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0032 WINDMILL LANE
.�oZ�f-� GAS v �, i� (� �� P t ,a OF BARNSTABLE BUILDING PERMIT APPLICATION Map .Parcel 2 Permit# Health Division LE4 DZ g�-R3 I t Date Issued ! �� Conservation Divisio v2 Fee ^ 5, Tax Collector - " �, F66/ ,2, Treasurer — T -�� - SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANC- WITH TITLE 5, Date Definitive Plan Approved by Planning Board EWRONOWAL CODE At Historic-OKH Preservation/Hyannis • ' TOWN REGUL,AsTIV0 Project Street Address y �(1/�l�rhlLL �/y7Vl= Village r Owner Gt1 hUlY, elf/4=2?!5 Address 34 Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost :M 6M. Zoning District Flood Plain Groundwater Overlay Construction Type 00002D Lot Size Grandfathered: ❑Yes 0 No If yes,attach supporting documentation. 5 Dwelling Type: Single Family 1!1' Two Family ❑ Multi-Family(#units) r J Age of Existing Structure vyl Historic House: ❑Yes QNo On Old King's Highway: ❑Yes W �Io Basement Type: ❑Full ❑Crawl O'Gllalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Au Number of Baths: Full: existing ` new Half: existing _ new Number of Bedrooms: existing new AD' ' Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: gas . ❑Oil ❑Electric ❑Other Central Air: Cl Yes Flo Fireplaces: Existing / New Existing wood/coal stove: ❑Yes RWo Detached garage:❑existing ❑new size Pool❑existing ❑new size Barn:❑existi ng ❑new, size-a i Attached garage:❑existing ❑new size Shed:dexisting ❑new size Other: O'' Zoning Board of Appeals Authorization ❑ Appeal# Recorded El Commercial ❑Yes G(No If yes,site plan review# 4 c Current Use iP51 Proposed Use / BUILDER INFORMATION Name Telephone Number ,Ug 1-49 :92 9 Address _f,3• c/�f L41- License# �/7 4;2/_3 Home Improvement Contractor# 449gd� Worker's Compensation# gV, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t SIGNATURE DATE FOR OFFICIAL USE ONLY r PERMIT NO. DATE ISSUED > <. MAP/PARCEL NO:` ` ADDRESS ' ' t -VILLAGE t _ f OWNER DATE OF INSPECTION: r� - FOUNDATION ~ FRAME Dk. i — — 2Qek INSULATION - 'e FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL ; GAS: ROUGHIE FINAL ` FINAL BUILDING. r i DATE CLOSED OUT T rk ASSOCIATION PLAN NO. ,3 • t - I P`nFTHE_Tp��,- -he Town of Barnstable < t BARNSTABLE. •�• De�partment of Health Safety and Environmental Services Q MASS. a 9Q 1639. `00 OpTfO MPSp� ��Bui]Aing Division-.- 41, 367 Main Street, Hyannis, MA 02601,. Office: 508-862-4038 Fax: 508-790-6230 ` PLAN REVIEW Owner: �J/JVN'e- C�flLvs Map/Parcel: "�•. ProjectAddress: �-`�i M tiiyl C % LIY.`" Builder: f PC-(+r25//'/057 T-4.09 The following items were noted on reviewing:] r2 ? r.7 K<_� re�/l ��� /f V 6 v1 DC X i s Ti,v G �1/#C- Ott h��0577 .gl-- �ys re7r Reviewed by: Date: 7 2" q:building:forms:review RESIDENTIAL BUILDING PERMIT FEES '1 APPLICATION FEE New Buildings,Additions $50.00 _ Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORK,SHEET NEW LIVING SPACE square feet x$96/sq foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF FMSTING SPACE �—square feet x$64/sq.foot=}� G-�0 8 Q• x.0031=�1�f a �f plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch _x$30.00= (number Deck _x$30.00= Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee ``t a gs projcost The Commonwealth of Massachusetts Department of Industrial Accidents ON=o1/nyestlyatlons 600 Washington Street N; Boston,Mass. 02111 Workers' Compensation Insurance Affidavit . _ pn tcantm ormatten: -- s�....,:w�° -� ease RR eQtblY•- - _ - -z� _ ':�' `-�.. _ _ name: location city rhone T I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ( j I am an employer providing workers' compensation for my employees working on this job. t company name: address: 1.2 1. 7 775 lb. j LN. city: phone#: insurance c olicv f I am a sole proprietor, Deneral contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: cirv: phone#- • insurance co 1301icv4 compinv name: address city: phone - insurance co policy# ?Attach addmonal_hs_eettf necrss_a_n. .. . ;i..._. -,-�>.�'�_�--....,. .....��:: :v:.�..;::. =�—� '�����sr.:.--r't.�:,..;�;�.. . :• Failure co secure_coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as M eII as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be r% d to the Office of Investigations of the DIA for coverage verification. 1 do her y under th ai s d penalties o erjurp that the information provided above is true and correct. Signature Print name �i /N Phone official use only do not rite in this area to be completed by city or town OM621 . Ecity or town: permit/license# f—(Building Department o Licensing Board 0 check if immediate response is required Selectmen's Office Health Department contact person: phone a; nOther (,—scJ'Fnc P)A) - l BAR- The Town of Barnstable Department of Health Safety and Environmental Services * ' Building Division 367 Main Street,Hyannis MA 02601 jOffice: 508 79"227 Mph emssea Fax: 508-775-3344 Building Commissioner For office use only iPeradt no. Date - AFFIDAVIT't HOME DUPROVEMENT CONTRACTOR LAW SUPPLEMENT TO lPF_RhIITAPPLICATION MGL e 142A requires that the"reCorutruction,alterations,renovation,repair,mod=indoa,Cow, improvement, removg, demolition, or constrr on of aa•addition to any prti ug owner oampied I building containing at least one but not more than four dwelling units or to sftuctures which are ad}aceat to such residence or building be done by registered cootradors,with cerwa cxaeptrons, along with other requiremcttia. Type of work: Address of work: �Z /,r)/�Il,?