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EXISTING SEPTIC SYS1'ER9 Date Definitive Plan Approved by Planning Board LIMITED TQ_ #o OF BEDRO S Historic-OKH Preservation/Hyannis Project Street Address 61 Pp,,\V F e 4 S Village �-��V/C ,, Owner . U'y L-t US 'a�� �y5 Address 67 44 tZE-:10 . Ak_ F-15 7_ C1:n>i= Telephone O 9 Permit Request A2,5-mcy_ x i s7 iA.)ty o-J_1V L:4 r c,✓ " & VJ4�zS /�y J a9 *L) 4 ZJ A L ZJ_i sT-!L L AJ� ed,i0 d i/� 49-J -So i--H UAI LZ /A�5`TAz z_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation _�,v 0r7 < Construction Type 4,m D fr Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 15 Historic House: ❑Yes 11'�o On Old King's Highway: ❑Yes WNo Basement Type: YFull ❑Crawl 'El"Walkout ❑Other Basement Finished AreJ(sq.ft.) 1056 Basement Unfinished Area(sq.ft) Number:of Baths:. Full: existing new Half:existing new } Number of Bedrooms: existing 4- new Total Room Count}(not including baths): existing new First Floor Room Count_S_ Heat Type and Fidel: &'Gas ❑Oil ❑Electric ❑Other Central Air: dYes� ❑No Fireplaces: Existing .7- New Existing wood/coal stove: ❑Yes EtfVo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:Erexisting ❑new size X3L Shed:❑existing ❑new size Other: r kJ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0Ao if yes, site plan review# Current Use -1 j 4 L-C r4-441,, Proposed Use SPA/hL—P <G" BUILDER INFORMATION 1 tl Sr3.6 g 4 S Name :5'()S 4-H VA 0 61 It id Telephone Number 6i) Sl' .42 e- 3 y3 Address :9* 6t R&4 i 14 i L Z ?,D • License# Q 46 Z 91,E Home Improvement Contractor# l© 6-, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ATLA &I i i e - 7-f— SIGNATUR DATE . 2 — 7 _ u - FOR OFFICIAL USE ONLY • w ` PERMIT NO. L DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION %C. FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH w FINAL GAS: ROUGH ,a FINAL y; FINAL BUILDING e9s f C! N W i DATE CLOSED OUT m rn m ASSOCIATION PLAN NO. co r r 7m CMR Appendix J Table J&Ub(eondnuaO prneriptive paekageg for doe and Two-Family RealdeotW Bnildlnp Heated with Fosa11 Fuch MA dMUM MINIMUM Wall Floor Basaneat Slab Heating/Cooling Glazing Glaring Ceiling paimeta Equipment Efficiency' Area'(%) U-value= R-valu R-value e' R-value) R-value° Walla R btu? package 5701 to 6500 Hating Degm Days' Normal 6 Q 12% 0.40 38 13 19 10 6 Normal R 12% M2 30 19 19 10 6 8S AFUE S 12%, 0.50 38 13 19 10 N/A Normal --..15%e.- -..-..._0.36. - - 38 i3 2S NIA U '15%, 0.46 38 19 19 10 N/A 85 AFUE �1 15% 0.44 38 13 2S N/A 6 85 AFUE �y IS% 0.52 30 19 19 t0 N/A Normal X 18% 0.32 38 13 2S N/A 1V/A Normal LAYA 18%0 0.42 38 19125 N/A I90 AFUE 18%e 0.42 38 13 19 10 690 AFUE 18% 0.50 30 19 19 10 1. ADDRESS OF PROPERTY: 6,.Ji�Avia�. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): WAL—L-, f R 43 NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J Footnotes to Table J9.2.1b: a Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 f?of decorative glass may be excluded from a building design with 300 fF of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U=values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38 insulation and R-38 insulation may be substituted for-R-49-insulation: Ceiling R-values-represent-the-sum of cavity-.--..-.-. insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes eleet is resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest .efficiency must meet or exceed the efficiency required by the selected package.. For Heating Degree Day requirements of the closest city or town see.Table J5.2.I a NOTES: a)Glazing areas and.U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)if a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to -value requirement for that component. Glazing the R ng or i door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts Department of Industrial Accidents' — 600 Washington Street s Boston,Mass. .02111 Workers'. Co ensatiou Insurance Affidavit-General Businesses • � �:#k'�''a�3+ir'� .=;,d•.. 'Sao.• • '�Ta i+-•Wd.r xT^w.. .. •' y'J: , ,:x.�.mtr� • name' ��l.} i0��Pi - . .. .r. � .' -- c,9-• • • city ��+JI�SL.) )LF�'. state: � DZS�3 # '���� ���'�' 3�3� + ziz Rhone work site location(full address): 67 5iDE bAk I/E oS4-Q ® I am•a sole proprietor and have no one Business Type: El Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,.Autos etc.) ❑I am an em to with em to Fes(full& art time.'. []Other %/ /%%%%/////.7�ENM//� //�% � I am an ein�loyer providing workers' compensation for my employees working on this job. coliipanV names '''•• - •�` ',r'%i. •tom ..i:: - ::d:.• �{.,�:::• .:, •. ' city phone:.