Loading...
HomeMy WebLinkAbout0176 COTUIT BAY DRIVE i � �= �;� ;. .�; J �� _ _ _ ..... ., z -ter•. ........, �.::.: l f ` ® i A it Itr .III"` 1, � I i I ry i� ', JI 1 l . \ . I�', � _ - 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map OS(,::, Parcel o Application# cX07066 Health Division Date Issued Conservation Division ny`� Application fee Tax Collector Permit Fee' Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Q Historic-OKH Preservation/Hyannis �- Project Street Address 1-7(,,g C rAu i f- 'Rao' Dnnf Village C fu;�"' Owner Tan SS DCLOO AddressT7-k �o�/3C-.,,A OQif �a./� Perat_Rqq�.je�t' ' C' 'l U� 'I C �1 I ar 'w g 13 / proposed�.2ntl'floor:existing— - 7 pro"p'osed�""'—" Totalyne 7?r Zoning District `—' Flood Plain — G,roundwater Overlay Project Valuatio`n:� Q(�O Construction Type•, Lot Size CyGt-e_S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ' Two Family ❑ Multi-Family(#units) Age of Existing Structure f q�Z�Z Historic House: ❑Yes XNo On Old King's Highway: ❑Yes )((No Basement Type: )4'Full ❑Crawl, ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 420L Number of Baths: Full:existing new_ 0 Half:existing 0 new Number of Bedrooms: existing— new ---0 Total Room Count(not including baths):existing —7 new_� First Floor Room Count .,Heat Type and Fuel: )'Gas ❑Oil ❑Electric ❑Other Central Air: XYes ❑No Fireplaces: Existing —New 0 Existing wood/coal stove: ❑Yes *NO Detached garage:❑existing ❑new size' Pool:❑existing ❑new size Barn:❑existing ❑ ew size r Attached garage:❑existing new size Shed:;'existing ❑new size Other: -7 5? =r Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ c; } Commercial ❑Yes A No If yes, site plan review# �:- Current Use Re Proposed Use BUILDER INFORMATION Name ��P� -- / f .� Telephone Number —Z6 7?' Address &t Ln1 n V/l��P License# C 7 / 1 &.S�ai df,f � Home Improvement Contractor# /03 3 D 2, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3I1 S5/I:'6'7%.0 SIGNATURE ��^ DATE C) ZfZ27 s i FOR OFFICIAL USE ONLY APP,.L-ICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER IL DATE OF INSPECTION: FOUNDATION Arit7y► cT Y�vJMICti FRAME yo7RwV-K BftZ s z 3 3 ® o IC1K INSULATION 5' 31 r elo s! • FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 6 d6 D �p/P wc DATE CLOSED OUT r K_ ASSOCIATION PLAN NO. ` .s y �T►+E, Town of Barnstable Regulatory Services 8AR1 AM Thomas F.Geiler,Director ��� ;��►`�� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa 508-790-6230 PLAN REVIEW 206,?6 j'6 Owner: �G > Map/Parcel: i Project Address �T� UmeQ*1 — Builder: - �X The following items were noted on reviewing: t4fid126 rX15TIN6- G4R E . G�lPQO (.mGG 't CJ CE-�d.1 6��Q�oc�2E4 i4 sc�RyE7 Reviewed by: Date: / 7 Q:Fonns:Plnrvw Date: 10/9/2007 10:11 AM Sender's Fax ID:Northwood Insurance Page 3 of 3 ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID K DATE(MMlDD/YY11') FOXROBI 10/09/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Ins. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 352 Main Street, Unit 2A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Falmouth MA 02540 Phone:508-540-1223 Fax:508-393-2955 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ASPEN SPECIALTY INS. CO. Rol?ert K. Fox INSURER B: ST PAiUL TRAVELERS Building Contractor INSURERC: 44 Waterline Dr. S INSURERD: Mashpee MA 02649 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. eArIHATION LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMIT'S GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY GLOO1011-1 10/03/07 10/03/08 PREMI'SE SIEeoccurenoe) $50000 CLAIMS MADE Fx-1 OCCUR MED EXP(Any one person) $ 10000 PERSONAL BADVINJURY $1000000 GENERAL AGGREGATE $2 0 0 0 0 0 0 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 PRO- POLICY 0JECTT LOC AUTOMOBILE LIABILfTY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per aceldent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER B TH EMPLOYERS'LIABILITY 6KUB0363B45306 01/06/07 01/06/08 E.L.EACH ACCIDENT $100000 ANY PROPRIE70WPARTNERIEXECUIIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 , DAYS WRITTEN TOWN OF BARNSTABLE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Dept. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 367 MAIN STREET HYANNIS MA 02601 REPRESENTATIVES. AUTO ACORD 25(2001/08) ('"XDL"/`/'aw•, 0 ACORD CORPORATION 1988 /ze i�anvnzrnuueal� .. . Board of Building Regulations and Stand aS. HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: / Registration: 103302 Board of Building Regulations and Standards ExpiCation:, TP008 On Ashburton Place Rm 1301 ::�-Type:,_Supplement Card j hoston,Ma.02108 ROBERT K. FOX BUILDING COa�VT FOX, <:.._•_.:; 44 Waterline Or. Mashpee,MA 02649 Administrator NOt valid without Sign ture r 71 � , i Board of Building Reg ule ati Onsndedd atuQe�a ti is Construction Supervisor License Llce e: CS Btcthdate 79711 � 5/1976 Ir zl. 7/ 6%2009 Tr# 17047 ; ROB ERT K 'FOX _ 44 WATERLINE DR MASHPEE;MA 02644 Commissioner The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations U1V 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual): k /Ir 41�. Address: 4¢ j,,,Gt, x AV '[,� b City/State/Zip: HoltStIfle6 IA- Phone#: ZE- Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4• I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.t 9. Building addition comp.[No workers'comp.insurance P• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / , Insurance Company Name: Wo S' ( Policy#or Self-ins. Lic.#: 6 K UB W4 38 4-9 304 Expiration Date: 6 Job Site Address: l ZL (sm`)j114— igcw 0 City/State/Zip: I W, P_IV®M4-ct Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der the pains/andpenalties ofperjury that the information provided above/is true and correct. Si nature:' e- 6` , Date: ¢j, — J Phone#: S(D y� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services MAM &659. �.� Thomas F.Geiler,Director " Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. / CA-7 WQ/2 .e ,as Owner of the subject property hereby authorize e - k -f`; to act on my behalf, in all matters relative to work authorized by this building permit application for: l�,� ifok,,'uf y_144 01--yive (Address of Job) 0 7 Si tore O ne Date ocA rl e-. Print Name Q:Forms:bui Idingpermits/express Revise091307 REScheck Software Version 4.1.1 Compliance Certificate Project Title: Sloane Report Date: 10/13/07 Data filename:C:\Program Files\Check\REScheddNicole.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 17% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 176 Cotuit Bay rd. Terry Luff Architect Cotuit,MA Compliance:8.1%Better Than Code Maximum UA:844 Your UA:776 Assembly Area or R-Value R-Value D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 532 30.0 30.0 9 Wall 1:Wood Frame,16"o.c. 490 12.0 0.0 35 Window 1:Wood Frame:Double Pane with Low-E 82 0.280 23 Floor 1:Slab-On-Grade:Unheated 1036 10.0 709 Insulation depth:4.0' Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building,and the doling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to he I the building shall be no greater than 125'/0 of,the design load as specified in Sections 780CMR 1310 and J4.4. 'rOX� LOFF Age Name-Tide ig ature Date Project Notes: Drawing Dated 10-12-07 Project Title: Sloane Page 1 of 1 Data filename:C:\Program Files\Check\REScheck\Nicole.rck Report date: 10/13/07 Town-of Barnstable Regulatory Services MASS ram, Thomas F.Geller,Director ri�ss. v�j°lEL ►�0� Btuldfma D1V1S1UII Tom Perry,Building Commissioner 7 . 200 Main Streets Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permitno.? 7(7s Date AFFIDAVIT HOME IMTROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMM APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work Estimated CoA16a 000 Address of Work:_ Owner's Name:_�TOYI Date of Application: 7 I hereby certify that: Registration is not required for the following reas on(s): E]Worlc excluded by law ]Job Under$1,000 [Building not owner-occupied• ❑Owner pulling own permit Notice is hereby given that: OWNERS FULLING TBXIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 1MPROVEMDDTT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Marne Registration No. OR Date Owner's Name NiF R .9 �rLy D, Pie/VArr.: wAY -7 • w / o6 — e.45 L a 7- /a U a 3 �, s Sz S f. o L o Tgo ivr p F0. w � �1z STY � � O o • 0 � I6 •DQ � Lj OF �gSs9 � J .TAMES G� C. -4 VARADES t�i, G No.9103 o ' S��NAI AN CERTIFIED TO:FAMILY CHOICE MORTGAGE CORP. NOTE: THIS PLAN WAS DRAWN FOR MORTGAGE PURPOSES ONLY AND IS NOT TO BE RECORDED, OR CONSTRUED AS AN ERECTING FENCES OR ISSUING BUILDING PERMITS.SURVEY. THIS IS NOT TO BE USED FOR MORTGAGE LOAN INSPECTION DEED REFERENCE: BOOK 13427 PAGE 342 IN . PLAN REFERENCE: PLAN BOOK 292 PAGE 25-27 COTUIT, MASS. I CERTIFY THAT THE STRUCTURE ON THIS PLAN IS LOCATED APPROXIMATELY AS SHOWN BARNSTABLE COUNTY AND THE LOCATION CONFORMED TO THE ZONING LAWS OF THE CITY OR TOWN OF COTUIT IN EFFECT WHEN CONSTRUCTED(WITH RESPECT TO DIMENSIONAL REQUIREMENTS 'ONLY)OR IS EXEMPT FROM VIOLATION ENFORCEP.4Ef,1T ACTION UNDER MASS.G.L.TITLE VII, CHAP.40A,SEC.7,UNLESS OTHERWISE NOTED OR SHOWN HEREON. SCALE: V=60° April 30, 2001 I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN DOES NOT LIE WITHIN THE SPECIAL FLOOD HAZARD AREA AS SHOWN ON THE F.I.S. MAPS FOR THE CITY OR TOWN OF COTUIT. JAMES C. VAFIADES-REG. LAND SURVEYOR DATED: J Y z, r 9 9 Z COMMMUNITY PANEL NO. Z J o 0 v 100 18 256 WORCESTER LANE, WALTHAM, MASS. .lY't�ffiw'wIIVt 2xId4C� oL O" IyJters'aF.veuJ I \ ILI • Co!To ah� I m � p Mrs fir I s. r r ?%IIFY:e�w%w. �' � ' •nev.r i J '/ F �� �c A�rl �xlsr� or�K:� / / { / 1 ��� /•h / IDr .042-61ro.fj. Plb�J 05 20 � � �em�°r:�a,d`"�c,p) a ��-ri712�_"f'.INJ `c• "a% .� a I e P(a _T. ' I I �_ •� IAFo 6oGBL K.coC 6DR . ��••/ 1 - "T ,a.T _. rou Aa I p roc'.cnvr'ur�113t I �oali �' ! /�;y e,b -mz'.r.nu. 1 XX FLt�fLY FJi" o �me'zxerw.' /8Z4"� �a�L}V%` o L . �- ——-- nFnn�mrzs.J a} ° v/ 7 n .. 4 6 t]aT.aFl�Yel41b' I s�,� � N I �Q z..j I"I- .u,srL: ki'Aw / °P: �l' i .:[art¢_':: ►�. ...- J` . o _ ^'- �� I• : V ..-yxtar-r:._ .� y �caaic-:._ S I . o :713° 3b• ..ems t � ' ¢�a e� o b is W4 -_ D.Cra __ =__ �• wrv/i =... �,`.,<,mc,,, —r�ar�a.:oa>SXaF.sgresccs-•1 :.W/�lte_ � ' El 00 El F VOu'r.. IJ �ca.r?an�4 �x�rawd1 i - .lAi Ii Oa,.V' Y/c_su.riFsm�Rll tuJ� cMAol : —w da1E':.�b:Wiw.'rc�o-� Zeeb' _. .mno'�!b•-s:.. .!._ ... 6 < OPME Md'ITE -2m.,a*.7 W�� _FovSE CFurg n i wrnr:lei,-s:.:- �o I ..i,�QD AIL 6YiTA-� A yb 3 n'-o'' 6'rie¢v - — � � �.