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0154 SHORT BEACH ROAD
9� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ��� Parcel -� 5 ��S " Permit# Health Division 7 — 13 z- 1 z S zvVV--Ck Date Issued Conservation Division .S� 4 �0l 067— : Fee 3 J�• t Tax Collector : & , I OV 1� SEPTIC SYSTEM MUST BE Treasurer: _ - INSTALLED IN COMPLIANCE Planning Dept. r � cf wlrH'flTLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REOIIL,A Historic-OKH e4 Preservation/Hyannis Project Street Address Q C Del L V .Village IVI � e�Ir` U ( . 'Owner tip !)��► � 0%JQQnc\i ��'���,5��j1 Address Telephone 702 "' 3 5-0 Permit Request /9(L) _-Srco'?(L ` to r Y en r eA+ 1?\oovY\ A/O �¢� /1V CQ071 AIN`T- Square fee : 1st floor: existing 1836 proposed 1836 2nd floor: existing O proposed Q V0 Total new I�0@ Valuation l `Zoning District O"k Flood Plain _Groundwater Overlay Construction Type 1�3 a !�o 1 1, f Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation' Dwelling Type: Single Family %_ Two Family ❑ Multi-Family(#units) Age of Existing Structure >D yR, Historic House: ❑Yes �Wo On Old King's Highway: 0 Yes Ai 1Zo Basement Type: ❑ Full PLCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new 1 Half: existing 1 new O Number of Bedrooms: existing_ new 0 Total Room Count(not including baths): existing 6 new 1 First Floor Room Count 6 Heat Type and Fuel: WGas ❑Oil O Electric ❑Other Central Air: 0 Yes tik No Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes Who a Detached garage: ❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size_ Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION Name TOc1CI .0.f\ TA \&P Telephone Number 5'08— 7.75'-- 7 7L5—9 Address ��,fix License# O'7 a 5 7 q W Y're,n 0 5 D--�c�'MA•, Home Improvement Contractor# 1.o 6 6Q `7 Worker's Compensation# ��// l ALL CONSTRUCTION DEBRIS'RESULTING FROM THIS PROJECT WILL BE TAKEN TO �e,r�'1 STD(D �� �' C�u ► �r SIGNATURE DATE 9 �. FOR OFFICIAL USE.ONLY PERMIT NO. _ t— DATE ISSUED MAP/PARCEL NO. FA ADDRESS' + r .i VILLAGE T OWNER DATE OF INSPECTION:- FOUNDATION, — TrT" T(14%L eS �FRAME 2�<Le �-jC b INSULATION J 'YYl R -Y R FIREPLACE _ ELECTRICAL: ROUGH FINAL _ _ s PLUMBING: ROUGH FINAL GAS: ROUGH ' FINAL :} r FINAL BUILDING r • DATE CLOSED OUT ASSOCIATION,PLAN NO. . :," TabbdSZih Ptsseriptive Psdn;a for are and Two•Famay Rnidmdai Bafldlap Stated with Fob F9813 MA=um IMMUMEW a�B8 Cr Wa11 Roar Baaemeat Sob 1leeriag/Coolin8 Arm' U valuer R value Rrvaivar P'valuj Wau F� 6gaip�a EiSci� Pasfare R.vaiulo )Z.vahm, 5"1 to 6500 Hnda;Dec=DSW Q I2!'. OAO 38 1 13 19 10 • 6 Normal R 12Y. Q52 30 19 19 10, 6 Normal S 1211- 050 38 13 19 to - 6 8S AFEM T 15% 036 38 13 25 WA WA Normal U 15% 0.46 38 19 19 10 6 Normal E v 1S•/- OA4 38 13 25 WA WA ISAFEM W 1S•/. OM 30 19 19 10 6 U AFVE X 18 Y- 0.32 38 13 25 NIA WA Normal Y 18% 042 38 .19 22 MIA N/A Normal Z 18% OL42 38 13 19 10 6 90AFuE AA 18% 030 30 19 19 10 6 I 90 AFUE I. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS. C� g 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 9 , 37 5. SELECT PACKAGE(Q—AA-see chart.above): Q NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' 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 ft of decorative glass may be excluded from a building design with 300 it'of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 11.5.3a. 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 R49 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. used Do not include 'Wall R-values r m sheathing the su of the wall cavity insulation plus insulating g ('if )• exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met.EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-fame 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 crawispaces, basements, or garages).Floors over outside air must meet the ceiling requirements. ww '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 wails. Windows and sliding glass doors of conditioned basements must`be included with the other glazing. Basement doors T'ust meet the door U-value requirement described in Note"b. ` 'The R-value requirements art:for unheated slabs.Add an additional R-2: or heated stabs. ' 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 p4ckage. =s; 'For Heating Degree Day requirements of the closest city or town see Table JSZ.l a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-vatues are minimum acceptable levels. R-value requirements are for insulation only and do not include structrtal components. b)Opaque doors in the building envelope must have a U-value no greater than 035. 