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HomeMy WebLinkAbout0045 PLANT ROAD `Rc( 161 ckateC i Electric STORAGE BATH BATH -BATH KIT MEETING ' ROOM CLASS ROOM ' i STAGE SANCTUARY i I CLASSROOM CLASSROOM i _ I i .. 45 PLANT ROAD- UNIT 112, HYANNIS, MA �I - - I �69177s--6ql-1 ceivers son -nsz- S S 2-6 - 11� 1 tal-media-receivers son -nsz- s of -E .cnet.com/digital-media-receivers/sony offers.cnet.com redir?edld=3&siteld=72 e=mist&astId=2& id= 118 20&mf ] destUrl= et.com/redir?edld=3&siteld=7&old=4.1 e=mist&astld=2& id 118 20&mf ] destUrl= t.com/redir?edld=3&siteld=7&old=456 e=mist&astld=2 id= 118 20&mf ] destUrl= 11/29/2012 r _ f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel O 1b00A Application# M ou T Health Division Date Issued Conservation Division Application' 1�X Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board `HYANNIS FIRE PREVENTION BUREAU" ANN'k : "F 4 PARTMENT Historic-OKH Preservation/Hyannis QL �o? Project Street Address 1,15 PL4nrr RD .Sv tT4- /a/ Village h11ANfits Owner G H giLL_&s 00f M,S Address f o. E X 7 91yANNtS 6Q1 Telephone ; y . Permit Request ALT&L 5 P qLE- 711z A c-1 IRS ANn 19 4-rti Qw-nCH1 J `To 0,56 Square feet: 1st floor:existing 3A0/D proposed 2nd floor:existing proposed Total new O Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes; ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 30-f rS Historic House: ❑Yes U6 On Old Kings Highway: ❑Yes `ef No Basement Type: ❑Full ❑Crawl ❑Walkout PQ Other S4A$ oN C"W& / c Basement Finished Area(sq.ft.) /V('�' Basement Unfinished Area(sq.ft) ter.' Number of Baths: Full:existing new Half:existing Anew :�C-1 Number of Bedrooms: existing /1 !A-new n Total Room Count(not including baths):existing new 67 First Floor Room Count Heat Type and Fuel: S"Gas ❑Oil ❑Electric ❑Other Central Air: Urles ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:0 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 yACAN T Proposed Use C"ki RIG 14 BUILDER INFORMATION Name 14e oj� Shd,,%J Telephone Number 7 8 `13 J Address 11 Gl e m eh.-)y 9-� License#_CS -7`1 c*3 q S QA&%,X I , to Pt ea Sfo?, Home Improvement Contractor# Q.fW t�6 S t%je k NS —:>tNorker's Compensation# WL 10k3S $7') ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13,w2w6 LAu V lAt Lt���T4T� w P e- ING. Dv N✓Pcs" &k. SIGNATURE ��_ ���— DATE i FOR OFFICIAL USE ONLY ? APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE �. ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH x 1 FINAL - GAS: ROUGH _ "' ' FINAL FINAL BUILDING O }kr C5 .. DATE CLOSED OUT ' m-`"' - ASSOCIATION PLAN NO. i p'J'. ;, T , /" 4 Co n1 C62N� CoN W,6- Av� S t rj ct4-&�--y 40'wide) u Fka, S 25*5YI5"W �_79 LED 'PLAN OF LAND LOCATED Inec, , BARNSTABLE FOR NEIL R. 4/86, SCAM 1".20"jiYANKEE as 6 NSULTANTS RECORDED IN P_AJ14 4 PAGE 63; 0 SE- �l AN JOCK L.E0 'N�OQIFYING PLAN OF LAND -28, PAGE EILF, mASSACHUSETTS FOR XOCASA TR SCA L E- 1",40'. :6, 1986*a Ri O'HEAPH,INC 4PLAN BOOK 428. PAGE 66. -EXISTING PAVE I�FuT U R— R.S-- I 1�-1 E .... ...... a"a POSTS o o 0 o o o0 41100, a"POSTS o -------2 t. Uf.iT 101 c 4FTI En— TS UNrT 02 r("1 fl— PLANT UNIT 202- 0( ci 7"'4'2-3.E a.a sow 78 85 L)NIT 103-ff-,f�— PAUL a ISABEL STEF UN IT 2D3- cum 1 104 IT fill)1,­ UNIT 204 ...�A fl. //P/E/////PARCEL 8 1.569 ACHL EXISTING PAVEMENT iEF. �)PLAN 80015 '06 UINIT 105-fimt flow c W PAGE- 63 UN&205-...1d f I.---- I v A\R\ K\ I\N\G UNIT 106-fill jk_— F WILLIAM ROBINSON el al, —UNIT 206--,fl. — Trustees uo L.00 200 , —UNIT 107-fill it= 3: UNIT 207 f., �-UNIT H8 A:— UNIT 118 I , -_ --- -=-- _ (-EXISTING NIT WE fomf f0m, N1.11RE FOURE FURRE IUTUK WIPE I UNIT CC_fill fill It— PAVE*NT arm U411 III IQIJ it$ Lail A� IKIT H4 uIll W Uxr 9 WT In UNIT 120 I UNIT IN 1 c EXISTING METAL U-1 f tj 4 S7 77 5 7r- 07'37 E 9&6-' —ca I—) S 7,D-43'it,'E 21500 EXT R 0 A `EOCE 0' c_. HARBOR ASSOCIATES aF Town of Barnstable Regulatory Services Thomas F.Geller,Director �ArE Y.cb Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Buildcr G�'►ar�e-5 D d(k ft6 , as Owner of the subject property hereby authorize Ili �h �� to act on my behalf, in all matters relative to work authorized bythis building permit application for; . (Address of Job) acT /5—, Z007 Signature of Oknier Date Print Name Q:FOP.Iv?S:0-dTNE.RPI;RMISSION The Commonwealth of Massachusetts .fo Department Industrial Accidents P Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual):. of"D C R er si Address: City/State/Zip: +inAl. ca 561 Phone.