� ;�• ?...�J(pt-5,::1;.�'MVAT 6 ' II II II a o � d I I a I I 3 � a I I •a$ d . a ez• ve .6•tf 30 cA o 8. o "m C end V 4i$g1 II � II I � 26 II 2m I II TOWN OF B,;f ms—I•ABLE 1_008 JAN -2 PM 109 Eagle Pond Road ( 7' PRIVATE WAY ) 16.4' 1F,_5' 50.65 263.41' t [ViSiOPd SHED rn x CONCRETE FOUNDATION 00 do O� 1-0, 5p� LOT 100 36,551 f SF : apt�a Got o° NI° . DCE #07-042 FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE 176 COTUIT BAY DRIVE LOCATION COTUIT, MASS. PREPARED FOR: SCALE : 1" = 50' DATE : DECEMBER 28, 2007 JONATHAN 5LOANE REFERENCE MAP 56 PARCEL 18 PLAN BK. 292 PG. 26 I HEREBY CERTIFY THAT THE STRUCTURE ZH OF iy ASs9 SHOWN ON THIS PLAN IS LOCATED ON THE o�' DANIEL cy� GROUND AS SHOWN HEREON. o� A. OJALA a;W8;e_M No.40980 down cope engineering, inc. �9 Q� Cl VIL ENGINEERS I q1"f/0-7 LAND SURVEYORS 939 Moln Street — YARMOUTHPORT, MASS DATE REG. LAND SURVEYOR r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 011 Permit# '7 Health Division a4?V4­4 Told1 &Z-06f4v7 s Oftc- Date Issued Conservation Division i .����,N� A;"0s�s Fee �D Tax Collector— 7 S�l a_ Nr W o uSFO �.rY6 PJpPu.5E5`�� -O . Treasurer o/3 Planning Dept. Checked in By el 1 Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Ad 1 Address 16 Q� '� 06 V Village C—Ah ' Owner e✓' Address 17 6 Cd6 t4A4 &`VQ_ Telephone SZ.S—y 2Zm —AS LJ Permit Reglest D t2�Jv►^ 6 t-�¢.. �+c�t. �► 1� 40try- DqZMtA4.* a en Square feet: 1 st floor: existing proposed D 2nd floor: existing 5 0 proposed Q o al new I Valuation t rf, dy b Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 0 .74 a C4-vs Grandfathered: O Yes ANo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Z� Historic House: ❑Yes Xo On Old King's Highway: ❑Yes; >�No �I Basement Type: )(Full O Crawl ❑Walkout ❑Other + Basement Finished Area(sq.ft.) ISDO Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing U new C'T' Number of Bedrooms: existing new O Total Room Count(not including baths): existing �( new 3 First Floor Room Count I;T r Heat Type and Fuel: XGas ❑Oil O Electric ❑Other Central Air: AYes ❑No Fireplaces: Existing 3 New Existing wood/coal stove: O Yes .�(No Detached garage:O existing ❑new size Pool:❑existing ❑new size Barn:O existing O new size Attached garage:Xexisting ❑new size 2SxU Shed:}<existing ❑new size 10x10 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O YesL )(No If yes, site plan review# Current Use Sob-kW_ (-C)�A^ Proposed Use OrW1 Lk- to t 62 BUILDER INFORMATION 0 l�o�O Name go Telephone Number Address License# C AV I 2G 3eS1__ Home Improvement Contractor# �— Worker's Compensation# l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n SIGNATURE DATE 9—� 6-� S s FOR OFFICIAL USE ONLY IYRMIT NO. DATE ISSUED A MAP/PARCEL NO. — d ADDRESS VILLAGE OWNER t. DATE OF INSPECTION: FOUNDATION FRAME INSULATION =� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL— GAS: ROUGH FINAL FINAL',BUILDING .1A?, i DATE CLOSED.OUT ASSOCIATION PLAN NO. -; ' The Commonwealth of Massachusetts Department of 1`ridustrial Accidents Office.of Investigations` . 600 Washington Street Boston,MA 02111' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaos/Plunabers Applicant Information Please Print Legibly Name (Business/organization/Individual): . . . Address: -1 6 �' City/State/Zip':`. 6- 3 P hone#: Are you an employer? Check the-appropriate box:. .Type of project(required):• 1.❑ 1 am a-employer with 4. ❑ I am a general contraabor and I 6..❑New contraction employees(full and/or part-time).* have hired the snb-contractors 7. listed'on the attached sheet $ Remodeling 2.❑ I am a sole proprietor or partner- . ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required-] officers have exercised their homeowner doing all work , right of exemption per MGL 1'1.❑ Plumbing fepairs or additions 3.X I am a myself. [No workers' comp. c. 152, §1(4), and we have no.. 12.❑ Roof repairs insurance r aired. t employees. [No workers'required-3] k • 13:0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontracbm that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'eoup:policy inforritation I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site. information. Insurance.Company Name: Policy#or Self-ins.Lic. #: Expiration Dater Job Site Address: G`ity/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and explration date). Failure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of diminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as,civil penalties in the form of a STOP'OVORK ORDER and a fine of u.p to$250.00 a day against the violator. Be advised that a copy of this statement may a forwarded to.the Office of . Investigations of the DiA for insurance coverage verification. I do hereby certify,AnVe d penalties ofp_edwy that the information provided above is true and correct. Si afore: Dater 1 — 6—0,� Phone#: "� Li I .1 Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other ContactPerson: Phone#: Infor mation and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. eq erson in the service of another under any contract of hire, Pursuant to this statute, an employee is defined as"...every p express or implied,6ral or written." • , association, grporation or other legal entity,or any two or more An employer is defined aa.:audividt�al,•,Pae� P to er,or the• of the foregoing•engaged m a Joint enterprise, and including the legal representatives of a deceased emp y individual,partnership, receiver or trustee of an association or other legal entity, employing employees. Howcv.-er. e" erein,or.the occupant of the owner of a dwelling boos a having not more than three d ��and who ces onstruction wo kv such dw.ellmg house dwelling house of another who employS persons or on the grounds or building app urtenant thereto.shall not because of such employment be deemed to be an employer." MGL chapter.152, §25 C(6)also states that:"every.statepr local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings fn the commonwealth for any applicant who has not produced acceptable evidence compliance with the insurance coverage required."_ t nor any of its-political subdivisions shall Additionally,MGL chaper 152, 25C.. § (�states"Neithei flee commonwealth enter into any contract for the performance of public work until acceptable." idence of compliance with the insurance iequiremeuts of-ibis chapter have been presented to the contracting authority Applicants - '• • • Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if. necessary,supply sub-contractors)uame(s),address(es) and phone numbers) along with their certificates)of es th insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships fan)with or employe does haveer than the members or partners, are not required to carry workers compensationmsurance. I employees, a,policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also. sure to sign an�dbd a the affidannot the Deparfineat of t. a be returned to the city or town that the application for the permit or license g requested, _ Industrial Accidents. Should you have any questions regarding the law or if you are required to companies 1 eater their compensationpolicy,please call the Department at the number listed below.. Self-insured comp self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure'to fill in the pazit/license number which will be used as a reference number. In addition, an applicant that angst submit multiple pernmt/license applications in any given Year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address o=applicantk�by the c�'ty or town locations be provided to me or • town)."A copy of the•affidavit that has been officially stamp applicant as proof that a valid affidavit is on file for;fature permits•or'licenses..A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related anetbusiness�davit al venture (i e. a dog license or permit to bum leaves etc.)said person is NOT requiredcomp The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . _ Department of Inch�strial.Accidents Office of Iiavestigations 600-Washingfoi•Street V 'Boston,MA 02.111, ` Tel. #617-727-4900 ext 40.6 or-1-877-MASSAFE Fax#617-727-7749 Revised 5-26705 www.mass.gov/din Town of Barnstable OfVAE l Regulatory Services Thomas F.Geller,Director DAMSTASM Building Division f639. ♦0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Mce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EX WnON G� Please Print j DATE: t 6 s �f+ .JOB LOCATION street number village WIC,, 'HOMEOWNER'. home phone# work phone# name CURRENT MAII ING ADDRESS: V 0 Ca` `t code city/town state p The current exemption for"homeowners"was extended to include owner-oceuvied 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 uermit. (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 B arnstable Building Department mtnimmun inspection pr ores.and requirements and that he/she will comply with said procedures and requiremen Sign of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code States that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shalt 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. no CUR Appeedis J Table J�2.16(eandaaed) ih road Fads pracriptive Packages for One gad Two-F=Wly Residential RuildbW Heated . MAXf ium MD MUM Dog Heatiag/Cooling Glazing Oiar3ag ceiling wall Floor BaseasMA p eter Equipment Miidexu'y' Area'(%) U-values R vaiuLJ R 3 R vala R value' R value' [Pwkqe d701!0 65D0 Heating Degree Days' 6 . Normal 12% 0.40 38 l3 19 l0 Normal Q _ 19 19 IO 6 R 12W,. 0.52 30 6 OEM g mu O.SD 38 13 19 10 Normai 13 25 NIA NIA 38. -�-6-- —Normal- - ----- '1S•/, QA6 38 19 19 1Q 85 AFU 1S% 0.44 38 .. .. 13. . 25 NIA 6 8S AFUE y"..'. ;• :.<. 3- 19 ... . . 19 10 Normal W 1 S% 04 NIA X IS% 032 38 13 2S NIA Normal 19 25 NIA NIA y 18•/a 0.42 38 6 90 AFUE y l8% 0.42 38 13 I9 10 90 AFUE F3O 19 19 10618% 030 -7 CqiA p 1,-ADDRESS OF PROPERTY; YV1Vt,. cNeW Ate- 2 Z. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3, SQUARE FOOTAGE.OF ALL GLAZING: Z 4. %GLAZING AREA(#3 DIVIDED BY#2): 4 5. SELECT PACKAGE(Q--AA-see chart above). NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIRE"TS ARE AVAILABLE. ASK US FOR IMS INFORMATION. BUILDING INSPECTORAPPROVAL: YES: NO: ,.forms-f980303a 780 CMR•Appendix J Footnotes to Table A2.1b: lass doors, skylights, and • + Glazing area is the ratio of the area of the glazing assemblies (including sliding-g basement windows if located f walls that enclose conditioned space,but excluding opaque doors)to the gross wall of the total glazing area may be excluded from the U-value requirement. area,expressed as a percentage.Up to 1% For example,3 ft of decorative glass may be excluded from a building design with 300 a of glazing area- 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 71.5.3.a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling,R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may .be substituted for R.38 _.. insulatlon and R 38 insu7arion i lay be subOttited for R=49'imulation: Ceiling R val�ics=r.pres6nt•the-sum••of.cavity— insu�ation plus insulating sheathing(if.used):For ventilated ceilings, insulating sheathing must..be.placedbvtween _ the conditioned space and the ventilated portion of the roof. Wail R-values represent the sum.of the wall cavity.insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19.requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-$ame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame constriction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any Individual basement wall with an average depth less than 50%below grade must meet the same R=value requirement as above-grade walls. Windows and sliding glass ,doors.of conditioned. basements must be included with the other glazing. Basement doors must meet.the door. U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes elettric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece'of heating equipment or more than one piece of cooling equipment, the equipment with the lowest .efficiency must meet.or exceed the efficiency required by the selected package... For Heating Degree Day requirements of the closest city or town see Table J5.2:1 a NOTES: :14 a) Glazing areas and•U-values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 31.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,of crawl space wall component includes two or more areas with different-insulation levels,the component complies if the area-weighted average R-value is greafer than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r Town of Barnstable Regulatory Services Thomas F.Geiler,Director Fo '�0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. L� ']ape of Work: Estimated Cost mo Address of Work: eOkv�+9> VVIL Owner's Name: Date of Application: ` `I �� S I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ROwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. C6-As ��e. Date Owner's Name Q:forms:homeaff day I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE, Ko o square feet x$64/sq.foot= \" _L•� x.0041= plus from below(if applicable). GARAGES'(attached&detached) square feet x$32/sq.ft.= x.0041= 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) Perrnit Fee _ a W ° s m m L D 1 ' cu o ' O rn � a ¢p R R � . Y FLOOR PLAN $m WHITE RESIDENCE Po BHA 4 WHITE 9 ox 20 176 Cotuit Bay Drive, Cotuit, MA 02635 Cotult.Maaaachuaatta 026]5 u c Talaphona:508.420.1145 L m-f yr m-�ve' m�aie• or 2 lip 3 cm S+ ssa /aimw. T Z. O a +S you u.. m { F---u in a SMOKE DETECTORS REVIEWED W 9i' a'N' ' fC) s BARNSTABLE BUILDING DEFT DATE— z 10 N I I Second Floor Alterations FIRE DEPARTMENT O LLQJ � TE BOTH SIGNATURES ARE REO(l FOR PERD ws• e�w / /l �7, W " 0 . . m o e � W . rmEn V PJ- ul) OOC•+l Z EYT n. 0 0 4a1p1 t. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION" 1 Map 0576019 f 9 Parcel �-44' Permit# Os1 Health Division Date Issued Conservation Division Fee , S Tax Collector - Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board , Historic-OKH Preservation/Hyannis Project Street Address i7ChA Village , Owner a Address "Z� . �l �►`Q- Telephone _cZ 77�� 50 F' y 7 o—'1 45 Permit Re uest / W/���. V a , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuatio Zoning District Flood Plain Groundwater Overlay Construction Typed ,Lot Size Q 1 Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation. •Dwelling Type: Single Family Two Family Cl Multi-Family(#units) Age of Existing Structured Historic House: ❑Yes No On Old King's Highway: ❑Yes ANo Basement Type: XFull ❑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 7 new First Floor Room Count Heat Type and Fuel: ❑Gas XOil ❑ Electric O Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes X No Detached garage:❑existing O new size Pool:❑existing O new size Barn:❑existing O new size Attached garage^isting ❑new size 29xZ8 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes _)dNo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2�7 ~ FOR OFFICIAL USE ONLY ' owlw PEWAIT NO. f • , DATE ISSUED a MAP/PARCEL NO. f - y ADDRESS VILLAGE i r OWNER .f DATE OF INSPECTION: }. I. FOUNDATION 4 ` FRAME INSULATION FIREPLACE r }. ELECTRICAL: ROUGH FINAL} , n PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING - • ' 31a�1 e DATE CLOSED OUT . ` ASSOCIATION PLAN NO. r r The Town of Barnstable. • iARNST"M • MAS& g .Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT i HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition`to any, pre-existing owner-occupied building containing at least one but not more than four dwelling units or,to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: bd ` Estimated Cost 16—T,�Z) Address of Work: -7 V (; ` Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING-THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK•DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name q:fonns:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street -- ;, Boston,Mass. 02111 Workers' Compensation Insurance Affidavit Xx name: FdeTTA location: 1 cit<+ LAhone# - I W ^ 57✓ I am a homeowner performing all work myself~ I am a sole proprietor and have no one working l any capacity /// �� ��////////O////%/////////�.���QD��/////%%%///�'�/%/�//%%�%%%/�////%///O/�/%�'�i.�.'�ll/�„l/,illl�/,. ❑ I am an employer providing workers' compensation for my employees working on this job. ;::.name:;° ;: cojn`nnv t] . ::::i:::< ` is :'';' :r `:`£ :<a; ` :'`' ;_ :<r S"? .:...........::........:......:...;................................ :::::•::.:::::::;•;: ............................................ .....::::::.:::::•::::: ................. •:::....................:..:.:.......................................................................,:•::::................. :.::::::.:....::.:::::::::.:.:::.:::::::.::::.:::::..:::::::•::::::::::::.:::::::::.::::..:::::::::.::.:.:::. . address-:' ..........................:::... Ci` ... p ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices._ _conoany a <. :.: :.........:.:::.........:.::::..............:...:......................................................r:' ...r.::...:,.:.:::::::.}:.::.:... - -- - ................................................... .CLK.... ............:............................................. :..}r 4.. ,..4.......... cr.-............:.�:::::::::::::v.�:.. ,.x:•.�:::.�. ..... w::n:}}'}:•:iJ`:•i:Jr;;. ?.yi.F:i4.;:nr.;ri^.::•:<�}':>.;.'•J.?}i ': > ':>'> ': '• ; ' ': << <>'•a s�'.?'> > ���'< ':> :;fig?»> '<':<`<< a j?><<fr??azt?' z`Y >' ?r ?! h,. n . . .......................::...:.::.................::::.::.::.:::::.:.,.:.::::::.:::::.:::..:::.:.:::::::::;:::::. ................................................................... ........................... ................. .......................:...............::.........:..............................r.............%.............. ......v:v: :::.:.:........:•..:.:::•.:: .. .n>ar81tC17.Y0.�. .........,.:.........::..:.............: ............. ..... ............................ Olitw'�:::::..::.;:.:.;::.>•.>:.:.::.:.::.;:.;:.;:::::::.:.: .::..:::.:..;.�.;•:...:...:.:•.;:.:.�:..;•:::;.:..:...... Fallen a to seems coverage as regmmi under section 25A of MGL 152.can had to the imposition of aimmd penalties of a the up to 5I.M00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verincation. I do hereby certify h d penalties of perjury that the information provided above is&a,and correct Signature _ Date Print name # oitldal use only do not write in this area to be completed by city or turn official city or town: permit/license# - []Building Department ❑Licensing Board ❑checkif immediate response is required ❑selectmnen's office ❑Health Department contact person: phone#; ❑Other_��, (leveed 9193 P)A) i 1 Information and Instructions ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written: An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three aparwients and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ppIicants lease fill in the workers' compensation affidavit completely,by checking the box that applies to your situation,and . _ t''`' an names address and numbers with a certificate of insurance as all affidavits maybe t��plYmg company � lm� �� Y ' u"omitted to the Department of Industrial Accidents for canfimmtian of insurance coverage. Also be sure to sign and fate the affidavit The affidavit should be rearmed to the city or town that the application for the permit or license is ,eing requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you ire icquired to obtain.a workers' compensatiam policy,please call the Department at the number listed below. --ity or Towns 'lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the ffidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please s sure to fill in the pemmzt/Iicense number which will be used as a rcf==number. The affidavits may be r 'ie Department by mail or FAX unless other arrangements have been made. he Office-of Investigations would like to thank you in advance for you cooperation and should you have any questions. lease do not hesitate to give us a caL he Department's address,telephone and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of InvesUgallons 600 Washington Street Boston, Ma. 02111 far#: (617)727-7749 ✓ phone#: (617) 7274900 eat 406, 409 or 375 '4 The Town of Barnstable �nstvsraBLL 9 �. g Regulatory Services 1659. Building Division 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION i ^/h� Please Print DATE: `�— "'C_JU JOB LOCATION: village number stQreettp ..HOMEOWNER": Aq W�°` `�— ✓"0�77�"� L�� ��— ` "�—� / home hone# work phone# name p�� CURRENT MAILING ADDRESS: l_A city/town state zip code r . 