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0029 WHEELER ROAD
4 I . ..„ I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION } Map Parcel 0046 Application # 0?4106 aD Health Division Date Issued a a• Conservation-Division Application Fee Planning Dept. Permit Fee o� < ( • Date Definitive Plan Approved by Planning Board , Historic - OKH Preservation/ Hyannis 1' Project Street Address Village Owner 4 A6—x-p- Address 61 r 4, �tJtaJS ids Telephone .S - ,6B/ -0."R3 Permit Request T Jt&zl aa&-�"A)J �c S./ L ad S./,� ;d�'�/ z1,aye1_S CZ-0 coo 6v4&3) Square feet: 1 st floor: existing I Yv?fproposed �Y `2nd floor: existing © proposed _Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5�/, 5-6 Construction Type Lot Size ?.06 ac. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family id" Two Family ❑ Multi-Family (# units) Age of Existing Structure 8 Historic House: ❑Yes ZNo On Old King's Highway: ❑Yes ZrNo Basement Type: ❑ Full ❑ Crawl ❑ Walkout Z(Other fry zl e_ it.. ,.id/ I�'23�4,1 e-e- Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new alA Half: existing new Number of Bedrooms: :3 existing4ew Total Room Count (not including baths): existing _�5 new er First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil (electric ❑ Other Central Air: G/Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing',P neA size_ C1 c- O Attached garage: �xisting ❑ new size _Shed: ❑ existing ❑ new size — Other< � o Zoning Board of Appeals Authorization ❑ Appeal # 41A Recorded ❑ Commercial ❑Yes 2*6Io If yes, site plan review # 7, -'* Current Use S,rG 1� ,�;/, Proposed Use !�a ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S�.�lrJ�;�o�. ,�/c Telephone Number .Sm)3- aV,6 63.5D Address aV 6-, License # Z&a?6 &,ure,.Vr, eja �°i l' Da 6S3 Home Improvement Contractor# Agzzy Worker's Compensation # 1O/5_/7/oiaola. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a SIGNATURE �� DATE N`,y ,i FOR OFFICIAL USE ONLY APPLICATION# .` DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE t: OWNER DATE OF INSPECTION: FOUNDATION 0� �w �Z O�Cz,s FRAME INSULATION FIREPLACE ,f ELECTRICAL: ROUGH FINAL �s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL z FINAL BUILDING i 4 DATE CLOSED OUT ASSOCIATIONTLAN NO. i N o . 0 z ('� /YLI� oSG 6ZS J `' ' -- - .- ---- - ---- - - .The-Commonwealth ofMassachusetts -- - -- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organizationnndividual): Address: 3 .0 o t ` City/State/Zip: 5 0 6 J-J Phone # ,�� -� S/6- 63 S- an employer? Check the appropriate box: ,IType of project(required):. [Areyo . I am a employer with-�- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 11 g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers.' comp: insurance comp. insurance.t 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compcnsation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ,Q 5 Ce G d, / � y i f so e Se#S Policy#or Self-ins.Lic.#: �o/ /?�®/a�j� Expiration Date: 3 Job Site Address:_ L✓ �.e� �/�S �ity/State/Zip: ��s5�l/e Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against'the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone FF ftcial use only. Do not write in this area, to be completed by city or town oj fcial 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 Pe"rson: 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 not because 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 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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(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 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. 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"Job 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 burn 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 Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 - www.mass.gov/dia r 6/27/2012 3 : 00 : 57 PM 8740 0 03/03 CERTIFICATE OF LIABILITY INSURANCE B`"$o�20012 THIS CERTIFICATE Is ISSUED AS A HATTER OF INFORMATIOB ONLY AND CONFERS NO RIGHTS UPOB THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIT. THIS CERTIFICATE OP INBURAUCE DOES NOT CONSTITUTE A CONTRACT BETWEBD THE ISSUING IDSORHR(S), AUTHORIZED RBPREGERTATIVE OR PRODUCER, ADD TER CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polioy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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(s). PRODUCER CONTACT Rogers & Gray Insurance Agency M(ORC TAX Ines WC.Ra.RR!), we.ae). R-ILL14 434 Route 134 Alonrsz, TIMPYCER South Dennis, MA 02660 CU5tM=IDR. IMMO(E) aroaDlro cavERAce RAIc IRZPRER AI A.I.M. Mutual Insurance Co 33758 Sunwind LLC INNSnALa Rt P 0 BOX 700 MDA,C, Brewster, MA 02631 INSURER D, INS MM R, INSURER P, COVERAGES CERTIFICATE NUM ER: REVISION NUNBER: THIS Is To C7ERTIPY"AT VHS POLICIES 08 INSURANCE LISTED BELOW HAVE SHM ISSUED TO TIM IIISURSO NAMED.ABOVE 80R THE POLLOY PERIOD IBDIOATED.—� NOTUXTUSTANDIRG ANY RE9UIR=QX6T, TERNS OR CONDITION OF ANY CONTRACT OR UIRRR DOCUOMT WITH RESPECT TD THICK THIS CNRTTPIDATE MAY Be ISSUED OR ILLY PERTAID, TEE INSURANCE AFFORDED BY THE POLICIES DNSCRIEND SEEMS IS SUBJRCT TO ALL THD VMS, EXCLUSIONS ADD CONDITIONS or SUM POLICIES. LMM SEWN MAY HAVE BEEN REDUCED BY PAID CLAIRS. r'er POLICY BUHBER POLICY EPP POLICY M L114ITS DIr TYPE OF INSURASCR ,YtAahTiTl O]1/DPATm G®RBRAL LIABILITY EACH ICCURATCE 6 11CCMIEP.CIAL WHIM LLNILITC DAcm 70 PERMS 6 P7E6ISLSIEa.oacaxxencs) QOCLRII.J]S.41C QOCCTA KID NIP (Aay ens Person) 6 aPm anL a ADV INDURS 8 OWL AGGRMATS LIMIT ATPLIIS IS, 6ffiRN.EECAECA7E • etatc7 DPFMCT coc PR61)DCIf-camp/of A6o 8 6 AUTOMOBILE LIABILITY C%03EED SDIUIE LIMIT (es eaolden!) 6 ❑AVI AUTO RIDILI'IAnmI (Der Tema,) 6 ❑ALL 0.7ED AVM 11SCHIDULED AUM NIDILT IUMT(Per eD 94-t) R TROTERIT NJ" BIRID AUTOS ' (Der emtde,q S QHOD-CiRED AOIOe 6 D e 1:1M4n=A LL3 ❑DG:Mt RACK OCCIIAKRCC 8 �EICESS LIAR ❑CIA—MADE A;UESAIE 6 DIDDCSIELE 6 DRI72YIICR ( 8 WORKERS COWkNSATION ® >c fLIKIS ERR- AND EMPLOYEES LIABILITY NDa LI,nNs THS fROPRISICR/PARTIMRS/ E.L. EACH WIDEN? 