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Sewage Permit numbed .., � ............. F INSTAL �TEM � 1
IN;CO
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House number ................. sTnnas
............... ..............�`- ................. ' N►�H Mb a
s� TITLE 5 ,9. �
s M �TAL C�®E 0;MPY a\4
TOWN' OF. ,-'BA--RNSTA:13Uri"AT►ONS
BUILDING INSPECTOR
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APPLICATION FOR ,PERMIT TO ..s...... ��Y� fs�:.......... a�.. .... ........................
......
TYPE OF CONSTRUCTION ........ . ....`....` ...... ....................... ` ...................................
t ... ....................19.d/..�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a p it accordin to the foll9ling i for ation:
•� ZT�•
Location ...... .1.................... �dj...... ........ .... .��rv'!... .............................................
Proposed Use ..✓./� f" ` �l...... .. li.. F.....C%t .:.��,-�f.:......................................................:......
Zoning District :.lr . ...............................Fire District
Name of Owner ......:r'g.�P .../''�.`�� ...................Address �C �� ..�fY.�......��'..,C'.....................
Name of Builderir�. i -..� 1. rr1.. ..Address UG...1i`/.. .....`... ..�•d�ll
Name of Architect ............. .............................Address ........ !'
Number of Rooms. :............. ..............................................Foundation .... ..�..��e'r.:�.......... .������..
Exterior /��l GG� '.p 1� ...Roofing ...... d�.:.�t! ....4 rt ri• :.................
Floors/.I'... �1snv"..��'J �F�✓z? �{ 5:.. "..G� ..z Interior ..........yy...`!�........ �'r��/..................
Heating ...��, e.,c......................:......................Plumbing .:... ' ...r....f... ................ ........................
Fireplace ..................6 .........................
Approximate Cost '
24YDefinitive Plan Approved by Planning Board -------------------_-----------19-------- . Area ..... ..............
Diagram of tot and Building with Dimensions Fee '
SUBJECT TO APPROVAL OF ,BOARD'OF HEALTH � �
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable arding the above.
construction.
Name ... ...................................... ..............
ROBERTS, ROGER
22824One 1/2 Story
No ...':............ Permit for ..................................
Single Family Dwell '
. ........................................................��a9r...............
Location ....;Lot. ....#.2.1. 23 Jennies Pa h
.. .... . .. .. .....................................t
Hyannis
...............................................................................
er Robers
Owner ......Rog
.............. t
............................................
Typeof Construction .....F.ram........e........ ....................................................................................................
Plot ............................ Lot ................................
Jaiivary 2 81
Permit Granted ............................... .......19
Date of Inspection ��:7/77�4FZ...19
-Date Completed .......................................19
PERMIT REFUSED
...................
.................................... 19
.......... ........:'"....................................................
......................... ............
...............................................................................
................................................................................
Approved ................................................ 19
. ................................................................................
................111;...........................................................
Assessor's.map and lot number �.;�C;�'/G rJ- K �oF THE TOE
/7 �Q O
Sewage Permit number .............................................
'J 3ARNSTAXLE, i
House number ...............<,(..............f........................................ so Mae&
1 psi t639 00
i'
'Fp ppY a\
TOWN OF BARN.STABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO L 0'rr......� `�` u
,...�.. ............................... _ ........................ .F. ......................................
TYPE OF CONSTRUCTION ....................1'0'� �'�'`3' �'-x ��. ..................,—,.... ,. .................................................................................
! :f ram`
. ......................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location h,r , 4 �'-f. ;.....a.......:....................................
�...................... l .... �.......
Proposed Use ....�1�.; it /,�.......... i ! �'r� '� :.* .... � "' `r�'' ..............................................................
Zoning District ...............'. .......Fire District �
Name of Owner .... 0`r�. ° "......f ''`�r,%?✓ �r...................Address r���... �r�'���"� � .... ? :'.. ..... �r. !!s........
�f
Name of Builder 1.�%�'�'?�"�%„" +' f ig'..''``.. .Address •�t�• f /6r.r,� yt'...-.sc'•�
Name of Architect ' ............................Address .......: ` ' ' �'"'%-�
Number of Rooms ,"'4 trr?..' �' c %I'- c----
............�... ...f.F.....................................Foundation ...f........../.........:......:.:�.. ./....................:.............:....
