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0181 OLD TOWN ROAD
P f 41 �� 3 �� ---- -.- �.- � � j Y � � � � � qq � � �. ' i 4 ". . 1 f r 4 r _ � . ' � �' TOWN OF BARNSTABLEINE Building201505365 BARNSTABLE, Issue Date: 08/31/15 Permit 9 'MASS. Q�Ar�0 39. A � Applicant: Permit Number: B 20152344 Proposed Use: SINGLE FAMILY HOME Expiration Date: . 02/28/16 [Location 181 OLD TOWN ROAD Zoning District RB Permit Type: RESIDENTIAL INSULATION Map Parcel 268053 Permit Fee$ 35.00 Contractor RETROFIT INSULATION INC Village HYANNIS App Fee$ 50.00 License Num. 160461 Est Construction Cost$ 2,308 Remarks APPROVED PLANS MUST BE RETAINE ON JOB AND INSULATION/WEATHERIZATION THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WAY,ANDREW W&MARTINELLI,NANCY M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 5 PERSHING AVENUE INSPECTION HAS BEEN MADE. FRAMINGHAM,MA 01702 Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR NENTLY ENCROACHMENTS ONP IC PROPERTY„N01 SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST$E APPROVED BY THE JURISDICTION STREET.OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF P C 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 APPLICABL SUBDIVISION RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 1 ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&.PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. . 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF BATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). r dx BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 I 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel '> '� ` " '`�� '� "° Application# Health Division jz;; Date Issued Conservation Division Application Planning Dept. Permit Fee ~ <� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 4 � ` 0 Z��J✓� (� ^ -� v��:M 6.� 2 Village Owner A,&i/ A �► Address Telephone Co 7 MA 02 b'7 Z Permit Request() 141l SliE}'l,11,16 0,?- )I / . f S g SI-A)C���1' Square feet: 1st floor: existing proposed 2nd floor: Ntting —prop led Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a30b� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 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 � -� �i��1C'�i�� Telephone Number Address _��"� u l 0 License # l 6 d c--7 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE ��Z / FOR OFFICIAL USE ONLY y APPLICATION# DATE ISSUED !L, MAP/PARCEL NO. . ADDRESS VILLAGE OWNER �3 DATE OF INSPECTION: - FOUNDATION i li FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E: R DATE CLOSED OUT ASSOCIATION PLAN NO. NUMCIPAnNG mass save , Cfl =irtvMpt thraMfi 4nhTY e.ttx;leC4 { PERMIT AUTHORIZATION FORT owner of the:property located at:' (Owner's Name,printed) (Pioperty Street Address) hereby authonze the Mass Save Nome Energy Services Program assigned'Parbgj'op ° } Contractor listed.below to act on my behalf andobtam;a buildrJg'perm�t to perform,insulaticin' andlar weMhenzat on work on my:property:;. Owner's Signatu - Date } :} FOR:CSG.OFME'btE-ONLY ConserVatign Services Group has assigned the following.Maass Save`Home.:Energy,Services Participating Contractor to thea ove'referenced project:' Participating Contractor Date: :a J Rev.12132011 \ The Commonwealth of Massachusetts Department of Industrial Accidents s I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov1dia NVorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ii r 1 Please Print Le ibl Name (Business/Organization/Individual): �-t 1.-1-7 SI n Address: ex 10 S� City/State/Zip: d311 Phone Lf - 10 1-0 Are you an employer?Check the appropriate box: Type of project(required): L am a employer with 14Z) mployees(full and/or part-time).* 7. ❑New construction 2.❑l am a sole proprietor or partnership and have no employees working for me in $. ❑Remodeling any capacity.[No workers'comp.insurance required-] 3.❑1 am a homeowner doing all work myself..[No workers'comp.insurance requited.]T 9. El Demolition ❑4.El am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5-❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ repairs re airs These sub-contractors have employees and have workers'comp.insurance.t 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other ��t�YLr.E�t 2 c,�Jryt 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. tContractors 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: S �r C. b Policy#or Self-ins. Lic.