The URL can be used to link to this page

Home My WebLink About0306 WEST BAY ROAD �� i .� ' � � ,� n� �� o , , � a K� , - ;� � �� , � . � �� ,. (' � .� � �� , ,�� ,� �, r ,, t '" $ . ' n � .. �;.1 �� ,� � � � fl ,o � � • . �.,..a �� PAP { Town of Barnstable Building BAMWABLB. Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept MA-M 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-20-898 Applicant Name: C.J. RILEY BUILDER INC Approvals Date Issued: 04/10/2020 Current Use: - Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: • 10/10/2020 Foundation: Location: 306 WEST BAY ROAD,OSTERVILLE Map/Lot: 116-014 Zoning District: RC Sheathing: Owner on Record: PIERI,TREVOR&STEPHENS, KELLY E Contractor Name: C.J. RILEY BUILDER INC Framing: 1 799 Address: 1235 PARK AVENUE UNIT 9A Contractor License: 125� 2 NEW YORK, NY 10128-1759 Est. Protect Cost: $ 15,000.00 Chimney: Description: CONSTRUCT A WALKING BRIDGE FROM ONE DECK TO ANOTHER Permit Fee: $ 126.50 ABOUTH 20' LONG AND 36"WIDE j Insulation: Fee Paid:}` $ 126.50 Project Review Req: Date: 4/10/2020 Final: Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is-commenced within six months after issuanU2. icia I Final Plumbing: All work authorized by this permit shall conform to the approved application and therapproved 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. I I j Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are ed on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy . 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 "Pe sons con ting 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: d Application Number... .....CDC) („� , . .................... + BARN3fABLE, 1MM ` .� 1a�S Permit Fee.................................Zoning Distract........................ �1 �.x• Total Fee Paid............................................................... ...... TOWNOF BA NS ML9 0 Permit Approval by.................................On............1.............. BUILDING PERMI°'- coMap.......................................Parcel..........:.................................. APPLICATION- P.n`, Section 1 J wner'sAnformation and Project Location e Project Address Village .D Owners Name Owners Legal Address City State Zip Owners Cell # ` d� E-mail i Section 2 — Use of Structure • Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck _ Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other—Specify Section 4 - Work Description Last updated: 1/31/2020 Application Number...........................................:......:.. Section 5—Detail 6 •Cost of Proposed Construction a G D Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 — Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ,N On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway • Debris Disposal Facility: po& d I am using a crane ❑ Yes No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No • Last updated: 1/31/2020 Application Number........................................... • Section 9— Construction Supervisor p Name Telephone Number 0(9 ' � 74 Address City (� i� State Zip 1AP License Number License Type Expiration Date ova r Contractors Email Cell # 1 understand my responsibilities under the rules and re ations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures;specific inspections and documentation required 80 CMR and the To of Barnstable.Attach a copy of your license. Signature Date 3/vo I,;;?; c2 Section 0 —Home Improvement Contractor Name Telephone Number j-0 Address ity State zip � � Registration Numbe 9 Expiration Date 1�9 dZ • 1 understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 80 CMR and the To of Barnstable.Attach a copy of your H.I.C... Signature Date d Odd Section 1 —Home Owners License Exemption Home Owners Name: lephone ltznber Cell or Work Number C Ander#a�nd nMresponsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 •CMR tRFMas2husetts State Building Code. I understand the construction inspection procedures,specific inspections and acume�n�'atio aquired by 780 CMR and the Town of Barnstable. gigna>�e 0 Date D —p m APPLICANT SIGNATURE Signature Z Date Print Name 1 Teleph ne Number �/7� E-mail permit to: 10, � Last updated: 1/31/2020 i I Section 12 — Department Sign-Offs " Health Department p Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ • Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization as Owner of the subject property hereby authorize to act.on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name r- r Last updated: 1/31/2020 RAILING PER CODE (TYp) 4X4 POST INSTALL NEW (3)_2X10 BEAM BENEATH WRH KNEE BRACE TO EXISMG COWMN FASTEN BRIDGE BEAMS TO TOP OF EXISTING 3• 6'-8` 6'-8' 41 g'-8' 3• WALL ANGLE CU IMP SON 20'-0- C1 EMAno ' GWUM (TYP) K10 RACILMIiCiP RIONY 3, CODE G PM �Lu� CODE (TYP) 2C--0' I�ly'Iq( 4X4 POST 3• f'---8'-8' 8•_8• _� 3' 1.0 A307 BOLT PQ 77 ING 1'-8' pb X KCAL) 1'-8' <:LI m (Ty�1tVE1) .�• ,. �• ANTHONY 2)-2X1O 0 TYPICAL SECTION cwLA>wPmrpESERvE0 (TYPICAL) 4x) ) E86M NG P eN Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constrrw i6n ltbpq rvisor y �r CS-066147 7 E�x i ires: 02/05/2021 _ s a `n CRAIG RILEY I� PO BOX 382 OSTERVILLE MAX�02665 {On\ Commissioner Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE.'Corooration before the expiration date. If found return to: Roo"' Expiration Office of Consumer Affairs and Business Regulation -.R25789`- ,_01/29/2022 1000 Washington Street -Suite 710 ' " Boston,MA 02118 C.J.RILEY BUItl7bArHVC`=:-:_-�-" CRAIG J.RILEY < 749 MAIN STREET'' ?-� �G.w•Qi'CG . UNIT D Undersecretaryof I ho t signs OSTERVILLE,MA 02655 ante Town of Barnstable Building Department Services t a = Brian Florence,CBO MAM 3h 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 Using A Builder as Owner of the subject property /' Tl hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: 34 GAL L� al l- (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 f cant Print Name Print Name 31131�W Date Q:FORMS:OWNERPERMISS IONPOOLS Rev:08/16/17 f The Commonwealth of Massachusetts Deparhnent of IndustrialAccidents • 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 Legibly Name(Business/0rganizatimV1nd1v'dual)' r— Address: e / City/State/Zip: 1 i Phone M d — —(P Are you an employer?Check the appropriate box: Type of project(required): 1.1 I am a employer with_ 2_ 4. ❑ I am a general contractor and I 6' El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in an capacity. employees and have workers' Y aP h'• t 9. El Building addition [No workers'comp.insurance comp•insurance. 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'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employes,they must provide their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employe Below is the policy and job site information. Insurance Company Name: © p / Policy#or Self-ins.Lie.#: 1pS�� t�/✓ c� t`= d 91 bcp ��9 Expiration Date: Job Site Address: / City/State/Zip: 1 ®0�� Attach a copy of the workers'compensation p cy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under S 'on 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. 1 do hereby certify under a pains an a of perjury that the information provided above' tru and correct Si ature: y Date: d Phone#: y Official use only. Do not write in this area,to be completed by city or town official • City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 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 perforrmance 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-contractors)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-inc mmee license number on the appropriate lime. 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 660 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 446 or 1-877 MASSAFE • Revised 4-24-07 Fax#617-727-7749 www;maw.gov/dia Client#: 10798 2RILEYCJ ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/15/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: The Hilb Group of N.E.dba aco"lu Ext:508 775-1620 ac No): 5087781218 Dowling&O'Neil Insurance Agy E-MAIL P.O.Box 1990 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC t/ Hyannis,MA 02601 INSURER A:NGM Insurance Company 14788 INSURED INSURER B: C.J.Riley Builder,Inc. P.0.Box 382 INSURER C Osterville,MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE A SRL UB POLICY NUMBER MM/DDY/YEYYI' MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY MP059664 5/02/2019 05/02/202C EACH q�,OECCCUR�RENCE $1 OOO 000 CLAIMS-MADE OCCUR PREMISES Ea..'Tence $5001 000 MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000,000 (AUTOMOBILE Y JEC a LOC PRODUCTS-COMP/OPAGG $2,000,000 : $ ( LIABILITY M9059664 5/02/2019 05/02/202 COMBINED SINGLE LIMIT Ea accidents 1,000,000 UTO BODILY INJURY(Per person) $ D SCHEDULEDONLY X AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE ONLY N AUTOS ONLY Per accident $ $ A X UMBRELLA LIAB X OCCUR CUT0115J 5/02/2019 05102/2020 EACH OCCURRENCE $3 00O 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $3 O00 000 DIED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NTU ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION CJ Riley Builder,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 749 Main Street Unit D ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA 02655 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S233867/M233663 LS1 AC R® CERTIFICATE OF LIABILITY INS DATE(MM/DD/YYM INSURANCE E 12/06/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to ,e terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME:CONTACT Linda Sullivan DOWLING & O'NEIL INSURANCE AGENCY PHONE M (508)775-1620 FAx A/C No): ADDRES S: Sullivan@doins.com 973 IYANNOUGH RD INSURERS AFFORDING COVERAGE NAIC 8 HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: C J RILEY BUILDER INC INSURERC: INSURER D: PO BOX 382 INSURER E: OSTERVILLE MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: 481144 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL S BR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ JEa LOC PRODUCTS-COMP/OP AGG $ OTHER: $ UTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X1 STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED; WA WA WA 6S62UB2E89906919 05/05/2019 05/05/2020 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more apace Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/twdtworkers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN isACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE West Hyannisport MA 02672 �"'� C Daniel M.Cy,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map Parcel 5 14 Application #c?. w ff&?6 S f Health Division Date Issued a�D Conservation Division Application Fee - Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board o W Silso/a Historic - OKH Preservation/Hyannis VV Project Street.Address 30( W ll�" P,OAD Village 5 rat- ✓l l4.10r Owner I kA tj 996WC—SC Address 52- 54,yo t4lL,_ �ieojm A Telephone l g— 3 6 q— 7 5 G 3 0 1'714-7- Permit Request , )VoyGy A; I'OF NOA) 139;M A/L a I N /ci g4no_, XaL10✓� A-PD 1 n157-A1 — Ad&iJ; LA.GZ _5#vzde;0Z Square feet: 1 st floor: existing Ago proposed 0_2nd floor: existing proposed 4 Total new 4 Zoning District Flood Plain Groundwater Overlay Project Valuation 20 000 Construction Type ku0OD Lot Size A74t-5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 0 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: JV Full Crawl ❑Walkout ❑ Other 1000 FQX_- . 480 QZPWL_ Basement Finished Area(sq.ft.) l5 Basement Unfinished Area (sq.ft) 400 Number of Baths: Full: existing_ new o Half: existing 2 new o Number of Bedrooms: existing _new Total Room Count (not including baths): existing 8 new G First Floor Room Count Heat Type and Fuel: X Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing 2 New Existing wood/coal stove: ❑YesXNo Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:9existing ❑ new size —Shed A existing ❑ new size �_ Other: z&F, 600 L Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # Current Use Proposed Use S i,4/G(2� fy�r'I/mil cl APPLICANT INFORMATION z ? (BUILDER OR HOMEOWNER) -- q7 Q 50 Name ,1 9aAM 0A)5 A�tiWX) Telephone Number ?,76—8 2?— 3o 8 / 6� Address �e a 5%Da/d2-tc_ R,> . License # G 5 ¢4 A (o ASAyWI : AA o/¢3o Home Improvement Contractor# d7�o Worker's Compensation # N0 ALL CONSTRUCTION PEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r � SIGNATURE DATE • �` FOR,OFFICIAL USE ONLY APPLICATIOk# ' r 4�'ATE ISSUED MAP/PARCEL NO. '� ! ADDRESS VILLAGE , OWNER DATE OF INSPECTION: s R FOUNDATION FRAME �� .N -INSULATION FIREPLACE a. ELECTRICAL: ROUGH FINAL • . 1 -PLUMBING: ROUGH .-FINAL GAS: ROUGH .FINAL E -FINAL BUILDING DATE CLOSED OUT ASSOCIATION'PLAN NO. } e 04'18/2008 07:33 FAX 0002 FROM :J.H.Renovations FAX NO. Ppr. 15 2008 10:52AM P2 Town of Barnstable Regulatory Services NAM Thomas F."er,Director i Building YDivi cion Tom Ferry,$niitlf ng Coxambsioner 200 MMD Street,KYMMLS,MA 0ZW1 vswwAown.barnstab`t xnaxs Office: 508-962-4038 Fax: 508-790-6230 P roper'b ne.1'Must Complete and Sign This Section If Using B-aildar LA I C.Wk g-e+ f o A A 4 CA e ,a::Owner of the subject property hereby=thorize� 4,j 4A4 Vo,) J av Pvk--r:oy,2g to act on my behalf, in all mattes relative to wort aurhoriwd by this bw1d1r--permit appkatioa for. (Addrims of job) Y m Siparm of Corfier Data~ _ ego g.4 Print 1\Tame r If Ptnlxrty Owner is applying for pem dt please complete the Horneownen License Exemption' For.n on the reverse side. PAGE M'RCVD AT 41151200810:47:32 Ahl(Eastern Day 0ghi Time,'SVRfA KFh1091P M'G;iS:F706480"COD!978 827 3081'DURATIOsd I:09�90 — �s y�5 PNP np1. ✓iL6,-i!)O7ILlIEdIEUI ,�.cy ,lldP dingdingd tan n#,;s £kr B�oartl2of�BmltlmgRegulaho and Standards' J: 'Yi'+fR' _ 5. a'S-�,:a"_ :<c'ui.-�'�w sr ,G•. .. . �y ' �w � � # $ �ConstructlonLSupe[visor�License = THOMI IMPIROVEMENTCONTltk-TOR s lw:on4ice e Se 9 r IRK. a - ..:....... _ 1+xpiratiorL�815f200f� '; r w. xpia`tion. r ;;` ";r _ 2/23/2010 .Tr#-170S5 y 2 �fi j s F` Et�OUATdO t Jofip 1 fr JOHtf JHANLON x r,� r9180 StoweitnR� 180iS TOWELL 3r-Ko .r # xr - ,z3Y 'S`'as�i't bia r .�Y -. i -'g }(� ` X4burnhBRr �f � De a c�iminisft� r : .r ASH�JRNHAM'MA 0,1430 v Com_missloner �y'��il:,t �'d�}ek.-ne.(2�-q'��i4'''��$trig'-✓L,r (. :fir y T r'�' -. _.. ,. ... _ ........_ - e✓J� a� Zvi_. Sf�•:.Y:,L i� iY �'�l f�l� l �.3r 3`�"w /�s.^v �^"'-e ` 7i'-i'L'�`',e'irr z• ai�,,,/ '* :3� f y per AdCldP. $� r7r � + a l0 td'ILCUP.RLfIL '' �.8st p >.t ,'s, i, ;JK ��, 6'I77/I)t(NtCl/8 k� ��Board f Bui 'Ing Regulations d Ala,Alan am i1s ��. r" , 5 Boards'of�Bwldmg R�eg.7111,s'smand°Standards ... �• °?c .r., =.✓ .:c,....F' 'Y"3 a- - zry7K"' sy' °.^ �` -i L� t ,air•- HOME;IMPIZOUEMENT'CONTRA7rTkOR y i �_ Construction Su rvlsor License' ... �vF' rfr - ,r... fir; .�'�u,'�-�� 'k. '�;�`r �� nf� <4 r^x^`c - tr x f e �' $:. j , t -t LICIse CS 44166. Y s. pirationc<`8/5/200,� IY,peDBA7Y -^xr - - -��'•= �` x r�` "` �x - ��,�:,y � '� estr�ic,ion • s t 8080 4 . :ASHEt1RNHAM�MA 01r Commrsstone"r 05 :.rub+;�`.y, _,�`C�• � .2`'�`: ,..� �,:�',"§. .k n r"r�JB=: ^•�. r� l%=::-:�. - - , -,ai��- ��:€VGdpx�7tL✓.h�d'lH°Q �� 6l0 . . � ��a'�-+ '% L�ry't.�7G✓,ptl,U�WL r5 re ' �� ' Board o Buildlag Regulahons pd,, tarn Mgr � ;,f �,_ r� �� 2��o�zc>luaek2 aBoanrdofBplldmg`Rguaoand�Standartls :w - — HOME iMPRO�EMENTr CONTIZ4CTORt f r ConstrYuctlon Supervisor�License A=f.1 .,.•Y7^1.. ,, R.