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0334 OLD CRAIGVILLE ROAD
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E 9. �, Y > i a h V It, 3 t y3 q 4 �- �y ililli!iiii!iiiiiiiiiiiiiiiiiii6 kkyyyy A� }` pp ; 1 ,td .,M, , elt .,,tx,Y At s'',.d11 't w n ,1„ -..� u..�.., , j q1. ,.,.}, v , i . _" , r: ,o--:,. a.;.;;; :. .at,,,, .f ,.::a , -;,, ... ,. c. + ,., ..;-tr"� ...,. .h , ,1., , :;i -a �`.S' 4w` ,:fY,: 1..,. _.... r,..._P _. ..,. Y..,., -5 r,„ -.5 :.. 1.,. .1 ,.., r. _ ,. .,. �. .., ,. Myy , tt' ., 1 .. .. ,_. , :{t, 1. . ..., ,. - I .t._ /':: ..}tx,9w.- .- � , ... t,...,, _.sts ..., r ,.., a.... :+:,.., .. 1[� a`, , i 4.. ^,�f�.t t.�t. r,.c,.uiZ,�r,an�++.:-J1:A.4n•..,x'??fh�Ll:,.a.?h.,.,.�',,l,a deg..IltT.a..._.,, .rd:r.n_�!� .•_.1 xx.,t#,_:::,e_, ,. ...a ,... u,.,_�. .�. _.. .n. ,r,- it f? - �'; � „Y Town of BarnstableBuilding Post This'Card So That ita�s Visible From°the Street Approved.Plans Must be;Retamed on Job�and this Card Must be Kept 6 Permit Posted Until£Final Inspection HasBeen Matle ,� �„ � ,` sv a. M: �. . " `ect�on:has,been,ma'de ,. eat 'ere a Ce�ficatbe o Occupancys Requ red,such B�ildm;gsMall Notbe Occ�pied£`uil�a Final lnsp F �` Permit No. B-19-541 Applicant Name: CHARLES P. BANIUKIEWICZ JR Approvals Date Issued: 02/20/2019 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 08/20/2019 Foundation: System Map/Lot: 247-017 Zoning District: RB Sheathing: Location: 334 OLD CRAIGVILLE ROAD,CENTERVILLE Contractor Name CHARLES P BANIUKIEWICZ,JR Framing: 1 Owner on Record: BATTS,JACQUELINE L TRUSTEE a r Contractor License CS 067057 2 Address: 4006 BEACHCRAFT COURT � a EstProJect Cost: $0.00 Chimney: M TEMPLE HILL, D 20748 $35.00 Permit Fee: Description: , FIRE ALARM SYSTEM THROUGHOUT-ENTIRE'HOOUSE TO CODE ' Insulation: Fee Paid $35.00 quh Project Review Req: TWO BEDROOMS AND ONE OFFICE Date 2/20/2019 Final: Plumbing/Gas z - . Rough Plumbing: Building Official -_ Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized,by this permit is commenced withm`six months after issuance. All work authorized by this permit shall conform to the approved application and the3approved construction documentsifor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structuresr shall be in compliance with the local zonmgby laws and codes. 'g,' Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspe pion for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Off �als are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work z , Ek Service: 1.Foundation or Footing Rough: g Inspection 2.Sheathing _ N g p ' �: , 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application Number.......L................................................. * MASS. ���� Permit Fee.......................................Other Fee................. Total Fee Paid I ` TOWN OF BARNSTABLE Permit Approval by.... .......................on...?.1 1 1 1...... BUILDING PERMIT �' (� Map..........?.......................Parcel...................... .. ...... APPLICATION Section 1 — Owner's Information and Project Location - Project Address14 ) Village -e y) e--r✓l !t e. I Owners Name C l r� Owners Legal Address �a-c-�5 City State V° 1 b Zip Q Owners Cell# - $ -3 E-mail LnirvtL Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ZS mmercial Structure under 35,000 cubic feet gle/Two Family Dwelling Section 3 - Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ C ge of use ElDemo/(entire structure) El Finish Basement ElFamily/Amnesty Fire Alarm ebuild ❑ Deck Apartment Sprinkler System tl�'" dition ❑ Retaining wall . Solar El/Renovation ❑ Pool El Insulation Other-Specify Section 4 - Work Description Last updated. 11/15/2018 c._ i Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Di Safe Number g g , # Of Bedrooms Existing Total#Of Bedrooms (proposed) 9 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist 0 Design Section 6—Project Specifics r . ❑ Wiring ❑ Oil Tank Storage r Smoke Detectors ❑ Plumbing ❑ Gas x ❑ Fire Suppression w . . ❑ Heating System ❑ Masonry Chimney `'"� '❑Add/relocate bedroom x Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed + Rear Yard Required Proposed' Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ , No Last updated:, 11/15/2018 Application Number............................................ Section 9- Construction Supervisor , r Name ` elephone Number 5 Sao ' Address �J ,. t3 Gv, �84 State Zip y 7/ y License Number_<�S�- ©670 qicense Type61" Expiration Date .,7 07 0 / - Contractors Email& .tw�5I z ,v Cell I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code: I understand the construction inspection procedures.-specific inspections and j documentation r ; 780 CMR and T arnstable.Attach a copy of your license. x Signa Date v Section 10-Home Improvement Contractor Name(f�st �h , , Telephone Number :?2 Address & f 6 City 60, State Zip n Registration Number/,�d 1 Expiration Date "7 / I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 r: CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections.and ' documentation re CMR and the of B le.Attach a copy of your H LC... Signs Date- Section 11 -Home Owners License Exemption Home Owners 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 SIGNATURE Sign atur Date o2 a10 l l Print Name kjj+ �5 ���;, � elephono Number 5 �� e,--5o�� E-mail permit to: e�! ,4 4A �Z,Aelole�i2P Last updated: 11/152018 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ - `;.. _ }• �- , : ; ` , Conservation ❑ `` 19. III • � For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I i I i I as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building peruut application for: (Address of job) Signature of Owner = . date Print Name , -r { i 11/15/2018 Last updated: i I - i i 5. _. a C �!a 3 n u �_ � S a a i J'_ 9Z ea I x F.e 0ZO ZI tiZILO ii 3 r H e O o ~d W u a J� 3.�3 ! OT1 3W3nOadW. o aol0 4 suo0 10 1 sil¢$tl lawn s aOlOdsseuis ga,�,o,�rruo� � ?F ssaulsn9.9 uolieln6aa Commonwealth of Massachuset s �J Division of P.rofessional,Licensu s 1 Board of BuildinRegulations5 i I g and Standards �'rT Constr i : I v�dd I tNbpprvisbr i CS r +� 6 7 05 7 t i f�Xl � ? EXpires: 12/20/2019 CHARLES P 4 NATHAN He')BANIU KIEWICZ;J R j fyRD ` _ WEST HARWI za. I i C � H Zs j Commissioner ` ' 1 REScheck Software Version 4.6.5 Compliance Certificate Project Jackueline Batts Energy Code: 2015 IIECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 334 Old Craigville Road Centerville, MA • . •� .. . 77F Compliance: 0.0%Better Than Code Maximum UA: 86 Your UA: 86 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies £S air "- �J'llrG131W l'.Gl ;' .aw. ,.