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0333 POPONESSETT ROAD
33� � ,�� �, �, s 1 � o C � 5 o� RES. ZONE. "RF-1" This MORTGAGE INSPECTION . plan is For FLOOD ZONE.- "C" TO WN: s _ — - REGISTRY 0 WN ER: L646ff' Ll CAR_& s s' -sQuz�o$LL DEED REFS 92� 9 PLAN REF: — — — _ SCALE: f'= A FT. DATE: _10 I HEREBY CERTIFY TO �Q �� AN ------------- ��H �� �As __________________ THAT THE BUILDING ��`J G YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE .GROUND AS a pAUL �, CONSULTANTS SHOWN AND THAT ITS POSITION DOES - CONFORM g MERIT14EW `^ 40B INDUSTRY ROAD TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MO.3200 TOWN OF 9g,g.N1fTABL_E_-------------AND THAT $lStfa�A MARSTONS MILLS, MA. 02648 ;T DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD ��g� TEL: 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED__2_. __ FAX: 420-5553 tv-Manei # 250001 0021 D THIS PLAN NOT M:1DE FROM AN INSTRUMENT 91718 JF Gt -' . _...._.... ...._ ___ "i11'VVY, NOT TO IIE USED f'OR FFN('FS FTC. j i A'/F `1 UN A A I s LoT 15 9— A 25/ 901 5. F. ± i a - QQ 0 � � I • , o m � M I. 0 DEc.K 1 DWELL Ig(.,ji333 " ,. �. �,.• __ ,«.m 1. GUiMQuiSS�7T I�oRD ;_ so , l 'P0P0NESSETT R0R-D / NOTE:THIS PLAN WAS PREPARED USING MEASUREMENTS COM- I CERTIFY TO: P'ez, _�h& /�P PILED FROM ASSESSORS OR DEED INFORMATION,APPARENT OC- CUPATION LINES,OR FROM PHYSICAL EVIDENCE,AND HAS NOT /�� ( ,ram=�✓ �: BEEN VERIFIED BY AN ACTUAL INSTRUMENT SURVEY.UNDER NO CIRCUMSTANCES IS THE,INFORMATION HEREON TO BE USED TO DETERMINE PROPERTY LINES,FOR CONSTRUCTION,OR RECORD- ING PURPOSES,OR FOR DEED DESCRIPTIONS.IF ACTUAL LOCA- TION OF PROPERTY LINES IS NEEDED, NOTIFY SOUTH SHORE THAT TO THE BEST OF MY PROFESSIONAL BELIEF SURVEY CONSULTANTS,INC.FOR A FULL INSTRUMENT SURVEY. f� THE STRUCTURES SHOWN ARE LOCATED APPROX- IMATELY AS DEPICTED AND .�?'DO ❑ DO NOT CONFORM TO ZONING BYLAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS AT THE ®��� c F TIME OF CONSTRUCTION.THERE ARE NO RIGHTS OF WAY,EASEMENTS,OR JOINT DRIVEWAYS,OVER OR hore ACROSS SAID LAND VISIBLE ON THE SURFACE, OR SHOWN ON THE RECORDED PLAT EXCEPT AS ���� SHOWN.1 HAVE CONSULTED THE NATIONAL FLOOD Consultants, Inc. INSURANCE RATE MAP AND THE STRUCTURE ❑IS *I NOT IN A FLOOD HAZARD AREA.(FL OD ZONE )Z,$ / �02eC � 9l� Registered Land Surveyors ►► oc atq & Civil Engineers 0�3``��®►ar�,��sv�y P.O. BOX 192A • DUXBURY, MA 02331 WILLIAM• v �N (617) 934-7553 • (800) 479-7553 v PPS FAX (617) 934-7525 BID.3&47 eq�0 e MORTGAGE LOAN SCALE: INSPECTION PLAN OF LAND IN DATE: 7 l ' oB NO. f I • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map °4f 9 Parcel _ p Permit# '110S3 Health Division ts °-�2 � 1 q 30 03 s� 3Irit ABLE Date Issued Conservation Division S0103 C4& 1 93 `SE 1 30 Aid 9 07 Application Fee Tax Collector Permit Fee AL Treasurer L VI'IGP� SEPTCC SYS i FzL1 Gd,L.R3 t 1i jST LLED IN Ct��v�RL4.AS�W� Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board EWRQNMEIdTAL C®®C ANO rOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 333 e wyz7 — Village Co 1 u (1 Owner VZWK1_t N `.,ES y OA K t-.CY Address 3 ZPoVg5_S4nMY� Telephone 2500 - LAZO P _3322 - Permit Request ( r7-C�-r- A X .2�` ale" e�i Square feet: 1st floor: existing C1100 proposed 33% 2nd floor: existing �,-- proposed VIA Total new 33eo Zoning District f! i Flood Plain C_ Groundwater Overlay Project Valuation z ®oa Construction Type U/0,92S F/1r4�1 Lot Size iZ 5. 