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HomeMy WebLinkAbout0590 PUTNAM AVENUE a �g� � —��'_.�. —: �� �� ��` .. a • ' Town yr aU ['ODS �o�rr�rroy2 Of �arnstabde *Pe'rmit# Expires 6 n irtr• oni issue dote y.� ReguIa.tory Services Fee �-- s i,nvsrtiB7; Thomas K Geiler; Director :I,a gL /l! Tom Perry, C30, ildgBuiIdin . Division BARNS- Coll,missioner E 200 Main Street, Hyannis,-,MA 02601 www.town.barns table.ma.us Office: 508-862-403 8 EXPRESS PERMIT APPLICATION Fax: 508-790-6230 RESIDENTIAL ONLY Nnt!�n/irl rvilhoul Red X-Press Inrpriii! Map/parcel Nunber. J Property Address C2Q r� i n S� C� �1�v�� •P [a'Itesidential, Value of Work 1,b,61>, 0 (� Minimum-fee ofS35,00 for work under.'S6000.00 Owner's Name& Address 15 Contractor's Name_ wl 01< Telephone Number Home Improvement Contractor License #(if applicable) \a bq ya Construction Supervisor's License #(if"applicable)_ 2'Workman's Compensation Insurance Check one: ❑ lam a sole proprietor ❑ I am the Homeowner [? I have Worker's Compensation Insurance Insurance Company Name A VYl 0 � � Workman's Comp:Policy.# I kj 1 cr7 G� 1 \ Ca Copy of Insurance Compliance Certificate must accompany each permit: Permit Request (check box): -roof(hurricane nailed) (stripping oldshing'les)'AII construction debris will be taken to Fl 1 {-sr ❑Re-roof(hurricane'nriiled) (not stripping. Going over existing.iayers of rood ❑ Re-side Replacement Windows/doors/sliders. U-Value _(maximum : . #o windo 35) #of windows ` *Where required: Issuance of this permit does not exempt compliance will,other town department regulations,i.e. Historic,Conservation,etc ***Note: Property Owner must sign Property Owner Letter of Permission; A cop of the H , e I rovement`Contractors License & Construction Supervisors License is a qu, e � r - ,;SIGNATURE: �. _ ,.. Q:\WFILESIFORMSIbuilding permit forms\EXPRESS.doC :.Revised 07211:0 4 The C'Qminornaeti.1111 of-,Ifassachusetfs - - - Departinent of In drisirial_.4ccidenr s ��, Olice ofInvestigalions =yF 600 Washington Street Boston, M4 021r1 tt.'rtnt1.rrrass.govldia Workers' Campensatiou Insurance.Alf da`Zt: Bull ders/ContrlctorsTlec riclans/Plllnlber Applicant Information Please Print Le 'bI-v• Narne (Bustnev:/Orgauiza6ougndividttal): Address CitylState/Zip. cC ilt VA C)- Phone #: Are you an employer?-Check the appropriate,bGx.: Tt e of project(required): 1.-9-1 am a employer%vith 3 `l. 0 I our a general contractor and I et;lployees (full and/or part-time). * have hi-ed.the sub-contractors 6- O.New constriction 7..❑ I am a sole proprietor orpartner- fisted on the at:taclted slr.eet. 7. ❑.Remodeling slup.and have no employees These s�rt-b-coutrac:tors have S. .Demo.lition warkurg :for me in any capacity. employees and have w•a'lcers' 9. Buiidin addition Ctrs=rtt-t comp rns�r-ntree- —_ kers'--comp— required.] 5. ❑ We are.a corporation.and its 10.❑Electrical repairs or additions 3.❑ .I am a.homeovirer doing all work affcers have e-ercised their 11.EJ Plum4ing repairs or additions rnys&f [No workers'comp. right of exernption per NNEGL 12.ES-R66frepairs insurance:required.] t c. 152 §1<4),,and vve have no employees- [No workars' 11❑Other carvp.insurance.req:iru-ed.] 'Any aprpticaut thatchec}:s box#I may also fill cut the.section below sbomng ibeirsvorkea'compensation policy infonmtian. t Homeowners who subunit this.affidsvit indicating they are doing sit work an•d then hire outside contractors niast submit a vew.affidavit indicating snch- /Cantrac.tors that check this box must attached an sdditiona[she.et showing the:naane of the Sub-cm rMC.tar5 sad state whether or not those entities have employees. lfthe sub-.contractomhave employees,.ihey.mustprovide their workers'comp.pobc}•number. I art an emiptc per thanns providinff,workers'cotnpertsagon hunran.ce for rrtt,,errrplay6ys. Belon,is the policy an.djab sire it for-rrrredon. Insurance Company Name: J � Policy#or.Self-ins.L.C.