#.::, .irisarstice.ca�: ;i:. ::y� '{::,..:>;:•;.. oh •#� : . I am a sole proprietor and have hired the independent contractors listed below who have the following workers, compensation polices: oinR v • t adclre§s� L•rx�•'• AA eity ••��� ,•ter i +1•�.. .:S •4;' insurance co. v.. COMD an. -iia e: . n• 150 address: .. .• :• •• • . • ' •• . .i`1.,'•. .` ; • : :• `n• S r. Failure to secure coverage as required under Section 25A of MGL 15Z can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as weII as civil penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that 0 copy of this statement maybe forwarded to the Office of Fnveitigations of the DIA for coverage verification. I do hereb erti under the pains an on ties of per' th the information provided above is true and correct Signature Date Print name I e' �C// C cYL S Phone# S D�y/, �'' 3 - official use only do not write in this area to be completed by city or town official city or town; permit/license,# []Building Department ❑Licensing Board []Selectman's Office ❑'check if immediate response is required ❑Health Department , contact person: _ phone#; ❑Other ' (revised Sept 2403) Information and Instructions Massachusetts Ciceneral Laws,chf pter�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 work on such dwelling house construction or repair w 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.cbmmonwealth 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 unto acceptable evidence of compliance with the insurance requirements of this.chapter have been presented to the contracting . authority. Applicants Please fill in the workers compensation affidavit completely,by checking the box that applies to your Situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a.workert!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 ffin the pernitIPense number Which will b�e used as a reference number. The.afEdavits.may.be'.retmued to the Department by mail or FAX unless other•arrangements have been made.- •• and should you have an questions, f Investigations would h�ce to thank you in advance for you cooperation y y q , The Office o g 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 �iC®0�IBYllSd�8tl061>� . 600 Washington Street Boston,Ma 02111 fax.#: (617)727-7749 phone#: (617) 7274900 ext:406 r of roe Town of Barnstable Regulatory Services BnaxsrnBrs, Thomas F.Geiler,Director 263 a Building Division TED MP�i Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • Office: 508-862-4038 Fax: 508-790-6230. Permit no. Date AFFIDAVIT HOME LVeROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied is or to structures which are adjacent to foot dwelling um building containingat least one but not mor e thang such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: `� ✓`� Estimated Cost �J !,-ram d Address of Work: • Owner's Name:, Date of Application: 4 tl 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 FUELING THEIR OWN PERAUT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRADA OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date ontractor Name Registration No. OR Date Owner's Name Qhmis.homeaffidav Ons a11C tcRnE ar'd§ .!' M �� e �h�iurto�'�Plaee- Room 1301 .0 Boston. Massachusetts 02109 ` ' Home Improvemeiftf ontractor Registration -- .. — Registration: 100513 Type: Private Corporation Expiration: 6/19/2006 VAUGHN HOMEBUILDERS, INC;'-' Joseph Vaughn 34 GRE AT HILL RD. - SANDWICH, MA 02563 e _ 3 = `4 02 �8 reason for change. urn card.Mark r o Update Address and return a g- p Address Renewal Employment Lost Card ---- Al Toomaytaantuear/ o�✓�aooac�u Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 1 Board of Building Regulations and Standards 6/19/2006 One Ashburton Place Rm 1301 rrah' -`- Boston,Ma.02108 Type: Private Corpo VAUGHN HOME Joseph Vaughn Cl 34 GREAT HILL Rb. d,A. SANDWICH,MA 02563 Administrator of valid without six tore �iaense: CONSTRUCTION SUPERVISOR ' ! Number. CS O46236 fBirthdate: tress 0ti23�005 Tr.no: 7436 Restricted: iG JOSEPH C VA 34 GREAT HILL RD -e ` SANDWICH, MA 02563 Administrator I t oF, r Town of Barnstable Regulatory Services t. sntu�srr+st�, Thomas F.Geiler,Director �N Building Division ao r� TomPerry, Building Commissioner 200 Main Street, Ilymmis,MA 02601 vgww.town.barnstable;ma-us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must P Complete and Sign This Section If Using ABuilder U • as Owner of the subject property hereby authorize:. to act on mybeha f,4-1 Alowebw*(4 1-1 in all matters relative to work authorized by this bunding permit application for. S� L 9-(ces 1i2� T�2r v� L. T — (Address of Job) S' ature of Owner !D e Print Name " 9'-0"4'-0 6'-p" WINDO WINDOW 7'-4" ZZ 24'-0" SOUTH FACING rOUNDATION W LL EXISTING LAYOUT OF SOUTH WALL 16'of 2 x 10 OUBLED 2x4 DOUBLED 4'-0" 6-0" 4'-0" i �4'4' DH PICTURE DH 6'-0" WINDOW WINDOW WINDOW 7'-4" I 2'-`10" _ W SOUTH FACING FOUNDATION WALL 24'-0" PROPOSED LAYOUT OF SOUTH WALL 2x4 stud- 16"OC NOTE: FOUNDATION TO BE CUT AT 2'10". PT SILL TO BE INSTALLED ONTO FOUNDATION BELOW NEW WINDOWS. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 5 Parcel ®q a .� }'�I ' S A��.rEit# 7 114 4�r ll Health Division I I -7//,0y f �� �" K `Date Issued rl)15�oy Consefttion Division 7 /04 L tl J `Application Fee 510 . Tax Collector Permit Fee 4aq I 4 Treasurer NL 1 Planning Dept. SEPTIC SYSTEM MUST BE %IST�ALLED IN CCMPLIANCEF Date Definitive Plan Approved by Planning Board VWTI;TITLE S Historic-OKH Preservation/Hyannis 0T Z®NMENTAL CODE � TOWN REGUIg.IONS Project Street Address 5' 7 L- ,q 5 t D F_ D A i Village V'+ t,F Owner Sid L. t U S K .3 Address Telephone Permit Request �� ®v E l�/}�c r nl� �J E G< o� 3 �5m-k>_lcglZ AWPI# r'Fjd�� i2��< d- �EGK. ���r-!D l� Oa- ! P�-is-c. � f •ate F4<W 4Z 40 N da x r R� Ltirsi�4cL .SCry64- /At PI-4-CA—C d-,' e4,, cJt,vJcJW - A ruff t3+4.1 e_,v Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �, � Construction.Type e,000(-I z_k�1_6, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family '❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑-Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded Cl Commercial ❑Yes ❑ No �lf yes,site_plan review# Current Use Proposed Use BUILDER INFORMATION �?y- Fab" 8953 Name 0-SF_f4 C *A/ Telephone Number O X *zS 3S 32 Address 61eP-qi- 4_3 License# .256 Home Improvement Contractor# /0 d 5l 3 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO j2F_560 YA2 E SIGNATURE DATE (2 V FOR OFFICIAL USE ONLY 'y f PERMIT NO. w DATE ISSUED S, MAP/PARCEL NO. z, ADDRESS r VILLAGE' ` OWNER _ ~ DATE OF INSPECTION: i_ FOUNDATION FRAME INSULATION f�310 Y FIREPLACE, ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL t _ t GAS: ROUGH }}" FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. ».r f , 1 - 1 t I 'Q1Ali bj- IL f. 15 rlPC> .5k� x.. jZx- r t DISTANCE AS CERTIFIED p A� 9 I HEREBY.CERTIFY THAT THE BUILDING SITE 1-LAIY OWt51..94 THIS,,.LAN.IS LOCATED ON THE l_oT OUI A AS SNOWN,-HER. &THAT IT�06S LOCUS. NFORM TO E ZONING Y LAWS;flf THEW. y��cA �CENTE .VI l.t_E�t3c�QNSTt�BE 1 ��5� WN OF R L� ARNE ;f DATE { 1 I_�IJ o .G J(r-7r H: . REF: '. OJALA*26348 cn PREPARED FOR CIVIL ENGINEERS +' LAND SURVEYORS K N R _ / G.. Q�[y CALE - pry wim-KAAIIGTF CJj+V . . _< S Board of Building Regu1 ions and Standards One Ashburton Place - Room 1301 ~ Boston, Massachusetts 02108 Home Improvement-:contractor Registration ............ _ - - Registration: 100513 Type: Private Corporation Expiration: 6/19/2006 VAUGHN HOMEBUILDERS, INC Joseph Vaughn 34 GREAT HILL RD. . SANDWICH, MA 02563 56" .4°Z - 3 f Update Address and return card.Mark reason for change. ❑ Address Renewal ❑ Employment P Lost Card ✓ire'P000xmsanu o�./�aaaa:a�Ciae� Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration• Board of Building Regulations and Standards 6/192006 One Ashburton Place Rm 1301 �� Boston,Ma.02108 Type: Private Corpo VAUGHN HOME Joseph Vaughn �J 34 GREAT HILL RD. � ,� SANDWICH,MA 02563 Administrator of valid without sig ture ._ - I✓���ir�rl�ll� �icense: CONSTRUCTION SUPERVISOR Number: CS 046236 fres:02123/20U5 Tr.no: 7436 ��Res`tricted: iG JOSEPH C VAL19 .01 34 GREAT HILL RD SANDWICH, MA 02563 Administrator RESIDENTIAL: SEEDS -POOLS —DECKS-OPEN PORCHES- GAZEBOS FEE VALUE WOR.KSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,eta) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf USE NEW BUILDING PERMIT APPLICATION 5% x ky 34 g61 X,eOw 1sl. l�f DECKS x$30.00 (Number) x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ 1 y oFt ro,,, Town of Barnstable Regulatory Services BAMSTABLE, " Thomas F.Geiler,Director M. sb . Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 340 F�� Type of Work: RMAu Jw VE CKW 6J I M 00 2J Estimated Cost <2 6 Address of Work: 57 IC s 1 J7 t, AyZ i Owner's Name: •J Date of Application: ) O 4" I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY - /�J f I hereby apply for a permit as the agent of the owner: 0�I- :1�05`P1 C UA U fi hf n/ 4(-/0 0SF 3 Date" Contractor Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav The Commonwealth of Massachusetts Department of Industrial Accidents' 600 Washington Street Bo ston,Mass. 02111 . •- Workers: Com ensation.InsuranceAffidavit-General Businesses byy�e '•',r.+cµ�;'': . '.:".':.�3'4"`,'°Ajpa,. •. .Y+;,"`�'��'A:r"'q^»'. .: �.-a� , •.•G'i",.::id§1 .- . „ame address 3'{• C�ifJ /7' C. ejP�G,) L ff state: MA zip: O�b�0 3 • phone# work site location full address) --- -- I am.a sole proprietor and have no one Business Type: []Retail❑RestaurantBaAatYng Establishment working in any capacity. ❑Office[l Sales(including-Real Estate,Autos etc.)' ❑I am an em toyer with eln to es(full& art timel ❑Other I am an employer providing workers' compensation for my employees working on this job.. coin"ari`•name: , ;;µ _ address: Vilone'#•::. .insiirarice.ca'' •�a I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: coin an- 'name: addressb. -- pfione r }; in'sursnce co. - � `,''• '''' :><� .