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(Le.,may have a U-value greater than 035). 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(035 for doors). 43 The Commonwealth of Massachusetts ' ........... -- Department of Industrial Accidents Office 81INFOS08980s 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Afridavit i name: \ �� location: CitV LJ- Gil n M O , hone# O —7� ❑ I am a homeowner performing all ork myself. ❑ I am a sole r rietor and have no one worlin in capacity ❑ I am an employer providing workers' compensation for my employees working on this job. :::: .::::.:: :::::::::::: ::::::.....:::: ........... mpanY'IIHnIe' ' t1�1't'93: :: gh .................. Ynsurant a co ;:: olicY (p I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who:, have thefollowing workers'compensation polices::::::.:::.:::::::::::.:::::::::::::::::::::::::.:::::,::::..:::.:::::::::::.,:<:::,::.:::::::::::::::::::::::::::::::::::.::.:.::. XX M1:;{ LC:is: iiii?i::J::':::%ii;:i::;:y ii:ti?:i:iii:::i`::::{::}::L(:iL;:;:;iiii::iii:::iC::j;:ii?':}iii'l.;i:}:': isi;:?'ii.`:i::i5::?<::,:;:i;:;:;:;:;i:;:;:;:;ii: : : i ::ii::ii:i:;::Y:Q::i:'i:>.:�vir: 1C36... ;:...::..:.:.....::. .. .. .. v ....................................................................... ... ................ ............:....::::...:.....:::::.:.......:..v._::....:..:::.::.::.::::::.::... ........... .......:::. ::..:.:::::.....1::.:::::::::::::::: �:::::::::::: :•::::•::.::.. ::::::::::::::::::::v:::::::::.�::::.�:.v::r:::::::::.v:::•:::::::::::::::::::: .............:::::::::::::::::::::::::::::::::::n�::::::::::::::.�::::::::.; "' :::w:::::::::.�::::.�.::.�::•.�•::nv:::::.�:::::w:::w:.�:•:::::w::::m:::�:::::::::::::::::::.�:::nv::::::nv:r.• S(Y;:iv;S:;:t;{:}}�'Y::;:'`:vy 4i::j::if:?i:4ii:iiy<ii:':::iri''' ti:}iiiiii?;;iii;ii}i;iii:•;:vi.'•:i4:v:•i:v::-:ii:.:�?;;ii::•:::$i:iJ:ii ii:i•:iX.::i.}iii:.;:4ii:•ii;istiisi::tii::::i::is:iiii::i::i:::i>::i:::i::ii::: <. ........................................ ............ ........................ as :.:........ :•::c;:::::::::. .. aiiilresss :``f111b ?:a2#.................. 00 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 Si,"Moo and/or one years'imprisonment as well as dvfi penalti the form a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be f to O re of Inv ons of the DIA for coverage verification. 1 do here certr under p edury that the information provided above is trrw and correct Sigaatnre Date /0 /a s l ao Print namT�&Co n�� `t C Phone# So`9 —`"7 official uu only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Deparbnent ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's OIDce OHM&Department contact person: phone#; _ ❑Other (moved 9195 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required: Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants F Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and 'Xf supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and =' date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact youyegarding the applicant. Please be sure to fill in the perm tlliceose number which will be used as a reference number. The affidavits may be rednmed to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Inuesugadoos 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 t LIVING SPACE •' (high end construction) square feet X S115Isq. foot.