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Home My WebLink About0028 PINE RIDGE ROAD a� ;�?;�e ids 'I \ PxvN��1" Co�er� �Ow�dci On olll A, o�c0. e (dwIA � Po, � z2 r t i I N7l'4220"Ir 340.I5' AK /B PAR I82 a 2 0 �., y,• STAMP a AK /B/g0 ti ►37UND jdW er t o IIAYNB rAYARA9 /djb3 - p O •-..-..�..-.- AK If PAR 123 Ak AK I6/0 N737735"U• ej pI VD A-28..31' �,•-MUND h 10 ..�..� � ..J AP/0N h - x3 l4.0' IR7UNDA77ON AK I6/b74.0 128 lP.3'n °a AREA-871453 SP. 0� s7i 30 s 37g lz• a a �8 PINE RIDGE ROAD y 18.18•I /} N7 7330"W /l/,0 J FLOOD ZONE "C" FOUNDATION CERTIFICATION RES ZONE. "RF" TOWN.•BARNSTABLE SCALE- 1"=60' PL REF 293144 ELEV.• N/A SETBACKS.• 30'-15'715' I CERTIFY THAT THE ABO VE �� F YANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON ��` tRfa �s�y� P. 0. BOX 265 THE GROUND AS SHOWN, AND y STFPMEN UNIT 1, 40B INDUSTRY ROAD ITS POSITION DOES J. D4YLE w MARSTONS MILLS, MASS. 02548 CONFORM TO THE ZONING LAW NO.37559 TEL.- 428—0055 SETBACK REQUIREMENTS OF ffs ° FAX 420—5553 BARNSTA E s '�� JOB STEPHEN J DO YL R P.L.S. DATE.•11119103 NUMBER 53401FND TOWN OF BARNSTA LE RISE Division of Thielsch Engineering,Inc. Z13 MAY 10 AM 1'1: 19 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 OIVISfOfq � May 1, 2013 Thomas Perry, CBO ^1 Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 28 Pine Ridge Road has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering,a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 109674 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n Map Parcel J Application # Health`Division Date Issued « l v Conservation Division ', ;Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Ir" Project Street Address 28 Pine Ridge Road Village Cotuit Owner Richard Boden Address same Telephone 508-428-2902 Permit Request Air sealing, .ins„1ntp k11PPWg11 .area (R-10) 9 9Ten attic (R-38) weatherstrip one kneewall space access hatch Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2203 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roolm Count` Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other a e Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood coal stove': ❑::Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑existing R 9 newt size} Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: u7 LD n Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Ave, Cranston, RI 02910 License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE ��- �� Erik Nerstheimer for RISE Eng. r 7 FOR OFFICIAL USE ONLY ? F } APPLICATION# DATE ISSUED l` MAP./PARCEL NO, C� l ADDRESS. VILLAGE t OWNER t DATE OF INSPECTION: t r FOUNDATION=.. " f FRAME _INSULATION.:_ FIREPLACE I ELECTRICAL: ROUGH FINAL i F j PLUMBING: ROUGH FINAL s r I 4-i GAS: � ,_x4," -ROUGH FINAL r FINAL BUILDING i a = �.:• _ II DATE CLOSED OUT t ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600.Washington Street Boston, Mass. 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): RISE Engineering a division of Thiei ch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone#: (401)784-3700 or .1-800-422-5365 Are you an employer? Check the appropriate box: Type of project(required): ` 1. N J am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. 0 I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑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. ❑Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required] t c. 152,§ 1(4), and we have no 12. ❑ Roof repairs employees. [no workers' - comp.insurance required.] 13. Other Insulate I *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit,indicating such. $Contactors that check this box must attach 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: The Preston Agency Policy#or Self-ins.Lie.#: '3730961-00 Expiration Date: 1/1/11 Job Site Address: �� City/State/Zip:.. 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 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 $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of-Investigations of the DIA for coverage verification. I do herby certindthe ins enalties ofperjury that the information provided above is true and.correct. Date: Print Name: Erik-Nerstheimer '°Phone#:(401)784-3700 or 1 800 422 5'365 Pxtill 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): 1.11oard of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#: AC®RD. CERTIFICATE OF LIABILITY-INSURANCE aPID °ATE(MM,°°nrYl THIEL-1 09/13/10 PROD UCER THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER-.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone: 901-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE. NAIC INSURED INSURERA: . Zurich-American Ins Co. Thielsch Engineering, Inc INSURER B, Aw. id cuax.nt.. a L1.bliYty Thielsch 6alty Inc. INSURER North American Capacity Hi Tech Realty Inc. 19S Frances Avenue Craranston RI' 02910 INSURERD: Hartford Insurance Company INSURER E' COVERAGES THE POLICIES OF INSLRA14CE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY.PERIOD INDICATED,NOTWTIHSTANDING ANY RECUIREMENT,TERM OR-CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR WNY 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 IFiSR'�CDO LTR JNSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/OO/YY) DATE ICE M IYY) LIMITS - ' TGENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Y COMMERCIAL GENERALLIA81LITY 3730962-.00 .. 