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3433 MAIN ST./RTE 6A(BARN.)
� N e r r' �A7u- - R„T �1r.{; lVe, IVA 4 r , i+ z.: Si fit: 9 7 ( r q ` G t r , , Commonwealth of Massachusetts Sheet Metal Permit Date: 12/27/16 Permit# 4 Estimated Job Cost: $ 30k Permit Fee: $ � Plans Submitted: YES NO Plans Reviewed: YES NO Business License # 143 Applicant License# 1226 Business Information: Property Owner/Job Location Information: Name: Balanced Hvac Inc Name: LOPES RESIDENCE Street: 15 Jan Sebastian Dr Street: 3433 MAIN STREET City/Town: Sandwich Ma City/Town: BARNSTABLE Telephone: 508-428-0974 Telephone: 508-325-2252 Photo I.D. required/Copy of Photo I.D. attached: YES + NO Staff Initial J-1 /M-l-unrestricted license � ( J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 st&/ tories or Iess UU[[ll,, 2016 Residential: 1-2 family ' Multi-family Condo/Townho�uses�/111 Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. * over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: .INSTALLATION OF TWO FIRST COMPANY HYDRO AIR AIR HANDLERS INSTALLATION OF TWO BRYANT 127ANA036 OUTDOOR CONDENSERS 3 ZONES OF HEATING AND COOLING USING EXISTING BOILER ' The Commonwealth of Massachusetts Department of 1 ndus&W AccYd=ft Office of Investigations 600 Washington Street Boston,MA 02111 www.mas&govldia ' workers, compensation Insura ceAffidavit:BuRdears/Contractors/ElectrieLLnsfPbunbers A hcant Information Please Priest Le ' 1 NaMe,($t OrgaWzadoafiadivi :. BALANCED HVAC INC Add»esS. 15 JAN S�BASTIAN DR City/Sta ��p! SANDWICH MA 02563 Phone.#: 508-428-0974 Are.you an employer?Check the appropriate box: Type of pcoj ect(required):; 1.® 1 am a employer:with 4 4• ® I am a general compactor and I 6. ❑New construction . employees(frill and/or pant-time).* have hired to sub-contractors 2.Q I am a sole proprietor or partmr- listed an the-attached sheet 7. ©Remodeling sly and have no employees These sub-contractors have 8. ❑Demolition working for me iv any capacity. employees and have workers' 9. ❑Building addition No..,,,eta. r oomp,jner,ra o comp.IY1smunce.t. +�orkep S. [] We are a corporation and its 10.❑Electrical repairs or additions reamed.) officers have exercised their 11.Q Pltmmb' repairs or additions •3.❑ I ant a bomeowner doing all work ep elf o workers' right 6f exemption per MCrL repairs ��traueeNr ed.j t eamm s. r—152,§1(`l),and we have no 12.Q Roof enlpltryees.[No warlcers' 13.❑Other comp,insurance required.] °Auy appii=w that cbsolm beat#t rtrust sTso till out the sectioa bdow showier t$ais works'compensation policy information. t Homwmm who submit this affidavit indit afkS ftW are doing ati work and then hire outside contractors must submit anew affidavit indicating such. *CtmttaGtam that cheek this bax mast a4ta:hW an additional db shoaling tbename of the sub-=ftctors an'd state whether orttat those entitics have wrphgem 1f the sub-coattactw bm Emplaycm they nmstpravidt their•wo*='comp.poiicynumber. lam art.employer that is provident workers'componsation assurance for my employees. Below is the policy and job site information. Insurance Company Name: TRAVELLERS B U -73 48P140-16 Policy#or Self-ins.I�ic.#: Expiration Date: 3/17 Job Site Address: 3433 MAIN STREET City/StatdZip: BARNSTABLE MA Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). l;atl=to secure coverage as required under Section 25A,of MGL c, 152 calm lead to the imposition of criminal penalties of a f e up to$1,500.00 and/or one-ycar impdsonmwit,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to MUD a day against the violator. Be advised that a copyof this statement may be forwarded to the Office of bL estp ens of the DIA.for instaaant;e coverage verification. I dohereby cafiry wader the Dahn-and penaWs o my that tree infrrroadon provided above.is trace and correct Date: 12/27/2016 Phone#• 508-428-0974 pffaeaal rase only. Do not i r m this area,tb be con pleted by city or-town official City or Town: PermitlLicense# ,Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.1 Plumbing Inspector 6 Other Contact person: Phone#: R Page 1 Residential Heat Loss and Heat Gain Calculation 12/27/2016 In accordance with ACCA Manual J Report Prepared By: Balanced HVAC Inc For: Burbic 3433 Main Street Brewster, MA Design Conditions: Barnstable Indoor: Outdoor: Summer temperature: 70 Summer temperature: 95 Winter temperature: 75 Winter temperature: 0 Relative humidity: 50 Summer grains of moisture: 93 Daily temperature range:Medium Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Duct 0 0 0 5,302 Floors 622 0 622 4,562 Walls 5,748 0 5,748 15,077 Ceilings 2,939 0 2,939 4,499 People 1,500 1,150 2,650 0 Fireplaces 0 0 0 17,888 Misc 1,200 0 1,200 0 Windows 16,212 0 16,212 10,265 Doors 711 0 711 1,863 Glassdoors 12,240 0 12,240 7,180 Skylights 0 0 0 0 Infiltration 14,907 14,007 28,914 44,720 Whole House 56,079 15,157 71,236 111,356 (6tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. IIHEI Town of Barnstable Regulatory Services KAM �. Thomas F.Gelier,Director s ''1 BuRding Divisions Tom Perry,building Commissioner 200 Main Streets Hyamis,MA 02601 www.towe.barostable.ma.ns Office: 508-8624038 Fax: 508-790-6230 Property Owner bust Complete and Si This Section P � If Using A Builder as Owner of the subject property f ' � hereby authorize �c� r ��t//7 ! to act on my behalf, in all matters relative to work authorized by this building permit �3L7A LSi 7 m.5/-&i:;, (Addaess 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. Signature df Owne Sigtxa e of Applicant Print Name Print Name Of / Daty Q:FORMS:OWNSRPFJWSSIONPOOLS @�� LTH A OF m SSAC ,�a '9US�TT• ?i 0M `=L4�+I. Fes.. SHEET.M: XL WORKERS ISSUES THE;,FOLLOWING L1CI=NSE AS A a., ER-UNRSTRICTED LINCOLN T.STUBBSr. . BAI QNCED HVA .INC 15 JAN SA%I STION DR o SANDWICH,MA 02563 2354:: �! 1226 b7128120i 1466 Bch Along All Perforations COMMONWEALTH H OF Rft�.�d��6��SET�"s' i t gel,LI _ff 1:9 @T�u P]f 117 x c'tlll it L C _�' BOARD bV- SHEE.T.. METAL WORKERS ISSUES THE FOLLOWING LICENSE s:'.AS A BUS 1 ffESS "s L I KC-0LN T STUBBS 'RALANCE:D:-H-V*C- l NC 15 JAN: S A$T I AN:: R " s SAND41CH 14A 02563 143 12/0j 6- / - M03- i1Irv) rlui..• I is L I•l y)1 li:'. 