8 500,000 A n(txvrlve OFPICCR9 ARE E.L. DISEASI-PDLICYLffi7 a 500,000 ❑ incl ® excl 6015171012012 02/15/2012 02/15/2013 B.L. DISEASE s 500,000 COMM I DESCRIPTION DY UPERATIONf OR LOCATIOaSt ALL UMBERS ARC EXCLUDED FROM THE MRKKRSICOMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF MATTAPOISETT SHOULD ANY 08 THE ABOVE DESCRIBED POLICIEY BE CANCA.L®H880R8 THE N01MATION DATE THEREOF, NOTICSi WILL BE DELIVERED IN ACCORDANCE WITH TIM 16 MAIM STREET POLICY PROVISIONS. MATTAPOISM, MA 02739 NEENDRIZEI REPaEsmuuzYe Cjaa� 7389 -71E� { Z' Co onwealth of Mas chusetts a e Dep ment of P is Safety Hoisting; E inec m :. CO) a o License:.HE 2 s o TIMOTHY S - \ 16 QUAR $ o o` Brewste 03631 N �~ v Commissioner Expiration:. •! �` v°'i `I '� . o I 04/02/2014 H y C Gj U M. C U �J W���iii - •-6 o 0 000 �3 "'W I ce of onsumer s USX Css S ! tens@ dr re t tratton VaLd for ih* t owe ME IMPROVEMENT CON fRACTOR�`r befofe the.expiration date. If found re}urn"tr;:. egistration 169718 ?i;, Offire•of Consumer Affairs and Business r! la xpiration 7/27T2013� LLC. f .`lO park Plaza-Suite 5170 Boston,MA 02116 _ SUN ND, LLC. TIMOTHY HOLMES�"T''x= a ! 300 CRANBERRY HIGfJv 1NAY /f/ ORLEANS, MA 02653 : Ualid �'�-�Undersecretary �►thout sjgnature L THE r, Town of Barnstable sexxsTnsLE, Regulatory Services y nines. $ Thomas F. Geiler,Director �''°rEo►�•�"�� 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 I, u / , as Owner of the subjectproperty J hereby authorize CS V(� s'v l 1 Z �G, to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address.of Job) Signature of,Owned Date Print Nam If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QYORMS:O"ERPERMISS ION Town of Barnstable FTHE Tp� Regulatory Services Thomas F.Geiler,Director BAMETABLE, MAC.1639. Building Division AIFo 1i�y A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": .name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was 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 requirements. 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:\WPFILES\FORMS\homeexempt.DOC professional Groundrav SOLAR products Installation Manual APPLICATION: The GroundTrac system is designed with a minimum amount of in- stalled footings at greatly reduced labor. The system integrates with �Y - ordinary 1-1/2" schedule#40 galvanized water pipe. This ground * - mount solution includes virtually everything needed to install mod- ..:. y ules with vertical posts up to 5'from rear footing, 30"from front foot- -: . ing.The installer will only need pipe, concrete and basic construc- tion skills to complete the installation. This fully engineered system rA- .- utilizes Professional Solar Products' patented Slide-n-Clamp'm module P - Y clamps and support rail. AAWARNING All Professional Solar Products (ProSolar) are engineered and tested to withstand stated specifications (as stated on published specification sheets)when installed properly. Fail- Explanation or Install Tip ure to install properly may decrease the performance of the installation. SAFETY Important product All regional safety requirements should be followed when performance information installing Professional Solar Products. All equipment/tools should be properly maintained and inspected prior to use. This installation manual is intended for use by professional installers with a working knowledge of construction princi- Critical for Safety ples. Tool List 0 3/16" long-arm hex wrench Torque wrench with 3/16" hex bit Post hole digger or powered auger socket ProSolar grade stake kit . Cordless reciprocating saw/ band • Cordless drill saw 1/2" wood drill bit . Wheelbarrow or concrete pump 1/2" & 9/16" deep socket & ratchet (or impact gun) • Sledge hammer (small-approx. 14") • 3-1/2" (min) C-clamps FOR UNSLOTTED RAIL—ADD: • String Line and line level OR builders/laser level • 1/2" Irwin®#10 UniBitTM Pipe wrenches (two required) . Framing square Tape Measure . Sharpie TM marker Page 1 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac@ and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 v professional GroundTrar SOLAR products Installation Manual Installation steps overview 1) Dig footings 5) Insert pipe and center 8) Pour concrete 2) Assemble re-usable grade stake forms 6) Fasten Drop-N-Lock/ U-bolt 9) Remove re-usable stakes and 3) Insert grade stakes/ lay pipe &tees Assembly install solar modules 4) Measure &cut vertical pipes 7)Attach rail spacers every 10' 10) Completed installation Step 1: Dig footings Dig footings. Lateral footing spans listed on page 6. Front to rear footing spans listed in angle charts on page 6. (Footing depths may vary depending on site specific conditions such as sloped hillsides.Review site specific requirements with local building de artment as necessary.) i it�•— To,speed,up installation it is recommended ; E r` 12" to use a 12° power auger.to dig your 6 "°°°"'� 42- °aan°4 footings. w x ;30" can,mr �: Step 2: Build grade stake forms Assemble re-usable ProSolar grade stakes). ' Recommend 2"x4" vertical support. Drill 2" x 4" with 1/2" drill bit using grade stake as hole template. •. ' Assemble bolt, washer, spacer block and grade stake and tighten using 9/16" socket. Attach 1"x 4" wooden horizontal support using 3-1/2" (min.) C-clamps. Grade stake kit incudes: 24" threaded metal stakes, 3"Min aluminum spacer blocks, bolts and washers. Step 3: Insert grade stakes and lay horizontal pipe support Drive grade stakes with sledgehammer beside each footing and level 1" x 4" supports using string line/line level or laser level. Place horizontal 1-1/2" schedule 40 galvanized I pipe with slip-on Hollaender®Tees along 1" x 4" 1 supports. Adjust C-clamps as necessary to level pipe. Use pipe wrenches to couple pipe lengths •..•.. as necessary. ' ' Page 2 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under U.S.patent#5,746,029.Roof rrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 professional Groundrav SOLAR productsyi. 