7 The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pro re'of Homeowner • i 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/certifrcation for use in your community. Q:FOAMS:EXEMPTN (Print or Type) 0 S-&— O 11� TOWN OF BARNSTABLE Date ��� -= 19 C Building C Permit# J / �d UlW7 O �h—i �l•��� wner's W�i7e— AT: Location � - Name Lv On v4 Type of Occupancy: bw�l DNS New ❑ Renovation Replacement ❑ �aJ „2���% Plans FIXTURES Submitted: Yes❑ No s a s Y r to a i W Y J M Y Y s a O ! GO s a z ~ as = 0 s s s o gt s ! ! t. 3 t~a ! W H H W < b G 01 N ! ! J O ! O 1r ! F F N < S 3 = d s = aC d O ,a s Z .W h 11, V S = s C < s z - a i i o < a s s r < o s ►- s .4 3 = 1- r 96 0 0 o s iz ! t■ o s sue—esYT. BASEMENT 1ST FLOOR 2NOFLOOR sSRO FLOOR ITN FLOOR STMFLOOR STMFLOOR TTMFLOOR STMFLOOR (Print or Type) Installing Company Name ,h� GAS Check One: certificate Corp:. Address Cc ❑ Partnership__ 'S kv, P/Pirm/Company Business Telephone S' Name of Licensed Plumber j ) k cv� I heno►ceruh ataf all of We defeat and isfosamation 1 have wbautted lot eniefadl In abowe appliootto efe uae and summit to the best of my knowledge dad that all plumbmg wotL and installations futntwxd under farmis limed lot this applieatao will be in compliance with all peftinew p0' visions of the Mutachefrttt State Plumbing Code and Chapler 14101 the(:enuat Laws 1 have informed the owner or. his agent that I do not have liability Insurance including completed operations coverage. Signature of Owner A ent I have a current liability insurance policy to include completed operations coverage. _ By Title Signature Licensed Plumber Type of Plumbing License City/Town: .1 °4 ' JourneY^lan License Number ❑ Master APPROVED (OFFICE USE ONLY) Y`M •'l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION htap ,.�OST6� ^ Parcel n R1i­1A3LE �. �� •,,� G B� Permit# Health Division Date Issu d Conservation Division J , / Fee ����® Tax Collector Treasurer 0/c ar.� �,t0. .�Pr, . `�(C SYSTEM, 6i� T ;•�. De- IN s`� LLED IEV DOf���PLIAN- Plannin Planning,Dept. ,� _ WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTALgp D0D� r° TONIM it L�.�tilLFair Historic-OKH Preservation/Hyannis ' Project Street Address 19 (c C10A U'k Bay Ve Village Owner e)e:4NC I)y Why Address f�� V�� ( I��B , C&wt . tm Telephone Permit Request S�r�� � r��cv�.�--•� 1ST 7-6w Square feet: 1 st floor: existing b0 proposed 2nd floor: existing proposed IUD Total new Valuations6-7 6 100 Zoning District. Flood Plain Groundwater Overlay Construction Type 2 x� Lot Size 36,�2_ S•�• �,�y Grandfathered: ❑Yes ElNo If yes, attach supporting documentation, r K' Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure 19 7 7 Historic House: ❑Yes )dNo On Old King's Highway: ❑Yes )d No Basement Type: KFull O Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Z Half: existing O new I Number of Bedrooms: existing new Total Room Count(not including baths): existing 7 new First Floor Room Count P Heat Type and Fuel: ❑Gas )dOil O Electric O Other Central Air: O Yes )�No Fireplaces: Existing _�• New_0 Existing wood/coal stove: O Yes '%No Detached garage:O existing O new size Pool: O existing O new size Barn:O existing ❑new size Attached garage:Xexisting ❑new size Shed:O existing O new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial Cl Yes )<No If yes, site plan review# Current Use rc�&Mkl Proposed Use _ 1(25s1 �l -_ - BUILDER INFORMATION Name Owner Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r 1 SIGNATURE DATE IT'S{ bo y3 J FOR OFFICIAL USE ONLY k, DATE ERMIT NO. , ISSUED RAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ?i ' FRAME INSULATIONIpy�U FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING F 1 DS m' Buur p S " 1 j'�nrpy i{Eb/wov a DATE CLOSED OUT ASSOCIATION PLAN NO. ' 4 l p1 0FIKE 70{y'b ' The Town of Barnstable BARNS'rAHLE. Department of Health Safety and Environmental Services 9 MASS. 0 '6}9• �0 O MAy Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection I 'UA_ P Location 1 Permit Number Owner �� W �� Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: G o & �1012 IJC T crt� Please call: 508-862-4038 for re-inspection. Inspected by Date ­3 i Table JL=(couftwoo ' Prescriptive Packages(or 0"sad Two•FamdY Raddmdai Buildings Had with Foud Fuel' MAXIMUM :,a Gu=g Ceiling wall Floor ltaa®mt slab1leaong/Coolina=ea' U•vaiur' R values R�valuee' R•valte� wall E Pacicaae. Itvaleta� R.vained 5"1 to 6500 Heaftit Degeeet Darr Q 1241. 0.46 38 13 19 10 6 1 Normal R 12% 032 30 19 19 10 6 1 Normal S 129% 0.50 1 38 13 19 10• 6 1 95 AFUE T 15% O.36. 38 13 2S WA Wf INormal U 15Y• 0.46 38 19 19 10 6 Normal v 15•/4 0.44 38 13 25 WA WA- IS AFUE w 15% 0.52 30 19 19 t0 6 8S AFUE X 18% 0J2 38 13 2S WA WA Noa°al Y 19% 0.42 38 19 2S WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA is% 0.30 30 19 19 IO 6 90AFUE 1. ADDRESS OF PROPERTY: C. ezb - c 2. SQUARE FOOTAGE OF ALL EKTERIOR WALLS: 2 7 6 0 ®v 3. SQUARE FOOTAGE OF ALL GLAZING: NO 4. %GLAZING AREA(#3 DIVIDED BY#2): `n°Co 5. SELECT PACKAGE(Q—AA-see chart above): 11�SJ�`�-► iv► ��-�5 NOTE: OTHER MORE INVOLVED METHODS OF DET'ERMTTIING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example.3 ft'of decorative glass may be excluded from a building design with 300 t of glazing area. After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the'National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R-49 insWadoin. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding,structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation phis R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. °The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or csrages).Floors over outside air must meet the ceiling requirements. 'Tl:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mc_: the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned b..,einents'muit.•be inciuded'with-the other"glazing. Basement doors must meet the door U-value requirement d_scribed in Note b. 'The R-value requirements are for unheated slabs:Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet of exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J52.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structu r-A components. b)Opaque doors in the building envelope must have a U-value no greater than 035.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U=value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). I I . 43 °F'THE A The Town of Barnstable • �rmsrnate, . g Regulatory Services 039. •`0 Thomas F. Geiler,Director, QED MA'f Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &timated Cost d Address of Work: MG Ca4vs`� �uy 'DR Cod'U�� �V►ip Owner's Name: Date of Application: 91 as I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law .OJob Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED WORK DO NOT ACCESSCONTR CTORS FOR TO THE ARBITRATION PROGRALICABLE HOME IMPROVEMENT GUARANTY FUND UNDER M I�142A. ACCESS SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. Date e q:fo rns:A f fi da v:rev-070601 , •- ______ Tl:e Commonwealth of Massachusetts -" •� Department of Industrial Accidents °°— - 011lcsollaaesB9aBoDs 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit location: 1?6 C6kuAi 1394 t _ oh_one 0city CSb�y 20' I I�15 I am a homeowner pedatming all wmk myself: ❑ I am a sole prpfie=and have no one woddn in 9= Workers' for my ivaddng on this job. I am as empl .......... ............. J ............................. ........... ........... ............ vv: .....:........... .v....,.,....nr.h. N: ::. n .J?,n.!'£:•!:!:t:•;i:.M:;.}:;:F�'•:, r............ ........... ..v.v...........vv... ...r.........rn•... .. ......av .. ,S.v....v..-....; :.n:v--.n, ',~w:;}::}::iii:riFiFJ;:i!:t:}.. •r...............::...........•:,.........r.........,.,r....•., n,:•:::•................. :.,.. v:,.:... ...YaaY.+.^ x n . .. .. rF.F,:t•:n\v:.,-,{:{:n,•:...v+`::•:};:;::::•::. ,.::.::.::...v..:}:::::.:.......;.{4n::•....:. n...... ,r...........:......vr::r. ............�::::!-:-..... ". ..G.,-•.}:;1v ..'SN.4.}v.+Y.ilt!4}N:,VhJ,::W^.+,:::.,•::•..... :.:......... ::::;:•:•�::..^.:;:•.:! 'Y:4}:j:ih;4:i:i::..v:A v}},^•,�i::�i::\K:Y.}}::.:-:....:::nv. .�!h•? mIlanV`DaD3e:.. ........:.,:.v.n , ::::•.........:::::,:.......::::::�::::...................:..>:.•r::n:•::.......24a•..,.:.�:5.4:. .:..hVn.:. ,�,�. h..... : .. ..: .�...+ .... :.+!?.,F.S...i:{::v:�•^+' .;Jo}�....;•:.,....}:-:<:�:: ....~........ :... ,..t•t-::::�•:::n•n!.. ,:...,......:::::~.�:•?::...:.....-....:.�.�:{{.{.r:::.•.:�:n?�-...,.>n..�,.~...,J{ ...;,4„ .. ,. i•�,..~ ..t• ?F:�i•>:•.::::n4......:).:-.~-::^?!:.........: :;:::.. .>...:::. •-::rxJ,hY`Y.3?�c:..v+.w,.G. ,;$.. F.,SG. • 6'......::.......,:•:,t;•`..h4.- runt.-:.:t-:.•�;r6:.;R" 2.9 .wG}.w.s�G).y-:r.-t.:htra:3.,.0...? {4} :ir. ......... 3,•... .~.:.k..~..,v....:.>"^-;:::+!5[ u$•}bo. i�?Fq�, �':ti-:..�OfE� ..:.......... r:y:c •.•YF� .n+x+?w+!•. �,n%$:.�. Caiuw..'-. ,3�}-.,;+�:J:;:4�^"!: :`.:F.tiw>::^-,•'. ....:rr:.:v....•:b:::v.~...n....-.�:h}J.v::•:...v...Y.�`.t)v. .�:..j nw.:..<<. E.v.,hrG•,tri.}:nv.�?�,ay.'J�0?<}}..:� ... ����Jyyn.h. .....: <' Y^:'Jn��:LY\v}�v.'•T::M?>.:]<i`v'r:�{riff:tJ,MF..:.. :...v.. ....::v.}:}):h:v,::r.v:::••.w:n:vir}r\•�.}}'•}:^:::i:%;).,w.}.�•.. h�+*�'t;....r•:::.::•.....,r..,..;. n:•:J.,4•~•.:^..JT`M.Q-.: ;Wa•do,.!�.5 'YF33a �:iir?`c:.JhY. e'fi::. hV!?F)tV:00f....'�.•.{:,/,�%a�:$4I. Jh�•::,::-:.:. .. .. ...::...................... .. ..............:..::.....................::::::.......: .......r.....:.-.:. ,.. .. ,.........vx:.:: AY4. t o°°oA<X:o;,.>',..}K• ..v9. ?:•.:-.'."p,::h}t.:.F:: N.W' .......... ......x:.... .........::::-•:: 1.........,::r.v..rc::..::x .Wh.}n{^..{.:f.!•.v.v:? v :.n• ....nVh,V. } f� -• .. ?:,.} .r,'ti.n,:.\'.;}.,�.\-$v:}`..:..:':i::vvi{4:LFF:::::. :::................::...h::!^:•::.�:.~...,;..:$.n.:rs.• .t .t r.....}r,.:3,,.:K`,+.}•,..,•::::n.,..}>vr��.,...,nfc#,,,, .�� .. �.. +.:.N+:t';a,}c:•.h+t),yt,+:;t,; :::x•):•}}}:•}:<•?;;.}:::i:::.....t.,..:•.-:::..r..:::r.n.::r••:FJ.nJ!.:.{c r:•::. .... ,. .. .........:•.................::::.....................:..:•.:••.t... ..9 .: @:.}. ,3?}::: ....a4•.J. .Jch4,^+ , q�,�,.,,�i?, .;.-,x-,: '. '?�:F;.,-:�3.;}:-...:.,.. .r ..::x:r:............::::. .....}....:,r::nv::vn.:... ...,.vf.G.x{.W,,...M?, .....- .4h;. ..::r: �!�va:-•:-:4,. �:^-V.{.. �:iFFiii:�:t:::i;.$iv,: -.F-...•,::::•:::r-.,•:4x•::::;c}...t....n. v:::}::•:F:,::R3+:............:....:.r:-. •:•:+.h•:::.:a:Jan, •:t�o` :.:r:•...........:... ......-:•::::::n•::::::• ,.....:: ..::,::;... .n.,.,.�;.f n$,.7•.{G.. x}3f1'^}� '.a$:.....•. roJ�c~. t• ,... ,-::::o)xkF:�F<:%:••r::d::.::•n:•:::;r ar.........:3•as•::::.