Exterior //i... -f f � ,� .........................Roofin fi �• .! : ?.... ;F... . :.......................
Floors /..r' �, o .-,...rrx.y.e r � ,� .... l�r�Ufa^Interior ......... r� �'� ......`.. ..................
�,, ..................... . ...... .......... .. ......
Heating ... ...... g•''/.i'`t�-....% .::'..........................................�.....Plumbing m b i n �
Fireplace .................. �� � :. _ ....................................Approximate Cost .... ' . - s--�'...........f .......................
. ... : .., .....
�f r '
Definitive Plan Approved by Planning Board ________________________________19________. Area ........... .`......`.. .........
Diagram of Lot and Building with Dimensions Fee `......-�'..............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. f
Name .:f ..�..'S'... ...........�'�'"•:....-- : ..............
ROBER'T.S, ROGER < A=250-116
No 2.2.8.2.4.... Permit for „One 1/2 Story
Single Family Dwelling
....................................... ........ ........................
Location ,Lot #21 Path
...........................................
Hyannis
...............................................................................
Roger Roberts
Owner ..................................................................
Type of Construction ,,,Frame
............................
Plot ............................ Lot .................................
Permit Granted .....January 2 6, 19 81
............................... ......
Date of Inspection ....................................19
Date Completed ......................................19
PERMIT REFUSED
...................... 19
....................... . .................................................
...
........ �........? ............... ."" .:.. ..................
Approved ................................................ 19
...............................................................................
...............................................................................
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TOWN OF BARNSTABLE 2?q
a Permit No. _______�___
Building Inspector
Cash
SIAPI
OCCUPANCY PERMIT Bond -._-__-.�- ,.
"No building nor structure shall be erected,and no land, building or structure shall be
used for a new, different, changed, or enlarged use. without a Building, Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a .
certificate of occupancy has been issued by the Building Inspector."
t
Issued to TLZOgeT RObeits Address_
lot: 421 23 ,Jennies Path. 11 a nis
Wiring Inspector +� Inspection date
Plumbing Inspector �``� Inspection date
,V r
Gas Inspector Inspection date
Engineering Department
�,•Q111U� � Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS. '
�..�o ........_......... 192. �-
/% Building Inspector
Assessor's map and lot number .... .......................��.....1.. ''i
�
:
�i THE
Sewage Permit number ..... .... .. ../ � 13AW L TB�L�E
House number ..a3.......................� y
..............................
rasa
039,
0 YPY a'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......Ar!j............./,q
TYPE OF CONSTRUCTION'" V e)Ca " r.. .Q A.VM(7... .. ... ......... ...............................................................................
........ +!+. ............. .......19.0
TO THE INSPECTOR OF BUILDINGS: t
The undersigned hereby applies for a permit according to the following information:
Location ....... 3......... �.R.1V� �� .......}P..A.zl. .......... .................................... ...................................
ProposedUse ......./.}.F,5/G'....... ...................... .......... .. ...............................................................................................
ZoningDistrict ........................................................................Fire District ..............................................................................
A.
Name of Owner ......Y. b:.C.�: � ......!=...... �'�et�. ...Address ............. 1 . �1Y1. . ..............................................
Name of Builder ......�l�.t.�.. ........ .(:4(1.r LI..............Address .........� � Gi4111. ....................................................
Nameof Architect ................... ............................................Address ....................................................................................
Number of Rooms i Foundation ..............................................-- i .. r n
Exterior ..... �...... ...............................................................Roofing ......./`f, ;Q (c ........................................................
Floors ......................Garr s. r? Interior
................................................................ ,.....'..-......................................................
IfHeating ...........IS C!...�j..�...................................................Plumbing ........ �� .�k ........................................................
Fireplace .........Ma).N.E:......................................................Approximate Cost ........Z}...t C G' a................. .....
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area 1 '`6 ,............ ......1 � .........
...........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....L::"t.t .... - v y.. .:...................................
hn
Construction Supervisor's License ........... ....' 0..............
ROBERTS, RODGER E. A=250-116
25140 Build Dormer
No ................. Permit for ....................................
Single Family Dwelling
Location 23 Jennie' s Path.
................................................................
Hyannis
...............................................................................
Rodger E. Roberts
Owner ..................................................................
