HomeMy WebLinkAbout0043 PLEASANT PARK AVE - y3� flea5aoi- eay-16- RV�
pF E rG._ 1 V YY it Ul "41-Ub L4U1U *Permit#
P�w 0n Expires 6 months from issue date
;- Regulatory Services Fee _ A6 , �b
�cb s639. Thomas F.Geiler;Director
prEDy. Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601 A�G ��'��
Office: 508-862-4038 2005
Fax: 508-790-6230 TQVV/V OF Bq L•
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �7AB��
Not
! Va1td ut Red X-Presslmprint
Ilap/parcel Number 29f
Yb :2
°ro erty Address
Residential Value of Work j � Minimum fee of•$25.00 for work under$6000.00
Owner's Name&Address LA ' V A b 166 lei b
"ontractor's Name Telephone Number () ` q
' r
Elome Improvement Contractor License#(if applicable)
7Wtruction Supervisor's License#(if applicable)_orl�an's Compensation Insurance
Check one:
❑ I am a sole proprietor,
RI am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name 1 ?
Workman's Comp.Policy# - (�
Copy of insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roo fl
[] Re-side
ZReplacement Windows. U-Value_t (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.astoric,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
Home Improvement Contractors License is required.
Signature e
Q: pans:cxpmtrg
Revise063004
CAPIZZI HOME IMPROVEMENT INC . � Z
SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6
STATE OF 1ASSACHUSETTS
LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT
OWN THE PROPERTY LOCATED AT
IN MASSACHUSETTS.
I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT
TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR,
THE MASSACHUSETTS STATE BUILDING CODE.
I GIVE MY PERMISSION TO
LESSE TO APPLY FOR A BUILDING PERMIT IN,ACCORDANCE WITH 0 CMR, T
ACHUSETTS STATE BUILDING CO
SIGNATURE OF OWNER:
OWNER'S ADDRESS:
OWNER'S TELEPHONE:
LESSEE'S SIGNATURE:
LESSEE'S ADDRESS:
LESSEE'S TELEPHONE:
APLLICANT S SIGNATURE:
APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , OCOTTU_TT, MA 02635
APPLICANT'S TELEPHONE: 508/428-9518
RESPONSIBLE OFFICER:
RESPONSIBLE OFFICER ADDRESS:
RESPONSIBLE OFFICER TELEPHONE:
ACCEPTED BY DATE
THIS PAGE IS PART OF AND IN CONFORMANCE WITH PROPOSAL #
I
Performance Data
Andersen° NFRC Certified Total Unit Performance
Andersen windows and patio doors meet or exceed the following standards:WDMA,-I.S.-2,WD.M.A-I.S.-4(WDMA license No.129),Hallmark certified.Independent testing laboratories have performed all required tests on
,:ompliance with these standards is confirmed by ongoing testing in Andersen Laboratories.These products are covered by one or more of the following
566 507
5,582,445;5,097,629;5,740,632;5,199,234;D312,565;D397,604;and D417,831.Other patents pending.
patents.4,9gg,g50�5,595,409;5,775,749;6,055,786;5,544,g50;5� es.
400 Series Windows without Grilles -
Andersen,Product Type T HP i HP Sun Hp
Low-E LOW-E I HP Sun W ti hout Grilles
Casement Low-E i Low-E 400 Series Doors HF -7-
U-Factor' 0.33 -1 0.35 s Andersen Product Type
24"x 48"size SHGC' _00.34 - HP Sun HP HP Sun
0.33 Low-E ? Low-E Low-E j 0.24 0.30� Q.22 Frenchwood° U-Factor' 0.33�' 0.35 i E
AwningVP 0.53 0.29 0.48 g Gliding Patio Door SHGC' 0.35 0.36
U-Facto p 33 72"x 82"size _ 0.29 1 0.21 0.26 0.20
48"x 24"size --_,_:!._0.35 0.34 - VF 0.44 ---
SHGC' 0.32 j 0.24 Frenchwood° 0.24 0.39 0.21
VP 0.52 I- 030 0'22 U-Factor' 0.34
0.28 Q,47 - --- Hinged Patio Door -0 3 0.34 i 0.36
Casement/Awning U-Factor' -----0.26 SHGC 0.27 0.20 0.25 0.19 Picture Window l 0.30 0.32 0.32 0.34 38"x 82"size ;