12/27/2016 Mass.gov Licensing and Permitting Portal State Offices&Courts State A-Z Topics State Forms Accessibility FAQs An Official website of the Commonwealth of Massachusetts t eLicensing and ePermitting Portal Announcements I Register for an Account I Login Need Help?For technical assistance in using this web application,please call the ePLACE Help Desk Search... i p= Team at(844)733-7522Q or(844)73-ePLAC between the hours of 7:30 AM-5:00 PM Monday-Friday, with the exception of all Commonwealth and Federally observed holidays.If you prefer,you can also e- mail us at ePLACE helodesk(g state.ma.us.For assistance with non-technical,please contact the issuing Agency directly using the links below. Contact Alcoholic Beverages Control Commission Contact Division of Cao tal Asset Management and Maintenance Contact Division of Professional Licensure Translation Information-Click Here Document Attachment:In order to upload required documents,this system requires Microsoft Silverlight which can be downloaded for free here. Convenience Fee:Please note there may be a convenience fee for all online credit card transactions.There is no fee for online payment by check. Home Manage Licenses,Permits&Certificates File&Track Complaints 1 Please refer to the Licensing Entity's website for additional information regarding the status and discipline information shown below. For DPL information,please visit the DPL website. For ABCC information,please visit the ABCC website. Information Pertaining To: Sheet Metal Business 143 Licensee Detail License Number: 143 Licensing Entity: Board of Examiners of Sheet Metal Workers License Type: Sheet Metal Business Type Class: B License Issue Date: 12/07/2010 License Expiration Date: 12/07/2018 Status: Current Current Discipline: Other Discipline: Name: Business Name: BALANCED HVAC INC DBA Name: ......... _ _ _.... _ .................... ©2015 Commonwealth of Massachusetts. Mass.Gov®Site Policies Mass.Gov®is a registered service made of the Commonwealth of Massachusetts. https://eiicensing.state.ma.us/CitizenAccess/ SearchaLicense.htm 1/1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map �qq Parcel oq� V T077N O BARNISTA. L E Application -I�-3►3 Health Division }; t-T L}=Date Issued Q C/�. Conservation Division Application Fee x Planning Dept. Permit Fee, '760. 06 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis f9/4-6--b Project Street Address ��-73 MA,,J 111tee7' Village I/W Owner_ �dS Address � .�3 / 9/.✓ � Telephone ` Permit Request Ap A,2mets /�� /1 �d cr ' c ,► e/t- p��M Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 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: 0 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 ���/ y�uS ( Telephone Number Address License# L Home Improvement Contractor# Email �J�� �S�C ��l.f /b, CdA rsJ'//N1e/Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO y* SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE 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. J //11 YIw CownrompeaM of.4cysad iusetts Deparkneut ofrudas-&ia1Act deter ' 600 Wadzington&reet -- Boston,MA 012111 Workers' CumpensatrenIumrance AfffCava BuilderslCri-nt actGrsJElec€ricians/Plumhers APPHcant Informatiou Please Print • I`da�e(l��sga�tianflnd�r3Qa1���r1�-� ��E/�S C( e�:I��-h l�l��,P.r LL �7 GtgfSi at&Zig Phone Tire you an employer?Checkthe appropriate bay Type of project(required),- El I am a employes witfr. 4. I am a general contractor and I tS. New consfiucfion employees(f6A andfor part-time)* 1iave lured fhe sdb-conkracfors 2.❑ I am a sale pmpnetas orpastner- IisEed Bathe attached sheet �- t modeling slip and have no a mplWees These soh caz<�c#ais have � alifioa w g for me in employees and hzm woAmre o wor any capacity. I - . 9- ❑Rraclmg addition �q�y-p�,rg,'Coup-Trec�xt�nre _mcrtrartcr required-] $, a are a corporatim and its 1b❑Electrical repairs or addidons 3.❑ I am.a homeou*mer doing all work- officers have exercised their 11-0 Flumbing repairs or addifiems ;r n8-workers' _ 1?�F.flof a of emempfion per MM reps �=OmF ce required-]i c.152, §1(4k andwe Piave no employees(NO wodoe& 13-[:]'O tier cam-insxance requireA) #d y � tchedxvos ffl msalso m outthe sec ion beow wag deawalme® ensafic•pergr ix��oL S, :L sabot dais afrd—indirzt-g they—doing RU-C*sadtbealffra outside cnniraCkMXnID.St sobmitI newXMdzdjt inr3'�5MrTI fCaut<actmTArf ehetYiLis t n3r ri tat atfadrea mtadriitional sbad sbouing the nzmeof the sub-co�xs^ •;aad&Ufa whatler ornottbase emEtieshxm eMPlayees. emgICYe?-%tfieY=nT rmzdde&ek WarkeW C=p.palicg aun>bM lam art enigr t7rat is prcxt2rIirrg markers'coaresatferrt irrsruartcs far irrl*rJrip3�es SaloaF is tlta policy arrd jaTa sites €rz,�or-rrtstiian . Insurance CompanyNtrame: "Po-licy,4*or Self-in&Iic_41.- piratiaaDate: Ioh&ite.AAIdsess Cifyl5tzwzJ p: Attach a copy of the workers'comrpensationpolicy declaration page-(showing the policy number and expiration bate). Failure to secure coverage as requireduuder Section 25A of'MGL c.157—can lead to t&e imposition of criminal pees of a fine up to SUOD OD andfar one-yearimpxisormem,$s will as ci0 peualiies is the fo=of a STOP WORK ORDERaud a time of up to$250-00 a day Mainst the MiDlator. Be ad-6sed that a copy of this zbkment maybe fo-warded to the Office of Iuvesttafians of the 91A for insurmce caves ge vi edficat on I du herAy Gsrfrf�' tha paints and psruafa of et ury atfi�ra arp�zutiorrprm-frTcdabat�s" [rocs rd c�orreet sim, /o J aid am a7ify. Do lutt Waite in ffds Area,to be campkted by city artown oJYrsrat City or Town: PermitUcense� ImiingAmfarity(dude one): L Saanll of$eaItli 2.BTsting Department 3.fity1rown Cl k 4-Electrical Imspertnr S.Phmbing Enpecter fir.Other Coact Person: Phan#: laformation and Instructions enssafian far their M.acearlrtrcelfs C,=eralLxws chi M rcq==all=ployeas to praVlde�Pa�as'c� �`�t'�Q S. pmsaa�to4fiiis sly,an=PFO3'ee is defined as`�.eVeryp¢sanmffie srrviac of Hnoi3erender auy coZ±ract of'Ilftey . �or�]ied,oral orb" Y associafion,cCrporafion or ofher legal e�y,or any two or mare An Mayer de=fined as`�aa.m�vi�al,P � . of the - engaged m a Joint else,and mchidmg fhe legal repz'eseuf-atives of a deceased employer;or the associafmu or of =le-gal entity,employing employees- vvever the receivPa or trastee of an individual,pip, � . oveaer of a.dwe house hzvmg not mm a than three aparhneais and who resides f =in,or thLm o ofthe who - o employs pesw to do mai ltnnimc,constr Lt on or repair wow uch s dwelling house �PT�house of e �� or appvrfnnamfh=b shaI notbecse of mach emplopmeutbe edtn be an employes" or on.th l� V- GL cl fPr I52.,§25 almo stdns dhat"everysfafe or local U�agency shall oId ffie2 &forissuance or any renewal of a Hcerese or pe . to operafe a business or to construct b�dings in enFumQnvYealfh for applicant-Wh.oas h notpro ced acmpfable evidence of cdmpfianm with th-e- Ce cove):. equireage r Additionally. MGZ chapter I §25C(7)states fiTehher the nor ofifs poIifual snbdi4%sions shall enfPr mtD any contract for the p ce ofpnbIic ivark u acceptable e " ce of compliance Whh the insazaalce. raq=eaieafs of ihis chapter bave presenfnd to f3ie contracting aafTio ty. Appiicanfs Please fill o the vzotkess'compeasati on davit completely,by fhe boxes�apply to your situation and,if necessary,sapply snb-conft ctor(s)name(s), . es)andphone er(s).alongvntTitheir cexttdcafe(s)of „cRr�nce. LimitEd I-iab>7ify CamPa<nes(I� orLimitedLiab Pmta=shigs.