Type of Construction .........Frame
.................................
................................................................................
Plot ............................ Lot ................................ ~
June 1, 83
Permit Granted ........................................19
Date of Inspection ....................................19 t
Date Completed ......................................19
C(`
c?2
f
QUERY PROPERTY: QUERY END
QUERY PROPERTY
_+
t
PENTAMAt-fON=---------------------------------------------------------- 08/08/02
PARCEL ID 250 116 CEO ID 16032
LOT/BLOCK 21 DBA
PROPERTY ADDRESS OWNER ASHE
23 JENNIES PATH DENNIS M & SUSAN L
HYANNIS 23 JENNIES PATH
HYANNIS MA 02601
PHONE DISTRICT HY
DEVELOPMENT STATUS C ASSESSOR'S CODE.
CAPACITY(NOTES)
ZONING DIST/ZOC RC-1 SEWER SYSTEM
FLOOD PLN/ELEV. WATER SYSTEM
OKH? # BEDROOMS
ZBA DECISION FAMILY APT
LOT SIZE 22215. 6 OPER/MGR NAME
WET LANDS MULT ADDRESS
USE 101 PROTECT DIST GP
(N)EXT / (P)REVIOUS / NO(T)ES / PER(M) ITS /
(V) IOLATIONS / (G)EOBASE / (E)XIT
QUERY PROPERTY: QUERY END
QUERY PROPEi�Y
,r
PENTAMATION----------------------------------------------------------- 08/08/02
PARCEL ID 250 116 GEO ID 16032
LOT/BLOCK 21 DBA
PROPERTY ADDRESS OWNER ASHE
23 JENNIES PATH DENNIS M & SUSAN L
HYANNIS 23 JENNIES PATH
HYANNIS MA 02601
PHONE DISTRICT HY
DEVELOPMENT STATUS C ASSESSOR'S CODE
CAPACITY(NOTES)
ZONING DIST/ZOC RC-1 SEWER SYSTEM
FLOOD PLN/ELEV. WATER SYSTEM
OKH? # BEDROOMS
ZBA DECISION FAMILY APT
LOT SIZE 22215. 6 OPER/MGR NAME
WET LANDS MULT ADDRESS
USE 101 PROTECT DIST GP
(N)EXT / (P)REVIOUS / NO(T)ES / PER(M) ITS /
(V) IOLATIONS / (G)EOBASE / (E)XIT
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TOWN OF BARNSTABLE
CERTIFICATE` OF OCCUPANCY
PARCEL ID 250 116 GE61BASE ID 16032
ADDRESS 23 JENNIES PATH PHONE
HYANNIS ZIP
iLOT 21 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT HY
PERMIT 41374 DESCRIPTION WORK COMPLETED UNDER BLDG. PMT. #38907
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
BOND $.00
CONSTRUCTION COSTS $.00
753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P �Rs,I,ABLE.
MASS.
ED Mf►� II�
BUIL IVIS I
BY 1
v v
DATE ISSUED 09/28/1999 EXPIRATION DATE
1
F. UJ_LDI i AT
ADDRESS 23 JENNIES PAT14 PHONE
HYANN7 9 , ZIP -
LOT 21 BLOCK LOT SIZE.
?DBy DEVELOP DISTRICT RY
�Pk;RMIT 38907 —DESCRIPTION ADD! '16' «'+Cl"
PERMIT TYPE .ADDI TITLE BUILDI G PERMIT ,ADDITTON
CONTRACTORS: DAV ID L DADMUN Department of Health Safety
ARCHITECTS: -sand Environmental Services
TaTAL FEES: 3 1 i.; v
BOND Off . DIME
CONSTRUCTION COSTS $%317,5.00'.00 ,_ � x'
763 NOT .CODED ELSEWHERE
* BARNSTABM
MASS.
039. `fig
BUILDINI! 1D ISION
BY
DATE IS`UFD 06/017/3.999 EXPIRATION DA'I1
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-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALSj PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
10
2 � �A /_I_� 2 ._ 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
I
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
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Jul -27-99 04s13P MID CAPE HOME CEN R , 15083984559 P.02
• � - fJf� UIcJ� �/�f�ii
ltlk�NK'.�kRSt)N<dt�tNaME4�•. _. ��, -
- -- -- - - � NAME
ADDRESS
y MANIFOLLL _ !!
