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HomeMy WebLinkAbout0190 CONNERS ROAD yo c�NNe�s ��R� _ _ n v Lauzon, Jeffrey SEE From: Lauzon,Jeffrey Sent: Monday, May 20, 2019 4:13 PM To: 'RMedeiros@conservgroup.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-1612 Applicant, Please be advised the above application has been reviewed and the following is noted: 1) No home improvement registration has been submitted for applicant. 2) No documents submitted demonstrating the applicant has been authorized to apply for permit. The application is denied pending the submission of the required documents.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Appeals Board within forty-five (45) days of the receipt of this notice. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon(ci)-town.barn stable.ma.us i - y�� Town of Barnstable , , . KAM. g 200 Main Street,Hyannis,MA Tel.(M8)862-4644_ INSPECTION REPORT Permit: Building -Addition/Alteration Residential Use: Date: 5/14/2019 8:16 AM Inspector barrowsd Permit Number: TB-19-1612 Name: CATIGNANI, ROLAND B&JUDITH H. a Address: 190 CONNERS ROAD, CENTERVILLE Unit No. Inspection Type Inspection Item Status Comment Building Admin - BA- Copy of Applicant's NIC Unable to open licenses to verify Construction License Inspection Overall Comment: Overall.Inspection Status: FAILED Re-Inspection Date: , - t y. Inspector Signature Owner Signature Total Score:`100 Town of Barnstable �E�cEi � R P ....viz ,`^,,.,r rE. •F ....; " 200 Main Street, Hyannis MA 02601 508-862-4038 9. a, Application for Building Permit Application No: TB-19-1612 , Date Recieved: 5/13/2019 M0 Job Location: 190 CONNERS ROAD,CENTERVILLE ' Permit For: Building-Addition/Alteration-Residential �. Contractor's Name: ROLAND B CATIGNANI State Lic. No: CS-005 57 ' N Address: Centerville, MA 02632 Applicant Phone: (508) 888-6555 w' (Home)Owner's Name: CATIGNANI,ROLAND B&JUDITH H Phone: (508)326-7873 (Home)Owner's Address: 190 CONNERS ROAD, CENTERVILLE,MA 02632 Work Description: Reconfiguration of interior partitions, intill of existing,sliding patio door,and installation of new exterior door. Total Vdue Of Work To Be Performed: $55,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and" specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Randy Medeiros 5/13/2019 (508)888-6555 Applicant Date Telephone No. Estimated Construction Costs/Permi4ees Total Project Cost : $55,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $330.50 5/13/2019 $280.50 XXXX-XXXX-X)=-I Credit Card 5730 Total Permit Fee Paid: $330.50 5/13/2019 i $50.00 }ice{-XXXX-XXXX-; Credit Card i 5730 Wes Town of Barnstable Building srn> iPost This Card So That it is Visible From the Street—Approved Plans Must be Retained on Job and this Card Must be Kept 8AVX. , Posted Until Final Inspection Has Been Made. er j JWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. i Permit NO. B-19-1995 Applicant Name: Roland Catignani Approvals Date Issued: 06/17/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/17/2019 Foundation: Location: 190 CONNERS ROAD,CENTERVILLE Map/Lot: 251-001-001 _ _ Zoning District: RD-1 Sheathing: Owner on Record: CATIGNANI, ROLAND B&JUDITH H Contractor Name:';g ROLAND B CATIGNANI Framing: 1re ;b}'�o� Address: 190 CONNERS ROAD Contractor License: CS=005157 2 CENTERVILLE, MA 02632 Est. Project Cost: $55,000.00 Chimney: Description: Reconfiguration of interior partitions, Minor relocation of existing ¢ Permit Fee: $330.50 Guest Bathroom, Removal and infill of existing sliding entry door in ) Insulation: LivingRoom Installation of new exterior door in Living Room. al Fee Paid: $330.50 � g Date: r 6/17/2019 Final: Project Review Req: FRAME INSPECTION NEEDED. Plumbing/Gas Rough Plumbing: . Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: 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 Final Gas: work until the completion of the same. r` Electrical 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:' Service: 1.Foundation or Footing `s Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 Shea, Sall From: Randy Medeiros <rmedeiros@conservgroup.com> Sent: Monday,June 17, 2019 12:25 PM To: Shea, Sally Cc: Brian Catignani Subject: Project#TB-19-1612 1 190 Conners Road (Centerville) Sally please void my permit application for Project#:TB-19-1612... 190 Conners Road Centerville, MA 02632 Please also refund the permit fee, ($330.50),that was previously paid via credit card. Please confirm receipt of this request and please also send me a notice once you've processed the refund of the fee.Thank you in advance for your assistance with this matter. Best regards, ConSery Group, Inc. Office: (508) 888-6555, x116 Fax: (508) 888-6566 Cell: (774) 271-2331 www.conservgroup.com CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open.. attachments or reply, unless you recognize the sender's email address and know the content is safe! 1 1 r� i g �1 �- a,? Application number . . ................................... Fee ..................� ............................................ • As mIR F Building Inspectors Initials....... . a .............. Date Issued..................).-b b.ai. .......................... TOWN ij� BARNSN ,51441 00/ Map/Parcel........................................................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �q0 Comorpr, t1A. CEjjTEy_QkL -E NUMBER STREET VILLAGE Owner's Name: gbt.Aab #,TuA..m Cm%&mw 1 Phone Number _49.) 3ato- 8 3 Email Address: Rc.Tt 6n1Aw)i a isrety C,&ggex^^Cell Phone Number Project cost$ I Check one Residential X Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby thorize I.OwISE�R�1 Rove. N t . to make application f uildingp t ' ccordance with 780 CMR Owner Signatur • Date: -7114 TYA OF WORK y ❑ Siding ❑ Windows (no header change)# ❑ Insulation/Weatherization ❑ Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to �1 c,�sxr - _L too,PNO CONTRACTOR'S INFORMATION Contractor's name�� rzy GR.�i�, aim �1RM� G�c�l�lwwll — P^ Home Improvement Contractors Registration(if applicable)# 13b1\O (attach copy) Construction Supervisor's License;#.T CS- 1 Q'+to$ S_;' •(attach copy) Email of Contractor AM%klaW ng c.4916wGOwt.to,A Phone number -414 `tg4 -Llbl ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. 1 APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with,the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas-permit is,required. If food is being served at.your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTIONK Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature ftk 1hA Date 6 E" d It� All permit applications are subject to a building officut s approva prto�to rssuance. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation'Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �j£�J G(L�JP %tAcl. Address: 1I0 STATE Ro^n Suyrc- City/State/Zip:S l Phone#: Sb8- SIM -LSSS Are you an employer?Check the appropriate box: Type of project(required): 1.a I am a employer with�Q 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• t 9. ❑Building addition insurance [No workers' comp, i comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.51Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �(RCJSS �p15►�RAN CE Policy#or Self-ins.Lic.#: a23.8VA Expiration Date: 1 140 Job Site Address: Igo aglaE1t2S 12.w'D City/State/Zip:Cee u%J1e Mj Ca6'&9L Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f urance coverage verification. I do hereby er ' u er ih pains and penalties of perjury that the information provided above is true and correct Signature: o e . Date: t. It ek Phone# J�S g 8 'L sss• Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:. Information and Instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings im the eominouwealth 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 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 Revised 4-24-07 Fax#617-727-7749 www.mass.govidia Commonwealth of Massachusetts ' Division of Professional Licensure Board of Building Regulations and Standards Construetion�SUpervisor CS-107685 � Expires: 02/26/2020 iJr x BRIAN:CATIGNANI1A } i0 `' 190 CONNERekOAD ;u �-1 1tr' CENTERVILLE`MA"02632 >� �i f-SO' Commissioner • r'�,r, �isrurecrzujerzz�l�o�./�as-st���selG1 . Office of Consumer Affairs&Business Regulation' HOME IMPROVEMENT CONTRACTOR TYPE:Supplement Card Reaistr�atiot� Ezuiration 01/06/2020 CON SERV GROCfP :C O 9. BRIAN CATIGNA;� 110 STATE RD SUI iE-,7 SAGAMORE BEACH,�MA 02562 Undersecretary - Act CERTIFICATE OF LIABILITY INSURANCE °AT 7/1 /2°"Y,rY' 0 /17/2019 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 - CONTACT Lynn Blanchard,CIC,CISR FIAI/Cross Insurance PHONE (603)669-3218 FAX (603)645-4331 A/C No Ext: (Al No): 1100 Elm Street E-MAIL SS: Iblanchard@crossagency.com ADDRE INSURER(S)AFFORDING COVERAGE NAIC It Manchester NH 03101 INSURERA: Continental Insurance Company 35289 INSURED - INSURER B: ConSery Group,Inc. INSURER C: 110 State Road,Suite 7 INSURER D: INSURER E: Sagamore Beach MA 02562 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 GL&WC 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 AUUL1bUtJK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER .. MMIDD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person). $ 5,000 A 6014222886 07/01/2019 07/01/2020 . PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: - - - GENERAL AGGREGATE $ 2,000,000 X-PRO 2,000,000 POLICYJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO - - BODILY INJURY(Per person) $ OWNED SCHEDULED - - BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED - _- PROPERTY DAMAGE $ - AUTOS ONLY AUTOS ONLY- Per accident - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X1 PER STATUTE. ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? NIA 6014222869(3a.)CT&MA '07/01/2019 07/01/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under — - -- - 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:69 Camp Street,Hyannis,MA 02601. ------------------- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Barnstable Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 -�wa+C , I 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD fY �+11�`Tr TOWN OF BARNSTABLE Permit No. ................ • t BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING 7 \Yl.eso X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas Shane Address 204 Connors Road (Lot 1) Centerville, MA 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. March 27 95 19................. ................... ..................... Building Inspector �`fy�•�'. TOWN OF BARNSTABLE BUILDING DEPARTMENT _ DAR1°TA = TOWN OFFICE BUILDING 'g 6 9• `� HYANNIS, MASS. 02601 �o rev►� MEMO TO: Town Clerk - FROM: Building /Department DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #.. / ........................................................................_......._..................... ....... _ ...___ issuedto ..................................................................................._.........._ ... . ......_ _.._ Please release the performance bond. i I MANE ADDITION&. CENTERVILLE, MA, I , r I .• !� . anu.....�la c.i"mom.a c m.n rl , S''F �'tWY tt�LDUKY 1 Rl•WII b ab w serW , ou••u lm.•n _ FI n.. .n. . .e• - - w.bn.N wa.r=vvar!W` w.l•Ga.. . - l•wl- .... ..._ .... ._--. �.. t, e Y nt..wauub •.�"uv.INfG ' '' ......__ ....: a. .. ."�.. I'LWF — ,•r p.•ww gtW�lbaM am 1 r — ._ �- -- I4ep`tsG•lvGvlmm••"1a11Y Y r •e•v , ,. .. .,. _.._ ..... .. __—_. _ � — _ I lwl all.