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Home My WebLink About0084 WATERS EDGE �� .r .� ,� �� i. s s. t lq�K 00 t 4 _ 1 d " r conz(avWofl (`n 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for insulation work at 84 Waters Edge (application#201307292) has been inspected by a certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds federal and State requirements. Sincerely, ,�.. CD O -r, CO > Conor McInerney ConserVision Energy 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM 2/�s� `��'` ^ � y � � � � �s � G�rr�� /��' _______ I To Date 2 Time ZZ 4 WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN C WANTS TO SEE YOU URGENT RETURNED YOUR CALL 1 Message voperator AMPAD 23-021-200 SETS �J_] EFFICIENCY® 23-421-400 SETS CARBONLESS r TOWN OF BARNSTABL-E BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued Pot I3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis R Project Street Address ti �tea — Village /V►4vt-� ✓ �� 1-.s Owner Address Telephone Permit Request I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach quiD orting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) cn o Age of Existing Structure Historic House: ❑Yes ❑ No On Old King:•s Highway`:+❑YQg ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other �? Basement Finished Area (sq.ft.) Basement Unfinished Area (sq ) INumber of Baths: Full: existing new Half: existing new � rn Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No , Fireplaces: Existing New - Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing • ❑ new' size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ . fl Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new .size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 0L npw Telephone Number Address 3� Phw )3 D License# I o Z 77-713 S6IVIA 16i, cA^ AIA D 'Z2 Home Improvement Contractor# f °:7125 1 Worker's Compensation # W C 7 GI S (a C 3q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I DATE ( c1 17 1 I'S ti r FOR OFFICIAL USE ONLY *APP-LICATION# DATE ISSUED r f MAP/PARCEL NO. -ADDRESS VILLAGE i 9 OWNER y DATE OF INSPECTION: gAFOUNDA FRAME INSULATION.",A FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . . FINAL BUILDING::. DATE CLOSED'OUT ASSOCIATION PLAN NO. OWNER AUTHORIZATION FORM (Owner's-Name) owner of the property located at t , (Property Address) (Property Address) hereby authorize V, S to , (su contractor) 4 an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. r Owne s Signature ► Date WE-OE " I _. i j 'DEC '5 2012 j i y • i CONSENE-01 MVAUGHAN ,4�a�rr�• CERTIFICATE OF LIABILITY INSURANCE PATE`MMIDDITYI 3126/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON.THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINGiNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certfftcate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SllBROGATION 18 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(a). PRDDUCER Strategicg Business Unit Rogam r4 Gray Ins.-Dennis Branch PHONE 608 .398-7980 FA 434 Rte 134 EARL we H,; 877 816-2166 South Dennis,MA 02660 E-MAJLADDRE s i' INSURER(S)AFFORDING COVERAGE MAX 0 INSURER A:SGIOCUVO Ins:Co.of the Southeast INSUR6o - INSURER BS- . . _. Con-Serve Energy,Inc. I��C.- dba Conserftion Energy — 607 Main SL INSURER o: Hyannis,MA 02601 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE USTEO 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.LIMITS SHOWN MAY HAVESEEN REDUCED BY PAID CLAIMS. 9=1 ADM L TYPE OF INSURANCE POLICY NUMBER M .EFF LIMITS . GENERAL LIASO t EACH OCCURRENCE.. S. 1,000,000 A X COMMERCIAL GENERALLIABE)TY 2011299 3M412013 3/1412014 PREMISES Eaoawrenw S 100,0 CtA1MSMADE FOCCiR MED£XP(AnyaNceram) 5 10,60 PERSONAL 9ADVINJURY. 5 11000,000 _ GENERAL AGGREGATE $ 3,000.00 GEWL AGGREGATE LIMIT APPLIES PER f PROCUCTS-COMPA0P AGG. S 31000,00 X POLICY LOC i 5 AVTO7pOBlEUA9Lrr`I EUMR Ea sodden - S 1 ANY AUTO BODILYINJURY(Perpawn) 5 ALLUAINED AUTOS AUT0$SCHEDULED, BODILY INJURY(Per aoddwi) S NONOHNED - HIRED � AUTOS IPERAGCIGE 5 I S UMBRELLA LIA9HCLAIMS-MADE OCCUR FACH000URRwe 5 ExcessLL48 AGGREGATE 5 IED RETEM)ON$ S wVRI(W COYPIUMTtON . . - - ATU- O - AM EMPLOVERS'LI&BILM YIN A ANY PROPRIETORMARTNEFJEXECU(NE r-- C7966639 3114/20111 3/14/2614 E.L.EACH ACCIDENT EIH 5 500,00 OFFICERMJEY�EXCLUDED? � N 1 A - - (MyaFpn,"yInn� E:L.IASEASE-EAEMPLOYE S 500100 y - OESCRIPTgNOFOPERATIONSOMow E.LDSEASE•POLICYIIMIT $ 500,000 DESCW➢710N OF OPERAMMS t LOCATIONS I VEHICLES tAHseh ACORO.101.AddAb,W Reewhs Schedu%.N mas spa"Is rs, d) "EXCLUDED OFFICERS UNDER WORKERS COMPENSATION:CONOR&COURTNEY MCWERNEY"NOTE THAT BLANKET ADDITIONAL INSURED COVERAGE APPLIES TO THE COMINERCIAL GENERAL LIABILITY(IF A WRITTEN CONTRACT IS IN PLACE)_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE' WRL BE DELIVERED IN Rise Engineering ACCORDANCE VATH THE POLICY PROVISIONS. 