#: ©� bo`Z l!j 6 L �t`D 1 b Expiration Date: Job Site Address: �� �'(�(� t° City/StatE461): Attacla a copy of.the ivorlrers'compensation policy dieclaration page(slroiidng the po icy rambe.r and espiratdo d e). Failure to secure coverage as required under Section 25A of MGL c. 152 call lead to the irnpasition of criiitinal penalties of a f c up to S1.,500.00 and/or one-year uuprisOnmen.t,as well as 6141 penalties in the form of a STOP'WORPti ORDER and a fine of up to$250M a day against the.violator.:Be advised that a copy of this st�tfenaeut May:be forwarded to the Office of Investigations of the D.lA for uranc• cover ge erifrca;tion. I do barn-by cgriify er fP �rtrl rat es of prarjwry tltat fate iz fortnation praridad above is trite and correct. t Sienature: Date: ` Phone#: , EBoa:rd e ortly. Do rtat write in this area,to be completed by cit7 or town of cial n: Permit/License ice.nse# thority (circle one): Health 3. Building Department 3. Cityfl oivn Clerk 4. Electrical Inspector S. Plumbing Inspector son: Phone#: The Commoirwea.11h oflllassachuselts _...._ __ _..._..-_. DepartmenI ofInditstrial 4ccidents 4fjice of ltTvestrgnlians 600 Washinglon Streel Boston AL4 02-111 tuivw.ma.ss.govldia Workei-s' Campensation Insu_mnc.e Affida-vit: Builders/iContractars,/£le.ctiicians/Plumbei•s Applicant Information Please Print Le "blv Name (&tsinewJOrganize6ongndividual): fq6'^12-_ Address: 5 ?ELE e, e) City./State/Zip: Oe fit Phone ghj Are yGu a.n employer?Check the appropriate box.: Type of project(reled 1...[9—I-am a employer with '3 4. ❑ I am a general c.antractor and I e>zZployees(full and/or part-time). have hired the sub-contractors 6- ❑New constrac 2..❑ I am a sole proprietor or partner-- listed on the attached sheet_ y. ❑Remodeling shipand have no employees These sub-coutrac:tors have $. �Demolition working :for me in any capacity. employees and have workers, g ❑ Building addit [No workers' comp,insurance comp-insurauce. 5. [lure are.a corporation and its 10.[]Electrical reparequired] ❑ rP3.❑ :I am a.homeowner doing.all work aff.cexs have exercised their I LE]Plumbing repa myself. [No workers'comp, right of exemption per NMGL 12.E9-it,55ofrepairs insurance required.]t c- 152, §1(4),and ive have no' employees. [No workers' 1311 O:ther compAnsurance:required.] 'Any apptirmt d tat.checks box#1.must also 511 out the section beloiv sho-wing their svorl ers'compensation policy inforntrtior>_ t Ho eowDers ivho submit this affidavit indicating they are doing all work and then hire outside contractors must submit a uew affidavit indicating such_ 'Contractors that check this boot must attached an sddition2t sheet showing the name of the sub-contractors sad state whether or not those entities have employees. If the sub-contracto►slsve employees,ihey.must provide their wurkers'comp.policy number. I alit an elrrployrer that is pror rciirrg!t ork rs'cottrjrertsahott iuslalvrrlce for rely ettlplaJ ergs. Belon,is thepoliey and jab site it fornialY011. - Insurance Company Name: ft 1 , � Policy#or Self-ins.Lac..-9: bog \! 6 l,�tZ) Expiration Date: 1` Job Site Address: Q� �`(� lS L° City/State/Zip: (� t o Attach a copy of the woe-kegs'compensatioupolicy declaration page(slroiadng the policy number and expiration date). Failure to secure coverage as requr-ed under Section 25A of MGL c. I52 can dead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year imprisariment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the.violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D.IA for tarsnc. cover ge erifica;tian. I rto hereby certify . er tP t lid tal .es of pe�jairy that the it forrrcatiort pros iderl.abotre u ante and correct Siena Date: Phone#: EBoardGf only'. Do trottrrite ill this area, to be completed by ciiJ or tottrlt ofcial n: PermitlLiceme# hority(cii cie one): Health 2.Building Department 3. C�ty/Town Clerk 4, Electrical Inspector 5. Plumbing Inspector son: Phone#: THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IMF�0(, C DATA NOTICE NOTICE TO V