�.... +ate •`�"3�,'sx t a 6b'�^-Z' ,� '* ', Ceiling 1: Flat Ceiling or Scissor Truss 300 38.0 0.0 0.030 9 Wall 1:Wood Frame, 16"o.c. 448 20.0 0.0 0.059 23 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 60 0.310 19 Floor 1:All-Wood J oi st/Truss:Over Unconditioned Space 160 19.0 0.0 0.047 8 Floor 2: Slab-On-Grade:Unheated f 40 10.0 0.684 27 Insulation depth:4.0' Compliance Statement, The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. '�. �Q f�,1w. �t+�.�311as••� ���J,�./`�►— 1�...SVJ-�fZ911 Name-Title Signature Date Project Notes: Addition &Partial Remodel; Partial Uninsulated Slab Floor. Old slab will get perimeter insulation. As such the Compliance is close and good workmanship should be employeed. tvp Philbrook'Engineenng; Llt,of n qs 107 Beach Street Dennis, MA 02638 T VARNUM GN 508-385-8682 o PHILBROOK MECHANICAL o No.30690 PFCIS EVL�o��,�' Project Title:Jackueline Batts S/ONA� E Report date: 06/11/19 Data filename: C:\Users\T.V. Philbrook- PE\Documents\Philbr ngineering Calculation Files\Energy Pagel of 1 Data\RES Checks\334-Old Craigville Rd.rck Town of Barnstable Building .nuagrne t Post This Card So That rt is:Visible:From the Street Approvetl Plans Must be Reta�red on Job and this Card Must be Kept Postetl Until Final Inspection Has$een Made r &, ; Permit ■yy■am�■■ ib�SM ti u„:. off - S�r v°. ,._ �,^��n 1 , £ ... ^c 4,; `.+�.,r..,.; ,"?e� '` ermit Where a Certificate`of Occupancyis Required;such Building shall Notbe Occupied until a Final Inspection has.been made Permit NO. B-18-321 Applicant Name: CHARLES P. BANIUKIEWICZ JR Approvals Date Issued: 03/19/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: '09/19/2018 Foundation: Location: 334 OLD CRAIGVILLE ROAD,CENTERVILLE Map/Lot 247-017 Zoning District: RB Sheathing: `n a n, Owner on Record: BATTS,JACQUELINE L&VIVIAN M TRS Contractor Name-:"*�-xCHARLES P BANIUKIEWICZ,JR Framing: 1 � Z V�� Address: 4006 BEACHCRAFT COURT. _� s Contractor,,License:"CS=067057 2 TEMPLE HILL MD 20748 ��- °� Est Protect Cost: $47,000.00 Chimney: Description: altering and adding to existing living area,adding bathroom Permrt Fee: $289.70 } Insulation:1,6 r 9 Project Review Req: Fee Paid.; $289.70 D"ate 3/19/2018 Final Plumbing/Gas Rough Plumbing: 17 4, _ u Building Official " ;y Final Plumbing: This permit shall be deemed abandoned and invalid unless the'Work authorized by this permit is commenced within siz monthsaft&issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and th eiapproved construction documerits for which this permit has been granted. All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws a.nd codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road'and shall be maintained open for public inspection for the entire duration of the . work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are^provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:,, Rough: 1.Foundation or Footing �� 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firestflue 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 Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1HE r4 OApplication Number. ............... .......... BAMSTAMA MASS. Permit Fee..... xV,20..........Other Fee........................ 16yq. TotalFee Paid........................................................... ... ...... TO" OF BARNSTABLE Permit Approval by.......... .V^............On.. BUILDING PERMIT Map.........................................Parcel............................................. APPLICATION Section I Owner's Information and Project Location Project Address 3 014 CrOL I g, V1. Village 4®e' ex-y'j hie, Owners Name ,JoL_C_!RLLeJ I ae Owners Legal Address �OQo B e,a�c r' a City —7;��_ f �e, I /IS State h) Zip 0`7 Owners Cell# E-mail rv& L.6 AN6 C_ )L Section 2— Structural Use F Single Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet f E] Commercial Structure under 35,000 cubic feet Section 3 =Type of Permit EI/New Construction El Move/Relocate ❑ A(BUW NG uW-%RT.❑ Change of use EJ Demo/(entire structure) El Finish Basement El h Fa *Ly� ❑ Fire Alarm s Rebuild El Deck AP eht Sprinkler System [Addition -Fl..--Retaining-wall_---[---IT-DJLtM.-OF-BARNSTABLE Renovation. ❑ Pool. El Insulation Other—Specify Section 4 -Work Description n &M tL 'a d*—Cj Z'nQ 42 5�-x L&± _Y; Curp NJ T act 1indqtF-A- 1?/)R/?017 Application Number.................................. .................. Section 5—Detail Cost of Proposed Construction rL,Db C� Square Footage of Project Age of Structure "7 4 Dig Safe Number X,*lyl 19 0 9 12 j Total# Of Bedrooms (proposed) 3 #Of Bedrooms Existing (P P ) I: 110 MP-H-W--ind_Zone_Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design i Section 6— Project Specifics i Wiring . ❑ Oil Tank Storage ❑ Smoke Detectors 21'Plumbing ❑ Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney ' - ❑Add/relocate bedroom Water Supply Public ❑ Private' Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �A.`r'W I C� I am using a crane ❑ Yes No f1 Section 7-Flood Zone Flood Zone Designation A10 Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8-Zoning Information Zoning District Proposed Use S 1 r)1e e1 ((�5 Lot Area Sq. Ft. S Total Frontage a 3`3 Percentage of Lot Coverage #of Dwelling Units (on site) _ Setbacks Front Yard Required �� 3roposed a, 3� Rear Yard Required Proposed i Side Yard Required 3S.4 1 Proposed Has this property had relief from the Zoning Board in the past? © Yes ❑ No Application Number.... ...•. Section 9— Construction Supervisor Name g, " elephone Number J,•Q Address NeA\wn '(i fV lCity Wt H6,rw'�C State _Zip n � } License Number ° o�Oq(jS jLicense Type' piration Date aJ 2; 0 q — — - - - Contractors Email �°�a������ _ �,�c-Iz� ,h��Ce11-#��P��--T'_-5: I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachuse to g I understand the construction inspection procedures,specific inspections and documentatio ired b . 80 the ai table.Attach a copy of your license. Sign atur Date 6 /d' - c: Section 10 —Home rovement Contractor Name a,r�eS �. ►�G,h1V,}�i�v3 �Telephone Number Address gcity State Zip a Registration Number_?,0 5 9 Expiration Date I understand my responsibilities.under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massach to Building Code. I understand the construction inspection procedures,specific inspections and documenta ' re uir 13V e o am table.Attach a copy of your H.I.C... Si Date 1 Section 11 — a Owners License Exemption Home Owners 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 APPLIC T SIGNATURE Sip e Date a7 /1 Print Name 42 � � Telephone Number��,06 9K,9 384 E-mail permit to: C.I0riv. Last updated: 12/28/2017 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) Historic District Site Plan Review(if required) ❑ Fire Department ❑ Conservation I For commercial work please take your plans directly to the re dep4rtnientfor approvaL Section 13 — Owner's Authorization I, _ ;"as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: r (Address of job) Signature of Owner - date — A Print Name • y T.ast undated: 12/29/2017 Plumbing:All rough plumbing and finish to code 36"White Fiberglass Shower Allowance: $30000 Vanity Top Allowance: $200.00 Faucet Allowance: $125.00 Shower Faucet Allowance:$100.00 Medicine Cabinet Allowance: $100.00 Washer Dryer Hookup Supplied Insulation:Fiberglass to Code Interior Walls: Y?Blue Board with Skim Coat Plaster Interior Finish:Doors and Trim to match existing Painting:All priming and two coats of Benjamin Moore Latex finish supplied(color by owner) Finish Flooring: Selected by owner with allowance of$3.00 per foot Heat: Tied into existing All Demolition fees included in contract Payment Schedule: ($47,000.00) Deposit on signing of Contract: $5,000.00. 