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0329 WIANNO AVENUE
�i/'�����/o V� � � a '� ...t ...�. . :� .__... �,,. ..� KKS Duct Testing & Sealing Michael Santos : (774)930-0123 5 Acoaxet Ln. W. Wareham, MA 02576 Duct Leakage Test u _i Address: 329 Wianno Ave Osterville, Ma. 02655 8� 1�D1N� Test Type-Rough In:4% maximum allowed Conditioned floor area= 4810. sq.ft. N OF 6ARNS�Ag`E To comply with Section 403.2.2 of the 2012 IECC Code in this home the �Ow Maximum duct leakage CFM= 192.40 Duct leakage tested= 158.73 This home complies with Section 403.2.2 of the 2012 IECC Code Date of Test: 05/28/20 Technician: Santos, Mike Test File: Customer: Quality Mechan-.ica! Systems But Idirig Address: 329_Vv.ia�,-c AEG&. -z77--Osterville,iM,q:702655 Phone: 508-291-6170 Test Results 1) Measured Duct Leakage: 158.73 2) Duct Leakage as a Percent of System: 3) stem Airflow: 4) Duct Leakage as a Percent of Building Floor Area: 3.3% 5) Leakage Split: Supply Side: n/a Return Side: n/a 6) Duct Leakage Curve: Flow Coefficient(C): 14.8 Exponent (n): 0.600(Assumed) 7) Test Settings: Wiest Mode: Pressurization Test Pressure: 25.0 Pa Equipment: Series B Minneapolis Duct Blaster Test Type: Total Leakage [Duct Blaster Q,n!y] Eco Spray Foam Insulation 171 Concord street,suite 42 Framingham MA 01702 Cell:774 244-8306 office:508 861-3267 Insulation.ecosprayfoam@gmail.com Installed Insulation Statement Address: �3 Zq--- t-h�O > t/ E� k1/� �LE -� ✓�' - Location of Insulation Thickness R —value Walls with open cell Z� Walls with closed cell Attic roof rafters with open cell 10 /2 O Attic roof rafters with closed cell Cathedral ceiling with open cell Cathedral ceiling with closed cell Basement walls with closed cell Basement ceiling with n ce t open cell g p Garage ceiling with open cell. Fire proofing paint ( DC315 ) at: Others: R-value =CLOSED CELL per inch, 3 inches R21; 4.3 inches R30; 5.5 inches R38 R-value open cell per inch, 4 inches R15; 5.5 inches R21; 10 inches R38 Products: THERMOSEAL/SWD/ PREMIUM / LAPOLA APPLICATOR NAME SIGNATUR DATE. Town of Barnstable Building •A8N5TA618. Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 0MAO& Posted Until Final Inspection Has Been Made. it 39. �� Perm i6� Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-740 Applicant Name: PETER J SAVARY Approvals Date Issued: 03/10/2020 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 09/10/2020 Foundation: Location: 329 WIANNO AVENUE,OSTERVILLE Map/Lot: 140-124-002 Z'-oning District: RC Sheathing: Owner on Record: PORTER,JASON&ROBIN Contractor Na me: - PETER J SAVARY Framing: 1 Address: 59 CURVE STREET Contractor License: 4557 2 NEEDHAM, MA 02492 '*� Est. Project Cost: $ 10,000.00 Chimney: Description: 2 new furnaces,adding new duct to existing Permit Fee: $85.00 Insulation: Fee Paid:f $85.00 Project Review Req: Date 3/10/2020 Final: .o C/ Plumbing/Gas Rough Plumbing: yBuilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: work until the completion of the same. I Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: / Service: 1.Foundation or Footing �r f Rough: 2.Sheathing Inspection — --"" 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Metal Permit MAR o 9Tat Mar) 10 Parcel Q-� D Date: 3 - �' Pemut# NO Estimated Job Cost: $ `� 08 d a Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO Business License# !Z JrX 7 Applicant License# y S`J- 7 Business Infomcation: Property Owner/Job Location Information: SCANNED Name: 0 e-c-4 . Name: MAR 1 1 2020 Street: /�/ �rh-��� % /V��-� �°� Street: © lfve_ city/Town: lava n. (•� S fyl �9 City/Town: � !art u .Telephone: s�� Z q 7 Telephone: y 3 SZ 9/ Photo I.D. required/Copy of Photo I.D. attached: YES NO J-l(�M- estricted license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family—jeL"Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional Other Square Footage: under 1.0,000 sq. ft. ✓ `over sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents. ' Air Balancing . Provide detailed description of work to be done: ' K. Q' ej r - Town of Barnstable BuRding Department Services A�ANfTAArY Brian.Florenee, CBO &6596k10� Bmlding Commissioner 200 Main Street,Hymns,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 F= 508-790-6230 Property-Oviier`MWt .Complete.and,Sign This Se.6don If UsLng A Builder as Owner of the subject pzopertp hereby authorize v C- `l CC� to act on my behalf; in all matters.relative to work antho:ized by this budding permit application fon 32- 1 ,cz C>3�� K (Address of Job) **Pool fences and alarms are the responsibility of the applicant PIOo.'