2kw Installation Manual Step 4: Measure pipe heights and cut Measure vertical pipe lengths with measuring tape from bottom of footing to horizontal pipe. Deduct 2" from length to avoid pipe contact with bottom of footing moisture. Note measured lengths. Cut pipe lengths using a chop saw, reciprocating I saw, or portable band saw i Use only 1-1/2"Schedule#40 Galvanized water A pipe(not fence tube)for your supports. I1 l I. 1 1 1 , , 1 Standard 21'length water pipe with pre-attached couplers readily available at plumbing supply houses. Step 5: Insert vertical support pipes and center Insert vertical pipes into tees and fasten lower tee set screw with long-arm hex key. Center vertical pipes in footings by sliding left or right. 1-1/2"Schedule 40 pipe max end overhang of 2 feet. ... Step 6: Attach initial support rails with Drop-N-Lock U-bolt assembly Rest pre-slotted rail on top of horizontal pipes and insert U-bolt. Place Drop-N-Lock support rail insert into the rail and align with U-bolt. Hand tighten nuts. Pre-Slotted ' should°j . GroundTrac®U-bolt nuts e evenlytightened, Support Rail avoid'u-bolt 'r „*WE',,nw m misalignment: Kk 1 •F a Page 3 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under U.S.patent#5,746,029.Roof rrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 professional GroundTrav Sow productskwr vA, Installation Manual Step 7: Attach support rails (spacers) every 10' Install at least one rail approximately every ` 10' for proper pipe spacing. l If not using slotted rail, see page 7 for drilling rail locking holes. i iE F Step 8: Pour concrete Pour or pump mixed concrete into footings. Let cure. f / f� Extruded�edg es.of.the aluminum can be sharp.Treat any sharp edges as necessary t6jprevent iinjury. i i i Page 4 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrace is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrace and FastJacke is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 v professional Groundrav SOLAR productsk-W Installation Manual Step 9: Remove re-usable forms and install modules Remove grade stakes. Tighten all tee set screws, both upper and lower, to 17 ft-lbs with torque wrench and hex bit socket. Adjust initial rails to final location. Install / remaining rails. / Tighten all U-bolt nuts evenly with 1/2" socket �A or impact gun . Install solar modules with pre-assembled �f ProSolar clamping hardware. Install ProSolar EZ rail end caps with Install pipe end caps adhesive. to cap off pipe ends i Install 1-1/2" plastic pipe end caps for sched- ule 40 pipe as necessary. Install EZ rail end caps to button up system and cap any trimmed rail ends Step 10: Completed GroundTrac® Installation Completed GroundTrac® Installation. Clamping hardware is engineered exclusively for Professional Solar Products support rail. Page 5 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 `- professional Ground"I"racosow products Installation Manual 124"x 2-1/2"Support Rail Supports up to(3) 39.5"Wide Modules Array Footing 124"and 136" Rail Angie Distance Angle Chart 30° 0° 84^ 25° 5° 84" 100 83' 200 15° 81" 15° 20° 79" 39.5" 25° 76" I 100 30° 1 73" 5o 0° - -- - ---------------73".._._._._.1 � I I� I• 124" {--- 76" ------•---79"------j'I 30"(Vax I " top - --Bill top Y. 84" T 2-1/2 otroottn- - 83--•--- ----•-ti or rooting --•------84'- _ ------ ? �._._._. ._._.- �-136"x 2-1/2"Support Rail �\. - - J\ Supports up to(4) 32.5"Wide Modules 42" 124"and 136"Rail \\ \\ 32.5" 164"Rail Angle Chart Array Footing ' 136" Angle Distance 20° 0° 108" 2-1/2" 5° 108- 15" Y. 84" T 0 0 164"x 3"Support Rail 150 104" 100 Supports up to(4)39.S"Wide Modules 20° 1 101• 5° 0° r-------101" i----------104^ F-•...-.....------Los--_-•-•-•--------ti 39.5 !__--------- 108-----------------i ri - -- RON �\ i - - - - \ 164"Rail �\ 164" \ \\. 3'Y. � 308' GroundTrac® Rail Sizes 124"x 2-1/2" 136" x 2-1/2" 164"x 3" Number of Modules (3) 39.5" wide (4) 32.5"wide (4) 39.5" wide modules modules modules Lateral footing span (max) 10' 10' 8' non-snow load Lateral footing span (max) 6' 6' Not snowload 30 lb/ft2 snowload rated Front to back footing spacing See Angle Chart See Angle Chart See Angle Chart Pre-slotted rails at: 84" on Center 84"on Center 108"on Center Page 6 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac®is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac@ and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 i professional SOLAR Groundrar productskwr y.i. Installation Manual Step 11: Drilling holes for un-slotted rails 41 INCHES — 41 INCHES —•j Irwin®Uni-BitT"r, 1/2•"U-BOLT HOLES drill bit decreases rail' locking hole(10111,11 time o 3 seconds. = CENTER 2 INCHES If not using pre-slotted rails, use the 1/2" diameter IrwinT"" Uni-Bit® (#10) short nose drill bit to drill U-bolt assembly rail locking holes. 124" & 136" Support Rail Lengths (see page 6 for span illustration) Upper pipe to lower pipe span (distance between U-bolts): 84" on center U-bolt locking holes 41" from center (see above illustration) 164" Support Rail Length (see page 6 for span illustration) Upper pipe to lower pipe span (distance between U-bolts): 108" on center U-bolt locking holes 53" from center (not shown) Align several rails side by side, as shown. Using a square and SharpieT"° marker, mark hole locations along integrated rail bottom drill guide. Drill marked locations with cordless drill and Uni-Bit®speed drill bit Page 7 of 7 COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2009: All information contained in this manual is property of Professional Solar Products (PSP). TileTrac@ is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTrac®and FastJack®is a registered trademark for PSP and is covered under U.S.patent#6,360,491.Rev.082009 TOWN OF BARNS , bL 2012 NOV 20 PH 3: 5 V II 4h I OBLIQUE VIEW HOUSEAND SOLAR PANELS N.T.S. 0 Foundation Plan:Align pre-cast spread footings over bearing vans of the unndergroun�e. it �S"Concrete Align footings Intermediate � 1 2 solar tham2l Biwing Kills } overbearing walls l footings 4 li panels 16 16 � 16 1 ' = 46 8 9 14 2 11 1_ 13 1 1. 