}�ist�tion 07684;:>.: e - "aLice F :. �� [yp se :CS i/ 1 ;,. 44166 �.fxpi�ation 515120 •_ � ;� „�_. .� �•.r� tExpifati �-2 /2 � n Tyke�QEA;� y;John jn x ` JOIiNJ�NANLON T -:L47' st.,^,r•,�' r,.h r of f ' r180�Stowkeltu �., r "` g .. 1'80 STOWELL�I2D vas -- = is r�( i1✓,�e 1i.3 ,� y DC atY (i1111n19tft rr�s. y F.•. <-la`- Ly .F, �+Y'!<,,, `,�� -�, � � � A$H�'stJRdNHAM4,MA 01'43t) Commissioner.' _ i a• 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 representative's 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-contractors)name(s),address(es)and phone number(s) along with their certificates)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 LL.P 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 bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Massachusetts. Department of lndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4400 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia r r r " The Commonwealth of Massachusetts 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 APPUcant Information ,/ n Please Print Legibly Naive(Businesslorganizationandividual): �t ,C�d�A�a 5 J,,* Address: /s o 6,1 O leg(-L- Ap City/State/Zip: �}f f �2NN ✓i l h/.�.O l�30 Phone.#: 97e — 92-7— 30 0 l Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the stab-contractors 2.LN I am a•sole proprietor or partner- listed on the attached sheet 7. Rzrnodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'comp.insurance comp'insurance# 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. I 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 belowshowing their workers'commnpensation 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. tContractom 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 subtontractars 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: Policy#or Self-ins.Lic.M 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 tip 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 MA for insurance coverage verification. I do hereby certtly under the pains•and penalties of perjury that the information provided above is true and correct. Si atare• Date: Phone#i` 9 7 — 2 7 g o 8 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: •Phone M PROJEC NAME: ADDRESS: PERMIT# PERMIT DATE: . D M/P: Il V - D LARGE ROLLED PLANS ARE rN: BOX g SLOT Data entered in MAPS program on: A,30/l/ BY: Town of Barnstable <Perm t# Expires 6 months from issue date Regulatory Services Fee Co 0"9• Thomas F.Geiler,Director Building Division v Tom Perry,.CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ((�Q y Property Address [Residential Value of Worker Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address K)i C_ o!C�1 Y{a+'1 t eer1 ma rc Qslz�. Contractor's Name QjJ.2� I. aseayt� � S�ntt Telephone Number_) 'q&,t 1 -7 7 Home Improvement Contractor License#(if applicable)" JC)3'j 1SJ Construction Supervisor's License#(if applicable) CS 2Workman's Compensation Insurance X_PRESS PERMIT Check one: ❑ I am a sole proprietor ❑ the Homeowner r ,I ! 1 I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name &Tw i't" Uka 'r;o&)ry,"C P Workman's Comp.Policy# �')dl 4—7:1 O,'5- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) D4roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to !9 p-lz, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho71 /n ove nt tractors Licen e&Construction Supervisors License is r uired. SIGNATURE: C:\Users\decollik\App r ocal crosoft\WmdowsUempporaryIntemetFiles\ContenLoutlook\DDV87AAZ\EXPRESS.doe Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individaal): Address: [03 t po—1 in S City/State/Zip: v 1� o26$SS Phone#: Are you an employer?Check the appropriate bog; 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 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 g. Demolition working for me in any capacity. employees and have workers' [No workers' comp,insurance comp. insurance,# 9. ❑Building addition required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 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 0 employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Get ifl sulk LV1 Cv"0.r1L-e_ Policy#or Self-ins.Lic.#: `lcl'-( —7-[35_ Expiration Date: p. Job Site Address:_L0 k GCS 9! "J Q&+e_rV I �� 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 the pains penalties of p 'ury that the information provided above is true and correct Si ature: ��_QA&V In�A Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Sep-09-11 09 Xam From- T-502 P.001/037 F-I00 C.ERTWIC•ATE-•O.F:�INSURANCE ' :- = t as109rz01 i. UPON THE V��RTIFICAT ICATE IS ISSUED AS A MATTER OF AND CONFERS NO RIG INFORMATION ON7END OR ALTER THE RS NoCOVERARIG SGE AF 0 DED E HOLDER.THIS CERTIFICATE DOETEOS NOT AMEND, ExCIES BELOW.THIS CERTIFICATE REPRESENTATIVE OR PRODUC RCE DOES NOT OAND THE CERTINSTITUTE A F CANE HO DER, E ISSUING INSURERS ,AUTHORIZEDmust be endorsed. it PORTANT: If the Certificate holder is adn�ADDIT the INSURED,to p�may require and endorsement A statement I WAIVED,subject to the terms this certificate does not confer rights to the certificate holder in lieu of such endorsement �FtODUCER owling&O Neil Insurance 73"rinough Rd yannls,MA02601 COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY ; NSURED aul J Cazeault&Sons Roofing Inc 031 Main St sterville,MA 02655 COVERAGES • - : :_ HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR I THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMrrS SHOWN POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE Y HAVE BEEN REDUCED BY PAID CLAIMS, TYYE OF INSURANCE POLICY Nu BER POUCV EFFFZTNE DATE POLICY fl1�1RAnoN DATE �A CRY= s c ENSA7ION OMITS 1 D EMPLOYERS'LIABILITY _ E PROPRIETOR! •:.'• . ARTNERSnDMC rNE FFICERS ARE AMORY LIMTb NCI.O EXCL O 9947105 8110/2011 8/10/2012 ropoAppyastoMAOpa flonsa y.roa CH ACCIDENT $ 500,D0 EASE POLICY uwr $ 500,00 ISEf4SE.EACFt EMP fi $ 500' DESCRIPTION OF OpEyiA110NSNEHICLESlSPEGAL 1TEAA5 CERTIFICATE HOLDER ANCELLATION DAVENPORT BUILDING CO SHOULD ANY OF 7W ABOVE DESCW9f D POLICIES BE CANCELLED BEFORE I NE 20 NORTH MAIN ST EWOO ATION DAM THEREOF.NOTICE WILL es DELIVERED IN ACCORDANCE SOUTH YARMOUTH,MA 02664 WINrETxE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I Pro erty O�rner Must Complete &. Sign This Form p if lasing a .Roofer I Builder. as Owner J Agent I (print) r of the subject property hereby authorizes Paul J Cazeault& Sons Roofing Inc. act on in behalf, in all matters relative to work authorized by this building to a y permit application for: Address of Job l . Signature of Owner 004 Z Mailing Address of Owner Telephone# &A Z Date $ l . i Please return this form to Cazeault roofing.along with your signed contract; It is needed x#508-420-�55. .the building permit required.by your town, to complete your roofing project, thank you) t Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston,.Massac, Zsetts 02116 ,\actor Reg,stration Home I—provement C� 't� � 'Registration: 103714 Type: Private Corporation � `--�— Tr# 297676 tt �_r r Expiration: 7/9/2012. ` PAUL J. CAZEAULT & SONS, INQ:4 Paul. Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for change. sv to ❑ Address ❑ Renewal ❑ Employment ❑ Lost Card y -s-CA1 -j 5oM-oa04-o101216 wL�ost T_.Jt �f [Janvrnca�uea�ii py/2Qba� License or registration valid for individul use only . ' W Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Type Office of Consumer Affairs and Business Regulation MOM Registration:/A1.03714 10 Park Plaza-Suite 5170 Private Corporation Expiration: =749l�012 Boston,MA 02116 = PA L J.CAZEAIlLi'- jj �Y-��'- Paul Cazeault y r? � . �� . 1031 MAIN ST L\ =��; Not valid.without signa re r OSTERVILLE,MA 02 _ � Undersecretary ";.. � �•-� - ' -�' r - -rds. ro9 ONES--:- ` k':- d_?2`•z .f.^`tzy t _ 'fl -S. x'i �gT��b ..�.y j. r6' ...d gg' :Rr. � 0.a].c-4y+ f7_h�y6 _+ _ '� sr::-�'�' O&M YrzrsT =''� -� �' 4.x cC'r,�• ,'t` -.5y ,ar�-•:'9t s.Cxr' '#.. ' - ��,u7.y;,ie� 'e'��3+- ��.�'� h•..� -'CY'1 �'Oz.;.t. �•3,��'. '�' �e'A'n,�y. �."y� r�e=l✓ �,-` ,- `g�'p`"a �' i$',�',. ' '�ji a � .:v' "- y�� '� s •vs.-' -,ter •;�` -� .. p +�v4, a ` �y' yeZ. ,a *.� .� ^.-•�T.E, �'sk ,-h�'- �l _ ke -�.c�* �� tiza. .,..KS�si.t..+ ,-.€"� .`'a" - �^ s �a� Sys... 3, +�s..Sca}x•«. '..o- cEz" _. ,=�-E ,•i,{ :-` •x..` '} 'C' . ��` n` c' k4scx� r ,y +r =--s ,+v;�- `�s _' 'a - _ fps '2tyW% y,- "� `).r'rt'. ti'2a,=n• rwr� egY "+�sevt1+�'ta� ` i�C$ �"�c ..r:.. y.lEu A.,E..tt{tit$ ems• -a ra. .=L 9 -Lrssn a -� ,-yi' -i' ins �.�� ' ;te n § e c g?x i'� �+t IN B�FI] C [Ltna�C rJ tFTL'a bffir— ItTCf]tC _ kit - S'�.i � > NEW: ,;,� '�„- c - ^�,,.,,,�,F. s'g:"{�w'f" „yx r� *�.?E?rd.5�I1CtICtnx "` ia+ a'3 '`-:°.�r.�.i- ..��A:s•�crt � '> 'F'.e{.to, 4.'r4 ..,�+^„�� "-rs.c.t� A--:? i - °`` .`+F� 'f"` 3�<•�. �'^a'' T 'S ;rs;: k sx s �y 4M a�CtceN CSC `" 3 4' '' 5 "• '�'Y`r 'stif ..E �G'12.F^. " "i �+2s'is i' 0'"�. *s"f's'� ,t -�tQ"�"QQ .s� Fr"�'✓.i��"'� .. .,-. w»:« '-�C 'F _- w. '�" " • v>��.- r s, it - �.e�'7s ..teeTy "73 t L ^t'T' fx5iy �; �r.'2• Mg- wo 7*Z r t £� xr 1% _.r C�4zERUW ��R ,fit , � - ,_. �.� sROM rti ' 'u`e ^''��"�h mg-EX. c • ' j... UR a, M �g m T: t X 4xr`+'n"` � �1�3 MAlNi ST YY �` s � s w �`f "4 ;ST�E2VtEEE MAy02�55 < _ ON ., 'y' - F 4s:hT� 5. 'Sn` < N .- 'n-=rd .x1aL a?igf- •-czyG' �c za;" -". 4r�"S a' s :_-ej-= _"f'`'�- '=a;.. `U'` -'�. .:`y`. "`.` +�S� ;�-• :.C,C,(d O[F?1-0•QO •e -' ... � r.-- 4 -y.. .,, *"�-,skr- - - t ;„. Gf "- -,y `- 'a-,• , •-E Ptry`�''` ^ '} - r`". 'S;.' - _ '�' � `-tF< - R g" ..r,�, �1� t :r.. .�•xa..',b,+ '.: E� .ter -�:aN-.1 1z n- r�3F._u ' aruiter `s s �� +�3 ay �8t5 R "'�`s' �� a is Mm- isg � p _> =5-cha 'as'r s -" -a ...s'oz .f3 -Y, + WE. '•�-FW k`�a MOO 3.r - -,tea - �'r •t. .Sc 3'a- (� 't^"d [ a r .,cx.. -'Z 3 'Ly4'R - des=..max. - ' �`�s�. ate. �'- a�a V+''II Y '"°'_ , q} .- P ,f". _ k '�"S.,:Ls• �, e -r,>'r tsp.. ,�5ya3'y+`nu :% � '1':+' -s.F.::�`U^1....�i :E k' Y� .�h%F.l..-p,,.r_' _' ...— �t-•.:I.: -,`N4 'j;'.'..� �}ea - s �. .+ x 2-: t'l" if�,+•�"y z e Q ay'7�:�fx=-rx .,� a•*•�a' ti r"' 3�F F��r...-i" "� � =[�--.,3 -k.'m-'-x. -+-'Sa �,-, :-} "cam v„ '`•c.x _ .y w•s�'-ni .-r:£' '`s,� Ste--.--.< s `' �' f' *E ai�'!r-a i �vat'^r' e1_ •s " — __ v. "u T cM ..,..,,� •s ,-•, "'� .,.,tsF• �..f ' ,. .;a z".- ,+ Y k zr k� < � F �"'��=",��•'^3(. s r t > ; �,u,,Yr 'v. � �.t ti -3••i :.t- 4�r t � � �r z -?• ' ..� u' F°c�'�,�- ��`~ �`oS~ � •<•,,--�c_.�-ice�rx-'.. t� '.... -'-.,_:..�:: +^.'�.:.f. .:e;t. -r.. :r'.f..:."..,_ t.� l ..-• .. .-.. .. ....._.. NI.r...��" �.`-S-rah =- �� Tt{' O,eXll�7-0 9,e edS h� C�a n� �t . Flec, 0),l/ be Ul�69ouv/1 When. CzC7 Az�- S'`ie-efe fcj-' Town of Barnstable 'el flk/w y��oFTHe r��o� Regulatory Services Thomas F.Geller,Director anxtasr,►eta, MASS. A 9� 039. .0• Building Division ABED MA1� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER // 6/ (Permit required in order to process inspection) Today's Date n� 7 6Requested Date of Inspection I, 1 hereby request an inspection under Massachusetts General (Electrician Law chapter 143,section 3L and 237 CMR 4.02(3). r,� 1 , The installation is complete and ready for inspection at �1 `��' '� Dsrfo (Property Location) Type of inspection requested: ❑ Temporary Service ❑ Service Re-inspection ❑ Excavation Rough Re-inspection ❑ Service Inspection ❑ Final Re-inspection ! � -t CD; c� ❑ Rough Inspection for < CD T x� n ❑ Final Inspection for .. Go Go rNa r— cD rn ❑ Other Owner or tenant 12,0 /W Licensee's name, dress,and phone 6� 1D `�" ` 09/ License number v Licensee's Signature his sectio to be completed by Barnstable n ector of Wires Inspection date ❑Approved ❑Not Approved This work was not approved for violation of the following Articles and Sections of the MA Electrical Code: Q:WPFiles:Bldg:E1ecrequest N --i Town of Barnstable p SHE o Regulatory Services • Thomas F.Geiler,Director &exr+sTnBt.s, • ..� M"ss' m Building Division MASS• �� O c ' �prED MP't► � Tom Perry,Building Commissioner cO co 200 Main Street,Hyannis,MA 02601 r ao rn Office: 508-862-4038 Fax: 508 790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER (7,`r �( � (Permit required in order to process inspection) TodaY's Date D 03 Requested Date of Inspection D �3 I, �j�3'',,'1t U hereby request an inspection under Massachusetts General (Electrician) Law chapter 143,section 3L and 237 CMR 4.02(3). ' The installation is complete and ready for inspection at (Property Location) Type of inspection requested: ❑ Temporary Service ❑ Service Re-inspection ❑ [[ Rough Re-inspection Excavation ❑ Service Inspection ❑ Final Re-inspection ❑ Rough Inspection for ❑ Final Inspection for ❑ Other Owner or tenant A Licensees name,address,and phone J License number 0(fir✓✓ Licensee's Signature This section to be completed by Barnstable Inspector of Wires Inspection date 2'200� ❑Approved of Approved -�4�� This work was not approved for v' ation.of the following Articles and Sections of the MA Electrical } Code: C/ Q:WPFiles:Bidg:Elecrequest /.i�� T _ { Town of Barnstable oFI K�E rqi, Regulatory Services RMWS ABLE, : Thomas F.Geiler,Director Z603 SEP 18 AN 4: 09 MASS. 1639• .m� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 G F VI S I ON Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER e?l b 13 �/ (Permit required in order to process inspection) Q Today's Date 7 /a 0_� Requested Date of Inspection I, d 2S _h., C12 A�M3 hereby request an inspection under Massachusetts General (Electrician) 0 j.rp*/L Law chapter 143,section 3L and 237 CMR 4.02(3). The installation will be ready for inspection at � � Ela y (Property Location) Type of inspection requested: ❑ Temporary Service ❑ Service Re-inspection ❑ Excavation ❑ Rough Re-inspection ❑ Service Inspection ❑ Final Re-inspection Rough Inspection for A ❑ Final Inspection for ❑ Other Owner or tenant + AYzJ2 Licensee's name,address,and phone License number Licensee's Signature e This section to be completed by Barnstable Inspector of ires Inspection date e EP 182003 []Approved of Approved This work was not approved for violation of the following Articles and Sections of the MA Electrical Code: W-Z=b Q:WHiles:Bldg:Elecrequest . 1 • Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ' ant CJILE Occu and Fee Checked BOARD,OFFIRE PREVENTION REGULATIONS Occupancy [Rev. 11/991 leave blank) 9: 05 AP'P'E CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ),52,7 CMR 12.00 (PLEASE PRINT IN INK OR-T-YPE"ArL' INFORMATION) Date: City'dFToWrn ,'4 Bamstable To the Inspe for f Wires: By this application the undersign e gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 6 (AC-S-T -Jy on Map //& Parcel Owner or Tenant J. 7 6itvzpq C ZQ&J Jril�D Tel phone No. q0-; q7 Owner's Address ID OSfi�V!'�� Is this permit in conjunctio with building permit? Yes No El (Check Appropriate Box) Purpose of Building A �4 t�16": Utility Authorizatio No. Existing Service� Amps / Volts Overhead❑ Undgrd; No.of Meters t New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 94 Location and Nature of Proposed Electrical Wqrk: _ ; \ 2p o rye �` W 6 Slat o� Extst� s -- Completion of the following table nuzy be wan ed b the Inspector o Wires. o.o Total No.of Recessed Fixtures d No.of Ceil.-Susp.