(LT P)�titI�no employees Otherfhao the meEbBcrs or pis,are not required to carry comp - iascaRnce_ If au LLC or T X P does have employees,apeliey is reg�. Be advisedthat. aflzda-yk gybe sabm tmd to the Dr -tment of TnrTnEfrial Accidents for conEam alion ofinsrn�ce coverage o be a to sign and dafe#he aidavit The afSdaYit should be reitmed.to$e city o=town that the application for e p or license is being requesind,not fly e D eparfinenf of ,TT rinsfsial t4,-� �, Tunil&youhave any gaestionm ElieIa�v orifyou rec obtain awo�dcrrs' oh lease caa fh e D artca=±at the er lis�ci beloVT Self-msnreti camp��shanld en'rr their co e�saiion ey,p � mp P self-insurance license n tuber on the appropriate line_ sty or Tovm OfElcials Please be sore that the affidavit is complete and legibly- e Deparfmmf has provided a space at ff=boftom of the affidavit for YOU to fiIl out in the event Office ofInv - has to contact you regarding the applicant Please be sure to,fill in file pe ahUcense tarn whichwr�be used a refercace number In adaifion,an apph-cant ffi,tmast submit mullip P EPP esd q submit one affidavh:hw cati g "Tea Ie eense 'onsmanygivenyear, 3' policy information(if necescmy)and ender` ob Site Addrem the a z ppli should v ite`°all locations in (cay Or officiaIl stamped oT maik--d the city or town maybe provided to the town)-"Acopy of the-affidavit that has b ' clL applicant as proof that a valid affidavit is o file far fi = permits or Iicens A new affidavit nor c m filled out et year.Where a home owner or citizeD is ob a license or permit not iD any hosiers d commercial v (ie-a dog license orpEanit to bum.I _)said person is NOT req��dto Ie#e this affidavit TlieOf& ofInyesiiinn. 'WO -I e thankyotlinadvanceTaryouzcoop "on and sbonldyouhave any questions, please dD not hesitate to give is a call The DcZp rfinerif address,telephone and fix rmmbea: - ' I g�atim of Iu Aar, denim Bast= MA Oil11 Revised 4-24-07 ww miasg-gav Town of Barnstable Regulatory Services Richard V.Scali,Director. 6 ►`�' Building Division Paul Roma,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 e 1 as Owner of the subject property hereby authorize I'/1/ SS!!r(rg ' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) "Pool,fences and alarms are the responsibility of the'applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Sgaat re of Owne a of Applicant Print Print Name Date;.. • . . g , Q:FORMS:OOVNERPEFIMSIONPOOLS t Town of Barnstable Regulatory Services o� r. Richard V.Scali, Director Building Division 13JANNEMA13M '° Paul Roma,Building Commissioner suss. s 200 Main Street, Hyannis,MA 02601 Nlfa�' 1 www.town.barnstable.ma.us Office: 508-862-40 8 Fax: 508-79076230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print JOB LOCATION: number street . age "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town sta zip code .The current exemption for"horn wners"was extended to include owner/occupied.dwellinjzs of six units or less and to allow homeowners to engage individual for hire who does not po ess a license,provided that the owner acts as supervisor. ` DEFINITION OF HOMED R Person(s)who owns a parcel of land n which he/she resides or in nds to reside,on which there is,or is intended to be,a one or two-family dwelling,atta hed or detached structure accessory to such use and/or farm structures. A person who constructs more than one ome in a two-year pen' shall not be,considered a homeowner. Such "homeowner"shall submit to the Boil g Official on a fo ceptable to the Building Official,that he/she shall be res onsible for all such work Derfbime under the buildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes .sponsibility r compliance with the State Building Code and other applicable codes,bylaws,rules and regula The undersigned"homeowner"certifies th he/she derstands the Town of Barnstable Building Department minimum inspection procedures and require ents d that he/she will comply with said procedures and r requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings coltaining 35,0 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Co"ction Control. , ` HOMEOWNER' MPTION The Code states that: "Any homeowner perform g work for which a building permit is required shall be exempt from the_provisionszof this section(Section 09.1.1-Licensing of construction Supervisors); provided that if the homeowner a gages a person(s)for hire. do such world,that such Homeowner shall act as supervisor." Many homeowners who;use this exemption are unaware hat they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing onstruction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particular when the homeowner hires unlicensed persons. In this case,our Board;cannot proceed against the unlicense person as it would with a Iicensed Supervisor. The homeowner acting as Supervisor is ultimately respon Me. To ensure that the homeowner is fully aware of his/her response-ilities, many communities require, as part of the permit application,that the homeowner certify that he/she derstands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by severs towns. You may care to amend and adopt such a form/certification for use in your community. Massachusetts Department of Public Safety I aan;uu21s;nogj!m 01jM ;oil+, i�uaaaaasaapun gggZp`ylnl'3�fld1SN'dVS V Board of Building.,Regulations and Standards" -:,, �, r� GVotJ TlIHN1:lV8 8V License: CS-104145 f ; ,E ,A`. 019i f19 .NdRifl I,. Construction Supervisor 1 1' BRIAN M BURBIC 1 48 BARNHILL RD l 91IZO VW uo;sott lenpinipul fi uol;ejidx3 LL©i;S7f WEST BARNSTABLE "'.0 68 OLTS a;lnc-ezuld 311ud OT 5V9VLC uol;e�;sl6a _ :adfl uol;elntag ssaulsng pue.saie;;V aa�unsuoD;o 03WO rb1N001N3 3A0ddWI nwo x •a u uoi uaixa"a4;aao3a9 „I o•aa3 O o3 u o;ar Pbno33I �aiuiisuo ; i Sluo asn lnp!Alpul ao3 plleA uoi;ua;s1231 ao asuaatr[ ( ZZK elk-- Expiration: - I Commissioner 04/14/2018 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. I Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS q,_ I THE Tpt, Town of Barnstable *Permit l�tpl E a�O �Tres 6 months from issue date Regulatory Services Fee snot AB& e D0 Mass. � Richard V.Scali,Director � V (� z639. 1b 1639 Building Division Paul Roma,Building Commissioner r 200 Main Street,Hyannis,MA O�501 ScP o 8 2016 www.town.barnstable.ma. (,J n r Office: 508-862-4038 `y OF 8A�/Vs'� \: SQ8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONME 2 / Not Valid without Red X-Press Imprint Map/parcel Number A�A3�5 Property Address S 5V33 ,"J/p,-,j ikee l 41 v jl71 kq esidential Value of Work$$ �1 006 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0 4 6 3�3a .4$f/.-V skgte, eotj Contractor's Name �i�/�i� �14141'C e. 41h-V, Y/0I G Telephone Number Home Improvement Contractor License#(if applicable) 7 Email: ,d IM&I`e-WhTo-'`` 19 we'l Construction Supervisor's License#(if applicable) c 4'�Dy/1 J ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to *,�,dM I ❑ e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) e-side eplacement Windows/doors/sliders.U-Value Go; (maximum.32)#of windows 0 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: , - Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe 06/20/16 ' The Caauwoynreakh ofMdssad=setts Departweut c fludustrid Acciden& Qe Of IMW5*a . 