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0694 SANTUIT ROAD
V �� �..,,_; _ �� ,. i . � , r - ,. �: s. i r � � I y � .. �� .. �. .. 1� M � r � � r 1 � � � '; ,. n n � .� � r �, t � ., ,. �. .. � � - '' � r r � ! � � �1 � i .� .. . I O �14 `-� i cg So 77 YCA C P�n tee.Ig P-se 1 l 5-4 ol p r S 28'53'30"E 199.54 �.0' LOT 55 53, 900 s .5 321 s a � (Q Q1 y o � NNr Q toti ti b Z v z3 0 20p ^� a N 16.10 301 IV ^� "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN I T ACTUALL Y EXISTS AND CONFORMS TO BA RNS TA BL E - CO T UI T THE ZONING REGULA TIONSQWN OF BARNSTABLE. REGARDING R 1. BAC%CS" PREPARED FOR �0 DA TE.'MAR.19, 1999 f)A CHARLES SNOW bcRD L 5 DATE:MAR.19, 1999 SCALE: 1"-50 FT. ENGINEERING CAPE 6 ISLANDS FL COD ZONE NON-HAZAR C� S�JSL�± �' D-69 55C � L MA SHPEE - MASS. FLOORPLAN SKETCH Borrower: Stephen&Aliiicia Crowell-Furrer File No.: Property Address:694 Santuit Rd Case No.:7104199620 City: Cotuit State: MA Zip: 02635 Lender: Bank of America N.A. 1 r 35' LL CDFaintly _ 14' Room Eise xc C, "Theater' Area LL ® o Q N j 15' Q .5 Utility ~ Basement Storage Bath.`t M 14' 0 El'. Wood Deck 12' 12' 14' 9 35' a Breakfa to 14' Kitchen Area, r Master Bedroom o io (Office o c� edroom Bedroo .5 N Bth W N N ant N 1.5' Living Room — 10' Bath Foyer ZD 11 Bedroom Dining 14' 'Open to Garage Porch Master Room.. (0 4 B th First 11' o 7 %I . 00 -- - 12'- Clst _ 24 First Floor Second Floor Interior Not to Scale 0 Sketch by Apex Medina- Comments: A€EEEtf ! 1 �` �lU Q lii� E E AR�A , IrA IQN SU 11lV� 1( E t1/NG t E`A14B FMAK©tJWN ''EE(EEf E(Ei I A E sP EE EE p 'e!E€€ "j"J bate Code EEC,..,pbon., .. Net Sie Net Totals 1 E. a 8rrttdm�m� ,,,, GLAl/�FirstFloorf 123y6.0 12360 t Fi`=et Floor X iGLA2 ' SeConilFloor Y ry7154 0 1�1540 x120 7x2 s0 $SMTF 8 a`eine t GOOF 0 � 49 U x 12"6 5i 0' GAR Garage 516`0 576 Q 10 U 4 0 � 3`40 0 X&�'2 0 0 k s � sy 3 0 x 12 0 360 � � a Ex l 4 o* xr0 � 4 148 O s x SecondFloor 39* � x k nr z �12 O�xu n8r 0 r9 0 23 0 1� 5 =0 I15 0 ; r � 64 5 0 x 11 0 "MW� X10� x 0 1 x 40 ,�, y �i�'' ��:'�� '�� � ruNet LIVABLE Area rounded) 2390 ,12tems (rounded) �2390 Town_ of Barnstable Buildina, Post This`Card So.l hat it is Visible'From, Street A rovetl Plans Must be Ret? �Aa pp ained on Job and this Card Must be Kept. + • r� v `�$ Posted Until Final Inspection Has 6een.Made ��� �� 1 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-3823 Applicant Name: FURRER,ALICIA NYE CROWELL&STEPHEN A Approvals Date Issued: 12/04/2018 Current Use:. Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/04/2019 Foundation- Residential Map/Lot: 006-043 Zoning District: RF Sheathing: Location: 694 SANTUIT ROAD,COTUIT Contractor Name`.- framing: 1 Owner on Record: FURRER,ALICIA NYE CROWELL&STEPHEN A tConteactor License*.., 2 Address: 694 SANTUIT RD Est. Project Cost: $5,000.00 Chimney: COTUIT, MA 02635 ; Permit Fee: $85.00 Description: Construction completed May.2003 we thought a permit"was pulled. Fee Paid. $85.00 Insulation: Pull Permit for Finished Basement. � Date 12/4/2018 Final: - �— — Project Review Req: # Plumbing/Gas k 4 Rough Plumbing: Building Official - � Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months.afteeissuance. Final Gas: All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local Toning by-laws and codes. Electrical This permit shall be displayed in a location clearly visible from access street'or road and shall`be maintained open for public inspection for the entire duration of the work until the completion of the same. - Service: The Certificate of Occupancy will not be issued until all applicable signatures 6y the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:' " 1.Foundation or Footing Final' 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5:Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Final- Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). final: � s Application Numb . ....... 4 f t MA88. Permit Fee........:...............................Other Fee........................ ' Total Fee Paid.......... .... ........................... .:.... ... . TOWN OF BARNSTABLE Permit Appm,il by.................................Oa 0M....................... y BUILDING PERMIT Map....v . ... ..........P ............ . ............. APPLICATION Section 1— Owner's Information and Project Location Project Address c)-A 2-inryto►t Vf7lage n-I-u )A-- owners Name Fur Y'c> (Owners Legal-Address D011--) St~ -ate m aS S Zip Owners Cell# t-J ) ( E-mail f f \ ) Section 2—Use of Structure Use Group GlQ ❑ Commercial Stmeture over 35,000 cubic feet �0� ®li /�G� ❑ Commercial Structure under 35,000 cubic feet 1 20'� `9� �'®>• ZSingle--/Two Family Dwelling <A9 ek Section 3—Type of Permit- ❑ New Construction '(<❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire ructure) [2 Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description C ©r���r�ct�c�r 1pk mac!W caL,+ o- ns2rr.r-r C��oLC C1U IIcC' ©lam EI 1 �-C' n-"T ' T sect andaird:719/201 S Application Number............ .. �— Section 5—Detail Cost of Proposed Construction 5cco— Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) LA CPT,,, 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design Section 6—Project Specifics Q Wiring ❑ Oil Tank Storage ® Smoke Detectors © Plumbing ❑ Gas .❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ® Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis-historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ® No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. j Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed i Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last tmdated.n201 9 The Commonwealth of Massachusetts , Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ��\�C\O. 2jLc.0 h '1 'Fu,r r -,-f- Address: PA City/State/Zip: one#: �'6 3c,o 5,1 X(o® 5,c)g (Du.% q l51.(�) Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. `®Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ g Buildin addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.El Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: 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 c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce der t an nalties of perju at the information provided above is true and correct. Signature: Date: C� 201 Phone#• 50,K 3 Coo n-11 CO Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,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,§25C(6)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,MGL chapter 152, §25C(7)states"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 Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Application Number....:...................................... Section 9—Construction Supervisor Name Telephone Number Address City State .Tap License Number License Type' Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Bamstable.Attach a copy of your license. Signature Date Section.10 —Home Improvement Contractor Name Telephone Number Address City State Tap Registration Number -Expiration Date I understand my responsiblities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBamstable.Attach a copy of your HSC... Signature Date _.._ Section 11=Home Owners License Exam tion: Home Owners Name: Q 1',\r,�Q 4- , Telephone Number 5ng 3c00 -71 c Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 780 CMR and the Town of Barnstable. Signature Date 9 , 19 ,a®V g- -PLICANT SIGNATURE' Signature r 509- cDuA q 151 FrintName-R\�\c ko� + �,Tko �\ „rr r- TelephoneNwnber_,C5zt 3 -7tco Email permit toy ac�-u f r ear ry a\ , ciD r,r--) T s..a.....3..sa.�mnmc Section 12—Department Sign-Offs Health Department ® Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plmm directly to the fire department for approval Section 13—Owner's Authorization I as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) ' Signature of Owner date j : I Print Name i i l • Last wdatca:2/92018 a , Engineering Dept. (3rd floor) Map COG Parcel (2)9 ;' Permit# House# �p n y�ii/' d `�v ate Issued 2-30 ' Board of Health(3rd floor)(8:15 -9:30/1:00- �7���1 �/ eel 4 d o /Conservation Office(4th floor)(8:30-9:30/1:00=2:00) 1 i(S Q"kc /Planning Dept. (1st floor/School Admin. Bldg.) S'6-1. I Z 6 ��'9� 7��� 4'1'/y �1HE,p Definitive Plan Approved by Planning Board 19 S TEE h� icc, i � i -., l'�� INSTALL S ALLE NCE TOWN OF BARNSTABIOVIRONME DE AND t Building Permit Application TOWN REGULATIONS Project ess Skt S-ToiT ;zb. , , Village C_OT61 T Owner QJAPe Le%.-t- OCMt� (lRM Address 31 t,),6 L R RD .Telephone ( 56S) Permit Request Ll j3 pj?4bcm First Floor square feet Second Floor (Ql®Q square feet -Construction Type Estimated Project Cost $ 17®,MID Zoning District Flood Plain Water Protection Lot Size 1 .24 pkcaz% Grandfathered ❑Yes ❑No Dwelling Type: Single Family `M Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes UNo On Old King's Highway ❑Yes 'M No Basement Type: 'Z Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New 1 No. of Bedrooms: Existing New 4- . Total Room Count(not including baths): Existing New _9_First Floor Room Count 4 Heat Type and Fuel: ❑Gas 'a Oil ❑Electric ❑Other Central Air ❑Yes V No Fireplaces: Existing New _� Existing wood/coal stove ❑Yes ]&No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Attached(size) `23`Yc 2_0 W 6" ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 'W No If yes, site plan review# A Current Use Proposed Use Builder Information Name U W N Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE %S > BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) - - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUEDw - MAP/PARCEL NO. t ADDRESS _ i VILLAGE' f ; OWNER -" - ` • , � � ; _ _ � - .. - . - F:°, . DATE OF'INSPECTION: FOUNDATION + FRAME ` ! INSULATION FIREPLACE '• �D, 1 y ELECTRICAL: ; ROUGH ,FINAL PLUMBING: RM `- FINAL _ 5 f� , • - - ti - or GAS: RO:U o FINAL ' �� ' FINAL BUILDING DATE CLOSED OUT, tr to t ASSOCIATION PLAN044z Q w , ® ` "P (. J 1 0 IV pn i NOWIF-44 10 _- �Bfeakf 1'. —--- _. _ r---- Bedroom Bedroom ------ -- i W Laun -- Master; . —= 10'x 12'" 10'x 12' -T10 Bedroom �. ;I LL Kitchen Lul Great Room 13'8''.x 151 Bath . 1310"x 19'8'• y.. to �Dressin� Ba I W Foy Two-car Garage . k J Be oew - -- - Foyer 9 DiningRoom _ � 23',x 2110" 1110"x 1.2'8" Be m. - ' i S 1 -- FIRSTFLOOR I �� SECOND FLOOR -.-�_ - - .. 61'2 - _ .. .. F17R GENERAL NOTES.. c.n...m w.. ..., J.' ��An v''nNr•-1 Nf .. - � �✓XniiA -w - - U ..... ,�/ m r.o, r Yc • KIT,ir'r., t / _—_ �.. z a i e w..m..e. uu.u... .. ra✓iRM - — ® ® ® � � � — 7 a 3 wY4�A can Rnn. w. FH e•4 Ptv�rzrroNl ro r�Rr .I .I_ i4trR�N✓roM EHrs I a _ '. Front Elevation` .. nHrNGl.o-/+Ni.Tn W •m�w •"- Key To Materials 'Detail Reference System Soot or Section Detail E— C-1—.1— Buddina Sectionn-- e•e -- F,.im^9 C^i r5'oc. LWJ® a zauin✓ e'Srna.O..n a� Detail Title LL w In �._. ....,._.._ - M ® Mmtg- _ = tN IH _ -=_ --- ----- =  LF ZE - -_ - - - - - ,-z --- I I 1 AurUgr v.A�4 r'Am lnq ntrov✓m.m oneE Dq�Y o•Aan ..nrym _ St1eB, Rear Elevation 1 ' i z .: I u a to r=E N r N. a g.� F .. Z=MIX a a i . — ra.n err o• F� . r. 14- C � r. _- .. ou r N , I L cOwr rrtl"•sroR I' I L r� T � 4 a ` � a I s �K^J�NccR��effarob o. ..R- ' ¢ R I do •''. �i: L u•rm+o "o��br- I 3 �I SL `lll - I FOR w�wltiTro I C I V Ai,vb L. rw / ,I I ..'vlx• vi✓R RRrsF7 w�.[— I - ros,un wa r a I a : 4l-p � Beam&Column Detail 4:n' iI i` ' I} gti�la` a: I scale 1"=1•-o"' " -r' UP roR A n K n(wrRrf Ha a I' s1 vEa cco .. ®r-voccrwr U xa'.a- tl I � q'.q• rn11'!� -4�xr4•�' I I 00�3 v � . .Basement aensrion¢ NI IN O - I I F J u•�n�sl. wtR•'1 I 'o .. of I ai Unexcavated F Unexcavated o wr�w N I �0 I' L---- °- Foundation Reinforcing _W M Detail Scale VP.. LL T— .�4 'Z.•t• p..q. 4..4• - .F�LU Foundation Plan Scale 114"_1'D" 1 - Note: lawlor CArtivon Dlmenslons. Nftlf.,: I 1i 11 15 111111 1ti17111 � ... rruwrr.r_. Ara 3 V2" Unless Olherwlse Noted. - Sectlon sneer . 2 y b• Q `g .,xW Yd Pat`Breakfast .H e .i'rv0 J ors A^'e•,e _ _ ` mun, r.�� oa•. yr C !-gs � �' — ✓ /L — ��\N y .� a / .. h.b /..� - 3 v,IrF+oivAv.. o x,v"o•,r+Pr�F^> a iv e., - - z � � �•n ^.rvv _ 1.w`� I a a a ov�°I`�Y" r.°r.,c.' o \�� t ii Great Room H m Cabinet Layout Scale 3/9"-1'-0". 'r F F 'I \ r.�l• 1 II \ n'.d awe.`If uP, �• 'o _ 1 - \. w R \ all \. � �'. \ `:✓ ivx,. rtdHr\4 I '\ m'ova. .'� � � Lai; 1 PHwyv�� \ 1 \ - on Fo,errU,a'�' .-z,: Garage E a Dining RoOrTv 'i 'Porch \ ^<d;z�s,"'• ,Niter�... x, n�E,ate - ' .`I - - __--\ v ✓,� � �� v a •°' e,eoi rr ` - � Aw.0�HU1M.,y a.04i�ON - —_ =L_ u[x[En I ,do' u-lo ✓+••v1 a 4'.0' 4'.n 'O'.d ^.ti.' 4•. 1,W M- LUcc r WEb - -- — s= First Floor Plan z:l. rs rw atsur — 4i _ L _— _ - rr vnu..agn , so - �: Sea.,,.-.,.a• - . If (. Fireplace Elevation 4�3 '` Mantle Dotali sneer Note: Im.rlor PaI11on-Dimensions Fireplace Detail Ar.a tn- u.l...oth. l,.rtm.a. Scale 1/2".t'-0" - I z i ; .. a F�. 2 - ... 14 Ile J.4: u:oY.