HomeMy WebLinkAbout0254 WALNUT STREET oZ5
0
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. , Town of Barnstable Building
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on'Job and this Card Must be Kept
'""sn 8 Posted Until Final Inspection Has Been Made. p�y�7'1�17�
s639� ♦m Permit
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39. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-20-368 Applicant Name: Michael Maher Approvals
Date Issued: 02/07/2020 Current Use: Structure
Permit Type: Building- Insulation-Residential Expiration Date: 08/07/2020 Foundation:
Location: 254 WALNUT STREET(M.MILLS), MARSTONS MILLS Map/Lot: 150-011-002 Zoning District: RF Sheathing:
Owner on Record: FOGARTY,JAYNE L Contractor Name: MICHAEL MAHER Framing: 1
Address: 254 WALNUT STREET Contractor License: CS'1�09089 2
MARSTONS MILLS, MA 02648 Est. Project Cost: $3,600.00 Chimney:
Description: Air seal and insulate the attic, insulate the knee wall slopes,insulate Permit Fee: $85.00
the common wall,vent a bathroom fan to the outside Insulation:
Fee Paid: $85.00
Project Review Req: Date: 2/7/2020 Final:
Plumbing/Gas
1 Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan ff,cial Final Plumbing:
All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
t Final Gas:
work until the completion of the same. I
The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work:
Service:
1.Foundation or Footing
2.Sheathing Inspection
Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final-
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Building Department Services
FINE ip�� BriAn Florence, CBO
Building Commissioner -
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aMxxsrA=, II 200 Main Street,Hyannis,MA 02601 '
MAIM
9 1639• .�� www.town.barnstable.ma us
Office: 508-862-4038 Fax �0-6230
Approved: 5 S
Fee: �3S
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name: �"/ MA/iyF7TI Phone#6KOO Ilk:-Os��
Address:
i Name of Business: (� Tt//1/7- L&ASS A LA&
Type of Business: Z_A/Ub Cc -UL A-4wZZ A44 1,cC Map/f of I S-0 — D I 1 ' J7
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the.dwelling. there shall be no increase in noise or odor,no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• " Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or,display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing'the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included
• No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the undersigned, a ad and agree with the above restrictions for my home occupation I am registering.
Applicant: 1;9Date: S
Homeoc.doc Rev.06&0116
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$40.00 for 4 years). A business cert'rfi.cate ONLY REGISTERS YOUR NAME in town (which you
u mustfirst obtain the-necessary signatures on this form at 200 Main St., Hyannis.
must do.4y M.G.L.-(C does-not give you.permisslon to operate.] Yo
Take the completed.form to.the Town Clerk's Office,1 st FI., 367 Main St., Hyannis, MA 026.01 (Town Hall) and get the Business Certificate that is
required by law.
DATE: S' Fill in please:
��.aiU'':=�i�i{�:a: d',"�f't`•',;.;L�r APPLICANT'S YOUR NAME/S:• JLLIr�•�i'� I�NNc�_ rT-1
til ry I'• ?=�' )�' h':+.� / BUSINE S YOUR HOME ADDRESS: S
G L
l (,�� ti Mc� S'7'GWS -115
�'I► �e!l"'''1 TELEPHONE # Home Telephone NumberJL
•--�—
V1 'a E—MAI L:
(,r: nti:a.L• ��
NAME OF CORPORATION:
NAME DF•NEW BUSINESS / l d�� TYPE OF BUSINESS IS THIS A HOME OCCUPATION L YES NO MAP/PARCEL NUMBER �0 J�I I sessing]
ADDRESS OF BUSINESS-
When starting a new business there are several things you must-do in order to be In cgmpliance with the rules and regulations of the Town of
Barnstable. This form is•inten'd•od to assist you In obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
i Rd. & Main Street) to make sure you have the appropriate permits and Ilcerfses required to legally operate your business in this town,
1. BUILDING COMMISSIDNI= OFFICE MUST COMPLY WITH HOME OCCUPATION
This individual has bee ' f d of an r i. nits that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO
COMPI.-Y MAY RESULT IN FINES.
uthorized Signs re*
CD M NT5: .
J •
2. BOARD OF HEALTH
This individual has been informed ofthe permit requirements that peitaln to this.type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS [LICENSING AUTHORITY]
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature'
COMMENTS:
I
V• , T
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map U 'Parcel �� /_002— Application# ;00 / 3 03,
Health Division
Conservation Division Permit#
Tax Collector Date Issued
Treasurer Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address CtLNvT 5
Village IK a4'VWs kt dl'
Owner c_- lo r Addresses SY yq�kvl 5f
Telephone
Permit Request .19L- %� 7c 3-Z ` /��il✓� �� Sw y K c, �Doo�
SY1oaOfn Dit crr�-nl
Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new
Zoning District Flood Plain Groundwater Overlay a
Project Valuation U, 00d Construction Type w,,#/01,V YL �!
_ f
Lot Size 5 ' D Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure // S Historic House: ❑Yes QNo On Old King's Highway: ❑Yes kiNo
Basement Type: VFull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) IF3 (//P
Number of Baths: Full:existing new Half:existing new
Number of Bedrooms: existing new //--
Total Room Count(not including baths):existing ry new First Floor Room Count
Heat Type and Fuel: ❑Gas *Oil ❑ Electric ❑Other
Central Air: ❑Yes J�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 0 No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exist' i ❑neg size
p_ c
Attached garage:❑existing ❑new size Shed:dexisting ❑new size Other: :
C7 j --<
N _
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -
- o
Commercial ❑Yes O No If yes,site plan review# U)
Current Use Proposed Use rl�I T
FiR
BUILDER INFORMATION 3�Name t(., So SP.� �i Telephone Number � � � 7 7
Address 3 7 /_3 License# a U 9 y 3
3�i2W9 h1�. D2 bj(� Home Improvement Contractor# Z D( OU
Worker's Compensation 700 5-5-7 Sy/J 00
ALL CONSTRUCTION DEBRIS RESULTI G FROM THIS PROJECT WILL BE TAKEN TO
I
W Gw LV
SIGNATURE DATE � ��� )
r
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGEd 1
OWNER .
a
DATE OF INSPECTION-
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
i FINAL BUILDING ®` 6
DATE CLOSED OUT
ASSOCIATION PLAN NO. -
' The Commonwealth of Massachusetts
UVDepartment of Industrial accidents
Office of Investigations
600 Washington Street
Boston,MA 02111'
www.mass.gov/dia '
Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plnmbers
A licant Information .Please Print Legibly ,
Name(Business/OrgmL-ation/Individual): ( I. D t
—��3
Address:_
City/State/Zip: /��1 -6(^L� Phone.#: SU 3 62 �!7 7
Are ou an employer?Check the appropriate box: :Type of project(required)-..
1: I am a employer with 4. ❑ I am a general contractor and I
* have hired the stub-contractors 6 El New construction .
• loyees (full and/or part-time). �, Remodeling
2,❑ I am a'sole proprietor or partner- listed on the*attached sheet ❑ ling
ship and have no employees These sub-contractors have g, Demolition
-Workingfor me in an capacity. employee;,and have workers'
Y P tY $. 9. Build addition
[No workers' comp,insurance comp,insurance. 10.❑Electrical repairs or additions
required.] 5. ❑ We aze a corporation and its
3.❑ I a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions
myself,[No workers'comp. right of exemption per MGL 12,❑Roof repairs
insurance required.]t c. 152, §1(4), and we have no 13.❑ Other
employees, [No workers'
comp,insurance required.]
*Any applicant that checks box A 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 mutt submit a new affidavit indicating such.
1contracton that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or-not those entities have
employees, If the sub-contractors have employees,they must providb their workers'comp.pohdy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site,
information. /
InsuranceConTanyName: SOI�G�� /ryr�i/; Z(� af- Ai055 01✓ram l,JS C-0 .
Policy#or Self-ins.Lic,#: 0 W(-70 0 557 SO/ 2 40 6 Expiration Date: l/ '/-7"d QU-
Job Site Address �S l w 1g)r5F City/State(Zip: 11 fl-S,* A
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 civilpenalties 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 maybe forwarded to the-Office of
investigations of the MA for insur 6e coverage verification.
I do hereby certi under the pain nd nalties of perjury that the information provided above is true and correct
Date- 5
Si tore• —
Phone#: d 3 I—
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#:
Information and instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual,partnership;association, corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a'-deceased employer,or the
receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments 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 notbecause of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
rene`val 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,MGL ehapter_152,§25C( )states"Neither'the commontealth nor any of its political subdivisions.shall
enter into any contract for,the perfomnance of pub4c-work untii acceptable evidenee•of-compl!a*vf+iith:lie insurance-
requirements of this chapter have been presented'to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the .
members*or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the-city or town that the application for the pemut.or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law-or if you are required to obtain a workers.'
compensation policy,please call the Department at the nurgber listed below. Self-insured companies should enter their
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 permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"lob Site Address"the applicant should write"all-locations in (city•or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant-as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for.your cooperation and should you have any questions,
please do not hesitate to give us a call
The De* utment's address,telephone-and fax number:.