�•. . addtess�. .. ;: • r• . . :tihone# j insurance co:•,�:.••r•'•:''+:,:.�•.,: Fallure to secure coverage as required under Section 25A of MGL 152 can lead 4o�ERP:n imosition of criminal penalties of a fine up to$1,500.00 and/or on'e years'imprisonment as well as civilpenalties in the for, of an STOP WORK O d a fine of$100.D0 a day against me I understand that acopy of this statem-e�nt may be forwarded to theOfficeofInvestigtiof the DIA covrage verification. Y I do here y certify the pai f andpQnalties of perjury that the information provided above is true and correct Signature _✓� Date 7 1 N Print name C �.. Phone#_ MOM official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department . ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department , contact person: phone#; []Other (revised Sept 223) - Information and Instructions Massachusetts Geuesal Laws chapter�152 section 25.requires all employers to provide workers' compensation for their. the law', an employee is.defined as every person in the service'of another finder any contract employees. As quoted from 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 owtter 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 o.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. XX Applicants mpletely,by checking the box that applies to your situation..'Please Please fill in the workers' compensation affidavit co supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department-of Industrial Accidents for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being dents. Should you have any questions regardinp'the"law"or if you are requested, not the Department of Industrial Acci required to obtain a:workers'.compensation policy,please call the Department at the number listed.be,low. . City or Towns . Please be sure that the affidavit is complete and printed legibly. The Departrnent 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 b�e used as a reference number. The.affidavits may.bexeturned to the Department by.mail or FAX unless other•arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents DMN of Ili>roSUPUens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 exL 406 Proposal for: Julius and Kelly Baskys `i X'V G"9109KEB VIL0E4U, I91(C TERMS and CONDITIONS Date: June 17,2004 All work to be done in a workmanlike fashion according to specifications in compliance with Massachusetts State Building Code. All available manufacturer's warranties will pass to owner. All changes/additions/extras to above specifications are to be approved in writing between owner and contractor,subject to the terms and conditions of Additional Work Authorization Order. Mechanical and cosmetic adjustments in an energy efficient home are common during the first year after completion of work. It is common during the first 60 days after completion of work for call backs so the contractor can make minor adjustments that are necessary. PAYMENT TERMS: >25% Deposit >25%upon completion of decks and installation of slider. >50%upon completion of installation of windows and staining/painting exterior of house. SUMMARY OF PROPOSED CHARGES: TOTAL $49,775.00 Submitted by: Accepted by: Date: Date: Jim Miller Julius and II askys Project Manager Home O S 1'-4 2 x 8 Pt Joists. 16" OC. Doubled i� T-0" 6-0" r-_ 14'-0" 22'-011 AUDIO VISUAL HEADQUARTERS BOSTON RENTAL SERVICES 59 WEXFORD STREET NEEDHAM • MASSACHUSETTS 02494 781 433-0888 FAX 781 453-3941 141-011 4" x 4" Rail Posts F.2" x 12" Header Doubled 2' x 8' PT Joists Doubled and Hung into House Back of House 4" x 6" Posts AUDIO VISUAL HEADQUARTERS BOSTON RENTAL SERVICES 59 WEXFORD STREET NEEDHAM • MASSACHUSETTS 02494 781 433-0888 FAX 781 453-3941 71-011 Railing wiling Posts 1"x 4" Mahagony Decking Baslluster , 2"x 4" 2"x 12" Header Doubled 8'-611 8'-811 `4"x 6" Posts set in Concrete AUDIO VISUAL HEADQUARTERS BOSTON RENTAL SERVICES 59 WEXFORD`STREET NEEDHAM , MASSACHUSETTS 02494 781 433-0888 FAX 781 453-3941 BOX I — - - ------ ------ - -- Steel Beam to be . I. -- — Engineered- j 8'-0„ 21'-011 12' Slider to Replace Bay Window AUDIO VISUAL HEADQUARTERS BOSTON RENTAL SERVICES 59 WEXFORD STREET NEEDHAM , MASSACHUSETTS 02494 781 433-0888 FAX 781 453-3941 P.E. 2t►�c 4�vt ®D t'T►ot-i 189 HarborB P JUL &AGZ ementaqua MA 02637-0361 t�►"<%+t of a tZ ��"�t �g1�4 w«N o2 tj Cc3 cAr NC1�'S� T X-T a t3 v ID u.� eoo6' L.014CD t►.i c; : "FL.. C�®c2„ Tz,.tr.. a- t 5 ?s I.j L.