�v,oa m`uvanG•tlm•. ' • y 1 � '! 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Gal lru•wrrr,Wl,wev.•a ww�,'r • I Nr�W Ilr..MN wuWr t+r W>r '1 t ' ' r r 1 ru.rr w Mwrl•N r r r - t J r IA•r•I•. lrla crAl J 1 1•1 I J -•-- .. �i.f/L�T NOLLlE 1 { I r i y 1 �IC`s�� •,�P41P�9Ar( " } R L SEABER(i ASSOC.,INC. a ARCHITECTS/PLANNERS 1 d ,, ' + •� 1 HAtnwr,MA. oil-5850 . OAf•nUl•,MA. I28-5601 • 1 �.i Alt! 1.I _DESIGN ' DATA SINGLE FAMILY - 2 BEDROOM' NO..GARBAGE DISPOSAL DAILY FLOW = 110 X 2 220 G.P.D. r - -r �CC off SEPTIC TANK = 220 X 150%: 330 G PD,'' USE 1000 GAL. TANK . DISPOSAL /AREA - usC (3) 4K6 Flow D�FFvsorzs' w rrN Zarz-0u �� SIDEWALL AREA - 1,4.4 S.F., S.F. X 2.5 = 3/po G.P.D.. BOTTOM AREA ='2-24-S.F, �14o. scquE L0 .. ZZ O.P. �D. _. 4_ TOTAL- DESIGN-=5s4 G.P.D: TOTAL DAILY FLOW = 220 G.P.D. 00 RATE : I'' IN MIN. OR LESS � �,-----._._ � PETER 'c �tN - Y.: -SULLIVAN .Rt��taRa Na 29733 ti A 8 e eaxr� ,: IST& D,F hvS o Q-5, MI....2'of:`yy z wFISHt� .' ; ST3 C' A2ouQ�> A+jl� I' of %'& UASHCL). TEST HOLE # R 7�8 �9q l o sYsr�rA. wmut:.."e > BY P4uL la J OEV_s:, ez 'La R-F-Y Bgws..T� a.H 6q rt�z- �Ye L. 47.¢' F.G. = 4¢' l� F.G = 4TOP FND.= 44�. P.V.C. Sufis t..44,4 z oc4,1ra, 6 oN r,� > �:4L SCHED. 40 oU U a, - INV. ..41 DIST. INV. GAL. .. INV. biyez 90 BOX 4,.(6' SEPTIC o. OF r TANK hI o, INV. INV. &Tto M i_L. 38� 4) '4.4-' ST 13 ' &lZAvGu . : PROFILE. NO SCALE,.. _ EL 34- �/ CERTIFIED PLOT PLAN , CoNryoC✓> IWME Lc-VCL WGQUApvCr 1,\Y..E LOCATION I CERTIFY THAT N THE PROP SED. FOUNDATION `�7 , rl `� `�`' SHOWN HEREON COMPLYS WITH " " SCALE I ''= 30' DATE 1--t:�.. .�� ly� 1 'THE ,SIDELINE AND SETBACK. , REQUIREMENTS. OF THE TOWN OF_ PLAN REFERENCE 13q`1STA?54Z AND IS NOT LOCATED WITHIN THE FLOODPLAIN, 14� 12 BAXTER & NYE, INC. THIS PLAN IS NOT BASED ON. AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE- OFFSETS $ CIVIL ENGINEERS SHOWN SHOULD NOT BE USED. TO OSTERVILLE, MASS, DETERMINE LOT LINES, APPLICANT �nllND�T �»D Li��, Ail r Gr ov S�EcT 2 0 !' fit Z PETER �fG ' ,mac �. ten•_ FCBP j,4P—Y 7 179 SULLIVAN No. 2-9733 �` Cad�- Ej• � / � - ..��� IJ • Law�3 \ 2 4.98' 77 \ �� - _ - t - t 7-, I I Sr,_v� �O i \ 39 s 4 ScAL.0 I"- 3a1 �pF ZHE Tp�� Town of.Barnstable, Massachusetts Department of Planning and Development rt,.S. a Office of The Planning-Board039. - AT fo rMP�n 367 Main Street,Hyannis, Massachusetts 02601 (508'),775-1120 ext. 190.~ ° r January 29 , 1991 A u n e Cahoon., Town Clerk Town of Barnstable Town Hall 367 Main Street }'Hyannis , 'MA 0260.1 Re : EPPROVAL NOT REQUIRED PLAN r WINDSTRAtID LIMITED.; Plant of . -Land, ­in`. .(°Centervi4,,e Barnstable,. Mass"., For = Windstrand Limited Scale.: 1 "=30-' Plan dated 01/23/91 ; Baxter A Nye F__nciiveering ; 2 1Q..ts,; located ,".west ,off` Connors Road ; : north '641- Millstone Way , northeast =off Old Fa'rm,' Road , abutting southeast c)f Wequaque.t Lake , Centei—v, Ile ; Zorre : -RDzl _ z GP ; Assessor"> Map 2151 ,. Parcels 1-1 & 1-2 . r ' "Ay At a duly posted meeting of the Barnstable Planning Board. held January 28, 1991 , it was voted to APPROVE the ENDORSEMENT .of the above caption ()NR Plan . ' F:c ,P0C.t f u 11 y , t a. E3e r ri a r d Wilbtr., "Chairmah;, r Daeiistable P-,,1"ann inj. Board GW Vm y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION; 1 ..:.; _Map c -SSI Parcel&/ ice/ Permit# Health Division L�"G �` J Date Issued + Conservation Division 11�*5A �/ • Fee y Tax Collector : �k SEPTIC SYSTEM MUST ar,,a �66,07 ' INSTALLED IN CCMPLIANc�[��Cr,` ; Treasurer "`" - I V6IITIi TIl°I. ri ENVIRONMENTAL E 5 � Planning Dept. MENTAL 6/CODE AND -�7 "' Date Definitive Plan Approved by Planning Board )y' - I�ECEULATp0NS Historic-OKH •Preservation/Hyannis°f�/ / h Project Street Address 19 o Cori A e('�_s o - ^Village cony Vr L 4 ' Owner i5dLoard. m6rr-s k I Address Telephone — 8=,�� Permit Request 2--InAkmL 70— EX1 s r/'ov e- 2 f.cJ Square feet: 1 st floor:existing O • proposed �!O�Z 2nd floor:existing proposed 75.E Total new 8D Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type LDoo� 62.fotE Lot Size 3 f Acees Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes A No On Old King's Highway: ❑Yes ®No Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) f�orZ Number of Baths:' Full: existing .3 new -' Half: existing new Number of Bedrooms: existing T} new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas O Oil ❑ Electric ❑Other Central Air: �Yes ❑No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes J4 No Detached garage:takisting ❑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 ` _ BUILDER INFORMATION , r Name JALro Telephone Numberd� Address 13 (' U License# (OM66, M , X4 4-e hh - Home Improvement Contractor# Worker's Compensation# WC1 O/O ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z&ryl Ce— V�A-, SIGNATURE DATE Z 6 O s -FOR,OFFICIAL USE ONLY - : DAV ISSUED ' IV, MAP/PARCEL NO. r!t ,,FrT r � E Jtr 1. ! 1- i ? - ..i � a x • . ! ,. t - . ADDRLSS VILLAGE /. OWNEI, � ! / i '"` w. K r v �w r r ��' ,Y. f •!r r DATE OF INSPECTIOq: FOUNDATION FRAME L/s~+ Z ��- � � ` Car-' f� - , • � ' � - r ,'./� y �� ��_�� a ': }, - _ - t:- INSULATION FIREPLACE ELECTRICAL: �`°.. FINAL � •,�` � - f! �+ ` _t..• ..� ROUGH ` i, PLUMBING: ROUIG; µ ; FINAL GAS: ROUGHS = FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO? inp`OF t"E' 4 The Town- of Barnstable - - BARVSTABLE. Department of Health Safety and Environmental Services ' 9 MASS. 0p �A 26}9• �0 fto MP'�s, Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection f2;_ �'Location Li;w�,Q t'''�� Permit Number >I 6 / Owner Builder —� One notice to remain on job site, one notice on file in Building Department. The following items need correcting: � b vy C ` -� k✓V Ate(°&a 6 / n 1 Please call: 508-862-4038 for re-inspection. Inspected by Date �' The Commonwealth of Massachusetts Department of Industrial Accidents ` --` OfBca ofhestigatioos 600 Washington Street ' - V Boston,Mass. 02111 Workers Com ensation Insurance AMdavit ---------------------- name location �q0 t'�1NsirS �1a city ( NTfi2 phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in anv capacity %%% %%% %///%///%%%%///%%%/%///%////%////////'/////%//%O%/%//// am an employer rovig din workers' compensation for my employees working on this,job. :.......:«.:.;::.;;.;:;.:.:;.;:«::;: ::: «;::<>:<:>:<;:;>>: I p oye1 P: .:::...:;:.;; . .:;<,:..... :. comaanv name .:...:: i b# 1''7` � . :: address n� citv, l�S f!I r} aiibne olicv#• insurance co. ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and•have hired the contractors listed below who have workers co ensation Polices:coin P .;:.:<.;:;..:;:... :.:;.:;:.; the following .. .............:.::: P COMI)an v m .. ..... . na . ... ..... dare own SS. ::.:...........::.:.:::.::::....................:::::............... :..:.::.;;:..;.::........................:::::.:::::..:..:.. ;:.;:::.. ..ice.. :.o.., t-:. .................................... .... :::.... anv name:...:.:.;.;::>::>:>.::::<->..::,::.::.:;;<•-;:::• .:....... ::.: - ;:;.<>•.>s:::.:..::. address.. : »:-;> one ........... .. ......... . tv: lieuLEE=. . ... . :.. Fafinre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51s00.00 and/or one yeah'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I underafatd that a copy of this statement be forwarded to the Once of Investigations of the DU for coverage verification 1 do hereby ertify the nallies of perjury that the information provided above is true and coned Date �� ,0 — Signa PrintLIOL L Its,, >�# g official use only do not write in this area to be completed by city or town official city or town: permdt/license# ❑Building Department ❑Licensing Board ❑Selectmen's Office ❑check if immediate response y required ❑Health Department contact person phone#, — pother Uavtud 9/95 PIA) MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) , DATE: 2-6-2001 DATE OF PLANS: 02/06/01 TITLE: Marshall Home PROJECT INFORMATION: 190 Conners Road Centerville, Ma. COMPANY INFORMATION: JML Properties, Inc. 13 Blueberry Drive Acushnet, MA 02743 508-998-2919 COMPLIANCE: 2AS`SES7 Required UA = 868 Your Home = 699 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 4052 30 .0 3 .0 129 WALLS : Wood Frame, 16" O.C. 3240 13 . 0 7 .0 190 GLAZING: Windows or Doors 124 0 .330 41 GLAZING: Windows or Doors 237 0 .290 69 GLAZING: Windows or Doors 165 0 .330 54 GLAZING: Skylights 15 0 .450 7 DOORS 48 0 .350 17 FLOORS: Over Unconditioned Space 4052 19 .0 192 HVAC EFFICIENCY: Furnace, 85 . 0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater n 1250 f the design load as specified in sections 780CMR 1 0 d J4 4 Builder/Designer Date 6 MAScheck INSPECTION CHtCKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Marshall Home DATE: 2-6-2001 Bldg. Dept . Use CEILINGS : [ ] 1 . R-30 + R-3 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-13 + R-7 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1. U-value: 0 .33 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 2 . U-value: 0 .29 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] 3 . U-value: 0 .33 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS : [ ] 1 . U-value: 0 .45 For skylights without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I DOORS: [ ] 1 . U-value: 0 .35 Comments/Location FLOORS : " [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Furnace, 85 .0 AFUE or higher Make and Model Number THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: P) Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ) Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS: ( ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) -------------------------- OCT-31=2000 13:53 AT I Y• liIJB I I'l F U-5 04 QUITCLAIM DE I, THOMAS M. SHANE, Trustee of THE 190 CONNORS ROAD REALTY TRUST, . under Declaration of Trust 'dated March 2; 1994 recorded in Barnstable County Registry of Deeds Book 9389, Page 345. IN CONSIDERATION OF ONE MILLION FOUR HUNDRED SEVENTY DIVE THOUSAND and 00/100 ($1,475,000.00) DOLLARS 1iaid Grant to EDWARD W. MARSHALL and EILEEN A. MARSHALL, Husband and Wife as Tenants by the Entirety, both of .190 Connors Road, Centerville, Barnstable County, Massachusetts 02632 WITH QUITCLAIM COVENANTS. The land together with the buildings thereon situate( in Barnstable (Barnstable County), Massachusetts being Lots 1, 2 and 3 on it plan of land entitled "Plan of Land in (Centerville), BARNSTABLE, MASS. For WINDSTIZAND LIMITED, Scale I" = 30', Date: JAN. 31, 1994, Baxter & Nye, Inc., Registered land Surveyors, Civil Engineers, Osterville, Mass.", which said plan is duly recorded in the Barnstable County Registry of Deeds in Plan Book 506, Page 20. Said land is subject to all rights, reservations, casements and restrictions of record insofar as the same are now in force and applicable. For title see deed recorded in Book 9390, Page 6. EXECU"I'ED AS A SEALED INSTRUMENT this day of Novc ber, 2000 IG�F Thomas M. Shane, rustee STATE OF OHIO Ooalhym. 00. , SS November f' , 2000 Then personally appeared the above-named 'Thomas M. Shane, 'Trustee as aforesaid and acknowledged the foregoing instrument to be his free act ai 1 deed, before me, Nc try p )lic. M -- y commission expires: I�� z�O JENNIFER THORNE Notary Public, State of Ohio, Cuy. Cty. My Commission Expires May 18, 2003 I •i'fi.`'t:�f� -fiih"��!i i�i.'i iiffiiifi�:��:�':�:�:i iiii:: :vi%v :::::i:}:}iiii}iii:i:•: .