= (above average construction) square feet X S96Isq. foot= (average construction) square feet,X S571sq. foot= ,� GARAGE (UNMISHED) square feet X St&sq. foot= PORCH square feet X S201sq. foot= DECK square feet X S151sq. foot= OTHER square feet X S??lsq. foot— Total Estimated project Cost For 0 ce U Onl In& Allsioham A Mirdable Housing Fee ❑ Residential ❑ Commercial" Property Owner's Name Project Location Project Value P 't Number **Existing Sq. Ft. **Proposed ew Sq.Ft. A S IAHFORNI 113100 The Town of Barnstable " r • IARNSfABLL Regulatory Services TEo►may' Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA,02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion. improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied 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. rog, you Type of Work:_AAA;.5n . Estimated Cost Address of Work: I'eJ Ll Owner's Name: o f)O ` p Date of Application: MI aP L co I hereby certify that: ` Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING.WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the ownere / lolag/oa �c)(G�h4 r) ✓/�'r 166 ? Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav f�/ze Vr om�rnoncoea�c a��.�wac�eu�eliii t , DEPARTHENT OF PUBLIC SAFETY ; CONSTRUCTION SUPERVISOR LICENSE Nueber �' ;Expires (' Restr-Gteddrr _ 00 JONATHAN~M.: TILER 67 CRANBERRY.LA11E I HYANNISPORT, HA 02672 I rk ✓le Vanvtixaruueczll! o���ac�itcvel�6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Registration: 106627 Board of Building Regulations and Standards Expiration: 07/24/2002,' One Ashburton Place Rm 1301 Type: INDIVIDUAL Boston,Ma.02108 JONATHAN M TYLER Jonathan Tyler Box 80/ 67 Cranberry Lane W Hyannisport,MA 02672 Administrator Not valid without sign ure ;% i v• Restricted To: pp 1 U `' 00 - 35,000 cf enclosed space (H6t C.112 S.601) 1A - Masonry only 16 - 1 & 2Wily Hopes Failure to Possess a current edition of the -� Nassachus tts State Buildiny Code ` ? is cause or revocation of this license. - - ' . X "4 qF Ot S-.. d j. v'kt+ x 1/4 =1 ' scale DIGIOVANNI RESIDENCE Proposed FOUNDATION, FOOTINGS, CENTER GIRT, GRADES, AND FRAME 1/2 sheathing First floor Vinyl sidewall 2x4 studs 16"on ctr 2X8_16" ON CTR 2X8 16" ON CT GRADE m CELLAR FLOOR �&6 girt BLOCK FOUND. N t CONCRETE FOOTING 48'-0" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 9'-roll 9'-6" 9'-ro" 9'-6" G,-)2 TLA/011 ""JViA 23nML"" 120 R3-F-'1---,--j 22DAITOO-1 Aol i 144 11L)o A ai 1coll 12-JI 1 -11D no"a r z1buie e1xs 30A34ir) POOP 19AJ.13i- t avirroo� TF3Aj-AO:) Scale DIGIOVANNI RESIDENCE Proposed FOUNDATION, FOOTINGS, CENTER GIRT, GRADES, AND FRAME 1/2 sheathing First floor Vinyl sidewall 2x4 studs 16"on ctr 2X8_16" ON CT 2X8 16" ON CT GRADE m CELLAR FLOOR 6x6 girt BLOCK FOUND. N 1 1 f CONCRETE FOOTING Ir~ 48'-0" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 4'-9" 9'-6" 04 9'-6" 9'-6" Boo 9'-6" No 4 9'-6" t f (l(r A �23CIAFID ,T ID R31i 3:) ,e,J"Al1,-)O i J''Of i :✓; 01 s E t�r�tt Jcii3 � �.;ftCCir{J6�t12 �Y1y i r'0 ztt___ _. M _ __._-. r�---Midi_` iftl ''3i_.3X _ _ _ KOM? DWI TT r-]D '100 —144 � •�a,.f� � ..Cy C P yty. _. _ North Elevation 10'-0" 8'-7 1/2" 00 24'-8" 26'-8" 29'-4" West Elevation 13'-0" 29'-4 112" 1/4"=1 ' scale DIGIOVANNI RESIDENCE Proposed FOUNDATION, FOOTINGS, CENTER GIRT, GRADES, AND FRAME asphault shingles 2x10 rafters 16"on ctr R 30 insulation with vent shafts 4x6 beams R 13 insulation 1/2" sheathing 2x4 stud 314 toungue and groove ply, 2x10 joists 16 on ctr. 1/2 sheathing Vinyl sidewall First floor Bear wall 2x4 studs 16"on ctr 12'-91, 2X8_16" ON CT GRADE CELLAR FLOOR • N 1 1'-10" CONCRETE FOOTING AIA01 CMA 2:10APID TA0 Pl"I'V30 >DMITC)0:-1 11,101TAGLiU01 113 rto"84 F elep.el 0 xS 2fGrIL, 31'n!5v rl-,tiw OF q noij6hieni E. r 4xs fA ".Xz- no Z) r auio[ 0 r xS 11 Dn;vIjs;z':')!2 S\r il6vvst"):Ie Nfliv lcoil 1 abUJ2 a r -8 x I • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map { Parcel z.S� �� Permit# Health Division 9 1�( Date Issued •�l��Ig' Conservation Division ` Fee ' Q Tax Collector SEPTIC SYSTEM MUSS'BE INSTALLED IN COMPLIANCE Treasurer WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND TOWN REGULATIONS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis r Project Street Address t>� w Village CCU E> ►�.+,C At Ownercc Lam_ ►-Jw 4- 0Ed41d Address 49 Cly r.