1st Payment upon issue of Permit: $10,000.00 2°d Payment upon foundation&back filling: $10,000.00 3'd Payment upon framing& exterior finished: $10,000.00 411 Payment upon interior finish: $10,000.00 51h Payment upon Occupancy Permit: $2,000.00 All Extras: Paid for as work proceeds on next installment payment acqu a Batts,.Owner rles Bam ewicz,Co do I Printout a Y t tt -�- New Section 1 Page 1 REScheck Software Version 4.6.1 C�J( Compliance Certificate Project 334 Old Craigville Addition P Energy Code: 2015 IECC Location: Centerville (Barnstable), Construction Type: Single-family cc�'��J TO Project Type: Addition `` NS,�� Climate Zone: 5 &'BPW Permit Date: 10 Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 334 Old Cralgville Rd Charlie Banks Centerville, MA Banks Builders 166 Queen Anne Rd Harwich,MA 02645 Compliance: 8.3%Better Than Code Maximum UA: 36 Your UA: 33 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies weago an Ceiling 1: Flat Ceiling or Scissor Truss 200 30.0 19.0 0.021 4 Wall 1:Wood Frame, 16" o.c. 320 21.0 0.0 0.057 16 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 48 0.280 13 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2015 IECC requirements in REScheck Version 4.6.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck _ Page 1 of 9 REScheck Software Version 4.6.1 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies. Comments/Assumptions & Req.ID 103.1, ;Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR111 i energy code compliance for the !building envelope.Thermal ❑Not Observable ; envelope represented on ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies 103.2, i documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 ;lighting and mechanical systems. ❑Not Observable ; i Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate compliance with the IECC Commercial Provisions. ; 302.1, Heating and cooling equipment is; Heating: Heating: ;❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Manual J or other methods ; Cooling: Cooling: ;❑Not Observable approved by the code official. Btu/hr Btu/hr :❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 2 of 9 [2015 IECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 A protective covering is installed to ;Complies [FO11]2 protect exposed exterior insulation ODoes Not and extends a minimum of 6 in.below ONot Observable grade. :(]Not Applicable 403.9 Snow-and ice-melting system controls;OComplies [FO12]2 installed. ElDoes Not U ,[]Not Observable :0Not Applicable Additional Comments/Assumptions: I 1 High Impact(Tier 1) 2 Medium Impact(Tier 2j 3 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 3 of 9 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, ;average). :❑Does Not ;table for values. 402.3.3, 402.3.6, :❑Not Observable 402.5 ; ❑Not Applicable [FR2]1 ; I I I 1 1 I I I 1 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 !are determined in accordance ❑Does Not :with the NFRC test procedure or ;taken from the default table. []Not Observable { ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 !installed per manufacturer's ❑Does Not instructions. []Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies [FR20]1 .is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 ;Supply and return ducts in attics ❑Complies [FR12]1 ;insulated>= R-8 where duct is ❑Does Not >= 3 inches in diameter and>= I R-6 where< 3 inches.Supply and ❑Not Observable ;return ducts in other portions of ❑Not Applicable ,the building insulated >= R-6 for !diameter>= 3 inches and R-4.2 ;for< 3 inches in diameter. ; 403.3.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable []Not Applicable 403.4 HVAC piping conveying fluids ; R- R- ;❑Complies [FR17]2 above 105 9F or chilled fluids ❑Does Not 119 below 55 9F are insulated to zR- 3 ;❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR2411 'piping. []Does Not 1 ❑Not Observable ❑Not Applicable 403.5.3 Hot water pipes are insulated to ; R- R- ;❑Complies [FR18]2 a!11-3. :❑Does Not I I I I 110) :❑Not Observable ❑Not Applicable 403.6 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. []Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 4 of 9 �I 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 5 of 9 'L Section Plans Verified field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions & Req.113 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not e provided. []Not Observable ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a; R R- ;OComplies ;See the Envelope Assemblies 402.2.5, :mass wall with at least 1/2 of the Wood ❑ Wood :ODoes Not ;table for values. 402.2.E wall insulation on the wall ', Mass ❑ Mass :ONot Observable [IN3]1 ;exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel :ONot Applicable 303.2 iWall insulation is installed per OComplies [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 6 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;Ceiling insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ;❑ Wood ;❑ Wood ;❑Does Not ;table for values. 402.2.2, 402.2.E ;❑ Steel ❑ Steel ;QNot Observable ; [Fill' ;❑Not Applicable 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 !manufacturer's instructions. ❑Does Not [F12]1 :Blown insulation marked every l300 ft2. []Not Observable ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ; ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R- ;❑Complies [FI3]1 :insulation all-value of the ❑Does Not adjacent assembly. ;QNot Observable ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50= ACH 50= ;❑Complies [FI17]1 lach in Climate Zones 1-2,and :❑Does Not <=3 ach in Climate Zones 3-8. ;[]Not Observable. ❑Not Applicable 403.2.3 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies [FI4]1 !cfm/100 ft2 across the system or ft2 ft2 ❑Does Not 1<=3 cfm/100 ft2 without air :,[]Not Observable ;handler @ 25 Pa. For rough-in ;tests,verification may need to ; ;❑Not Applicable ;occur during Framing Inspection. 403.3.2 :Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [F127]1 "determine air leakage with ft2 ft2 !