Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
3985 MAIN STREET
i // u � / �. z!T x6 rn "'['b,ccl.,,.t llTf� @'.flfl�di, r irFj,.�)) {p apy�ryj�J 1' .('.r r I���g"/ ,�X• r s +� �L ll." - ..Y *n YF d;,1{, PAfAi Tj E�ir1 •li, 'L1Yae Ie�+7f" Y,,II+r' �>' ri+, M-7 ., b �A: .'Sr /+1 r., Gj.J.i 311 { 1 AAA- �i "(} {,L @�Y�•'Yi Jj+y F �, h; t K 'fy�@"�j)d "�� . `f,� { f>, rl yvr 1 �:' R {. 1 T ,i •' 'fR ry L 1 Pk,.. 1 +N y�jI '4` 1 `..v,ram/f A �d�; : i ; fir ! t w} . ' ' ,, f _s.. ..@ ���.Y_rri.¢: -.JS"f}.P-T :. t +@ X,! �. s.l. @t.}]. rt'� re.sa. ,.r ..t. > .. k i. r . 1 =. , f �' I 3 5 t: , , : ,i,ti .r f 1 i 2 A `I 1 f 1 A t f ', tt f %Y F: ! I f A f !, E { t j sf r n b �', 's_, ..t:.. ,a ;6 a ,.. , ,, f .+,:i. .o,. ,v..t ., .,t.. 7..: :,...,.. t - 4,5, ,:-.- x.. ....,., ,. S 1.....:.. A. xf.. I..„4.: 4,.� s1,- ....-. >.r,tl: �:,...,,:.P �::..,. .. .... t , t. y'• t� ti. ... '. , ,. _.. .. .,. .,.r .- t,,.. r r; ., , f ,s r 3 h . ; , x,... .. e,.. ... i,.: ,5- .-. ,,.. ..., : , .SL. a t ,. .>,..(,a s 5�„ ., t t. Y.... ,� , , di. v r N.b.,. ..6 f_ ,..K.. ,.,`�. .: ,v. of .. f. . < ., :-. .'F" .� ..r... �` A,. ... ,.. N"'111, .. i..1. .l a r. a ,.. :t ,+ .�. i «.. t: .. 5,. 1.. , .,.r ,. r ..,......,,.- t.:. ,.. , ,, .:k... ._.. s 7.. ,..L. x. ,..,.a., a.. >7.:,,.. t ,, ,..r ,i,. ,.. � ..:.. ,. ..-Y;:. .,. �. ,v,.,., f ... , s .. .., .. .:.. ..,.r r t .d ,_ , _ o c G .. a #t u.. r I .' „ „ ..,._.,r,,d. o.. ... ...: .^4 ...,._.. .r .a ti..o-rl ... t -., 1. 1 F �. .. ',„ .,,^ .,t. , ..,, ,� 3 �. t .... t. ., .s sns .., a .. �. :-,,. Y ) ., 1°: ,.. t. ,. ,.. ',. ,'" .. ...'. .-... .. t. ix. t ,. .., r... ,. P., ..--.,is... ., r a ,... , Y.�. -e �..:: . <...{-.. ,P€yff, z - {. n: ..., SS - -, 1 .,,,,.,ot 1...,:,. ._.,, r. ... ,y .,: .. .f i r,;.. , .#... I ,1 n..l.. ..., F .. ,., :, s:AA t .,.. ,.., d' T.. ,r, ,., , , x, . '- ,. lar,. i ..x. �3 t ,.f ,.,.,.. r k.,..: L.. ..,, r.-, ,... + M a .. , .1 F .. t r 1 . . _. , ,. -�,,,., �%.. :...k,.. . .}... x.. il. ..Y,.,. �1 ti v.,, 4.t.. ,t- fit. t > -.r r <s. .., :.. I ' #, ,.. .�,, .>,, .1 n.. .1 .. '..,. .. ,.c e.. it: :. I.. ..v. i. .a. 2. .s. .,. ,.. .-.. _ ., .. ._ �.. ,1 `�. .._. r .. .t _ 1 r, ; ", :du._. t .,-.. t. , ..:.,, , - .-...: -., p s _e a..- t,. .r , <. ,v _. ,. ..,, ... >. v. t ., .. ,. :..-.... r, ,.....a- >3. .,..,c _.., a _a @ _>.. ,.,... ,,. r .,.. .'n , ,Y.. i, .. R n C _. .r ,.2......f i. r.,. ... - ._ . , 5,, _,.,I::., .. ..S. ! :tom e. t.. x a,. . 3 r.+ ,3 1 4,n K, d e t 5 '�' ,.4. 3 {� ♦ r .... r , . 1 F fi.x , , ' - ' t,.,4,1.,..., a 1 x. . a,f. ��. t f,.. Y ,, _�... _.. .t a-. !.,t ._,. < .. .. .i . t.. _.,:., ,.. a "... , f. ... e i ' ,. t.,. i. x.., ,YrA dt ... �_..:.._. ._,. _... . _1- .,.. :-r .+ _,". _ �,. Ya �.: ,. r tt a.. t.. . .s. ,t .... �. a . �.. ,. .. i., .., f K, _ !, i F, s.. t f_. ' .. ,.i. rr,. _ r, ... ,... 3. ., - r. s , , .. .. L .,�t, c _t:.l .'.� .. £ 3. .,. t. xt"s. ..,..} ,J .t.. .t.. 3 z ,.:... ,.. ... :.:.,,...y t,., ,. �.. I. ., . J 1 f?� 1. ) - t -u ,k c tk .. .,-....1... f.t.. , ..4,...:..-.. :,.A.l.. �, .. .. 1.i::. ...... ,. , ' .1,, .. l-. -..t.. li,. a} .. 3.a. i. 1.. ..�,. >.. C..-.1, e :. t. :�., t .. _-r .w,< �[ t. 1, y� l,5.: 7..'t .. r ... „,.. ..,1 .s ...1.. '..r a ,.pI> t :..,1, .. - . , aa, :, _ ) _. s r a s,. ,..:, . ... ... . { s __. d ,e• .. y .. .. ..r.x } ., ,:. r , _ s ...,,. s,_ , . v E. r. . >� i. �:i r a. .. � r ( r >..n.„ }. , 1 e. +.t ,2 s,.s..,F,a r .... i,.....-.:tG ..., .. V. , .. .: + y ! S- .fix. >. <...1 n..1..... I.., it ,._.,.T , a. �` A ., .. ..t ._ __t v.. r .. , ... .. I 1. ... �. -.N. a,..,. ,�GT + n ..t. n 7 .l. s .13. .. .. ...:f x,. -.n. v t: )Y... .. 1. .. ,.r. ,. a.,.:. ,.. J.. 'd� ....n " f -0. r.cc. �c t.. . , , :..,1'. _.. ...:. r" n. r t. l 1.: :., ..f .5 Y i #' .7.. .. .,'! . ,,.. ,....,F _i @^ 1.4..:......�. ,.... rr.... wl.. .r..:,s F r.. ..,.,._. t .. _d t E, .. .t u, � ,. w.: .. :.... D r t .. .,. .. ._.4 ..,r:. , is .E ztyp p a. _.y., e k f. . .v. ( r .?.u4 C � vp. .,��.'S,.Z.'4r r R 1. ,. : .1.- :. , s:.,_e,., '' ,:.,t. „ .,t 4K z SSV .`LF :, . .. .. ,f:,Ti 4..:3.L.: s. .-a ,...k .....,,.t. ,.... ..l t-fin ,i.Y. ., , , ,. ... i , , ,. -.- r t. , - ,. , , .. q 'tp,.,.., r.. ..P.�. e. s .: i..i e... c.. A, F f:. , k .C.. a. :.v,,.,l. ..,,, ,.-.::,.. ... ,. _.. ,-.,- .,F.: t . .: f. _, ,.t v„...,,d, 1, :,`l.l.h': Jkct:, :x4.:.. ..,, , _. .s..i rbe.,., :7 't .,, d 6 3 �., i.. ,� 'C N } f 3 „ t t. , A:., .k..,. .t.J'.: .. r, ,.x} :: s .t..t' R .. . r, I.... .. .. # .,.Qs ... S a.., 4�. r r�.tr. d ,.. ... a :.,.,, 1< , a t, .�,. G..1 �. ..;,. . ..'£� .. ,, ,...! � (� ,II t1.. ..., . -:. a,.. , , i-,:., ' Y. g ., I ,.. .., i .s F f'+• , d -fie,-r. y 4 ...; .:! a .,t.. @ e.,, :.L .... a� .^Y .,. .,..�,. .,...:d ':j .r a,. v. t ,.a.:. �,...,Y:,.. s ..._s... ,,. ,... 11 ., .a. t .1 .,T r.. ... i.. .. .. ...:.,. . r , ,-. �,. . �. p�$... r, 1. A.. Y � f. .,,_ ,..,._ r .a .:.. -:. �-�rt.., t ., ..�..,_ ._.,.::a,.. ..., 4,. .. .a _.:e.. .x.. ,-4 .,..< .P.. ., .. . �$.... x .. ....fir. r.,. .a ... ,...,- 7 -..._ �x .Axle a. t -k .-r. , l - .r: .:: x,5. .y V f..'Y ..rr. : .£x:: p .... .. ..:dh a4 ,;.. 3 r , .. -.,t ,,. .A.�., _::_.:, _,. ,.,#,,, ,.: ._. .i _,.: r. ,.. .. h . .. . :' I .. . ..> _. 2.. S :{., ,,7t...,r, fG?. i a .d P :..: .1... k »: ,,:: fr.. 6 : #t. !,:r: 7 ,A , �.. t, X-.. �. Ft, :s. # . ., .b .ihw. _.. '.i` .: _°lt .y : A. ,.;.. 1 "'4{, d: ♦- _'r. a .....x ..+n: f: ,., :. ft' 7; t a. ,.., �,. F Tv7. .1 .F !' 'x... :f a .i.... .Z.! A .... _. ., .t.-.,,... 1.�.:. .. .-.:, a.,. ;.. , -... .. .. ..,v Y .. ,.., : ( $',.,..... -x. J, ..> .. `a.:: yr_ . ,. a - ... e, 4. ..@ -.,,6. ,,..- ,.r. t t z. _ ., .: ::.r- _ , 4 -:, ,-,A{# a :,-.. n _.'r4 't - a, A. a r. 'y-.... ,...a a. r e. .,1F .,.. t.. � .. a ' :.;, ( s.: ., ::, ;:: p ♦ fl ♦.. fF...�.At, ln•.♦ .,.. 7 ..V t. .3 n ..1 "... a.,... .4. ,-. t-,.:..-:. -E ..kti.. r a..._ ,. .A. . x.. .z , f - , , ,.,,.; r 3T.._tg a-.,.. 4 ,t... .. ': :. , .H / ..LY e, :,t ,. ,., a..,...... 'q.' .-,:v .... r-s' a sf -.,..e i a,. .�.. s-.. <• „: i. r6 ,�., , ..,..�. t, a f t; �k ,_ ,,, y. , ..,. ._ x „. 4 , t t_..„. •. £T 1 I... ...,fr ...5.. '.t �....-v. ', .,.,,c't.- .,:,.. t..l;.r: .. )' .::F .. t ,..s i-'.., r-... :.., t. .Y..._).(. li ..,le ., ,i < ,..11:. 4.,...:,t9! R: r` ,. a ,,..,. .... ,� d. -., k , 1 , ..l ," z t 4. .1 L ! t- ..,,..... S 3 S d. .,.(F.. +� -1.r. sa:. 3<:....µ.. ..v.. ,..r ,a 1, , .-:,r i. _ Y. ,. C x. - . a .F )t ., .Y.. .. ( ,t .1, e. k ..r ;,r ,f.. .,kf. :.:. ... i +t. ..., 3 Y 1. .. C M. .A...... ,. ,:.. ,. ,, .. r:s :.,, s: ,..,:,. n} !..... <1. i .... F !t .,,:: ..S. :..: N ,,. M , :. ^. ..1n t ..., .., 2. x.:-..a{� 5.x.. ..a .>1��i.., ...a ,.,., r�':. :f.�n.-,.1 r 5�. .r.. .. ., I .., .. ... ,t \,, ..)<,. ,e 3 (.i.. .i.., n.Y.y ..h Y. -.3 ,.:fix i.R.,:� ,t ...,.. .r..::. . .. } ( ) u ( t .,.r. kg� T . .. y E, ,, It.. .::, i ..i. s, i.. .f ., .. ..a..,. .: ...... {V .. .. ,1 ...:. _ .,�, ., _r A�. ,. ..Y AR ��ay��.., �..,.... .. ., f f..., 3 , .... ,,,.. ....A..., N... .. .... r,. .. xt. 7„1_y .,.. .eT Y.t.- w.: ,.. � .. il'f ..:.,., k _ :...3 ,. ,,:-,.r .. t:.. ) ,.. �. I .r. ..�a+> ,, e...:•t..,. r ...., f ..r: 4 ,t.. .t. ..as �� ... ,....r. ..< a .:,. 5.. ., ,..:�.. „ -.. .: a a ,r, 3 t?T.. x�t.>:Pi P .:..L ., y.na„ ,f.. ,.. ..., r r ..,, 4 .,..: l a .ln. t.z-. -.. -.v,.d .A A.,. _ F. c....'1 x:!- .. x -:-..2,. , ..tea ,:� , .. ,,,... ,,.. ,... a..., .. ..,... .i.. r l..x-. ..,...t .. 4..i:.. .,.,. a :n. r @`,,,. .:.: .5. , c , .. r ... ,,. ..,., -_.6 ,..1 ,,; ,k=: xr st c 3.. .� r�.}. ::.,lit ,. .-"I.,.... s..... r, ... ,,-- -, - ,. :,.. .., ., v. .f{t t �. a ;. §. 