905 Grandfathered: &y es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family NY' Two Family- O Multi-Family(#units) Age of Existing Structure W5 Ltd° Historic House: O Yes U No On Old King's Highway: ❑Yes XNo Basement Type: Full '$Crawl ' ❑Walkout ❑Other Basement Finished Area(sq.ft.) )m Basement Unfinished Area(sq.ft) ��f Number of Baths: Full: existing .2. new ���� Half: existing new V0,UF_ Number of Bedrooms: existing_ new keg*, Total Room Count(not including baths): existing new First Floor Room Count 46 Heat Type and Fuel: XGas ❑Oil O Electric O Other Central Air: ❑Yes �d No Fireplaces: Existing New AWf- Existing wood/coal stove: O Yes �$No Detached garage:O existing ❑new. size A101JE- Pool:O existing ❑new size N®IJ6 Barn:O existing O new size Attached garage:O existing O new size Shed:yexisting O new size Other: Zoning Board of Appeals Authorization O ApP eal# A/®A lql; Recorded O Commercial ❑Yes YNo If yes, site plan review# Current UseU.7Fca' Proposed Use .�G�EGW/L BUILDER INFORMATION Name �1 �4-� �9��` Telephone Number Address—?jff?C 1?-)40 License# 0/1). 9" CK K Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE k FOR OFFICIAL USE ONLY PERMIT NO. ^y DATE ISSUED MAP/PARCEL NO. } s 4 ! r' ADDRESS _ VILLAGE t.F OWNER DATE OF INSPECTION: FOUNDATION ~ FRAME D 13��f INSULATION /�1®Y FIREPLACE } ELECTRICAL: ROUGH FINAL' , PLUMBING: ROUGH FINAL r r GAS: ROUGH FINAL." FINAL BUILDING r'r } DATE CLOSED OUT ' . t ASSOCIATION PLAN NO. J �< < r " k _ °F114E, Town of Barnstable Y Regulatory Servides snxxszABM • Thomas F.Geiler,Director v�plfD �a�O� 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. Type of Work:� Estimated Cost zZ Oc), Address of Work:sz) Owner's Name:FeAiO� _ -A Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork 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 51TROVEMENT 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 eat o e o e D � Date Contractor Name Registration No. OR Date Owner's Name Q16nns:homeaffidav •� °mvnzo�aea� � acfzu Board of Building Regulations and Staudardg HOME IMF` . h`QVEMENT CONTRqCTOR. Regy; atrot p� _ 11645 k �• &4 5"P,eF In Ividual o WILLIAM T. E '— +; VEII Willia �T ,r • ...:. m Everitt' P; 868 MAIN STREET\`" Cotuit,MA 02635 Administrator BOARD OF BOIL-Dt G REGULATIONS License: CONSTRUCTION SUPERVISOR NumbeCS 012955 xlzrrg1f04 Tr.no: 17414 _ RestrL¢fe16 WILLIAM T EVEIT =, � � PO BOX 1340 COTUIT, MA 0263 Administrator I . 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 336 square feet x$96/sq.foot= 3 Z��� 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) - square feet x$32/sq.ft.= 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 Relocation/Moving $150.00 (plus above if applicable) Permit Fee /Zg', projeost The Commonwealth of Massachusetts -_ Department of Industrial Accidents Oflfce ofn7yesalffuns 600 Washington Street __ s Boston,Mass. 02111 Cg at Insurance Affidavit - Workers Com ens r sur iMe name, location: 3- `' cc) A) ne '" O �� ho cio�g all work myself. ❑ I am a homeowner p ca aci ❑ I am a sole rietor and have no one worlQn in working on this job. y /////% %%%//G/%%%%%%///////%%//%/%%%%////1/%%%////%%/%////G////%%this j/job // ? co ensatioa for my emV,aye,.. workers' >'!}`4<$S4L^#4:i±:v<�}CL ,'•r `r4. :y.: r'••',/:ti;{�YY.,.;+3''M.•+N.Nry'4J+,.}',?v,.;,.a;y•{.,y}; work -T.. n:•ac+.4'rr.{r,.?,,,:x.tR.:xr^:, :•}j•k.,?.r...• r,•$^.,y,..;7::t�.:f{,+.wJ.•#}:a.?:ff h:, , .rSr.,yy r S}iy er rQvldlllg {N•:•:•v+aR>X{i.!:,`.:?:.:::.f•:?ar?:•:>:a.:• :Sr+,•. 7.: :},•.:•rt#w,,. !rr,...wC t:;r{Sj••a;:a SA Y..o-<;{n.,,•,<3•`. ::k�rY�2.>,: an em lap ;}: am K{ryvr:,v,Y,.Rti>;4}::;:nbia:;+:\•:j:{S}r:}'fr?}:$,{,......2.;.:;........ v n4;:}. {.. iar:,}vY}?:? 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'�Yr:.3s-il',•;?�,c„•.•r,,nc.{R,•,.'