❑Does Not !either: Rough-in test:Total leakage measured with a ! ! ;[]Not Observable pressure differential of 0.1 inch ;❑Not Applicable lw.g,across the system including ! ! ;the manufacturer's air handler enclosure if installed at time of ; ;test.Postconstruction test:Total ; !leakage measured with a ! ! ! ! pressure differential of 0.1 inch 1 w.g.across the entire system including the manufacturer's air handler enclosure. ! ! 403.3.2.1 ;Air handier leakage designated ❑Complies (F124]1 :by manufacturer at<=2%of ❑Does Not ! ;design air flow. ! ❑Not Observable ; ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed for control of primary ❑Does Not heating and cooling systems and initially set by manufacturer to ❑Not Observable code specifications. ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ! QNot Observable ❑Not Applicable 403.5.1 Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not ! accessible manual controls. ! []Not Observable ❑Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 403.6.1 All mechanical ventilation system ❑Complies [FI25]2 fans not part of tested and listed. ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ; ❑Not Applicable 403.2 Hot water boilers supplying heat ❑Complies [F126]2 through one-or two-pipe heating ❑Does Not systems have outdoor setback control to lower boiler water []Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies [FI28]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply ❑Not Observable ; pipe.Gravity and thermos- ❑Not Applicable syphon circulation systems are not present.Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy.Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. ; 403.5.1.2 Electric heat trace systems ❑Complies ; [F129]2 comply with IEEE 515.1 or UL []Does Not 515.Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the - ❑Not Applicable desired water temperature in the piping. ; 403.5.2 Water distribution systems that [ Complies [F130]2 have recirculation pumps that []Does Not pump water from a heated water supply pipe back to the heated []Not Observable ; water source through a cold ❑Not Applicable water supply pipe have a demand recirculation water ; system.Pumps have controls that manage operation of the pump and limit the temperature of the water entering the cold ; water piping to 1049F. ; 403.5.4 Drain water heat recovery units ❑Complies [F131]2 tested in accordance with CSA ❑Does Not B55.1.Potable water-side pressure loss of drain water heat []Not Observable recovery units< 3 psi for ❑Not Applicable individual units connected to one or two showers.Potable water- side pressure loss of drain water heat recovery units< 2 psi for individual units connected to three or more showers. ; 404.1 75%of lamps in permanent ❑Complies [FI6]1 ;fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable 404.1.1 Fuel gas lighting systems have ❑Complies [F123]3 no continuous pilot light. ❑Does Not $' ❑Not Observable [Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 8 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 401.3 Compliance certificate posted. ❑Complies [F17]2 ❑Does Not 0Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not systems have been provided. []Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 low impact(Tier 3) Project Title: 334 Old Craigville Addition Report date: 02/14/18 Data filename: Untitled.rck Page 9 of 9 �J( 2015 IECC [energy Efficiency Certificate . Above-Grade Wail 21.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): a... Window 0.28 Door Heating System: Cooling System: Water Heater: Name: Date: Comments - r r T4RGET... IAC3mt0 J'tIL1Ct 617 ati:$3-ci EL `[l -VV.ontivgetsemices.com Gudinpr,Mine U4-4S � Utility service$ ��sc�s� :�. ��►;-,s���� a-mail: screening@ontargetsen ices-com 0j Date 1 Time :1'�''I1 C BAT-JKS BUILDERS LLC 4 NATHAN HENRY RD WEST HA.RWICH F�� r0 t�2s7 T 13 Tel_:(508)-8O -2792 ext. This message is being sent in response to;.our request for underground cable location.The fc x{lowinq represents a list of responses for the indicated member.These reponses only pertain to the specific member. Ticket# 20174907186 Place. : BARNSTABLE, MASSACHUSETTS Address : 3?4.OLD CR.-AlG ILLE RD 1-CGMCAST CABLE-GREATER BOSTON-SOUTH Ticket Screened on 1210712017 This ticket is clear of conflict and has been screened by On Target Utility Services If there are questions regarding this transmission or if;wou arrive at the site and have a question about the markings, please call 1-00-598-0628, dunng normal business hours. Monday-Friday Printout VM f}rid%i j;nS.at"ll dam;G0.18 5:55%-`M New Section 1 Page 1 C%f � �aJ9CCCJlcl9¢�3 /see omaaseo�rcuea��a C/l� Office of Consumer Affairs&Busi ess Regulation HOME IMPROVEMENT CONTRACTOR Registration:; ''130567 Type: r Expiration ;3128%201,8 Individual CHARLES P.BANIUKIEWICZ JR T CHARLES BA NIUKIEUiI.ICZ JR 4 NATHAN HENRY ROAD tom- r�W.HARWICH,MA 02671` -` Undersecretary 1�tio1� ���N(f s. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstWO&MAan rvisor CS-067057 ' ,Y}4 Eis�pires; 12/20/2019 CHARLES P Bd4NIUK1E1M1C JR 4 NATHAN H64RY fl 11 WEST HARWICli/INA 0267! `$ .ss f-it Commissioner CIL �O� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.g"1&4 Workers' Compensation Insurance Affidavit:Bwlders/Contractors/Electrieians/PImnbers Applicant Information Please Print Legibly Name(Businr.Worganiza mIIndividual): Ul�,Jfls,Li.0 Address: - -gin - ® q city/state/zip: t �W�11hone#: Are you an employer?Check the appropriate box: Type of project(required)• 1.[] I am a employer with 4. I am a general contractor and I employees(full and/or panme). * have hired the sob-contractors 6. New construction t ti 2.' I an a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These ees and have worke g. Demolition workingfor me in capacity. employees and have workers' �y aP ty insur�ce.t 9. �Budding addition [No workers'comp.insurance COMP 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.RPhmmbiag r. r r additions myself[No workers' comp. right of exemption per MGL 12 VIairs R iastu�ance required.]t C. 152, §1(4),and we have no employees.