&A, 2:n&r Telephone 8_3Z-L- ' Permit Request- �x �� /-�,1" -ra Gntte-c — CH,1,JG& t Square feet: 1 st floor: existing /300 proposed d 9 3 2nd floor: existing proposed Total new, Estimated Project Cost /0, vv a Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 0 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure d Historic House: ❑Yes 16 No On Old King's Highway: ❑Yes �9 No Basement Type: ❑Full Q§Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) -- Basement Unfinished Area(sq.ft) Number of Baths: Full: existing z— new 0 Half: existing © new Number of Bedrooms: `existing 3 new O Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: '6 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes i0o Fireplaces: Existing _ New Existing wood/coal stove: ❑Yes k No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:dl existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ikNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCT DEBRIS RESULTING FROM THI PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: �- FOUNDATION i FRAME S ? � INSULATION FIREPLACE { ELECTRICAL: ROUGH, ` `. FINAL �r PLUMBING: ROUGH FINAL,� ... n� - , GAS: ROUGH -:.' -^s FINAL < r.� 7/7 FINAL BUILDING -- �'� • DATE CLOSED OUT ASSOCIATION PLAN NO. k , t The Commonwealth of Massachusetts `-' - Department of Industrial Accidents _- � 600 Washington Street Boston,Mass 02111 Workers Compensation Insurance davit name: location' Pr EALHf Lb city A phone# E I am a homeowner performing all work myself. ❑ I am a sol netor and have no one workinNO 1n aav for 1 wo alum on this ob. anon g J I am an em 1 <.:;;:..;:.>:<.;::;:.;:.;:;;;::;:.;.;:.;;:.;:;.;'.;>:::>;•;.;:.:............... :»:<:> con any name.: _ ... s .ddre s . .......................................... ..... iron e#: .::::.:...:::..: :: city insurance cas //7//, ❑ 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have thefollowin workers' compensation polices: g......................... ...... . .....:::....::::::::::::..:....::::::. ...:::.:::.::::.::.::.:.::::.:::.:::::.,.:.:.:.::.::::::::::::::::::.::::::::.:.:;:;;:; con anv name. f.. . :4i.�.:•{:::::: �::'}::$y�:�ii:�ii si;::i:'{{}:?iii}{:,i.;:i}�:�:;ii{.:::::..?....;.;x :...:i::L:{:ii}:: ...... address: .................. ............1vv:;•}}:?•}}:{n.•::n�?:v:.�::• ...........:.........::•.vw:::::::::•:w::i::::::::::..:::i:G;;.:::4::.�:::::}:i;}iiiiii}i:}i:�:•:iiiii:v:4;�}�}.�:.�:?:::v:i:L:.�::::::. .............. .. ..... .....:........................ .....r........... :...:..r. ..... ......................::..:.: ...::::.r...................., .. ••r::..........: .......... ......... .........hh......................... t .. -::::v,........::• y�:•}:hi}}Y:}:`{•}:':i:{::::n}:;::::.}v:::.i'::4:•?�i:4:•i}ii'•}v}}ii}:{O:{�:4:4:•iii`.ii::iiJi}::i:•:}iii: tl .....::::::::::::.i:.:v.:: :•:: n:'{::..........................._...:v:: w.�:4v....n...............:w::v::•..:::::::::::::::........... une . .: ..........:.�:::.�:::::::::::.�::::::n::....:r............:?w:::r.?:•.n.. .L........................ :..:: x:•u::.::.,•: .wt?p}``.�::%:;i�i:;�:t:i::::?;::;:iii:%�:::�:i�}:;•:ri::;•:;}>:�}>:�;•::?•:•}:•>:{?{::`::::�::i:%::::d::;:;::::>::;•}:•i:::}:•}};>:•:>:•:•::;.>:�::•>::•:::::::;::: ';.. ;:y::}�:i}ii:;�Y;:;'i:;:iv:�`:?-:% t:.`::si?:C�i :......:: ::::!:Y^i iYJii}i '?i i' JWX :Yiii: ...... .............. .. ... . .:: ca anvname::.: .. _...... ... .:...._... :. > . .............. :..............:..... ....:::r::....................:..:. :::......:::::..........................:............. ....... . .::. :::.............................. bn ............................................,...... .............................................. ::::::::::::::: ................................ :....... Failure to secure coverage as required under Section 25A of MQ.1St canb ad to the impositlon of criminal penalties of a fine to$I,S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage verincedon. I do her certify th and o perjury that the information provided abo is trap d correct Signa D Print name Phone# oindal use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required []Selectmen's Office ❑Health Department contact person• phone#; ❑Other_ Ogmed 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants " Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of bu sUW Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,Please can the Department at the number listed below. City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fin out in the event the Office of Investigations has to contact you regarding the applicant. Please which will be used as a reference number. The affidavits may be returned to be sure to fill in the permit/license number the Department by man or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. E The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents amee of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 M CMR Append•¢J Table J=b(continued) prescriptive Packages for One and Two-Family Residential Bulidinp Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing caning Wall Floor Basement Slab Heaung/Cooling Am'(y) U-valwa R-value R value' R value Wall Perimeter Equipment Elf'aauy' package R value' R value' 5101 to 6500.Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal 3 12% 0.50 38 13 19 10 6 85 AFUE T 15% 036 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 1S•/. 0.44 38 13 25 N/A NIA 85 AFUE W 15% 032 30 19 19 10 6 8S AFUE X 18% 0.32 38 13 25 NIA N/A 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 1 30 19 19 1 10 6 90 AFUE 1. ADDRESS OF PROPERTY: .2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: .S 3. SQUARE FOOTAGE OF ALL GLAZING: o� 4. %o GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above); NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE.'ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: - YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J62.1b: 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 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999,glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do.not include exterior siding,structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing..Wall requirements apply to wood-frame or mass(concrete,masonry,log)unconditioned nconstructions,�u��ch as unconditioo not apply to ned crawlspaceframe �s,basements, 'The floor requirements apply to floors or garages).Floors over outside air must meet the ceiling requirements. `T}a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meat the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned ba:lements must be included with the other glazing. Basement doors must meet the door U-value requirement d.scribed in Note b. `The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " If the building utilizes electric resistance heating use compliance approach 3,4,or S. 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 J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. a U-value no greater than 035. Door U-values must be tested building envelope must have b)Opaque doors m the g P and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table JI: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 0T • �P� he Town of Barnstable �.i6,9� �g Department of Health Safety and Environmental Services ` Building Division ED MA 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Comtnissior.e: 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: &on o pc:,L- Estimated Cost `yi O y J Address of Work: �/�c2j- QE.49-ci/ fa Owner's Name: C�L(-� J'r a .� ,�i 0 VWAI"i i Date of Application: 1.2 1/y O I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under S1,000 ❑Building not owner-occupied 0owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTACCESS ORS FOR APPLICABLE HOMEHE ARBITRATION PROGRAM.IMPROVEMENT GUARANTY FUND UNDE M 1�142A. ACCESS TO SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR i Date Owner's ame q:forms:Affidav c;1 o ], z v c y� �y I rn ! I d � m 51 ( O (1 N -1 R s o•�7� r4-,� 1 n - az C 41 c Z b L r L� C - il� UJ C I `I 1 0 Z n O r U 1? o � , m 2. LA Al �J n -I T<) • jt u1i d t'\ 0 Id Q ..................... -f;j Fq p o T- .......... cr CA C- C74 po 10 ID GPI C' 0 tj Qy � /28.g9 L � 5>oRY SHORT BEACH A review of the Flood Insurance Rate Map, This mortgage inspection plan is for mortgage Community-Panel Number purposes only, it is not an instrument survey. Mortgage 250049/ OOOlP D Hence it is not to be used to establish property Inspection' -7- 2- 92 lines,fences,driveways,hedges,etc.,or to be used p dated has been conducted for any purpose other than its original intent. Plan and to the best of our interpretation this property is k located within the flood zone. /5¢ SNOeT-7-3 .4 A'DA..