The CmnonwWth ofmusaehusetts
Departs eaxt of 1ndusWal A.coideets
Qf act of Investiptions.
604 Washing Street
B.wton CIA 02111
TO.#617-727-4900 ext 40,6 or 1-V7-MASSAFB
Revised 11-22-06 Fax#617-'2?-?749
WWW-mamgov/din
°FTMEr, Town of Barnstable
Regulatory Services
BA '"AM Thomas F.Geiler,Director
1639. Building Division
Tom Perry,Building Commissioner
200 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: vK I Q( — Estimated Cost �V J
Address of Work: S 4A46wr S/
Owner's Name: 0
-
Date of Application: � 07
I hereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
❑Job Under$1,000
OBuilding 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 M IMPROVEENT 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 age f the//owner:
l D � 0 0
cl
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:fomu:homeaffidav
RESIDENTIAL:
SHEDS .POOLS—DECKS-OPEN PORCHES-GAZEBOS
FEE VALUE WORKSHEET
APPLICATION FEE: S50.00
BuaMING PERMIT FEES:
ACgpgy STRUCTURES >120 sq.it,(Sheds,gazeboss etc.)
>120 sf-500 sf $ 5.00 S
>500 of-750 sf S
>750 of-1000 sf 75.00
>1000 of-1500 sf 100.00 S
>1500 sf USE NEW BVM ING PERMIT APPLICATION
x$30.00 $
DECKS
(Number) -
PORCHES x$30.00= $
GROD SWSMMIlVG POOL S60,00 $
OVE GROUND SyyevrING POOL $25.00 S
M, OCATION/MOVING S150,00 $
(Plus above fee if applicable)
$ERMIT FEE
Q:farms:dkcost .
REV:063004
Town of Barnstable.
s
Regulatory Services
Thomas F.Geiler,Director
MASS
9 sb� 9 � 'plFD Iv ! Building Division
Tom Perry, $uilding Commissioner
200 Main Street Hyannis,M&02601
www-town,barnstable.ma.us -
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Corriplete and Sign This Section
If Using A Builder
I, kiJad 0 a!'' , as Qwuer of the subject property
hereby authorize J l to act on my behalf,
in all matters relative to work authorized bythis Molding permit application for. ,
(Adanss of Job)
Signature of Owner Date
Print Name
O:rGRr/S:O�T.�RPIrFcN�L55I0A' -
NOTICE NOTICE
TO V TO
EMPLOYEES EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street, Boston,Massachusetts 02111
617-7274900
As required by Massachusetts General Law, Chapter 152, Sections 21,22 &30,this will give you
notice that I(we)have provided for payment to our injured employees under the above mentioned
chapter by insuring with:
ASSOCIATED INDUSTRIES OF MASSACHUSETTS MUTUAL INSURANCE COMPANY
NAME OF INSURANCE COMPANY
54 THIRD AVENUE,P.O. BOX 4070,BURLINGTON, MA 01803-09
ADDRESS OF INSURANCE-COMPANY -�
AWC 7005575012006 11/17/2006 - 11/17/2007
POLICY NUMBER E=595
PO Box 1013
United Insurance Agency Inc Buzzards Bay, MA 02532
NAME OF INSURANCE AGENT ADDRESS PHONE
Richard T Senoski 3413 Main Street Barnstable, MA 02630-1234
EMPLOYER ADDRESS
09/11/2006
EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish
adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act.
A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician.
The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary
and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that
the insurer has arranged for such attention at the
NEAREST AND BEST MEDICAL FACILITY
NAME OF HOSPITAL ADDRESS
Tom% 71T �1114nTTT T`t T 1"IS Ar 1W !\t T-�T
LOT 1
ASSESSORS LOT 11-1
/2 1
Al 0
17UNDAT/ON /`
qoT 2
ASORS LOT 11-2 �rT
00
--- -_ _N833600"#, \
163.5.?� \
ASSESSORS LOT BO �sesrSAp �\ ti0
OLD RACE LANE
DISCONTINUED \�
J ASSESSORS MAP: 150
q'LOOD ZONE "c"_ FO UNDA TION CERTIFICA TION RES ZONE. "RF"
TOWN.BARNSTABLE SCALE.-1 "=50. _ PL. REF.-32,4179 ELEV NIA
I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS
FOUNDATION IS LOCATED ON �H of a�q P. O. BOX 265
THE GROUND AS SHOWN, AND UNIT 5, 40B INDUSTRY ROAD
ITS POSITION—��----- P A yG� MARSTONS MILLS, MASS. 02648
CONFORM TO THE ZONING LAWS MERITHEW y
SETBACK REQUIREMENTS OF o.•3M woe TEL: 428-0055
. ` BAARNy _TA_B_LE---- �"�ss�'°Fc,sTER`�sJ�,�' FAX 420—.5553
-- NAl LAND
--T==------------- C JOB
PAUL A. MERITHEW DATE 811�95 NUMBER50342
6/77
^: BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number: CS 009635
4 ift Expires:07/26/2007 Tr.no: 2752.0
Restricted: .00..
RICHARD T SENOSKI : _
3413 MAIN ST
BARNSTABLE, MA 02636
Commissioner
✓�ie T�omr�no�tcaea� a ��,aaiac�ivae�7`
Board of Building Regulatio s and Standards
HOME.IMPROVEMENT CONTRACTOR
Registration: 106009
Expiration: 7/21 P2008
Tgpe: individual
RICHARD T.SENOSKI ..
Richard Senoski
3413VAIN ST. ,a.�Q-r•��
BARNSTABLE.MA 02630 Deputy Administrator
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- SHOWN
. �... - SAFETY LRE _ I W rsNAoE .4•.
f k. �P T10O16 I E1AT AREAS PUMP M I
< 7 . 2 I - .MOTOR ..
ame I FLAT AREA X' _S� PRESENTS
0I a - AREAS
GO m to 1 I I y
G• .� d- T OPTIONAL OR
• 0° I---►---� MAY'-BE. .I SNOMMER
0 ;FCxZ�jJi4:'SF ST3RF.MiEA8$]O.GAL.CAP LOCATED AT I .'l sucT1GN
.SIZE 9/OM'M'^'16x3750B.-SE ..uRFYEA615fll�GALCAP POSTONS
.:1 '.0.. J I t345 G" -SF SUREAREA L.209Q.GAL.GYP. 'X'YORZ' TURNI.
m m m 2O.eO'796 SF SURFAPEA.G'ZQj`QOGAL-Cite L-.-- ----J •Z.. - .
4 SERIES 2000 6 2050 INGROUND 'A'FRAAE ASSEMBLY.'
, .. - T7PICAL M7HERE srPowN
No O HJn AND SIZE SIIOMN-18Y 44 T84 SE SURF AREA 1524800,GAL.CAP .
o 'O MOTOR PERMAtEPM Y'1_ .
STARS ARE OPTIO SAFETY'LINE
r -
`� ► ——~ s -MER MI
— SERIES 2100A 2150 CRO.UND OM: SUE SNN 0.26.38 90•EL R2i SF SURE AREA
LUCTIDN ETU
rTIER
-.•1 - R181
I - / � 6 28928 GAL.CAP
• / - .. _... ARE
I 2
i
� Y 'a SERIES .2000. 8.2050:INGROUND AL
. .I - rSNtADED VIUFMONsFLAW AREAS
REPRESENTS
ETURN
1 _ a
1 'A'FRAME'ASSOASLr
!—♦. ! 2 TrPlcx 7In+ERE slloWm• ..
SIZE SHOWN:IG.V 767 SF SLXW AREA.G 2O720 GAL GAP
ALSO MjILABI.F 6--m- 773 SF SURE AREAL249SS GAL.CAP .
