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0086 WEST BAY ROAD
�� f o � �, R a o � . .. �. ,� .. - l�, *jw NrY�..il�t.'. .y �.r��.ry �Ts A�/'.n.�r�l�T� �T/�^�I^�^TMIA�� Mr,�� �`T'rWM'Y�� r^R..�wr� _ _ -_ -_— __ _ _- � ___ __ —f�4_.Iys! �..w+., �� Vie .� Town of Barnstable Building s Post This.Card So That it is Visible From the Street=Approved Plans Must be,Retained on-Job and this Card Must be Kept v s� Posted Until Final Inspection=Has Been Made. Permit 1639.° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. : Permit No. B-19-1538 Applicant Name: Russell Cazeault Approvals Date issued: 05/29/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/29/2019 Foundation: Location: 86 WEST BAY ROAD,OSTERVILLE Map/Lot: 117-134 Zoning District: RC Sheathing: Iw----_ - ,.-.._..,,.. Owner on Record: ODONNELL,WILLIAM P&ROSEMARY Contractor Name`,,PAUL J. CAZEAULT&SONS INC. Framing: 1 Address: 111 CALLOWAY CROSSING i Contractor License: 103714 2 PEACHTREE CITY,GA 30269 - Est. Project Cost: $ 14,610.00 Chimney: Description: Remove existing shingle roof on the entire home. Install new Permit Fee: $74.51 architectural HD asphalt shingles. Fee Paid:-f 74.51 Insulation: S Project Review Req: Dater 5/29/2019 Final: Plumbing/Gas '1 v Rough Plumbing: ff This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte u an&. Icia Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed _ _- '' Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Co—Ax- — S F-P- ;TOWNjOF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel L�� Application # I �� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village 6 Sri Owner t ►A �DnJn1 L Address Telephone o 4 4 Permit Request mac- �yv Cc Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay �Project'Valuatio'n—L�®D _Construction Type Lot Size Grandfathered: EllYes ❑ No If yes, attach supportirrToocumentation. Dwelling Type: Single Family ,❑ Two Family ❑ Multi-Family (# units) ?® Age of Existing Structure Historic House: ❑Yes ❑ No On0d(&IKJng,A Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl EllWalkout ❑ er R,9LE Basement Finished Area (sq.ft.) q finished Area (sq.ft) `a Number of Baths: Full: existing new ting new Number of Bedrooms: existing _n" 03? Total Room Count (not including baths): existing nev o J Fi st Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other �B Central Air: ❑Yes ❑ No Fireplaces: Existing New Ex' ting wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name [A1 ( LU o<^'( 0' (� �U��✓�ZL Telephone Number t{d 7 g 3 0 Address Fla �il� P�� c License # / Home Improvement Contractor# Email d N��liL 0"' -lO-IT -AFT Worker's Compensation # -ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE Vim"` lJ DATE Ay i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE r OWNER dt DATE OF INSPECTION: > FOUNDATION FRAME t INSULATION 7 " FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i '@ GAS: ROUGH FINAL FINAL.BUILDING DATE CLOSED OUT `''` ' rASSOCIATION PLAN NO. Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division t Paul Roma,Building Commissioner �MASS �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: ` 'J 7_61 /f Please Print • r f - JOB LOCATION: number street village "Hoi OWNER": ��t LcJ Pc�° Q '� �-7 c�Q y K r 7 /f3y name home phone# work phone# CURRENT MAILING ADDRESS: 5/1 city/town state zip cdae 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. Th' jundersigned"home wner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures an uireme and th a 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 this issue is a form currently used-by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomis\EXPRESS.doe ` 0620/16 4 �"WE Town of Barnstable Regulatory Services Richard V. Scab,Director ►� Building Division. Paul Roma,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 as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building petmit.application for. (Address of Job) L **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name 1 Date Q:FORMS:OWNERPERMISSIONPOOLS 3738 .f`...# �a � '•iL7-124 '� ass '..=d`��.�� � Cv /� � 'jyi=�,�•t�r� �o ��� Lei - �117-136 .. j � �,.ter ` Sf(�\Y•117-•122 y r\ VJ`., •f�,,y t �: .� � `••`,�i _ .Ra• �' -#55 r�. r � ' '�''� a �` + ��y �,�"" K ,3 � � '` �, r � T t%'�„�•`t" � a i f p1�,• s � ;�}+ .x:��+L' ,�� •`1y� 117 �.-� `y�+�`'�� '`�� •a � � , J � _ Ott � ��t ���, ,� I �`, " �..f` ,�+ INC VOL- �1 me"µ-�.,f .`#86 �.�, ; /� 1-' �'n� � `�Li 117-1�34• S,•,,1,��v^� ;�` ��. � °��� �' ,�4s a �/ ,r' `;a, -d,r ,%'•� { < " �,+ ! ,' -';tiOki �r`� "�� �`�`� �yl�• _-}`.��, \t�a- ��'r�` �•� Y� �� a►�i�r��`�.'y. ' �� � �l' s .#73 - •i F :\ �� # '. -� ^i'��^ �"L - - t �' a, f._ y �'� .1��'. sue!?S It� �i^�. � '. _ M <0117-132 ,a' r 1J a 1ti. axr+ y r"1W, - .�" Y�"•�~� #102 M�• •'�'�' Fl•' - -!` , e .%�''iS r \ - - w �Y.�j, ii +Y - `�,f+r,l � � h3 e . �}• is ' f ,.� 116 117-•129 e\, '' �t. may` ` ,��YJf� 117-130�+�., , :-,.a�'�� 1+16-033;�- # 113 ;:''�'•z��0`2,` �; l� t fir' x� Y r Stockade Fence Detail Top View r, !^. n.F .