•'%3i:�:�1kC2:i:�;i;;:;;.,. -:.;i'iSi';:'i'i;r;>::;-:4;i: A .FS ....................................... :iF k • is};fii::::'l+!!�i iiiiiiii .ii:.iiii:4 ::):• CYVINO'.IN1' Clk:r 1 C-fi:.vv.:vn:rrrrrrxrrrrrwxiw'irirrr:r :M'iirrrr�:9iid40FHii)i?TiYIFF! ...................................................... .• ONE INPROVENENT CONIRACIOR Registration: 12S662, Expiration: O?/12/1002, ' TrPe:. 'Individual JHl PROPERTIES..INC. �~ JOHN LEOIANC DM"SITW6R ` IOEBERRI DR ACOSNNEI MA 02113 EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= �. (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet XF$25/sq. foot= PORCH 3 square feet X$20/sq. foot DECK square feet X$15/sq. foot= 7, 00-0 OTHER square feet X$??/sq.foot= Total Estimated Project Value 02 ' 0 `J ' fry LOT 3 0 3a co y,� M SyD� s4srB 49 E FOUNDATION ° Viso LOT 2 7 .13 ! S583331"E b',EAWT/NC !9.3' GARAGE f - q =�a -' ------—------- oR� --p• GRAVEL 0 b ------ --- h i ._ 37.98�21 E 9 4 ; S7g71 q LOT 1 . .. FLO00 ZONE c F NDA TION CER TO CA TION RES ZONE. TOWN. CEN TER VILLE SCALE.• 1 "=50 PL.REF.• 506120 ELEV.- N\A l CERTIFY THAT THE ABOVE YANKEE SUR VEY CONSUL TANTS FOUNDATION IS L OCA TED ON �� °F P.O. BOX 265 THE GROUND AS SHOWN, AND UNIT 1, 40B INDUSTRY ROAD ITS POST TION---DOES_____ Z5 MERMNEW H MARSTONS MILLS, MASS. 02648 CONFORM TO THE ZONING LAW No.32= TEL: 428-0055 SETBACK REQUIREMENTS OF �j, '�Fs r��� FAX 420-555J _ BARNSTABLE --6�Z -".,alb&' ---- ✓oe PA UL A. MERI THEW DA TE. 2120101 NUMBER 29560 ARCHIVED SPECIFICATIONS Year: Project Name: Project Address:Jfl ed a4oe�5- C'�z C20 �O�rt2.� I�-st �� Off✓`-/ "�� �4 d.3 Map & Parcel # ,. Permit number, if assigned: Permit date: Per Tom Perry, these Specification books must be kept indefinitely. Check with the Commissioner before discarding any of these documents. They can be moved to storage if needed. -760 Archived Specs l U The Commonwealth of Massachusetts Department of Indusbial Accidents Office o,f Investigations 600 Washington Street Boston,CIA 02111 , n»vfy'mass govvfdia Workers' Compensation Insurance Affidavit- Baders/Contz-actorslElectricians/Plumbers Applicant Information Please Print Le �ibly <Nau1e ss'Org#nncation/Iodi�ridnal}_ c�t'�Y� Accldress° k� . CitY �=/state/ -2�✓ Phone#: �/� Are yo glib?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I ant a general contractor and I employees(fall and/or part-time). * have hired the sub-ccmtractars 6. ❑ '``°Oog 2_.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees. These stab-contractors have 8. ❑Demolition working Rw me in any capacity_ employees and have workers 9. ❑Building addition [No workers' comp-insurance comp-insurance-: recloired.] 5. ❑ We.are a corporation and its 10_❑Electrical repairs or additions 3_ I am a homeourner doing all work officers have exercised their 11.❑Plumbing repairs or additions ' 1€%[No workers'comp. right of exemption per MGL 1� o if rspai" insurance required.]t c. I52, §1(4),and we have no employees.[No workers' 13_0 Other comp.insurance required.]i. 'Any sppTicanr that checks box#1 must also fill outthe section below showing their workers''compensatiau.policy informatian- I Homea wnus who submit this affidavit indicatmg they are doing all work anid then hire outside contractors most submit a new afi davit indicating such tContra,ctors than check this box,must attached art additional sheet showing the name of the sub-caritwetors and state whether or not those entities have employees. If the sub{outractors have employees,they must provide their workers'romp.policy mrmber. I ain an employer that is prmiding workers'compensation insurance for aty entployees. Below is the palicy rind job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 S 1,500-00 and/or one-year imprisonrnent,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 forurarded to the Office of Investigations of the DLk for insurance coverage verification. I do hereby rti r n:der agrins an penalties of perjtary that the it formation pratz Iy ded abar r-s Mte and correct =�sate: Phone#: Offi'cini stse only. Do not w ite in this area,to be completed by city or town ofJiciat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylPown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact.Person: Phone 9: I oF'THE rqy, Town of Barnstable *Permit# ~°^ Regulatory Services FExpee 6monthsjroa e a r r + IARNgrABLE. MA $ Richard V. Scali,Director ® S " U i639 'DrFn��s Building Division , MAY 12 2014 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us TOWN OF 13ARNSTA13LE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ^� Not Valid without Red X--Press Imprint Map/parcel Number CX Sf��,f � �Q Property Address G i` it [i]�esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address G 9 G h kjy_r4, 12S 0,00j-kev , /(.o M r Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 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 Requ (check box) EP"Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to A;411) ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. py of the Home Improvement Contractors License&Construction Supervisors License is q ired SIGNATURE: T w , , , I, Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe Revised 061313 i 6 sats7L.:z>�r=�—*-:.-f st._mo^SrX asswa•. _ ' mot[ , acm�:emc.n i . [.__.-; � �{-'�,,•--fey �6wv+a W � �.. rwr4tc�- '_. ' I /rise.rars:-� i { " .ze amerb I _ �,\ ,���. '� _ �a'!°m' � � 89!•4Y66t91 i —n. hti / Im F ecigos f�.4f-wsagt---- ..wrw�i woc g n.�a uy OC(J>.e re eery pMab,ia I i f � ffLb _....__ h �d...,...�..w._, rampr'�sr - e b .a�:r.d�en•rf-Ja .I Jn t In a� torn ' slgm evrrrwn o� i r • 42 is •..r w+•r. r•rou»A oca.«.re.u•u»m rnrn aune.nr eeir.•rrr ern»ur.�.u.�ub w^n m. r • r`—f.._.•i.t•, �,7a .moo•_ ,a :'_.-__..' e.o° k r '`' j °'''• s" -' � aa- , j 1 _, i c • i f* � n 0 i 4 @ `J � i �� �&E `�.�1,v5_ � •_ '.�+oa.,____i� �sns.�—„�_—. .a�xmy r � � -� � f ��>�..� �c � �,may_ ,. � bsb•128•a191 hi Ir k ustam signs AA 411 _ k Barnstable Eox 534 s�nis,Massachuseft 0260 ::,x 508 775-3344 5 Phone 1 1 a .•_ fb mB P - n /r \ .,.' #7``�b' _:_ dfii]RGf$iy _.bobrTB•61oY sign gosipns q t s lr rt'Nn•.•p ra�wl o 040 are lo•inr u a Pienoii t • L— SMOKE DETECT UtO u. .. A dlif✓1Q9C�{ate.— r . . —pPV�P•DRMtoR-._... . _,R 1 :1 pP9l.•g91 10FE 1. -..._......_ .; - �a®err 1n -- a slyns ' ... rAOX.(.Nw•AT nu...,_.-_...... .. - �. I+ � it 6 ..�p,ee.eee unml y Rc o.ne;er rn•. rtey proroer and cooling equipment and„service' water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be "clearly .marked on 'the _bui ding plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must .be .insulated to°R-5 Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: [ ) All ducts must be sealed with mastic 'and 'fibrous backing,-.tape. .t Pressure-sensitive tape may. be used for fibrous ducts'. The HVAC system must provide a means for .balancing air and water :systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each- separate HVAC system., A manual or automatic means to partiallyIrestrict or'°shut off the heating. ' and/or cooling input to. each zone or `floor shall ,be provided. HVAC EQUIPMENT SIZING: ;3 [ ] Rated output capacity, the heating%cooling� system `is not greater than 1250 of: the design 'load• a's specified in sections 780CMR 131.0 and J4:4 . MISC REQUIREMENTS : [ ] Refer to '780 CMR, Appendix 'J for -requirements relating 'tb swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating' ;hot `water systems. F ----NOTES TO FIELD (Building•,Department' _Use Only) =- `------ ----=---' t Jan 16 01 10: 36a Governor 's Park 617-846-8842 p. 2 Jan-16-01 09:31 EDWARD W. MARSHALL 508 778 7232 P.03 The Tovvm o stable Regulatory Sr ices Thomas F.Geller,Director Building Division Elbert Ulshoe er,Baildixng Comr.ussioner 367 Main Street.H,ranMs MA 02601 - Offner 508-862-108 Rvc 505-790•02 0 pzmt Date AFMAL 4IT H034E VAPROVEMENI'CONTACTOR LAW, SUPPLEMENT TO F MHT APPLICATION &IGL c.142A,;-g7iires that the"r+econ'structioa,aueratiom.renomion,rrptur,rnoaernizsaon,con:ersi0n. improvemerl,removal.demolition,or con==ion of as addition to any pre-existeig owrtet-occupied building comairin°at lc=one but not mom than fow dweliing units or to smutures which =' adjacent to such residence or buddirg be dorc,by mgistered conu=wrs,with certmn exceptions.7a.{urg witl cthtr �turemctu. •' Type of M+arx:_s .P,:� .,� esurna eu Cost ilddress of Work-- Owner's Name: .C t` a �, � 214,iL, Date-of Application' if I I hereby ccrtit'y that: Registration is trot required for she foiiowing rem.n(s;: O Work excluded by law CJjh Under SWWO E]Building not awnrr•occupied f:fow ter pulling Own pzrtit t Notice is Lerenby given that: 0 WARS PULLING TILE IR OWN PE-R-MET 0k DEALING W'-11TU U Ot:S1T.RED CONTRACTORS FOR APPLICABLE HOME MIPROVEMEN T WORK DO NOT HAVE ACCW TO THE ARBITRATION PROGR41tR GUARANTY FUND LtNDER.N1GL 142A.. S PEN S O FE YG - I hemby apply for a permit a ago a at Z I/ Da Cantr ctor Name Re istmuon Ne. r !, OR j t_--.�. � r - -•--•-may .. _ �� �.�.- �. —: Jan `16 01 10: 37a Governor 's Park 617-846-8842 p. 3 f t::� Jlte -�a�nnconu�e�� o�'.,�L�aaaaclruaeaa j -. BOARD OF BUILDING REGULATIONS t �' �•1 License: CONSTRUCTION SUPERVISOR ." Number: CS 067066 Birthdate:..04/13/1 S.63 Ezpires .041,13/2002 Tr.no: 22647 ' Restricted To: .001 JOHN M LEBLANA. 13 BLUEBERRY DR "�. ! ACUSHNET, MA 02743 Administrator ONE WROVENENI CONTRACTOR ; Registration: 125662. r ExpiratioEP n.:,. `Type: Individual - JNL PROPERTIES INC. JORK LEBLANC L � UEBERRY OR ADMINISTRATOR pCUS8Nf1 NA 02743 C*and cooling equipment and' servide water heating equipment must be provided. Insulation R-Values, "glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: ( ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: , [ ] Rated output capacity of the heating/cooling system is not greater than 1250-. of the design load as specified in sections 780CMR 1310 and. J4 .4 . MISC REQUIREMENTS [ ] Refer to 780 CMR, Appendix. J for requirements relating to- swimming pools, HVAC .piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water- systems . ----NOTES TO FIELD (Building Department Use Only) ------- --------- ------ c MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-7-2001 DATE OF PLANS: 01/04/01 TITLE: Marshall Home PROJECT INFORMATION: 204 Conners Road Centerville, Ma. COMPANY INFORMATION: JML Properties, Inc. Q-.COMRL.IANCE,: IPAS S ES Required UA = 753 Your Home = 752 Area ,or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 4035 30 . 0 3 . 0 129 WALLS : Wood Frame, 16" O.C. • 2627 13 . 0 3 . 0 187 GLAZING: Windows or Doors 506 0 .480 243 GLAZING: Skylights 15 0 .450 7 DOORS 48 , 0 .350 17 FLOORS : Over Unconditioned Space 3567 19 . 0' 169 HVAC EFFICIENCY: Furnace,b ,8-5 .''0 AFUE ' -------------------------------------------------------------------------------- COMPLIANCE STATEMENT The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet .the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using. the applicable Standard Design Conditions found in the Code. The HVAC equ' ment selected to heat or cool the building shall be no greater than C. of1the elesign load as specified in sections 780CMR 1310 .4 . Builder/Designer Date l0 0 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck ' Software Version 2 . 0 Marshall Home DATE: 1-7-2001 Bldg. Dept . Use CEILINGS : ' [ ] 1 . R-30 + R-3 Comments/Location WALLS : [ ] 1. Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ l 1. U-value: 0 .48 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes- [ ] No Comments/Location SKYLIGHTS: [ ] 1 . U-value: 0 .45 . For skylights without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ]- Yes [ ] No Comments/Location DOORS: [ ] 1. U-value: 0 .35 Comments/Location Y FLOORS : [ ] 1. Over Unconditioned Space, R-19 Comments/Location E; HVAC EQUIPMENT EFFICIENCY: - [ ] 1 . Furnace, 85 .O AFUE or higher Make and Model Number : THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .511 clearance from-combustible materials and 3" clearance from insulation. VAPOR RETARDER: x [ ] Required on the warm-in-winter side of all non-vented framed ceilings, .walls, and floors . MATERIALS IDENTIFICATION: _ P ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating The Commonwealth of Massachusetts -r Department of Industrial Accidents -= fiffeeot/areslloat/eos 600 Washington Sheet Boston,Mass. 02111 iiiiiiiiiiiia ��� ce Affidavit JML Properties, Inc. name: location y Conners Road Centerville phone# 508-998-2919 city ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one woddn in acity �� r /// % // %'////%/%//////%//%/%%///%/%/�/ii� 1 din workers' compensation for my employees.working on this job.::: ::;?:;:<??;?:?:.:<.??;;;::;:::«::;;:; :;:<:::;:::;«..... I am an emp P ...g...........................::::.::::.::::.:.:::::::.:::::::.:::::::::::.::::::.:::::.::::::,.::::::::::::,::::::::.::::.....:::::::::::.::.:::::::.:::::::::::..::::::::::::::::::;.?:.;:.?;:.:;.;:;.?<::: ...............:.:::::::::::::::::.........:.:::.:::::,::::::,::::,......:,.:.:::::,::._:..:::::.::::.........::::.:._::::::.:........:..:::::::::.:::::::::::.::.:: . ...........:. ....: ::::.:... :...... m an >naate xs.. P ...1p .:: .�... .. ird :.?.::?:::::.:::::.:::::::..:::::.:.:::.:... dtw : > 3>:> ❑ I am a sole proprietor,general contractor,or homeowner(circte one)and have hired the contractors listed below who have workers'compensation olices: the following ...........:.......................:::::::;::. . .::.:: :::.::<.::.:::.::::::.:.:::.:.?:.:.;;:.::.::::::::::::::::::::::::::::.:::.:::::..:...:::::::::.:::..?:?.:;.;;:.>: us name ............... :...... :.?f?.• ::: : ?:•hon •.a••n ..... .. ::: - .;�.;::is{:}:.:�:::::::::::i..i?i:;..:j?4?:::ny:::::::.:::.:y::��.;v.:iY::.?-:.....••:« ?N?:??v?:?w:::::?;:;i:;:;:`}is�iiY.S•i???:?isGviiiiiii{$ii::fiiifn:v.:.+isv:.vi:>i ::i'•:::{:?:::J?:i•?:•:i•:::?i-... ........... >: sa :Warn adiEresss ........................................................... >:; `oa ::.:::.::::: ::: ..... :::::::::::::::::::::::::.:::::::::.:::.: ......................:..................... .......................................................................................................................... .............................................................................................................................. „• :?:"y;:;::j'.j;: :;?ti?;:•?:Q :•i:?i'?�iii�:isi{:i'rii:;:}::Y:} �:y:;:;r,:;::`:•'.`c. - ::::•: :::•:•.::.:....:•:xi:•?:?•Y.v.<?•:i{vi???:iy:i'rf:?�.`•ii�i:i:;}:;::;::�ii:t:;:i;isisi: ::::::�::Y{:::.{t:?:::<:�??''::4j•?:;::: c?' ::.::r: �::. �. ... - Fai>�e to seeare coverage as regairsd of crindnai of a Bne up to S1,S00.00 and/or ceder Section 25A of MGL 152 can lead to the hnposidan penalties aa�yam+imprisomnent as weII a'dvII penalties in the torn of a STOP WORK ORDER and a tine of$100.00 a day against me. I underataod that a copy of this statement forwarded to the Once of Investlgatlons of the DIA for coverage vettficatlom I do hereby fy the auis fperjwy chat the infor►nadon provided above is&w.and coned Sigaatiue Date John M. LeBlanc Pba# 50 -998-2919 Print name oinslai use only do not write in this area to be completed by city or town of cid city or town: perndtNcense# a�c�gMundinB Department ❑checkif immediate response is required ❑Selectmen's Office QHealth Department ❑other_. contact person: phone M, - (mined 9195 P7A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation'for them employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting ' authority. , Applicants dk � Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and ' supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign an 1:> date the affidavit The affidavit should be retuned to the city or town that the application for the permit or license is v re the"law"or if you being requested,not the Department of Industrial Accidents. Should you have any questionsregarding are required to obtain a workers' compensation policy,please call the Department at the number listed below. /117 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 pe®itllicense nambei which will be used as a reference number. The affidavits may be retie fiR io 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 Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Oftloe of luyesmad as 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 MAS(Aieck COMPLIANCE REPORT Massachusetts Energy Code Permit MAScheck Software Version 2 .0 . Checked by/Date CITY: Hyannis , STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 1-7-2001 DATE OF PLANS : 01/04/01 TITLE: Marshall Home PROJECT INFORMATION: 19 Conners Road Centerville, Ma.-, . COMPANY INFORMATION: JML Properties, Inc . JCOMPLIANCE:"PAS:S'ES Required UA = 802 Your Home = 752 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 4035 30 .0 3 . 0 129 WALLS : Wood Frame, 16" O.C. 2627 13 .0' 3 .0 187 GLAZING: Windows or Doors 506 0 .480, 243 GLAZING: Skylights 15 0 .450 7 DOORS 48 0 .350 17 FLOORS : Over Unconditioned Space 3567 19 . 0 169 HVAC EFFICIENCY: Furnace, t 90:'0' AFUE ----------------------------------------------- COMPLIANCE STATEMENT: The :proposed building design represented in these documents is consistent with the building plans, ,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the ,requirements of the Massachusetts Energy Code. The heating load .for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC e ipment selected to heat or cool the building shall be no greater t 125% o the design load as specified in sections 780CMR 131 a 4 .4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massiachusetts Energy Code MAScheck 'Software Version 2 . 0 Marshall Home DATE: 1-7-2001 Bldg. Dept . Use CEILINGS : [ ) 1 . R-30 + R-3 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-13 + R-3 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1 . U-value: 0 .48 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ) No Comments/Location SKYLIGHTS : [ l 1 . U-value: 0 .45 For skylights without labeled U-values, describe features :, # Panes Frame Type Thermal Break? [ ] Yes [ ] .No Comments/Location. DOORS : [ l 1 . U-value: 0 .35 Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Furnace, 90 .0 AFUE or higher Make and Model Number THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system.- AIR LEAKAGE: . [ ) Joints, penetrations, and all other such openings in the building envelope that are sources , of air leakage must be -sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a '0 .5" clearance ,from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ } Required on the warns-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating r , ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot=` (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot OTHER square feet X$??/sq. foot= Total Estimated Project Value Q } 7 aL Dd BZZ'N6 NVId •aGsr.n o� o / \ 'Vag / - W2e - J e- � \ c� \ � O• e h ryn W moo se, of Q qOd /a .,nxf Gna � G- M`{ l "S N i z.isr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map,)- Parcel 2- Permit# Health Division `Z;1'ZV^��/dC / IG pI Q�! Date Issued ( a _6 Conservation Division 111( c Fee.• '� ��- d Tax Collector t - XENVIRONMENTAL TreasurerYT'E�Si a cPlanning Dept. NIA D IN COMPLIANCE,Date Definitive PlanA roved b Plannin Board � TH TITLE 5 PP Y 9 CODE AND Historic-OKH Preservation/Hyannis � REGULATIONS C) , Project Street Address Conners Road C a � Village Centerville ddress Owner Edward Marshall T 190 Conners Road, Centerville Telephone 508-778-8871 Permit Request Interior wall demo iti n; renovation of single family home to include: second story on dt 'on of existing, addition to rear of a home AND new deck. i �G� y . Square feet: 1st floor: existing 9646 proposed 2nd f r: existing proposed 698 Total new 9 5 8 Valuation 4'�36i� Zoning Distric RD-1 d Plain C Groundwater Overlay Construction Type wood Lot Size Ar.�s Gr%dfathered: ❑Yes ®No IfX upporting documentation. Dwelling Type: Single Family Two Famil ❑ Multi-Family(#units) Age of Existing Structure 4 0+ Historic House: ❑Yes X]No On Old King's Highway: ❑Yes ® No Basement Type: L�Full �]Crawl ❑Wall out ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new 2 Half:existing 0 new ' 1 Number of Bedrooms: existing 4 new Total Room Count(not including baths): existing 11 new 11 First Floor Room Count 9 Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air: f3 Yes ❑ No Fireplaces: Existing 1 New 0 Existing wood/coal stove: ❑Yes CYNo 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 BUILDER INFORMATION Name JML Properties , Inc. Telephone Number 508-998-2919 Address 13 Blueberry Drive_Acushnet License# CS 067066 Home Improvement Contractor# 129662 Worker's Compensation# WC 010859 ALL CONSTRUCTION D IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO FZC Disposal SIGNATURE TE 1 Az 0 f FOR OFFICIAL USE ONLY. r- PERMIT NO. r DATE ISSUED. r MAP/PARCEL NO. a ADDRESS, VILLAGE OWNER DATE OF INSPECTION - FOUNDATION .k - k FRAME - INSULATION FIREPLACE =r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: Y ROUGH = - FINAL ; FINAL BUILDING r• ri r DATE CLOSED.OUT ASSOCIATION PLAN NO. �. 1 j Information and Instructions workers, compensation for their Massachusetts General Laws chapter emp loyers mp 152 section 25 requires all pers to y Provide work quoted from the"law",an employee is defined as every'Person in the service of another under any contract employees. As of hire,express or implied, oral or written artriershi association, corporation or other legal entity, or any two or more of An employer is defined as an individual,p P, the foregoing engaged in a joirrt enterprise' and including the legal representatives of a deceased employer, or the receiver or association cl other legal entity, employing employees. However the owner of a trustee of an individual,partnership, house of dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling to do maintenance, construction or repair work on such dwelling house or on the grounds or another who employs persons building appurtenant thereto shall not because of such employment be deemed to be an employer. enewa MGL 152 section 25 also states that every state or.local licensing agency shall withhold the issuance who has of a license permit to operate a business or to construct buildings in the commonwealth for any applicant the not produced acceptable evidence of compliance with the insurance co�veraactgfor the required. Additionally, o pu�bhn cw commonwealth nor any of its political subdivisions shall enter into any chapter have been presented to the contracting acceptable evidence of compliance with the insurance reqn1rements authority. 