.;, are not to be filled or utilized before fence is installed and all final inspections are pe .owned and accepted Signature of Owns Signature of Applicant Print Name Print Name 3 1., d Date UORMS:OWNERPERDISSIONPOOLS Rev:09/16/17 INSURANCE COVERAGE: I have a current liabilifi[insurance policy or its equivalent which meets the requirements of M.G.L Ch.112 Yes[moo�] If you have checked y, indicate the type of coverage by checking the appropriate box below: I A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application '"r this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[], 1 hereby certify that all of the details and information 1 have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed-under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date CO-- Type of License: By Master Tide ❑Master-Restricted Cityrrown (-IJoumeyperson Signature of Licensee Permit ❑Joumeyperson-Restricted S's License Number. Fee$ ❑ Check at www.masst=W.12l Email: Inspector Signature of Permit Approval i "4 CERTIFICATE OF LIABILITY N � B ILIT d II���JRAI�CE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TH02/26/2020 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 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(i M)must have ADDITIONAL INSURED provisions or ; 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER' CONTACT Joanne Bretton Morse Insurance Agency,Inc. NAME: A1CN o Ext: F- (508)748-9577 PH E 354 Front Street Arc,No: (508)748-9579 E-MAIL joannebretton@morseins.com Suite 4 ADDRESS: @ OfS@If1S.COm Marion MA 02738 INSURER(S)AFFORDING COVERAGE NAIC C StreetAmericaAssurance INSURED INSURER A: Main 29939 QUALITY MECHANICAL SYSTEMS LLC INSURER B: NGM Insurance Company 14788 143 GREAT NECK RD INSURER C: INSURER D WAREHAM INSURERE: MA 02571-2426 INSURER F: COVERAGES CERTIFICATE NUMBER: 2019-2020 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A REVISION ISN HE OBL CRY.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 LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER POLICY EFF POLICY EXP X COMMERCIAL GENERAL LIABILITY MM/DDIYYYY MM/DD/YYYY LIMITS CLAIMS-MADE ❑X OCCUR EACH OCCURRENCE S 1,000,000 A A 500,000 'PREMISES Ea occurrence) S A MPM25432 MED EXP(Any one person) S 10,000 11l07/2019 11/07/2020 PERSONAL BAOVINJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑JE C ❑LOC GENERAL AGGREGATE S 2,000,000 OTHER: PRODUCTS.COMPrOPAGG S 2,000,000 AUTOMOBILE LIABILITY S ANY AUTO COMBINED SINGLE LIMIT S(Ea accident) OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY 0 AUTOS HIRED NON-OWNED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident S UMBRELLA LIAR $ OCCUR EXCESS LIAB EACH OCCURRENCE S CLAIMS-MADE DED RETENTION s - AGGREGATE S WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X STATUTE X ER B OFFICER/MEMBER EXCLUDED? N/A W1M25432 EACH ACCIDENT S 500,000 (Mandatory in NH) E.L.11/07/2019 11/07/2020If yes, DESCRIPTION IPTI N under E.L.DISEASE•EA EMPLOYEE S 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Peter Savary is included for coverage on the workers compensation policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 15 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I �r nrr OlmeaLh ofMZsac).aset 1��a�mentoj Jt"r�dustrig.Tticcz�'e;x� Z Congress Street,,Sine 1 QG postor5lid 02-UL20117 3v%Osk:*s'CQMDear�oIIlnsmmammce��.�.�$a�Zdel'sIC�IlII-acu,r�a�-iciaas/Phrmbers. .TQ BE t�Ii D r'l�Tg TEE PmZ sTr ��LQ�TFY. A mYJfLCe?lt Infot'mIIatir �12mz ��r Please Print Le�n� f�siuesslc 'aL}: lY C>t� c Add,:ess: ! z i z c GC �2 Cry/stafr'lTp: Z e Z S7 ' Z 9i ome_ I atr,_�v-o-e en 2m ay ?C k-k the r.PPr oPdate 3os f + t a esuIogs�i*a _ iD?za(y c?z �+Jo; c)_ e O�f project(reaal•�'�; f II==a=-Ie p=p=etar��-ss5io mad lave /• :3�v c n cous i't2L•u0_ rzz?caay,[Lva Ate'camp. uo �a j �--r �.sr.