Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0123 SHELL LANE
��3 ��-� ,�� __ �� �, �� k 3 1 1 i� _7 h � � s�Q � I TOWN( F BARNSTABLE BUILDING PERMIT APPLICATION Parcels° � / Permit# M6 Health Division ?" ��f /,� Date Issued f !2-ZIas o Conservation Division P �,s� jLALpplication Fee Q . Tax Collector �U 2 M Permit Fee O&Y. ®o 8 j Treasurer _ ...p"Y' 1• o.,._..55. . Planning Dept. ---4----- ap � � :;� `^ "QURD IM CMAPLIAN-' U�VISIQAf Date Definitive Plan Approved by Planning Board �°ITI�'I•I°�LE 5 3i 0NIMEN TA.L CODE A;, 7) Historic-OKH Preservation/Hyannis 1 eWN R71GULAT10NE. Project Street Address ZZ-3 Sh�fl_,L 44,E Village Owner 644/Ir f Af—I rL. l), W)b Address C14 L,/r�'�J ��&9!'Q—� Telephone U '��/ ,e I/yd-1 Permit Request 41A)2k ®/ ,-i40f A/ �Go�Sf/�.dl�,�J��a Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation" ►CIO Construction Type Lot Size ���� -S Grandfathered:C**4-Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) o Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other I 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 C Heat Type and Fuel: O Gas ❑Oil ❑ Electric ❑Other Z Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use r _ -- -L =_.Proposed Use- BUILDER INFORMAT ON Name lzw, Telephone Numb c " Address / zee"'dU.x d3 y License# Home Improvement Contractor# J Worker's Compensation#AVJJC AiA ZZ 019,._� s_i: ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY A PERMIT NO. DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �V h INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL - FINAL BUILDING © ?i �p.� DATE CLOSED OUT , ASSOCIATION PLAN NO. r The Commonwealth ofMassaehusetts Department of Industrial Accidents — OA1cd BII�'sdl�d� . 600 Washington Street r� Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses r n•'.. �Y�x.:.q`y- .•t •5YJ Yv:S•: ^ •v -Lr _ •• �.. .... .. .. .}:1 name: z4vzf address; // gg yj} ' ctty, C�U��1� state phone# ������G���/(J work site location full address): ❑ I am a sole proprietor and have no one Business Types ❑Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em to er with eln loyees(full& art time. ❑Other ////// ///% %/// %1//%/// / /l%////%/%/%/.� I am an employeer�pprroov,iiddJ49-!workers coMocassadoon for my/employees woor/long on this job, - comyanv.a4m lam✓ ./ 'V `• i 'C�'•(��9��''3. � 6.JY:. eddr•ess • 7 bone# + i.�' V ./''l.•:• :6+' .insurence.cos••�5r'1 �� �•' /� I-aar-a sole-proprieter-and have hired the independent contractors listed below who have the following workers' compensation polices: com en name. addressf ; :; city'. _r :i rr::;• insurance co. - V1111111111111111111111111111A WE com'en•!ilariiee address phone_# Insurance eo:,,:,.: , -. : `oacv#v..: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonmant as well as civil penalties is the form of a STOP WORK ORDER and a fine of S100.00 a day against me.I understand that g copy of this statement maybe forwarded to the Office of Investigation of the DIAfor coverage verification. Lda.hereby certf n r the psi a nalties of perjury that the information provided above is true and correct Signature ° -z�'z` �J AL I Pent same 3 a `I) i Phone# �S lib J/ 7�� official use only do not write in this area to be completed by city or town official city or town: per Wlteense# ❑Building Department Clucening Board ❑check if immediate response is required ❑Selectmen's Office t ❑Health Department contact person: phone#; Other a (Tevaed sep«nm) } Information and Instructions Massachusetts General Laws'chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service'of another under a�contract of hire,express or implied, oral or written. An employer is defuied 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, p artnershiP, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or ._ building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter'152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. VIA Applicants Please fill in the workers' compensation affidavit completely,by checking thebox that applies to your situation Please address and hone numbers along with a certificate of insurance as all affidavits maybe submitted �PP1Y comPanY,name, P 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill.out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The office,of Investigations would like to thank ybu in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents On of I8H sugadens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 ` ✓`ie�omGrreo�rzurealC�i a���iltut�cu,�'uaelta. BOARD OF BUILDING REGULATIONS L dq'm.- e CONSTRUCTION SUPERVISOR Number ,CS, 003010 4 Expires` 12/25/2005 Tr.no: 11876 � Restk�cte � WILLIA IFT x dite� PO BARNSTgBLE, MA 02630 Administrator � i i Page No. of Pages PROPOSAL .ape llssncia4es,dnc. BUILDERS MA LICENSE#10010 Drawer D.Massasoit Rd.;N.Eistham Care Cod,MA 02651 All home improvement contractors and subcontractors engaged in home improvement contracting, unless Area Cede(508)2554770 specifically exempt from registration by Provisions of Submitted To: Chapter 142A of the general laws,must be registered with DC. and...Mrs._..F,dward_TQi Leman the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, /w_.__4_/ L Lf'3.._._l✓_/� __.._-----__ Home Improvement Contract Registration,One Ashburton Place,Room 1301,Boston,MA 02108 (617)727-8598 JOB NAME l NO. ._.. _.:. Teitleman PHONE DATE JOB LOCATioN 508-942-4403 5-23-05 _ 123 Shell Lane, Cotuit, MA > ARCHITECT DATE OF PLANS We hereby submit specifications and estimates for work to be performed and materials to be used; Cape Associates, Inc. proposes to complete the re-construction of your house, caused - ----------- by water damage, per the enclosed estimate which has been forwarded to your insurance company. Arty work beyond the ;scope of the insurance estimate, and authorized by the owner, will be charged to the owner at a time & material charge. --- -- -- = _ c s, .4 ------ --. - --= ConstructiPape d permits: —_-- i ByAssociates, Inc. ----- _ --—---- --- --- _ _------ —------ -- ----... — --------------... --- _-._.._ -......... WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement,unless specified herein Writing.contractor will begin the work on or ahnuf (date).Barring delay caused by circumstances beyond Contractor's control- ,the work will be completed by (date).The Owner hereby - acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the contractor shall not be considered as violations of this Agreement: WARRANTY The Contractor warrants that the'work furnished hereunder shalt be free from defects in material and workmanship for a period of following completionand shall comply with the requirements of this Agreement.In the event any defect in workmanship or materials,or damage caused by the Contractor,his subcontractors,employees or agents:is discovered within one year after completion of any job,including clean up,the Contractor shall,at his own expense,forthwith remedy,repair,correct,replace,or cause to be remedied,repaired,or replaced,such damage or such defect in materials or workmanship:The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. We Propose hereby to furnish material and labor.