16 1� 18 19 20 21 _ _� _� _ _6 _ 28 29 34 31 3� 33 3� ^; 'IS, , 9 f iz o a x c P. FOOTING LAYOUT SOLAR PANEL LAYOUT 2 N.T.S. o N.T.S. to w 0 L J 0 rZI Nfik a Posts embedded in 9� ! concrete V T 44- 35' z A CAR13FUL Y REMOVE=.BY HAND.E'-R"OF W • EMSTING M.PLACE 1".2"SAND.PLACE A I +FOOTING RECTLY OVER WALL BELLOW. . - 1"2"SAND G AOLE SIGMA POST � �p C #5 Rebar l O,= GRASS 0 A GRASS p o I 12' thrOUgh sigma CONCRETE PANEL FOOTING AR 6"MM. Yr q to+a ® c Pow Footing Plan View Footing Side View CULVER 1: SPINK �"Wva�7 DDAM17/14I2G12 (3) #5 MAMA .Ics CHML Rebar Aw '� I v scA1t N.T.S. FRAME AND FOOTING DETAIL , I PRDTt A SS 2012 FOOTING DETAIL SHUT ft N.T.S. N.T.S. nr.'s°off•ioe� (1st floor): (�4 ✓ OOG �ACTHE r ` ssor's map anc lot number SYSTEM SST o� c` ......... ...... .... and of Health Ord floor): pat -N COMPUt fO� ewage Permit number ...'K.�......�� ............................ >H TITLE 5 ' " ' L DA,gDs7sDL • Engineering Department (3rd floor): Ci.. ,;,11EN AL COD! A D �000 b}9• �e�° House number ............................................................. 'RCtHCJ a. ........... YC�iIiIiV FiEGULATl06�� APPLICATIONS PROCESSED 8:30-9:30 A.M. and` 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO�u.....17 p �OA� .� Q L S ..............................................\ TYPE OF CONSTRUCTION .......CC�M.�`. r....!-? CIC............................................................................ ... _Ma......,..................9 8_ TO THE INSPECTOR OF BUILDINGS: The undersigned \hereby applies for a permit according to the following information: .Location 729 M4F F-LF R QO& j MAA-570o � MASS , .....................................y...............`.................................................................................................................................. ProposedUse ... .. �' 4.�?��' T'��v.................. .................................................................................................................. Zoning District � 1^ Fire District 1"` 11.I,S ................... ...................................... Name of Owner JoH1N fJ O1I...... .................Address 2..........H....r1,� 2 �b J to H1 0 )J d bL A7 �jP t Nameof Builder ............................... ................................Address .................................................................................... Jow ►J ?AfL..L)�YL1Q t ' Nameof Architect ................................Address ...................................,................................................ Numberof Rooms ....................Z-.........................................Foundation ........Z- ..' -...................................................... LoC- (- Exterior ...�...........................................................................Roofing ..ASr SN.iNt. r 4i S ..... ................................................... Floors .C.....oti�.........G..P-r-1i;.................................................................. Interior .... ' .F.!.u..'.......................................................... Heating N (4 h.................................................................Plumbing ..,olof- ........................................................................ Fireplace ONIr....................................................................Approximate Cost ............ 00 ..... ,....................................................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area ............ gC'. .. S!Ft ..... Diagram of Lot and Building with Dimensions Fee ... .... .... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 5o9 t 4 No? _o . r '20 n `'°7± N OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation f the Town of Barnstable regarding the above construction. Name .... ......C..'........................ ............... Con u 'on Supervisor's License 2� JOHN ol.-3qA L Permit for ..P:i4ild Boat & Tool House ............................. ......-Acces.sory...t.o...D..we.11..i.ng ............. location ....?9..Yheeler Road .................................................. Marstons Mills ............................................................................... Owner ......J.oh.n...B.a.r.n.ar.d............................. Type of Construction ...Frame.......................... .. .... .. .. . ............................................................................... Plot ............................ Lot ................................ March 7, 88 --P.e.rmijt Granted ........................................19 to of Inspection ....................................19 Wn-to CompI6 d .................. ....19 3 bib- i FROM t ;-�: TOWN OF BARNSTABLE Mr-. Francis Lah a ne BUILDING DEPARTMENT Town Clerk 367 MAIN STREET HYANNIS,, MA 026M Phone: 775,1120 SUBJECT: ' FOLD HERE ' 4 DATE - October. 11, 1984 M E S S A 0E Work has .beeu' completed •under Building Permit' #26038 (John Barnard, Jr.). Please release Bond. ' SI NEO j � 1 DATE REPLY f N87•RMt RECIPIENT;RETAIN A)-.ITE COPY..RETURN PINK COPY - PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. I r • Assessor''map and lot number ,�, y. �,_ v ca✓6 THE �.:., / - �I c �1 Sewage Permit number �� /0 � 4 - IIAL ui Gw �"' � '��� ASd3 E i �y B TODL ♦♦OUSe number .................... . F-NV1S �� 1� 6 9 .............. � f13�u �� ._� TOWN TOWN OF , BARNSTABLE BUILDINt., 1.1SPECTOR APPLICATIONFOR PERMIT TO .............................................................................................................................. �1,� TYPEOF CONSTRUCTION ........���5�...............5�.,...................................................................................... ........... .`...........7...............19.1.3. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... -�).......WH F(_�. ..... b............. IL1 S �?1vs.... ............................................. ProposedUse .......RT— D r NC................................................................................................./ ................................. Zoning District ................ .. ...........................................Fire District .Cr'�F VI l�l.�� j dST��aV. Name of Owner . C7.f 1.h1.. 11 ,.t� 1�.�O...V.R .........Address ....4%..STh1TLP?.4A..Y? ...L?.......................... Nameof Builder Sd M. -......................................Address............... ..... .:.................................................................................. Name of Architect ..........