.,7a... . :�,;.,-{n;?}��:::+.`,+a.•,ra:::....{}}<.r£v:;r.:t;k•:+^v.v,....;;•;k`{,••r7:.:•r+:•}.{:�f•;,;]nv,{.r,,i;r•; ',•?:l:ff!i:;::'r:. •r,.F•.yti••+ r.F..4:.r:�{¢{;•:?�:•:�•fi::}:,i.1. ,'4.::•:.i'r.}3}:••;,J,•}ai. <.{::+;,:•;: QLI�'tl' i...:.; ,ry,.�;..}.fi`+'.:{•,L:;lr;;' r: :•.rv::v }.,::n••ry ',{.............%%i3{k 1 ti':tii:: va>r}3R?r# i:•:y�.{.r.r:::,.v,.:;•:,L•.r hr.•{v.v�..N.j' :r., ' +•• r v�.i�ryi.:{�'1,.;{`•:�:v{�'{�+:A'$�+iY r,' <:`^.',{r'yf+?3i+`5:',<{:(i�fr�'.�:}�3;'.•L{J{C:•�{4t{{•r n'n'{G{•.:.�a,'{'•:t?a}.y:r}:a::r:.......n:r; Y.... eaxltin of a Ana up+to SI,SOO.Od md/°r Fc to aecnte eoveLage asatirdsmder Section 25Aof MGL 152 esales3 to the imp ositlon of cr�mirsal p enalties in the form of a STOP WORK ORDER and a tine°f 5100.00=day against Irmderstmd a one years'impris° � x� p atioas of the DIA for coverage verification. be for�aI'ded to the Office of Investlg copy of this statement may _ under the pains andpenalties_o perjury that the information provided above u true and corned 1 da hereby certify , - Date 9 2P-5 Signature Phone print name t t official Me ordy do not Mite in this area to be completed by city or town offida1 (]B�$Department persrdtJljcaTLSe# i 1ACensingRo city or town: C]gelectmen's Office i dlstF�rrsponse is required C3HedthDepartm=t ❑-cheskifimrn "' ❑Other phone#; contact person: (,�yysad 9l95 PI?,� • Inform ation and instructions Massachusetts General Laws chapter�152 section 25 rewires all employers to prone s workervice s' another compeundnsation for heirract ir employees. As quoted from the 'law",, an employee is defined as every person,in of hire, express or implied, oral or written. Partnership, association corporation or other legal entity, or any two or more of An employer 'is defined as an individual, p p, e foregoing engaged in a Joint enterprise, and including the legal representatives of a deceased employer, or the receiver or the trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner of a dwelling holl5e 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 bung appurtenant shall not because of such employment be deemed to be an employer. ildiMGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the sspuP ce or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for an applicant who has not produced acceptable evidence of compliance�enterinto any contract for the required. performane Additionally,ublic workuatil er the commonwealth nor any of its political subdivisions acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies n �Y�� maybe supplying company names, address and phone numbers along with a certificate of irmnan ce al Accidents for confirmation of insurance coverage. Also be sure to sign and submitted to the Department of Industri permit or date the affidavit. The affidavit should be returned to the Accidents, S or hould have any questionse application oregareding the`gawCe"�or if you e is being requested, not the Department of Industrial A Y. aree required to obtain a workers' compensatioin 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 inthe eventthe Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will be used as a reference number. The affidavits may be retrnmed tr the Department by mail or FAX unless other arrangements have been made. ns would like to thank you in advance for you cooperation and should you have any questions• The Office of Investigatio 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 fnYesdgations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409 or 375 . �FIse r Town of Barnstable Regulatory Services 's EAP-Mest.E. ` Thomas