4„ xtf g, .., K.. >.f, r. k,. a >:.,, 1, ti t. k. .,- 9t ., ...F. -a.. _ ,r.,, .... f - - ,....:/ 1.:."v' It S y;£ "�.:l:f ,+.s .::+4 .! t;:-.:- ;" 1, , ;...1 - i .t, n t t 3 t�. {, t a .� r f' t t f i i 6; :1 p :•t .f�� 1 Yt.. .-. ,.. .. .. .r.. ..,..I, v .,,. ...1... , �.,.,,: .. ,. .r .,,..,.:' ,. .,.r� .,3. ...1 . ,.I ..e. , ,...,.. r... F. 1 1 3 'S Y S', ;% t F -.'.t C' f t J t . a ! ., y3yE[lp da pp1,9 i i+}r�t,f'4 t5 i t,r t ,, it '.'t '�t - r` &r.7,.1.hi._wr4 tf �,ifee;':4'1�^�£pi t 3 { �t _ + 4 -t. ,s£v^@„1`.'..,, E $ i ,t,,, �'. - Nt-r:.4fa'.aiRl'.."...'w.rr-`.-® S.T.: •v 1,". „ r xr}tw: _„�,:1 1., _. " 'n_ti.i.t_:.2�a:.4dMn "L via.,e.r..N>..SJ,'.. _ -,an4 i.! n..mk'd.fA',4. ...�_ ea'' _ 'h Y,..,.,.. 1.. x,Nn Yb ru FFI!,un,..xwfh!.. ,.ri.t,ra,ALly 11.A .,J',y lek it i_ta. s!_..s 'karye---A&--- `u"gv, - -. _ . Town of Barnstable Building - Post,Thrs CardSo That,�t iSV�sibleuFrom`he_Street .Approveda":Plans;Must be Retained on Job andahis Card Must be Kept �R; RA MSTASM - .,.aim i63 te d Pos Unt�l'F al Inspection Has BeenMatle y z �1Nhere Not be a Certrficate!of Occupancy'rs Req"urred�sach Buldmg sFall Occupied until a%Final Inspection has been m de Permit Permit No. B-18-3821 Applicant Name: Neal Holmgren Approvals Date Issued: 12/18/2018 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 06/18/2019 Foundation: Location: 3985 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot 335-033 Zoning District: RF-2 Sheathing: Owner on Record: ALLEN, DAVID H&KYLA A Contractor Name: NEAL F HOLMGREN Framing: 1 Address: P O BOX 462 Contractor. License: "CS'-088921 2 CUMMAQUID, MA 02637 Est Project Cost: $26,640.00 Chimney: Description: Installation of 22 Lg 350 watt solar modules.to be flush mounted on Permit Fee: $ 185.86 three roofs. 7.7kw Insulation: Fee Paid':' $ 185.86 Project Review Req: } Date 12/18/2018 Final: Plumbing/Gas Rough Plumbing: "x. Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the=approved construction documerits"for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall�be in compliance with the local zoning bylaws-and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public I spection for the entire duration of the E work until the completion of the same. - ectrrcal Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Bufldmg,and Fire Officials are provided on_this permit. Minimum of Five Call Inspections Required for All Construction Work:;' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable Building Post This Card So That it is Visible`From the Street;Approve&Plans Must be Retained on Job and,this Card Must be Kept v.. '""` l .Posted Until Final Inspection Has Been Made._ Permit .bs .� -° :Where a Certificate of Occupancy is Required,such Building shall Not be Occupied''until,a Final Inspection has been made Permit No. B-18-3856 Applicant Name: Craig Bishop Approvals Date Issued: 12/03/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/03/2019 Foundation: Location: 3885 MAIN ST./RTE 6A(BARN.), BARNSTABLE Map/Lot: 335-052 Zoning District: RF-2 Sheathing: Owner on Record: BROWNE, MICHAEL D& MCSWEENEY, Contractor Name: Craig P Bishop Framing: 1 Address: BROWNE MCSWEENEY REVOC TRUST Contractor License: CS-109777 2 BARNSTABLE, MA 02630 Est. Project Cost: 5 520.00 J � Chimney: Permit Fee:Description: Air Sealing&Weatherization 85.00 P g $ Insulation: Project Review Req: Fee Paid, $85.00 Date`. 12/3/2018 Final: Plumbing/Gas Rough Plumbing: g Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents,for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street-or road,and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. r - Electrical - f The Certificate of Occupancy will not be issued until all applicable signatures by the'Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT S -�- Application number.. . -Z.0........�, .. .. .... Fee .............................................................................. c g$; Building Inspectors Initials....9.D..'.. NOV n 12018 Date Issued...!. ................ ................. .. . TOMA 8AHNS-IABLE G Map/Parcel....�.�..�.............. ........................ TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: .2 ,g NUNM STREET VILLAGE Owner's Name.-4 Je— lien Phone Number Email Address: Cell Phone Number �i7 (/0 Project cost $�l `" Check one Residential ./ Commercial V' OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to.make application for a building permit in accordance with 780 CMR Owner Signature: ., ,� Date: TYPE OF WORK t 0 Siding E-1 Windows (no header change) # 0 Insulation/Weatherization © Do (no header change) # Commercial Doors require an inspector's review Eg"R"oof(not applying more than I layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's nameA)QrC:L,,L Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# �S ��/ (attach copy) Email of Contractor = LU-each J' Phone number Y ALL PROPERTIES THAT HAVE STRUCTURES O R 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ I *For Tents Only* ' �... Date Tent. will.be erected Removed on number of tents total Does the tent have sides? Yes No '(If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No E. Flame Spread Sheet of eachtent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature ` Date .PLICANT'S SIGNATURE Signature `� �� r Date/ ,? r `All permit applications are subject to a building;official's approval prior to issuance. Fr 4 The Commonwealth of Massachusetts -i Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): "_ e4Z� Ai6 t Address: 3 oZ cs& w • City/State/Zip: ��I " Phone#: Torw 30� 9 ct, Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd and r•the i nit�nahies of perjury that the information provided above is true and correct Si ature: ' - Date: Az A X V Phone#: ��� a Y a 7 a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions ; Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implieA oral or written." An employer is de ed as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing enga ,ed in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of ansmdividual,partnership,association or other legal entity,employing employees. However the owner of a dwelling hour;having not,morezthan three apartn is and'who resides therein,or the occupant of the dwelling house of another who employs persons to do maint ,ance construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not b ause of such employment be deemed to be an employer." MGL chapter 152,:§25C(6)asscostates that`revery state or ocal licensing agency shall withhold'the issuance or renewal of a liceuse'or permit fo operate a business or t constructbuildings'in-the commonwealth forany applicant who has not prod uced'acceptable evidence of ompliance with the insurance coverage required." Additionally,MGL chapter 152, §2Lce )states"Neither a commonwealth nor any of its political subdivisions shall enter into any contract for the perfo of public wor until acceptable evidence of compliance with the insurance requirements of this chapter have been\ resented to the c tracting authority." -- Applicants Please fill out the workers' compensation a davit coin letely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), dresses and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies c�cw or Limi ed Liability Partnerships(LLP)with no employees other than the members or partners,are not required to kers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that s a davit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. so be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for a permit or license is being requested,not the Department of Industrial Accidents. Should you have any questio r arding the law or if you are required to obtain a workers' compensation policy,please call the Department at � e n ber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit.is complete and printed legib1y. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current ' olio information(if necessary)and under"Job,,Site Address"the applicant should write"all locations in (city or policy town)."A copy of the affidavit that has been officially stamped or mAed by the city or town may be provided to the applicant as proof that a valid affidavit is on filelfor future permits or licenses. A new affidavit must be filled out each li year.Where a home owner or citizen is obtaining a license or permit not elated to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT require to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax n ber: The Commonwealth of Massachusetts Dent of Industrial Accidents-,, offlee-of Investigations i 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 V;WW.mass.gov/dia l - ��e tpoa:rir�za»vcc ealC�a���ta,��ui�e�� f . /> Office of Consumer Affairs&Busmes I t1ai� °; •� x HOME IMPROVEMENT CONT; ; ` gistratlon i�alitl:foPIndividual use only — TYPE Indlv�dual 'ti Ir tY $before the,expiration date. If found reYurri to (iegistratrc —irat I ? _5 " � fflce O m .f Consuer Affairs and Business Regulation ,�, � i act ti' 05/26/204?t��i� piston;MI\a02s16 uita 5170 MICHAEL J DINOIAFiI MICHAEL J. DINO�IA — 32 OUTPOST LN a _, f r `r Not ali ithout signature CENTERVILLE MA 02 u Ujde{secretary - ... .. ......_.. _. _.m Commonwealth of Massachusetts Divisionot P,tof6ssional Licensure Board of Building Regulations and Standards Constr.��ti't�0f�t5 rVl p CS-058441 fit°"„ 4pires: 10/15/20h19 $N I I MICHAEL J E t JOIA N Y , 32 OUTPOST L i O CENTERVILLE M 02632 r; Commissioner h a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application-# Health Division Date Issued 02 A Conservation Division Application'Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 2 �~ Historic - OKH _ Preservation / Hyannis � II Project Street Address Village C U cflA.iMG.(?tip d ,Eo_rn�S"�e Owner Da.�/i j A i te,�n Address SnAm-,t- .,.s r,, oye Telephone .<0 9 36'1 0041 / Permit Request Kef�cg e_ yorn�' ,Pyrc� Q�,S , ray (iy\c, sp1v�c�,VS laI irO 1o&r I Aci Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay LA Project ValuatiA� OO 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 0 s Historic House: YB e's ❑ No On Old King's Highway: 0/Yes ❑ No Basement Type: ❑ ®Full Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Autho rization ❑ APPeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name K y(a N4 61 t e y\ Telephone Number s c -,3G'x,1 061 Address 3 K g�- M Cut St License# / Home Improvement Contractor# Email I- le,ot" ill tiac( P com Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 J ,Y FOR OFFICIAL USE ONLY s APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE .r �f 4OWNER s DATE OF INSPECTION: e FOUNDATION FRAME INSULATION 9' r FIREPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL ti FINAL BUILDING T; r 'z DATE CLOSED OUT ASSOCIATION PLAN NO. t a 5 2lie Comynoyrivealth of Massachusetts Departiaeut afIndustrialAccidexris - -— Of-re of.£mwtigations 600 Washbigion Street Boston,,MA 02111 nwn ma-mgm/dui Workers' Campensatian Insurance Affidavit:Builder-JCiantractGrsJEIectricians/Phunbers Applicant Infm-maf an Please,Print I*--blv - �-� SSauiza�ionfInda3��ii I A �I I'�—� A I&ess: J I � 6 � IA� iCitglstl i-Vz p -CV � O,Cjj id 64-0 O 6 Are you an employer?Check the appilpriate box:, Type of project(required): ❑I al ft d I 4. am a general conracor an 1_[I I am a employer with. 6. ❑New construction(full andlor part-time)-* have hired the sub-contractor 2.❑ I am a sole proprietor or partner lasted on the attached sheet. I ❑Remodeling These sub-c=tractors have slop and have no emplo��ees. $. ❑Demolition woddng far Sue in any capacity. employees and have workers' o worlceis' c+, insurance comp-insurance:.$ 9. ❑Building addition mP 10Q_ Electrical r or additions equired-j � 5. ❑ �fJe are a corporation and its ❑ �s I 3_ I am.a homeaumer doing all work officers have exercised their 11.❑Plumbing repairs or additions rarysel€[No workers'comp- tight of exemption per MGL 12.❑ ofrepairs su inrance retuned.]i c.152, §1(4�andwe have no employees.[No workers' 13_ Other j wod comp.insurance required-I bit �V -F" ®'V'C IA `Amy app€icanYAstchecksbox ffl must also fill out the sectioa below shawmg thenwo&ere compensate npoRUiafoamffdao- #Homeowners who submit tires affidam iudItating they are doing mU woA and then hie outsides contractors nmst submit a new affidavit indicating saclL fCaatractorsthaR check tL i5 box mast attached aII additional sheet showing the natneof the sift-ca m=Aos and state whether or not tbnse enmitiesbave employees.Ifthesub-coat nams;have mnyloyees,theymustp=dde their markers'"comp.pahcg number. Lam art eiitpLoyer tliatis pr4n dL-ig workers'cotrgwrtsattorr imnirance for my*employwes $etoty is thepoUcy7 and job site information Insurance Company Name: 'Policy#or Self-ins.Lie_ k ExpirationDate: Job Site Address: city/Stated ip: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and empiration date. Failure to secure coverage as required.wades Section 25A of MGL c 157 can lead to the imposition of criminal penalties of a fine up to$1,546 00.andfor one-year imprnornnent,as well as civil penalties,in the form of a STOP WORK ORDER and a fame of up to 0-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Itr4rest gations oft the DIA for insurance coverage serification- I do hereby cartrf p ria_ er the pains arrd penahties ofpetjruiy that di irrforerrrda prin-i&d abmv f is.bw and correct Sit nature: Date: P Phone o $ - 3 C�" - D U 6 027dal use only^. Dm riat tvrite in this area,to be compWad by city artenm oociat City or Town.: PernritJLicense# Lssuing A.nthority(circle one): 1.Board of Health 2.Buflding Department 3.ttyjl Town Clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Monet: �I Taformation and Tastxxxcbons Massachusetts General Laws chapter 152 recgm-es all employers to provide woIk,b11 compensation for theiF employees. p to this fie,an\e7=Inyze is&fined as°`_.every person m fhe service of another Under aay contract OfI>ae, egpre sir or mrplied,oral or An employer is defined as°`an dividnal,partnership,association,corpondoh or other legal entity,or any two or more of the foregoing engaged in a Jo t enterprise,and including the legal represe4tafives of a deceased employer,or the receiver or tustee of an il"I pact mmhip,association or othierlegal entity,employing employees_ However the owner of a,dwelling horse having n t more than three apartments and who resides therein,or the occapant of the - other who I eisons to do mamtEnauce,co ion or repair work.on such dweIling house house of an p dwaIImg e�P or on the grounds or burldimg appurte the:mtn shall notbecause of sachi employment be deemed to be an employer." MGL ter 152,§25C(6)also sites tTiat"every state or local Iic " ' agency shall withhold the issaance or renewal a f a license or permit to operate business or fo cosisfz uct biEuZdings in the commonwealth for any applicantwho has notproduced acceptable videuce of crimpliance the incurance.coveragerequired_- Additionally,MGL chapter 152, §25C(7)stars either th r,comma ralfh nor gay of its political subdivisions shall enter m,`o any coaiiact for the performance ofp c work uniiL acceptable evidence of campliancewith the insrrrnce. rPz Mew of this chapter have been presented conixacting oaty." - Applicants , Please fill oil the workers'compensation affidavit co Ietely,by e_-T idle boxes that apply to your sitnaiion and,if necessary,supply sob contractors)naole(s), addresses) pho numbers) alongwiththeir