[No workers' 13. Other q ®1 WVV. *Entry applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. �P�N� t Homeowners who submit this affidavit indicating they are doing all work and thctr hire outside corrfractnrs must snbrart a n indicting such Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vybc$� not those entities have employees. Tf the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepoug and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of crhninal penalties of.a fine up to$1,500.00 and/or one-year imprisonme>it,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her pe of euury that the information provided above' true and correct Si e. Date: �1Z3 Phone#: Official use only. Do not write in this areQ to be completed by city or town official City or Town: PermiMcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Coutact Person: Phone#: �r -Z-i77-55� Town �t►,E d Barnstabl *Permit# r res 6 months from issue date Regulatory Services ai ee - .v I'E'$ . Richard V.Scali,Director °��►�� • 2� /�� • �p 1639. �0 ✓ V Building Divisiod® MqR p Paul Roma,Building Commissionhfh 200 Main Street,Hyannis,MA 02601 - www.town.barnstable.ma.us Office: 508-862-4038 ' ' � 508-790-6230 EXPRESS PERMIT APPLICATION"- RESIDENTIAL ONL Not Valid without Red X Press Imprint Map/parcel Number Property Address 3 �O C ,Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address _4 C U-0-`1(lk 17 Contractor's Name ,1 JV�1 ' Telephone Number A 012� Home Improvement Cdntractor,License#(if applicable) Email: Construction Supervisor's License#(if applicable), 01 CO , M/Workman's Compensation Insurance Check one: ❑ I am a sole proprietor F Q,,P am the Homeowner EZ I have Worker's Compensation Insurance ` ,� y Insurance Company Name \ ed A WIS X a r) -. Workman's Comp.Policy# )' Copy of Insurance Compliance Certificate must accompany each permit. < Permit Re�t(check box) , Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be takento ❑Re-roof(hurricane nailed)(not stripping: Going over'- . existing layers of roof). - ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required:Asu7ce of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. s_ ***Note: Pro erty Owner must sign Property Owner Letter of Permission. ~ of the'Home Improvement Contractors License&Construction Supervisors License is SIGNATURE• / QAWPFILESTORMSUilding permit forms\EXPRESS.doc 01/25/17 ti the Corr mornrealth of-4,fassadirrsetts Y Departwent oondush id Acciderrws . . .600 Washijigton Street y Boston,MA 02111 WarIters'-�r�pensad 1 suFaaic�-Affr�a�Knitter itf-acurslEIecfriciansiThmab rs Applicant lufarma{ian Please Primp Learb �T 1V3tI1P, I15 �3uffi�inLQ31}` ,�Address: 40 Cityf13 tatel �: aa� / "I d2 l`I Are u an employer?:,Checkthe appropriate ba=: Type of project(regmred _- 1.pd I am a employer with � ❑I am'a general contractor and I 6_ ❑New construction employees(full andfor part timed* leave hired flee sub-coatractom 2.El I am a sole prqpfietar orpartuer- Tested on the attached ease[ 7. El F,�modediug slip and have no employees. These:sob-contractors have g_ ❑Demolition woddng forme in any capacity- etrtgloyees aadhave W Eis' 9. .El 13IIif adxiitiau [No�4"6r1,Camp.fiL anr� CQSIIl7_IriSlICatIiY;# requtred_j 5. ❑ �41e are a corporation and its 10.❑Electrcal repaiFs or ad one 3.❑ I aura homeoumer doing all wort€ officeas have escscised their 1L❑Plumbingrepairs or additions myself[No workers'Comp- right of exempfion per MGL 13_ Roai'repasrs ' inset- acerequired_]o c.152,§1(4�and we have no employees.[No wo&eis' 13_El other comp_insurance required.] #AnyWficsat&ztchedcsbosflmnstalsoMoutthesectionbelawshmingihe¢wmlmecampensahanpa&eginfaudae. - t ram-oum-em who submit this affidaru hxucxhm they am doing all wea sad then h"ne outside coubxrtosmact sabmit anew affida4sYsndicaboa such. fConuactnsthat cher]ri%i box Haas[attached rat additional sheet showing the name of the sub-•ca=xctxs xad state whether or mat those entitiesbzve employees.Ifthesuh-contact=haceemployee-%they=ntpm-ii&thek workcxi'conrp.parkyaurnibm I am azt emplapr that ispraiid'rt cmd jobs site inforazatian IrisuranceCompauy�Tatxie: D,2 Pflficy or Self-ins.Lic_ I�VC UI B E�pirationI3ate: / Job Site Ad �iiylStatel2ap:�� Attach a-copy of*tie workers'compensationponey declaration page(showing the policy number and respiration date). Failmm to secure coverage as required tinder Sextion 25A o€MGL m 152 can lead to the imposition.of criminal penalties of a fine up to$1,500:00 tiad.t'or o6i:y6-irimpfissoumeid.as wtzll as ci-�,A penalties in the form of a STOP WORK ORDERand a frme ofUP_toAS0'_W a day against#lie violator. Be adtised'tiiaf a copy of this statement t maybe forwarded to the Office of kvi* sts €the IA for insttranc coverageverificatian. " IAA_I , tdsr tlfsprtizis and potaltces o f per zt}'f7ratthe izaformadmj-ptmiiW boas is h=azzd carrect 1 Phone OfiTrial use rant£;}. Da not[rate in flit area,frt be t:rrnnpW6d by[dip rartenm ofiTc&L City or Town: gerrmtff�cense� 4 inn ority(t#Itr tine): - - L Board of 1fe dth 2.BufTfag Department 3.drown Clem 4#-Electrical Inspector S.Plumbing Inspector 6.Other Comfa3ct Person Phone-#: o�rmatzon anc lastractiolias huzseifs General Laws chapter 152 requires all=qi ye rs th pravzde workers'compensation fur their employees. this strata,an rnrplayee is defined as"every persdnin the service of an ea under any contmd ofhirp, egg or inplied,oral or " f An ezr� er is defined as`°an indindaal,parinershap,assoaation,corporation or legal errthy,or any two or more of the ring engaged is a Joint enterprise,and inchldmg the legal repres of a deceased employer,or the receiver or ee of an individual,partnership,associafion or otherIegal enti ,employing employees. However the owner of a.dwe house having not more than tbree apartments and who des therein,or the occupant of the - dw Mug house o offer•who employs persons to do mainb n==,co on or repair wow on such dwelling house, or on the grounds o unldmg apputeua�rthereto shall not becanse of employmentbe deemed to be an employer." MGL cbaptnr 152,§25 also staffs that"every sf--te or local lie agency shall withhold the Issuance or renewaI of a licerr e.or p . to operate a business or to construct ufldings fu the Commonwealth for any applirau-twho has notpro aced acceptable evidence of cdmpfian. with th-e i our nce r-overage require cl." Additionally,MCHL chapter I ,§25CM states-Ne: ea the nor any ORES Political subdivisions shalt enter into any contact for thep ce ofpnblioworkuotiL table evidence of c°mpliancevvith the n,e=ce. requ.