• rp,[rcE,oi�r S e� 4n 4t W. +I.✓�v 1'1'if It / r' i Bedroom .s Bedroom 3 o , e. ;3 Master. 7 I ° Bedroom G Zvi14 N 1 '-I °'''1"FI \\ `� a✓ // - ..' ICOnY \ 0 I- _ db 0 o Stair Detail ,Scale 3le011 ' - a•' I j Dressing I sP Fo er - - _ .i „•r ,.,_. '.-Bath i c ® Below 11I i Bedroom a •r - --_l_ W 4a1 _ M LL. r Lu L +f 2'a j. 4'.*•/rv' r .a• ✓.syb.. q.. 4-= W4- —41 a ro z'/r _— fi'o• U 0 Sri -- -- Second Floor Plan - Roof Plan z"xe A,o•�'� Scale 1/8"_1.-e_ .. Note: Inlerlol Perllllon Dlmenelooe - Shweet Are 3 1/4" Unless olh—leo Noled. A 12 ZI /6 au�rr zkrc < 1 n .2O' z B f xu OCe , "Z-p.r�:°�,OFF 4 Truss Profile y1r41-1 'ram a _¢ 2"/o Rgilpims scaie:.va--r-o- wRv µrY xrxo o�1r,F^. WWI m _. N� - - Cd Porch Great Room r - ov VouNn rasi:x�oµu Na ^Csax.oc. 2X8, IZ✓I F2'lM1-5 x,Tn�� _ ' zXHX/8r v w o' G BasementCD - J �yP A o tK W M >� LL r a Section W o rcn aeonron 0 Seale:3/e"=T_0" .N • Syr Z :_ a ✓Try�N Rn ,s �E pa3 EEII � I .,PONro—� _ Ecsa ,i-—_— Py art a I. I 1 I I I _ o Te .Right Side elevation j a w�/wGi< scale 1/<"-1'-0" - LErwwxo ertscwc r � � � F nlnn� e...fiw two N su ax w,vvoP rFaRN��zo�o� Bu+niEP - 1.✓j— Sip O.C.isG E.rowPE� NiNul.i<rN Kh H(A W v sane sr0 is�o.c. � �PE-F NfR '•/'�� Q CO uj [s0� w�PPmc�OumsPnx cc eut50 oPLEq P m swo n wL All Imle,al,sole antl Iw:d rrPlns — � nnl lianrns,Pntl,e�un,i nts tIc - .. _ .. .. spm bo lj,ns .l spP.mGnnGns m nas — .. �';t eto In ba s.,1.�•.�. aIl:nP;bir va la(itlnsscna n.lollso nt o nm 0oe vs erro:nsa mysection pitM I ho�yIn I Py Poa/Rto rO.,l' FouNw=lor, -----L ` I Left Side Elevation �'g�a�, II 6 c t IulaLl lnlllllllt — CAPE COS � f ARs INSULATION 1 - .. 2: KEN t IIY IApuyy >u Mf[f3 1PRf IpAM fpfPYNpfp fRR3 "ryllf INf4uylpN "I"NOf i l• 1-800-6g6-6611 D� a Yoh .; ['Own of Barnstable v Regulatory Services Building Division ' 200 Main St 11yanr63 MA 02601 Date: Dear Building Inspector Please'accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod . Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by.a certified Building; Perfortizanee Institute (BP-1) ixispector.,All work preformed meets or exceeds Federal & State Requirements. Pro ert .Owner` Property Address Village lase latioil Installed: Fiberglass Cellulose . R-Value, Restricted ` Unrestricted Coiling s Slopes Floors ( ) ( " ) ( ) ( Walls a u ILti^Apt yc,,tee Pvltf Sincerely t to I. L Cas, y Jr, President (_' e Cod h ulation, Inc. �O► � �� - - -- -. Eupint t 1 Reurulato SetviC..es Fee • sa8rrs��►at.st•., . Thomas F.Geiler,DlreMr " (J Building Division -PPESS E Peter F.Diliatteo, Building Commissioner �T' 367 N.t=sneer. Hyaaais,lVl�•02601w MAR 2 2 2002 Office: 508462-1038 TOWN OF'BAR- ST Fax: 508 90-62.0 ABXE EXPRESS PERATIT APPLICATIM - RESIDENTIAL ONLY Not Valid wirhmu Fad X-Fmslmprim 4ap.parcel Nwiber OCv 0�-1 'rope Address — CDQ �op -- p' v Residential Value ofWark ,lac cc--) � )wnez s Ivatne&Address 11 C 10 � n �� n � :ontractor's Name Telephone Numbcr 3omc improvement Contractor license O(if applicable) n a r . nstruction Supervisor's License=(if applicable) + Workman's Compensation metre check one: Q I am a sole proprietor - I Am the Homconner I have Worker's Compensation Insurance Insurance Company\'ame `Vorlanan's Comp.Policy - Permit Request(check box) Q Re-roof(stripping old shingles) Q Re-roof(not stripping. Going over 1 wdsting iayels ofroof) [�Re-side [�Replacerneat j�indows. U-Value ' 14 H (M=i==�44) Q other(specifti) *Where required: Luumice of this pertnit does not ex iattee with other town depatanent regulations.i.e Historic.Cansermtian. j� Signanue Q:Forms:eavmrrc:ra•OI0601 f < oDo �FtHE ley, Town of Barnstable Regulatory Services a vsA MASS. E� Thomas F.Geiler,Director .39 i6 • �Ec 39 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 15, 2001 • RE: 694 Santuit Road Cotuit, MA 02635 To Whom It May Concern: On or about August 18, 1999 this department issued a temporary Certificate of Occupancy for the above referenced property. This was changed to a full Certificate of Occupancy on November 12, 1999. If we can be of further assistance, feel free to call this department at 508-862-4034. Sincerely, Thomas Perry Building Inspector TP/lmf p ►P (n V.: w 1 d -- IT AN� Ilk P,r � 0 3 r m m 00 t� a o r fA o teD o v'm ��H SFAS iCHELE.: m No C C. CUDiLO o u fi d' o TftlCTV�L m 0 0 o". o C t"j = S O 774 o �: Rlv a� � �' o::," 6��t�►��w�� ra ��;.... ����:►��-. ,`I';:"� obi"..:d�'�"�a �s�-t�•so�t ", � � �A�. P�77 i ` J �- -Print Page 12/20/.18,1:44 PM _ As Built Cards:Click card#to view: Card #l.l • Constructions Details- Map/Block/Lot: 006/043/- Use Code: 1010 Building Details Land I -Building value $264,600 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $297,310 Bathrooms 2 Full-1 Half M Lot Size 1.25 (Acres) Appraised Model Residential Total Rooms 8 Rooms Value $213,600 s Style Modern/Contemp Heat Fuel Gas Assessed Value,213,600 Grade Average Plus Heat Type Hot Water Year Built i999 AC Type Central Effective Interior l l Hardwood depreciation Floors- Stories 2 Stories Interior Walls Plastered Exterior Living Area,sq/ft. 2,407 Wood Shingle .m Walls Roof Gross Area sq/ft. 5,614 Gable/Hip Structure Asph/F Roof Cover G1s/Cmp http/Iwww,toWn6tbarnstable.us/Assessing/printl8.asp?ap=0&searchpaicel=006043 Page,3,of 4 .k Home Energy Raters LLC info@EnergyCodeHelp.com. 180 State Rd Suite 2U Phone 508-833-3100 Sagamore Beach MA 02562 Chris Mazzola of Home Energy Raters LLC certifies that work conducted at: 694 Santuit Rd under the permit number; BP-2018-TBA - meets the requirements stated in: 780 CMR, 9th edition and 2015 IECC chapter 5 existing buildings Section R503.2: Change in Space Conditioning: Any Non-conditioned or low energy space that is altered to become a Conditioned space shall be required to be brought into full compliance with this code. Exception: Where the simulated performance option in section R405 is used to comply with section R503, the annual energy cost of the proposed design is permitted to be 110% of the annual energy.cost otherwise allowed by section R405.3. In this case the attached RESCheck reports show a positive savings in reference to the additional space showing the home "Meets or_ Exceeds" the performance alternative requirements Including compliance with the following. ✓ Thermal Bypass Inspection Checklist Contact us with any questions. Regards, Chris Mazzola T Production Manager Certified HERS Rater # 8873503 508-833-3100 lnfo@EnergyCodeHelp.com °FINE r� Town of Barnstable Regulatory Services 9 B"MASS.