1341 E16Nood.Ave. Cranston,-RI 02910 AUTHORIZED REPRESENTATIVE 0198&2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010106) The ACORD name and togo are registered marks of ACORD The Commonwealth of Massachusetts Print Form =n Department of Industrial Accidents Office of Investigations I 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letribly Name(Business/Organization/Individual): Con-Serve Energy,Inc dba ConserVision Energy Address:376 Route 130 City/State/Zip:Sandwich, Ma 02563 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 8 4. ❑ 1 am a general contractor and 1 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 ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' comp. insurance.* 9 El Building addition [No workers'comp. insurance p- required.] �• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El officers I am a homeowner doing all work have exercised their 1 t.❑ 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 Weatherization 2013 employees. [No workers' 13.❑Other comp. insurance required.] *Any applicant that checks box N I must also fill out the section below showing their workers'compensation policy information. t tiomeownets who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'cutup.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:Selective Insurance Co.of the SouthEast Policy#or Self-ins. Lic.#:WC7956539 Expiration Date:3/14/2014 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required larder 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby eerti under the ains and enalties o er'u that the in ormation provided above is true and correct. Si nature:E Dater Z 2013 Phone#:508-833-8384 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing.Inspector 6.Other Contact Person: Phone#: I i r. CS.SL-102778 f CONOR D MCINERNEY .: 39 SIASCOtNSETMNIE' SAGAMORE BEACH MA 02i62' 08719/2014 Office"gf Cooiume�:affa'irs&`Business`Regulaiiori HOME IMPROVEMENT CONTRACTOR 1Zegi$tration> 171251. Type: -- Expiration:. 31112014. Partnership CON--SERVE ENERGY CO.NOR MONERNEY 376:ROUTE'130 SUITE.C- SANDWICH,MA 02563. Uode'rsecretan License or registration valid for.ndividul vse:only. befofe.tfie expiration date. 'If found return to: Office of Consume'e Affairs..and Business Regulation. 10 Park..Plaza-Suite 51.70 Boston,M 02116 Not valid without signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � � d-t- CoO ? Map : 041' Q43Parcel Permit# ZZ 77 Health Division TD`'N OF BARNsTABLE Date Issued —12 -A0t Conservation Division 6y �— 20f4 JU�1 9, 2 0 Application Fee Tax Collector f 11 1, Permit Fee < Treasurer _M b'1SfOM Planning Dept. SEFMC SYSTEM MUST BE INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board WITH TITLE 5 Historic ENVIRON1 ENTAL CODE AND OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address `� _ tl��'Cr2 .S 1�_cs 2a Village Yykn fZSIzAJs rA S ` s Owner M_,_c kri-e Address Telephone ab 'i q 8 7�1 Permit Request I 9-2�62Cx0 Qr4 C co( ✓kV-4-1 X-3G Square feet: 1 st floor: existing . proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 9?'IQo On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing Whew size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name tt) eft' p�eiwp_ Telephone Number A'go St Gl�_ Address PO \S(0 License# O 4 a & -,�F) Mv\fZCTCAOs wN OW,4h Home Improvement Contractor# I?G G-cr877 Worker's Compensation# 81 to -3 & I g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE �-�J DATE G 1 s 4`G4-- L a FOR OFFICIAL USE ONLY IPERMIT NO. A • s DATE ISSUED MAP./PARCEL NO. ADDRESS d VILLAGE OWNER DATE OF INSPECTION: FOUNDATION o!7 7 FRAME a INSULATION FIREPLACE ) ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH ®� FINAL za FINAL BUILDING 91Z t 6 DATE.CLOSED;OUT ry ' ASS"OCIATION PLAN.NO. M om _ The Commonwealth of Massachusetts Department of Industrial Accidents _= _ Offlce ol'In�estigavans ' 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit 1� cityV-A 5�V.