20.4W OW SF SURF.AREAL 292" GAL CAP -
SERIES 2100 8 2150 INGROUND
�d 13/Et/aY ar mxrlm W MArlL ANI CO .mm M WIEiu: M 61L GAILY.STL:NR
LI R OLMCAWL 1_.L
RxRE a TIE SKINLESS a SEEMS) Pm•nrdu[o rM GA G/1LX STEEL M� � SEE I W L AND
TIC To K lN[M FOSS an rasL. • t� •—(' I �rLANS WH 14UT101i5 III���Iff B Qf1�R rtEl6 H BRAQE
WASHERS TYPICAL
•3 5-84*#ALBOLTS.NUTS ^[YL GAILY.
i!+oa i EA. 2 1EL END TYP
EA gMF1 END ST!>:LfRNEI- 5-we ELBOLTS HUTS � / ��
--T- I i AND
D 2 WASHERS� f 104 G4 G4Uf'-TFEl
of I I 5-LM•*AM 2 K.BOLn.NUTS - N[i• ri
ZH I r v —�
Mrs Ji 1�
114 GA GALV STEEL 1 } W
I A N - S•IN A I .' pptiFlt PECE SKr
t \ TYIT q/ 20 NIL.THICKNESS
•'� \�. I I 10 GA.GALIL STE�EL1 �/ O/ VNYL UiER
y/G" rpy I mrERx PIECE
6l GALV..STEEL
l PIE tTYPCaRNER �•` / mr.
[. x 2 CARRIAGE BOLTS
! o!
Ivom
20 YMLLEIENRUOE55 Ito MIL.THICKNESS d• — WIL.THICKNESS :�H
SERIES goo a 750
OCTAGONAL CORNER �1 SERIES 900 81 850(90•CORNER)n SERES 900 81950 MY*CORNER) �1 SERIES 550,1000 a 1050(TY.CORNER) . 4n
2 2 z z z
1 14 GA..GILLM PIECE AND
II z W�iL9E'RS TV�P. ID•To E�of 1w1E1 1
• I EA-RNEL END /GALYIAMGLE.SEE On A/O C.
Ili M GA GALV STEEL • PLANS ITEMS IN BRNrlONS a
PAUE1.SEE SECT. PANEL STL OTTER ITEMS N BRACE
OR TYPCCAL 14 BL GAIK5��� \ 5-�I KBOLTs PATE:
1 �• f \ �144t- OOESS EA. 2 MASHERS
TSfR t
•� r 1 L/ER FAN1tFl END 5�s•0 Y.BOLT"NUTS'
• i� fA I�t 6t�G11tYSTEFI Am 2 WASHERS TYP.
WAAAt n' I •P�INEL EA.PANEL ENO -rY
iY• 20 ML THICKNESS ® I N GA Gam STEEL
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1
�R IL� / , Z'-ID'RT SE:CT.7 6
®NYxIIYz T
.Z rINCLE.SEE SELL e CIO•AT SELZTA I f O
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m LNGER
PLAP6 FOR LOCATIONS a
OTTER(TEES N BRACE
p m(�
m m
m a _ SERIES 1000 81 1050 EL CORNER n SERIES 700 8750 EL CORNER (@ SERIES 700,750-1000a1050ELCORNER n n SERIES 700 STAIR CORNER
' m � _ z 2 z z 2
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1 VV2 TYPICAL ��.(F1 Tt- 11/2 TYPICAL ALARZAN ��—}I �-- P IALLATIOW
.a ED m " A,- At FORS COPING .r}—�ml ' NOTE NO.
A.BOLTS.SMUTS
OD i20 IBL. ,1►aPSEaIcs .'who•Y MASHERS TYP. i TTT^^ PLAIT = I-Alfa IL eOLTs ;.;i.':'..•;.- ,:::•_" :•F-,,:' z
TINNINESS TYPICAL
o —O VINYL L1E7t N ATE:SEE-SECT. e� PANEL END
O m 5- 20 IL THICKNESS 0/2:FOR
DIAGONAL
.TYe • M GA 6ALV. �3k2%1/4 CLJPAMLE • .
CA • VINYL LINER - •N• E L4• S O•ALLTHEAD .
�C GE 1 BqAcE�LEVELING..
eoLn.NtlTS I F�-P1.TE 6 CONC. CAWiMEE:Ba_T 1 EA PANEL R.
G WASERSR I 1 5-<1.5 CARRIAGE - COLLAR INFORM- M GA.GALV.STL 1 I
TYPICAL J I BOLTS.NUTS a ATM- • � iMIE1 TYF\GML 1••� 'I More ALL.BAOffLL 1/4• z
WASHERS TTF TN BE NON-EHa►vesYE
soL SEE/Is�ALLmTw�I . F«-•� L : N 4 II i F-� �II NOTE Na 1 MJT�S 113•ja1
l3 ALr
L-tWxLi�>r1 2CIG•A L
GALY
(WALL
94 GA.GALV.STEED • NOLTs.►UT GA 1144STE}1 GALV
FILLER PEA 2 SE SECT. 6- ti MLBITS.WASTERS TYP Fu1ER PV OL ABOVE
Gk a 4 GA:GALY ANGLE
I IA
SHERS
.� Typ-l-&L.EACH 1 SY'S x'R' iR TYR EA'PANEL ENDJ I -
SERIES 800,900.1000&1050 CORNER_ r\'SERIES 600 81000.STAIR CORNER to_ E'A"a r BOInJ I �' CO1 TE'
.. -CO VNENT NOTES" z - NST�LLATII ON NOTES z 20 I I-TiKJOE� I 20 lL INER __j BAOffIl :.PERRIETE AROUND P FULL
—1 ADD( STFFEfER) I vfEn L/EI( '. PE7i�EIET1 OF FOOL SEE
L ALL iN1E frail 6 PORImm ntON NAreaka.com a11MNK TO LTE SILO.CFlaN OF THE.POOL C�PFRDICX=CIS A TYPICAL 11IMLLQlg1 Vwn LRAM J L-^2'x GAL1L I I Gb�1LLATgl1 NOTE on I
ASTIM A-OES WITH AN 4.=SALVINO=COATING. SESN r SOILS NOT emamm OR"KK CLAYS.PEAT.MMus MOLL a1 AT Q OF PANEL PER TYPICCLL M GA
t2/2.(OMRTED FOR
I GALV. PANEL E!O 2 �
2 ALL STEEL ANDS OWSEL STFFEE'RS AT MMIK SRACO I. ISi1Il Enl►r9VETIfOC LOIICETE COLLAR AT TIE�4 OFTHE WF]E]OIMR7TaI GLK PIn►Q:EPD C11ItfTY) I BE>•D OwENS10HJ ___r_-- 11 -.�- •.
ARE ROI.I.ED FROM PNATLRIAL CAIFORANNG TO ASTK fF1..WITH'"ASTr A-iT.3-GALUMICU D COATIMG. AREA.ARaSO THE PULL PEIIMETR OF THE POOL.TAS 6 mmmu ON OCI L PEEL ®O DIMENSION I
i s ALL sa-ts APO TIAEAOm owvEPirs,AM 1KNRNIGTAARD �.SACKfLL STTI�C2AN Er11TTN FIEF OF IIOOIS Arm OESRC ID M LBASE" I 2' IA/L FILL
FRANK MATERIAL mIORWIC TO^ST1 A-SOT(NUTS-A96HGA) NOi E74iF7DNNc•.EAoI LATER a...,, E PIlOaIN AND TCIkEtvuY TANfPEn.TO Pdt'FILL -
AM ARE 7OK RATE.PASTETKAf WASHERS ARIL STAIOAM M ELUMU ATE VOIOS.FILL PODL WITH SAYER ONR1N RACKFI LNGL SAVER LEVEL
PLATED. SHALL NOT OIPFER FROM SAC ISM LEVEL SET YORE THAN WE PLOT. 5.
,(� AAA II '�'.•
4.A CONCRETE SALxVE OR IMYFD R MALL ftAR ASIAT PIIDr 23N•�TYF!TOP 6 BOY. �-I .• +�`J I� 3-Mr• I
i 4.ALL WELDED JOINTS WIT PANEL STSTLIKN AND An LP57AMt2 C?fN AT A SAM on LESS THAN 1/4 PER FOOT. A BOLTS i (LEVELING PLATE)
A-/RAKE MACE).ARE COATED WITH AN AIJANAAI FAIRY APTFR OIORS2 DLL.BRACE)
1 WELDING. 0.71a POOL HAS NOT EEEII ESEEO FOR A SURCIIARE IaNRIL L-212'f WX 2•-0'GUM 2_p' Au ANGLE.
s WALKWAY OEIZ r M E AMRNF 1.N00 P4 OOMFIS'BYE F GRACE SITE ARCANE PONE 1101-T NOR YOffLLl TO LIMIT ELMxARLEJIT
fTTocTH n IfESNbI PIJAN NEsnnE of REVISED aN>a TO 30 P6 OR Las. TYPICAL WALL SECTION TYPICAL VV{41L STIFFE7NER 2Ls•OVERESUCAAK71D11 I
T.THE RO BE MD �"�01 TRAINED
=LAMAPPROVED Y UNUAL FOR 2'It PANED AT MIQ PANEL
n TYPICAL Y1WLL SECTION AT 'A FRAME 13
I
'Town of BarnstablePermit:
Regulatory Services Date:.
