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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
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Map 3.q 0 Parcel 3 7 ��f - Permit# +T2-9
Date Issued T 0 -OD
Conservation Division 0/a/00 i Fee 8/
Tax Collector t, ' % ►t .J_ ,) Sa cr0
Treasurer . -�
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
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Project Street Address \' L to ��\N� V 1 iI\.�-
Village il-kjJS%71-.8L
Owner Pt\. � L j Address \ Ls. u3•4„,
Telephone J
Permit Request s 1 ( ' X• 11
Square feet: 1st floor:existing IN4cs proposed SuAmsek 2nd floor: existing proposed Total new
Estimated Project Cost \ e • Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size 3 Grandfathered: 0 Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 5/ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: 0 Yes ❑No
Basement Type: ❑ Full ❑Crawl 0 Walkout 0 Other
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Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing new
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Total Room Count(not including baths): existing new First Floor Room Count
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Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other j
Central Air: ❑Yes J No Fireplaces: Existing New Existing wood/coal stove: ❑Yes a No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
Current Use l,J 73-t5A c7s,cv. Proposed Use 3 31 s-6Y\ S 1`1
BUILDER INFORMATION
Name c-C\f\-`N- .eS ` Telephone Number v3- l-
Address \ S License#
QV-a / . ' ' 3 Home Improvement Contractor# 1 a5 ) �o
/ Worker's Compensation# 3 5 S Z-c-5-0 7 y
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO \ Ovl S 5-4-
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SIGNATURE DATE -"" 7)
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.. 1. ' FOR OFFICIAL USE ONLY
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i PERMIT NO.i 4,- q.--.2--9( .
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DATE ISSUED ''')4 . . . • • .
MAP/PARCEL NO. "15 . . . •
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ADDRESS - , r ,{ VILLAGE • .....)
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OWNER
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1., DATE OF INSPECTION:4 .. . . . ..
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FOUNDATION '10.6e '? 26' 6 V-63
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FRAME . ..
INSULATION • I '
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ELECTRICAL: ROUGH FINAL '.
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PLUMBING: ROUGH FINAL - .
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FINAL GAS: ROUGH
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FINAL BUILDING, . • .
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. 1 ,CLOSED
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DATE C OUT . .
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ASSOCIATION PLAN NO. ' --1 • . • .
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1,ir:•t`'''.� :.1: Iu accordance with the provisions of A1UL c 40, S 54, a condition of building Permit
01 Via'�S{ Number. ` •' "• : is that debris resulting from this project will be disposed of in a
;k �; ert1). `i. g p 1 p
Vi to i:properly licensed solid waste'disposal facility8 A. :'i
1 .,.) as defined by MUL e l ll, 150
t1' .'Fr 9f1;r•I}�ti•1- is, • , Il l 1 , j.
-`•''•`'l`'`"`•''`•'j'.: The debris will be disposed of in: Patio Rooms ofBoston,.100 Otis Street, Nor•thboro
.. V...C'Z. ' •. ' : . • (Name and location of facility)
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•Signature of permit applicant)
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I_UC(Ei� REsiDENCE.
1a66 t�N'NNEYS LAME
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1_ _oN-._._...INSUfFr .-.. ZINGS
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pRoPerc0;) PArto Et-IC.Lvso l 6 I" x tt (� �'
Property Owner Must Complete and Sign This Section If Using A Builder
I, 4. L U c C�J , as Owner of the subject property
hereby aut orize Betterliving Patio Rooms (d.b.a. —Patio Rooms of America) to act on
my behalf, in all matters relative to work authorized by this building permit application
for(address of''9b)
/e6 h 'AweYJ Z}-Ne gli-AAtowYc y- a LAC 3-6
Signature of Owner Date
Owner or Builder (as Agent of Owner) Must Complete and Sign This Section
I, �o +l� 5l-mot.( , as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application for
(address of job) ) to In �\-v\ are true and
accurate, to the best of my knowledge and belief.
Signed under the pains and penalties of perjury. •
Print Name
Signatu e of Owner/Agent Date
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tE � "raMM IIMERAINFORMATION ORIV "SUNROOMS» '�c*�;:.
T. - •.6.:.r1..is +�•<.LY:Lc.1u ti`:nl
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The Massachusetts State Building Code (780 CMR) includes provisions to ensure that houses and
house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION
FORM is to be filed as part of the building permit application when a builder/contractor or homeowner,
constructing/installing a house addition with very large percentage of glass to opaque wall, seeks to utilize a
special energy conservation exemption option for "sunroom" additions to an existing house (780 CMR,
Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a homeowner from selecting a
"sunroom" of any size, configuration, orientation, form of construction or percent glazing, but rather is only
intended to assist homeowners in becoming awifre of some of the important energy conservation and year-
round comfort considerations involved in selecting and utilizing a"sunroom" addition.
The connection of "sunroom" structures to residential buildings may create comfort and energy
consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In
the selection and construction/installation of"suirooms", included below is a non-required, open-ended list
of product and design considerations that a homeowner may wish to consider before actually
constructing/installing a "sunroom". It is recommended that consumers carefully review these options with
their designer, builder, or contractor, in order Ito minimize potential energy consumption and/or house
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discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired
are important considerations.
