Loading...
HomeMy WebLinkAbout0119 SHELL LANE //9 �/�/ / L �„� � � Town of Barnstable Building Post'This Card So That it1s Uisible`From'the Street App ed Plans Must be Retained on°Job and;this Ga�dxMust be Kepi M1w riwiuvsrwei�e - n "" Posted Until}Final-Inspection Has'Been Madez _ a F r +ba « Permit =i _ ,.. Mxt Where a Certificate ccupanc s of Oyas Required such Build shall!Not'be:Occup�ed untiLa Final Inspection has been made - - Permit NO. B-18-2351 Applicant Name: RetroFit Insulation Approvals Date Issued: 08/10/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/10/2019 Foundation: Location: 119 SHELL LANE,COTUIT Map/Lot 019-101-002 Zoning District: RF Sheathing: 171 Owner on Record: MANNING, MICHAEL T&MARY A ( �Coritractor Name",RETROFIT INSULATION, INC. Framing: 1 Address: PO BOX 1410 Contractor`License 160461 2 COTUIT, MA 02635 4 r Est Project Cost: $5,033.00 Chimney: Description: 8" layer cellulose.open attic, Install 2" rigid board kneewali area, Permit Fee: $85.00 Insulate and seal kneewall hatch,create temporary access,Propa 4 Insulation: 4 a Fee Paid: $85.00 Vents,Install 2" rigid board to kneewall area,;air sealing, Install 2" Final rigid board to common wall area Date. . 8/10/2018 i,- ` Project Review Req: Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: - Rough Gas: f q - k-- - �� Final Gas: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents`,or which`this permit has been granted. x- 1 � Electrical All construction,alterations and changes of use of any building and structures`shall be;in compliance with the local zoning by laws and codes. 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 Service: work until the completion of the same. . - Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) All Health 6.Insulation 7.Final Inspection before Occupancy �t�/ Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: ' "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Town of BarnstableBuilding RQU � � rY t%This Card So Thai it is VisiblBAMSU e FromSthe Street Appraued Plans Musi tie Retained on Job and#his Card Must be Kept9 M" ted Until Final Inspecti'on�Has'Been Made '� ? � i =4�w :, .. :;, .:. .. .,, �,� P : i p y�m R here, t be:Occu ied until a ftnallns eetionhas been mae 1 �i jjj�� �7w ., ... ,.. p� .p.-_,.. Permit No. B-18-937 Applicant Name: RETROFIT INSULATION,INC. Approvals Date Issued: 04/04/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/04/2018 Foundation: Location: 119 SHELL LANE,COTUIT Map/Lot 019-101 002 Zoning District: RF Sheathing: Owner on Record: MANNING, MICHAEL T&MARY A ; onfractor Name :RETROFIT INSULATION, INC. Framing: 1 Address: PO BOX 1410 Contract r License ,160461 2 COTUIT, MA 02635 = EstFF ProiePt Cost: $5,680.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Signed installers certificate required to;close permit` Fee Paitl.- $85.00 Date 4/4/2018 Final: { It Plumbing/Gas r Y Al. 11 Rough Plumbing: Building Official Final Plumbing: ' Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzed bysthis permit is commenced within sixxj o"' s after"issuance. g All work authorized by this permit shall conform to the approved application and the approved construction documents 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 zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or oad and shall be maintained open for public inspe-i for the entire duration of the � nsc � e � work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by Aellpuilding and"F re Offi IC als are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing a T g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health 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. Final; "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNSTABLE - � AS1 Map Parcel TO Application #/� Health Division jG I I Vi R 3 M 7; 4 q Date Issued q Conservation Division Application Fee Planning Dept. Permit Fee ?l�a`a„ fir Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address L"I w t D d. C 31 Village �y Owner �'► Ae,t 10.A Address Telephone &bk / a. 0 AA o C a y Jr 6.1 Permit Request A.,Q / Ce, l I J I Ds,— O/J��✓ f1'1 ?i L C2)„2 Y R 6 �o l��.c}i� t�n►ec�.�� C `fD 1026P.4 (/L'A,4CCd 02tt Of 61.9 A34r ICAv2GcuA ��( AAAe c U.A-�'� �'c%,oi/ itic ��� Z �� /Z� G �� ds�•�i� ��� C� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor 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 _ (BUILDER OR HOMEOWNER) Name �� ���, ZPek-rc*1 f— Telephone Number d-6,4- L(.3 Address Q-U. U,( u o A License# S'u V Ie nA__ V\AA von 7 Home Improvement Contractor# A0 y t Email J Oe Q_4 L q `r 7�!i✓'')4i I . a/Y\ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �✓.� G ,✓ r .�f i SIGNATURE ..G DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents a 1 Congress Street, Suite 100 Boston, MA 02114-2017 ' www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. AauGcant Information Please Print Le0bly Name (Business/Organization/Individual):RetrOFit Insulation Address:PO Box 105 City/State/Zip:Seekonk, MA 02771 Phone#:508-989-6436 Are you an employer?Check the appropriate box: Type Of project(required): l.a I am a employer with 10 employees(full and/or part-time).• 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in ❑ 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.D I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I L❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.C:]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp:insurance.t p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ OtherWeatherization 152,§1(4),and we have no employees.,[No workers'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. TContractors 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:STAR Ins. - Policy#or Self-ins.Lic.#:V9WC802160 Expiration Date:8/2/18• Job Site Address:119 Shell Lane City/State/Zip:Cotuit, MA 02635 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under aims and penalties of perjury that the information provided above is true and correct. Signature: / Date: I2,J lam. Phone#:508-989-6 36 Official use only. Do t wrid in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: * of Town of Barnstable Aga► ,,� � `� �' " Regulatory Services BiitNSTL Richard V. Scali,Director MA5S6 � . Building Division Paul Roma Building Commissioner ' 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, MICHAEL T MANNING , as Owner of the subject property hereby authorize �- ��,�f jN f LJ c fi 0,,J to act on my behalf, in all matters relative to work authorized by this building permit application for: 119 Shell Lane Cotuit, MA 02635 (Address of Job) 3hJh� Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form. C:\Users\decollik\AppData\Local\Microsoft\Wmdows\INetCache\Content.Outlook\L7U69LF2\EXPRESS(2).doc 01/25/17 �{ lim ^` WK t �µ � v �vis� s�r PrrS# r�s f �: nerd"'Of. ul9� g Regu �nts a " tn�rds C3t]$�TI/G 1C3� � R 77 :f T'tit F r r .k38PN d RL��i. fir, f i3 SOX 406 & A �u i ✓ OMMISS"iott ,ram* "r�a7sygi°t"< . - 1a q v� wpm- ^mac f � 04 bsx t re "fi f. - L A i /Y• 3 t, � =r r van s � ^ rrx.... y` 1. s'°ia;"FF^`",.x. y�_,k' S,I o, i" ''Y"S"+T t"' n,^. - 'P" $ ' �' _ a wf r � v yr z 4 ! r L�` �R^t r.2,., fi � F Cy d ^''3 i .. yam. z a r �i� ? a I _ - - P r 3 b ,r P^ ._ h f fConmimer Q. a a st� .ta,k s ,r'' * ,a r ,., d }c 4 � y� * �, t ., ' � a 11 . . r , e . 1_ ?Im" , -A O!" t 1. it Y , f % r� F' '{ REIL ' rj 'F Fan � a r, E .M q"�x - ��lid.iJyVI�J� 11 QG +� 4a + V d" � i1ill�t,M ".`fEto -` 4t11" _g � YY,Y ,i ��Pik 8" .. :; ,b �, !� "I I qz� W. Ty1. �, ¢ .a xa yyyy '.. a 2 p. sklk:Kf, 6,r g ,r„ $�A,1 i2,2 C911 i a �¢ r a � a * 3 a t - j ` F rag 2 p' :: � y Y- Y r 2 . 1 t �a -:' ,w <, r�.b �' ` ..yr.