(Paddle)Fans Transformers 0 KVA No.of Lighting Outlets ! No.of Hot Tubs 0 Generators 0 KVA Above n- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd- ❑ Battery Units Q ' No.of Receptacle Outlets No.of Oil Burners 0 FIRE ALARMS No.of Zones No.of Switches g No.of Gas Burners 0 No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. / Tons No.of Alerting Devices Heat Pum Number_ Tons K No.of Self-Contained No.of Waste Disposers d Totals ..'- .... "- V -�- Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other Connection Dryers 0 Heating Appliances KeyDeviSecurity Systems: No.of Dr y No.of Devices or Equivalent 6 o.of Water 0 KW o.of o.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent elecommunications Wiring: No.Hydromassage Bathtubs d No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. . CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 614064— (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 5±1AInspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, tinder the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 0 j N&L, LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exenrpt"in the license nrunber line.) Bus.Tel.No.: Address: Alt.Tel.No.: OWNER'S INSURANCEur VE m aware that the Licensee does not!rave the liability ins ante coverage normally required by law my Q e elo ,I e eby waive this requirement. I am the(check one) owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No. W71 i, _ - • --4. - - -- -- ��-.ter ----- ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel r L Permit# �t� l Health Division � q�a�/_� �/'�o�—0�-. ,() AWIrloAl, Date Issued (] Conservation Division / , � implication Fee Tax Collector �L /1��l0 2�- Y R �� vA� Permit Fee% " ©� Treasurers SEPTIC SYSTEM MUST BE Planning Dept. ��h I - ►ko /lea ` •�t INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VATH TnU 5 OIL,, ENVIRONMENTAL CODE ANL Historic-OKH ��• Preservation/Hyannis ,Zq T01"JU REGULA1, 0 IS Project Street Address W�S Village 19 Owner. i Address A Telephone l V Permit Request0 DMA ��/� /V' / ) s 1�E PZ 4 u Re Y / qq Square feet: 1 st floor: existing /J ® proposed- 2nd floor: existing v proposed d Total new-A - Zoning District Flood Plain NO Groundwater Overlay NO Project Valuation Construction Type Lot Size /, s Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family ,® Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes X No On Old King's Highway: D Yes XNo Basement Type: yp )J Full El Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) �( �ti Basement Unfinished Area(sq.ft) � -: Number of Baths: Full: existing new Q Half: existing new-: Number of Bedrooms: existing_ new Q ° N =� Total Room Count(not including baths): existing new_� First Floor Room_,Count Heat Type and Fuel: Gas ❑Oil O Electric ❑Other rn Central Air: ❑Yes KNo Fireplaces: Existing New Existing wood/coal stove:• C].O Yes WNo Detached garage:O existing ❑new size Pool:O existing Cl new size Barn:O existing ❑new size Attached garage: existing O new size i�il Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes If yes,site plan review# I Current-Use (A. ��v� I.� Proposed Use l BUILDER INFORMATION F (/ Name a6ARrzyOC Telephone Number Address S,,.O G �.S l A License# © g l 6rLv) i L Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTIj DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE // e'a�o FOR OFFICIAL USE ONLY f` i PERMIT NO. y !DATE ISSUED MAP/PARCEL NO. ADDRESS 1 ' r 1 VILLAGE OWNER y . i t. . DATE OF INSPECTION: FOUNDATION :CAS (� - r• `t t� ' FRAME � INSULATION, �� ✓ CJ `J i i� - FIREPLACE-"-. ELECTRICAL:' j-ROUGH �� FINAL i � ` ` ✓- -n PLUMBING: r,ROUGH,. FINAL-) i, GAS: 'ROUGH, ` - ' ' FINAL FINAL BUILDING . f i r • DATE'CLOSED_ OUT ? ASSOCIATION PLAN.NO.i.e t r c The Commonwealth of Massachusetts Department of-Industrial Accidents Office 0110e019411ans.. 600 Washington Street 3 Boston, Mass, 02111 `3 Workers' Co m ensation Insurance AM avi� / AJ, ✓04 09 location: - hone# .I am a homeowner performing work myself. I am a sole ro rietor,and have no one:workin in c aci�y NY � /%1/ %////////G%%//e%%//w%%/z/////////%��/t %//////�///%%//%%/%//%/////�//.. s compensation-for ensationfor nay mD ... wOIlCer P n k. •>oNs;?S:';:` !i:.{>;`;,?'`n;RS:p° r: ?}k:?Y:y.;.':• 3.%:!..; ;::3..:}:.4 ;7 ;Y.;>�e...y,'•Y;'`r er rovidin ` ) e 1 g ,:{4S;l;q??Y}C+f!d$k# o.Rv?r.'>'•:,ry cr., .Y.r{;,S.;r .nc l•,?•.{,a,{•, ,:}•J:2:j.:?3}•jf;{?:Y•`.+?s;t':{^a'^+:` cQr?Si% ?:t I am aII s:•/•:th};•?.y0i:}:f,ry n;•;..4. 3 ,.y: :n2$} : ..:F.x. f n.i'.}.£v}F^,O Y\,,:v.`.}y4.} . t:,:'v:, v'S:., :r:fif m� ..r.yr•.:•'•.v ..?.;}.. `f':£%; ..44 `. .rst+i+r s..fi r. .,)}.,:.L. T.,4.4}.+3,"::.:%} :•.2.,.ri }.;r♦r.}s!•;}};t,:. „•..•.. •.,n:•.u.•v::•h:.r.. ,v{2;'•?:4}•::..., r.�Y'2` %••:.+.Ft •,•x.• r.{`}.. •:..,{•.,....i4.{,.,; •`'n?T:••,:F'} J q py+ .5}, r.3SCn••n r..�v:,{.,•f,.}:::y..:1}Y:fi;hv,v,,•:5. %;•?: ,::4:Y:•:`: t•4v: ...:: :r:.>:....}.J•.J.•.,•v'.:Y .n.v. n...•..,.+::{.}•..;.;.:A..v...,::::v.:;n?fr;;{" 2.{ :,}..+i,v v.3::r:..• +..,K?..::. ..r.2 •7f. , s..:+..} .vr.Yr ..5.,• 1..,5?•.:.•.:,;..5.. .:$•h; :..t!?n,:.:}t 2:r:•rr.•:t fi3R{2•:$>int•,7;.n!.}r,4s.{3:�.!}}: ..r..r.•:::.:.:. .n......... ,.r..r,.. .r;{.:?r..;.{.::.}:r,:{•::, ...........n.•:•:.?..:.,..fi:+h.,Yi3:•rY••{}..;i,,;•••.:'<}:}iw:is+},.i:;.n•+.?;.y..;,, r}• .::::.:.n..:..F:.a•. .r.,L...?...{..,•]•:in• .:thf•n;••:•.:?R••. S.R.r:•}...:.:;•rn.Y ,.•rrrx,+.,.,;.,..,:: :S}}.,v}:..5,n.co2:x:?!C3i`•:2i•>:?vf'�;J•Y.•$.{{•i}r: :'+R.;,.yr•` ;h>.:.:�.,. ..w:4. S:?;4w..,.::rn:nf•... ...,... ..f:.f•h;r:••.2•.,.v:.}j•7•.�1.;...•...2-.,Lt•.fr:•::... 4:• `:,::+ 4 f,{•..Y:€^.:'r....,...y.•3.a:..........nr. :i: .Y./.:.n .+.5•: -0;}.vn€,..n.;. '::i'ri:•..}'•,'.•.'!.+•}J.. r fh�'.>ry 4�.n'' .f+.....:r.,.},.•.n. .. .:+i.v:{.. .::{v. .3�..R:::• .... T•rJ.., ... � v.v:::•x.Y4:•?;.:{xJ. ,;}.,1,n;r;,t{'4'.A3: ? w -0`t;L�c�^�:.• .{�,{ YO•r..'}ri r +1.•.•..!: ... ,Tull .. .:•...rn..:..::....»,,.;:.+yJ...w.}::r}T.•:.v..4.3..�x:,.. .. .... .. ..r:: :•.v:{nv,vrr .�] 4 r •fn...,:? :..tr�n. r.:.r r........:,. ,..>fi., }}. ,-,Sr•:;y{..{.::•:�}.•..:•»::.+,:N::;.r:F'£'.%2•}?SLL"?,';.;$$i$$:, 5'.:s <??�x:`:e,2:2?.: ...''F:�;.Y,.n?Rn•..}.:...,:,,.,..::;fi::;:,rr.,.. ....... .::::::. •xny:}•.},,,•n.:F$:::S.�T?2\�$'•.nr.2.}}:,:� x}v£.t;};T.'••"+."'•....},.?::??•:::+{::::rx:. .,+{xi:t•}>:{•.t;?. k n r flItIE..•.t.],» ..3:;..{,.5;:r::.:•...,., t?x?:•:::#•n.}}R:'::;:.y.::..�•i{?.{r.;}::,y€:5:.,:•+n:. ••.,$.;}t3:h;LS.,. SIY••:n {.:;F.;;•K;::::•j:;2r•.}•.y, ,..C.,....:<:.,•.r..:•}+}:'S:�:j>r:;:::;+•.s:?,'.r. .;C,.•:v?3:�3•:?fi3;;;';:5•'t •'L'oII2 x3:r$7.?.:$:;,..: 5.....,r:..,,•4 t„.4�..] n:?.�...t}..::?:.5.., ;Y7,3,t.}:y;.;•^T••:Y•2+?R>x!•••r{?:j{C•f.<::St,•:rF: F>:•::,F`:S•:3.,..}.•�.Lr: ; •,g• .r-•r:..•m'L!•n"F•}Y:4"7r:r:'j`;i'{:fFF`n:..... ..v:::.v.....v:.,.n.$.. ,.,.,....;,:}.•vY.•::4T.:+.r..5.n :na.:v..: }J ..?•::.. :••F. :,3}... •}7':•4:•r•,::a•:.5t. s.:f•::.r}r::••.r:FR:::. ,.,{a:S••r:d•r•).tiy;:: .�:y .:n..r i, `v?; �C,. a.T♦,o.:,!f;'`t:••Rif�f;•.{ 1.}!r.:+.•i.•r}{?.T:• ..,{•...., 5::::}.? -t,•.:4:'^::::'< t ,F..r .,•+.t.. :.r.,n. Y : :.k...,,,v?r?2•'•? s.. $7•:. `:7,`!} <,f:J.•<f:}+'•. }•.,✓n.,.}...+4:.4.r.+:.>y.•}l:5•i?>.:•:S::t{;rt22''w:SFu.,.,•...,J.`;`Y ...�£.;; ...?.., }:{.r};... ,•.:t L<,.2:\:;. f +y ....r. ... ... n .w,.;•3::.. ':'>:+?.}}'•:.,.t:+: .....:2?:....r r:..::::t:C.•:.L•fx4.,:{R:5..,r„¢?c.3.. ..,..:!..,.,K rr. .:.fi... .. r„.,•.'i]}+:'2S•}.: ..,, ..... rr+„a:r+•.•T:r,2�7.:•.;'::;j:;`.un.y.�:y:,if:;•?`}?:(:'t•::}„irS .,Y:,:.•4,::.t;] 4..r•,t:? ?.r:n.,r.,fi.}+r.f{.•:::1•.:{;$.:P t h.5;.c;.;r;. }.{: t:,{:!:F..;.n.:}: `,,.{.;,:.;r,,T,;x::::•9:4::bS t•::t:.t•:.: yy.J..:. ....2•....:5:: •}Yrr r.<ti•:•,},: .J,•:n: .2•(•}{}Y n. ♦R.n^., ..Y::�•n•...v..x..Y. RTY'•.Y:.C{:':v'+{ f:¢y: •.}}.r.+ ?•:}. .,.{/.!:•}'4.£:•+;:.!}:{+•}:.,•+•::..t nv:r...:.r.:...:„+3.. iii$:+:.::�.».. nv. .:• {i•.vr'-.r,.n;, .4•... +,...,,..}: ,....v...•. �. n,.::}>`lv.:, .•:%'.KL?. „ :.....,r. ..sn. .?..t,.:. f.,�r,..3:.....,:.7C. .................:.... r' +'?`a:,3.,.+v},:+i7 .{.2.;r:v} .,cr.•:•.:.r•:,. .:,;.},SS??•,••4.: :. .. r a.tY.... ...F....:.3�}..,.,.. ?..... ,.....:......: .... r�::�:::rx�.;•r.,�:-r::t•T}•:%'•:;�.•T:t$;f.+:;'T�!F7:•:,r;r:�'.;;�:i:�i�•.S:r G``'r '+:�5,•}2L}:•2;�. ...t 22•'•.. •n:.. p�, }:.. h.....n,n nr:4..:xn•::}.•x:.v:n?:r>.r.....{.,}\. .::r:+i•.+•.}..},•}.J:.,.:`�„2;.e i.4•:;.n.,..:{.}::+$rK.. 4)3, ./M..3.. q `♦t: rfii..}},,...xr,}:.fi•>.h......... ...........•.n•.v:•'.T r{h'•;}..•r. .q.n•4.,.. }:f•:3i:..i.,:. .F•r Sf•};}2;<c{}.j�.;•#rT}::}^,t:%}:?�a>},;4.{:S}.:}::,.,,tL;.,:•);;Ca`hh.}.$ ..yLyf�j.q,.r ,GJJ.n!........ .. v..:::•:.v.:::r•:•:'vr•:v::?;•.•n p:3:•..vw;r:ram.},:+•{:•.,.m••:?S.vn}•nv yv.•{•.w: :•?vr:i•.4:•'S,F.ix,,.<?.F.a:i.` ..R.:nv v.} .ann••YV.`}: .r:i't:+: •}{r:'fr• •.:: v:[::R;:{:n•.}+:•}i'•(.,Fn :Sr .:,R:R• :..<„ ,T.i::...?}$Y:•:r: .x•:•::,vn{••:;::. n :2:;:': S ,.: ' ..........:.. n:.::-..r,;:;•{,.;:n:4s t4}'{t}•}'?•n•.::.•.7,. ,. +J.+•i..T` .:.4r+:•y.;f;•T:•3•:2, {.y,:Y$:J••S•?r`:•:•:•]::•.t•.�.,+:i.354.•.. Yt•t?. ::�+:-5:�: ..Y2. .q,•S}n, ......:::r. ..: :..r,}::..•/'•.. r � ........:.r}:}..,....;.,}!},;.},»:•rn,, ..,;.,.!2:..,:c•:t•y.`^+v••:.;•, ,n},^.,.?.:4::x•:S3 ....r....r r.r,......i 1.),n,5..r.....).............. ..... ..r,.r .v .r..,.... ... •:c:.r,..,,2 ... !•T'•:r... ...:;•T;{.:,•..R.... .r..:... :v{..j.,•. .;?h+:<:`•+.}Tc:.:{.}?.+:r.;}; ,},.;.s:J}.R.}R,• $•::��?:j:. v.v..•,.!••{:y f,+,4:•v..,.T;.;�.......,.:::r v.r ..;..:nv;+,...n:v:h,•...;.n:r.:v...:..;..f.,,.n.4.:•.. .,£.. ..r£:r.•,r..... ..,`.. ,•{},}t>?•?•�: .,<r}.`•,•{!!{:.x;.{!• '.[, y,, ,r�l:;�{!{{4+4.♦.;.•L v'{`.`•i%`C•.!{.r.,+:.,H.S:.:::.?•:::..{...1.,2?{t3}}}:•n. ,Sr.�}J:fi:•r,TF}j.:};.F •}'0.,..} ...t,.}'I.$;:::;Y..:;:`•:r:::4•:•{:.!•:,tti'SYR:•Y;::y'r';:r{•t•:r.v•?.:::^v'?.}.•.v}:.T..,.:r:R} :}!>i. ll�.r3lo. ' .:?:. ...'?+45::';4:•r n::..4,3:h!"iitiF:{fi;n.:t:.;.:. •N.,:r:r{�•>v>.;v}.•.v�;J..}.vr:.v;•,:•yv:•::y.J.....;.{.R•.,...v.•r... >... c2: ., .... .v.•x... !r .. .r:rvv,...:.•.�:••v:•: :v•:...\::+:. ,} ,:C.....wr•r>n:.v:.:.,.,.. .)Y +Cn]:v'Y't4:+':V}:t!SF'}:f?2:?'r},i:;>'i'�ir4:`r•{$•f��+;}\{•iifj�;{:;}:Y#F!{•':••#; r:}sr•:).;.2•.,••.,..;..,6i{..,..,s!{,vy :.,,CO'•:r v.;w;:. �f•.:.., �'Y••S::•..nr:.t•s:]:r?.J..... ... .. <.t, ::}:,:.};:::{!{.:r•»:?S•i•?�`�$ f"••Sh£•n,?.{•:.•S:j.}•:.'Jt:?St.:S#;};.:•.}sr:!}..J:•,...,•{a},:n..r.,;r�<fi.,•{:}:!::>.+}�:v :x •:.n•n y'4,{'{,:t2;•%}W^:. ::.. ..Y:v;r:{.vn,,....4..x..•, ,.,. +.,.:. ., v•r;{{{:{•}}w: ....,....,....:. .,..., ...n:.. .... ...,::::•:{r.}:.}}T..> T?c?:•.{•}s.•., }v,•:;:r:x.T{;•y;?:4}.;!;,?.}.59.h•.:.5 •t4:,n:....,s2•';.:..:r,.;2S E•}:h •:::?t,,:{s:. ..r r:.r.•::: : ...3`r. v'h.•., ..v'• ,r ffi••;f3:'t±..:..;t}:{{:.t}Y. vS.:•v.<•.:.•::J;7?,}:fr•.; .}. sr:YY�l'r♦�.}:{Lw.::: ?:wC.:'< . ::K•]:4:••...,,k •'.}:£{?W:•:::£:.}yT••" ..}. :•:{CY:r(+:{ .4)):€?r•, ..{.,, ,..f.•....E}.4..8. •:µ0> :�`il� •ri:t'}2�3: ..f.;4... ..Y.r r.F?:}j:7n;•• }fi i'•� 2•:;.f,} ;r.,i;;::FS:}�:;.r::. .?•.. ..:•1..4.• J ^?.%+`f::r Y,{•3:4:v.;;v{. �`•.3 Y4•;t'`!t r, 4+{•.:.: ..?:•: �..:.:,,, :•F•+.,.r :•.r;%a4..•,+:.•J. ,:+... r::F ....S/:+}..3'... .�scJ.•:S:`.4:• AaJrrY>r{r{:•Y^•.�•?. ) {.?c•:.' r... .:,c':r:•;{• .}, iS:f?+•r3 ?:u,r�i•�! ,r:.n.. :.�F•.,,;:;-:•;:r'... ..?»:•,,.J•r:•'•:,.;si:.7,.,... •..3.vr x ].2t,,. {•:o•:+.•r:.... .s.n.,.T.. u.r:f.., •.,3,:.:r,. .,..,S?•..>.<.....Y:. ...t.#¢i%•.fr`.•r::+2;•`.•:r?ri�+`.-]:..r. rl��. .{ .:k•.,•: y.:4. 22.. ..4..r .rrf•.r .3i..w :•:K•F.,L ,K$F;42?:j•'r.'{•:.,;.;:{.;:.;•:. r+.L•Fr r,,.},.J.i•.£•,r.::.. <•}tiK•r:•.•Y:.:u:.. €?r?.;£°;••y:{..}::.?::s.:,.r.. '•.f:.::•.t•::»::•.•..+•:S?•,., v.};{..!;.:::r>.n,.:,•S., •::?h7?{: 4:••:;' n.t;:; +':. .,•s:•f:•:r....t.:.:.r.i .::}:F•:.''+ ,2:.,..,,.. ..✓,..:, ,rt•.t.. ..r+:•>:.t•.f:::r..::.a!S<:s•. F;;£fritF'i3r], +.'n•}:...2•.S:i}n'::!hryr''r::;{r.4.$FF}i]2�F'+:F'ir,..ln n {.fi;•i:w.v,}:T't;3r.}i,;....:.! v;.<:! « .i J. ( i''•' .,...:.:. {•::r3r])}r;<?}}:.,.:vh}:•}.vf::i::+ ..r:...... .4:;•:.•.i{vr::. �'1�. •it L 'yy��FV::fiFf}u;]isF!:F:?2}':i'•f:•.:.4!3:iYr$}4✓..:•:?4:4::v:;..':: / •_. I am a sole proprietor, general contractor, homeowner ' cle one) and have hired the contractors listed below who _ have the f0110w1II.4,W. O Co .e.«II.}:S akti 0II!SiO<:::l?R1'C•?}e;GS?�F:`r<$r`' ,'.,•;?2r:;:K i:oC,?•.�'�i;�.££?}r4':4?Fr$•<•;;.:;L.:,v'Y:aa..;.£,.;,;:n..#n.'.3 n'yrn.f}r`•.>::?i?i:f...?:+i.••..;fi`€x?rx`:S•:;>s.3`t>••;...;`:.},a?.r,•fJF••;gs'4n•<r•.th:C2;•{:':.;:t.:f tJ,:.c7}:'t?T,3•'..C,s;,•::vy4;:F`:•S:R�•`.r}•:::'`r^;,•'-?•v}rr5Z.:'h•t.:•,:•.�;:1 f,.�+c1?:.t^.#4•}3.�,,wtr,s:f:;%>r<'.'•. oa;}j•y•,�'S.,:?'�?S•..•C}.�,.j x:•..?�'tF�'�^.r�'S♦?`c.+.!J�,}e.N o; !{:H. .»}<}., jj ::{{r• }./,,:.;{- ,.R22:'i,'S:YJ,•.. .}€Jy:•}>.:{.;:' ::;jj>:} .. 'r.,,�.•,R;4 F.<+:F`F$•L'r,`3`$Ti:•::3 n'1lRr: .r4r:£} i:}�. ••:2•:`� ,:{{..4..rr.•.{• ...•4"h. ,3'x,�•.,�..•.. � .v.: •:�.. .Yin !Sw{. '•:r+::•r t, .rw ^}:}.::xl•{.;. ::.:•:..: +7:{.v. :....,:.. ...Jr+N'•.:•.:r:. ::f.•{... :'}/. ..i l: }.. .4.:• yr{{., +;f:r:.•r.'.:,5,,. �.. 3.+ ..Z f�. {}3 ;iy.. .4. „•`:4'!S` fi'SS?}..�:••::f::<3:;?S::•{ta.,. +.}:y:: •:�:.,. r!:# S.n.>'f'•',. ::5.. Say' .3»,5.. .•> :.4.nrr r:.'•ri: ..}.#;.. v>.., :.,(`: ::h., s't $ ..::.,•r...:.::•Y4•:{•:F:r• .. c•.J. :;i:x• .T••}r.+:•.,.•. ,....f.{ ,.St,:•::?'r.�:}:::•+.:•.,...• is + o:+•v::.}:v,!.}}z?:?GF4<`•5#';;J;:•:ty {}y �'.` +•+ :2:: +':;�:;cyt%�;%';• 4:Lr .{t'r$:i•Tfi++:+• A.}:{•.v v'4Y+T ':]>:{}{:� :!} <4...0.:.t? . urn:{•i^'fr'€}::::.x:.•{+r:t?4:: •k •.5 .�:.... v.. ..:{. ...x:... 'r� :;}}•.v.:•.•7.•.•.::•:iY:}}:v:4}:i.,}44•r..., .T.•r::{:,:r:.Y:..,:5>:}?vf'.t%?,:r`rr?a.;:>}., r•:[?•F+f'+ .T.. •t f... ::..:n:.,••r 5::,:y•SS:'r:2?;•. ;F.}•?.vi ':�.:::.5•.;{,,2 f,. ..,ky}^Sfi!?i? :t?<•:'•:::•{:.}:• '.2;}{>'r.+. "hi:• :??}.} :;•.: i:�1$l12�.•. :,r!.yr. ,`.Rr.Y?C .t.r:n. fi, F. A::}?'•:;: #`•'•:'`'%:�?•'.}., ��..••N� 3F1.... .::r. i.'fti%" •s•;.., •.f�:•:.?+;n}•2� •s}.W.Y,y.•r?�v..:.}R.::.:::..:,}.>}..;.:.:{..;:.+}.:.,.+fnv.a.::{..::.!:.•.4-::..:r:.ra.v..,,.':.•...Yr.j.v•:r..:..:.n.n Yn,}t••:,;:.rt-:.F.v}h•{:v{J..+•:.f.:,,.:'f'v'ir••..vYS.3r r.r+.4 ff�.v':,.:;y?tv]::t.••r'{?•:3.:i..,}.}:t;t;}:r:r;;iJ x',.?{..}:..•.:;•..,:y..f:.:...:,r.,�,\.�{.r...{..:r:•>..:r•.t;+.;»'••.'.,'•;.w.r:.•.)i•v::..:,?.,}:;.{•:,\;.:;:}'£:ii�j.;,.F-+::.i'64,•:•r:.:,:,:�.f:.:F.:7..•cr,:v;:..,'...:}}4•.,:v;.:r nfi.}{•}+:.:.!.:d:?x'',•'F•;;r.'.'<':.<R�{:.;;,3J,;<.$',•fi,{:73u.,,•}.?,:,.•?:....}:}Y n;.j L�,::.;.S.'n??'M;2!.'n.p.+}{:i::.{.;�':#.:�2:{{•^.:�F< ;..}:.,,7;"i;{4..:�+Mr2 ,}:v}{f:J�r�)�:}?}i,v,n!.,.''<b:::.3::.S}r:":.+:Y.:?#,:.S S•{?••[:•r{,.:�<n:+4•.f.1}i$t„•;:?F,h;}}•}'SC{:?':6•::":tS:L%ar.'h,}{':•:..? .:t>.�Rw0:.3:j;:{;::{�>°Cn'C.!x„:',N• .';'..•'}F';z•,:•%.> `F..,f{,:.::r.};,; f{:h•,,23. .:}•. {•, [:ri•:nw:f.•: 4 ri.}}Y+9'•:v:F':;;3:;.:' tJ'ni"••!3$: t}„i:}.::. '' .... ..r}.. .v,vyi.v•.:.. [•'v r•::?v.r;}•:' }}.,:{...;,.} .•.}^j> ;: .. `.~.:5•!)K :.::,... {S r:"�n r�F F: W Y,G>..j •T�•... ..w?:...:t•:r... x.R.... .. :.,{.,..:..., .v.::r:.::..: .,.,.• :.. ...:x:r: v.y!N:f+.'t:ir'rf v2fi:.5• F7l�rnc::+:3ir+#:3i'��:$iyir�,{>;. r ?}{{:'l.•>i�: t ��+ti Y.rj: v•T.•s :>'.�+:n`•::>•x,t•x: {•Yx•:•];':?::t}.:,`•;:•y}-^?':.}.:3r•:r:,•?Fx>r•»]{{f.;r,S.;3}•:.!r•r.}:•l.•}-:•,..r...•,h:r#C$£i..:tr/;{::,•. Vs'St•l,."k¢�Y, ;•a:[:=Sa.,ag} a r:.:-03::?•,::. {::{. "i3c<!!f:•:;'t:•,•.rf :J.v::>.:!..t.w .,.iS.,..;,.;..,,?•:/.rr r,•.d:4n.F':�:,:. .Fi.r::.:r':}:�.r^t2•. .,rox Fr,..S•Y.•n•..3"'�€'4:•.:y.,::j}}Zke.4.F:Fi+ x:Y.i}:!tvl:?�{:F j?'•:{•'i .{.4n+::.v,Y .{...,^,:::'R: T}T.:v yr i}+:?n,..vxM.{•./.n4v:.t,...:., :•}:v•2 v. »'O,,nr•, ]:F :OSl !:iiti•}. '};i'f.