�yl1�// f i(I jOwner Name: i Date of Permit Application: I herebt,ctnifv that: Registration is not rcgWred for the following rrasan(s): i Work cNcluded by law Job under S 1,0W Building not ou'tcr-oocplod y. Ours ptailing crwa pmnii Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WUH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A II - SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the o«-ner: i 0 Datc Conu=or name Registration No. OR Date Owner's name • THE COMMONWEALTH OF MASSACHUSETTS • Board of Building Regulations and Standards present Registration No: IO U r One Ashburton Place-Room 1301 9 Boston,Massachusetts 02108 Application for Renewal of Registration as a Home Improvement Effective Date: Contractor or Subcontractor Expiration Date: MGL Chapter 142A,780 CMR R6 (PLEASE READ BOTH PAGES CAREFULLY Date Entered: 1. BUSINESS NAME: L►1 1'9'rD JNO S V)L-Dr yl if Print the name in which the applicant is conducting business (SEE INSTRUCTIONS) 2. Mailing Address: [3 `J-� }/�(�L L`� /�� ( 901 ) 1292 - 46117 Area Code Telephone Number 3. City: State: / Zip: L 63 S 4. Street Address(if different): (Print street name and number,a P.O.Box is not acceptable for address)City State Zip 5. Applicant type: ❑ Individual ❑ DBA ❑ Partnership ❑ Trust XQ Private Corporation ❑ Public Corporation ❑Limited Liability Partnership ❑ Limited Liability Corporation ' Please Check One (See instructions on back regarding enclosing a city or town registration under DBA or"fictitious name"law,MGL c 110,§5&6) 6. or Federal ID Number: 6A (see back) 7. Number of Employees (See instructions) 8. Have you registered previously under this law? (r r If so,under what? Name: L�( 3U+Icl(w. r StC' -1;((C, Registration No: Q� � 9. Individual responsible for Home Improvement Contracts: f! Ay7 i A QS N 1 c ft Lms 10. Title of individual responsible for Home Improvement Contracts: 7r&S 1CII 11. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? 4Yes ❑ No Type of License or registration Issued By License or Expiration Date Name of License Holder registration number 0 a Attehe L z 12. List all partners,trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary. (See instructions below) Check here if you wish to receive an application for additional ID cards for key persons. ❑ Last First Middle Initial Title in A !!cant Business %Owner I Address 13. Is the applicant claiming exemption from the registration fee?(See instructions) Cayes ❑No 14. Registration fee enclosed:$ (see instructions) Guaranty Fund fee enclosed:$ /oO- (see instructions) If necessary,include two separate certified checks or money orders-one marked"Registration Fee";one marked"Guaranty Fund". See instructions for fee amounts.Make all certified checks or money orders payable to"Commonwealth of Massachusetts". PERSONAL OR BUSINESS CHECKS WILL BE ACCEPTED BUT WILL REQUIRE AN ADDITIONAL TEN(10)DAYS TO PROCESS Pursuan o as chusetts General Laws Chapter 62C§49A,I certify under the penalties of perjury that I, to my st o edge and b ief have filed all st tax returns and paid all state taxes required under law. Signature of applicant or applicant's 6epresentative Title held with applicant Date �, pp I� ' � ✓fie Voorhnoouuea�/ a���aa.rac�ivaelt BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r5"?. I Number CS:, 012653 Expires 07/16%2063 Tr.no: 714 r =f Restricted 00 NICHOLAS A LAGADINOS 13 THANKFUL LANE,. * COTUIT, MA 02635 Administrator - a e s / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION-• , 'Map Parcel 'Application# ' Health Division Date Issued 6 Conservation Division Application Fee_ Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address` 32 W i j) L 6kI 1 IL Village Owner �h�QA (1Q J\(\"A S Address Telephone Permit Request _ I� xc( w t& _ fit/#i-rt- dt `ib,h 4 LJ Square feet: 1 st floor:existing. proposed 2nd floor:existing proposed Tonal new Zoning District Flood Plain Groundwater Overlay Project Valuation -3 Construction Type ` 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 YNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl U4alkout ❑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&Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE >. DATE C �r � 6 200 x FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER ' y F DATE OF INSPECTION: FOUNDATION � r FRAME r t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �,►+�r Town of Barnstable Regulatory Services � SARP1SfABLE, �. . Thomas F.Geller,Director Building Division . Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fa 508-790-6230 PLAN REVIEW, Owner: C* It'A s Map/Parcel:- Project Address 32-W'"oQ m r�l bane Builder: /Z,/O fm E o uJ nJ :-It The following items were noted on reviewing: Soho T off ks r. o N G i f l�Yl -5'�/c C4,C-z-u�2E Reviewed by: ��-�- - Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Of lie 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 Legibly e(Business/Organizatiomudividual): . ddress: �1 State/Zip: G65U ll i�i;� Phone.#: Are you an employer?Check the appropriate bog: :Type of project(required):, 1.❑ I am a employer with 4 ❑ I am a general coxltractor and I 6 ❑New construction employees(full and/or part-time)..* have hired the sub contractors listed on the-attached sheet. 7. ❑Remodeling 2.❑ I am a•sole proprietor or partner- These sub-contractors have ship and have no employees 8. ❑Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition comp.insurance. ' [No workers comp.insurance 10. Electrical r airs or additions required.] 