .. .. .. .. . . ............. ....................................................... ...................... .......................................... .................................... Approved .............................................. 19 ............................................................................... .............................. ................................................ opt„i r Town of Barnstable *Permit# 71, //57 Expires 6 months jronh issue date iAttNsrABUL : Regulatory Services Fee 7g NAS& Thomas F.Geiler,Director 1639. �0 p'f0 Building Division Peter F.DiMatteo, Building Commissioner Office: 508-862-4038 367 Main Street, Hyannis,MA 02601w X-PRESS PERMIT .Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL Ol V 7 . 2004 Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number Property Address qed ®�� ZWE /C✓ • ���� [Residential Value of Work ;1? Owner's Name&Address h WA1yET# '- �h'1/� c� Contractor's Name NA-1.2 E lo/CieO Telephone Number J d — Tao " 9A Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) (�Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I.am the Homeowner ❑ I have Worker's Compensations Insurance Insurance Company Name Workman's Comp.Policy# w� ® Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows: U-Value (maximum.44) ❑ Other(specify) Z?a7ivazo�z+aea/�/ � i *Where required: Issuance of this permit doe not exempt compliance with other town e I Board of Building Regulations and Standard! HOME IM+R4RO�VEMENTCONTRACTOR. Regiistr t�olr �IW503 Qn xp�rat - 6�/13r�/2004 Signature '! xyp,� Supplement Card CARE FREE HOt 'i NA.THAN.PICKU Q:Forms:expmtrg:rev-070601 239 Huttleston ave � Fairiaven MA 02719 �- Administrator 02/13/1995 19:55 915087906230 PAGE 01 Town of Barnstable f Regulatory Services sMug Thomas F.Geller,Director ae�4. F Building Division Tom Perry, Building Commissloner 200 Mein Street, Hyamiis,MA 02601 www.town.barnstable.mams Offioc; 508-962-4038 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ��/�//��l^✓ �'/�(S/'1� ,as Owner of the subject property hereby authorize AME /V! �✓/� to act on my behalf, in all matters relative to work authorized bythis Wding permit application for. . rmss of Job) A/ Signature of Chvner Date PrW Name Quoit 3:ow sstox r��4iq��,8���fi L .%�.�� �'�:'�4q�it,. .rr' ��k_ f '�,'.r r x�•�n t � { qi�N } .� Yy {+ tl, 4�'€TK} <'�yR J4.fi.Y. .4 J+ °M� }fFrY?,, f + i _ j•x ,zt t��t4,f '+'t-;p8.5,4-�k'i ..{��1M�� f t '6' • .. -.. 00 yy F!rm X 7 r Bastottt hrt7SSi ��111 } v x k • f{ + ? C _ nnt\ orkcrs 10EPtIfin Ion: Affdns it e le-9 �Litt$ •. �• ,:-�'/�`7./_��L/iG�� / y/'�`'T 'a �11IIOAC sJ'u�`'�.. KK /�', �`C�['�' ' If1I ht�mtos\net performing all Mork m}self: load h soli proprietor IfiA have ho one t+rrking in an capacit;+ > ����Pr +A� i(''o,i �! f J - '� � ., -••... •.• '.::>' _F... ♦r—.��` 'y..: c s. �.r:. j.-y+/-�¢rS '.[••, i .. ..J' ain anetitployet pros iding it orkers'compensation for nt> employees Walking on this job u b �"4fa�•�7� f;,Wllllalt� nAMe•. _ �L��/ ����.bri/L 1 f��� �. ,�;�•:,;F,z ' �: s' lo, sit �'. Ire I,� t � . � .• r rt+ + ijf�ftli e • r4%t ' phone ai Y 5{ #�y�y us�y�i{i 4�t� * tar r,, r /_:� \ /n f� '� '• ��':�+#� k,�..!�r�S/L�'/F'1� t #TrYf `? 'rll yr�ltltSr-fi teCA' e "�t { ��tf� �`�}].. F V` y ..�: � ': .' .. �.^,a���.� .. �{r•�i K •a» .� r.•�acn,..�.ri�'Tt��� t .��. �iit a sole ptoptietot:general tontr3ciori or homeo%votr(drde.ritic�i and,hate hind the kohir5elots listed belott \rho hsi� ; the tdUotl ittg tt�otl.ctsJ compensation polices: ' A. ` +ksr . �j�n 'ntlmcJ' a t q4 { t " aticlress• r X{ +�y,} '�"! rltt�; � " nhent tls "' '"' ��k��" F •'`�. t f �s .. �.