>aeuaets of this chapter have eea presented to the aurth Ditty_" t�PPlican� PIease fa oht the wo&ers'compm-ti affidavit completely, y che&l the boxes that apply to your sitnation and,if necessary,supply sob-contractor(s)nam , zidress(es)and onen=ber(s) along with their cmtda-cate(s) of „mnance. Limited Liability Comp es or Limited " r7ityPartnerships(LLP)with no employees other than the members or partners,are not rbq[Iirani to carry ar3cers' ensaf<on finance. If an LLC or LLP does have employees,apolicyisrequired. Boadvisedthat aft! maybe sobmif�dtor the DepartmentofIndusizial Accidents for confj=afion of msm-ance coverage- o b sure to sign and date-the affidavit. The affidavit should be rstrmmed to the city or town that tiie application for e eamit or license is being requested,not the Deparon.enf of Tnrinafrial Accidents. Shouldyon have any questions tb-e law or ifyou are requa'ed to obtain a wormers' comp=sation policy,please call tho Department at the listed below Self-iosured companies should voter$ieir self-fi solaa c.6 license n=ber on the appropriate-line. City or Town Officcials f - Please be sine that the affidavit is cnmpletz:and legibly. The D artmenthas provided a space of the bottom of the affidavit for you to fill'out is the event the ce of Inv er ons to contact you regarding the applicant. Pleas e b e sure to f ll is the permit/Iiceose nunnb which will be used as are ce number. In-addition,an applicant that must submit multiple penoitllicense appy 'ors in arty given year,need o submit one affidavit indicating cravat policy in��unation(if necessary)and under"T Site A ddress"the applicant sho write"all locations i;1 Cry°r town)--A copy of the-affidavit that has been fficially stamped or madced by the or town maybe provided to the applicant as prooftbat a valid affidavit is on a for fntol permits or licenses Anew davitmusE be filled out each year.Whew a home owner or citizen is o a license or permit not related to any b s or commercial ventrnr, (i.e- a se dog licen or peumit to bu>m leaves ,-)said person is NOT required to complete affidavit The Office ofI s o o nvesigain would uebueyounav yrpn zu have,any questions, please do not hesitate to give ns a call. The Depar nimf s address,telephone fax�mbe2: Department c}f Ii&Mfd l AGoiden-ta ' . •: � - �4 man� ' - . B n2 MA 02111 Fag 9 61'-`27-7M $evised¢24-07 €•Mass-gv Tldia. t Town of Barnstable Regulatory Services MAS& Richard V. Scali,Director - 6; Building Division, Paul Roma,Building Commissioner -200-Main Stre " . et,Hyannis,MA 02601 =www.town.barnstable.ma.us . Office: 508-862-4038 a Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, .,f u oOV , as Owner of the subject property , hereby author' \� 1 • to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) D **Pool fences and alarms are the responsibility of the applicant Pools ., are not to be filled or utilized before fence is ' stalled and all final ; inspections are performed and accepted. S' a-of Owner Signature of Applicant M4 nL4e Print Name Print Name a3. I 3 -Date QTORMS:OWNERPERMISSIONPOOLS . Town of Barnstable Regulatory Services °U1HERichard V.Scali,Director,. Building Division 11ARNST.,W1X Paul Roma,Building Commissioner MASS. iOtE1 54,% 06, 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Offic 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: \ .t JOB LOCATION: number, street village "HOMEOWNER": name home phone# work phone#' CURRENT MAILING ADDRESS. city/town state zip code The current exemption for"homeo ers"was extended to inclu owner-occupied dwellings of six units or less and to allow homeowners to engage an individual_ 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 wh he/she resides r intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structur accessory t�uch use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considere a homeo` er. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she sha ere onsible for all such work performed under the building permit. (Section - ' f . The undersigned"homeowner"assumes responsibility or ompliance with the State Building Code and other applicable codes, bylaws,rules and regulations. Building Department minimum inspection Barnstable The undersigned `homeowner certifies that he/she derstands Town ofg p p procedures and requirements and that he/she will c mply with said ocedures and requirements. Signature of Homeowner f Approval of Building Official Note: Three-family dwellings con fining 35,000 cubic feet or larger will b equired to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any hon eowner performing work for which a buildin ermit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Superviso ; provided that if the homeowner engages a person(s)for hire to do such Volork,that such Homeowner shall-act as supervisor. Many homeowners who use this xemption are unaware that they are assuming the resp nsibilities of a supervisor (see Appendix Q,Rules&Regtilations fo Licensing-Construction Supervisors,Section 2.15) This lack_of awareness often r he homeowner hires unlicensed persons. In this case our Board cannot results in serious problems,particularly w en t p , proceed against the unlicensed person as lW it ould 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 this issue is a form currently used by several towns. You may care to amend and adopt,such a form/certification for use in your community. F _ Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC 06/20/16 �Y Massachusetts Department of Pa`blic Safety Board of Building Regulations and Standards . f License: 9S-101696sa g Construction Supervisor. , TIMOTHY P JOHNSON 378 PLUM S7 ' WEST BARNSTABLE _ { 68 5; Expiration r Commissioner ' 08/23/2019 •�fe�anznzcizwerrlt�a�'CJj�,Cx�e�rrae�l7 . Office of Cons '..,airs ,c Bt a,ness Regiation. HOME IMP ,EN Wn;euAs;noti;tns, ryt:n;o Regis... �L . i •,p sadO 1: 8r�`Tl2018 I nd ivid u a l TIMOTH`'JOHNSON r s . .ThIOTHY JOHNSON` _ 9iIZO IAi`uols,'g. 180 MEGAN RD OLIS a;mc; HYANNI$,MA 02601 {` aoi3ein-assaursng pus s.uugd aanmsuoD;o a�tj30 Undersecretary s .03`10a puno33I ;up poia,lldxa ay;adoaq Cjuo asn�ilniptin ao;plle uof e.L;s1291 ao 00aalq r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / Parcel Permit# �! 21 Health Division 7G _t z 9b ���/ Date Issued —0 1 Conservation Division F' .� �� Fee �� Tax Collector J Q —/1/a — Treasurer b � . t� �7t SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED INCOMPLIANCE WiTHTME 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN TOWN REGULATIONS Historic-OKH Preservation/Hyannis 19 Project Street Address 33y 00 wIu( &141) Ll MAR 19 2ow Village e ,J{i'-tvfa,E .Owner W1 3Q,11/! I Pl KU& .Address .04 0.&6 Telephone ,og OIX Permit Request l�./Y101/�^ 'lS �Il�y , 46AW /Vf &4� k &A?Al S140 /(0 __-�- Square feet: 1st floor: existing 7S� proposed 2nd floor: existing proposed Total new Valuation �2,66 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No _If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure 4 1"j Historic House: ❑Yes 2/No On Old King's Highway: 0 Yes Zo Basement Type: ❑Full ❑Crawl ❑Walkout Other NO/I/fi Basement Finished Area(sq.ft.), Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new Half: existing new Number of Bedrooms: existing .3 new Total Room Count(not including baths):'existing new First Floor Room Count Heat Type and Fuel: W Gas ❑Oil ❑ Electric O Other Central Air: ❑Yes INo Fireplaces: Existing NO New Existing wood/coal stove: 0 Yes C<01 Detached garage:❑existing ❑new size Pool:O existing ❑hew size . Barn:U existing ❑new size Attached garage: O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Cyrrent Use Proposed Use BUILDER INFORMATION Nam er Telephone Number Address PO &X, L�y License# CS 07�'D( �� � .