5. ❑ We are a corporation and its ❑ I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions ' myself,[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance,required.]t c. 152,employees. [ and eskers' o employees. [Na workers' 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 anew affidavit indicating such: . $Contractors that check this box must attached an additional.sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ensation insurance for my employees. Below is.the policy and job site I am an employer,that is providing workers'comp 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 STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statemerit may be forwarded to the Office of Investigations of the DIA for insurance covara a verification. I do hereby certify u der the poi s an enalties of perjury that the information provided above is true and correct. Si a f Date: It,, 7_ Phone#: 11 71ssZing only. .Do not write in this area, to be completed by.city or town off ciaL. n: Permit/License# hority(circle one):Health 2.Building Department 3. City/Town Clerk .4.Electrical Inspector 5.Plumbing Inspector . 6. Other Phone#: Contact Person:. Town of Barnstable Regulatory Services " BAMSTABMThomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with'other requirements. ` —1-T-ype of Work: ��� Estimated Cost Address of Work: /Owner's Name: ► �"I �e ( ��2 Lis D e of Application: 1 Lo-7 hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law . ❑lob Under s i,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 owner: Date Contractor Name Registration No. 1h17of'bU191*. UU I OR , Date _ Owner' ame Q:forms:homeafdav oFSHE t Town of Barnstable : Regulatory Services Thomas F.Geiler,Director BARNSPABLE, 9 MASS. �A i639• A.0 Building Division TEn � 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: JOB LOCATION: Z LL Z_ftjlj /J number street a village 'k�^ "HOMEOWNER': V0�!` t.DS «1 Zvi �QQ name home phone# work phone# CURRENT MAILING ADDRESS: 3 Z_ {b ( l[/, Lffp,�5' c. d70147 Gas' 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 109.11) 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�gnuir�ments. Vv , Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control.. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:forrns:homeexempt -` oF1HEr� Town of Barnstable Regulatory Services • 13MMSTABLE. MASS. �, Thomas F.Geiler,Director �p 039. ♦� rFo,r,s,+A 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 S tion s If Using A Build . as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho ' ed by this building permit application for: Address of Job) Signature of Owner Date Print Name If Property er is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION v Land In BARNSTABLE Belonging to Wayne L.Childs Deed in Book 8498 Page 91 Land Court Certificate No. in Book Page In Barnstable Registry of Deeds. Recorded Plan "Redivision of Franklin Village in Barnstable, Mass"by Gerald A.Mercer&Co.,Inc. Date of Plan Aug.3, 1963 in Barnstable Registry of Deeds Plan Book 178 No. 151 Filed Plan No. MORTGAGE INSPECTION PLAN GMAC Mortgage Corporation of PA Kenneth G.Shine,Esquire Loan No., Wayne L.Childs 32 Wind Mill Lane,Cotuit / 7 o -off Co bb W D 5N F A , A 6 �otl 5 20,300 5,F,+_ _ 20,000 5F, lis 17, t vokcH �\ 35 36' . Na O ON sfo'v O WOW No V N U— All 5N-F WINDMILL LANE Aug. 9, 2002 JN 72785 Scale: 1."= 40.' THIS PLAN IS FOR MORTGAGE PURPOSES ONLY a s I CERTIFY THAT THIS PLAN WAS PREPARED IN ACCORDANCE WITH THE COMMONWEALTH OF MASSACHUSETTS PROCEDURAL AND TECHNICAL " { STANDARDS FOR THE PRACTICE OF LAND SURVEYING 250 CMR SECTION 6.05 AND WITH THE SPECIFICATION SHEET ATTACHED HERETO. 3aa . . EA.H a A►,�� KEN H ANDERSON . v No. 31296 u� 9fCIS1 or ° o Y µk i'. Loan SPECIFICATIONS 1. Using the title reference supplied,this report provides for an examination of the records in order to obtain the legal description of the property. Examination does not include verifying the accuracy of the deed description or the accuracy of any plan on record. 2. The property is found and measured by tape on the ground from the data given in the legal description.This does not include the measuring of angles with a transit,that being the function of a property line survey. 3. Buildings on the property are located and measured by tape except where there is a plan on record which establishes a building to be located a certain distance from the boundary which would qualify said building itself to be considered a monument. 4. A photograph is taken for identification of the property. 5. All record and field measurements,and findings as outlined above are presented on a print of a drawing.Whenever buildings are less than one foot from the property line the fact is noted and double underlined thus calling attention to a possible encroachment. If serious,a recommendation may be made under heading"Recommendations"that a more precise survey be made.All figures on the drawing will be shown to the same number decimal places as they are in the deed and when this indicated a greater accuracy than that specified a parenthesis around the figure will indicate that we do not guarantee the measurement to its every decimal. 6. Print of the photograph taken as above to be included with the drawing. 7. "Recommendations"and"Remarks"may be prepared to set forth and amplify the results of the field inspection.When a more precise survey seems to be called for, it may be recommended. 8. No inspection or certification is made or implied as to hazardous waste materials on locus. 