—complete in accordance with above.specifications,for the sum of: Fifty Thousand Seven Hundred and-Fifty_;and no/100 ----- ---- dollars($ 50,750.00.---- ) Payment to be made as follows: 5 %($2,550.00 upon signing Contract; Cape Aps9ciates'? Inc. 40 (p Name of Contmctor/Designated Registrant (AAOR-9')upon completion of et c- - - - - 345,.1'l4ss490it-_Road (P.O. BOX 1858) (p tenet Address - - --- (5,'�'�""}upon completion of fit' trim �TOrth._Eastham.,-._MA 15 8,2W.00 shall be made forewith upon riy st re rooms completion of work under this contract. ----•--__..;.. ...02-.�1}7,fj.23'].__.--_____-_.._.. - Phone Federal No. William Swift Notice: No agreement for home improvement contracting work shall require.,A down` Name'of Salwm � i payment(advance deposit)of more than > one-third of the total contract price or the total arncunt of all deposits or payments which the contractor must make,in advance.to order aodAir oth erwise obtain delivery'of soscial order materials and equipment,whichever Authorized'ig�ature amount is greater. - - Note:This proposal may 'ndmvtin by us F not accapW1 within days. Accep'mlc(t Of PrOPO"I I have read both sides of this document and accept the prices,specifications and conditions stated.I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work es specified. Payment will be made as outlined above. Rho Bayer;may cance8 Rids transaction at any time prior to midniOht of file third business data after � the date of ties transaotiorrt.C8nCeIiafion Faust be done in alriting. 00 NOT-S a HIS Z�i�TR ACT, IF THERE ARE ANY BLANK SPACES. SdSafire, i •l'�fi✓'s"'.']t L-V�L-C� „t,,.,.i-` Signature _ _ Date. H rt� , i Vy Boar o u�gelat/ont an tandards 1 P One Ashburton Place - Room 1301 r, a Boston. Massachusetts 02108 Home Improvement'Contractor Registration 4 j Registration: 100110 Type: Private Corporation ;J Expiration: 6/9/2006 . r ' t; CAPE ASSOCIATES, INC „ WILL "'SWIFT — -- --_ PO Box 1858 ----- N. Eastham, MA 02651 ` Update Address and return card.Mai k reason for„change. r Address 1 7 Renewal J 11i Ioyment F� 'Lost Card tw DPS-CAI 0 50M-04/04-G101216 — — �'' ✓12Q T�70477/l97.042C(16CLf.UL �i/U(.pQQ�2LI.08�6 Board of Building Itcgulatio sand-Standards _ License or registration valid for individul use only -!— HOME IMPROVEMENT CONTRACTOR before the expiration date. If.found return to- ` — Board,of BuildingRegulations and Standards: = V Re xpiration 6/912006 One Ashburton Place Rm 1301 J Boston,Ma.02108 Type Prvate Corporation f i CAP SOCIAT 6' WILLIAM SWIFT 345 Massasoit Rd % ature. ---- k N. Eastham, MA 02651 Administrator Not valid without i e : sas r�t1 �r5. fli e. i Town of Barnstable °* Regulatory Services AM Thomas F.Geiler,Director 'OrE059. 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 with other requirements. RR Type of Work: 1'0�L 1 Estimated Cost Address of Work: Owner's Name: F 61 '�✓ Date of Application: I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 OBuilding 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 agmt of the owner: Date , l //Colitractor N Registration No. r ,� !;�, OR Date Owner's Name QIonTwhomeaffidav 80i*E* BC CALCO 2003 DESIGN REPORT •US Thursday,J me 23,200516:06 Double 'I 314"X 91/2"VERSA-LAMS 3100 SP F� n Name: HeaderC OroKealter 01 rrn job Name: Teineman Residence Specifier, Andress; 123 Shell Lane Designer. Bin Gamppen Cue State,21p:Cape ss : Shepley Wood Products Customer: Cape Associates ComPanY P Y Code reports; I=5512,NER 629 Miss~ Standard Load-40 POI 10 psf Tribufmry 14.00.00 Ht 90 31351tts LL 3135 lbs LL 1276 The OL 1276 ibis DL Total Horizontal Length-08-03-00 General Data Land Summary Value TO, C1ur. Version: us Imperial ID Description Load Type Ref. Stark End TYPO 40 psf 14.0 100% S Standard Load Unf,Area Left 00.00-00 OB-03-00 Live Member Type: Floor Beam Dead 10 pat 14.00.00 900/6 Number of Spans: 1 1 wall lint.Un. Left 00-00-00 08-03-00 Live 0 plf Ma 90% Left Cantilever. No Dead 60 plf nfa 9D% 20 Right Cantilever. No 2 attic Unf.Area Left 004"0 09-03-00 ve Dead 10 psf 10.00.00 190%° Slope: 0112 Tributary: ` 14-00-M Controls Summary Control Type Value %Allowable Duration Load Case Span Location MonitinY 9098 ft Ibs 65.2% 100% 2 1-Intemal N Moment oft-Ibs nfa 100°A Live Load: 40 psf End Shear 3565 Ibs 55.4% 100% 2 1-Left Dead Load: 10 psf Total Load Deft. 1./444(0.223") 54.0% 2 1 Partition Load; 0 psf Live Load,Deft. L 1825(0,1584) 57.6% 2 1 Duration: 10D Max Defl. 0.223" 22.3% 2 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total toad datiection criteria. the input must be veriied by anyone Design meets Code ntin'lmtlm(p360)Live load detiectlon criteria, wtto w61Aq rely on the output as Design meets arbitrary 01 Maximum load deflection criteria. evidence of suitMitigr for a Minimum bearing length for 60 is 1-1/2". particular application. The output MiTlimum bearing length for 51 is 1-1I2°. above is based upon building Entered/Displayed Horizontal Span Length(s)=Gear Span+1/2 min.end bearing+112 intermad ate bearing Code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection design products must be in accordance Member has no side loads. with fhe current Installation Guide and the applicable building codes. Connectors are:16d Sinker Nails To obtain an Installation Guide or if you have any 9uesaoris,please call a=2" b� 1. _.. ... d •.-•--1 (800)232-0788 before beginning b a S. product installation. c=2-3/411 a .