TO. EMPLOYEES EMPLOYEES The Commonwealth ' of Mass' achusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22& 30, this will give you notice-hatI(we}have provided- or pf-�ayment to ouremployees underthe above mentioned— chapter by insuring with: ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY' NAME OF INSURANCE COMPANY 54 THIRD AVENUE,P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY AWC 7016215012010 01/10/2010 - 01/10/2011 POLICY NUMBER EFFECTIVE DATES P O Box 494 Leonard Insurance Agency Inc Osterville, MA 02655 (508)428-6921 NAME OF INSURANCE AGENT ADDRESS PHONE .. - Mark Herbst 35 Peep Toad-Road Centerville, MA 02632 EMPLOYER ADDRESS. 01/11/2010 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of-�,e First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The- de cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary connected to the work related injury_ . In cases-requiring hospital attention,employees are hereby notified that. 'Franged for such attention at the 9EST MEDICAL FACILITY fiAL ry ADDRESS '\BE POSTED BY EMPLOYER >�a'ltt ,,e-nht � . ' ir .•1:,�•b F.;'v�, "3:>k '.`'a_;'t, :� _ :'t. j n�,.ya .:, N - ry��''�- yh ny'`v ..�.�-: .: � : ` ��•,���� • �� i���.,y��'}4,�'����f ��<X fMARK�HERBST�.S ���,,��,��-,� 4�` �sF����£�rn� �F��k;� .�� �,���t�`�s�. '}y. CENTERVILLE"MA'03632 4 87420 -6216/774-238-2938 -= x .7 t www.markherbst.com y Y 7A, t Y R d 0. �M `u , PROPOSAL SUBMITTED TO: WORK PERFORMED AT: f , Robert Foster Same a " 590 Putnam Avez y s r Cotuit Ma �< 508-420-1722 rh i i we herby propose to furnish the materials and perform the labor necessary for the completion of: a T;. New Roof. } yRemove 1 laver of existing shingles 3 z; fx {, Install ice&water shield at edge&in valley areas �r Install 8"drip edge u ` Install 151b.felt paper 1 Install-Certain•TeedLandMark-Teed -Architectural shingles T Cut ridge&install cobra ventR. Repla ? ,ice StormC6 all na l all shinbing gle b00tS rryjai} 4,t 'yj ��y�S' ai".t,.�r�r. r,y - , •7 9s �r4�t �"�r'���}-� i.1 � ;. Replace lead front&rear of chimneyr, yr,r n All debris cleaned daily 3ya . _Price includes material.labor&dump fees. _ , •. - - ":. - '��' All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted a xrr� 9rs . and completed in a substantial workmanlike manner for the sum of:"Nine-Thousand.Six-Hundred n r � �' t Dollars($9,600.00)with payments as follows: Full amount due upon completion i- x 7,rf �� *Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an`extr`a . . f ;- +:. charge over and above said proposal. ` + RESPECTF S MITT r .08 ���kLtrtr �ts'�.t 10/15/10 Mark Herbst r s ( v 7 ' u: ACCEPTANCE OF PROPOSAL The above price,spe ifications and conditions are satisfactory.I herby accept this proposal. You are authorized to do the work'and payments will be s ecified above. €ram SIGNATURE: a r This proposal may be withdrawn by said company if not accepted within:30 days 4r � t`k�,? 3 i z -. r .. n k �ttt �-�.- •y �, }. e ..e r F s g j a Hater M r' ' yyA M J Y Y 1 3 •A i etfi'j+t '—, DIY f 1•+ �+•"x.Y .fN+' 'C?s3wi4 +P �F{$ �7• ryS�sr, Rvt .: ! g y, K� • n4/Sf'•..-k, Jr}#�/,. - �.�_. "' �y'"'. .lY. ::y a.�td'cJ' .;<.1i-v'�.,s s, kxt.r"+': '7ki;'�'aiz"J if,,'a t s, h'�'c v...?'+r t.;J ,�. +� , .,£r s' £ ui'�°..7'{' y.,--:.sY fit" s.:'"..r). ii; 'Mrt":#'r�{,, .r:•r:.":a �'YiCs..�J�:ti'"'y c' .;: ,t �•-..�.. x..t.; q � '!?�+.t`� ,�?'�;3 ''�`.:JC � t.S�r d'� 3 f`tt�. I �.,;$ �s�'K 2''t7r � �! f3'� 1 '' ^e x 't•t� x"f �.',�t 7{r5 x...r '` x r '�� :'J-.z.d N4 ; �-. �:� s•w�,�11 tN� .�`k.n `'�' .'�� .>%r� �Gs�hg'�+�,�" ,'. t.,,a:^�. sJq q:?-a,t 1 i.:::kJAy�t.�r� .{� � v .. �:''t i..�y,� ° .._za�t' �� '" ;�.�s:.T h '.. .. .:- �r,•fl ,:� �c� up�Y *;s r� � u -,,o-y a Burk �4, �..R r A t � a s r .:s t �"¢ t7;.t `" - �.• x�l� ;'s �?��},�`"�y;�.,,rJ��r r7i• r� ., s�s ��a -'.& €�r` F� ,.�, ayr-'�"-�-. e+r.�y s�r�t �4s. ;f � :h:u�'# �,•- f_yF,,� a �._ j ;j±. ii-isa •t� �.fr '�'�"����'&� � 3c�x,,'�?3e•� s. n� r w_�;;�s l� i � ��. ..