#: U�L- U q 6-910 I 010 Expiration Date: Job Site Address: I I 01 o City/State/Zip: ,'RA-riWT-A NR NAt4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dite).01 (67 L Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct Signature: Date: Phone#: 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#: rr::. r;,ra -� Client#:317787 RETROFITINI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 8/05/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE 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 certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of sucr.endorsement(s). PRODUCER CONTAC7 NAME: HUB International New England PHONE; EXt:978 657-5100 ac No): 978-988-0038 222 Milliken Blvd E-MAIL ADDRESS: Fall River,MA 02722 INSURER(S)AFFORDING COVERAGE NAIC# 508 235-2200 INSURER A:Star Insurance Company 18023 INSURED INSURER B: Retrofit Insulation,Inc. - PO BOX 105 INSURER C: Seekonk, MA 02771 INSURERD: INSURER E: INSURER F: COVERAGES 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 CONTRACTOR 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. �TRR ADD TYPE OF INSURANCE NSRLSUBR WVD POLICY NUMBER (POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $ CLAIMS-MADE DOCCUR - MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY JE o- 171 LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC0845201 OO 8IO2/2015 08IO2/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ITORYLIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $1 000 000 OFFICER/MEMBER EXCLUDED? F N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 00O 000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1,000,000 J .. I ` DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of I The ACORD name and logo are registered marks of ACORD #S 1432002/M 1432001 RB004 Office of Consumer Affairs and Business Regulation ;X 10 Park Plaza - Suite 5170 Boston, Massa, tsetts 02116 Home Improvement Cortor Registration Registration: 160461 y:' / Type: Private Corporation Expiration: 7/29/2016 Trp 252915 RETROFIT INSULATION, INC. .� JOSEPH REILLY P.O. �y �•: -� �' , BOX 105 ��. SEEKONK MA 02771 Update Address and return card.Mark reason for change. SCA 1 0 20M•05n1 Address Renewal Employment )Lost Card �s�om�nooeruaa/.f,�of°C��era�ac/armelli . . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: eglatratlon: ,,tb 61 Type: Office of Consumer Affairs and Business Regulation. xpiratlon:F>:7/ ) i6. Private Corporation 10 Park Plaza-Suite 5170 ''''='`"' Boston,MA 02116 RETROFIT INSULATISN;:IffN- r:';..-.; JOSEPH REILLY 644 RODMAN ST FALLRIVER,MA 02721. signatureUnderseeretary of alid without Of Publie:$8fe@y 130iwd af'GWkgrtB+i td na and ftn"prft "W Construction Sutwrei."r Speciaite• I z. a,REII.I, -\ 95 3iooaticAMA OMIa r 3 Expir eaonea at�twon . �w.rJ/iV17 0 Home Energy Raters LLc BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address - 181 Old Town Road Barnstable, MA 02061 Date - December 5, 2012' Contractor - Hassett Plumbing and Heating- Test Type —;Rough In - Total Leakage Conditioned floor area =516 sq. ft. — Addition Only To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM < 31 CFM (516/100 x6 = 31)- Duct leakage tested = 0 CFM This Home complies with Section 403.2.2 Of the 2009 IECC Code Test Mode - Pressurization Test Pressure = - 25.0 Pascals Equipment - Series B Minneapolis Duct Blaster Duct Leakage as Percentage of Floor area = 0.00% I Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC Commonwea��tassachusetts Sheet Metal Per Maj,;W Parcel 05-3 Nb 1 r Date: lo— /7 f2 ,'°'� Permit#..c?O . 2 Estimated Job Cost: $ ODD Permit Fee: $ ' Plans Submitted: YES NO Plans Reviewed: YES NO Business License# - Applicant License# Business Information: Property Owner/Job Location Information: Name: �10 Al Name: i le C(/s9-Y Street:m CUL`/`G`(' : - J Street Clkity/Town: /,��1/ / City/Town: Telephone: 9�Ly�/7 �� Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO - Staff Initial J-1/ - unrestricted license t - J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family ✓ Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other Square Footage: under 10,000 sq. ft. .Z over 10,000 sq. ft. Number of Stories: / Sheet metal work to be completed: New