��:ter-'�1 � 8• Lr:]R,�edeimg J( �•[}Ia2aor�wnerdo altwo mfsc fIjowo.•ken,co3p. 9. -7e1:10 oL � '= ri_31 I a• _—I=a rxaer-d.wM ceh co �s to--.=ctail� on l=oerr.I cv�i � t�I 3',ri � �au c=tmc=ei<as ave ;�'� . 5�I zaz a�er1 ca�c4.?aaa ISave": ����Ca1 I'e13P.T Or aaG1i022S �"acse seo-cantrac�s cave earolova cda cC�izetrs:i„e3 oa 5 e acee s�e-t a=';eve Wad s'co=.ss .sc i 3.1 l Roof-apa= E�E52 b�acC--pofianaadfts of-cs� �•ElOi�1eS eay aaa twat caccl�bo j7 mast aso 10 o o.-ow,_ !S.D�7.tiFi�1��•T T�73CLS COSJ^o•.ti.-D01GT�/P.1'•OOL DWI a-u1CT<"i'i'i C1^au`i+g _ ea�to;ecs s`..cc S Le as o=ram.-a ,-'-•_ras aaa sta.es� a 13. yzy. €ssca a haveemaIopc�,52 r s mav�e�vases' .aorEeyan _ der oraa ffiose Tr ties lave �O.Ot tax err�trloyer r`fiQ.`'S�OYTlril7ig-riorkers'corrpensatiar azsvr�� or in,`orrnm%oh `� rsry e .m:lnpees. Belara is ire andry=d j ob 'Q site Policy 1 ar Sell-ia&Lie.=` avc Z S 3 ��_.yam'P• f1 7- �•o Joo Rif— ss: Atach x copy of the'Fork s'Campers on c P L7 a�tioB page(Apt ti�e•puPmcsIlber and s ID S--�e r0 e as re.irk t=d-i • -+ T ez?. it ix eate,,. - T r °mom as well as 3 �-152,g25Ais a c-- a3 vice Lc:zp�sa�hisog zFd/os one-yea_i-tsa�is ues i7l!Le o=z T Y ag 1iciafm fi,copy P t mzfa S-OP�r�3R3 ORD a of $25Q.��a da �3me o_`_;s n _ � to fie G ee of Iavrs-9M-iO s of ite DEA 3sL--L2Xa cavemage v�cx.,io� ado hereby c��y��.�pazas crd -ay oi&the uV{ormcrer,provided above zs z�rce?nd ca rem use o�sZy. �o not wrote this ere ^,�e conrpze ee ?V C:y OJj.C,: 7 City ar,Tawa: PeIT.E1iT�rlcyi3se T IssziDgAntbLo3i#(e'sccle one): - Bard of He2a 2,BIEMIg D E.Cfs sartriem�s �.CityiTOWU Clerk 4:�ecirical Lcsne��r 5.p D �IIspecra= 0 Contsct Person: Phone- J,- I z t p v s.'.Ys. u t" I i i , Town of Barnstable Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept i639.s�� Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3179 Applicant Name: David Hobaica Approvals Date Issued: 10/04/2019 Current Use: Structure 61 2* l4 Permit Type: Building-Pool-Inground Expiration Date: 04/04/2020 Foundation- 9 'WhIl Location: 329 WIANNO AVENUE,OSTERVILLE Map/Lot: 140-124-002 Zoning District: RC Sheathing: Owner on Record: PORTER,JASON& ROBIN Contractor Named EASTON POOL AND SPA INC. Framing: 1 GA.U6C-9-- Address: 59 CURVE STREET Contractor License: 105257 2A�� NEEDHAM, MA 02492 � Est. Project Cost: $80,000.00 Chimney: Description: Installation of 17'x40' rectangle gunite in ground pool with 7'x7' hot Permit Fe : $ 175.00 tub with 48"fence installed. Insulation: Fee Paid.f $ 175.00 Project Review Req: j Date: 10/4/2019 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 U anP. 'cial Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 4 I J Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Budding-and-Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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 "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: O N L-.a-,o 6— ^n+A-zL_ � .� Town of Barnstable Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made.. it 63a Permit llj to. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Perm Permit No. B-19-2972 Applicant Name: James Bustamante Approvals Date Issued: 10/04/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/04/2020 Foundation: Ma Lot: 140-124-002 Zoning District: RC Sheathing: Location: 329 WIANNO AVENUE,OSTERVILLE p/ g g: Owner on Record: PORTER,JASON&ROBIN Contractor Name: MARK R BOGOSIAN Framing: 1 I Address: 59 CURVE STREET Contractor License: CS=106114 2 NEEDHAM, MA 02492 Est. Project Cost: $275,000.00 Chimney: Description: Demo portion of garage and build new section of garage per plans Permit Fee: $ 1,452.50 on slab foundation. New walk in closet and office above new fj Insulation: r Fee Paid.