04/01/10 01/01/11 pREMhs S Eaocurancel -T 300,000 CLAIMS MADE a OCCUR MED EXP(Any,one person) S 10 r 000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE 5 2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000;0 0 0 POLICY X .JEa LOC - — - - Emp Ben. 1,000,000 AUTOMOBILE LIABILITY _ COMBINED'SIN g 2,0 0 0-,O 0 0GLE LIMIT x X ANY AUTO 37309*63-00' 04/01/10 O1/01/11 (Ea accident) ALL OWNED AUTOS - BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY WON•OVMEO AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT .1 ANY AUTOOTHERTHAPI EAACC, .5 AUTO.ONLY: AGG $ - - EXCESS(UMBRELLA LIABILITY - EACH OCCURRENCE $ 10,000,000 B X OCCUR �CLAIMS-MADE UMB 9263637-00 04/01/10 01/01/11 AGGREGATTE $ 10 000,000 DEDUCTIBLE - S X RETENTION 410,0 0 0 y WORKERS COMPENSATION AND1_IrnITS EP.' - EMPLOYERS'LIABILITY - - A :'WYPROPRIETOR/PARiNER/EXECUTIVE 3730961-00 04/01/1.0 01,/01/11. E.L.EACH ACCIOEM $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under - SPECIAL PROVISIONS below - - E.L.DISEA.SE-POLICY LIr.11T $ 1,0 0 0,0 0 0 OTHER ' C 1'Professioaal Liab DVL000026800 04/01/10 O4/01/11 Prof Liab 2,000;000 D , Leased/Rented Eqp 02UUNTD5678 04/01/10 04/01/11 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS. ' 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 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY MNO UPON THE INSURER,ITS AGENTS OR • REPRESENTATIVES. - AUTHORIZED REPRESE V ACORD 25(2001108) @ACORD CORPORATION 1988 f r 1 w - ".lisp i:ar � s#�� ii c r�•� , t i Y t{ y,F1ti6 :1.k � yat�l�� 1�:A:, ��i��"ppt r.�(7t" f(1 't r THIEL .1 �r t ! PAGE 2'. (r+� - N ai x e y Hryiliie ?. �!j,fa. .. 4*��lJ Yt-fi1_i)�.,rNX}. 4t3F?., >.�.Nstllri•r's�...it��i��th:1kA.y.'v3i t.iT�f::;=ro_,i ... ,..,.... .- .. U,r.. .�+:i t.. _.. Also for RISE Engineering, a division of Thielach Engineering, Inc., Gaskell Associates., a division of Thielech Engineering, Inc. BAL Laboratory, :a division of Thielsch Engineering, Inc. ESS Laboratory, a division of, Thielsch 'Engineering, Inc. "CO Engineering, a division of Thielach Engineering, Inc. Water Management Services,° a division`of Thielsch Engineering, Inc. L 91te nsumer fain usiness e u ation ® - iceo o g 10 Park Plaza- Suite 5170 Boston, ssachusetts 02116 Home Improve oritractor Registration s_= Registration: 120979 Type: Supplement Card z J ' X Expiration,: 3/25/2012 THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. CRANSTON, RI 02910 0 Update Address and return card.Mark reason for change. Address Renewal 0 Employment r-] Lost Card DPS-CA1 C* SOM-04/04-�GIO/1216pp ✓/7�T/J0477/rI200LCl��iL �✓I�GCLQdp�ltltQl,�6 - -. ' . Office of Consumer Affairs&Bu mess Regulation License or registration valid_ for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration 979 Type: 10 Park Plaza-Suite 5170 Expira "12 Supplement Card Boston,MA 02116 THIELSCH ENG4 = 1 ERIK NERSTH 1341 ELMWOOD - CRANSTON; Ri 029f %,x��,` Undersecretary Not valid without signature E} rake 1 OI 1 The Official Website of the Executive Office of Public Safety and Security (FOPS) Mass.Gov Home Public Safety Department Of Public Safety Licensee Complaints License Type Construction Supervisor License#1 100459 Restriction WS,IC Name Erik Nerstheimer City, state, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current ` No complaints found for this Licensee. Back To Search Board of J3uildino Regulations and Standan-rx ` License or registration valid ifor individiil use on)y HOME IMPROVEMENT CONTRACTQR before.the expiration date. If found return'to: Registration:: 120979 Board of Building Regulations and Standards :r P fa ati'o:ri::'�3�.25/2010 One Ashburton Place Rm 7301' TYPe'=__SuPPiemeni Card Trgstc31,�la. 021.0$ E L S C H ENGINEERING? K NERSTHEiMER= !,",- 'r 1 ELMWOOD.AVE` = aNSTON, R.I 02910 _ Not va---lid with sign tyre ::. hi-tp://db-state.Ina.us/dps/licdetalls.asp?tXtScarchLN=(.ST.1 nna.s4 I r ` NAT-24531 - 1 I _ t . RISE ENGWEERING Federal ID#0"405629 RI Contractor Registration No 8186 A division of Thicisch Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,Rt 02910 (40 -3 CONTRACT . Page- 1 • THIS CONTRACT IS ENTERED INTO BETWEEN RISE F i t 1'+ F �, f1 - ENGINEERING AND THE CUSTOMER FOR WORK AS ENCEINEERING P-4'�1? � -JI I DESCRIBED BELOW CUSTOMER PHONE DATE Client# Richard M Boden (508)428-2902 04/16/2010 109674 SERVICE STREET - BILLING STREET _ 28 Pine-ridge Road P O Box 691 SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Cotuit,MA 02635 Cotuit,MA 02635 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be. performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas,(windows are not generally addressed.);This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 14 man hours.This measure is available for 100% rebate from the Cape Light Compact. $924.00 RISE Engineering will provide labor and materials to install 2.25"R-10 semi-rigid fiberglass board insulation to 112 square feet of kneewall area. W $302.40 RISE Engineering will provide labor and materials to install a I"layer of R-38 Class 1 Cellulose added to 576 square feet of open attic space. $691.20 RISE Engineering will provide labor and materials to insulate the back of 1 existing kneewall access hatch(es)with 2.5"rigid fiberglass board insulation,and seal the edge of the hatch with weatherstripping. $85.00 RISE Engineering will provide labor and materials to install a new,finished plywood,overhead attic space access hatch.The hatch will be insulated,weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished. Prime coat and/or paint is not included.) $100.00 RISE Engineering will provide labor and materials to install a new;finished plywood,kneewall space access hatch.The hatch will be insulated, weatherstripped and held closed by eye hooks. (Wood surfaces will be unfinished. Prime coat and/or paint is not included.) $100.001 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. $1,882.95 