�!,,r,f•,n n� r n .p, r�� >> 77 t i s i Side View Front View 0 AFA ' #Project:qkOO Site Location: Date: American Drawing# Fence W-16 Association II • - wfsrtar�ga�� - - -'�c�'��ts� E CJCI. �/� ZI)D - rem n sC� � R . . . AreyrFa En der=Cheah`ffiazj -d:ba= 'L❑ I.2=a euPSCper With 4'❑ I testa MERM9 aan�irtr=dI =rpIUyeeS{E3.uagdtar }- - ❑ I am a sole propddar orp mtmr- Listed an The dbKlh d sshaet 7- ❑ g ship Evd ha re no empls�ees Z �b ass have g- ❑DemardiDa vmrEng formz m any� e�Iapees sadhave mass' camp- $ g_ ❑Bring addifim $.❑ We am a cugmrzjiam_zrdifs IQ-❑BIe, Lnp"i ,additions sf am a hams doing ap Vora cdF=m have c= e6$1cir Ito PiBmbmg=pass ar add iim off faro =33p- ziglt ofemm3pticimperMGL ao Graf, • emglapees_jNa mom' . s�taes�s�.�-•��i�,u €�y=��='itr^�•^�i���* v��co�-a�amst snl,�aarsr z�dzcit"a�*' _� -C.a�s$st d�-�t�ba[mart rs.��T;h�„1 sheet s�»•�t�en�of ffie m3�ahe.�omnt�nse�SesS.aw_ ' ;- �,.,izckc•u�' Ibp�E�¢isgrrrviic�•rrorkers'co- na�n��*ns far tad et�Iaysss Bei'ory is thgg�&�arui3ob sd� ' PDhcyt arSelf-iIIfi-l1C4k r�frvr7�r}R- 7nh SiteAr ass Cifgl5tafefLtp_ hst srhacaF7offh vsvrkers'coxapeasatianpvIr� dsc zsfiant�ge(sh�s g( Fw ugmiserarsdboailzte). Farr to fa se�rc c� rage�s retpasaduuder ec[i �A of ItCc�c I5�can]Ead iu ii�unpos tm afmmiIIal pe alEies of a f�ng t.-T �DQ QD_andlar anttyearim ,m well as d-Ea pesaldts m$t8 fosm of a SAP�C3RE�L2PDF�and a:fine tipfu$�?SQ_QO a deyagar svi9latac Be advised t2ta copy cfhis maybefm-w- e t,fie OfEm of Igati[oIIs of die I?7�ihz��+*±�cou�ge - I v f rxss arsf I1c not Wri r ins 9BEs ar0af A,be caaapleted'by ci, ,7 turn uf,i,Z L Board fff$�a7�t �. *,z�-�t�ig{Fo�aQs� �IIcchical�ec#nr �.Pf¢md3.m� (nr �cqh= Gixu=al haws�trr 152 requires mU emrpl°yeas to prvei& ealr CM for ih emplo iris PursM:It-D iris sWIEtles an=per=is deed as=—emery P=saa is foe srdvice of mother=1&x any rant-act of him, aEr iMplied, oral or Writt : r An m p&p is defined as'xm m ivid aA parto=&bM4 mmo`ci alo c m?Drad=or other legal e y,or any two or more of ilc kregom en gaged ged m aJoiE±ertrP s an& the Icgal r of a dined employq-or the or ts�of an mdrnidnal,part=ship,assoc�®or other legal e�y,eurPleying�PIDS'e� HD4�Pe r the recexy of a dweffmg'honseha�gnotmore t three apt and s resides mein,car the occupant of the dwelling house of anC therWhD=PI07S peasons to do maces mn-sl cut ca:L or repair work on such dw6ffing house or on$e grooms or bcnldmg appmtmarst thereto shall not because of such eznploymet be deemed to be an employ cr" MG7;cha r 152, §25C(�also 5tate5 the¢everystate or IDeal)jc a �_agency sho hold ffie issuance or renewal cif a jicense or permit to operate a business or to construed burldags in the commonwealth for ang applicant who has not pMEIU d aCCepfiable evidence of cnlapR=ce With.�e h smr-ace:coverage requh E � A ]1y,MCQ.chapter I52,§25C(7)slates-Neihmr$e comm=wealthnor any of its pohiical subdrvis= ch?11 enter into airy comract fur the penance of publac WD3J-nnitl acceptable evidence of MEOPEM e Whbh the msorance r q e =j_ of f}ns cbaptrr have been presented fo the ca�atiac+�Ing ardhcrity.-' Applicants Please fill out �e Work='eomcpensa&n affidavit complete.Iy,by chug the boxes that apply to year siturtion and,if necessary, simply sub-contactnr(s)name(s),address(e$)andpbi mrmber(s)along withtheir='uimft(s) Of n,cnrmM. I n d Liabrlay CDmpames(I.LC)or LmmrtEdLrabrlit- PmInembrps CLIP)wrhno employees other i�an the memb ers or partners,are not mqa ed to�y workers'compensation iomzzn=- If an LLC or T does have en1ployets;a policy is required_ Be,advised that this aftdavitmay be submitted to the Deparhneut of Industrial Accidents for confffmafron oft i ance Coverage Also be sale to sign and date the affidavit The affidayit should be mtnmed tD the city or town that the applie&n for the permit or license is being requested,not tare Depar bn Brit of Indust Accidents. Should you have any gw=tcros reo ad**g th c._ or you are acquired to ob•rain a v'orkers' compensation policy;please,call the Department atthr number E9tndbelow. Self-insned companies should eater their self-Tncr�,�nee license n�cr on the appropriate line. _ - City,or Town Officials _ _ _. . . p The D artmenfhas rovided a ace at the both. �.: Please be sure�the affidavit?s complete and prin�d leg�ly ep �' of the affid.avrt foryouto fi i ontio the event the Office oflny�oal� has to mntact Yon mgaFding ine applicant_ ' Please be sore to fia.in the pennit/lieense ntnnbcr which be tLscd as a referruce n bes In ad�Tdon�an applicziit • ' that must sabnait Mrs le pennitllicease applizations k any given year,need only snbmif one affidzvit indicating cuaent ' policy infoxmaaion(if necessary)and under-Tob Site Address-the applicant should writD¢all loc�ons in (city or ' town)."A copy of the affidavit that has been officially stamped or ma�ed.by the city or town be,provided to ffie applicant as proof a valid affidavit is on Or,for fcrtore permits or licenses A-new affidavit muss be fned out each year.Where a home owner or citi=is obtaining a license or permit notrolatrd to'any business or coTnTn crcral Y�t?ae (i-e.a dog license or permit to bum leaves etc.)said person is NOTrequircd to complete this affidai-it The Office o f hrvesfg�ns would like to thank you in advance fur your cooperation and should you have any questions, please-dD nothcshte to give*'s a caUl- The Depa diaenfs addu=,telephone and.5xUrm3b'- �$ Comm�oawt-,allh of Massar3ly _ .De_t of 1nd�a1 A _ 600_W;�.Wm R I 7-7 4� B.evised 4--24-0 T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWMOF 8ARN TAB'� �I c i Map I Parcel � ��.... .. Application Health Division j'. P� 50 Date Issued 44 Z1-f 7 �� Conservation Division Application Fee Planning Dept: f rr, J ""`�- Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis .' -oject-Street Address-�� Village S `f�6 d C-L\� O nw er.