✓i ✓� Mit 2_2Z 1Z_2 Home Improvement Contractor# / Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ar�1ST� (,F DUMP SIGNATURE DATE FOR OFFICIAL USE ONLY = PERMIT NO. DATE ISSUED i1� n • •= r , 9 f Y MAP/PARCEL NO. ADDRESS, ,l VILLAGE ' OWNER - i- DATE OF INSPECTION`S 1 ! w a FOUNDATION ; FRAME - - INSULATION FIREPLACE .� :x ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH FINAL GAS: ROUGH - l FINAL ftwo 1tc t_. FINAL BUILDING In DATE CLOSED OUT ASSOCIATION PLAN NO. ': u °= The Town of Barnstable • asxrvszesrs. Regulatory Services Thomas F. Geiler,Director Building Division , Elbert Ulshoeffer, 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 building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost `ia3 oo Address of Work: . 7' OLl) !yA/G y1 LLB lt't'A- 02-63L Owner's Name: -TX✓lN6 d AllL/'1�A9//Y/,aJ KAeLb2 Date of Application: 3-1S-0 I hereby certify that. Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 [v]-uilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. 3_L9_01 SC071—h, Q U 11LT62 Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts f :=j- -==••y' Department of Industrial Accidents is `= •- .� , 0197CC01l�'CSIl08llOO8 600 Washington Street - - Boston,Mass .0ZI11 Workers' Cam tion Insurance Affidavit name location. city ��/V�IGC��. M,4 04692 phone 6-_V8) 77/-02 y/ ❑ I am a homeowner performing all work myself ❑dam a sole victor and have no one Yvarking in any cavicitv ❑ I am an employer providing workers' compensation for my employees worlang on this job. ..................::.:::::::.: . ; .,. tamaanv na . .....:.:...... . ........... .......... _ : :.:>.;:::.. . .........,.. hrv:•:.v:. .v:::•:::::::................................... scirca:�::.:.:::: . ........... :..... ............... ................ .. ........................ ...... ..,. . .:.:.:. .... f : .x><{.}7:7>:>.:.;:.:.<:.7::.::.77>:.x.7:.}:{{.?>;.?;{{{{.•:.±:{{.{{.:;.>:.}7>.:::.;'.::.>:::>;:.:{:.7:.::::.:::::.>::;::::::;7;.:;{:,:::�.:«::.>:.:{.:::7.;:<.:.:.:. ..........................::.:..::.�::::::•::.................... :..:v::•.v 4.. v• ....r.. .x:h........:... r.r.r.......:::.v:..., :::::.:......................... .... ....::::..:v::::::v.::::::•:.v.::................................. .....:.;..:::::}:::.}.v:::::}::.�........vh`:•7}:4:{{47}:}'{•77:8::...:.:.:i i}..:>:t:::•}::y.t�i:4:?::::.??%{{.:;i:•::i"v:•iijii�:�:<::ii?ji�>:�:�>:::. f{•j:.L.vi:::ti:i::::? :{i j:�i::i}{iii{:: r:.•. .. .....4:i}:�:ti:;<{•xt{•:{•:,:{4ti::ii^7:::?:i:i`Yi:ii:i'f.}yi•}{:;:jS{4:j•7:::ii:r}isti::$i4i:;:;7:ii::;:;k{}:}:;:{?j;:;i:i•::. ::::•...vnv.,:ti:.'{?:.:{n{,:v:.};::v:;:::v�::•::4:i.;:::::::.}::•:::r:::•.}?:;:p•::.}"::.,...: ❑ I am a sole proprietor,general contractor, or homeowner(curie one)and bave hued the contractors listed below who have the following workers'compensation polices: .................... .. . :::•.:.. :?h.... .... .................... ..v......:?h \•}'}r''•;i}:}iJP:$:i::v'r::}:;}:}i}{:.}•.:.::v:•4v:?:v:::{{.:r7•.}•:,{:}477:{•77:;77:{•r}:•i:>{iiii'r:iii::�ii::��. .,. .........................:.................irx..:.:v......n.:::•:r..:..., }4?{Q.y:•±.:w;ti,};•,h #.xx{x:•:•.............::v7}............:.r.....:{v}?7:•i?:{{:C%;{•7:•}:-i::•7..:.::.:.:.:::.v:v..v.:::..... ......:::•.•r.4':v ....:{:.4:'•:}t{VAiC::::::{+'4xx4:N0A ....... , r. ,•rrw ....................... .n............,{{::�:.. .....: ......v••,.A.. .... .................:.w.v:.v:.v:r^OMK4.......:.v::v:....J�..4:::::.v::. ...... .... {.{ r. .....;r4.,x.:{:{.}•v::::::......,.:.v::env:::;.....y.•. ..:.:.... .:..........:......... ..:.n... ................... .,............:.7�•,f'r:.r%4.�. ...x 4 ,.hv7pW .:•f{:y.:•{{•{::.:v:.:v}:-77x`77:::-.w::t•Y{{^;{'•7}�7777:{{•}}i:{.?:{v::::}•{.;::�:..�.�::::.. ............::.:::r...............:4}•.:..................:.:tw:::::v..:::.::::•:::.±.}................:...:........h,...•h4�..}h]CM?S. n•.:........fl{,,..}�... :......v.,......,. ,..., ,r.a..... •.•.v;M.4x•.r::}:•:{•'iri•.v.:,,,v::..:•.v....•7:•77:+!ti•±:O%•:{{, :>.:Y:w.r :... ..............{r•.:h................................................................:........nv;•,•:::fx:4,:'�•x�xv..y ....::^.v:{};p}.v.•:•:{L•.......... 3,{`y.....:...........±:•:{?::7i:::......:x•}'{•7:4±77?:•:•T:4i::�::•: {:4.•.N}R,.}}:::.vr4:.,vx:•.v.,w:.v:...::. ,..?:h}rd.?.. .:h{v}:.f..:::..........::::::::?..}}:::::1.::.::::::::w:.�:::::::•:::•?:{{•:.}}:i>v:-'.}:{.h:v::•.:::::::...::::::•::::.::::::. vr.,,..•vvv:::.y..vvrrr....y:..vv .........}:... .... . ....:..:......•?....•...•::..:.:.•vx::..::...::.:....:.•.:.....n..{:..x...v..............?....:•...::..x...t.,.....•...•.:.}r......h.v...,.....v.•..,.�.::..3.{..•R..-..,:.Y..{,.,.....,•C......:...:•.:;..:..•..:"...x...:.�{.4•..::..•.:.:?v.....:.:.:..•:7:......::..:..:..:.::..:4.v....w..±...:..:.:....:.:}..:...:}xv.....:}..:...:...v.;....:...:..:•...::;.<:...;.;.:.:.v....r..n....::..w.::..{x:.•.:::.4.;:...}.:.}.Yn:.,.}:Q,..>:..x::...:::w.4::..,::p•.}4::.::..::•...>.::..:.:a:.•ti}:.::.r.4:..::,.•..:::..:n:..::;y:..,:.::•v•:•:i::::•}:{.,.:v�{..N:x•.v:•.c}i..•..'•:4\..w.x�..'::.i,.•.a v:v:..::?v..::-:•:}:2:.}.:v{y.r4:.k::.r:{.4 x C.:$.{..wa..,v-.,}.vY..,..•.Y a.•.xxk4v.:..........$.. .i'(r•yw•:.4:...•.,,w.#.?.�:,h.y.:.;,.}..•Yr.dY:•'.-,x..tw\."},.•T?:.\?.v;:::..::?h:v;'yty?:{r..±'v..:}.:?.`..`'•::::.:{::Yx:•v:...:vk.i:i.{.+.•4..a::,2L-�.:Y'.x...�„+.1 w r:.wa::::x: . : •........•.±a..:.{:..•:nv.:.{ ...... ..... x S:h:.4'•.x•:.t.x..,4x..:•:...,;..::.r.•.xi.:?.t.:.};x;..};.}f4;.xxx:.tr:o.r:a r: r 7::4:::•f}v.•::7:\...:�:ti,}•:j::ov..v4 x•c::h•rt}••;.7).:f:.}.;{,;:f••x:?t.:_w1:r.i.:,i:::.a•}.:....}:.a. :{{:::.•{?:..4.va..Mn?.:•}.L'c;4.m{:}.r,x•.7 u.7..{i{.^i.T•:.::J>ri{..'xi..:+'w.;:.:}.{}ic•0::i::?v#.±i•:..•.•jP:.{.{..4{.`,.. �;:K.7!w:•�?7'i4;';f{X3.iL:.j•;i:.C.4i,?..} 7ir.:iy;::.:::iw.:{i:;i:;.r:::7c0}.;i�.:;?::.i•::s: a r.r ,.?s:•::?:•:^:;>k•::5:%:ri2;K ,.. ..... ,k ,:}.....h.....w.,n,•:..:...:.. ......}:....,<. k�.y's}'�:}9 .: ,Y±:•... ..i s..cxheFac4}C:{y•:a•.x.}:•..{<•t.--..:{t r.h..............?..... :..:r:m*::•:{{{{•?>:•::•::; :n?T:4•itC:?•}}h.;Yh,.W.{4.?�.{?1:.. ........w:r.y...,,...;..{..}.;).r.}.. -::::•:. - ....;?:4 •yi.•;{n{::}. {�:h{:.:;....... r..;}i{.;},...�.',f};n r'#:^Cr:;..7�;,n .. ../•.... 1 iv:fr.•:...........:::: :::;.,,:., ,r4ir.:h->.90td,+nvfry l?4}:}. 4.....y •7t-:.,. : ?r •, .n {:}}:•?}7:4:v.:. 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Fai}ms to seems corve mp as m1m ed under section M of MM l a em lead to the impodt m of afminai pamwa of a Sae ap to sr.500.00 and/or aaa years'}mprisomnmt as weII as dvil peaaltln in the form of a SMP WORK ORDER and a fine of 3100.00 a day statast me. I understand that a copy of this statement may be forwarded to the omce of 1westigntions of the DIA for coverage verification. I do hereby ca*wider the pa&r mtd pataN=ofpafiW that the information provided above is trio.mLd coned g Date print name S�f f- Q u I Lite- # 5 r 77 i-DLy- anal use only do not mite in this area to be completed by city or town oMdal dty or town: peradt/llcense 0 ❑BuUding Deparaneot ❑LIC'mmg Board ❑cbeckitimmediate response is required ❑seleconen's OIDce ❑Health Depu'tment contact person: phoneN*, Urnma 9195 PJN . - . :�. / . ... . 