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Nineteen&65/100 Dollars $319.66 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULIN D CONTRACTO EGISTRATION. ' DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK ACE AUTHORIZED T E-RISE ENGINEERING CUSTO ER ACCEPTANCE NOTE:THIS CONTRN I MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK - _ DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE .I F The Commonwealth of Massachusetts Department of Industrial Accidents O//%of/aaestigatioos r 600 Washington Street ; Boston,Mass. 02111 -- Work ` Com ensation Insurance Affidavit name: location cis' (✓C�%y// j X 40 024�' phone# O" �—KA/I 0I. I am a homeowner performing all work myself. ❑ I am a sole p net and have no one workin inany capacity I10 1 am an employer raviding workers' compensation for py employees-working•on this job.:::.::::::.::::::::::::::::::::::::::::>::::::,:::::,:::::::: 0. :::............................:..................................... ..................... ... ......::::.:.........:....:.....:........... . .......... aeldre ..:.. .: ...........:..........:. .:..: .... .:;.::<.:;;:.::•;:.>� �-:;:�� >'.>«•��•:<•>�:::.;: '`<:>::: .... :itlgtt]�ance.cac:;;;. .. ..... ..... ... ..... ❑ 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; ..........:.::..:::::.:.:::.:::::::: ::::::::.::::::::::::.::::::::.::::.:..::::::::.:.:::::.;::.::::..::::::::::::..::•:...:.::f•:::.:::.. t6 nanv .......:......... .. ;. . . :.:. ..:.. :s fir'ess::;:::>::::=:#<:;_<.::..:::.::.:.:::�..;•:.:... ::.:;:::::::::.;.:.: ,.......:.....::......... �.. :...... ....................................... {....,.,............ :. >. ..; . ..............:.:.......:,...............:.n.........,.........•;.••.......................,............,-.,...........n:::.:•;..v:-•::::•:.�:::. :J�((:..............w.::.:.:.:.nw:.::.::::.,..v,;:;;:Cii:•:4:t;;•>:;;;4>?i}yiCww,.l.J}:0..:.::::::::::: haiizanee:ca::s>:;:: >:;•; �.�..;;;:.;::•;:,�;,.>.;:..;•.> ... :::,.:..:::.::,.,:.:, > Hine: :::»::?:>z<:::::::>::>::; ;<::<::� ... .......... .. ..... ......... ..... .. ......... ......... .... c spun aldr <'> s<' . .. i<`>` ':»a ?.`>:` >:h b M. Fapmx to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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. I do hereby certify e p ' an en o edury that the information provided above is true mid correct Signature Date Print name 7 �'�' / Phan# official use only do not write in this area to be completed by city or town official city or town: permit/license# EOSen artment ard ❑checkif immediate response is required ffice ' rtment contact person: phone#; (revised 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every4person in the service of another under any contract of hire, express or implied, oral or written. , An,,employer.is.defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased, mploy.:e or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold.the issuance or renewal of a license or,permit to operate a business or to construct buildings in th"e commonwealth for any applicant who has not produced acceptal le'eviderice.of compliance with the insurance.,coverage required. Additionally,neither the `:co mmonwealth<ndtlpy of its-political subdivisions shall enteninto any contract for the performance of public work until acceptable evidence of complianee`with the insurance requirements of this,chapiei,'l ave been'presented to the contacting authority. Applicants " Please fill in the workers'.compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe `. submittedinsurance to the Department of Industrial Accidents for confirmation of coverage. Also be sure to sign and :. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation.policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returiR io 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 questions. please do not hesitate:to_give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °FIHEr � Town of Barnstable Regulatory Services B"N7ABLE Thomas F.Geller,Director v MAss. $ . �AIFn1'ta Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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. Q Type of Work:' `�'/�A1V2*V A`'� /4�V�� Estimated Cost Address of Work: c2b ;-A, 5 Rl1J46 Ab, �V-0T Aid Owner's Name: .100V ,b zwt;;V 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. SIGn UNDER P LTIES OF PERJURY I hereby apply for a permit as the t of the o er Date Contractor Name Registration No. OR Date Owner's Name Qlb ms:homeaffidav RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 56 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 734 square feet x$96/sq.foot= 7Pi�7� x.0031= g17. ®3 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE AM—5� _square feet x$64/sq.foot= oZO, l x.0031= ��• a plus from below(if applicable) GARAGES(attached&detached) ✓ ( square feet x$32/sq.ft._ �O, �3'2' x.0031= 7 ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck / x$30.00= 3 o (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost °��►�r�,,� Town of Barnstable Regulatory Services 9MASS. '$ Thomas F.Geiler,Director �AIE16 90. 