certificates) of insrlrance. Limited Liability Companies(LLC)or L" i Liao Partnerships(LLP)with no employees other than the merhbers or partners,are not requited to carry workers'co e ation inset nce. If an LLC or L LP does hate T a. olio is Be advised that this affida gybe snhmit--d to the Depaz-invent of Industrial �P-oY�� policy . Accidents for confrrmafi � on of coverage. Also be e to sign and date-the afdavit The affidavit should be rzA=-_d to the city or town that the application for the p or license is being requestr_d not the Department of Indnsfrial Accidents. Should you have any questions law or ifyou are rupired to obtain a workers' compensation policy,please call the Department at the Crh " below. self-insured companies should mttr their self-msm=ce6 license number on the appropriate line. City or Town Officials f _ Please be sore that the affidavit is complete and p . legibly. The D ailment has provided a_space at thie bottom of the affidavit for you to fill.out in the event the O cc of lavestigafions to contact you regarding the applicant Please be store to fill in the pe�ztllictmse number "rh will be used as a furence number. la addition,an applicant that must submit multiple peffiitiUcense appy ors in.any give.ye ar,n only submit one affidavit mdicaf ag c=nt policy in,�rnation(if necessary)and under"7 Site Ades"$e applir�t o71d wute"aII locations II (may or town)-"A copy of the affidavit that has been fficially stamped or marked by e city or tows may b e provided to the ' applicant as proof that a valid affidavit is o e for fut re permits or licenses new affidavit must be fiIled oirt each aPP - year.Where a home owner or citizen is o a license or permit not related any business or commercial venture (i.e. a dog license or permit to burn Ica etc.)said person is NOT regffired to complete thus affidavit: The Office of Iavestigafi-ons would e to thank you i a advance for your cooperafion and.should you have any questions, please do not he:shate to give m a ; -------------------- The Department's address,tel one and fax number_ De_pa meat caf lndustzal Aocidenta Moe of j1LVegUgRtio-u,% 1 IAA 02111 T6L 4 f l7 -49W t�xt 44)6 Qr I-9 MAS E Fax#617-727-77,19 Revised 4-24-07 � .mas �Qtrf�a Town of Barnstable Regulatory Services P4oFte roiy� Richard V.Scali,Director t Building Division < FAFNGTARj,�iy « Tom Perry,Building Commissioner - 4$prE ���� 200 Main Street, Hyannis,MA 02601 www.towrt.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print TOB r_ocAi-iox:� � v a- L/ number ,Q street C / village i {"HOMEOWNER":� CX �OlV i� .Y l9 d� name //'�`�1 home cp�hone# work phone# CURRENTMAIIINGADDRESS� Iv d� _ C1VVI� — V:\ -- 0�—(03 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 undersign "homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced and re uireme and that he/she will comply with said procedures and requirements. i _e of Homeowner,,,,_ tApproval 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 shah 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,RuIes&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 fuIIy aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q.\WPFII.ESTORMS\building permit formsTYPRESS.doc Revised 061313 IHE ram,o Town of Barnstable Regulatory Se 4es RARNSTABiE Richard V.Scali,Directgr I 1639.c&�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 1 Fax: 508-790-6230 ' Property Owner Must Co plete and Sign his Section If Usin A wilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized b this b ding permit application for: (Addre s of Job) ''Pool fences and alarms ar the responsibility of applicant. Pools P tY PP are not to be filled or u . . ed before fence is inst and all final inspections are perfo ed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date I Q:FORMS:O WNERPERMISSIONPOOLS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _ M 4, � B Map Parcel UILDING Application # Health Division . Date Issued "0 j Z 3 r 7 JAN Conservation Division 9 2017 Application Fee Planning Dept. TOE t O`` 't�IS7,10LE Permit Fee V Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �� Project Street Address Lai Village C v Owner D4lu,c\ 4- Addressger,"'..A Telephone Permit Request UJ Square feet: 1 st floor: existing proposed 2nd floor isting p pose Total new Zoning District Flood Plain Gro ndwater Overl Project Valuation ObQ Construction Type Lot Size Grandfathered ❑Y ❑ If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ M i-Fa i y (# units) Age of Existing Structure Histori House. Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ou ❑Ot Basement Finished A a(sq.ft.) B ment Unfinished Area (sq.ft) Number of Baths: ll: xistin Y new Half: existing new Number of Bedrooms: existing new Total Room Count (not incl ng baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electri ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ —Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ ne size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0'No If yes, site plan review# Current Use f e5 i A e,,,iI C.l...l Proposed Use �—�� � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Se.(- , Name Plrz�r �l Telephone Number eSng_ j,31-aD5'2 Address 11?r) OrkShnE.J AVe., License# 0_101Sa Nei,) V.t Gi MR G-u q a Home Improvement Contractor# I .7&6' Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ave-, SIGNATURE DATE FOR OFFICIAL USE ONLY i APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE J' P" OWNER F 2 j i� k DATE OF INSPECTION: e� FOUNDATION FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH PLUMBING: ROUGH '-- FINAL GAS: ROUGH FINAL FINAL BUILDING 4t q DATE CLOSED OUT ASSOCIATION PLAN NO. ,.. ,.d' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 � Parcel v Application # Health Division Date Issued !'- l Conservation Division Application Fee 0 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address nh�Ci. q(_�, Village 2am�" Owner U� n Address 3e; Q— J�-) onc�7,�1� xl, Telephone Permit Request �A<9JIa j 5ti�l ci14 f ?q3aSteMWetCWt3fl`oor: v'�, �, �xistin proposed 2nd floor: existing proposedTo'taI new Zoning District Flood Plain Groundwater Overlay Project Valuatior,y� xz5D'd) 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 ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name 1� Exa,� Telephone Number / Address PDA" �?3 License # 0,5 - 0 7 n p h r�YD ' e D��p.�,c� Home Improvement Contractor# �1 �(let'/�PiALA° , S, Worker's Compensation # tX 0)7--5' ALLCONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL BE TAKEN TO b T SIGNATURE DATE A4111_3> � a FOR OFFICIAL USE ONLY .APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE e OWNER of � S DATE OF INSPECTION: 6 FOUNDATION r FRAME INSULATION z FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: R H FI� ROUGH AL N GAS: ROUGH FINAL 3 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations { 'G 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.aov/dia `Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization/Individual): _? Address: �� CQ �I'Z-t, �1i1� � �c City/State/Zip - Phone#: A27am an employer? Chock the appropriate box: Type of project(required): 1 a employer with D 4. ❑ I am a general contractor and I employees (full and/or part time . * have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.+ 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roo repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13. ther comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ` rG/Z 'C_ r7 e � Policy#or Self-ins. Lic.