�:. } •a.r•• ... .. .. ... -�DlDTdItCC' .............. .... unwl I I ICI I I III ha�h the nstc bdm whO ❑ I Sm a sole PI�IICtor,general contractor,0?homeowner(crrde mu1 jjJIW{!G-�u.. have , ...! the following wmimrs,=Ep ...�oIices-::. •.\:V?:,�??,}..:.. >$-K•.}};:'.w;�}�..;<;::�}:<:>�{.... ::.ro;.}}h=.4::-r... .?v::r}::•,^^^�^:;?q?`;?rtY��...v,•:::.�. t•:<�' '^F3SK:F:Y::-+..?.,•w ..r;+~.,,.:::::::~.;;n.;:!i-x`:4;}:»;:tq: . ..-n,x„•. ,:r::-;<;:;.w}>}:;•ix;4t:;xn.+pk,+,.•::.};F.:...........t.... �:.,:;:})�:.}r?-::.�:.,,x3..:::... ..,G. .... h.n':.......Y4..., .YJn:.,, ...`;>.;.. ..Jhw. •:•': .�:.. +!.hen,,:•:�};.;{:;;::;:i>i::<: w,xw. .:..r:v.~-::.::::::::.:... x•. .,�....-:.,....a ......vr ::h <•, `{ ;K$.;!.}:'iY::3:.?3,.,+.;.a;;"yi24':��-?�.n:•}:,:r.:..t-..:::}:.:. :n...:-:,. ....,. ,.......... ..... .,...;n{{:{�.,}:t•}})F:;r�`h. ....:n..... q.�.ct+,•b.,N::$::{?:•'.:;�5'i:•}).t•.,.i :.K;�:Y•. •:..w;,'- .i,�v. �::>•+.:.\,>~,;...::<.;:i::: .,.:�•:..~,r...tt..n.,.{..•,}.�:.+.•::::::}::;.:::.x�::}h•:ni??:+•'$-'•.-:.,•....,......-::•:•:,. :.}{tt},}:}.4nt. + .'<::..., .}:: ... :.t\;� �:t+Y:�::Qi�:txt-}:•}i;..:::.:.:..: •:::.::;.;;•.t:;;3:;•F•-.r:....... r..�......... r:,a:i.:}Y:}}:-:...;:`.:.-�,a•} :•} ::,:.h,•:n+?:........,:t..n:•.~.yxc?yrq.;Y..:Yn-:{'i•;x ..!4}a, .µ;M.�. t+':~,. : a�:cn :.:;:!.}:•;r•.x4i:t+.-:-:. t•:.:,•::.:. wrF.,.'. 'n-r::.�::. r J�•?^�?�:-::?n}:}v??\iaiw�:.n>::;::;:.:kF, .......... .:.}>:�-.t. .'?a :,.xr.. - �`;w,' .< .;. �� ':'. •,.,3�c,�aRvi:Sh\?���_y '::~��;::;:yi::i:�i:�:�i:�: K~t:+:a<92;}}t4go:mowe.�4?,?a'�.C�:�•• ':•...\t,�r 1;'. .•;n.�t•.•�• �R9,. ! `Civi:.i;:w�cF?}:Sind:�':":: '•.-.�,':'ii'±h'�yX�v:.+$F: ''4}�..�:v:�}FY.J:n�r'�l. .J):4Yi.+Y,..:,�':.�}.}.',J V .}.;p v'��;•'�.kx• t.1�:24i}n:v)..-..::.::. :address-r,:.tt �.h ,...... ..:• v.+}•.,+..,::.•.."gown a \ r Efix:x n..'. .{vv-. •.:':•'�•r,`c'•n-ay eti a:.<,.p.,. _ `�� .•::J.'H.x;..:N•�>:r...:�k>{a>'a:.;::;y�x;::>3:?h x x.r.... ~r .�.:::.,.•:..:::::,.:.:::: '^;4C,}}`t$4.}:.........:.. • .-h `Fh ........::•.x•. !Jh-?f, n'.;-tr4:�:-..4dFx .t.-'F,X--2.:•::..,a-: .7YA;;J}>.:+:+. .:. "C;:'a:C�:: ::�'�:ti:::''+��:<� $�h:•4};.}}:{}:.}~•n:}4:••J:.;4}.`}4^°�$Y:::.+.•:>:.:::4•y:ci�;)•}-:s:£a}:c:{J +.'<o; ''}},.x,.,++:y..;.~;.....{}hh;!.}•::ny JC'.'.?•ti•:;;J-:;tiy i!T{n{y',!.:. .::.,vv:-vim.-.iNU} •:iv: ii:hV' \+1YdCV'•'e v.:.v:.t+n, .:.,h;V>4.•...r$ v •.v.C•:r., ..,0-.�: nvFf,.}f]},...:•n4 4}. ,v:n y•�vv{JY.:i.%�.+v.' -.v::• n:{n?:!•} •:}.v;{4}n4.vn<.i?Gyv:�::::n}}:4n.. fiv:F.:: .. .. 2 v. J.�.:{`;AiM„a..:•:!:i!�-.::: aDv}rartte:�';f• K�, _ ... 4�..;..::-:.:.. :.._................•::w>a....n. ~` d'.''>�.''.3Y'^w:,�.Y.i :a:� }:�:::-.::.�:.::-:.:-.})>::~•-?:t:-:'•i:::'k•�3�:;;xxtr{•;:'';:a"+.%��s;...... .. ,"�•:.x..>3,.,g:~�.?`k}r.�%'- a'•k�+.to;§:.i:.,:$SF%;';x:;:}:a:c::�: n....n,M-+r):;•x::}:v.;n.?3• .. .. :.;::..,..4.::...:.v:$<--,--x'JC.?.?CP«W..7ia,<Jis\ti\ar- .':y`.;3: ..G;� �''t�A'.'.�.°0'.C.N:..i. .<Y\.,.''-;:•i-;.;.....}::-.•:�:oa:J:G:+" :aX+ctSA}:.a,»xfw.J:.::::•t,::.y-•- i.,..::n}?:-:?:::�.::.:.. :;.:.,:.;,:: .,:� -�.:. .i.:a..nx4h..r:k.o.:......:.w•'-`Th.::.,:..,v:...r..,.....N.,.:•.,,n.;;..: •}r.�:.:.:,,,•,-::....t•:hint.., .r:;;•.-aw.'.' ..;.r,:' <FF;•?.�..:"' ..s3.::. ,..ih'�^F::•..a:;2'4::�:<c:!•}:!:%+� �:•}::}::nv:::';•i}::::n:vx:-;:::v:ir::.:v:x}?4:t<;;;•!C-:A::r::::::;kF.::n3:?.).•.4.,,J.,•••.:�:::vim:nFFF}:{..,, .., + - v.. .. A};:.:.!?6??.•:.::.n..,�..,.,.• ` • ... .. ...:... ..:. .........:..:.....r.-., n n..nY+Y. ., .. ..r� ......... hv••:}h• �,}J0,a� ..............................r............. ...........r.e.%. ................tx.v. .. .....r.....x..... ,{x...r w.;:�.; .....\.,. ..... ..... -.......... .......r .. ..... : .... -•nr.•.Y. .... n r.. .'£•n[v ,v:x!'::;:;:-.v v,Jk+�T-�..:.:.:+•i: ..{.... ........ .h.......... .. ........ ... .. ... , a:.... w,.•h. :�: Yn.....M..r ) :4}3.2{;+-i:�\J ..r.......r• ........} ...... ....v ~..:....4..n.. ........ ..ay.... ......?.:r:.:..:...?%}... h n J.?....v: ..�"v.. :. vG(•hY\..:tV. _ . .n.•:.v%•.n.......v:tv.n.......-.xv:::v....}.,..,..n.;.:, -:$•.:: ..v ..::: ,..;•:a....., .... .. -.•: n.v nt�,.n. by s4:;�4}: :3'......Burs..:. .t•... ......,..:::•?.. ,:±a..a..,,..... .{•:,.r ...fiC::.:::'•• .x ......:`S'.?�i• :... :':'''i:':':: ......::•.,-:..>.•.,..vrs ti..ky...., y,''�..::::....v.}}....f.. ,3�+.. <h+S�.:,.,.......,,-:...,,,..��G��'.�5�•'`G''��.rn��2x :+ Qop .�}L,:.e. .:�°;y�w<::i:•: ,r. .. £,w:;•.au,•:h�.. a`::r.-::h3.+-,r:hn�.:.y,.}.:i::F;i:$::<;.::.}::,,v.:.,::•::::....................t r..•:.... r }....::::.~ _ C1r>F:: ..�:. .. ... ..... .. .. �4pv!+,'-4~:•:+i+`:::`;:Sit .:......... ' �::�.:� .�,...:.wn->}:.�•}>::�'••n-:::,...,.:....xy>;x��r.v":4>:�e!^smt,2 ;}w:\4�z�w'�'+y<;? ,�:�:.::.:�.;•}.-:::::::n•:...nvr.. .t-i....;?.....a'h•.•N•:•::::. •.a�?yf:..:�:.t•..,h.:.ti..?.:y-:. .c:.~.:.;.!..,+.•...:�••.::•,•t6.r�a:•i:••rr'7?p.:,::.}•:..,t•.}.,..,...;:.:.-., h.. nxw:t.,,,. .. . .rr..t.:::::n. .?.:{.:... .... ..a.. .: ... ':K•:t+:tJ:�:C.x:..:.-:r:.;,4r:}:w.!,�..: .• ' a?' 3•tiq� J:4`.h.Y.M:..,;;{..;�>..>v.�h�'�+'r�',w::;;:::::�.::i��: ',�4,r..w:-:::.,v:-?'!::• m<•,?••:hb}},}:nh.,nri,�.G,:�w,?.a.M.4. ... ..~. :: f :•.. ,;.vG•. .Krrv':%`4rrF:}�v+a�,.,�}h•23\•{�-..i. } GVht,>.\.;~?\,3`,.,..�!:R??a:;,.3::..t:.:i }.:;),•: ':}'J'�^}.::-:...V�4'•`M: QM�:`:•C6.{CGD.1�Z"�'��✓FdL-�..�•+t:t0.�; .n..�iT.a..tl...:.�.»}..-..,... -..... :..-.... ,v ~ FaOme to seams eorengo regatred atta�ni P of a tlaa Dp to SI� 00 oO s as mder8cetla�2SAofMQ.1S2a�1c3lotha P. ,m year 'bnpritonmectas wdl as drII penalum tntbe form ofn bTOP WOES OIWEI& :IllftoofSlOU-a—I a;atmdm Im<dersemd m"of thb ststemmtm y be forwarded to the OMce of InterdPd s of Ste DU for co"Mis� 1 do hereby culifY ttda the w mrd pmaNa of paJtrry fh arnr plotlydedabove is trine mrd caned Priat name (S(R� �4Z0-11 S of icid use o* do not write in this area to be completed b7 dt7 ortowU oil" dq or town: Luemint BOird QSdeconen's Omce Q cbmklf faanediate mponse b required QHadih Depa==cn* + p�B, - QOther 1 contact person: 4enru 9N3 P1At Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th„- employees. As quoted from the"law", an employee is defined as every person in the service of another under any came of hire, express or implied, oral or written. An employer is defined as an individual partnership, association, corporation or other legal entity, or any two or more of thely foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the recerver or on or other legal entity, employing employees. However the owner of a trustee of an individual,partnership, associati dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on Sach dwelling house or an the grounds cr building appurtenant thereto shall not because of such employment be deemed to be an employer. 152 section 25 also states that eve state or local.lieensing.agency shall withhold the.issuance or renewal MGL.chapter � s of a license or permit to operate a business or to construct buildings in the commonwealth for who ha not produced acceptable evidence of compliance with the insurance coverage required. commonwealth nor any of its political subdivisions shall enter into nay contract for the performance of public work=nl acceptable evidence of compliance with the insurance requireme s of thus chapter'have been presented to the caztracri� authority. Applicants Please fill in the workers' compensation affidavit completely,by checking th abox that applies to your sitxmaoen and address and hone numbers along with a cetti tcate'Of insurance as all affidavits maybe supplying company names, P Also be sere to sign and submitted to the Department of Industrial Accidents for ceafi °� a mrt or license is date the affidavit The affidavit should be returned to the city artawathat the application for the p cc being requested,not the Department of Industrial Aidets. Should you have any gwmd=regarding the"law"or if 3= are required to obtain a woriters' compensation policy,please call the Department atthe number listed below. izz City or Towns _..... _, 1 The D has provided a space at the bottom of the Please be sure that the affidavit`is complete and priaud legibly. ep�� P� �applicant.. Please affidavit for you to fill out in the event the Office of -has to contact you regarding be -to be sure to fill in the pen�liccose nummber which will be used as a refe:eace rumbler. The affidavits may the Department by mail or FAX t ales other arrangements have been made. The Office of Investigations would bike to thank you in advance for you cooPeratioa and should you have any questions. please do not hesitate to g 7c us a call. The Depamneat's address,telephone and fax mmmber. .; ' The Commonwealth Of Massachusetts Department of Industrial Accidents amce of lavesduadolls 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 ext 406, 409 or 375 The Town of Barns a ie . 1!„Fi1VSTA81�. • Rea-Watory Services f W e Thomas F. Geller, Director .Building Division Peter F. DiMi atteo, Building' 367 Main Street.Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-:1038 HOMEOWNER LICENSS EON Please Print V DATE: I— Off—//O Z V7 � 10B LOCATION: village O sheet numberZp Lv�+�. Q.• V`M 'T�-= AV —� work phone+# "HOMEOWNER": home Pboae q name � P��2�3` P . �l • ` .. , CURRENT MAILING ADDRESS: 1k rip code state airy/town 7. . Owner-occupied dwellings of six units or The current exemption for"homeowners was extended to include vim less and to allow homeowners to engage a s individual for hire who does not possess.a license.aro — the owner acts as stioervisor. DEFINITION OFHOMEOWNSR . Person(s)who owns a parcel of land oa which hdshe resides ar intends to reside.on which there is.or is accessory w such use andlor or two-family dwelling.attached or intended to be.a one than one home in a two-y1?