�-S7 tM, phone-# a0 -_ ❑ I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one rldng in 2,7 ca acitp orkers co ensation for my employees working on this job..$$'??:::`+: ,G:'7 1 er rovidin w .. an era g ..... .... .:::.. .. I am P o3' Ty .. ................,......,:........................::::::::n.::........}.?.Y•$............ ...:.:........}....4...,.7.:n.r:.}}::;f:.:;??:>;$::::}:.:r::..;$ #'...,t s.:.r. .... .r..... .....n. ...n ....... .................:•..t... ........ .....:v.v....:......:..:• .. 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I m►derstrad Ssa a copy of this statement maybe forRarded fo the Office of Investigations of the DIA for coverage verification. I do.hereby certify under t pains and en alties ofpeJury that the information provided above is true and eorred t�l •�,�- - sigaature Date ' 1��e Phone# -4�U Print name fF l official use only do not mite in this area to be completed by city or town official permdttlicense# ❑Bullding Depu*nrnt city or town:- 01icensing Board ❑sdechnen's oMce check it''immediate response is required ❑Health Department contact person: phone Uriised 9/95 PJN Information and Instructions Massachusetts General Laws chapter152 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,neitherthe 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 company names, address and phone numbers along with a certificate of insurance as all affidavits may be F. supplying P y submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and e city or town that the application for the permit or license is date the affidavit. The affidavit should be returned to th the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you being requested, not compensation policy,please call the Department at the number listed below. are required to obtain a workers' 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 ce of Investigations has to contact you regarding the applicant. Please affidavit for you to fill Dort is the event the Offi be sure to fill in the pi number which will be used as a reference number. The affidavits may be retmned'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[nyesdDatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 i phone #: (617) 727-4900 eat. 406,'409 or 375 Town of Barnstable Regulatory Services r • BmwsrneLx. ' Thomas F.Geiler,Director HAS& i639. `0� Buildin Division pjFD MA'S g 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: 1 1U G/Zc�Qow� Estimated Cost 1 a.6c<D Address of Work: Ca V\TV-d —S V_30�Gle— Owner's Name: M\ 4 k✓%'t" cy\, S=4 Date of Application: I hereby certify that: Registration is not required for the following reason(s): 7Work excluded by law ❑Job Under$1,000 ElBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: U�0 ArD Date Contractor Name Registration No. OR Date Owner's Name oFt r Town of Barnstable Regulatory Services MA$& Thomas F.Geiler,Director 1639. �0 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, VA!&:n l �me6d , as Owner of the subject property hereby authorize ��::eAA- -T ,-LAr4 0 oa`5 to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) ito 0 Signature of Owner 0 bate' � J�9-- Print Name w . Q:F0RMS:0 WNERPERMIS SIGN I , I M/DOLE r_)OA/17) i-i (10 S 02047'200M 173.74 LOT 60 1 . 09 ACRES 10, ®� 78,+ 4; F� 200.00 N 02 47'20'E WATERS EDGE 1 "TO THE BEST OF MY KNOWLEDGE. THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND CONFORMS TO MA PS TONS MIL L S - MA SS. f THE ZONING REGULATIONS IN THE TOWN OF .BARNSTABLE, REGARDING, .A`Ae SETBACKS° PREPARED FOR DA TE.'FEB.4, 1998 MI CHA EL 6 KA THL EEN DAY DATE. FEB.4, 1998 SCALE: 1°=40 FT. R. CAPE & ISLANDS ENGINEERING FL 000 ZONE NON-HA MA SHPEE - MASS. D-50 5BC 60AP f, Mar 17 U4 1U: 54--a- 1Ht ruin UtrUI lOVVJOJVLLL T -- _ 2°-0ll 14'-0" _�21-OII 14 6' 2'LT 6' 2'RC %q 2'RC o 4'-011 c I 8' DEEP /8 , , 1 / ` +----------iC-0 ---- ----► 11 ( 1 ' 1 , I � . I I ' 8 1 , , 1 ; I , f 1 , 1I / - '; o o ) N CD 1 , 1 I •� i , J ' i '. _r 1 I I ! / I / I � 1 / 1 +3' 12'-01. 8' "40 FINISH I � I t � I I I 2' C 2'R c`' _ 3 3 I �1/r%yttt ;f L& PLASTIC �.,,; .�.,..—�.-'T •.�?. 1 STAIR 18'-0" Date: 12/9 9 = T: Pool Depot, Inc.7"' Numbor Ono in Quality and Sorvke. Title: Rectangle 18'x 36'2' RC `�'". ''y-aH;!, Forbes Road Newmarket Indust io!Park Newmarket,NH 03857 Drafter: JLC PHONE(603)659.4:65 FAX (600)595.0222 SH LL 0 END File Name: tpolRECT1836-2 oFPooL Area: 648 sq. ft. DIVING IAAY CAUSE PERMANENT INJURY,PARALYSIS OR DEATH -�—' Perimeter: 104'6 3/4" •Noce•llro..aq 61--le.