SALESMAN t. ,�� 7� t�.t TR
U.
L.:.r"j1Zy
JOB LOCATION
�r
BEk - LcULET I0 N
G (D — 0
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LCAD I N - Live Lof L.-
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rw
_00
Jul-27-99 04: 12P MID CAPE HOME,
15083984559 P-01
Oq
DF.AMUSA 10012 7S/27/W9 au/:46PM00t9 9.6" TJI®/Prom-250 JOIST @ 16.0" O/C
Page THIS PRODUode:CT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED
Overall Dhnenslon=20'
i
2 j3
16' 4' . . ..
Product Diagram Is Conceptual.
LOADS:
Analysis for Joist Member Supporting FLOOR-RES.Application. Loads(psf);30 Live at 100116 duration, 10 Dead,0 Partition,and:
TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT
(1) Point(lbs.) Floor(1.00) 300 200 29 Replaces
Analysis assumes loads are passed through to support: Sufficient strength full depth blocking, rim,or squash blocks are required at
dropped supports.The accessories shown,at the diagram above, have NOT been checked for capacity. Point Loads are included
in the reported SUPPORTS reactions.
SUPPORTS: INPUT BEARING REACTIONS(lbs.)
WIDTH LENGTH JUSTIFICATION LIVE/DEAD/TOTAL DETAIL OTHER
1 2x4 Plate 3.50" 1.75" Left Face 260/87/347 Detail L2
2 2x4 Plate 3.50" 3.5" Centered 725/242/967 Detail B3
3 2x4 Plate 3.50" 1.757' Right Face 300/138/519 Detail L2
-See TJM SPECIFIER'S/BUILDER'S GUIDES for detail(s): L2,63.
DESIGN CONTROLS:
MAXIMUM DESIGN CONTROL CONTROL LOCATION
Shear(lb) 507 481 1232 Passed(39%) Rt.end Span 1 under Floor loading
Reaction(Ib) 967 967 2030 Passed(48%) Bearing 2 under Floor loading
Moment(ft-lb) 1359 1359 3338 Passed(41%) Rt.end Span 1 under Floor loading
—Live Oefl.(in) 0.146 ---0.395 Passed(Lt999+) MID Span 1 under.Floor-ALTERNATE span loading.- _
Total Defl.(in) 0.195 0.790 Passed(L/973) MID Span 1 under Floor ALTERNATE span loading`
-Allowable moment was increased for repetitive member usage.
-Deflection Criteria:STANDARD(LL:Lt480,TLIJ240).
-Deflection analysis is based on composite action with single layer of the appropriate span-rated, GLUED$NAILED wood decking.
Bracing(Lu):AN compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and
positioning of lateral bracing is required to achieve member stability.
no load conditions considered in this design include Alternate member loading.
ADDITIONAL_ NOTES-
-IMPORTANT! The analysis presented is output from software developed by Trus Joist MacMillan(TJM). TJM warrants the sizing of its
products by this software will be accomplished in accordance with TJM product design criteria and code accepted design values. The
specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not
been reviewed by a TJM Associate,
-Not all products are readily available. Check with your supplier or TJM technical representative for product availability.
-THIS ANALYSIS FOR TRUS JOIST MscMIL AN PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS,
-Allowable Stress Design methodology was used for Code NER analyzing the TJM Residential product listed above.
