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1131 OLD STAGE ROAD
I n M A A + tis'i 10 X 3�y�f��' ids tt4..� er f I �1t ' r fr rth TOO � W y i 1 e � x yy .. - t. i .. �g.. �� � .,3., ,. +P nr. / ,. _px i f ,. .ry .yqq x r . .. --ie 'J N, �•r. — ,.:,. .._.., o:. .�. M .:'.x. ; � .�.. c�-.... � � t ID 3� � r �, qq,f �` � ,, Iqr�ti . y �t ►SS i 1-. i � . 1� S , x 1'. ��.. ,r� {� � .4�� t :?�����.u+°'=�k`P�;.��I,��z.��:r�'� 1'�y,.n,•���,If�'.Y[.d� .�,�,.$..,<..F, .zt?�� ��t:,.�xtRrly,./:lnn��`���, f. . ••; � l ��'°��.���' l�' � + ra �a� 3., ,j ,�!;1,, .,fy .1 , ...¢�1�`Y'�#1�.,� ���1l��.��...�$��, ��c.s r?...�Y.. ^��� �# � � � r , .A,, z,e.. . ��: i g jX4{{{yyrr 0 a � o o 1 v _A o e p , o a.R n S c 0 V d, p $ f b � I� w I d QWF 4 r77 , A a lI (y 6 .C _ rpe , k H ` . Town of Barnstable Building , Pos"IT 's Card So,That„it is Uis�ble From the Street Approved tans Must be•_Reta�ned on Job;and#his Card Must be Kept ... . waysrxea.e, � ter; Posted Until Frnal In pect�onHas BeenNladeE y `2 � er e ° �`�° �' �''" " ' N " anc "'.is�Re aired such Buildm ".sh'all No'f'beAccu red°u'ntil�a'Finat.lns" ectioni=has-:been made � ' Wher�ea�Cert�fcateofOccp�,.,,�..y.����q;�� '.. ,. ._...� Permit No. B-18-1957 Applicant Name: THOMAS A. HILCHEY Approvals Date Issued: 06/22/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/22/2018 Foundation: Location: 1131 OLD STAGE ROAD,CENTERVILLE _ Map/Lot 173-086 001 Zoning District: RC Sheathing: Owner on Record: BELANGER ROBERT J R Contractbr Name�-NTHOMAS A. HILCHEY Framing: 1 ' , Address: 1141 OLD STAGE RD Contracto'r License = 110649 2 CENTERVILLE, MA 02632 ) Est Protect Cost: $6,000.00 Chimney: Description: reroof(stripping old shingles) Permit Fee: $35.00 Insulation: Project Review Req: I' Fee Paid: y $35.00 Final: Date 6/22/2018 n,� y ` Plumbing/Gas ' Rough Plumbing: Building Official Final Plumbing: �. This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months�after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application-and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and str ctures sh m all,be in compliance with the local zong by lawsann 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 t,"73 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the�Building and Fire Officials are providedEon this permit. s �. Minimum of Five Call Inspections Required for All Construction Work: R =�A ' Rough: 1.Foundation or Footing � �,• . a 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset 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 F zHE Town of Barnstable *Permit#-T> Expires 6 mon hs from issue date Building Department Services fee seaxsreat,E Brian Florence,CBO 1639. Building Commissioe� t. 5 U 200 Main Street,Hyannis,MA 026ns �a9 www.town.bamstable.ma.us Office: 508-862-4038 JUN 192018 Fax: 508-790-6230 ToWnJ: - EXPRESS PERMIT APPLICATION - RESID TW C Y Map/parcel Number Not Valid without Red X-Press Imprint � (JJ R , Property Address—& Residential Value of Work$T���, ��'/ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address / As ll Contractor's Namkiv Telephone Numbere�if�Or7 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) kworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �I have Worker's Compensation Insurance Insurance Company Name l �/ Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box)C� Re-roof(hurricane nailed)(stri*VDdhingles) All construction debris will be taken tozw ❑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: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 08/16/17 The CowuroznreaWt ofmassadiusdts DVartinett cr, rm1—as riat Acciderds r Offike 0frMwMd9GfiMs 600 Washhwton,street Bawton,AM 02111 ' tutvturttc�,�frv�iiia Wi,,, ,,.,' G..p nsaOmInmum-ice emit Bufldexs/Cfl'ntractarsMectdc-i n- lumber<'s TIIfctrmaf Please PriRt i Vitae cg Adds: ° Are you an emplo *er?f,7reckthe agprapriate b Type of project(re quiredy: I_q- 4. I am a general contractor and I �I employees(full andfor part�ime�.* ❑�e ltired.ttfe sub-contactors 6. El Netiv consir�a i 2.❑I am a sole proprietor orpartner- Ti ded onthe•attached sheet. y- ❑Remodelrug soup and have no employees These sub-contractors have 8..❑Demolifiou woud-irg forma in any capa,c#, employees mdhave wogs' 4. ❑Building addition JNo wpdo5 comp.insurance Comp.mertrarr # ' j 5- ❑ We area corporation and ifs 10❑EleFfriml repairs or additions 3-❑ I am a homeowner doing ate word aff cess have a xcised their 1L❑Plumbingrepairs or additions.. my � s&f o wrotkacs' - tight of exemption per MGI. 7 rT�c.'152 (1/ aadwe have u�a irmntanre ret i pd][ • employees.[No wo&ess' 13-❑other comp.insurance inquired-I •Anyapghc. AAtcbedcsvaxt% alsoMcutthe cpp-sabaupercyirffi=Xdoo- Satneawaerswhosnb�itdsistfiidavts`in r�nogtheyan=3oingslEwoxic>�d�hixeautsideea rsnmct.sabmtanewaffids&iodiar6n sack fCantaccuts-ffisteheclihi boxmustattachedaaaddifiansl shed dwvdngtl►en=eofline=t-cwftzdm:rxads[tevrhedber.arnotiboseentitks)n employees.Ifthesch-can they" 'pmride their wofl—'romp.policy numbm I arrt art t=rr[plo�r flerrf;is pram " Q nrorkcrs'camperesrdia[i�tsriraRca fvr m3T¢,trpIoy�ees $e?'a[v is fhepaticy'artd jal�site informafibm Tnsumaces company Naule: Policy,411 or Self-ins_Zia_ piratiouDate: Job Site Ad cityfSfatet Attach a copy of the workers'compensation olkydedaratian page(showing the policy number and expiration date). Fadwe to secure coverage as nequiredunder Se- on-on 25A.of MGL a 15'f can lead to the imposi ion of criminal P—N i- of a tine up to$1,50UG andfor one-year imprim—A as rweil as civil penalties in flies farm of a STOP WORK ORDERand a fne of up to�0_DO a day against the violafur. Be ad-sdsed that a copy of this statement maybe forwarded fa the Office of 1w,westigadons of the DI&for insucaac�coverage ymdfrcation. Ido lteraby Garfi order tits prurts artd� v perjury thatthe itt,�8rmadmrprvr•Tr£d abm h;hiss acid correct Sitrata Dater Phone i U,,0cird uw arfrry. Da Rat t�srke tit ttds area,€rt be.corttpTete�d by cry ar tan�n a f j4ciet My or Town: PermitT icense 9 Lssuing-4-ni wiry(curie one): L Board of$exItir 1 Bui[ffing Depmtmumt S.CRY—frown.Clerk 4 Electrical.Inspector S.Plumbing Inspector b.Other Contact Person: Phone#: ormatiQn aid Instructions ,sar�]mce�s Laws❑hapter 152 rrq==all eployers to� - i ���P�S8�[oIl for their e�}7loyee5- MRp to this ,an earploy�is defined as";eveap person ia.ffi0 service of another imdr-r auy contract ofhil e ex resg?or i�.plie.A.oral orb-" l�n �&y_r is defined as`pan i affix dnA parin=bs p,association,anpara#ton or othM legal emtity,or�5'tW �marE m a oMt andinahjTMg the legal=ese�es of a deceased empIayer,or the Of the faresgoing 3 ]� However the renewer or trustee of m u�.dmd�per,amociaf im or other Iegal entity, mnp Y - owner of a dwellmghowohavingnotmcre•tisaathree artmmh--andwho 6 or the occ xrd ofthe- dw8llmg house of ailor who®.ploys pem=to do - or repair Work on such dwe'Mag house thereto shall of loymentbe deemedto be an employer.°' or on.the grotmcIs or bmldmg app • MGL d2apter 152 §25C(6)also silts that.