`I = Be t. ea,BC FRAMER®,SCIS, d 12". Be RIM BOARDm,BC OSB RIM C BOARDW,BOISE GLULAMTM, VERSA-LAM®,VERSA-RIMS, I VERSA-RIM PLUS®, �• VERSA-STRAND^' • VERSA-STUD®,ALL.JOISTS and AJS"m are trademarks of Boise Cascade Carpordbon- Page I of 1 i +s BC CALCID 2003 DESIGN REPORT -US Thursday,dune 23,200516:08 poubl 1 3/4"X 9112"V - SA-LAM®3100 SP File Name: CapeAssocTettlemen.BCC:F802 Job Nei/(e; Teilteman Residence Description:Heder over Family/living rms Address23 Shell Lane Specifier.City,SteCotuit,Ma Designer Bill Camp�ll CustomeCape Associates Company: Shepley Wood Products Code reCBO 5512,NER Misc: 1 Standard Load-40 pray 170 pst Tnbut"14-f-00 I BO 51 3420 Ibs ILL 3420 Ibs LL 1382 Ibs DIL 1392 Ibs bL Total Horizontal Length-09-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End 'type Value Tr;b, our, S Standard Load 'Unf.Area Left 00-00-00 09-00-00 Live 40 psf 14.00.00 100% Member Type: Floor Boom Dead 10 psf 14.00-00 90% Number of Spans: 1 1 wall Unf.Un. Left 00-00-00 0"0-00 Live I 0 ptf Off 90% Lett Cantilever: No Dead 60 pif nic 90% Right Cantilever: No 2 attic Unf.Area Left 00-00-00 08-00.00 Live 20 psf 10.00.00 100% Dead 10 psf 10,00-00 90% Slope; 0/12 Tributary: 14-00-00 Controls Summary Control Type Value %Allowable Duration load Casa Spin Location Moment 10827 ft-lbs 77.6% 100% 2 1-Internal Live Load: 4p ,E Nag-Moment 0 ft-Ibs n/a 1 DDO/n 2 1-Left P End Shear 3966 Ibs 61.7 100% Dead Load: 10 psf Total Load Defl. U342(0.316") 70.1% 2 1 Partition Load: 0 psf Live Load Defl. U481(0,224-) 74.8% 2 1 Duration: 100 Max Dec, 0.31w, 31.6% 2 1 Disclosure Notes 'i The completeness and accuracy.of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(U360)Live toad deflection criteria. k who would rely on the output as Design meets arpilrary(1")Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for 80 is 1-5/B". particular application. The output Minimum bearing length for 61 is 1-SIB". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min,end bearing+112 intormed ate bearing code-accepted design properties and analysis methods. Installation Connection diagram of BOISE engineered wood Consult project design professional of record or BOISE technical representative for connection de0gn products must be in accordance Member has no side loads. with the current Installation Guide s and the applicable building codes. Connectors are:16d Sinker Nails To obtain an Installation Guide or if you have any questions,please cell � .. N, (800)232-07e$before beginning b^T' _ d product installation. c=2-W4° a SC CALCO,6C FRAMER®,SCI®, d-12 !+! BC RIM BOARDI",BC OSS RIM BOARDn",BOISE GLULAMW, C VERSA-LAM®,VERSA-RIMS. j VERSA-RIM PLUS®, VERSA-STRAND^", •,i VERSASTUDD,ALUOISTO and e AJS"M are trademarks of Boise Cascade Corporation. Page 1 of 1 G° 4 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mai Parc - Permit# Health Divisior(/ Date Issued s 6 d y, �. t�1�i'1 i C) FConservation Division (c Z�S. tin ri l l tApplication!Fee Tax Collector Permit fees l �. Treasurer 'SEPTI Y `-" STEM-MU BE TH Planning Dept. INST D I C66PLIAAICE Date Definitive Plan Approved by Planning Board E&WRON MAL � OOco ONO TOWN EGULATIONS Historic-OKH Preservation/Hyannis Project Street Address [Z 3 S kt- t �- Village Owner viL(*'Tei f��A a ri � Address (J (=ec,(-r- !—t . '3{ CV-,0-\ Telephone L —7Y( --7yL(- -7 f Y1 Permit Request — Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay , Project Valuation 6V Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 9( Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 rs, Historic House: ❑Yes a-N/0 On Old King's Highway: ❑Yes a4o/ Basement Type: ❑Full ❑Crawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing 3 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' a6iI ❑ Electric ❑Other Central Air: ❑Yes 2<0 Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes W(ho Detached garage:❑existing ❑new size Pool: Cl existing ❑new size Barn:❑existing ❑new size Attached garage: existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review#_ - r Current Use _ Proposed Use F rics.ry 1 J'I�. �J,�L,DER INFORMATION J'77— Name Telephone Number ,�'a F L-(.2 6 Address �ey Est.ri` License# ca-1 -v t-T' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE t_ 16/( WDATE 6 7 FOR OFFICIAL USE ONLY PERK&NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION /�©y1 ax .����'y *af4 FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUC N FINAL 4 Q FINAL BUILDING _ M - r 2 C).n DATE CLOSED OUT g g M 0 a 0 ASSOCIATION PLAN NO. m s m m i F a"HET Town of Barnstable O aY ti O y Regulatory Services I BAMSTABLB, ' Thomas F.Geiler,Director v "iris. g `bArEp .�a`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. at Type of Work: C Estimated Cost d O Address of Work: Owner's Name: le C.Je ���1 ��-C I W-e—IMd P,7 Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law RJob 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: Date Contractor Name Registration No. OR \ Date Owner's NarAb Q:forms:homeaffidav ` The Commonwealth of Massachusetts Department of Industrial Accidents - 600 Washington Street Boston Mass. 02111 �`--:.Y.y Workers' Co m ensation.Insurance Affidavit-General Businesses name: T ` [ ` J C. W e_i- '�vh./►sv 1 _ address: l 3.. �JLW ,J �• v city state: zip: phone# Q work site location(full address): I am a sole proprietor and have no one Business Type: 0 Retail❑ Restaurant/Bar/Eating Establishment working in any capacity. Office❑,Sales(including Real Estate,Auto etc.) ❑I am an employer with emplo es(full&part time.). Other � . /%/% U I am an employer providing workers' compensation for my employees working on this job.. company name: address. •. , : ,,. : cif: phone.#: insurance.Co::: . r olie .