SHGC 0.36 Frenchwood° 0.41 0.22 0.36 j 0.20
48"x 48"size 0.26 0.33 Q,24 U-Factor' _0:34
0.59 0.32 .0.53 Outswing Patio Door SHGC' =- 0.36 0:36 1 0.37
Woodwright'" VP U-Factor' 0.29 0.27 0.20 0.25
Double-Hun 0.33 0.35 0.34 38"x 82"size ` 0.19
g SHGC' ' - r 0.36 VP 0:41 I 0.22 0.36
�' �0.32 -- 24 0.29- 2 Frenchwood° U-Factor' 0.20
36"x 60"size 0.35 0.36 0.35 ---
0.28 0.46 Patio Door Sidelight 0.36 Woodwright'" 0.25 g SHGC 0.2
0 015
U-factor' ,,___0.30 0.32 0.32 16"x 82"size 0:19 ! 0.15
Picture Window 0.34 Via 0:27 -�SHGC 0:33 0.24 Frenchwood° 0.15 0.26 0.14
48"x 48"size 0.31 0.22 U-Factor' 0.34 0.35_
_ =0.54 .1 0.29 0.48 0.26 Patio Door Transom SHGCz 0:34 0.35
Woodwright'" U-Factor' � 0.16 0.13
Transom "0.30" 0.32 0.32 I 38"x 14"size - 0.1 p
SHGC' � 0.34 VP .0.20, 0.11 p;--9T'---____
48"x 48"size l,0.35, !--0.25 0.32} 23 - _ j 0.10
Without Tilt-Wash VP :0.57 0.31 6.51 0.28 200 Series Windows&Doors Galles
U-Factor' 0.34 0.36 Andersen°Product Type ' Clear CIeaF
Double-Hung +0.29 1 0.22 YP Dual-Pa ellLow Dual-Pane Low-E
SHGC' # 0.32 -i Q,24 ,�- - Casement
36"x 60"size VP ' 0.29_ 0.22 U-Factor' € .0.48 -? _
U-Factor, 0.51 0.28 '0.45 Q 25_ 24"x 48"size z 0.49 Tilt-Wash SHGC + 0.57 -- --
Double-Hung Picture 0.33 0.35 :.0:35�0.37 - - 0•52_� -
SHGC •.0.35 1 0.25 VP " 0.59 - 0.54
148"x 48"size 0.32 0.24 Awning U-Factor'VP # 0.56 0.30 0.4$_I__ 0.49
Tilt-Wash 0.50 0.27 48"x 24"size SHGC' 0:56
U-Factor' . 0.33 -:j 0.35 }`0:34- - 0.52 .Double-Hung Transom SHGC' ':-� 0.36 VP - 0.58.__' - -
E 0 35 0.25 0.32, i 0.23 Tilt-Wash l - +0.53 _48"x 48"size U-Factor , :0.49 1 0.34 I
Gliding Window ? 0.56 _ 0.31 0:5 0 27 Double-Hung , 0.50 0.35
U-Factor + 0.36 ! - SHGC
60"x 36"size SHGCz ' 0.23 0.38 0.39 36"x 60"size 0.56 0.33 0.51 0.30
°_0.3-p - U.580.50 0.51 1 0.46
{ 0.23 0.28 I p,21 Narroline° U-Factor' 0,52
VP r. 0.46 0.35 �-
Elliptical Window 0.25 0.41 0.22 Double-Hung z 0.50^ ; 0.36
U-Factor 0.30 0,32 SHGC 0.58 0.33 0:52 j 0.31
48"x 48"size 0.32 0.34 36"x 60"size VI' 0.60
SHGCz r 0.36 0.26 0.33 Nalroline°Transom Q,47
0.32 0.24 U-Factor s 0.47 j 0.31 0.48
VT' tJ 0.59. .t 0.53 0.29 48"x 48"size z 0.33
ClrcleT°p" U-Factor' SHGC ' `059 I 0.34
Casement 0.30 0.32 0 32' 0.34 0.54 I 0.31
SHGCz 0.36 ! 0.26 0 33'."., 0.24 Gliding Window jt 0.62 0.55 0.56��O..34948"x 48°size �, U-Factor t 0:50 0.35 t-0.50
Cirele/Oval ' 0.59,; 0.32 a 0 53 0.29 60"x 36"size z ------U-Factor' ' 0 30 0.32 SHGC i' 0.57 0.33 i 0:51. 0.3
48"x 48"size SHGC' 0 32 0.34
I I I6, VP 0:58 0.52 i 0.52 0.46
0.26 0 33`,1 0.24 Rxed,Transom, U-Factor' , 0.47
Arch Windows VP ' :0.59 0.32 0.53 I 0.31 1
U-factor' 0.29 Circle Top" SHGCz ----- 0.48 '(p 33-
..0.31 0.33 0.32 0.60 p.34 f 0.5-4
48"x 48"size I 0.34 48"x 48"size V, 62 I C 32
SHGCz ` '
T 0.36-7 0.2 _t 0.33�.-- .0.24 Narroline° 0.55 0:56 0.49
VT' _`0.59 • U-Factor - 0.49- 0.32
Flexiframe° 3 0 32 = 0.53 0.29 Gliding Patio Door SHGC' Q--5�I 0.35
U-Factor' !z._0 30..;I 0.32 72"x 82"size 0.60 1 0.35 c 0.54 48"x 48"size 0 32•_ 0.34 VP i 0.32
SHGCz ;' 0 36 ::1 0.26 0 33 Perma-Shield° 0'62 0.55 0.56 0.49
�, 0.24 U-Factor 0.47 0.31 '�-
0.59 0.32 ' 0.5q, 0.29 Gliding Patio Door SHGCz ,0.48 ! Q_33-
Springline'"Window U-Factor' 0.34 1 0.60 � 0.34
48"x 48'size _ 0 36 0 36 0.38 72"x 82"size - 0.32
SHGCz 0.35: 0.26 4 0 32 a VP 0.62 j 0.i 0:56 I 0.50
0.24
0.30 0:50, 1 0.27
Tempered -- Galles=Finehght or Full Divided light,
Skylight U-Factor' "High-Performance'(HP Low-E)and"High-Performance sun"(HP Sun)are Andersen trademarks for"Low-E"glass.