� 4E'% r c a i' ^ �.,�, n a .. s c ° �yy�y�e �y► y{ y 4 '4 k a e .. a'^ m e 5' �` �` gar w'"° s s 3,},�as u y as ke by r ,�t�Q a ��°(,`� ,� a x - $� ¢? 7Tym -a .a Yt 1. k n w, r 1' v �.r`Z y. .9 a 3 - a s`a 5 e 3 f �X,4, „�.r. ", z x y , _ .10 ., t � � 's'y .#�, r a 1,�•�%j �wt1"a'Y C z}�c� �,t�s ;r 0 � -�' � rrt.�f ik•��s4'"�y f,a t� .r,_q'Y.� ,'� s�� r. ��'�' �• < a �I z r :_'IOU lta' y w`,4t� .�'� s. w' n"r T '� 'r a�" a a ; x�„ .: ,�, <a' .s �' ^.. 11� � 3 K 11 r tY � . 3 Y& is' +fl M �'d Nyf't ` FLZ?' rrr � �,,�'f �'� t '�, lffG� sa 3mb, ,# X.'�``"'dr: kb k:. s'^t$'.' $4: �, H ,a-� £fyd> .faSK:a�iz"5'- {� v 3 �y�_.€ ash Lrh. .YNOW u ,' °'''' ,r< : p a,� i Tgowk ,e,F.i % / �f/y y rf�f �.��, f fk"�n..}Yf,r rr..:, f..�� 'slrb, ..f s. � .� , €ts/ �pY`k a �° S' ;- i� r �}y �yfN /� :lyf ,s' jf/r Yam'rn/l W as: '�i : ��2t5; 3 ,f 1�fjA €33 `' '3 .S f 5 3 y E }3 €fd�La _ 'r�s`Pda € z��'I q(Y Bb �3 Y S �. l , 3§dY �s7'. Bx �3F✓i .s"+ 5i, +"3�f.D F K .yW V ' } gas g "a5 �. 1 # f it f / � a��h'r '�''"P "��'. r 2a / a uy '$ rox Y ! 5 .c/ ra s f/a t j , ,,, ,, r 12 .%''4 x nb,catau � a xr A �,. ? ya �` x !3 wl y t a •,.. �i11 P , 5 xx r , gU , x . . � 'un._ Y -'�j ' ti r , 3., } ) ; q y b � , ' p -- :' qq .e a u . 3 -i '�C t:, .. r ter..:, ,:'.? - fr hY s, y. .: ,. .n n 3•.n- wz -. -x'.. s Y •,q 4� a G .... �. ..:' ... �, Z. n Pon, .: r.. .. ,.,,a. ,.-. J 9 A E $ �' of Y.f yso R/.-S :. :'F 'i, .in •• 't' ., ., ,. .� ,d N.' -' .: : a l�A'C is ,' r .`: a": y,. 4 r. �, a ,:, " f w RETRINS-01 DCARVALHO .ClCC7RD DATE(MMIDD/YYYY) ,,,...= CERTIFICATE OF LIABILITY INSURANCE o7127/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, .EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT Diane Carvalho NAME: HUB International New England PHONE FAX 222 Milliken Boulevard (A/C,No,Ext): (A/C,No): Fall River,MA 02721 A DRlEss:diane.carvalho@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company of South Carolina 19259 INSURED INSURER B:National.Liability&Fire Insurance Company 20052 RetroFit Insulation,Inc. INSURER C: PO BOX 105 INSURER D: Seekonk,MA 02771 ° • INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSLT R TYPE OF INSURANCE ?DDL SUBR POLICY NUMBER MOLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX�OCCUR S 2187653 , 08115/2017 08/15/2018 DAMAGE TO RENTED '00,000 PREMISES(Ea occurrence) $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0 JE LOC PRODUCTS-COMPlOP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO A 9100182 08/11/2017 08/11/2018 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILYBODILY INJURY Per accident $ X AUTOS ONLY X A�OS ONLY Perr a cRident DAMAGE $ r $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE S 2187653 08/15/2017 08/15/2018 AGGREGATE $ 1,000,000 DEC) RETENTION$ $ - B AND EMPLO ERS'LIABILIITNY Y/N STATUTE IRH ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 9WC602160 08/02/2017 08/02/2018 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE EA EMPLOYE $ 1,000,000 If yes.describe under 1,OOQ000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE A E HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid Sylvan Road ACCORDANCE WITH THE POLICY PROVISIONS. 02451 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD L• _ _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # ' (P O Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee ? ?• Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis _ r Project Street Address 1 �_ t�- Village Owner M& ffiam Ack Address eSCA.rv1 ee Telephone U7� Permit Request 1 �pp. Jz"1141-V %StwN Square feet: 1 st floor: existing 1,tcOproposed 2nd floor: existing, proposed AJA Total new A- Zoning District Flood Plain Groundwater Overlay Project Valuation ""Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 1 �.. --� Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: �0 Yes 0 No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑-new side_ 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# ``�` rn Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name <<� �-�- y� Telephone Number Addres --License #C,, ` Home Improvement.Contractor# :'.Emai ., a�d`� Worker's Compensation # 1 - - ALL CONSTRUCTIO EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �I 7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ® J INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts -Department of Public Safety _ Board of Building Regulations ulations and Standards ~ Construction Supervisor License: CS-0782M r Affairs and. usmess Regulation RobertW Cronin 'rk Plaza - Suite 5170 212 North WashWito Norton MA 02769 , Massacbusetts 02116 ` ment C�1� trctor Registration 'I I" Expiration , "n} Registration: 137140 Commissioner 08/01/2016 T s ype: DBA ' f. Expiration: 10/10/2016 Tr# 259389 R.W.C. CO. ROBERT CRONIN 212 N. WASHINGTON ST. � --- NORTON, MA 02766 ' Update Address and return card.Mark reason for change. (� Address ❑ Renewal r 1, Employment 1—� Lost Card DPS-CA1 0 5OM-04/04-G101216 T'~ -T�e �ammw�zuea o�✓�aaaac/xscaeCla Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:.f•137140 Type: Office of Consumer Affairs and Business Regulation Expiration: _W10/2016 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 { R. .C.CO. {; ROBERT CRONIN 212 N.WASHINGTON �{s NORTON,MA 02766 Undersecretary Not valid without signature r i4638 { d T)Boise Cascade '07J Double 1-3/4" x 9-1/2" VERSA-LAMS 2.0 3100 SP Floor Beam\F1301 Dry 1 span No cantilevers 1 0/12 slope April 5, 2016 07:02:06 BC CALC®Design Report Build 4516 File Name: Cotuit.Job.bcc Job Name: Description: Designs\FBO1 Address: 119 Shell Lane 'Specifier: DS City, State,Zip:Cotuit, MA Designer: Customer: RWC Woodworking Company: Cape Cod Lumber Code reports: ESR-1040 Misc: 3 1 1 l I I I I I d ! I ! { 1 I l i 6 _ I i i i i ! h j t ( ! l 2 I i j i i l j 1 1 ? I # i i i i i i I { I T I I 'i i BO 10-06-00 Bi Total Horizontal Product Length= 10-06-00 Reaction Summary(Down/Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3" 3,150/0 1,442/0 B1, 3" 3,150/0 1,442/0 - Live Dead Snow wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 2nd floor Unf.Area(lb/ft^2) L 00-00-00 10-06-00 40 10 10-00-00 2 attic Unf. Area(Ib/ft^2) L 00-00-00 10-06-00 20 10 10-00-00 3 wall Unf. Lin. (lb/ft) L 00-00-00 10-06-00 65 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 11,208 ft-Ibs 80.3% 100% 1 05-03-00 End Shear 3,681 Ibs 58.3% 100% 1 01-00-08 Total Load Dell. U294 (0.414") 81.7% n/a 1 05-03-00 Live Load Defl. U428 (0.284") 84.1% n/a 2 05-03-00 Max Defl. 0.414" 41.4% n/a 1 05-03-00 Span/Depth 12.8 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3"x 3-1/2" 4,592 Ibs 60.3% 58.3% Spruce Pine Fir B1 Post 3"x 3-1/2" 4,592 Ibs 60.3% 58.3% Spruce Pine Fir Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Fastener Manufacturer.Simpson Strong-Tie, Inc. ' Page 1 of 2 BolseCascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam\F1301 BC CALC®Design Report Dry 1 span No cantilevers 1 0/12 slope April 5,2016 07:02:06 Build 4516 File Name: Cotuit Job.bcc Job Name: Description: Designs\FB01 Address: 119 Shell Lane Specifier: DS City, State,Zip:Cotuit, MA Designer: Customer: RWC Woodworking Company: Cape Cod Lumber Code reports: ESR-1040 Misc: Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on a I output as evidence of suitability for I • • • particular application.Output here based j c on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered : wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum= 1-1/2"c=6-1/2" (800)232-0788 before installation. b minimum =6" d=24" e minimum = 1" BC CALC®,BC FRAMER@,AJS-, ALLJOISTO,BC RIM BOARDTM,BCI@, BOISE GLULAMTM^ SIMPLE FRAMING Calculated Side Load=800.0 Ib/ft SYSTEM®,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Install Screws with screw heads in the loaded ply. VERSA-STRAND@,VERSA-STUD@ are Connectors are: SDW22338 trademarks of Boise Cascade Wood Products L.L.C. Christine Cronin From: Christine Cronin <cronin212@comcast.net> Sent: Tuesday,April 5, 2016 10:32 AM To: 'dspears@ccico.com' Subject: RE:Cotuit job. Thank you. From: Don Spears [mailto:dspears@ccico.com] Sent:Tuesday,April 5, 2016 7:03 AM To: 'Christine Cronin'<cronin212@comcast.net> Subject: RE: Cotuit job Here you go. From: Christine Cronin Finailto:cronin212(5)comcast.net] Sent: Monday, April 4, 2016 4:14 PM To: dspears@ccico.com Subject: RE: Cotuit job Hi Don, Could you address this document to RWC Woodworking Co. Project address 119 Shell lane Cotuit Ma. They are getting tougher and tougher... Thank you. Bob From: Don Spears [mailto:dspears@ccico.com] Sent: Monday,April 4, 2016 3:32 PM To:cronin212@comcast.net Subject:Cotuit job Hi Bob, A(2) ply 9-1/2" LVL will work. I assumed some attic load as well Thanks, Don Don Spears Manager-Engineering& Estimating Cape Cod Lumber 225 Groveland Street Abington, MA 02351 (781)261-7186 1 ,etc o CERTIFICATE OF LIABILITY INSURANCE �TE(MM/DDIYYYY) 41: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IkWkER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - NAME: Rene Arau o Durcan-Cuddy Insurance Agy, In PHONE FAX 508 699-7007 No): (508) 809-6334 5 Man Mar Drive ADPIEDRESS: rarau•o@durcan-cudd .con Plainville, MA 02762 INSURE S AFFORDING COVERAGE NAIC# INSURER A:Travelers INSURED INSURERB:The Travelers Robert W Cronin dba INSURERC: RWC CO INSURER D: 212 North Washington Street INSURER E: Norton, MA 02766 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I ADDL SUBR POLICY EFF POUCY EXP_ LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/Y MM/DLYYYYY LIMITS A GENERAL LIABILITY I68073E56844A 2/27/16 2/27/17 EACHOCCURRENCE $ 1 000.*-00'0 XCOMMERCIAL GENERALLIAB W DAMAGE TO RENTED TY PREMISES a $ 3001 O00 CLAIMS-MADE I—XI OOCUR ME EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 OOO O00 GEN'LAGGREGATELIMITAPPLIESPER PRODUCTS-OOMP/OPAGG $- 2,000,000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY I680-3E56844A 2/27/16 2/27/17 COMBINED mSI GL LLIMIT(Ea $ 1,00 OOO ANYAUTO BODILY INJURY(Per person) $ AULOWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIREDAUTOS $ X AUTOS eranInt UMBRELLA LIAB OOCUR EACH OCCURRENCE $ EXCESS I CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION ,7p$-2EO6O21-5-14 3/4/16 3/4/17 WCSTATU- X OTH- ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTNE � E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? " n NIA A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 50O,000 Ifyyes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER ` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Dennis ACCORDANCE WITH THE POLICY PROVISIONS. Dennis, MA AUTHORIZED REPRESENTATIVE Rene Araujo ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: YToo.hn.. Clod_. v�o p ii'•A' pr , t 1 V•a i r 1 r Worm uTM w. t' ' •l. ttt �' �Ktrcktt`t Jt: .._,. ;....1...., a� f 01 si ld•o• � � is,a. � a i i `� i y 1 ���� ..\'rAWAuC• i!O 5' 4" q''6 '' �.G. 4•41•.�I`,..� 'g' �•a �•" { 1, `'•/a •, °•p•,. um•GP 6" ' M¢•E..' who.yE eRws6�a.+!,t 1 �� iN �; W4U.' i pypers.aaa. f q <<'1ustam esigns All Rn)AI• r- Ma;TER ct,iTt v'•. a ..,8.. ... ..,..._,_.... — - ,�:li0p!.01a•.. f - ; It•q'NNN CA. N 4'•>;" aq•. 4p I+p' Gd.4' `6 A'w' • . _ at;d � v.v ,• _ •,t,•,�,• ®tar. •.. ... Yo• ? gear. ; ,.,�, j .. .. , 1 � AAOI It, 4 • •►s, _ !6 t raw°' :d...r �'� i • 1. �1 b , d 11 I !its to_ 4,1'la,..,.i. ',qd:.a,111• ���,��y \ ;• t t 1 ' .•?w!+ +tom•.. No: b�. a• f-lW 1'4 V.or,- 9s'1��`� $;' s Ow Akmft�.— , �IwiySlip,tur>aea►�•� � ' �' ��.�...,_ ....._ t1'7 •{ .(r�;. V ; le - 17 signs An RaM.f, �^ '�;• 08 ti `� ram•„a F,. y�"� {.,,, ;- E' iU i,' •� 1 l 1 ' t. ���tF •. `w � • � r t 1 N w f „'.: ...,. :-� ,,r ..�...... .K,,.,.ck;: �r, <.��-:__.x_..-��� .•r�... .4w��, ef.e.-...w ��.t......�.r Wt+a ,. .. .- ,. _, a• �.7 �' . Y I ' a � U N (A Q O Mar Z 't3� W2433R O N f i d CO O RA ISH PAABF RWPDE �? d N t7 fV ' t _ ... - 44.)REM na �� m 101 } a pp 0 1' tr3trJ O o o �� �i _ I 4 CPL N a ;WA1WS05 AINS05. t 4 Z Point r :. O t7 o l t0 : N N C \ it yy ••t•. •sa a•••.a•••••••a•• ala NbeN•N Rt H................a ,8 All . . 0�1 d¢ PCON ASW A p u61sa© cUeld p UOMIGo f; s • • pe•esree••sse•seeeeewse•swss�speat�gssseeeaess•essuaa•eae•! Ile Com.,nonfvealtli o -Vassaclrusetts Departintvit of rndrsstrial Accidents -- @},ice o,f.Imwstigaiions r r 600 Wash€region met Boston,MA#ZIII . 1VII)I mass gorldia Workers' CQffipensafian Insurance Affidavit:Bu ilder-s/ContractorslEIectricianslPlumhers' Applicant Infolrmaf GU Please Print E,m- 'bIv Name Address_ Cityfsta& Phone ik- Are you an employer?Check the appropriate box; Type of project(required}: I.❑ I am a employer with 4. Jg I am a general contractor and I employees(full anc1J`oryart-time). * '-'have hired the sub-contractors 6. Q New construction am a sole pmpnetor or partner listed on the attached sheet. 7_ ❑Remodeling These sub-cofactors have ship and have no employees. $_ E]Demolition . woti:ing forme in any capacity. employees and Imewo&.ers- # 9. ❑Building addition I� [No tLrodmm'Comp_imuntrire comp.msurarrrp required-] 5. ❑ We are a corporation,and its 10.❑Elechical repairs or additions 3.❑ I am a homeowner doing all work - officers haveexercised their 1L❑Plumbing repi irs or additions myself:[No wockers'comp- right of exemption per MGL 12.❑Roofrepaim insurance required-]]i c.152,§l(4X and we have no employees.[No words' a El Other . comp_insurance required_] *Amy applic=datchedm box 9l most a]sofMont the swfEoaberowshnuiagtbeaworicexecampeasatinvpolkyiafo=HM3. 1 Homeowners who submit dm affidavit hu&cxdng tiwy are doing all we*and d=bite outside contractors van submit a new affidavit indicating such. fCauaaciors*9 check tbfz bax mast attached an sdditiaoal sheet shozing the none of the sub-cam v-tm3 and state whether or not Those entities bane employees.I€thesob-caatcactnts have employee%dLeynntst provide&Eft workers'comp.pormynumber- lam an elnpioyer float isprmnidbrg workers'comgrensrrhon insuraure jbr my eniplol em ,Below is the policy'and jab site informations Insurance Company Name:1�Ifirck 'el AA V Pofi 4e or Self--ies.Lic.;k Expiration Date:Job Site Addtesm ) SJ O } + City/State)7.tp: /(�d/Itl�n 114 Attach a copy of the workers'com.pensationpolicy declaration page(showing the policy number.and expiration date). . Failure to sects coverage as requiredunder Se-etioa 25A of MGL c-15Z can lead to the imspositioa of criminal penalties of a fine up to$1,50a UU and 1dr one-year imprisonnmA as wren as chril penalties.in the fozm of a STOP WORK ORDER and a fime of up to$250-00 a day against the violator_ Be advised that a copy of thin slatemed may be forwarded to the Office of InvesEigafims.ofthe DIA for insurance coverage verificadom Ida hereby c 'a the ' s an awes oj'Fetjury that the informadvaprm � bare and correct Sionture: Date: 7 Phone ik ( 1022 afxcial use only. Do not write in this area,&be completed by ciip ortotcn o f iciat City or Town: PermiffAcense 9 Issuing.Amthority(dude one): , L Board of Health r.Buil fing Department 3.( ytl'own Clerk d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Tastrucfioris' Massacb=s ffs Geheral Laws chapter 152 requires all employees to provide woes'compensation for their employees_ , P=UanttO this stator,an employee is defined as.