PROJECT INFORMATION OPERATOR INFORMATION:
-DADMUN CUSTOM BUILDERS MID CAPE HOME CENTERS
ASHE JOB PAULA MacN1ECE
HYANNIS PO BOX 1418,RT 134
SO,DENNIS, MA.02660.1418
5D8-398-6071 X387
508-398.4559
Cepyrignt O 19,A by Trus.lorst Ma cmiiian,a iimitea psrrners6Mp,Doix,Idaho,USA. Prot',T.J-Ptor"and rJ-Beam-am ve6emerks of Trus Joist MacMillan,
1`10 Is a registered trademark or Trus Joist MarJUipsn,
kOADMAN.bm
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
y , 4�/
Map'—
�.,�b Parcel Permit#/ /6 � t' # + . .. .• • •
Health Division Date'Issued 7 �9
Conservation Division .;-�P T�1 (�1ti F ` FeeIl� � f'
r Tax Collector j ` '� $eo o , (a 1(_11 "Vo a ds y&d
StPTIC SYSTEM MUST BE
Treasurer _ 1NSTALLED.IN COMPUTANCE
-
Planning Dept. N. D Nt Wff N T=5
} :ENVIRONMENTAL CODE AND
Date Definitive'Plan Approved by Planning Board JU,A• U.M T®1NN REGULATICS
Historic-OKH Preservation/Hyannis
Project Street Address. Q;).4 l a Y
Village ����/� A-'A—' I
;Owner;�) ?J A_J: S+ 1� Address -e—AJti zS
Telephone
Permit Request _ -I' i �� /6 �X.�0 P '
F
Square feet: 1 st floor: existing00 proposed ':t`2 B 2nd floor: existing proposed a0 Total newT
Estimated Project Cost 3.7�Soo Zoning District Flood Plain Groundwater Overlay
Construction Type woy ti -
Lot Size ,20, 7 -5Q F,fi''` Grandfathered: ❑Yes A No If yes, attach supporting documentation.'
r
Dwelling Type: Single Family Two Family Q. Multi-Family(#units)
Age of Existing Structure >Ll S Historic House: Cl Yes �WNo On Old King's Highway: ❑Yes l iVo
Basement Type: WFull ❑Crawl ❑Walkout ❑Other
Basement Finished Areaf(sq.ft.) N A Basement Unfinished Area(sq.ft) A—)A
Number of Baths: Full: existing new Half:existing — new
Number of Bedrooms:- existing new
Total Room Count(not including baths):existing to new First Floor Room Count
Heat Type and Fuel: $Gas ❑Oil ❑ Electric 0 Other
Central Air: ❑Yes rFNo Fireplaces: Existing New — Existing wood/coal stove: ❑Yes �k`No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size'. Barn:❑existing ❑new size ,
Attached garage:O existing ❑new size Shed:0 existing ❑new size Other:
• M Y,
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes �No If yes,site plan review#
Current Use 62 z S Proposed Use Q S
. BUILDER INFORMATION
Name Z �0 t c� '�A 1_� Pl v A Telephone Number 7GO — SI �/O
Address_S I o�� S-r License# _ 6 7 V9k Or
W-� 1 +e V V •S ' 6 1 4a'1✓� Home Improvement Contractor#" ) F71 S
p ( 70 Worker's Compensation# f l — 17
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IIF ip
SIGNATU DATE r ZZ&
-
FOR OFFICIAL USE ONLY
PERMIT NO.
j DATE ISSUED *_ A.4dot. 4
MAP/PARCEL NO.
ADDRESS VILLAGE
r ,
: .
OWNER
f -DATE OF INSPECTIOI ` _ g
FOUNDATION
FRAME
INSULATION
FIREPLACE-
ELECTRICAL: ROUGH FINAL `'.
fN
PLUMBING: ROUGH > . FINAL' .
GAS: 'ROUGI2 "t 1 FINAL j' FINAL BUILDING tl! go 0
r* ;
DATE CLOSED OUTS o
ASSOCIATION PLAN NO.-„ oy "s ,
y; _
' '� • . .-e.�/%• � .•'jy:'.•mil_-_�����j"_y-�.� w..,,�//-.f..�-•t���/�� -
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Numbers°,_GS'°, 074205
Birth W;;r-' ZE31 u56 I
Expiirew-'12131t2002 Tr.no: 74205 I
Restrictedlo: 1 G
DAVID L DADMUN M _
51 POND STREET .mrt r..x L�- �►. .
WEST DENNIS, MA 02670 Administrator {.
..... _._ .__.... .. ....k,...i 'fix.