0.44
48"x 48"size •'T�46 ',0 44, � 0.46
SHGCz i 0•42_ 0.31 1 U-Factor defines the amount of heat loss through the total unit in BTU/hr sq.it °F.
T'- 0'42 i 0.31 Theaower the value,the less heat is lost through the entire product.
Venting orl 0.67 1 0 37 -,'.0.65 t 1 0.36 2 Solar Heat Gam Coefficient(SHGC)defines the fraction of solar radiation ad
U-Factor - 0.42.,.j p 44
Roof Window "'0 42 0.44 the glass both directly transmitted and absorbed and subsequently admitted through
SHGCz t bse uen 0.40' - r q u roles• Q,29 he lower the value,the less heat is transmitted through the product. serf inward.
48"x 48";ize 0 39"'I 0.29
r 062 0 34 -Q 6Q' 3 Visible Transmittance(vr)measures how much light comes through a product(glass and frame).
Stationary U-Factor' 1 0.33 The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.
Roof Window •�"0,42-- 0.44 70 42" I 0.44
SHGCz Visible Transmittance is measured over the 380 to 760 nanometer portion of the solar spectrum.
48"x 48"size 0.40 I 0 30 0.39 0.2g This data is accurate as of August 12,2003.Due to ongoing
VP •6 0.35 0.60 0.33 or new industry standards,this data may change over time.g product changes,updated test results,
239
kowdoTguyll"�mgReAla As and Standards
r One AshburCon Place - Room 1301
Boston- Mas�Aphusetts 02108
Home Imr e et.
p ov m n o tractor Regi. stration
- Registration: 100740
Type: Private Corporation
Expiration: 6/23/2006
CAPIZZI HOME IMPROVEMENT, INC.
Thomas Capizzi, jr.
1645 Newton Rd.
Cotuit, MA 02635
Update Address and return card.Mark reason for change.
Address Renewal Employment Lost Card
✓fie '[9anv�rw�uuealt/ a��aaa.�iueel�.a
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration:. 100740 Board of Building Regulations and Standards
Expiration: 6/23/2006 One Ashburton Place Rm 1301
Type: Private Corporation Boston,Ma.02108
CAPIZZI HOME IMPROVEMENT,1
%OnIas Capizzi,jr.
1645 Newton Rd.
Cotuit,MA 02635 Administrator Not valid with, r
nd_;';�. � ��LG �/OOJYI�NYILC�JG(.lN/G O�✓4LCLQ;yp�lc�GoeG(4 ,
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 057032
Birthdate;09/26/1963
_... Expires:_09/26/2005 Tr.no: 7171.0
Restricted::.00
THOMAS X CAPIZZI JR
1645 NEWTOWN RD. �
COTUIT, MA 02635 Administrator
i
I �
} }
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map � � Parcel 4 .-�� �-,;,,r Permit#
Health Division LZDate Issued 91 9_-3 0
Conservation Division B 17 PM j: 214 ApplicatioFee
Tax Collector Permit Fee yr
Treasurer fe',` s`-------
SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board WITH TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis TOWN REGULATIONS
Project S reet AddressK— u . _,H S' OZ(oa
Village QNry1n
ki 36D
Owner V + �es s a s n bo ye .