pFtHe tOk, Thomas F. Geiler,Director ' 1 ZO Building Division ee. a'
BARNSTABLE, Tom Perry, Building Commissioner
Muss. g
019. 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us '
Office: 508-862-4038 Fax: 508-790-6230
TOWN OF BARNSTABLE
SOLID FUEL STOVE PERMIT
Owner: 911clad ry or-IV Phone:
Install at: c,5_� IA C Il d 51 Village: /a),_(�44f 41111S
Map/Parcel: D11 C�6� Date: /�1.3/�d
Stove
A.(Iew /Used
B. Type: Radiant Circulatin
C. Manufacturer: Lab. No. 5�6 29 aZ- /W
D. Model No.: zz/? bb
Chimney
A. New/Existing. (If existing,please note date of last cleaning)_eQ1_2 /'9
B. Flue S>ze , Z X/_2
C. Are other appliances attached to Flue? /)p
D. Pre-fab Type and Manufacturer
E. Masonry: Line nlined
Hearth
A. Materials:
B. Sub Floor Construction: . -X1j1,ae)d171
Installer
Name: Address: `
Phone:
Location of Installation: ,
H.I.0 Registration#
Construction Supervisor#
OR check- !/Homeowner Installing, no license required
APPLICANTS. SIGNATURE IVAlz�ed
APPROVED BY:
Please make checks payable to the Town of Barnstable
*This constitutes an official stove permit afte s ot� n,f� J� t� l ote ra ed, and approved by the
VE � 013
Building Inspector
Q:forms`stove
Rev 103107
tME Town of Barnstable
Tp��
y�P Regulatory Services
BARNSTABLE, : Thomas F.Geiler,Director
9 MASS.
1639• Building Division
AIFD �s Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street a village r�
"HOMEOWNER': Z
d — SW
name home'phone# work phone#
CURRENT MArLING ADDRESS: / C r- .S/
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to
be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be
responsible for all.such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requ' ent
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the.unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
oFtHErq,,, Town of Barnstable
Regulatory Services
vsn MASS. E� Thomas F.Geiler,Director
s16.19. Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
PERMIT PAYMENT RECEIPT f
2UUILDINGBDEPARTMENT
ET
HYANNIS, M MN ARE02601
DATE: 12/31/07
TIME: 12:17
-------------- -- _
- TOTALS--------��-�-------
t PERMIT $ PAID 25.00 1
ANT TENDERED:
ANT APPLIED: 25.00
25
CHANGE: .00
APPLICATION NUMBER: 200708319
PAYMENT REFH� CHECK
33�0
r ti
I 715& PE�eF1)
CwT-A)Dow
v�fEiEpQ) Ry
f
r
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel 0H Permit# 6!5
TMYN OF BARN -RaRI�F
Haalth Division "�I4o lb �afe`ISsued
ADD
72
Conservation Division
' Z3Q3 JUL 28 PM 4pplication Fee aV
Tax Collector Permit Fee
Treasurer OI VJSION
Planning Dept.
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address //1 u .�.�.
Village _ A S Ans 41115
Owner C' / > 1
_!1� GharC/ ��une �aa 4 Address 2s-y LoUrid S1-
Telephone 56- 8- 5Q8 620'
o-
Permit Request e-ze W,q,qS—�yx/O� ab a2Yx32
Square feet: 1 st floor: existing 80 proposed 9/8 2nd floor: existing 3 proposed Total new /y
Zoning District�. Flood Plain L Groundwater Overlay
Project Valuation &Z,006 Construction Type o0
Lot Size Grandfathered: ❑Yes . 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family 0..� Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes J&No On Old King's Highway: ❑Yes 8 No
Basement Type: U Full ❑Crawl ❑Walkout O Other
Basement Finished Area(sq.ft.) n Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing a2 new Half:existing new
Number of Bedrooms: existing new
Total Room Count(not including baths): existing 17 new First Floor Room Count .�
Heat Type and Fuel: 0 Gas ®Oil 0 Electric ❑Other
Central Air: ❑Yes 0 No Fireplaces: Existing �_ New Existing wood/coal stove: O Yes ❑No
Detached garage:❑existing O new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing 0 new siz y-k3a�Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes B No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name o- v o< 4Telephone Number S`D 8 /29-879�
Address �Y akhL,Jf _<4_ License# CS 06397z
Ar-S 4//5n-S /I,r L /114. C)26 Home Improvement Contractor# /30 3 73
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO T can
SIGNATURE DATE 71.24 0 3
t-
s FOR OFFICIAL USE ONLY
i PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
1* FOUNDATION
{,
FRAME _ �f3o105 �4 ,(wok sw
INSULATION
i
FIREPLACE
` :ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
k' GAS: ROUGH FINAL
I�
FINAL BUILDING OO ®t
DATE,CL�OSED OUT
ASSOCIATIONTLAN NO.
f
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office 01/nrest/9atiofis
600 Washington Street
,J
Boston,Mass. 02111
Workers' Compensation-Insurance Affidavit
o aJ. o I 1 ea t.
name I(^�lA�lt �c1CJG2✓/
location: s7 4)&IA i S -
city 4oi'14/15 llS Phone# 5 6 g— 542 51
® I am a homeowner performing all work myself. '
❑ I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
q.-,•, n T+_.xRt:G�' -t 5r ..r x{.,4` iF-' i' 't,R a:9 Sz�vse. r ire.
y3 s,`��`�,s.?,�^r- `e ,n� ' z9
rt..as `' =4' ,.•�,v. y 'Sk ��r 1. y.„, ygg
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< Y� t �p. fJ,: 1Ti1A-'4' t�514 T t,..« tiy'.. X �A'4Sbt�r.. 1.. C'4�.�rvylFi {!'•" 11�
fcom an Is
„name � � t ^-t
,addtess'� � n 9M.`�" 26 s• 'a t�-. � ��')rt�ro . w. N�... �*7•fr` .f�
:�t'i n, _-r.�-,� �.�.5.P.5a7 ra...i=+- �: by � ? kL::i' +0', 5..-s" "^
,j ',"�'�-0 '3 ER t ���,.+.s�r•Yt ��� �' *�,'f.�'+
an-tS��� ly�� �� ERR
CItV�t�t ��v��'niwf�r .�� ���5" � �,3''.u+''•>h�<.t,f �+�-��'S ''i K�c ray i+� Pho+nae'"# ��°��t c.�v. I�+�f � ..ra T�txdiue. �y=��"s ��
_5 err .rt` .+r=:'- c .' `'+�,,Yf�,'f' °.`a' r '`• ,x)" 2'4�" ,7`'`"` ;� 4�i n
�� rance�"c`ox��� a� ���z� ���rs,��' �rr�'�, ���� �;<�i aol � '���r; �� ,�• _ .,, .� �._,�
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: _
' .� ME-,
U"T'_$'. "fi` x'r' r' q �i*• » ',u +± � �i "tS'�'� ' �� ��' ""�)acth'fir „R.
-r r 3 '+ra•._ '- `.r �'i - ;" ,��.v.a xya tw ru- ,� :�
.pz ,'o " '` �xl'�s* ' 'sir - i?
t'efrvir '�_�' it •f ,,..x ��-jt Yt "5+) s rc+'.,' P� '' " dy, „'� ENV.. .R #A§11'r3i r f
�a� �',�" E �s
� .. ,�._._ ,�.�"'� t. ..^ 'H' �t� sG". .�t;,;,.�..Ft �"'�� � � ����55n. '�z�xye1.. � '� � ����.'� � r' e��• ,
.� ��� �.�?���� Yid f� �,�` `"'7``�r2���"�S� .r,�,�_;. 4e aT: ,��.a' r<s iS• >�e A���"y�'��'��.'��.R"r`
' +' �' � ;,�t,�,k`F +,{' , r+s' yh Y7 '
�CItY 6t rh.'�, S r- FYt4�`�` K,��.sk'� .e .i'f� d
r^rs .sx,: n `w< �¢�. � ��,¢..� a�{- h t� x'�' �,�'i����''�c�'�Y�g x�a'�c.>{ 'c ,-''+b.�r ��"�4t '~�. ' °?'•� '�' fir"
f A IF� M�•s'i% 'N'•', k 5^�Q x° 9 Sylf4�?SP�V����` { }. 1�"S�.i. .',C � �yLJ,T r�.
. ,r �ssyi"Yv '' .e�5t''^K���+�.,��,,,, �`r" x `'�c s !','�.rr�,''7` 3`�j":'yvs l s L M1l.".. :t��A.�,'��s Mr• ± ,--'f
'insuranCexo M169
-,a a 9M .