`�'$ Thomas F.Geiler,Director �p i63q. �0 lEo N,p�A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 15, 2001 RE: 694 Santuit Road Cotuit, MA 02635 To Whom It May Concern: - On or about August 18, 1999 this department issued a temporary Certificate of Occupancy for the above referenced property. This was changed to a full Certificate of Occupancy on November 12, 1999. If we can be of further assistance,.feel free to call this department at 508-862-4034. Sincerely, Thomas Perry Building Inspector TP/lmf Town of Barnstable "tom Regulatory Services Thomas F.Geiler,Directoi BARN STABLE w Building Division TOE 0 F _E. v !kn& Tom Perry,Building Commissioner, 2213 OCT 22PMi s 200 Main Street, Hyannis,MA 02601 ' I www.town.barnstable.ma.us Office: 508-862-4038 DI!llST ro,,Ifax: 508-790-6230 Approved: Fee: Permit#: (_ HOME OCCUPATION REGISTRATION Date: 10 Q 1• PLO Name: 1 t�CN Q cc-enr oe I Phone#: 5 U0 L 1 nD '11�D Address: (A4 San-ti j t+ Name of Business: R11 t Ct o. Cpc r J Q l 1 Abo, Rasoct_ B u �_ 2S Type of Business: C prl'--A) F�-1 no Map/Lot: 00 CO! 0 143 IIVI=: It is the intent of this section to allow t1e residents of the Town of Barnstable to operate a.home,occupation widnin single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,proNided that the actiNity shall not be discernible from outside the dwelling there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be.permitted as of right subject to die following conditions; • The actiiity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary ul residential buildings,and there is no outside cNidennce of such use. • No traffic mill be generated ui excess of normal residential volumes. • The use does not involve the production of offensive noise,Vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,hunudity or other objectionable effects. • Tlnere is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation; other than one pan or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in.lengti and not to exceed 4,tires,parked on the same lot containing tie Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home.Occupation is listed or advertised as a business, die street address shall not be included. • No person shall be employed it tie Customary:Home Occupation i-rho is not a permanent resident of the I dwelling unit. 1, tie undersigned,ha and e F 'ti the above trictions for my home occupation I am registering. I Applicant: Date: l0121 17 n 1 Honieoc.doc Re}•.01/3/0 YOU WISH TO OPEN,A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the own Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. d s� r DATE: 'o"z I]Zola, Fill in please: 41 ' APPLICANT'S YOUR NAME/S: ���tciC&. Crn� Je 1 1 s01.pl$ire L`�-� .�d... S rb ., .� BUSINESS YOUR HOME ADDRESS: 1 pp....� TELEPHONE #. Home Telephone Number 3co0 5"71 NAME OF CORPORATION: NAME OF NEW BUSINESS AC �cia': CFOc�1 11 bo. RQ rvt PE..OF BUSINESS C'�nSult)n�a IS THIS A HOME OCCUPATION? YES NO �jZ(p3 S :ADDRESS.OF:BUSINESS v MAP' PARCEG;NUMBER/ [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intendec to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sur a you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO ISSIO R' OFFI E USA COMPLY WITH HOME OCCUPATION This individ al ha en i ryn d f ny er t require ants that pertain to this type of busines ULES AND REGULATIONS. FAILURE TO t nze g afar COMPLY MAY RESULT IN FINES. OMME . SLIED) C , - 2. BOARD HEALTH This individual h fo e r emants that pertain to this type of business. Authorize 'gnature* COMMENTS: 3 CONSUMER AFFAIRS(L E SING AUTHORITY) I rn This individual has b i f o the licensing requirements that pertain to this type of business. Authorize J Signature* COMMENTS: � S 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel— ;P�Ilication #� I Health Division Date Issued 1301 iS Conservation Division Application Fee Planning Dept. Permit Fee6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street re s l Village Owner Address Telephone D - t�_780 Permit Request �u a Squaffeet5lst floor: existing proposed 2nd floor: existing proposed Total new a-- Zonir ?Distw�t Flood Plain Groundwater Overlay M ProjeValuration Construction Type r,a 0 Lot ST"e Cr' Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwellgg Typ°e: Single mily ❑" 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 Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_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 APPLICANT INFORMATION Ar ldI4eyILDER OR HOMEOWNER) Name Telephone Number 5�� 6� 7 ll, Address P4d6LLicense # 10 0 U Home Improvement Contractor# l��:�15 Email Worker's Compensation # � 'U� 715 0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z� 7 FOR OFFICIAL USE ONLY APPLICATION# DATE,ISSUED MAR/PARCEL NO. ' ADDRESS VILLAGE 4 - F OWNER DATE OF INSPECTION: G FOUNDATION FRAME INSULATION FIREPLACES ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING; iF r DATE-CLOSED OUT y AS PLAN NO. n 4Massachusetts - 06partment.of public Safety -board of Building Regulations and Standards Construction Supervisor License: CS-100988.. HENRY E CASSII}i' 8 SHED ROW si WEST YARMOIFFH 0 r \ Expiration Commissioner 11/11/2015 r — OMEN Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C6h1rdetor Registration Registration: 153567 Type: Private Corporation Expiration; 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE - SO. YARMOUTH, MA 02664 —.— Update Address and return card. Mark reason for change, 3CA1 :i 20M•05/11 Address Renewal Employment Lost Card CJ/te 11190110172CC/ec(AM h����cCJdccc�llJe�l C'� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: egistratlon: '1.53567 Type: office of Consumer Affairs and Business Regulation xpiration:,:_:::1.2715/20;1.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 • CAPE COD INS ULAtI;QN.jNC`' HENRY CASSIDY 18 REARDON CIRCLE' SO.YARMOUTH, MA 02664 Undersecretary qNvalid Wsign The Commonweal' of Massachusetts- sj Department of Industrial Accidents W Office of Investigations ' 1 Congress Street, Suite 100 r 'a m v9W= Boston,MA 02114-2017 ; www.mass.gov/dia' ti° 1 rr Workers' Compensation Insurance Affidavit: Build ers/Contractors/Ele etricians/Plumbers " [ Applicant Information ti; -Please.Print Legibly Name (Business/Or '�'zation/Individual): 46�611 vAddress; City/State/Zip: 1r� .. Phone 9: Are you an employer? Check he appropriate box. Type of project(required): '. 