9. This report is not based upon an instrument survey and is prepared for and submitted to the client named herein for mortgage purposes only.We will not assume liability for any other use. RECOMMENDATIONS REMARKS t - I certify that the building shown on the attached plan is located according to the above specifications and its location conforms to the zoning law of BARNSTABLE and does not lie within the Special Flood Hazard as shown on the Federal Emergency Management Agency Flood Map. Dated: Jul 02,1992 , Zone C ANDERSON SURVEYS INCORPORATED Please refer to Job No. 72785 * PROFESSIONAL LAND SURVEYORS HANSON, MASS. Town of Barnstable ermit: "6160ac-CJ�( Regulatory Services ate: pF1He tpk� Thomas F.Geiler,Director Fee r Aguilding.Division BARNSTABLE, Tom Perry, Building Commissioner - Mnes. �A 1639• ��� 79H JAN 25 AM 2%RAin.Street, Hyannis,MA 02601 www.town.barnstable.ma.us + Office: 508-862-4039q))ISO, Fax: 508-790-6230 TOWN OF BARNSTABLE , SOLID FUEL STOVE PERMIT res:% Owner: W `^ , Phone: - f 'Install at: �% tom; ��11 � i Gm,t-t Village: Map/Parcel: 4 -0 07 G Date:' ,,,: Z G Stove A. ew/Used B. Type: a i / Circulating C. Manufacturer. -f- Lab. No. D. Model No.: 1 i "Lc) Chimney A. l ev/Existing. (If existing,please note date of last cleaning) B. Flue Size ti C. Are other appliances attached to Flue? ��fp D. Pre-fab Type and Manufacturer IEc ACs E. Masonry: ine nlined Hearth A. Materials: �>r B. Sub Floor Construction: 3/y j�y % oo„�fl R5,k Installer Name:' ( S Address: .3Z LAIoh--QnL.(( 1)., �c � Phone: Location of Installation: H.I.0 Registration# Construction Supervisor.# OR check.L,/Homeowner Installing,:4;: e required APPLICANTS SIGNATURE APPROVED BY: Please make checks payable to the Town o Barnstable *This constitutes an official stove permit.after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev103107 SHE Ta Town of Barnstable y�P Regulatory Services sattxsz,+sre, : Thomas F.Geiler,Director '. t 9q, 039. A Building Division �lfD Mpl ` .. . 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�A I 'Z3 i nss o JOB LOCATION: J� (�ay�}f11j + ✓i number street village "HOMEOWNER": _ yUrl!/�G C�4 �Z��� `� _ C � �737 C7� name a home phone# work phone# CURRENT MAILING ADDRESS: 3 yl1 wtit7.,..'I 14, 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 faun 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 v responsible for all such work performed under the buildmgpemut. (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 requirements. , ( J, Signature o0lomeowner ` 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 fora✓certification for use in your community. Q:forms:homeexempt .; ° Jr, Town of Barnstable r r Regulatory Services rMASS.t"E r Thomas F.Geiler,Director i6396 � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S:0 W NERP E RM IS S ION �� -..Assessor's map and lot number ........ ! THE TO�y Sewage Permit number ...13..�`.3.................8.11:13/ d� BARNSTABLE, i House number ' MA86 { � ,� ........... ......,� .d��.............. 9pp i639 e�9 TOWN OF •BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO a. ..... ........ TYPE OF CONSTRUCTION .........:................................................................................................. . ....... f. /.........................19�+ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies .for a permit according to the following/information: Location ........................................../ n� ..��o.c � a.. t ...... �. ! . .4!�'?:.!..�.......�................. {....... .................`m ....:...... ProposedUse .... !..................................' a r.a� .........� co f /��. !!..�-�......................................................................... 4 / v.. ZoningDistrict .............................:..F....................................Fire District .................................. ....................... Name of Owner .l D�!1!Q,! ?P4c ow..../ �4�7 �'. Acld(e5s ,� P Co �U ' ` 1'................ --{{ ........................................................... Name of Builder ...,, ..........� . r... U Address f /r.. �4v C f !J �'"• G►"`f �-y� .... ......... ................. Nameof Architect ................ �' !'!7.'�............:..................Address .................................................................................... Number of Rooms -- Foundation .F4CJrte� G'y Cv'e f .....�..... ................... E�1) Exterior ...... .�.......�.... ......... .....�.........Roofing ....��...5. �'i... ".. ............................................ Floors {' .Interior '� y('04 l✓ Heating .:. Q tt1 aC"K. Plumbing .... :! -• � CC '?'? ... Fireplace ...........�...... ............................................................Approximate. Cost .......�?.ay ....... In................:. Definitive Plan Approved by Planning Board -----------_------_••---------19________. Area ...... .`!....... .:. a� Diagram of Lot and Building with. Dimensions Fee ........... ........................ I' SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all ttMie Rule+�'s�andoRegulations of the?Town of Barnstalble regarding the above construction. �' IV . ' Name.. �!A`...�!. .5... ....�. `."`...... ................... Construction Supervisor's License ..7 � v.....7...; ... t PONDMEADOW REALTY T T----- A:=-40-25,-26 No Permit for ..QnQ.....=:ry.............. ...................... Location ....Wts..15A..&..16A..32,..Wiricluiil.L.Roa(I .......................cQtl i..t............................... .......... Owner J) .Qndmadow..FA�_'alty..T-rus t............. F'rane Type of Construction .......................................... ......................................... ........................... .......... it Plot ............................ Lot ................................. Permit Granted ...Novenbe.r.... .........19 84 ............... .. Date of Inspection ....................................1.9 Date -Completed ......................................19 (2(evy�k IWO Assessors map and'lot number 7`� � !?2 K PyOF THE , tx` Sewage Permit number s.. ..............9 l S-2PTIC SYSTEM MUST �' d`� ♦� BARIST House number : ��Z as'�f�.. #��.!s i' 'S QED i' MPLI .;= rasa L :t WITH. tG3 't ° TITLE E 5 �'�71r0 YPY a, ' CODE DE AN TOWN OF BA1 N'Tr7 ' 8; 'a` ��.S . FBUItDIHG KI�NS"PECTOR ' APPLICATION FOR PERMIT TO °a .............................. ....... ...................... .................... TYPE OF`CONSTRUC_ TION•......W.