?7.a c�., r �',xl- Y y3��,`rrxs°, ) y,�Yr 'rr°crf 'fir•'sCs -vsk3 p
v. fi - .e "+"t =,_V ��s: - s..'�5'� '`�-'-'F
MDank Y1F.. r`s{ 't
tebm ao. nameL'�1 $Fih.%t`?'
ykyS,_, ur'Ti*. .�.. -` "� .e ^t„ �7rr .,rr' FL.,a�'�`a,4t_, rp �: =„r,°�`�*15 '` " �'� �: `.� �2{•3 .'432 '
PAS*
yM2M� y �� 'i ` rCs 'cX:. p• r J s * t 1_ l.. t tea..v;..sm.�rwr"x
r P.��< �r_• '' t� ��u �.-�a'�r����°" ��' „`'`2°` �R air u <� v- �yz =��'" '' '� �!����ric�..�- s��" '�%.
r�ss�'�,-- .�r'�' �,�r�. .�' t?" a��t�d t„uY r4.3 s � "��' .� ,--x�.,�-.,�' Iur...,,r'�? s�.T "�r�'�.�a.<i• � ;�;� t#�', �;�� ,. a ��r:
t
rm �
�¢ r ` :4,'�u:g uti' ts:�xx��. ,L '' 'H' �.Y yay..g..,,.« .�u"'c �a�rtf)""N �. '�'�,y�s t'�a}. � 3"^��S +• L y�.`-1� x � -��
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a'
copy of this statement may be forwarded to,the Office of Investigations of the DIA for coverage verification.
I do hereby certify under the pa• s and penalties of perjury that the infdr►nation provided above is true and correct.
Signature Date
Print name /, A q f" Phone#
official use only do not write in this area to be completed by city or town official
city or town: permit/license# I lBuilding Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Office
❑Health Department
{ contact person phone#; FlOther
(revised 9193 PJA)
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 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 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.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if
you are required to obtain a workers' compensation policy, please call the Department at the number listed below.
IRA, MEN=
City or Towns
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 permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406
FtHE Town of Barnstable
ti
Regulatory Services
AS&Knss. Thomas F.Geiler,Director
039. a`0� Building Division
Tom Perry,Building Commissioner
200 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: 'greet,eLj� 6eya y,e `Estimated Cost 352 DOC
Address of Work: A V 7/— (Z 2i
Owner's Name:
Date of Application: 2.9 h 3
I hereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
❑Job Under$1,000
OBuilding 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.
9 03 ORyLJ
Date Owner's Na
Z� 3 Z3,�9
Z5
/6Y -ql�
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
92� square feet x$96/sq.foot= �JQ15S x.0031= �U� c•
plus from below(if applicable)
_ ALTERATIONS/RENOVATIONS OF EXISTING SPACE _.
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
'GARAGES(attached&detached)7 r](O square feet x$32/sq.ft._ q b pp 3Z x.0031= 76, !q
a .
-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 F
>1500 sf-Same as new building permit:
_ square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00= 30 , 0 O
(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 $150.00
y (plus above if applicable) �g
Permit Fee /
projcost
' 1J
7w CMR Appsrdat J
Table J3.11b(contlaued)
Prescriptive Packages far Gae and Two-Family ResfdentW Buildings Hated With Fossil Fuels
MAXfMUM MINIMUM
Slab •Heating/Cooling
Glazing Glazing Ceiling wall Floor RSM°6t PCrimeter Equipment Mcicnc?
Arm'(%) U.v4uc2 R-vahua R-value' R-valual wall R value'
R-values
Package
5701 to 6500 Hating Degrse Da ys° Normal
Q 12% 0.40. 33 13 19 10 6 6 Normal
R 12% 0.52 30 19, 19 10 85 AFUE
13 19 10 6
g 12% 0 50 38 N/A Normal,
T 15% 036 ; 38. 13 25 N/A 6 Normal
U 15%. 0.46 38 19 19 10 N/A 8S AFUE
y 15% 0.44 38 13 25 N/A 6 85 AFUE
qy 15% 0.52 3t7 19 19R 4 10
13. , 25 N/A NIA Normal
�{ 18% 032, 38 N/A Normal
y 19% 0.42 38 19 Z N/A
6 90 AFUE
y 181% 0.42 38 13 19 10 6 90.AFUE
AA 18•/. 0.50 30. 19 19 10
1. ADDRESS OF PR
OPERTY' 25
oe
Q 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: (7
3. SQUARE FOOTAGE OF ALL GLAZING'
4. %GLAZING AREA(#3 DIVIDED BY#2):
5. SELECT PACKAGE(Q--AA-see chart above):
NOTE: OTHER MORE INVOLVED ASK US R THIS OF DETERMINING
ORGY REQUIREMENTS
ARE AVAILABLE.
BUILDING INSPECTOR APPROVAL:
YES: N0:
q4orm54980303 a
780 CMR Appendix J
Footnotes to Table J$.2.Ib:
, 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 ft of glazing area.
2 After January.1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with
g Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for
the National Fenestration Ratin
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
d for R-49 insulation. Ceiling R-values represent the sum of cavity
insulation and R-38 insulation may be substitute
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
erior siding, structural
extl 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
by R-19 cavity
rhe it mass(concrete,masonry, log)wall constructions,but do not apply'to metal-frame construction.
wood'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements,
or garages).Floors over outside air must meet the ceiling requirements.
The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must
meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned
basements must be included with the other glazing. Basement doors must meet the door U-value requirement
described in Note b.
'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs.
' If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more
than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest
efficiency must meet or exceed the efficiency required by the selected package.
'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a
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 structural components.
b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-valves must be tested
and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value
in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.
One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35).
c)If a ceiling,wall, floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with
different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to
the R-value requirement for that component. Glazing or door components comply if the area-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).
LOT 1
ASSESSORS LOT 11--1
.S6p�e�p�
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so y? ao LOT 2
o =-
ASSESSORS LOT 11-2
ASSESSORS LOT 80 l \ est\stp ti
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OLD RACE LANE 90
DISCONTINUED \ �'
ASSESSORS MAP- 150
FLOOD ZONE "c"_ FO UNDA TION CERTIFICA TION RES ZONE.- "RF"
TO WNBARNSTABLE SCALE-1 "=50 PL.REF.-32,4179 ELEV N A
I CERTIFY THAT THE ABOVE YANKEE SURVEY CONSULTANTS
FOUNDATION IS LOCATED ON OF A9gsf P. O. BOX 265
THE GROUND AS SHOWN, AND UNIT 5, 40B INDUSTRY ROAD
ITS POSITION_ T�OF,.�_--__ z A L ��
CONFORM TO THE ZONING LA W MMITN� y MARSTONS MILLS, MASS 02648
SETBACK REQUIREMENTS OF No., @ TEL: 428—0055
�k
BARNSTABLE____ � cISYL °J@�� FAX 420-5553
--- �=1-Nd ------- JOB
PAUL A. MERITHEW DATE.• 811LI95 1vuMaER50342
Uniformly Loaded Floor Beam[AISC 9th Ed ASD 1 Ver: 5.05
By: Joe Madera , Shepley Wood Products on:07-30-2003 : 07:48:22 AM
Protect: RFOGARTY-Location:254 Walnut St. Marstons Mills
Summary:
A36 W16x40 x 28.0 FT
Section Adequate By: 86.7% Controlling Factor: Moment
Deflections:
Dead Load: DLD= 0.20 IN
Live Load: LLD= 0.44 IN =U760
Total Load: TLD= 0.64 IN=U521
Reactions(Each End):
Live Load: LL-Rxn= 6720 LB
Dead Load: DL-Rxn= 3080 LB
Total Load: TL-Rxn= 9800 LB
Bearing Length Required (Beam only, Support capacity not checked): BL= 1.19 IN
Beam Data:
Span: L= 28.0 FT
Unbraced Lenqth-Top of Beam: Lu= 0.0 FT
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 240
Floor Loadinq:
Floor Live Load-Side One: LL1= 40.0 PSF
Floor Dead Load-Side One: DL1= 15.0 PSF
Tributary Width-Side One: TW1= 6.0 FT
Floor Live Load-Side Two: LL2= 40.0 PSF
Floor Dead Load-Side Two: DL2= 15.0 PSF
Tributary Width-Side Two: TW2= 6.0 FT
Wall Load: WALL= 0 PLF
Beam Loadinq:
Beam Total Live Load: wL= 480 PLF
Beam Self Weiqht: BSW= 40 PLF
Beam Total Dead Load: wD= 220 PLF
Total Maximum Load: wT= 700 PLF
Properties for:W16x40/A36
Yield Stress: Fy= 36 KSI
Modulus of Elasticity: E= 29000 KSI
Depth: d= 16.01 IN
Web Thickness: tw= 0.31 IN
Flanqe Width: bf= 6.99 IN
Flanqe Thickness: tf= 0.50 IN
Distance to Web Toe of Fillet: k= 1.19 IN
Moment of Inertia About X-X Axis: Ix= 518.00 IN4
Section Modulus About X-X Axis: Sx= 64.70 IN3
Radius of Gyration of Compression Flanqe+ 1/3 of Web: rt= 1.82 IN .