Telephone O 790 4
Permit Request
Square feet: 1 st floor: existing propose �Zn%491, , nd floor: existing proposed Total new !U
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes Vo On Old King's Highway: ❑Yes "',<No
Basement Type: u11 ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 3 30 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 _L_ First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil Electric ❑Other
Central Air: O Yes %�Ao Fireplaces: Existing New Existing wood/coal stove: ❑Yes o
Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size
Attached garage: existing O new size �YLA ied:0 existing 0 new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes �No If yes, site plan review#
Current Use Proposed Use
BUILDER INFORMATION H
Name Telephone Number
J
Address License#
Home Improvement Contractor#
Worker's Compensatiory# ,
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO(_:?EiX,11)a4i kai ( Ly
SIGNATURE A DATE
L FOR OFFICIAL USE ONLY
i
5 �
` PERMIT NO.
DATE ISSUED t
MAP/PARCEL NO. `
ADDRESS: =' VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
t
FIREPLACE
ELECTRICAL: ROUGH FINAL .
t r
PLUMBING: ROUGH, s r-n 'FINAL a
GAS: ROUGH" ® FINAL
' rn
FINAL BUILDING r m
."+m't0 � Q �
� 2 m
crto �
DATE CLOSED OUT tv -, 0
ASSOCIATION PLAN NO. M 0
OpIME Town of Barnstable
Regulatory Services
` Thomas F.Geiler,Director
.�� Building Division
rfo�°
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: L ' l
JOB LOCA ON: LC`
of tuber streetvillage,
� e
"HOMEOWNER': 1p�' YJ�` / W! �C J C w—�
name f hob7,6 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' ection proced and requirements and that he/she will comply with said procedures and
requirem ts.
-SignaturVof homeowner
Approval of Building Offic' 1
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 corrmtunities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition
Alterations/Renovations $ 50.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= �� G x.0041=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0041=
plus from below(if applicable)
GARAGES(attached&.detached)
square feet x$32/sq.ft.= x:004.1=
ACCESSORY STRUCTURE>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.0041=.
STAND ALONE PERMITS
Open Porch x$30.00=
• (number)
Deck x$30.00= _.
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
�_ Projcost
The Commonwealth of Massachusetts
r — Department of Industrial Accidents
600'Washington Street
Boston,Mass. 02111 .
Yorkers' C mp ensation.Insurance Affidavit-General Businesses
yy• y, ;royal .T�o 'yr•a'Tti,,,.-:• . , 'y , �.'a`: ♦ ..:�+ib'63 - /
name •r � � f � • . �; • • •. . • •' •
address'
�Y + state:
work site location full address :
le proprietor and have no one Business Types []Retail(]'Restaurant/Ba=/Bating'Establishment
El I am•a so any capacity. Ofce[] Sales(mcluding•Real Estate,Autos etc.)
working in.le .ern'
� %%%//fir�.,�i / �%
I am an��loyer providing:workers' compensation for rn employees working on this job.
+z:�r .y.•y,ii F+ltrl;S: -• •1:• `•i,::p: ',�5:�::'.'ti• ;1��•''�'"' '�f::1 •4 irr �-ry t:rz .':.•r.: :i
'zti'.seine: r ,;:s�•- .. ��.•=;r. •;-.• „._. .•r'•
COIII t.. :+ate;' ;`" ,.. :�.', ,t , a!:.i+•. i.;: ? ::;•�:. ti':
J.
' '! ''i ..a z;:>.• 'r}r•:�,.• ;1.•t:.!:i'•{• •r.ii.:. - .i:•- - �r <'�:r".'. ;�:• r':�f..dM'ti. ''1':. :;:^•;Si .i. 1
sdar-essrff
'\ .ti r1'::.7:..;'!.. � 1'.l3. =:`iyy. •i:�' r �t .,;, •�Pf•'t: +•S•� ..+%•� ''• ...
•1' -. S,i'•• .�,•' ,•J. Cn. ,.fi?'•..t,t•r• .: �•,N.'a.;. .l •',�' •'1 't H i ••
''� r: .':' brine.#r�."'•• .; .•
,. :,. �r• •..5�^ ;' ` 'r: '�'••.�• ;Z� :•ti'Sx%k'.':K:'.. O11C,•.#'• •: •:i.:� e..�, : .
1,siifance.cos ;q :-,•._. •r :.,::• :�.s'
/ iii
/
I am a sole proprietor and have hired the independent contractors listed below who have tfie following workers'
.compensation polices: tti
�7 '' '�w!.�•+�,�..i1 +. :':z.�:•y:•:��z:. "`
f. '%.� •uli.. ,1•.a:i^; ;�•�t l,z l..e;.,�� '.1: ... 'rt•''''''z .�i•.� iy.s:•....�.••..a_t•�. .. �,
eddre"ss:.