¢every sfa�.nr kcal agency shall�ihold hie jqsaance or r eti ewal of a ce e ar perniid tD operate a j}IISS]LeSS nr to con-slrac# m7dings na a commorxwealth for any ce.cover¢ r " RP plicant who has xYotproduced acceptable evidence of compl'ian 'e NTL tIre ksaran ge Ad�ionally,M ,c6t=I52,§25dM state s-Neitber the nor auy ofils poIifical subdivisions shall, iain any coairamt fn'r the pmfmoMce ofpnbHO veozic MrI table evidence of caPPH4ace`Vn tie msn7ance., recp�enie s ofthis r ahavebeenprese�edfn•�.e a boiity:" Applicants ,� b the boxes that apply to your situation and,if Please flI Dirt tie: �mpon affidavh comp Y t s of es s alongwtth catn() necessary,supply sab-contracEn�s)namets), address( ) PhOne— �C) h1MMMCZ. Limited Liability antes(LI-G)or - Liability-Paz�e ships(LI P)•wA no �loyee s other tlian tie members or par(ncig,are not=to carry woiime rs' eusafion>nsarxn �If an L LC or LI.P does haFe eanpIoyess,apolicyisrequiced- Be advisedthdthis Yitmaybesv fedfntheDepaitraentof Industrial Aceide for confrcmafion of insuran covM.. a be sure to silt¢and date [e affidavit The affidavit should beretn ned to the city or townt3A the , Hcation the perlit or license is being regnested,not the Department of T,ad strial Accir cntF ShanIdyou have gnesti zegm-dmg the law or ifyou are reqcE-ed in obtain a workers' compensafimpolicy,please call theDep earl fbenumberBsiadbeIovr Self-mM=dcompaniesshoa1deasttheir self-msM7EaCa license amber on.the - e City or Town OfCzcials Please be sm-m that the affidavit is complete . The Depaximmathas provided a space at the bo-dum. ant of•tire affidavit for you to f l o in!ha the Office o ves�igaiioms has to coxr�t Yon re g lb a agplic Please be sure to fill in thepecevse berwhichwm nsed asareferencennmbcr In addition,an applicant that moat S¢l]mlt mvlple penIItlIicense pliLEinns in auy gam,need only SQbmit one affidavit g Gott policy mf0=1flon-(if necessary)and "Tob�e.��"the appheant should�-aU locations m1 (�Y ed ormadmed by the city or tovm maybe provided to the town)-'A copy of the-a$davitthat be=officially sip _t be:fmcd out ebEh " Tf717 Cf' applicant as proofthat a valid affida is on file for fa tai 'pemits or H es_ Anew affidavrt year- here a home owner or is obtaining a license or permit not in any business id cymm ercial vie T tie.a dog license orpe®t to Ieaves etc.)said person is NOT rcT3i � co�lete this affidavit T`wo�LdlTloe in thank u in advance for yomt mop and shonldyou have:any questions, The Office ofJmycstigsji= Y° please do not hesifaiE to give ns a c a The I?epartses address,in one and fax mm�er: - - - 4N l egai�m �flibstiAAwidenta WCC�fe�tg`tio 6Q4 wadL,;,= oil II TO.4 CI'-' -49W Qit 4€6 ar I-�'�ILkg M IZevised¢24-07 T,,as �otr�da Town of Barnstable Building Department Services RARNSTAMf� 1�1 . „LAM Brian Florence,CBO �i639. w`� Building Commissioner fp NYC 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must F Complete and Sign,This Section - If Usu=ABuilder I ,as Owner of the subject property hereby authoriz to act on my behalf in all matters relative to work authorized by this Zing permit application for. 1XV (Address o ob) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. 4wre o Owner Signature of Applicant Print Name Print Name / k Da Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 t } a Town of Barnstable Building Department Services s Brian Florence,CBO t ' Building Commissioner 200 Main Street, Hyannis,MA 02601 KAFUL www.town.barnstable.ma.us r 1639. Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION � Please Print DATE: l JOB LOCATION: number "., '�, "+` 51red �` �;.: village "HOMEOWNER": name home phone# _ivork phone# CURRENT MAUING ADDRESS: city/to , zip code The current exemption for"homeowners" as ext=oes to include owner ccu red dwellings of six units or less and to allow homeowners to engage an individual for hire who not possess a lie��jj e,provid`ed that the owner,acts as supervisor. DEFE14MON OF H MEOWNER Persons)who-owns a parcel of land.on which: she resides or inten to reside,on which there is,or is intended to be,a one or two- family dwelling,attached,or detached structures ssory,to sucli,us arid%r farm structures. A person who constructs more than one home in a two-year period shall not be considered a omeowner. Stj`ch"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall b 1 onsible i all such work erformed under the buildingermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for co �'th the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she and ds th own of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply said p cedures`and requirements. Signature of Homeowner Approval of Building Official. Note: Three-family dwellings conjtalnin 5,000 cubic feet or larger will be quired to comply with the State Building Code Section 127.0 Construction Control.' . HOMEOWNER'S EXEMPTION The Code states that: "Any hom weer performing work for which a build' permit is required shall be exempt from the provisions of this section(Seeti 109.1.1-Licensing of construction Supervis );provided that if the homeowner engages a person(s)for hire to do such ork,that such Homeowner shall act as superviso " Many homeowners who u's this exemption are unaware that they are assuming the esponsibilities of a supervisor (see Appendix Q,Rules&Regal as for Licensing Construction Supervisors,Section 2.15) is lack of awareness often results in serious problems,pa' cularly when the homeowner hires unlicensed persons. In this e,our Board cannot proceed against the unlice person as it would with a licensed Supervisor. The homeowner ac ' as Supervisor is ultimately responsible. ti. To ensure tha-' omeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application t at a homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form ently used by several towns. You may care to amend and adopt such a form/certification for use in your community Q:\WPF1LES\FbRMS\building permit forms\EXPRESS.doe 08/16/17 r 04/04/2018 10:54AM 978851484.8 SULLIVAN PAGE 01/01 ' Cam' CERTIFICATE OF LIABILITY INSURANCE 'ATE (AdoDDmrq 04/04/2018 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder is an ADDITIONAL INSURED, the polleypea) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions M the policy,certaln policies may require an endorsement A statement an this cerllfieate does not confer rights to the cartiieate holder in lieu of such endorsemeni(s). PRODUCER Phone; (978)061.9800 Fax (978)851.4649 NCOAMACT SUIIIVan Insurance Agency SULLIVAN INSURANCE AGENCY PRONE 885 MAIN STREET 978)851.8600 ax (978)851.4848 TEWKSBURY MA 01876 t MAIL INSURER($)AFFORDING COVERAGE NAIC N 3 INSURER : XS Brokers Insurance Agency,Inc T -rNeuaEa e : •. HOMAS A HILCHEY ACE Group ' OBA THOMAS A HILCHEY CONSTRUCTION INSURERC 82 OLD CHATHAM ROAD wauRExO: HARWICH MA 02645 INSURER INyURER F COVERAGES CERTIFICATE NUMBER: 29258 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 'LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER= INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 9 LUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT$SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INER TYPE OF INSURANCE ADD1.BURR POLICY EPP POLICY EXP LTOPOLICY NUMBER manym LIMITS A raNel'+AL LwalUr f 3EG2719 09/26/17 09/26116 EACH occuRRENce S 1.000.000 x COMMERCIAL GENERAL LIABILITY ' t 07AMMAGE80[000plrona¢I g 50,000 CLAIMS-MADE a OCCUR r MED.EXP(Anyone person) 8 1,000 PERSONAL$ADV INJURY $ 1,000,000 GENERALAGGREGATE 8 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGO $ 2,000,000 POLICY JE� LOC $ AUTOMOBILE UABrLlYY - CONSINEOSNGLEUMIT _ (Ea aeuaenp $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Perarcident) $ HIREDAUTOS NON-OWNED fRoPERrfUA AG $ AUTOS a�d.A UMBRELLA WAD OCCUR EACH OCCURRENCE $ BXCESS WAS CLAIMS MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPINS4710M 6862U8.2E08540-0.18 03115/18 03115/19 ORYLIMITS ER $ AND tIMPLOYM UABarrl ANY PROPRIETORAARTNERMO?ECImVE YIN E"L.EACH ACCIDENT $ 100,000 ON19e111lMEMaBt E=UJOEDY Y NIA (MrmdAvylnNR) E.L.DISEASE-EA EMPLOYEE $ 100,000' I( aasalbe under -e,L•DISEASE-POLICY LIMIT $ DESCRIPTIONScapa OF OPERAnON8 below 09001111"TION OF OPERATIONS►LOCATIONS/VEHICLES(Aeach ACORD 101.Additional Remarks Schedule,if more,Oaes Is required) Tom Hilchey iB excluded from the Workers Compensation policy CERTIFICATE HOLDER CANCELLATION Town Of Dennis SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 865 Route 134 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOleth Dennis,MA 02650 - ACCORDANCE WITH THE POLICY PROVISIONS_ AUTHORIZEO REPRESENTATIVE j Atteattion: , ACORD 26(2010/05) 1 Inns•2nill 11CORD CORPORATION. i rlghts reserved. Tie.Ar•..ORn nwrna and Inge are reaisferad marks of ACORD i • y C'9)I/JLQ/lLL1CCl.