#: 1�L ��311t�a Expiration Date: 1%U C;_De � Job Site Address: G r City/State/Zip: �7 (� {�� �� Attach a copy of the workers' compensation olio declaration age(showing the policy number.and expiration date). P policy page g P Y P ) 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-yeah 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the ains and en lties o er'ury at the information provided above is true and correct. Si atur . - - - Phone#: 07ff-ff-_ Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: I Ogee of Consumer Affairs&Bosliken Regulation License or registration valid for individnt use only ME RIfPROVEMENT CONTRACTOR before the esPhmdon date. If found return to: 0423.5 Type: Off m O(Consumer Affairs and Business -Regutatio A n: LLC 10 Park Plaza-Suite 5170 "'"�; Boston,MA 02116 BUILDING PERFO G.LLC. JOSH EDMOND 8 KINNIKINNICK RD -} TRURO,AAA 02666 of valid without signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:CS-078815 JOSH EMOND - PO BOX 633 Truro MA 02666= Expiration Commissioner MAWS . . 1 OWNER AUTHORIZATION FORM f PQVAZ kflv, (Owner's Name) owner of the property located at (Property Address) CV KAV(/l et A ( roperty Address) hereby authorize 11 N (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owher;s Signature A, .�,- ;2 0 Date 06/03/2013 23:26 9787778415 PAGE 01 fER CERTIF DATE(MWDDrY,r"'' ICATE OF LIABILITY INSURANCE 6/4/2013ISATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'IR DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the Certfieste holder Is an ADDITIONAL INSURED,the pollcy(Ies) must be endorsed. If SUBROGATION IS WAIVED,eub)ect to the term and Condltlons of the policy,certain pollcles may require an end—front A statement on this certificate does not canter rights to the cet1111CM holder In lieu of such andorsement(e). PRODUCER OMTAUT COUNTY INSURANCE AGENCY INC NAM: (gig 774-2463 123 Sylvan St ac N :(978)777-8415 Danvers, MA 01923 INSUMMIS) AFFCMINO COVlRAes NAIL/ INSURER A:COMMSrCe Ins. Co. NSURED Building Performance COntraoting, LLC INSURER B:Essex Ins. CO. INsuRER C;Atlantic Charter P.0. Box 633 INSURER D,RB Jones Truro, Ma 02666 INSURER E: INSURER F; 'OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE: TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXP Tot TYPE OF INSURANCE I POLICY NUMBER MWD LIMITS GEMRAL LIABILITY EACH OCCURRENCE 3 1 000 000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 3 50 000 CLAIMS MADE X OCCUR MED EW(Any one pereon) $ 1 000 B 3DE9441 11/19/12 11/19/131 PERSONAL&ADV INJURY $ 1 GOO,OOO GENERAL AGGREGATE $ 2,000 000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO S 1,OOO OOO POLICY PRO- LOC S AUTOMOBILE LIABILITY Ea eocderd S 1,000 000 ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED LQ3983 IL AUTOS X AUTOS BODILY INJURY(Per accident) S HIRED AUTOS NON-OWNED 2/2/13 2/2/14 s Per tpn $ x UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 2 00O 0O0 EXCESS LU1e CUBW3 90 4112 5/1/13 5/1/1 CLAIMS-MADE GREGATE s 21000,000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y TLIMTIUT ANY PR0PPJBT0nrPARTWM KEMMVE vim 11/23/ 11/23/13 E.L. CH ACCIDENT L 500,000 r OFFICERAMMD@A MCCWDED7 a MIA (Ir—da ry In NM) WCV00939900 .DISEASE-EA FMPLDY>_ $ 500,000 DESCRIPTION OF OPERATIONS beiow L DISEASE-POLICY LIMB $ 500 O00 'SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Apedl ACORD 101,Additional Remarks Schad".If more apace le rOgUlred) C7 > RTIFICATE HOLDER CANCELLATION .,j k1j Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED=:PQuCIES BE CANCELLEb BEFORE Barnstable, Ma THE EXPIRATION DATE THEREOF, NQTIr E WILL qE DEL`-i RED IN ACCORDANCE WITH THE POLICY PROVISIONS. A s"A AUTHORrZED NTATiVE ..<y'� 01988-2010 ACORD CORPO`kKnON. f�`11`ghts)�#anretl, -ORD 25(2010/05) The ACORD name and logo are registered marks of ACORO f to Building Performance Contracting,LLC Nauset Insulation P.O.Box 1044 N. Eastham,MA 02651 Phone(774)316.4464 Fax(774)316.4462 Datel —�4 RE:Insulation Permits Dear Mr Perry, This affidavit is to certify that all work completed for the insulation work at hiLS311 � has been inspected by a certified Building Performance Institute(BPI)Inspector.All work performed meets or exceeds Federal and State requirements. Respectfully, !V o mond 1:Z; ,a YA ZZ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel 033 Application# oe,,(p y Health Division Conservation Division -Mr rAL� Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee l ,S,UG Date Definitive Plan Approved by Planning Board Historic-OKH �Preservation/Hyannis � 1 J I Project Street Address r Village 04.�wvw\61,61 J. Owner DW O Address Telephone — O (� Permit Request PrA 11,�16 in G v y G b _, 1.`e A-t3 io i o h/ `j—!, r) e_T-a_c L et r 6:4 Y__ C� r1 f, 1 ICL00r IV k@f1- Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1,��D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) f Age of Existing Structure - ° /'rf Historic House: UYYes ❑No On Old King's Highway: `6 Yes ❑No Basement Type: ❑Full Crawl ❑Walkout Other &twnej 're GA&al t W� 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 9 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other _ Central Air: ❑Yes No Fireplaces: Existing New Existing wood/c al stovef❑Yes: ❑No ,Detached garage: existing ❑new size Pool:❑existing ❑new size Barn: existing new :size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ `D Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION j Name Telephone Number a Address i ..,����', �'�•�✓ ��'�]�-- ` .License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE L DATE LVa 6 s FOR OFFICIAL USE ONLY r PERMIT NO. i DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER i DATE OF INSPECTION: �'l FOUNDATION f FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING e/ t . DATE CLOSED OUT ASSOCIATION PLAN NO. Department of Industrial Accidents Office.of Investigations ' 600 Washington Street y Boston,MA 02111 . ,�• www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Legibly .Tame (Business/orpnization/ir ividual): Address: a,tjv� St- v dl City/State/Zip: �e�on-,,1 of l�l M (o`��hone#:_ mac �02 �.6 .re you an employer?Check the-appropriate box:. Type of project(required):- ❑ I am a employer with' 4. ❑ I am a general contractor and I 6 El New construction employees(fuIl'and/orpart time).* have hired the sub-contractors 7 Remodelin ❑ I am a sole proprietor or partner- listed on the attached sheet # g ship and have no employees These sub-contractors have 8. M- emolition working for me in any capacity. workers' comp. insurance. 9• Building addition o workers' comp. insurance 5. ❑ We'area corporation and its 10.❑ Electrical r airs or.additions aired.] officers have exercised their I am a homeowner doing all work right of exemption per MGL ll.❑ Plumbing repairs or additions myself. [No workers' comp., c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp.insurance required.] ny applicant tat checks box#1 must also fill out the section below showing their workers'compensation policy information: *. iomeowners who submit ihis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such infractors that check this box artist attached an additional sheet showing the name of the sub-contractors and their workers'corm.policy information. . rm an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site formation Durance.Company Name: licy#or Self-ins.Lie.