1,$2'1 am a employer with ' 4, ❑ I am a general contractor and I • � " y employees(full and/or part-time).* Have hired"the sub=contractors °6. ❑New construction r 2r 0 I am a sole proprietor or partner listed on the attached sheet, TM- 7,� ❑ Remodeling ship and have no employees These,sub-contractors have g 0 Demolition ," r working for me in any capacity. employees and have workers''' 9 F° Buildin addition [No workers' comp, insurance comp. insurance;t ❑ g 4T5 t required,] " 5r ❑ We are a corporation and its ' `10:❑'Electrical repairs'or additions 4 officers:have exercised their g 3,❑ I am a homeowner doing all work � 11.❑ Plumbing repairs or additions- - - myself, [No workers' comp._ right of exemption'per MGL`: 12 ❑'Roofrepairs insurance required,] t c, 152, §1(4) and we have no 8 employee`s, [No workers' 13'[ . Other comp, insurance required,] ''"Any applicant that checks box#1 must also fill out the section below showing their workers`,compensation policy information ^' t Homeowners who submit this't1'ffidavit indicating they are doing all work and then hire outside contractors must submit a new-affidavit indicadn"g`s`uch•- $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not,those entities have" `Y 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;, y Information. f Insurance Company Name: l,'�C✓ ��" v i✓ Policy#or Self ins, Lic.#: � Q � Expiration Date;. 69 *.Job Site Address: City/State/Zip: l au ." Attach a copy of the workers' compensation,policy declaration page(showing the policy number and expiration date):, `F , Failure to secure coverage as required under Sectiori,25A of MGL c°„l52 can lead to the imposition,of criminal penalties of.a,' r fine up to$1,500.00 and/or one-year unprisori ent, as well as civil penalties.in the form of a STOP WORK-ORDER and a fine 'r of up to$250,00 a day against the violator;.Be advised-that-a copy,ofthis statement may be forwarded to the Office-'of x Investigations of the DIA for insurance coverage verification. I do hereby certify n r pains and penaltles,"of perjury that the information provided a7-� v`e is ue a 1 correct R Si nature: e Date % / �r / Phone#: s Offlcial use only,.'Do not write in this area,to be completed byciry or town'offlcial. .� ] l J, µ 41 City or`Town, =, ` Permit/License #: Issuing Authority(circ"Ie one): 1.Board of Health 2.Building Department' 3,City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector" 6.Other , Contact Person: i • v I ' k CAPECOD-27 KLIGETT CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) 6/13/2014 i CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS .TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, )RTANT; If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to terms and conditions of the policy, certain policies may require an endorsement,•A statement on this certificate does not confer rights to the ficate holder In Ileu of such endorsements), :ER NAMEACT Barbara DeLawrence &Gray Insurance Agency,Inc, PHONE 3 134 A/C .EXIT; A1C No) 1877) 816.2156 Dennis,MA 02660 A DRIESS: bdelawrence r0 erS ray,com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Peerless Insurance..Company INSURERB:COMMERCE INSURANCE COMPANY - Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle South Yarmouth,MA 02664 INSURER 0:ATLANTIC CHARTER INSURANCE GROUP _ INSURER E b INSURER F RAGES CERTIFICATE NUMBER; REVISION NUMBER: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD :ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 'IFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, .USIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE POLICY NUMBER MM/oDLI mFF MM DD E XP YY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS•MAOE OCCUR CBP8263063 EACH OCCURRENCE $ 1,000,000 64I01I2014 04/01I2015 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 F N'L AGGREGATE LIMIT APPLIES PER: POLICY El PRO. ❑ GENERAL AGGREGATE $ 2,000,00 JECT LOC OTHER: PRODUCTS-COMPIOP AGG $ 2,000,000 , TOMOBILE LIABILITY CBIN SINGLE Ea OM ED accidenl LIMIT $ 1,000,000 ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILYINJURY(Parperson) $ ALL OWNED Fv7 SCHEDULED AUTOS AUTOS e' HIRED AUTOS NON-OWNED BODILY INJURY(Per accident) $ X AUTOS PROPERTY DAMAGE $ Per accidenl UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE XONJ453614 0410112014 0410112015 DEC X RETENTION 10,000 AGGREGATE. _ $ Aggregate RKERS COMPENSATION $ 1,000,000 EMPLOYERS'LIABILITY ST OTH- ,'ICERIMEMBEER EXCLUDE( N/A .L I ECUTIVE YIN R WCA00525904 0613012014 O6I3O/2015 E : ATUTE EACH ACCIDENT $ 1,000,000 ndatory In NH) s,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 >CRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ I1000,000 • TION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101,Additional Remarks Schedule,may be attached It more apace Is required) Compensation Includes Officers or Proprietors, lal Insured statue Is provided under the General.Liability and Auto Liability when required by written contract or agreement with the Certificate Hdider, =ICATE HOLDER r•An,r•e, , A-ki ` mass Save PCOMMCMR A sstrgc ihr«��9Y+�d'+n�y' PERMIT AUTHORIZATION FORM 1, STEPHEN FURRER ,owner of the property located at: (Owner's Name,printed) 694 Santuit Rd COTUIT (Property Street Address) (city) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtains building permit t ation and/or weatherization work on my property. X � Owner's gnature Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Da e o� for Office Use Ordy- .Rev.12132011 ._ _� �.� �__ �a.