# : I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: comnany name:. .7777 address: : :• city.. phone#: . insurance co. ��ll company name: address:. city: phone#"s insurance co.' ohcv#:' Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby Bert' under t t&p ins salt. ofperjury that ih information provided above is true a/nd corTrY G Signature ) -�—� Date '1"� Print name Phone# official use only . do not write in this area to be completed by city or town official cityor town: ermit(license# p. ❑Building Department ElLicensing oard ❑check if immediate response is required ❑Sel ctm n'Bs Office R ❑Health Department . contact person: phone#; ❑Other ,@ (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is.defined as every person in the service of another under any contract of hire, express or implied; oral or written An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal.representatives of a deceased.employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employspersons to do.maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be,an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers.' compensation policy,please call the Department at the number listed below. . City or Towns Please be sure that the affidavit is complete and.printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please p be sure to fill in the ermit/license number which will be used as a reference number. The.affidavits may be.returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Depart nent's address,telephone and fax number: The Commonwealth Of Massachusetts Department.of Industrial Accidents on of Imsdganons 600 Washington Street Boston,Ma. 02111 fax#: '617, 727-774.9 phone#: (617) 727-4900 ext.406 o�,H�to�ti Town of Barnstable o� Regulatory Services Thomas F,Geller,Director XAa � 9� s6.19. A1� Building DivisIOn prF� � TomPerrp, Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.b arnstable.ma,us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using A Builder r CLi.11 as Owner of the subject property . to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit application for: (Address of Job) Dat Signature of Owner e'i'1 Qf1a- print Name n.tnA M C•CIVTNE,RPfiIZMIS SIOI`1 IHME Town of Barnstable Regulatory Services BARNSPABM ; Thomas F.Geiler,Director 9q, ' 163 .� Building Division 9• ATE pr a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-190-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 4& f(S y JOB LOCATION: / Z-3 Y I-, `'l ( L h5 H 2/y number street / village "HOMEOWNER": lCC-P,c.y�--�.> 0 L T( A I (1'6� Z/"Z d—f X)(1 j-Qp-LF Q^— _-;e name ) home phone# work phone# CURRENT MAILING ADDRESS:( laatml w( / O � y 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 acts 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 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. Signature of Homeowner 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. Q:forms:homeexempt f >:1.5:'04 08: ?1 1'A.\ 6.1.77207877 WAYNl RIc=IIARU IILtRl1'IT7., �JOp2 -—Jun-14-04 09:19am 'From-PRIIAE TITLE SW)ICES 976-4751498 T-792 P.94Z/902 F-780 UA'f&GISTERED LAND FILE NUMBER, 10pB36 DMM BOOK.6303 PAGE:1Z PRIME TITLE SERVICE$, INC. 470758 DEID BOOK: 15A 4m + I'AGE:4i 25 _ LOT(R •23 & PART 0 Az-roxN>.Y: OAKWOOD STREE LEND. FIRST EASTERN MORTGAGE CORPORATION PLAN NTMBM' or O�NFR Eomm PRESCOTTANO k KATHERIN ANN BENNL� REGISTEBED L"D A,p!jCAyT: CLAIRE hl. bEGN APd 8c EOWARD M. TEITLEVAN REGt5T=oN BODY; PACT. DATE: 0910$Ig7 scmx. © CER1`IFICATE OF 7Yi7+R FLOOD HARD INFOR.A4ATION PLAN LQT(S)- �rnOD �IAP t�l trcallY x0.-250001 ZONE: C ASSESS°dR5 MAP PANFCt 002iD bALF1): 07 4? 92 __� �{APc _.._ Sf.�M_ PARCEL - ,+rw 3 SHELL LL dsANZ Bs`.ad b11`M17 TAI.7 L , .d 4 .. LOT 25 LOT 27 I4US W/TACK (LOT 23) PARCEL 1 21,750 S-F, LJ Ld � o� o LOT 22 M e"*N O ca PARCEL 2 Ocnl AKWOOU STREET 115.00' 00)ICREIT BOUND � I MORTGAGE LENaE I 30' WIDE UTILITY DRIVEWAY T� I — EASEMENTS TO SHELL LANE I USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT DES T AURM � OF AN INSTRUMENT SURVEY AND IS GERTIl=1t=l] TO THE TITLE r' A ��1.,��ci'Ll�'��7 INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. &11,:A7'�.J� 1� 130 WEST STREET, WALPOLE, MA 02081 Tucoc ADC un nGr. rn .THE :ABOVE. REFERENCED TEL.c($DO)257-880D FAX.:(508)668-4512 S 777 �g ed .N .. Y i a n cA U I VX S' - k wIK kl r. :a F e . , F v t x : a v i •i/.�v OF...- C c a� s } , : is : vt 1 TE:r-x� ._ - d o c I, . TOWN OF BARNSTABLE BUILDING,PERMIT•APPLICATION SEPTIC SYSTEM MUST BE ` � Map _ „ Parcel / INSTALLED IN COMPLIA £i E � 2�/3 Health Division 7 �/ ..� WITH TITLE 5 AN"ENVIRONMENTAL COted Conservation Division TOWN1 RECJLATIC�,hg Tax Colle � Treasur 9 Planning Dept. _A Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �` r Village 61'e Owner 1 ye ma y M Address Telephone —7 7?Y-7,711 7 Permit Request Gl 67 7117-* Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost /�i d60 Zoning District Flood Plain Groundwater Overlay Cpnstruction Type 1041 -e/ Z"_ m`e— Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0--- Two Family ❑ Multi-Family(#,units) - Age of Existing Structure Historic House: ❑Yes &<O— On Old King's Highway: ❑Yes Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 02 new 1 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 /all ❑ Electric 0 Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: O Yes 0 No Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:0 existing 0 new size Attached garage:0 existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name��f'i�1 ,®yyl ?�~//� Telephone Number -77 5'-07P, Address q57 5-L7e, License# 00 6_00 Home Improvement Contractor# - Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOgeMS7,�,61,K, 3 SIGNATURE DATE FOR OFFICIAL.USE ONLY „ PERMIT NO. DATE ISSUED, - MAP PARCEL,NO.- ADDRESS "� -� _' } ` VILLAGE - .OWNER r � DATE OF INSPECTION FOUNDATION t FRA�'I�F � r - tr mf : .v 4 INSL�Q�N RV M at FIRE F'7 e- g ELECTRIII T.e ROUGH FINAL PLUMBING:; ` --ROUGH FINAL ; 3 GAS: _r ROUGH FINAL FINAL BUILDING -" 7 DATE CLOSED OUT ASSOCIATION PLAN NO. aFrne r� The Town of Barnstable s�ansr,+ar,� 9� 1619- `0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: ,044e�e' -9hl Est.Cost A/too Address of Work: lc;2, �Ve Z Owner's Name Z-U A'Alfe2 70—/ ale /77,?1:7 Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as t e agent of the owne r 101�7- D to Con ract ame Registration No. OR 2 Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents _ - 011�ceollorestigatiaos 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit location 42 l� city (�77//- 7' hone# ❑ I am a homeowner p or—M- all work myself ❑ I am a sole P and have no one in any ❑ I am an employer.providing workers' com�eosation for my employees working on this job. :....t..r.:...:.::..........:.......:.........:.....................................................:::.::::...............:............................. '::JC•:^.:?:ff:•::�}:::i}f:i:+'is4ii:isi ::isi :i'r:i::iii:i';:; ......i'rT iiii.