�I�fJ`� f(-fL:i:iCLC�/LJrqi Office of Consumer Affairs&Business Regulation ~' i HOME IMPROVEMENT CONTRACTOR Type: Individual Registration valid for individual use only we before the expiration date. If found return to.Reni—,.st►ation Exoirat'or Office of Consumer Affairs and Business Regulation 110649 11/02/2018 10 Park Plaza-Suite 5170 Thomas A. Hllcheyr - Boston,MA 02116 Thomas Hilchey 82 Old Chatham:.Roatl Harwich, MA,02645 u Undersecretary, Not valid without signatur Commonwealth of Massachusetts ry Division of Professional Licensure Board of Building Regulations and Standards Constujaj1! i Pervisor CS-034718 ,.pires:09/19/2019 } THOMAS A H{LCHEY 82 OLD CH ATRAM ROAD '- J HARWICH MA 0 45 Wit. 2 Commissioner t p TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION gyp` Map Parcel R"�— 0 0 Application# D�O Health Division I Conservation Division Permit# Tax Collector Date Issued Treasurer 3 Application Fee'$ Planning Dept. Permit Fee07,SO Date Definitive Plan Approved by Planning Board EXISTING SYSTEM �� �3 Historic-OKH Preservation/Hyannis LIMITED TO— OF BEDROOMS Project Street Address 3 I c� 2 O Village o T�Z�U \ yy e- Owner C' l -el e Address' Telephone Permit Request ri xrn S Square feet: 1 st floor:existing 17- proposed 0 2nd floor:existing 11 b proposed /0 0 Total new Z Zoning District Ci Flood Plain G Groundwater Overlay `VProject Valuation -_ 00-7 Construction Type Lot Size 5 a•p.0-0 l Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Fa ily �; Two Family ❑ Multi-Family(#units) A e of Ezis 9 9 tin ;Structure� ❑L4 0 Historic House: Yes Lilo On Old King's Highway: ❑Yes �Mo � Basement-Type Urfull 1 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sgft.) Basement Unfinished Area(sq.ft) Number.of Baths: Full:existing 1 new Half:existing new Number of Bedrooms: existing new 7 Total Room Count(not including baths):existing new ® First Floor Room Count Heat Type and Fuel: AGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes Flo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑NK 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 El- Appeal.#. Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current se Proposed Use ER INFORMATION ame Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGN ATURl DATE P � FOR OFFICIAL USE ONLY PERMIT NO. D ISSUED _ .y MAP/PARCEL NO. ADDRESS' VILLAGE ' OWNER DATE OF INSPECTION: } s FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH m FINAL PLUMBING: ROUGH FINAL S GAS: ROUGH FINAL FINAL BUILDING Ir DATE CLOSED OUT 0 r ASSOCIATION PLAN NO. I LOCAiTI O N O RO P E RTY LI N ES M T B E ACC. RAT STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY 1f , GE OF DECIDUOUS TREES EDGE 0',BRUSH -.- -- - ...---•---- X ORCHARD OR NURSERY ED- ,• CONIF,000S TREES + / 41 MARSH AREA ' ;... � . . .......... EDGE OF WATER DIRT ROAD r DRIVEWAY —PARKING LOT --PAVED ROAD d — - -— DRAINAGE DITCH M n �i I�p p ————— PATH/TRAIL r �,— \'`9` PARCEL LINE** MAP 326 E----MAP# Na ; 021E PARCEL NUMBER #367 E. HOUSE NUMBER 2 FOOT CONTOUR LINE ® Ev - 10 FOOT CONTOUR LINE Elevation based on NGVD29 4.9 SPOT ELEVATION STONE WALL X._....._..X..- FENCE RETAINING WALL RAIL ROAD TRACK STONE JETTY POM SWIMMING POOL PORCH/DECK CJ BUILDING/STRUCTURE fey- I y t 1.4 DOCK/PIER HYDRANT t e VALVE O MANHOLE o POST OeP FLAG POLE T O W N O- IFIS A R N S T A B L E G E O G R A P H 1 C I N F O R M A T 1 O N S S, T M S U N I T o SIGN ® STORM DRAIN M x.. PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimehics(man-made features)were interpreted from 1995 aerial photogmphs by The James ❑ TOWER w e 1 =100'scale map and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physiml objects Corporation. Plonimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards ¢ : 1 INCH=40 FEET.* enlarged scale. on the map. at o scale of 1"=100'. Parcel lines were digitized from FY2004 Town of 8amstable Assessors tax maps. LIGHT POLE 0 ELECTRIC BOX E Town of Barnstable Regulatory Services Thomas F.Geller,Director ��� •`' Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or constructign 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: a D'rn Estimated Cost Address of Work 1 ra 1( ' Owner's Name: 2a Cie er�BP U*yi a GY' Date ofApplication: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law FlJob Under$1,000 []Building not owner-occupied 26waer pulling own permit Notice is hereby given that: . OWNERS PULLING THEIR OWN PERMIT OR DEALING WI'TH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMTROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. R ` Date Owner's Nam Q:fb=:homeaffidav Department of Industrial Accidents ' Office.of Investigations• ' d 600 Washington Street Boston,MA 02111 ° www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ley-ibly Name (Business/Oraanization/mvidual): e �i {� Address: I &I . .ccl City/State/Zip: Phone#: 5 0.$ :R C,Zr Are you an employer? Check the-appropriate box:. Type of project(required):- 1.ElI am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (fall and/or part-time).* have hired the sub-contractors .7 Remodeling 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ g ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any'capacity. workers' comp.insurance. 9. 24uilding addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical r airs or.additions �ed,] officers have exercised their 3. I aeqm a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp, C. 152, §1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infornnation lam an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. - Insurance.Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOPVORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce under the pains and penalties of perjury that the information provided above is true and correct Si afar ( Date: .01 Phone#: 'S011 ►-12Dr S ' Official use only. Do not write in this area,to be completed by city.or town official; City or Town: C Permit/License# Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ° pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." « , association,FOrporation or other legal entity,or any two or more An employer is de as:_an ipdivi¢nal,:partnership of the foregoing engag in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver a trustee of 9'�,\dividual,partnership, association or other legal entity,employing employees. Howev.,er:*e- owner of a dwelling house ay.. not more than three apartments and who resides therein,or.the occupant of the dwelling house of another w o employs persons to do maintenance,construction or repair woilron such dwelling house or on the grounds or binding urtenant thereto shall not because of such employment be erred to bean employer." MGL chapter 152, §25C(6)also s,tes that"every state or local licensing agency s 1 withhold the issuance or renewal of a license or permit to ate a business or to construct buildings' the commonwealth for any applicant who has not produced a' eptable evidence-of compliance with th surance coverage required." , §25 Additionally,MGL chapter 152 states"Neither the commonwealth r any of its-political subdivisions shall (1) enter into any contract for the perform, ce of public work until acceptable vidence of compliance with the insurance enta ements of this chapter have been sented to the contracting auth 'ty." requiApplicants mpensation avit comp f. letely y checking the boxes that apply to your situation and,i Please fill out the workers' co necessary,supply sub-contractor(s)name(s), ess(es)an hone number(s)along with their certificate(s)of es(LLC o Lim�ite iability Partnerships(LLP)with no employees other than the insurance. Limited Liability Compani members or partners; are not required to carry ers' m�pensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. so