�od shall not be considered farm structures. A person who constructs snore table to the a homeowner. Such"homeowner"shall submit to the Building official cm a form acceptable Building Official.that he/she shall be responsible for all such work joerformed under the building ermit. (Section 109.1.1) o Code and The undersigned"homeowner'assumes responsibility for compliance with the State Building other applicable codes,bylaws,rules and regulations. undersigned"homeowner'certifies that he/she understands the T°he/shBw�ll Comply Said The requirements and that Department minimum inspection procedures and d Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet Controlger will be required to comply with the State Building Code Section 127.0 Construction HOMEOWNER'S EXnWT'ION Permit is required shall be exempt from the The Code states that "Any homeowner performing wont for which a building p S �s�);provided that if the homeowner engages a provisions of this section(Section 109.1.1-Licensing of Coall ac 23 ap fe responsibilities of a supervisor(see person(s)for hire to do such work.that such Homeowner shall acre t sa they�assuming Many homeowners who use this exemption are unaware that action Z15) This lack of awareness often results the Appendix Q.Rules&Regulations for Licensing Construction Sup eesous. In this case,our Board cannot proceed aer serious problems.particularly when the homeowner hires unlicensed P Supervisor is ultimately responsibleof the permit an unlicensed person as it would with a licensed Supervisor. The homeownernsbilities.many communities require. a e of this issue is a To ensure that the homeowner is fully aware of his/her rap responsibilities of a Supervisor. On the last pour age of this i application.that the homeowner certify that he/she understands the rap form current!!'used by several!towns. You may caret amend and adopt such a formicertifncation for use in y Q:FOR h1S:EXEN1 MN' " dormer header TJ-Beam^ v5.55 Serial Number:700108585 1.75 x 9.25 1.9E Micr011am® LVL BEAMUSA 1111 1/4/2002 2:16:21 PM Page 1 of 1 Build Code:146 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope:0 Roof Slope:2/12 n. :n All dimensions are horizontal. Product Diagram Is Conceptual. LOADS: ( 1 Analysis for Beam Member Supporting SNOW Application. Tributary Load Width:6' Loads(psf):25 Live at 115%duration; 15 Dead SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 2x4 Plate 3.50" 3.5" 562/359/921 1 9.2" Detail R1 SB Shear Blocking 2 2x4 Plate 3.50" 3.5" 562/359/921 1 9.2" Detail R1 SB Shear Blocking -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s): R1. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 660 3537 Passed(19%) Lt. end Span 1 under Snow Roof loading oment(ft-lb) 1578 1578 6442 Passed(24%) MID Span 1 under Snow Roof loading Live Defl.(in) 0.048 0.358 Passed(U999+) MID Span 1 under Snow Roof loading / Total Defl.(in) 0.078 0.478 Passed(U999+) MID Span 1 under Snow Roof loading -Deflection Criteria: STANDARD(LL: L/240,TL:U180). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and 1 positioning of lateral bracing is required to achieve member stability. i -Design assumes adequate continuous lateral support of the compression edge. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,'input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by 1 a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. _p 11AElF MqS 02y MK;�iELE PROJECT INFORMATION OPERATOR INFORMATION: qtyrn for. Bethany White Michele C.Tudor PE,Xtreme Engineering V faEm_34774 MICHELE C.TUDOR, PE QJRAL 123 Cottonwood Ln. Centerville, MA 02632-1979 508-771-7601 L � 508-771-7163 ��sR Copyright 02000 by Trus Joist,a Weyerhaeuser Business. TJ-Beamn is a trademark of Trus Joist. Microllarro&is a registered trademark of Trus Joist. L o ov 2 1' ALTERNATIVE: 4-1.75"X 9.25"LVL TJ-Beam— v5.55 Serial Number.700108585 2 PCs Of 1.75" X 11. " 1.9E M0611am®l�— BEAMUSA 1111 1/4/2002 2:08:12 PM Page 1 of 1 Build Code:W THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED n. .n ,4' Product Diagram Is Conceptual. LOADS: Analysis for Beam Member Supporting FLOOR-RES.Application. Tributary Load Width: 14' Loads(psf): 30 Live at 100%duration; 12 Dead;0 Partition SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 2x4 Plate 3.50" 3.5" 2940/1252/4192 1 11.2" Detail A3 2 2x4 Plate 3.50" 3.5" 2940/1252/4192 1 11.2" Detail A3 -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 4092 3456 7481 Passed(46%) Lt. end Span 1 under Floor loading Moment(ft-lb) 13982 13982 16137 Passed(87%) MID Span 1 under Floor loading Live Defl.(in) 0.448 0.456 Passed(U366) MID Span 1 under Floor loading Total Defl.(in) 0.639 0.683 Passed(U257) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL: U360,TL:L/240). -Bracing(Lu):Al compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. -Note: See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. .-. J!A OF MgsS O� MICHELEC. 9cy TUDOR m 0 No.34774 PROJECT INFORMATION OPERATOR INFORMATION: STRUCTURAL for: Bethany White Michele C.Tudor PE,Xtreme Engineering .9 MICHELE C.TUDOR, PE /STER�� 123 Cottonwood Ln. ►► /ONAL�G Centerville, MA 02632-1979 _ ► ♦ �` 508-771-7601 508-771-7163 Copyright®2000 by Trus Joist,a Weyerhaeuser Business. TJ-Pro"'and TJ-Beam"'are trademarks of Trus Joist. MicrollamS is a registered trademark of Trus Joist. S�- 2 1stfl.girt CL 5 TJ-Beam^ v5.55 Serial Number:70010a%5 er:7o010a%5 3 PCs of 1.75" x 18" 1.9E Microllam® LVL BEAMUSA 1111 114n= 2:02:51 PM Page 1 of 1 Build Code:146 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED I' n: n 17'71/16" Product Diagram Is Conceptual. LOADS: Analysis for Beam Member Supporting FLOOR-RES.Application. Tributary Load Width: 13'11 1/16" Loads(psf):40 Live at 100%duration; 12 Dead;0 Partition;and: TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT Uniform(psf) Floor(1.00) 0 40 0 to 17'7 1/16" Adds to wall Uniform(psf) Floor(1.00) 30 12 0 to 17'7 1116' Adds to 2nd fl SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 Pocket,Conc./Block 3.50" 3.07" 8570/3520/12090 1 18.01, Detail A3 1.25"LSL Rim 2 Pocket,Conc./Block 3.50" 3.07" 8570/3520/12090 1 18.0" Detail A3 1.25"LSL Rim -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. -Bearing length requirement exceeds input at support(s)1,2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 11861 9627 17955 Passed(54%) Lt.end Span 1 under Floor loading Moment(ft-lb) CT5 51165 58130 Passed(88%) MID Span 1 under Floor loading Live Defl.(in) 0.447 0.575 Passed(U463) MID Span 1 under Floor loading Total Defl.(in) 0.631 0.863 Passed(U328) MID Span 1 under Floor loading -Deflection Criteria: STANDARD(LL:U360,TL:L/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. -Note: See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. ZKµtfj. Aar r A1ST• PROJECT INFORMATION OPERATOR INFORMATION: ` for: Bethany White Michele C.Tudor PE,Xtreme Engineering MICHELE C.TUDOR, PE 123 Cottonwood Ln. Centerville, MA 02632-1979 508-771-7601 � Tti OFF iygss9 (� 508-771-7163 ®� It1 HELE aCopyright 02000 by Trus Joist,a Weyerhaeuser Business. TJ-Pro^'and TJ-Beam^'are trademarks of Trus Joist. Microllam is a registered trademark of Trus Joist. � 1TebE. r C:\Progrem W Files\Tres Joist\TJ-BeamA\2002-0SWHITEgirtbm 0/ r r 1 st fl.girt CENTER .� I TJ-Beam^' v5.55 Serial Number:70010&W5 2 PCs of 1.75" x 18" 1.9E Microllam® LVL BEAMUSA 1111 1/4/2002 2:04A4 PM Page 1 of 1 Build Code:W THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED n: n 15'3" Product Diagram Is Conceptual. LOADS: Analysis for Beam Member Supporting FLOOR-RES.Application. Tributary Load Width: 13'11 1/16'* Loads(psf):40 Live at 100%duration; 12 Dead;0 Partition; and: TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT Uniform(plf) Floor(1.00) 0 40 .0 to 15'3" Adds to wall Uniform(psf) Floor(1.00) 30 12 0 to 15'3" Adds to 2nd fl SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 Pocket,Conc./Block 3.59' 3.968" 7431 /2985/10416 1 18.0" Detail A3 1.25"LSL Rim 2 Pocket,Conc./Block 3.50" 3.968" 7431 /2985/10416 1 18.0" Detail A3 1.25"LSL Rim -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. -Bearing length requirement exceeds input at support(s)1,2.Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 10189 7969 11970 Passed(67%) Lt end Span 1 under Floor loading Moment(ft-lb) 37995 37995 38753 Passed(98%) MID Span 1 under Floor loading Live Defl.(in) 0.388 0.497 Passed(U461) MID Span 1 under Floor loading Total Defl.(in) 0.544 0.746 Passed(U329) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LL: U360,TL L/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 1'6"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. -Note: See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. s 0_e Ty P aE T-. PROJECT INFORMATION OPERATOR INFORMATION: IN 5k _ 3 A- for: Bethany White Michele C.Tudor PE,Xtreme Engineering MICHELE C.TUDOR, PE 123 Cottonwood Ln. A Centerville, MA 02632-1979 SN OF MqS a 508-771-7601 508-771-7163 O� MICC ELE G♦ G Ar— Copyright®2000 by Trus Joist,a Weyerhaeuser Business. TJ-Pro"'and TJ-Beam"'are trademarks of Trus Joist. 01. TJDOR cJ> Microllam is a registered trademark of Trus Joist. 4 U No.34774 -A C:1Program FileslTrus JoistlTJ-BeamW STRUCTURALAt2002-0SWHITEgirt2.bm s q C� /CTONAL 3 E� I C'fr4 1 st fl.girt rhs TJ-aeam� v5.55 Serial Number.7001011585 3 Pcs of 1.75" X 9.25" 1.9E Microllam® LVL BEAMUSA 1111 1/4/2002 2:28:39 PM Page 1 of 1 Build Code:146 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimension=17'8 1116" n: 2 :n 21116" 8 6" Product Diagram Is Conceptual. LOADS: Analysis for Beam Member Supporting FLOOR-RES.Application. Tributary Load Width: 13'3 1/2" Loads(psf):40 Live at 100%duration; 12 Dead;0 Partition;and: TYPE CLASS LIVE DEAD LOCATION APPLICATION COMMENT Uniform(plf) Floor(1.00) 0 40 0 to 17'8 1/16" Adds to wall Un'tform(psf) Floor(1.00) 30 12 0 to 17'8 1116" Adds to 2nd fl SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 Pocket,Conc./Block 3.50" 2.25" 3800/1349/5149 1 921 Detail A3 1.25"LSL Rim 2 2x4 Plate 3.50 6.335" 10095/4041 /14135 1 92' Detail B3 3 Pocket,Conc./Block 3.59' 2.25" 3566/1192/4758 1 9.2" Detail A3 1.25"LSL Rim -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3, B3. -Bearing length requirement exceeds input at support(s)2.Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 7231 6037 9227 Passed(65%) Rt end Span 1 under Floor loading Momertgft-lb) 12295 12295 16806 Passed(73%) Rt end Span 1 under Floor loading Live Defl.(in) 0.162 0.300 Passed(U666) MID Span 1 under Floor ALTERNATE span loading Total Defl.