•}:{.. h.. i'Ff:F• v>:.v.:f•:t•. ;r ''!?€. r.:,f :}i2i2•}:�,•::}/., 4:?'i,'•f{:.<.v•;nJrr.}:rY,..t.r:n}::•{:{•.v:R:3.r,?•:'t::'•::?:F::::•„•:.''.3:.+.•.n {.rr;tr •,•::£9 •ry .} ..Q �.,. :ran :.t' :?•::rt:.. a..Kf••{+•f+:} ,•.S e?+ •.}$r..+.k S r::::.,r::rh:••sjr.•}:!•„ 5:+:.. ,: •<3J /• '� ,•n},:.' :,•,{,.,: .'<• n.lr.., r. .. .,{ r... .. .;:1 .v: :??':4:x•.,{•: 4.. r x „x: ,2 ;.v,•:r}:^.,:::-..},}5ht..3}•JF:•4+:]'{Fir' ra. i',h•4•.v?.%+i;:4:'i.•f:3f'1?:J::}:#•:#W v.:•9:YC {tf'f•:?i v x:•7Yi.(..,,:Y:h.x•: ;Y..f .. ;r :. ?.:x3:::;;n.;; .: r :v+{4-+;:J;fi.:•i:•At.•.F•..,;.4.}}:•:+,$,.::7 ...; 1 :::r:..,• :: .. K: rT'',•' :}..r,••:w ,•: '+i:: 'kr:�: .�:,w.w.r.:.!:;.•::>.€€,.:'�Q]�`4�.:•. r. n• n. { ::.}•..::•r..:, .x�;:Fr:F{h.,nv:t•,\ s SSr.... ..r.rr. .;n .. :R:.,•+.:.+.,{lf:;•: ,•..f..rr+:?:#.......... .........,., .+'}•nT's:r;:•o-t.S;:t9,:'•i,+#%k ::C':•:.;9 :J�?:�F;.}.?{:;•:Ft r.//.. .. .r .... n. .. F, :. .}:•. -:{2•... ..... •...•:: ::•• .........:...:.::.�:, •.n;i}r'.!:•:r:f$$':d:Ff<?,'J;:;r),.?;..};<SF$F:^.,r?F• .. :4+:}:S.✓4;`'2•S?•:J F.., .,Y,•r..{.Y,..:•:r.n::.• '.:;y•. ;•.. ., :.+x.r.!. x• :h..3. ,:,:!•?: f+.}vv.•: -:R'}?:•.;•n ,..yS}.3 +•:.?nh:,r.::rw;1j;.,.y:i,.vSSLn2}.2•.}: a€r•.;rk. f�5:?•T .v ti•n•:T.:., riS3$3#::!,. ..l, .?..n:••:ri4;;.{;:., .}.;:if}�;.•'•:'%' 2 '�1{.+;,h;£};}Y.:L", ?r. ...v:r:•::,.?.... .. ... .:•:rx.w-:f::>,•: t».... r.;n:..+.•,•,!•::,v..,. }�5..,.#G.{.;,• ... fitir,:.}.{.;FF}iy.yiy�<c•<•;:•:•.•,t!#:^ .J?•:� ?•.•itr.yrr..•;:Sr.��F )iCyv.. }:,�;,1 �Y .:4p:. , .;.c...;;}?5>•:+•: +:.�' :.,S:n•-r..•::we{nt.+:Y:•Y),).. nf: •.Y,f.,n..}4;?� }f,.:.;St�;?.:qn:#o S:+�..,}K::•:•L;:{...}r.},::, :TreR4.2a.{. +��r.' .3: r.Y•£}S;}f•J.Jr..'i,''{.'fi•'r••]•t•K+r:.Yr:2fiiy:{...,.. J:y::.; .,,5•n ..:L$:r.,.s}} r,.::n. ,r.S. , „3{::r?, :r•, :•Y:4i•?r: Syr ';%Y•:�3'. C:,• : .r Y.....}1..'•}`., , .-t?3• .r::..jy.x:�.,;•.f.L.r }.. :•�,} .t•},n�]:R : ,r•.h,C r>��'+t..:t3s:v.�rat:;};ca"4r•.; •:2?. +:3•j.;;•Y:t•.:h•}•<„ ..}.... .[.G,:.t ,..2•.r r}....'2:;+/,-0'3::'.>•r.- 4 V, 4{ i,x'w.v.,•,Rf..V... ..}\+. .?.p..•..:. :S'ff:#'3 S:£,ti•:''., .r:xf.,f•. is%ir:'2:•2r:r•..:....; ,{..y:F•,:.,.: S•f ^';#;`•S••+•"y� r:•}]:fl'•Y.. .,s^;.;',{::::y� 1'•3...,v .:n,.,?..:T..€..,!•:::3n .;r..?:;n.,�'`•?'n•,{...:.:}?Srs?i:rr-.:.}:.'!;,$:'• {.,•{, :F••r:. :i;s?r?{•}S,,{.;.r..a::.3r.•�%::�.r F4,✓. :•sv 4 c:i::a Oli •?•�-r:;i•.:...:::•Yn•::5:�1 `iij$:} .?{o••,•;Ff:}:,jh�:.2:r¢F:5'yk::;.,y.,.2•rr4`:} .$;¢:}• ::£:.: :fi��T:?}S:�:h:{;.r.;,^,. <{;:;t�:;S..:fi.. '•.:X::'• :•.•%r`% ..,T.S•<2',,/.•,y:: •Rt::•x `}2:.x.}}}•{}.+;x{a.`r,:};{5: {.},:•;:F:;+.':2:{i'�?:fwi::f•,'r?:,i:::£#,5.'�+t;-•{:; ;RhvSQ'y�: ':•`:?�:^.<::f'S>r<:}i:5:�;€%�••ir.,?:?fb::.::.•C. •.y.?.,3,::....: :n,,c., 1..;. L,n:•2't,�'£ ...}`,'hr:.J,»>:rF ,•.t�F. .ndf{,.{ r{r.•rti,/f,. :�ci3 f >, r`,•.7•,+'T72;t% :{:'f+;''•:'Ff:.tu'..r'it!J'!'(r,}% fi:•!y}F?•:h:h:2 v...: 'Y:•3Y}Y.•rr.+.fn,:•••+}}.. ..f•.. }.., ..7'.. n.: 'i':: :<.?: •`::S><{.:::::..I•.L.., .s :.t.}. .::SF ... 5�ra.r: ,?n.:} 7t.., v}•i:.:.< [ 5....rr'' •:S##.,.,.c. .:a..f.. •. ..f•}}:. .1.r•., f :5t}}}:•'•:;:2!Sij?£F:'Ff?'•`'•';.?FS 7:: .,�':! {. .n:•:4•+. •,•`:. n•:f!': ,!f'"''• ''4`�?{C'+v ri{•]i i':}:•:r:7;i:•'+i,:?'r, ,.{. »}.. �:•• .J•.:.v}.•'r.?•:` t=:{ ,/:t r.. ,.,•r S:..r.r.: ..r.. ...f }n•}::..,,, n?}. .:Jrr'.;:•{:••,>. k .,:Y•t:r2,.;:.,ry ..,.4.. ..73;r,.5:. „}.::.' :+rr:�ar Y.:;x�^S`rd '+.?s.}].{ . ,4•fa'...t.;., ,::i':•}:rrr,.,...1.:....... .:( f-??• '•+32}? :vi;?:}' r.r.. ..: .. .... X. .. }} .:. •:/,.r.. :•:+r.....,.;:.,!,. .vj.{!:.�>:;+..,.. r..,.,.3}}..r,;.;:•Y.nf.•.T:+•yo.• +•:::r::.,..:],:;i:;Y^`.`.;::5?,^•;.f.:•.-[S:}iiS'i'�f%;:##:YF>...x:a•;.R:f,t...,n,:. ..x•,,.:,...VY. :rr:{.:!•,xr?..w•;{,{.;!. r.4fi•:{[.r .;r.fi.:::•..?{r.::::rr.:::•::.,•:!r.:•ar.;:-.,;.}rT.;{:+»:{::4].4.?•..; , r•h , S n •:.: {.. :.•:,:: .r:•r:.{•....n•.:.<?.nK...}.{{.r..:.;.,..r.:•:....,.::!.. :•::::•.:{•.:•:O.• ..{•:::• .+::: .•,?:::.i<i`.:s.3;:.�J;•:+r:•.'•:�•.............. r.........r .:.:.•.r•:....?t:........ .fi:•:..sr r..n;r:..,.+r:::•r] .r...,!4....4..:......:}v,...:..,,,. �.}c., r,....:•.:. .., .rrc •....r:..:•. »n..r:.:.,, n}. .. .,..n{...r.r. •.S...:?.:., .r.....,.n.:..f•.3....,d:f.S. ...rn.: '..:..... ...,. "•{•• ;�$#:;!^: :} .r,'••?`LitF •F:3'.:o�7w ....,,...rr .f ...:'{•.... .}... ..r. .f ......}. .).,.?.r.. .,•.,,:•.,......., .. .. ^'•.'•:w'n .r:,'J3;$i J:$}' ;fir'.. yi :tiY'Fo}';:Ntiv +ri• ;v;2:>•+• ,v{•v.:N.4r:•:]:. ..n .v:.:..� , :.. •r.,s'f!Jx>:;{v...:..3.•:...,.x.... t, r..T:?`Tv 2 `rbY•w:{•+'s�� r.ik �rK.�. ....r...l..r "i:, ,•?:,3+Y:,v.;{:•;r;:y7:4!r.!:{?.<iR',::f::...;';FfJ3Jj}.,;::};.o;{•;,.{}}iv.J• :nvk•:'F'Yj>::• Y{}T.''.:{�•4a.14v •s,).'-:{:i.3,•. 4;c}+:!... y,.(�we�!ry n.f..., :�:Ln•;!'i,nYtR,b: .,+/.� ....f.,?..::h:n.r ,:.✓,;tor;2.• .:i}.{.y .::Yl2.k«•:.:•�-:?'4.• ,.y. F:Il'ill LL :4fa::::•4:^33:2•:K:Y}?;:{:r .�.};{. .r},••.v v: :+•y,K•,;:;n•{i;:;}C;.:: }:}yyY`...; ;]vC•n .F....r ry}r:{L}'{r::r i:;i}>:Y;r}. -, :� 'n'.' ::.L +:Y?•$Y.FY:•{{'•: L,.;nRY••r. {???ilSi'�i�:`j•},•.r,.};.L. .tr..S,.•.L•r n..4:�;.';`,:+:r •r}:nf.;•4.1: .nt:�:..vl,•.,r.sr•.f, ;?;{:?'•. ..!{,{ 4.:$:R'• r<;rr v.,�. .r7r}•'•: .!ryty;; C?t:. \.: x.,}o-:..•.y:• .n .:.,[rr!+•rF2a::. :-r..r. ::•f{•. r;7 n+$>:: ;!h:.n,{r%::;sr .ita+' ::•ti,. ::4. •./•;:•:•]+i 'r'•4.:.. 4::w r,r ¢r. r.iv F.'3. ..}vr2•..{::•;r•:'t+1•Yr.ry.ii; n•r'r...::+.,. r♦:v{r';::•y.• ... '"... •,.. r....r. ..1. ,N}:.}: ?�?tr'r$:,, •:.K:+ ..,?}!{ {:?v$.n, .tY?�:h.. .`f.••:}4a •:v},...n•r..v,. l..v..•. n:•..: ,n.:::. •r...... :.vR J:+ ,:.:F i ir:4?-.• ::f •`•v:4:::5?•.. .4....,•r... . .....3.:.n:....}.:• ....,. ,,r.n..r..:..........:'•:;.5;;?}•:•:. ....:..,J.;,.}r:n•:•r::::5.:{..,;•.r•r.:.....t[t n:�%£i... s. ...F........ .. .........:. .. ..............:........F:.. .c..r:r..in.....�:•:... .:.. ....n3.s..2..:. ......f :xr:?�$Y}:::'.£h`F•:yr,.} {{.3:;3.;yi:f?;::;;•'1.•`:}r•;`:;{,;{., ....,..:.::..:.:..,........{. :n. .......:.........]...:.. ,.. ,..n....•:,. r.:?+.,.r..? ..............:nr.•:r....}•::.>.:::t•:y;•};:':•:....:.+... '/r::Y.T:3:•:t}.:.•r.:.,.•t.r .,.4,...:t•r:...2'.:r r.r r:v::::•...r;;<}. ..,..x:rrr.r....::.v•.,.n.4,..:.Kv.:.•r:x.:,.,:»::.+.n......>..4.}.,...:•::w....:. ...:....:w:::.] - r. ...... ...}.. .i.,........,...r.:}. ..:....n ...r....... .......: ......... ....n...::.v:... n., ...n.:T.i:.:Y.n..,:.......n•r.:::?•..+..r,..,,:U:•:... r.r.. s....... w... ,.:..: ,....... .....,. .r. .. .: ..:.... ...f.......:.:+:r........,.,.,., .... tr?.:.t:f:::`Yi7'F'i•YY?>�$3#S<?�'•3v 'Y?Sf};}'iny#k•,+:#::!: ..r.,:'•F.,..n:,:.,..r....!.:.. }:{F}T};]:!!:•SS+:}<•:::'••.......F{.;�;•:,, R:-0•.r. :.R.t,Srv.+.:!. •r.v:'r:•.}.:::n+..:••]:::: !•:::^:r:;...,.,.:::r3}}:•:.:-::T:•:.;:.,.,,.....,....., ....... :::•:f•.. ... .: r. ... .f .:. ..r......,.. .... ......:::•:::.::.:T•!r:.;:•:;;•>.:..;K•}.;•::•}:;L`t;SF:#af:•r..:r:?{:{,.,{:.}:::.!;??•:+:{::>..•!?•Y::jj:?r:{.;f.•. .r ..... ... .:. r ..... ,......... .. ......:x.v::;•:•:+x:T•:::.:.,.},•::n•:•.r.:R:.w••.::...r:.w::••i:•:n::.:.v::•rn.:;,,.;,...x.J.,:t+v::•n...n.r.{:::::i>\:•ti ^,H{: y. !.. r..r.r...vr. ...... .n....4..::........... :::::::• ::...... ........ r••.•:....n7,...::. y.w ...r ,.... ....... .r. r...,.. ..... {,.... .. ...., T .n,.. �::•...........:::.:$.,i r:r:.,..:...,:3:n::+fist',r;:r.::•::.•:.5..:.,� •iCx;,;ry<'n ;�?•:.<,ac'i::¢ til'.853<.......... ........ ....:. ::..r....:r:f•:.•:. -::....,:.:?•..i:::::•.,.::•:::::+:•,is}•.;;•:t+tc•:.T.:fi:u:•}••:•.. .;m,.,..,c,?..::•:.r•:r: r:Jj..}:.,.?•:::{:•:r$; .8s1 ........r .....,.r.. ..r.....t...:.::......:.,.{•..:..,...�. .... .. ... .:r ,r. .. .r. ...j .. •r f,. ` ,]f.::':• ....... : .... .......4'. .r.... ..... ... ,..,.. .:fi. .'.••,.v:n?v.v,• r.,•.::t•r::h .x,...:�::..Jn.x.::•. n4:.:'••:+i}:'v'vr::.].hw:;+2•:iy+;:?.fir:•r'�:f+r}>':!:�i$'};v}'••!}:,"hr);,{$f.?•4�R;�h�}2:•,;3;f:ri,$;.4 .)..}.. ...L:••....}nxn::.,n..,{!..:....tv;v. :.:€.., {x:v v.: \{..v.:... n•3..•:vF:.a]r:::.,•,nv.r.:,.v ..,:f}n. ?•}`i.. + .....,:w::-':.v.:::n•3}}i r.w•}:: f.r v:.v!{LL?••r}., :....... •:.y.n :..... {.;•};.5.v::.; r n• ....,. ..... /..... r.n+... ..:,..r.n. ... .....:::•:.•r....`:n'i::...r.::}:}f.. ..�......;;{•}}:}}:?{h:•r';{j:} .:vr.. .; .v.. :r.. :.,.....}fr•,.,....... ...f4 n. ..::.........n .{.,... ..,..F...:•.. ........ .r:.n.....t.....,. •:}::•.S.L r iry{n:v?:c{{r•�•}::v.. ..�rfYn r... ..,......:..r..:+•..n r.•:.,•.,...v»• r:.r........:!n..,...•:r.......n:....n...•,:`........ :::.., v,....;•.:•.{.,!.;}�.:::;4i:;}: ..:} r..... .....n ..... ..,. ..........:............. ........ ....: .,.......j{::•3.5r..;i;.}:•,}-.•}::,}¢+,•::{..;:{{�,,:. t !•.};:+:?•;TT..:•?J:+,::;}.•;•2%TSS:T:T:.:..,... v;:f$�S.K: ...+.,.. .o•,�:.{•r:..•:r,•.r.::.,....t.J :.r• ..:r?..nS...!!•::»;.,...:•::::::...r:.fin'•::{.J:•:. #•Y.v.f+•,.,•...:.T...{..: ...% �attfr3�....:.... ....�:::}:•::rr v}+. ,. .,.:..£:. .:. .+. :..::.a,.,:,.nn,.:..,..r:{...... ....::.:... ..:. ..:..ir...., r.!..y?L�:u:•; :.....r,.r.....,r..,:r .,...,.:. ...r.:......:, .......:..:. .,: .:..:....r:... .,..<'•:R:+�x t•}:•}:::..... ..�;:... ..�,}y;:}.>}r•}:i??{•}i'•f'•'>::3:t"•j;c?c;fCj.72tt•:.,J,... .{..»::n..;.n••,.,..;,rh ..,R .:..:.f.•:,••r..r..r.;.;}r....::..::,,•...,{.::•..........r,::•:•::5...`A..,,r...,.,.. .. ... :F•`.a:'t4yfrF•jsj:�`T•;•!vn „•ir: r::/t:'fix:£Y}: :f,r.•;, nfi{: r..:......;{.,5,...:•::r...,L�,..S{:»4•. ,.,...:•::......:::....:.S.n•:..::rRr::.,•.�:....n.:.. :........r.,•.,::r:..;S•;{{:;}T's>•:$:•FSy.$1 n•f•.,•,•...,:.?., :•fJ:fi;:$; ..:r•rr..:..;3•rt..3...r.,,::+};::; •:•::,r...:.4•n::i:n'nY:::d..,....:::r�!x,r{.{...;4R....,.,... :......,..r. ....... .,3 •. 'S ..x,.Y,. ,;v., .�.w :?:•R,.Jr •rt t.r ..}r�...x �' .4.rr... .:. .... ...r...n.... .:......•::::.v:r•,.v:,.1•{•.��.4.,,./C:..:.,(r••:• r..,{..:}:.3.v.,r. ;•:t;,:::.n..r ..... •rr..., R.T... r...}. .,}F::Y•:}:i3:•iY .. ,.r f r?'t• .. ..r.,:.n.,r..... .,•..:.?+•r..,.nr..: ,•:•.,•rr. ,.!{.::..r..n:::::..:.;r,:,+:fi::. ...... : fi•?+:t+':•?;5;+:,•:/+.•'• +{•?,.:.,SGr?;2:?,.�. ,•;? ..:,•........... ..:... ....,•::•: ....:,....:.• .n...... ,....[......r..., ..::..r.. ....R.,•,,.:::•}.:•.$k.}}+.•fi2al.d.}, L,•:::}:•:,•. :y+.: ..}:,.r.2;�"v,.2}r t��;k•.d'•#1:'i}L`:q�xi3:! .L'k..r. ..?.5:. J•>...• ::}r, :.}.. ..Lr.: n•,S:•. :�•}Y�+:}Se}:+r+F:• .,r: :3 J..., ,•Y 22••.tt:• . r•}r:•»r• •:{... .4•r.•3i :r.•r.•:>r•,.+ rfRx .t .Y +;` ,.r.. , ..,.:•,rr•;s}}y{:,:;r r..... ,:••T•:n•.,.....:r}!•ir}:+?+•,.:::::::•• ... .,..•r:~.�Y:;•}:::.,.. ;i`? ?;:{•'•: .,•3• '�} : :r.. ... .....:::rr.nr..r. r..... :.,,{..}...., t:..r......::.{,...r....,•r.;:;.,. .>Yr;.;.j.; }.3.F..:.... .. , .:••s:::>.•. ;a.�.}{.+ :•:!}r•;;}'S.:. •r.<.,.fnS... :}vj•.,,• •.,r....,.:.,... x�.4.. .Sn..,,t{?3cl..,nR,.n•+', L?a.;....:;w•L-0.. •£:cr3;r,.' }`•=yy.:l>•Y,'-,..;,.}.:.,.,...^:3#•}r::... v...:?:•::�•:.•;•.•}T:•: :•:h.. 4 :.r. ..,,:,•.r.. ir:r•. +r.5v.{},.r:•»r.r:.•{;.},n::&,5:;+„+?.,. ..4:::t•:.,•J+t •::.\.....r.:.......4......:{?.. t..rrr:.,....fS, . n:£!,....}.. ......}.....:.:s,rra.4.FYI•............?e3:c�•-0!n,.Fr.>f ; �f3:.`C.:�i?:SF:}{•"•?}}:{..r. ....:r::.:;•'•:::•rf.Fi,.:4]:,;r!{?.;.r?:TSif+ r..rn v..::i.,..;..,;.:,..}••: ......... rJ+]•,.,:.{.:::::. ...•:.:+.?..:..{. ...fSf+S�'i%?k:�:. [•.;,•;[,•:F:+,<,'•f7+#F;v:;{p1?:•::!i<•.•::: ,.r+ .::!2•}:•}•.':R:^.??:F::•r:-T3::. QLif:.} •n 4:}Y.2. h. .... .. .. :•:,:..:.::w:S•};,€.;:}'••ir:•.?..... .{:Sn•:iit;::.i:a?:a:::a;;fg •,.h:::......:...:..r :lziynrsar�?co.:::<}}<;v:::F,:r.;r ?4}»:J:{t:!{.{R}.r: F�t,re to secure coveraEe 9u required-under Section 25A of MGL 152 cahlead to the imposition of erbdoSIpenaltles of a tine np to 51,500.00 and/or one years'imprisonment as NeIl ��Penalties in the form of a STOP Ito p ��coverage L fine 0 0 a dap against me I mmderstaad that a' ed to the OM f InvestiE copy of this s{ate,neatauy be forward _ p colreef -- . a and n es-of--per t3tai:the-inforniatian ro.�ddedabnue_is�rsisrd ' Ida hereby c"erti . . • ' Date Signature ! fL t Phone# Priest e only do not mite in this area to b e completed by dty or town offidal r-4ty town, _ [].C_elect*ten's 0MC5 ---------------- contact person: / .Information and Instructions heir Massachusetts General Laws chapter�152 section 25 requires allaz employersersoa i, the serviceeof another under any rs' compensation for contract employees. quoted from the_`law an employee is.defined everyp -nf�Ie,'express or implied, or5l or association, corporation or other legal entity, or any two or more of An employer is defined as an individual, partnership, _ 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, as 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, constriction or repair work on such dwelling house or oaths grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer; ...: . . MGL chapter.152 section 25 also states that every state or local licensing agency shall withhold the issuance br renewal of a license or permit.to operate a business or to coth the insuran eruct s in the coverage commonwealth qu red. Additionally,neithbrtb o has not produced acceptable evidence of complianc wi commonwealth•nor any of its political subdivisions shall enter into any contract for the perfoanance of public until unt acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority -v.. a .. .. . Applicants , Please fill in the workers' compensation affidavit completely,by.�ecking the.�box that certificate of insurance as lies all affi your davits be SUpplying company names. address and phone numbers along with a _.. _ submitted to the Departcn�of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and els date the affidavit• The'affi avit-should be returned to the city or town that the anapph atio�for regarding e permit or-li the"lava"or f yQu be ested,not the Deparment of Industrial Accidents. Should you have y questions ing requ ob a workers' cAmpensatidnpolioy,please calltlie DepaitmiEt of number•listedbelow:.: ai eSequited,to - - On City or Towns . ottom o. Please be sure that the affidavit is complete and prizrted legibly. The Department has provided the applicant.e at the Please affidavit for you to fill out in the event the Office of Investigations has to c nta you.. regarding - {111 'peunzt�hPcens unibei whichwillbe used aas a refeieace num�'er..Tfie affidavits maybe r t�•. be sure to e n -ta or FAX unless other araige,ments Have beenmae theDep eb ations would like to thank you in advance for you cooperation and should you have any�uestions, . The Office of Investig. ,.,...., ' _. ..., please do not hesitate to give'us a call. FEE The Department's address,telephone and fax number. - The'Commonwealth Of Massachusetts Department of Industrial Accidents • � pftice of layestlgatlons •• 600 Washington Street Boston,Ma. 02111 , fax ff: (617) 727-7749 . • "",VIC. Ii. (617) 727-4960 eat. 406, 409 or 375 P�OpIME r Town of Barnstable Regulatory Services Thomas F.Geiler,Director MASS. ' a�� Buildingg Division rfD rnA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. y JL � ('��7 I 'Wp Q� /Q DN Estimated Cost_$� Type of Work: Address of Work: c�V v v � A Owner's Name: ��n,�t Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 auilding not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: � Date Contractor Name Registration No. o2 OR Date `.J / 0 er's Name Q:forms:homeaffidav •a , RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovadons $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ] / la 110 . 