-, " - IVlassuchusetts_-dlepurtment of Public Safet) Board of Building Regulations and'Standards Construction Supervisor License..., } ` License: CS 48546 ' Restricted to: 00 a MARK D HERBST 35 PEET.TOAD RD E CENTERVILLE, MA 02632 Expiration: 1/27/2012 Connnissioger Trt#: 13699 - 67— o�' 1d6 'uQ License or registration valid for individul use only j Office of Consumer Affairs&BGsiness Regulation MENT CONTRACTOR before the expiration date. If found return to: HOME IMPROVE a;IMPROVEMENT Type: Office of Consumer Affairs and Business Regulation Registration 10 Park Plaza-Suite.5170 Expiration -`678/2012 Individual Boston,MA 02116 M� K MHERBSTl din MARK HERBST F JJJ} , tv~ t wf 35 PEEP TOAD RD,` � CENTERVILLE,MA 0263 Undersecretary, Not valid wi o t signature • F .r�...,.syy1,,,,,,t,�,i'7•c,:.z..q.�s.�-+ -.n«:.r.::�.,., ...o ...: ......�#. _.,.., ,....,,n,..w ...-..,,...,W,q,,.,,,,.s�........»...^+vr+�.an'.*m,rc.r •-• ,�.y,� ..ti-cTtp.ne•sca�;iAn;m•r,�,r-*�.,,�T�. � •...t8''w_�:r�.[r+w,. i ��tHe► �o� The Town of Barnstable BARE.MASS Department of Health Safety and Environmental Services Y 1639. .0 Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Y Location �� (`� � �,"� tJf�.,, Permit Number '3 142 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: A t 4 \ r Please call: 508-790-6227 for re-inspection. Inspected by Date .�.. Vs a�a Map 03 Y Parcel 0/,3 Permit# House# ' Q- Date Issued ' wpm Board of Health,(3rd floor)(8:15 =9:30/1:00-4 3A) 7 �/ Fee d Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) tNE UST BE Definitive Plan Approved by Planning Board 19 ��'� LIANCE IhISTALL W r TOWN OY BARNSTABLFENVIRONM oDE AND ' TOWN REGULATIONS -� Building Permit Application Project Street Address S uS�N1�i-ic_ �✓1 �--- Village k Owner . ®5% Address Telephone 02® � Permit Request First Floor square feet Second Floor square feet Construction Type �}Egzq"I E_, Estimated Project Cost $ S Cl Zoning District F Flood Plain G Water Protection Lot Size 1p�/ Grandfathered ❑Yes ❑No p Dwelling Type: Single Family .Gr Two Family ❑ Multi-Family(#units) Age of Existing Structure �Syf2s d Historic House ❑Yes ,,R No On Old King's Highway ❑Yes &I No Basement Type: ❑Full ❑Crawl ❑Walkout Other Basement Finished Area(sq.ft.) f�_ Basement Unfinished Area(sq.ft) ,ji, Number of Baths: Full: Existing Al,A New © Half. Existing J�' � New O No. of Bedrooms: Existing, New O Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other _ �f"'L,2 �i - Central Air ❑Yes /4 No Fireplaces: Existing New Existing wood/coal stove ❑Yes �fNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) ��a S� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑.Yes tl?�No If yes, site plan review# Current Use i S - Proposed Use Sc� Builder Information Name Telephone Number Address License# ® � Home Improvement Contractor# Worker's Compensation# JA/_k, ^ f()Z NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO Y a f SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING SON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED. MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF:INSPECTION: FOUNDATION ' FRAME ' '�, INSULATION; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROV H FINAL`+44 FINAL BUILDINGPoll- inn DATE CLOSED OUT c: co d ASSOCIATION PLAIT . ®ra # 4 m f .'a I r :{- `a"'---- The Commonwealth of Massachusetts Department of Industrial Accidents A ee oilikestigations r 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: -� city phone ❑ I am a homeowner performing all work myself: ❑ lamas I tor and have no one workin in anv ca acity I am an employer providing wo ers' compensation for my employees working on this job. ' address: city. ��S' hone#: 6 O 0 cam-- insurance co. S olicv# G ❑ 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: comaanv name address. City' Anne#: insurance co olic-0# . cbmpanv name address: city phone#i insurance co: g6licv# r Fafiure to secure coverage