be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questi garding the law or if you are required to obtain a workers' compensation policy,please call the Departmen t umber listed below, Self-insured companies should enter their self-insurance license number on the appropria line. City or Town Officials . . Please be sure that the affidavit is complet and printed 1 In y. The Department has provided a space at the bottom of the affi davit for you to fill out in the ev nt the Office o In estigations has to contact you regarding the app lict Please be sweto fill in the perniit(licens number which b used as a reference number. In addition,an applicant tin current davit indica curr that must submit multiple permxt/hcen applications in any year,need only submit one affidavit g policy information(if necessary)and der"Job Site Address' a applicant should write"all locations iu (city or fficially stamped marked by the city or town may be provided to the town)."A copy of the affidavit that as been o applicant as proof that-a valid affi avit is-on file for.fixture perm. r liaes�ses..A new affidavit.must be filled out-each year.Where a home owner or ci ' en is obtaining a license or p not related to any business or commercial venture (i.e. a dog license or permit to leaves etc.)said person is NOT uired to complete this affidavit. The Office of Investigations fluid like to thank you in advance for ur Operation and should you have any questions, please do not hesitate to gi us a call. The Department's address,telephone and.fax number: The Commonwealth of Ma sachusetts . :. Department of Industrial. cddents 1. ..Office 9f Investiga ons ,. 600 Washington S et� . Boston,MA 0211 Tel.#617-727-4900 ext 406 or 1-8 7-MASSAFE Fax#617-727-7749 Revised 5-26-Q5 www.mass.gov/dia I Town of Barnstable Regulatory Services a STABM ' Thomas F.Geiler,Director 1639. FDniw'�° Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder l ,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: CLl - �' ; lle. (Addre s of Job) �oi ature of Owner Date Print Name Q:FORM&OWNERPERMIS SION oF� r Town of Barnstable "o Regulatory Services BARNSTABLE, ' Thomas F.Geiler,Director 9 MASS. 039. ,m A Building Division lEG MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r�.--� JOB LOCATION: numbert • street Alt. ��.���p. village .`HOMEOWNER":7j p,<'�ri �`ay qey- �0$' 4.2-ts - a AL?'� name home phone# work phone# CURRENT MAILING ADDRESS: 5a yn city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re nts. �; '`S'_ ature of H eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On.the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Double 14W x 9412" VEF A-LAM®2.0 3100 SP Floor Beam%FB02 3C CALCO 9.2 Design Report-US 2 spans(No cantilevers 10112 slope Monday, May 22,2006 06:43 3uild 141 File Name: BC CALC Project Job Name: Belanger Description-. FB02 address: 1141 Old Stage Rd Spetifler: :Ity, State,Zip:Centerville, Ma Designer. lustomer. Company: ^.ode reports: ESR-1040 Misc: 1st floor girder y.:.�; .r'-7 •r4...:+;:ty�y: >-,.4:- 'Lt;�. `e :may_ y� - .., -��•.zn' �,'�,`��' �, i 2f-'yY� ::�+i^r-a. ,x 3 'v,' _ - _ - - _ _ 'a 80,1-314' 81,3.1/2" 82"S The LL a=be LL 915 Ibs LL 425 a DL 2446 On DL 915 Ibs DL 428 Ibs ToW of FMr1xonia1 Dno Spans d 2D4D.W LWd Summmy Ll" Dow Snow Wind Roof Uve T DesorliMm Load Rol. Start End 100% 90% IW% 133% 125% Tft 1 Standard Load Unf.Area Left 00-00-00 20-00.00 40 psf -15 psf 12-00-00 Controls Summary v re %Aggggg woe lW 'Case im Dlsciosure Pos. Moment 8449 ft-lbs 60.5% 100% 16 2-Internal Compieteness and accuracy of IrW must Neg. Moment -9371 ft-lbs 67.1% 100% 1 1 -Right be var W by anyone who would rely on End Shear -2784 The 44.1% 100% 16 2-Right output as evidence ofsuftwity for partlarlar Cont Shear 4170 The 66.0% 100% 1 2-Left solosti0n.OutW hwe based on bung of BOISE 222 tbs Na 16 1 -Left � proP� and Ups wWysis mettwde.Ir r TotarLoad Defl. L/375(0.3W') 64.0% 16 2 engineered wood producis must be in Live Load Dlsfl. U499(0.2W') 72.1% 16 2 accordance with current Irstalk"Guile Total Neg. Deft. -0.079' 15.5% 16 1 and applb"builds codes.To obtain Max Defl. 0.3"' 38.4% 16 2 lr Guide or ask quedons,P Span/Depth 15.2 Na 2 ad(WD)232-07M before inSWINOW. BC CALC®,BC FRAMER®,AJS'", Cautions ALUOIST®,BC RIM BOARD TM SCIS, Uplift of 222[be found at span 1 -Left. BOISE GLULAM^' SIMPLE FRAMING SYSTEM®,VERSA4.AW.VERSA-RIM PLUS®,VERSA-RIMS, Notes VERSA-STRAND'"",VERSA-STUD8 are Design meets Code minimum(Lf240)Total load defiedlon criteria. trademwbs of Sous wood Prodxis,L.L.C. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. Minimum bearing length for BO Is 1-1/7'. Minimum bearing length for B1 is 3-1/4'. Minimum bearing length for B2 is 1-1/7'. Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min. end bearing+ 12 intermediate bearing Connection RNram •--d-- a c a minimum=7' c=5-1/7' b minimum=3" d= 17' Member has no seta low. Connectors are:1&I SWw Nab Page 1 of 1 Double 1-3/4 x 16 VERSA-LAM® 2.0 3100 SP Roof Beam1RB `� „ Monday, May 22,2006 OE BC GALC®4.2 Design Report-US 1 span t No cantilevers 0/12 slope y Y Build 141 1 File Name: BC CALC Project Job Name:- Belanger Description: RB01 Address: 1141 Old Stage Rd Specifier: City, State, Zip: Centerville, Ma Designer: Customer: Company: Code reports-, ESR-1040 Misc: ridge beam �0 AL tz `3 u 80,l-3l4" DL 195 DL 1958 Ibs 4r SL 300 SL 3000 lbs k'f Total of Hoftontal Design Spans m 204)0-00 Maid Summary Live Dead snow Wind Roof Live T Description Loqdliii Rot, Start End 100% 90% 115% 133% 126% Trib. 1 Standard Load Unf. Area Left 00-00-00 20-00-00 15 psf 25 psf 12-0 Controls Summary value %ASowable Duration Load Case span Location_ Disclosure Pos. Moment 24787 ft-lbs 57.7% 115% 3 1 -Internal Completeness and accuracy of input m, End Shear 4260 Ibs 34.8% 1.15% 3 1 -Left, be verified by anyone who would rely on Total Load Defl. U321 (0.747") 66.0% 3 1 output as evidence of suitability for parti Live Load Defl. U531 (0.452") 45.2% 3 1 application.Output here based on build code-accepted design properties and Max Defl, 0,747" 74•7% 3 1 analysis methods.Installation of BOISE Span/Depth 15.0 n/a 1 engineered wood products must be in accordance with current Installation Gu Notes and applicable building codes.To obtai Installation Guide or ask questions,ple Design meets Code minimum(LI180)Total load deflection criteria. call(800)232.0788 before Installation. Design meets Code minimum(L/240)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria: SC CALLS,BC FRAMER®,AJSTM Minimum bearing length for BO is 1-70. ALLJOISTS,BC RIM BOARD' BCI Minimum bearing length for B1 Is 1-7/8". BOISE GLULAM"A SIMPLE FRAMIN Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min. end bearing+ SYSTEMS,VERSA-LAMM,VERSA-f PLUS®,VERSA-RIMS, 1/2 intermediate bearing VERSA-STRANDIrm,VERSA-STUDS Member Slope=0, consider drainage, trademarks of Boise Wood Products,L Connection Diagram a�b d ' • �• • , i � c a minimum=Z' c= 12" b minimum=3" d= 17' M, .t Page 1 of 1 Single 11 7J8" SCM 80s-2.0 SP .1019 J01 3C CALC®9.2 Design Report-US i span I No cantilevers 10112 slope Monday, May 22,2006 06:46 Build 141 1G'OCS I Repetitive Glued&nailed construction File Name: BC CALC Project Job Name: Belanger Description:J01 Address: 1141 Old Stage Rd Specifier. City,State,Zlp: Centerville, Ma Designer Customer Company Code reports: ESR-1336MIN MisC: 2nd floor joicts 244XM al.I've 130,1.3/4" LL 640 IbS LL 640 We DL 240 Ibs DL 240 the Tdd of Hortrofdal Design Spans=24.0aW Go ummary Live DQ&1 snow wsrrd Root Uve T Load 7 Ref. sw Errd 11 1 12" ocs 1 Standard Load Unf. Area Left 00-00-00 24A0-00 40 pet 15 Psf 16" Controls Summary vows Load Caw Sam Disclosure Pos. Moment 5280 ft4bs 55.3% 100% 1 1 -Internal completeness acd e�Y i oulldPA� End Reaction L on 8751bs 61.4% 100% 1 1 -Left be VWftd by anyorra ou4M as Total Load Defl. L/364(0.79111) 