- $ 1,452.50 section of garage. Bedroom count does not change. Build new ( Final: bathroom on second floor. Build new roof over new patio type Date: f 10/4/2019 porch. Build new stairs to basement and remove ve existing bulkhead. f 'J Plumbing/Gas Project Review Req: AS BUILT SURVEY REQUIRED BEFORE START OF FRAME. HEAT �• �G Rough Plumbing: DETECTORS ONLY IN GARAGE. SMOKE DETECTOR AND-CO 1'1 Building Official Final Plumbing: DETECTOR REQUIRED OUTSIDE EACH BEDROOM. This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the}approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final 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 Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT bN`�''� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map / O Parcel• / Z Application # Health Division—. Date Issued Conservation Division Application Planning Dept. Permit Fee �3 Date Definitive Plan Approved by Planning Board Historic- OKH Preservation/Hyannis Project Street Address S�� t✓� E Village 0SA!5,'✓r/l-e 11,14. O 74(fS_ Owner M/GAACI w.1/0( Address Telephone Permit Request ervleW4 e i' ej,&' 6nl VC4 eX1,3 621v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2-1,;Vd Construction Type Lot Size Grandfathered: Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family . 5� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: &kFull U5 Crawl ❑Walkout ❑ Other '30-)-4 Basement Finished Area (sq.ft.) Too 0 Basement Unfinished Area(sq.ft) yoo Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: 3 existing I new Total Room Count (not including bathg): existing new First Floor Room Count J Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: 9YeS ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes VNO Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: 4 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# - L �8�1 / r NO Use � Proposed Use s��� p V APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � ' f���%� Telephone Number swO" / z�''ZU Z� Address 7 7� % 17�� License# O-c;? Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE `L�1�� FOR OFFICIAL USE ONLY APPLICATION# ti DATE ISSUED MAP/PARCEL N0. w •ADDRESS VILLAGE " OWNER DATE OF INSPECTION: FOUNDATION _ FRAME o la, r INSULATION o cc �o I S�. !� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ROUGH FINAL FINAL BUILDINGQ6-- 91•I t 17 PF _ DATE CLOSED OUT y ASSOCIATION;,PLAN;NO. JOB bL JL J� T i .� TAYLOR DESIGN ASSOC., INC. SHEET NO. t OF P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY CZ TEL./FAX: (508) 790-4686 CHECKED BY N 3 f—I 0"-Jo mac- reg4Ac•c. 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FORESTDALE, MA 02644 CALCULATED BY DATE C-: TEL./FAX: (508) 790-4686 CHECKED BY DATE , SCALE ............._.._..__...:.............1.............�.............:.......... _..... ..... ...... ..... ..... ...... ..... ..... ...... ...... ..... ..... ............._ ..... ..... _...__ ...... _.... ...... ..... _..... ..... ...... ...... ....:.. :.... ................_....._..._...................... ................_..........._._..._.`��.�.P...a...- .._ _. .... - - - .... ........ ......_ ........ ........ e.... ...... _ ..... +... ...... ....._ _..... _.... . -- _..... __ .._....... -- -..... S ......:.... 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SHEET NO. OF 7s P.O. Box 1313 FORESTDALE, MA 02644 CALCULATED BY DATE TEL./FAX: (508) 790-4686 CHECKED BY DATE SCALE ..............:..__.......a.............:........................._.............;..._........;.. __ .. _..- ---- -._. _ ..... ..... ...... _... ..... ..... ...... ............. ...- --.-._ ..... _..... ...... ...... ..... ..... _ ..... ..... ..... i I -t --,a- Via, .- ---. ..._ .... .... _. ._..........._..............._. ...._ '.... .. .. _...._ ... _.......__.._.........._....... _._.._............ ..... ...... ...... ..........- - - ... _........................_..._.......__...... ._.. ...... ..... ..... - -_..... ..... ... ......__... _......_ _... ...._ ..... _._..._ _... - _... ...... .... ram: _ ..._...._.. .........-.........'......... ..._..... ...... - - ..... ...... ...._ _ ..... ...... ..... _.._..__........... ..... ..._ _...... _..._ _. ................_.... .... .... .e.... _..:.tom:. :........._...............:............_:......... _.. ....._ ..... ..... -_..... -... ..... _ ._. ...:.... 2 ............_ .................................... low _......... __. _... ...... ....