`•::�+5:?i:J: :` rona v :11 ::::::.:.::::::n::.::::::::{{::::.::::::.:::.::::::::•:::::.::..........................:... {{.:ti::•::.::.:.x:. {............................. ....:•:nv: ..r.:v.....x.n..,, .nn.....,, ................................................................................................ .::. .....................r:::.v::.........................:.;..•f.{•i}:•:v}:t•}}::?•}:•}:{J}:•:J}Yv:•}:.,v: .. .........4 :?O}}::w::.v::::::.v:::: ..........:::::.....::�::v::::::::::::::::.v.v:::::::.v:::::::.v: .... .: .�.�•:::::.:::•::•:::. ...............:......................J..r.n.... w.{:..�::::.................. address. . : s ;::>'>S::i;•;.: :::::: ::?::.:.:.:::::::::.....:::::::::?is.::i::: ::2:<%r?iS::>: ::? ::::`::'•? f;`;{::i'i`?::%.'t::::':::%:::•'• :::::;:: ;::::::::: lIIStr?a1CCe'Ca:::�...... •:•::•:::::::::. •:::::::::::.�: ...... :>:::;:;}::}}::::;:;y O�IL`{��.. :•:.�:::::•::.�::::::•::::.. .. am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the foll workers ensattan ° P.......... .......: P... olz� ....:... ............. .:. ...................r::.i}}}i:.. .... sv}i}}}:}:�i:•ii}i}i}}:::'r}:�ii::iiii:iiii::4::•i:•}i}>}i:•: }:•}:�::!.i}:: .........:.v::.�:::::n:v.:............ ....::.esR......v:rr ........... :'•i}:........... .:xtt..r•:.•:.:v:. .. ......::................... .......... ................ ........f. ... ...... .......... .n..............n•. ... ........ ......................................................................:................:. .......n.... ......... ... ....... r... ..}... .. :::.::.:.:r.v........ ..::::::::..::..................::i:}}:On.:.:::::::::::: ::.�.�::: :w.�:.:: ::::::.: ............... :�.�::.�.�. - ::: !•i}._:::v:w::... ....... r,........:. r.vrx}:abn..:....................� _:........ . ......................................... :. ...:::•:?• :. r .. ..:•{{{:i•:?:.}}:•:{•}}:{J:}:?•v}}::4};{?J}:•??iii'ii:^:iti.................ryi}}:i::::*i:?•:??<??P}:?^::ice:•i {LL .:: ::::ji}:$:v>ii ._- ..................................... aGf :A.ffC•4J...r... ........... ;..; :::•.. xv::{.,.:.}.:}.J:. .: .......a•:.::•:::::::::::::......%:::::::::•:n•::•::.::^::•}:•}:{???;•}}}::•:•}}}o.o->};;?!.;:»'.�:::;.�:{.,n•:{?:?:?;•}:::. ::::v:::•::::... ' cum anv:name:<::<;<:::. > {?::.:>. ,{.. .> ..}..<,:,? <.-. . ..:.... ..:..........}}:{: ......,i}}}'::::.;.4...+}......... ...:::•:iri:}. ..........:...:::Jif%L[ yi:�jri:•}:i:}}}}}iT: ..•.J.}::•i err.:}jfi::i is i:..,.}::.:..�:;:>::::is::.:r+ vrL..:.. <::iti address:.::.. .. :.,::.:? ....:.,_�. !•�E.,.. .}. .... .._.r�... }}}.n...../. a... J.:....r/.T• t?., v r.{JY•.. "•:J:4}}.:rn:♦;+}'J: 'i }. h.. °•:;;•}}:?•}:•}:•}:??•}:•}}f:•: ::•::- •::::. rxti:.:• .:.• :.:.,v::... ay,t.Yrsv}:�.::{.vL{r.;•}}}:•}:•}:{•}}}}}:•}:•:}}>:<?�:•}:?{•}}:.. .... :n}•:. .......�:::;•.. '.:}:•:?•}:•}::}:... x ,...... ... .... ..... 0 ............. .... ............... .......................r...,..................,........ hone.#..... ... .................... ...... nn: ....n..:........:....: .. .t......n? .r.. ::••.v::::.v:::::::::.v::::n:v:::::::::::.v:•::::v::::::.�:::::::::::::::v: ::::::::._:.:v ::::n•:::.:: ........................................ .. ,.:{;.,; ......... ..:.x :.n{:.:....t'L.•rx.. ..r:•.:•ff..?o:.........::::::r::.v:::::::::::::::::::�v:.:v:....:,. .:..y:.v.. ... ............................................ ::v.�::::nv:n•::::nv.vv::::::mnv::::nn. .•:•Y:r :.... ..4.... kY:mx.... .{.... ...............:............:rr.•.v:::r.. rr w: •}r 'C•.::4. .}yf ....K+ ..,r .:•.,•::}•:.};::r•:.}•:.r:.Y..;.......::;•:.::... ..}r• .x..dst :.T. ...................:•:n:v:v::.v:::I.{x'•Y:};•}::•}:4:L{:4}:4}}}Y+4:4:4:?L4:•:JY{.}v.v::::•.}v:r•.}•:4•{:ti{4}::n}:•}}::•}t'4:•:•}:•::{h .................:........r.............:r......:.......:........................::•::v:}.::rrhr.:..,....:.......v............,....:....................................:......v:.::.......::::::::::::.v::::::::w.v.v:::::::.v:.�:::::.v::::.v::.�::nvnv::._:}:!•i?: {•t.$Y•............::.:...:v:::::::•v::....;..::::....n. ....... t.:::•}}}}Y•}:•}:J:{O:?O}:•fj}}i::fiiiiii:�v?.T:}::::{2Giiii:iji:},:;�iii::;iii::is iii:'r:is i}: iffy}:???}?•i:i<:fiik$4:?•�{$0:}5:,:::4:{{??•}}:�:• nv?w::::nv:•}w:i•}::•}:::.v:::x....................:. ::::•:.....:.. ... t.........:.:r••:•::• .., ...:.................................................... ... ..........:.::v:r....................................r..................Y....r..n.....n:.n:.v..............:.x r...:. n,..:.....n.:...;..;..;...................................... . .::::•:.:.v::::v:.:::•.:.:n:.:::}:�:;•}>}}: ..................... .....................................n...................t..........v..................:....v......:..J.. ....n::.;::}:.;•:{.-x:::::::::v.v::::::::::w::::::::::::::::•.v:::.:v:.�::::::::::v::::::.v::::::.v:...................: v}:.:1:•}:•i}:•:4}}}:•}:4!CL:•.4:L:}::.;v:{•.}}}v v.}Y•;at.' 'ti { .Y ..:'�$.:}�{ti::::ii}.;'r,'r?:;.i::J::isi>.::i::i:}'.::?:f:i:;{::;;:;}::j:::::{:i•:�:??•}}}:i•,:;<?•}:•??:•:4:�}}}:�:i:}}:??<•}:?•}:�}:{<•}}:•}:•}}:ii:•::::k<::{::%::>::{>•}:J}:��:} �.::::::::::::::::i::::w::::v:::.�::n:•::x v::••:•:rvn+•rcnv,•.4TWnv.::•Y\ v v. riixi.:f.{.r•L'rti.$f}i:•:�i::•::iii:�iii:�ii'rTiii:<{:i:�ii :�ii::ii:C:i::�::;:i i}}}:?•;}}}}:4:�}:?•i:{;}}:}�{?•:•}Ti:iii::{iiii�f?i:)}:i^.`:+ji:}i}i}::?�::;jj}. .................. .vtiii}Y::{4:•}:::::::::::::::r............r..v:::x::.t:tnt•::rvn •'•:':::.•}}:•}yi:•:;}:G:•}•}}:•}:4}}:•}}:.......}}:ti�}:v:?}is4}}:{{4i}}:y:::.i:?•:::4}?:^::?::}}}}:�}}ii?}'.}1J:4:J:•::::.:�}}:::: .M� ::?.•v::::::::...........................:.....:^:•::•::.�::::.�:::::�::n::v::.v:.�:. ........... }}:?^: iii::!:6:?4i::<v}.�i:?{i?y'�.:::: _..ti 5;•;:;:;::'i::isS:(.::is�:�i:�i:i.:?�:}:C�i:;is�:';:�'';:!�':;:;:yi:�i: �;:{}:::j::C;: �i:;:;:::�:::::::{y?:,~ tii!{::,:;:};:;:�{r:?:;: �:v::<;}:y::?;:>jY'!:::::!j::":::j::::?:ZC:;�;':?':Ji:':�:::::':;:.:-;? �:::::::�:.:::.:� :::: ::>:: .i: :...:� :�':�':�:�:�:�::;:!n add :":y?::Y::cifr•:::{iiii ti•':•.:i:{:;ii isi;:;:;:};:;i{:;i:;iii':{:::ii::ii :i:':>nt:isv:FJi .....} '.....:?} �:............::•::n:::v:::nv:nw:::::}:r:::::::}:•}:v:w::::.:v:::v:?tiJYvi}?:.}:}}}}}w.}:::::.ti?ti4:•}:•:4:.