`-.every person in.the service of another under any contract of hue, " express or implied,oral or wrfftm" An esrTloyer is defined as"an individual,partnership,association,corporafion or other legal entity,or any two or more of the foregoing engaged,in a joint entmprise,and incTn�the legal sepL eu atives of a deceased employes,or the receiver or trustee of an indxvidnat,partnership,association or other legal entity,employing employees. However the owner of a dweIImg house having not more than three aparfinerds and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,constr=tion or repair work on such dweIling house or on the grounds or building appu�thereto shall not be:canse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every sf lL-or local licensing agency shall withhold ffie issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applir ntwho has not produced acceptable evidence of cdmpHanm with the insurance.coverage require(L" Additionally.MGL chapter 152,§25C(7)stars"Neither, the commgnwealth not suy ofits political subdivisions shall enter into any contract for the perfonaance ofpubhc work until acceptable evidence of compliance with the insure ce. requi,-Q,,;euts of this chapter have,&=presenfedto the contracting as iority." Applicants , Please fH o-ot the workers'compensation affidavit completely,by checking the boxes mat apply to your situation and,if necessary,supply sob-contractor(s)name(s), addresses)and phone nnnber(s) along with their certificates)of insrn-a„cB. Limited Liability Companies(LLC)or Limited LiabEity Partnerships(LU)withno employees other than the members or partners,are not required to cagy workers' compensation insurance If an LLC or LLP does have employees, apolicy isregniled. Be advised that this a$dayitmaybe enhmitt--rT to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date;1Ze affidavit The affidavit should be retn=d to the city or town that the application for the peunit or license is being requested,not the Department of hadmst dal A=dw:t6-. Should you have any guesaans regardmg the law or if you are required to obtain a workers' compensation policy,please call the Department at the n=bea listed beIow. Self-insured companies should enter their self-i st: ce 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 fll out in the event the Office of Investigations has to contact you regaz ding the applicant- ?lease be sure to fM in the peumitllicense mz<nber which will be used as a reference mmmber. la addition,au applicant that must submit multiple pennitllicense applit:s fans m a�given year,need only submit one affidavit indicating current policy i foa zatlon(if necessary)and under"Job Site Address"the applicant should orate"all locations in (city or town)_"A copy ofthe.affidae that has been officially stamped or madred bythe city or gown may be provided to the ' applicant as proof that a valid affidavit is on file for future peum#s or licenses- A new affidavit must be filled out each year.'Where a home owner or citizen is obt Eniag a license or permit not related to any business or commercial venture Cie. a dog license or permit to bum leaves etc.)said person is NOT regoaed to complete this affidavit The Office of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do not hestEfe to give us a call. The Departmenfs address,telephone and fax nmmber: Thu aMan ala of MRSMCChn f� tb, , Depatraent of ladustiak Agents - Bwto-u,MA EMI 11 Tf,-L A 617 727-49W CMt 4-06 or I-&77 MA S,SAF , Fax#617 727 7749 Revised 4-24-07 gwldia • of"MET� Town of Barnstable Regulatory Services !! 0 ' 4t'i!'117LTlRr} s639� ti� $II71& lg DIYISIOIl . `romrerrp,Buaffa,Commoner 200 Main Street Hyannis,MA 02601 WWW towbarasEabIama_us Office: 506-862-4-038 Fzx: 508-790-6230 Properly Owner Must Complete and Sign This Section If Us ing-A Builder �0,4f ✓� ,as Owner of the subject propezty bemlayazzthauze �fJy`t � �� ,-� f to act on. _ b . in all mattes relatiVM to work authorized byt L burg permit aPPlic a for. . (Address of Job) Pool fences and alatms are the respons'bflrtyof the applicant Pools are not to be Med or utrl d before fence is installed and all final " inspections-are performed and accepted e Owaer S a ate*?of 4pTic= G Pzint Name Priat Name 3�7 Date QFa�� oars - Town of Barnstable Regdatory Services Bicliard V.Sufi,Director BuTdmg bivi xt. t Tom P=T,DwI nag Commissioner MM .ate 200 Mau Sty Hyaunic�MA a2601 Officer.- 508-962.4038 Fmc 509-790-6230 • Hon�owt,�s� ox . •P�zsePcmt I?ATE: 3 �' JOB LOCAnM-- / L -phr n,# wadcphc# CURRENT MAILING ADDRESS: / .l L/l s� Zip wda Rirmnt exezapfion for`$om.eowne 'was a ndedto include owncr-oa�ied dweIImgs of six�s or less and io aaw Tbc r homeowners to engage an iudxvidnal for hirewho does notpossess a license;%oyided that�c awnes arts as s�eryisoz DmIM[ LOII ORH011,07MM P=on(s)who owns a parcel of land on which helsha resides or int—A to reside,do which th=is, ' is intended to be,a ane ar tWo- famIIy dwelling, stN ch td or detached stactnres accemory to such use and/or farm stu fm-es- A person who coast acts zo=than ono home a a twc-year period shall natbe=3ddrre:d.ahM3: o* n= Such` =a wnee.shaR submitto Ibz Bm7dmg Official on a farm ac:=ptable to the Building OfiiGial,that helshe shah be r�aonsibla for Q=ch wozicperfr¢med zm&rr'6m bmZdmg permit (Section 109.L1) The muicnigazff`honaeownet'awes respaumli1dy for compliance Wi htbz State B= mg Code and otfier applicable codes, bylaws rules=A rcg*Tt ims _ no undersigned`homcownee comes t hthelshe undcatMds Ihd Town ofBmmsiabje Bmildmg DePartrncnt zuinfm=mspeCon proc &===,dements and f3at he/she will comply with said procc(hr=and regah=cnis. " Si ofSomcx�-� •�--..�-� " ApprurZ ofBm7dmg0ffrdal - • Not-: Three famay ciwanings containing 35,000 cubic feet or latgrr wMbe reqaiedto comply wi&ffij State Bmbg Code Section 1'27.0 Cozistrac" =Ca atraL HDIMW EX'S MUMOMN The Code states that `Any hamedwner performing work for which a buzT permit is rewired shaII be exempt from the pravisions of this secfinn(Section 109AA-I.icensmg of cons rac ion;Supervisors),provided that if the homeowner engages a person(;)for hire to do such worlr,that sack Homeowner shall act as snap ervfsor2* Many Homeowners who use ffiis exempfmn are unaware•ffiat they are amum3n+g the responsibUiities of a sapmzvsor C=AppenrT Q,Rules&Regalatmns for Mcwsing Constru dmn Supetvisnrs,Section 215) This lath of awareness offea results in serious problems,parficularlywhen the homeowner him miT=nsed persons. In this case,our Board cannot prod against the uxu—sed person as if woIIld with a licensed Supervisor_ The homeowner acting as Supervisor is uIfimately rwponsibI.e. To easmre•that the homeowner is fuIIg aware of hWher respoasibM es,many communif ies rewire,as past of the permit application,that the homeowner c ermy tj]at helshe understands the responsI ills of a Supervisor. On ffie last page of this isme is a form curr•endy used by,several towns. Yon may rare t acnemd and adopt such a fbrm.[c=tff=ztmn for mein your camsaunii3: - . Ro sed 061313 i �oFIKE lowti Town of Barnstable Permit# O Eipires 6 nionthsfrom issue ate Regulatory Services Fee • BARNSTABLE. v MASS. Thomas F. Geiler,Director 1639. �rFD MP'I A . Building Division Tom Perry,CBO, Building,Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma:us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION = RESIDENTIAL ONLY !! Not Valid without Red X-Press Imprint Map/parcel Number L. II � , Property Address ?Residential Value of Work C, Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name �— L .� Telephone Number Home Improvement Contractor License#(if applicable) I Z,Q 2 y Construction Supervisor's License#(if applicable) `-PRPxSS MI ❑Workman's Compensation Insurance DEC 2 9 2009 Fk one: '. am a sole.proprietor TOWN OF BARNSTABL E, ❑ I 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) �M (stripping g ) c,_S e_ k�J j l. Re-roofold shingles) All construction debris will be taken to V�uns f 000T ©le-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors. ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows: *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 copy of the Home Improvement Contractors License&Construction Supervisors License is requir SIGNATURE: QAWPFILESTORMS\ ding permit forms\EXPRESS.doc Revised 090809 t,M1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 F� wiviv.mass.gov/dia Z�s Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): S� Address: City/State/Zip: Gt h Zo7Z Phone #: ��7/ S S^� re u an employer? Check the appropriate box: Type of project(required): er with employer am a 4. ❑ I am a general contractor and I � P Y �— 6. ❑ New construction e oyees (full and/or part-time).* have hired the sub-contractors 2.. 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. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.[] 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' 13.0 Other comp. insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet 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$1,500.0.0 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 certify under th ains andpenalties ofperjury that the information provided above is trice and correct. Signature: �--� Date: Phone# 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 S. Plumbing Inspector 6. Other Contact Person: Phone#: f�^ 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, constriction 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 e 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 it is on file for future permits or licenses. A new affidavit must be filled out each applicant as proof that a valid affidav year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to bum 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 Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia r 12/22/2009 12: 11 FAX 8177267460 MGH Ca002/003 C Town of Barnstable Regulatory Services I novas F.Geller,Director Building Dion Thomas Perry,CBO Building Commie dour 200 Mein Buse!, *ennis,MA 02 I www.town.bornseabta mains Office: 508-962.4038 Fax: 508.790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder Atl✓� as 0W=of the su 'e�ce ro b'1 prop" Cj hereby audwziu ZT4 S h . �� u _ to act on my behalf, in,all mature reladve to work authorized by this b%Zding permit application for. , hc( SA 01 L.l C' (Addrm of job) zz �„ar sigpatuae of chmm Date Print dame It Property Owner is applying fbr permit.pieam eerepiete the Homeowners Lieenise Gumption Form on the reverse aide, C'WarrtdeeoAUM�pDsoilxaa�llNiarorolllWindo�\TaaA4ewY la0anet AtlaKontentOulTook�A87Ci[JSQ01®iPR8S8,doe Weed o9ot309 , Z'd wnzg E) ydesor BQ;P:)n an Don Board of Building Regue Iatio ns and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul-use only before the expiration date. If found return to: Registration�128208 Board of Building Regulations and Standards Ezpirat�onlug g g L _ 3/10/2011 Tr# 281290 One Ashburton Place Rm 1301 Type Individual ; Boston,Ma.02108 JOSEPH G.SZUM x JOSEPH SZUM ; ` 21 STRATFORD AVE 9� <« •STOUGHTON,MA 02072' � Admm�sfrator Notinlid ithouwtsign e Massachusetts- Department of'Pub lic Safety \ Board of Building Regulations and Standards Construction Supervisor License License: cs 58602 Restricted to:".00 y, ';JOSEPH G SZUM 21 STRATFORD AVE STOUGHTON,,MA 02072 Expiration: 10/21/2011 Commissioner Tr#: 6728 va TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,.Map �ot Parcel /0� ODD ,` ' ` ° Q �r7 r `' Application Uf0((03 6 Health Division Conservation Division Permit# Tax Collector Date Issued AD 4o 06 Treasurer Application Fee SD i Oo Planning Dept. Permit Fee �51 D °SID Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis f l Y ►� 101 Project Street Address // J MELL L q AI Village C d 71/ / 7- Owner In /IGE y- Aq ff k y A4AA1A1/&& Address /l q SHE g z-L 'L-iu CG 70/T Telephone Permit Request -0 4 D A ft %4 M,(L Y X 601A O V E A_ 5.AA6F TO CU,'M e ti7 H 0^9 ItA-1 1) TU F-X i EA46 o� f}2619S OF T#E E­X I S Ti4 bt 9C aAl/D di)D -1 Z d` X 1 z-' DCCI4 U F,�- N2 W ileCJd M f Square feet: 1st floor:existing proposed 33 2nd floor:existing proposed A11i4- Total new 33r Zoning District A)r:, Flood Plain C- Groundwater Overlay Project Valuation -f M-5'666 Construction Type d/0fD FL4)te Lot Size Grandfathered: ❑Yes ❑ No If yes,attach supporting documentation. Dwelling Type: Single Family l9 Two Family ❑ Multi-Family(#units) Age of Existing Structure 13 V-5 OL D Historic House: ❑Yes &No On Old King's Highway: ❑Yes @1 I�O Basement Type: ❑ Full O'CrawI ❑Walkout ❑Other `$asement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 331 Number of Baths: Full:existing oZ new Half:existing / new Number of Bedrooms: existing new Total Room Count(not including baths):existing -7 new / First Floor Room Count Heat Type and Fuel: Yb' as ❑Oil ❑Electric ❑Other Central Air: ❑Yes 3 No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes 3"No Detached garage:❑existing ❑new size Pool:❑existing ❑new size 41114 Barn:❑existing ❑new size Attached garage:1xisting ❑new size Shed:❑existing ❑new size Other: --Zoning Board of Appeals Autt rization=❑�-Appeal-#-- — _- —, --=------Recorded❑- -- - -- - _ Commercial ❑Yes UrN If o yes, site plan review# Current Use 10911neRY X&5/DAF-4/6E Proposed Use 5191n1F, BUILDER INFORMATION Name 6 fiY S/�j� !�U/LD/w6° //t/(!� Telephone Number Address P 0. g X q- License# CX-/t17E�Q V l LL-C ° /04. 0,;? d2 Home Improvement Contractor# l!3 7 F6 4CA1>! i Worker's Compensation# WCA 0073 0(a I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATUR DATE "Zo (� ti FOR OFFICIAL USE ONLY �3 r, PERMIT NO. s DATE ISSUED ' E_ MAP/PARCEL NO. i k � ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME INSULATIO1 F FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a s GAS: ROUGH FINAL s FINAL BUILDING �7 DATE CLOSED OUT r _ ASSOCIATION PLAN NO. f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE k 3�square feet x$96/sq.foot= 3.2, j-q/ x .0041= /3 3- f 3 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 9 square feet x$64/sq.foot= - x.0041= plus frombelow(if,applicable) , GARAGES(attached&detached) square feet x$32/sq,ft.= x .0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck r(ll x$30.00= - � 3o. (number) Fireplace/Chimney x$25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 ?� (plus above if applicable) Perna Fee •�Y Projcost n Rev:063004 L� °FtME�p,, Town of Barnstable Regulatory Services s i SAxNSTnBIX ' Thomas F.Geiler,Director 0,39..,p Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town..barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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 u i+W c+?per requirements. Type of Work: 9DDI QAI— /7AiW 1L 1 Rd 0 9 Estimated Cost Address of Work://� 5A_4k— 4 N. CT117- IPM. Owner's Name: M lcelq 5 L .