__ ..... ...... _... _ ..... ...... ..... ..... . _ _. ..... .._. ...- __ .... _ L4.Z ...... ..... .... _.... ..._ ...... ...... ..... ..... ....01 i �: - 3� <. ..... ....... ._'............. ..._............._... ..... .....;.... l � � E�>: :�. . - _--- _ _ 4 :....................... ..... ...... ......_ ....._ ..... ...... _ ..... ..... _ ...... ...... ..- - ......... ....:.... .... _....... yv olp i The Commonwealth of Massachusetts Departmei.tt of-Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 lvwwanass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 'L_v��'j Please Print LeLyibly Name (Busin ? Y ess/Organization/Individual): ftoy �D #e<_ Address: City/State/Zip: OS lP Wlk W4 dUSTO' Phone .5_lulp -Y V9_ Z8 ZS Are you an employer?Check the appropriate box: Type of project(required): 1.( I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 1] Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' y p n'• t 9. ❑ Building addition [No workers' comp.-insurance comp. insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ p 3.❑ I am a homeowner doing all work officers have exercised their I LEl Plumbing repairs or additions myself [No workers' crimp. 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 must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the subcontractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site injorrnation. Insurance Company Name: Policy#or Self-ins. Lic. M Expiration Date: Job Site Address: I 'Y"' y V6 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 DIA for insurance coverage verification. I do hereby certify and a pains and penalties of perjury that the information provided above is true and correct Si ature: 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#: ENERGY C07VSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: '.�pS' 05� Site Address: 3 , (4j,AVXIV14� print Town: Applicant Phone: �� - '�/a� ^� Applicant Signature: tc Date of Application: 117'i ko NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Basement Slab Option 1: fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall . R-Value AFUE HSPF SLiIR R-Value R-Value and Depth National Appliance Cnergy 35 R-38 R-10 R-19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or renter as i221icable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2 REScheck--Web which can be accessed at littp:Hwww.ciiergycodes.gov/i-escliecl</ i� ADDITIONS OR ALTERATIONS TO EXISTING BUILDINGS OVER 5 YEARS OLD* *Buildings under 5 years old must use option #1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b _ a) SF 100 x — _ % of glazing (b) Glazing area equals SF b If glazing is :5 40% use the chart below. If glazing is > 40 % proceed to "SUNROOM" section ! 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter ❑ Fenestration Exposed floors Nall Floor Basement Wall R Value U-factor R-Value R-Vallte R-value R-Value and Depth .39 R-37 a R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the fall R-value over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings). ❑ SUNROOM—An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. j Note: Owner to fill out Consumer Information Form (found in Appendix 120.P) ! Town of Barnstable Regulatory Services anxxsreaL.e, nuss. �, Thomas F. Geiler,Director 9�ArE0 59. 64,`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder n I, �` �1/�/ , as Owner of the subject property hereby authorize 96to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S< nature of Owner D to A r� Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION CERTIFICATE OF LIABILITY INSURANCE OATS(MM/DD/WYY) 12/07/2009 / (SyIJIA Insurance Agency (506)429-0440 THIS CERTIFICATE; IS ISSUED AS A.MATTER OF INFORMATION i1 Main ONLY AND CONFERS NO. RIGHTS UPON THE CERTIFICATE Street HOLDER THIS CERTIFICATE DOES-NOT AMEND,. EXTIEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. o� Osterville MA 02655 -:-, - INSURERS AFFORDING COVERAGE NAIC# / / West Bay.Property Management Trust INauRr'R A Montpelier US Ins Co i Adam Hostetter,Trustee INSURER D Woeco Insurance Co 770A Maln Street — ..