#: 7 $I. fo3�o -0�s Arer u an employer? Check the appropriate box: Type of project(required):. 1.L'1 I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the stab-contractors 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. (remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp•insurance.# required.] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11. Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . 13.0 Other comp.insurance required.] . *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below isthe policy and job site information. Insurance Company Name: 6 r-w Nei C C, / Policy#or Self-ins.Lic.#: WC_ 87 75 Expiration Date: N 19nrw1"s Job Site Address: ,S PL4"- 7 dZ d� SV 4e la-- City/State/Zip: M 4 Q�160V . Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct: Sienature: i Date: /0/ 7! f _ Phone#: Official use only. Do not write in this area,tb 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#: Informnation and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or 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 land who resides therein,or the occupant of the' house of another who employs persons to do maintenance,construction or repair work on such dwelling house dwelling mP or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)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 building's in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25CO states 'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it necessary;supply sub-contractors)name(s),address(es) and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuran4e license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The-Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure.tol fill mi the permit/license number which will be used as a reference cumber. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy inforruation{ifnecessary) and under"Job Site Address"the applicant,should write"all'locations in (city'or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (i.e. a dog license or permit to bins leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's;address,telephone-and-fax number:. The Commonwealth of Massachusetts Department of Industrial Accide is Office of Investigations 600 Washingtofi Street Boston,MA 02111 Tel. #617-727-49p0 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.govAlia ACORD DATE(MWDD/YYYY) TY. CERTIFICATE OF LIABILITY INSURANCE 10/09/2007 PRODUCER Phone: (508)888-0207 Fax: (508)888-0550 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ALMEIDA&CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX 719 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR SANDWICH MA 02563 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: LLOYDS KEITH SHAW INSURER B: Llyods of London Insurance Comapny DBA CORNERSTONE CONSTRUCTION INSURER C: Granite State Insurance Company P.O.BOX 37 SANDWICH MA 02563 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MMIDDIVY - DATE MM/DD/YY GENERAL LIABILITY LGL0613084 04/12/07 04/12/08 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,000 f� PREMISES(Ea occurence) CLAIMS MADE LTJ OCCUR MED.EXP(Any one person) $ 5,000 B PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000 X JECT POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY $ AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION$ $ WORKERS COMPENSATION AND WC2358775 04/18/07 04/18/08 TORYTATU LIM TS OTHER EMPLOYERS'LIABILITY C ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000._. _ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER: DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS EXTERIOR CARPENTRY,INTERIOR CARPENTRY,DOOR WINDOW