—o :y Wtn,MN_.;8 "Ded lncltWb tVp�eaM�nlnLluun Template#: 21100 NSPI Type II asmauasfonee lcmv pods.wau •CO.N2LOI�EI�YI!!C8lA:LQW.EN0.9eMne moat a Ylats.It '.a.1wNIeta I+aal•pees•—A Nt n:tnd•Cunialml•ulbm•nJ L1• /htbntl ap.•M►mlLnW.N.'t MNnuT n.rletma prorto'ortt•'.4q aMp aet•ot er Yc.s et. Intt•pees.fel bearmlem mrcenYnp auun.x,ll[n•mo-..r•wu,w,•uaNnSaPryI/.IVA 22114 1703ese.e+•lxa•n:N tbani SC••W Peel .::WC CL I.VCa:P0O1.KITS FQ CTE R •. Board ot$ufid HOME NiP,� gReguiatiens R R�g�EiyENT C, aIId St d4rd05 �..r y,�t'=8ig� l SHELL I S �� _ =�(-� 004 I �y LANp F s lr.ate Co. «. ARRE,N CH �c? 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M■■ SEES■■ MMMM■SEEN■ ■■ME M MMMMMMMM ME 1 1/ 1 - 1 •- 1 - I 1 1 .� f ; 1 1111 EE MMMM MMMMMM ME I■■ ■SEES ■M■ ■M■MM■■ ■■■Ms1 ■■■■■■■■■■NN■■E■■■■■■■■ � , • xM ■■O■■MN■ ■■■OHMS ■NNE■■ SEES ■M■■■■■■■MOMO■■■O■■■■■■ R . r. 4`M ■ ■■■■■OMOMM■■M■■■■■■ ■MESS ONE ■■E■■■■■■NmmmoEM■■■■■■■ ___ ■ ■■■■■■■NN■■OMOMMMMOss■ ■ENM■ ■MEI ■■■ENE■OMMMMMM■■■■■M■E■ _ , ., ■■■■E■■■NNN■E■■N■■ ■■N ■N■■NNNN■■N■ENE■E■■N■■■ - SEEM■■NNE ■s1 ■E■■■■■■OOMO■■■■ON■■■N■ -� _ _ ' �" ■ ■ so moos■■ ■1 ■M■■■■M■■■ENMMO■■■■■NNE ■ ■■SEE■ ■■1 O ■ MEMO ■01 ENOs■■■■■■■EssOM■■s■■■■ ■ ■ MEMO ■ms1 sM■■O■■■■■■■■N■■■O■■N■■' EN ■■ ■mom s■mM1 MMMMMMMMMMMMMMMMMMMMM■■ EEC ■■ I■ENO ■sMM1 ■■■■■■■■■■■■■■■■■■■■■■■ �s■ ■o■ ■ENE■ ■MEM■■■EME■ ■EAMEMMEM OEM M■MMMMs EMEMEMMEMMEMEM MOM■■■■■■■Ms■■■■■■■■■MMMMOss■■■oM■■M■■OOM■■■■O� Ns■■M■■■■M■■■■■■■NMEONN■■■■N■■N■■■■■� ■■■■EMMO■■MO■■O■■NMMOOSEES■■■■Ms■■oMMNM■■sOM■MMs1 ;�•= TOWN OF BARNSTABLE CERTIICATE OF. OCCUPANCY PARCEL ID 062 043 GEOBASE ID 3523 ADDRESS 84 WATERS EDGE PHONE MARSTONS MILLS ZIP ii. LOT 60. BLOCK LOT SIZE IDBA DEVELOPMENT DISTRICT CO p gg��ggIITT 49 3 s GLfi F I yy LLLL GG � P RMIT T3CPE SC003 �ff.EJIPTION C TIFIC ELOFD CU�ANCY 28259. CONTRACTORS: Department of Health, Safety J ARCHITECTS: ..and Environmental Services TOTAL FEES: BOND $.00. 1NE I CONSTRUCTION COSTS $.00 + BARNSTABLF, • MASS. 1639. ED MA'I BUILDIN DIV I110-N. , BY DATE ISSUED 10/17/2000 EXPIRATION DATE L` ,1 :.E - ;fDRF.SS=" 84 WATfi.tS EDGE P:I.3ti MARSTONS MILLS GIP LOT 60 ' BLOCK LOT S I ZE -- DR.t 'DEVELOPMEN:T, DISTRICT r;, PERMIT 28259 DESCRIPTION SfNOLE Fr�1i ;Y DWELLING SEPTIC NU L'.' I PERMIT ,TYPE BUILD TITLE • NEW RESIDENT ML BLDG PIHT " CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services y TOTAL FEES: $516.96 - - - - - - BOND THE CONSTRUCTION COSTS $166,760.00 �T 101 SINGLE FAM HOME DETACHED 1 PRIVATE F . ' ') s * •ARNSTABM # MARS. 1639• t, BUILDING,DIVISION ' BY DRTE ISSUED 01/12/1998 EXPIRATION DATE �'-�" PARCEL, ID 062 043 ADDRESS 84 WAI i.R`.; �•, --;, ►,• - DBA ; D11.:V2(L40PiMENT D L,S T RI C,'i , PERMIT 28259 DESC91P`L'ION MINGLE kfAM11,Y WELLING Sl:?TIG ion 17 ?./. PERMIT TYPE BUILD TITLE NMI RESIDENTIAL tLDG P;ST CONTRACTORS: PROPERTY .OWNER Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES-: Wit $516-96•. BOND 1 $.00 OX CONSTRUCTION WST.S �1;66,760.00' �p�' �► �T 101.: :`SING LE FAM ROME DETACHED PRIVATE F * 1ARNSTABM �► BUILDING.DIVIS_,ION BY DATE ISSUED •'01'/12/1990 EXPIRATION' DATE 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 j ' 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 j 1.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- t (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. VISIBLEPOST THIS CARD SO. IT IS , BUILDING INSPECTION APPROVALS, PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS s �1 cov�✓o> � (4/t 2 2 �l N is /� 2 �'GI1.1•� /,' 7�rp t� 3 -W-L� 1 E TING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 MCALTH / oD OTHER: SITE PLAN REVIEW APPROVAL 1 WORK SHALL NOT PROCEE , UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATEWON 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. BUILD . PERMIT , ., c -DA I ' I I I; I r } I • c i I r I I 1NE Tpy,_ ,,, AB The Town of Barnstable - ,MIM ; � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 . Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 2,2000 Mr.&Mrs.Michael Day 84 Waters Edge Marstons Mills,MA 02648 i Dear Mr.