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 sub property l P P m' hereby authorize, T��Z � to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signa e Owner Date Print Name A.T:ADLdC•l1R71TCDT)BT)AiiTCCT/lTT Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release 1 a Checked By/Date . TITLE:Architectural Innovations CITY:Barnstable - STATE:Massachusetts HDD:6137 CONSTRUCTION'TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric:Resistance) DATE:07/22/03 DATE OF PLANS,,9,7/22J03 PROJECT INFORMATION: Boden Rgt4e:6e K`;Cotuit,MA COMPANY INFORMATION`. Colony nsul*ion inc— 11 Jonathan Bourne Drive—Unit#4 Pocasset,MA -02559 NOTES: PO BOX 2056—Cotuit,MA 02635 COMPLIANCE:Passes Maximum UA= 185 Your Home=184 0.5%Better Than Code Gross Glazing Area or Cavity Cunt. ur Door Perimeter R-Value R Value U-Factor UA Ceiling 1:Cathedral Ceiling(no attic) 788 30.0 0.0 27 Wall l:Wood Frame, 16"o.c. 944 19.0 0.0 42 Door 1:Glass 120 0.350 42 Window 1:Wood Frame,Double Pane with Low-E 130 0.320 42 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 652 19.0 0.0 31 Furnace 1:Forced Hot Air,84 AFUE 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 Massachusetts Energy.Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditio ound' e. The HVAC equ' ent selected to heat or cool the building shall be no Beater than 125%of e de load as ified in Sectio 7 GMR 1310 and J4n.4. BudWer/Designer _ Date ti00 'd wdZe:SO EO/ZZ/40 LSLS t9S SOS SNI '�N0�0� ;} v MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE:07/22/03 TITLE: Architectural Innovations Bldg. Dept. I Use Ceilings: [ ] I I. Ceiling 1:Cathedral Ceiling(no attic),R-30.0 cavity insulation Continents: Above-Grade Walls: [ ] I 1. Wall 1:Wood.Frame, 16"o.c., R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes_Frame'1'ype Thermal Break?[ ]Yes[ ]No I Comments: I Doors: [ ] I 1. Door 1:Glass,U-factor:0.350 #Panes Frame Type Thermal Break?[ ]Yes[ ]'No Comments: Floors: [ ] I 1. Floor 1:All-Wood Joist/Treiss,Over Unconditioned Space,R-19.0 cavity insulation I Comments: Heating and Cooling Equipment: [ ] ( 1. Furnace 1:Forced Hot Air,84 AFUE or higher Make and Model Number I I Air Leakage: [ ] I 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 I shall meet one of the following requirements: 1. Type 1C 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 cf n(0.944. L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] J Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: Soo 'd wd46:90 S0/ZZ/40 4119 t9S 90S 'SNI 'AN0-103 [ ) I Materials and equipment must be identified so that compliance can be determined. ( J I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] f Insulation R-values,glazing U-values,and heating equipment efficiency must be clearly marked on I the building plans or specifications_ I I Duct Insulation: [ ) Ducts shall be insulated per Table J4.4.7.1. I I Duct Construction: [ J I All accessible joints,seams,and connections of supply and return ductwork located outside I conditioned space,including stud bays or joist cavitiesispaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation I instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ j I 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 off the heating and/or cooling input to each zone or floor shall be provided. I I Heating and Cooling Equipment Sizing: ( ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as I specified in Sections 780CMR 1310 and 34.4. I I Circulating Hot Water Systems: [ j Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ) I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: ( ] J HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the I levels in Table 2. S00 'd Wd/a:SO 60/ZZ140 LTSS tSS SOS SNI 'hNOIOS Table 1: Minimum Insulation Thickness for Circulating Hot Witter Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts TemmmAge(F) Up to 1" LJP to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-i60 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 1 able 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. insulation Thickness in inches by Pipe Sizes fpina System Types RAfte F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressurefl'emperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for teed water) Any 1.0 I.0 .1.5 2.0 Cooling Systems Chilled Water,Refiigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) G00 'd WdLE:90 E0/ZZ140 4ZS9 t9S eos 'SNI 'AN0103 ACORD_CERTIFICATE OF LIABILITY INSURANCE 09/19/2003 PRODUCER (508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NEW BEDFORD, MA 02740 INSURERS AFFORDING COVERAGE INSURED A I Enterprises Inc INSURER A: OneBeacon Po Box 2056 INSURER : Continental Casualty Co Cotult, MA 02635 INSURERC: INSURER D I 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 CONDITIOI.;OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IN!"URANCE 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. INSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR I DATE MM/DD/YY DATE MMIDDIYY GEG�E�NERALLIABILIT'i — CBLW60298 03/06/2003 03/06/2004 EACH OCCURRENCE $ 1,000,000 i I r„MMERC;.=.t. UAc;ILI, i FIRE DAMAGE(Anyone fire) $ S® 000 CL=ens+S I,!r-.c- i�CCCUR i - MED EXP(Any one person) $ 10,000 A. _ PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 P-LIE PRODUCTS-COMP/OP AGG S 2 r OOO,000 AUTONICBILE+LIABIL ---,_-- -� COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) S - BODILY INJURY $ d CV'!I IEC (Per accident) I ' ` I I PROPERTY DAMAGE i I I (Per accident) $ 1, GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S I Afa, ;,.1.,' . OTHER THAN EA ACC $ AUTO ONLY: AGG $ - ----- I EXCESS LIABIL.ITN' _ - EACH OCCURRENCE $ f—� AGGREGATE $ i I $ j WORKERS COMPENSATION AND 6S59UB7847A26403 07/18/2003 07/18/2004 X OCSTA TS OER EM1APLO'YERS'LIABILI I;` - B E.L.EACH ACCIDENT $ 100,000 { j E.L.DISEASE-EA EMPLOYE $ 100,000 E.L.DISEASE-POLICY LIMIT S 500,000 I OTHER i i 1 ;•DESCRIPTION Jr OPERA710r:S CAT!ONS;V - ES/E?.CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holcser is as additional insured ATIMA i i CERTIFICATE HOLDER I I cn G,C;I„L INSURED,INSURER LETTER: CANCELLATION i I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ! BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Theresa Egan I 1220 Main Street OF ANY�, HE COMPANY,ITS GENTS OR P ESEN ATIVES. I Co t U i t., "'A 026357 AUTHORIZED REPR SE ATIVE I ©ACORD CORPORATION 1988 r: •_ r r- ��;:�'� ✓� T�d'�77/r/td92[I/CgLL/L d�.