' � ��p�me�rtovw�a/�o��mat%uaelta
HOME IMPROVEMENT CONTRACTOR
Registration 128718
Type = 08A
Expiration 05/09/01
�r
D.L. DADMON CUSTOM BUILDERS
fI0 L. DADMON
ADMINISTRATOR 51 POND ST
Wn DENNIS MA 02670
Table JSZIb(conduaed) i
preses ptive Packages for One and Two-Family Residential Buildlap Stetted with Food Fuels �
MAXIMUM MINIMUM
Glazing Glazing Ceiling wan ,_ floor Basement Slab Healing/Cooling
Arm'(!A) U-value= 1t value' R value',, P value' wan Pia Egeil m sn E d=CY'
packalle Rrvalue' R value'
5"1 to 6500 Hating Degree Days
Q 12% 0.40 38 13 19 10 6 Normal
R 12% 0.52 30 19 19 10 6 Normal
S 12% 0.50 38 13 19 10 6 U AFUE
T 15% 036 38 13 25 WA WA Normal
U IS'/. 0.46 38 19 19 10 6 Now
v 13% 0.44 38 13 2S WA WA HS AFUE
w 15% 0.52 30 19 19 10 6 83 ARM
X 19% 032 38 13 2S WA WA Normal
Y 19% 0.42 38 19 2S WA WA Normal
Z 18% 0.42 38 13 19 10 6 90 AFUE
AA 19% 030 30 19 19 10 6 90 AFUE
1. ADDRESS OF PROPERTY: r '�n9 , 2
,yY A A—�
2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 7 .L
3. SQUARE FOOTAGE OF ALL GLAZING. -
4. %GLAZING AREA(#3 DIVIDED BY#2): y D
S. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
9•-forms-t980303a
n ry �iie area of the glazing assemblies (including sliding-glass doors, skylights, and
4alls that enclose conditioned space,but excluding opaque doors)to the gross well
2Y-n%�aw sr r i� ¢� .=.Ip to 1%of the total glazing area may be excluded from the U-value requirement.
fl 4 ;lass may be excluded from a building design with 300 fl of glazing area.
`.T-values must be tested and docimented by the manufacturer in accordance with
luxe; nurta""� ii,r ° k Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
z4s S cannot be used.
me a raised or oversized truss construction. If the insulation achieves the full
th 4 °rior walls without compression, R 30 insulation may be substituted for R-38
be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity
. �a CS u�..;W'Itir; i; i r p. (if used). For ventilated ceilings, insulating sheathing must be placed between
Gca� one 1p' d bated portion of the roof.
ra�ll lN, a Po npz,=Scrt t � , 'k a of the wall cavityMinsulation plus insulating sheathing (if used). Do not include
ell, � et � �t ;�stc �%s '��� r;, and interior drywall: For example,an R-19 requirement could be met EITHER
at ws�kt� 2v, t= l.3 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to
si's^
Ae'or ss tcwoO�.= t i"sorry,log)wall constructions,but do not apply to metal-frame construction.
t ,� floors over unconditioned spaces(such as unconditioned crawlspaces, basements,
�r xa8es� Y�"lpo��ors c o a`must meet the ceiling requirements.
p� *;entwa OIL t y i 51 ,r individual basement wall with;an average depth less than 50%below grade must
as above-grade walls. Windows and sliding glass doors of conditioned
Via"S us$ {Je"trLsl,d=,J e !al the other glazing. Basemertt doors must meet the door U-value requirement
1 *v��ltt reaa.iix�: s unheated slabs.Add an additional R-2 for heated slabs.
" 1g the bail ift ,% -vsistance heating use compliance approach 3, 4, or 5. If you plan to install more
ll�aat r plc, rFf .ent or more than one piece of cooling equipment, the equipment with the lowest
efr id:=v 64i�a; .sty ,a.f c efficiency required by the selected package.
4iFt>� `� IY'Av ti ;invents of the closest city or town see Table J5.2.1a
„37, 11
maximum acceptable levels. Insulation R-values are minimum acceptable levels.
station only and do not include structural components.
nvelope must have a U-value no greater than 0.35. Door U-values must be tested
Curer in accordance with the NFRC test procedure or taken from the door U-value
,:s glass and an aggregate U-value rating for that door is not available, include the
f.ttitt fl$s=, „k windows and use the opaque door U-value to determine compliance of the door.