INSTALLATION AND DRYWALL INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TOWN OF BARNSTABLE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE j"'em,/-V,faylmevv Attention: Maureen A. Raymond ACORD 25(2001/08) Certificate# 3875 ©ACORD CORPORATION 1988 i ' " £� ;; ✓�z �!'anziszo-nuealCta c�� C.u�rcw�..rrtet a ' ? Board of Luilding Regulations and Standards Construction Supervisor License �_ �• License: CS 74039 '=3` Birthdate, 9/1/1968 p Tr# 6489 r Ex iration 91/12008 Restriction 00' KEITH L SHAW 11 CLEMENT ST SANDWICH,MA02563 Commissioner C L U^ Law Lav 45 Plant Road, Unit 112, Hyannis, MA l vor„amH a Motewr-ny ' - Mchkcca.lnc. 3�MaN S— Sala Z03 Plymouth, 7402350 phone:8.7. 332 han:50.)ib.33n —y l j I T Ire ray �� J Gli 1! N I I �— 5-r1Ct_==� Project Tick i I ob# 0742 1 - ate Is M W23107 •�1 �� 1 � � D .S�t: rasl•- T-- FLOOR PLAN � ✓r—._. :tea:��• .., stir:_ l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel oo 4 Permit# Rb(o(1 (o Health Division Date Issued 0 Conservation Division Application Fee �--/_- Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH /^.v Preservation/Hyannis /1 Project Street Address Village r,o rl, S , ry)A 02(Q0 Owner ri In a✓t.c S �C�(A Address 5(o �c�n V►c�.J S I �N�fi �[c¢(v►1c�,(� Telephone g Zg UZ_ 3 Permit Request C4, I k) r—( �+6-&:: 1 C7( 6-7 qLsx Square feet: 1st floor: existing proposed 32-6b 2nd floor: existing 0 A— proposed Total new I/�- Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) /-�r 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 fig-- 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: 4Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing 0 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 bw;i Proposed Use o *,c 51,\�UtKa VmIM � BUILDER INFORMATION Name Telephone Number Address A License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY M PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION Y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -FINAL- GAS: ROUGH FINAL = FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. i . f pF'ME To�N Town. of Barnstable "- h� Regulatory Services BaRxsrnsr�, = Thomas F.Geiler,Director XAM 9�a 03 ,�� Building Division JED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-962-4038 Permit no. Date � D 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. r e 'o�h wl `� Type of Work: � Estimated Cost � � Address of Work: �47 ��(A� �-- L4 Owner's Name: Gtf 'r7 �►'�'1 Date of Application: it � r � la� I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 KBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: GISTERED OWNERS PULLING THEIR OWN PERINUT OR DEALING WITNTH tNRORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME ACCESS TO THE ARBI TRATION PRCGRAA1 OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner.: Date Contractor Name Registration No. Date Owner's ame I ofj„E, Town of Barnstable Regulatory Services sr ,$ Thomas F.Geller,Director buss '4> 3 Building Division TomPerry, Building Commissioner . 200 Main Street, Iiyaanis,MA 02601 www.town.barnstable.ma.us ffice: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property " mu.�,.h h F,.,. �,�����,;, a to act on my behalf, hereby authorize:' �� . is all n,i Ltters relative to work authorized by this building permit application for. (Address d Job} Signatare of Owner Date Print N=e I RESIDENTIAL BUILDING PERIVIIT FEES gpLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 L7 W Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 0 f "' square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EMSTING SPACE _square feet x$64/sq.foot= x.0031= plus frombelow(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031- ACCESSORY STRVCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: . square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch ( x$30.00 (number) = - N �n. x$30.00 Deck = (number) = Fireplace/Chimney N (number)x$25.00 Inground Swimming Pool N 1A, $60.00 Above Ground Swimmi Pool N ng oo $25.00 Ab �/� Relocation/Moving $150.00 (plus above if applicable) Nj Permit Fee