•....::.. _�•--_•.. OstoNillei MA 02868 INSURER C / - INSURER D VERAGES INSURER E --- 4E POLICIES OF INSURANCE LISTED BELOW HAVE BLEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING 4Y ReQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHLR DOCUMENT WITH RESPECT TO WHICH THIS CCR-rIFICATE MAY BE ISSUED OR 4Y PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THIE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH )LICIES'AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCCD BY PAID CLAIMS --POLICYNUMnnp POI,I YIeFFL•'l'TNC N L14Y-xPIRATION ar NaRAL LIABILITY LIMITS :COMMfiRCIAI.ODN19RAI.LIAUILI'IY MP0006001002077 GACN OCCURRENCE 6 1,000.000 _ 12/4/2000 12/4/2010 oAMAZ11".'RSRrRTEI --- — — 100,00o ~ I CIAIMS MADE OCCUR MLD CXp An ane orean 6 5,000 JS Pf!RSONAL d AOV INJURY 4 1,000,000 - — _ - - G6N`L AGGREGATE LIMIT gppLIltSPt!R. G�tNERAI..AG4RCGATE S Z,000,OOO POLICY PRO- PRODUCTS-COMP/OPABa 6 — 2.000,000 r �\ I.00 ----— --- -� A • A_UTOMODIL4 LIABILITY G COMDIN0 SINGLE LIMIT . •, ANY AUTO' (Iio ccaidanl) ALI.OWNED AU'roe -- 9 .SCHI DUL6D Avros 1)ODII.Y INJURY S (ParPorion) MIRED AUTOS NON•OWNf7D AUTOS BODILY INJURY (Par accident) PROPERTY DAMAGE ' & >aO (Per accldano •1�ti� GARAGE LIABILITY GO AUTO ONLY-EA ACCIIICNT 6 ANYAUTO ---------....._. _.- OTI.ICR THAN EA ACC AUTO ONLY _ 19 CXCE60NMBRCLI,A I•IADILI'ry AOG IAGIOCCURRENCE 0 -._..I OCCUR LI CLAIMS MADE — —•-----..... ...---•— AOORCOATO Df DUCTIBIX. {� 6 � RL`TCNTION VORKCRGCOMPONGATIONAND ®^ �SSJ MPL0YER8'LIABILITY WWC3D04610 W IAIU- X T - �6' 3/23/2009 3/23/2010 --... .T.ORY LIMI,LS I:rl NY PROPRIGTORIPAnTNCR/FXeCUT'IVD E I_EACH ACCIUf7NT _ G 500,000 1PPIOCR/MEMDBR pXCLUDED7 yyna daorriho ISIO E L DISEA81i_IlA I?MPI.OYt!C_a 500,000 Pf L�IAI hROV1610N8 below ---�- ...__ _ _ o THI-.R - f_L DISEASE-POLICY LIMIT 111 SOO,000 PTION Oft OPERATIONS/LOCATIONS!VUHICI.LS/0J(CI.L1610110 ADDED DY ENDORSEMENT/8PECIAL PROVISIONS :ape gardening, painting,carpentry FICATE HOLDER " s CANCELLATIONmu (609)790.6230 _ SHOULD ANY OF THE ABOVE DESCRIDCD POLICIC6 D6 CANCELLED 08FORE Tiiq EXPIRATION TOw6 Of Barnstable Building Depa'rtmant DATE THEREOF,THE ISSUINl1 INSURER WILL IjNI)IiAVOR TO MAID I_*;- WRITTfiN 200 Main Street'lyanhie,MA 02801 NOTICE TO TI-IG CERTIFICATE HOLDER NAMED TO TAE LEPT,OUT FiULUnI3 TO.00 SO SHALL ELO IMPOSE NO 081.10ATION OR LIABILITY OP ANY KIND UPON THE.iN ja pCR,r AOCNTG OR ROPRCRGNTATTVI8 01 F11 AU'('HORIYEDRCPRCSCNTA'I'IVO 26(2001/oe) /. V" •, U �s[:. ?'("— i m ACORD CORPORAJ'ION 19ee - i !Vlassachusctts- Dchart►ncnt of public Safeo Bo;u d of Building Rc thiltions and Standards Construction Supervisor License License: CS 94302 Restricted to: 00 ADAM HOSTETTER 770 SUITE A MAIN ST Q,STERVILLE,.MA 02655 Expiration: 12/22/2011 ('uuunissiu°cr Tr#: 13857 i � G3+(•,1�1'f'P?.. ,dui;�,l�C� oa�i/�aaoac�i�rgec��_�� - ../ _ _,.'•n L' - i •� r 1/ '•:S Ili'l y;:NI 1�4°:1 E1 :,x'.1 1;1 IU .(!UI❑SL'!J — f'�,t J ..'.7 E IJ 1 41. T,Z„Cl „ (il �. the �- k y, t 3t('(1 ..152124 l3uil; Kt_r, ; :; Ind$fau; Exp5 rc. 8/2i2 '. `i ! 0 0 'Trlt .?7412.i )arii. _ :� .II, l .l l�c Irr,"ivirival t P,sIon`,•Al:1. .''IiJ;; AJAb1hIOSTETTL-f:=�°"�`__ r+DAA^ F!OSTETT� 70 A n.ir,ii:ST.:��.` j-jA J l�t r(�r� v'iLLc-,i41„0-5rrr, P:'o: "i(, \:•�.1'1; —�. � ,!' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 "l� Parcel 1 Application# D. Health Division Date Issued Conservation Division Application Fee Tax Collector Permit Fee Treasurer k9 - Planning Dept.t. COIC '712-P Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ° e Village br��le Owner A14 C ev m y• Address 5ev%t A3 +0%• Telephone r Permit Request C1,J�S�n• I)�St � L-Areom Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain - Groundwater Overlay r Project Valuation 7100 a Construction Type f' Lot Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family 10 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Q(No On Old King's Highway: ❑Yes U(No Basement Type: t Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full:existing X new f9 Half:existing new Number of Bedrooms: existing new / 22 Total Room Count(not including baths):existing T new 45171 First Floor Room Count F a, s,. _ Heat Type and Fuel: A Gas ❑Oil ❑Electric ❑Other .h w Central Air: 9Yes ❑No Fireplaces: Existing New Existing wood/c/eisting stove: Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ mewyize Attached garage:Aexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization.❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use 161 IT xt, Proposed Use .S`ANC BUILDER INFORMATION Name Se Telephone Number ZQ Address ?90 4 ! N S ° License# Home Improvement Contractor# /.S�1.2 Worker's Compensation# I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED -MAP/PARCEL NO. ADDRESS _. VILLAGE e OWNER J DATE OF INSPECTION: FOUNDATION FRAME G:ct72s(Ia9 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING CO J))09 DATE CLOSED OUTS ASSOCIATION PLAN NO. °FTHEA Town of Barnstable Regulatory Services '"MAS Thomas F.Geiler,Director i639• �� °rFA.19 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A Builder T, A14 fi ~ , 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 bate" Print Name If Property Owner is applying for permit please complete the Homeowners,License Exemption Form on the reverse side. r \ . Town of Barnstable 1HE Tp�� Regulatory Services Thomas F.Geiler,Director BARNSTABLE. E MASS. 163r9. A,m Building Division rFo 1 u'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as: supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures.- A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that be/she shall be responsible for all such work performed under the buildinjq permit. '(Section 109.J.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ` Signature of Homeowner I i 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 fom✓certifrcation for use in your community. r i ACORE A CERTIFICATE 4F LIABILITY INSURANICE °06/2 zoos PRODUCER Serial# 103666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK SYLVIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 771 MAIN STREET HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02665 TEL: 608-428-0440 FAX: 608-420-9227 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FARM FAMILY CASUALTY INSURANCE CO ADAM J HOSTETTER DBA HOSTETTER HOMES WEST BAY PROPERTY MANAGEMENT TRUST INSURER e: WESCO INSURANCECOMPANY 770A MAIN STREET INSURER C: OSTERVILLE, MA 02655 INSURER D: INSURER E: COVERAGES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION-LIE-b115.E DATE(MMIDDIYYI DATE(MMIDDrYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY 2001 XO639 11/03/2008 11/03/2009 DAMAGE S Ea o cErDence s 50,000 CLAIMS MADE a OCCUR MED EXP (Anyone person) S 5,000 PERSONAL&ADV INJURY S GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X I POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO ROTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE S RETENTION S S WORKER'S COMPENSATION AND WWC3004610 03/23/2009 03/23/2010 ORY LIMITS X ER B EMPLOYERS'LIABILITY EL EACH ACCIDENT S 500,000 ANY PROPRIEI'OR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE S 500,000 If yes,describe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CARPENTRY, PAINTING-EXTERIOR, LANDSCAPE GARDENING LOC 612 MAIN STREET, OSTERVILLE, MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOtj TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO NIAIL DAYS WRITTEN SOUTH STREET NOTICE TO THE CERTIFICATE HOLDER,NANIED TO THE LEFT,BUT FAILURE TO DO SO SHALL HYANN IS, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON ITS AGEt ITS OR REPRESENTATIVES `` AUTHORIZED REPRESENTATIVE t�!J ACORD 25(2001/08) 0 AC D CORPO TION 11811 ' The Commonwealth of Massachusetts Department oflndustrialAccidents Office oflnyestigations 600 Washington Street oston,MA 02111' Wmassgov/dia " Workers'Compensation Insurance avz : Builders/Contractors/Eleetricians/Plumbers _Applicant Information Please Print Legibly lame)(Business/Organization/Individual): &An/ Sfi` Address: . -7?e A -PAW PA City/State/Zip: i�-i/le AN 076 S Phone.#: Are you an employer?Check the appropriate box: .'Type of project(required):, 1.(Al.am a employer with 4• ❑ I am a general coptrabtor and I 6. ❑New construction . employees (full amd/orpart time).