(in) 0.205 0.450 Passed(U526) MID Span 1 under Floor ALTERNATE span loading -Deflection Criteria:STANDARD(LL: U360,TL1/240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design include Alternate member loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. -Note: See TJ SPECIFIER'S/BUILDER'S GUIDES for multiple ply connection. -�VK- F4 r44 (1) [ x !5 To 3 PROJECT INFORMATION OPERATOR INFORMATION: for. Bethany White Michele C.Tudor PE,Xtreme Engineering MICHELE C.TUDOR, PE WA-5 OD 123 Cottonwood Ln. Centerville, MA 02632-1979 508-771-7601 �o 508-771-7163 � ,tHQFA4, Copyright®2000 by Trus Joist,a Weyerhaeuser Business. TJ-Pro"'and TJ-Beam"'are trademarks of Trus Joist. �� MICHELC. E MicrollamV is a registered trademark of Trus Joist. TUDOR D C:1Program Files\Tres Joist\TJ-BeamW o �/� A\2002.05WHITEgirt3.bm V NQ.34774 co STRUCTURAL �� ��GISTEP�G a c� fir, tom`` Sk ,3 r 0.2i header at jog of Master bath TJ-Beam^' v555 Serial Number 700108585 1.75 X 9.25 1.9E Mlcrollam® LVLM BEAMUSA 1111 1/4/2002 2:23:56 PM Page 1 of 1 Build Code:146 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED in: :n -10'61/16" Product Diagram Is Conceptual. LOADS: Analysis for Beam Member Supporting FLOOR-RES.Application. Tributary Load Width:6'9" Loads(psf): 30 Live at 100%duration; 12 Dead;0 Partition SUPPORTS: INPUT BEARING REACTIONS(lbs.) WIDTH LENGTH LIVE/DEAD/TOT. PLY DEPTH DETAIL OTHER 1 2x4 Plate 3.50" 2.25" 1055/445/1501 1 9.2" Detail A3 1.25"LSL Rim 2 2x4 Plate 3.59' 2.25" 1055/445/1501 1 9.7' Detail A3 1.25"LSL Rim -See TJ SPECIFIER'S/BUILDER'S GUIDES for detail(s):A3. DESIGN CONTROLS: MAXIMUM DESIGN CONTROL CONTROL LOCATION Shear(lb) 1195 3076 Passed(39%) Lt.end Span 1 under Floor loading ment(ft-lb) 3664 3664 5602 Passed(65%) MID Span 1 under Floor loading Live Defl.(in) 0.234 0.336 Passed(U516) MID Span 1 under Floor loading Total Defl.(in) 0.333 0.504 Passed(U363) MID Span 1 under Floor loading -Deflection Criteria:STANDARD(LL: U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 2'8"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist(TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not ail products are readily available. Check with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Code NER analyzing the TJ Residential product listed above. V-F 10 , Z _ S, = �¢ �✓ " `�,lad _� �3� Zx /T'D PROJECT INFORMATION OPERATOR INFORMATION: Ap 2nd STORY RENOVATION Michele C.Tudor PE,Xtreme Engineering IH OF MqS COTUIT BAY RD.,'COTUIT MICHELE C.TUDOR, PE sq�, for: Bethany White,OWNER 123 Cottonwood Ln. C. MI C ELE yN Centerville, MA 02632-1979 TUDUR mr 508-771-7601 00 N0.34774Cn 508-771-7163 STRUCTURAL Copyright O 2000 by Trus Joist,a Weyerhaeuser Business. TJ-Pro"'and TJ-Beam"'are trademarks of Trus Joist. 9FGlSTE��Oe Microllam®is a registered trademark of Trus Joist. /CNAI.�G\� tpl�o�(09 n•-w yr °•'• I O O I u•-r vim• I d I _® I Y 0 I I y I I b O O Y-9 vC LY!• G I Y En b O revr o m I o c a I � Y •g m R N ^ a O g I 7 o 'a I S a I cn � o I I I � I � I � I u•- ve• u•- yr I I 00 I O � I I I I I I I I I I I I I I I I I I A I I I I m I I r rn m -i c 1 m n z C7 C� 7! C S WHITE RESIDENCE BETHANY WHITE FLOOR PLANS m Po Sox 204 o 176 Cotuit Bay Drive, Cotuit, MA 02635 Coluil,Mossochuselle 02635 c�• Telephone:508.420.1145 8 "T1 O C \1 � 6 a o 0 i J,� i'-Y b T-IB' 0 Y7 VY IUlN6a1011 1a01 9a10 NNl 9aD Wl No ----------- Rig $$ a oil ig 7 N D gg d i' u n n FOUNDATION WHITE RESIDENCE o BoANY 20a WHITE ° & SECTION -! 176 Cotuit Bay Drive, Cotuit, MA 02635 Coluit,Massachusetts 02635 ;, 1 1 7,1 phoae:508.420.1145 er-u yr Qq n•-m yr YAP$ 8 u•-r flm - 1 �•wo yr G qg dR 1 5 4 n'. D 6 l U) 1 e—.oars'r oc I am Iama e•oc _-D ——it u i R O TiIt O IYK• F � D IY-Y ]1/C 4Y-1 VY ARM R A 7 � A I er-u• I WHITE RESIDENCE BETHAN4 WHITE FRAMING PLANS po 80.zoo 176 Cotuit Bay Drive, Cotuit, MA 02635 Cotuit,Mceeochueette 02635 F Telephone:508.420.1145 0 (D ue wnrm ie•oc M Raw I �• _g i to 0 i3 eaw.a vq o � WHITE RESIDENCE BETTH NY WHITE FRAMING PLANS 'o; Do eo.20 4 !, Mae 175 Cotuit Boy Drive, Cotuit, MA 02635 COO, Telephone:508.420.1 wchusetts102635 45 i Town of Barnstable tf# Town Council and Planning Board Notice of Joint Public Hearing 4 � May 19; 2005 at 7:00 PM New Town Hall,Second Floor Hearing Room 00 367 Main Street,Hyannis,WU The Town Council and Planning Board of the Town of Barnstable, acting under Chapter 40A, Section 5 of the General Laws of the Commonwealth of Massachusetts, will holl,A .joint public hearing on Thursday May 19, 2005 at 7:00 P.M., in the Hearing Room of Barnstable Town Hall, 367 Main Street, Hyannis, MA. The purpose of this hearing is to take comment upon proposed amendments to the Code of the Town of Barnstable, ss 240 Zoning as to the following: ca Section 1 Changes to district Listings M SS 240-5 Establishment of Districts is amended to reflect the deletion of the AP or Aquifer Protection Overlay District. Section 2 Changes to Zoning Map SS 240-6 the Zoning Map is amended by deleting all references to the AP or Aquifer Protection Overlay District. Section 3 Changes to Text SS 240-35 is amended by deleting all reference to the AP or Aquifer Proctection Overlay District. Copies of the full text of the proposed amendments/revisions to the Code of the Town of Barnstable Chapter 240 Zoning and Map are contained in Council Agenda Item 2005- 082 and are available for review in the Town Clerk's Office, at 367 Main Street, Hyannis MA, and at the Office of the Planning Board, 200 Main Street, Hyannis, MA between the hours of 8.30 AM to 4.30 PM, Monday through Friday. Gary R. Brown, President, Barnstable Town Council F Roy Fogelgren, Chairman, Planning Board Cape Cod Times, May 4, 2005 and May 11,'2005 AP f ai SENDER: I also wish to receive the v ■Complete items 1 and/or 2 for additional services. 0 ■Complete items 3,4a,and 4b. .fir following services(for an H ■Print your name and address on the reverse of this form so that we can return this extra fee): c-";b to you. � d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address 2 permit. 2.❑ Restricted Delivery4+ � ■Write'Return Receipt Requested°on the mailpiece below the article number. � ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. delivered. P fl 0 3.Article Addressed to: 4a.Article Number o/�' i� vv 4b 64'D ©5p0. 00a o�/ � /' 36/ am .Service Type El Registered ,� Certified p� �(•7 ❑ Ycte,4, ❑ Insurednn`- T M handise ❑ COD o (-ICJ T�� / ` �� 0� �3 ate of Delivery o 41 5.Received By: (Print Name) 83 dre s , 's Address Only if requested ,� and fee is paid) L 6.Signa � Cp a oC 0�, 2 PS 4 rm 811,December 1994 1o259s-9a-s-o229 Domestic Return Receipt UNITED STATES POSTAL SERVICE Op n,7 ON first-@lass-Mail C� �� �= _ P_estage-&-F�esAPai�l w P Psi a 11, Print your na eire- and ZIP'� �iiirtt�isi '= p .�. ems:.... Town of Barnsfat.,10 Building Division 367 Main St. Hyannis, MA 02601 /Yl T,eoT i 04/10/01 TOWN OF BARNSTABLE PAGE 1 PROPERTY/PERMIT CROSS REFERENCE SELECTION CRITERIA: property.parcel_id=1056 018' ALL CONTRACTORS ---- PERMIT ----- MASTER NUMBER TYPE PERMIT PARCEL ID ADDRESS LOT/BLOCK DBA EXPIRED 50512 BROOF 056 018 176 COTUIT BAY DRIVE 100 51190 BPLUM 056 018 176 COTUIT BAY DRIVE 100 51386 BELEC 056 018 176 COTUIT BAY DRIVE 100 51569 BELEC 056 018 176 COTUIT BAY DRIVE 100 52203 BELEC 056 018 176 COTUIT BAY DRIVE 100 APR 7001 "av ,(��, � �!J /o2. l2 Ca m p ���Pc� i,�c��//o✓� cS�s���,�G�/� `2 1/ais7J RUN DATE 04/10/01 TIME 14:41:43 PENTAMATION - PERMITS MANAGER f v TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 056 018 GEOBASE ID 3206 ADDRESS 176 COTUIT BAY DRIVE PHONE COTUIT ZIP - LOT 100 BLOCK c LOT SIZE i DBA DEVELOPMENT `d DISTRI.CT .CT' } PERMIT 50512 DESCRIPTION STRIP AND REPLACE 4.000 SQ;',FT-. . ROOF,".SHINGLES PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING CONTRACTORS: PROPERTY OWNER ARCHITECTS: ' nTAL FEES: $25. 00 BOND . $. 0 0 ; CONSTRUCTION COSTS $8, 000. 00 r 750 ROOFING AND SIDING 1 PRIVATE PROPERTY DATE ISSUED 12/11/2000 EXPIRATION DATE, Department-bof Health, Safety and Environmental Services OF Inc 1p� y � * BARNSTABLE, msS. bit �► �,o �•i63q. 1� Depal'. Lent of ffealtb, 9 ;f B{ D� ,� �� R'-- es Of, N a iG 1D�� �. S.�,: �E� BY: ....-� ,/ they et�f tyJ', a✓�,.,���a ..:. ".�. � -7 Assessor's map and lot number . l.-.. 4? SEPTIC •SYSTi=M MUST BE INSTALLED Ifs CCNPL; ANCE Sewage Permit number .....:.7.............:....... WITH A?TICi E I1 SANITARY Cor)E AND r�j►,���t �Q o TOWN OF BARN 'A'B i • i BARNSTIBLS, i "MA`MAV BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... ......................... �..../I.�'Ld �$................................... ........ ..... ..,.. GUa��C. TYPE OF CONSTRUCTION ............................... ..............`J2.....�.......................................................................... .... .........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....,GO .... .. ..6........... ... ?......... ................................................... ProposedUse ....... ..................................................................................... ................................................................ ZoningDistrict ...................................................•....................Fire District .....C.. ......................................................: Name of Owner 4/0)��... 1....................../ ......................Address .................................................................................... . Name of Builder .......... ......� f / � ...............................Address � .. ,', C.f...!v✓!✓r.............. :.Address '....../ � P �/y( rAy Nameof Architect ......... ................::. ....... ............-y.... ....................... Number of Rooms ..Foundation Exterior .....lrU :..... .... .:.% ...................................Roofing .........L2 I all/ .......... `Floors (�.� rya+ !, t ;,'y�r...`� �y .......:. Interior ........ ... ..... ........U1Q` ......................... r' •� 9""!."r`Y, �'�"' .r �'; [ .... C � . Heating} ....'Yr+ `' �.... ?+ F�Irrmbipca�- _r, r >t Fireplace .............. .... ........ ... . .. °" . .Approximate Cost ...!._e.............................ad ..... ................. ::.. ...... . ... - + . d Planning Board ----------- ------ 19 AreaDefinitive Plan A v .....PP o ......... ....... Diagram of .Lot and Buildin with Dimensions ,� Fee ... . SUBJECT--To"APPROVAL OF BOARD OF .HEALTH \ !f r , r �6 .f . S ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r t .. „ Beckett, John ' l89l7 No -----.. Permit .* ------. . v . /ozxhon ........ .................... \ ` � ���1���)� -------. -------------- _ [�vno, .......... ............................. | ' Type of Construction ---.�rmm�------.. _ _ � ---------------------,----' \ � V plot ............................ Lot ____#l&0 ___ ---' . ' Permit G,ono»6 — —lp77 ' Date of Inspection —lp � f . ^ - � Date Completed .x-p —]9 / . ` 0E����0 ` ] . ------- -------- 19 � . � —.