F.Geller,Director BuUduig 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 F as Owner of the subject property. hereby authorize �1 6" � �to act on my behalf,. in all tnattets telative to work authotizedby this building pettnit application fot: d7�17- 0��AlAozr—a (Address of Job) ; a9 et Date Print Natae - Q:FORMS:OTgNERPM1a SIOIQ { Y T04AC®RD -CERTIFICATE OF LIABILITY INSURANCEDATE(MMf00/YYYY) j0412003 PRODUCER ` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur D.Calfee Insurance Agency,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR www.catfeeinsurance.com ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 336 Gifford Street Falmouth MA 02540-2967 INSURERS AFFORDING COVERAGE — NAIL a9_ — INSURED William T.Everitt INSURER A: Travelers Property S Casualty _ P.0.Box 1340 INSURERS: Western World Insurance Company _- INSURER C: --- Cotult MA 02635-1340 INSURER O: _ — INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICiES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' -- T-- POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ B l COMMERCIAL GENERAL LIABILITY I NPP770747 03131/03 03131104 DAMAGETO RENTED $50000 _- CLAIMS MADE L J OCCUR MEO_EXP An one arson $5,0w• _ iI I PERSONAL&ADV INJURY S 5W,000- -_'_- — GENERAL AGGREGATE $1,000,0JV• _ GENL AGGREGATE LIMIT APPLIES PER:! PRODUCTS-COMP/OP AGG 1$5W OW POLICY( LOC AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMI-f ` . (Es accident) ANY AUTO $ L_ I ( 1 --- 1 ALL.OWNED AUTOS BODILY INJURY--- !$ (Per person) SCHEDULED AUTOS i HIRED AUTOS Per accident)Y I$ l_ NON-OWNED AUTOS --— - PROPERTY DAMAGE I Is r (Per accident) AUTO ONLY-EA ACCIDENT !$ ! GARAGE LIABILITY -- �' ACC $ y ANY AUTO � , � !OTHER THAN EA AUTO ONLY: AGG $ EACH OCCURRENCE EXCESWUMBRELL(AALIABILITY i AGGREGATE $ OCCUR `J CLAIMS MADE i $ -- DEDUCTIBLE k - $ -- RETENTION $ $ WORKERS COMPENSATION AND I WC SIT U- x OTH- A EMPLOYERS'LIABILITY 16KUB85OX432603 03/31103 03/31104 E.L.EACH ACCIDENT $wow. ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? I 00• i E.L.DISEASE-EA EMPLOYE $��0 If yes. ,describe under IA E.L.DISEASE,POLICY LIMIT $5W,000- OTHER I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS GENERAL CONTRACTOR INSURED OWNER IS EXCLUDED FROM WORKERS COMPENSATION COVERAGE WORKERS COMPENSATION IS ISSUED THROUGH BUREAU,YOU WILL ALSO RECEIVE CERTIFICATE FROM COMPANY. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 367 MAIN STREET DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 56 HYANNIS,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. `. AUTHORIZED REPRESENTATIVE <KMMY ACORO 2512001108} C CORPORATION 1988 • Assessor's �office�(lst floor): -• /9' Assessor's map'-and lot number .... °F TEE Tod♦ Board of Health (3rd floor): / 1� BOARD OF Sewage. Permit number ........{�:.4 ����.. ... tOWN OF BARNS 9f0DLE, Engineering .Department (3rd floor): P.O. BOX 53 +o rb o NrANN1% MP D?_ 3 �0 House number .........:..........................................:....:.........:...: o�aY°r. Definitive Plan Approved by Planning Board _`_______________________________19_____ . ' APPLICATIONS PROCESSED 8:30-9:30 A.M. and '1:00-2:00 Y.M::only , TOWN OFE. BARNSTABLEi; RUILDIHG INSPECTOR k ' APPLICATION FOR PERMIT• TO / l/.. //6 /�-•L'C l TYPE OF CONSTRUCTION �1�. ...... ��.:!..�.... . ............................................................. TO THE-INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... .... ..�.�.,... 6 ... .... .:......... ..... .......:............................ Proposed Use ..V .Z;./ ..../l:�/.. �.... �... ...44-. .. . Zoning District Fire District ................ �. ....................... .... .................... Name of Owner ... ... .. ... .. .. ........ .......Address .......3 3.3 � �/..4._ .... . Name of Builder .......................... ..................................rc....Address ` Nameof Architect .....:............................... Address................... ..... .................. ............................. NLmber of Rooms ......................... .............:.........:......F.oundation .... .....�� �... . ................. EXlerior 10 � ....... j v.... ..Roofing .............I.P.tP17.14[.477.0...7.................................... Floors /•'•�•• .......... .....:.Interior: �'-'.Z�.., .................. Heating ........ .............................................................Plumbing ........-..�'.............................................. Fireplace .................... .................. Approximate Cost ... ...e� . .. Area ... ....:........:...... Diagram of Lot and Building .with 'Dimensions Fee :.......' � .;.... i t , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS IF I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License, . . ..... .......... .............. SOUZA, PAUL , 32576 Build Addition ` ' •< No ....:............ Permit for ..................I................. ; °y Fami Sin le lX Dwelliri Dwell. - Location Popponessett Road r. Cotuit Owner Paul - Souza = t Type of Construction Frames h _ .. y ........ i L t Plo "...... Lot,' x r t Permit Granted January .1.9.,: ....19. 8 9 z, q .. r Date.of Inspection .....19 `y Date Completed ...:.:.. '`. :......19 } Q 0 4: s f .., ,�. al3'+n= 1s �i ::' ' xl,r_ 3'T 1 a "a• ;�;'�i9 ��` a%:''�.? ,. . tiT ''��6IIF°s-S\.N.k�iA:.14�.iU'h' aiM'• �P' !-=.�Y !^'�i'1 .� S.4.hw,+ 'Y... G Assessor's office (1st floor): e� G �TNET Assessor's map and lot number Po o�♦ Board of Health (3rd floor): ti >; BALBSTABLE. . Sewage Permit number ........�.......:!.�. �. � �� Engineering Department (3rd floor): moo,s�,"6 9 ........ . House number .... ............... •FaMAI Definitive Plan Approved by Planning Board ________________________________19________ . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO /...IiP. ...1... .V��c-LL�/ `�............ .. ....... .... ................................................................. TYPE OF CONSTRUCTION t (,'/ ................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....., ....C................(....6........................................................:.................................. l� Proposed Use /TL4.!!... .... .............................................. Zoning District � � ...Fire District .C..r...1 MT g ... .................................... Name of Owner ;' <J.... Address ......... .3....r..... ,`�Gca P/�C�..,f.�.��........ Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... �n Number of Rooms ......................./ ..........................................Foundation ...........�.11" ............................ r (�� /�j Sri / GLS' i ',�i'� �`y-- Exterio. . .�........ ......!. ....................................�............Roofing .................. .............. .................................................. Floors 1 Interior � . .................... .......... .................................................... .................................................................................... Heating ..................................................................................Plumbing ....................L-......................................................... Fireplace .................... --..............................................Approximate Cost .... .... /.... .................