'g Applicants Please fill in the workers' comp ensation affidavit completely,by checking the box that applies to your situation and names,address and phone numbers along with a certificate of insurance as all affidavits maybe supplying company on of;*+�+,*n_^sp coverage. Also be sure to sign and submitted to the Department of industrial Accidents for confirmati the ermit or license is date the affidavit. The affidavit should be returned to the city or town that the application for p t,gof Industrial Accidents. Should you have any questions regarding the"law"or if you being requested,not the Department at the member listed below. are required to obtain a workers' compensation policy,please call the Department City or Towns complete and printed legibly. The Department has provided a space at the bottom of tku Please be sere that the affidavit is camp comact you regarding�aPPli�t' please affidavit for you to fill out in the event the Office of Investigations has to be retarned tr be sure to fill in the pe®it/license number which wi11 be used as a reference number. The affidavits may the Department by mail or.FAX unless other arranges have been made• lice to thank you in advance for you cooperation and should you have any questions. The Office of Investigations would 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 Otflce of I0e311920005 600 Washington Street Boston,Ma. 02111 fax#: (617)7274749 phone#: (617) 727-4900 eat. 406, 409 or 375 The Commonwealth of Massachusetts art D Industrial Accidents " Department of 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit FE JML Properties, Inc. name: location: Conners Road city Centerville phone# 508-998-2919 — ❑ I am_a homeowner f. pner performing all work myself etor and have no one working in am ( I am an employer providing workers' compensation for my employees working on this job. IIF 2... 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Mpa�....................... �kl �•#}..................................,......... , ❑ I am a sole proprietor,general contractor,or homeowner(circle one)al;d have him the contractors listed below who have the following workers' compensationpolices: :>:>:> ::::':'-:-;'.}:.:.;..:.::.:::::::::.:}:.::-:!;.;}:.:.;:;:-::.;:::;;;}};'-};;:;.:::;.>: :;: camoanv ... . .............. ............................ ; ���•r:<`%%:;:';::::��%�::%:�_��::::::�%:���:::�;::�::`;:;�:�:�:::�':<%�:::%':�:;:::�����:�i:%::':%%;::;::i::::�:�:'�:_:::;ii:�i�'i:��:�:::�:'':i�:��':�����>:�i:':}:;�;:�:v2�:�:�i��:�:':�:�i>r:�:".::�:=i::is�i:�:�:�i:�i::i:::::�:::+�:%::�:;��i:?r`:•'.;;y:��::y:;:;'i?>:'> ?:��r:;:�:�:::%�:�:':::�:%'�':�:�i:�:;::'•:�;::�'%;:i:`�':;:�<� {•iM•.w a H { ..:i' 'vi::::jj:� : :: i�:�:{:•v}:•}TT:{•�:•!.;.�}:;}{:v:{{:;:;{.y!{J{:•i.�•T::•{i:;}T:.T:;TT}TT:-T}:j:4}:?:•;iiv.ay.::•::fi}}}{::}!+!:-Y-i:•}tutu}:w:{:-{::v ::y.,..:.........:;w::.:::::::vy:..::{.-.•..:r.}}}...i}'r.n:.:::.:n:::.:.:i:'r:'i'.:ii:;::.:::.::..:. i:':::.v.n::::tut::...... ................................................................................................................. ....... ........ ................................................. 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I understand that a copy of this statement forwarded to the OiIIce of Investigations of the DIA for coverage verification. I do hereby fy the airs f perjury that the infonnadon provided above is&tw..and coned s�� Date 1I John M. LeBlanc Phone# 50 -998-2919 Cna nly do not write in this area to be completed by city or town offldal • pennit/llcense# �Buildhng DepattmentOUcensing Boardmmediate response is required ❑Selectmen's Office❑Health Departmenton• phone#; _ �Other_�_ agmed 9195 Ply Assesso _r ma and,lot number �... . p .................. ......... . �O%TH E Tod SEPTIC SYSTEIi*MUOQ Sewage ermit number 1NSTAMEC IN COM o ffH lEE Z AUSTAD , i H LE Housenumber ........... ........................:............................... EWROMMMI y ,. Mae6 TOWN. OF 'BARN'STABLE BUILDING - INSPECTOR - APPLICATION FOR PERMIT TO J.....Z y 04e..A C.).:.... ` ....62.!1<Xv 1......... ... C?.!'n. ............ .t. ......c�. /Y)+ .. .:.............:.......................................... TYPE OF CONSTRUCTION ..SACLlff.....PC?.i71 .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for.! a/permit according to the following information: Location 1� ..........�� af.'5....� . ... .Q-wke 'r.&............................................................. ................................... ProposedUse ..... .. ........ .........4:�!I.................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner �Y....�CJ....t��....�YE I�'!1ell....................Address .................................................................................... Name of Builder ...Vip...j....,Kfr............................Address.4 .... �/`+CI .,/7���?✓� i';,,, /Z � /f�i, Nameof Architect ...........Address....................................................... .................................................................................... Number of Rooms "✓(3 ..........................................Foundation ....9.......... ............................................................ Exterior ..........Lu........4 / ( ...../.............................................Roofing .. ......t G .................................................................... Floors .��G. .............. !�..................................................Interior ......... aw ..... .. ................... ........................................... Heating .. g:�./.C.ed..f7.G?!...... ??:........................................Plumbing ................ Fireplace ..�.............................................................................Approximate Cost ... .�- -al.1000............................... .. Definitive Plan Approved by Planning Board ________________________________19________. Area .... �o Diagram of Lot and Building with Dimensions Fee �......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 17, G - J I hereby agree to conform to all the Rules and Regulations of the Tow �of Barnstable regarding the above construction. f Name/1........r�... .. ........................................ FREEMAN, ROBERT DR. � �3096 ADDITION No Permit for IMELING................................. lnq Corners Road Locaten ................................................................ - Centerville ` ............ Owner Dr. Robert Freedman ................................................................. N Frame Type of Construction. .......................................... t - • ................................................................................ Plot ............................ Lot ................. " ......... Permit Granted ...i"Iay 11 t ,19 81 Date of-Inspection'..- ............r.`19 ' Y Date Completed ..................../.-.0:719r PERMIT REFUSED ... . .''......................... 19 ' .. .................................................... ..... . . ..`` ...............................'.":................. '.... ........................................................`. .......... t t . .............................................................. ApproJed_ .............................................................................. - r Assessor map and lot number ......! THE T0�♦ Sewage ermit number Q. 1 BAUSTADLE, i House number / MAO& p t6}9• 9� is MPY a\ TOWN OF BARNSTABLE _ BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......� X.�n...�1 r .....` ....iS,.Pn a n r--]........ .. a .!?�. ............ TYPE OF CONSTRUCTION ..�' t;:?•€. . _..... .!??.a. s: ....1.).aant................................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � .................................................. ProposedUse .... � y...............................151. :f'.1.................. .................................................................................................. ZoningDistrict .........................`...............................................Fire District .............................................................................. Nameof Owner .... ... "reJoie L...................Address .................................................................................... Name of Builder ...............................Address�.�,�. 6... </HC+° j�C{{2�L D'- Name of Architect ....Address Number of Rooms 77w41 ..............Foundation M."' ;J ................................................................. Exterior ,'�� ...Roofing .. a.41f.............. . ................................ ......................................................................... r • Floors /1�. .......... .. ..................................................Interior .......... .:`` ................................................................... rf Heating Alvecl. . /Ot........ �' Plumbing Fireplace .................... ...........Approximate Cost ti`f; Definitive Plan Approved by Planning Board _______________________________19________• Area ...........Z:. ..... :::... —3 Diagram of Lot and Building with Dimensions Fee /6� � SUBJECT TO APPROVAL OF BOARD OF HEALTH nt - F "),A J I ` U I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. NameG:. .. 4:. . ....... ?.(............................... FREEDMAN, RORERT DR. A=251-11 No 26°96.... Permit for ,, ADDITION ............... ,. ,ndEMODELING 1. . 0...................................................... Location .2�Corners Road .................................................... Centerville Owner ...,Dr. Robert Freedman Type of Construction ....Frame .......................................................................... Plot ........................... Lot ................................ Permit Granted May 11, 81 Date of Inspection ....................................19 Date Completed ............................... .....19 PERMIT REFUSED .......................................... ............. 19 ............................................................................... ............................................ ........ .............................................. ........ ........... Z/....... Approved ................................................ 19 ............................................................................... �y�OF THE TQ� . � iARNSTABLE, � ' 9� ' ,�� Town of Barnstable prFD Wlp't� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner , 1 200 Main Street, Hyannis,MA 02601s ` r www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 y t. 1 . * f Pro Owner Mu Complete and T Section If Using A B er as caner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this buil • nnit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverseside. QAWPFILESTORWbuilding permit formsTYPRESS.doc Revised 061313 Town of Barnstable Regulatory Services �oFt Toty,� Richard V.Scali,Director Building Division * =nxxsTAs , ' Tom Perry,Building Commissioner MASS. 9�A 0 9• ��� 200 Main Street, Hyannis,MA 02601 rFD �A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print J� O OCATIO_N 6 e— number street village H MEOWNER».".' name home phone# work phone# CURRENT-MAILING ADDRESSt­ city/town state zip cocre 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 rtd regulations. _ The u e me owner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pr ed s d eq irements d that he he will comply with said procedures and requirements. Approval of Building Official 1 + 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 Town of-Barnstable Regulatory Services P�°F� Totyti Richard V.Scali,Director Building Division swrcxsrnsre, Tom Perry,Building Commissioner 9Q� 16 ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 0 'e-- number street G village "HOMEOWNEW: /7�A AATA44 name home phone# work phone# CURRENT MAILING ADDRESS: \ - 2� city/town state zip cocle 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 suipervisor. 