proj cost r M CMR Appendix J ' Table JS=b(eondnaed) pracriptive Packages for due and Two-Family Residentiai Bnildinge Bated w'itbF"dFueb MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Haunt Em ing Wall Perimeter Equipment Efficiency Area'(%) U.value= R-values R-value R-value, R-va wall R velue� Package 5701 to 6500 Hating Degm DR" Q 12% 0.40 38 13 19 10 6 Normal 6 Normal R 12% 0.52 30 19 19 10 85 AFUE $ 12% 0.50 38 13 19 10 6 T 15% 036 38 13 25 N/A NIA Normal 6 Normal U '15% 0.46 38 19 19 10 85 AFUE V 15% 0.44 38 13 25 N/A N/A W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 NIA N/A Normal Y 19% 0.42 38 19 25 N/A N/A Normal Z 18'/e 0.42 38 13 19 10 6 90 AFUE AA 18'/e 0.50 30 19 19 10 6 90 AFUE J. ADDRESS OF PROPERTY. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): _ 5. 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: q-forms-R0303 a l ' 780 CMR Appendix J Footnotes to Table A2.1b: + Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall ed as a percentage. U to 1%of the total glazing area may be excluded from the U-value requirement. are expressed p g P � P area. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized Truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. . The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating`equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency.required by the selected package. . 9 For Heating Degree Day requirements of the closest city or town see.Table J5.2.1 a NOTES: a)Glazing areas and.U-values are-maximum.acceptable levels.Insulation R values are minimum acceptable levels. . R-value requirements are for insulation only and do not include structural components. b)Opaque doors.in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested. and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door.U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 COMMUNITY ACTION COMMITTEE OF CAPE COD &ISLANDS, INC. 115 ENTERPRISE ROAD HYANNIS, MA 02601 TELEPHONE: 508-771-1727 (Voice/TTY) FAx: 508-775-7488 November 12, 2004 Dear Commissioner Perry: Thanks for stopping by to give me guidance on getting Pilot House back on track and up and running. Sargent Sweeney called back and went back to the Manager of the Health Club and there seems to be less concern now. We hope to open as soon as possible with five(5) clients and one overnight staff. We hope to be able to eventually serve a maximum of twelve(12) clients. This is not a residence and will accept overnight clients between 2-4pm after health screenings at the Duffy Health Center. Entrance for clients is out back; only staff will enter the front. Clients will leave at 7-8am each morning. Occasionally, we may use the front space for meetings unrelated to Pilot House. Please let me know at your earliest convenience when we can pick up the necessary documents so we may begin to serve the community. Sincerely, COMMUNITY ACTION COMMITTEE `OF CAPE COD& ANDS, INC. C e 1 Bartlett Executive Director Z{ (;ynctn^� v w o,re�f cY C CTe- C-A � ,� Town of Barnstable Building Department - 200 Main Street BARNSTABLE, * H yan 1639. nis, MA 02601 9 MASS. $ (508) 862-4038 �� Certificate of Occupancy Application Number: 200706494 CO Number: 20080034 Parcel ID: 29401600A CO Issue Date: 02/15/08 Location: 45 PLANT ROAD t4n r Zoning Classification: BUSINESS DISTRICT Village: HYANNIS Gen Contractor: SHAW, KEITH L. Permit Type: CC00 CERTIFICATE OF OCCUPANCY COMM Comments: C.O. FOR MID CAPE VINEYARD CHURCH o�' Building Department Signature Date Signed INE TOWN BARNSTABLE --- , Building ti �► Application Ref: 200706494 • * BARNSTABLE, * Issue Date: 10/17/07 Permit y MASS. QpAr�G 3N1�A�A�� Applicant: SHAW,KEITH L. Permit Number: B 20072550 Proposed Use: Expiration Date: 04/15/08 Location 45 PLANT ROAD Zoning District B Permit Type: COMMERCIAL ADDITION ALTERATION Map Parcel 29401600A Permit Fee$ 117.45 Contractor SHAW,KEITH L. Village HYANNIS App Fee$ 100.00 License Num 74039 Est Construction Cost$ 14,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ALTER MID CAPE VINEYARD CHURCH TO ADD 