PRODUCT AND DESIGN CONSIDERATIONS RELATED TO "SUNROOMS"
• Solar Orientation and Natural Shading
• Type of Glazing
• Insulating value
• Solar heat gain
• Frame materials
• Glazing to frame sealing and gasketing materials/seal durability and/or
weather tightness of the sunroom
• Adequate ventilation - Operable windows and fans
• Applied Shading Systems
• Insulation level in floors, walls, and ceilings
• Possible Sun room isolation from the main house via a wall and/or door or slider
• Heating and Cooling Methods: Efficiency,Zoning and Controls
Homeowner Acknowledgment
The Massachusetts State Building Code, Section J1.1.2.3.1, requires that the actual property owner (not the
owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORM prior to
issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential
building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read
the information in this document concerning sunroom comfort and energy conservation.
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Signature of Actual Building Owner Date
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Print ame
Ad ress of 13`.tripitted Pr6ject
Owner Address (if different than project location) Owner's telephone number
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map `� �' ' Parcel �3 el - Permit# •..-
30484-
r { - • - DateIIJ q9
Health Division Issued 3 (.`L "'
Conservation Division Fee . $2.S,o d
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Tax Collector •
Treasurer g. 614 -
Planning Dept. , `. ,
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-
Date Definitive Plan Approved by Planning Board ,
so,,,a `e A p l osL,TNS ,,.,.N+ 42 'Sfi fl.• .
Historic-OKH pi! e '' Preservation/Hyannis
Project Street Addre et( ����ss � � sL/lit)e.:7 rr 4 4/ -
Village / ...ei 445"7—,.ed c c ' •
Owner 'a`CAE i'L, ce. c/c ,< . • Address '
Telephone 36 t ` 4/3 ?"g - - .
Permit Request $ i/: / 17 /ivD /2 c- >-oo /7:" . C 7/��' S u.,,g
Square feet: 1st floor: existing f proposed 2nd floor:existing proposed Total new
Estimated Project Cost 1,2-6 G� Zoning District Flood.Plain Groundwater Overlay
Construction Type %Z e>40 i'
,. \ Lot Size Grandfathered: .❑Yes ❑No if yes, attach supporting documentation. -
Dwelling Type: Single Family Two Family O • Multi-Family(#units)
1 Age of Existing Structure Z. Historic House: Jai Yes ❑No On Old King's Highway: Cl- Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) w Basement Unfinished Area(sq.ft)
`N\,,S `Number of Baths: Full: existing new Half: existing new •
Number of Bedrooms: existing . new r , , .
Total Room Count(not including baths):existing new First Floor Room Count •
'Z 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:0 existing ❑new size 'Barn:❑existing 0 new size •
•Attached garage:O existing O new size ' Shed:❑,existing ❑new size ' Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes,site plan review#
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Current Use Proposed Use
BUILDER INFORMATION - '
Name C 7-z l-� e.g.? ‹ /G s7 ; • Telephone Number -7 7 '~" 77 c5 3
Address 4 /7 i'X. Z-.// License#
Gam/ /3 ,,,r) ,,,2 `TX /6,7. Home Improvement Contractor# /6/‘ 1
Worker's Compensation# S/0 7 /�. %/
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -, / '''‘c...,41/ LZ""s-
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SIGNATURE ��_C_.-' 7�`� DATE �
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- e FOR OFFICIAL USE ONLY -
r PERMIINO. _
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` DATE ISSUED t' -. .. i, , .
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y MAP/PARCEL NO. f w '' i,, • ,� f ~
ADDRESS '. a'' •
• '_ VILLAGEfa ' • - 4- :" ` -
OWNER; <. . •• . _. -
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DATE OF INSPECTION: • rt, -
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FOUNDATION . .
FRAME . • , :.
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INSULATION . ,
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FIREPLACE = w '
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ELECTRICAL: ROUGH FINAL• • "` ..
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PLUMBING:' . ROUGH . FINAL • •
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GAS: ROUGH FINAL w t , _ ( ., ,
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FINAL BUILDING t ' _ '
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DATE CLOSED-OUT -
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ASSOCIATION PLAN NO.• •
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. f,, % The Town of Barnstable
TA MASI ��44 Department of Health Safety and Environmental Services
Apes Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: 4.5"7/Z./ fl--/ e: /2 L"/ Estimated Cost r
Address of Work: / Pl 21/✓ �s 1,/v.
Owner's Name: /C77 Gt. e,
Date of Application: l S/ L
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job Under$1,000
°Buiiding not owner-occupied
Downer 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
[hereby apply for a permit as the agent of the owner
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:Affidav
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Proposed patio Boom ' A `t o �%" '—°�
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rear Flevatlon
AlClient : flue Lucier's
1566 Phinnegs L .
GarnstaHle, MA 026:0
Scale %" - I'
Sheet I of: 2
PWG, revision : ''A''
PWG bate: June, 2000
nWG, Gq: J. Millette
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Grade Line IA0
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7'-6" % 7'-611 .f' 22' /
A2 Side �leva�,ion Client; : The buaer's
1566 f hinr q5 bane
Parnstable, MA 02630
' Scale : %" — I'
• Shed 2 of: 2
MG, Ievision : ''A"
t7WG Pate: June, 200C)
PVVG, PLI: J. Millc to