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 d regulations. dThe e meowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection s d eq irements a d that he he will comply with said procedures and requirements. e of Homeo er, } 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 °FtHE r Town.of Barnstable *Permit# P� ti Expires 6 months from issue date Regulatory Services Fee S, BARNSfABLE. : y' x! .��;`y ^� v� 1 Richard V.Scali,Director � ` ''� �� Mill, AlED��A Building Division . MAY 12 2014 Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF SARINSTA31 E Office: 508-862-403 8 Fax: 50&790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number.?s Property Address I L/T D` i')<2 V r E� .. ( V U 111� / t l I i [residential Value of Work$ rZ. 7 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 12 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 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 Requ (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to 164,Kly ❑Re-roof(hurricane nailed)(not stripping. Going over . existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. py of the Home Improvement Contractors License&Construction Supervisors License is q ired i SIGNATURE: A Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc / Revised 061313 Assessor's map and lot 'number v ...?��....... �:' E N s I Q�C T�rE to ` Sewage Permit number 171 4b a • • B,HBSTLBLB, i H, House number ...............................`........................................ s� r rasa s,1639. \0� 'E0 MAI�'M1 A TORN �F ' BARNSTABLE d ' . 1 [As) BUILDING' INSPECTOR 41 APPLICATIONFOR PERMIT TO ............... ,.... ............ ............ .r....................................................... TYPE OF CONSTRUCTION ............:......... �..I...................................................... . r .� -... �� ........... ............19........ TO THE INSPECTOR OF BUILDINGS:, The undersigned hereby applies or a permit.according to the following information: Location .................. 7 .�a...................AlX0 .........l............-.:.................�.1. P V(/ ................................................ ProposedUse .................. 0 1 _ .......................................................................................... .............. Zoning District ... +�_'................. . .Fire District .......��.... ................................................. ... ....... .... .... L . Name of Owner ....�..r` 'Y..l....... f. .�..".!.l ......Address .............................:......... ............................................ Name of Builder ��l' 0K U1.�,r.....`�?.!.�S�Address ..... v,!/ /.. �.. ........................... Name of Architect .. ..................................................................Address .................................................................................... Number of Rooms .....Foundation .4 ��,..��? ` ............................................. ......................................... Aa/ , Exterior .............rl.. �•....`T.... ar 5.........................Roofing ....... . .. ......! .�' .........�a.�..... Floors .........1...., - 45A. `' ..........:.....:...........................Interior ..... .: Pe 1 C..'.I.:. ............................... „.„ Heating ........................................................... ..................Plumbing ...................... .................................................. .41, p .....Approximate Cost / �� ' Fireplace ................. .............v�. ....................................... .. Y. f Definitive Plan Approved by Planning Board --------_-----_-----------19___—___. Area ....: .: ....... ................. Diagram of Lot and Building with Dimensions` Fee ..: SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 J 1 A APPROVED B2rnsta 61 Con ervati-oat CoMmission Signed Date OCCUPANCY PERMITS' REQUIRED FOR NEW DWELLINGS I hereby agree-to conform to all the Rules and Regulations of the Town of Barns le regarding the above construction. Name ... . ......................... ��FREEDMAN, ROBERT No 2 4 2 3. Permit f Bui d arage _ », J:... b.9e.............................. ................ i - G Road � locaCon . ...Conner..................................... ..................Centerville................................ { Robert Owner Feednan, ,.. .� ................ L Type of Construction, ..Frame........ ....... r : ... ` ............................ <�- .f ` Plot ............................ Lot ................................. if � _ �+ �i .< - • Permit Granted ..... 8,e.:..:.........:..19 82 , ' Date of Inspection '� .......19 A Date Completed- ..— ....... ...19 � „/3 s J ` Ca, V. L.g fD i III t.• _ '" r ..�., � � �. ;s � .� %. { 1 e , i Y R :r _ rg � Assessor's map and lot number f......................... CF THE t0 S Sewage Permit number Z 33AUSTODLE, i House number 'oo r6 I ♦� . .. ........................... �pmxf tr� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... ...... .......................................... TYPEOF CONSTRUCTION ............................ .:L-............................... .............................................. ...........................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......................:(j J. ........ ............... ....................... ................................................ ProposedUse ...................... q.' L"...................................................................................................................... ZoningDistrict ....... . :t.....................................Fire District ............................................................................. Nameof Owner ...-/........7.lrPP .. m......Address ........................................ ........................................... Name of Builder' ..1...I.c s V.. �....0 .).f=(M �+l Y15 (7/ ��Yrt // ..................................Address ..................... .../r�...,.................................................. Nameof Architect ................ ........................................Address ........�............................................................................. Number of Rooms ..................................................................Foundation ..C- �/�� f..:�.` .............................................. i J , Exierior ...................:p ..... -d Y-S.........................Roofing ........ ..: ("Q Gf Floors .........( .. '✓? J1 '.:.` ..P............................................Interior1, Heating .................................................................................Plumbing ...................... ................:................................... w l Fireplace J l................Approximate Cost .............. ��l�J Definitive Plan Approved by Planning Board __--------_______-----------19____ . Area ........ ...��................ Diagram of Lot and Building with Dimensions Fee f� SUBJECT TO APPROVAL OF BOARD OF HEALTH ` 1 - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS © q S 1 hereby agree to conform to all the Rules and Regulations of the Town of J/ Barns t A regarding the above construction. - Name . .. ... . r......................... FREET)MANT, ROBERT A=251 -1I1_�l � I 24523 Build Garage No ................. Permit for .................................... !+....GaracjP r q' ................................................ ' U Locat nn U.onnor I s Road ............... ..... ....................................... Centerville ............................................................................... Owner Rob. ...ert Freedman. . . ...................... ....... ....... ..... .... ....... .. < Type of Construction ....Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted .... November 8.1 19 82 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION —�_ ' `Map Parcel Permit# 01c 3 c i - Health Division '� Date Issued t Conservation Division Fee Tax Collector :; `i' . /�" 19//��o� TreasurerI Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address C1 c:2 6 n c r s / -to�- Village C ev,-Mery Owner d nm Sbcin-e_ Address Telephone Permit Reques t IGI► le r Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type rCQ 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 140 D. Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ul u 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 Auu horization ❑ Appeal# Recorded❑ Commercial ❑Yes 3 No If �es site plan review# y Current Use Proposed Use BUILDER INFORMATION Name S Co�e 1_yd rl I ai . Telephone Number cl I ) I Address (�3�}s: of ix License# C S . 04S 6yr C, �tl G c bn—P Irb C;a 0), 6U Home Improvement Contractor# I G� 662 Worker's Compensation# ^�— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A G V►� IGNATURE DATE I U�ZS�CX� FOR OFFICIAL USE ONLY 1 PE 11 UIT NO. } 4 DATE ISSUED MAP/PARCEL NO. ! i ADDRESS 1 .VILLAGE : OWNER j DATE OF INSPECTION:, FOUNDATION FRAME INSULATION '- FIREPLACE ELECTRICAL: ROUGH FINAL i z PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING k DATE CLOSED OUTt ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ` R = _- Department of Industrial Accidents --- ` � ,� _=��- - Ofl�ce of/nrestigatioos 600 Washington Street Boston,Mass. 02111 Workers Compensation Insurance Affidavit name: location: phone# ci �❑ am a homeowner performing all work myself. I am a sole pr, rietor and have no one workinginany capacity em to er rovidin workers' compensation for mY employees.working.on this job. :: : :: :::::::::: m an ;name:.: »> if E yss<. gtldrt ... i hoist:#: l a insurance co: :: ; ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have wi n workers' compensation polices: olio the following.......................mP.::::::::: .:::::: .;:::.;:.;:.::.:::::::::::::::::.::.:.;:<.;.:.:::. >::: an,name:: tent* ...:. :.;.:.. : :•:: �w ...........:....:::.................................................::::: :::::::::::::::::::.................................. .... .................................... :...:i►a sn addresss >: 'ae .......... ha..... >ab... tnsnrance so. -X. 