�j-.c/,l/!,(/ 6 Date of Application: L7 Z oLe 6 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law DJob Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner- zo 3 RZa� NoDate Z21iaontractor S OR Date Owner's Signature Q:wpfiles.forms:homeaffi day Rev: 060606 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 ��M yV•�y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 11jr— btj/L�)/A.10 1/V C Address: City/State/Zip:CCIL17-0eVILLE A 6263a Phone #: � �l— /Q '/Q Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. N I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P tY• 9. ;K Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [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 affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site - information. a Q Insurance Company Name: �7 C�/y�� ��5• C� Policy#or Self-ins.Lic. #: C7�QQ:Z 37 a 9/3 Expiration Date: 011A, —7 Job Site Address:Z/f 5 6!t L L.I0VI. T_0 It City/State/Zip: 7_01 T M 13-') 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: Signature: � Dater 1n ZQ D Phone#: 77t' 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 hue, 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-contractors)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 Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia Bayside Building Inc 1/1/06-12/31/06 Certificates of Insurance Sub Contractor General Liability Workers Comp A Concrete Answer 06/28/04 06/28/0 09/27/04 08/27/0 Concrete work Accurate elevator 08/11/05 08/11/0 06/04/05 06/04/0 Elevators Airtech 11/24/04 11/24/06 09/19/04 09/27/0 Custom Copper Roofing and All Cape Garage Door 06/01/04 06/01/06 06/01/04 -06/01/06 Garage doors Aluminum Products of Cape 08/15/04 08/15/06 08/15/04 08/15/0 Storms, screens, gutters American Floors 03/04/04 03/04/0 Oak floor installation and Arne Excavating&Paving 07/14/04 07/30/0 Umb7/30/04 WC , Excavation 07/30/06 05/09/0 Assurance Excavation Inc 08/01/04 08/01/0 11/20/04 05/09/0 Excavation Res. Mgmt Res. Mgm Atlantic Kitchen and Bath 04/01✓05 04/01/0 04/01/04 04/01/0 Kitchen and Bath Cabinetry ATC Ceiling Systems 08/08/04 08/08/05 10/03/04 10/03/05 Suspended ceilings Averinos, Anthony 07/20/04 04/06/06 07/25/04 07/25/0 Tile Installation Baltic Security 05/06/04 OS/06/0 Has exemption from Alarm Installation state for worker's comp Avix, LLC 07/29/06 07/29/0 7/29/2006 7/29/2007' Stereo/audio/video Peter Barry. Frame Labor Baxter Inc 08/01/04 08/01/0 10/06/04 03/29/0 Frame Labor Baxter Nye Engineering& 08/11/05 08/11/0 08/20/04 08/20/06 Engineers Bayside Electrical Contr. 10/05/04 10/05/0 08/18/04 08/18/0 ECectrician I Sub Contractor IF General LiabilityIF Workers Comp Bortolotti Construction 03/07/04 03/07/0 03/07/04 03/07/0 Fill, loam provider Boston Closet Co 11/16/04 11/16/06 11/16/04 1.1/16/0 Custom Closet Installation Budden ,Robert W. 01/01/05 01/01/07 02/20/04 02/15/0 Oak.flooring Installation Buzzards Bay Golf Properties 04/12/05 04/12/06 07/01/05 07/01/0 Landscape, Masonry, Trees Cabral's Masonry 11/10/04 11/10/05 08/20/04 08/20/05 Mason Campbell, William 08/26/04 08/26/06 07/13/04 .07/13/06 Painter Cape Cod Closet Systems, 06/30/04 06/30/0- 06/30/04 06/30/0 Closet.Design&Installation Cape Cod Fireplace Shop 04/05/04 04/05/0 11/30/04 11/30/06 Gas log installation . Cape Golf Construction, Tom 04/22/05 04/22/0 04/11/05 04/11/06 " Excavation Carpet Barn Inc 01/01/06 O 1/O 1/0 01/01/05 O 1/01/0 Carpets Central Vacuum House 12/01/04 12/01/06 12/01/04 12/01/0 Div of EF Winslow Plumb & Central Vacuum Chaves, Robert 08/13/04 .08/13/06 12/17/04 12/17/0 Electrician Clancy, John 07/01/04 07/01/06 10/01/04 10/01/06 Mason Contractor Coastal N Counters Inc 07/1.5/04 07/15/0 07/1.5/04 05/01/0 Countertops - Costa, Christopher 01/22/04 '01/22/0 ProfLiab:5/23/04 ProfLiab:5/23/0 Omni Environmental Systems omni:2/21/04 omni:2/21/0 Engineers Coy's Brook, Inc 04/24/04 04/24/0 09/21/04 09/21/0 Landscape Creswell Siding 05/01/04 05/01/06 4/31/2004 4/31/200 Siding i f Sub Contractor. General Liability Workers Comp D & C Utilities Well drilling Dartmouth Pools& Spas 01/01/05 01/01/06 01/01/05 01/01/0 Pools and spas Davids Building&Remodel 01/01/05 01/01/0 06/14/04 06/14/06 Interior trim Dreamscape Landscape maintenance Drew Electric 01/21/04 08/28/06 08/28/04 08/28/06 Electric Duffley, Michael 04/01/04 04/01/06 04/08/04 10/30/05 Framer Eaton Construction 11/30/04 11/30/05 12/04/04 12/04/05 Foundation painting Fucillo Construction Inc 10/20/04 10/20/0 10/23/04 10/23/0 concrete GAF Engineering 09/01/04 09/01/0 07/22/04 engineering Gardner Concrete Forms 05/01/04 05/01/0 05/01/04 05/01/0 foundations Govoni Land Services 05/31/04 05/31/0 07/04/04 09/20/06 Land clearing Hill Construction 04/29/04 04/29/06 08/14/04 08/14/0 David Hill Framer Iri Place/DM Design. '. 01/20/04 01/20/06 02/18/04 02/18/0 Kitchen and Bath Design. J &J Concrete 07/13/04 07/13/0 01/01/05 01/01/0 Foundations J&J Tile/Joseph Alonzo 09/25/05 . 09/25/0 10/04/05 10/04/06 Tile JAG Cleaning Corp, 05/07/04 05/07/05 08/251/04 08/25/05 M&M Cleaning Cleaning I Sub Contractor General Liability Workers Comp Jalbert,Ned 12/29/04 12/29/05 04/15/05 04/15/06 Interior Design Materials James Construction 07/11/04 07/11/0 01/05/05 01/05/0 Interior Trim . JK Holmgren Engirt Inc Engineering Johnson, Steven 04/25/04 04/05/06 , 04/25/04 04/05/0 Framer Joyce Landscaping 11/15/04 11/15/06 1.1115105 04/07/0 Landscape Contractor Just Us Country Furnishings 05/23/0 05/23./06 10/24/04 10/24/05 Interior Trim/Built Ins Kee Enterprises, Inc.. 10/28/05 10/28/06 03/01/05 03/01/06 Kitchen Appliance Mart and 08/12/04 08/12/06 01/01/05 03/08/0 ppliances Kitchen and Bath Designs -02/04/04 02/04/0 10/07/04 10/07/06 Kitchen and Bath Design Kitchen Creations 03/30/04 03/30/0 01/22/04 03/08/0 Cabinets L&M Glass Co,Inc 05/01/04 05/01/0 05/01/04 05/01/0 Mirrors, shower doors Lauder, Jeffrey R. 12/09/04 03/10/0 Bobcat Lawrence Ready Mix 12/31/04' 01/01/0 07/01/05 '07/01/0 Concrete Suppliers LHS Construction Inc 04/01%04 04/01/06 04/01/04 04/01/0 Framer Liimatainen,,William 06/18/05 .06/18/06 Carpenter/Cupola MacDonald Concrete 01/09/0.4 61/09/06 04/07/04 04/07/06 Cellar/garage floors MAP Insulation Co, Inc 03/01/04 - 10/01/06 08/01/04 10/01/0 American Building Systems Umbrella Insulation 03/01/04 10/01/06 Meagher Construction. 06/19/04 09/02/0 06/23/04 06/23/0 Framer 6 i Sub Contractor ir General Liability Workers Comp Merrick Engineering 06/30/04 06/30/06 04/04/04 04/04/0 RA Mitchell 08/0.4/04 08/04/05 01/01/05 01/01/0 Generators Morse,Richard W. Sr. 03/10/05 03/10/0 07/30/04 10/11/0 Cellar/Garage floors MTF Custom Finish 03/05/04 03/05/0 03/05/04 03/05/0 Interior trim Northeast Water Well Northern Sealcoating Inc 07/01/04 01/22/0 04/01/04 04/01/0 Driveways (paving) Omni Environmental Systems 01/22/05 O1/22/0 02/21/04 02/21/05 Septic Design/Testing Pride Flooring 06/13/04 06/13/0 06/15/04 06/15/0 Oak Floor.Installation Pro Fence 03/26/04 03/26/0 03/26/04 03/26/0 Custom Fencing Quality Insulation&Bldg. 06/30/05 06/30/07 06/30/06 06/30/07 Insulation R&H Construction, Inc 02/15/04 12/21/0 12/21/04 12/21/0 Excavation Race, D Michael 11/01/04 07/30/05 08/06/04 08/06/05 Race Framing Framer Reed, Mel 07/21/04 07/21/06 07/21/04 07/21/06 Sheetrock Ryder& Wilcox Inc 11/22/04 11/22/0 11/22/04 11/22/0 Scannell, D.A. Well Drilling 09/12/04 09/12/0 09/20/04 09/20/0 Wells Shaw Woodworking 04/19/05 04/19/0 02/24/05 02/24/0 Interior Trim Snow's Plumbing and 09/30/05 09/30/06 09/30/05 09%30/06 Plumbing/Heating/Gas logs " Sousa& Sons Iron Works Inc. " 04/25/06 04/25/07 Stewart Painting 07/29/04 .07/291/0 07/15/04 07/15/0 Painting/Power washing f Sub Contractor General LiabilityIF Workers Comp Terra Nova Marble & Granite 07/01/04 07/01/06 07/01/04 07/01/06 Granite counters Tibbetts Engineering Engineers Tile Showcase Tile Triple Crown/Fitz Construc 07/30/04 07/30/06 12/12/04 12/12/0 Interior trim Weller& Assoc 08/15/04 08/15/06 none Engineers Williams Truck and Tractor 05/03/05 05/03/0 Frame welding Whiteley, W. Vernon 10/01/04 10/01/06 10/03/04 10/03/0 Plumbing&heating Z Best Garage Doors 06/22/04 06/22/06 05/30/04 05/30/06 Gara e door installation Table JS=b(continued) Prescriptive Packages for One and Two-Family Residential Bundings Heated with•Fouff Furls MAxMUM MINIMUM Glaring Glazing Ceiling Wall Floor Basement Slab HcadulVCooling Area'('Jo) U-value: R-valuer R-value R-value° Wall perimeter E*PMent Emciencyr Packge R-value R-valuer 5701 to 6500 Heating Degree Days' c� 12% 0.40 38 13 1 19 10 6 Normal R 12% 0-92 30 19 19 10 6 Normal 5 12% 0.30 38 13 19 10 6 BS-AFUE T 15% 036 38 13 23 NIA NIA Normal U 13Y. 0.46 38 19 19 10 6 Normal V 1SY. 0.44 38 I3 23 NIA NIA 83 AFUE W 15Y. 0.52 30 19 19 10 6 85 AFUE X I8% 032 38 13 23 N/A NIA Normal Y Is%_ 0.42 38 19 23 1NIA NIA Normal t 18% 0.42 38 13 19 10 6 90AFUE AA 1 S Y. 0.30 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: ��� S 71 r.