#: Expiration Date:• b Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a e up to$1,500,.00 and/or one-year imprisonment, as well as,civil penalties in tiie form of a STOP WORK ORDER and a fine up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of restigations of the DIA for insurance coverage verification. ' ,here rtify under t ains and penalties of perjury that the information provided above is true and correct ature:. v Date one#:. Oj icial use only. Do not write in this area,to be completed by city or town official: City or Town: Permit/License# . Issuing Authority(circle one): 1.Board of Health L.Building Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person• Phone#• Information and Instructions iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ursuaut to this statute, an employee is defined as"...every person in the service of another under any contract of hire, Kpress or implied,oral or written." x employer is defined aR"an irldividnal,Parmersh p,:association,corporation or other legal entity,or any two or more engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the f the foregoing. eceiver or trustee of an individual,partnership,association or other legal entity,employing employees. Howev..er.the .wner of a dwelling house having not more than three apartments and who resides therein, or.the occupant of the welling house of another who employs persons to do maintenance, construction or repair woik-on such dwelling house ,r on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." vIGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or enewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." 4dditionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall ;nter into any contract for the performance of public work until acceptable evidence.of compliance with the insurance is of this chapter have been presented to the contracting authority. -equiremen P . 4,pplicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificates) of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter their. self-insurance license number on the appropriate line. City or Town Officials 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 evente Office of Ines rogations has to contact you regarding the applicant: Please be sure'to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"*the applicant should write"all locations in ' (city or town)."A copy of the:affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on file for.future permits.or-licenses..A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affi.davit. The Office of Investigations would like to thank you in advance for your 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 ' > ..Office of Investigations ' 600-Washington Street, . Boston,MA 0211 L. " Tel.#617-727-4900 ext 406 or I-,877-MASSAFE Fax#617-7274749 evised 5-26.05 www,mass.gov/dia °F"Er Town of Barnstable Regulatory Services ST^M Thomas F.Geiler,Director 1639. a`e 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 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-.the.- requirements. . Type of Work: Estimated Cost_ Address of Work: �� � Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑ ilding not owner-occupied weer 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 Signature Registration No. OR D Owner's Signature Q:wpfi1es.forms:homeaff1 day Rev: 060606 l f ZNE � Town of Barnstable o� Department of Health,Safety,and Environmental Services n r inDi ' i Co se vat o Division 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION Day i A) L5-08) (2 - 006 l Property Owner Telephone number P. D . Bcz)� Ca2wWaQLA HA oao ' Mailing address MAIN d33 Project location Map/Parc # p( n vi O &a4—a-a e- 6.0 Project description The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes,as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewall (this does not include stonewalls for retaining wall purposes,grading and/or fill) ign tore Date Re ewed by Date _GIS Plan Attached(fee charged for plan) Q/WPFiles/Form/MinorAct l Sri rE Nicl-IW4 y ;Cow r G 1 L/v. /7 'I , SEPnc h PROP, M sow i � 3 I 4qy fi} 1 A44D 1 MO, 8e-3sa I �� ,,STirlG aprci/ 1 V 1 E.�vp eF 1! Pi pc � f � oo I � t i a 0 t\ f l To t cz), f ry Pa S r�l �E-�� t vim-��D v �.►^^-Piro CIO ��,�, °fS��X v ��,✓ ,�, s lejcGs� oars ct A/,"e W \ �' ► I�r�- ON�I �� L xl, rN I e � i V I T 'k -47, I `� 4 p- I i I I I i � i � .\ � i •. � I � L � __ _ 6' / Town of Barnstable �OFTNE tp�� o* Regulatory Services S ABA Thomas F.Geiler,Director 9 M"39. Building Division �3 i6 �� pTED �a four Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Dffice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: I_T JOB LOCATION: ► l 1 Iy J� C L) number 1/ p street village "HOMEOWNER,: 3)AWI1D Jh,-ILA name home phone# work phone# CURRENT MAILING ADDRESS: F0 Boy, —'"l� ° , C,v Nt gav it) litf� d��3 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 . suyervisor. 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-familydwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requir nts. ,71 Si a re of omeowne 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 ultimatelyresponsble. To ensure that the homeowner is fully aware of his/her responsbilities,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-Us issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:forms:homeexempt I f , Town of Barnstable P�oFIME'°wti Regulatory Services o; Thomas F.Geiler,Director SAMSTABLE' Building Division ,9 MASS. 0w • A�F1 Mpg p Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 )fE= 508-862-4038 Fax: 508-790-6230 COMPLAINUINQUIRY REPORT Date: Rec'd by: Complaint Name: , Map/Parcel �3y Location Address: Originator Name: A b Street: 43L Village: State: Zip: Telephone: Complaint Description: FOR OFFICE USE ONLY. Inspector's Action/Comments Date: Ir, t Inspector: —,Zoj ;e, -422�\1— 0 4c/n/fLIt W / L rY!Q Vd_' W (249 co VffA 7Tj7Al7— TA,C o-rW x x /Te or /S 12 v Al 14 /mac V .ivy //0 Additional Info.Attached TOWN O�i* BUILDING PERMIT PARCEL ID 335 033 GEOBASE ID 24721 ADDRESS 3985 MAIN STREET/RTE/8A PHONE BARNSTABLE ZIP - LOT BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT BA IPERMIT 62701 DESCRIPTION RENOVATE INTERIOR/REPLACE CHIMNEY ' PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONV CONTRACTORS: MURPHY RESTORATION & REMODELING .ARCHITECTS; Department Of Regulatory Services TOTAL 'EEES: $133.60 - � �� dF N- (BOND CONSTRUCTION COSTS" $36,000.00 tt� 434 RESID ADD/ALT/CONV 1 PRIVATE 1?. +► ■ARNSTABLE, MASS. I � BUIL MG 131VISION9 BY // DATE ISSUED 07/30/2002 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION.FINAL INSPECTION BEFORE OCCUPANCY. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4. N'=rl a P BUILDING INS?YCY14 APPR ALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS III 2 fR ~. '(d a/ 9 � 2 2 V 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT { 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- JION. NOTED ABOVE. TION. i i i i PERMIT s BUILD.ING � t. TOWN OF BARNSTABLE BUILDING PERMIT �Dq0 PARCEL ID 335 033- GEOBASE ID 24721 ADDRESS 3985 MAIN STREET/RTE 6A { PHONE BARNSTABLE ZIP - - LOT BLOCK LOT SIZE .I DBA DEVELOPMENT DISTRICT BA PERMIT 62701 DESCRIPTION RENOVATE INTERIOR/REPLACE CHIMNEY`' PERMIT TYPE BREMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: MURPHY. REDepartment.of j ARCHITECTS: a�.(1111>✓'� Regulatory Services TOTAL FEES: $133.50 BOND � CONSTRUCTION COSTS $35,000.00 411E 434 RESID ADD/ALT/CONY 1 PRIVATE • wlrrsra>�, �► MASS. ><639. Al � FD NII� BUI N IVISIO BY DATE ISSUED 07/30/2002 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. i MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- ANICAL(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I� 4 2 2 2 i I€ f k 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL j. I. ` l WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. � i �� f � . . . � j t� � � � { ���,% /,�, �r,��' �I ���r�� ii ./ �(fe/� ..J /� r!/f� /� I I I ��.:. ;r s A. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 35 Parcel 037 'A' Permit# Health Division 3 o a Date Issued 2d Conservation Division .