(_,.2 Acn, S . w N4-w . — c�.L. R 15 s r. 7�.tp, I-ch't-o (pesrp. W%LLz Q__) g► Rc::,aI i2o -t tick -r to S 3 A-15 Q . = 4 ox + 30 x.& USG W ex. kS CLe At4. = e/� " Ul.�.x, �.�., of��.� c.-�� b►.t. ��e►vtu� ele.�v��s 1�c�5 or 6 %WtAt4 svC2,ns d6 ;'4e r 'kr'c�M a4c>ve% elk I-Ace1r, Of DANIE AN 4 3 RUCTURAL I RAMSBEAM V2 . 0 - Gravity Beam Design --Lic(4nsed to: Dan Braman, P.E. Job: Miller Project Steel Code: RISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X15 Fy = 36. 0 ksi Total Beam Length (ft) = 12 . 00 • Top Flange Braced By Decking LOADS: Self Weight = 0. 015 k/ft Line Loads (k/ft) : Distl Dist2 DL1 DL2 Pre DLl Pre DL2 LL1 LL2 0. 00 12 . 00 0 . 345 0 . 345 0 . 000 0 . 000 0 . 560 0 . 560 SHEAR: Max V (kips) = 5. 52 fv (ksi) = 2 . 78 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange kip-ft ft ft fb Fb fb Fb Center Max + 16. 6 6. 0 0 . 0 1 . 00 16. 84 24 . 00 16. 84 24 . 00 Controlling 16. 6 6. 0 0. 0 1. 00 16. 84 24 . 00 --- --- REACTIONS (kips) : Left Right DL reaction 2 . 16 2 . 16 Max + LL reaction 3. 36 3 . 36 Max + total reaction 5. 52 5. 52 DEFLECTIONS: Dead load (in) at 6. 00 ft = -0 . 121 L/D = 1193 Live load (in) at 6. 00 ft = -0 . 188 L/D = 767 Total load (in) at 6. 00 ft = -0 . 308 L/D = 467 Stairs D W C- Possible Closet I j LAUNDRY i 12'-0" Heat Opening to West side of Basement Center Beam V . 2"x 3" Studs- 16" OC Hot Wate Heater 12'-0" 7 V l[Door Double Hung Windows _ AUDIO VISUAL HEADQUARTERS BOSTON RENTAL SERVICES 59 WEXFORD STREET NEEDHAM , MASSACHUSETTS 02494 781 433-0888 FAX 781 453-3941 Engineering Dept. (3rd floor) Map S Parcel Q P-04- Permit# House# Da qs � = � Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) - - �� '•�` ,�;'< '' Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Q "�av� ,bI' '��7`� �.�"'Aivee VIP �� Planning Dept. (1st floor/School Admin. Bldg.) - Definitive Plan Approved by Planning Board 19 + '� RARNSTABLE. rFO MPS p`� TOWN OF BARNSTABLE Building Permit Application ic-Cif Project Stre A ress I�•C� i74t- A(4-7 C 13 Village // h Owner -J� 06 5-7 Address _U P eL C Telephone Z7f-- �,2 Pe t Request /- (�� ShKTk First Floor sq ar feet Second Floor �(�'�TcS" '" square feet Construction Type Estimated Project Cost $ Zoning,District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family units) Age of Existing Structure ealkout toric House ❑Yes No On Old King's Highway ❑Yes Basement Type: ❑Full ❑Crawl ❑Other Basement Finished Area(sq.ft.) - Basement Unfinished Area(sq.ft) � Number of Baths: Full: Existing_ New Half: Existing New No.of Bedrooms: Existing _3 New Total Room Count(not inc ding baths): Existing New �_First Floor Room Count Heat Type and Fu Gas ❑Oil ❑Electric ❑Other Central Air Yes ❑No Fireplaces: Existing New Existing wood/coal stove Yes o/ P g g ❑ 0'N Garage: ❑De ched(size) �pi Other Detached Structures: ❑Pool(size) Attached(size) a B.rS ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Auth rization ❑ Appeal# Recorded❑ Commercial ❑ o If y s, site plan review# - Current Use / c-- ,' Proposed Use i r uilder Information Name /)W Telephone Number Address h J / License# C.it rkK 7 A0 7`z �/ Home Improvement Contractor# Worker's Compensation#CJG P'CV/0 zo NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS L AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTIUCTI N E IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 4 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED t MAP/PARCEL NO. - - ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION- FRAME INSULATION ^ FIREPLACE i ELECTRICAL: ` ROUGH FINAL PLUMBING: - ROUGH FINAL } GAS: r . ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - ASSOCIATION.PLAN NO. i f A� I ' MAScheck COMPLIANCE REPORT ' Massachusetts Energy Code ; `Permit # ; MAScheck Software Version 2.0 Checked by/Date ; CITY: Hyannis , STATE: Massachusetts HDD: 5973 P CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-26-1998 DATE OF PLANS: 3/26/98 TITLE: Badsky PROJECT INFORMATION: Second Floor Adition 57 Lakeside Drive East Centerville, MA COMPANY INFORMATION: Kenneth Sadler Associates P.O. Bog 1149 Hyannis, MA 02601 508. 790.3922 COMPLIANCE: PASSES- Required UA = 165 Your Home = 163 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------------------------------_ ----------------------- CEILINGS 818 38. 0 0.0 25 CEILINGS 650 30.0 0.0 23 WALLS: Wood Frame, 16" O.C. 1 791 - 15 .0 3.0 53 GLAZING: Windows or Doors 159 0. 280 45 GLAZING: Windows or Doors 59 0. 280 17 . Y COMPLIANCE STATEMENT: The proposed building, design represented in these documents is consistent with the building plans, specifications,' and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC ,equipment ,-selected to heat or cool ,the building shall be no greater than 125% of the design load .as specified in sections 780CMR 1310 a J4 Builder/Designer Date 7Cb f a 9 ®® ®®®® 00 s 4 v 1 r c Z �1 �aNr eLeyi.rlold � o ILLII ILLAI i }3�ptd lit - 'aj SIGHT'M-CVAT-I&N t ., owlxnc rrrl: Noi.. � All ly.