Design Properties per AISC Steel Construction Manual:
Flanqe Bucklinq Ratio: FBR= 6.93
Allowable Flanqe Buckling Ratio: AFBR= 10.83
Web Bucklinq Ratio: WBR= 52.49
Allowable Web Bucklinq Ratio: AWBR= 106.67
Controllinq Unbraced Lenqth: Lb= 0.0 FT
Limiting Unbraced Length for Fb=.66*Fy: Lc= 7.38 FT
Allowable Bendinq Stress: Fb= 23.76 KSI
Web Heiqht to Thickness Ratio: h/tw= 49.18
Limitinq Web Heiqht to Thickness Ratio for Fv=.4*Fy: h/tw-Limit= 63.33
Allowable Shear Stress: Fv= 14.4 KSI
Design Requirements Comparison:
Controllinq Moment: M= 68600 FT-LB
Nominal Moment Strength: Mr= 128106 FT-LB
Controllinq Shear: V= 9800 LB
Nominal Shear Strenqth: Vr= 70316 LB
Moment of Inertia(Deflection): Ireq= 245.22 IN4
1= 518.00 IN4
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�TME,o The Town of Barnstable -
0.YnA56L. ` Department of Health Safety and Environmental.Services
MASS. e
' Building�Division
fO MPy► '
367 Main Street,Hyannis,MA 02601
508-8624038
508-790-6230
PLAN REVIEW '
Owner: e;agr'a t ccLv e �44Qr4y Map/Parcel: ASD Oy 1 6 0 2
Project Address: y wa'��`� Builder: Owyz c
The following items were noted ffo?�n reviewing: / . ( /
® c k eC K 7�S C)'- 014 eace !._fit 1Zn� e -IA eI C-k
.36 YY�( /l�o'f avt�o►teQ ab ado c��
OT Var i a.l�e ��� e' TOZ%
2 ii
- .beam
ree eW� 4 c `� 2 i ;v� s
2e�S So�� VCfv� s
NetJ a4c,A 1 0-C-� us'c 000 c" ;?xA
Reviewed by: /
Date: /N!�3 s
TO: Town of Barnstable_, Building Department
FR: Richard & Jayne Fogarty
254 Walnut.Street
Marstons Mills.; MA 02648
508-428-8744
DA: August 1 , 2003
i
AFFIDAVIDT
We hereby convey that the proposed room, above the garage, will be
utilized as.an entertainment room only.
This room will consist of a wet bar-and a bathroom. It will .not contain
any.closets. This space will be heated.
This room will be occasionally used for parties and during the
holidays. It will not be used as a rental property.
Signed. by: 1
Richard P. Fogarty Jayne L. Fogarty
Witnessed by.
53
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1107
r
• Assessor's Office(lst.floor)� Map /6-0 Lot 0/,0 01PL- " Permit#
r Conservation Offfce A floor) 4h, Ar --1�— t Date Issued - J`
Board of Health Ord floor -5-- &N C1W- 7-//-9i's 194,
Engineering Dept. Ord floor House# °R ,, � t
Planning Dept. (1st . WrA
floor/School Admin. i ,�R, 1- „ram
MAM
Definitive Plan Approved by Planning Board lvo /o 9
(Applications rotes 8:30-93 •a.m:& 1:00-2:00 p.m.) SEPTIC SYSTEM NIl1ST BE
�-
G INSTALLED IN C®MPLIANC
TOWN_ OF BARNSTABLE ���1 ®WITH TME 5 ��®
- Building Permit Application TOV7N REGULAe IONS
Protect Street Address '- � W A-�1�U'j' S% �x
Village Cov, rt0-A 0 i)1_e Fire District
Owner , 0 Address 70C 12- U N 1T
Telc hone'w'.F.710 n
Permit Rcauest: hl 2.t� �46 M>!
Zoning District Flood Plain Water Protection
Lot Size SL1 5'5'0 Grandfathered
Zoning Board of Appeals Authorization Recorded
Current Use Pro sed Use
Construction Type LJ RAMS
Eaistinz Information
Dwelling Type: Single Family Two family Multi-family
Age of structure Basement type I/'?
` Historic House Finished
Old King's Highway Unfinished f
Number of Baths 1 No.of Bedrooms
Total Room Count(not including baths) J First Floor
Heat Type and Fuel n 1., 1-}W Central Air Fireplaces / i 4-squ-,-A i(
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name t�- �,t%,40\'.'0 S Telephone number S0 Lp a 2 ` yb
Address l L.N License# .� I (��
i v 1-T A m-�'(o' Home Improvement Contractor#
Worker's Compensation # ee�2y25 3 -) 7 4
/�F—Tv ell
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO '7 �- C)�7J►
Pro'ect C DSO o� 1
Fee f12�,4 ,OV-
SIGNIAtA, DATE .. h 7,�
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
BPERM T
r #8829
FOR OFFICE USE ONLY
150.011.002
.ems
ADDRESS 254 Walnut Street VH..LAGE Marstons Mills, MA 02648
�0 OWNER Richard P. Fogarty
DATE OF INSPECTION:
FOUNDATION ✓ v �� n
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
tLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING:
DATE CLOSED OUT:
ASSOCIATE PLAN NO.
o
a
LOCUS
y
o
CZ LAME
A FP
PLANREP NE - Q 0�
R6 ZONE/PP O
o// / / �� LOT I
/ LOCUS MAP
irEu / S NOT TO SCALE
I
4// /�� �i/�/ \9B— /Q/ �aO 20. \�/ 44550 1- S.F.
CAL
96 y�
0 9 \ � so. ��J / % . �o PROJECT LOCATION
i DZRT _—�L -�� WALNUT STREET EXT
�/\ T i Pr/, \\ CENTER VILLE
N63g600-
LOT 2
APPLICANT
JOHN STEVENS
4 VALLEY VIEW ROAD
LEACHING 75 CAL/SF/DAYo� / \� g`� 137LLIAMSBURG, MA. 01096
330 CAL/DAY REQUIRED (3 BEDROOMS J
33%7s = aao S.F. REQUIRED YANKEE SURVEY CONSULTANTS
FOUR(4) 4'x B'FLOW DIFFUSORS WIT&4'OF SMNE UNIT 5, 403 INDUSTRY ROAD
40'X BOT717d/5'ABOVE WATER ,((�� MARSTONS MILLS MA. 0264E
• P.O. BOX 265
533 SF.F PROVIDED (.62 CALi/SFF.IDAY provided) 1�
9y p 116 a, '44,,� TEL 428-0055, FAX 420-5553
� i *y o" lY1LUAM N
Pq a LIEBERMAN
_ SCALE 1" = 12 40' DATE 28 93
..� M£AITHE4y •.. � 9h0. 2
r:o.32NB e
9e'`c, REV REV
UU lZ ti JOB N0. 50342 SHEET I OF 2
Trip OF FOUNDATION
f 20' MIN
ORIGINAL 97.5' CONCRETE CO PERS
FINAL 100" ORIGINAL 96.5 2,
GROUND EL.=99_47 LEVEL
'a as' IR6, T - ORIGINAL 97.2
ORSCHEDULE
CPED LE40 !2- . i . . . . i iii . . FINAL� 97.7
P.V.C.DIS
• 20" PlPE — MIN..4-SCHEDULE 40 BOX
FLOW LINE 60" - 25• EL = 96.7
INVERT 1MN 1g- 6- oa
EL.= 96�iI _ INVERT CRUSHED a8 .8 . -:8:8*"** n>g ee g888'F"8 o8
a8,8.8 8 888:.e 18"
WVERT EL.=9B.12 SroNE aINVERT a as:asaasss EL 96.1 �sa:asasasapa:sa sssssa.asa,ssas
= _8.37 EL._ 96.