s,required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'Imprisonment as well a9 civil penaltles in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement msy be forwarded to the O1'IIce of Investlgations of the DIA for coverage veriIIcatlon. I do hereby certi / der the pains and pe i ojperjury that the information provided above is truo and correct Signature _Pate_ Print name , Phone# 00 official use only do not write in this area to be completed by city or town otucial city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkifinunediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑Other (revised 9/95 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 every person 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 employer, 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 the commonwealth for any applicant who has 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 have been presented to the contracting authority. Applicants r 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 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 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. j 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 returned fe the Department b mail or FAX unless other arrangements have been made. ep Y 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 Me of Invesuliaflons 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 n � ' The Town of Barnstable 9� MAEL��e�' Department of Health Safety and Environmental Services . Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Fax: 508-790-6230 Building Commission: For office use only 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: SIN r'®a .r �Tdt I GEst.Cost a7 S aka Address of Work: Owner's Name 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 PROGZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. y ova Date Contractor Name Registration No. OR Date Owner°s Name E l MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE : Massachusetts HDD: 5973 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE : 6-5-1998 DATE OF PLANS : TITLE: COMPLIANCE : PASSES Required UA = 86 Your Home = 85 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS : Raised Truss 3ceo306 38 . 0 0 . 0 8 WALLS : Wood Frame, 16" O.C. � �3� 400 19 . 0 3 . 0 22 GLAZING: Windows or Doors �96 0 . 320 31 GLAZING: Skylights 14 0 . 250 4 DOORS 0 . 350 8 FLOORS : Over Unconditioned Space 252 19 . 0 12 ------------------------------------------------------------------------------- t COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer % - Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 DATE : 6-5-1998 Bldg. Dept . Use CEILINGS : [ ] 1 . Raised Truss, R-38 l Comments/Location C�7r9 �►�/Q� 'el L01 Insulation must achieve full height over the exterior wall . WALLS : [ ] 1 . Wood Frame, 16" O. C. , R-19 + R-3 Comments/Location X !;: 'K2o WINDOWS AND GLASS DOORS : [ ] 1 . U-value : 0 . 32 For windows without labeled U-values, describe features : # Panes Frame Type(0_5�-thpA Thermal Break? [ 1 Yes [ ] No Comments/Location CL�-3 LocaL� SKYLIGHTS : j-f}N;0 L7-e ,Z _ Z, r,F alas ® 6( "'3 z [ ] 1 . U-value : 0 . 25 For skylights without labeled U-values; describe features : # Panes Frame Type Thermal Break? N-T Yes [. ] No Comments/Location - V%tic �o6 734F. ,611rrS eeL. U u as DOORS : [ ] 1 . U-value : 0 . 35 Comments/Location f- � Fy�y»,� o� 60 "I FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location /" ILI 111.E P13 Fi��9�QSS AIR LEAKAGE : [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . ~ Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape . Pressure-sensitive tape may be used for fibrous ducts . 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. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1251 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- 1 2 � L I M. I All- Ri 206 59 E p9 I0 RES. ZONE.