65.9% e, OfouV e Live Load Defl. L1501 (0.5751) 95.89b 1 ' 1Codeoewepted design base or,aut�k,s d and Max Defl. 0.791" 79.1% 1 1 arsilysis methods.inslellefion of BOISE Span/Depth 24.3 Na 1 w gkmwW wood products mud be in ice with currerd inswaWn Guide end appliceble buiWV codes,To oWin Nato IrwWWon Guide or ask questions,plesse Design meets Code minimum(W40)Total load deflection criteria. cd(800)2324r 38 before it oWlation. Design meets User specified(L1480)Live load deflection criteria. Design meets arbitrary(T)Maximum load deflection criteria. Be CALCS,Be FRAMERS,AJS'M Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2min.end bearing+ ALLaoisT®,Be RIM SOARDTM',ec�, 1/2 intermediate bearing BOISE GLULAM-,SIMPLE FRAMING Composite El value based on 23P37'thick sheathing glued and nailed to joist. SYSTEMS,VERSA-LAMS,VERSA-RIM PLUS®,VERSA-RIMS, VERSA-STRAND-,VERSA-STUDS are trademarks of sofas Wood Produds,LLC. Page 1 of 1 Triple 1.3/4" x 18" VERSA-LAMO 2.0 3100 SID Floor 1319=713103 BC CALCO 9.2 Ddslgn Report-US 1 span I No cantilevers 10/12 slope . Monday, May 22,2006 06:51 Build 141 File Name: BC CALC Project Job Name: Belanger Description:F803 Address: 1141 Old Stage Rd Specifier. City, State,Zip:Centerville, Ma Designer om"� �.;, - roc,a Customer Company: Code reports: ESR-1040 Misc: front edge beam 71 3 1 LH'HY'VV LL 4800 Ibs LL 48M The DL 43M We DL 4386 Ibs SL 25001be SL 25W be Total of Hord Deem Sperm Z WO-00 summary Live Dead snow WhId Re0f Live T DesCrIliftri WMTVDe Ref. 8tert End 100% 90% 11 133% 126% TfUL 1 Standard Load Unf.Area Left 0040-00 20-00-00 40 psf 15 psf 12-00-00 2 wall Unf. Lin. Left 004"0 2040-00 80 plf n/a 3 upper root Unf. Area left 00-00-00 204MO 15 psf 25 psf 064)0-00 4 low roof Unf. Area Left 00-00-00 20-00-00 15 pef 25 psf 04-00-00 Controls Summary__yaere� %AeowaeleDuraftn twd Casa span t•oaM M __ Disclosure Pos. Moment 58329 ft-lbe 72.4% 115% 13 1 -Intemal Carrodenim and awmw of input moat End Shear 9831 lbs 47.6% 115% 2 1 -Left be ver W by w"w who would rely on Total Load Deft. U292(0.823") 82.396 13 1 01�as evidence of %P WOMW eP� n' building Live Load Defl. U466(0.515") 77.2% 13 1 a here based°n IxWwfiw and Max Defl. 0.823" 82.3% 13 1 methods.de.Iron of BOISE Span/Depth 13.3 n/a 1 engineered wood produds must be In accordance with current Iran Guide Notes and applicable builder codes.To obtain Design meets Code minimum(U240)Total load deflection criteria. i ') -0788 2-07 or f 'P how Design meets Code minimum(L/360)Live load deflection criteria. cal(� tae tr �tlon. Design meets arbitrary(1")Maximum load deflection criteria. Be CALCe,BC FRAMERS,AJS"", Minimum bearing length for BO Is V. ALUOISTS,BC RIM BOARD-,SCIS, Minimum bearing length for 81 is 3 . BOISE GLULAWA,SIMPLE FRAMING Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min. end bearing+ SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA RIM®, 1/2 intermediate bearing VERSA-STRANDTM,VERSA-STUD®am treden eft of Boles Wood Products,L.L.C. Connection Diagram c e' r a minimum=2" c=T' b minimum=3" d x 12" e minimum=3" r Merrier has no side loads. Connectors ads:l6d SWw Napa Page 1 of 1 M CMR Appado[J Table JIM(continued) Prescriptive Packages for Om and Two-Family Residential Buildings hearted with-Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling wall Floor 13asemeatLPR-valcuwa b fleming(Cooling Area'(%) U-value' R-value' R-value' R-value? wall Equipment F,tliciency' pie R-value° ' . 5701 to 6500 Heating Degree Days' 12% 0.40 1 38 13u 191. 10.. 1 6 Normal R (12%— _9.52 - -30 y19____ l9 10 6 Normal S 12% 0.50 38 13 19 10 6 85 A-FUE T 15% 036 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA N/A 85 AFUE w 15% 0.52 30 19 19 10 6 83 AFUE X 18% 032 38 13 23 N/A NIA Normal Y 18% 0.42 38 19 25 NIA '. NIA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: I `I I 0�-y S r1K E ko T 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: / 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): <Ps- 5. SELECT PACKAGE(Q—AA-see chart above): r 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 J8.2.1b: . ► : ' 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 If'of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the Mittional Fenestration Rating Council (NFRQ 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-b 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 electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see.Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for 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 the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 O�Ila TOWN OF BARNSTABLE Building Application Ref: 20061117 BARN STABLE, Issue Date: 12/27/06 Permit 9 MASS. �prFG 3�A�� Applicant: BELANGER,ROBERT J Permit Number: B 20061974 Proposed Use: RESIDENTIAL Expiration Date: 06/26/07 Location 1131 OLD STAGE ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 173086001 Permit Fee$ 25.00 Contractor HOMEOWNER Village CENTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION: EXPAND 2 BEDROOMS AND ADD BATH THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BELANGER, ROBERT I BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1141 OLD STAGE RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: DB Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR A PART THEP F,EITHER TEMPOTyqLY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING'C E,MUST BE APPRO BY THE JURISDICTION. STREET ORALLY GRADES AS.WELL AS DEPTH AND.LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT,DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS.OF ANY APPLICABLE SUBDIVISION`RESTRICTIONS. ' 'MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES.MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). r ''qW ski © BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health i �v 6 M �1���-- r.�e� -� �.��� •moo" � � G�.� ()u-U 7 whorn L rna 4e),)6L4Jll, op e'er 4 42 a 7-a 6 TOWN OF BARNSTABLE Building Application Ref: 20061117- * BARNSTABLE. Issue Date: 06/29/07 Permit 9 MASS. 1639. Applicant: BELANGER,ROBERT J Permit Number: B 20071528 Argo , a Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/27/07 Location 1131 OLD STAGE ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 173086001 Permit Fee$ 50.00 Contractor HOMEOWNER Village CENTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION: EXPAND 2 BEDROOMS AND ADD BATH THIS CARD MUST BE KEPT POSTED UNTIL FINAL 2ND EXTENSION TO EXPIRE 12/27/07 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BELANGER,.ROBERT I BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 141 OLD STAGE RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: PC Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,'ALLY OR SIDEWALK OR.AN ARTTHERE ,EITHER TEMPORARILY R PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE ILDING:CODE,MUST BE%APPROVED,BY.THE JURISDICTION STREETORALLY GRADES AS WELL AS DEPTH AND;.LOCATION OF PUBLIC SEWERS:MAY BE OBTAINED FROM.THE DEPARTMENT OF PUBLIC WORKS x` THE-'ISSUANCE OF THIS PERMIT DOES NOT RELEASE,THE APPLICANT FROM THE CONDITIONS"OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). o ■ N., z BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health PROPERTY CONSULTANT Joe Da1uz010 1�0..1.��, �id•B ce Cho a� e r V .-fie laxS ;5 UtC 0..A� e i�ie ct��l CLi 1 c� - Gam- J 90 MitahellWay Hyannis, MA 02601 Commonwealth of Mass. Certified Building Inspector Lic. #018599 MEMBER OF BUILDING OFFICIALS CODE ADMINISTRATION r TOWN OF BARNSTABLEBuildingtNEr Application Ref: 20061117 Permit BABNSTABLE, Issue Date: 06/19/08 ` 9 MASS g gj 1639• Applicant: BELANGER,ROBERT J Permit Number: 200800007 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/25/08 Location 1131 OLD STAGE ROAD Zoning District RC . Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 173086001 Permit Fee$ 75.00 Contractor HOMEOWNER Village CENTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION: EXPAND 2 BEDROOMS AND ADD BATH THIS CARD MUST BE KEPT POSTED UNTIL FINAL 4TH EXTENSION TO EXPIRE 12/25/08 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BELANGER, ROBERT I BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 141 OLD STAGE RD INSPECTION HAS BEEN MADE. CENTERVILLE,MA 02632 Application Entered by: PC Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,.ALLY.OR SIDEWALK OR AN ART THER TH R TEMPORARILY OR PERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION'. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF`PUBLIC'WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLE,SUBDIVISION RESTRICTIONS.. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). N BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health CIE TOWN OF BARNSTABLE Building Application Ref: 20061117* BARNSTABLE, Issue Date: 06/29/07 Permit MASS. �ArF0 339. a�� Applicant: BELANGER,ROBERT J Permit Number: B 20071528 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/27/07 Location 1131 OLD STAGE ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 173086001 Permit Fee$ 50.00 Contractor HOMEOWNER Village CENTERVILLE App Fee$ 50.00 License Num Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION: EXPAND 2 BEDROOMS AND ADD BATH THIS CARD MUST BE KEPT POSTED UNTIL FINAL 2ND EXTENSION TO EXPIRE 12/27/07 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BELANGER, ROBERT I BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 141 OLD STAGE RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: PC Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR AN ART THE EITHER TEMPORARILY PERMANENTLY ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE MJILDWNG C ,MUST BE APPROVED BY HE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THEISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION:RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY, 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). t VFW BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept 1 Fire Dept 2 Board of Health �INE,h,, TOWN OF BARNSTABLE Building * °�► Application Ref: 20061117 BARNSTABLE, Issue Date: 06/19/08 Permit : 9 MASS �p 1639• Applicant: BELANGER ROBERT J. rFG MAC A Permit Number: 200800007 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/25/08 . Location . 1131 OLD STAGE ROAD Zoning District RC Permit Type: RESIDENTIAL ADDITION/ALTERATIO. Map Parcel 173086001 Permit Fee$ 75.00 Contractor HOMEOWNER Village CENTERVILLE App Fee$ 50.00 License Num ' Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION`. EXPAND 2 BEDROOMS AND ADD BATH THIS CARD MUST BE KEPT POSTED UNTIL FINAL 1 4TH EXTENSION TO EXPIRE 12/25/08 INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: .BELANGER, ROBERT J BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 1 141 OLD STAGE RD INSPECTION HAS BEEN MADE. CENTERVILLE, MA 02632 Application Entered by: PC Building.Permit Issued By: THIS PERMIT CONVEYS NO RIGHT,TGOCCUPY ANY STREET,ALLY OR SIDEWALK:OR A PART THEFVOUMTARTEMPORARILY.OR.PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,'MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC.SEWERS:MAY BE OBTAINED FROM THE DEPARTMENT OF?PUBLIC:WORKS.;`, THE ISSUANCE:OFTHIS'PERMIT DOES NOT RELEASE THE"APPLICANT FROM THE CONDITIONS OFANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.I42A). 10, OF r BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map j.3 . ® V�-OP 6cel 0 0 f' 12 Permit# � Z 7_ 4 4-- Health Division C' - C i \ f' ^'' Date Issued 2 — 16 0°J n x L Conservation Division •J o��' 0,� ''' - Application Fee C , t ^� Tax Collector ''� Permit Fee Treasurer_ SEPTIC SYSTEM MIDST BE INSTALLED IN COMPLIANCE Planning Dept. WITH TITL r- L* Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND , REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 3JJ � Village Owner e Y , lie l LT-,l q,e—Y Address Telephone 5 0$ - L424-_ 5 Permit Request -lox I R , .3-q Osbo&w is Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 9 e. Flood Plain Groundwater Overlay Project ValuationI.�- S x 6 o� Construction Type fiMw+'►-e— Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes - ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION G Name 0.4u'-ne'- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# , ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY ' i PERMIT NO. DATE'ISSUED ' MAP PPARCEL NO. ADDRESS VILLAGE. ' OWNER DATE OF INSPECTION: {. FOUNDATION FRAME INSULATION _ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH sn FINAL _: > GAS: ROUGH b FINAL FINAL BUILDING O DATE CLOSED OUT = n � N ASSOCIATION PLAN NO. 5 I TOWN OF, BARNSTABLE BUILDING PERMIT PARCEL ID 173 086 001 GEOBASE ID 36659 ADDRESS 1131 OLD STAGE ROAD PHONE CENTERVILLE ZIP - LOT 24 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 82244 DESCRIPTION NEW GARAGE PERMIT TYPE BUILDA TITLE NEW BUILDING PERMIT ACCES CONTRACTORS: PROPERTY OWNER ARCHITECTS Department Of Regulatory Services TOTAL FEES: $232.64 BOND L � CONSTRUCTION COSTS $32,352.00 tNE 328 OTHER NONRESIDENTIAL BLDG 1 PRIVATE ` * ■AMSTABLE, k MASS. ` ;j 039. 1 t= BU SING 1VISION BY � c U ` DATE ISSUED 02/15/2005 EXPIRATION DATE `,/ TOWN OF.�EARNS`I`ABLE t B� LDING PERMIT : 1x PARCEL. ID 173 086 001. GEOBASE ID 36659 ADDRESS 1131 OLD STAGE ROAD PHONE CENTERVI L14 LE ZIP LOT 24 BLOCK LOT SIZE y DB . DEVELOPMENT DISTRICT CO i PERMIT 82244 DESCRIPTION NEW GARAGE I PERMIT TYPE HUILDA TITLE NEW BUILDING PERMIT ACCES CON TRACTORSi PROPERTY OWNER ,I —ARCHIMTS Department.of Regulatory Services �. TOTAL FEES:. $L32:64 i. BOND $.00 �tr� CONSTRUCTION •COSTS $32,352.0 328 ; ;OTHER NONRESIDENTIAL BLDG 1 PRIVATE l*0_,1 r. aAlwSTABLE, . Mass. 1639. � BUIDING D„' ISION BY . 1 �<. DATE ISSUED. 02/15/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER.TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS.ON.PUBLIC PROPERTY NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY,GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT'DOES NOT RELEASE THE APPLICANT FROM,THE,CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE ' 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF'OCCU- ELECTRICAL,PLUMBING AND MECH- i (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN.MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 i 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � BUILDING PERMIT r � 7 _ 'o�sHe ram, Town of Barnstable Regulatory Services * BARNMBLA Thomas F.Geller,Director 9 MAW. 1639. ►39. A Building Division Tom Perry,Building Commissioner , 200 Main Street, Hyannis,MA 02601 - Office: 508-862-403 8 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: L�CJ. � Estimated Cost g2z ��V Address of Work: (J �. Owner's Name: 1 - r I Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 E]Bu dmg not owner-occupied Qdwner pulling own permit i Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UYIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM[OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR /v Pate/Z� Owner s Name Q:forms:homeaffidav F _ The Commonwealth of Massachusetts Department of Industrial Accidents �' �68 B1�rraaG►�I�S • . 600 Washington Street l� Boston,Mass. .02111 Workers' Com ensation.•Insurance Affidavit-General Businesses name: e ,�', _. .