��- - • - - i 1 t i TOWN. OF, BA STABLE CER`1IFILATE 4F OCCUPANCY PARCEL ID 006 043 GEOBASE ID 131 ADDRESS 694 SANTUIT ROAD PHONE COTUIT A ZIP LOT 55 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT Je PERMIT 42386 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE Pflol E. f * ■ARNSTABLE, MASS. 1639. Al BUILDIN•��'�IVISION BY DATE ISSUED 11/12/1999 EXPIRATION DATE 1 TOWN OF •`RN STABLE-- BU D` G `HERMIT PARCEL ID 006 043 -GEOBAS "' ID ; 131 ADDRESS 694 SANTUIT ROAD PHONE COTUIT ZIP - LOT 55: BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT ( PERMIT 35651 DESCRIPTION 4BR/2B.A/2CAR ATT./2STORY (SEW098-706) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CGx?TRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $527.00 BOND $.00 tHE ,1, CONSTRUCTION COSTS $3.70,000.00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P:4PEe:�$ * BARNSTABLE, ; i MASS. 1639. ` BUILDING:DIVIfSION BY �� . , DATE ISSUED 12/30/1998 EXPIRATION DATE SA -,,TOWN 'OF UNSTABLE. P ERCH1, ITS 606 043 ADDRESS 694-SANTU'TT ROAD COTUIT - ZIP 7 , DBA D:Ii;VEE .E'MRN ,, a r DISTRICT T PERMIT 35651 DESCRIPTION 4BR/2B 1f?ow�ATT,�/26TORY (.qt #98--r/�C PER,MT 'TYIPF BUILD TITLE . NEW-RESIPMbAL B`L DG RMT '_a ,CONTRiQTORS: PROP U RTY OWNER :Department.ot;Health' Safety ARCHITECTS:' �. .:y. . and Environmental-Services BOND "` $- }4 Tt1E �, f �I :, -SIN I FAM ,HOME ' ' * HAI�NSTABLE. + MASS. • BUILDING.:DIYISION t -BY DATE ISSUED 12/3Q/1996 EXPIRATION DATE V, THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE:ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,r MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND. WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS . THIS CARD KEPT POSTED UNTIL FINAL INSPECTION' 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS .ARE REQUIRED FOR (READY:TO.LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING'AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. . 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION.APPROVALS ELECTRICAL INSPECTION APPROVALS— n .�'0V� Of� 2 � �i 2 r tff � 2 Lei 3 1 H ATING.INSPWION APPROVALS ENGINEERING DEPARTMENT 2 O;P ��y�,e BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL, DEG TL1�S 676Tv MR) WORK.SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD.CAN BE ARRANGED FOR BY VARIOUS STAGES:OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. 'YX NOTED ABOVE. TION. t . 1 r .L TOM". OF . 4� TABLE BLS' �DT �r:� MIT t PARk,i; a ,_?7 00 e, 04" GEOBAS E ID ' 131 T1 P. d. �i' `T'[l.i % i PHOT COTU': ZIP - 51_15 LOT SIZE -- -- 143111 DEVELOPMENT DISTRICT �T l;'ERNII" 3El665- DESCRIPTION 4BR/2BA/2CAR ATT./::STORY (SEW#98--7166 r '.�RMIT `I_']=E 3U.i:i:�Ll T `�L i NEW REaIDENTIAi, BLD' PMT Department of Health, Safety and Environmental Services $527 .001E BJN,D $_00 Ox '."0,0()0',C)0 � 4j► !N .GrAM HOME DETACHED 1 PRIVATE P * BARNSTABLE. • MASS. - - , FD MI`►I BUILDIN. - IV190N BY llAIE 1S UED 12/30;'1996 EXPIRATION DATE +� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS' 2 2 �hf►Sf/ J 2. v:� �X 3 1 HATING INS ION APPROVALS ENGINEERING DEPARTMENT q exx 2 Ne �.ey�,e r, ,�z ;BOARD OF HEALTH / r18-786 i2 ®v OTHER: SITE PLAN REVIEW APPROVAL qwf- 0`G�cCT1J1�S 670-ru C WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I Gel -tQ4JR O'be-p i S 1; r rQ (D ® Cs-- C-P c ( �-- r--- �n wG--1 I cow ...5. Town of Barnstable 21 ESP 200 Main Street,Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: B-17-1768 Date Recieved: 6/6/2017 Job Location: 694 SANTUIT ROAD,COTUIT Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: PAUL J. CAZEAULT&SONS, INC. State Lic. No: 103714 Address: 1031 MAIN ST, OSTERVILLE, MA 02658 Applicant Phone: (608)428-1177 (Home)Owner's Name: FURRER,ALICIA NYE CROWELL& Phone: (508)648-9151 STEPHEN A (Home)Owner's Address: 694 SANTUIT RD, COTUIT,MA 02635 Work Description: Remove existing shingle roof on the entire house and garage and replace with new asphalt shingles. . 7 . C:) i 2 Total Value Of Work To Be Performed: $21,500.00 cis Structure Size: 0.00 0.00 0.00— kA M Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Russell Cazeault 6/6/2017 (508)428-1177 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $21,500.00 Date Paid Amount Paid 'Check#or CC# Pay Type Total Permit Fee: $109.65 6/6/2017 $109.65 XXXX-XXXX-XXXX- Credit Card 0985 .................................................................................................................................................................................. Total Permit Fee Paid: $109.65 MAScheck COMPLIANCE REPORT Massachusetts Energy Code I Permit # MAScheck Software Version 2.01 I I Checked by.'Date i I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE; 1 or 2 Family. Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-19-1999 TITLE: Charlie Snow PROJECT INFORMATION: 694 Santuit Rd. Cotuit. MA 02635 COMPANY INFORMATION: All Cape Insulation & Supply Inc. P.O. Box 645 D.Dennis, MA 02641 COMPLIANCE: PASSES Required UA = 489 Your Home = 324 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1360 30.0 30.0 23 WALLS: Wood Frame, 16" O,C. 2878 13.0 13.0 139 GLAZING: Windows or Doors 259 0.310 80 DOORS 42 0,550 23 FLOORS: Over Unconditioned Space 1230 19.0 19.0 58 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building. and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date 1 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code NIAScheck Software Version 2.01 Charlie Snow DATE: 3-19-1999 Bldg. l Dept. l Use I CEILINGS: [ l I 1. R-30 + R-30 Comments/Location I WALLS: [ ) I 1. Wood Frame, 16" O.C. , R-13 + R-13 I Comments/Location i I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.31 For windows without labeled U-values, describe features: d Panes Frame Type Thermal Break? [ ] Yes [ ] No i Comments/Location I DOORS: ( j I 1, U-value: 0.55 Comments/Location I FLOORS: ( ] I 1. Over Unconditioned Space, R-19 Comments/Location 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 shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more. than 2.0 cfm (0.944 L/s) air movement from the the i conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings. walls, and floors, �I MATERIALS IDENTIFICATION; ( ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. I DUCT INSULATION: ( ] j Ducts shall be insulated per Table J4.4.7.1. I DUCT CONSTRUCTION: ti it ( ] All accessible joints, seams, and connections of supply and return ( ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems. I 1 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 HVAC EQUIPMENT SIZING: [ 7 I Rated output capacity of the heating/cooling system is ( not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and i require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in. ) : i PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure✓temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in. ): I 1 PIPE SIZES (in. ) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" I 0-1.25" 1.5-2.0" 2.0+" 1 170-180 0.5 I 1.0 1.5 2.0 140-160 0.5 ( 0.5 1.0 1.5 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- J V • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION (aq t-{ Number Street address Section of town "HOMEOWNER" L5U0 7b0 -264 Name Home phone Work phone - PRESENT MAILING ADDRESS WEB 9 ��5 "XR OZ�•7b City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officia on a form acceptable to the Building Official, that he/she shall be responsib2 for all such work performed under the building ermit. (Section 109. 