&Mrs.Day, This letter is regarding your occupancy of 84 Waters Edge,Marstons Mills. Our office has no record of having issued a Certificate of Occupancy for this property. CMR 780,Section 120.1 Specifically states: "A building or structure shall not be used or occupied in whole or in part until the Certificate of Use and Occupancy shall have been issued by the Building Commissioner or Inspector of buildings." You must immediately take the steps necessary to ensure that all required final inspections have been done and then apply for a Certificate of Occupancy. Thank you in advance for your cooperation. If this office can be of any assistance please do not hesitate to contact us. Sincerely, Richard Stevens Building Inspector r g000502 ,. Engineering Dept. (3rd floor) Map Parcel �� _ Permit# o House# Date,Issued - Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) All Conservation Office(4th floor)(8:30-9:30/1:00-2:00) I L Planning Dept.(1st floor/School Admin.-Bldg.) f �� 'q Definitive Plan Approved by Planning Board 19 go �( SEPTIC S '�� T B Re E ?r Ic eel S/a�1�6 D✓Li INSTALLED IANCE TOWN OF.BARNSTABI& WITH 5 ENVIRONMENTAL CODE AND Building Permit Application TOWN REGULATIONS Project Street Address ( Jat:+ern t, r ' Village+�Gt� T Owner m 1 cha 2 a e4-� JJ ;A* Address 10 34 D e�-b., n_�14 , CD fu t+ Telephone I Permit Request p ems Lyc�- n 4 w o�5Ao B cd 51 Il G(2 h rm1 . t J c a A . 3,2 First Floor square feet Second Floor /{ I�,D square feet Construction Type LJ O08 �'! GtrYY��- "* owe-6 Estimated Project Cost $ ; y :� & 760 T— Zoning District Flood Plain Water Protection Lot Size �, l D Q Gf.GAJ Grandfathered ❑Yes 5rNo Dwelling Type: Single Family .QJ Two Family ❑ Multi-Family(#units) Age of Existing Structure n t.J Historic House ❑Yes ®-No On Old King's Highway ❑Yes )4 No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing - New y Half: Existing •-- New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing `" New First Floor Room Count Heat Type and Fuel: ❑Gas p/it ❑Electric ❑Other Central Air p'Yes ❑No Fireplaces: Existing New `j Existing wood/coal stove ❑Yes Gi l�lo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) 3/Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use Builder Information Nameg_-L Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREZ,��i4 lLZ DATE 141d h2 BUILDING PERMIT DENIED FO THE FOLLO ING REASON(S) t . : FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED MAP/PARCEL NO. r f 4�) i 1 ADDRESS VILLAGE OWNER DATE OF INSPECTION: - FOUNDATIONS ` 4 Y FRAME INSULATION FIREPLACE D O�Qi l9't-Qr ELECTRICAL: ROUGH FINAL PLUMBING: ROV,0I4 �S. FINAL . GAS: . ROUGH] ri FINAL - FINAL BUILDING 2'�lai, L7xg ca DATE CLOSED OUTME ` ASSOCIATION PLAN".9.� 31 m �� C�� I 3 -1a o ° 9°t�` � __ -- r ALLMERICA � FINANCIAL® HANOVER INSURANCE November23, 1998 Town of Barnstable Public Works Department Highway Division 382 Falmouth Road Hyannis, MA 02601 _ - — H E-1-NT.S-1 A T E lyI-E fir.T— Re: Bond No. BLN-1602038 Michael & Kathleen Day 1034 Newtown Rd., Cotuit, MA 02635 Dear Sir or Madam: Cancellation notice effective on,.or,about December 31, ,1998,,regarding the captioned Street Permit .Bond - Location:,;84.Waters Edge Dr., Marstons Mills, MArforwarded to you on November 3, 1998 is hereby rescinded, and the bond continues in full force and effect. Very truly yours, THE HANOVER INSURANCE COMPANY Louise M. Day Attorney-in-Fact CC** . Michael & Kathleen Day. =Fair.Insurance Agency,,Inc:,.Centerville, MA`(3201160) ;- New England Regional Office, 100 Century Drive, PO Box 15063,Worcester, MA 01615-0063, Phone 508-855-8000 For the Hearing Impaired: TTY: 800-508-9520 First Allmerica Financial Life Insurance Company•Allmerica Financial Life Insurance and Annuity Company(licensed in all states except NY&HI) Allmerica Trust Company,N.A. •Allmerica Investments,Inc. •Allmerica Investment Management Company,Inc. The Hanover Insurance Company•AMGRO, Inc. •Allmerica Financial Alliance Insurance Company Allmerica Asset Management,Inc. • Allmerica Financial Benefit Insurance Company•Sterling Risk Management Services, Inc. Citizens Corporation •Citizens Insurance Company of America •Citizens Management Inc. 271-5386(10/97) 440 Lincoln Street,Worcester,Massachusetts 01653 ��y , �0.�� ,. . 