2 ROOMS AND I B THTHIS CARD MUST BE KEPT POSTED UNTIL FINAL ROOM H.CAP. CHANGE OF USE TO A CHURCH,NO EXTERIOR WORK INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PATEL, MANGAL J TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 145 HARRINGTON RD INSPECTION HAS BEEN MADE. WALTHAM,MA 02154 PJ1 , Application Entered by: PR Building Permit Issued By:THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY;OR SIDEWALK OR ANY PART THEREOF;EITHER:TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET ORALLY GRADES AS WELL AS DEPTRAND 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 CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.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 DATE 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). WW" m-'I�W WE W BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS c✓� 1 otl- 2 2 � . C�'�`^ �e.c 2 3 LAG G� s 1 Heating Inspection Approvals Engineering Dept AA Fire Dept ,.,VA 2 Board of Heal K3yw\ C r� TO,WN.G'BARNSTABLE BUILDING PERMIT APPLICATION Ma Parcel W(N E- j A N S T A B L E Application # ]r�� 129 Health Division ?rlt, k ` ' 1 I �� Date Issued Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis pake44 t,/ Project Street Address `Cn v\t W o A 4 V (o IOV-11 0 Village �-k�.11 nnI'S Owner MY Pt�, Q-e--,I t kA Trust_ Address I` S-_ 2 ocad, Telephone l — 44 9 2 - &1 �/3 �( Permit Request V­,W - a.—C e. n(C�L-C s !At V\g Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Ol3 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J(Ak&t4 t& 4t h Telephone.Number -+ (0 .Address la Q o ytvv� Str-d License # D c(7 S M n Ol lio o-4 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE S OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL gAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • ----- . -- rise C- UM-MOMRn2#fit Ofma€.sadtuse fs Dew t qf-Ikd-aY&w-dAcddm,!S- - - rce Q��r�tirvrrs 690 Wm*iigA72v&-eet Bcsfarj, 02- rvec�rtt rrtri�ga�disa Workers'CamgensatiaxzInsm-mce davit-RuEdarsf aafx7adars,(JEkc(ricianMumbers Applicznt Irde rmaf€an Please Print I ii�f�r Name Address-- City/Stag wo)Cmse- r\.k dt�off- Phano4k �-A �-,1 L(09) Are IuII an emplayer?.Ch-WR tyre apgrapriahl Ita� type of pra�erf �r���= j ❑ ia emp lager rifft4. 0 I aorta; 1 ctmiiacfor and ZIoyees(fnit andlorpai#�me-* h2we hirfAthe ate - ❑2- a sole prnpv3gar orparfner- listed an the atbmhed sheet 7 ❑RrTn deling ship and have no exaplvyees Them vib-couf mctom have g- ❑Demnliii a woddng forme is arty capaci- emplayees and have wo&!rs' [No watdrrss' comp:irmrt3 a camp_iasa arc,--I -9- ❑RuiF z addifion reuiretf] S_ We are a carparafiomand ifs 10 0 Ekcfrical repairs or addifions officers bare exercised�cir I El am a homt�mrzser doing all wad 1 1-0 Pirrmbing repairs or addifians my-sell,[No worb='camp_ right ofeasempfiort per MM. I2-0 Ranfrepaa i�, m,n�e repaired j 1 c.154§I(4)„andwe have aa emplayees-INCT Wig' -0 Otiu r e°mP- ,, reT ired.I yAMy sages tFi=t cfied sbac1 matitalsa fi7lo�t secfi�heSacvsh�g t3ieir �oo 1 ffamemvne vrbo smbffi tiis Sffdxvit theyac dah3g aIIzn=k MM4&ZMYMZ tCoa +•�masi SII�]QFIraIB'T€>✓d t-mn�r a•SIICFi.. t7!6" a ihsi CF]eSTC this bmc ID�t sttarhed as xdditinmsI sheet`ham;t�Censme�t£+e s¢€r dos and stxig uheii�e[oennt Suess Fig mmphU-ee� Ifthe sJTh7-comdmc mh-.ve emprla5ees,they mssst pxavMe*mar wa&�ss'comp Ply a� lam are employer thccisprmi&!rg w rkexs'eon>pRrrs d&a izzmrartce for ray empr&Y ess BeTatF is fltag�ltcl*czad job rite t�rrrtQtzan. Ia.4raraace Comgastyl�IamB_ Pow crSeMias-I_i(--�`. FxgisafiaaDafe: I614 Site Addiess= CifyfSiaf�7�g= AffacTi a tops'of the trarkws'compenzation paIrrT decIarafiaa gage-(shevdng f3iepoRey nm=hcr ird o-n:date). Fasihm to swum cave age as nTxiredun&nr Secfiom MA o€ILL c. M an lead to ffin impositiva of critsmal p=dtiez of a fine nP fi�,$I,fDD-Oa and/or one-yeari as tael as civil penalties in the fbm of it STOP WORK ORDER-and a fine coup to$250-DO a,clay against the violator- Be advised that a copy afthis statmaent maybe fk-warded to the Office.of lnrect=ptions of the DIA for it mm-ance