Work: ✓ Renovation: HVAC _z Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: �b r 6 yofn x IFI M . z u rtJ44cf_ 1 ('« �C 4e�GlJ�l�� 4 NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the.requirements of M.G.L.Ch. 112 Yes,MIN o ❑ f you have checked Yes;•indicate the",'type of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Oassachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent 3y checking this box❑, I hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and iccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be n compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: y 2"Master isle ❑ Master-Restricted ity/Town ❑Journeyperson Signature of Licensee ermit# ❑Joumeyperson-Restricted License Number ee$ El Check at www.mass.gov/dnl ispector Signature of Permit Approval f ?sae Commonwealth of 11lassae isetts De,part ej t of'Industrid Acddents- Office pfbwadgadons 00 Washington Sireet Boston,M 02111 ' qtj WWW.MM&gov/ Workers'Compensation lqsnraulce davit;Buffders/Cantraetors/FIeetricians/Flumbers Rat IVf0fi0g Please Print T,etiy Name(� ess�Cprg�iratifla/fr�vadatat)��sr- Address° GOF JJ,.;tom- at�IStatt �ip� �,hY' yT hone S',O F 77417s'Are you an amployer Check the appropriate bo=� Type of i°o � am a general actrr aztd'I p �ect(required) '- 1.LrJ,amaenyl'erwith / �. � � i t 6. Newconsticim . Ioyecs(ftall=&or paxt,7*w),I. have hied dw snb-contractors 'sole gropaictor orpa�� on O'auaehed sheet: 7, Remodeling s artd Daav no plrs3�et s 'i'hese.sub-contractors have 8. L7t:>noli zt i wer =i r=Y Capacity. �Ployess and have workers' 9. audit kM [No wo*=- 'comp,in �.�.f" Rtgniral 5, ® We arc a corporates and its 1O.ElElectria Aga o or additions 3,El I am a der doing R_U woxk officm have exercised their . 11,®Plm1bi-g repairs sir adftons if I-No workers' of won per l�CL 1.-0 Roof repairs toe rstred J t r.152,§1(4),and we have no t�mployM°[Nay .23. - C3daer Wredj d pk�$ 33rb-=b #1 musta''10 out�swUm�fl'A�'�RR �&5 mwi $4;-+9J[?&c m-policy tom - t fff apo�vne�=sub mit ft affidavit WdWaftg t3tq= D a wszk and tim hire cutsidc canter umst submit i now afida"m6catmg sucb. dam t�tt:ctwk fail bans zmvt anacUd an addifimal tishea rhboymg ft nam gftht-m*,=hnctDm and sty w110her Ur not tb==tk=bave rmployex& fff LUs sues back emstuy=,fixy n=VwMe tb°rh wrist='comp.pelicymamb r I am an employer fiat h pro i g workers'compensation insurance for my elnpioyee& Bdow is the po icy and job informadox ,/ cs CampanyN , Al tFl"J d� Policy#or Self us.Vic,- OF G Cl- 3 U)- I Evirad=Date:A1 Y/A Job site Add=ss; d D/ .TiT�� Cityt atel7 : Attach a copy of theworkers'compensation policy motion page'(showing the policy der amm elparataon date). Pajkwe,to sec=covmjp, as refired order Swtion 25A.of MCTL c. 152 can lead to the bwositim of cnmiaal penalties of a lip to$1,500°00 moor ow-you impaiso as wen as civil penalt im in the form of a SMP WORK ORDER and a tore of up to S250°00 a day against the viols Be advised dmt a spy of this statemedt maybe forwarded to floe Office of havestindons of t1w M for iamace ey a verist a ,n. I hereby ion er.fhe paa-ns•"e en Pfperjarry ihr#the i+nfonnutson pT€ u1ed above sire and rvrre� Simiata�el Daft., Uff oral use only. Do not WW bi finis Mreg,to a covTldedby Wy or-town o ftid City or Town: PermitUcense •7�Ss�eg.Authvrlty(cu°s�e one): ' ` I,Board of Hcalth 2,13uJdug Dapartiumt 3.City/Town Clerk 4,Electrical taspector 5°Plumbing Impecfor I 4,other Contact Person. Phone#4 THE Town of Barnstable } Regulatory Services ■' RAwTTR1'AHf R • M S3 Thomas F.Geiler,Director s639. 1 o ` Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: 509-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A:Builder as 6wmrof the subject property hereby authorize. anq2.1 �14 rr. to act on ray behalf, in all-matters zelative to-work authorized by this buBdiag permit (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. r Signature of Q / Signature of Applicant Print Name ev fcD o Print Name Dae Q:FORMS:OV,rN ERMSSIONPOOU J I • tHWE Town of Barnstable Regulatory Services 11AI MszAsrS, Thomas F.Geiler,Director MAss 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions , of this section(Section 109,1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,"that such Homeowner shall act as supervisor." . Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fon-n/certification for use in your community. Q:forms:homeexempt C06AMER Rim 111ER C�TGEPISE ��58�79Z331` ��TPN JFI"� gmg NEST'`HGTT SEI(xt y ASSETT43N,.3 tg =PETERJ` � }W MM0�41NEALTI 1.®E�ll4!§SS C}'1U:SETTS 5 -XET METALWORKERS AS . MASTE;2-UNRESTRICTED ISSUES THE ABOVE LICENSE TO PETER -J AASSE` T ASSETT CH CNTRCTRS H `,2 .68 W'INTE: ST YARMOUTW FORT MA 02675 1246 - 311>1 02i,::8/14 i IN. L ebbConned'll � • r • r • • • tAllyl::JGi Cuvat All®>rd8r ®rduntaiAl Mile 112 I. �&n tD�r�ut ® der Pad Pad I�t Into Up calculator For WebbConnect II support please contact your local F.W. Webb branch or F.W. Webb sales person Return to Heat Calc User Menu Building Information Rooms Name Davies Click on room label to edit Location Andrew Way Label Exterior Wall height floor Upper design temp. 91 Length Lower design temp. -10 Dining 27.5 8� 189 Room temp. 71 Bath & 0 8 70 Leeway as % 10 laundry Number of people 5@400 Mud Hall 7 Ground temp. 50 Sunroom 0 12 196 Cooling air 50 Warming air 120 Add a New Room Change Information Calculation Building Rooms Gain BTU 9541 Label Gain Gain Loss Loss Base Loss BTU 14700 BTU CFM BTU CFM Board Gain CMF 319 Dining 2103 70 5324 1-Ol 10 Loss CFM 278 Bath& 306 10 1087 21 2 Base Board 28 Mud 345 12 1282 `24 ' , 3 Tonnage ' Sunroom 4787; �R160 7007 132 13 Back to Login I Current Order Pad I All Order Pad Entries I Order/Quote/AR Info Home I About F.W.Webb I Products I Locations I Programs I Services I News Copyrighel999-2011 F.W.Webb.All Rights Reserved. c It 51, i 1 _ I� �u IL t4 a Z IdlUDfcL� W�� �e� ,7P.14��� fMr1n51'fri WL1� w Ky REScheck Software Version 4.4.3 Compliance Certificate Project Title: The Way Residence Energy Code: 2009 IECC Location: Hyannis, Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 181 Old Town Road Hyannis,MA Compliance:9.6%Better Than Code Maximum UA:115 Your ILIA:104 The%Better or Worse Than Code index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross Assemblyor or D•• Perimeter U-Factor Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 504 21.0 0.0 22 Wall 1:Wood Frame, 16"o.c. 115 21.0 0.0 5 Window 1:Vinyl Frame:Double Pane with Low-E 23 0.250 6 1 Wall 2:Wood Frame,16"o.c. 315 21.0 0.0 14 Window 2:Vinyl Frame:Double Pane with tow-E 45 0.250 11 Door 1:Solid 18 0.300 5 Wall 3:Wood Frame,16"o.c. 140 21.0 0.0 6 Window 3:Vinyl Frame:Double Pane with Low-E 28 0.250 7 Wall 4:Wood Frame, 16"o.c. 115 21.0 0.0 4 Door 2:Glass 40 0.250 10 Ceiling 1:Flat Ceiling or Scissor Truss 308 39.0 0.0 9 -Ceiling 2:Cathedral Ceiling 196 40.0 0.0 5 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.3 and to comply with the mandatory require ents listed in the RES ck Inspection C ecklist. Z /fit ; t j 7, ZC,(2 Name-Title Signature . �.w.,�=.q.; Date is.40 Project Title: The Way Residence Report date: 07/17/12 Data filename: S:Wndrew Way Residence.rck Page 1 of 5 2009 IECC Energy Efficiency Certificate insulation . Ceiling I Roof 39.00 Wall 21.00 Floor I Foundation 21.00 Ductwork(unconditioned spaces): D.. Window 0.25 Door 0.25 NA .. Heating System: Cooling System: Water Heater: Name: Date: Comments: ,t it i i •. :%Iatssachttsctts-Department of Public$afetl . Bo:iret of Buitding.Re�,ulations and Stuntturtl+ Failure to-possess a current edition of the Construction Supervisor License k Massachusetts State BuildingCode License: C8 76391 is cause for revocation of this ticense., r Refer tor. W W W.Mass.Gov/DPS DALE C DAVIES 23NEWTOW1R ROAD pANJWIC MA0253 t Expiration t C"ommisiuncr Tt+ 13915 �\ O>Ss o ff M'g ✓�a License or regWration.valid for individul use only H0UE NPROVEMEPIT CONTRACTOR I before the expiration date. H found return to: Type Office of Consumer Affairs and Business Regulation Itsdnriduat 10 Park Plaza:-Suite 5170 ;) Etcp 2/282Q13 Roston;MA 02116 D C_DAMES DALE DAVIES 23 NEWfOWN RD _ o S. SANDtiMCH,AAA Up Not valid withoutsignature Pt € % BMW: <g ;.J`itra+ i2�on-giLe%)6. i,at r"rt`n6mptc 'he's dnt,e , ' ;. ,. : 0-00 Fa, ,'12�di1j718(tk"Ot"i2R7r- L'�CCt���ario�afSBfLf�Bt'd1`192H11.t�dmiRts�rSttait �, ,. _. r g• �: taa�,succ�s�te7A�t� ple�tl a gbh©urC�ccupat�onat�atety<and 7. rsatrjhtgCourse m '" a dd 1.2 < ai ter} t� �xtvsraau i ,� Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I as Owner of the subject property n hereby authorize