�,ram.r.h�l�imsn.�:on�v.h� SMFR hIMleF0. b..k.vvd'•.J br 4anv.1 Ga�kr.cTs ' .h him.of con.rruth�on I t � 3� a3 � Lim ILI r� Rif mm gi;ii a i$3�9 a 99i�;E Fd e• Ci.vh'an. wh. Aall..�r•m.nh.�o„n.n«on..r.ha sH[n•w,Metx b..'rh.v.rK'u�by q.nvA Go�kr"chcf •h him.of con.h.�h�cn Faso r � aY � ce s a o Y1 < Q p< s < y r ::AL 00 oho ... ........:.:... v y1 a �f:xisl'iny FI��FLOOD PL1.N • ��1�' a is Fa!, ggZwi..c me: - PF.h Flom Ft— Noha: NIM...ra�uwh.�o� «ow..ra ho vrtn w.w.ecx r...ra...rFw dr 4—.1 ao rr-ha wh hm.a d aon.hrurtion _ A200 �a aF 'a a p ! 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N Z� �. a'3 r1�IGHr���vp.ri�t ° Noha Ail lya.�rimenh./amansion.rato ]HFR NU,W[e b�. vv6'uJ by 4an.ry Go.�hr�c}a •t h—ci con.iruch'ion �.5 00 a� a 1 � c HOMPIRI ® L } FE 00p q W Q El Frm 0 f1 f Y d S a c F �. !N- P I—L/-e A 1o:l NIi"I...�"m"MrFpim.n«onr.r"+p 9FFFT WUrnBFlt bs rka�rh'rJ by Cwn.rd Gokr,.ct� .++�m.of oonr+ruc+�n 5 F � A a8 � za --------------- a Q r� o d � - o 0 - 44 i c o L%is}in9 FIF-�FLOOF-PLAN • '' o GJGat`; I/4..� I�_0.. .. f'ga��� I s- P All Haw maµ.ltTman..:onr ara fo _ SyFtr x`MIfR ba rka var F'is/by 4anar.J Go�nra¢fa of f�ma of to•.frufion A 2 O O I Fly ' ii uz i .b 1� 6 _0 SS ................................................................... ........-.-..-..........._......._.--.-._ - _ ' p , .............ii !, O • E------------- ----------------------- v < � •• ��+••O•• i IA1�}LYg.OG1 o < a ------------------------------- .r..�.. ... it n - I" 3jaa-1 p �n � �¢ �µ� GoNrJ PLoo�F"A" - A•co yGnla: �/q". �'-O" auwu.c irn, a.eo�d rim w� Nd• .till iys.�ram.�t.rv�„v�.,a�.,r•ro sHEn tiu%aEx r..�r.�vF�.�M 4.•vd ao.tr%cra .t t gym.d as�rlruct'io� ��O O 3 Y G.M',muu.r,H.WM I Y�.NX.yr f • f•DQ µT -19 I/4"GOX jpw.m.N.wN,M D HO.I�w,lLa-n.p.s0 t.e G.l'M ia,.l.t 7G•ac I•_•4 y.r Mnb m.a4 r W j ZZA 10'�4.I,wWr'an.p.a0 t•tgpw,n Never.(✓•yp.l 0 T hr.p.0 "hhh. I/ WG.t•h'•wl..b'i.w.(Nry.l +_ `1 d 10� `U 4yi h ^4• 'h I/4•(A/b'-nW ywiFiy s i`pr'�•a tl srC.''hh',h,, tya W.W.nw.I6 oe. � � �d • Nsw tyDf•Nwle'wla•IBV'se. N.r lyD�WorLMa•ld'nc: Z U• - Nsr I wr•.ar orN F p . uY'.y n'w..hsN (OyyJ4ll� Gxlor,FYc,HouoG GxwrING Ho�s� B .....:. 1!i §?;#• a �ul�on.tc,�a1-lori Leak.+r F'W Lr 4."+rd GoMt.cic' .f t',m.of eo�.irutF'o� A4OO 1 2 4kf .J 1[.B 100�/71//720�/2C!/P.ILGUZ P/ //��/iJJG,C✓ZLLtiG'Cll ,( ` .. 41" OEPARTNENT.OF PUBLIC.SAFETY CONSTRUCTION-SUPERVISOR LICENSE a Number::Expires: Restricted Tol,, ,: 00 TIMOTHY ,PEARSON I, CENTERVILLE, NA 02632 ' 6 i _ _:. �-, �_ __ � ��. . • , 1�.. i.y�1. i a �.i .. 1 �:�v�i 1 U 1 J \J.J l� 1 1. �J - DEPAIUMEN7 OF L]NDUS RIALACCIDENTS 600 WASHINGTON STREET ames Camooec BOSTON, MASSACHUSEM 02111 Cor-�+as�one• ; WORKERS' COMPENSATION INSURANCE AFFIDAVIT G (lianscclpermincc) with a principal place of business/residence a . (City/ScatdZip) do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following workc:s'eompens<rion coverage for my employers working on this Insurance Company Policy Number [) I am a sole proprietor and have no one working for me. [] I am a sole proprietor, general contnaor or homeowner(cirde one) and have hired the contractors listed b-ox who have the iollowing workers'compensation immrance polio Name of Contractor 11Atsaa�e Company/Policy Number Name of Contractor Insuruna Company/Policy Numbe: Name of Contractor Insurance Company/Policy Numbe.: am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to do maintenance,eonstructioa or repair work on dwc?ling of not more than three unit, io which the homeowner also ruidu or on the grounds appurtenant thereto arc not gcacrJ� considered to be eruployc,ri under the Workers'Competuatioe Ae:(GL C 152,seee. 1(5)),application by a homeowner for a liccsc or permit may eyidcnce the legal status of an employer under the Worker'Compensation Act. 1 unde st�nd that a copy of this statement will be forwarded to the Deparuncn:of Industrial Accidents'Orrice of Insurance for eove:as: Vc:i:;cuion and tha failure to secure coverage u required undo Section 25A of.MGL 152 an lead to the imposition of criminal peri:is eorsisont of a finc of up to S1500.00 and/or impruonment of up to one yc.;::nd civil penaluu in the form of a Stop Duork Order ar- : finc of S 100.00 a day against me. Sipncd this day of i6n, , 19 Lice:ucc� tmincc Liccasor/Pcrrnino► Assessor's map and lot number .. .9.. .U�2: :.,... THE Sewage Permit number Z-3/ ��Q ♦� Iy ~ Z 339SB9TADLE, i ,,House number .,/•/1?'7.......................................................... 