11�i "} � ��1 �bJ The Hanover Insurance Company NOTICE OF CANCELLATION Town of Barnstable November 3 19 98 Public Works Department Highway Division 382 Falmouth Road Hyannis, MA 02601 BOND NO, BLN-1602038 WHEREAS, on or about the 31st day of December 1997 THE HANOVER INSURANCE COMPANY, as Surety, executed its bond in the penalty of One thousand and 00/100----- --------------------------------------------------------Dollars ($ 1.,000.00 ), on behalf of Michael & Kathleen Day of 1034 Newtown Rd. , Cotuit, MA as Principal, in favor of Town of Barnstable, MA as Obli ee (Nature of risk Street Permit Bond Location:-- 84 Waters' Edge 'Dr. , Marstons Mills, MA and WHEREAS, said bond, by its terms, provides that the said Surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its liability in accordance with the provisions thereof. NOW, THEREFORE, be it known that THE HANOVER INSURANCE COMPANY shall at the expiration of Dec. 31, 1998 be released from all liability by reason of any default committed thereafter by the said Principal. Signed and sealed this 3rd day of November , 19 98 THE HANOVER INSU ANCE COMPANY BY Louise M. Day FORM 141-0709(6/92) cc: Michael & Kathleen Day Fair Insurance Agency, Inc. , Centerville, MA (3201160). Reason: Bond no longer needed. Home completed. I /, , ..mac �.�a�;�, �,�,ur d�,.� I � �� -- `.4 S 02'47'200M 179.74 LOT 60 1 . 09 ACRES O �+• p5 Q, �Sa Spa 2 `, Fp a 200.00 N 02'47'200E WA TEPS EDGE "TO THE BEST OF MY KNOWLEDGE, THE PLOT PLAN OF LAND FOUNDATION SHOWN ON THIS PLAN IS AS L OCA TED IN IT ACTUALLY EXISTS AND CONFORMS TO MAPS TONS MIL L S - MASS . THE ZONING REGULATIONS IN THE TOWN OF BARNSTABLE, REGAROING..�'.rtW6W SETBACKS" PREPARED FOP DA TE.'FEB.4, 199E MI CHA EL 6 KA THL EEN DAY R. DATE.'FEB.4, 1998 SCALE.' 1 "�40 FT. 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' I i � i a�01. a•d aW ,PE1.V�-a•vatG u».s.arnra u.Rt H Cr-) I4 `•®ieK'i'�I n� ( � �`.�,r�r � o 4) OA RH c ^ems r_t'-"n -"_I _ 1 lKl �•.a I I I' w CI U - it ,rd io N It�.-__ _______.___ _.I Q'� �4-- � Cyr {•�. __,= •� I f - - \ c�• d• n° Y I 1_g'.I;e �''��'-F�.1:1 .'a gl .6 ° -� I Nj i:�L•L:3e�:b�5:..�: I ( 1 ` s 6 -_ e I op I . � .71L�l`�.C3 :i e_ _ c'EtJ 1�I�, ;� � � � y .1:n r'<•H.r.-.-v_ I i - r�... �� 5, ' L�_ r.'.4r41Dt(= •-'�I 1 i—_._.____. III 1 �� l_-1�' ns t-� JCL� .N _- _.II•F lo•dl.DeeM1 .I• !1 I �I r P - :1 I IA LL- i ! ra II y t i p-�T-n�nn_ --- � } — �� III ii, sl .-F,�: • :.,..,... •fir �v_ooC I 1 ��!� �— _f�� -��— ~a EfiT1a� � .� _.y--1 I —__ -(�_— �I -i -i ia�-.-I• ��pla.�•r-r �I Cad. 1 it 5.5# x II t x -_—o_--p—_.�. N FOUNDATI Ol�l_ a ,f l •'�r 1,n K. l•6tl_ I �I i j I �III •.�"I i _I p � _'.�'`_ - .j—,-� � d,a v...c..nr�J II I t - - 1° F,L" -W J'- ,� F°• �I -�F Td'o ib,�1-T�n J:. 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A1uu. 02111 Workers' Compensation Insurance Affidavit An lic•tnt intorntatton: Plc:lse I'RINT':legi ly narne- Incation n. L S h, .if 1 am a homeowner performing all work myself. M I am a sole proprietor and have no one work-in_ in any capacity [I I am an eniplover providing workers' compensation for my employees working on this job. cooman • name- atirlresc• city: rhnne 0: insurnnce co. nolin•a I am a sole proprietor. beneral contractor, or omeownef circle ogle) and have hired the contractors listed below who have the following workers' compensation polices: committy nntnc•-TIr� atirlresc•�4 �/�'� /U� cir.: ( /�� / /yi''► nhonc�►: ��/ Cl /O (i insurnnce cn / r`� J� t! /W S C/' nniicc•0 61 n W-eR cmmpnn,• nntnc: addresc: i nhonc i#: insurance co. policy 0 Attach additia_nal sheet if necessary % -_ �:_•:« _.. .. _ _ -_ `r: .,;;:..;,+- Failure to secure coveratm as required under Section:SA of NIGL 15Z n Icad to the imposition of criminal penalties of aline up t 51.50U.UU ndiur une,cars' imprisonment as,cell as civil penalties in the form of a STOP NVORK ORDER and a fittc of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA fur coverage verification. 1 tlo berebt•crmif-under the pains and penalties of perjuty that the information prodded above is true and correct. S i_nature Date Print name Phone>* ' official use only do not write in this area to be completed by city or town official city or town: permittlicense# r'+uuiiding Department C31-icensing hoard [� t rl check if immediate response is required 0Seicetmen's Offrcc I (:311calth Department �... r: contact person: phone#: rjOthcr S. - Information and Instructions Massachusetts General LlN%,s chapter 152 section '_5 requires all employers to provide workers' compensation for di employees. As quoted from the "law*% an etnplt tree is deftncd as every person in the service of