y L-E 0,4,6 es to act on my behalf, in all matters relative to work authorized by this building permit application for: MA (Address of Job) k3 Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 r i t the Commonwealth of Massachusetts Department o f Industrial Accidents 1k VV, —J Orice of Investigations 600 Washington Street Boston,MA 02111 tvrutt.tnaMgov/rlia Workers' Compensation Insurance Affidavit: liuilderslContractors/ElectricianslPlumbers Applicant Information Please Print LesibIy Name ohninewOrgauization4n"dual): n n/L .J'7'�I 6�,s Address: 2,3 x/(Nd-f 6w h !2-D CityfstatelzAp: ,5A4)90WICI� l' '09 OZSZ3 Phone#_ 7 7 2S8 -08/� Aree you an employer?Check the appropriate box: Type of project. am a general contractor and I � ect P J (required): 1.El I am a employer with $ ❑ I g 6. ❑New construction employees{full aadlorport-time).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling slap and have no employees These sub-contractors have g_ ❑Demolition w for me in capacity. employees and have workers' working any pa ty. 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 additiems myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]F c. 152,§1(4),aad,4ve have no employees.[No workers' 13.0 Other comp.insurance required] "Any applicsm that checks box",l must also fM our the section below showing their walkers'compensation policy information. i Homeowners who submit ibis aff m ft indicedug they are doing all watk and then]dire outside contractors mast submit a new affidavit indicating such. LCantME013 that check this box must attached en additional sheet showing the name of the sub-cmtrartors a nd state whether or am those entities bate employees. If the sabcontracton have employees,they must ptmdde their nwkers'camp.policy number. I aryl an employer that isprmidinq workers compensation insurance for my eerpioyees. Below is the policy and job site information. Insurance Company Name: Policy A or Self--ins.Lie.9: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(shotring the policy number and expiration date). Failure to secure coverage as required under Section 2.5A of MGL c. 1.52 can lead to the imposition of trim naI penalties of b fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP VL70RK ORDER and a Eire: of up to V50.00 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 COA, rurder the pains and penalties of pe rry that the information pmtzcled abmre is true,and correct Signattwe: C ®� 1 Date: 9,9/97 Iz, Phone#: /-7 2-3 e) Z2 I pOfficial rise only. Do not write in this area,to be completed by city or torwn official City or Town: PermitlLicense# `Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityll`own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M TOWN OF BARNSTABLE BUILDING PERMIT APPLICATI . * i IZVX 6' O 3 IeA licationl#� � Map Parcel �p� Health Division Datelssued �. Conservation Division �a` Application Fee Planning Dept. Permit Fee r a� Date Definitive Plan Approved by Planning Board ��-- Historic - OKH _ Preservation/ Hyannis Project Street Address W-/ O(b /(9 wo 12-0 4D Village 9 7,+ng1 S Owner Address 9 Jb- Z5 J)J0- A`V& Telephone ® �/ r')� D/`76z� Permit Request 3� �l� �o.� -- !)lei��� ,Za®^'o >9 41ZDD ^A Square feet: 1 st floor: existing 769proposed 50 L/ 2nd floor: existing /� proposed Total new oL Zoning District —FIB Flood Plain 196- Groundwater Overlay Project Valuation .SOD Construction Type 1N000 Lot Size d,27 A-e+2-, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family (# units) Age of Existing Structure 1-01(08 Historic House: ❑Yes Flo On Old King's Highway: ❑Yes V o Basement Type: Wct Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) `7(A 'zif' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 2 existing Onew ,F C) Total Room Count (not including baths): existing `T new 7- First Floor Room;Count t Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other ' Central Air: ❑Yes &lo Fireplaces: Existing f New ® Existing wood/coal stove: l Yesc5=Zo Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ exi Iting ❑ Rew Oze_ Attached garage: ❑ existing ❑ new size _Shed: E existing size5AP Other: Zoning(Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes L& If yes, site plan review # —Current Use AL-3 td(-_!7X f!4C, - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ���(.