R r� •�. :7?..,.5•''•'':^+'•'i'''I:'''r�:V.
h:.!• r•• •!yi' .+< '•'ti::r.•t,is,,,r;� -,�:+ �r�l
CI _ t .:r '•r.z:`lri�j;4•:• '�+"S.'.:�• L.�„t.y��.g:f.:;• �:�'' :i; t', •' :�" ` mil'•''
:i: •• .'t+• '.t: y.i t• •1 i'' ,I�' it" ','4,�.:• •.,l•i. ••,.'t ''1•.• �' '.
"�`'..: +VY�, 'y„�..rr:'fr r;.t,.''.:`>•."'':'•'N�i ?:*r -�'.+:'�r'O'liC :��•� .r.).:k•ti•:. :1'.,i: .z::''• `f•'i.,+��'z• ••:
insurance co.
:t: i flit• ''t�. .:�••.:'.;,' :l�: .+ •.+, ,i•M1,' •.1' a •;r•J 'x." r•,.;,)��.�. •'!j.t,.
is:,1... 1.'r:oi'fy+�i:C '+(;•'.t•�fi•�;�: ..S'• z•r•i•:d'• •• .
aaaress: =.
Ci .•,- :i•� .:f.;,::" :'l: •'r:.•i.S! •i. •� �%:•",'..a`i,'••T.�':� •yy•'..e: rlt�+�j ':��,,•S',:1,:;, •e ,i ,
.;i.l y',�.,: :"y t�.': +i 5 .:f. -ty• �•i:...' ;,=w. •1' .t. '-ai•',':,••.
'r~ Y•' V.
'i,. t}•..'. .ij' ;ar: 'r�• {. il::"a •011Cvttt^i:, z'. .t•rS�:Ft.,d..: .;t,:': �{.
insur"nc �j
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.D0 and/or
one years'imprlsonme t as well as civil penalties�u the fdrm of a STOP WORK ODDER and a fine of$100.00 a day against me. I understand that IL
copy of this statement ybe forwarded to the is f Investigations of the DIA for coverageverirication
I do hereby certify nder the pain d penal ie of perjury that the information provided above is fru de
Date
Signature • • � Phone#
Print name
����� _ ..
ial use only do not write In this area to be completed by city or-town official
ofricpermit/license it ❑Building Department
ci , r
ty or town: ❑Licensing Board
❑'checkif immediate response is required ❑Selectmen's Of—tire
Health Department
contact person: phone ft; ❑Other _
(refined sqt 2003)
. Information and Instruc
tions.
to ers to rovide workers' compensation for their. '
yfassachusetts General Laws ch4 pter�152 section 25 requires all emp Y P ,
employees: As quoted from the law', an employee is.defined as every person m the Service'of another under airy contract
of hire; express or implied; oral or written. ;
, association, corporation or other Legal entity, or any two or more of
r is defined as an individual,partners
An employe hip
the foregoing engaged a']oint 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'morethan three apartments and-who resides therein, or the.occupant of the dwelling house of
another who employspersons to do.maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such pmployment.be deemed to be:an employer..
chapter 152 section 25 also-states 1'hat'every state'or local licensing agency shall withhold the issuances dr renewal
MGL p s or to construct buildings in the.commonwealth for any applicant whohas
of a license or permit.to operate a business •
not produced acceptable evidence of compliance with the ins{o sectracgfor thep&d- Additionally,erforrnance of public work until
coirirnonwealthrior.any.of its political subdivisions shall enter in, y p
acceptable evidence n compliance with the insurance requirements.of this chapter have been presented to the contracting
authority
rmm
/ .
Applicants
't co letel b checking the box that applies-to your sittiation..'Please
davi ,
Please fil] in .the workers compensation affi rnp Y Y
e address and phone numbers along with a certificate of insurance as all affidavits may be submitted
1 co any narn
Supply
� dustn'al Accidents-for confirmation of insurance coverage. A]so'be sure to sign and date the
to the D ep artrnent•of In
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 re.gardin�*ffid"law"or if you are
n oli lease call the Department at the n=ber'listed below.
. •co ensatlo cy,p
•workers mp p
-required to obtain a ,. , w .
City or Towns . • . � . .
Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the
ations has to contact you regarding the applicant. Please
vent the Office of Investi
affidavit for you to fill out in the e g
be sure to fin.in the pe�rnt/license number.which will be used as a reference number, The.affidavits rnay.be.retumed to•
the Department b}�.r or FAX unless other'arrangementshave been made.'