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 S1,800.00 and/or one years'imprisonment as well a'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 may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true.and correct Sipatme Date (C7 00 . Print name Phone# �7 official use only do not write in this area to be completed by city or town official . city or town: permit/license# ❑Building Department LjLicensing Board ❑checkifimmediste response is required ❑Selectmen's Office ❑Health Departrnent contact person: phone#; - ❑Other (devised 9195 PJA Information and Instructions r Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a - dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. n agency MGL chapter 152 section 25 also states that every state or local licensing g shall withhold the issuanc e 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 and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department ment of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and that the application for the permit or license is date the affidavit. The affidavit should be returned to the city or town pp p 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 permit/license number which will be used as a reference number. The affidavits may be reduned io 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 Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Oftice of Imestlgau0ns 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °F 1HE The Town of Barnstable ` ► BMW&rAB1Z 16 9 `0�' Regulatory Services rEc N►p+A Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 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 - - w building containing.at=leastone 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: Qr_- t QC2:f= Estimated Cost Jr co _:_>Address.of Work: Cz�n n Prs PA Ce%A�cr V i f le Me, Owner's Name: To>m S 6cgn� Date of Application: I l7�i IOl3 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 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 Name q:fonns:Affidav BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O45685 Birthdate.05/02/1964 I/' Ex ir+es�P 05/02/2001 Tr.no: 9745 --- �R"trncted.To: 00 STEPHEN J VIGLAS G 13 HICKORY CIR MASHPEE, MA 02649 Administrator /t� ✓�ao sa�1 uaelta,� License or registration valid for individul use only Board of Building Reg ulatio s and Standards before the expiration date. If found return to: -e� HOME IMPROVEMENT CONTRACTOR I Board of Building Regulations and Standards Registration: 108603 One Ashburton Place Rm 1301 Expiration: 08/20/2002 Boston,Mi a.02108 Type: INDIVIDUAL i i STEPHEN J.VIGLAS s *wi - Mashpee,Stephen Viglas13 Hickory Cir. Lam '`� of va dnature MA 02649 Administrator TOWN OF BARNSTABLE DEPARTMENT OF HEALTH SAFETY AND ENVIRONMENTAL SERVICES BUILDING DIVISION STOP WORK THIS STRUCTURE AND/OR PREMISES HAS BEEN INSPECTED AND THE FOLLOWING VIOLATIONS OF THE BUILDING CODE AND/OR ZONING ORDINANCE HAVE BEEN FOUND: 2) 3) 4) YOU ARE HEREBY NOTIFIED THAT NO ADDITIONAL WORK SHALL BE UNDERTAKEN UPON THESE PREMISES, OR THE PREMISES OCCUPIED UNTIL THE ABOVE VIOLATIONS ARE CORRECTED. ANY PERSON REMOVING THIS NOTICE WITHOUT PROPER AUTHORIZATION SHALL BE LIABLE TO A FINE OF NOT LESS THAN FIFTY, NOR MORE THAN ONE HUNDRED DOLLARS, Address '! Date ; Building Coj�missioner Di IKE T f � The Town of Barnstable Regulatory Services -"IV BARNSPABLL � � Thomas F. Geiler,Director ` 9�A1639. �•� Building Division �EGMA'�A Ralph Crossen,Building Commissioner 367 Main Street,Hyannis MA 02601 j Office: 508-862-4038 Fax: 508-790-6230 Check One: dRe-'rooflng SidewW1iin - Re laeem ❑ g ❑ p ent windows or doors FOR ALL APPLICATIONS: etermine map and parcel number and enter it on application. (This information may be obtained from the Engineering or Building Dept.) ❑Completed Building Permit Application Approval/sign-off from: - µ oric District Commission []Old .Cing's Highway Historic District (North of Route 6) -...QHyannis Main-St: Waterfront Historic-District(see map for boundEries) M ❑Histo`dc Preservation (if applicable) x Collector(1st floor-Town Hall) -reasure (3r`d floor=S'chool Administration Buildting) - omeowner License Exemption Form"(if homeowneris-actingas general contractor/builder for project). � orker's Compensation insurance Aff davit . MHome Improvement Contractor Affidavit (:.residential only). ❑Copy of Home Improvement Contractor's Ucense(residential only if applicable) ❑Permit fee. ROOFS: NTdTc`a1e the number of squares of shingles or sq. footage of roof. x ecify if going over old roof or stripping. If going over, how many roof layers exist? What size are the rafters? What is the spaii,. REPLACEMENT WINDOWS: ❑U-Value of windows required. g1orms:permapp2 1 . -TOWN OF 1 R• TABLE, USETTS BUILDING .:.,.,PER . :-� A=251-011- 01 251-001-00 0 - = y° ° ATE April 23, 19 91 PERMIT NO. APPLICANT_ E J. JaXtlmer ADDRESS 48 Rosary Lane,. Hyannis. #.0.0.321 Q 013(NO.) (STREET) (4pNTRlS•LIC PERMIT TO.� 'ld Dwellin ( 14 STORY Single Family Dwellin4WEB`RNG UNITS - PE Of IMPROVEMENT) NO. (PROPOSED USE) - - ZONING, AT:(LOCATION) T.nf• 01 , 204 Connors Road, n rvi l l OISTF I&.�`Rn-1 (NO.) (STREET) _ .: .'VEEN AND _ ... (CROSS STREET) (CROSS STREET) y r LOT SUBDIVISION- LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 1 IT. YPEI .i: REMARKS: Sewage #91-51 _ Bond AREA OR VOLUME 600 sq. ft. ESTIMATED COST.$ 100 i 000•00 PERMIT ""'50.. FEE (CUBIC/SQUARE FEET) - 77 -" OWNER Thomas Shane - - _ BUILDING DEPT. ADDRESS Connors Road Centerville ([I I BY ti ... .. .. • �aF�1T�NY APLICABLE 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 ALL CONSTRUCTION WORK- CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND t. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO.SUCH BUILDING SHALL NOT BE OCCUPIED QNTIL �.. �# �hr . MEMBERSIREADY TO LATH). + - _ - 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY." POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1yl �J ��� �1� � • �� lk 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 OIiHER - BOARD OF HEALTH � O WORK SHALL NOT PROCEED UNTIL THE INSPEC PERMIT 'N!LL- BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN/B� TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN_ CONSTRUCTIOE I PERMIT iS ISSUED AS NOTED ABOVE. NOTIFICATION. " t I [E , QTOWNOFIABLE, USETTS BUILDING ER 1A=251-011 +251001-00 "ATE ApYll �3 19 9} PERMIT NO. ' oAPPLICANT_ 7w JaXtlmeY ADDRESS 48 Rosary Lane,. Hyannls = OQ321 (N0.) (STREET) MEERPERMIT To d Dwellin 1 1 J STORY Single Family Dwellin4WELLI of WELLING UNITS ._ YPE Of IMPROVEMENT) NO. (PROPOSED USE) ~'rot #1 204 onnors`` Road Centerville =,, ZONING RD I AT;(LOCALION) i DISTRICT (NO.) (STREET) _.-i-c,'VEEN .AND (CROSS STREET) - (CROSS- STREET) ' LOT. - SUBDIVISION- - LOT BLOCK SIZE - i BUILDING IS TO BE FT. WIDE BY FT. LONG BY — ` FT.-IN HEIGHT AND SHALL•CONF,ORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) -. REMARKS: Sewage #91-51 Bond ' W. AREA OR 600 ' S7• ft. ESTIMATEDCOST $ l00"000w00 _PERM ICUBIC/SQUARE FEET) - OWNER' Thomas:-Shane I' BUILDING DEPT. .ADDRESS Connors Road, Centerville' BY C 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.`' ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICALE 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'lOCCUPIED;UNTIL �s. ' '. e ! ', MEMBERS(REAOY SO LATH)." - - - - - a �y r 3. R. FINAL INSPECTION BEFORE FtNAL�INSPECTION HAS BEEN MADE OCCUPANCY..- POST THIS CARD SO IT IS VISIBLE FROM STREETS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS fi . ( '3sv 3 HEATING INSPECTION APPROVALS, ENGINEERING DEPARTMENT. 5 DITHER.. - - ---- — - ff�� BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT MILL. BECOME NULL AND VOID IF CONSTRUCTION j TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN B� CONSTRUCTIOI, p ARRANGED FOR BY TELEPHONE OR WRITTEN FRMIT i5 ISSUED AS NOTED ABOVE, NOTIFICATION. o 0 2- Assessor's office(1st Floor): �p4( ��q Assessor's map and lot number �� ,�I ��fluR°��p �� P�o�THE Toy,`. Board of Health(3rd floor): p �('� E���� H TjTLE 5 d� Sewage Permit number /J ��"�f 'J J To ����L !�®����� = DAHd9?4DLL A Engineering Department(3rd floor): ;104 0,# N REGULATIONS 'oo M o j House number -tt fF Definitive Plan Approved by Planning Board /fa,F 19 . A, 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 CL�ulU/J t� StV�,�.e �AMt4j TYPE OF CONSTRUCTION �.3QQIp I R Z�X!k ZI �y 19 _1� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 1--bT 1 C..D1Ji-�6(L 3 CELS1Lyt Proposed Use Zoning District - Fire District a Name of Owner Address (,QVLXr-3 Name of Builder E •77• 'SA' T`'lE- Address L S Name of Architect K .L• S EA SSOcz Address 0(S-yigLot Q6 Number of Rooms Foundation t'• C Exterior U--)Ow S Roofing I.JOOb Floors w Interior ILA SEOL- Heating ECQA-T(LtC- Plumbing 2 R ► R-znn-1 Sb C-U Fireplace Approximate Cost 0 OA Ott Area�/f r 6tA Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th above construction. Name j Construction Supervisor's License 00 3 r9 t�NE, T110MAS��` t No 34— Permit For 1 z Story _ Single , Family Dwelling - Location Lot #1 , 204 Connors Road - - Centerville Y Owner'''Thomas Shane Type of Construction Frame LP Plot -- Lot Permit Granted April 23 , 19 91 - — - i Date of Inspection nq•• II = 19 '�• r Date'6ompleted ` �•,. _F t F L!-10 l st y\ gip. 4 ' TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 251 001 001 GEOBASE ID 16083 ADDRESS 190 CONNERS ROAD PHONE CENTERVILLE ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 54795 DESCRIPTION C/O FOR SFH UNDER PERMIT# 51148 PERMIT TYPE BCOO TITLE. CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 O�THE CONSTRUCTION COSTS $.00 4p�' I �T 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P a E * 1ARNSPABLF, MASS. 1639. ED� BUI IN IO BY DATE ISSUED 07/27/2001 EXPIRATION DATE TOWN OF BARNSTABLE BUILDING PERMIT r PARCEL ID 251 001 001 GEOBASE ID 16083 ADDRESS 190 CONNERS ROAD PHONE CENTERVILLE ZIP - LOT 2 ',BLOCK LOT SIZE DBA DEVELOPMENT "" DIST.RICT CO PERMIT 51148 DESCRIPTION REBUILD UNSOUND SFH AFTER DEMO UNDER 051648 PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: JML PROPERTIES Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $1,744.69 INE BOND $.00 CONSTRUCTION COSTS $562,800.00 �► I 101 SINGLE FAM HOME DETACHED 1 PRIVATE I * BARNSTABLE, + MASS. 039. �" r Ep � BUI I G , IV SsION BY DATE ISSUED 01/18/2001 EXPIRATION DATE �i THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�G, I DATA a To t�T bF BARLiSiABL. . t i 8+.:i LTA I L, ti R. pi li. .Jl I'lrl, L:: L.., , .�,,I..fi.,..0 tlii RB�;U i LD �J�1 ,OU+`Ill S i�ri A r' Lii ��;;:�;:�:T .:i•.(t�__.-. :-: .. • . {r! Ri?.SIiEi�'I'IAT., i L?)( _"AT - Department of Health, Safety �_,.��''!' it �.. l^;.- S ;.i' ..,..�. Y ` and Environmental Services .) >A, -� to L.. - •, f r i ,- .�SV- 'n I ;.:L►RNSTABLE, �' MASS. BUILDING DIVISION.. BY 4,y'. ::)T r _.':;;`�:0�' '. F.�;r�IRATi�> i �i;'. F THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE.APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN.MADE.WHERE A CERTIFICATE OF:OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN'MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS , • IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 120, ' r�js _� O�,fCao-vi✓eC7ed' �pLM 7—� �i--•rr/ err /�77 �. a rJ.,. �rc.7 ,�✓ �v 3 ( 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT (a- I'3-0 r 2 +�., l �. OQ f I BOARD OF'MEALTH OTHEV.. ' SITE PLAN REVIEW APPROVAL WORK SHAL NOT PROCEED UNTIL PERMIT fiILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCT ON WORK 1S NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. :i 17 7: F Pl. ZZ ..........16�1 . ........... 7 T. *f ­7 .... ........ q t 7f .H j 4 T 1. t I i ^� i t -,_�--Y. ry�/ L.r ( �'•i I r t ( I ,•! _. •�• i , 7%T-77 J77 7 7. • P-ML2" 'W ..... 7,i LAW. S.CA 4Ii 744111.1 o, E The Town of Barnstable Conservation Department t 367 Main Street; Hyannis, MA 02601 rrua v Office 508-790-6245 Robert W. Gatewood FAX 508-775-3344 Conservation Administrator T0: Joseph Daluz, Building Commissioner FROM: Robert Gatewood RE: Occupancy Permit/Final inspection DATE: The following project has been granted an Order of Conditions by the Conservation Commi s s ion. Applicant: Project: gcc�Nk- !� •'t� Location: s 'mot Map/Parcel: okE� 1 Our Permit #: SE 3- -,-)3` G We would kindly ask that no Final Inspection (as may apply) be granted by your department until a Certificate of Compliance for the project has issued from the Conservation Commission. I Your assistance is very much appreciated. , M t � - t ,&:. r ,•.t��.o ,m.« i rtt 'r �¢ 4'+�D�•� j���,`�y�,:m a.'3c�`2u f'ri� :k�. s 4x ,rL'4• a,.