- LJI/ COTO /T., /;IA 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: / � 3 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): (J NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms-®S 0303 a I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS 005645 .1956 ..y Bi Expires 04/19/2008 Tr.no: 21766 Restricted`00 s BRIAN T D PO BOX 95 C CENTERVILLE, MA 02632 commissioner f �,� �le �aavrrearrcuealC�. d�,�'`�ssac�ucaP,l7d , Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: R a ion: 1378 Board of Building Regulations and Standards Expiration: 7/16/2007 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 BAYSIDE BUILDI BRIAN DACEY PO BOX 95/3 BAYBERRY SQ CENTERVILLE, MA 02632 r Administrator of valid without signature Town of Barnstable 0 Regulatory Services snxxsrnst.e, MASS. $ Thomas F.Geiler,Director 16;p. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 3'9Y5/L) U1L,6/1UE / A/C. to act on my behalf, in all matters relative to work authorized by this building permit application for: iiq 511ELZ- 4g1LIE, Cd7v17- (Address of Job) Signature of Owner Date /W /G tl'496 IW,4A N/XI6 Print Name Q:FORM&OWNERPERMISSION ADDITION SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DEPT. DA E — --- — — --�IRE- MEN -- DATE ---a -- -- -- — - 80TH:SIGHATURESARE EQUIR OR bllT 1N8- -- --- --- - — Lil -- - I - du w 4 I I I i Q LLI (-- , - - - LLI i SHEET i I i I LEVATION 114" = 1'-0" JOB: 0610 DRAWN BY: KW DATE: 9/19/06 _ RIG-WT ELEVA71ON I � 11 _ I >✓R( )NT ELEVATION li - �-7-CALE: 114" = P-O" I lI 1I ICI II III _ _ - - 11 E�1` 1111 I - f LT_I L II(( I-_� __I _ o cn --------------- - --- - O 'T DF5 108g6 __.- . D E K ... LU rn i> .q .K. - FRENCP �y DOOR 2- '6 I VS 606 - FIXED v ADDITION o (2) FCC 2525 OP, i D SK (4) FCC 2525 t_ 25 314 "x25 3� - - - - - - - - e - - - - - - - 2 6 I V 5 606 [71 ' 20'-011 II - - - 20 -O. 10'-0" ----- —--- -------- -- - DFS 10896 loallx _ -- -- - - DECK LU ju ------------- FRENCH - r DOOR 2 6 FIXED `7 I VS 606 �i - - - - - - - - - - %/�, ADDiTICr El OD ''� - - - - - - sea --2-2x10 GIRDER I j 4x4 P.T. POST GALV. METAL POST ANCHOR 12" "SONO TUBE" PIER TYP. j I N I - x F- I a_ v I , - - - - - -- - - - - - - - - - - - - - - - - - 7777777 I I I I - I 2x6.STUD WALL ABOVE 8 x36 CONCRETE WALL 10"xl6" CONTINUOUS FOOTING TYP. I_PCC 2525 25 3/4 "x25 3/4" I I I ADDITION °, o I I r BASEMENT 3 1/2" CONCRETE SLAB 6 MIL VAPOR BARRIER PCC 2525 25 W4 "x25 314" v - - - - - - - - - - - - - - - - - - - - I I CANTILEVER JOISTS I L---------------------J 20'-0" FOU N DA71 ON PLAN n 1 1 /All - II_n" o . z e - I— R30 Q QC� FG INSUL 2+�a @ 1411 wLLI z IL r � III z /4" 110 I Z Z v AJS 10 I-JOISTS @_16'O.C. 4 i v '^ lk SHEET INT . BUILT- IN ELEVATION SCALE: 114" JOB: 0610 DRAWN BY: KA DATE: q/lq/06 RIDGE VENT 2x12 RIDGE BOARD ASPHALT SHINGLES 5/5" CDX SHEATHING MAINTAIN AIR SPACE R30 O G. FG I M50 L �+io,'., HURRICANE CLIPS AT ALL `S RAFTER/TOP PLATE CONNECTIONS TYP. CONT. VENTING DRIP EDGE 12 1x8 FASCIA MATCH EXISTING-PITCH Ix4 SECOND MEMBER. ALUM. GUTTERS / DN. SPOUTS �.. Ix8 FRIEZE BOARD / MOULDINGS 2x6 EXT. STUDS @.24" O.G. - 6" F.G. IN5UL. W/ VAPOR BARRIER ADDITI�1`1 1/2" PLYWOOD SHEATHING = i TYVEK WRAP ( OR EQUAL) - - ao - DECK W.C. SHINGLES 5"TW RST FLOOR---------= --- -- - - - �I FAMILY ROOM FLOOR_---- _ _ 3/4" 056_SUi.:FL ADDITION FLOOR - ----= --- --------,__—_-- _ -- STEP 9 1/2" LVL RIM JOIST TYP. 'l AJS 10 1-JOIST: @ 16'O.G.lS1S S141StS2S1S -H CRAh1L SPACE WALL HEIGHT DEPENDS ON 2" CONC. SLAB GRADE. VARIFY IN FIELD. VAPOR HARRIER s COMPACT. J �- P.T. 2XG SILL + SILL SEAL p r FILL ANCHOR AT 4' O.C. ir ----;--------� CROSS SEC T ION SCALE: 114" = V-0" 4OR 1 'P c ` .,4 I. s ss-so•zo•F 1so.00 I � 1 1 LOT 23 a 1 55, 557 S. F. 1C� Lai z a u Q � I > Q CO `o1 • 2ryh � 1 as . �} [fir (P 0 2 6 �1V S 69190'20'E -I ZZ' 0 J 30.00 at 0 23: 0 � 7S.8•= H N 69*30 1201)r QNLWA -E)VqE CAKWOOD ST. —ORA N. EASE. 237.12 N 71 '29 3�•M ti z PLOT PLAN OF LANO 'TO THE BEST OF MY KNOHLEDGE, THE F OUNCA TION L OCA TED 1 N SHOHN ON THIS PLAN IS AS IT ACTUALL Y EXISTS ON BA PNS TABLE — MASS . THE GROUND. PPEPAPED FOP DATE.' 'Jhne 1.5-;7993 Mike & Mary -Manning--- i A.L . S. DATE.' (i-15-9.3 SCALE• 1 '� 60 FT. 7nnic' n CAPE 9 ISLANDS SURVEYING pF.HETp� The Town of Barnstable 9BA MASS.L6.o! Department of Health Safety and Environmental Services MASS. 0 t639. .eTED MA'S A Building Division - 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 9 Z4NC- (!7T Permit Number ZOQ�0 31` Owner Builder - One notice to remain on job site,one notice on file in Building Department. The following items need correcting: 0 /tk(4-r N-r'/4) t- C A i2 t+�i-iy G /`1 V�o�.t►�l� , ( S'i•(� Cr- k Please call: 508-862-4038 for/ire,-inspection. Inspected by .p Date e,: 'rw fo� TOWN OF BARNSTABLE permit No. ....35983 BUILDING DEPARTMENT I """ TOWN OFFICE BUILDING Cash aim X HYANNIS.MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to MIKE & MARY MANNING Address Lot #2B 119 Shell Lane, Cotuit USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. November 2 Buil'ing Inspector ..� °�. TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 t MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has bbeeeeny issued for the building authorized by BuildingPermit #.. .... / d. ...................... »....................... .......... ......... ....»._.. »....»...........».. .». ».. issued to J�....�.......���.. ����l�A.................... ......................».......».............»....» .....»».»......»..»»..»»»»» .. ..... ..... ..... . Please release the performance bond. .OWN OF BARNSTABLE, MASSACHUSETTS BUILDING' PERI%6 "A=u19 iol.002 DATE juriC .'_3 19 93 PER �Tp t.'i11 i:.�erltt \i E MIT NO, jV� 35983 APPLICANT ADDRESS 1,01�u t' ' . -: _ / (NO.) (STREET) ICONTR'S LICENSEI Build civi_'iiinlIt,-1/garag i_°22 :i.aj�iL ��iiiii�' dwelling NUMBER OF J. PERMIT TO ( 1 STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) iOL if2b 119 5neli i.a'ne, �.Otuit ZONING R AT (LOCATION) DISTRICT (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION SEwage #93-267 (TYPE) REMARKS: BOND AREA OR 1044 :.�Cj. ft. ESTIMATED COST .� 1 40 y000 FEE 163•50 VOLUME (CUBIC/SQUARE FEET) NilF.e & ' ary rianning OWNER i BY .� J .tJ-t� ADDRESS BUILDING DEPT. ' THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED 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 THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL e MINAL IN (RE TA TO LATHE FINAL INSPECTION HAS BEEN MADE.3. FINAL INSPECTION BEFORE e� OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECYIONOPPROVALS PLUMBING'INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS .smog Park" 2ow A/ /_�ps �-1 - 2 c'-`) 3 ! / 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I - 80A4R Of HEALTH- OTHER SITE PLAN REVIEW APPROVAL �• WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME 4 U L L AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. t PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. A.\ t r �' I L A !/ c S 69"30'20'E .150.00 1 i 1 i LOT 23 i l 55, 557 S. F. z 1 ~a 0 9e W i 1 S 69'30120 E 1 0`' 190.00 Sy�S�s� ; ' O l 1 � 23. 0 7S.6't y N 69'30 '20 ON 1 I DAKWOOD ST. —DRAIN. EASE, 237.12 N 71 29'30'IV to " PLOT PLAN OF LAND 2 . 'TO THE BEST OF MY KNOWLEDGE, THE FOUNDATION L OCA TED IN i.SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS ON "' :- BA RNS TA BL E — MASS . THE GROUND. PPEPAF?ED FOR DATE.' June 15-9-1993 - , .Mike & Mar,y--Ma-nning. ram-•=� _ _ ' ! _ . R.L. S. DATE.'