+�_� C �i4'Vl Telephone Number T Z 3 g 18(6 Address �� ��� (,�n e� License # CS A3 1 Home Improvement Contractor# Worker's Compensation # T ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A/T(J kp r19 4e CIr S-" 46c jeJ44-0 �5 00IC I J IVA SIGNATURES DATE ®�le) //,?, ;t FOR OFFICIAL USE ONLY APPLICATION# -DATE ISSUED MAP/PARCEL NO. " T ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION i Ti i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL P FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. It rG c I I�fil� l il, I!�J�y1I'� �I I Mul rT E-2 -70 r -I ��TL I � it LU � I I ' I ARCHITECT L. F. GIAMPIETRO AIA "4:"•^O ^.jg .354:G1'llbRD- STREET, FA LM OUT H. A. 02310 (SO8)34074004.T.U °i• N. r �QClleirf /a'LT�S'tITK7N , cp RVW Wi�Y...3��S.t��.Nc� e1, �'70wN�JA.IJ, I1�.1r1hI.1`� 1�tA , . I { { ¢!b 19'roa t I ' -�1t7--.-_ L.rll 11 !� II I _1 Ad 111 � ; 1 $ m P s g $ ARCHITECT L. F. GIAMPIETRO AIA •�' n - .1954GIFF4RD STREET, F A L M O U T H. M A. 0 2,5 4 0 (SOB)540)100 m v, { nkDt71014.4 I LTERAT.toN m nu o r t VIA'.. 2Z-S.I.DEfhi.GE. g =-t81 fV O 7DWN-ROAo,...IdYaNN1.s:;-MA a -' icanTUR[ ti F I I I x'a n v, m i L -i I4 __.___._..._.. h G. 93 I I a N r ��31 N i :T- A g ID ARCHITECT • L. F. GIAMPIETRO AIA m •^ m I I f DS•aGCJ/.lORO: 'STREET. F A L M O U T H, Y A. 02540 (508)540 7400 z o c if to AHORE-w WIaY f2 SIOLHCE- N If51 OLD iJ•.vr—!.IYAID. ql w-+It )v{i� y. GNATVflE i 1 A �Y - $ � I . �r _ _ � I�z•a alnl.LU 9b !A _ o. .......... . T ao� N III N6�w- Z /^•`� x �!�� . rl I �ta�l •I � 1 E 4'Q E . I w ! i I .T �• I .I - 21 io r+ 1T. IR. � � _ — _ I $ � CRaUcyin'¢ �&KNO w_x SfM'G'e.34o O,C VGM �' Z a29 (�{s m w?� MD171vN ARCHITECT • .1-• F. GIAMP.IETRO AIA �• .yS43a1"OR9 5 T P E E T. .F A 1.M U U T M, MA. 02540 (SOB)W 7400IV i �1zR3 TCZ/a�.f DN rt:ate - ". ± Mj�..M't H...I.WAD_ 11YAHN:?.I.k`^A... � �SICNATVRE. t. .. .._...._...._._..... ...,_..._............._......_..._..._......_..._.._........ . 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L ' a D .. , il•A/1'.Z l3 C11;1 -_—��1N3A'�^1.P \� i e�PyoFtIIET��y� - TOWN OF BAR.NSTABLE Z 13ARNSTADLE. i "6 9 n war°'• BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ .��... ....................................................... TYPEOF CONSTRUCTION ..................................................................................................................................... .............. ... ..r........... ....... 19.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according torhe following information: Location ..............fl /....... %..Lf/! ✓... .......... ....................... . F ProposedUse ...................Z:P.f.....:��........... .. ....1 Z.......................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name. of Owner ..� .. .:.���..?�"f ...............Address .� �...�� ... ,G!> .�'�4. d Nameof Builder .........51910?::,g .......................................Address ............. r.................................................... Nameof Architect ..................................................................Address .............. . ..................................... ........................... Number of Room Foundation ..... .�. > ... ..... ....... ............................. Exierior ............... ... .................................................Roofing .................. ............................................................ r Floors ...................... ............................................Interior ..............................---......................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate C ost , ................................................... ... ........a......................... Definitive Plan Approved by Planning Board -----------__________________19 Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH � 0 ;L VD ae-3 < � o zN va } W W ! '� m < �� �I,IL �� o owt� O f Z �: r. *� J m � c :D O ► IP]1 4o04— wr w � W E- O - \ o Qn GQ < <r a I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name1:. .Gt /........................... Ostiguy, Jane N. No ...1 65..: Permit for ........tool shed........ ............................................................................... Location 181-Old Town Road West Hyannisport ............................................................................... Owner Jane N, Ostiguy .................................................................. Type of Construction .......................frame ................... ................................................................................ Plot ............................ Lot ................................ i Permit Granted ........... a9...st..9.............19 72 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... Approved ,............................................... 19 ............................................................................... ............................................................................... Assessor's map and lot number L!` .....................�T— *V%-0 S T �g Sewage Permit number ,�`f ... ✓R. --t......... .......... A'i S l R hI ^a r y�F THE T0� F BARN91VAlff L i 123 STAHLL "6 4 BUILDING INSPECTOR O•E0 Yf1Y pr• APPLICATION FOR PERMIT TO ...build••addition. ..... . ............................................................................................ TYPEOF CONSTRUCTION ...........wooden.................. .................. ................................................................ October 16, 1974 ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 181 Old Town Road, west Hyannisport Location ....................................................................................................................................................................................... Proposed Use ..............to�.Ganstxact..stairway...to.:aellar.......................................^^...--..AA....--..,,....................................... Zoning District .......��..�':'..................................................Fire District ............... "7"' .-,4 ........ Name of Owner Jane N. Ostiguy ,.••••••.•Address 181 Old°Town Roadx Hyannis .......................................................... . Name of Builder •! .......�uy ....Address ........... /L�t�r.rl .�i....� :... .... it it Name of Architect .:... .... 1!J -C1L • Address ....................................,....................,.......................... o Number of Rooms .................. ..................................Foundation .................../...�L.V�.................................... Exterior �4F-... ...........Roofing ................aa�. . . o 1. 160 ` Floors /� ..G��e'�'� / ..........Interior ........................��� Heating ......................�zA.............................................Plumbing ..................../.#7d,2ue............ .................................... Fireplace ..................... ./111-1d ............. ...........................Approximate Cost ............. ./.....!................. ................... Definitive Plan Approved by Planning Board ------------------_------------19________. Area ( ..T..... ....................... Diagram of Lot and 'Building with Dimensions .Fee ...9. ........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH Cz TA x_� a , 8� OI hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...................................................:.............................. Jane N. Oat^ — ' No —17�M1'. Permit for . 1P�-----. � -------`^—'—^'---'—'^^--------'' 181 Old Town Rd. W.8ypt ` ^ Location ------.--------------.'' � ----'------.----~----------. Owner ........Jana...0�_0at i gny......................... . � Type of Construction ..........Womd....................... � � --------------------------' } ' | � Plot .......20R.............. Lot .......53_______ � . � . ' � Permit Granted ...6otober.......L6—'--]9 74 ' - Date of Inspection _— ---]g Dote Completed . ...............lA ' ' - ' ` ~ . PERMIT REFUSED � � - .----._---------------. lA ---------..----.----------... '—_---.~-------.-------.---. � . � —,—.----.—.--.—.-----,-------. ° � --------'--^---^^^'—^^----^—^— - . . � � � . Approved ................................................ lQ � ` -------------------------.,. ^ —'------------------.—..~--.... � � ` � � ' 77, ,� _ r."s:y.r:.. Assessor's map and lot number Swage Permit number .. ......PP! ,;.,........ �a*1141E �I TOWN OF BARNSTABLE Z BAHHSTABLE, i 1639. BUILDING INSPECTOR i APPLICATION FOR PERMIT TO ...hua_7,d sdcli.t o.n.......................................................................................... d TYPE OF CONSTRUCTION ..:...............woo...en......................:...........................................................:............................. October 16, 1974 ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 181 Old Town Load, West Hyannisport Location ........................................................................0............................................................................................................. Proposed Use ..............t.�..nn?n,e„+.r„n+;r e T,air;+f�tr ,M. t..^.?l'�^ ............................................ .......................................... . r Fire ............ �l� t �, fi Zoning District`.... :. ... ... ........ ......... .:;.:.... ....... .. ....w�:. District ....;......... ........... . Nome ,of Owner ...Jane .N. 0 tipuv . ..,,..Address .. j..O1d Town. Roed4„Nyr nni;e ............ ..... ... i Name, of Builder ......` r*., r.!::.....Address ...........,j.t... !� ....: ...lr;... °.'?........r� f...... f, Ji IJ Name of Architect ........ ....... .....Address ..................i.................................................................. Number of Rooms .......................... ................................ .Foundation Exterior J.,.,.:...... ! f :... ...........Roofing ........ .'l3....; .�.:. ' :� �r�„ �.:�s'%. .............. ... ...... Floors .1 ..1�7Fs/ Interior ........................�LrtYt....... 1�n,/�rn.� ?r ...�. Heating ; g ............................................r� ................................. .............................................Plumbin .... ................... Fireplace ...........................:Alt,D................................................Approximate Cost .............. - d7� ........... ..........................0........... Definitive Plan Approved by Planning Board ___________________________ _19________. Area ...... � Diagram of Lot and Building with Dimensions ' Fee 4� �'�' SUBJECT TO APPROVAL OF BOARD OF HEALTH • GO O 1777 1" herekSy agree to conform to all the Rules and Regulations of the Town of Barnstable egardi g the a ove construction. f Name .................................................................................. . i s c Jane N. Oatl8oy 173 Addition NoPermit for .................................... ............................................................................... Location ........ 81.lai6..TAM.Bd�..��8�9��—. ` ............................................................... Owner ..............Jswnf,,..A^..g9.1��gpy-----'. Type ofConstruction ---.Wood........................ ................................................................................ ' Plot .......26--R.............. Lot .....si__�a........... Permit Granted ---- tober..........lAV74 Dotenf |nxpecion ------------lg Date Completed ------------..l9 * PERMIT REFUSED -----..--.--------.---.— lA --------------------------' -------'------------------- -- ------------~-------------' ----------'—'----^—~'---'----' � Approved ---------------.. lQ � � . � ------------------------.-- ' .................... .......................................................... PERCENTAGE OF LOT COVERAGE LOT AREA 12437t S.F. EXISTING STRUCTURES 7.8% EXISTING PAVEMENT 4.0% TOTAL STRUCTURES 11.9% ,, ' TOTAL PAVEMENT 2.9% " TOTAL COVERAGE 14.8% O N N 2° LOCUS MAP PLAN REF: 212-61 DEED REF: 24323-271 Fo v ASSESSOR'S MAP: 268-53 LOT 19 F 1� CFO /p ZONING: RB o O SETBACKS: 20-10-10 ,yo oo Fti� FLOOD ZONE: C PANEL NUMBER: 250001 0008 D SHED DATED: 07/02/1992 OVERLAY DISTRICTS: WP, ZONE II ,a OVERLAY DISTRICTS: ol W kti` ;EXISTING;;";;, 'L PLOT PLAN OF LAND PROPOSED LLI N G"""', ADDITION i 63.2f t LOCATED AT: 181 OLD TOWN ROAD 07,E ►►�-N o r;u,S.;� ®® GS-c�E�nh� ® H YAN N I S, MA 0 LOT 20 12436.7 SQ. FT. o r � OYLE PREPARED _FOR: v OUTDOOR �� c 0.3 ACRES SHOWER ANDREW WAY 67 0� MAY 3 o boo REV: GRAPHIC SCALE REV: LOT 18 NOTE: SEPTIC SYSTEM IS DRAWN 20 0 10 20 40 REV: PER TOWN OF BARNSTABLE AS—BUILT CARD. YANKEE LAND SURVEY CO, INC. I inch = 20 ft. 119 ROUTE 149 LOT 21 MARSTONS MILLS, MA TEL: (508)428-0055 FAX: (508)420-5553 S 88'29'30" E yonkeesurvey@comcast.net www.yankeesurvey.net 26.21' LOT 22 SHEET 1 OF 1 JOB#: 54814 SH