600 WashbiWon&reet Bastin,MA 02111 'Workers' Campensa:tian Insn-;me a Affidavit SugdersdCant cturs/M ians/Plmmbers APPUcant Iufkm=fian Please Print E.e�tiY Na=(B - ZIzl,4,j emp'?c cC/J-/d,-% y� Are you an ennployer?Check the appropriate bo=. Type of project(required): 1_❑ I am a employr wift 4_ ❑I ani a general contractor and I. 6. ❑New construction employees(full a=Vor part-fiime).* have l ired1he sub-c�xs 2.❑ I am a sale proprietor orpartuer- Tisted on the arched sheet 'I. ❑Re=deligg. ship and have no employees . These sub-contractors have g- ❑Demolition lug o andlmre wadzess' wadaag forme in any�4Y �� l 9. .❑Bui1dmg Qe33iiicrE rNo wodmre comp.fimarance :,, •", 5/right re a co omfion and its 16-❑Electrical repairs or a�tions ream a h have exercised their 1L Plumbic r airs or adrFtions 3_❑ I am.a houmeflu�et dairng all worio ❑ g eP of on per&III.. myseM[Eden wad='camp- fi P 13.❑Roof re pairs �sarra�+re required-.]i c.152, §1(41 aadwe have no employees.[No workers■ 13_ er A 1Z cam_inning ] *A.ny appE C dhat cbedsbcx ft1 mast also fiUorat*e sedioabelowshuvdng ffiek woaexe compensatianpoyeyinf o a dac #Romees MM Wbo submit die af#;dasa m;dk tiag they axe chin.-ZU VFaA and alien him outside cautm=rsmast miTnak anew affidx&inch—aa=dL fCautmctoxstipchecici}gsboamusta2tech additional Sheet shouiag the m� of the sib-c�and stye whetherar not 9mse entities ba% employees.I€tlee avTa rkat®dnashaae empIo s,theymusi gxvvide th air nude'-utp.palicy number lam are erripla r tfeat is preruidirrg�varlFens"co erisaticxri utsurartcalnr my enrpfaj�ee� $elviv is ilia prficy aced jab site t>zformatiart. Insurance Company Name: PoOficlr#or self-ssss_Lic- E�piratxou Bate: Job Site,address- Cntpl5fat etzip: Attach a opp ofthe worlmrs'coxupensationpolicy declaration gage•(showing the policy number and expiration date). Fadnre to serum coverage as required.under Section 25A of MGL c.1572 can lead to the imposition of criminal penalises of a fine up to$U00 00 andt'or one-y&srimpdsonznenf�as yr&as riifl peuakies in ihe farm of a STOP WORK ORDERand a fine of up to QOtY a day against the violator. He adsased that a copy of this statement may be forwarded to the Office of 7avesdgations ofthe DIA for insurance coverage verificatism I do her4eby ,certify under tare pains and pa muhh s ofpedW7 that the infurmaff=proriiWabm a is liars and earrmt Sizaafare: Date_ 32 Z�Z Offidd use ari£y Do uat write in tfd3 area,to be CVMP etdd by dtp artericn trjrcrdAl City or Taw= Pexn tUcense; Lwaing Au*oritty(circle one): L Board of$eaIifi BuRTIng Department 3 CRyfrown.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.other Com3act Person: Phi#: 6 Wormation and Instmetions M==chnccfts General Laws cbapfCr M req=m all employs pmresvide wo>±eas'campeasaftan f m theg empIayees. pms�this sty,an esrrploy=is dcfined ash.everg p do in the service of another under a¢y contract ct oflaire, express or iiaplieci,oral or wrh=." An MT&YEr is as-an indwidm-LL Pam, aisfian,corpora ion or offi=legal entily,or any two or mare of tale foregoing is aJoint ,and the legal reprwemtattves of a.deceased employer,or ffic receiver or trasEee f an mdiyidnal,p br 3 asso ' or of =legal entity,=ploy g Mnployees- However iha owner of a.dwe house bavmg not more than three artm eats and vvho resides ttierem,or the occupant of the - dwelIing house of titer vrhD employs persons tD do - ce,c ass�h-rlrfi on or repair work on sucII dwelling house or art tie grotmds bur dmg appu�tihereto notbecause of such employmentbe deemedto be an employer_" MCA chapter 152,§ C(6)also stafs that'every or local licensing agency shall withhold$ire issuance or renewal of a license a permit to operate a b ess or to contract buildings ue the commonwealth for any applicant-who has no roduced acceptable eace of cdmpl=c&with the tasurzuce coveacage required." Additionally.MCrL ter M,§25CM states either the rTm=mwcahh nor ray of its political subdivisions shall eaiipr into any contcad thepetfommce,of licworicu3ff ac ceptable evMmce of compliancevrith 9ie T��T��. retlmmnim�s of this chap have been Ares to the rl,,,fi�r aufhozity_" APp4cantss Please fill oirt the woi=, mpensaticm davit completely,by g the boxes that apply to your situation and,if err certificate(s) of . necessary,supply smib-co r(s)name(s addresses)andPlwnemm�ber(s) along with insurance. Limited LizbMtY rules C)or LfinitedLiab�ity�P�ips(LLP)wifiino employees other than the members or pai tars,are not - to workers' compensation insraaace If an I LC or LLP does hate employees,apolicy is required. e ad ' that this of id&ykmaybe mbm_Tti--d to the Depadmentt of Industrial Accidents for con{Tmation of coverage. Also be sure to sign and date the affidavit The affidavit should be retumed to the city or town that application for the permit or license is being requester not the Department of Ti�dnahial Accidents- Shouldyou any gaestions regarding the law or ifyon are requhedto obtain a wogs' compeMsationpoliey,please call tan: artm ent at the nnmbes listed below. self-msmzred companies should err their self-insormce Hcaase number on th line. City or Town Officials t - Please be sure that the affidavit is complete prh3tnaIegthly_ The Department has pro4ided a space of the bottom of tie affidavitfor youth fJl out the evmint. Office oflnvesdgafians has to coiitartyouregardmgthe applicant Please be sura fo fll m the p cease Mum which will be used as a refieremce number_ In.-addition,an applicant that must submit mtatiiple p cease apply' 'ors in any given year,need only submit one affidavit in di m a +g C'Ma Mt policy information(if necesszY and under`Job he Address"the applicant should write all locations in (may Or- town) 'A copy of the-affidavit has been.offi - stamped or malced by th-e city or town maybe provided to the - - applicant as#oofthat a valid davit is on file for pemmits or licenses Anew affidavit must be filled out each year.Where a home owner or is obtaining a li or peam-it not related tQ any busincss or commercial (Le_a dog license orpennitto leaves e#g_)saidp on is 110Treqax>=dto complete his affidavit The Office of Inves-figaiims uId Ihle to tTzFTnlc you in ce for your coopM-d&cn and should you.have any qu estLons, please do noth.es>fa±m to give a call. The Deparimeut's address, epbmr,and fax r�ber_ Depalfmmt of h(, Accidents f�tce of� g� o� -Wn RAM&oil11 T6L4 617' -4 �4€6 or 1477-MA S&kFE Fax 617 727 7M Revised 4-24-0 7 T � f CI WE Town of Barnstable Regulatory Services MASS. Richard V.Scali,Director . Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the'sub'ect property pQ QQ,,�� �� � l P PAY hereby authorize �Ri��'kt y� t-C to act on my behalf, in all matters relative to work authorized by this building permit application for: A (Address of J b) **Pool fences and,alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is;installed and all final inspections are performed and accepted. Sign -of Owiter tore of Applicant 619'A4' L Print Maine Print Name 09)OF)) Dat QXORMS:OWNERPERI MSIONPOOI S Town of Barnstable ' Regulatory Services 1 p�Ft Richard V.Scali,Director ' Building Division snxNsrwsM : Paul Roma,Building Commissio r �� 200 Main Street, Hyannis,MA 0 601 www.town.barnstable.m s Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE NnMON Please Print DATE: 4 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 ext\dd nclud owner-occupied dwellings of six units or less and to allow homeowners to engage an'individual for hire whoposse a license,provided that the owner acts as supervisrION FHOMEOWNER Persons)who owns a parcel of land on which he/ s or' tends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures ao su h use and/or farm structures. A person who constructs more than one home in a two-year period shall not be consideredI . Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shons ble for all such work Rerformed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for co pliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she unders ds a Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply w sa procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,0 cubic feet or 1 er will be required to comply with the State Building Code Section 127.0 Construction Control. H WNER'S EXE ON The Code states that: "Any homeowner pe forming work for wh h a building permit is required shall be exempt from the provisions of this section(Section 109.1.1- icensing of constructs Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that s ch Homeowner shall act supervisor." Many homeowners who use this exemptio are unaware that they are as ming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensi g Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when thhomeowner hires unlicensed perso>as,In this case,our Board cannot proceed against the unlicensed person as it woul with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully ware of his/her responsibilities,many commu ities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 l�. LSd /AOSNW-M/MM :;ls1A uol;euuo;ul 6ulsua�l uol;e�onaJ�o;asne�sl a o 6ul SdU l ay;;o uol a uai�na a ssassodpo;anpej 3.P i w olgno coeds pasoloua dna6 asn�Ue;ao sBu n��00'SE uey}ssal PI. 8-Palou;saJun :01 P813p1saa JosvuadnS uo1}onJ;su00 r CccT-� T— Office.of Consumer Affairs&Business Regulation License or registration valid for individul use only , GME IMPROVEMENT CGhTRKOTOR before the expiration date. If found return to: egistration: <;;1.74645 Type:. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 4 WExpiration:_== 376f201'7 Individual ' t - Boston,MA 02116 BRIAN BURBIC BRIAN BURBIC 48 BARNHILL ROAD - / W.BARNSTABLE,MA 02668' Uudersecretar ~ y Not valid without signature 8L0Z/YL/to Jau01ss1wtu00 80990`k/W 3I8t/1SN2RY81S3M - UM IIIHNUVS 8b 0laNn8 W NVIJJS JosltuadnS u01pnJ;suo0 SbLb0L-SO :asua�l� spJepue;S pue su01;eln6a8.6uip11ng;o pjeol3 A1a1eS :)lignd 10 luawljeda() sl;asnyoesselN 3 ��►+E rQ,s, Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee • aAxivszesze, • Richard V.Scali,Director a Building Division Tom Perry,CBO,Building Commissioner �/� 200 Main Street,Hyannis,MA 02601 �`OZ� www.town.bamstable.ma.us Office: 508-862-4038 : 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL O -Al Map/parcel Number 2—t e a Not Valid without Red X--Press Imprint y �{ — t Property Address 3 Y 33 0 t 4-C VX S - Residential Value of work$ Z �� e 0 " ao Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name o\A L.%�►/' Telephone Number "��l �o Home Improvement Contractor License#(if applicable) Email: '.Z� e- S Al d CL o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value 3 (maximum.32)#of windows #of doors:--/2, ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: /-7 I/Z- Z o(f Q:\WPFILESTORMS\building permit f6rms\E)2 SS.doc Revised 040215 r The Commonwealth of Massachusetts Deparftnent of Induitriad Accide►its Orwe of It. tigations 600 Waskiirgton Street. 'rh ' Briton,MA 02111 n masxgov/dia Workers' Compensation Insurance Affidavit.Seders/Contractors/Eiectricians/Plambers Applicant Information Please Print Legibly Naive 4 /`l t-6 i2e S Address: So�� �t.0/K toy d-•, City/State/ g: ��Cc1/1 f'o+� h Pt �LY Lt Phone#: 7 ��' `��`!`�S'�f Are you an employer?Check 19te appropriate box: T of project 4. am a contractor and I � p J (required): L El I am a employes with ❑ I tt 6. ❑New construction employees(€n71 auallor part-hme)_* have lured the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. y ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working £or me in any capacity_ employees and have waticers' 9. ❑Building addition [No workers'comp.insurance comp-msuranoe ' d-1 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions 3/k I am a hom � � eoumer doing all work of have r`ed th= I LEJ Plumbing repairs or additions //1��� myself[No workers'romp- tight of exemption per MGL 12.❑Roof repairs kmm=e ; c.152, §1(4),andwe have no requited-] employees.[Noworkem' 13.0 Other comp.insurance required-] •tYay applicant that chec1s box#1 nmst also fill out the section belaw shuwiag fliek wadrere campensadoa policy iz&rmatiaa I Hnmeaw ers who submit this affidr=m&c=,g they are doing all work and then hue outside contractors wm-submit anew of dzm ni&ca3igv sacb- tCoamactors that check this bmt must attached m additianal sheet showing the name of the sub-camrscmors and state whether or not those entities have employees. IfthesubtastactorbareempIogees,they mnutpmvidetheir workers'comp.policy number. lam an empZo}-er that isproiiding workers'conrpensadon inmrance for my employees. Beioty is tare polity a"A job sites informadom Insurance Company Name: Policy#or Self-ins-Lic.4- ExpirationDate: Job Site Address: Gity/Statet�: 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 o€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 ihe form of a STOP WORK ORDER and a tine 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 herob,cetWfj,raider the paints andpenabies of pe-gw t'that the information prosided aboi-e is true and correct 'i rt3 Z =► Sienatnre- ^ Date: /3 Phone#- g ( o - Official use only. Do not ivrite in this area,to be completed by city or torn ofciat City or Town.: Permitff kense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C itylrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: - -- 6 Town of Barnstable Regulatory Services IHE T° Richard V.Scali,Director &UNBuilding Division Tom Tom Per Building Commissioner j 9 Mass. $ Perry, g 039. 200 Main Street, Hyannis,MA 02601 Teo www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 7 ( / JOB LOCATION: 3 7 J> �' (� &-v—S 4% b 1 e_ V � + t q e number street lage q "HOMEOWNER": 6c�r•t 6`'l L lbp.e- S q O /'Y�5�� S ��I I b I S Z- ! 3 name Q home phone# work phone# CURRENT MAILING ADDRESS: G�� ✓�l C—Q t S 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 109.1.1) (Section 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. Signat6r6 ofHomeowne 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 form/certification for use in your community. Q:\WPFTLES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Lopes Residence Patio Door Replacement Project Description Remove 6 existing patio door' s, which are original to home, and in disrepair and replace with Andersen 400 Patio Doors, high performance Low-E4 tempered impact glass, and U-value . 