91 square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE - A square feet x$64/sq.foot= x .0031= plus om below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= v (number) Deck I x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee T projcost I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I I Checked by/Date I I I TITLE: Energy Study CITY: Mashpee STATE: Massachusetts HDD: 5713 CONSTRUCTION TYPE: . l or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-21-2002 DATE OF PLANS: 10-4-02 PROJECT INFORMATION: House Design Mr. and Mrs. Crawford Osterville Ma. 02655 COMPANY INFORMATION: Terry Luff Architect 152 Algonquin Ave Ma: 02649 NOTES: Energy Study includes the new addition of 372 sf + exsisting house COMPLIANCE: Passes Maximum UA = 744 Your Home = 720 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 2095 30.0 0.0 67 WALLS: Wood Frame, 16" O.C. 3687 13.0 0.0 302 GLAZING: Windows or Doors 790 0.320 253 DOORS 0 0.320 0 FLOORS: Over Unconditioned Space 2095 19.0 0.0 98 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using applicab e Standard Design Conditions found in the Code. The HVAC uipm nt selec d to eat or cool the building shall be no greater t n 25°a of the de i n ad as specified in Sections 780CMR 1310 nd 4 .4 . /'� Builder/Designer Date L�_NV`' d I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I ( .Checked by/Date I I TITLE: Energy Study CITY: Mashpee STATE: Massachusetts HDD: 5713 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 11-21-2002 DATE OF PLANS: 10-4-02 PROJECT INFORMATION: House Design Mr. and Mrs. Crawford Osterville Ma. 02655 COMPANY- INFORMATION: Terry Luff Architect 152 Algonguin Ave Ma. 02649 NOTES: Energy Study includes the new addition of 372 sf + exsisting house COMPLIANCE: Passes Maximum UA = 744 Your Home 720 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS: Raised Truss 2095 30.0 0.0 67 WALLS: Wood Frame, 16" O.C. 3687 13.0 0.0 302 GLAZING: Windows or Doors 790 0.320 253 DOORS 0 0.320 0 FLOORS: Over Unconditioned Space 2095 19.0 0.0 98 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined usi e appli able Standard Design Conditions found in the Code. The HVA qui ment se ected to heat or cool the building shall be no greater ha 12, % of thi desigf load as specified in Sections 780CMR 131 an J4.4 . Builder/Designer Date 24 I .y Ap�ses or'�office(I&Floor): �s�s sor's'map and lot n�Inber O - (, �IN tt t OHO O�1 Conservation(4th Floor): Board of Health(3rd floor): �.`� '�Ti LE 1i ssarsr�ntc . Sewage Permit number F r� E_ e rua s639Engineering Department(3rd floor): House number �t �..., a .�1�� oMAI Definitive Plan Approved by Planning Board 19 APPLICATIONS PROC D 8:30-9:30 A.M.and 1:00-2:00 P.M.only �qEOWN OF BARNSTABLE BUILDING IN PECTOR APPLICATION FOR PERMIT TO V i TYPE OF CONSTRUCTION 4 I I l — d d 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location v`-' Proposed Use Zoning District Fire District 0-0 Name of Owner t LJ d�l:� Address _gp� (J� ��7 QSTFrZ l>) �IE Name of Builder _ 1 0 W /� Address 30 b Wts V,-, V 111� Name of Architect ��il�M I\�'h�� Addressa�2eh/ rI6 r,� Number of Rooms / Foundation Exterior (1�1� �';�� !�+ Roofing Floors. J Interior Heatingr Plumbing Fireplace O� �! L Approximate Cost Area /a l ` Diagram of Lot and Building with Dimensions Fee �e0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a e ction. Name Construction Siipervisor's License ��_ r .. 4CiitA.WFORD, J. BARRY No Permit For ADD TO & Remodel Dwelling ',- -4ocation 306 West Bay Rd: Osterville Owner,. J. BArry Crawford Type of Construction Plot Lot Permit Granted 'May 2 4 ! 19'9 4 Date of Inspection: - Frame 152419 + Insulation �� 19 Fireplace 19 - 1 Date Completed Ell 19 E a. , i C TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE E%ENPTION Please print. n DATE 7 ` JOB LOCATION 3Q 6.1 T 94 Number Street Address Section Of Town HOMEOWNE v9A91W LLLrrMJ ad" Y-X -d_)-X9 Name Home Phone Work Phone PRESENT MAILING ADDRESS / 3 D r?)A/)V o s)6a" fl 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 such 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 to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of F. Barnstable Building Department mi um spectio procedures and requirements y HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 1 Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127 .0, Construction { Control. l NISC5 HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for which a building .permit is required shall be exempt. from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a persons) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities' of a' supervisor (see Appendix Q Ruies a nd for I�icensing. Construction Supervisors, Section 2. 15) . This lack eoflations awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, /many communities require,q , as part of the permit application, that the-Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. f i -` COMMONWEALTH OF 1VYA$�ACHUSIPFTS DEPAR-1'ME 7 OF INDUSTRIAY&ACCIDQVTS .. _. 600 WASHINGTON STREET fames.: Canooel: BOSTON, MASSACHUSETTS 02111 ;orrmm:Ssione' WORKERS' COMP SATION INSURANCE AFFIDAVIT i (licensee/permittee) with a principal place of business residen at; OS-TK 0 /I .(Gry/StauJZip) . ti do hereby certify,under the pains and penalties of perjury,that: i [] 1 am an employer providing the following workers' compensation coverage for my employees working on this job. 1 Insurance Company Policy Numsb f O 1 am a sole proprietor and have no one working for me. I am a sole proprietor. general contractor o�homeown (circle onc)and have hired the ,o,ntracrbrs hs*cd below who have the following workers' compensation policies: ' Name of Contractor Insurance Company/Policy Number lame of Contraor Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. N'OTl_.Plc:sc 6c aware twat wbilc homeowners wbo employ persons to do maintenance,construction or repair work on a dwcliinc of not r�orcLtSaL t rcc units is wbieb the homeowner aiso resides or on the prouacs appurtenant thereto arc not cenerall}• considered to be crrolovcrs unacr the workers' ComDe=atioa Act(CL C 152.sccc 1(5)),application by:homeowner for a license or permit may evicc-cc tic kcal su[us of an employer under the'Workers' Compensation Act 1 u;cc: ;:nd t'^.:; : eoo�•of t.:is sr:rc ncr.;•will be for.�a:c:d to trc CDZrZ r;�t of h,,cus; : Accidents' Of cc arinsuranc'r for coverage �criri =:ion :^.c : . �. .c to scc�:c cawc:.�c s rccw:cc uncc Sccdon?5.=.'of�;G_ 'c_ c:r, iud to tnc r nposa:on of mr sal pcnalac of; f::x C. uo to S1;00.00:nc./or imprionrn=t of uz; to orc vc:::nc c.:, Vic.^.: s in the form of:Stop Work Order and 1 fine of S 100.00: civ:.wins;mc. Si4t' day of , 19 T i A SS rase. ''D '' �. •� -AUG 31 Town of Barnstable FILE COPY ONLY! Zoning Board of Appeals ,.NOT RECORDED AT. Decision - Notice of Withdrawal •REGISTRY OF DEEDS Appeal Number 1999-74-Crawford ----T Special Permit Pursuant to Section 3-1.1(3)(D)-Family Apartment Summary: Withdrawn Without Prejudice ' Petitioner: J.Barry Crawford Property Address: 306 West Bay Road,Osterville Assessors Map/Parcel: Map 116, Parcel 014 y Area: 0.52 acre Zoning: RC Residential C Zoning District&MB-A Marine Business A Zoning District Groundwater Overlay: AP Aquifer Protection District , Background: , The subject property consists of a 0.52 acre lot commonly addressed as 306 West Bay Road, Osterville. It is improved with a one and a half story single-family residence of approximately 2,700 sq. ft., a 600 sq. ft cottage located on the rear portion of the site, and a small 192 sq. ft. shed'. The property is serviced by public water and a private septic system. The petitioner is proposing to convert the existing cottage on this site,which presently consists of an open studio, into a family apartment. The petitioner is proposing to renovate the studio and add a bath and kitchen. The family apartment will consist of 600 sq. ft. and will be occupied by Courtney Crawford, daughter of J. Barry and Carolyn Crawford. The applicant is requesting a Special Permit for a family apartment pursuant to Section 3-1.1(3)(D)of the Zoning Ordinance. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 30, 1999. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 30, 1999 and continued to August 18, 1999, at which time the Board, per applicants request, granted.a withdrawal without prejudice. Hearing Summary: y Board Members hearing this appeal were Gene Burman, Gail Nightingale, Richard Boy, Ron Jansson, and Chairman Emmett Glynn. Attorney J. Douglas Murphy represented the applicant, Barry Crawford. Attorney Murphy addressed the Board and reported that he had very recently been retained by the applicant. There are some discrepancies regarding this appeal and Attorney Murphy asked for a continuance'to allow him time to thoroughly review the appeal. The Board suggested he withdraw without prejudice, but Attorney Murphy reported he was only authorized to ask for a continuance. Therefore, a motion was made to continue Appeal Number 1999-74 to August 18, 1999 at 7:45 PM. The Board voted to continue Appeal Number 1999-74 to August 18, 1999 at 7:45 PM. 'According to Assessor's records dated 06/15/99 . Town of Barnstable-Zoning Board of Appeals-Decision and Notice Appeal Number 1999-74-Crawford Section 3-1.1(3)(D)Special Permit-Family Apartment Board Members hearing this appeal on August 18, 1999 were Gail Nightingale, Gene Burman, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. At the start of the hearing, Chairman Emmett Glynn read a letter, dated July 02, 1999 from Attorney J. Douglas Murphy, requesting this appeal be withdrawn. Decision: Per request of the applicant, a motion was duly made and seconded to allow Appeal Number 1999-74 to be Withdrawn Without'Prejudice. The Vote was as follows: AYE: Gail Nightingale, Gene Burman, Richard Boy, Tom DeRiemer, and Chairman Emmett Glynn. NAY: None Order: Appeal Number 1999-74,for a Family Apartment, has been Withdrawn Without Prejudice. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20)days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk. Emmett Glynn, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty (20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day l under the pains and penalties of ?; penury. s \ -14 g Linda Hutchenrider, Town Clerk s 2 A Planning Labels I8-Jun-99 ReINo mappar ownerl owner2 addr city state zip 74 115 022 WIANNO CLUB P 0 BOX 249 OSTERVILLE MA 02655 116 007 MORAN, ROBERT R & CAROL D 127 LEE DR CONCORD * MA 01742 116 008 KILEY, JOHN C ESTATE OF % DONOVAN, M CAMBRIDGE TRST CO 1336 MASSACHUSSETTS AVE CAMBRIDGE MA 02138 116 010 CALLAHAN, RICHARD P TRS NORTH BAY REALTY TRUST 1601 FORUM PLACE, STE 1400 W PALM BEACH FL 33401 116 011 CALLAHAN, RICHARD P TRS %SAYER, CHARLES M JR 725 CANTON ST NORWOOD MA 02062 116 012 MURRAY, CLAIRE A %OREILLY, ANNETTE M 336 MAIN ST WINCHESTER MA 01890 N 116 013 EGAN, RICHARD B & AUDREY 72 CROSBY CIRCLE• OSTERVILLE MA 02655 116 014 CRAWFORD, J BARRY & CAROLYN 306 WEST BAY ROAD OSTERVILLE MA 02655 116 015 FULLER, WALTER I & VIRGINIA %BAKER, BENJAMIN B & DEBORAH A 29 WATER ST S DARTMOUTH MA 02748 116 016 FULLER, VIRGINIA M %CRAWFORD, J BARRY & CAROLINE 306 WEST BAY RD OS.TERVILLE MA 02655 116 017 CROSBY, BRITTON W & ROBYN 73 CROSBY CIRCLE OSTERVILLE MA 02655 116 018 CROSBY, SCOTT E 62 CROSBY CIRCLE OSTERVILLE MA 02655 116 019 CROSBY, H MANLEY & CORNELIA 54 CROSBY CIR OSTERVILLE MA 02655 116 020 TOSCANO, ARLENE C 44 CROSBY CIR OSTERVILLE MA 02655 116 020 TOSCANO, ARLENE C 44 CROSBY CIR OSTERVILLE MA 02655 116 021 CROSBY, BRADFORD & MARJORIE 38 CROSBY CIR OSTERVILLE MA 02655 116 023 WALKO, THOMAS J & FOSCHI, DEBRA V 321 WEST BAY RD #8 OSTERVILLE MA 02655 116 024 CUDMORE, E MARIE TR 8 SEIDNER, STEFAN & CYNTHIA R 795 FAIRFAX RD BIRMINGHAM MI 48009 116 026 ALBERTINI, PETER & GAIL TR %ALBERTINI, PETER C 34 SEVENTH AVE W HYANNISPORT MA 02672, 116 110 RAGOSA, MARY M 60 COUNTRYSIDE LN MILTON MA. 02186 116 111 COLARUSSO, MICHAEL J & MARY F %COLARUSSO, MARY F 289 WEST BAY RD OSTERVILLE MA 02655 116 115 MILLER, DAVID W & PAULA L P 0 BOX 250 OSTERVILLE' MA'„ 02655 116 116 116 123 KICKHAM, WILLIAM 70 RANDOLPH RD CHESTNUT HL MA 02167 116 124 WANNOP, JOHN W & WENDY S DEER RIDGE DR WOODSTOCK VT 05091' 116 125 KIDDER, RICHARD S & ANNE S .770 BOYLSTON ST BOSTON MA 02199 116 130 STEERE, JANICE Y %DILLON, DONALD J & FRANCES V 9 EAST 63RD ST NEW YORK NY 10021 Count= 27 1 � Proof Publication . Town of Bamsts6lo Zonl"Board of Appeals . Notice of PublW Nsarl"Under Th*Zwdng,Ordi� for Jsrns 30r 1s➢19!)s., r ..* To all persons interested in,or affected by the Board of Appeals omen Sac.11 of Chapter 40A of the General laws of the Commonwealth of Massachusetts.and all amendments thereto you are hweWrroU%dthat 7:15 P.M. Crawford Number 1999.74 J•Barry Crawford has petitioned to the Zoning Board Appeals for a Special Pwrrit for a Family Apartment pursuent to Sectloh 3.1.1(3XD)of the Zoning Ordinance.The property is shown an Assessors Map 116.Parcel 016 and�k>c d off Crosby Ckcb ro 0steivik MA In an RC Residential C Zbr&v District. - ��' 7:45 P.M. Tisdale .a. A Number 1999 75 • Mark E Tisdale has applied to the Zpning Bcerd al" fare Variance to Section Bulk Reputations to permit a six foot Variance from the nirdmum bent,yard setback requirement of 30 feet This would allow fa•the expansloo of the existing orro argerage Into a two car garage. The property Is shown ont Rases We Map 101. Parcel 072 and is commonly addressed as"185,Sandy Valley Road.,Ma<dorw Mils.MA In an RF Residential F Zoning District 8:15 P.M. Shore Appel Number 1999.76 Cord M.Shore has applied to the Zoning Board of Appeals fora Vartwii a to Secfmn 3.1.10 Bulk Hepula m,to permit a cwporttobelocstedwlthin the f side yard vel4eck.The property is shown on Assessors Map 289.Parcel 060.004 and is commonly addressed as 180 Scudder Avenue.Hyerx►is.MA in an RB Rol B Zoning District:: 8:45 nee V j- - 1 Zonfip Eioatd AppN bar 1 ?Z �Y . L.aNrtier>ce E ed to the fOr a.,W%ncsiogictlori Bulk RegJWohs to'pwf yd a lot with only 120 feet of fr kegs,w6ers'l50 feet is •#%gAred,tobe without th r propertyis shown on Assessors Map OMParcel 037.004 and is ', _ as_1254 Santuit; Newtown'Aged.Colon.MA in an RF Residential F UG it}r,i r+ :•. 9:00 P.M. Stanley .Appeal Number l$9! 7*` Bzabeth Q.Stanley.Trustee of" 4eysor*Ttuet has ioner(to the Zoning Board ofAppwbforaSpecialPbrmtpurma tM petit toSection4�• 2 Ljots.'fM---lcent proposes to subdivide the property into two lots with a portion being sold to the fmmerlate abutter The propwty is shown on'Assessora'Map 7.Parcel 643 and is commonly addressed as i 1 Red Uly Pond Reed,Centerville.MA in an RB Resldentld B Zoning District. These Pubbc Hearings will be held In the Hearing Room;Second Floor.NewTown tW,367 Mein Street. Hyamft Massachusetts on Wednesday. June 30, 1999. Al plans and epplkatlons maybe reviewed at the Zonhg Board ofAppeela OfAce.Town of Bemstable. ' PlarvUnq Department•230 South Street.Hyannta.MA, _ . • Errwrrett Chaimnen • - r � ._,,: 2ordng Bo�of Appeals ..' .� r _. The 6witsteble Patriot June 10 b June 17. 1999 f Engineering Dept.