1 1 - �/•.1. . . . . . - . . .III.�1• ... . - 1• I�1 1 . i/N1• •`°- .=. •II • •• ♦1k 61/ i1 M .11 . 1«. •11 • • 1 • .. •11 • e 4 . • 1 • • •1• • •I • • 11 • . . :1.. /tl /« /• / I / • ._«: • 1 �.111• . 11�.♦1 • - •mow./�• • e - .11 :••11. • �1 • • /w �•iD •11 • Y.11' •1 .1 1 1 . Y 1 1 / / ♦ 11 1 / 1 1 - .1 1 1 1 Y 1 1 + 1 1; 1 1 • 1 r • 1 / 1 J. 1 I I . 11 11 1 I 1 1 . • 1 1 1 1i isle AJVel 411/1 Is V: 1 . •1 Y •1/ 1 :..11.. III/• .1. • V•I/1• M •I 1 ...1 • I. . • • I . • •.• / Y. . .�.. V •I V•IB11. .1. 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V•1111. •...Lr.0 •II . • • ✓• I .1 1 �.•% •....II .1 II !�• 111111 .H �j��j//.100/1 1 1 1 _'. • 11 I. .1 I/ .• . • 1 V•11/1• I .11 1 .1 I.11... ..'J • 1 1 • .1 •1e w.l 1 • • •�. . .1 // ••• •111 .• . 1 .I I 1 • :1i • 1/ 11 .1 - till 11 / .• Y • `•.�`I• •1'.II •11 1 /• Y•1/IY. M •• 1 r e11/ ••.. •.I I ••:111 ' �s 1 11 1. .II 11 II •./.1111 ►'w1 111111 of../ • 1 1 I e �1 _. .11./ ..• 1111/t ... 1 t. . . /. 11 V. • M...�• 1 , we • 1 w e •Y.0 •II • e 1 • /• ./ .11 • 11 . •711 r • • • 1 •• ..1 .•••II .11• 1 • • • 1 .1/ • w..1 1 1 11 11 1 1 1 1 1 1 " . . •11 ' 1 t 1 I 1 111 / • ' Il I . 1 ' 1 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 X$25/sq. foot= PORCH square feet X$20/sq. foot= cj square feet X$15/sq. foot= DECK OTHER square feet X$??/sq. foot= Total Estimated Project Value �V For Office Use Only i' ram/ - lnclusionar Afforda�ble,.Housin Fee i F1 Residential ❑ Commercial" Property Owner's Name Project Location Project Value Permit Number —/**Existing Sq. Ft. **Proposed New Sq. Ft. Fee $ IAHFORM 1/3/00 o N` . J The Town of Barnstable swRPrsrnsc.E. • 9� � Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 62601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION + Please Print DATE: 11dot01V Le &MtCjU4X 4 JOB LOCATION: number street village "HOMEOWNER": CU)t flei :t 0 1 Lkm., vi-0125-- name I home phobe# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pr dares and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN MAP 247 STANDARD LEGEND I NOTE:not all symbols will appear on a map I� 32# � GOLF COURSE FAIRWAY AP 247 x I ono EDGE OF DECIDUOUS TREES 95X __ EDGE OF BRUSH ff 80 —_x� r _i ORCHARD OR NURSERY V-V-P-V EDGE OF CONIFEROUS TREES X f MARSH AREA - - ------ -- ---- MAP 247` - — EDGE OF WATER \ - - - DIRT ROAD # 320 \ F DRIVEWAY, E�PARKING LOT I���PAVED ROAD -------- MAP 247 - - i DRAINAGE DITCH ------ — - - - - PATH/TRAIL # 345 MA 247 PARCEL LINE** MAP ito -w—MAP# 21 <--PARCEL NUMBER # 334 #1B60 HOUSE NUMBER 2 FOOT CONTOUR LINE MAP 247 10 FOOT CONTOURtINE Elevation based on<NGVD29 4.9 SPOT ELEVATION \ Z # 212 \ o0o STONE WALL -X—X- FENCE RETAINING WAIL --H-1 RAIL ROAD TRACK MAP 24 X © STONE JETTY SWIMMING POOL. 4 # M 7 AP 24�(� PORCH/DECK X BUILDING/STRUCTURE 96 16 DOCK/PIER 348 / P 247 \# 207 / HYDRANT MAP 247 15 6 VALVE @ MANHOLE # 152 0 POST p'P FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .p SIGN ® STORM DRAIN H PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James TOWER I-100'scale map and may NOT meet of property boundaries.They are not true locatFons,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD UTILITY POLE " e 0 30 — 60 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet Notional Map Accuracy Standards s t INCH=60 FEET* enlarged scale. on the map. - at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. 4 LIGHT POLE O ELECTRIC BOX r � r i ! I i� ...�f r it 5 ' 'c r vo/fm I d _I � _ f } ql �Si Engineering Dept.(3rd floor) Map Parcel O Permit# House Date Issued 7 96 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) e- Fee oZ db Conservation Office (4th floor)(8:30- 9:30/ 1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) $EPMC SYST BE gifiven Approved by Planning Board 19. INSTA@'°�\'f�Q�DIi' MCIT7 ki TH NST E. EfVIRO TOWN OF. BARNSTABiifiw- Building Permit Application Address _ 33''F . Villa e e e-Ad �V A, 0 r { g Owner -I,- R\�/t4 U Ke,el e r S w; Address /' Telephone 5�Y °7 7 - Z)F,-7. Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ �i, ; (gjg; &Q Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family f/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes EdNo On Old King's Highway ❑Yes MNNo 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: VG as ❑Oil ❑Electric ❑Other Central Air ❑Yes &No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) U/None p'Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes [(No If yes, site plan review# Current Use Proposed Use Builder Information Name 0 w& Telephone Number IS-0 00- 0 e2 Addresslxnq r j,J13e-L" / , License# fir' t f e- / Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENI D FOR THE FOLLOWING REASON(S) La FOR OFFICIAL USE ONLY -PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: s FOUNDATION " f. FRAME' INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: -ROUGH FINAL GAS: ; r�ROUGH FINAL FINAL BUILD�Ia1CrA , i , '•DATE CLOSED but " ASSOCIATION PLAN NO. h: Zoning District: RB Existing Proposed Madison Avenue Min Front Setback 27.3 31.7' 27.3 25.3' Min Side Setback 33.4' 25. 1 ' LOCUS a Min Rear Setback 18.6' unchanged Max Bldg. Coverage 982 sf 1182 sf �a wo , ° LOCATION MAP Assessors' ID:, 2471017 Deed: Book 28927, Page 319 F Plan: Book `•118, Page 123 Lot 390 YY 4 66 CB/CTR-. R`30. ohs. FND 9, STI&SET � 9 Oti LOT 39A 'Area = 11,469 SFf or 0.26 Ac.± rn Pole utll. � � �-� •�, Q CB/LP\ 9uY 04/0 FN D NO N o ST�c 00 J 31.7' o ►►�'i v 6' • r� 18• • �� . ��' G' "� to �' 3 ,- R �Oy 00 C/ O o� �o PROPOSED ADDITION Existing'-,.. W N Septic System • . P Leach: ' Pitco 4- j�A OF Mys S,q MICHAEL cyGN o S. LADUE Cn aw N6. 375601/ lq�FE \off S MORAN ENGINEERING ASSOC . , LLC 508-432-2878 941 MAIN STREET (RTE 28), HARWICH, MA SCALE 1 "_ 20' EXISTING & PROPOSED CONDITIONS PLOT PLAN Prepared For. CHARLES BANKS BUILDERS LLC 0 20 40 60 334 OLD CRAIGVILLE ROAD CENTERVILLE MA PROJECT: 17-318• I SCALE: 1,"= 20' DATE: 12118117, P _� a i y ` � .4 t. ®� - �' ���` - ����� i IIUILDONG 0EP7 i MAR 12 2018 TOWN OF SARNSTABb Al I- I _ 6 ! LL- K-p ti n • 1- 1 f , �1?a S! Jac ICLr(,`12` ft5 SCALE:/ -J APPROVED Y: DRAWN BY DATE: � G �dJ �,.'✓ !!/`/ / / �L'jd✓ G.c ORAWI�N O`j1UM BEA t C ! , }} -. If r s 3 ti _ i ? t ;.may r: j• 'S � ,.s � ,. _ .. /ff r p .. ' �4,� •a f f f , } I j 111 IfC I t I i 1 _ , _. __ Barnstable Bldg.Dep, SMOKE DETECTORS REVIEWED Approved Permit BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I SCALE: APPROVED APPROVED BY: DRAWN BY DATE: - --. f: '� DRAWING NUMBER