`tg QUA AL� Address Telephone Permit Requesf Square feet: 1 st floor: existing proposed 2nd floor: existing proposed ' Total new Zoning-District Flood Plain Groundwater Overlay P,roject�Valuation- t Do p Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal-# Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -_ (BUILDER OR HOMEOWNER) Name tA) mo I �L( t 6 62DN,j L=Z�_ TelephonAumber' W 117 Address: ��,��� �`� �� License # Home Improvement Contractor# Emaill�1S� D���G� ��L�`� "^ ` Worker's Compensation # AL'L`CONSTRUCTION DEBRIS RESULTING.FROM-THIS.PROJECT WILL BE TAKEN TO, SIGNATURE r DATE'} .. j FOR OFFICIAL USE ONLY APPLICATION # M DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER R :tl i DATE OF INSPECTION: f FOUNDATION FRAME IYn INSULATION FIREPLACE • F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL A • FINAL BUILDING DATE CLOSED OUT F4 ASSOCIATION PLAN NO. a 27w Comuzorriveattit ofMassad7rusetts �e�axtrrt�rt o,f lrrtrizrstriat�cciderrts fI,f -ce of Int zgatiMIS .600 Was bigion,street Boston:,AM 02111 tvnn-nicrssgovldia 'tar•hers' Campensa# an Insurance Affichvaf:PmldersiCuntrac.turs/Flect ri 'an lumbers Applicant InfGn3Mtian Please Prim Le Narge 4Btismessfl0tgani�ation/ vfdual '� C���� (' NJsJ6- Address: fit', cw Crty/Stat&ZZ F C J s E—�U 1 LL C'^ Phone-" C Are you an employer?Cheekthe appropriate bo= ' Type of project(required): I am a general contractor and I ❑ I.❑ bn empi yew(fish an�dfor part.-timed* ❑have luredthe sub-conks(-tors 6. RemNew con rt-g 2.❑� I am a sole proprietor orpartner- listed on the attached sheet, 7. ❑Reasodeding ship and have no employees These:sob-contractors have . 8..❑Demolition wooing for 7YiP in any capacity. employees andhave wotkers 9. ❑B.uildmg addition. [No wpdbus' Comp.in`xame comp.Msuranml required-1 5- ❑ We are a corporation and its 10❑Electrical repairs or a dditions 3. am a homeown-er doing ad work officers have exzrcised their 1 L❑Plumbing repairs or additions myself[No w&kers'camp- iigM of exemption per MGL IT❑Rflofrepairs ins rra=e required,]]E c.152,§1(21,andwe have no employees:[No wodwrs' 13.❑Other camp-insurance raequired-] 4'Any Wffcsn enat chedabos fl most alga Moutthe secf.�onnbge7awssnsdag etieawaffoxe mmpeasad uporkyiafarmsua L 1] L•IDEDalnCCSwho submit Ci715 af6dat•a 1Dd1Y1t17Cg 6a'y aze,...+..�ailwan}aR�tfi.e'ahBe outsidecoatlsttatsamct Mbmita newaffidarit iadlCating sash. ICaatlaciors*ut cbwk tW box must attached snadditinnsl skeet showingdiensmeof the sub-ca=wJzzs-snd staff vrhether arnot fhose®t kSbare employees.Ifthesub caatoadaeshaee empiUeas,thgymastpmr-ide•their warken'comp.policy number. rarrt all eutpiay�Br f7ratisprmRding,tvorkerss tanrpertsrrfiatt himiranae for etcy ewpLalwas $eloty is trte pa cy and jola rite informattom Insurance Company'Liam: "Policy 441,or Self--ins..hc.-- ExpitatioaDate: Job Site Address: City/Statd2 ip: Aftach a:copy of the workers'coanpensationpoTrcydeclasation Me(showing the policy member and expiration dame). Failmm to secure coverage as required under Section 25A of MGL c 157 can lead to the imposition of rriminal peen% s of a fine up to$L50QO0 andfor one-year imprisonment,as well as civil penalties.in the form of a STOP WORTS ORDERan<d a free of up to$250-00 a day against the violator. Be advised flrat a copy of this statement.rnaybe forwarded to the Office of lem-esfigatanns ofthe DIA for insurance coverage yrerification- I rlo hereby CIO,}� ai tile pains and ' of (cry tJt t rmat# rtpratzrled abow is(tars aced carry t Sit aaturt;: Date- Z tJ Phone l J Ofj did use wify. Do not o-ytite in fIds area,to be wimpTeted by city artowl oficiat City or Town.: Perrui f Acense# Issuing Authority(circk one): L Board of Health 2.Bn9ding Deparfmcnt 3. itijl.own Clerk 4:Electrical Inspector 5.Plumbing Lupector 6.Other Contact Person: Phone#= — ----- — -- - - - - 6 ormation and Instructious 1+�� ]„Tce is Gehe:19 Laws chapter 152 regedres all Moyers Yn F vide woIJceas'compensation for their employees- pin this fie,an�layee is defined as.".every Person in.fie sir vice of another under any cozact ofhire, ezpress or iiuplied,oral or writtr- . An v TTOyer is defined as"an individual,parineisfi�p,associafi6A coipm-.don or cider legal entity.or auy two or more of the foregoing engaged is a Joint enferpu ,and inch ding flie legal iepresenbafives of a deceased empIoyer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more tip tb=apartments and who resides therein,or the occupant of the:- dwelling house of another who employs persons to do mahite,an ce,coushuGtlon or repair work on such dwelling house or on the grounds or bmldmg appmfena t therein shal