`; ®� Application Fee Tax Collector a �, Permit Fee O �� 0 Treasurer ` > �� `c N �� � Planning Dept. CY 1) W Foa, T o Date Definitive Plan Approved by Planning Board q APP J Historic-OKH Preservation/Hyannis Project Street Address _ 5W Ow 5 meE-r ' RQV 7_L5_ 6 A Village M //�� 7PT- Owner bRVID KYLIA A �-EtJ Address �J"l�S A�� S� Telephone 6o� — 362 " ®® [c q CN Permit Request t-IN o \l PJ 5 EIA� PERM � Square feet: 1 st floor: existing proposed 2nd floor: existing J'zo proposed Total new Zoning District Flood Plain Groundwater Overlay g� Project Valuation 36060 . Construction Type 57769- °l Lot Size I g860 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: �&es ❑No On Old King's Highway: Ayes ❑No Basement Type: )d Full Wrawl ❑Walkout ❑Other gl p Basement Finished Area(sq.ft.) _��J Basement Unfinished Area(sq.ft) '1 Od 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: Fas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes �No Fireplaces: Existing Z- New "���Existin wood/ oal stove: XYes ❑No Detached garage: Is. xisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Wo If yes, site plan review# Current Use a)U�`_1- -L Proposed Use &OW Er', BUILDER INFORMATION Name AA''��Telephone Number � Address •1165 f f 'Y ��. /� D&q>�License# t s 114,91®7 Yn Afro 117U PD��, (Y?fi 6t 4'4 Home Improvement Contractor# la9l Worker's Compensation# ALL CONSTRUCTION DEBRI ESULTING FROM T IS PROJECT WILL BETAKEN TO jt� SIGNATURE DATE FOR OFFICIAL USE ONLY ; PEP,:MITNO. DAA-P ISSUED MAP/PARCEL NO. � � T ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME f Q1_lot l d INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL •� PLUMBING: ROUGH' ` r; FINALS -� GAS: ROUGH�' r - � FINAL 1 , FINAL BUILDING - 1 �. DATE CLOSED`OUT ASSOCIATION PLAN NO' 4r RESIDENTIAL BUILDING PERMIT FEES ' APPLICATION FEE New Buildings,Additions $50.00 ,L- ` �Q Alterations/Renovations ' ' $25.00 Building Permit Amendment S25.00 FEE VALUE WORKSHEET NEW LIVING'3PACE square feet x$96/sq.foot= x.0031= plus from below.(if applicable) ALTERATIONS/RENOVATIONS OF EMSTING SPACE �► square feet x$64/sq.foot= x.0031= P lus from below(if applicable) ACCESSORY STRUCTURE>120 sq.fits , >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 $30.00= J (number) FireplacelChimney �__,�__x$25.00= (number) 'n Ingraund Swimmi.g Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving . S150.00 (plus above if applicable) ' ,Z• 7 — permit Fee projcost TAbw=ub(cwcl f� Sa,:rd w+th� l F"6 prsscripttre Packasta for 6-aad Tws-F&w*R=Wsstdsl BWWL' p . •MIIYiMUM ' . nuaMUM a g GL�ag CaIusg Wall Flow Hsaameat Emd� Rrvslua' P� Arm'(%.) U.valuc= R•Valu2 R•vsluol Rafter padcagr ml to 6500 Hestia;Dew Ds"' :• 6 Nasz:ssl 4 Q I21, 0.4a ]1 IS 19 10 N� 19 19 I0 6 R 12% M2 30 6 95 AEVE � 13 Nc=zl 19 10 g iZ7. 030 31 21 NIA. T 15% 0-36 31 t1 6 Noemal LT (5Y. 0.46 31 19 19 IO NIA 13 AFVE 13 23 NIA 1S AFZJE y ls% 0.44 31 6 W 15Y. 032 30 19 19 10 Normal WA NIA X l E'/. 0.32 31 . 13 23 N==l 19 21 ILA WAy IE'%. 0.42 3t 6 90AEUE y IZ% 0.42' 32 13 19 10 9oAFUE 19 19 AA 1E•/. 030 3D L ADDRESS OF PROPERTY: fA FOOTAGE OF ALL EXTERIOR WALLS: "� c- 2. SQUARE ,Ji ���-• 3. SQUARE FOOTAGE OF ALL GLAZING- t r / R by r 4, %GLAZING AREA(#3 DIVIDED BY#2): _ C Jam/J�S 5;•SELECT PACKAGE(Q—AA-see chart above):' G ENERGY, QUMEMENI'S NOTE: OTHER MORE INVOLVED FO THIS INFODS OF O ARE AVAILABLE.•ASK �j 6 CU A-Ikj .6 BUILDING INSPECTOR APPROVAL: YES: NO: q40=4980303a I a , Footnote's to Tab1e'J5.2.Ib: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and t basement windows if located in walls that enclose conditioned space,but excluditig 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 ftl gfdecorative glass may be excluded from a building design with.300 ft=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 CDunciI (NFRC) test procedure, or taken,from Table J1.5.3a. U-values arc 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 fail insulation thickness. over the exterior walls without compression, R 30 insulation may be substituted for R-39 insulation and R-38 insulation may be substituted.for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (;if used). For.ventilated ceilings,.insulating sheathing-must be placed between the conditioned space and the ventilated portion of the roof. Do not include Wall R-values represent the sum of the wall cavity.insulation plus insulating sheathing (i used). exterior siding, structural sheathing, and interior'drywall.For example,an R-19 requirement could be met EITHER by R-I9 cavity insulation'OR*R-13:cavity insulation plus K-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall consttuctidns.,but do not apply to metal'frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requiremeats. ' T1 a entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mt e_ the same R-value requirement-as above-grade walls. Windows and sliding glass.doors of conditioned bn-,ements must be included with the other glazing. Bas=mt 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 far heated slabs. If the building utilizes eleetric resistance heating use compliance approach 3;4, or S. if you plan to install more than one piece.of heating equipment or mare 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 J52.la 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 eomponeats. b) Opaque doors in the building envelope must have.a U-value no greater than 0-15.Door.U-values must be tested and documented by the manufacturer is accordancewith 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 0.35). . c) If a ceiling,wall,&floor,basement wall,slab-edge,or crawl space wail 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 • iI tt i ai L t I I _ I r — � p 1 The Town of Barnstable Regulator-y=Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:©CT 2- Z Z�,d 2 JOB LOCATION: .7 tS dh 11\/ ST G 1/y►l�meq L11 number L street ` village "HOMEOWNER": � �°� krC� �C I �✓ 0 3�2 OW 1 name home phone# work phone# CURRENT MAILING ADDRESS: a � f6 2 _ iM �tic.� _ o z 63 7 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said rocedures and Home r quirements. r ignature of eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN °F,HE A Town of Barnstable Regulatory Services BMWSTABLE* ' « Thomas F.Geiler,Director E16 pr A�e� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, 1)AUK Q R Lt_EQ a VVL6 LLB owner of property located at 3`l$T HAM S-r 0—OKOAAQ V iD M h O 2-a37hereby certify that - RCu N Cr T OH N K() P 0J of h yetf RI RESURA ri�QHP is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# b 7- 701 issued on 7 �19/ 2000_1— I © Z understand that the project under construction must cease.until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. ®cro 61FR 20®a PR ERTY OWNER DATE 1 -2, q/forms/newcontr reference R-5 780 CMR rev:080102 The Town of Barnstable 037 Permit# Massachusetts Date f ie196 L SOLID FUEL STOVE PERMIT This constitutes an official stove permit after inspection and approval by the building inspector. Qwner.�R v i t� �L�+ �L ✓' Telephone no. Address of Property Village C rr�i jliit� Location and Stove Type ar fy 00 Date: 1'Z i- % 7 Building Inspector The solid fuel burning stove at the above location passed: failed: inspection. .Assessor's office(1st Floor): Jai, ��r Assessor's map and lot number ` ���'SvMpj fNE-To .k Board of Health(3rd floor): (,i; �j � � f� ��j �"�`�' �1�{�114 C o fit" j /0�► ' I Sewage Permit number !M ---r-- V , • AH �paa ISTSDLL Engineering Department(3rd floor): �/ / RON rues House number / ' ' Definitive Plan Approved by Planning Board 19 T® ,Z APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only A P P R 0 v TMOWN , OF BARNSTABLE a nst le Conservation Co mi I L D I N G INSPECTOR ,S ! r U I Y ATION FOR PERMI1bjQ® AG 7'�'fQ v��'iQ i�S /4N1� t��7 p f r f oty,S ��- 9 3 ' TYPE OF CONSTRUCTION (nI G D f � r 7A 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for Aa permit according to the following information: Location 3 91$ /"' 19/A/ �7 � U M NM P1 GrjL7 Proposed Use YJ � JIdIV� l 13L� Zoning District -rC IQ• Fire District UISd+ �{OT t �U 6o Y Z E - a vim cs>> Name of Owner /� Address ry3 � Name of Builder �'�/z�T>�'6'Tr�— Address Name of Architect Address Number of Rooms Foundation (0 Al C. :90 S T L Exterior C L �� S Roofing 19S 1�1119L.