EL. 9
62 T
EL 95.2 r
INVER
_ 1000 __GALLONS
SEPTIC TANK NOTE- DIG OUT ALL IMPERVIOUS
MATERIAL 10' ALL AROUND AND
BELOW SYSTEM AND REPLACE
PROFILE
' OF WITH CLEAN SAND FROM SITE
'
SEWAGE DISPOSAL SYSTEM - - - - - - - -NOT TO SCALE BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE EL--' 88_7
ALL ELEVATIONS ARE ASSIGNED AD✓. L 5
WITNESSED BY. ✓. DUNNING 90.2
HEALTH OFFICER
- f TOWN OF_-BARNSTABLE
GENERAL NOTES• - SOIL LOG
P NO. .8086 PERCOLATION RATE 2__ MIN./INCH _
1. THIS PLAN IS FOR INSTALLATION OF NEW SEWERAGE DISPOSAL SYSTEAf DATE _ 7/ REQUIRED CAPACITY.75 GAL/S.F./DAY
2193___
2. PLAN REFERENCE BOOK 324 PAGE 79.
3. THIS PLAN IS FOR INSTALLATION/REPAIR OF SEPTIC SYSTEM TEST HOLE'1 TEST HOLE z AND NOT TO BE USED FOR SURVEYING OR ZONING PURPOSES. EL= 96.76- EL= 9718 DESIGN DATA:
4. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E P. —
TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS
FOR THE SUBSURFACE DISPOSAL OF SEWAGE. NUMBER OF BEDROOMS 3
5. ALL COVER TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN TOP & I TOP & SUBSOIL
SAND & CLAY MIX NONE
12" OF FINISHED GRADE SUBSOIL GARBAGE DISPOSAL
6. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THEMED SA
SAME, UNLESS NOTED BY FINAL CONTOURS CLEAN MED & GRAVE TOTAL ESTIMATED FLOW 330 GPD
7. ALL COMPONENTS OF THE SANITARY SYSTEM.SHALL BE CAPABLE SAND ( 110__CAL/BR/DAY x _9 _ BR)
OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER EL--
OR WITHIN 10' OF DRIVES OR PARKING AREAS. H-20 LOADING SETTLED W.T. 89.6 WATER TABLE SEPTIC TANK CAPACITY_1000 _
.SHALL BE USED UNDER OR WITHIN 10' OF DRIVES OR PARIUNG EL=87.7
UNLESS NOTED. LEACHING AREA REQUIREMENTS
6: ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL
BE MORTARED IN PLACE. of 04 IDEWALL AREA _7B GAL/S.F. .75 X I X (12t124-40t40)
9. NO DETERMINATION HAS BEEN MADE AS 7V COMPLIANCE WITH ,��°` rsa TTOM AREA 360_ GAL/S/F .75 X 12 X 40
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO, NL lumM438
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. 'LIEBEB 97 -
LEACHING CAPACITY (BOTTOM & SIDEWALL)____GAL
Q
9NO.
2397
10. THE EXCAVATOR�CONTRACTOR SHALL VERIFY THE LOCATION OF ALL UNDERGROUND 438 - 330 = 108 UTILITIES PRIOR TO ANY EXCAVATION. THE WATERGATE WAS NOT FOUND, THE GENERAL sus s� iolg3 RESERVE LEACHING CAPACITY __ GAL
CONTRACTOR SHALL VERIFY LOCATION WfTH WATER DEPARTMENT °� Iti
50342 SH 2 OF 2
_ COMMONWEALTH OF MASSA.CHUSE7:. S
E�LIZ DErA}rTbIT-N1-OF IT7DUSTRiAL ACCIDENTS
L
��_�• 600 WASHINGTON STRi!tT
fames.: Gar:100ei: I30STON, MASSACHUSETTS 02111
WORKERS' COMPENSATION INSURANCE AFFIDAVIT
/AZAS
(licensee/permiucc)
with a principal place of business/residence at:
/3 ifj171dkfUL 607\45' CQTUIT ✓nil OZG3,�' _
(Ciry/statc/zip)
do hereby certify, under the pains and penalties of perjury, that:
I am an employer providing ncc following workers' compcnsation coverage for my employees working on this
job.
Insurance Company Policy Number
( ) I am a Sole proprietor and have no one working for me.
[) 1 am a sole proprietor, general eonuaaor or homeowner (circle one) and have hired the contractors listed bclow
who have the following workers'compcnsation insurance politics:
Name of Contractor Insu nee Company/Policy Number
N'zmc of Contractor Insurance Company/Policy Number
N2me of Contractor lnsurancc Company/Policy Number
0 1 am a homeowner performing all the work myselL
NOTE: Plcasc be awvc that wbilc bomcowncrs who employ persons to do raaintcnancc,construction or repair work on a
,4—K ing of not more than tbrcc uaiu in wbicb tic homeowner also resides or on the grounds appuncoaat tbcrcto arc mot generally 1
considered to be employers under the Workcrs'Compensation Act(GL C 152,scot 1(5)).applicz6oa by a boraeowaet for a license
or permit may evideoee rbe legal sutus of an er_ployer uoder the Workers'Corupeasation Act.
i cnccrstanc that a copy of ties st:tcmcnt wiG oc for,•atdcd to the Dcput:ncnt of Industrial Acddcnu'Ofsicc of lnse.- ncc for.covcrx;c
%-crifscation and that failure to secure coverage a required under Section 25A of MGL 152 can kad to the imposition ol_rrimirial pcnalucs
consisting of a fine of up to S1500.00 andfor imprisonment of up to one year and evil pcnalties in the form of.-Stop Work Order and a
fine of S100.00 a day against mc.
,n d thi day of v\ , 19
0—
Liccriscc/Purnirict: Licensor/Pcrminor
c
r}^-'�-^.�.�.,a� • - _ � _ __ '.�f ! __ -^hi' '--��--�:'•4�.:.,,i .,yam: .
N3 COMMONWEALTH
_ OF
�tf ,Ya";'� r�& �.�nw...oMavnlD�t� � '� .� 2,• "'«';. �`'MA8L-.:��liU3ETT$�e„'..�"�°
Tap I y } °,
HOME;IHPROVEHE �.... _ . r
I,Ir,c _ - �•�' A HY;:CONTRACIOR. i�! } I� 'li EXPIRATION DATE
€ �p +Reglstrltloq 1048018 :.it
.:5 j. :;;r :. 07 16/1995 j
�. r�<TyPe i IHDIVIDUAL� ''
j• k:RESTRICTIONS f i
ExpIratlon
lv�a.g0N7a 7s d%Yl2n5'o/as9'6F:�'• {
Y NONE
ONE
acholas agdinos., tt;
ADMINISTRATOR I.
nfulane,k
j
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Cotut't MA 02635 a �� l �ria �y; vr+oTo1e `ten FEf
HEIGHT.•
THIS DOCUMENT MUST BE
'`•'CARRIEDON THE PERSON OF
'.�•Z `�'> . THE HOLDER WHEN EN-
' .' ;5 �'F. t,• 'CK I ( ' '�OAOED W THIBOCCUPATION. '
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235#3 Tab Fiberglass Shingles
-------------
---------------
1 x8 Fascia
1x8 Frieze
1 3/4"bed molding
c6 Comer Boards Typical  - _-
12 - -
Cedar Clapboards 4"T.W.
Front Elevation MO g
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6'r10'r W Keyey Poised
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38'4
Scale 3/16"=1'
3 Tab asphalt shingles
]43
M 244
1 x8 Fascia
1x8 Frieze
1 3/4"bed molding
1 x6 Soffd
With 2"Aluminum Vent Strip '
1x6 Comer Boards Typical
White Cedar Shingles
12 x 22 Deck
Rear Elevation
Scale 3/16"=1'
235#3 Tab Fiberglass Shingles
with 1 x3 Rake Trim
1x8 w Typical
t •
1x6 Comer Boards Typical
LELJ
White Cedar Shingles 5"T.W.Sides and Rear
Basement Entrance
Left Elevation
Scale 3/16"=1'
M#3 Tab Fiberglass Shingles
1x8'with 1x3 Rake Trim Typical
1x6 Comer Boards Typical
White Cedar Shingles 5"T.W.Sides am
Pressure Treated Deck With Balastered Rail
Right Elevation
Scale 3/16"=1'
2x10 Ridge
2x8 K.D. Rafters
1/2"CDX Plywood Roof Sheathing
15#Asphalt Roof Paper'.
235#3-Tab Fiberglass Roof Shingles
1 Ledger Board Braces
2x10 K.D. Rafters
1/2"CDX Plywood Roof Sheathing
15#Asphalt Roof Paper
235#3-Tab Fiberglass Roof Shingles 2x8 Ceiling Joists
2x10 Floor Joists 16 O.C.
3/4"T and G ULC
2x8 Porch Rafters Glued and Screwed
2x4 Porch Ceiling Joists 2x4 Knee wall
2-Zx10 Porch Beam
2-2x10 Porch Beam 2x4 Plates
i
2x4 Studs
114"Sill Seal 1/2"CDX Plywood Wall Sheathing
10"x 36"Poured Concrete Sonotube 2x6 P.T.Sill • Tyvek Housewrap
4x4 P.T.Deck Post- 2x10 K.D. Floor Joists 16"O.C. White Cedar Shingles 5"T.W.