The Office of Investigations would 1>1ce to thank you in advance for you cooperation and should you have any questions,
please do nothesitate to give us a-call.-
VON / MOVIE /
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
of�tlssff ens '
600 Washington Street
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 7274900 ext:406
r
oY�HE t Towa of Barnstable
R.eglatory Ser•vides
a $ Thomas F.Geiler,Director
Building Division
lFp MA'S
• Tom Perry,Building Commissioner' '
• 200 Main Street, Hyannis,MA 02601
Office: 508-86Z-4038 Fax; 508-790-6230
Permit ao.
;Data '
AFbODAYIT .
HOME IMPRO'YEMENT CONTRACTOR LAW
SUPPLEMFNT TO PERMIT'APTLICATION
MQL o.142A requires that the"reconsb=tion,altexations,renovation,repair,modernization,conversion,
•improvement,removal,demolition,or construction of an additionto any pie-existing owner-occupied
budding 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, % ��
• e of Work,— !` 6�.l on F,stixn�ted Cost
Address ofWork: - 6UX c�� /s)6 g2&O-
lication:
Date of
I hereby certify that:
Registration is not required for the following reasons): '
[]Work excluded bylaw
[]Job Vnder S l,000
[]Building not o%er-occupied
. �waor pulling own permit ,
Notice is hereby glven that: ,
O RS PULLING mm OWN PERMIT OR DEALING WITH UMGISTERED
CONTRACTORS FOR AI'PLIC4.]T E HOME MUP OYEMENT W ORKD 0 NOT EVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDERPENALTIES OF PERJURY
Ihereby apply for&permit as the agent of the ow4er:
Date Contractor game ReQistration2�(o.
0
0wners nine
(t 18
114 "asg�3g�wea
"MMv 'qs �a =1 of o
COfi y" P y ug
� r g �€€ C > N/F SULLIVAN � � a >11
a r yy y a�My� a s * e v
yak vg x _= a, I',
. — 185.85 i �i ; �e' p 4 �'
ao
a
R ' 111 � 50
O
10
rrt
42 O � �
41" N�Qe-Y L� � IJl
afn
� ce
U
lid
a y a 16 1 a A 'A LO
C G ® £ .1
3a4 "J j
�p NiF CATIGNANI g w
� I �
1 �
Asssssor' �1ffi�lst floor): " ® THE
Assessor's map,.and lot number. SEPTIC SYSTEM MU
Board of Health (3rd floor): }
INSTALLED IN COMP
Sewage Permit number .......; :.. �...... .�:. ...
ABLE, �
' 6
Engineering Department; (3rd f4�4
W TFi TITLE 5 9, ��House number '.... /.�y ..... ............................ NVIRONMENTAL CODb�aY a.... 9 .. 9
APPLICATIONS .PROCESSED 8:30' 9: 0 A.M. and` 1:00-2:001 P.M. only T a'"``a�R�
y TOWNS OF , BARNSTABLE
BUILDING.. INSPECTOR
APPLICATION FOR PERMIT TO e. 1...... .............................
.. ... .1. ..1:4.. .�
TYPE OF CONSTRUCTION ............!Z5........ Q.............. ..'.`. .....................................................
1.. .... ............. 9.Fb
TO THE INSPECTOR OF BUILDINGS:
The undersigned her by applies for a permit according to the follo wii information:
Location ..............................................................................� .....�..............................
Proposed Use ........ n.. ..� P.:..... .. ..... .....� .` �d...............:.....................
�. �..... ................................................. ........
ffiR. ..............Fire District ........... a vl.Zoning District ........... ....'......... ......... ....
ke
/� ii�.,c 'I/' �y� � ff� rr
Name of Owner .....�J.. `�:.` ...!..'. ?........e�.��.!.?S...Address ......... .�. ..........................� U""�'1... .....!!SJ...� M
Name of Builder �..!.. ...........................................Address
Name of Architect ...........................Address ....................................................................................
J
Numberof Rooms ........... ......1K.1 .....................................Foundation ..............................................................................
Roofing f
Exterior ..:...................� 6.`.............................................. G�.S ..d!i .
Floors ............Interior ``
.G ..................... ............ .......................................
Heating ....... !`�. .... ...... ....... :..+.. .....� Plumbirig.. ....J.r..i? .....I..............................................
1
Fireplace .............N.0............................................................Approximate Cost ...........d.....OHO................................
Definitive Plan Approved by Planning Board [� 19 _ . Area ..........✓....'� ...5.:
Diagram of Lot and Building with Dimensions Fee � ..
SUBJECT TO.APPROVAL OF BOARD OF HEALTH Y Y00 106
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 .... ....................................
�&v
Construction Supervisor's License .. ..................