��uGW[LG�ccuiGGlp... BOARD OF BUILDING REGULATIONS +Lir+ense: CONSTRUCTION SUPERVISOR Number: CS 050457 Birthdate: 04/19/1 49 Expires: 04/19/2004 r.no: 19942 PETER M POMETTI PO BOX 2056 � COTUIT, MA 02635 Administrator Board of B¢itdirg Regulations and Standards HOME IMPROVEMENT CONTRACTOR � �MAT 4€ Registration: 109606 � xp i ration: 9/21/2004 ivate Corporation A I ENTERPRISES iNC. PETER POMETTI 140 RIVER RD COTUIT, MA 02635 4dmi 0%tratnr -- : . f t. v E tok� The Town of Barnstable Department of Heidth Safety and Environmental.Services M Building-Division 367 Main Street,Hyannis,MA 02601 , ►8-862-4038 18-790.6230 PLAN REVIEW )caner: Pjo 14e_h Map/Parcel: Builder: — A roject Address: P I IC ew rn r j s es Che following items were noted on reviewing: CD b vww ry\ � }fie-low �c1E'_ tr TO``$VN OF BARNSTABLE BUILDING PERMIT APPLICATION t *. Map Panel /. Permit# r7 '1.6® Health Division )1416,3 -775 J E'P 7!7_ '07; Date Issued 1 C 19 0 Conservation Division � 5° .�� ./.�G3, -g Jg Application Fee T er, i ti/1.1 ? C1 ? Tax Collector Q�,i — C� — — C�`3�1p3 Permit Fee Treasurer D i�c a- tQ i' — q fib / _ SERT@ SYSTEM MUST RE . / wM _ 't' I ZiISTA9.LEID IN COMPLIAP3CE Planning Dept. 'M.=6 Date Definitive Plan Approved by Planning Board E6di RONMENTAL CODE AK Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address 141�10yg A/ID46- I-q-9-1-6 Village C'oTvs?` Owner X,2,/ 0 '00Tjcy Address GOTv/T, .t- 1- 02-ee ir Telephone Permit Request '4 Nam/ 'cocot/XeexlL0' e .Q�iI./61.�� 1c1 MT/�✓� E� a/67nu cT/CC�' �rcl�u. Square feet: 1st floor:existing proposed��40 2nd floor: existing proposed 4W Total new 73�0 Zoning District Ot Flood Plain Groundwater Overlay Project Valuation XA5X,eve. Construction Type AW-^411' Lot Size �7,/ • ' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Rd Two Family ❑ Multi-Family(#units) Age of Existing Structure 8 �2S Historic House: ❑Yes 4No On Old King's Highway: ❑Yes ❑ No Basement Type: (A Full I ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Z4 40 Number of Baths: Full: existing Z new Half:existing new Number of Bedrooms: existing new O Total Room Count(not including baths):existing Co new First Floor Room Count Heat Type and Fuel: ❑Gas UOil ❑ Electric ❑Other Central Air: ❑Yes R(No Fireplaces: Existing l New 0 Existing wood/coal stove: ❑Yes fNo Detached garage:❑existing drew sizeZV'OV Pool: ❑existing O new size Barn:❑existing ❑new size ,,-Attached garage:❑existing ❑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 'oocd,-r_TT/ BUILDER INFORMATION Name ��G�J? < eo& Telephone Number_ Address '�� 'X 0�4 License# G�Pry<r�G�9 0 24 Home Improvement Contractor# Worker's Compensation# c/o55Ty237fll7#4241V02.- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO lay c•�• � ,.�� SIGNATURE .C%�. DATE FOR OFFICIAL USE ONLY PERMIT NO. -+ ` DATFIISSUED MAP/PARCEL NO. h ADRESS' VILLAGE F OWNER 1 DATE OF INSPECTION: Gaxqwc fo r t/301Oy r f ^ FOUNDATION ` FRAME olzq fil`( 3/3 o y t INSULATION FIREPLACE 1 r ELECTRICAL: ROUGH FINAL. ' r PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL` A FINAL BUILDING DATE CLOSED OUT = f ASSOCIATION PLAN NO. ` r - , Daniel & Braman, PSK Ot7 a�A� 189 Harbor Point Rd ' Cummaqu4 MA 02637-0361 �ca1G �1,pC��o �cA-d 410ir t `Co V. P � �P A.►.i 242 o� v� tZx ZZ l DANIEL E. B3RAMAN ® � UCTURAL 5 N0.96g 5 ��f�sstONP�1.� °�� RAMSBEAM V2 . 0 - Gravity Beam_ Design Licensed to.: Dan Braman, P.E. Job: Boden Garage, Cotuit, MA Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W12X22 Fy = 36. 0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight 0. 022 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0 . 180 0 . 180 0 . 000 0 . 000 0 . 360 0 . 360 SHEAR: Max V (kips) = 6. 74 fv (ksi) = 2 . 11 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 40. 5 12 . 0 0. 0 1. 00 19. 12 24 . 00 19. 12 24 . 00 Controlling 40. 5 12. 0 0. 0 1. 00 19. 12 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 42 2 . 42 Max + LL reaction 4 . 32 4 . 32 Max + total reaction 6. 74 6. 74 DEFLECTIONS: Dead load (in) at 12 . 00 ft = -0. 333 L/D = 864 Live load (in) at 12 . 00 ft = -0. 594 L/D = 485 Total load (in) at 12 . 00 ft = -0 . 927 L/D = 311 Dv—U ' A.M. 19 PAR 182 h N71'4220"fl 340.15' !v 9 i M ti ti kW a� SWAMP �AM 15/54 WETLAND FLAGGED BY � � � � e., WAYNE TA[BARES 5/5/03 AM 18 PAR 123 e..®.'m..w ` - C� AM 18/63 � 0 � ®•! 'TAN B N732735""W paD B I-26.3l'- 24.0' RET �0 �i56.5',i�iii�. WALL o:i:i..— i.M,14.0'. A.M 13/57 0 12 3' AREA=37145it SF FOUNDATION C� S7129 30 E `. 379.12' =3 �. h PINE RIDGE ROAD 0 IB.16' N7 23 30"'W FLOOD ZONE "CFO UNDA TION CERTIFICATION RES ZONE "RF" TOWN.' BARNS TABLE SCALE 1'=60' PL.REF. 293144 ELEV N/A SETBACKS.- 30'-15'-15' I CERTIFY THAT THE ABOVE �►►• �� YANKEE SURVEY CONSULTANTS FOUNDATION IS LOCATED ON ►► ��o�++<s; '� ��Te•4—Av; P. 0. BOX 265 THE GROUND AS SHOWN, AND o� PSG s FAT • UNIT 1, 40B INDUSTRY ROAD ITS POSITION DOES �� STEPHEN f CONFORM TO THE ZONING LAW MARSTONS MILLS, MASS. 02648 SETBACK REQUIREMENTS OF TEL. 428—0055 Af STABLE �~ =: ° FAX 420—5553 s ------ ----�' r o V�b 4' .JOB STEPHENOYLE, R.P.L.S. DATE.' 02105104 NUMBER 53401FN2 N ` 1 m f I� o'� NEW SMOKE DETECTOR REQUIREMENT. z ARE NOW LAW. EVEN THE ADDITION OF Aa NEW M WILL TRIGGER A �a m N BEDROOM T ,i r UPGRADE OF THE SMOKE DETECTOR S _. W U < o "FOR THE WHOLE HOUSE. YOU must- 1- g - - PLAN ACCORDINGLY AND HAVE YOU � a DECK ELECTRICIAN TAKE OUT THE APPROPRIATE a a PERMIT AT THE FIRE DEPARTMENT. SMOKE DETEGTCP.S O.K b Q I - Ale- --------- - "� mnmm I 13 H SITING - . jyy rn O K> N a B N B E BUILDING DEPT. --J S DINING IMING ROOM � �t. ai»•woc •u.wov >`••: _____________� e e,i I i i__1 . I n MASTER c. _ � �j BEDROOM 3 , no ..eeam.