not beano of such employment be deemed to be au empployer." MGL chapter 152,§25g6)also sties that"every state ar local licensing agency shallwrtIihold$ie issuance or renewal of a license or permit to operate a business or to constrict buxcldings in the commonwealth for any applicantw•ho has not produced acceptable evidence of cumpTiance with the vitance coverage repaired Additionally,MGL chapter 152, §25C(7)states Neither the commaawe-aldi nor 2�oy ofits political subdivisions shall enter into any cout[azt for the perfomaaaw ofpubho work u�I acceptable:evidence of compliaa.cevith the insurance, r un-r rients of ibis chapii--rhave been presented in the contacting m3faDatyf Appliran-& Phase f01 oict the workers'compensation ardavit completely,by checiciag the boxes mat apply to your situation ancT,if necessary,supply sob-.contractors)name(s), addresses)and phone n=ber(s)along with thair certificate(s)of incn•r =— Limati--dLiabdity Companies(LLC)or Limited Liability-Parine2ships(LLP)withno employees other tbaa tho members or partners,are not required to carry workers'compmsaf on insm�c- If an LLC or LLP does have eamployees,a.policy isrequired. Be advised that this affdayit may-be submitted ta the Depa-tmentofIndustrial Accidents for conformation of insurance coverage Also be sure to sign and data the of davit The affidavit should beTitrmned to the city or town that the application for the permit or license is being re ucsted,not the D eparfineat of L,dasstrial A ccide s. Should you have ray gnestions regarding the law or if you.are required to obtain a workers'compensation policy,please cal tha Depar�erd at the number listed below. Self-insured companies should enL th ew s elf-insurance license nranber an.the appmpriate line. City or Town Officials r - Please be sure that the:affidavit is complete andprii:bed legibly. The Deparlmeathas provided a space of the:bottom of the affidavit for you to fM out in the event the Office ofInvestigations has to coidactyou.regmdmg tbaapplicant P leas e b e sure to fill in the penldt/license mnnber which wM be used as a r--fc=ce number. In addition,an applicant that must submit multiple P=Wlicens5 applications in.any given year,need only submit one affidavit indicating current p olicy information(if necessary)and under"lob Site Address"the applicant should orate-all Iocahons in (�Y or town)."A copy of the-affidavit thathas been officiaUy stamped or madced bythe city or town may be provided to the applicant as proof that a valid affidavit is on file for fatm 'parm#5 or.licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pexmit not related to any business or commercial venilue Cie. a dog license or permit to bum leaves e#c.)said person is NOT rerpzaed to complete this affidavit The Office oflnvestigatinns wouldnato thank you in advance foryouxr cooperationand sbouldyou.have any questions, please do not hesitate to give us a caZ The Department's address,telephone and faxmmnber. COMa WM—It3E of Massachmefts , Depa ciment of IndusfdA Accidents f�t�a£Xnve�tigktiaA�, Bastml�M&o�l 11 TffL#617— -49RG Q;xt 4fl6 W 1477 MA&&A Fag#617 727 7M Kevised¢24-07 � �� AWC Guide to Wood Construcdon in High Wind Areas:I10 mph,Wind Zone Massachnsetts Checklist for Compliance(780 0MR 5301Z.1.t)1 Era chock complince 1.1 SCOPE WindSpeed(3-sec.gust)..._................___...................................__.......__......_.---.:___.........11D mph Wind Exposure Category.............. .. _... .._..... ._.-..._................ ._._..__.__ . _.___a — 1.2 APPLICABILITY Number of Stories ........... _..........._.__._(Fig 2)..............._........... stories 5 2 stories _ Roof P•rt3ch ....... .__.(Fig 2).........-............ _....__ 512:12 — Mean Roof Height _..__..._........__..__...__..._...._...__._..fig 2)_._._._....___. ... ft S 33' Building Width.W._..__._...._....__....._._:_.... _ __.._--•(Fig 3)..._..____........._..__._.. _. ...__ft 5 80' _ Building Length,L _...................._............................(Fig 3)._.._.....__._ .. _....._.._.. —ft 580' — Building Aspect Ratio(L/W) __._........_..._.._..._ .__......._.(Fig 4)._..............._..__.__. 3:1 _ Nominal Height of Tallest Openine.........................___.(Fig 4)._....._......__.:........_. 618* 1.3 FRAMING CONNECTIONS General compliance with framing connections..-...:..__,._..(Table 2)............__...................... .:... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concretee......................................................................................................._-_f.._............ . — Concrete Masonry............................................ __...._....._..._..._. _-_.._...._.. 2.2 ANCHORAGE TO FOUNDATION''' 5/8"Anchor Bolts imbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only „ Bolt Spacing-general .... ...................._..._._.(fable 4)._,...__.._....._........._.._........ in. .. .... . . ... Bolt Spacing from endroint of plate ....... (Fig 5).......__._._........... _. in.5 6'-12" _ Bolt Embedment-concrete.__..__..._.._..._..._.....__.'.(Fig 5)..._.._.._._....____.._..._._...._in.z 7' Bolt Embedment-masonry............................ (Fig 5)._..__ .........._........_. in.z 15' Plate Washer............_......................................__-_-(Fig 5}.._.._. ....... _... :....._..Z 3'x 3'x'/s' — 3.1 FLOORS Floor.framing member spans checked ................... (per 7B0 CMR Chapter 55)..._.......................... _ Maximum Floor Opening Dimension-.._____....................:.(Fig 6)......_-..........._.._..�fts 12'or L/2 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)................................... _ Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall...............(Fig T)......-................................._...__.—R s d _ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).........................__.....................—ft 5 d Floor Bracing at Endwalis.........................._...................:-(Fig 9)..__..._........... _._.........:...._. — Floor Sheathing Type ._..-_-............................................(per 780 CMR Chapter 55)................. .. Floor Sheathing Thickness (per 780 CMR Chapter 55).._....._............ in. Floor Sheathing Fastening.__ _.._........_... ........ ._..(Table 2)__d halls at—in edge/_in field 4.1 WALLS Wall Height Loadbearing walls...._..._ ...._............._.._.._....... _..(Fig 10 and Table 5).......__:......_....._—ft s i0' Non-Loadbearing walls......_.._........_........__.........__,(Fig 10 and Table.5)._._.._........_.......—ft 5 20, — Wall Stud Spacing ......._................_........._.................(Fig 10 and Table 5)....._........_...—in.5 24"o.c. Wall Story Offsets .............................................._.(Figs 7&8)..........__.............. ......... ft 5 d 42 EXTERIOR WALLS' Wood Studs Loadbearing walls............._..._ ...._ ..._......._..__.___.(Table 5)....._.............._.......2x - ft_in. Non-Loadbearmg walls... ............-_._......(Table 5)_ _.._._..._.__....__2x -__ft_in. Gable End Wall Bracing Full Height Endwall Studs........._.. (Fig 10)...... ....... ............_.._. ......:... WSP Attic Floor Length_. .. ...._... . ..._.__......._.._(Fig 11)_...._.....___.___._ .... ft>_IIY/3 _ .... :. Gypsum Ceiling Length(if WSP not used).____:.,_,(Fig 11)....................__..___._._., 2 x 4 Continuous Lateral Brace @ 6 ft_o.c...(Fig 11).:............................ Double Top Plate Splice Length ....................... (Fig 13 and Table Splice Connection(no.of 16d common nails):.._._..__.(Table 6}.__.,,._•- __..........—...._.._.._. .._. • •Jf AWC Guide to Wood Construction in Sigh lend Areas:110 mph Wind Zone Massachasetts Checklistlor Compliance(7so cxa 53ols.l.1)1 Loadbearing Well Connections ' Lateral(not.of endnaled 16d common Non-Loadbearing Wag Connections Lateral(no.ofendnaffed 16d common nags).-,._.......(Table 8)..._........__......_.._._....._ ... _._. Load Bearing Wall Openings(record largest opening but check ail openings for compliance to Table 9) Header Spans _.._.._...._ ...... .._ _._ _. (Table 9):._.__......._...:......Z.._ft_in.s 11' Sill Plate Spans _..._._..... _. _........:. ._.._�. ..(Table 9).-___.....___..._._......_ft_in.511' Fug Height Studs (no.of studs)__.._.._�_._..__._ (fable 9j._..__._:.__._..._._. ........—.-...._. Non-Load Bearing Wag Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.__..._..__._,......_.....__..__.._...__....(Table 9)__..-_.._..._._....-...__ ft_ s In.512' Sill Plate l Plate Spans............... ._.,..-.._(Table 9)_.._.._..___. ._....._.. — _in. 12' Fug Height Studs(no.of studs). ^...___^—___-.__...(Table 9)_.._........................ _.._._....._.._.... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 M•mimum Building Dimension,W Nominal Height of Tallest Opening2 .......... ..........._._..._._....-.... _..... __.....__. Sheathing Type.........__.__._...._........_.......(note 4)... __................._....... . Edge Nag Spacing._......_........._...._-._.__..(fable 10 or note Field Nag Spacing......... _.._.._.........__..(i able 10)..............� Shear Connection(no.-of 16d common nails)(Table .•._-------..-._..-.-........ Percent Fug-Height Sheathing.._.....__..__....(Table 10)__._:....._..__.._ ........._.._:_..._% 5%Additional Sheathing for Wall with Opening>63'(Design Concepts)_..--____..._. Maximum Building Dimension,L Nominal Height of Tallest Openin?-..._...__.............. < Sheathing Type-_-._.........._............ [note 4). ......_............: ...._ .. Edge Nag Spacing......._._..___ (l able 11 or note 4 ff less)......_......:....._. in. Feld Nail Spacing...—*._ - 11)......._.._._..._....__....__.---..._... In. Shear Connection(no,of 16d common nails)(Table 11)._...____..__..._._...._.__....._...... Percerrt FuII-Height Sheathing...._....._ ..-.._......._..---- 5`Yo Additional Sheathing for Wag with Opening>6'6'(Design Concepts)_...... . ._.. Wag Cladding Ratedfor Wind Speedl_..._.._..___..... ..._......__.. _____....._ _.:_..._.. _.._.. _.. .._. ... _... 5.1 ROOFS Roof framing member spans checked?._..._ .._.._.._.(For Ratters use AWC Span Tool,see BBRS Website) Roof Overhang ......._..........................._..............(Figure 19)............._ft s smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors _ Uplift..