PAPPAS,, NICHOLAS
i(
No i2950:2 . Permit for ,•1. ...S ax. y u
y.................
i' Single Family awel1_•ing•
..........
- Location. ...Lot,••1,$.......4.3..Ripasant••P.ark--Avenue -
Hy4nais...........................................
Owner .....Nic holas .�s3ppas.
1 !
Type of Construction 'Frame
w . ......................... ......
i ...................
......................
rgPlot ....................... Lot .`..............................
�
Permit Granted' June 1' �. �
_ t
2 86
Date of Inspection .... .......:...191',d
Date Completed .....r-J.P.�,.. ! ....19
s ,
• •� � Y r ter' ~5 +.. `•, -'4 � .I � I • ..
1
O�TNE� TOWN OF BARNSTABLE Permit No. ..�Q2 ...._.
BUILDING DEPARTMENT Cash )
..�4n�,n�...OGTCIP_I'
aeain I TOWN OFFICE BUILDING
� Ewa
�a Of�'� HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to NICHOLAS PAPPAS
Address lot #1A 43 Pleasant Park Avenue, Hyannis
USE GROUP FIRE GRADING OCCUPANCY LOAD
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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
June 16 19... 7.......... F.1�...,�. .........
Building Inspector
BUILDING
TOWN-OF BARNSTABLE, MASSACHUSETTSP Em R mmm I
A-249-42 JOB WEATHER CARD
66
Ow�>4 r
DATE _ 19 PERMIT NO.
APPLICANT ADDRESS J``y660,
(NO.) (STREET) (CONTR'S LICENSE)
Build dwelling 1.1 Si;?.d�1F j Ri 111 j' C�f.1.1111 L' NUMBER OF 1
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
lot iik J i eZI aTIt lark, Ave i ji3Tnis ZONING v(j
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) -(CROSS STREET)
SUBDIVISION LOT BLOCK LOTSIZE
BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
r+
REMARKS:
AREA OR 572 sq. `•L". 30,000 PERMIT
VOLUME ESTIMATED COST $ FEE 34.50
. (CUBIC/SO DARE FEET)
di
OWNER cholas Pappas
..�
lij bu l van Road, West Yarmf)uth, i^iA BUILDING DEPT.
ADDRESSBY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPOjRARILY OF
® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEE
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION'
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS -
V ,w•Y / u GY
'X
2 2
l
3 HEATING 'ySPELTiNG APPROVALS R N E P ALS
1 Q C +1Ujinu
2 RINU
'N .RK S,A.LL NCT PRO-EEC• UNT'L THE PERMIT WILL BECOME NULL AND VOID IF%CONSTRUCTION iNSPECTIONS iNDICATED ON TH!S CAR:
.NSRECSCR :-+.AS aPPRCVE0 -1`+E 'IaRSC;;g WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHON%
sTaGEg OF CONSTRUCTION' PERMIT IS ISSUED AS NOTED ABOVE. ORiWRITTE•N NOTIFICATION.
off
0 Cfh 00
-44
�-
o ►n '� mcny � D � � �
u . uu
g
u yt L :I
lvQ
70
rn
ss
011
C
`J
Assessor's office (1st floor): -T11ETo
Assessor's map and lot number'?.,.<..... ..... ...�1d
Board of Health (3rd floor):
Sewage Permit number ............... .!?...................:,��_ '�...: 2 B>gg9T4DLE. :
Engineering Departure (3?d floor) \ f� f 'o rnsa
C i639 9�
House number `
APPLICATIONS PROCESSED 8:30-9::30 A.M.,.at d 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ......... V
TYPE OF CONSTRUCTION .............�.�?-........: .�� � ��"'
....................... .i,,^�-.....................................................
..........!.5..-- :e-�.� 19-F6
TO THE INSPECTOR OF BUILDINGS:
The undersigned here
by applies for a pemit according to the allowing information: I
Location ( I� pfe� /"r.. . �4 1� t� aVti
........................................�.................u................................
ProposedUse ........ .....n:.r A.......... W.Al..................................................................................................
�. Fire District ............�y
Zoning District ........... ....................................... ...........................................................
Name of Owner .....!!. ..�N!Vtf/... &Pv. ...Address .......... �? .
Name of Builder .. I..F'".........................................Address
Nameof Architect ..................................................................Address ....................................................................................
4
Number. of Rooms ...........!......�..!...!.....................................Foundation ............ ..�`'.'tR'....."..•.................................
Exierio. ...............:..(...�:.....:. fJ
r �! Ve�.,.....? ..........................................Roofing ............ ..0 .: ........................................
Floors 4 e" (�—
i,` 1 C?C ............ ..... ... ............Intenor CJ �
....................................................................................