�' S I��tt/�-LG Floors H,,9/219 LU 0-0 n. Interior N L C!�! )� Heating ©�L Plumbing 5 i9?/� / Fireplace �� Approximate Cost G �� 1 Area Diagram of Lot and Building with Dimensions Fee A OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS Ik I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl;r arding the ab c s uctio Name ep ry Construction Supervisor's License , -1Cr-IARD 0 No 33443• Permit For INA1tcrats r nC a c) ,Dcaelling ; Single Fare; 1-:77WeJ lV ng lf_ Location 3985 ma;n, Street r _ iz Cummaqu p — y � �J Owner D.rrc rditi-r._Rii r1i AYDri-,r Type of Construction Frame �? o I Plot Lot r Permit Granted January 5, 19 9 C Date of Inspectior � ��5, 19 Date Completed �/ 19 i s LIZ Ui JAMES E. EGAN, P.E. AREA CODE 508 385-2044 STRUCTURAL ENGINEERS 585 MAIN STREET, BOX 642 DENNIS, MASS. 02638 May 29, 1990 Town of Barnstable Building Dep' t. Re: Burling Residence 3985 Rt. 6A Cunmaquid, MA. Dear Sirs, I an`currently in the process of providing Engineering services on the above residence at the owners request, and have been working closely with the contractor to see that the structural alterations are carried out as designed. It has come to my attention that, due to apparent problems of the owner, the current contractor has been forced to vacate the ,fob, without any indication if he will be returning. I would like to request that a stop work order be placed on the current building permit and that any future contractor must contact this office prior to resumption of work to assure proper structural continuity of the project as designed by this office. Thank you for your cooperation. Ver truly yours, awes E. Egan, P. E. v' fi BOuF T 1 04 FACE 247 { Rev: 03 :07:89 MASSACHUSETTS (no warranties) QUITCLAIM DEED FEDERAL NATIONAL MORTGAGE ASSOCIATION, a corporation organized under an Act of Congress and existin Federal National Mortgage Association Charter Actu Navin rsuant to. the principal office in the City of Washington, District .of g its Columbia, and an office for the conduct of business at 950. East Paces Ferry. Road, Atlanta, Georgia 30326 (hereinafter called the Grantor) for consideration of One hundred fifteen tho dollars and 00/100 Dollars usand Susan E. A otte ,._Trustee of * ($ 115, 000. 00) paid, grants to, ` certain parcel of `.land with thetbuigluitclathereonnsits� a Barnstable, Barnstable County, Massachusetts; bounded in r described , a's fold ows: * d and t /VSfq d��Pss:. 55 Sea Trust dated November. l, 1991, recorded L; andu�c)7 l/9 OZs3 BEING 7 in Book'77L/p, Page. /3. KNOWN ,as: 3983 Main Street Barnstable, Ma BEING the same property which was granted and cone ed .. unto Grantor herein in fee, by quitclaim y Credit Union Deed from Navy Federal recorded on dated November 19, 1990 and Of Deeds in gook;76q 199g a145 in the Barnstable � , Pa e Registry UNDER AND SUBJECT, to any existing. covenants, easements encroachments, conditions, restrictions, and agreements affecting the property. --- rGrantor makes. no warranties .of title and no covenants, express or implied. TOGETHER WITH all and singular the improvements streets, alleys, passages, water, watercourses liberties , ways, whatsoever privilehereto ges, hereditaments, and appurtenances right, reversions and remainders, rent or issues ing anywise appertaining and the and all the estate, right, title, intues andprofits thereof, demand whatsoever of the said Grantor in law, equity, otherwise howsoever, of and to the same and ever property, claim and 'every pa Or. WITNESS the execution and corporatey part. thGreof.� 1 NATIONAL MORTGAGE ASSOCIATION on thsl4t seal of FEDERAL 1991, the ' a ; and year first above written. day °f November, ATTE T:` FEDERAL ORTGAGE f, SO IATION •• Oy P. , t BY: J. Ellis Dykes ice President .,psistan.t;,�Secre ry ,;.,a ,_ . •'::. :' /�%� GC9�'porate Seal): I Mi.. l I I LU Ll LU RECEIVED NOV 1 S 1989 OLD KINU S- HIUHW Af APPROVED OKHRHDC TZ t )� --i I t pli FHI t EFST �T.._.. RECEIVED NOV .i 5 989 OLD KING'G HIGi-I�'JA't APp ROVED OKHRHDG ' I , I i Ni�V 1 51959 (3VD KIN'I~av -a OKHRHDC I J N � � K LA D,q V/IP 1-7 LG 4-Al NOV. F 2cCc AeO�c L.9� Ju Z dEyo e Lo c u S M„ j� ,;c gcG c.0 A7 Af'90u"a, hoy . oz637 NiRp 335' Osrzc - 033 ST/-1 T'C c� L/o. /7 1 aI /r27 I I �yl p Ih Aao rki N I i ' I DrST. 3 �• aeX 1 1 I �tA I > 1 �I 9�m' i• :1 I LEAGN I G/FLD y. 11 3 PE."t T' 1 A/o. • I ; 1 Pipc I yl / 1 I I I , 0 r - 1 /¢O. D•S� /Do.00 I e �N r/ b�.EL�LEY No. 26100 �'rf 9fCISTCR\� �s/ 'AL LI.�� OPPENHEIM DESIGN & BUILD f� NEW ROOF PITCH 3112 r_u 0 I C > iillyll Jill z � f C)z � w CD (s) ry PROPOSED SOUTH ELEVATION Scale: 3/16"=1 ' I t OPPENHEIM DESIGN & BUILD lIL 16\ `� I 'ICE & WATER' UNDERLAYMENT R❑❑FING TO MATCH HOUSE 12" "`a 0 GABLE CEXISTJ TO REMAINUL I . Q — Lul TRIM/SIDING TO MATCH HOUSE O z � W tEffl m Ln Q m m ! PROPOSED SOUTH ELEVATION Scale: 3/16 G � I I I 35'-2 ' i _ 20'-11 ' f f 6'-10 15'-2 ' S'-2 ' 1 CLG, HT, 7'-7' f 8-1j I � ! i i i T-6 1 jCLG, HT. LO5 r 7'-7-1/2' B CLG. H , +/- - j 8 OfN ® ® ? CLG. SLOPES '-7' ( Z-11 O MffiS ��l3 Yt1�00M 6'-107 -- 44'-3j 01 �31-81O -11 \ ® 3 6 1 ® ® R O 7,_7� i3firi>#Z � j 4'-3 8' SHX3 ER 3'-9 ' 7 ON-11#3 i. - - j Li x i 1 i i � EMO. FIREPLACE i r�)EOPOOM#2 Of0poo #3 3 i f i { I i 8'-4 8'-5 ' S'-8 ' 4'-10 ' � 4 15'-4 15'-5 ' >' I 38'-0 ' I f t PROPOSED 2ND FLOOR PLAN Scale: 3/16"=1' m 0 ALLEN RENOVATION z Rz 3985 RT. GACo _ 15ARN5TA15LE, MA Fri o � i f I - j I 2x10 RAFTERS 24' O.C. j R19 INSULATION i 5/8' PLYWOOD SHEATHING i OR 1/2' CDX W/ CLIPS I i } 2x8 CLG. JOIS 24' O.C. i !E f '-7j' R13 INSULATION FOR j WALLS i SECTION A-A Scale: 3/16"=1' i 2x10 RAFTERS 24' O.C. R19 INSULATION 5/8' PLYWOOD SHEATHING i OR 1/2' CDX W/ CLIPS t i f � 2x8 CLG, JOISTS 4' O.C. R13 INSULATION FOR ! WALLS i ! SECTION B-B 4 Scale: 3/16"=1' 1 } f DOOR/WINDOW SCHEDULE I SYM SIZE MODEL ROUGH OPEN, QUAN. QA 26 X45 TW2442 2'-6-iie'X 4'-5-1i4' 1 j ® 26 X3 TW2432 2'-6-sie'X 3'-5-1/4' 2 © 210X4 TW2842 2'-10-ve'X 4'-5-1i4' 1 f Q 12' SOL❑TUBE 1 ®7 X6 POCKET 1 0 28 X6 POCKET 1 © 28 X6 1 ® 32 X6 BIF❑LD 1 © 26 X6 1 26 X6 1 j ® 26 X6 1 Q SKYLT, IREUSE SKYLT, FROM HALL x i t i j I i E t f I i i f i f i rn O ALLEN RENOVATION z 398 T. A z� 5R 6 = Ct BARN STABLE MA Cm ........... .__..__..__.....__. ___ ._. _....... _...__._ ------ i i i OPPENHEIM DESIGN & BUILD 11 Hu Hull Hulliju-I • i i 1 1 i a j I z I > o Qf FT I z I LLJ ry LU I --y L Jl z I � Q 3 EXIST. EAST ELEVATION Q m m Scale: 3/16 —1 G I , i .I j 4f I i OPPENHEIM DESIGN & BUILD Lu I i 1 i { o _ f { I } { 0 Q I z � f W QLLJ EXIST. SOUTH ELEVATION f I Scale: 3/16"-1' 1 { f { I s f a .. _._.__....._ __.__._._... ...._...__.. .. .. -. ... _ ._... ..-.......,,_. ._.._ ..-...._ ...»... ..... _.... ..._..- .�_�.. _. .. .. ..._...._.. .....�... . ...__.-._ _. ....._.._.._.__.... ,_ ..... ... .. _v._. ._.._ ... .._.._...._ _.._....._..__.... ..... '_..... ... . 1 91-81 f �E x t I 4 i li i E E 21'-7k i 29'-1 r � 4 f III 44'-3j T-71 15'-2j i E i 5'-6 ' 8'-4 ' B'-5 ' T-B ' - 6'-10 ' - 15'-5 ' 38-0 ' EXIST. 2ND FLOOR PLAN Scale: 3/16"=1' E , foftl-u A-r,� Pr(O e- 1 0 LY � E t C0 �. ALLFN RENOVATION z i 3 m 3985 RT. GA RO z c M BARN STABLE, MA { � 3 F » i ' 1 c1 l3 1 1 v ri {