(1©..................... :.....5.' v.G`c?4l.'.. TO THE.INSPECTOR OF "BUILDINGS: ;; r `The undersigned hereby applies for a permit accJng' to, the ,following information: Location ..-®.�...4�.. �`�/� ........!. .....: r.1....! 4.!..`.1.....�. 4...........�..� U.°...............�.......... Proposed Use :... �.�/ �.. /�aw...I. ` ........ LtJ�..��. ..:'!!...�Ca......... ..,. ...: ............. r ��' - Zoning District `. ..... ...... . ...... ..................Fire ,District ........... ........................................................... f Name of Owner .)..q s�4wae-adow f � ��Y /Address .......�� �� c¢ �..+.....�V..`... �................ ... C�O Name of Builder ..., � PM. `.Ca vale .........Address f a :��••ew�..� � .....�a�f1� .* .... .� ...... .. .BD . Nameof Architect ..... . ........ . ............::. ..... ...`.......:Address 'A..... ..::......:..............:..................- ............ 17 Number of Rooms .... . ..... ......................... ...:...............Foundation .. OU P.........�Uw...e .e:..�...:�.............. Exterior ...l Q.a. ..>. �.°. r��... ., ... g .....a:l.� ......................................... .................. :... C C �Q.c 1. Roofsn .ram,:.. . .. . N LC9Ci �� Floors ..... r� . .................. ..................Interior ...........y..................... ............ ...................... 2 Heating ..4? -... �7.4...7� . .a. Cc'e.... .....:. ., ......`.Plumbing ... ......... .4-)a:t'7cL.:... a fcJ C' Fireplace .......................... . ::..........:..............._. ....:::............Approximate.-Cost ............0 o v � ...::.....c.............. .. ........ r' Definitive Plan Approved by Planning Board --- ----------__ __:_ _ ��.'. .. -- --'---�9 ---�---. Area ...... . ... :'......... Diagram of�Lot and Building,with=Dimensions r Fee ........./.jam.. •, 'SUBJECT TO `APPROVAL OF BOARD' OF' HEALTH OCCUPANCY, PERMITS REQUIRED FOR NEW,DWELLINGS .. I hereby agree 'to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above construction.•• ' Name ...`++' .. ................ . .................................. ...... Construction, Supervisor's License ..v ...+TT "PONDi,LADDW REALTY TRUST fk No 27257 Permit for One Stork • Single Family. Dwelh i ... ........... ....... 1?�............. , Location ,Lots 15A & 16A 32 Windmill•.Rd: - .............. C6t....... ... ........................................... {; ` Owner ..Pondmeadow Realty Trust... ......... Type of Construction r' .. ............. ...... ....... r Plot ....... ......... ..... Lot_ ................................. November 26 84 - Permit..Granfed ........ t....�19 , Date 'of Inspection Date `Cornpleted / ..1^9 r, AD r TOWN.OF BARNSTABLE Permit No. __�_-----�7___-______--- {,�n.n "�• : Building Inspector cash ----------—------------- �Y� ,ego• OCCUPANCY PERMIT Bond _____-_'____________________. Issued to FC?n meadow Roil#,v Tri4; Address 0NNt: Wiring Inspector `�P ,� Inspection date Plumbing Inspector�,r Q_ �*� Inspection date +%Gas Inspector f''J ',1 �� `-' Inspection date ;tEngineering Department j raA j� ,a{ Inspection date,6-- A p - Fj Board of Health yT�-� .._-�,�/ _,Y�9(I 1 Inspection date l-s fv THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE.IL ................ � V Building Inspector . _ '� i .. � i. � ,' ` t-� ..�'3 4'r� `4w �. ice+ .w. - ^�.;,•' r: A F i TOWN OF BARNSTABLE IT BUILDING DEPARTMENT NAM AL TOWN OFFICE BUILDING HYANNIS, MASS. 02601 MEMO TO: Town Clerk 3 FROM: Building Department DATE: June 1.0, 1985 An Occupancy Permit has--been issued for the building authorized by 27257 t BuildingPermit ...................................._. .......................................................................................«............................... ..:. Pondmeadow Realty Trust issuedto ...................... . „ ................................................. ................... ......... ......... Please release the performance bond. #'? P�oF THE • � > > � �� i BARNSTABL i c MAII. pp >63 q. �0'' CEO MAY k\ '9s�di ./rvLad6aeofse�6e6 02601 COMMISSIONERS: (617) 775-1120 Ext. 123 KEVIN O'NEIL, CHAIRMAN JOSEPH J. CAMPO, P. E. JOHN J. ROSARIO, VICE CHAIRMAN SUPERINTENDENT THOMAS J. MULLEN MILNER D. MELODY PHILIP C, McCARTIN Date NOTICE THE ENGINEERING SECTION OF THE 1D.1V1si.on OF PUBLIC WORKS OF i THE TOWN OF BARNS-FABLE HEREBY -rbtifleS (--Ac5Vz-7% AND ) THAT THE STREET BOND POSTED FOR (J-OTS IT;�1_7A4 P° -v �'� � Ac �T SHALL NOT BE RELEASED UNTIL SUCH TIME AS THE REQUIRED WORK ON SPECIFIED LOT AFFECTING STREET RIGHT OF WAY IS COMPLETED AND INSPECTED BY THIS DEPARTMENT. - r✓`-°aiC �U �d l�sr-E 1 f}��l] �8 �c.�r�o- r �uv�7 O % /,/l i v e-�-ft Y AA U'e Cal vs"9I FRANK LAMBERT T ENGINEER c r i J a C41 T, �uD 26 36 N , P\AlA OF \ ��RST{ CERTIFIE40 PL OT PL AA/ cc r y TO WV K;..� SEAL E : /'fib OA TE REC I HEREBY CERTIFY THAT THE ABOVE .DWELLING IS LOCATED ON THE GROUND AS SHGNN, THAT IT CONFORMED TO THE TOWN IS ZONING SETBACK,REGULATIONS AT THE TIME . IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION WAS PERFORMED ' IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SLUR VFYO S AND C VI L ENGINEERS,INCORPORATED CHRISTOPHER �STR. L.S . DATE 1611:�ATY A4 4 L CAPE L ANO SU�Qy,E y �ONSULTA4NTS 33S OLO 6AR"5TABZ—E. ROAD, EA5T FALA40 7-H� MA. /o79 m Ast;essor's Office 1st floor May 0 "Lot a A Permit# ola �N Conservation Office 4th floor ®%i Date Issued dam. Board of Health Ord floor _ ��c Engineering Dept. Ord floor House# ,► ®lot �� Plannin t De . 