(3rd floor) Map Parcel Permit# House# Date Issued — Board of Health(3rd floor)(8:15 -9:30/1:00- . ee s� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) SEPTIC SYWnUATI-Ylil BE Definitive Plan Approved by Planning Board 19 INSTALLEDNCE / WITVIRONME ACID TOWN OF BARNSTABL T0WN I� Building Permit Application Project Street Address Village Owner Address 30� A (/Jit79 ( �py� Telephone 00 on r Permit Request Y E S r\--)b 4 a S rJG bu1 1.� First Floor square feet Second Floor square feet Construction Type UJTYT Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size y d x Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure #D Historic House ❑Yes XNo On Old King's Highway ❑Yes ON0 0 Basement Type: ❑Full N(Craw ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use r Builde nformation 11-4 1 Name Telephone Number Address 00 License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS R U FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING MIT DE D OR TH L/ ING REASON(S) r FOR OFFICIAL USE ONLY .PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE i OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ' `ROUGH FINAL GAS: „RCYUG�HO FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ase ° he Town of Barnstable XUL Department of Health Safety and Environmental Services Building Division 367 Main Strew,Hyannis MA=601 Office: 308M0-=7 Ralph Crosses Fax: 308-790-6230 Building Commission: For oMce use only r Permit no. Date AFFIDAVIT HOME IMPROVEMENT'CON'TRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ' MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, moderni=don. conversion. improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions.along with other req�uuirements. Type of Work: "•a — �r Est.Cost ) Address of Work: Owner's Name 9 Date of Permit Appiicntion: �l ` I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under SI.000. Otlding not owner-occupied wner pulling own permit Notice is hereby given that:OWNERS .PULLING 'AID OWN PERMIT OR DEALING VVrM UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGINED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner. Date Contractor Name Registration No. OR , . Date Ile The Commonwealth of Massachusetts Department of Industrial Accidents Mce allfiveMSMONS 600 Washington Street Boston,Mass. 02111 Workers' Com ensationInsurance Affidavit name: location: 7 citV ruv,40-1—"9 phone I-am a homeowner performing all work myself. I am a so! / rietor and have no one working in any capacity ❑ lam an employer providing workers' compensation for my employees working on this job. componv name: address: dtv-- phone#: insurance ca. CollcV# 0 1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: 7. comvanv name- address- ........... phone#: . ..... Iiiiarance,cm gol kv# 0_ :x tampon name. address: d tr. phone M TICLI-co. ..... M# ... kolf L Failure to secure coverage as required under section 25A of.NIGL 152 can lead to the imposition of criminal penalties of a lineup to$1,500.00andfor one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement-mmy be forwarded to the OMce of estiptions of the DIA for coverage verincation. I do hereby dp es p at the information provided above if&zw. Signature Daft print Phone# ofndal use only do not write in this am to be completed by city or town ollicial a p oil Ldty or town: permitilicense it CIBuilding Department g 17-3n C3F,lcenming Board (3 C3 checkifitrunediate response is required CSelectmen'sOfnce Mealth Department 17 contact person: phone#; C30th r -M ........ ...... Owned 9/95 PIA) a Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the:: emplovees. As quoted from the "law', an employee is defined as every person in the service of another under any coat,_ 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 c the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece-we: 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 oron the grounds . building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renes of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h. not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if v o•. are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of th 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 peimidlicense number which will be used as a reference number. The affidavits may be retained io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvestigaUans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 :DEC-K-1 0 L9 A<, EP v S Jo i S I #-f44)C FRS FAT- 5. D© R c/81 s`T F(UDS 44IRD lM qE- AND N141 Ls _ro �� 6)f'l- 04 V l,7,'D Dl,)ELL 11V C ,� ' "Pos T S M�k 7 ' ©,C. I I, 1000 psi L — 1.,300,000 psi I 311) C,'.11 values for SOLl(11er11 YcllQw Pine #2 (Pressure; 'a'reate(l) Exterior use (e.g. (Iecl(s) oist Size ,joist } spac;illo 12x6 2x5 2x1U 2x.1.2 12" 8-6 1 I -7 :14-3 17-4 16 7:4 1 U-U - 12- l 5-U 20" 6-7 8-11 11-0 13-5 24" G-U 8-2 :lU-1. 12-3 (JgEIV OEcrr is D 1-� 6 rrEgrE-T� 990 V Jo1ST l'fr4NGE�S �1cC�ui��i�� N Soho r - , The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ^� Please Print DATE: � � U IC JOB LOCATION: 3a l0 W Q s �p O S I-j.E n V! I I number eet village "HOMEOWNER": V ' 6Ayzr-� `?43/z SO t�-y0'Yf 'V T/ / YX 0- 7 f V name /,, home phone I 'work phone# 36 CURRENT MAILING ADDRESS: v`� f 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. DEFMTI'ION 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 minim echo pro edures an requirements and that he/she will comply with said proce a and ment . a e o omeown 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. Town of-Ba' `' bl 3' 7+ :ti1i • +,?: :.(tP.,... y. .l.,.,.F..r:v .3.,...._, +`v:��$ �r+R a-,y;>�.,,xl:io:a .,- .y _� Appeal Numtier 199944-Crawford r.. Special Permit Pursuant o Sect[on$'1iA(,3)(D) famlly 7A Wtrr ent' - Date: June 15 1g.99. To: -an Ba`'; :of'IKppeals . ..... . .:: Fro ,:e > : E Approved By: Robert emig,AICPpPlann ng c i Director Reviewed By: Art Tracxyk, Principal Planner Draf�d�y.�� , < < .::. h Twarog Associater nner W.� a ..�_.4 ...:;> r - . ti i+ .'?:+'.u'J:: :f%rr= i1 'e-'rht'^v.:_-r`;n� -2.._ s ..,j'2y yr, {#;^•.cy2c,; .:Cti j•'r c:;-" ir' - - Petwoner.. :vµ J Barry Crawford r. Property Address, 306 West Bay Road Osterville- ip Assessors`Map/Parcel M p,1.1. „Patce1014-=:�—�- ;. i'.^?•-.=^,"1'Y .:.1?: � ._ -...Y:• .. ... .... .. +w:4,: .. il' wad::'.,..,. n Area. _ 0:52' 2onin '.: -:" RC Residerial C`Zonrn ;District:8'MB-A Marine'Business A Zonin :Di..�w 9.. au 1J. f.. 9 9 Groundwatei'•�verta... i' :;:?=_�-rat,«y.:....r, .F- C' ; Filed ` N 30 t999: " +:n ,Meari 9 Ap 1999 : Standing: " Assessor's records:list the ownersof�this•lot.to be both J Barry and Caiolyn;_Crawford Th - e application• only.,lists.J::Barry Crawford as the.ovmer Staff suggests thatttierpeUtrone[,provide the;BoaM authonzation frQ"Folyn Crawford,to:seeR� a relief`being ought to show_proper standing before:.the . .• Board 5 - Background: ' The subtecf property consists:of a;0 52 acre:lot commonly addressed.as.306 WestBay:Road;.Osterville. It•is improved with!a one'and a�half story,single-family residence-oftapproArnately 2 700 sq:'ft; a,600'sq: ft. cottage located on the rear portion of the site,.and a small 192 sq.ft. shed':= The property is:serviced by public water and a private:septic.system:' The.petitioner is proposing to convert the existing cottage on this site,which presently consists of an open studio, into a family apartment. The petitioner is proposing to renovate the studio and add a bath and kitchen. The family apartment.will consist of 600 sq.ft. and will be occupied by Courtney Crawford, daughter of.J. Barry.and 0.6i*n'Ci�aiivtoiii. The applicant is requesting a Special Permit for a family apartment pursuant to.Section•:3-1-.1(3)(D)of the Zoning Ordinance. Staff Review/Comments: Based on the information provided on the application submitted by the applicant,the legal advertisement incorrectly.identify.ttte.property•as Parcel 016 of Map 116. The subject building is actually'located on Parcel 014. The Crawfords recently purchased that portion of the property in which the subject cottage is located(approximately-2,.891 sq.ft.of area). It was previously a part of Parcel 013. The applicant has submitted a quitclaim deed showing thatthis newly acquired parcel has been recorded with the Barnstable County Registry of Deeds on July 02, 1998(Book 11547, Pg.207). Because of the recent ' Mcording to Assessors records dated 06/15/99 e Town of Barnstable-Planning Department-Staff Report z Appeal Number 1999-74-Crawford Section 3-1.1(3)(D)Special Permit-Family Apartment purchase of this portion of the property,the,neylr configuration.of Parcel 014 is not yet represented on the GIS map. However,the most recent assessor's mapdoes depict the latest configuration of Parcel 014 (see attached copy). Also, based on the info rmation;,provided on.th0 application submitt i'bythe-applicant,,,the legal advertisement incorrectly states the property is located only in the RC District Parcel 014 is located in both the RC and the MB-A District The portion of the site recently acquired by the petitioner is located in the MB-A District while the remainder of the lot is located in the RC District. ,,`_ Family apartments are allowed in RC Residential Zoning.Districts as a`�condihonal use, provided a Special Permit is first obtained from the Zoning Board of Appeals. However,thi MB=A District does not permit family apartments as a conditional, principal;or accessory-use: . ' Section 2-2.3 of the Zoning.Ordinance allows a'use authorized�on-the.lest restricted portion of a lot Wbe extended into the more restricted portion for a distance of not more than 30 feet However, this applies only where the boundary line between zoning districts divides a lot existing at the time such line is � adopted. The MB District in Osterville was established in 195r7(ATM 314=5/5l,Art:54) and was later rezoned to an MB-A District in 1969(ATM 3/6/69,Art. 99). In 197a,the-MB-A Dist.hct'was enlarged to include a portion of the RC District, north of.the drawbridge.and,south of-the thenexisting MBA District (ATM 11/4/78,Art: 5). When the MB-A District was adopted;ttie,§ubtgct property wasp t§plit by.,qt zoning boundary. It appears that a Use Variance maybe required to permit the proposed family apartment. Staff recommends the applicant submit a new application so°the!coned relief can be applied for, the property can be.comactiy identified in the legal advertisement, and the proper abutters can be notified. Staff suggests the applicant seek advise from a qualified professional with knowledge of zoning before submitting a new application or applications. s..'.e .•,,. g e•:..;j.:r'S �S E y+hJ J ,Jt. i r=' ny � r: •i?oi A+' Wastewate,DjSghar.Je:. . ,... . .. ... . . r,. ; , .• ,.: f-. i...- ::iThii p- irty it;,Iocated,close to.the.:North and:.West Bays of,,Osterville .Nitrogen loading of thesel.�niater ,k bodies is a concem, even though the property is.located in the AP Aquifer-Protection Overlay.District. Staff suggests the petitioner be prepared to address the issue of wastewater discharge before the Board. Is the cottage on a separate septic system? If not, is the existing system adequate to handie both the. cottage:and the,main.dwelling?• Staff suggests the applicant!provide the Board with a current septic system inspection report from a qualified engineer to show the system(s)camhandle the number of bedrooms being proposed for this Site. . Attachments: Application Forms Copies: Petitioner/Applicant Assessor's Map/Card . GIS Map Quiitclairn Deed Elevations and Floor Plan Zoning Map 2 THE ZONING REIMP BEING SOITGHT X&q BEEN D :I;7ED BY THE ZC::jzjG TOWN" per N T OFFICER T EEFG1 EZoning Hoard of A : E EUMSA;CP Apartment ecial ermitw Date RecN'ivdjR 30 P Z :39 Town Clerk office Q �.# or office use onl : Appeal # 1,9 qq- Bearing Date le, !t>.a B� Decision Due 1-2 a6-9 The undersigned hereby applies to the Zoning Board of Appeals for a Special permit for the development and maintaining of a Family Apartment in accordance with section 3-1.1(3)(D) of the Zoning ordinance, in the manner and for the reasons hereinafter set- forth: ' Applicant Name: 1j . �� Q �� Phone Applicant Address: 30 Esc C�S v► E Property Location: SaV,%a, Property owner: fie -� •, Phone Address of owner: S � Zf app3fcaat differs tram owner, state nature of "terest: Number of Years.owned: : Assessors Hap/Paresl Number: &- Zoning District: R9 II. RH-1 []. RC RC-1 []. RC-2 []. RD [I. RD-1 []. RF []. RF-1 []. RF-2 [I• RG []. RAN []. PR [I. Groundwater overlay District: AP [], GP [], WP [I- Names) and relationship of the family members to occupy the Family Apartment: Name: Relationship to owners: Name: CA U lzT'i.} Relationship to owners: F6V The Family Apartment is to be developed: [I withiw the existing single family structure. (I an *an addition to the existing single family structure. )(.in an existing accessory building. II other - Please Explain Ayylication for Family Apartment special Permit Descriptii of construction Act'vity: L' RJ VEK— U G S l b r S t Proposed •Gross Floor Area of the Family Apartment-unit: .... .. . ... (o� . sq.ft The Gross Floor Area of the Existing single Family Dwelling Unit: sq.ft Do all structures, existing and proposed, comply with all setback requirements for the Zoning District in which it is located? ... .... yes�j NO[' will this be the permanent address of the occupant(s) of the Family Apartment: .............................................. .... Yes No[l Zf no, please Explain: is the property located in an Historic District? Yes[ ] He If yes. ORB use only: No Exterior Changes..... . . ... ..[) Plan Review Number Date Approved in the building a designated Historic Landmark? Yes[ ] NO If yes Historic Department use only: 7� Date Approved Is the property served by public water supply? Yes No( ) is the property on private septic? Yes NO[) Zf yes Health Department use O _s Title V System yes U NO H Date Approved Signature: Datee :5�:a /"J - pplicar�Agenc s s gna ure Agents Address: Phone: ' Pt Town of Barnstabel Family Apartment Affidavit bein g (( �� , g on oath, depose and state as follows: 1. I reside at o G WCES p' that I have owned ��} since/ffll, and which is my domicile and principal residence. The property i9 shown on Barnstable Assessors Hap and Parcel Humber&& 2. on . 19_,the Zoning Board of Appeals, in Appeal No. granted to me a special permit to develop and maintain a Family Apartment in accordance with Section 3-1.1(3) (D) of the Zoning ordinance and in agreement wii condition of that Special Permit at the premises above. 3 The following members of my family will be the sole occupants) of the Family Apartment unit Name: ' Relationship to owner: Name: oftfb ' Relationship. to owner: yTA—rz4 ; I understand that the Family Apartment:' . * shall only. be occupied by members of my family who' are persons -rel-` e' o me by blood 'or by marriage, * shall be the primary year-round residence for the identified family members, W shall not be sublet or subleased to any other person(s), and • shall At all times be in compliance with all conditions of the special Permit issued.by the Zoning Hoard of Appeals, including plans and commitment made iri the application and approved by the Board. This affidavit shall be filed annually with the Building Inspectors Office and if the unit shall be vacated by the above identified family members, Z shall within 30 days notify the Building Inspectors office of that and shall immediately proceed with the removal of the family apartment unit. In the event of the sale or transfer of ownership of the above property, I shall notify the building Inspectors Office and shall surrender the Special Permit for this Family Apartment. Swoon to under the pains and altiea.; df p 'ury is dayof r'` -`w� +'�`� .