---.-..-.-_..-._.:....._......_..-__..(Table 12)............._..._.....__...__._.._U= ptf Lateral...._._...................._............(Table 12)..........................................L= plf Shear...._..._...._......_.._.._.._._.._..(Table 12)._____.' —_plf _ Ridge Strap Connections,If collar ties not used per page 21.....(Table 13)........._.. _.........-.T= plf _ Gable Rake Ouffooker.........._.............................(Figure 20 ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Wails Proprietary Connectors Uplift............... ......._.._.__._..._(Table 14)......_...__.._...._.............. U= lb. Lateral(no.of 16d common nails)...(fable 14)...............................+..~.:L= 1b. Roof Sheathing Type._._w_................._......._...........(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness_._...........-..------- _.......------—in.a 7/16'WSP — Roof Sheathing Fastening _........__......._..___........_(Table 2).__.._ -.. ..__ Notes: 1. This checidist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012-1.1 Item 1.ff the checklist is met in its en drety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d.- All Straps per Figure 1T e. Comer Stud Hold Downs per Figure 1 Ba 2. Exception:Opening heights of up to 8 ft shall be permitted when 5%is added ta•the percent fug-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate In exterior walls shall be a minimum 2•in,nominal thickness,pressure treated#2-grade. AWC Guide to Wood Construction in Sigh Wind Arens: 110 mph Wind Zone Massachusetts Checklist for Compliance(tstt CMR53012.1.1)' 4. - a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent FulkHeight Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows: L Panels shall be installed-with strength axis parallel to studs. H. All horizontal joints shall occur over and be nailed to framing. . M. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top . plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Hortzontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertfcaf and Honz6nfal NarTing for Panel Attachment AWC Guide to Wood Construction in High Wmd Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so cMR53o1.2.1.1)' -UV EN txm EDGE FES1 ON FRAMW mad NALS AT fibre - 11 1 1■ {{ 1 Y 11 1► ' 1 11 11 � 1 1 H H `mot{ 1 • O M i F•j: 1 ' 1/ 1 1 6 o n ii t "1 ii 1 a. � 1 J 1 1 U {IF 11 1l r 1 11 11 i 1 Q d 9 0 1 11 kit { U 1 F- i ii i f1 ' wry► ��++_.•..�•�...,...�. Mfi_SPACM • PkNH__ 1 y See DaWl on Next Page Vertical and Horizontal Mailing for Panel attachment �THE Town of Barnstable Regulatory Services s uaxszABLF. • MAM Richard V.Scali,Director 1639• �m 61 Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Usin—a A Builder L ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name. Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services dry b Richard V.Scali, Director Building Division _ >AaivsrnaLZ. Paul Roma,Building Commissioner 1 . $ 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ' Please Print DATE: 2-1 C 2Q JOB LOCATION: (J"C�� 1 nu\mber f� SttrT)njnj& village "HOMEOWNER":W A d�'�- 1 (/) Z name p home phone# work.phone# CURRENT MAILING ADDRESS: L,3 t;_-S 1 6 0n,� A& CD _ city/town state z►p 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 a/she will comply with said procedures and re,quireme gi o omeowuer 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 to amend and adopt such a form/certification for use in your community. A U 12" 72,' o �n N O �a z 2 'e" 36" 24'—e" c o co;; 2 " 0—" TOWN OFV RNS ABLE 100" �, A f0 Cl) Q M LL - 15�, 7;" 15„ -!7 o 5 0— y v v � coa 33 y o N N Cl) a „ P- (O v O co N m 0" 8' 3 18" R = o d c-p a N N 0� 1536 C3 1536R () cV @ o A N RH3624 AV c o t 618E NGE.GAS_301 618R M 2 m U)j Co W3030 BUTT m a a. M (o (h M M Cl) F C cv O N (O F 00 BDF F- co m 3 M LBO ao 4ZDW8 alb 9£80 ^N+ M a c Q N co co DR1830 DR1830 DR1830 -I" �pj ,o°", N C 12 I CS2 N cc`at= 2 m 1 Y i 9`9 J j N Or OrN.1N „O LL V N U 'Im I• D II1 r:F A w d 9 c 06 N 11111111 v o 2 : M ON fl� C'n'o O X `N — » c o 00 co 00 ®0 c M O OD X Cl N F- bZ 99I. bZ 7K �99I z o z- 4, I �. •'y 3 INC i The Town of.Barnstable 1AIfTA�6C . Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner April 22, 1993 Mr. John B. O'Donnell P. 0. Box 336 Osterville, MA 02655 RE: A=117 134 86 West Bay Road, Osterville Dear Mr. O'Donnell: This office is in receipt of a complaint re the unregistered tractor trailer box located on your property. Please contact this office at your very earliest convenience re the above matter. Very truly yours, Alfred E. Martin Building Inspector AEM/gr TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date .vim-- ��� Rec'd B Assessor's No. J Last Name �,p/��=17 First Name ry C� ORIGINATOR Street UifJ Village l�U�/9 State Zi p Telephone: . Home Work s Description: COMPLAINT INQUIRY ram, 1— ,�e Requestor's Signature COMPLAINT Street Address LOCATION A= OFFICE USE ONLY INSPECTOR'S Date Ins ector ACTION/ COMMENTS FOLLOW-UP /L�d1/ ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) HZSCl r- T. R117 1.34, LOC 0086 MEST BAY ROAD CTY 11 TDS 300 CO KEY 58822 -.