� �A�f M(p Location AIM //D9 �"4.1 2?,EAL// )22I/0) 1 hereby certify ro CELES71Alo .4.V ANNe T,'/f2.5S.q PIC-Iawuv/ �� COSIVIO C�,(/ MA that the principal building on this plan is approximately AMIAN located on the ground ms shown and it conforms to the AMIANO u CAPOBIANCO �' Scale:1 in.=30 ft. Date ` F�� /999 dimensional setback requirements of the zoning and building P 92�y L ie j/E L Cze-W rZ W V/L L nw Plan Reference �/y�' laws of the city/loom of ! o � w���T�D• .�5�'� w/ trotted and to estrictions on record, 9p SU R1 4 MORTGAGE INSPECTIONS INC. f / r SUITE 311,266 MEDFORD ST.,SOMERVILLE,MASS. File ��B 33 `"� Job# The Town of Barnstable QFTHE 1p��O Department of Health Safety and Environmental Services Building Division 9 � 367 Main Street,Hyannis MA 02601 1639. �0 ArFO MA'I A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER":_C �f name �n home phone# 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 Deyartm t minimum inspection,procedures and requirements and that he/she will comply with said ocedurds and requ ements. 4 t 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN iL 1 � o � � � � G�''� � �� i ������ . r.e ,.,� ',� is - r ♦ — „.I 't, 1 yf t ,� .� . e X a It f d a Y Kg 2 � �i• k~ i O -N 14 1 C' ! 44, •}"E ,•`�> �, ° �Fa ycc— `.-� :.,'x "'.:p.-wrzY c.*+�`-.yw.�.�/"'�-.y��`\'^. -'U , 'I _'t. t, ry .: tl"f. `.'."1 6 � .F � t<4'�� K rd ' O - •tqy .�'t �- II• C. M � � c � 2.S'� t} � G ry• ti♦ I �>w nW. J Y LEGEND"1 ,`, e ,,� t., EXISTING SPOT ELEVATION Ox0\ CER LIFIED F'LOT : PLAN"�s� c R�E�_RT E,XISYING CONTOI R 0 ,� c� �, ' �u7 Ki e i / Sir S'N D RT- L3 EA- 4E!0 r FINlSkED SPOT ELEVATION �0-`_- !► C�"/�T ��//L'L,E, �`.'._;' x, y` y :FaNtSHEb CPNTO0R 0 \ No•;asoo r 9FoiEtfcA APPROVED : B 0 A F D 0 F HEALTH �.ed.e�6�� °� T.�1 .��i SCALE � _ Z0 ♦ DATE- -9 Z$ G A T E A ��E N T &DREDGE ENGINEERING CO. INCH `^ Is .. Cl LENT I; CERTIFY THAT THE}—.PROPOS��t�, Y �. EG,IST.EREo'� (REGISTERED) JOB NO. :7 Oqs, BUIxL.DING` SHOWN ONt .TH1S LPL `4 ," � CIVIL LAND CON;FO, MS TO THE ZONING `,LAiI1�S ENGINEERS) ,: hSURVEYO:R,SJ DR. BY,! OF BARNS ABLE MASS. } 33rN0 MAIN ST 71.?. MAIN `;T CH. BY n _ _ /� 0 -V YfM_ i. T_Id _MA;i • .. NYANNI—S MAa z, n �HE�, i ^ yr �-� �H d-c Rc G �N►F1D� ,ij 'VE°Y"0'R G t F q y THE TOWN OF BARNSTABLE pYa�e�a BUILDING INSPECTOR' ' APPLICATION FOR PERMIT TO ;q e z ......................... ...................... TYPE OF CONSTRUCTION .....fr.q.n. ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... a.e h.....po.q.j . ..... .. .. ProposedUse ..........lT R v R S e................................................................................................................................................. Zoning District ........................................................................Fire District Name of Owner 6yvee 84w[,? lyevT &-a e.�..S.......................Address ........... OoY7 . ...Rd...... . ............ ......... Nameof Builder ...............zs.e. yo.........................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..........Gd / C aY ......... .. ................. . Foundation ...tkf ly..... Exierior �.......... .......Roofing .....j�?�ix l'i!q...... Al It Z .......... ... . ................... ..........................Interior ...... Floors ............ 4 ..... ................................................................. Heating ....................q02.C...................................................Plumbing ..................Aw..e—................................................. Fireplace ...................NRA. ..................................................Approximatt. Cost .......... ....................................... Difinitive Plan Approved by Planning Board ------• --------------------------19--------- C" Diagram of Lot and Building with Dimensions e j q le LLZ (41-- Q. LU > tr: ON ta. V) - ., U. P�3 a: 0 d: V) 2� ElqCH Rj 0 . I 00.; ga LU LLJ LLJ J Gt Ve — 0 X:;� -to 0? CL 0 �b, j:L. co <C 7-0 Cay dd Y) P6 rT o F,OL M LU 00 I hereby agree to conform to all 'he-Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ................ Drc�ut, Jr. , William M. & Grace Baldigin -- DEC 3 11971 l No 14053.. Permit for enclose carport i ........ ............................. i ............................................................................... Location 154 Short Beach Road ........................................................ Centerville ............................................................................... Owner .....ylillia.m..M....Jr.,...&..Grace. . ...B....Drout .. .... .... . .. .. . ...... ... ... Type of Construction f'raine ................................................................................ Plot ............................ Lot ................................ Permit Granted .........J..uly.......14......................19 71 Date of Inspection ....................................19 Date Completed ........ . .............19 PERMIT. REFUSED ................................................................ 19 ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... Asser's map and lot number .......................................... r SEPTIC SYSTEM MUST B- �O%THE ro�o Sewage Permit number. ..... r . INSTALLED � PLIA �s t 'Ii�H AST C BaaasTantE, • ' J -J r OM N t 7 . 5:zt6e .. .T ✓l` E I I STATE r6aHouse number .. .:. SANITARY r t e� CODE AND TOW oo�OypY p� REOULATI NS, - ___- TOWN OF BARNSTAf LE BUILDING' -INSPECTOR J/f��f APPLICATION.FOR PERMIT TO � �� l...... � .............�✓ . ..... .. ..... ..... .................................................... TYPE OF CONSTRUCTION .......... .......... ....��.................................................. .. /Vl . "v...............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin information: Location .. ...../.. ....� � `� .... .,lt !/y ... ....C�C..:... ...4 . !...:V�1.� ... .....�........... ProposedUse ...... � 4r'/..�. �� ! .... .......... ..................................... .................I.................. ...... Zoning District .........../.............................................................Fire District �, (. Name of Owner .... /�� /U, .0 C�!... 1. �eI)d ess ....69Me...6.�., f.L.a�xA(?. .................... Name of Builder ..�.�Cr � � Address ... ..� 1/74� i..�....''!f.r.. . .............. Nameof Architect ....� e..........................................Address ................................................_................................... Number of Rooms �'� �1 ....................................................Foundation ..... 1!�.. ....... .!l..� ., 6K........ Exterior ........ .....................................................Roofing ....... . ,s .. /. ................................................. Floors 41�c 1.. C ",.\ ` ........................... Interior .....4,�..�C>4-.1..1 � . .............. Heating ��. ... .. !4 � �/.L/. 1 . .. . e2A51umbing .....:./��/.....���......................................................... Fireplace .... /„�4' ........................................................Approximate Cost ......... .4:.�5/.1..`".. ........................ Definitive Plan Approved by Planning Board ________________________________19--------. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. -- • • Name ........ -��...®�,r-.:...... ................................ . vsl Sokol, Milton #.:Sadie 20857 permit for add to dwelling t ......... ..... ............................................... .. ...... Location ..........254 Short Beach Road......... A . Centerville R Owner Milto. ...n &..Sadi..........e'..Soko. l. ...... . .. .. . ...... - Type of 'Construction ................frame.............:............. Plot ............................ Lot ................................. o Permit Granted ............N...vember............... 