�= •-i i s a-lo Irr .re•.�n> n m `vua EI\ tp + __ _ _ 1 F 3 —Kr. uyp ___ I - y I i I I KRCHEN m 1 - 9 . UV. t - a 2 I r-II D'-91? i0 T2 1 I a' rS V " _ ' p N Z W F 0' S II FIRST FLOOR PLAN KEG" Z w to .cwwn W z o � F f K m � F WiE:ovt3/2M Al - 5 W ' a O z .ar6d I BEDROOM ❑ BEDROOM j OF m �< O I � I I Q LL jy5 _ 1 eox, • I ---------- r—TITMAr 1 ------------- 1 I irb I I - I ' 2 feat Opa.1 [OVN 2 L__________ avrro ___________________ I 1 I � I 1 I SECOND FLOOR PLAN I 1 . • �1 I 1 _• ".I? it - - e - I I b ram. FULL - - -- I I BASEMENT ——'_— ¢ FULL BASEMENT FULL CC �-----1 FULL BASEMEN I - 2 W M 0 z+onnort I.- Q O� Iz-3' v_ t z s Jj i +soem ic•i ad�.00r mr= f0'Oo ------------ FOUNDATION PLAN yr-ro A2 - 5 _ w z� E �b O �x rw¢[eoann K E •. u� Q . �u�wn wn�mrxr�rw�rTon •xo�.�rwe rwsix°uvnurm,enru. _ - ue�sree ro canoe. FRONT ELEVATION n e�oonwKe oo z12e 11 °�ro rpr of — — z G-5,MD ua,on�n I isr nue Guam. ® ® ° "oe�ew. ba v3 » a W w =i m W z < new en,xr rnaz neaeeoasr.wow— Q srowu �- i t C ----'----�� ------------ 4_ LEFT SIDE ELEVATION RIGHT SIDE ELEVATION v�-ra - v�•rra - vnn°c A3 - 5 • Z ew•odr,ox .—G House _ of Z E coimxuous coor woa w+r —- - W m v�nxooxs�n�r naoz � � ' - ix eeovmxes ursiures - §b �- Q !� ,x�nue�r�� 8❑8F FM M.Tc=— ruJ - ereu�o enmucswwex .. wcbO aw�� or roonuc To xcw�sw.wr uve or u i , wrtr a,w'mue -r______________________y _ ________________n REAR ELEVATION oNOn°MS, wn�M1OO" L] W u WINDOW AND EXTERIOR DOOR SCHEDULE V w.uw•ciuvrn uucnore«vc W i ,.oar.T+ eurmmso�». c-d. neerscwsoaixmos�oaums - ¢ .Hoeseu .sae• ewo - � � . e s o c umvcsw .r-o i¢ ao srrurs CJ z z ,sinosoioue _ INTERIOR DOOR5CHEDULE a W a •uoecsex sgeuc,rt ...wmnuun orc _ � s w q<Rsw Downs i e.dsm z� O ♦,m[x5ew Cxi6-9 -Oi rb'.6'-09.0' 005wnS Y BCO�CO ?-C.c•- m Y � ' cvSTCa. >O.+-<rrDgmgx ws Om[e naCr,Bl+ BZOSG7 Om AM1 w Cw2Se -1 3-Sab' eeosco n.ea g c ecosco z.c.c•- vewn dNwe�Dv�xeSlYle Or epenuG SuoeR rRq¢TOO.teOe,q - eC+IE wy A4 - 5 W > ...,�,� Z .wa..r,. • N _Fnol ° MAS BEDROOM 3 p L o0o mm s�. w® • 3 .wurz eecem� Wxxucm uo,.,oaun m,m _ .,.cu .w.urz FULL BASEMENT rzmwu.nrcr ° - S1 SECTION AT LIVING ROOM S2 SECTION AT MASTER BEDROOM —' ousrwc aaor.o aFx.,wxc� -- WiO1�,•• �_'_ =Q=i ,,• •— - e K.. W CL iiFOYEF4 1 V n n , 13 Z g W a C z _ - ---- ----------- mixes - W u. T`~ 1—,ceuo amem c pC 0 - - - - o a S3 SECTION AT FOYER - W z ------------ _______________________ A 5 w-rn O t O O w m u y ------------ 2x,09�0`W/IW®iC O.C. °Bv iN'&OVw®1 - 2x102.MYx/✓RKS®l2'O.C. 2xe4N,RNf rt50�CO.G ROOF FRAMING PLAN AS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 7 Permit# 7yl , / TM4µ4WOF B BNSTABLE... Health Divisiogl§rl� �� /S'! 1 Date Issued Conservation Division J �f7 � 70� �L4 !� Application Fee . �D Tax Collector - 11 16 P Permit Fee �e Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village 00 / T Owner Acolrp7cl Address 0CM eoZ<2ILT 10, Telephone 6O9'- f�LS — A�02 a Permit Request f /l�-✓� 'a i X a Square feet: 1st floor:existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation dWAXO - W) 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 Historic House: ❑Yes Cl 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 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 T New Existing wood/coal stove: El Yes ❑No Detached garage:❑existing 10iew size Z �y.(/Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑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 �5 �3ivG"Name- -�� /��" _ Telephone Number Address �� C o`i��7� License# Ob04f S7 p u"Z� AI1t 0?-C4-3 d Home Improvement Contractor# /01��a 010 Worker's Compensation# !Gff Suh 7H 7�-4 -'/032 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE J D FOR OFFICIAL USE ONLY i t. . A + . 1 PERMIT NO. DATE ISSUED MAP/PARCEL NO. kr 1 All ! - 4 ADDRESS !t/ VILLAGE r OWNER + _ L DATE OF INSPECTION: ` i FOUNDATION- }' FRAME �j'I�iQM'di� e�,�s� l a`l�✓�� j INSULATION' ,,; FIREPLACE -'-V ELECTRICAL:} ROUGH FINAL t ' " PLUMBING: ROUGH C E FINAL' > . . GAS: ROUGH FINAL t i v fCf L FINAL•BUILDING f m go <r + J. DATE CLOSED OUT, ASSOCIATI'ON PLAN NO. .li g Abiftl'O urp a k gala Ir� e� ST ►c rc � sron �Sos 2rF r tT��`s:41d�C35 ;it1'��'#�leti .s s�:At�i31'� �tt1=A � GTfie �amvnzo�xcuea�,� ��aao¢c�tuael,E`6 ' BOARD OF BUILDING REGULATIONS License. CONSTRUCTION SUPERVISOR Numb_ C- 050457 Birtli�a�e�'-d4x'k971949 _-- �cprre0 Tr.no: 21909 Red PETER M POI 0 FO BOX 2056 COTUIT, MA 02635\i5 ilt i Ad ing'C�W.F-S-bne, o� Town of Barnstable Regulatory Services $ MASS. Thomas F.Geller,Director Building Division Tom Perry, Building Commissloner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma,us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder I, j Gha rd (3Od en ,as Owner of the subject property hereb authoriz Db Y ! to act on my behalf, �. in all matters relative to work.authorized by this building pernvt application for, (Address of job) /17 2 Signature of Owner Date Print Name gIzORMS:OwNERPERMISSION ' �•' '', r •1 .• •ii••,t• • •• •r. '•, . ;'r•••.. ... a.�;�if.•'y3..•♦ .+." t,.,;�.. ".:.,r.