1. 1) The undersigned "homeowner" assumes resp-onsibility for compliance with the Ste Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATUREC�)_o APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a"ISuilding permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home OwnE shall act as supervisor. " -Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing ng Construction Su ervisors, Section 2. I5 This lack of aware P ) ne often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner actw as supervisor is ultimately responsible.""' To ensure that the Home Owner is fully aware of his/Fier responsibilities, ma communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On tht last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. r 5 f 77se Commonwealth of Massachstsrsts r N _ Department of Industrial Acddents Offm ol/mrewo"firs- 600 Washington Sbcd V Boston,Mass 02111 Workers' Com emadon Insnrmce AMCIIvit " Y \J� f. T 1 �• s� 2- Li� vS• ��1ScJt I am a hmmv.v:te-per$an work mpstlL ❑ i am a sole and have no one any ❑ I am an employer providing"Od= comPc=ucn for my employees wonting on this job- eom any name: ddress: •' hone#� dtv- iiet# insnrunce cn. ❑ I am a sole proprietor,genes-!contractor,or hosaeow►ner(eir. rna5i and have hired the�auactors listed below a►ho have the following workers'ccmpc=don polices: " eom any name. address! 7 insvrnnee cm COMIJURV name: .�..'"..:"°`aw: '' `•• address. _ ;PMai;o; ?i•c:» i,.. •er# •- �::�9, i a?':' .A. �we�.��ir .a.o"`..>• nsarance eo. ' �=Saedme 2SA or�tGL ss ea!d to Mt feReidoe des�eitd pa.dgaa oto ap to SIAM 00 Sor foam"to sacs ea►rara9a sa is the ibttn ota STOP NORIC ORDF.ft:aj a A.a elit00.00 a by a�imt taro. I tmdaaatad eae��+ sa trait as tiiv�pew o[t6s DIA tbt ta�R s�odo< copy of tbia SUSNOM nor 1«z�tstmdd toe OtBoa otLtvtad�dsa 1 do her rap ►«„der theataltia alP rdrar the infornatioa pra+R above it&w tmd eosert Plizz oa&cw me ode do"a —is tma ass to be ti7 4ey er tows oMcM M 3Bn9din;Deparcems city or town: uLkmzing Board QSdeeansa's 090" 0 cbmkif samredlaw repave b oI0. �Dep� Contact person: p� �,Yro yivf PJA! • . 1 . • 1 .�/ 1 r•1.1• w Nl• • — 1 J • •.1.11 w• 1 1 • • • •• • • •M • •11 «• •• ,• •11 • • 1�• w•K -•11• • 1 • • • N• 1 I I • .11• 1 • / • /1 r•�I • r11N • • • wr�1 w• r•11• • a •1 •1 _ • I 11 • 11 /I � , • ',. •M • •I • • /. -••K r•1.1 ••111• • 11 • ••,N. • -^ I • 1 1 • 1 • 1 it • , •• 1, •1 /1 1 /1 1• •1 r•1•. 1 • ores To • 11 •I /1 •rY11• 1.1 •1 /1 • • � • • 1 •1 L Moon • 1 • •'. •/ 1• r♦ 1 r•11 • M• •11 •1 r• •1 •11 1 MI 1 ' 11 • 1 • •I •11 /1 •1 1•• • ' 1 • • �,M • 1 Mt _1/1• • 11 •+11 • •_w/1 _• 1• • 11 _1/1• • • 1 •1• • •1 Ir• 11 /1 �• r1• '/, • Y. // t 1 1 1 1 1 1 1 1 1 1 1 - 1 1 • 1 • � _M• •11 1 1 1 • • 1 1 1 1 • - _I 11 •.• • • 1• •11 � 1 r1/1 w /1 1 go 1 1 _1 r • H I I rl Y 1 1 11 • 1 , 1 1 1 ' - r•11•,•1 •1,Wjr• 1 , • 11 • Il • • 1• ••• 1 /• Y • , 1 1 •••IIIa 1,1/• 1 r.1111 .• 11 1, 1/ •_w• • w•1 _• • /1 r•111• Y••• .+• M • •r♦ r •) M.11,1• 1 •'• • M _• r•1 r•Il • //1 MI 1• Ir , 1 1 • 1 11 11 • M r•1/11/••• w 1 • 1 •• • _ , • • 11 l M•1111• 11 ,H\// — • •1 •••'� 11 • • 1 •1/ 1 1 •�. •11 ! •• r •1• r•11 • 111. /1 11 r � •• • Il ,IH ' •I 1 11 • H M • r11•. • r•111.1.1•HI• •11 • 1 1 , •• r• -. •� 1 , 11 1 'JI 11 • /, 1.1_• 1• /1 � w1I1 •/1 r•1 rw•1 •• _• -em 1/ M •1 • •' 1 11 1 // 1• 1 •''•/• •II •1 11 1 r••111 •1 ..•A 1 .1 • gm • MM • rHl 11 • 1 • 1 1 11 • 1 -� • •n w•r •/1• 11 _• 1 I 1 1 11 .. , ./ :. . 1 r•II/1• r1' ,. . . 1.1/_. �.•, . . � _. ., •1,r11 . . . . _. . . .1 /, .. •1.1•I -� w11 /1 / :• • • -+ • •ru •11'l' 11% 1. r•IIIH M • w�%1 .u1 • 1, 1• • rC111 �• Y 1. 01 1• 11 • ..••1111 _•AV 111111 •a ' 1 M• I • 1 _• ••1/•• w11� 11/1/, •r • 11 �� • 11 r 1• •11 • w11 r.l•. , • �...• Iln I FMIN 1, 1 • ••• w•1 • ' 11✓ •1 r • •/.1• •It ' • 1 • • •, .1• • 11 . .1, Y 1.1 • 1 r•• • �• 1• •11 •11 • 1 • • • 1 , • r• • • 1 -�'IIM1/ /• •I ' �G/..:�//rii i i:�/%z%i/%i i i i:.;/ii./✓•w//:%�G�iGi/.//.' /!/// // ////// /dri 1 � r• ••1 r•1 • •1 — 1� •••• / •It 11 I Y•► I111�1 • r ' • •1/ 1 1 1 1 1 • M I 1 •' 1 1 ` 4� � mot , Town of Barnstable *Permit# :!� Tp Expires 6 months from issue date Regulatory Services Fee 1 � BARNSTABLE, • , Richard V. Scali,Director ArFD UAAv A 014 Building Division ` Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 MAR 1 2®1 www.town.barnstable.ma.us TO WA/'a 13 p Office: 508-862-4038 Pa T49PF--6230 EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address CD9 LA �jo,rN-t-y x-t. iZA Ccr�_-o 1'C CQ O` Residential Value of Work$ t;7 3 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1 S0,_Y1 k—_U t k-- 1`C� C 7 c. 57, Contractor's Name n 1 G- Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit.. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to PJarnsbl� Lo s�cLri�l ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits regdired. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A cop -of tl provement Contractors License& Construction Supervisors License is r r d. SIGNATURE: C:\Users\Decollik\AppData\Local\ icroso8\Windows\Temporary Internet Files\Contenk:Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 Regulatory Services FTr rqy,� Richard V. Scali,Director °^ Building Division BARNSTABLE, ' Tom Perry,Building Commissioner 9� MASS. 1639• 200 Main Street, Hyannis,MA 02601 iOrEn Mpg°' www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 7J 1L1 ZCOICp JOB LOCATION: CpG4 5 c +u,t Rc� ��E'J It C�Q. C7ZCG S number street village"HOMEOWNER": I)\L'\O, Ccnc.JP_:I �Jf r2r 3coo / , name home phone# work phone# CURRENT MAILING ADDRESS: C0tc3 i 1C7__ o`. OZS.a?� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acis as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or,is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi "homeo er" ifies that he/she understands the Town of Barnstable Building Department minimum inspection procedur a re i that he/she will comply with said procedures and requirements. Signature o ner ° Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner.shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often, results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns..You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI0IDHR\EXPRESS.doc Revised 040215 77le Cornirtoinveakh,of Massadiuselts Departmeiztofln4iustyialAccidenis Uff rce of In es igat ons $llfl Washinglon.Street ' Boston,M4 07111 wvviv.