. G-15-93 SCALE' 1'� SO FT. CAPE 6 ISLANDS SURVEYING FLOOD ZONE C (NON-HAZARD) >` TEA TICKET — MA SS... — tiu•Crsj+�—RCpor) r - . �VSQiE=CFAEB--- •ae t�i Suna4gs II 508.428.6191 a evl i n --- -- _ a esigns Copyright O?irH3 All Right Reserved e aetery ea =?6'KM-_.ELKM-TRA6lSOM Most. S*VAL - -, K z a+t_npp C. ffiSZ�YJ3tJt110ti1-_ :t4UAl. 5 � 186z.v cow_ t AI 5 � strn vw1�•s�M ownL.�vn�oowS - Pr eiminary plan; ana layouu by DC D are for the use of tne�r cus:omrrs only Any ocher use a stncuy Prone bite u 4 — .W - MULLIO _ 4. 7D'=GDSII�V 3 - 1 cr.c DaiE 508-428.6191 wc- _ '! mnw @ustom o es igns - C WyriVri®1893 f . --_-- _ All Rig s - p Reserved i 1 Fly '�sf J rm ME oil L1.L Preliminary plans ane layouts by OC.O.are for the use of their customers only.Any other use Is strictly promorle - - " 7] ' \cFciFicC OY�C:.•�� ?JF A7 a!'ILDI;d„ .r=�[Y..O' - G•O _. .. ,1•.4'-.. e'.t5 I- _ _� O' .l'o' I SL- -txjE TO t KX$TIH; FOVNn'ATIGV I I i - I ~ .._ zn'ax. .v'Ymsz I — um fx. i 0. I j If 0 I f._ I N - I � TI h V h i nl r w� sti Pcn \/n 4t{...__ - ICO U-$A_ v! - . 508.428.6191 �r .�-�-�A "N/W�Sz1l,OCtP•s.l_ ___D.1 bllN�.—__ iv la g—' ___ O N I llevl i n ( I I des igns ' __i-•__ — copyrignt 6 1493 _ I All Rights j 0; rry i I ai Reseo j � I p i I 'I I �I I 4 • LLI cd I 4'C.' W-C)" ; .r.B.. —0 i -4'-0.• I 3'O- 6,fa' V.`• 4..4.. ..I B.O.. . t U F tt'o A3 2t 4 -17 '• e - O L` .—_... R ST' LOpK P.L N Pr ellminary Olans ano layouts by DC.D.are for the use of their customers only.Any other use IS tilIC[ly Prone bete J Lq,wojd AII3u1s s,asn iatj10 Auv',(IUO slawolsn)1uu1 !o asn ay1 101 ale 0'Do Ao s1no,(el Due £Uelo /.ieuiWilald O m gq > z' I us -— ----- - - o_, � n O �D Danla'ay s lwf 1a IIY w 6udOoa SU61sa o i I I wo{sna I , m. u!Jna � i ----------- ---- —,�n•,n,=�, 1619 8Lti•8oS _ � o ' s I l j i oil 00 � l ' j I l • jl _ L.8 f9ltl:RC-KAFS[t S ___ ^ —_ _._4_iT4rtSCS. ITS � IaS STiNPPl�15- tiao - . o . -r -u3 SmSrP!UC� 1%S.. T2 5,V1F1Y.oCX._— \� 508.428.6191 s t -1eV01 t1 Q. �t:3cG-.Y-se_eat vns= -TWIT nrFA,csL r @ust®m z.+slws:wcau_n+scx.-- a n-s o ; a : r a @s1 9 —Vf_nrRr. PLY��DCt1 copyright O 1993 _ 65-"1"G:OC.—_•_-' - '(JO'.}T�`O;- __ All Rights -- ---- Res erveC Is • .CIA WbVt:------ yrn3SYACOVFiCti`— .' -2iG } 1CA+C5UD.E35nH4 • — - --- - — ---- --- ---- ---- __ SECTION--�/s--_.—.' _ . k 9 I >11 S j 31 of _ Preliminary plans ant, layouts by D.C.D.are for Inc use of their customers only.Any other use is itriCtly Pronitsrtt 4 0. raj Assessor's office(1st Floor): Assessor's map and lot.n ber_L D 1 O o 00 -r2, ��..w yoi THE too Conservation C- a -F3 SEPTIC SYST. Board of Health(3rd floor): INSTALLED IN Sewage Permit number WITH T { � • Engineering Department(3rd floor):/ 6 �J I ENVIRON E��� ° House number ` ` �'j TOWN U Ap Definitive Plan Approved by Planning Board _ — 77 / 197 PJ APPLICATIONS PROCESSED 8:30.9:30 A.M.and 1:00-2:00 P.M.only �( � Al D t �7 TOWN ' OF BARNSTABLE P� BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 9 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: I Location ��'U �i �� Aid. l C__�s y Proposed Use S4k (G-._.t2 G-- Zoning District Fire District eio—vu Name of Owner I k:3-7- Address Name of Builder Address �r Name of Architect Address // �J � JI Number of Rooms (D Foundation/Odes 01(l Exterior �� C-� Sdtt4.1 GL�cnSww RoofingL— Floors ©Pt� � �41,L co 1 `Ptl1� ��Vic i Interior S,r=�rN/ (fo"qL:r Heating Plumbing Fireplace Wo Approximate Cost i �_- 0 COo Area 4,,��5< Diagram of Lot and Building with Dimensions Fee `7� a o � v � 55 857s� a37 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License # 0� 9,;5 s MANNING, MIKE & MARY 1 , No 35983 permit For 112 STORY HOUSE & GARAGE Single-Family-Dwelling Lot 2B 119 Shell Lane Location # . - . ' Cotuit ` r Owner Mike .& Mary Manning 'r y Type of Construction f 'Frame Yp Plot- -.Lotlk Permit GQspiong'�J5�6 June 23,� 19 9 3 i D VI 19 D�j$jte eted ?, _ 19 00 rJU .:. .. ., w. .. . .ms..r......mts. s»wr xn•K} f^e" 'afrt^.sx P•'*wwaxm•F+P!if•Nfa'Mlnr`Mv ti••x n^r -._. swwr•..,• Rw!�^vf'w'r.M^.'^^i&x.fs.!W11\ Mr" .. 3'1 > .. ...-. w:..., , ». ,:- :, ..,, .. .....,,.. .:.,«,:•,... � ,.. _...... ...,«._ »..,.",........„...r.,...,....•..n...-•«..,....... --: «..,.-...•..-....,..:....x•.,,.-... .,...,,.•.n... � r "+fir^. n ^mr.••„..+-. .. •. .. ?g*^+ .,.•,�s�. �;'� , .....*nner.;.»vwww+n rq„.ww+.v..r«ro..nA.aw rrrn.'"y,.,a. »«. r..,•awn.a...ww*ry+ .�nw�y;n+o'.rnwpnrynrnwrs+«.,r•w�.q.rteXh:ew m.. 'w.r?t».^'r. gym- � ^o••>,+C ..mw<a "•na. , - ... 11iMtlRMR•YCY[MRtl/dYLN7W.LO]NMMw,`c/rM7c'iFAtYVMnUML7�0iMi4acAWYiWAtlAxJM•'... `5: W.vnn]�n.a.r ., -aemiWax .wr..r . .. �� ;. � - ' •.. ... S YS TEM. PROFILE NOT TO SCALE TOP FON. FINISH GRADE �`Z �' FINISH GRADE OVER EL . �/3• a o:'':'A: FINISH GRADE OVER . FINISH GRADE OVER :.,••• DIST. BOX °'• °'' SEPTIC TANK 's'`Z• Q LEACHING PIT "� �• Q : ..a .o VA7RIES A.. ,, �: 12 MAX 0 0 0:0' �.'e' •'o.'e• .•s :e a °'e.A e t: a u n' : 3 OF 1/B - 1/2 o :d;" o. e A •e .. . PRECAST CONC. OR A SHED PEASTONE BRICK �' MORTAR .� OUTLET PIPE LEVEL TO 12" BEL ON GRADE °• a FOR 2 FT. MIN. °...e•.:o::o:o: ;e..•Q.• c• :a: o. 'o.• :•• o 7c4 ,•o:'d:.0`. -S.3 o t o p'. C. I. OR PVC TEES Q•• d �• '1 BSMT. FLR. o°po . / 5 f� � GALLON I :4 bo DIS TRIBUTION BOX aA . : 4 e INSTALL ON LEVEL BASE 3/4" TO 1-1/2" 4' / o P.RECA S T CONCRE TE PRECAST ro::o'.•o•.p..a:a: e e WA SHEO .° H— O REINFORCED a cRus�;�D 4 CONCRETE S TONE 'b o:o' •�'oo';o; A:a:::o-:d e,o.e•o,.'A :Q,.s p'•e::.::.e : 6. o• e.Q..o .b;;o:.o° b:•o.'0 O.o:o A•.o.o o.••v••o• o.a••,o;o o•;o•e•.• :o:. o•. o•b.•o• H— /O REINF. SEPTIC TANK b0. INSTALL ON LEVEL BASE NO TE: EXCA VA TE TO ELEV. Z�'.�-'OR °''° LOWER TO REMOVE ALL IMPERVIOUS - MA TERIA L BENEA TH THE L EA CHING. AR A REPL A CE EXCA VA TED MA TERIA L WI TH ' ` CL EAN. CLA Y FREE SAND - ---'--- - " - -- _ EFFECTI VE DIAMETER z LEACHING PIT GENERAL NOTES 1. ALL ELEVATIONS SHOWN ARE BASED ON A S.S U M F V INSTALL ON LEVEL BASE Isc'• `� 2. A L L PIPES IN THE S YSTEM MUS T BE CA S T IRON OR"SCHEDULE 40 PVC. �/+/��/�+{� �'y/+^ D PIT, a I 3. THE BOA RD OF HEA L TH MUS T BE NO TIFIED PwEC�sf cavCRErE WHEN CONS'TRUC TION IS COMPLETE PRIOR v LEAI kms PIT TO BA CKFIL L ING PERCOL A TION PATE: ti ' 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED MIN. /IN. BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS dWITNESSED BY.• p SURVEYING GO., INC. ,�-,=/-. G, ,7 /,,7/•->y' 5. MA TERIA LS AND INSTAL LA TION SHALL BE IN COMPL IANCE WI TH THE STA TE SA NI TARP '` BRO. OF HEALTH DESIGN DA TA s \ 1 ✓vror /6 /9 / tl7l CODE - TITLE V - AND LO°:AL APPLICABLE DA TE.• -. ^ _ _ _ _ RULES AND REGUL A TIONS G. NORTH ARROW IS FROM F?E NUMBED OF BEDROOM. ' 3 . Tit, ____` � �000 sAtcav CORD PLANS AND s u b s GA RBA GE DIS3 OSAL ^' AWCAST CaVCRETE IS NOT TO BE USED FOf� SOLAR PURPOSES SEPTXC TAW 7. FLOOD HAZARD ZONE 3� _---__ _ DAIL Y FLOW a GAL . B. WA TER SUPPL Y r o�.� W r SEPTIC TANK PEG 'D. i o 0 o GA L SEPTIC TANK PROVIDED �=�oo GAL . LEACHING REGUIRED GPD. / Mai vM i J cl � �'� ° SIDEWALL AREA �' ��� S. F. /<\. vo / LOT zs �3BS. F. X GIS. F. = 3y5'GPD BOTTOM AREA 9.'" S. F. LEGEND 9.��""S. F. X i. G/S. F. _ GPO \ "oo oso 1 �t /'., rt o w n { LEACHING PROVIDED •- y-/ GPO 3G PROPOSED EL EVA TION EXISTING CONTOUR SINGLE FAMILY RESIDENCE (9 OBSERVA TION PIT ❑ DISTRIBUTION BOX �o��J Ri�� ss9c / JAMS PROPOSED SEWAGE DISPOSAL S YS TEM G9 ' �o' zo" W 1 \ �•, / f 2G / �l / �A j BERTRAND I Q LEACHING PIT S No. 29394 o• ,�- o / .�, o /N ° ! PREPARED FOP GIM SSIONAL F`��' /1'�/ s r�/ /l�I r7 r9 �c I,�.,as A. ,,. ,f �[ �s.�..; ., o o SEPTIC TANK \ T,s,'`'�' i R P I RESERVE iF� t' j �'�rJ9 LOT 2B SHELL LANE �AVIp emu, CO TUI T BA RNS TA BL E MA GHARt_ES PIPE INVERT ELEVATION SANICKI U 28035 DA TE.' CAPE C ISLANDS SURVEYING, INC. PLOT PLAN SCAL E., /9 /o / �, ,, SCALE AS NOTED P. 0. BOX 334 -MAP .SEC PCL LOT PLAN NO. S 2 n.? e 7 TEA TICKET. MASS. . ; H.�E .