� •. s address: /�(I •� � - city. l Y�V l I�2., state: �111 zip:a Z'L O phone# y2�" work a location fall address I am a sole proprietor and have no one Business Type: 0 Retail❑Restaurant/Bar/Eating EstabIishment working in any capacity. Office❑ S I (incI din Real te,Autos etc.) ❑I am an employer with em to ees full& art time.) Other I am an.employer providing workers' compensation for my employees working on this job.. e dress. C1 tY: - p"hone#•� - I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name: •` • ' _ a8d ress: c' vh'insiirance co.... .. :..:. .::••.. .....,..:`r:_.. �o7ic" • , address:. . :•; :» C10:' D�IOne'#' s -.a Y: - _ n. . m ur nc. co: olicv Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that g copy of this statement maybe forwarded to the Office of Investigations of the DIAL for coverage verification. I do hereby c ify nder the p ' s d penalties of perjury that the information provided above is true and correct Signature Date Print name c, e-ip''i e-I g-h gi eY Phone# �(��'�' �fZQ"'''•�6 -F'`t official use only . do not write in this area to be completed by city or town official city or town: permittlicense# Building Department ❑check if immediate response is required ❑Licensing Board ❑Selectmen s Office i contact person: phone#; ❑Health Department ❑Other (revised Sept 2003) l , Information and Instructions is . sachusetts General Laws'_chapter 152 section 25 requires all employers to , ovide workers'compensation for their emplo eels. As quoted from.the `law", an employee is.defined as every per n in the service of another under any contract of hire, express�or implied; oral or written. An employeris defined as an individual,partnership, association, oration or other legal entity; or y o or more of the foregoing gaged in a joint enterprise, and including the legal. epresentatives of a deceased. loyer, or the receiver or trustee of an' 'victual,partnership, association or other legal ty, employing employees. H ever the owner of a dwelling house g'not more than three apartments and who esides therein, or the.occup t.of the dwelling house of another who employs. sons to do.maintenance, construction r repair work on such dw in 'house or on the grounds or building appurtenant thereto 1 not because of such emplo ent.be deemed to be.. loyer. , MGL chapter 152 section 25`also fates that every state or ocal licensing agen shall withhold the issuance or renewal of a license or permit to operate a usiness or to constr . buildings in the ommonwealth for any applicant who has not produced acceptable eviden o ompliance with a insurance cov age required. Additionally,neither the conimonwealth nor.any.of its political s bdivisions shall enter into any c tract for the performance of public work until acceptable evidence of compliance with t� insurance r quirements of chapter.have been presented to the contracting authority. Applicants Please fill in the workers' compensation of . mple by checking the box-that applies to your situation.. Please - supply company name, address.and phone n s along with sate of insurance as all affidavits may be submitted to the Department of Industrial Accident or firmation of ins ura coverage. Also be sure to sign and date the. affidavit.- -The affidavit should be r ed to city or town that the a lication for.the permit or,licens:e is being requested, not the Department of In trial A ci'd ts'. .Should you have an questions regarding the"law"or if you are required to obtain a..workers.'compensation p.licy, ease call the'Departinent t the number listed below �: .. City or Towns , Please be sure that the affidavit is comple a and.printed le bly. .The Department has provi a space at the bottom of the affidavit for you to fill out in the event tlile Office of Investi lions has to contact you regarding licant. Please be sure to fill.in the permit/license number which will be use as a reference number. The.affidavits may e. turned to the Department by mail or FAX unless other arrangements ha a been made. The Office of Investigations would like to thank you in advan for you cooperation and should you have any questions, please do not hesitate to give us a call., i The Department's:address,telephone.and'fax number: ;i The Commonwealth Of sachusetts J Department.of Industrial Accidents BRIM of 1MSdgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 Town of Barnstable ��QF1NE Tp�� _ . lato Semee i ry egu s SAMSTABIZ • _: ..:.:<,:_>,_.. ..-...:.,..,..T:homas.F;-Seiler,Director : _,......... .�.__..__._..:.:...��......:...:......._._... ,...,.---._..,:.._•.. . ..... _.. MASS. sb39 Building Division . 9 ♦0 on .. �ArED MA'1 a Perry;Biulding Cori►missioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 = _ Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION c Please Print DATE: ��5 JOB LOCATION: �� �`- 'i'e• �11PiY' V 1 �1'� number street village "HOMEOWNER":f� name home phone# work phone# CURRENT MAMJNG 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 procedures and requ �entt . ignature of_ omeowner 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 perfomung 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." I, 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 pernut 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 fonn/certification for use in your community. Q:forms:homeexempt f ,t elp a I�File: Edit Tools H , Ale * . � Schedule Type ' Requested ;-Scheduled # .Time Inspector - Perforrried -,Results � � Balance�Due` ,.,.� 1� v � 12 00 g , +�,v � �,�+ � �� f 3 . i r �� �''"td� a T r•,� CHIM 1 12:00 i iApp Profile' ?ki FOUND 1 , 05/13/2005 � '''12:00 '.� .JFIT 05I13I2005 � PASS i FRAME 1 ' 12:00 �' i _ + INS INSP 1 12:00 r ' -14 tr �:"'a &u; � � — c� r{•��' ,-� k €�F`r ass s t ,a are ` "'7i" "? 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I 11ddlr9iiAbadh Od1t1Aq R _t t f`htUq'Kd � � Y� � � .RY{!p: bte bM ,.t �.•x• eJ' t I �(�'yvtJ .1 I .. '.,. _ �11o(pl e1.Y•ABM 111�01 077r00.t0 d+ ok �I+�+ s.: SC.: .. -:. _ yrw+r,, vs �nsr lr;ce - d Ia/faxwdl eax .tl01!iu1 q'iail°en+q ba...a`fawb''i�oe i '!1+ ;' :•.: - .A°W�7p� At•Yely. MYeM01 awA�e - h. c :'�". :.�.:;..,•. .� .. .. ...:. ... .. ..... .. :.� :.. �o' ,�bls.la s e rfl.tr'�. :.A°M,M1}`O�MO.a��.�:� '.T4< v. .; • � —• --..— ..._ —. — — °tea°""" , 'i°««I/. ■o11Cle -._ _ AM abuee�ai ow belU"�t0 m+riltiP,.�rtl-ealblw ie Yw ra.r.. .deF - i' ACTION 3 .3 PVOW �abp d w�l L AN y. t .. .. .. i Y ,{t - ALL wx r -C alw .. Y .. ',• a e. � e e.: - 0 0 �—�1}11 ow KFs��p. f!.'Yt& F ��r � �'. a ...� .e• : e e O O I � ' ) o r /mr N y. .. nuena trAu "" nc+sfll7�Cwp.Ory C1 0 rnnamA eam SECTION 2=2 +S� ' RM'SHOYANG PROPOSED SM emu a m scfitE a/�•-r-u n n' tr... 11 41 OLD STAGE'RD. y SECTION 1-1 :� 05 A n - ortowk MA t SCALE:3/4•-t•—o QA.4I54L C E wouimmal ERG m ow t r�n:eas- re?m 14810'' " ,fin{. 'gyp vr�,� r` ���lt�fA'.�" •i.-:C�� r_'G' :'.Y•"C"�•!R:wM..Ft'C� g��r�s ::yA5U f[ti<-rr' 4tt��a"l�2' },KY'. �n4;'�Ci�:y-� qJ. 1,- .od`' v p:+.. .�'� • •1 -;�- la.',:t �y�w s 'e -.•�,'C .�"{`S}':b.. fife' ?;•,„'4*7 ..r.2rr. �}9,'dey�'y'�.ru:... Y:: ,P .l. �.S.4. .Ss J� Y'',�:P Y�' l�: .�.�r'�.")i .\� \;.. �•. •.1 1'�NIFJrS��� :..1.. 4�Yi fG �1�-. u'!'"),�': ....".+E 'Y.C;... A•.-h. 3 r:'.. ,, wB ^c• .)..+ ,°I.L'. � . - w„n.�'k-. '..6. c- f.r �� r. r. '.: ''.{�Pi•. .+r�.K^.T, -v' ... ,� � '.. 3� d :.. ,: .. ... Y. T .,i .... ... '.� ...u. .d,..6.... n.:_. ,. 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S:'ev ! k n en uia cm.) .. )Eslwd;'eege,•iu A.Mpud'1n �,41.0io i•Y.ie ; -5 TK1'i `{1 h _ •1lON LYO I/(��r�1•� 'r�rL � th,(i t r t 4 t'- tid rJtl.qo e6d mWft b tlr 1.64.f1Y iey.ee a eeppii�ee,1d1rr AM W OC i/P M101a ear ��::yy M bdM'4w 6 a_ Mnf... bAw et lIr R ft,e' A41Y MI) M!•aetl eeEm,'.MI,MYt r �� •w Aie •od aer it�w.i�d�.eatt eu.are fwtpbt.•k..WebwP pr.>r.e.Mddbe M-p.N,,,l1.A•ew.e,.,l'e.. ..,/. SEC71ON 3-3 � •e.w•aenY,e�esk nM/wkl•N•i�W�b� _' {n/4 isa wrweu ew eeor '�'".s� F ti r .. .. _ - SCALES/4 1•-R' tiImneo�ye,�O as wye„u�ar•_.d w.1 . . �•. .: PLAN VE IW -ernly.wi ore,�INLne ,.•.�•- - mo,PI. r z �. mlr.ae•/s-,/r can.Ir m - ;,. 'y ��/ � . a poYr.nu wR-ij>•can a le•.ee - ,p11)I I... �•��'� =r e o o' o - e e ers+ns,a.•m •a��'•� .. 77a 'P .. %iP.a IK In'eas n. Yxa•IH .. I flit - '•: n�evaalrtµtiuenaesY.ri C1A8f0 1� �. roelo.ro.slu ti c ��.•ea.Y_p•ueeean SECTION 2-2ASNo>En Im%Owm.p�OPm SM B AYt�COL 12 r1 , SCAM 3/C-I .dl.I'. .. Ir• ,IL . u u , 'tr ...