31, SHGC . 21 per schedule below. - 4-1/2" pine door trim to match existing house trim with Z flashing along head board. - 16" Eastern White Cedar Shingles applied 5" to weather to match existing siding. - Tyvek House Wrap. - Flexible Self Adhering Flashing applied to R.O. sill and sides . - Flexible Self Adhering Flashing applied over door nailing flange. - All interior framing gaps to be sealed with foam sealant . All construction debris to be disposed of at Barnstable Transfer Station. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2-- 9 9 Parcel 0 q Application # 0 Health.Division Date Issued T_3_/'5 Conservation Division Application F .e Planning Dept. Permit Fe D� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 3 `4 3 av, c ,n S�� Village C Owner L tS Address LrAr- Telephone — Lf S Y rr 9 Zy L Permit Request C- k S Square feet: 1 st floor: existing Z proposed l Z l kv 2nd floor: existing 17 I z proposed f 7 I z Total new Zoning District .2— Flood Plain 0 k t s i i�e- Groundwater Overlay z-- 9. 9 Project Valuation 4 fib• Construction Type w,vtt6w Lot Size c►- S Grandfathered: ❑Yes ONo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) 3, Age of Existing Structure Historic House: ❑Yes XNo On Old King's`Highway:`A ❑ No Basement Typo: j(Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing .3 new Half: existing 3 new O Number of Bedrooms: 3 existing 0 new Total Room Count (not including baths): existing 6 new U First Floor Room Count 3 Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes %No Fireplaces: Existing Z New 0 Existing wood/coal stove: ❑Yes No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Vexisting ❑ new size Shed: ❑ existing ❑ new size _ Other: .S'70 s�` 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 Telephone Number 7 Address Sr L.J&- License # "(c - aL / Home Improvement Contractor# Email J e MJ ez <-o�`'( Worker's Compensation # ALL CONS UCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I;3'ar,h r+r,bLC_ TT�,�.f lt- �-fa,� SIGNATURE DATE ILL Ca/Ze FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS 'VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a x PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - ASSOCIATION PLAN NO. Deem finest oflmfm&iffl zcdderrfr 08Zx oflnvestfgafions 600 Wa shmgton Street Bostm AfA 02M - www.ma=gov1&a Workers' Compensation Inmw=ce Affidavit BadAPpetslContraefnrslEleciricians/PIumTiers 'cant Information Please Print Address- �_ Ld -E S n.• • (L Z G ty/StefelZip: x�• f o Avt 0 Xf Phone A YrK—t F F Are you an emploprx?Clack a appropriate bmc ' 1.El am a mmplopor wish 4. ❑I am a gemaml cow andI Type ofproJect(rr t e�: emp*ccs(hH aad/ar part tine).* have hoed tha sub-camftactms 6. ❑Nevi construction 2.❑ I am a sole proprietor or partner- listed m$ne attached sheet. 7. ❑Remodel mg ship end have no amplayers These M - s have S. []Demob im Wong for me many capacity employccs andhavowadoms' [No worlcars'cam,bsilimm =mp. $ 9. Bvildmg addition roquireci] S. ❑ We are a cozpaeinn and its 10.❑Electrical repairs or additions 3.[$�I min ahmnm wnar doing an wank offices have== sed their IL0 Plmmbingr pjo;or addigons mysrl£[No worts'comp. . tight of mmmpfimn per MCL 7++crtrsmnn=Firm-1 t 4 IA§IM and we have no 12-0 Roof repass y =Tlvy=[No wmi=l MKI Other VJ 144%,1 hC�(c�c =mP.fimm me mqoim&1 *A3,Y appIiea dffid cfi�bax#I mast also im oatthe cxtina below showing dmr�w�a' =poky=ft)=em tEbmcmm=wha=bmitffisafdavitam&=tmglhey'KmdohCzUwodcmdtfimbuemca oun1 aamstsabmitan WZffdavkmdiM• gsaeh� $net ebecicthis box mint stlar3ed min additiomsI ebertshowmgibe mane oftbe and stain whaba ar not$ose ca¢itirs have employes.If the:soh-�haetoa hm�P�9�.�Y�i���wodaa'ramp-FAY�bc I mr1 aK earpToyer th. isprm*yngvorkers'carrrpeasa&n bzswm7=for try rtTloyeM Below fr the po&cy acid job srte fnjormation. Insoranca Company Name: Policy#or Self-ms.Lic.#: F�cpitationDafe Job Site Address: : Attacb a copy of the Workers'mmp=mtion poruy decLnmfian pap(showing the policy number and=pkaiian datL). .Faihnre fo s=xc cavcmge asrcquhtd-nni3 Sectim25A ofMGL c.152 can leadto the hnposifian of emnmalpeualtirs ofa EM nlp to$I,SW.00 and/or one-year imprisanMCnf;as WCR as ciTR penalties in the fl m of a STOP WORK ORDER and a fmc Of IT to$250.00 a day against the violator: Be advised that a copy of this sbdemoot may be,f>nwm&d to the,Office of Invmdgafiaas of the DIA for romance covcmgo vmiEcadnn. I do hereby�y under the pis and pwaltum afPm jwY thee the Mfomwfwn prop Ad above it&,z,mrd cv mat S. Daiz: Z. $ Zo( � FF= - nly. Do not write in this a r�to be conpkfed by chy or tmya o�aL . : ority(circle one): eparfinent 3.CiiyfTown Clerk 47ecfticallasecfor S.P]n¢abinglnspeefor.on: 'Plume i '1-own ot-Barnstame Regulatory Services f of y Richard Y.Sca1i,Director 0- Building bivWon 31ANNS A33M ` Tom Perry,Building Commissioner 1. 200 Main StitA Hyannis,MA 02601 wvow town.barnstable.maus Office: 568-862-4038 Fax: 508-790-6230 HOMEOWNM UCE=MUZ=ON DAM- JOB t,, LOCAIIML 1 Ltl h°'C-1 S'f ��.��!-f4 6(t V, nnmber street village �— ri name home phone g phone g CURRENT MAMNGADDRF.SS: W I a• �-JCf o eity/ftm ante rip axle The current exemption for"homeowners"was Lded to include owner-occupied dwellings of six units or less sad to allow homeowners to engage an individual for hire who does notpossess a license,provided that the owner acts as supervisor_ DEFINITION OF HOMEOWNER Persons)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 structm es. 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 mMonsrble for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes rm?onsibi ity for compliance with the State Budding Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town ofBarnstable Building Department miT i mn inspection procedures and requirements and that he/she will comply with said procedures and requirements. Siga ofHomeo cr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or'larger wr7l be requ rs to comply with the State Budding Code Section 127.0 Construction Control. HOMEDWNER-S EtMMON The Code states that: "Any homeowner performing workfor 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 form/certification for use in your community. QIWPFELESMM V)uil mg permitf®s1EX?M&doc Revised 061313 e t , Project Proposal NAME: Lopes Residence Window Conversion 2nd Floor Bedroom #3 . DATE: July 28, 2015 OWNERS : Diane T and Gary M Lopes LOCATION: 3433 Main Street, Barnstable. Map# 299 Parcel # 043-005 Property bordered by Main Street to the North and Bragg' s Lane to the East . CONTRACTOR: Gary M Lopes - owner PROJECT DESCRIPTION: All work to be performed on West facing side of home. - Remove existing 48" x 48" Casement Window original to home located in 2Id floor bedroom #3 . (See Existing Floor Plan and Elevation) . - Close existing opening per Framing Schedule A. - Install 2 Andersen 400 Double Hung Windows per Window Schedule B. (See Proposed Floor Plan and Elevation) . - All construction debris to be disposed of at Barnstable Transfer Station. Estimated Valuation: $2500 . 