1st floor/School Admin.Bld . : p S o ®ddo .41 ,L tN97A8[d. _ Definitive Plan Approved by Planning Board CcXssQ o �fi 1 ® � (Applications rocessed 8:3:•=9:30 a.m. & 1:00-2:00 .m. �1 TOWN OF BARNSTABLE �® Building Permit Application Project Street Address02 (�i /Ini�� �N Village PU�U.r Fire District �Lt�C Owner 40 //¢ ,(,. .�//L A�S Address 37-2 Telephone Permit Request: d S Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type /0 x/y Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type Historic House Finished Old King s Hi ay Unfinished Number of Baths No. of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name :. tw,? Telephone number Address License# Home Improvement Contractor# Worker's Comoensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost e0p..—� Fee —5 27: SIGNATURE DATEl�/L�� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY 5/10/95 ► 3 42-2 - c 040.026 _ ADDRESS 32 Windmill Lane VILLAGE Cotuit Wayne L. Childs 3 3, _ =- OWNER DATE OF LNSPECTION:' , s FOUNDATION - - FRAME ' # INSULATION i FIREPLACE ! ; ELECTRICAL: , ROUGH FINAL f PLUMBING: ROUGH FINAL GAS: w r' ROUGH FINAL FINAL BUILDING-_-' ` t6 4 DATE CLOSED OUT: =, ,a•.�: ASSOCIATE PLAN NO. ' I • ,? TOWN;"OF BARNSTABLE BUILDING DEPARTMENT ` HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION WIT Number Street address Section of town "HOMEOWNER" NzLme Home phone Work phone - . a". PRESENT MAILING ADDRESS ,qrn 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 such homeowners to engage an in- dividual-for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re-side, on which there is, or is intended to be, a one to six 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 Officii on a form acceptable to the Building Official, that he/she shall be responsib' for all such work performed under the building permi- t. 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Sti Building Code and other applicable codes, by-laws, 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 requirements. HOMEOWNER'S SIGNATURE (,V4,L ,,/ APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet,. or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. 7. s r e r Lor �{�i.54a f SG b uD 2� 36 ---------------- \ CERTIRAE*0 RZ OT PL AN TOXIA./ ZZ ''� � SURVti l"J it/D �`i/�i9�DL�✓ �C—f,'L.. T""�� �i� SCAL E : lz, �f p oA TS I HEREBY CERTIFY T=JAT THE ABOVE DWELLING IS T,OCATFD ON TuE GROUND AS SHOh N, THAT IT CONFORI,'ED TO THE TO'�irN ' S ZONING SETBACK REGUTATIO?dS AT THE TIME IT WAS CONSTRUCTED AND THAT THIS MORTGAGE INSPECTION 'WAS PERFORMED IN ACCORDANCE WITH THE TECHNICAL STANDARDS FOR MORTGAGE LOAN INSPECTIONS AS ADOPTED BY THE MASSACHUSETTS ASSOCIATION OF LAND SURVEYO 5 AND CJVI L ENGINEERS, INCORPORATFD. CHRISTOPHER - ST R. L.S . DATE A Z 4 CAPE LAND 54IR YE-Y COA15ULTAA T5 .335 OLp BARI,/57-ABLE ROAD, EA57- IALMOC/Tf-1� MA. E 1 i I 1 FRON-F ELEtVATION RIC1iT F-LF.yAmsp o-� XSNAIT Stti 4LC-S Prk " j �C4 FRAMIn1!* 6RCOCMIN4 1(i 4'G y�1{ITRc G EDAIZ � .. SM�N4�5 S�DU —10'0~ 10'0". ZZ _-ax.8 ,76isrs 16Gle— Ile = 1'01 RI`AR r-LF—VATI'ON' /GF2cs ss SgGTI oN LVEFT ELI=VATION S+-IED / 4RaaW 4OUSff- FOR MR.-PMRS• W. ,fHILDS, 32Wi► tJ-liLL LN. coTulT. Mint. -S/I195 Assessor's office(1st Floor):; �7 •/ Assessor's map and lot num s ��l(�`.�o�_ EPTSt�Sj�$'�'Em MUST BE yoi T"t To` INSTALLED IN CO69.130� `P Conservation(4th Floork _: a ., Board of Health(3rd flo ' WITH TITLE 5 t ssa»r&ntt Sewage Permit number a • 1 f G�VIRONVVIEVATAL. COM ��,�tj .° rua Engineering Department(3rd floor): , TOUlm F7` °?r�b30'6 \�d° House number' ' t 0 y�Y Definitive Plan Approved n' " ard 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN ' OF BARNSTABLE r ;BUIL.DI'NG INSPECTOR APPLICATION FOR PERMIT TO i !TYPE OF CONSTRUCTION 19 l � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Z2�� - & Proposed Use Zoning District Fire-District C{- Name of Owner Id ,W 4, � C:/! /c r C� S Address Name of Builder 12h2 . 0 Address -� Name of Architect Address Number of Rooms U Foundation a�1b r O 19E3 Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost J Area _/UD Diagram of Lot and Building with Dimensions Fee © OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Si ipervisor's License CHILDS, WAYNE L. No 3`6�-45 Permit For BUILD DECK. _ Location: 32. Windmill Lane; Cotuit Owner'Wayne ,L. Childs I Type of Construction Plot Lot Permit Granted August 10 , 1994 Date of Inspection- I Frame 19' Insulation 19 , f Fireplace 19 Date Completed 19 x r jI 1 ` n. COMMONWEAETH OF MA.SSACHUSETTS , DErAKYN4: NT OF INDUSTRIAL ACCIDENT'S 600 WASHINGTON STREET' BOSTON, MASSACHUSETTS 02111 fames Car.=ei: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/per lace) with a principal place of business/residence at: (City/state/Zip) do hereby ceriify, undcr the pains and penalties of perjury, that: [ J I am an employer providing the following workers' compensation coverage for my employees working on this job. 1 nsurancc Company Policy Number [ ) I am a sole proprietor and have no one working for me. �Iam a sole proprietor, general contractor o homeowner circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number I am a homeowner performing all the work myself. NOTE: Plcasc be aware that while boroeowncrs who employ persons to do M"ntenanee,construction or repair work on a dwelling of not roorc than three units in which the homeowner a)so resides or on the grounds appurtenant thereto are not generally considered to be employers undcr the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a liccnsc or permit may evidcncc the legal sutus of an employer under the Workers' Compensation Act I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for.eoveragc verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of_r6minal penalties consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. , Signed this % day of 19 A _ Licensee ermine'e Licensor/Permittor b N 0 l O C A T 10 N:: ic /j '¢ SEWAGE P E R M I T VILLAGE s _ . INST A LLE,R'S NAME i ADDRESS � S 4-4 Av d U I LD E R ;: .. OR OWNER DATE PfR.MIT ISSUED Q DATE COMPLIANCE ISSUED AJwit t w {' H t. eo . V o- s '#•,,fir �Pfx`,A't'*°b�.