•. ..t~'��1��: lyJ.�.�l'. t "�c +, .::J�tt���• rv4.t.W.�til.1< � y 9. s" ! i � ;,<;� r• aildressy ti F p, ehohi bi P Y xk r• 1 ■��+,� < '•,.°w. k Ind -°. ' � (kt7E �`Rr�r• �dJ �JLiYiJ►L�,��tl� .•. ri`?`• L a,A jPg1,� f't<Ilurt toaecurt tet_ett l.asitcqulred Ytlder Sttdatt 15A tlf 1tGL_lSI tAit lead toil;icy tdp�ditIdbd of Eties tl' !1 tlo; QttE dp tda �SOO+ttO to of Totse jesri'intprisoAmt t at#A'At a doi penildet to the Carta of t 9t P V{�Ot 6ltb�,�t kid (lilt,e�, lOd bill s ilbs!ml�;.l tlaetcrtiued Wti t 0ti otthis itkit:6t taffy be for t itdididiiiebMct of invttdtttiotis oftf60Ufol`•.C64 it veNnt� t E � .+ %�� gy •" t .. •. .i��r �t ���#r.�'� t t�.�,a� e"" 'a<R • a, 8 r $ Y i do hrrcbj certlfj 4 der the polris tend pcnehics ojperfti�y thin the lrt/oiFtictloN protitted abotti ft taut oN Ycdrrica t r. ` oY fiteial ust onl j da t{bl A rite In this ire to be completed by ally or towM oQlEltl jfY �! rr i.i. hR ay t yy t '� r M '• Ff, i[) 7..+w„tta •,1'rt' atiMtnt h , C .IQ Pet' r _ tidtldttia�bE� . Y �* tniViittiiie ,1tlty ortoNM r t .ref` [yehtek It imtntditte rett►orite it t quirtd b tJltttli6 dtdaHnittllr �: :''�'°x�io-'�{i� ,y.? � �•. t a•t fie.....�r Yf .. n ` s 5 J ��-� i °:;'�' � L` '`tA�(Jihlti'•.•� + 3 ''d -jt r t+ �: r y}��nifti hr•�inn• --•--'-- hoot k _ Y }; �T�`,W�t X � ,�, # � ��5 � rid. Ar Aft Iz+'`+ t Y .•t,d. c:. _ ; ;t _. 0 a b, { `�vC 't ro- ti cpf; tk�yt�' A' �°a = • - / y v'�' ''� �� +� ,#"•�x � `, y s, pit. c:� }a� �1"��,# �d�:; '� � �* 4 '' -.r, rIMAfpwmawj Tahle=.lb( - Pressripttre PacksM for Oaa and Twe-F'amilY ReddumW Building;Seated with Fossil Fads MAXIMUM blum UM WallFR-Fl, 7:Eu�ww �'('K) Uij Rvata� R•vaivalala� Wall a� PacFaee R.valtrtt 5"1 to 6500 HeWa;Detp!ee Daw Q 12% 0.40 31 13 19 10 6 N0� R 127E QM 30 19 19 10 6 No:md s IrA 050 31 13 19 10 6 U AFUE T 13% 0 36 3i 13 2T WA WA Normsi U13% OA6 31 19 19 10 6 Nor r i3ri iita+i �e 13 dW W WIA A =S AFUE W Is% am 1 30 1 19 19 to . 6 U AFEIE X 11'/. 03Z 31 13 21 WA WA Normal Y lar. 0.42 31 19 25 WA WA Normal Z 1E'/L 0.4Z 31 13 19 10 6 90 AF1JE AA la'/. OJO 30 19 19 10 6 90AFUE 1. ADDRESS OF PROPERTY: 6�C-ki /9_L j>, 6% /.e a — 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: I:Lz 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY #2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-f=4980303a o� rL) t Z 9 THE The Town of Barnstable M a �0� Department of Health Safety and Environmental Services 1639.rE 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. Type of Work: �✓ � Estimated Cost i Address of Work: 61CA /1 L Plry__T A.?o Owner's Name: e_-/Z 6:4LI111 Date of Application: 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: 2 2 to Contractor Name Registration No. " OR Date Owner's Name i q:fonns:Affidav ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE square feet X$55/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= - PORCH square feet X $20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost GGO. 3D . 3D � 1 � �� g990915b MAScheck COMPLIANCE REPORT ( 438ZS I Massachusetts Energy Code Permit # MAScheck Software Version- 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-27-2000 DATE OF PLANS: 012700 TITLE: KEN SAUM PROJECT INFORMATION: 908 OLD POST COMPANY INFORMATION: EAST- BAY BUILDERS --_---- E COMPLIANCE: PASSES , Required UA* = 48 V Your' Home =1 45 r d - Area or Cavity Cont. Glazing/Door , Perimeter. R-Value R-Value' U=Value'''�Ire U ------------------------------ ------ ------------- ------------ CEILINGS 266 30.0 0.0 WALLS: Wood Frame, 16" O.C. 301 13.0 0.0 2 GLAZING: Windows or Doors 32 0.330 1 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 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 H•VAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in . Sections 780CMR 1310 and J4.4 . Builder/Designer Date �;, U 4. •MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software. Version 2.01 KEN SAUM DATE: 1-27-2000 Bldg. Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location I WALLS: [ ] 1. 'Wood Frame, 16." O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.33 r' For windows .without. labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location AIR LEAKAGE: [ ] , Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space....__.._ 2 . Type IC .rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall' have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: [ ] Required on .the warm=in-winter side of all non-vented framed ceilings, walls, and floors. <<= MATERIALS IDENTIFICATION: [ ] Materials and' equipment must 'be identified so that compliance can be determined. ' Manufacturer manuals for all installed heating . •' ,1 .. S pig ... ., a' 10 [ 0,e and cooling equipment and service water heating equipment must be provided. Insdl.ation R-values and glazing U-values must be clearly marked on the building plans or specifications. , .-. . DUCT INSULATION:. [ ] ( Ducts shall be insulated per Table J4.4 .7. 1. DUCT CONSTRUCTION: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer' s installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or -.shut offl 'the heating'�'- and/or' cooling input"to 'each• zone or` floor shall 'be provided'-1 e,=i r l-v I J F1 HVAC EQUIPMENT SIZING: [ ] Rated output •capacity of .the heating/cooling system is , not greater than 125%, of the design"load as specified in Sections 780CMR 1310 and J4 .4. I .. [ ] SWIMMING POOLS.. .r..t. . All heated swimming pools must have anion/off heater switch and �:e= require a' cover unless over`'20% of the heating energy is from non-depletable sources. Pool pumps= require a time clock. is [ ] HVAC PIPING INSULATION: ' HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be` insulated. to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 211 -RUNOUTS 0-1" 1.25-2" 25-4" Low pressure/temp. 201-250 1.0 1.5 1.5 ' 2..0 Low temperature, ` ` 120-200 ' 0.5 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2 .0 COOLING'SYSTEMS: ` Chilled, waterf or " = 40-55- 0.5 0.5 0.75 1.0 refrigerant' below 40 11.0 h.+ . 1.0 1.5 1.5 [ ] I CIRCULATING HOT WATER SYSTEMS: •Insulate -circulating hot water pipes to the following levels -(in. ) : PIPE SIZES (in. ) I NON-CIRCULATING CIRCULATING MAINS & RUNOUT s HEATED WATER TEMP (F) : RUNOUTS 0-1" I : 0-1.25" 1.5-2 .0" 2 .0+" 170-180 0.5 • I 1.0 1.5 2.0 140-160 0.5 I 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 ----NOTES TO FIELD (Building Department Use Only) ------------------------= • e7 1.1 i DEPARTMENT -OF PUBLIC SAFETY ONE ASHBURTON PLACE, RM 1301 BW,TON, MA 02108-1618 s - CONSTRUCTION SUPERVISOR LICENSE 1 Number Expires: Restricted To: 00 r ' CHARLES W TARDANICO 13 � BOX 304 HYANNISPQRT, MA 02647 a Keep top for receipt of address notificat' •7�,at s� t:_tta qW { '+,�t4 1 ssCS$ JR > 4+.>_'1i ,� �'rr"'a�?,e-* ....w s,.� : r ..M}i��. ._a a .t ;W.. .,.F .#?9' 4.•ci r a i. �' ,,. !°� 1"'IftN"O'4hA ayta "? . �.e ✓• wus? i 1s..E , ^5 ,. ya ,�,t' e�� ,.��,,�t ;.dyY .s fr 1i .a`,",i X�Via.,, y � t}, 4 �. ?l�t u' v � ..rr # �ti f� R t' ' ' i i -t r r ,•'_La ° f � M '� �4' i y P t b � ,+E R ei, �. §4r SIP, OVNIENIQNTA TREGI.STRAT, FEWt, `rjr _ y fi k .+, a .ad rrn ,wr { �.t y.nu1 ta.ons and:=stanclarcls`4 > z,, � t ��s3z�. 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