- 'WF" This MORTGAGE INSPECTION Plan is For FLOOD zoNE. "c" Bank Use Only TOWN: _COT-.IT------------------ REGISTRY OWNER: _ AL�SFR _ � c_ JEA1V_M_- PERR3'___= DEED REF: _-=99-5,3d-----------BUYER: ROBERT E_ ___ DATE: _5141RO ________________ PLAN REF: _36608 B __ I HEREBY CERTIFY TO STEM—POZTHAT THE BULLDINGS SHOWN ON THIS PLAN ARE LOCATED ON THE GROUND AS YANKEE SURVEY PAkLAL SHOWN AND THAT THEIR POSITION DOES ____ CONFORM moomw CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE $ S 143 ROUTE 149 TOWN OF __ SLF-------------AND THAT THEY DO NOT__ LIE WITHIN THE SPECIAL FLOG ARD ARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_9_16 __ l,� _�. TEL: 428-0055 r�ivuc _ _ THIS PLAN NOT MADE FROM AN RUMENT 5996 A. MERITHEW PLS SURVEY NOT TO BE USED FOR FENCES. ETC. MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2.0 L8Lq 9 Checked b /Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 6-8-1998 DATE OF PLANS: TITLE: COMPLIANCE: FAILS Required UA = 124 Your Home = 223 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 306 38.0 0.0 9 WALLS: Wood Frame, 16" O.C. 435 19.0 3.0 23 GLAZING: Windows or Doors 435 0.400 174 GLAZING: Skylights 14 0.600 8 FLOORS: Over Outside Air 252 26.0 9 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 6-8-1998 Bldg. Dept. Use CEILINGS: [ l 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.40 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS: [ ] 1. U-value: 0.60 For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1. Over Outside Air, R-26 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. DUCT CONSTRUCTION: [ ) All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. 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. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems. ----NOTES TO FIELD (Building Department Use Only)------------------------- z ,FIin ON IMPROVENE0369NT CONTRACTOR , �4iegistrat o� 0 � �Ezpiration Ve v /98 � i RATT,,'l USTON tBUILDER a . Neal Pratt j ;;-se­ ` AonnwisTRATC>RE"� andMlch NAQ25 7 ✓/ze Vomvrrwouuea�e a�"�,aaaaclucaetGs I`,x. r. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION.'•SUPERVISOR LICENSE ' Nu�ber Expires: Restricted Ta BB � 3qr/ HEAL R PRATT -t' T 42 CHASE RD E SANDWICH, MA 12537 i 14, 15 I 18 New Deck 12 PROPOSED SUNROOM & DECK 12 I NEAL A. PRATT FOSTER RESIDENCE DATE: 5-1-58 PACE 1 OF B42 CHASE ROAD PROPOSED SUNROOM & DEC SCALE: 3/16 E. SANDWICH MA. 02537 BY: NAP PHONE: (508) 888-3206 A t Ll LJ EXISTING REAR ELEVATION Ll Ll 1-1 I I I L---J PROPOSED REAR ELEVATION F PRATT FOSTER RESIDENCE DATE: 5-1-98 PAGE 2 OF4 SIGNER SCALE: 3/16" n ROAD REAR ELEVATIONSL//�\\\�\1lMA. 02537 BY: NAP 888-3206 PROPOSED LEFT ELEVATION NEAL A. PRATT FOSTER RESIDENCE DATE: 5-1-98 PAGE 3 OF B42DCH CHASE ROAD LEFT ELEVATION SCALE: 3/16 E. SANDWICH MA. 02537 BY: NAP PHONE: (508) 888-3206 X33) # LL- PROPOSED RIGHT ELEVATION FSANDWICH PRATT FOSTER RESIDENCE DATE: 5-1-98 PAGE 3 OF ROAD LEFT ELEVATION SCALE: 3/16 MA. 02537 BY: NAPA 888-3208 2 x 10 rafter 16" OC 1/2" CDX Sheathing 15# Felt paper Ridge Vent 2-1 3/4" x 12" Microlam header Asphalt Shingles to match 12 R 30 fiberglass insulation 1 x 3 Strapping 1/2" Drywall Vented drip edge Gutters 2 x 6 stud wall 1/2" CDX sheathing III IIIII IIIII III White r Building shingles Paer R III IIIII IIIII III y19 a fiberglass insulation 1/2" drywall 2 x 12 joists 16" O,C. Triple 2x10 girt Grade P,T, 2x6 plate M joists 16" O.C. R-19, V Hi-R insul Triple 2x10 girt 6 rail vapor barrier 10" Concrete piers (3) 10" concrete pier(3) 5' D.C. w 12x30x30 footing 6' O.C. 1/2" Durarock w skim coat 2 A-�t Z ITi JJ CROSS SECTION NEAL A. PRATT FOSTER RESIDENCE DATE: 5-1-98 PACE 4 OF B42DCHASEERIOADR CROSS SECTION SCALE: 3/16 E. SANDWICH MA. 02537 BY: NAP PHONE: (508) 888-3206-- A4M Assessor's map and lot number ....... .�.�..f✓................ Sewage Permit number ................. ............................... QyOFTNErO�♦ TOWN OF BARNSTABLE Z BAHB9TADLE, i "b .•� BUILDING INSPECTOR p N Ar. APPLICATION FOR PERMIT TO �/.A . & ` .......... TYPE OF CONSTRUCTION ......... �...0.... ........emw, :.....................................:..:.................... ........ (.............19..1 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............�4T, ................. ®�' ..... !. ' 's �"... ..... �!. €. /'r . ...1 .:........ Proposed Use ........4 .•! 9 ..... M.F°. ...... '..c ! '..,�". �"` .............................................................. Zoning District ......... .................Fire District .. `!®��`f A ' Nameof Owner .. . ....... ............................... . ............Addr ss .......................................,............ . .... . ...�............. Name of Builder .. iP�!/ ... � ' ..!.eAd. �r"ess ........ " *. ...�rf��eF` "1 ..�a��r ` �.t �� � Nameof Architect ........................./..........................................Address .................................................................................... eon Number of Rooms ...................... ........................................Foundation ............. ° " ................... ....................... Exterior .....�-. ?` ray ..�"� ... �°�'!! .1..' ...>�.........Roofing �l" ..., f�?1 .................................... ...... ................................Interior c� Floors : ..... ? .. . ................ ................. ............ .. ................................. _�.... Heating ( .=fZ1!✓...... lif�r� ��' ��.�.... ..... Plumbing ...... ......... Fireplace ..................................t/...........................................Approximate Cost ............ � Definitive Plan Approved by Planning Board ___- _________19___ Area ........l7A ................. , ;v ©o Diagram of Lot and Building with Dimensions Fee . ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Nu 1006 4' . o . J � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name ......... ,. .4..........��.................... Cotuit Pines Realty rust T {' r , No ..1637.. 8..... Permit for ........°ne story........ single family dwelling J ................................................ ......BS..... Location Ines ................... ..... .. u. ................ otuit 1� ............................................................................... y r Owner otuit Pines Realty Trust Type of Construction .............................frame............. ................................................................................ s Plot ........................ .. Lot ........ ................... 4 Permit Granted ....... ... .... January 15 74 ............... . .19 Date of Inspection ....................................19 t Date Completed ..713/..�y... �1 ► I i PERMIT REFUSED t , , ................................................................ 19 a ............................................................................... !!. l i Approved ................................................. 19 ............................................................................... ............................................................................... - - - FEE TOWN OF BARNSTABLE, MASS. Abe 19 4) S THIS IS TO CERTIF HAT A PERMIT IS HEREBY GRANTED TO � o O = (PROPERTY OWNER) (ADDRESS) Do as wa TO .........................................................................................._...................._..._____............................................................................................................................... (BUILD) (ALTER) if+ (REPAIR) O �. PE OF BUILQ6I0) � q/�• (APPROXIMATE SIZE) opLOCATION ....._......_.._ .__.................___._...._ _.................................................................................................._._..._ V y (ST AND NUMBER) (VILLAGE) (�I NAME OF BUILDER OR N T RACTO R ___.. _..__....._..................._................. _ ..... __.._....___— "�i 0) 4)'O APPROXIMATE COST M_................_...._.._.........�.___.—........................................._..._....._.._......................