`�T..., � 1. .. !` I a Y r F TOWN OF BARNSTABLE� BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE /'/Lfl JOB LOCATION Number Street Address Section Of Town "HOMEOWNER" �Ufc-!�1 rl,� C: � 4 Name Home Phone Work Phone PRESENT 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 such 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 to six 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, by-laws, rules and regulations. The undersigned ^homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three. family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control.. HISCS r y v HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for Permit is required shall be exempt. from the (Section 109.1. 1 provisions of this whisection a building r-. Home - Licensing of Construction Supervisors section Owner engages a person s ) : provided Owner shall act as supervisor. "( ) for hire to do such work that if that such Home Many Home Owners who use this exemption are the responsibilities of a supervisor (see Appendix uware that the for Licensing Construction a are Regulations ction Supervisors, s) Rules a g awarenessrvis and often results in serious orb' Section 2.15 Regulations -Owner hires unlicensed persons. problems ) This lack of against the unlicensed erson as it woulthis casepour1Boardlcannot when the Some Home Owner acting as supervisor is ultimatelyhresponsible licensed u erV1sorproCeed P The To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of thepermit '�"4ner certify that he/she understands the responsibilities that the Home On the last page of this P 11it" i ies .. You may issue is a foentlyrm se a supervisor. y care to amend and adopt such a form/certificatuseionyfor use lPtowns�r� community. in your ;4 , Revisk— Date: x. .:..::...: I i 1 x8 w/1 x3 Rakes _� I Cu White Cedar Shingles N F � O � .:�.:.. F m U r E LJ (ao J U.:2 s 1x6 Comer Board ��tr I ? 4 I t I �, 44 '` i*= i .... I Neporch Existing Deck 3. 0 i " a . : . 3. ` � I I O Drawn By: NAL• ` Date:03-09-01 Sheet Revisions: I Date: 0 n � IL 1 x8 w/1 x3 Rakes I', _' 0 o s aEi tjr �f o ~' White Cedar Shingles ' `o r — — co E 3 s ' E I o a.. c . f s i.:.. E ,.:.. _ 1x6 Comer Board I I I w d Ei { 0 Existing Deck 4e -,_h L U • U N 'p DFawn By: NAL ' � Date:0309-01 Revlsio : Date: U1.it 75 t TY I:�j 1 3 ) (�� E i i f i' 11 :. ) jf.0 i( E `. i i E Y t I f l 1. I ( 0 c t ,1 c T I I 7 ; � x s .,, fir h 1 Proposed Donner y o r$ � u S� cr z a O Eo S ;F �c r 3 of <El tM cu �t� �{ 44 21. C�C C 0 Existing Deck N FF U U 0 n. D—n Oy. NAL ' Date:03-0"1 Proposed Rear Elevation Scale:1,4•=1' Sheet Revisions: Date: i 36'-0" 2.0" 5•_7. ---------------- 16.0" 101.51. 2,_0, I 2'-g" 2'-10" 4'-11" T-1" 4'-0" 5'-3" 5'-2" Cj rn 3 o _ i .N v Cj E LL MASTER BATH "' a 15'-8e x T-11CO " I w tT o 3 "^ FLUE =p i 1 _ Proposed Second Floor o O o m a) o 2 Dormer and Bath o LIVING AREA � � I MASTER SUITE T3cc E 863 sq ft o I 35'-4"x 3'-4" y v w q 4 CU U 0/ L-- I `� J I g Full Height Ceiling Line j fi o - - - - - - - - - - - -- - - - -- - - -- - - - _ _ - - - -- - -- - --- - - - - - - - - -- - - co iO Q i o � I o U � I "MOKE DETECTORS 0 K 36'-0" I ODawn:. Checeea: NAL BARNSiA'BLEBUILDING DEPT. Dee:os isaz j Seeie:1'.=1' Sheet: A-2 Revisions: Date: i 36'-0" F 0 z Attic Storage 3 Q O LL C � � C 10 FLUE r 'p Q Existing �' m N — — — — —— —— — — — Bedroom -- - - - - - -- - - - - - - - - - -- - - -- - `n 20'-7"x 15'-6" t io E cc $ Existing 2nd Floor Bedroom J DN Unfinished Attic g 14'-5"x 16-6" - — — — — --- — — — — — — — —— — — — — ——— — —— — — — — — — — — — — — — —— — —— —— —— — ——— —— — — a j Q Attic Storage U U •O a` JN6®KE D 36'-0" LIVING AREA Drewo: checked, 863 sq ft NAL e t3ARNS1 LE BUMMIN©D S E cale::11 v4* s FT. Scale: =r Sheet: A-1 R.—..W.: Data: 36'-0" 14'-111/2" 8'-21/2" 2'-2" 10'-8" i U c g �l ¢ C) cu � m N KITCHEN BEDROOM N ¢ o 14'-5"x 11'-6" 10'-2"x 11'-6" O = U / F. 6 3 s `� € 0 o J cu CU j Existing First Floor N N j I � BEDROOM 13'-10"x 11'-6" ` N LIVING N E i 15'-1"x 11'-6" UP 0 o II P .. ' U d �- 16-7 1/2" --- 3'-6" 16'-10 1/2" F 36'-0" � SMOKE DETECTORS O.K. Drawn: Checked: NAL Date:08.15-02 Stele:1/4'=1' BARWAEFLE BUILDING DEPT. Sheer A-1 Revisions: Date: tm U I k U lL•I . 1� j j [�j is i T + �—I t!` i_ I� ]f�,y' !� 7 �'I.1 m. ' 14! �1 ! �L j �p J l li 1,1; f li,- I Jl! Il IL�fl17, 1i i4� r T. 1( lI � i .r '4 L ' ! F�i l lj.tl rr 7'. 164 -I1r IJI it � �. 1 a. �. l 1 T7tli i l' l ca l ' I 1 i�f I I 4 t 7 i ff� fy, 1 rla. 1 1 I 1 I _ L JI1 f,+fj ,. I i�-• _ ('(1! I ' �:.tJL �t (,u, _I yI-rr �rl .IttY,ILt J �TT`� t 1 uu I rills' J I 8 li i !'J I i. I 11 ,V Yt Io (i..... 11 I J 1 �u I li n i r I r I i l rT ] (0 O r`tf -�l ilTl!Tl I�Liar,!_ �.�. ,1..4", t� j i4U+�.. ,,.t.lr �t-� Il �l .i��.Il' I �.Tt�k,tl' 1,.1 �IJ.-LL�,� .ill (6 U v 7 t7 1 !1 4i r''`I�-�Y" ii lr �.L J�11. ii y i I t. L-r l� i H it i 11 i1'tlift I!, �!' i- 7-777. 44 I -= 44�� _ .