$his requirement(i.e.,may have.a U-value greater than 0.35).
k.t wall,slab-edge,or crawl space wall component includes two or more areas with
nponent complies if the area-weighted average R value is greater than or equal to
Fn' t. .:. component. Glazing or door components comply if the area-weighted average U-
M ,r` f t Bess than or equal to the U-value.requirement(0.35 for doors).
a
A
43
a�l.�rr.rr®
.:':> :: :: .:::>:::.?:::., ...........>: DATE(MM/DD/YY)
.....................................:.::.: .. ::;:.: :. ..:: rr :::::r.rvS.. :R� .. :E::::::::::::::::::::::::::::::::::::::::::..� . 06,0 ,99
.. :......:... .:::::..:.:....::.:.: ...::.::::::::::::::::::......:: ::::::::::::::::::::::::::..�:: .::::::::::::::::: .:::::::::::::.:::..................................t
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Marshall K. Lovelette Ins Agcy HOLDER. THIS CERTIFICATE DOES,NOT�AMEND,` EXTEND OR
396 Main Street ALTER THE COVERAGE AFFORDED BY THE#:POLICIES BELOW.
P.O. Bo: 836 COMPANIES AFFORDING COVERAGE
West Yarmouth MA 02673
COMPANY
A Granite State Ins Co '
INSURED
COMPANY
David Dadmun B Alaryland Insurance Compan, ` "A
Custom Builders COMPANY ^
51 Pond Street C
West Dennis MA 02670
COMPANY f
D
.......................................:...........:::::::.::::.:::.:::::::::::.:::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::::::.::::::::::::.::::::::::.::.:::::::::::::::::::::::::::::,.:::::::::::::::::::::::.:::.:::. : : ::::.:::.:
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 I'S SUBJECT TO ALL T,HE:7ERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS :k.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE (MM/DDNY) DATE (MM/DDNY) . ` f^ LIMITS
B- GENERAL LIABILITY SCP32882798 03/17/99 03/17/00` GENERAL AGGREGATE' ,, $, 600,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP00
AGG� ,$ 600 OOO
CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY `.$�'` 300 OOO
OWNER'S&CONTRACTOR'S PROT -EACH,OCCURRENCE a° $ j 300,000
FIRE DAMAGE(Any one fire)' $
MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LlMITi7jgT,j $
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED.AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE?' { -$�
GARAGE LIABILITY -AUTO ONLY-EA ACCIDENT... $
ANY AUTO OTHER THAN AUTO,ONLY:
EACH'ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS'LIABILITY
.....................................
A WC811-66-17 03/20/99 03/20/00 EL EACH ACCIDENT $ 100,000
THE PROPRIETOR/ INCL i EL DISEASE-POLICY LIMIT 1$ 500,000
PARTNERS/EXECUTIVE ':%,.
OFFICERS ARE: EXCL Sc, EL DISEASE-EA EMPLOYEE Is 100,000
OTHER
DESCRIPTION OF OPERATIONSA-OCATIONSNEHICLES/SPECIAL ITEMS ,
Carpentry --
...C...... ......... ............................................................................................................................................................................ . ............................'. . .....................'......:.....:...
............ .................................................................................................................................................................................................................................................................................. . ............. ................
..... .............. .. . . > . : .. : ::. . : ~>»:: :: :: . C . .. ... :. . » »IE 3E3T FM-� 3DFR .. :: :.. :' iIP ( . » >:` < : >..'..<................
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Town of Barnstable EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
South Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE Al CH NOTICE*SHAL
Hyannis MA 02601 LIMPOSE NO OBLIGATION OR LIABILITY
0 Y VND UPO CO TY°ITS AGENTS OR REPRESENTATIVES.
AUTHO D ESE
Joh }
::::-A AORQi 2a S»:1 :::::
00
0
WE
The Town of Barnstable
&639. Department of Health Safety and Environmental Services
" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-8624038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
s 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: All , * � U PJ Estimated Cost
Address of Work: `� ,� a, z S �� } 14
Owner's Name: C_1),_,_) /4 e
Date of Application: zillvG
I hereby certify that:
Registration is not required for the following reason(s):
(—]Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby app y for a permit as the agent of the owner:
6 t �� �_, v 4 I A �7 18
Date Contractor Name Registration No.
OR
Date Owner's Name
F
q:forms:Affidav
1-1Z
I -"-----__�_ The Commonwealth of Massachusetts ,, - ,
= - _` Department of Industrial Accidents ,_�:4. , �. ..
0/I/CC Of//IYOSII'g8l/0OS - , • ..