� Area ... .... .. .. ....... Diagram of Lot and Building with Dimensions Fee .......k..i .............. 00CUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ................................. ........... .... ... Construction Supervisor's License .....................Y-f............ SOUZA, PAUL A=019-114 32576 Build Addition No ................. Permit for .................................... Single Family Dwelling ......................................................................... Location ..3.33 Pop�one s sett Road ......... . .................................... Cotuit ............................................................................... Owner .Paul Souza . . ............................................... II, Type of Construction ....Fram.e .. ........................... ............................................................................... Plot ............................. Lot ................................ Permit Granted ......January 19.r......19 89 Date of Inspection ....................................19 Date Completed ......................................19 ' Engineering Dept. (3rd floor) Map Parcel si),. Permit# House# 3 3 .z. Date Issued © - - Board of Health(3rd floor)(8:15 -9:30/1:00-4:30 �Q ?, ee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYSTE a E I LED!N E Definitive Plan Approved by Planning BoardWIT 19; ; �j ssa2e 5�10 ��t�sb V2e� o; pcG+�as ® &&NMEN �® TOWN OF BARNSTA WN REC(1L S Building Permit Ap'1i tion Projec reet Address 3�3 �bE�®N e55a-7—( - /f-h (Dow ! 6176 1574) t Village y Cc-rot � �'7� o ?-63. Owner fi' t%-Li�l 'i U-'sL`l 1919kl.Fy Address 3W 1'%R>Nbn-- . '�Vyl i /t/W, ,0 3_5' Telephone 508-. LAZ_O -33Z2- Permit Request Coos-muc-N— 14 /K t UJ k-r lJK� First Floor. li $®® square feet Second Floor 'y� square feet Construction Type W 06b FR ' Estimated Project Cost $ '��, 00(D Zoning District Ry Q Flood Plain Wo Water Protection .v e) Lot Size ��, 90/ Grandfathered ®,Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure .2-5 YAV*�5 Historic House ❑Yes A No On Old King's Highway ❑Yes k(No Basement Type: �d Full ElCrawl ElWalkout ❑Other Basement Finished Area(sq.ft.) 1)1,4- Basement Unfinished Area(sq.ft) �W Number of Baths: Full: Existing New�_ Half- Existing '�� New No.of Bedrooms: Existing_ le,19 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other T'0 W,ao-S, Central Air ❑Yes No Fireplaces: Existing '�/¢ New '% Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) f� ❑Attached(size) ❑Barn(size) YNone ❑Shed(size)❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# 4A Recorded❑ Commercial ❑Yes A No If yes, site plan review# Current Use Proposed Use Builder Information f/ Name W VL L e\J!` :\-V-� Telephone Number NrIO Address k y3 cr> o ct�l i License# 0/;Z,9�5'5 ccr,;�Uy-\ 11—kk ®�3 Home Improvement Contractor# Worker's Compensation# RIC /ZZ-8/6 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FRO THIS PROJECT WILL BE TAKEN TO SIGNATURE c DATE Zo 97 BUILDING PERMIT DENI FQLLOW NG REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - - DATE ISSUED t MAP/PARCEL NO. # ADDRESS VILLAGE ` OWNER ' DATE OF INSPECTION: , FOUNDATION FRAME ✓�' —9 7 - - , INSULATION — FIREPLACE ELECTRICAL- QUGI FINAL f PLUMBING: ',RC '1 FINAL GAS: FINAL ,'F•INAL'BUILDINO' y y K x DATE CLOSED OUT j ASSOCIATION PLAN NO. a The Town of Barnstable 9t659. ,0�' Department of Health Safety and Environmental Services Eo ► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissionc For office use only Permit no. Date F 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. T e of Work: ktbkT o Est.Cost &® YP Address of Work: � � � ^L� �`�- � 3-5" - Owner's Namet � Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I he apply for a permit as the agent of the owner. rod Date Contractor Name Registration No. OR The Connttonll'ealth of? fassachuseav Deepartnunt of lndustrial.4ccideents �i Offfceoflnvestlgatfons 6110 If a1'htttgton Street Bmwotr.A1axs. (12111 Workers' Compensation Insurance Affidavit dl�pl.. .