covetageveEEcation- I dd bsmby carli p under drs pants andpenah5ks a; per�urF fhst c zrc onrt caa pracddRe£erbas�i u b-ue cnd eurxsct }3aIla Irk Pbtx�i#: • F czil use anly, Da nat wrap in this cre%#a be crrrnglew BY cfty ar town of Lia.L City or T'owm: PeraftLicense 9 JSSCETMg A tharitg(tdrde arte)c L Board of Hc2IIh I EnUdiug DegarUnent I Cityfrawa(Icrk 4-Elecit-ical Fnspectar S.Fft,mbfmg TE Tmtur 6.Offi,er Comet rersa Phan 9-- 6 Massachusetts Department of Public Safety . Board of Building Regulations and Standards License: CS-094756 Construction Supervisor HUY Q NGUYEN 12 BURTON ST#1 WORCESTER MA 016 1�=/►l""� Expiration: i N Commissioner, 02/06/2018 --. ••--�^_ - U/ae arninu»'uu a aac uiae�"� Office of Consumer Affairs&Busi ess Regulation OME IMPROVEMENT lCONTRACTOR E Registration ,01!44740 Type: Expiratio DBA CONSTRUCTION-F6 HUY NGUYEN 12.BURTONi ST#1 WORCESTER,MA 01607 Undersecretary i t :1 �4. Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts j State Building Code is cause for revocation of this license. DIPS Licensing information visit: WWW.MASS.GOV/DPS License or registration valid for individual use only before the expiration.date. If found return to: Office of Consumer Affairs and'Business Regulation I&Park Plaza-Suite 5170 j Boston,MA 02116 4otvalid wi u si ture A 6' l e- ' r sietrtu�-rixrr s NAM Town of Barnstable Regulatory Services Richard V.ScaIi,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 as O-wnet of the subject property hereby authorize 1`� (,v�-�Q y� to act on my behalf, in all matters relative to work authorized by this building pemvt application for: (Address of Job) M I-1;5A p PC,M Signature of Owner Date Print Name . If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q.\WPFMEWORMSIbuilding permit fo=\EXPRESS.doc .Revised 061313 RE-ROOENG/RESIDING/WINDOWS (COMMERCIAL) ❑ If located in OKH or Hyannis Historic District- Certificate of Appropriateness required unless same color/same materials specified on application ❑ Map/parcel number Approval Sign-offs from: ❑ Tax Collector ❑ Treasurer ❑ # of squares of shingles or square footage of roof or sidewall to be shingled/sided ❑ Specify stripping old shingles or going over old roof L. If going over ❑how many roof layers existing now ❑what size are rafters? What is span? ❑ Owner's name& address ❑ Project valuation must be entered ❑ Builders Information ❑ Signature ❑ Workman's Compensation Insurance Affidavit State form must be completed and.a copy of Insurance Compliance Certificate must be submitted ❑ A copy of the Construction Supervisor license is required. Effective March 1,2009 []Cheek expiration date,no resfrictions ❑ Permit fee$160.00 ❑ Property Owner-must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission 4 P -fbmLcVbldgP omits/ crmitchrcklis1s rcv.070610 r 5 r--------------- 1 1 O O O O O O O I , r---------1 ; � L--------------- LI O O ;I O O O r 9'-6° Z 1 O O 1 O4 10 -U m O O O TV x 0 0 O O O vz a v O r rr^^ � I z x V, rn ; ; vZ O - O z � o vg a --- v O m z O C v O v z = o a O 0 O O Mov ��� O z 25 z o0 00 PREUMINARY NOT FOR CONSTRUCTION - REVISED 6-16-09 CREATED BY: CREATED FOR: PROJECT INFO: � ur se t' s /� y LVR Corporation N/in fe n 1/8 1-0 Fire Protection and Mechanical Systems A �� �Y y G� SCALE DATE 88 Foundry Street 850 Cambridge.Street 47 PLANT ROAD F! .PROTECTIO 'Tv v to OWN BY, HKD BY, Wake" eid.MA011180 Cambridge, MA 02141 g � 9 No 38913 JOB UMB Tex:(781)24-0330 Tel �-Sn-2VINF�1 BARNSTABL= MA Fc Q� Fax:(781 246-0330 0 DATE DESCRIPTION www.ivreorp.com Fax 1-617-441-1858 ' 0 � r \V //� V V , V � ` ,. � _ S " __ �� ,` r ,. . �, � < t 3 w Fornaciari & Noseworthy Architects, Inc. 34 Main Street Suite 203 Plymouth, Ma. 02360 phone: 508.746.2036 fax: 508.746.3377 OF 0 0 14'=0 101=0 4 ° 0'-2 00, 2.4'-0 Op r - - - - - -� UT I o f l.I�ATER FOUNTAIN �I WATER FOUNTAIN � I � 1 S NCTUAF�' Of 14'-0" 4'-1 0 a Project Title: rfivmvs ,VIA ''l5 PLANT' R,Qgc I ob #: 07-62 Date Issued: 8/23/07 Drawn By.- MG Reviewed _By. Dw . Scale: 1/4"=1'-0" i Revisions: I i I FLOOR PLAN Scale: 1/4"=1'-0" I Sheet n