}•i•Y,•<+"• •• • •The'Coinpi nWe4h44 of lVlassachrts��tts . ,Deparhned ofTndush'ial'rs4ce1denf5' 600.washingt'on apdd • Boston;u'assl • Workers'..C ru cheat Sxtawrance AfRdaQlt-General Busi�tesse8 / • e d s'' ]'g �au}lBa / sting l�st�bii4md or a ont) ' �R e9a P. �Detail ' . �] am.a soleprgg4etor andh�veno sallsta Autos Ota- . X t '' Oco Sales(xnclutiiug R cit3. t •,• zking xu and capa rG Bute (}�hec ttm la ees 7fu 111MINAN'A' a'm an emspI�o�� ea yvxth: ' ' an this job.. , p� 'irri�,�r� �� i� ��iiyrriry�r or j ' z �//" yer pTO ,�►' kers'comuppSWM Or •„ , 91h :1 rw� i •rr / one- sU�tl pots d b Ye Nixed t Workers Id in,dependeut contractors listed below•who haYd tit g • 'I ana a sole pxbprietor au �, r « • .. 16 .COTTt]� tlaxl .' '• '' ';' ' •; !''' Pr '' � t � 1�'i;•�+!}y'!'?d;fie• '. •,i, , .'ti'.; ' ' ,+i I' .t<'�'r'....' .i !{ti,','4i+ `.i+4,rs}.•{rsa�l+firftl "Y•�T ''r•►-• '+ •4fii7 '. +e,l:Y,t „ir+.:c. .+ i'.r h f• , 1 t t.1 1 1 �{, +'I}. 1'1,';. i'''4r��r !. ' . !'•1 '' ly':r• +17:r `„S,•.. �y',a• 1'��' S't 7 ;d',r t j;.'. �y';.t�t.��•,{fJ.r q n 1 r .. .. J,, a f t''f°''�,t.;�+. .d,;'' '! i , � S� i tt,r 'L t ;,.. .. :+•'�. { l:�d p;t•,� t }�,,+ q t•:SI.i a +r;il+ .:•, t, ;�,. 1• f 15t. 51�:-•J.;L' . ,•.-. +•i+l i.arl. 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D Ct'ttt'+: 7 ,,.tit iiA •+ AS1ST.tiltCd�oAlq{:,r •7 .t•«.J'• a �Iaflurs to accuro ccYeraga a9 ragun ad penaes 13 theYm 0 a STOP WOE O$UD apd a�3na i 0.0 day a Hiatt me�I mderstand that lti � x one yearal imprisonment as vtell as hdlp copy o�this atatoment maybe for•Ptat'ded to the Otfieo of Xnvttigatiom of the DTAfor coverage veriiieatiom •+ , Is I do hereby aerti n r fhe,pains d,pQnalties D u that flag Inform alonproNidad above !'rue a ri 7xe Q Date • '�'• hone# , �riat Hama - e#tioial use e14 do not vrrite in this area to be completed by city or town aiCit:ia) ' • pe�mit/iicetae# ❑Ettiiding Tlepartrnent city or town []Licensing$oard t]6alectmen°e Office [3.cheekif 1t=caieta response is required []$eslthDapiLrbnea, phone#; r]Other contact poraon; l+av75ad Sept 90R3) RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 �� Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) -ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable), GARAGES(attached&detached) Apl e square feet x$32/sq.ft._ /e ��y x.0031= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00, >1500 sf-Same as new building permit; square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 . Above Ground Swimming Pool $25.00 \ s Relocation/Moving $150.00 (plus above if applicable) 60 Permit Fee S projcost • Tows. of Barnstable • o,� Regulatory Services I a SWIM � Thomas F,Gailer,Director Sag. �, 13ullding DIVISxon. Tom Derry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 , Fax: 508-790-6230 office: 508.862.4038 Barmit ro. Dats , AFM A.VIT ROME U0po'VNMMNT CONTRACTORLAW SUppLNMMNT TO PERMFP A.PTLICA.TION MGL a.142A reguires that the"xeconstmetiau,alto ddino atioanrer a e�tisting owrlo occ pied iM6 -improvement,removal,demolition;,or aonatructic Y p building containiv'g atleast one but notmora than four dwelling units or to structures Which are adjacent to such residanca or building be Bona by registered contractors,with certain exceptions,along with other ragwlreznents, Type of Work: �� '`�%' l� Bstimgted.Cost,�� - Address of Tozk• . k&� . Owner's lame; , / - 0 Date of Application. I hereby certify that; Ite0strI6e11 is not required for the following reason(s): QWork excluded by law , Hlab Under$ ,040 Building not1 oamar-occupied ❑OWner pulling own.permit Notice 4'hereby given that: 4 ' • pWnRS PULLING TPIEIR OWN ABLE�MR Il12pR.0YEMENT WORXAT OR DEALING WITH GO ISTERED NOT ELM . CONTRAcxaRS Fop ATPLI .&CGTSS To THE ARBITR&TION PROGRAM OR.GUARANTY FUND UNDER MGL c,142A, SIGNED UNDER PBNALTIES OF PERJURY Thereby apply fo=apermit as th ept of the aP o'' _ � Re istrationNo. Data Contractor Name . OR Owner's Name 12 �� 16/IOpD eDNN „ . - ., �e'YOM1InI � vefepM1N IICLeC'00T.P9s'!. �v (vDD MCW ORaIW � _ ' " 51 eoWarow.rm - rsof.Ilase 9�woe•rna on.urwa oaoo LEFT SIDE ELEVATION FRONT ELEVATION IN"al0 tM'.IC' .. aOlTlelale vDCf RIDC WII ROOT anIGte TOIMmM 009I. 33 '' • 12 eam oa�aomwvw rmT. W I v I F� Z ®® is w Z w .. g ' W w I oral an�llon00gle � ., - O. RIGHT SIDE ELEVATION REAR ELEVATION m o IN'.1•C IN'.I'q• � aRE 1102AJV1 ' • - 2GLLE 1NH'0' Al - 2 ------- —————— I mwaxon.rmay ■I111 — — I III ■ ' I•I I I jt-- I I Fm� ONouaaewe �� I LI FOUNDATION PLAN FLOOR PLAN , � IM'•I'O to I N'•,V - ' iza rro I 1 s..s maevr , 1 1 I 9,�OmroMS°w.°'°: - .as�a i�.are.anaamanxeim i ; z _—._ 1 9TOAAOE Ilm I 1 0 + 1 wswxxxa STOM(iE � 1 � 1 ; zLLLLA § I I W 8 °.°° wea pAW16E j >S TM$rwa�ie.`�• ax�'i•�.°.a♦�.°r�.n'.xeux 1 - � u ad.4f1:eEf.av•aaa _ cae„n» Scar.W-W AN SECTION AT GARAGE SECOND FLOOR PLAN °NwMp°` A - IN•-w A 2 .......�TM,•� �� ._°..r... ,....� ..7.•.�•,t. �'1T �'�'!'�GL•�.�b-r-rs�V_�- ati+r'��.•+'jt'„'-•'"4^'._`°.r��7"`..^'+^""",^n^.**'FaT�tn••P^ Assessor's ma and lot number � '.. {��`" J w � _ �� / ' J�✓� _ P Sewage Permit number ��JLJj y�FTHET��Y TOWN OF BARNSTABLE Z MAWS JA ILE, i 2639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO a - • TYPE OF CONSTRUCTION .......6PP ......!'��' k?. ... ................................................... n ................... r . AfL�� Z 19.t.................................... TO THE INSPECTOR OF BUILDINGS: The undersigned ke,reby applies for a per mit according to the, following information: .� • '""%, ..............................................................r 1�?3r� V �{�TU:�.. ..... .............�.�..� '�'.............Location .......... :�� . ...... ..... Proposed Use /ni .�-E.......tA-�t/ �/ ,,`�................................................................. ................. .......... ........................... ........ Zoning District .......... .............Fire District ........ Name of Owner ..J '.�l !.....x. ••••.--••••Address �� -^�f1�� /�e� a< f;; E_-7 Name of Builder ............. �..!t' ............................................Address .....1.46 m ............................................................ Y • Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..........�....................................................Foundation 2".........,•-................................................................. fe?t7O`>> f-✓/ItIe4�. Roofing �' � � -' � r —�' Exierior ........... .....-C..... :.................. . .......................... g ......:...... .....•...••.....•,-•............... Floors ........... � �?. ........................................................... Interior .... ,4......� ...... .................................................. ............... rieatin '�,E��i ' ............................ ..... ..Plumbing ...... ,.............................. Fireplace .......r . ............................ .......... .Approximate Cost .... .............................................. Definitive Plan Approved by Planning Board _._----- 19-------- Area ...... ....................... Diagram of Lot and Building with Dimensions Fee � �...r................. SUBJECT TO, APPROVAL OF BOARD OF HEALTH —�—o c, �� CJ7� i • F a ' « a • I hereby agree to conform,to�all the Rules and Regulations of the Town of Barnstable regarding the above construction. r �:y Name ....................•r.• � -?'............................ v Baden, Richard M. 17645 1 1/2 story, No ................. Permit for ................................ single family dwelling ............................................................................... Location (710 Pine Ridge Avvr.Ate .......................................................... Cotuit ............................................................................... Richard M. Boden Owner .................................................................. Type of Construction ....................frame...................... ................................................................................ Plot ............................ Lot ...........#.2......... Permit Granted .................April ....1 i 18............../119 75 ... Date of Inspection ................................119 Date Completed .............................../ .......19 PERMIT REFUSED/ ................ ................................./........... 19 .............................................../............................. .......................... .........../..... .. ........ .. lit 6 le , /P 79 ............ ..... ...V.fi i............. ........................................ ...................................... '6 Approved . . ... .............. 9 ............... . . ..C.......... .... .... ..... .... ..... . . .. .... .......... i�......... , i. .... . . ....... ..... ..... . Assessonj map and lot number ..........:................ a... OOOTIC -'sysTall `g- '70 INSTALLED 4 ��tlkl9�C Sewage-:Permit number ..................:. ................................. WITH I A "1 ' K p E 19 sTATE F'�'NITAR'Y° COD,_ yAN T �F,*'THE T0� TOWN N OF -B A R N S TA RIER-s i 139SHSTIELE, i 1639. .e�a y BUILDING INSPECTOR � PY Ar• APPLICATION FOR PERMIT TO ...... �.�. ......4...../ V�lr .......... ....................r........ ............... TYPE OF CONSTRUCTION ....... .. /A)..9�3� ��4-1�,c............................................................ ...................... .. . . ..........Z............19.7�'� TO THE INSPECTOR OF BUILDINGS: The undersigned reby applies for a per 't according to th following information: 7-- Location ....... .. .1 +,-v.........1�J�f .....-.......V�............... .... ? ?> ............................. .A..�...... ................... Proposed Use �7/Nd b,6- d Vq.1L Y....X �4` ................................................................. Zoning District .......... ?.1....................... .......Fire District ........ `. ."(!`Q ................. ........... Name of Owner .. f.�;�'��...�.... .. . ..... ...........Address al...4w."iF7, ............. .... n v Name of Builder ......... .........................................Address ...... 4r� .....................:....................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..........4............................:......................Foundation ...�....................................................................:...... Exterior ....... .....4l N4. ,.eS.............................Roofing ..AJP1 �L 4:5Y&.44;9'%............... ....... .... .... ..............................................................Interior ....1` r !4r�� -. ...................... Floors ............................. ............'. .,. Heating ....../`-kwE...........................................................Plumbing ...................�........................................................... Fireplace ......., ................................................................Approximate Cost .........Z4,.lb-bo......... ................... UL---------- �� Q. Definitive Plan Approved by Planning Board -�__________ � 19________. Area ... ......... ................. Diagram of Lot and Building with Dimensions Fee ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7vY► a I by% d7i/ 6)( C;a-r din, 'y /v o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ............... ..... t'!�� ......:............... - ' ' � � Boden, Richard M. ..1764 Date of Inspection .71 PERMIT REFUSED | ' ! 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