Heating ........... ...:.....................................................'=.......Plumbing .....................-.? :...................:..................................
Fireplace �.� ........................................Approximate Cost ........3.... ..................... ................................................ r
aI :
Definitive Plan Approved by Planning Board z� _h_aR_-""----19________ . Area ............................................ _
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 ..... ........................................ !A.::..I�`�.
Construction. Supervisor's License ............................
PAPPAS, NICHOLAS A=249-42
No .,29502 Permit for ....... StorY..............
Single Fami1� Dwelling
Location ...,Lot lA, 43 Pleasant...Park Avenue
.... .............
...................HY.annis...................................
Owner .Nicholas Pap.Pas................................
Type of Construction .Frame
. .............................
................................................................................
Plot ............................ Lot ................................
Permit Granted June 12,.. 19y 86
....................................
Date of Inspection ....................................19
Date Completed ......................................19
!• r
/'V, 0/0
k r%
r
SECTION --SEWAGE- = -
�; 435�0
1001
AIC �2
7�
SEPTIC TANK = Z� � _..D..B �OX — ,'��� A —LEACH. I:1 �! . .;1 C3I`
TOP O F�. l vg� E
� �J A 4J 1
_.!.7.Li, Q(MSL)s ..2..OF Its TO4i^ /t� I
1
WASHED STONE �� . -, 1 �'~ ....... _ _1.
z -,='"a5 .�-*�• � - �•�� 53 ram-2 51 50
OUT• Z `�\ p
IN• 55 54 Gj
OO bG IN• OUT• INSEPTIC
• GjQ 57 1
•� iTI
y
TANK f � 1�
t
ELEV.
ELEV. ELEV. ELEV. �O. hp
V. ELEV.
1 r..
iJ
(: 'WASHED STONE
TEST HOSE LOG , . I
O c rat ! �.
TEST BY t/. 1. I; I
- WITNESS
i
Z
TEST DATE - - - - - BEDROOM HOUSE
P - _..
8
T.N: �r 1 .: T.H. # 2 __---
ELEV.:'; ELEV.4C7:7
_yC t
'doh, L DISPOSER DISPOSER
PEKE;RATE MIN/IN. 5•-� y4h�,
_ 47_ FLOW RATE 1!O ,(cAL_/pAY) 'ZZO
-
G �. SEPTICTANK �Z20 (151=
J REQ'DSEPTIC TANK SIZE O�_ LEACH FACILITY
-7 .
SIDE WALL O 6 . s: .5'(.Z��j) ZL�: G/D.
i 12 N 31 80TTOM Z ,� G/D D. i' 1
t 5 3�0 ?': T AL "' '�( ':O a
— � ' \ . _
1 •
USE: ��.iC LEACHING
bl K to �= �� l
,
`�fc«WATER ENCOUNTERED lO G1�� 47
5
1✓ �
NOTES: (UNLESS OTHERWISE NOTED) , !.
L DATUM(MSU—TAKEN FROM S QUADRANGLE MAP
2.MUNICIPAL WATER S� MAILABLE �.w
3.PIPE PITCH:?A PER FOOT
l-} �l Q
4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- =44 - - -
tH OF
S.MIN-:GROUND COVER OVERALL SEWAGE FACILITIES:(2)FT- '
6:PIPE JOINTS SHALL BE MADE WATERTIGHT `� I
7:CONSTRUCTION DETAILS TO BE PCCORDANCE WITH COMM.OF MASS. .� ARN
STATE ENVIRONMENTAL CODE TITLES I S T'FPLAN
•Pt—Ax—I Foc. Pe� � :wo'ar1C o�,`� �- •a � ��-� i LOCUS:' = .I�l?' 1�r0. Y'�''IaaVC
`tH'OF,;y4sJ
. .' L ENGINEEIY 30
ARNE
O A' c REF:
: yow� , cap eft4fifteerift� �o PREPARED FOR:
CIVIL ENGINEERS of
- —
.LAND SURVEYORS '
BOARD OF HEALTH no *_ REG. R. �r ZOO
CONTOURS (EXISTING)......:...... APPROVED DATE ) . i�/ MA SCALE - - - .
(PROPOSED)-�"0-p—
I `W` o�
r ,w
n
r.
viP .
�a-
Ful HIJJA
lJ
r
....... 1--L 1- 1- _ -i__._._ -i� _.. -_--
o
LLF
77 -1 emu.
1TTT 1'1 r '
� r
rT
19-01' -
4=6
-
I �V3D6 8Vaqmpw. .. �/�{j�� I � � [[ rr
S(aRE LINE `� I 1 Wt1'
711--
d1 0 dd
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