90� MAO&1b \0� o MPY a' , TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......L- U C.I,�;�c.........�:..... �.. C:.�.�. .. ............................................. TYPE OF CONSTRUCTION ........St,z��,E LL �1 R�! L�l w c L� iV G, r ........................................................ ...................195.r.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..........................h(...l< S,r��.! ......7.!?...... .1. . . :. �?..!.1 .: .�1.!.4�,L.......) 1,f .................................................. Xoposed Use ........... L . ...... ?. ..Sa...111�.fr....................................................................................... Wing District ... 1 • .................... . ................Fire District ....@!r, � ;r,6Z1;.it�4:..... ... r..!2,UJ,1;L........ . . ........... ��c.z . Name of Owner ... ...... U ........................Address .......Or4 .......................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................ .............................................Foundation .... .dam, .,a�l6...................................................... Exterior .............� Z................................................Roofing ............/95 ....4..:.T............................................ Floors ..................G...4 .7 :T...............................................Interior .....,........ZIP s✓/�:r4,z_?............................................ Heating .. :.o...........................................Plumbing ............. � ........................................... Fireplace .................... .M.........�/'�-'�� ...................Approximate Cost ................ �... .....................1.. ....... /�/ Definitive Plan Approved by Planning Board _--__F' ______________19 SG_. Area ............... i.............. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Barns b 'ef ,aon ervatfon C'o ISS-,on ). cL Signed � w ti �t X I hereby agree to conform to all the Rules and Regulations of the Town ofBarniable regarding the above construction. Name . --r..--- ...................................... SPENCER, LDCILLE ' ~~~ � � \ . 2329I One Story No -----.. Permit for .................................... ` � \ Single Iramill, Dwelling L6cohon' Lot—#l.]9-57—I^akeoi�l�_D��i�e - * � ____.. ill��_______----' Lucille Spencer Owner .------_—____________—. ^ ~ . Frame ' — Type of Construction — .---'..'--- -------------------.--.....--- � Plot ..... Lot ................................ ` . . JoIv l5� Ol Permit Granted --'�---------.]V � . ' . . Date- of Inspection ------------lg Dote Completed ...................................... ' , � . - PERMIT � — ..................................... .................. lV p � . . " J ' --------.— ...--~--~.--------- --.-----------.------------. . . , ........... ~ . --� - =—. ------' . � � ^ Approved ................................................ lQ ^ � -------.-------_.....---.---.. � ------^--'--------^---^ K L { � _l TOVM OF3 BARNSTABLEi- No 2 293 Permit I sAR33rAm 5 3f = s Cash e , ;OCCUPAiVCY PERMIT' Bond Al f.'No ,building nor structure shall be erected, and"notland, building or structure shall be,. Y used.for .a new, different, changed, or enlarged use_-without �;a= Building' Permit 'therefor first'having .been obtained from-the Building'Inspector. No building'shall be.occupied until a certificate` of occupancy has beeri`Jssue'd by"the Building :Inspector "? Issued to LU.C3 1 =ZC '; Address ®It �P •Con Lot 39`� 57 akes c��` 1? zr crt�e�er .I3c Ti Wiring;Irispector le 'f r �`� �z , Inspection.date r. Plumbing D spector� ;'�Irispection date . t �: Gas•Inspector / €� / ; Inspection date % Inspection- Engineering,Department •date lf! THIS PERMIT'WYLI.'i N0�d' BE VALID, A/ND;THE BUILDING SHALL NOT BE' OCCUPIED'-UNTIL ':SIGNED'.BY THE BUILDING :INSPECTOR:UP.ON,. SATISFACTORY COMPLIANCE WITH 'TOWN.,— REQUIR,EMENTS 1f ................................... ].9�T'3 / t' •r .,•'`afi`�%$..'...�..... ''i! ✓ "• ���• ' t Building-Inspec or.r R ' Ir•- i t r Copy TOWN OF BARNSTABLE OFFICE OF ? BasMM&Brs, S BOARD OF HEALTH .� Ml1a& pj - 1639. ��� 367 MAIN STREET �0Mp�p HYANNIS, MASS. 02601 June- Mr. Norman Grossman 412 East Falmouth Highway East Falmouth, -Ma. 02536 - - Dear Mr.. Grossman: The Disposal Works Construction -Permit No. 81-231. for Lucile Spencer, Lot 139 Lakeside Drive West, Centerville, is re- voked. A review of your plan reveals that the proposed system engineered by you does not comply with Regulation 15.02 and 15.03 of 310 CMR 1500 of the State Environmental Code, Title 5, Minimum Re- quirements for the Subsurface Disposal of Sanitary Sewage. You are directed not to proceed with any construction on this lot until you have performed soil tests and percolation tests ' that .fully comply with .CMR 310.1500 of the State Environmental Code. Please contact us if you have any questions. Very truly yours,.