4x4 Aluminum Post Base 3/4"T and G ULC Subfloor
Glued and Screwed
2x6 P.T Ledger
Spaced and Bolted 16"O.C.
2x6 P.T. Deck Joists
Double 2x8 P.T.Box Joists
5/4 x 6 Decking 75'Pouredoncrete Foundation II
8"x 8"x 16" Keyed Poured Concrete Footing
Section B-B
r
Scale 3/16"=1'
2x10 Ridge
2x8 K.D. Rafters
1/2"CDX.Plywood Roof Sheathing
15#Asphalt Roof Paper
235#3-Tab Fiberglass Roof Shingles
1x8 Ledger Boar ces
2x10 K.D. Rafters
1/2"CDX Plywood Roof Sheathing
15#Asphalt Roof Paper
2x8 Ceiling Joists
235#3-Tab Fiberglass Roof Shingles
2x10 Floor Joists 16 O.C.
3/4"T and G ULC
Glued and Screwed
2x4 Kneewall 2x8 Porch Rafters
2x4 Porch Ceiling Joists
2x4 Plates 2X6 Ceiling J 2-2x10 Porch Beam
r s
2x4 Studs
1/2"CDX Plywood Wall Sheathing 1/4"Sill Seal Tyvek Housewrap 2x6 P.T.Sill 10"x 36"Poured Concrete Sonotube
White Cedar Shingles 5"T.W. 2x10 K.D.Floor Joists 16"O.C. 4x4 P.T.Deck Post
3/4"T and G ULC Subfloor 4x4 Aluminum Post Base
Glued and Screwed
2x6 P.T Ledger
3-2x10 Girt Spaced and Bolted 16"O.C.
31/2"Concrete Filled Lalley Column' 2x6 P.T.Deck Joists
Double 2x8 P.T.Box Joists
Basement Stairs 5/4 x 6 Decking
8"x 5'Poured Concrete Foundation Wall 3 1/2"Poured Concrete Floor
8"x 8"x 16"Keyed Poured Concrete Footing
I
Section A-A
TOWN OF BARNSTABLE
t CERTIFICATE OF OCCUPANCY
PARCEL ID 150 011 002 GEOBASE ID -8656
ADDRESS 254 WALNUT STREET PHONE
Marstona Mills > ZIP -
LOT' 2 BLOCK LOT SIZE
DEVELOPMENT DISTRICT CO
'PERMIT 15941 DESCRIPTION SINGLE FAMILY DWELLING tPMT.# 8829)
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: ,Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES: TMIE
BOND $.00 Ox
,CONSTRUCTION COSTS $_00
756 CERTIFICATE OF OCCUPANCY
* 1ARNSTABLE.
MASS.
WDNER RESS FOGARTY, RiC,UARD P & JAYNE L. 1639
254 WALNUT STREET BUIL I IVIs �N
MARSTONS MILLS, MA
BY / 9 .
„ , DATE ISSUED 06/18/1996 EXPIRATION DATE
TOWN OF' BARNSTggLE T
1
Bt I LDIN G Pam"'�T
APARCEL ID 115Q 01,1 002
ADDRESS 254 WALNUT .STREET (M.M.L I, PHONE .
Marstoris Mills -
k, ZIP
LOT
,r f •
DBA 2 BLOCK LOT SIZE
'" DEVELOPMENT -.N DISTR.ICT CO
PERM,LT~ BB29 DESCRI-IDTION CONSTRUCT NE74 SINGLE FAMILY DWELLING
PERMIT TYPE BUILD `I'TTLE NLV RES/COMM BLDG PERMIT
�.....DNTRACTORS: LAGADINGIS , NICK Department.of Health, Safet.
RCHiTRCTs: and Environmental Services
TOTAL FEES $199_ s0
BOND :n_00 , IN
I���NSTRUCTION COSTS $50,OOU.00. �
101 S I NG LE F AP I THOME DETAC D 1 PRI VATS' P • ' F. •
' BARNSTABLE, s
MA$8, s
0WRIER f'OGARTI', RiCxiA;3ll F & `.;.f � �039.
ADDRESS HALLET JAYtii_ .J
4. � A
'70 (;APE -DRIVE
MASHPI E MA
` BUILD G DI, SION
? `7 E ISSUED 0'T/; 139.,
�:� E�:PIP,A'I`:I�c3!�_._44T Yr'`'
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS i THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
� �
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
2 See
2 Ve(,y r/�� �Q 2
2 F•�'�� G�9G �/
J\,
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 D OF AL
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL P MIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION. 508-790-6227
IS 9�l
, :.: "..�_ t !- 1 ,r,+ t •i :.�I�t ..., , y t � t l -� ,i ,h,.�;t , t` �r4�t r.. i ., � :�`. .
I` l i., r✓.r1. � t !. 1'1 ir. 1'i'!'4 "'} d` I�fJ Jd` s�` a�Y ,b i��.t3f''r.C•''•._ 7��' ?�. .d;. d ^'ii-.,
�•(� _. _ '"`'` ty ram.3t .--- .._i �! 5 ,.�, i..y:, a .., dwl.s.x �.:._t..:1.»:.:�—i _,•
•F � `.•n,^S� r k. i.
TOWN OF BARNSTABLE -
CERTIFICATE -OF OCCUPANCY
PARCEL ID 150 011 002 GEOBASE ID 8656 PHONE
ADDRESS 254 WALNUT STREET ZIP
Marstons Mills
LOT 2 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 15941 DESCRIPTION SINGLE FAMILY DWELLING (PMT.# 8829)
PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health,'Safet
ARCHITECTS: and Environmental ServiceE
TOTAL FEES: $.00 r- Oki
BOND
CONSTRUCTION COSTS $.00• y Q�
756 CERTIFICATE OF OCCUPANCY . * BARNST'Aj ;
OWNER FOGARTY, RI CHARD P & JAYNE L.
ADDRESS
254 WALNUT STREET BUILD D SI
MARSTONS MILLS, MA BY *'°
DATE ISSUED 06/18/1996 EXPIRATION DATE
_ .•.v w�ur-r wvk w mr-tl,ALLEY-OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE
t.FOUNDATIONS OR FOOTINGS ! THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
feet
;�05 ?/
2 t/QiklQ I co w04c 2 2 /� - ea-av-pev~
fl
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
13t 1ff
/C7 2 DZA
L
OTHER: SITE PLAN REVIEW APPROVAL
dt
WORK SHALL NOT PROCEED UNTIL P IT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION. 508-790-6227
�
The..Town of Barnstable
: .
NAM ' Department of Health Safety and Environmental Services
�► Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
TO:
ATTN•
FAX NO:
FROM: jz��
DATE: 6 - 1 9 - 96
PAGE(S): _ (EXCLUDING COVER SHEET
I
TRANSMISSION VERIFICATION REPORT
TIME: 06/19/1996 09: 03
NAME: BARNSTABLE BLDG DIV
FAX 1-508-790-6230
TEL 1-508-790-6227
DATE,TIME 06/19 09:01
FAX N0. /NAME 915082401897
DURATION 00: 01:07
PAGE(S) 02
RESULT OK
MODE STANDARD
ECM
To_!_'�M
Gate Jd Time
WHILE YOU WERE OUT
Phone
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Message
. � C
Operator
AMPAD 23-021-200 SETS.
EFFICIENCY® 23-421 -400 SETS CARBONLESS
III �t►�r
The Town of Barnstable
BARNSTABLE. Department of Health Safety and Environmental Services
MASS.
�Eo Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
Type of Inspection
P
Location ? `-s j A_MU T ST Permit Number =A-- cB S �- 9
Owner F6C. ` Builder
One notice to remain on jobsite, one notice on file in Building Department.
The following items need correcting:
kU- TO >l T-- i (-.Nm n ram' r c-
v-
o
Please call: 508-790-6227 for reeinspection.
Inspected by te/(-5�L
Date .. . k 9 -- 619
F� r The Town of Barnstable
o�
BARNSTABLE.p' Department of Health Safety and Environmental Services
MASS 0
t6yq. �0
Building Division
367 Main Street,Hyannis, MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Inspection Correction Notice
j
Type of Inspection
Location '234 �,JQJ Permit Number 4
` �
Owner � , -�"'���� ( Builder
One notice to remain on jobsite, one notice on file in Building Department.v�
The following items need correcting:
1 Qe Kw\jcA A 10E l.S a/-)�v k�6/Tt4 �QQQ 1Z
- Il
I '
Please call: 508-790-6227 for reeinspection.
Inspected by S
Date
00
01
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