00 Lopes Residence Window Conversion 2nd Floor Bedroom U . Framing Schedule A Existing Window Opening to be closed as follows : - 16" Eastern White Cedar Shingles applied 5" to weather to match existing siding. - Tyvek House Wrap overlapped 6 ' minimum and taped to existing wrap. - Apply Flexible Self Adhering Flashing to seal all gaps in exterior sheathing. %" CDx . 2 x 4 framing within existing R.O. R 13 Faced Fiberglass Insulation. All visible gaps to be sealed with expanding foam sealant 1/z" GWB. Lopes Residence Window Conversion 2nd Floor Bedroom #3 . Window Schedule B Install 2 Andersen 400 Double Hung Windows, 3-0 x 4-0, U- factor . 31, Low-E4 Tempered Impact Glass . (See attached Proposed Floor Plan and Elevation) R.O. to be framed with double 2 x 6 header with 1/2" plywood spacer, supported by single king and jack stud at each end. Exterior to be finished as follows : - 4-1/2" pine window trim to match existing house trim. - 16" Eastern White Cedar Shingles applied 5" to weather to match existing siding. - Tyvek House Wrap. - Flexible Self Adhering Flashing applied to R.O. sill and sides . - Flexible Self Adhering Flashing applied over window nailing flange. - All interior framing gaps to be sealed with R 13 Fiberglass Insulation and expanding foam sealant . �oF '°wti Town of Barnstable *Permit# G ' 3 y,P C Expires 6 months from issue date<_00 a/ sAx�vsrAB Regulatory Services Fee 'j 9 MAM. g Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY L� Not Valid without Red X-Press Imprint Map/parcel Number Property Address 3 Y 13 /Y)Aiu_1 S� /lam' (4 Residential Value of Work goo CD Owner's Name&Address —N-v�v, (1) u Contractor's Name Q�G�,v� (!Ci/�Qea�+/l - Telephone Number C,/ — a-2)9 a Home Improvement Contractor License#(if applicable) Syr Construction Supervisor's License#(if applicable) X-PRESS PERMIT �orkman's Compensation Insurance J U L 1 9 2002 Check one: ❑ I am a sole proprietor jTOWN OF BARNSTA L ❑ I am the Homeowner [� I have Worker's Compensation Insurance Insurance Company Name _/' .�_-{-4_6 C Workman's Comp.Policy A < ,�v Permit Request(check box) �KRe-roof(stripping old shingles) All construction debris will be taken to 0--v ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side V4A �, CO ' ❑ /_ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. J Signa e Q:Forms:expmtrg Revised121901 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel -G' 1/3 .UQ Permit# � � 7 Date Issued 7� Conservation Division Fee Tax Collec tnr Treasu off. k + Planning Dept. N/A Date Definitive Plan Approved by Planning Board 71� , Historic-OKH, Preservation/Hyannis 1 Project Street Address34 13 Village 13 - Owner 26 6�'I q 0_-, A L)g P9 Address 3 -3 Al 14 ice-' -3 !,1'I.4 Telephone s _ c Permit Request Square feet: 1st floor:eA'sting proposed 2nd floor:existing proposed Total new Estimated Project Cost 0 Zoning District Flood Plain Groundwater Overlay Construction Type t;�evht2 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`XNo On Old King's Highway: ,4Yes ElNo ` 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 f. Total Room Count(not including baths): existing new First Floor Room Count +Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No ;Detached garage:O existing ❑new size Pool:❑existing '❑new size Barn:❑existing ❑new size Attached garage:0 existing 0 new size Shed:O existing 0 new size Other- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ } Commercial ❑Yes ❑No If yes, site plan review# ` t Current Use Proposed Use S j-- BUILDER INFORMATION Telephone Number ~ Address v� a, )(37� License# r>2, ,G Home Improvement Contractor# - 3 o Worker's Compensation# 59 O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO .5 7)0,ou A SIGNATUR DATE oZ3 hn j F _ FOR OFFICIAL USE ONLY ' t • - � w PERMIT NO. DATE ISSUED Y' MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ DATE OF INSPECTIONr FOUNDATION r FRAME .INSULATION f Fes, FIREPLACE _ f ELECTRICAL: ROUGH t FINAL PLUMBING: ROUGH FINAL GAS: .r ROUGH t FINALE '' s FINAL BUILDING - - • 4 1 4 DATE CLOSED OUT ASSOCIATION PLAN NO. ` �. A.0 31.09' O . S t o ' /35. ' Z �QI. 44,3 - t t � � I MO�t i Jt '75,4 24 0 PR EPAl2 E D Fa R ,.OC.477-10.v: �ot�p,GiGS R P I I Z .�EFE.eC.c./c�: ICY` lrle�f)A ` .S 6-/EeEBY GECT/FY T/�igT' T.UE 6V/La/.V� Sf-/olVti/ O.V T/-//S P4.44A/ /S 4OG,97-Ea O.V T.NE `H OF Nq AR \ G.�7.va scitVisYo.Qa �'�C CANCS�� �OCJTE 6.4�-5��.�MO�/T.�-I, M<7s3, ag7-C- ,e�y. L.q,va scie✓t�o.e P7- IT Or ----------- 6c cc. 4 tL- t '� Engineering Dept:(3rd'floor) Map 0119 > Parcel O Permit# J House#'' `� �/ �. ��L3:' Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` Fee' Conservation Office(4th floor)(8:30-9:30/1:00.2:00) Planning Dept. (1st floor/School Admin. Bldg.) ti �,►+E►off Definitive Plan Approved by Planning Board 19 - RNSTARLE, f ° MASS O� G TOWN OF BARNSTABLE: 'F° ,,, Building Permit Application Project Street Address_ _� 12;W,(,kJ �C/l Village ? Owner Address t - Telephone t Permit Request d 9 r First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name ,P>aP�ZL) C Telephone Number w Address "7l License# Home Improvement Contractor#Z 6 Worker's Compensation#`C/,vs 30=1,3 O/6 _ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO k�%101p SIGNATURE N DATE BUILDING PERMITD IFFO ICE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED- MAP/PARCEL NO. ADDRESS VILLAGE OWNER , DATE OF INSPECTION: r " . it FOUNDATION FRAME INSULATION ' FIREPLACE ELECTRICAL: ROUGH FINAL , - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' - FINAL BUILDING - ' s i DATE CLOSED OUT , i t t ASSOCIATION PLAN NO. r c A 87.24 i Q I Z � I d o i 1 .for 82 1.40- i ►� 175,4 24 (0 o' I , �00 I PREPARED FOP. • ot�2 �GIG� I.�.I, apt �Ta�l. - L o c.47'io.v. tJ li LLv� S LAP I I Z SG•4.G.E: '� �= 50� aATc: 9 18 85 f Z /-/ESEBY CECT/FY Tf•/�iT TiIE 6V/LD/.V� � SHON/V O.1/ T/-//S PG o*" /5' LOGoiTEa OA/ Ts./E y.Boc�.Va AS s•NO YV.V NE,eEoti/. _ OF yq _ AR 9 0 c/v/c. . F,ciG/.vc6�s ��s,p 9F��STE �ouTE 6A^-`/�.eMOCJT�-/, M�7S3, afarc- .ems. LFJwa sc%evcYoe i �> TOWN OF BARNSTABLE Permit No. __28479_________ s i Building Inspector Cash -------- OCCUPANCY PERMIT Bond __x___:f Issued to Louis Lapitz Address Lot #82, 3433 Braggs Lane, Barnstable Wiring Inspector. Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department �! Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector r+ ., -. - .. ,�';:�.+ ..._ ,.�, .ei: 4 .'� � w4.! ., .. tW-" s, ¢Ry. 4*"s�; .! �a': .ti '�.�:. a•. 'r`r .. -. .. �.. t Y. Y ��',,� �•�ew TOWN OF BARNSTABLE BUILDING DEPARTMENT Z ]IMSTABL = TOWN OFFICE BUILDING rua' ,,�=9► .639• �� HYANNIS, MASS.