-- --•---- ----- .. __._.. Please PRINT lebl.�?1.....,.....r....,..---•.a...._.....••...—.._____- --_.__ - - ic:tnt information: name: location: city nhnne I am a homeowner performing all work myself. I am a sole proprietor and have no one working: in any capaciry am an emplover providing workers' compensation for.my employees working on this job. corrrnnnv name: 1011 L G US—Me-+ e address: LkcC - city: (?dpYULT- incur•tnce cn 6 E&40t—D CO) LOCH 122$16 [I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company nnrne: atitiress• cin: phone#• insurance co. noliev# I •T.. Y-"^.__ - "T•'Y- -- -_ ?r-��::�-•Z�iT'•l!•�w�..y� --Tr.T.-._... ..•w.�y.....t........- cnmPanv natnv: address: rite: nhnne#• insurance co, nolicy# .Attachaddid'nal sheet ifni 'ia' -...""" ..^- �, r:�.. %r•..� +^�" ... y^-+--": -:�,,...-'4_-. .... _ . F:riiurc tt�secure coverage as required under Section ZSA of NIGL 152 can lead to the imposition of criminal penalties of a tine up to SI.500.00 andiur unc%cars'imprisonment:is well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement mac be forwarded to the OMce of Investigations of the DIA for coverage verification. rlo herehr cerrlf rutrler the peelers and esitaltles ojprrjur►•that the information provided above is true qj1d c rrect. Si:nature Date 1,01,? V Print name W(L•L Phone# `OO < ?0✓ •1.r�Wit(Y „Y ' official use unit' do not write in this area to be completed by city or town ofrrciai city or town: permit/license# rIBuilding Department Licensing Board 0 check if immediate response is required C3scieetmen's Orlice r (:111calth Department .. contact person: phone#: rjOthcr. s: r. r information and Instructions Massachusetts General Laws chapter 152 section 25 requires all ern plovers to provide workers' compensation for the. employees. As quoted f Qom the "lacy", an enrpinree is dcfincd as every person in the service of another under am contract of hire, express or implied. oral or written. An enrplarer is dcfincd as an individual. partnership, association. corporation or other legal entity. or ally two or mor the foreuoing engaged in a joint enterprise, and including the legal representatives of a deceased empiover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling, house haying not more than three apartments and who resides therein, or the occupant of the dwcllin�, house of another who employs persons to do maintenance , construction or repair work on such dweliin�_ hoi or on tite :urounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section 25 also states that even• 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 the common«•ealth for any applicant ,who lias not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter 11 been presented to the contracting 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 as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cite or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required to obtain a workers' compensation policy. please call the Department at the number listed below. City or'rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o; the affidavit for`•ou to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pier be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t tine Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not liesitate to Live us a call. . ►••a✓v...