600 Washington Street '<, m ,' -
- - Boston,Mass. OZIIl "` 'li ,:
,;: r
�" Workers' Com ensationInsurance davit-`' "-' ` `.e 1- ;
name:\ A V,,� A �'►^ /� ` > s ^ t r` ':y
location
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t,; i,x. ,IUJT. "�
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❑ I am a h meowner performing all work myself. tt,- `,a;�
iiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiaiii �����iiiioii�iiiiiiiii�iiiiiiii%i� �a�
I am an employer,providing workers.•compensation for my employees working on this.job.,,_ _...z.,p'� ,,I A
<':a 'n m
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❑ I am a sole proprietor,general contractor, or homeowner(circle•one)and have hired the coiitractois listed belowwho
have . ?',M.,' . : ;' ,I3 r
. . .. .
the following workers'compensation olices: ``°1. . z _' ``'`
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Fafiure to secure coverage as required under Section 25A of MGL 152 can had to the imposition of crindnsl penalties of a fine up to S1,5o0.o0 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereb under th enahYee of perjury that Onto provided above is trrso and co ed
Si@vature Date
Print name A v%I �Ad M u.� Phone# -76 - sl S � *
official use only do not write in this area to be completed by city or fawn oflidal II
city or town: . perndNHcense# QBnfiding Department
❑checkif iutediste OLicensing Board
i,rngd . ❑Selectanen s Office
,.,,; OHeslthDepatuent
contact person: phone#; _ ❑Other
Gevieed 9195 PW
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate.a business or to-construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work untrl
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants i
Please fill in th�workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying comPAY names,address and phone numbers along with a certificate of insurance as all affidavits 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 Depaitrnent at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of In y regarding the applicant. Please
vestigations has to contact you
be sure to fill is the peraiit/license msmber which will be used as a reference-number. The affidavits may be renamed io
the Deparanent b' mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for You
y cooperation and should you have any questions,
please do not hesitate to give us a call.
FEE
'The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
offlce of fwestlgations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat. 406, 409 or 375
\/
MAP
STANDARD LEGEND
/ note:not all sym6als will appeal on a map
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Sewage Permit number ......... .............. :.
1 .
Z 33AMSTABLL i
House number .......................................................................
y MAl6
TOWN ` OF BARNSTABLE
: .BU11DING ..1NSPECTOR
r - ............................PERMIT TO .. aAPPLICATION'FOR ...... te .. bl�? 2 ......................
TYPE OF CONSTRUCTION
: r
4. ..gK.......... ........ q..L3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to, /the following information:
Location .......0.3..........j 5.......}P..�:T-f ..........9 --f J���v� ......................
Proposed .Use .....11. .�!�!.0�`�. .. ............................................................................................................ ...................
ZoningDistrict ........................................................................Fire District ..............................................................................
Name of Owner .....�.. G� 2 ....Address .....................................................E'�1nI 5
. ................ .
Name of Builder ......U.".!.l..Ye e........ I .. ...............Address .........IL. GrG�VL�.. ....................................................
Name of Architect N.�.�t Q= ....Address
Number of Rooms
.........1. .................. ...Foundation T�(.(.s.l.(n
Exierior .....T....1....I�.......................................................`........Roofing .......4. .��:I .. .........................................................
�1 n
Floors ........4... !?. ......................................................Interior .......1�: . . T.!! ...........................
V �� ............
Heating ..... ..................................................Plumbing ......... .
Fireplace .........M.V.O.E............................................ . ... .Approximate. Cost .......5..............!.. .: .......................
Definitive Plan Approved by Planning Board -----------_______-------____19=______. Area :..: .4:l'�.4?...
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name
Construction Supervisor's License ..l�.D..��.�Z ..............
ROBERTS, RODGER E. a
25140 BUILD DORMER
s No ................. Permit for ....................................
Single Family Dwelling
... .. .......................................... .
Location ... 3...Jennie.�.s...Path,-
.. ......:...........
Hyannis _ --
r ............. M ...................... f{ .-'
Owner Rodger
...E......Roberts.................
Frame
Type of Construction ............. -
,b Plot ............................ Lot ............'. ............ _ 1
Permit Granted ......June .i 19 83
'Date of Inspection .�. .�� '::U. ..19
} Date Completed ..... ..... .....19
�. •. '�, _ A �.� - '� •. _ ; �•. .E. M try.