• 19_ Signature: (Please Print) Phone: � t ! Mailing Address: �M ��► �t�: 'K.'mi`�0190 :� At. -r,..t....,r;•. I u.'�`''.r- E, aalt'.#d•S iF. 7 'I='•I �':^.F'A , -`� �•r�I,;,... �W w., a'�i:!�vR.•ICI:�L777��?wq ��;��`'�,1. 1 1 1 ■-■�■�■® 1• '• lS iolo- ISTERVILILE, 02655 1010 -;�;•i ,%"7 Acc 5934 Plan Ref Tax r1 r:t. 300 r •r I' Life r.11 1 IGM// II II II II :�>• .0. ,l'P.''ry Y^^""y�,�.:E�,— I' ..rr.^ 1'i, +Ax'.Y r T r ,w—ro,..«....'1-s>•:e;'.^ry.'•r• 1« ,. . r r ir,1 � • IP ', � [.,d .:' r�. i.', 15.^4.,, .It d •, cw i....n l,, it"1:,;: �'$� '. ,: )cIi a.: „ ;rt::srr 5��:, 9 rkr,' " '. „i C=,� ,11 ,L% oulVd •� e,. P N .:4 ,.;�-« ..,)...I.:. «5`�It�'R7,rc,�?,...15 _.::s..�a+.,. .V�'v r,...,:, .:i�; rrc•a M.. :,-h.�'h: i.,.x.iA.f.,°rr:"' �'.�'I <, t: h ,b•��.�.��Ni 1 �.w ,T�...1...a. ..,.31�,lYlle •.,, .�i1. r.F a.,^'... ,:.C.��.��.ii,,. �,�s...G. .fi.� ..K-... � .n. ;.'� .F.«3+a• r�s�. �.',fa...'53.,3ata". .0� b,. I. .t.,. ., ,t.;;' a,;.��:,..kt ..,4:....Srwts�'kttts"a..01°.t31:'4J:�' '3u�`�.�'`�.'i�..t M' 1 1 1 I 1 ® w®r ® [l MENNETT GAIL 611510811 IMNNETT:ROBERT G JR P1514EII' FIENNETT, I` 1 !: 1 1 II� II� I II '• "�;'J?I'""4. ✓1r;;l;i Y jr Y .1,1�'"3': .l!�{11�-• c;yv;cf NIM 1."17 N T'1`D #.bl c � :,F -�;.I t wl%r 1�-i..u4!r..j a x. ,+.,71 K. � Y f � C. u, �t• c,. I- "ve S 4, , r� �.+, }! 5 ' [ b�.`»,2��m�,:w„t.�kes� �m"il..r�C,:..>ta,��r,.<I:"ryau':3�;n '�t �.tt�.�,i,L'i.r ,. �.,I:;Lx'krr�:1.,.�.r�:...i.,...�s�,.. ..,1. } /::�..i{fpw t�:�'''�s'.! .J'r�.�alv7lk�: 77jis signaftwe admmle*erDala Cofledor , =akrr i �or s7{i r4 aly Y F i>a.9w7. P s 7 !tk"i"111��3t1114 € �'IFkI cnm...�s..1.t.xr..i,. I€1[ tY'I. alue(Card) II Appraised •�r%)VValue(Bldg) 3,100 Appraisedson • C Boo ;F��.fl 1g � �,,'rr ,•Y, 'fi" �Ci.:yPil�'S�i :'; L': *rrF `rN'y.{r"irtr Mx_ �•xs " P?K'0 je :;} Gt7. C l r r•Pt�"{ ra.F�' l �t.nyp r� I;� Appraised al Lal Speci :I� I' /MR, I COMP Totalr 300,3011Appraised Total300 I I Valuation Method: Net Total Appraised I I I ;€FTr.l 3r.:•?�.�v:cx'�:-.rn�,;Hi,.,Y.^�...,��.' '�'._..r.:%,.j';.w}.r:l.'.t.:.,8,, .ai.,�_:..t.">,".„I_a,r•r�.5.•..:•3'.:n":a:...:�:'..V:,."C....s,}•.w.'.ar..r.•>,�q'..p.l.">;-,7-..ti=..c"'s.•3...�y.iry,w.0.o ,a, u`'..,ha'e.€,..+;.+�r l-:a'r�1 r..�,1Ft��•,..+?,�.�•.x..7�.«eS��.'adrY'.rya.�.7r_:{1�6°CA'+dTMPTu'tp�eLY•«E;;A�De''.9.Ywrn t n,I,.-T Er.o'..tF,v-.E�,"' :4rmaa',}r1.'•r 1'Y.•.'�c.zc f,-.,�iry34+9�fa,•:ra:6v'a��i�,..as,i:..w'a T.:;".1.yHY3r"?..".=7'{c3 MANOR �� , L9 . H te,":•"-"',ii.",.,.Ta.,s5e..^...v"R,,,:...1^t.FW'ar,:.'.v�.^"':+i.�,.f.?nfi,')."..•:�..r,t,t.,...a�.F.s H.�'''.-a�u_.? !P aae,fi3r:.:k3x'�•".�� NONE 'r" I'' JW r e ;,:.°:�r,`r7 '?T Ti..:'>;�•`• .1 'Si. 7r',' .d'�`. 'Il - .5-,.. 7• -i.p :'�a F !u..�'9� S v:�kk " b' Y"r� �•n7 �'. F'wv1 .h:... '.t;ll. ,.a'�;;:`�7�i/.,t zk'.` F�,S�}} :Y=c ,�"�t.. "r' '-��.j^ > rj, xf,'i�;5z"+''r.'�4>' f.. �`"•�'� + ar ._ •I. .�;. ,k;A..Vt.Rw�{% sn!r'-<.."h, y+ r t!! sr�,.,. .3'w•. ...�rud. ;urv. > ,w�s' "..,�� a �.t.t:�r�1»� ;�1•�� °W�'�: z�w'�. i.. APT,_. _„z 's� :.h_ ,,.:�,��"�_.- :>r+...x� ,:its F ,�i�,ax§ Ga.�z,5r ,tu�s��k 1 I 1 I•a To Property Location: 306 WEB"':BAY RD OST MAPID: 116/01V/Y Piston ID 6575 Other M: of Print Date:06115119" x. ^ Bldg N: 1 Card 1 1 -59 Element Cd. Ch. Des " tion �'rP Contnterdal Data Elements tyle/Type 6 7onveation2l Element Cd ICIL I Description odel 1 esidrn:iat &AC GR 28 rams Type HS aths/Plumbing torus an .5 :6;txies 41 9 2 P cY o liners 8 . xterior Wall 1 4 •o-?,�::�Gingle Common Wall 2 1 lapboard sail Height 6 oof Structure 3 abie,4lip BM 18 oof Cover 3 sply�t.ls/Cmp HS mp rior Well 1 3 lascg:-e., '� 2 �ryw ill; Jement ode wipdon actor. 2 terior Floor 1 9 Pins-Soft Wood omplax M 2 loor Adj nit Location 8 sting Fuel 3 Gas �g Type oot 4 adF.Er of Units C Type 1 Non c umber of Levels 5 12 j Ownership - edrooms 3 Bedmtsns .4 1 athrooms Bat.Q�rn:,ms ::.. '. MA oral Rooms Rooms nadL Base Rate !1,46 OP 8 ize Adj.Factor 07 8 ath Type a(Q)Index 413 itchen Style j.Base Rate 22 21 Value New 1 eat Built 89022 Year Built 38 tml Physcl Dep uacul Obsinc a _ Obslnc _ ri 1':'F: peel.Cond.Code a peeI Cond% 0 1010 Singe Fam 100 "au 70 Cond. 8 rec.Bldg Value 59,700 _ r Code P De� lion i 9 Units Un _... ; it price Yr Rt %Cnd A r Vahte FPL2 tre 1-1/2 S ti 3,200.0 1975 1 100 2,50 SHED de FP Opening B 800.0 1975 100 QM ` L 193 4. 1900 4 100 i Code Descrt lion _ Livin Area Grays Area .Area Unit Cosf Unde,rec Value BAS first Floor 1,33 1,33 1 5423 72,43 FGR ttacbed Garage 6 , 8 A or alf Story,Finished 1,38 ly 1,389 8,1 2,64 12,79 FOP oreb,Open,Finished U 1,33 BM asement,Unfinished 10.8 R'DK oad Deck 14,48 5.1 - 22-R 300 FT. BUFFER �16 MAP116 N210 16 � ------ WIN I #� #0 O 21 - #3 MAP 116 - 125W11 ' I �P716 1246 12 7 r-- #n 116 #37 _ _ _ 1w1� X x o #2S x 116 . � 416� #22 _. _ 116 . . 1 D:71116 15 27 W1166 is 16 j MAP 116, ' ," - #B 24 16 # � 1 LJ�6 . ' BA �` �� __ _1� �' _ � �. ,---.-- •, • MAP 116 _ WIN . WIN ,: , #'11T a 115 ® O • . 116 ` IP 116 MAP 11 bP BARRY CRAWFORD W E S SCALE: l 100' 11111i 1 WIM 20 #M YllE) EZ� 1n , " � 11 11 4 _ • k irll '-- 13K ifRn Aft li Will D: 15 re s - - Will 109 2�x. • i i 24�� ..,u #� ll r , I 9 1 I O W6 , ` 'd - 19 Will �I% �11111, #.Q #8 Y1 will 9 wild - vY Will ltion� 11 �:. 107Will �.. 16-A J-1 Sall 111 150' ',�: ��;E�1 ii ;; is -4 I) i� IL e+;��.!I �, ...:,•;. - e lcurrenl►twarogr1IM4.dgn Jun.16,1999 15.40.47 o 18 ti1� 20 �t,O O 21 :U E:;� 125 Subject Properly x_ ' - ; o _ ❑ j 17 _ 124 _ 1 � 12 x- U - 23 - t 26, ] i0 - - - - - - 15 - W 24 i 115 �109 g O ' 8 108 107 ,' 112 - ,s 117 32 /\ - �—►� 9Ao urmn%waroglomwford.dgn Jun.17,IM 11.2&M /� TOWN. . OF .BARN$TABLE. MASSACHUSETTS. ASSESSORS MAPS . 19 to I. .»Ac:: .:A�Ac. J7Ac. ZI /1j \ 45AG .NaC. 17 Subjectto vik d s� a .iiaa 23 s" h Je "a. lip MO-s fC 1 8 saga I ro Ia- Y . y dC sf�S {r 24 •JaAt• 23 s 27 q6Jb O ^' I ' Y +oNOis�r Saba y •, y.V 0 A.Y.pa.. A of I •f� �4tf v /p RSAc p7Ac. �. OOw `j6AG• :.'?` i1 AC - •� / a1a 5 fts 'ee4' o J2AC. O C; aim /p7 //), 37' , J04C .94C a J/fC 111 Ia R au ao4C 7 -r .BK 1 I.S47 PG207 49162 .. 07-02-1995 2 11z41 .QUITCLAIM DEED I, Virginia M. Fuller, of Barnstable (Osterville) , Massachusetts, under a Durable Power of Attorney dated October 5, 1993, said document being recorded herewith, for consideration of Eighteen Thousand Dollars ($18, 000.00) paid, hereby grant with QUITCLAIM COVENANTS, to J. Barry Crawford- and Caroline Crawford, husband and wife, as tenants by the entirety, of 306 West Bay Road, Osterville, Massachusetts, 02655, the land in said Osterville with the improvements thereon, bounded and described as 'follows: Beginning at the northeast corner of Parcel "A" shown on the plan hereinafter mentioned: Thence running South 5 degrees 041 15" West , 48..18 feet; Thence -running 83 degrees 28 ' 40" . West. . 60 :feet.; Thence running_ North 5 degrees 041 . 15" ..East 44.18. feet; Thence running South 83 degrees 2.8 1 -.40" .East'.60 feet .to the point of beginning. Being•' the northeast portion of parcel "A" .,shown on a- plan recorded with Barnstable Deeds, Plan Book 51, Page 109, entitled: ."Plan of Land in Osterville, Mass. as surveyed for Crosby Yacht Bldg. & Storage Co. Inc. Scale - 1"-401 - Aug. 9, 1935. Nelson Bearse .- Civil Engineer - Centerville. " In addition, there is granted as appurtenant to the aforesaid Premises, all rights in the Right-of-Way given to Virginia M. Fuller- by Esther C. Fuller by Instrument dated February 28, 1951 and recorded in the Barnstable County Registry of Deeds in Book 801, Page 586. Premises are . heieby conveyed with all rights and restrictions which may be in force and applicable. F'oj 1:3.t.l{'- Bee deed (;actt ed t!l Yv(-..lilt)eI,- w3 h s€t,,J Dt_.eds a Bouk .1.48 . F a+:Irw 355 , I Witness my hand and seal this day of 1998 Virginia M. Fuller by Melissa J. Tavilla, as attorney-in-fact and not individually Commonwealth of Massachusetts Barnstable, 'ss. 1998 Then personally appeared the above-named Melissa J. Tavilla who executed the foregoing instrument in behalf of Virginia M. Fuller and acknowledged the foregoing instrument to .be ,the free act and deed of Virginia_ M: Fuller;. before me, .Notary- Public My commission- expires: .._ 12 �10 ' 1 I _.._... _.._- _:_._.. � - _._- ..._.. _ _ _ •ice �� 41 0 lo.o IN i � W4 elf lRSot4 K 4Zf{2. i - ' 1 �` ,. �� " .�� 1�� 1U� �G� �� 1 p 1 :.-% • I 1� i TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION .Please print. DATE �J ( , � JOB. LOCATION Number Street a&lJress Section of town "HOMEOWNER" (J �2 1 T , Name Home phone Work phone . - . .. ,•:.. •.. PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be &6nsidered a homeowner: Such "homeowner" shall submit to the Building Officia'` on a form acgaptable 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/sh understands . the Town of Barnstable Building Department mi pectic procedures and requirements And that *he/she will co m w' id r ced r and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDIN FICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. I HOME OWNER'S EXEMPTION 1 The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this -section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home Owne: ? shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene; often results in serious problems, particularly when the Home Owner hires unlicensed.. persons. * In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner' actir. as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Ater responsibilities, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form- currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. v4tq- de II , Map Ill Parcel 61 D ermIvit# �® q ` House# jOlJ Date Issued 2 — — , g Board of Health(3rd floor)(8:15 -9:30/1:00-tee) VVS IV (X1/liiflpr_( �� MA • TOWN OF BARNSTABLE f°' �4N° `/Building Permit Application W� / Project Street Address T Village )s 1 6—av 1 I ( OwnZ A YZ0— u Address 3 D Y� �6 6A relb Telephone Permit Request V 0 )J E1j s," .r S 1 1 1 hew w) u*Do L.)S �a roY� �� LA--' 6r'L1DY aai - First Floor square feet Second Floor 1 square feet Construction Type �CEstimated Project Cost $ Zoning District ei Flood Plain —NO Water Protection /V y Lot Size �� Grandfathered gYes ❑No S I+fie1111� Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure \/S Historic House ❑Yes )0o On Old King's Highway ❑Yes X*110 Basement Type: ❑Full Crawl ❑Walkout ❑Other W NE Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) 0 Number of Baths: Full: Existing 0 New Half: Existing 0 New 0 No.of Bedrooms: Existing Q New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑Electric ❑Other /J 0 N E 00ydry lig Central Air ❑Yes j No Fireplaces: Existing New Existing wood/coal stove ❑Yes y�io Garage: ❑Detached(size) © Other Detached Structures: ❑Pool(size) 0 ❑Attached(size) ® ❑Barn(size) 0 ❑None ❑Shed(size) 0 ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes KNo If yes, site plan review# Current Use S To D) a Proposed Use S'U I>I b Iowa Builder Information u l/ Name N D Y`-` O I.J l�E�_ Telephone Number T�d ` 7 7 , Address Q ��.1 V pva License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM IS PROJECT WILL BETAKEN TO �>Uv-_,r, j YL SIGNATURE DATE /0 149k BUILDIN T DE IED OR THE F LO ING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED; i MAP/PARCEL NO ADDRESS VILLAGE Y. OWNER F DATE OF INSPECTION: FOUNDATION FRAME �— INSULATION I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: `'�ROUGH FINAL GAS: ROUGH FINAL . FINAL BUILDING - � t a DATE CLOSED.OUT ASSOCIATION PLAN NO. �:o 000 00o t z Map I/ (0 Parcel Permit# R-10 C House# 6/ Date Issued -1 r- g �Pm Board of Health(3rd floor)(8:15-9:30/1:00-4-39) Fee ce 19 TOWN OF BARNSTABLE `° '` '�4AID ` Building Permit Application Project Street Address Village _ S 1 E'2V I n OwnI - i�A YZ2-� �A `(Z Address 3 u Y' W C� � /�A Telephone = Permit Request V 51 f �f' t 1\ w w, u�o w,r ,+- roes v� I•a 6>t I dY t 1 T.l& Y',. �-R—j a I ' ,:4:0J ST1s,�i- First Floor J X �19 �� S square feet Second Floor 0 "1c square feet Construction Type inlff V Estimated Project Cost $ Zoning District III Flood Plain N 0 Water Protection d Lot Size .�O k T8 Grandfathered Yes ❑No S I+Eo Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure 70 y_S Historic House ❑Yes )No On Old King's Highway ❑Yes To Basement Type: ❑Full XCrawl ❑❑Walkout ❑Other NU ti Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 0 Number of Baths: Full: Existing 0 New Half: Existing 0 New 0 No.of Bedrooms: Existing Q New 10 Total Room Count(not including baths):Existing ` New 0, First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other PO N E WO�0SII U9 Central Air ❑Yes )Q No Fireplaces:Existing_/New Existing wood/coal stove ❑Yes )eNo Garage: ❑Detached(size) 0 Other Detached Structures: ❑Pool(size) O ❑Attached(size) 0 ❑Barn(size) 0 ❑None ❑Shed(size) 0 ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded Commercial ❑Yes &ffiw— KNo If yes,site plan review# Current Use S TU D 1 0 Proposed Use Builder Information [/. Name u d`ME O w W E h_ Telephone Number T 4- 7 Y Address _?Q G W, R pv> License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM S PROJECT WILL BETAKEN TO �U� C E � . SIGNATURE ' DATE BUILDW M T DE IED OR THE F O LO WG REASON(S) TV'R P 0 7/16h 4 FOR OFFICIAL USE ONLY _ PERMIT NO. ? DATE ISSUED; MAP/PARCEL NO' 1 . ADDRESS VILLAGE,/' OWNER DATE OF INSPECTION: FOUNDATION } ? FRAME INSULATION ' FIREPLACE LJ J ELECTRICAL: ' ROUGH FINAL PLUMBING:: ROUGH FINAL GAS: tr' `''. ROUGH FINAL . FINAL BUILDING DATE CLOSED.OUT ASSOCIATION PLAN NO. ai The Commonwealth of Massachusetts Department of Industrial Accidents �-=�•• • -MY �� O1Bcto//aaestigatioos 600 Washington Street �;+i Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: a location: �c�9. L (s �-vl phone d city ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in anv capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. cam any name: I address city- hone#- insurance ca. ol)cV# /i//%//////////////////%/i/%////////%/%/////////////////////////%//%//// ❑ I am a sole proprietor,genial contractor, r homeow circle one)and have hired the contractors listed below who have the following wo kers' compcnsati PPQliccs: ..... com anv name: D address: hone#: insurance cm. com anv name- address- phone#- dty- :.:.:::..... Insurance co. Faihmre to aeeure.coverage as required under Section 25A of 11GL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 andtor one yeah'imprisonment es well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be fo o the O vestigations of the DIA for coverage verification. I do hereby c h and enalti of per ry hat the information provided above is tru,and correct Date r gaattue :t w Phone# omciai use only do not write in this area to be completed by city or town official permit/license M • ❑Building Department city or town: QLicensing Board ❑Selectmen's Ofiiee ❑check U immediate response is required ❑Health Department contact person• phone#: (]Other • (mum 9/95 P1A) r . Information and Instructions fri Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any co 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 . ar nershi association or other legal entity, employing employees. However the owner of a trustee of an individual, partnership, dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of to do maintenance , construction or.repair work on such dwelling house or on the grounds o: another who employs persons building appurtenant thereto shall not,because of such employment be dccmed,tq be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. MINIM Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and davit should be returned to the city or town that the application forge permit or license i you being requested, not the Department of In is date the affidavit. The affi dustrial Accidents. Should you have any questions regarding the are required to obtain a workers' compensation policy,please call the Department at the number listed below. % W/O �� City or Towns - Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom P ease affidavit for you to fill out in the event th f the e Office of Investigations has to contact you regarding the applicant. be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other.arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. AM OR, The Department's address,telephone and fax number.The Commonwealth Of Massachusetts Department of Industrial Accidents Oftice of Investigations 600 Washington Street ,- Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 _ `~ 7i0 atipt Appeadia i ' Tabta JS2.lb(eondnaed) pmcriptive Paeinga for One and Two-Family Residential Boildlny Hated with Fob Fade 4, MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor 8aaemeat Slab Hntiag/Cooling Area'(1A) U-value= R valuer R value' &valuel Wall paimaa wpment ElSdeacy' Padge Rrvaluet &Val 5701 to 6500 Hating Degree Days'Q 127'• 0.40 38 13 19 10 6 Normal R 12% 0.32 30 19 19 10 6 Norma! 