•. ...,....:::•::::n:v:nw::::::•.v:v::::.�:::::............... w::.v;,.•w.:::n•:::Y{Y�t:i•'':. {• {:[ �$ rr}:t:.'•fvff:r:. ffff'rff+Gfffff{'{:}::{:4:;:}•}':::':: L:{;}'tir': i:{{v:i;}i'.:}::;:;isy;i%ij }:: : ;'{:;:;:;:;i:;:;isi:i:i`:`v?}$}:iS:i:Jii}}j}Ciii?: :::::.:............:.. .........................:.:...::::.:::.:..::::...... .. .. .... ...........:::.:x:.::::::::::.:::::..:.:...................................... ..................:::{?.fr:r:•::::::::.xY:...f..r:.r:•}.:�....:2.:•rrrr.::::::.•:.:::..v::.4::,.,:.,,.:::•..:.... .....:..r::,:��:::::�:::..........................t..........................................................................:r.xT...... .•}.G{. ..{.ry ............::,.::•::::::•::::::....... ... .:•:•:•.•..:..... ...... ... K. ..... .}:t:•)3?:•n:y,.,o,{.♦:F,w....tv4�r„�}.�,,::::L::.;aa.;;•?a:;:c•;:;., fv,L}S..<. .:••.... .•.W.:•:::}}.t+.2?..........:.. � :::::::::.�::•:::.:........::..:. ..>..:..:........;........... ' •.};:.}:.,:.:n•n :....:{.:?{???.}:!•.::::.::,,:,.::.�:::.�}:.�...................................... insarance.co: _ Failure to secure coverage as required under Seddon 2M of MM LU can lead to the imposition of criminal penalties of a fine up to S1,M.00 and/or one years'imprisomnent as well as civil penaltles in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this atatmtent may be forwarded to the Office oflavestigations of the DIA for coverage verification I do hereby cerd under thepains of perjury that the information provided above a truo and comet Simmatm+e Date ,�d Print name Y e f `1 �C�1 phone# -77S -- � official use only do not write in this area to be completed by city or town official city or town* permit/license# ❑Building Department OLicensing Board ❑cbeckif hi nnudiate response is required ❑Selectrnen's Office • ❑Health Depart nmt contact person: phone#; ❑Other (mated 05 Pw Y Information and Instructions Massachusetts General Laws chapter 152 section 25 regcrims all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a . dwelling house having not more than three apartracats 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 nat because of such employment be deemed to be an` "lo MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit*to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall any contract for the performance of public work until ac�cLeptable evidence of compliance with the insurance regairemeats of this chapter have been presented to the contracting authority. r Applicants Please fill in the workers' compensation-affidavit.completely,by checking the box that applies to your situation andti supplying company names,a ddress and: mmibers ak mg with a_certificate=of insurance as all affidavits M .. P�._ submitted to the Department al'-lndusbriat Act--for romfinmaYion of insnraiice coverage. Also`le sere 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 lndustr al Accidents -Should you have-any questions regarding the"law"or if you are required to obtain a workers' ca�pensatiai ,policy,please cal the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed leg1ly.-:The Department has provided:a space at the bottom of fiie 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 p k1liceose number which wM be-used-a-s-a referenc�niu6er: The affidavits maybe r imimed"te the Department by mail or FAX unless other anangemeats have been made. _ } The Office of Investigations would bike to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a cell. . The Department's address,telephone and fax mnbw. The Commonwealth Of Massachusetts -Department of Industrial Accidents 01 o 0110Y81itlp8tl0�ti 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 780 CMR AppwAk J Table JLLIb(continued) prescriptive packages for One and Two-Family Residential Buildings Hated with Fond Fuels NIMUMUM MIMMUM Glazing Glazing Ceiling Wan Floor Basement Slab Heating/Cooling Area'(%) U-value= It-value lt value It-value wall Perimeter Egwpment Efficiency' p R value` R-value' 5101 to 6500 Hating Degree Days' , Q 12•/. 0.40 38 13 .19- 10 6 Normal R 12% OM rt 30—' 19 19 t 10 6 Normal S 12% 0.50 38 - 13 19 10 6 85 AFUE T 15% 036 38 13 25 N/A N/A Normal -- U 15% 0.46 38 19 19 10 6 Normal V 150/0 0.44 38 13 25 N/A N/A 85 AFUE w 15% 0.52 30 19 19 10 6 85 AFUE X IS•/. 032 38 13 25 N/A N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 190/0 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 16 3 1/ Ha i T 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: /U 4. %GLAZING AREA(#3 DIVIDED BY#2): , 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROV YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J$.LM { Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass,doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall expressed as a percentage. U to 1%of the total glazing area may be excluded from the U-value requirement. � P P S P S S Y q For example,3 fl of decorative glass may be excluded from a building design with 300 ft of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements.... `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bz cements must be included with the other glazing. Basement doors must meet the door U-value requirement &scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance.approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum�acceptable levels.-.Insulation R-values are minimum acceptable levels. R-value requirements are for insulationonly,and do not include structural components:` ' b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 � � ���' � ✓/e'�oa�u»ca�erueall/ a�s.�lil�cva�.cc�u:selld ' . OEPARTNENT-OF P1MIC SARTY f . t0NSTR CTION SUPERVISOR LICENSE r� Na�ber — wfxPires: Birtlldate: t -j"'Ca_ `K610 -02/I812000 t2/1$11946 :'Rest eeted V. OO ' uh�E�tO�BARtTi� og �TETSL�H ST HYANNIS, R 02601 IL N ✓l; 'Cnanvuto��cueal 1\ 4 g g+ HOME aMPROVbbf. CONTRACTttR b t Reg`istration 101913 o „TYPE = =INDIVIDUAC' _ �Expiration � �Ob/301.00 d = JAMES-LOMBARDI; 95`Stetson St b ' G� y t ,1' nniS MA 02601j_ _ #ADIv11NISTRATOR � s Qt1dCGC Gll' ! DEPARTNINT-Of PUBI IG ShFETY" _ CaNSTP�IaH SUP�4V7SOp.IICFNSE �' Hi mbdo� _ , Extras: 9lrthdare: Gcs t '.02/18/2 as .02/18/1946 �,ti:_ • `,Rey}�:rke`d To' , 00. J�tME& ,GOWN 45 STETSON'ST-. } HYANNIS NA 02601- C T7aMnll4'izll�BQ�IIt p�✓��C�GICf(141CaA 110ME .MPRDVEMENT GONTRACT(iR . - REgiskratiOD .101973 - TYPe E INDIVIDUALL : ExPIr,a n > O6/30/. 