24...........19 78 Date of Inspection � / ' ..19 ° �' • " ' Date .Completed � 1..71...........19 PERMIT REFUSED �. ...............................................................,. -19 ....................................... ............................... •R' - �� ......................................................... .......................................................... ... . ................................................ Approved ................................................ 19 Assessor's map and lot number ....:....... ' ........`......... :..........:.. 'f), r - i �/ , THE Sewage Permit number .........Ili.....................:...........r.::_::,........ (rr y/ i MA"SSBT�LE, i House number :.... '0o i639 �00 pM a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... !�:. ` r f`. .................................:................ ..................................................... r TYPE OF CONSTRUCTION ..........c...:..............:.................................................. I.}.... .................................................. ........, '. ........ .�:................9 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the./following information: f Location ..................................'...�...:�...�........... .!.: ......... /... / ....... .( /.... ..'l.% ... f�l.....r.....:....... ProposedUse ....... ...... .!.........:...� ......:...'�(.1.. ...................................................................................................:...... '; ZoningDistrict ............../..........................................,.............^..,.,.,...Fire �District .......................,.......................,..................................... Name of Owner ........./.!•�f./. ./ R~1✓�?'�/fl.........�:�!AAdclress ... IJ.......... .!.;.................................................. Name of Builder ..............................................'!r/t'1 ` c% .Address ... �`."7" �1�i�`7! �.!� :J :. ... t� V .f1.c ... .... . .. 1 its ` Nameof Architect ......... ......... ...........................................Address ................. .^................................................................ Number of Rooms •'f ...............................Foundation La..."%'t �X ...... �/lr Exterior ....... `.........................................................................Roofing ....:�. .. .................................................................... Floors �f...:.......'..................................Interior .....:`?�!( ri Heating ......................................................�? Plumbing ...................................:..................... Fireplace ................... ..... .................................................. ....Approximate Cost ... I.:'S..::..:.f..: ........... ................ ..... Definitive Plan Approved by Planning Board -------------------_-_-__ G r ! s- t 9 -- - Area �'!......................!.......... Diagram of Lot and Building with Dimensions Fee .... .....�:�.�.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' �S o I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .........!�....Gr '�..... ........ J............................. Sokol, Milton & Sadi -�A=206— W J No ..,,20857„ Permit for ...add„to„ y�qJA j,rig Location ...........154 Short„ , .aQh..Raad......... .........................Senterallle............................. Owner ..........Milton. . ...& S��l�.�...Zakol............ . . . ........ Type of Construction .............frame.................. ................................ .............................................. Plot .......................... Lot ................................ Permit Granted Nov-tuber 24 19 78 Date of Inspecti n ........ ... ......................19 Date Completed .....................................19 PERM+ REFUSED ... .. 19 .......... ... .... ... (.. .................. ............................................ .. ......................... ............................................................................... ............................................................................... 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