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/E<ledric us/Plnnnbers Applicant Information Please Print LegibI Name(Bu ( anisrauon&dividnai): M ess: City/State/Zip: Cam , , o� o�' (oO 571 Vone 9- Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I arts a general contractor and I employees(foil anchor pat;:-time). * have hired the sub-contractors b- ❑New construction 2..❑ I am a.sale proprietor or partner listed on the attached sheet: 7_ ❑Remodeling ship and have no employees T'hese sub-contractors have $_ ❑Demolition workingfor me in an. capacity_ employees and have warps' y[No workers'comp-insurance comp.imuranm.l 9- ❑Building addition d) 5. ❑ We are a corporation.and its 110.❑Electrical repairs or additions 3. I am a homeowner doing all,work officers}tam a exercised their 11_❑Plumbing repairs or additions myself [No workers°comp- right of exemption per MGL° 12, Roof repairs insurance required-]1 c. 152, §1(4} and we have no employees.[No.workers' 13.❑Other comp-insurance required-] ;Any applicant That checks box#I mist also fill out the section below shorwmg iheirworkem'oDmpensafionpohcyinfc)nnartion, Homeowners who submit this affidwit indicatiug,they ate doing all swac and then hire nine contractors must submit a new affidavit indicating such contractors that check this box must attached an additional sheet showing the ns�ne.of the sub-coofticfors and state whether or not[l ose eanton-have. employees. If the sob-contractors have employees,they must provide their workers'comp.policy avmber. lam an employer that is previdiV ftwrkers'competisation insurance for,my emphVees.. Be&w is the policy andlob site iaformatioaa Insurance:Company Name: Policy#or Self-ins.Lic..#-. Expiration Date: Job Site Address_ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy Dumber and expiration date). Failure to secure coverage as required under Section.25A of MGL c. 152 can lead.to the imposition oft riminal penalties of a fii ne up to S 1,5{?0_tl0 and/or one-year imprisonment,as well as civil penalties in the farm of a STOP U70RK ORDER and'a flue ' of up to$251-00 a day against the violator_ Be advised that a copy of this statement may be forwarded to t1jeofficeL of Investigations of the;MAL for ca gee v-erificat on- I do J1erel�y c�rhfjF the i r a es ofpedury fJiat the in prosiided above is trace and correct Date: F Zo l Phone#: Ir 11(G n Q,(ieiaJ use only. Da not write in this.area,to be completed by city or town offs at City or Tonm- PermitUcense#' Issuing Authority(circle one): 1.Board of Itealttt 2.:Bnsldiag Department 3.Cityfrom n Cterk 4..Electrical Inspector 5.Plumbing 7 upector 5.Other Contact Person: phone:#< S YS TEM PROFILE NOT TO F;CALE _ - TOP FNDN. FIN.I'S��' GFr`•A i s EL ._aQ.o o FINISH GRADE 7 8 - O FINISH GRADE OVER FINISH GRADE OVER O VEP TN`N0 't-IE ••o 'oe•• DIST. BOX "i ��_ � • .a SEPTIC TANK` o is o•••a .D0 o.o A Ao Rrwr�.a,p� 12" MAX. Tix�Yll�CRY7Tfi� ��CCTlr 'r��T�17 4 °6 Q'o.Q.• e, • .•. d.•e•.A�y;a'::Q.e'•D•_o,ocl'P•y.Op..d•• •v. y•. 3 a 0.0% . 3„ OUTLET PIPE LEVEL TOTAL LENGTH OF TRENCH =:�5'- " FOR 2 FT. MIN. 4••too0 :'R ;� of°. . . : ®.- .:. •.D..;.. .•e :a• .:a: .,, . •.o A. b b.. o 0 D•. r7.00 EEd p' e.:v:.:.e:.Q•:b':'.�:e,' 0°• 09bCAP END � C. I. OR PVC TEES .�j �4.53 -T�4 .71n +� g ® a a ado a . p obo 000 .p p•.p,p: i• b., ° 1500 GALLON o. .. 7, �/TION BOX e 'a o EL . 7 3• Of) o v o 9 INSTALL ON LEVEL BASE rr5® GA L L ON OR YWi..d�,�" o.. ° L S rr N clu PRECA S T CONCRETE C. t�z D. L1. :s -0 � H— I0 REINFORCED ° 0 jv �w `•o v`.bQo.'o b'�pr 04: o.b•:V'o eQ'►.p.�QP„o;oD��,o4�.0�7a4: L07 6G SEPTIC TANK p TPEf ,' SEC TION INSTALL ON LEVEL BASE ! NOTE: EXCA VA TE TO EL EV V. OR LOWER TO REMOVE ALL IMPERVIOUS ' l o MA TERIA L BENEA TH THE L EA CHING AREA 4" DIAM. 12" MIN. f REPLACE EXCA VA TED MA TERIA L WITH o. ,.'} 3 OF ?/t3 —1/2 qG ���, cam.• . � .o.e:c5.•;p• .v o.•Do•p b••b .b';'e-• CL EA N, CL A Y FREE SAND �� o �..p :ry o .o WA SHED PEA S TONE F— — -. x���LNG „ — •r— ., ,= WASHED o d Mu 01 i- �U�b 13 5 CRUSHED STONE a � luI I �' • �J o i � v GENEPA ' NCB'TES '— Ti=BENCH WIDTH ,`o 1. AL L EL EVA TIONS SHOWN ARE BASED Oh,' ASSUAIED NUMBER OF TRENCHES 1 2. A.L L PIPES IN T ,'G' t�Fir r_F4,,^ 4 f /S T BE Z 3 T 1PON NUMBER OF DRYWEL L S 3 OR SCHEDULE 40 PVC. " r r '- N �ra� 0 SE 1A TI L end r,_ I .o� 3. THE BOARD OF t.(IAL TH MUS 7' 3E NO TIFIED P-92.5 a WHEN CONSTRUCTION IS COMPL ETE PRIOR _" n a�r NI PERCOL A TION RA TE.- ^� p TO BA CKFIL L ING II Z _._ m 18•. � •,�� - t 4. ANY CHANGES IN THIS PLAN <✓ MIN./IN. 4N MUST B APPROVED �00 "'�', —,.-IZ BY THE BOA R0 0,,:" HEAL TH AND CAPE b' ISLANDS WITNESSED BY. �i' "' •�� � J' �' __ _ - SURVEYING CO.. INC. GERR Y DUNNING a- / Li) 5. MA TERIA L S A ND INS TA L L A TION 5—//,L.L BE IN �+ \,�/� N COMPL LA NCE WI T,f THE S TA TE SA NI TA R Y BA RNS TA BL FBRD. OF HEM a L Tf-o' DE,�'I d 7N DA T, �a DATE.• OCT. 5, 199z. Z) CODE — TITLE k — AND LOCAL APPLICABLE — — — — — — Q � �D��J• - -____ ---- - ____-- __.__-- -t O AUL ES AND AEGG'A TIONS TEST rrT 1 :� Y `- NUMBER, OF BEDROOMS 4 U) 6. NORTH ARROW 15 FROM RECORD PLANS AND o vW o '— -, - ------ -- o� I GA RBA GE DST SPOSA L NO IS NOT TO BE USED FOR SOLAR PURPOSES L 0iNm I oye 7/Z. _i�t�M r i 7. .FLOOD HAZARD Z.7NE C (NON-HAZARDS �" �" --- DA IL Y FL ON 440 GAL . -- �� TOWN WA TER ?500 GAL . 8. WA TER SUPPLY 1500— Lon�ti' SEPTIC �N� REO D. GAL . � SEPTIC AN PRO VIDED o 440 GPD LEACHING REOUIRED i LO-T SIDEWALL AREA = 186 S. F, 186 0. 74 — -37 S. F. X G/S. F. — GF'D. l _I N F�a r t BOTTOM AREA = 441 S. F. cyg � �+ -'� L EGEd�{.! <. e,j© 4413. F. X 0. 74G/S. F. = 325 GPO w i " No tzouNDWQuEz r �GUNr�w���12 LEACHING PROVIDED = A63 GPD PF OPOSED EL EVA TION i 2G t44Nc �- ;r� _ I �; E ISTING CONTOUR SINGLE FAMIL Y RESIDENCE tt 0 I ® 05SER VA TION PIT 3 ® D.I S TRIBUTION BOX , PROPO, D SEWAGE DISPOSA�. PREPARED FOR f j p o O SE PTIC TANK W 2 a � CHA RL ES SNOW N �6 10 r 307 LOT 55 SANTUI T ROACJ ,o �� w N —.—� R`,SE / �E AREA .r - Av S` PNS TA BL E' CO TUI T MA SS. (off 7S.Cx� PIPE INVERT ELEVATION �.- u 6 a> j D, TF' bEC•_ �'�i , g CAPE 6 ISLAND.5 ENGINEEPING LO -T 54 PLOT PLAN L ' / �'�'A a E A S NO TED 133 FA L MOUTH ROAD — SUI rL 2E SCALE.•, 1 "� 30 C'-co �, L. ,,' N NO n cam, MA SHPEE, MA SS. �'�P SEC PCL LOT HS � u.�.:..�-�,. � L r�-r_��-�---�.� _.-- _._ _ 60