��.°:�.t�........................ ................ .................................................................................... Number of Rooms .............................................Foundation .. �1.�. .Cs. .... U�?.C...:..................... ............................... Exterior JVZ sh I�UN G �......................................Roofing .. (-(v"t }1 p!`lti...:................................................ .......�......................... Floors Cs).Q rZ fs 'f Cb��>ti S S ... ......................... ..............................................Intenor ........................ .'t.l................................................. Heating . =�?G..... � ...Plumbing ......... ./.. .................................................. .... . ............. ©en - Fireplace ..................a..............................................................Approximate. Cost ...................l........v..=................................ Definitive Plan Approved by Planning Board -----------____-_-----------19_______. Area ...a.T..��.. ... Diagram of Lot and Building with Dimensions Fee _4.......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation the Town of arns able regardin the above construction. Name .......... ........0.�............................ .. ... ........... Constru • n Supervisor's License .......... i� BARNARD, JOHN JR. No 2!6qM..... Permit for .............. �� .Single Family Dwelling ......................... Location ....29 Wheeler ....................... Mars ons Nit .................... .............................. Owner ...John Barnard Jr. ............................................................... Type of Construction ......EKOM......................... ..........I..................................................................... Plot............................... Lot ................................ February ........19 84 Permit Granted ........................... Date of Inspection ...19 -Date Completed 4' ...........19 1 TOWN OF BARNSTABLE Permit No. 2603�' •. ------------------------. Cq Building Inspector Cash __----- X __. _--- OCCUPANCY PERMIT Bond I,sued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date /L, Lj (, Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....................................................... »............ ................ 9 :.................................. Building Inspector A A J � a /.34/� }V t b t t oN PG . Br. Zoo 1�V--wal, It 4y 7/Ic y 774A9 7AL- --Sj/ST/Nis �Ov'.ID 1�770/ S146W/✓ c7N 7^r// pC'9s/ f NEve o--1 4-w2> /T c.a ar.Cs+��ss �► -• To w�✓ O i � T.q� i Prr/77o.v� Assessor's map and lot number ...., ..........�...-.. / ....... . OFTNET� Sewage Permit number .. Z EASHSTSDL$ i House number :T o� + NAAa A............................................ pp 2639. ♦� �FE M a� ` y TOWN OF BARNSTABLE -� BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .............................................................................................................................. l TYPE OF CONSTRUCTION ........ . ......`. ........?...............i9.o..3 . 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according � to the following information: Location ?7 \A-1 I. rEl l= Y� 1"1�1��ZU1�S ILLS b ,...................................................... ..................................................................................... ........................ s ProposedUse .......r1 ,[ S!,...1=.NG -.................................................................................... ......... ................................. ZoningDistrict ..... Fire District �!=.! r. ..?VI.{'..�'�' /..�.'..Tl i?Vi ........ .. ... ............. Name of Owner A.�f 4�1fJ.. lZP A)AO..0..L.A=.........Address ....4%..5D ifZ j3UAJ)... 'A ....................... Nameof Builder ...........5 .........- ......................................Address .................................................................................... Nameof Architect .......... .......................................Address .................................................................................... Number of Rooms ..................................................................Foundation .... Co C�...:................................ Exierior ......:1..!1,`.1'?1= h l�pN G Roofing ..,,ht'(V ........................................ ..................................................................... Floors ....... .......��YL�.. .Interior Cv 12�`S`f 1� . _....:................................................................. Heating �-� . . ........�.M...'...........................................Plumbing .................:.... -� Fireplace Approximate. Cost..... ..........�./.........�•..Definitive Plan Approved. by Planning Board -----------_---—_---------19______. Area a7�D O � Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - I hereby agree to conform to all the Rules and Regulationvof the Town of Ba stable,regarding the above construction. Na .. .... ........... .t ............. / ZC 6 . :...�Construetton Supervisor's License .................. ........... BARNARD, JOHN JR. A7--104-005 No 2,6038... Permit for .One Story................................... Single Family Dwelling ......................................................... A Wheeler Road Location .......................................................... Marston Mills ............................................................................... John Barnard Jr. Owner ................................................................... Type of Construction Frame...................I...................... ............................................................. .................. Plot ............................ Lot .................................. February 1 84 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 c, Assessor's offioe Ost floor): _ � E. Assessor's map and lot number ........ ....... ...:....................... .' �o or+ b�Q � Ow Board of Health (3rd floor): lkl Sewage Permit number ... . .....d -............................. 