85 S 12% 0.50 38 13 19 10 6 AFUE T 13% 0.36 38 13 23 W WA NormalU. 157E M46 38 19 19 14 6 - Normal V IS'/. 0.44 38 13 25 A WA 85 AFUE W 157E 0.32 30 19 19 10 6 25 AFUE X 18•/. 0.32 38 13 25 WA WA Now Y 187E 0.42 38 19 25 WA WA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 1 0.50 30 19 w i 10 6 90 AFUE 1. ADDRESS OF PROPERTY: �D b i p 0D O ( Lo'I 2. SQUARE FOOTAGE OF ALL RIOR WALLS: �Jo 3. SQUARE FOOTAGE OF ALL AZING: a 4. %GLAZING AREA(#3 DIV DED BY 92): S. SELECT PACKAGE(Q AA-see chart above): NOTE: OTHER MO INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVA ABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a 780 CMR Appendix J Footnotes to Table J5Z.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,.skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative.glass may be excluded from a building design with 300 if of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used):Do not'include exterior siding, structural sheathing, and interior drywall:For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements'are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5Z.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 . a+a The Town of Barnstable KAUMM Department of Health Safely and Environmental Services BuiIding Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508.790.6227 Building ComtnissiOr" Fax: 309-790-MG For ofTce use only Permit no. Date AFFIDAVIT, HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APFUCA71ON MGL c 147A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion. improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions.along with other requirements. J (tst,w 0 ✓ A r 6 tiJ Est.Cost Type of Work: ' • , _ nn,^, Dc�—) En✓1 (6 Address of Work: �� !✓s l �� 1C.V�� . Q�n Cn..A Owner's Name �( Date of Permit Application: 1 /3/9 I hereby certify that: Registration is not required for the following renson(s): Work excluded by law Job under S1.000. Building not owner-occupied —Owner puffing own permit Notice is hereby given that: OWNERS .PULLING THM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR'�TION PROGRAM ORGuARANTY FUND UNDER MGL 142A PLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE aRB SIGNED UNDER PENALTIES OF PERJURY I hereby ap r. ly for a.permit as the agent of the owner. Da Contractor Name Registration No. OR w r i timeDa:e .RESIDENTIAL ADDITIONS OR ALTERATIONS If located j North of Route 6-any work visible from outside-needs a provai m OKH In Hyannis-Hwork visible from outside-Check to see if It' included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGES MUST INCLUDE: Map/parcel number Sign-offs from Health / Conservation(if exterior work) Tax Collector Street address Owner's name&address Permit request-full description of proposed project Square footage-proposed project Estimated project cost Complete Dwelling informatibn for Assessor's Office Builder's information Signature Plot plan 2 sets of reduced(8.5"x 11: or 8.5"x 14")plans with cross section&framing schedule Home Improvement Contractor's Affidavit Worker's Comp form must include: Insurance company's time&Worker's Comp policy number v Energy Compliance Form Copy of Construction Suspervls ''s-License&Home Improvement Specialist's License OR=Homeowrier' License Exemption-Form. ✓ Fee v NOTES: CIEDINEYS Need Home Improvement Lic e No plot plan required PIERS&DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit a4hrum-PERMITS 1 ti.THE The Town of Barnstable . r Department of Health Safety and Environmental Services ,ARMN�r�I.E. 1 Building Division MASS. 9� 1639. 367 Main Street,Hyannis MA 02601 ArE p�.l p Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Buildr g Permit Procedure for Residential Addition Or Remodel Or Dock "1. Plot plan or mortgage survey required for any addition. 2. Historic District Commission approval required prior to construction/demolition for any properties located in a ' istoric District: • . Old Kings ighway Historic District(north of the Mid Cape Highway) • Hyannis ain Street Waterfront Historic District(See map for boundaries) • Histori Preservation(if applicable). 3. Two sets of plans, reduced to 8.5" x 11"or 8.5"x 14" is required. Plans must include a cross section and a framing schedule as well as proposed insulation. 4. Approval from the following departments must be obtained: Health Department(3rd floor Town Hall-8:30 - 9:30 a.m./1:00 -2:00 p.m.) i9 0 Tax Collector- 1st floor Town Hall Treasurer-3rd floor School Administration Building 5. Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this. 6. Energy Co pliance Form 7. Home Improvement Contractor Affidavit must be submitted. 8. Copies of the f owing licenses are required: Construction Supervisors License & Home Improv ment Contractor's License- if anyone other than the homeowner applies for a permit. 9. Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. 10. Fee must be paid prior to issuance of permit. Note: No wall is to be covered before wiring, plumbing and frame inspections. PERMIT Rev 6/29/98 I - I E lNto I , � • }!o>J-PC,'A it f Toe f � � I GA izAG- I A j VI '-{ I/_(TZ 13`pi r ✓INL� aoorvl AV tit- �JG►Zr_t� I L.- i'j '. (�/i J!.j �� = GS4IC,�, rl oil 0.1 I II c � i ! Q ;- o C' -0 I , co-ccl ,I c° 31on 7- bl-ol' 1 n I o I t it Fi LI `7•I�OI Cv�pp � I II I II Iq-o 4�-0 i iI G I � I I i • I i II I i 11 _ 1 121-0 I i ,,I II i P ,OO � 1� �q-d. .,✓/ oil 17 f I x- ='�y> a��; ._-c! ": r. ,: �: ��. ;� �� . . �� , ��: . ::. , � � .., . �M �� :�. � . y. 7+ �. � � ;' i .. :t:'. r • i RAILING PER 4X4 POST CODE (TYP) (TYPICAL) �z x � PROPOSED BRIDGE o 9 o LOCATION a U v u� • oZ 3" 6'-6" 6'-6" 6'-6" 3" N� zZ 3j" X 9j" ANTHONY POWER PRESERVED ; OUTLINE OF INSTALL NEW (3)-2X10 GLULAM (TYP) EXISTING HOUSE BEAM BENEATH WITH KNEE FASTEN BRIDGE BEAMS BRACE TO EXISTING COLUMN TO TOP OF EXISTING WALL WITH SIMPSON z w A34 ANGLE CLIPS O N a ELEVATION N 00 • �P�tH OF 3•c c+ Zo ERIC BRIDGE LOCATION PLAN CEDERHOLM G- u STRUCTURAL a ko. 3ON2 W RAILING PER A CODE (TYP) 4X4 POST 3" 6'-6" 6'-6" 6'-6" -� 3" (TYPICAL) GQ A � J"0 A307 BOLT 2x6 PT 0 (TYPICAL) p4 � W U (2)-2X10 31" X 9j" ANTHONY Oa BLOCKING TV POWER PRESERVED (2)-2X10 cO m W BLOC (TYPICAL) �'_6•• GLULAM (TYP) �3 " X 9�" ANTHONY a KING 4X4 POST POWER PRESERVED (TYPICAL) (TYPICAL) TYPICAL SECTION GLULAM (TYP) a M FRAMING PLAN u 0 vn i i I BUILDING DEPT. MAR 2 3 2020 TOWN OF BARNSTABLE 1 � � �� '• a ti 9 I. + 1., f�t�M yam.l/>/t: _— —_ L20 QUIGN_-DATA l EXISTING 3-f FD- ROOM DWELLING ADDITIONAL BEDROOM OVER PROPOSED GARAGE �� ✓ y;)) ! , -1 NO GARBAGE GRINDER J y , DAILY FLOW: 4''110 = 440 GPD r i o---� _ SEPTIC TANK: 440 GPD x 150% = 660 GPD \ USE 1000 GALLON SEPTIC TANK 4' x 8' FLOW DIFFUSORS i � • EACH FIELD US E SE FOUR WITH 3-FEET OF STONE - H-20 LOADING n SIDEWALL AREA: 72 SF W c1+ RI C -U ✓( j ; o �• �; r CAPACITY: 72 x 2.5 = 180 GPD HARD B. EGAN �. ETU ► N/F r ��A a�,o'�► - BOTTOM AREA: 308 SF � X. \/IIRCINIA M FNILLER I'"', ?, �u CAPACITY: 308 x 1.0 = 308 GPD -----.. . TOTAL DESIGN: 4884 GPD - ! ')3 I LOCATION MAP CB/NO DH FND.. -�- A S83'29'17"k DESIGN PERC RATE: LESS THAN 2 MINUTES PER INCH R. ✓ ab 1: 25,000 ,n 125.25' h CB/DH ,FOUND I ° 2-CAR GARAGE �� W `� 14 PARCEL B x rs nNv s,� ® - tr 23.30' � ,flQ��",Y wbtl 22' C� - — — o �--- �" PL BK 51 PAGE 109 .--� O �, �\ �0o W �\ 1 p COMPUTED PARCEL AREA J 22-INCH 19,868 SF f MAPLE TREE - - � `r '� N _ ERC; TEST 1 �- _ — I s,T �R �.13. P -18190 - -. ,- 10.0 z W - l Z i >L �� , 4.64' `� oq J Q FOUR 4' x 8' W FOUR 4' x 8' FLOW DIFFUSORS \ I w 21.4 m c Q i. $.o' 18.0' FLOW DIFFUSORS H-20 LOADING o , N ' \ I 183' `�'w Q t' WITH 3' STONE I W W Z a - -Co EXISTING SEPTIC SYSTEM _ ,� _ _ �' N lI M v~i N.co L- Ce CLEAN MEDIUM SAND o N W lo,o' P h - X I a- n 3 FEET 3/4 TO 1 1/2" WASHED STONE PUMP DRY FILL WITH x M AND ABANDON ��,� �F �?� RsERv Co E +imp �`' I I \ ~� o AREA I (D L�j Cp - I, IJ 24 I �� I PARCH I w Q I: �30. c Q . I DETAIL LEACH FACILITY \ `/ ,o �z`�' r 6 ti —/ - D :�: -LL Q CB/DH FND (DISTURBEDt)`� �\ "? - — �—� 3 1 // y _ O CL NOTE DETAIL BELO�� 1h a I � ' P-8190 \ s � T o'ti b 4 36sp FND. EL - 14 f MARCH 15, 1994 \ T 7 . \ \ cy�¢w�a•�3s\ �'\\ e � r2 �C�� z �. G = ,tL f BAXTER & NYE, INC. \ �// B � � 0 O Q �'� O FLOOD ZONE LINE SCALED FROM COMMUNITY LOAM \ )- <� a - -� O r A JEL-No. c V: 4" .DIAMETER SCH 40 PVC - TYPICAL / � �� \ F P 2�0001 0016 D -- REv. C7-02-92 , _ DISTRIBUTION SANDY SUBSOIL \ \ �9 o a�� < ' Box 3 j �, �7 \ INV. 11.7 i \ r�/ EXISTING WETLAND AREA AT BARNSTABLE 1000-GALLON INV. 11.2 �� `,9 I ASSESSORS MAP 116 PARCEL 116 DELINEATED SEPTIC TANK I; INV. 11.45 INV., 10.7 0 _ BY KATIE BARNICLE, FUGRO-MCCLELLAND INV. 10.95 BOTTOM 9.45 \� EAST, 02-17-94 - FIELD LOCATION N T'ON BY BAXTER INV. 10.45 N \ A3S�p2g (I & NYE, INC. 02-17-94 FLAG #A-2 \\__FOUR4' x 8' FLOW DIFFUSORS MEDIUM SAND , 22 WITH 3' STONE - H-20 LOADING TBM ® BRB FOUNDui \ 7173s EL = 11.42' NGVD � \ I DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 0.76' : WATER @ 8.75' - ® 90' \ S I T E P L A N NOT TO SCALE - EL = 4.45' j CB/DH FND (DISTURBED) \ 10' EL = 3.2' / �✓ AT j DETAIL SKETCH a #306 WEST BAY ROAD I NOT TO SCALE OSTERVILLE, MASS. ' m , { FOR NOTES: BARRY CRAWFORD j TOPO/LOCATION DATE: 02-16-94 ELEVATIONS REFER TO NGVD SCALE: 1 ,� - ' `,��,°�'`- � �� OF"r;,p �0 MARCH 18, 1994 �?"a-. '' � �:`i�. of �y.�Irl. FIRM COMMUNITY PANEL No. 250001 0016 D GRAPHIC SCALE � F:: I } � P TER v I REVISED 07-02-92 LOCUS WITHIN FLOOD i ZONES A13 (EL 11) AND B 20 o 70 20 40 iota ti BAXTER & NYE, INC. Pao. 29733 b' REGISTERED LAND SURVEYORS j & CIVIL ENGINEERS ASSESSOR MAP 116 PARCEL 14 1 Tit FEET ) c�3,2.i•`i FSs�O*A EN OSTERVILLE, MASS. CURRENT ZONE: RC 1 inch = 20 ft. FRONT SETBACK: 20' SIDE AND REAR SETBACKS: 10 fin/ 94009 PPP01 D G •r r G1 W co N b p z v n ( ) ulLn N 10 LA tA f ; f o I _ f : 1.LLA. .�.. j L I ' f 1 _ r3 jtd -7 2-7 M - �r ....-.....•... _..r.._ _.... - . .__._ _ Ir : : , , I � �tI f M I X4 IV or JAVy�F l V t/`t`�/ ;/ �V� r L�.,.,r" .,.� i � �-'1f^�.': CJ ( � j*�l�```X � �'4✓�1 ��•1'�,•. .... l"r -O Or J I ? _ j 1D G GAG ` /"Gt*615 0�, FLAH T-T�f Cctz vxA LL 1. M(N &ELOW TDP `z) n + 1 pO�FF W!TH Odd r-'x) i XQ - _rAON rIr -- _ Z " cAll cr A � 2 i !`J I .• r .��.:.,: .�,•a,wr fa„a.srq^r .��..._--Y..-�` ��tii��' .• � ., - .....,sru�_atis �rr�r dl ma 71 - b \dt - ---- -_ ��n D ESI GN DATA ,/' EXISTING 3-BEDROOM DWELLING ADDITIONAL BEDROOM OVER PROPOSED GARAGE RIC 7 N/F I O �I N u h NO GARBAGE CIy!NDER E A (� N B. T N/ i DAILY FLOW: 4�110) = 440 GPD X' VIRGINIA M. i < q �- FU m Marker, Neck. SEPTIC TANK: 440 GPD x 150% = 660 GPD V/ - : _ ... i LIJ P""i ,��:' USE ,000—GALLON SEPTIC TANK JH ,vD. i w LLACH FIELD: CSE FIVE 4' x 8' FLOW DIFFUSORS r ,ke /� 4 QO' =- �iT c STn�.c u-2(1 LOADING 121.25' , cl V !TH 2—FELT Oi I C E. r..� + I i A, SIDEWALL AREA: 72 SF I- r W 1 �C8/uH FND. i CAPACITY: 72 x 2.5 = 180 GPD ADDITION POSEp 28.0' \ ------L-- ---_._..__—_-J i30T T OM AR[-A: 288 SF - (1� _ 1 F -�_ < CAPACITY: z_38 x 1.0 = 288 GPD - ��\ 2-CAR1�� w�--- P ROrOSEC? irRf'v"r':'.','.- ' Q ' o _ I TOTAL DESIGN: 468 GPD �u -� . , �\ C" GARAGE sRAGEN �. �---___--— WALL ]7# � r.� .� O 1 DESIGN PERC RATE: LESS THAN 2 MINUTES PER INCH Qf �I 4.0' s.o' 22_—_"CH �:iAPLE -� v Ci,<: �-- - %< SITE PLAN S.T. T- AT �� I N P E R C tLST -_! o BAY ROAD • zo.0• � I 3 0 6 WE S I Irl r 8190 _J E 101 Z 12.3' -�--; to_0' i� PUMP SEP J S i-M: -�_- _ _ ,n ', ,�,a ��' A) ..I - I c: 4 pnr F - �� 1 x - OS IE.RVILLE, MASS. CLEAN I 10.0' - i UM Ahp ABghGO,V + i HSE #3 6 D.B __� 48.2` �� FO l b FIRST FLOOR ~� 14<[ 4' x t FLOW viF'f�USt)RS ':`.. iN 2' STONE r 2' 20' 2' ---J , \, eL ' - —-- lj ; t 22.3' N ' DARRY CRAWf-ORD _ 2243or , 39.s \ '- -- +- _—�- _.._. RFSEr?vE l;R,.,; ' SCALE: = 20' M ARCI 18, 1994 r:EVISED: MAY 4, 19( � REVISED. MAY 17, 1994 - V W I I I i L 4 x 5 r L0 uir r jSvKS -- -- - H-20 LOADING . �\ J ` -C �) q ;t \ ;,� .� EX; �C a `I � �i t DUlLD1NG 5AX I R tic N`(E, IN(,. REGISTERED LAND SUFVEYORS I I 2—FEET 3/4 TO 1 1/2 WASHED STONE CIVIL ENGINEERS OSTER`✓ILLE, MF,SS. - - - \ \ �F N Iy,� � m�Fo��Mw �� 8-FOOT WIDE — TOyI,N PAVED DRIVE � �� F..00D ZONE LINE SCALED FROM COMMUNITY f-ANEL No. 250001 0016 D - REV: 07-02-92 7 DETAIL — LEAS, =AC; TY 'J\ NOT TO SCALE EXIS�iING WETLAND AREA AT BARNSIABLE 'Q2c ASSESSORS MA'' 116 PARCEL 116 DELINEATED TBM 4 BRB FOUND `\ � BY KATIE BARNICLE, ;7UGRO—MCCLELLAND— EL = 11.4.2' NGVD 0 EAST, 02-17-94 - FIELD LOCATION BY BAXTER �. & NYE, INC. 02-17-94 - FLAG #�A-2 6190 JNDATION EL = 14 f :.ARCH 15, 1994 - FINISH CrR:,DE = 12' t �AX"ER & NYE, INC. �I`'� ~ ,' o, INV. 11.2 - P;TFR �•; ` — AM N 4" DIAMETER SCr, 40 PVC - TYPICAL SANDY SUBSOIL � �v � No �:�;;3 " % FI 5 ;14 29874 n ,. — aC/C rSl Y� ,``�r✓MI (C�$jER�sJ1r INV. 10.7' .. - �/ F,�• s�---'�, ., ��_ �� ` NOTES. dG t y 4 L INV. 10.95 t ;��IUM SAND /� o+lAt F- i INV. 10.45' � ,, ( ••.�,�,,.r� 5/IE?� /q 4 TOPO/LOCATION DATE: 02-16-94 r 1000—GALLON DISTRIBUTION FiVE� 4" x 8' FLOW DIFFUSORS M BOX WITH 2 STONE — Fr-20 LOADING �_— _ _ ,�'ATcR 8.75' EL = 4.45' w ELEVATIONS REFER TO NGVD SEPTIC TANK - — --- --- Q 10' EL = 3.2 FIRM COMMUNITY PANEL No. 250001 0016 D GRAPHIC SCALE t REVISED 07-02-92 - LOCUS WITHIN fo u 10 20 40 „u FLOOD ZONES A13 (EL 11) AND B DEVELOPED PROFILE Or PROPOSED SEPTIC SYS T E�. r � ASSESSOR MAP 116 PARCEL 14 -- � � • ---- - --- - ----� x ( IN FEET ) CURRENT ZONE: RC NOT TO SCALE 1 ino-h 20 it. FRONT SETBACK: 20' SIDE AND REAR SETBACKS: 10' 1: r 94009 (PPPOl.DWG) 0