-14 V �nM.Ke� iirector of Publ Health JMK/mm SENT VIA CERTIFIED MAIL cc: - Building Inspector jiv C), 2 kit) ; VL _0 a a ' i, .,✓.� �p e'er ` C'�v —Q—DISTANCE AS CERTIFIED jP f I HEREBY CERTIFY THAT THE BUILDING ` r SITE PLAK SHOWN,ON THIS.PLAN-IS LOCATED ON THE GROUND ASSHOWN.HEREO'N&.THATIT�O�5- -` O gs LOCUS. (_�T""1?�.� I.:AK�St0G ��►y� CONFORM TO E ZONING Y LAWS OF THE' Sq\ ' TOW N,:OF- R L� �� �y' �CEk iTE(Z\/1�..Lt-)�t�r�NsT45 1 DATE { A H E tt o` OJALA REF: L �, a #2G348 PREPARED FO,+R'+ v µix lra ' :a CIVIL ENGINEERS t1l l'E �`H� . .,C —i� j.1 is g; LAND SURVEYORS } Yarouth&Orleans MA + SCALE m i G s. ¢ DATE Assessor's map and lot number ... .. ..,g?'.dl:�...... • ��7M E t�� Sewage Permit number p ........................... .' SEPnCSYSTEM`(MUST �Q ♦� IN P" COML.IA4 'Z 'HARNSTADLE. i 3 House number ..................................................... `� TI1'lE 900 NAB e0� 63 EWRONMENTAL CC" �0INA TOWN OF BXRNS"�A3��F SUBJECT TO APPROVAL OB- r . BARNSTi ABLE CONSERVATION BUILDING INSPECTOR COMMISSION APPLICATION FOR PERMIT TO .......L'V C;i:Z i„ 5 pC>J C �, ...................................................................................................... TYPE OF CONSTRUCTION ........S1.1Q..F-s L C ....... k ...... !^�c=LL r N Cy, ........................................... .......... �A..................19.SJ.. d TO THE INSPECTOR OF BUILDINGS: N The undersigned hereby applies for a permit according to they following information: Location ..........................! ........O.!Z ........... =.......... . � . .(.................................................... Proposed Use w....I..l.0.....1:.f,A.M..wq Zoning District .. ,......34..�.. ...................... ................Fire District ...:��.c .7.K . y��.1. .......1 5;�C<.P..Uk,LLC....... ..... ........... Name of Owner ...?: .q . ..... �7d.R..P.........................Address .......0-4�.... / c��.. % �.......................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ............:....................................................................... Numberof Rooms ...............:�1.............................................Foundation .......4.-.e .. ................................................... Exterior ��!�.�✓,rr,4 .:.Roofing �J•�v!���,L-.�....................:. ................ .............................................. .............. .... . .. ... ...................... Floors ..................C" : Y ..............................................Interior .............. .. 'ar 4 ........................................... Heafiirig ............................. r', ............................................Plumbing ............. Fireplace ......................?�.f;L..........er��!`"'7..................Approximate Cost ................�-'!1...��....... .• ✓ S ............. Definitive Plan Approved by Planning Board ______FL ______________19, Area ..........: ". ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �Cso ` g �' pIt0: V, ED. � Ba sta�Is Conservation Commission` �o Signed- D te. w rah sys /C s V 3 &1 g� �� � 31l I s 1/s3 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above ^ y , construction. Name ..y r�''� �-c-- ............................... SPENCER, LUCILLE -iLo23291 One Story ................. Permit for ................................. .V. ......Single Family Dwelling 7 ct ...... .......................................... Lot #139 57 Lakeside— Drive . Location ................ ................................. Centerville Al ............................................................................... 0 Ownetr ...L6Cil-le—ap.encex... ................... V .. .. .... ..T�pe of. Construction ...Frame.......................... 0 +1 ................................................................................. tj Plot ........................ Lot ................................ July 15, 81 Permit Granted .................... .................1,9 Date of Inspection ...................... 3.19 _19 _ y 1' Date Comple ... .............//:::.f.... ffi d ... JORMIT REFUSED -19......... . ...... ............................... r ........... ................................... .......... �7 M .;�..................................... ................................................. TT, .................. ....... .............. C Approved ................................................ 19 I q? * '. ........................................... .................................. ..............................I..............................................