11 BASd9TODLL • MAXI Engineering Department (3rd floor): House number 639..............._....................................... 4 y. APPLICATIONS PROCESSED 8:30•-9:30 A.M. and 1:00-,2:00-P.M: only TOWN OF BARNSTABEE BUILDING INSPECTOR APPLICATION FOR PERMIT TO r".v 1 . . Ln AJ IJ V A7.... .. ..... A 0 n ( (�.V 1. O U ........................... S ..... . ... .. ...... ...... ............ " ................ Crr�r=�.-t TYPEOF CONSTRUCTION ..................................................................................................................................... .M 7 �S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit Aaccording to the following information: Location �g WUF�Lfi (L )GaC�T� MA6LS'Co1� MASS , ................... ................ ...........................................................................................................:........... ...: .......... Proposed Use ' �w�' �13,J ........................... ............................................................................................................................................ MAns ass Zoning District ..........,............................................................Fire District ........... Name of Owner ..Address ...................I...................6...... .................... N N Nameof Builder .........�............... J.....4.dL...P.o....yL.p.............Address .................................................................................... J h TJ � �� Name of Architect ...............................a �p.............Address Number of Rooms ........................'.........................................Foundation ....D.LO L.1Ce...............................�:................... �t,o c. Ic SH►oJ L.C' Exterio. Roofing AS�Np�•'f "S / r .................................................................................... g ...... ?......................... c N F 1 �1 , Floors .COW.....1L15.��......................................................Interior ...v... .................................................................. Heating 'v o N� Plumbing ....................................................................... .......................................................................... ' b Fireplace 'vOP.v=....................................................................Approximate Cost �,t�0 Definitive Plan Approved by Planning Board ________________________________19------ . Area 8?(4 S'�t . . ............... Diagram of Lot and Building with Dimensions Fee B� SUBJECT TO APPROVAL OF BOARD OF HEALTH 5o9 +' r � . q� O . 1.(1 lA 3�.0 -Zoe.t. .. d r - - --- - -1 q ti -rr- 07± OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations_-of the Town of Barnstable regarding the above construction. } Name ... ........ ........... Cons4cuc ion Supervisor's License .....::..:?......... � ........ BARNARD, JOHN A=104-006 No .3.1.6b.3... Permit for .Build Boat & Tool House :......Acc. ox..y....to..l?s�e.J.lins�......... Location ...2.9...Wkle.e.1e.x...Road..................... ......................Max:S t,oxa s...Mills...................... Owner ..... ohr1...13 aC 37 dX S�............................. Type of Construction ....Frame........................ Plot ............................ Lot ................................ ' Permit Granted ......March.. 7,.............19 83 Date of Inspection ....................................19 Date Completed ......................................19 Town of Barnstable 00HE rp� Regulatory..Services Thomas F. Geiler,Director Building Division BARNSTABLE, MASS. $ Tom Perry, Building Commissioner 6 r639• � °rfo eta 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 a 508-790-6230 Approved: cc� Fee: p _ Permit#: .c 4)4 7 0 HOME OCCUPATION REGISTRATION Date: 9 Name: t�EA 6AlN4 Phone #: J06 Adclress:� ��?� i� tC�1J Village: Name of Business: L _ Type of Business: Map/Lot: _ 00 b INTENT: It is the intent of this section to allow[lie residents of'the"Tol-vn of Barnstable to operate it home occupation eirithiu single family dwellings,subject to the provisions of Section d•-1.4 of the Zoning ordinance, provided that the actiaity sliall not he discernible front outside the dwelling: there shall be no increase in noise or oclor;no Visual alteration to the premises which Would suggest anything other thaia a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration aarith the Building Inspector,a customary home occupation shall be permitted as of rlt4p subject to the Following conditions: • The actiarity is carried on by(lie permanent resident of a single Family residential dwelling unit, located witlliia Chat davelling unit.. • ,Such use occupies uo more than 400 square Feet of share, • There are no external alterations to the davelling which are not customary in residential builcliutrs,and there is no outside evidence of such use. • No traffic Drill be gelier;ated in excess of normal residential volumes. • The use does not-involve the production of offe(asive noise, Vibration,srauake,crust or other p;u_tic•ular laaatter, Odors,ele.chical diStlrrbance,heat,gl�u-c, humidity or other objectionable effects, • "These is no storage or use of toxic or haZardQarS an�tterisais,or flamniable or explosive uaaterlAs, in excess of norna,al household qu,,uatities. • Any need for parkinggenerated by such use shall be met on the same lot containing the Customary Home Occupation,auact not urithin[he required Front yard. • 'There is no exterior storage oi•display of materials or equipment. • 'There are no commercial vehicles related to the Customary Hogue Occupation,other than one tau or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 Feet iu length and not to exceed 4 tires,pal•ked on the same lot containing the Cus[onimy Home Oc•cupatiou. • Nosign shall be displayed indicating the Customary Honae Occupation. • If the.Custonaaiy Honae Occupation is listed or advertised as a business,the s(reet address shall not be included. N pers l shall be employed in the Custona�uy Hogue Occupation acho is•not a pennauent resident of the d veil g unit. I, the undersigia , have