---MAILING ADDRESS------- PCA 1011 PCs 00 YR 00 PARENT 0 ODONNELL, JOHN B TR 9 MAP AREA 27.EC JV .MTG 0000 ODONNELL, GENEVI'EVE TR SP1 SP2 SP3 PO BOX 336 U7'1 UT 2 .55 SQ FT 2332 OSTERVILLE MA 0.26.55 AYE 1090 EYB 1960 OBS CONST 0000 LAND 69300 If4P 67300 OTHER 1800 ----LEGAL. DESCRIPTION---- TRUE MET 138900 R£A CLASSIFIED #LAND 1 69,800 ASD LND 69900 ASD IMF 67300 ASD OTH .1900 #BLO (S)--CARP-1 1 67,300 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1 ,800 TAX EXEMPT #PL 86 WEST BAY RD OST .RESIDENT'L 128900 138900 138900 #RR i808 0143 OPEN SPACE #CL22 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE 12/92 .PRICE 1 ORB 8344/069 AFD I A LAST ACTIVITY 03/02/93 PCR Y s Town of Barnstable *Permit# � �5 Expires 6 months from issue date Regulatory Services Fee 60 Thomas F.Geiler,Director . Building Division 10/23/07 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY qq Not Valid without Red X-Press Imprint Map/parcel Number Property Address O �✓ DS �' l� [Residential Value of Work � � (JtJ� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address / f f ✓d .. �oq- v It Oa�c s Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ®� � PERMIT Check one: ❑ I am a sole proprietor [�I am the Homeowner Q C T 19 Z007 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTAB�F- Insurance Company Name Work:o='s Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) I ❑ Re-roof(stripping old shingles) All construction debris will be taken to i =a ❑Re-roof(not stripping. Going over existing layers of roof) 2 Re-side — ❑ Replacement Windows/doors/sliders..U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic, servation;etc.. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors j4iceuse is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department oflndustrialAecidents Office of Investigations 600 Washington Street ` Boston,MA 02111 www.m ass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers APPUcant Information Please Print Le 'bl Name (Business/Organization/Individual):. Address: e ffoe Ci /State/Zi si?Y ty p: �S J� �� Phone.#: �S©8' `f - O 7�0.5— tiao-atgl Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I *employees (full and/or part;time), have hired the stab-contractors 6• El .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 g, ❑Demolition working for me in any capacity. employees and have workers' insurance.#' 9• ❑Building addition co [No workers' comp.insurance �•KIequired.] 5. ❑ We are a• corporation and its 10.❑Electrical repairs or additions 3. 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.W Other comp, insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractam that check this box must attached an additional sheet showing the miame of the sub-contractors and state whether or not those entities have employees, 1f the sub-cmtmactoms(rave employees,They must pravidt their workers'comp.policy number. lam an employer that isprovlding workers'compensation insurance for my employees Below isihe'policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/z* 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 penaltirs 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 cerli :ender a pains-and pens ' s of perjur})th information provided above is true and correct: Sienature: Date: tv t G Phone#: ITO Official use only. Do not write in this area,'tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: . Phone#: THE 1p� Town of Barnstable Regulatory Services BABNSTABLE : Thomas F. Geiler,Director ntnss. Building Division ArFD MA'1 ti 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: l%Y/O—7 JOB LOCATION: iL�S tJlAe number stet village "HOMEOWNER": Gly'� Oc I irrrg SDI ������ I� name home phone# work phone# CURRENT MAILING ADDRESS: �.lJ t�/ / 1,1— 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. Si ature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the (�95 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 fomi/certification for use in your community. 34 35 143 ff�_ \ I \ I = \\\\ II PARCEL 1 AREA = 22022 sf +- - I • 3 I _ GARAGE l l \ � I 1 • - \ l 1 I I I PAVED DRIVEWAY I I I I ' I I I I I FX15TING CE551`001-5 I ® cn 20 ft � (NOTE 10) i EXISTING Ilea out ® 5 BEDROOM ', DWELLING V 1 W - w 1 \ 10 ft 1 clean out\ - 1 \ TOP OF FNDN 0 03 \ EL = 35.98 C x ca G) screen porch D o I j n. / nl N l W ` - glnsp Ports D I H-2 30.84' 14.15'I I 143 ft 34 35 33 BENCH MARK PROP. 1 ,500GAL TOP OF SEPTIC TANK BULKHEAD CORNER ELEVATION = 34.76 BARNSTABLE GIS DATUM Lj EDGE OF PAVEMENT A-1Y ROAD LEGEND WECTPROPOSED CONTOUR PROPOSED SPOT GRADE —=98 -- EXISTING CONTOUR + 96.52 EXISTING SPOT GRADE W— EXISTING WATER SERVICE 1 �. TEST PIT GENERAL NOTES: 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL LOCUS MAP N.T.S. BOARD OF HEALTH AND THE DESIGN ENGINEER. 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND; THE DESIGN ENGINEER. � OF �9Sf 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING MA/tFROM v SHOWN REPORTED TO THE DESIGN ENGINEER BEFORE CONSTRUCTION CONTINUES. � D Ytl ti� N STREW 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. � C Y� 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF No. 1140 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. OpO 9'L,1, 7. , ATER SUPPLY PROVIDED BY TOWN WATER SERVICE. N 1 �P't LOCUS 0� 8. AL-L AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TAR �S( L� TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY ►,I THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING y CONSTRUCTION. 