�''•� a-r�y y p :y t x M�. ,r'rn�M�W:i� f xy �rv. "�'�-C!41t'+t�+ic.:i:���t✓,s rrt�.r„wu: lea �i ? .,,,"�^t�'�s•.ra r "'',rt��`h..h � °+ M"4 ,yy+ .k �e .. . ,ra +,r,�. J*r'..;.f� r�k!.�•.�,'"p:�F r.r �r^',.�';� _.R`,' t-1' •.. .. #tar �6:>.. �r i�',II,�i� - '�+,T4�;�'!•'ST�Gf ar���?��,�A'P'�� 'a.'+n;.�7`. 't.� cx,,., �'.,i�. j:l. h .e.ry`yt*.,r r..._sr x'42`5 C ;•�.'w ,.";°�', �.; `i� 9Sf•'.��. 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A �• �• a�a .p4ks�„ 'i..G�\..6 y+ Nr' s y :y#r F.' . r a tl` + { .{Z �" yni� .i 7 pmtR A Y' y Leo. �9733 "� m7l .. j oIV eoqZ� Lo to � _ �� �+ �� •, 43 � _ �OT I 4�I d3+1 dt SHAPE :bI+.G x moo, p¢oj�sFD <'C d�.o ez GA+zA�c 3. Q 1�oTE� d2.1 s PLBVAro-4 9 <<r - a Oovr eF - i : rM , DE.SIGN '.. DATA _'LE,FAMILY _:2 BEDROOM, 1A6►VIA, NO GARBAGE VSPOS.AL 4pAe ipa -rs e z-54 DAILY.,,FLOW 110 X :2 -220 G.P D..+lao 7lZo G f ;:SEPTIC TANK 32o x 150 480 USE f000 GAL TANK ...R.ISEOSAL;Av. FA u5E (3'); ¢"X�' Flow�FFvsons f�{ ZARoV�D F w r„ S4DEWALL` AREA 144 S F t ' I _ I b � ... ,•- � , �_r 1S=F. x,:? G P:D �z -�A L BOTTOM AREA Z24 S F, r P k F x .: i r_ e a FCI.IO SCQ Lam.S. , 1.0 ZZ¢G F D. I , ,:_TOTAL.DESIGN TOTAL DAILY; FLOW 32o.G P D ! {' RATE : I".IN MIN. OR ESS 9;3 ...,_PETER twcE �} r, SULLIVAN _ ,, `.No 29133 � wxr�t N s- 4 - •. 1 •q_ �L is ' _p .�r .. .. 110.?� � r e�, -, � f 'I'-+ 1 .�.�.Lgt� —�.�L G • CST£.ry - fit, ,Q i : :VJA_fH�1,� V s U a � t ra.►E o �_ -rrol� aF � �.sr 4: _ s UAS H is t sfc.r1 wr�c�s�-r� BY 'PAuc r�U�oz� Eu �AnRY B4 go. ,B o H f L3a><TCTL¢►J�tZ'x ,I- - i ', j � , • "Puvlt�{W(� , fi LT G. �¢�� I F G 4� ' . • TOP FND.= 4 CG ¢7 F : + /} /t LuArLG. i.;° �, a Su85ac__// r SCHED P.V.C. Z OC95�Eou�P `Y 4-1 - r. 4t 44 4 �::..: 40 (j .o• V 3 p IST�: N �, G :._:,_ ` INV GAL:{ �� INV I 4 ARAIrE LAYS:; 4c BOX 4 6' SEPTIC: Yfo,3 .. ,oF h t , n I TANK `. hll� f I I - ; - - 4 _ I� �TtY) -�- PROFILE. jz i 4 -NO':.SCALE i f f EL F. Cou7XoLo,). wage [r-vcL - _.. we uq, vcr IAY-E Q 4 G,�►zAG�:` L'O CAT I O N 1 "CERTIF;Y.-THAT THE PROPOSED FOUNDATION CE � wILLL rl� SS . • s.H10WN HEREON COMPL.YS ,WITH T SCALE. 111_301 DATE 1-t B, "7 )5� 1 THE SIDELINE AND :SETBACK REQUIREMENTS`-`OF�THE`:TOWN'�OF I , PLAN '.REFERENCE. - 9 R15TA>3t, .. AND IS' NOT LOCATED F ` W1ITHIN THE FLOODPLAIN• l -JAR W1(cm i , F .�- 1 BAXTER & NYE, INC.. :TH1S PLAN_ IS:_N.9T BASED ON QN REGISTERED LAND SURVEYORS E _.. _ INSTRUMENT:SURVEY: AND `THE`OFFSETS $ `SHOWN SHOULD NOI ` °CIVIL ENGINEERS T BE.USED ;.TO-.'; OSTERVILLE, MASS, I-• � J _DETERMINE rLOT LINES, APPLICANT \iJiN► STjz�D AIM i-rco � Si/A.VE �A.2Aly E �tlC�(1Q TCFZ 117 L7— i 1 �.t t B! t ]Camw/T a C)Tbm�a .. � I.I.rrc�u< ✓ x� � 0. Gc .raapa�H�pJ . - - - �mbi�ru✓�W -.- 6� -_ _ S]e,U�E ._.. � I � t GYM f i _ •� � SSCO.cJ�PL002 PL9AJ i • • � a - .a66o. _ 6Asw6 ev s'cAi.<o• .P.lw. SES7IQ.L 73/,2U si IA4 iE�w!O �'"+'a7G p/.�✓ ORARCHIT E T ASSOC,ARCHITECTS/PLANNERS ARCNITECTS/PLANNERS H--.MA, 671-5650 Osi_Mib,MA: 428-56M T1_4 bare 'so�x�•y!T � �, ! . �.ss.a . I ��u mw.Claw. •,� � �1 �vS• - /uvnuf/✓n<6 /O`%46'c6P��Zy..�s+M� � � �S Y Aa Pt_ '� � rsew a• f� ' t �• -- �;� ---�°1`N •� Cmeeccf_ � m.ee:.rarm.6r� � CA. 'i - ab•e ��IYa�P.a� r_ �4 r 4a1(luOYe� Y. - � p� �llP/./Lf,ayx�.. 1 S4•. '"�� PG�iRLC�/O.V �. .! { } !��.•.fcCrai ssr-eP�c��s-�+,m,��i.'� a•+i..,r�n+cwa r � - � _. --� Kb - `� I i _ --wog- •_ _'__ ._.v! i - 9."c.i 1b• t__ axmPve t �-1' �sA`raea-K rvey� ¢� ✓t<g- 91 Iz 51 3 - r P.c s 4II q iiv.•cTM i - �rc•sc. �� t 6A t'. I sYCc•� al 3_—„T - ( _ - I. L'=; r..,<ari �Y s•cw+,wme*avec ,, v _ � t I__-� —- � ~voao aee,� i � :� u I � I I G/i.✓Oe�y .��yr ayt�1/Vc5 F� ab � PBU�_„e•=.vuA.K Xzazc t✓T.3: .. R.LSEAB ' ARCHi(EC 5/PLAIYISERS A�czo..imy .u.y pOOiHm ey6 PSb• 4.—___..... ____l Nene•m.MA. 87T--WSO • . OaIE - t �: ZA7G3SYi�P.�D''.L71� k ' .in GgI/�2VIGLE,MA... ' u NYau 1�uoum . - y-p�mmaemlY:c.1.�a euol ba� - _ A a � ... ....,...d� .,....as _---'- - �m - -- --- - -- saefaa i .gym _ __.— _-.-� e`en�ae;¢-��S�c� — _ - —_____ _ - - _ -_ `...uw�uw•m�'e..w 1. oa�+�wm � I FL�VA77OA1 2/.YT'S/OEELEIG3T/O�(J vm.u.�avmovu.. � � t I s ' i rHiu wu_� �•�a� I - — I *R.L.SEABERG ASSOC.,INC. . ARCHITECTS/PLANNERS H.......MA. e7 1 -5050 '0sb Hl..MA 428-55M LEST S/06 ELFI/AT7O.V .f.2O.Cl2' --4,S #7'70A/ o.re /BYI9 N Assessor's office(1st Floor): D o '� Q o oC , Assessor's map and lot nu r S ► p`$'�Cd�sY1�wT��PPaaW MUST BE Conservation '/ —'� LLEV!e`� ®���te�i�ioE wPyDi THE t0`` , Board of Health(3rd floor). V IT TITLE e� �� Sewage.Permit number /�/ S/ �VR�C)k AENTAL COD � � sea»rnnt, -F'ONS rua Engineering Department(3rd floor): ,,,, � � '�' : " °° ie)o• House number /J�U G!-e�� �orsr Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2,00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Build detached garage (28 x 46) TYPE OF CONSTRUCTION Wood r e s i d e n t i a l k February 18 19 92 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 190 Connors Road, Centerville Proposed Use Residential ✓g.L Zoning District RD1 Fire District Centerville/Ostervil_le Name of Owner Thomas Shane Address 9200 E. Mineral Ave, Englewood , CO NameofBuilder E. J . Jaxtimer Address 48 Rosary Lane , Hyannis , MA Name of Architect R. L . Seaberg Address Ostervi l le Number of Rooms 1 Foundation Poured concrete 1 Exterior Wood shingles Roofing Wood shingles Floors Concrete Interior Unfinished Heating None Plumbing None Fireplace None Approximate Cost $7 ,5Q00L00 Area `2 8 x 4 6 /2L6 Diagram of Lot and Building with Dimensions Fee �A5 3 9�— h�OZ'-¢-', OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega above construction. Name Constructi n Supervisor's License 003251 r SHANE, THOMAS No 43 4 8 8 5 Permit For BUILD GARAGE Accessory 'to Dwelling Location 190 Connors Road Centerville t s Owner t Thomas .Shane r• r I ; t �' Type of Construction F r ame R- i •f j ' -( .. •� i _ t r f + t L ' i � `-1 .w, " � � ! � � � tom'# :w• � f •� I � I � ? ` ' , � + � �+ _ Ploi }}� ' { Lot Permit Granted March 17 , 19 92 - r, Date of Inspection '" - 19 Date Completed 19 e r 1 Assessor's iffice(1st Floor): IsTv,Mus"r SE Assessor's map and lot number a S j (�O , 6 0 1 PTic 5 8N COMPLIANCE Cf-THE T� Conservation ��1-�1.✓1.�— � i�-v�.;i g� IL�S°TAI®W®H THE 5 Board of Health(3rd floor): ; ���CODE AND Sewage Permit number �/ - �� -� ,V' fO�o tasazy ULZ O ) Engineering Department(3rd floor): t G TO �o ".alo•``�a° House.number <1 o o asv Definitive Plan"Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9.30 A.M.and 1:00-2:00 P.M.only TOWN ' OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMITTO Build addition to boathouse (14 x 20) TYPE OF CONSTRUCTION Wood residential February 18 19 92 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 190 Connors Road, Centerville , MA Proposed Use Residential Zoning District RD1 Fire District Centerville/Osterville Name of Owner Thomas Shane Address 9200 E. Mineral Ave, Englewood, CO Name of Builder E. J . Jaxtimer Address _ 48 Rosary Lane, Hyannis , MA Name of Architect R.L . Seaberg Assoc . Address Ostervi l le , MA Number of Rooms 1 Foundation Sonatubes Exterior Wood shingle Roofing Wood shingle Floors Wood Interior Wood Heating None Plumbing None Fireplace None Approximate Cost $17 ,500.00 Area 14 x 20 �Qp Diagram of Lot and Building with Dimensions Fee ( �r 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 003251 SHANE, THOMAS BUILD No 34935 Permit For ADDITION 04- Boathouse Location 190 Connors Rd. d i J t Centerville " Owners Thomas Shane Type of Construction Wood Frame m �•; + ' t i �' i er s• " Cw � { � ' it d; Plot Lot ins ui Permit Granted April 2 ' 19 92 u Date of Inspection ' + �' 19 t Date Completed 19 r } _. ` _ } v / t .. .T � � a 1 - .. .. i f a � - � + ' 4 j // .� x - 1 • .. ... n ... i� $ Y .. � . ", # .. e _ ` F v �, J r v - \ 381 t 0. ool / E,. e!r t' FO ljt /2 \k'o\\• w �E %2y \\'3•e\ \_\ m> � ° �a� \OF WEB f r 2g0 ':6 6Et w A u () // n N d S n o 2y r2\ d• m, m S 6� S! O gyp• p, drive o CA �-� �� S1l•26'06E �6 - In o `•t v 1 O It Z D —I Ip. I—�j f t �t \ c • SR T� r 5 - ry - t,� i rt y f -�� ,vt m _ •x Off.{a\ 4 a o �Ai n D D \\ a n 7C tp p0 _ Y s 4'o�y4 d OS8J N3110 /' (b ,mac= \Qs o // \ I�off'� cn ,p / ter,,. o` \ \ ,� .o r- - W - OS" ^, - rU �y o m `> z � � 7.72•' rocs= 47.50' >>35'38" ) C. PgyrM 55.22• PLAN BK.228 PG.79 1 PNl'W1DTM . s OD G �., SJpb ,� nit � I �ti. 60t• so .c`tv Fp � -,•gip � _ >_ 0 v ' NQ, . ty Z 1 v. a°ES RR•� 00 Gig r 4 p / 'k. 41 IG \ I O G / SMO!JKE DETECTORS O.k.' BAR NSTABLE BUILDING DEPT. l:B[Na�'.B:7L.-' _'ors:LVDVk'tCuf ;l:&._____.,.. - .. z Aeb,lf �a - - - - - 08.428.6191 �1 C4}',NstOf/l c opyright.©2000 All Rigttt's ReserveE ti. n _r ......... I- Preliminary plans and layouts by DC.D.are for the use of iheir customers Only.Any other use is strictly prohi bite j s i rt b•taOiTbtlr.�JB'�s fl i 77WKKEI(W FTG014XB' I r e M L 4'*7FB(.COtt68LA8: I� ro hr rt — 8'TNKWALLS d'1-4'Kr _ i• 0 7ttK KEYED . 508.428.6191` .0 r7 n• ��— o evUn @UStom \ -- o ca., Qads \ esigns •� o :'.copyright®2OW ED � 2Ox2°xiGre TG. TUBES All i Resery Rights Reserved IJ! a ( v' 6.0 I �Jw� ILL I Q. 1..•.� �i� �' i ; _. _�ZYiT1:1(SCi1 _ _ Boa-��RRteY otAdGsr661efrte eq a'ne� __�_.,�M1�' I �2 is / Preliminary plans and layouts by D.C.D.are for the use of their customers only-Any other use is strictly proh bite I 46` __... �. 40• �..p- a�a~ � a.o• -�.b•. t.cr as _•� � _ ,. _^ .... I i • i �4 1 � (lea.Jlny'R.�� Graf Roo;h - - — — — _: I,— —_'• —— fhasr b/R CD AD o pf VY • � n •i -� `����, 6 .o• _�... eavxorr.uate•.Heave. .. - - � �, � f 6 1 • ... _ � .., is 6 I,` ,� ,o G A ,.. 8 1 DATE 1 - 70' 'J_r_. —— 1 608.448.6191 . — e 1 . .. ... ••ar,E.� .'renuoN. ; •aea �.°� �� o evl i n �,nO w designs e4 . w.n , ,. 4 c . I - _ copyright®2m All=9 Re __- 1lGaG90R'Sri'�cBmt;+7'7ut9aeaa•atr�.�r---- —a ____. • '. I t .-. ..._ ' P! " a' p 1� I OA wte to 508.428.619 I @YStOM :I m I u @Signs _. copyright®2000 * i ! All Rights , Reserved la l f ' t i t 1 .C4 S Preliminary plans and layouts by D.C.D.are for the use of their Customers only.Any other use is strictly Prohi bite I 4. '.atwxr .. • ... _—'—_—.__....__..., , � f.EfiD FLA6N1e1Cf(Paii?}ON ------- :, j Li44i Yrf.c• 71 - I Azo l r - y. _...... ._..-._. f r _QmgSn=-- _ _ � f Rc7ct{29DD Pif I _• � '_... o-es igns i - copyright 0 2OW I - - At!Rights .: I ' G- is Preliminary plans and layouts by D.C.D.are for the use of their customers only Any other use is strictly pro$Dire ! J i b � W UA UET LOCO EQ Q � I CERTIFY THAT .THIS PLAN.... HAS LAKE �`� N BEEN PREPARED IN CONFORMITY WITH C THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS, : LOCUS MAP SCALE 1 : 25,000 rn ASSESSORS MAP 251 PARCELS 1-1 & 1 -2 GRAPHIC SCA 00 ZONES N N 0 15 30 RD-1 & G.P. Y - m 00 X F_ WETLAND 9 - �i 0,13 Ac, C)' o 0 N oAr { 1 61 I LOT 2 t 87,948 S.F. 2.02 AC. S. 2 0.0 5 LLJ N cb N ti c x' t < w N O • J .. � NS voe O 1�7 O • . g ' P > > DRIVEWAY � / �'cp s� cl O _ o ,� •moo � / / �� ' �a x• s V t ------ _ wry, C.B. s� { FND. t�. a boo cp LOT 1 43,561 S.F, 00 d` 1.00 Ac, C.B. o t \ S.#. 17.0 -vim � _ tiffs CIO, cp .� O t, FND. 0 7 NS9` O6= I y �0 -- ' l FN D. PLAN OF LAND IN L j (CENTERVILLE) BR sSTA MASS . FOR BARNST BLE PLANNING' BOAR I _ - IINDSTRAND LIMITED APPROVAL UNDER THE SUBDIVISION i CONTROL LAW' NOT REQUIRED. ` " c, G,/ DATE: r- elf`-4`f _ ,; � j SCALE: 1 30' DATE: JAN.23 ,1991 r BARTER NYE INC, vim; REGISTERED SURVEYORS o CIVIL ENGINEERS G- ❑STERVILLE MASS. -50 rs I OF U4 BAXTER �`� 4, .