_........... _. ... ____... C . m, I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN '6 OF BARNST LE, REGARDING THE ABOVE CONSTRUCTION. at oalop • U^+ aA d N .............................................................................. .................................................................................................................................. (OWNER) (CONTRACTOR) rj O U '" O _._._.................._................_______._...................._.................._............................................................. ;a BUILDING INSPECTOR Subject to Approval of Board of Health. 6 a—a r4a .......... 7400, tr Ac S* w4"' 3 •$ .. ; el qq «a-y: •'N fir. � a�+, e.�'.. l �r 4 •k�t• r � ' -pia= _ '"� it •y,,; a .. .. '@�.m � .h`, q SENIOR, CE11TER TOURS AND TRIPS FLOWER SHOW -- Thursday, March 18. Cost: $10.50 ( includes bus and admissionj, Bus leaves West End Municipal Parking Lot, corner of North Street and Bassett Lane, promptly at 9:00 A.M. Standby reser- vations only. WASHINGTON D. C . CHERRY BLOSSOM SPECIAL -- April 1 - 4. Cost $189.00 double occupancy, includes 6 meals and sightseeing. Standby reserva- tions only. BOSTON BUS TRIP -- Tuesday, April 20, 1982. Cost: $7.25. Bus leaves West End Municipal Parking Lot promptly at :CC A.M. Leaves Boston at 4:00 P.M. (Ple.ase note change in time due to Bridge repair) . Call Center for reservations. Tickets must be paid one week in advance. z "0 q 1IIAIH3d MAPE U IP JAFFREY NEW HAMPSHIRE -- Thlg� TAI yjjN 4H vosjqtVt 0V lmR odes us, guide tour -of-historical` �e 8�0 0� �yy X ��nson s Sugar House and luncheon at Nmb s Woodbound nn -- choice of Yankee Pot Roast or Bak 0;?9R9HAfldMR1) All taxes and gratuities included. Call Center for reservations. TEN-DAY CRUISE -- S .S.ROTTERDAM -- May 4, 1982 to Charlotte Amalie, St. Thomas, Philipsburg, St. Maarten and Bermuda. Cost: $1425.00 per person. Brochure available at the Center. STURBRIDGE VILLAGE -- Thursday, May 20. Cost: $24.50 (includes full course buffet, admission and bus) . Call Center for reservations. WORLD'S FAIR KNOXVILLE, TENNESSEE -- June 7. Cost $499.00 double occupancy;$449.00 triple; and $629.00 single. At this time, standby reservations only. NEWPORT, RHODE ISLAND -- Tuesday, June 22. Details next bulletin. NOVA SCOTIA AND PRINCE EDWARD ISLAND -- June 27. Six days. Cost: 349.00 double occupancy; 319.00 triple; $449.00 single. Deposit of $25.00 per person due March 12. Standby reservations only. Due to the tremendous response, there is the possibility of a second bus. FUTURE TRIPS are being planned to the ISLAND OF HAWAII and to IRELAND provided enough interest is shown. ��J � �` 1 ��� . . � . * , - , . . . � �� � T ���' ��, . � . .� _ _ � .� ;. . . _ .� . ' ,+ y ,, � r': . . } I .7. 1 - f •�' . , c � � � 'i a r � . .__ � � � � - � � _. ' { Y i - - r SHED REGISTRATION location of shed(address) property owner's name f , F size of shed signs re date Old King's Highway Historic District Commission jurisdiction? env THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN shed r I i a � 4 4 cb 0 341 N 73 �9 1 RES. ZONE.• "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE "C" Bank Use Only TOWN: _0T.UYT------------------ REGISTRY OWNER: _ALFRED_L._ & JEAN_M_._ PERRY DEED REF: _S-.F 9,953$--______--_}BUYER: _ROBERT E. �`O��EI�___ DATE: _� } ,99_________________ PLAN REF: _36608_B __ ___ SCALE: 1"= 40---FT. I HEREBY CERTIFY TO ,��' V �_P�Z���-_____________ { Of —THAT THE BUILDINGS �� YANKEE SURVEY SHOWN ON THIS PLAN ARE LOCATED ON THE GROUND AS PAULA SHOWN ,AND THAT. THEIR POSITION. DOES --__ CONFORM � �E CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE Ida 143 ROUTE 149 TOWN OF ---RARAMfLAA)KE---------------AND THAT THEY DO NO_T—_ LIE WITHIN THE SPECIAL FLOODI ZARD ARSTONS MILLS, MA. 0264E SSA � AREA AS SHOWN ON THE H.U.D. MAP DATED_1j60 _ lq�o TEL: 428-0055 ----- THIS PLAN NOT MADE FROM AN' I&YrRumENT 5996 PAUL A. MERITHEW PIS SURVEY NO TO BE USED FOR FENCES. ETC. + l