another under any contract of hire. express or implied. oral or written. An rmplut'cr is defined as an individual, partnership, association. corporation or other legal entity. or any two or me the fore�_oin�a, en�la�_ed in a joint enterprise, and including the legal representatives of a deceased employer. or the receiver or tntstee of an individual , partnership. association or other legal entity, employing employees. However:! owner of a dwell in--, house haying 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 wort: on such dwellin;_ lic or on tite `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empioy-1 MGL chapter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance oi- rencival 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 tite insurance requirements of this chapter 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 as all affidavits may be submitted to the Department of Industrial Accidents for coilfirination of insurance coyerate. Also be sure to sign and date the affidavit. The affidavit should be returned to tiie 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 retarding the "law" or if you are require. to obtain a Nvorkers' compensation policy. please call the Department at the number listed below. City or Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tite 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 questic please do not hesitate to unve us a call. . The Department's address. telephone and fax number., The Commonwealth Of Massachusetts Department of Industrial Accidents _.. Office of Investigations 600 NN'ashinbton Street Boston,Ma. 02111 ,,. fax #: (617) 727-7749 —6,%nn 4i• (41 n.-r. 106. 409 or 375 i The Commonwealth of Massachusetts Department of Industrial Accidents Imaiaara, i>>ria 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit location Z61 &mfrL 1jd/1,c!C hjh city Ai1'L�C'T�✓S obi 1 �1{13� n� f `[ phone# 0—L �6 •fit a homeowner performing all w myself. 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. company name: address• city phone M• ��=ers' , eneral contractor,or homeowner(circle one)and have hired the contractors listed below who have compensation pole^es _ company name'.t = - _'..`�_S_'�';•: -_` r address: L- - _ phoneM: company same- add cft: phone M• imer nce CO. Raft M Failure to secure coverage as required under Section 25A of MGL 152 as kid to the impoddoe of criminal penalties of a line up to Sl MA9 and/or one years'imprisonment as well as civil penalties in the form.*(a STOP WORK ORDER sad a flat of$100.06 s day apinat me. 1 understand tliat s copy of this statemeait may be forwarded to the Me of Investiliatlow of the DU for coverge veriffeatims. I do hereby cY.dfy�nderj ns arse penattia ojperjstry drat tRe Infornsadon provided about is bete and/ a. Sigxtaturc ` Print name " A fie �QY— t(2�I—D a tf official an only do n:writeinarea to be completed by city or tows official city or town: permlWeeme 0 rilluilding DepartmentoLiceusing BoardO eheck if immediate resed pSelectmen's Office Health Department contact person: phone 0; riOther (rowed 1195 PIA) • TOWN OF BARNSTABLE • • BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. • DATE 9 S JOB. LOCATION �S C�a�'-�(5 �c1 c� t� 1 f ,G 6`TyS . Number Street address Section of town "HOMEOWNER"_r c) h:t� a Kc,,4lee,-,laa Name Home phone Work phone - - PRESEN± MAILING ADDRES Loh ' CoAv City town State Zip code The current exemption for "homeowners" was extended to include owner-occuDiE dwellings of six units or less and to allow such homeowners to engage an in- diviJu'al for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re side, 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 Offic on a form acceptable to the Building Official, that he/she shall be responsi. for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the S . Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirementz and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE PROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35 , 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 01 Construction Control. a HOME OWNER'S EXEMPTION • :: .. The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home OwnE shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner act_. as supervisor is ultimately responsible. To ensure. that the Home Owner is fully aware of his/her responsibilities, ma:. communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. M I • :Y.V,.1..