+u ...._._. • ...�ww7.•r-r.r•>s+�•.—..vim-r.:�•..i�w_..wr.ltA.w+�w ....:.. '�wM:f/'1f••Tvw�q.vrws..� The Department's address. telephone and fax number. The Commonwealth Of Massachusettsx, r Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone tr: (617) 727-4900 cat. 406, 409 or 375 4 i HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 F HOME IMPROVEMENT CONTRACTOR Registration 101645 Expiration 06/26/98 Type - .INDIVIDUAL e WILLIAM T . EVERITT t 1136 Old Post Rd/ BOX 1340 Cotuit MA 02635 4831 DEPARTMENT OF PUBLIC SAFETY 48311 ONE. ASHBURTON PLACE , RH 1301 BOSTON NA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 WILLIAM T EVERITT Detach bottom, fold sign on POBB 1340 back, and laminate license card. COTUIT, HA 02635 Keep top for receipt and change of address notification. NOTE: SLOPED CEILING REQUIRES SAVE & RIDGE VENT OR GABLE SCHEDULES PLAN NO . VENT. ALSO INSTALL RAFTER .. -.._._...-....._._._. WALL & WDW AfZEA......._... __....._..-- --- ---- --- VENTS . ELEVATIONS WDWS DRS GWA NWA .__..._.... ._...__. .____.._.__._. ALL WINDOWS TO HAVE INSULATED ` FRONT ELEV . ex/ sT/N6 GLASS . ALL DOORS NOT INSULATED REAR ELEV . 30 -32.0 290 TO HAVE PERMANENT STORM DOORS . R . SIDE ELEV. v / &0 L. SIDE ELEV. TOTALS p 1-5 CEILING ASSEMBLY 94 F.G . INSUL. R=30 AREA= 3S7o U= . 033 94" _.. - - ----- - - __...--- - --.. - --- -- -..... F.G. , INSUL. FLOOR ASSEMBLY 64 F.G . INSUL. R=20 R=30 AREA= 3S6 U= . 05 WALL ASSEMBLY 34 F.G . INSUL. R=12 . 5 AREA= S GS U._...... -.._.. . - ....._ ..... ... . ........ _ . ....... . _. . _ = SHEETROCK R= . 45 L ----- __ _ ....... ---....._._ .._._..._........... . ____...._......., l_, BOTTOM SURFACE PROPOSED HEAT LOSS TRANS ,,,... . 7 R= . 61 COMPONENTS U-VALUE X AREA = "UA" tJ� NWA . 08 5-(, �/S� Z- G) INSIDE SURFACE R= . EiR WDWS & DRS . 35 SHEETROCK R= .45 ROOF' . 033 /I � � C. ,j 3�" E'.G . I.NSUI.... 3 Sao �l.,l FLOORS . 05 TOTALS ) CODE HEAT LOSS TRANS . i. _.._...__. .. ..._......_..� ...._.. SURFACE RESISTANCE X AREA = "UA" R= .61 COMPONENTS U-VALUE _ ._.._ _ 5��. . __...._......_.____ ., ' .:. FINISH FLOOR j NWA . 08 r— ..4 2 R=. 91 WDWS & DRS . 65 2" PLYWOOD ROOF . 033 ` 3 SUBFLOOR R= . 62 FLOORS , 05 TOTALS Since code "UA" is greater , proposed heat {.X(� loss passes . —" -.--_.--..___-- __ ._...._......___.__.._......_........__....__-...._...__.__.-__-._ __ ! 6 4 F.G . INSUL. FENESTRATION BETWEEN 9 & 15 R=19 r. : NWA SURFACE RESIST. X. 15 R=. 61 GLASS ALLOWED G CEILING ASSEMBLY WDWS p REQ. R=30 DRS w U= . 033 ? S� TOTAL GLASS WALL ASSEMBLY c REQ. R=12 . 5 GLASS AREA �s-- U=.08 WALL AREA X100= 13,3 % FLOOR ASSEMBLY s� r FENESTRATION CS REQ.. U=205 ' Co�Y, ons r5 Et-l.S-T_I N Ci IN I U 4?BELa- � Z RS ' o 36'I �� 0.1+✓6�LtNff ��'-'LL I _ _ W- LLS,�q L 2-o Lo_o 0 I FDUN PI9"flo . - O CKIN4 I 8=o Cane. Fdne OA_f�CQMG, ELQ 16"X8" y 2 / ExJSTINS N 4 o !I gu rO_µc._EL, AwELuµCI o .9 ll ddd * FSaCiR 2'Lo' oRK EX15-[LN C� 3VEK ry9'uIH.CDrtYGY D_W_ELLIN C� ANCHOR BOLTS 5.'✓ (14 13 .TWIN 244-1 D '!qv� We C�N2ER SUP-P_a1L2 q_L -� 7. DR. - . �QLLL-LQI-ITI_01�4 �1�H�1- r 24 O I _F-C66.IZ PIJ'a N ' F_��ZrQK r-Y- -S.E[E�'S-N0_•_`L—OF 3 Errr�s —2�N - ' S-6 T-6 Sro II 0 I �At L O A •LL III V 2s<c_ I I bA3fF_J=1N4_ I r 1 Ir 3• esµ i i �GEPT ' li ROOF- FRla N11NG � � -E7_C�o EZ FIZWININLI , ' - MIGRG>lRM 2t�—%z CDx.PW , SaeGI, ,6 a c. 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