0 s - 'JAMtS LOMWE e == 95Stetsnn StLL nnis` MA 02601 ADMiNIS7RAMR i v i 1 ven �... r .7 i" ICE i - "f r U1 L L -; I�15Ul� rn, fn w �l ® ive ; ql 4 wi9Z- L �, f h cv 14 -L/I d , //;.jJllg fin In 1 30 PF 1 f , = i � � W L L r in cv s z OF' � i r / a m : 00 ' i i - , 7 i 1 Ora T6 I fill 1E T L E op", - i r _ a r ~� b f i.. F S t i b • .f f i n 7 ,71 Td h t 0;PP" 0 A/ T 'VIE j .¢1 s -4—'a.:.i` Y .vet, r ,'7ME,, TOWN OF BARNSTABLE . Permit No. ...A�9.?I...... BUILDING DEPARTMENT { ■... I TOWN OFFICE BUILDING Cash hoar►. HYANNIS.MASS.02601 Bond ......� tl V CERTIFICATE OF USE AND OCCUPANCY Issued to JOHN Mc,SHME Address lot #23 41 Oakwood Street, 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. June 13 ....... 19.... 88 ` ....... ............. ........................................... Bolding Inspector THE FOLLOWING IS/ARE ' TH E BEST IMAGES FROM POOR QUALITY ,OR-IGINAL (S),. .'. m D ATA { _ .... -- —.-....._...--- ....-. VJLI II - r,` ...., .., .: A=019-128 rkiy �:4 88 �3 �� DATE 19 PERMIT NO.; • 9192.7 o s_. "APPLICANT Owner .ADDRESS IN0.) (STREET) (C 0 N T R'S LICENSE) PERMIT`'TO Build dwelling �_) STORY Single family dwelling NNUMBERDWELLIN OF G UNITS 1 I � . :. (TYPE OFIOtIMPROVEMENT) 41 NO. O1'M_00� � (PROPOSED USE)" - ZONING , ! r 1 LAW Street, Cotuit - RF � AT (LOCATION) (N0.) DISTRICT— (STREET) .) BETWEEN' AND . (CROSS STREET) (CROSS1 STREET) > ' LOT. {I SUBDIVISION LOT BLOCK SIZE i 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 . (TYPE) REMARKS: Sewage #87--484 B VYD .. .. .. PERMIT; 12MID , AREA OR 188t3 .s �t 100,0U0 VOLUME' q• ESTIMATED COST $ FEE . f . (CUBIC/SQUARE FEET) OWNER" John .McShane BOX 679 Osterville, MA BBUILDING DEPT. 1 , ADDRESS' . , „ i OF ANY'APPLICABLE SUBDIVISION RESTRICTIONS. FtFnY'T`=dY7'E'S'KS 'CE' 'Y`fi' "A9''F'L`�'l.'7S`Ib'')"1=kU'r�''�f'FI't-"C"OFI'L91"fYYS•F15.-.`_ - 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 1. 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 MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE - OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 -- 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT S��J ti cam' 'Rj l,✓W i J 4 iQ OTHER BOARD OF HEALTH 6 i WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES Of- [PPOERMIT RK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. i5 ISSUED AS NOTED ABOVE. NOTIFICATION. �f 'r OAKWOOD STREET S 69'30'20'vE 141.B5 9� 0 LOT 23 21, 750S. F. Q Q oF��s LU e N o I �tio9r��c 3 111 _ ti O 170.51 N 69'30'20`W PLOT PLAN OF LAND TO THE BEST OF MY KNOWLEDGE, THE FOUNDA TION L OCA TED IN SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS @' BARNS TA BL E — MASS. ON THE GROUND. " z FA�ZN 1)f ``�a PREPARED FOR ti DATE:MAR.23, 1988 z� " ci• Mc SHA NE CONSTRUCTION OA TE. MAR.23, 19BB SCAL E.• 1 �30FT. CAPE 6. ISLANDS SURVEYING FLOOD ZONE C (NON-HAZARD) D-ID ° ��'"~� FALMOUTH - MASS. MYCOCK, KILROY, GREEN & McEAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS. MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN. JR. 771-5070 MICHAEL D. FORD ADDRESS ALL MAIL P.O. Box 960 MARK D. CARCHIDI HYANNIS. MASS. 02601 EAURIE A.WARREN MARIBETH KING REFER TO FILE N July 27 , 1987 Joseph Daluz Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Lot-, P on Plan Book 159 , Page 91 (Assessor 's Map 19 , Lot /""-'r ) Dear Mr . Daluz: The above lot was shown on an old Board of Survey Plan dated August 11, 1960 and recorded in Plan Book 159, Page 91 . Lot �3 has been in separate ownership from that of adjoining land since May 29 , 1973 . As of that date the lot met all of the dimensional requirements then in effect under the zoning bylaw of the Town of Barnstable. It is my opinion, from a review of the record title, that said lot has the benefit of unlimited buildability under the provisions of paragraph G of our local zoning bylaw. Although I have not physically inspected the locus, it is my understanding that the major portion of Oakwood Street upon which the above lot fronts has not been improved for vehicular access. I further understand, however , that Mr . McShane will be improving Oakwood Street sufficiently to enable fire and other emergency vehicles to gain access to the lot. Very truly your , Bernard T. Kilroy BTK:gm MssAsor's offioe Ost floor): Assessor's map and lot number ....�✓� /� .....�!/� °':f ' SYSTEM MUST BE ..°f?NE to` Board of Health (3rd floor): ee,�� =-ED 6N COMPLIANCE, Sewage Permit` number .... .�.'. Il�'.�........................... tRTH TITLE eJ i BA839TABU, Engineering Department (3rd floor): L-� ENTAL CODE AVO V SAG& e� 2639 House number ................................ �YI - a�• . .. ` ' ., ';O REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only- . TOWN OF BA MSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... ........ .. ........................ ............................... TYPE OF CONSTRUCTION ...... . . . .. ...... ...... .4. ................................................................. z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a ermit according to the following informati ��Q Location ..G�..."............. 3....� . :..... ........ ........ .................... .......................................................................... ProposedUse ......... ? ,�.. ... . ........ .. . .. ... ............................................................................... ZoningDistrict ............ Fire District ...... ........ . .................................................. ............. ...... .........��f.................... Name of Owner ... ...c.� ....G G,J/...........Address ...... .Co.1 4 . ... .. .................. .� + Nameof Builder ..........................f.......................................Address .................................................................................... Nameof Architect ......................................................................Address ................................ ................................................... Number of Rooms ......................../........................................Foundation .. ............................................. Exterior ........ ..................................Roofing ......... . ...................................... Floors . .. ... ..............................Interior .. ............................. Heating . ...... lsL%......� .� ..................Plumbing ........ ,l} 4 .................................... Fireplace ....... �1a �1'�!I iL �. .............................Approximate Cost , /....e�.pc) Definitive Plan Approved by Planning Board ________________________________19________ . Area ..,/.lfi ..."...-, ....... Diagram of Lot and Building with Dimensions Feez �.� SUBJECT TO APPROVAL OF BOARD OF HEALTH05 p g 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 LicenseC/ �®�?............. McSHANE, JOHN IL L'No ... Permit for ...Story............. Sin le Famil Dwellin ........... Lot Location :-A'm�..... 45 ..................C.0.tu.i.t............................................... .. .... .. .. Owner .....J.o...hn.......Mc.S...ha.....n .. ...e..................................... Type of Construction ..EKAMP........................... ............ ................................................................... Plot ............................ Lot ................................ Permit Granted ....MaY...2A.,...............A'1 9 88 Date of Inspection .........................n........19, Date Compete ....... ... ...19 C, 7 Assessor's offioe (1st floor): G F o�THETo Assessor's map and lot number. .... ..... � . :..... ., Board of Health (3rd floor): Sewage Permit number ....Z.. "Y L.�............................: i 7 I' Z B9Sd9TGDLL i Engineering Department (3rd floor): ,,�� f �o rasa 039. House number ........................... k .... (�... .............. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 .P.M.-only - TOWN.' OF BARNSTABLE BUILDING INSPECTOR . � � APPLICATION FOR PERMIT TO .. /�a �,�.. ... ..... .............................. TYPE OF CONSTRUCTION ......t�!�r< �. ........... ....... ./. ........................................................................... .i/ . .. V. ' ......19--- ... , TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a ermit according to the following informati n: c� � Location ... . JQ7e...3....� . ...... ... .).<.:............ ...................................................... ProposedUse ....:./..,�T �'e' @.�... ...... _.... ............................................................................. Zoning District ......Fire District ...... ................ / G�..!J•.••••........................................... Name of Owner .... ..<c^...��� G'/lG.... .... .--:......Address ......�� ���..�...- Name of Builder .............................. ...I.........: Address Name of Architect ..................................:.................................Address Number of Rooms ........................................... ........Foundation .. . ........... Exterior ......... �.........................................................:..Roofing ......... . f7�.C%t%� -�/ �. L' � ... . .. � Floors .............. ...QA64,2. .: . .......... .................................Interior .......... "6 !;� ... ... _ Heating / ,, ��/.k.... /"J / ...... Plumbing . ............ ��..... ..r Fireplace ........, Approximate Cost Definitive Plan Approved by Planning Board _________________4--_---_-_-_-__19-------- . Area v� c9 Diagram of Lot and Building with Dimensions Fee f SUBJECT'TO�APPROVAL OF BOARD OF HEALTH U f � v f 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 ....... .. T � .................................... .... D Construction Supervisor's License ��/(..!�.... .............. McSHANE, JOHN A=019-128 No 319 2 7... Permit for .1 3 Story .... .............................. Single Family Dwelling ............ ...t5 Location ...Lot #2 3, -4��� ............................................................. cotuit ............................................................................... Owner ...John...M...c..S...h.ane................................ .. .... .. .. ....... Type of Construction ........F.....ra...m...e..................... .. ............................................................. ................. Plot ............................. Lot ................................ Permit Granted ....... ..............19 88 Date of Inspection ....................................19 Date Completed ......................................19 First Floor Plan o Exterior Dec And Screen Porch 40 W _ ` (Not Shown In This Drwing) O a O = — J 4) vE t ♦.+" d co■fM - '� N O — -.. ---- 74_0" -- ----24-2 3/4" = =---- 49'-9 1/4" 1 _ Q 0 Rplace damaged sub-floor. i„� _ W Install new oak flooring thru out CLOSET MASTER BATH i Rplace damaged sheatrock as � �� *,'� needed, �r/ 5'-5"x 4'-11" T-1"x 4'-11" Install new kitchen cabinets and counferS KITCHEN/FAMILY ROOM LAUNDRY Paint walls and ceilings. /� T-7"x 9'-4" Remodlel master bath(change 28'-1"x 13'-4" LO fixtures etc.) 0 > N a. 4 Enlarge openings(2). Install micro lam headers. --13'-0' N !� Z W N GARAGE 2-1 314 x 9 V2 laminate together.- - --- - —-- 4 �/i� 23'-7"x 23'-4" snstalol double trimmers for N W rEi • • PP "!F Install fasteners per eng.space. ■ ■ co �+ CA Rt cc Clear span opening Clear span opening MASTER BDRM co to A!d �0 L. r„vz.. [ 12'-11"x 16'-0" � 1.� VI 0 N 9'�. DINING 3'-51/8" = LIVING --.---- 12'-10"x 13'-7" 15'-9"x 13'-7"UP --- -- i 0 0 o io ■ Iw 24-2 314" __. - - ------- - -- --33'-9 1/4' ------- _.... ------; -- --- —-16-0' _- -- Q Oy a 0 These plans are for representing rooms faCD,, and there aproximate location and Q Q purpose. 0. j E- Z m !V M m Second Floor Plan . . o a) as � � o J O c M J 4) EU � 0N 0 a. 1— v C� OPEN BELOW i W BATH I J - - - - -6'-7"x 11'-3.. - BATH ' 6'-9"x 9'-5" FAMILY BEDROOM co 13'-0"x 18'-3" 13'-0"x 13'-4" — BEDROOM O Q 12'-11"x 13'4" N _ I— . . HALL, O N N m 6.9..x3.-0.. Z - - - - - - - - - - OPEN BELOWMKI . . _ 12'-11"x 16'-O" L CLOSET CLOSET RS co vh In a � Q �I 12'-11"x 4'-7" 13'-0"x 4'-8" STORAGE _ - 23'-6"x 4%8" - OPEN BELOW 6'-9"x 13'-7" I STORAGE STORAGE 12'-11 x 8'-7" 13'-0"x 8'-6" I II � I w d �0 0 v O O These plans are for representing rooms and there a roximate location and purpose. p Q W N J IL S 3 4 ' z co m !V E M m V Framing Elevation Detail o are � o J O r M E M CO N O G. H- v- t� CV _ LO a? ti LA Location Piont Loading CO 00 0 0 z w "v Rf o ,O N W 2 IL d J . v m Nis CM m