10. EXISTING CESSPOOLS TO BE PUMPED AND FILLED W/ CLEAN MED. SAND OSTERVILLE 0- 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY PROPOSED SEPTIC SYSTEM UPGRADE PLAN AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING 86 WEST BAY ROAD, OSTERVILLE, MA 14. ALL PIPE TO BE 4" SCH 40 ® 1/8-/FT (UNLESS SPEC. OTHERWISE) Prepared for: O'Donnell 15. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW FOR THE USE OF A GARBAGE GRINDER Engineering by: Surveying by: SCALE DRAWN 16. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING Meyer&Sons,Inc. Eco-Tech lsnvfnvnmental 1"=20- DMM PO BOX 17. CONNECT ALL PROPOSED PVC TO EXISTING CAST FITTINGS. sf EAAST SA 508) 364-0894 DATE: CHECKED SHEET NO. STS4 NDWICH,MA 02537 ( - 506-3s21922 07/20/11 DMM 1 of 2 .j- NOTE: To PREVENT BREAKOUT, THE PROPOSED NOTE: MAGNETIC TAPE TO BE PLACED OVER ALL COVERS FINISHrGRADE SHALL NOT BE < EL:30.00 FOR AI DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S. INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & COVER INSTALL A 4" DIAMETER INSPECTION PORT OVER �� (F Mqs T.O.F. EL.=35.98 OUTLET AND SET TO 6" OF FINISH GRADE SET TO 6" OF GRADE ONE CHAMBER (MIN.) AND SET TO 3" OF F.G. F.G. EL.=35.Ot F.G. EL.=33.80f ( ) yG " F.G. EL: 33.Of F.G. EL: 33.0 MAX. DAF{yFIYF/ M. ✓ IvA il(5rt� 1140 9" MIN COVER/ L = 17't 36" MAX COVER L = 15' L 10'(MAX) INSTALL TWO!INSPECTION PORTS (MIN.) �FCI$1EQ ® S=1% (MIN.) EL = 18.50 ® S=1% (MIN.) ® S=1% (MIN.) j 4"SCH40 PVC - 4"SCH40 PVC 4"SCH40 PVC SgNITA(���`� 0 1 -T 6 11.2" TO l 14 INV.=30.75 48"LIQUID INVERT LEVEL INV.= 30.50 PROPOSED INV.=29.75 GAS BAFFLE D-BOX 5 ROWS OF 5 UNITS AT 6.25'/UNIT + 0.75' WEDGE = 32.0'/ROW INV.=29.9 DB-6 INV.= 29.61 SOIL ABSORPTION -SYSTEM (PROFILE) PROPOSED 1500 GALLON SEPTIC TANK RESTORE VEGETATIVE COVER EXISTING SEWER OUTLET' =BACKFILL WITH CLEAN PERC SAND ® ELEV. 32.19 TO TOP OF CHAMBERS 75" ® ELEV. 31.66 © ELEV. 31.58 ' BREAKOUT=TOP ELEV.=30.0 INV. ;ELEV.= 29.61 NOTES: 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION BOTTOM ELEV.= 28.67 EXISTING SUITABLE 2) TANK AND D-BOX SHALL BE SET LEVEL AND 2.83 MATERIAL 5' MIN. ABOVE BOTTOM OF TRUE TO GRADE ON A MECHANICALLY COMPACTED 76 SIX INCH CRUSHED STONE BASE, AS SPECIFIED IN " - T.P. EXCAVATION OR G.W. EFFECTIVE WIDTH = 5 z 2.83' = 14.15 r SIX CMR 15.221(2) (7.07' PROVIDED) USE 5 ROWS OF 5 16"-HIGH CAPACITY PROFILE 310 ADJ. GROUNDWATER EL.=21.60 -=-ADS BIODIFFUSER UNITS-NO STONE 3) INSTALL INLET & OUTLET TEES AS REQUIRED - W/CONTOURED WEDGE SEPTIC SYSTEM PROFILE TYPICAL SECTION 16" N.T.S. 11 DESIGN CRITERIA SOIL LOG P#: 13347 NUMBER OF BEDROOMS: 5 EXISTING BEDROOM - NO INCREASE IN FLOW PROPOSED DATE: JULY 15, 2011 f� 34"---�� SOIL TEXTURAL CLASS: CLASS I SOIL EVALUATOR: DARREN M. MEYER, R.S., CSE #1614 SECTION END CAP DESIGN PERCOLATION RATE: <2 MIN/IN WITNESS: DONALD DESMARAIS, BARNSTABLE BOH DAILY FLOW: 550 G.P.D. Elev. TP-q 1 Depth rieV• TP-2 Depth 16" ADS 16008D (H-20) BIODIFFUSER UNIT DESIGN FLOW: 550 G.P.D. _32.60 0" 33.0 0" GARBAGE GRINDER: NO (NOT DESIGNED FOR GARBAGE GRINDER) A LOAMY SAND A LOAMY SAND MODEL 16" 160080 10YR 3/2 10YR 3/2 LENGTH 76" NOTE: UNIT CONFIGURATION AND AVAILABIUTY SUBJECT PROPOSED SEPTIC TANK: 550gpd x 200% = 1,100 gpd (USE NEW 1,50OG CAPACITY) 31.60 B B 12" 32.0 12" EFFECTIVE LENGTH 75 '" TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY ggNp LEACHING AREA REQUIRED: (550) = 743.24 S.F. DIFFER SUGHTLY FROM ACTUAL PRODUCT APPEARANCE. R .74 6%8 SANDY LOAM s/8 SIDE WALL HEIGHT 11.2 OVERALL HEIGHT 16" DISTRIBUTION BOX: DB-6 (5 OUTLETS (MINIMUM)) 29.77 34" ! 30.17 34" OVERALL WIDTH 34" IFFTmW 4640 7RUEMAN BLVD PRIMARY S.A.S. C ! C 13.6 CIF ;91 • HILLIARD, OHIO 43026 1 USE 5 ROWS OF 5- 16" ADS BIODIFFUSERCAPACITY H-20 UNITS-NO STONE L2.5Y IUM SAND 1 MEDIUM SAND (101.7 GAL) ADVANCED DRAINAGE SYSTEMS, INC. AND EXTENDED WITH 0.75' W/ CONTOURED WEDGE 5/4 2.5Y 5/4 PROPOSED SEPTIC SYSTEM/SITE PLAN BOTTOM AREA: (GENERAL USE APPROVAL FOR 4.73 SF/LF OF BIODIFFUSER) PERC ® 28.27 (BIODIFFUSERS) 25 UNITS x 6.25 LF x 4.73 SF/LF = 739.06 SF 132" I t 32" 21.60 i 22.0 86 WEST BAY ROAD, OSTERVILLE, MA '(WEDGES) 5 UNITS x 0.75 LF x 4.73 SF/LF = 17.74 SF TOTAL AREA = 756.80 SF PERC RATE <2 MIN/IN. ("C" HORIZON) Prepared for: O'Donnell NO GROUNDWATER OBSERVED Engineering b Surveying b DESIGN FLOW PROVIDED: 0.7J.43PD/SF(756.80SF) = 560.03 GPD > 550 GPD req'd 9 9 Y Y 9 Y SCALE ' : DRAWN Meyer&Sons,Inc. Bco-Tech Bnviron=eatei NTS D.M.M. • 1, Darren M. Meyer. R.S., CSE, hereby certify that I am currently approved by MADEP pursuant to 310 CMR 15.017 pO BOX 98, (508) 364-0894 to conduct soil evaluations and that the above analysis has been performed by me consistent with the EAST SANDWICH,MA 02537 , DATE: CHECKED SHEET NO. requirements of 310 CMR 15.017. 1 further certify that I hove�possed the Soil Evol. Exam in October, 1999. 07/20/11 D.M.M. 2 Of 2 I 508-362 2922 i