read and agree aai[h the above restrictions liar nay Koine occupation I and registcriir Applicant: Date: J / f YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE A �r Fill in please: xx� APPLICANT'S YOUR NAME/CORPORATE NAME At L— Y O �. BUSINESS YOUR HOME ADDRESS: qjj 2-6 ea Fe)l 8f L,3 TELEPHONE Home Telephone Number NAME OF NEW BUSINESS a b Cd1k, la X PE OF BUSINESS a/ . IS THIS A HOME OCCUPATION? YES O Have you been given approval from The building division? YES NO ADDRESS OF BUSINESS MAP/PARCEL NUMBER `"1Lb When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO M•MISSIOI IIER'S OFFICE This individual has e n i,nf r of any ermit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION _-----� RULES AND REGULATIONS. FAILURE TO A.0 t o rj e d Signaure** `�~- COMPLY MAY RESULT IN FINES. MENTCAXMA ) j , 1,4 0,(—. (AAA 2. BOAR OF HEALTH This individual has en io o)r'med'6f tie permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: I 3. CONSUMER AFFAIRS ('LICENSING AUTHORITY) This individual ha n^ �mehe licensing requirements that pertain to this type of business. Authorize re** COMMENTS: cY, of THE r Town of Barnstable *Permit Expires 6 montGs from issue date Regulatory Services Fee B"NsrABL,E, 9cb ,MASS. Thomas F. Geiler,Director �jED MA'S� Building Division X-PRESS PERMIT Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 APR 13 `-20j www.town.bamstab]6.ma.us Office: 508-862-4038 TOWN OF BARKSTAR),0 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid witlrout Red X-Press Imprint Map/parcel Number Property Address O�% ljt/f j�p�2� /l 9a,4p � Residential Value of Work 352S 6b Minimum fee of S35.00 for work under S6000.00 Owner's Name & Address f���x t; orli 3�11.7 Contractor's Name has Telephone Number_ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X-PRESS PER IT N I am a sole proprietor ❑ 'I am the Homeowner APR 2 Q q El have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(heck box) Re-roof(stripping old shingles) All construction debris will be taken to j3,4 bt ✓11L [act h >'' �� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Wind ows/doors/s I i ders. U-Value (maximum .44)#of windows •Where required: Issuance of this permit does.not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is required. SIGNATURE: QAWPFILES\FORMS\building perm fo 1EXPRESS.doc Revised 070110 The Commonwealth of Massachusetts ( ^ I Department of Industrial Accidents t ; ,;. Office of Investigations �t % 600 Washington Street Boston, MA 02I X1 r- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 7 D4 JAl City/State/Zip: r /0/* D Z,4 Yy Phone Are you an employer?Check the appropriate box: Type of project(required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and 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. t ?• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their ]0.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I LE] Plumbing repairs or additions myself. [No workers' comp. c. 152, §](4), and we have no 12.A Roof repairs . insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site I information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: 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 under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der the pains andpenalties ofperjury that the information provided above is true and correct Signature: Date: Phone Official use only. Do not write in this area;to be completed by city or town official I 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 not because 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 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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(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 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. 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"Job 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 burn 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www-mass.gov/clia THWE Town of Barnstable ` Regulatory Services Thomas F. Geiler,Director i639- �fo � Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject.property hereby authorize �6'f /cex�" to act oa my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) 5' tore of Owner Date Print Name i If Property Owner is applying for peen it please complete.the Homeowners License Exemption Form on .the reverse side. U• V�E rh - Town of Barnstable o Regulatory Services swarisusrF Thomas F. Geiler,Director truss g - - i63p Building Division PrEn 1,,�,t► Tom Perry, Building Commissioner 200 Main-Street,_Hyannis, MA_02601 www.to wn.b arnstab l e.ma-us Office: 508-962- 038 Fax. 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LDCATION: _ number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: eityhown state ap 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 BOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to.reside, on which.thcre 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 constrgcts more than one home in a two-year period shall not be considered a botncowncr. Such "homeowner"shall submit to the Building Official on a form acceptable to the Budding 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,be./shc.understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedusres and requirements. Signature of Homeowner Approval of Build ing.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 j The Code states that "Any homeowner perfomring work for which a building permit is required sW be exempt from the provisions of this scction.(Sccd&i I D9.1.1 -Licensing of construction Supervisors);provided that if the homcoi mcr engages a pers=(s)for hire to do such work,that such Homeowner shall act as supervisor." )r{any homeowncs who use this cxcmptian are unawim that they arc assurrring the msponstbtlitirs of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 9.15) This lack of awaress bft n results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board ar cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ijld"tcly responsrblc. To ensure that the homeowner is fully aware of his/her rrsponsnbilitics,many communities require,as part of the permit application, that the homeowner certify,that he/she understands the mspansnbilities of a Supervisor. On the last page of this issue is a.form current)y used by several tovms. You may care t amend and adopt such a fom✓ccrtification for use in your community. �� -Pam Office of Consumer Affairs and 13usiness Regulation 10 Park Plaza- Suite 5170 Jig Boston, Massa ftsetts 02116 Home Improvement C for Registration ............ Reslistretbn: 141496 TYPe: DBA CONGR : t`=-- -: ;:' h=- E*mWA: 4rtenol2 T� 285288 0 REMODELING ��, � ,- BASIL CONGRO -' =='.M 7 DANA RD. :. = ` ► FORESTDALE, MA 02644 Updates Address and return card Mark reason for changes cia o sooG�o�s�e _ Address Renewal 0 Employmeat [] Lost Card offlkV negunualk Weense or registration valid for lnd'lvMt l we only HOME IMPROVEMENT CONTRACTOR betbre the owroden date, if found return bx 1YPr Old"of Consumer Athlrs and Badness Rquiatlon Exptrntlon: .Yi111=2 DBA 10 Fork Pbuw-8nile 5170 Boston,MA 02116 a., BASIL CONG r_.11•j' 7 DANA RD. FORESTDALE,MA —�Uaderseerehry out siznatnre Ylassachusetty- 11l'11a1'tilll'llt of lzo, lIl Safety y • , '�f Board of Building; Rel;ulations and ',tandards - I Construction Supervisor Licen_.e • RestriotRdIt,p:'00 r- ,w BASIL J CONGRO 7 DANA RD ' FORESTDALE,-MA 026" � e 6261Mt79 u0.� may - - Expiration: f7JfQ12011 zioi (,nnmisvi,mer Tr#: 1t>M i OCT.25.2001 12:08PM PLANNIING N0.854 P.1/2 cp yyh ,.:� � �1 Lam,-•'•--\s'�, f' 41 _ c r,ilk TOWN OF BARNST.ABLE Zoning Board of Appeals 'RE APR 15 AM 9 16 Jon E. arna_..fl.__.....J..r. .......... Deed duly recorded in the ......-................_.........._........... Property Uivnor County Registry of Deeds in Boo); _._............_._... 5are ......�.___ ___......_._...................................................................._...,... _._. Page _._._._......,. .,, .........._....................................... id�ictr. Petitioner District of the hand Court Certificate No. ............. _...._......:......... Book ........................ Vas fk Pp'; T '1986-27 i 1 FACTS and DERISION Petitioner John E• .)3aarr�,� ,Jr: . ........ tic-tit.iun clr. ........... ............................. 17 requesting a :ariauee-permit For premises a.t Race Lane &, Wheeler"Rodr1 ............ il; th,� „Il tie' ....... . of .,. .M,,14arst n _....._ d oini _....�..., v s Mills I j ag premises of (see attached list) ................................,.. Locus under eousiderit6ou, Bnrnstnble Assemor's �,ia.p Ao. ,,,...,..,10,4........,.....,.,,,.,_......... bt :tu. ......`?...:fir'... Petition :for Special PFrmit; El Application for Variance: made udder See. ............ _..._......_..._..._................ (,f the Town of Barrzstabl,• Zoning h`-laws flied 'Se... .................................................._...,... ..............__..........._.........._......... Chapter 40.1., Mn.-,. C.:t'tl. T:.!iv. for the, purpose of ................ :;„nzutficient...± oli:t,age,...ta-ba...ccnsiiezed ILens is pros cufl:y zoned in..............ZF...:....._...._............._.........................,............._........_.......,......,...................,............_............_..............., Nolico of this hvaring was given by mail, postn;e prepaid. to all prr.,aonK tiri'tned :2fiec-tQ,l :tn,l hr pul)iishing in Barnstable Patriot newspaper published in Town of 8.grn.t;,l)lr a eclPp -OF ",each is attau)ied to the record of these pmeerciings died wuh `l'oti-t, 61ti—s A public hearing, by the Boeird of -.Appeals of the+ Town of 1a1ru,T11h1O Will, Imlel at tln' '('Oki n Df ice l;uildinn, Hyannis, 'ti:lss., at ...............al.0,0......... . ...._.......1.1i.:i_1..— uI)OD -5,10 Petition imdrr roning bt lira~. hr'ti(7dt at the h;•2riti« wnro Tllo follownil-, nioniber5. !sine F. Lally Runald Junsson 0.:;ter Bliss .....;,,..,....................,._..........'I',.............. _. _..__.._.__...._._._._._............,....................... v Chairman Gail Nightingale Elizabeth H ortcn OCT.25.2001 12:08PM PLRNNING NO.854---P.2/2—" .. At the conclusion o the t,oaring, the Board took said petition under advisement. A view of t.hA 10c:gs was made by the Board. .appeal No_. 1986:27... ........... ...,......, Page ...................... of ........... On - -•••• The Board of Appeals .found Mr_ Barnard presented his petition for a variance fran frontage requireuents at Lot E-1, Race Lane and Wheeler Road, Mrarstons Mills in an RF zoning district. The petitioner desires to gain access to an otrezwise inaccessible lot, shown on the plan suthitted with the filing. This is a subdivision of tw70 lots which will permit the petitioner to then have four buildable lots each containing in excess of one ante, with a twenty (20) foot way into Lot E-1, Dexter Bliss made a motion to deny the petition, based on the hardship which is self-imposed, in addition, the Boazd found that there are no variance conditions Present, as defined in Section 1.0, Chapter 40A, MGL. - the motion was seconded by Ronald Jansson. The Board voted unanimously to deny the relief sought by .the petitioner; the Board found that to grant this relief would be detrimental to the neighborhood and in derogation of the spirit and intent of the zoning by-laws, as the surrounding lots are all two acre in size. Clerk of Ih,, Tani ' •• n of 1;arnst:;ble, 1,arnstable County, 1llassachusots, hereby certify that twrnty ?20) days have elapsed since tho Hoard of Appeals rendered its deeision in the- .abor•c entitled petition Ind that na appeal of Fnid deel-*11; has been fi1Pd in the offiee of Ow Tnwn Clerk. Sigq<<I ?,2iil Sc:�1Pi1 this .:'......,.. , �1n} of ..,..W. l�?�� 1.4 .}� .. .. nilpr t itie pains and penalties of perjury. Uistrjbutiou:-- l'roperts Owner Torn C:lork [;'-ard of Appeals :Applicant Town of Birnsrabh- Persons interested Building Inspector '7 ; Public Information Board of Appeals Ob3irRfall ,�' A NOW y� 0.plea lin MR, TOY r.- jO"_ SA�QVA-v Z .,a low "j"W-any"Sp 040SAW lot nh 1 A Ism AM WOOL IA Inv F �4 VA 11 V>140% "T SAWS" I who ym k� MOM I Who 1'0 "V; J. 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