�02601 W MEMO TO: Town Clerk FROM: Building Department DATE: / 0 v 4, An Occupancy Permit has been issued for the building authorized by ' zi BuildingPermit b.... ........ .....................................................................................................»........................................ issuedto .... ... . .. .......... .......... ......:. ...... ......................................................................................................�..................... .. ......_ ,. Please release the performance bond. is L V 0 L TOWN OF BARNSTABLE, MASSACHUSETTSpm - JOB WEATHER CARD DATE - 19 PERMIT NO.� APPLICANT ADDRESS IN0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (-) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ® 33 /) () ZONING AT (LOCATION) _ C` ) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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) REMARKS: WA) ZT0-5 AREA OR ESTIMATED COST $ FEEMIT VOLUME /, (CUBIC/SQUARE FEET) OWNER Z6 �� ���/ BUILDING DEPT. ADDRESS BY _ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR 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 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 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 CONSTRUCTIC 4 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 SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT JS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ed C:� 41L? 57 3/ e ' HEATING NS?E:TING APPROVALS REFRIGERATION INSPECTION APPROVALS two Ag It � 47 I O?HE R iz 2 I / bvCRK SAL' iNSPECTIONS INDICATED ON THIS CARGn _ NC? =POCEED UNTIL HE PERMIT W,i LL BECOME NULL AND VOID IF CONSTRUCTION I NSPECT F -,AS A R P- OVED TEE CUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELEPHONE STAGES JF CONSTRUCTiON. OR WRITTEN NOTIFICATION. ' PERMIT IS ISSUED AS NOTED ABOVE. j- i ssor's map and lot number.:. . q e . .. ... /I Sewage Permit' number ............./1.0...... ..... .......... ... ..... 4 33A"STAXLE, MAS& House .number ....3.�..33 .....PI ................I 1639- -MAY TOWN OF - BARNSTABLE BUILDING INSPECTOR ........................ .......................... ............... APPLICATION FOR PERMIT TO ................... TYPEOF CONSTRUCTION ......................................I.. ...................................................... ..................... ............................ .......19-85 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ... ...................... ........yb .......Location ............ .......... ............ .. .. ......... ...... . ..........Proposed Use .........e.............. ...................Z......I................................................................. .............................. ............ ..... Zoning District ...... .. ... .....................................................:..Fire District ........... .A`A a . Ardig Name of Owner .....(.ai.5.......... .......................Address .... ....... ..........5..................w...... Name of Builder ................................... Address ... ...... -�Y,9 0A Name of Architect ................................................... ................ .................... ...............Address .. .. ...... Number of Rooms ................7........................ ................Foundation ........ ....... ....... /. I- L Exterior 600.!'�... �. Afing ... _C�..........i.Is (4Ctk1z_ . ............ ......... ..... Floors ... : . - ............. � I.. ... Interior ..............ppy k .... .. ..... ............................. --(-�,-+4, Plumbing ..........Heating .....................w.......... . .... .... ...........b.................................................. Fireplace .................................. ..............................................Approximate Cost ........1., 5 v�. .................. Definitive Plan Approved by Planning Board -------------------------------19--------- Area .......................................... ' 10 0 Diagram of Lot and Building with Dimensions Fee 0 ....... . ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH S, Of j/s zy 2.600 Ile-e 73 99 _IX OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the=Towf B r stable regarding the Above construction. Name ... . ........ .. ... .......I ... ......... .... ................... Construction Supervisor's License ............... LAPITZ, LUIS • No .... Permit for :N9...'Story............... Sin le Famil Dwellin ...................... Location ...Lane....... �qrnstable .......................................................... . Owner ..... .... ..... .............. ........................ .�j�.�isjaP itz . rl I Type 'of Construction Frame.......................................... ................................................................................ Plot ............................ Lot ................................ October 4 * 85 Permit Granted .............................,...........19 Date ofAnspection ..............19 Date Coipleted ...... 19 J- . d o � N 1V a �lEoc/ SH�d Dozr�t�12 � Nnn�l �EW Da�t�►�$ _. � *o F SN,us-LasCA ^va �' � . D RlikLlCsl-�I-lF.w/Wi1.}7ovJ5 I 'y I MEW WIC-1boW9 `.J�w IO�o'�X �,.o„GoVEe�t� - I f -- flim FM -i1. EEO I-} t - u 0l �"r 9 Gf-eoe. 9H1 W&LGS p � �xIS'(��-Ifs �2c�u'f EI�Vv�?io�l WrT H G+fvti��ES �Hoo✓N p CL MCC) � �l y �-` _ � , QoOF 54I1JGLZS ' CI m i 5ibr view of µ5h1 6ov6ftn �Wk-y ` M 1 v a Q e �tl Q I I I ' [-IVI"&RmM r71l11NCs P-00" I' i1 63/s��fE GowIJ GoWl! I e M 16Lo 00 (cWEN 00 7 �En IZoo N) u I p c7 X DTI I IZ '( loo fz r __n___-____._._ O I � O N O i I i 1--1Vl I:iG IZoaM �I 0000 o ~ po VIOV- pv.r PW PI L�b RM. ?I P, o! N Mub M rwIVY. 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Z i Xapr STEEL CoIuMI.�. Cep �o 11'1 Coin Tub - •Lust �. � •4' �1 n � N I P .O IZ CacbG�U.�+JsUCbrfaf�l b 2 _ 5GU v � Wrw wigOV4 e �� 3p f 7%"WL 6PYa4b — �����E. Baas-nuFr nl g � a3r-y %xlo cfnav- � F-- o I d Ln Cto b COIL IllSUL Ln ��4�Cf►►CY M i- tZ-21. tcr9TiuG rL a — J -Tus„LoncN (9We- I BUILDING DEPT. NOV 03 2016 FOWN OF BARNSTABLE o I fit t \ U M I1aTH 5a b-1"4 5�ooM 3 v r n er -h�oOl� vA ��� � GLo9 � ® I. 'I G I.f�rw' ��AJ!►JG b�lµbp� � �S i - i 12�a�, -7t3. N�e� vUblls � � �bt,cou_�t r1 i i DO - - $�RooM 3 IS • p v I- • oo � ROOM>/Qu�t�e �irbl� M 2 CI.O. d I Aeovr- ro _ ct,oS��( GWS�t �l.ovc�. i jv d N Lopes Residence Window Conversion 2nd Floor Bedroom #3 Diane T°and Gary M Lopes 3433 Main Street, Barnstable, MA J ' Map# 299 Parcel #043-005 I � 13 A T H't 0 J j BATH ICA s 0,, _ b -:e bA7 / / 1 Lopes Residence Window Conversion 2nd Floor.Bedroom #3 Diane T and Gary M Lopes �9I 3433 Main Street, Barnstable, MA Map# 299 Parcel #043-005 tl 1 l _ 1 - - -- -- - --- -- it 1 1 i F- .X -Z -S-rT- WG WF- 37 F- LF-N/AT` S0N Lopes Residence Window Conversion \ 2nd Floor Bedroom #3 Diane T and Gary M Lopes 3433 Main Street, Barnstable, MA `s Map# 299 Parcel #043-005 ............. - --� -I i , 0/ PR ® P'OSE E-S7 ELEVATT-ON