-� O - NEW U SM ii;I MTReauummENTS ARE NOW LAW, EVEN THE ADDITION OF A U NEW BEDROOM WILL TRIGGER AN DETECT®R5®� UPGRADE OF THE SMOKE DETECTORS 2 FOR THE WHOLE HOUSE. YOU MUST a SMOKE PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE APPROPRIATE u�4oiNG oePi PERMIT FIRE DEP AT THE BAD T g1.E B ARTMENT. Drawn BY: NAL Date:03-09-01 •: Scale:1/4'=Y Sheet: E-1 Permit Number MECcheck Com fiance Report P P Massachusetts Energy Code MECcheck Software Version 32 Release la Checked By/Date TITLE:Bedroom/Bath Addition CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 12/20/01 DATE OF PLANS: 12/19/01 PROJECT INFORMATION: Bradford Tracy k 19 Great Hill Drive West Barnstable,MA COMPANY INFORMATION: Kenneth Sadlert Associates P.O.Box 1149 Hyannis,MA 02601 508.790.3922 NOTES: Calculation for addition only COMPLIANCE:Passes Maximum UA=115 Your Home=114 0.9%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 216 38.0 0.0 6 Ceiling 2:Cathedral Ceiling(no attic) 325 30.0 0.0 11 Wall 1:Wood Frame,16"o.c. 256 15.0 0.0 15 Window 1:Wood Frame,Double Pane with Low-E 27 0.310 8 Door 1:Glass 38 0.310 12 Wall 2.Wood Frame,16"o.c. 193 15.0 0.0 13 Window 2:Wood Frame,Double Pane with Low-E 24 0.310 7 Wall 3:Wood Frame,16"o.c- 169 15.0 0.0 10 Window 3:Wood Frame,Double.Pane with Low-E 35 0.310 11 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 480 21.0 0.0 21 COMPLIANCE STATEMENT: The proposed building-design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been` designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release 1a- The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1251/6 of the design load as specified in Sections 780CMR 1310 and J4.4.: er Builder/Desi l•� •fir s—� � � -- - ���1�«2 � .Date * r IMECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 12/20/O1 TITLE:Bedroom/Bath Addition Bldg. Dept. Use Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation Comments: [ ] I 2_ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] I 1. Wall 1:Wood Frame,16"o.c.,R-15.0 cavity insulation Comments: { ] I 2_ Wall 2:Wood Frame,16"o.c.,R-15.0 cavity insulation Comments.- [ ] I 3. Wall 3:Wood Frame,16"o.c.,R-15.0 cavity insulation Comments.- Windows: [ ] I 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No Comments: [ ] I 2. Window 2:Wood Frame,Double Pane with Low-E,U-factor_0.310 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break`?( ]Yes[ ]No Comments-. [ ] I 3. Window 3:Wood Frame,Double Pane with Low-E,U-factor.0.310 For windows without labeled U-factors,describe features: #Panes . Frame Type Thermal Break?[ ]Yes( ]No Comments: Doors: [ ] I 1. Door 1:Glass,U-factor:0.310 #Panes Frame Type Thermal Break?[ ]Yes[ ]No I Comments: Floors: [ ] I 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-21.0 cavity insulation Comments: Air Leakage: I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and scaled or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented fiamed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided- Insulation R-values and glazing U-values must be clearly marked on the building-plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table MAT 1. I � Duct Construction: [ ] ( All accessible joints,scams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 118 inch. Duct tape is not permitted- The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required for each separate HVAC system_ A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and MA I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock_ Heating and Canting Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. fable L Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulatiniz Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25' 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1-0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) I MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # x MAScheck Software Version 2.01 Checked by/Date CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-3-2002 DATE OF PLANS: 08-10-02 TITLE: Childs Dormer PROJECT INFORMATION: Childs Home Windmill Lane Cotuit, MA 02635 COMPANY INFORMATION: Lagadinos Building and Design Inc. 13 Thankful Lane Cotuit, MA 02635 COMPLIANCE: PASSES Required UA = 301 Your Home = 291 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 864 30.0 0.0 30 WALLS: Wood Frame, 16" O.C. 1530 13.0 0.0 126 GLAZING: Windows or Doors 165 0.360 59 DOORS 85 0.400 34 FLOORS: Over Unconditioned Space 864 19.0 0.0 41 HVAC EQUIPMENT: Boiler, 84.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applica Standard Design Conditions found in the Code. The uipment se ect d to heat or cool the building shall be no grea r haneq 125% t e esign load as specified in Sections 780CM 1 d 4.4. Builder/Design Date MA.`cl�eck INSPECTION CHECKLIST Massachusetts Energy Code ~ MAScheck Software Version 2.01 Childs Dormer DATE: 9-3-2002 Bldg. 1 Dept. Use CEILINGS: [ ] 1. R-30 Comments/Location WALLS: [ ] 1. Wood Frame, 16" O.C. , R-13 Comments/Location WINDOWS AND GLASS DOORS: [ ] 1. U-value: 0.36 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] I 1. U-value: 0.4 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT: [ ] 1. Boiler, 84.0 AFUE or higher Make and Model Number AIR LEAKAGE: ( ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors: MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can r� be•determined. Manufacturer manuals for all installed heating , and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: [ ) All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time .clock. [ ] HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in.) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 Low temperature 120-200 0.5 1.0 1.0 1.5 . Steam condensate any 1.0 1.0 1.5 2.0 COOLING SYSTEMS: Chilled water or 40-55 0.5 0.5 0.75 1.0 refrigerant below 40 1.0• 1.0 1.5 1.5 [ ] CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in.) : PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1.25" 1.5-2.0" 2.0+" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 r Front Elevation E V `VI/ N Back Elevation 3� Right Elevation 12'-0" 21_011 21-011 2' '-0-6". 3 " 2'-6" 2640DH— — _ _ —264ODH— — I - I o CO 0 I I N N I � I I � I I I _ CD ————— — — — 1 — — — - - ao I I � 00 71 1 -(. 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