�r-yr:+ivy'_:'rt.'..I�'...s.v..��..v.9,.�..,-w-K=..:_..<..-:vti-s:G,av�+'ti.,_.--.,..,..:,;.',�,n-.,.•mac-:'"v"..-%:::..i.'-.,i:�-tf�.-y,.:�....,.,.v:._.:r'^./ti'ti+`..w--:�:-,:;,�i,.�:.�17t::r.t+Y.ti"wwv:.:-.�.�. w.-v W mix- ., ..._ F. r The Town of Barnstable o� B,RM� Department of Health Safety and Environmental Services =aye. ,0� . ° 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 Location (,c1 i, r ;t�o , Permit Number Z -2-5- Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: a�'CAn� 4. h C 0A)SIP —Z4 a— r 1 c.�ttL11 *I��/�� 2 !J 1 t n&P to, -?/V Q s r - of S le'le4 -F( ';Lef�zr 7-91 fle.Is t / J n Please call: 508-790-6227 for re-inspection. spected by 0/m_ Date r., (.�,.(0 Y TE FL i NOT TO SCALE FINISI4 GRADE TOP FNDN. FINISH GRADE OVER OVER TRENCHES 74 w 5' FINISH GRADE , FIN. 'SAP GRADE OVER DIST. BOX 74,. 6 o'Pao SEPTIC TAN, ._ ,�___4 a x �T 12°' MAX. r " AN . . • oA ao. , � 0 Q 4:• 4.4, il.i�: �0�t; 0�.•4•.A�y q,7:A,v'•p '"'ro' a :v'.`4p'•r,3• ? b .u . 'a o o.': ® ;Qq TOTAL LENGTH OF TRENCH .33 OUTLET PIPE LEVEL, a FOR 2 FT. MIN. QA:0.'° o o A p p • 0 0 . :� Q:p o p� •A f �y •• e .,p. f� v 'A.P Vo i .p• a D� :p ''�• 73,5 tigo 0 %°,w'< �� 4•� ;�• r�•� �,� Q' :n•;®fie:. •;m•::!:p,•: o •a �I � �0, db a C. I. OR P VC TEES d S r� c� C o o c o '0 GALLON °a: DI T ' U TION BOX •O b $SMT FL . 9 2 o v 9 INSTALL ON LEVEL BASE EL . °' . W1500 GALLON OR YWEL L S • o..;o Pf�'ECA S T CONCPE TE 4?ve o . Qi.A?b .�0 o.•e:o4 �t :R a• F.• p o-•i: ,D• ,. :O, H /0 REINFORCED p. &0 .o. •Qka: ..�.d,:bc?•.a•d'd;?pt9.':C?�'i.•:�.�1•,',e•�b.�..,q ;; OgtsQ•e�";�.q;�4. I 01 TRENCH SECTION CE P TIC. TA/V'F� ° Whistte6err J�? Middle Hill OR INSTALL ON LEVEL BASE s o �dC oa NOTE.- EXCAVATE TO ELEV. Pond �Han;bl ' , LOWER TO REMOVE ALL IMPERVIOUS /�IDDLf_" Pond MA TERIAL BENEA TH THE LEACHING AREA 410 DIAM. 12 MIN. Middle �ond Pat REPLACE EXCA VA TED MA TERIAL WrTH :: ,r •,xa� ti 3 OF 1/8 1/2 a u a 9 A Q. D b i,ba•Or� i"g� _ b:: '� .�,� MASHED PEA STONE N° CLEAN, CLAY .;FREE w SAND a, i 5, a Win,.'. ,, . .o� A:O;•. o . • Or 3/4" — 1-.i/2.„ MASHED ;;; •: '�. tea. a. s tersh d �* CRUSHED STONE GENERAL �/ TES TRENCH MID TH } 1. ALL EL EVA TION; SHOWN ARE BASED ON ASSUME® NUMBER OF TRENCHES ? ( 2. ALL PIPES' IN rHE SYSTEM MUST BE CAST IRON NUMBER OF ORYWELLS 3 <02 47'PO_ OR SCHEDULE 4� ; PVC, . ...._....: ......_.. ._. ..a,-.,......._.4.W.:.,.v...,a .:..............:. ..._.. .-_...a.,.,«-:.,, , -_..., 2= ... _ SER V TON. PI J73.7 . RO OF FAL TH MUST BE NOTIFIED { 3. THE BOA MHEN CONSTRUC'1I0N IS COMPLETE PRIOR U.H.MILNE P—B210 TO BA C/�'FIL d.IN��: PERCa�A TION RAT 4. ANY CHANGES ICJ THIS PLAN MUST BE APPROVED MIN./IN. I LOT 'O BY ' THE BOARD OF HEALTH AND CAPE 6 ISLANDS J✓I TNESSED BY.• I 1. ®9 ACRE I SURVEYING CO., .INC. ED BARRY j 5. MATERIALS AND INSTALLATION SHALL BE IN r BARNS. BRR®® GF AL TH DESIGN DA TA 1K, COMPL IANCE WI'H THE S TA TE SA NI TARP PR.•A 21, 1994 CODE TI TL E I! DA TE.' — — — — — AND LOCAL APPLICABLE E � f RULES AND REGOLA TION.., 4 I NUMBER OF BEDROOMS 6. NORTH ARROW I.= `FROM RECORD PLANS' AND Q"—__-_ __,-�_.-- �� ,�- NO IS NOT TO BE BE USED FOR SOLAR PURPOSES GARBAGE DISPOSAL .� 7. FL OOD fIAZ,�RO .'ONE C (NON—HAZARD V TOPSOIL G' SUBSOIL q a DA IL Y FL ON 440 GAL . { B. MA TER SUPPL Y_ TOWN WA TER 18 COARSE S,� � SEPTIC TANK REO 'D 1500 GAL '----- GRAVEL �'t 661 SEPTIC TANK PROVIDED 1500 GAL . .w LEA CHING REQUIRE 440 GPD. MEDIUM SAND SIDEI✓ALL ARF_A = 1B6 S.F. o� �QQ .?86 0. 74 137 y / E , e - S.F.X G/S.F. = GPD r" BO T TOM AREA _ 441 S.F. 9C3 oQ Q r 1 L l 441 S.F.X 0. 7F 326 GP0 ° LEACHING PROVIDED 463 GPD ' f! ---- - PROPOSED .EL EVA TION 156 NO (7,-au�DW,97Cf vt -- E/ISTING CONTOUR a �f � —— �� ,5.1`NGL E FAMILY RESIDENCE 9 a � 00SERVA TION PIT 0 &.*S TRIBUTION BOX �� Or ArgS PROPOSED SEPIA GE DISPOSAL SYSTEM J , ZVI s - FORC RTRAND �9 8:�a �. PREPARED O O SEPTIC TANK �r tsTF�`� �wr 33- �� ,, MICHAEL C KA THY DA Y L. O T 60 WA TERS EDGE IN 200.00 ��'''-= Nrv; ~> I —E : R:SERVE AREA . N o2 .�7 20 BA ANS TA BL E MA RS TONS MILLS MASS 9r�� DAVID WA TERS EDGE)c. / ' n, PJ:PE INVERT EL TION :: SAf4RLES �ICKI . 26085DA a CAPE 6 ISLANDS ENGINEERING LOT PLAN � �; �F o P ,�s, c,SUR SCALE AS NOTED .133 FALMOUTH ROAD SUITE 2E SCALE.' 1 "= 300 3 ._= MA SHPEE, MASS. fA R ...^SEG.,. ..PrX , .LOT HSF PLAN NO. 31 Q,