�----------..�------------- ^ . y . � ^—'-----,_ --- ~/ ' '.'.-----------'.—' , | ^—.-----..... ~� ��-.�--------.------. . � . .-----------------.-------.. ` ' | ^ ` ^ . Approved ------.--------.-. 19 � -------------------.^---.--. ' / . ------------------------..—. ~ ^ ` ^ , � . ~ Assessor's map and lot number ........ .............. Sewage Permit number I"Er TOWN OF BARNSTABLE I BARNSTABLE, i 2639 ��MPY a• BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .... .:....:................................................................................................................. TYPEOF CONSTRUCTION .................. ........................... ...................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................:........ .............................:............................................................................................................................... ProposedUse ..............:...........................................................................................................................................................:.. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ............... .....................Address .................................... .................................................................................... Nameof Builder .....................................................................Address .................................................................................... Name of Architect .Address Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .................................................................Interior ............ Heating .................................................Plumbing .........................................................................:........ Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...........:.............................. Diagram of Lot and Building with Dimensions Fee .........:.... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Berkattv John A='56~18. �~ — �x l89l7 one ato ' No -----.. Permit �v ------���----. � . l ily dwelling ' ---------.^----------'----- � Location . . _______.. t______________ � ' ~ Owner ...........John. tt_________.. Type of Construction .......�����-------- ^ ' � . ' ---------------------.----' � ^ #lOD Plot ............................ Lot ___________ | . � Ja�o�ry 2� 77 � Permit Granted -------------]g � ` ^ Dote of Inspection ---------. --.. 9 . ' Dote Completed ------------..}9 ^ - . - ' | ' PERMIT-REFUSED - -------------_------- lV ....................................................... ------ � y / —._-----�---- ~- .�.y-----. ` _ � ---' .......................................... . . . . . . / ^ . ----��. =—'/... ............................................. � ` Approved .............................................. lA ^ --------------------------. � ------------------------~—. � � _. | � ! � 1 - f.: <, q - : Q i� f 3 6, 552 s. ft L O T I00 Pr f r h Zoop` 5B 24'4 __ h0 5. ,� ¢s � ,A y © R. / hereby certify thet the PLOT PL AN F,Wndatien is located as shown �. y,. 0 and conAorms to #tie ZonIng / 0 . By Laws of the roan of H u COIrwr BAy SHORE' f�rrrns�abls. ' ;� �:'• IN ?, COTM/r, BARNS rA BL E , MASS. 10 Sco/e / " = 40' Dec.20, 1976 GRETE M. BOHANNON, R.L.S. '�f West Bridgewater boss., 02379r .� , .. , � `---�i _,_ _ � zy �� .�-- � �� �� � � z� � � � � � � � � - � � Property Location: 176 COTUIT BAY DRIVE MAP ID: 056/018/ Vision ID:3630 Other ID: Bldg#: 1 Card 1 of 1 Print Date:04/13/2001 �-".;.-."anr:,...:.sk.:-..�,.�sk•+:is+v::.,r' u'i a. > - '.4,.u?' a.:, ,at.+. 'sfnuses- s sass.cz+sd�,.•-saar <„a.c.v � rc�gw., s�?�xus --.e;a,.*x�o�,i,., Description o�a �,Appraised Value Assessed Value %WHITE,LUTHER D III&BETHANY C RES LAND "' N 128,80 76 COTUIT BAY DR SIDNTL 1010 163,900 163,900 .801 OTUIT,MA 02635 Barnstable 2001,MA . fR �..:'. ��a�iLt ls��ks.+z� ,a ,ck.✓ � r: a.�,,,s�aa`LC,� 7`,.�, d'' Account# 32066 Flan Ret. ax Dist. 200 " Land Ct#er.Prop. #SR VISION O l Life Estate DL 1 LOT 100 Notes: TCT N DL 2 CIS ID: ota , _ � zkv �s<;.z..,xax'au�.�a:�exa�xd: �. ..,�R.m. �. '-..vise :� � �'�c�,�.. . +awea ;r�,•€r fiax--. �<',�... ...•.� �s..,.E:�..•.rdc Mawr' � ,�. 'asaa u r. Gode Assessed Value Yr. Gode Assessed Value r. Code A ssessed value APPALARDO,PATRICK ET ALS '5293/097 09/15/1986 Q I 248,000 , , , RENHOLM,ROSS L JR ETAL 4696/116 09/15/1985 Q 1 212,000 2000 1010 156,6001999 1010 156,6001998 1010 156,600 URKETT,ROSALIND B 2240/344 Q 0 , ota: ota ziz,uuu nature ac n o w a es a vtstt a ata o ector or ssessor g .y Year yp escription in o e Description Number Amount Comm.Int. _I s I _ _ -._., _ -.-— _ - • -_ _ _. _— ---- ___. __ -_._ _-- Appraised Bldg.Value(Card) 161,300 Appraised XF(B)Value(Bldg) 2,600 Appraised-OB(L)Value(Bldg) 0 Maki Appraised Land Value(Bldg) 128,800 M��....`..�Zi,'2„�'dw s,:�'h a�. -r..�rS"`s�: .��. .. M_ �'' rys,',. n. - � ��as � ' Special Land Value Total Appraised Card Value 2929700 Total Appraised'Parcel Value 292,700 Valuation Method: Cost/MarkeYValuation e o a Appraisedarce a ue , a .3m �'zewm 'a; �. Permit Issue Date lype Description Amount Insp.Date YoVComp. Date Gomp. Comments Date ID Gd. Purpose/Result - M . a ;. . �1k 1 i :�:.��Aa � `-A " Use Gode Description one Frontage Depth nits nu .rice actor actor g p ,/. ores-A djlSpect,alPricing dj. Unit Price Land Value mg a am o es: lotal CaAaan nn arcel 7btalan real .U.34 AUj 4�-- :,otalLanda u Property"Location: 176 COTUIT BAY DRIVE MAP ID: 056/018/ Vision ID:3630 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 04/13/2001 , , =s3& c/. -x....� ., .-i s, ,. { a sr,p; >.Ya :..v Y•".c - •, d"_ `.i`xm T•',." :� b ,4;'re. -ar. �ii ^;�--.fi.. x ;,...., a,.,.: ,... �- ,w r, .m-..... Via.<.�kz..... .tx. -..cc::. :'... �:T.,.,,�cv$..j .." ..:4 ,;,; ?? < ,»..& r: c,• :u< ..f,�, .:��•-,. a�'. se .»:uv+.--.. .Sssbla,Cs "s>'. '...._:. ':°,"�.��..-: 4. ,.: :�'. Element Description .(-'ommercial Data Elemerits 3Ty-l-e7Type 11 Rancn• Element Gd. Ch. Description odel 1 Residential Heat&AU UAT[18761 rade Average Grade Frame Type Baths/Plumbing tones 1 Story Occupancy 0Ceiling/Wall PTO Zu ooms/Prtns Exterior Wall 1 14 Wood Shingle %Common Wall 2 Wall Height 12 1 26 Roof Structure 3 able/Hip 10 20 Roof Cover 03 sph/F GIs/Cmp 17 - nterior Wall 1 5 Drywall 2 Element (;ode Vescription Factor. GAR 2 nterior Floor 1 4 Carpet omp ex 1618 2 2 Hardwood Floor Adj BAS Unit Location BMT Heating Fuel 2 it 8 3 23 Heating Type 5 Hot Water Number of Units C Type 1 None Number of Levels /o Ownership .1 . Bedrooms 3 3 Bedrooms 22 Bathrooms .5 1/2 Bathrms , - 4 r 28 1 2 Full+1H na j-Base Rate Total Rooms 7 Rooms Size Adj.Factor 1.93669 Grade(Q)Index .12 Bath Type Adj.Base Rate i2.95 Kitchen StyleBldg.Value New 85,451 - Year Built 977 ff.Year Built A)1987 rml Physcl Dep 3 uncnl Obslnc con Obslnc ,. pecl.Cond.Code pn Go de Description ercenta a v ecl cl Cod Cond. 7 lulu single am , luu it • eprec.Bldg Value 161,300 .s so'l.i e Description LIF units nit Price Yr. Dp Rt - o ch Apr. value Fireplace-1 . " 0511101 Code Description Living Area Uross Area Eff.Area Unit Cost Undeprec. Value ' irs oor T7_6 1,876----TS76 62.95 118,094 BMT Basement Area 0 1,876 375 12.58 23,606 FOP pen Porch 0 104 21 12.71 1,322 GAR Attached Garage 0 518 181 22.00 11,394 PTO Patio 0 240 24 6.30 1,511 UAT Attic,,Unfinished 0 1,876 469 15.74 29,524 ross iv ease rea , g• a185,451 CERTIFIEDU.S. Postal Service (Domestic co n- .0 m r-4 Postage $ /\GJ cc rU Cer0ed Fee Q_ •J� >-; �\P6stmark r-4 Return Receipt Fee +- Here ru (Endorsement Required) C C3 Restricted Delivery Fee p (Endorsement Required) \ O Total Postage&Fees J rLj Ln Rpclplent'S Name (Please Print Clearly)(To be completed by mailer) O Street,Apt.pg.;or PO Box No. ,p o �...1.�2 Tact! ... -4 ---------------------- r- CI State,Z/P+4PS Form tT :r0 February 2000 See Reverse for Insiructions Certified Mail Provides: ■A mailing receipt ■A unique identifier for your mailpiece ■A signature upon delivery ■A record of delivery kept by the Postal Service for two years Important Reminders: ■Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. i ■Certified Mail is not available for any class of international mail. i ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the i fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the oost office for postmarking. If a postmark on the Certified Mail receipt isil8t needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,February 2000(Reverse) 102595-00-M-1489 Town of Barnstable •'1,°� Regulatory Services SAMSTeai s, = ThomasHAMM F.Geiler,Director 059. �•� Building Division 'QED MA'S� Peter F.DiMatteo, Building Commissioner 367 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Notice of Building code Violation and Order to Cease, Desist and Abate: Mr.Luther White and all persons having notice of this order. As owner/occupant of the premises/structure located at 176 Cotuit Bay Road,Assessor's Map 056,Parcel 018,you are hereby notified that you are in violation of the Massachusetts State building code 780 CMR Article(s) 110.0,Section(s) 110.1,and are ORDERED this date July 3,2001 to: 1. CEASE AND DESIST IMMEDIATELY,all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: 780 CMR Article.110.0 Section 110.1 Permit Application. 2. COMMENCE immediately,action to abate this violation. SUMMARY OF ACTION TO ABATE: File a written application for a building permit for work that will be done. And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1,Section 122 of 780 CMR State Building Code)within forty-five(45)days after the service of this notice. By order, Mitchell A.Trott Local Inspector enclosures Certified Mail 7000 0520 0021 8281 3698 R.R.R. Q/010703a • -�-�79;._v.ty,,,,k,,,�+.,•..�..ri;;#+.'�i�h.�.,�,,+'�'Gf`9�erryi::q"#fi'�'°�'`'�T�+li'°�'"�,C�f�'}`fi5. �i""K,���'.��3����.a�"+r^'.'r;ewe.,.,,�,ti:•'�t1;:�,i�+.y.,.'�+ s?'L �j .;a:,:- .•.._ The Town. of Barnstable ax BAsrABL&16 I _ Department of Health Safety and Environmental Services i0'Ec ww�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038' Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: t 44VA V (A����`� Map/Parcel: ()56— d 1(SS— Project Address: (76 (1674< E—t�' (1�>r. Builder: The following items were noted on reviewing: . J Please call 508 862-4038 for re-inspection. _Inspected=by: Date ( 1!1 1 q:building:forms:review