�L- 1141 OLD STAGE: RD , SECTION 1-1 fn : AL St.. . wloWCtf rra MA SCALE:3le-V-0 een S-1 ® -•16_•00.�IIctteb=10,1 I/�1C 000-��'•1•• Cl48.10'. 41�_0 { tea; ��..�� B:b"• ---� C�",,��6'� ��`" V `:P o� . O o+ k all I. ie-Phn_lyb-,.4-Pn.ekw.,nL WdG Incatlon% as-.Ahmmn.nn A oit pl b44 Kmh�ra A,.baxtu ill 14 1998..:. .... .... z.drp fd ::tn 6 1WI.slA,,le°f PE.v i70D io 9D 1Li�� �Sn �-- I Ln SiA��!..C.QI-Kyi' ,t 41'-o f ox�p}:pes1F i sx'roFrsz. 6 3r •" ' �yy P V k v I. la...plan-»-6a9c,.1-.on.exi4ini . bldG locailans as.:slwu'n.'on z.drop fqt.:to:below slab,ie"} - IlE.V I'�E.b l0�•1�96 i Fk • 1141 OAP <-�= ��.G�;�KVIUE . The Town of Barnstable annvsensM NAM ' Department of Health Safety and Environmental Services 'den ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Robert Belanger 1131 Old Stage Road Centerville,MA 02632 Re: Building permit application 1131 Old Stage Road,Centerville,MA Dear Mr.Belanger We are sorry to inform you that your building permit application for 1131 Old Stage Road,Centerville, MA must be denied. The reason for this denial is that the structure you are proposing to build is not an accessory structure to a single family home. Rather,it appears to be a commercial structure. you have the right to appeal this decision. Should you choose to do so,we will be happy to assist you. Sincerely, l Ralph M.Crossen Building Commissioner RMC/km 1 Assetor's offioe (1st floor): 12-3 TEE Assessor's map` and lot number .....?.. Board of Health (3rd floor): Sewage Permit number ' Z BA]USTADLE. i Engineering Department (3rd floor): +� rasa 1639• \0� House number ........................................................................ MAYd• APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00. P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........(.ram`.G'...................................................................................... V TYPE OF CONSTRUCTION ..................�s�:�f ... � � 1��......................................................................... .....................t 9. �?.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........��. �.........tJ1rf".... i� 1 .... C ..'.......... �/7(�d1111 ( ::......................................................... Proposed Use ..........� .......>.`t", ....... .......... Zoning District ........................................................................Fire District ...�f l�?,+V//fe.......: .......GS�'t!.r • Name of Owner ..... J�! ,mW.... /se,,<.................Address .���1...Q�r!%...�A . ....�. ��....4��<.?. .. Name of Builder .. %4�?E.....� . .........................Address ..Op. .... ......g ./�.............................. Name of Architect ..CU.........AM07.....................................Address .................................................................................... Number of Rooms Foundation � Exterior ......L/o> ............................................................Roofing ... V,l17--1,V 1....................................................... Floors ......... ..............................................Interior .................................................................................... Heating ...................................................Plumbing .... ......................................................... Fireplace IZIZ241. ..................................................Approximate Cost ...../.. do �..... .............................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area .........527 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ll OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re arding the above construction. Name ...... .. ...... .•... . .. lc.. ............ ...................... Construction Supervisor's License � I 1 BALANGER, ROBERT 1 10 3 2 4 3 9 . Permit for ..Build-Ga-rage.. Single..k' io7.� ...D.w-11ing.......... t Location ....1.1.41...Q1d...Stage...Road.......... f, y ...................QeT1t.e '.vj--L1e............................... r ry Owner ...RQJPe.h'.t...BZL1.aug.er....................... ' ti Type of Construction ...Fr..acne.......................... i ............................................................................... Plot ............................ Lot ................................ Permit Granted ....... 88 Date of Inspection ....................................19 f Date Completed ...................:/1..t..........19 f , r 7 1 t t MMr -06 UrX 't �f A FuStit +! y'S"g9y a a �Ir $s S F,s � k iJ- t���• - .j a��=t `��z}_*"k�s,,d;Lam • �•}� Z' 7 yft 6. �i J� s'i,irt'• � �t 7ZF� � j��� x •+ '� Y r .�. .•�gs,�°!"grim • .r< Assessor's offioe (1st floor) r`^ Assessor's map sand lot number�.... —• if OFfNET� _ - ,........» :.. ` ,;QPTIC SYSTEM MUST Board of Hearth (3rd floor): . LLED IN COMPLIAN Sewage Permit number .0 t .�::.....' ":�:.. ...::...... k' s EALISTSDLE Engineering'Department (3rd.floor): WITH �o M a TITLE 5 ' House number ...:............:................�.r�y �.................... `€q�� ®NAAENTAL COD '"'�oMar.a��� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-`2:00 P.M. only! TOWN REGULATI S F BAl" NSTABL,TORN• O BUILDIAG INSPECTOR APPLICATION FOR PERMIT TO .)(/ Y.:.?...• ...:1 :.. .......... .... j TYPE OF CONSTRUCTION .......�-✓pod.....6zra"...71. .................. ................... a , ei r 'TO -THE INSPECTOR OF BUILDINGS: The undersigns hereby applies fora iDermit accord' to the owing info motion: . 1 Location ... �.. ...... . �...... . . J . . ... .�. .. .C.�f.r..:.::. .�..�f.....�.....��. .. .................. .. Proposed 'Use ............. 4.L�4,..... ............................................,................................ ............................. .................•.. Zoning District ..... ........ ......Fire District ......... Z...JO... .............. Name Y/ of Owner ..,. .Address . ..... ...:... . y� p Name of Builder ........... . .......... ... �. r. 64pii4L.Address ..... ...Deo�4►. .F... .5.....:........:.. Nameof Architect ..................................................................Address- ::...............................:.:................................................ Number of Rooms ..Foundation . .. .f - . 'Exterior ... .. .... .. .Vlf..j'l... l ................................Roofing �ii./.. ...a..a.�5..,..................... Floors y��� .......G). .�� �. Interior .�.........................:.............. v --- Heating .........................."'---�<� . ..................Plumbing ....................................To........................................................................ Fireplace .................................. .........Approximate Cost .:.....�o�.......C .� ....... ....... Definitive Plan Approved by Planning Board _______________________________19________ . Area rCo. . ...� . .i !.L. Diagram of Lot and Building with Dimensions Fee D........ ... ......P........................ SUBJECT TO APPROVAL OF -BOARD OF HEALTH - Y f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS , I hereby agree to conform to all the Rules and Regulations of the Town o fA�qrnstable re ing the bove construction. b _ Name ... ..W. ... ...... ............. ®,-f,4 b(4? Construction Supervisor's License ..:. ......:... .. ... ....... ` BELANGER, ROBERT No ....0816 'Permit for ....Garage..... Accessory...Dweliinq..................... M' ,Lot #23 11 ..f� Location .. .........r............41 .Q.�,S ...S.t.age Rd' j Centerville .i............................. ......................................... Robert Belan er �,� I A, Owner ........... ......... .................................... - ` - ti l Type'.of Construction !'.K. Me.................... 4 .4 ... .-......... .......................s.......... ................. 4 •. t .ry .+" YTS .` _ , + . Plot ............................ 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