*• have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7. ARemodeling ship and have no employees These sub-contractors have g• []Demolition •worldn for fine in an ca aci employees and have workers' g 3' P tY 9. ❑Building addition [No workers' comp.insurance comp.insurance.$' required] 5. [] We are a corporation and its 10.❑•Electrical repairs or additions oxcers have exercised their 11. Plumbin repairs or additions '3.❑ I am a homeowner doing t U work . ❑ g' P myself.[No workers'comp. right t5f exemption per MGL 12•❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no 13. Other employees.[No workers comp,insurance required.] *Any epplieant that checks box#1-must also fill out the section below showing their workers'compensation policy information. fi Homeownera•who submit this affidavit indicating they are doing all work and then hire outside contractors mutt submit a new affidavit indicating'such. (Contractors that check this box mutt attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees• if the sub-contractors have employees,they must providb their workers'comp.policy number. X am art employer that is provlding workers'compensation insurance for my employees. Below is.the policy and job site information.Insurance Company Na)ne: v "�n� t C OM Policy#or Self-ins.Lic.A 9100 0 X e) � Expiration Date: y lob Site Address: 30Z9• W f G,/Azo Aue. City/State/Zip: ��il/l`e Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 maybe forwarded to the.Office of Investigations of the I)IA for insurance coverage verification I'dv hereby certify unoo thepains andpenalties of perjury that the information provided aab'ovg is true and correct Signature: Date: t7 Z 0 _ Phone# Official use only. Do not write in this area, tb be completed by.city or. town official City or Town: Yerniit/Llcense# Issuing Authority(circle one): .1.Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other L i National Lumber Company 65 Maple SL Mansfield,MA 02048 BeamChek v2007licensed to:Pete Christian/National Lumber Reg#2308-64259 0906241 Hostetter Realty 329 Wianno Ave Osterville,MA Beam A re Selection W 8x 28 50 ksI Wide Flange Steel P pared by:MSM Date:6117109 Conditions Actual Size is 6 1f2 x 8 in Lateral Support Lc=5.9 ft max. Min Bearing Length R1=0.9 in. R2=0.9 in. 0.0)DL Defl= 0.21 in Recom Camber-0.31 in Data Beam Span 20.0 ft Reaction 1 Beam Wt LL 47839 Reaction 2 LL 3397# Per ft 28.0# Reaction 1 TL 6737# Reaction 2 TL 4866# Bm Wt Included 560# Maximum V 6737# Max Moment 26526 Y# Max V(Reduced) N/A TL Max Defl L/240 TL Actual Defl L/347 LL Max Defl L/360 LL Actual Dell L/494 A r ) Sbeac Actual 24.30 2.30(ior 1 1 Den 0.69 0.49 Critical 9.65 0.34 1.00 0.67 Status OK OK OK Ratio 40% o OK 15/0 69% 73°h Fb si Fv sil E(psi x mil Values Ref.Value Fy 50000 50000 Ad'usted Values 33000 29.0 Adiustments 20000 29.0 YP Factor,Lc 0.66 0.40 Loads Uniform LL:310 Uniform TL:419 =A Par Unit LL Par Unif TL Start End 330 H=446 0 6.0 H Uniform Load A R1=6737 0 R2=4866 SPAN=20 FT Uniform and partial uniform loads are Ibs per lineal ft. Notes Actual length: 19'-11" Primed 8 punched Top Loads: A: 1st floor H: 1st floor IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO ENSURE THAT THE SUPPORT REACTIONS SHOWN ON THIS BEAM CALCULATION CAN BE CARRIED BY SUPPORTING FRAMING AND/OR FOUNDATIONS. The engineer's approval Is for structural Engineered Lumber Products(ELP)only and is based solely on the information provided to National Lumber by the Customer.National Lumber Is not responsible for checking the validity of this information or to ascertain what further factors may be taken into consideration.It is the Customer's responsibility to satisty themselves that the information and configuration shown is correct and �`ZN OF 44 satisfactory for the given structure and all parties brvdved. t� LAwRE/ E F C .30106 �� a �Q/ST0k 4,Q ENGINEERED WOOD DIVISION SS/OMAL E1yG\ 65 Maple Street Mansfield,MA 02W (508)339-8020 /Q 9 LSC-51254 llntserv111work1W �1t)906_Jun109062411Publ c StbmbsrortsUnstall DacumentslE LPt0908241 Mq 6-16-09.P� i d National Lumber Company 65 Maple St Mansfield,MA 02048 BeamChek✓10071icensed to:Pete ChrisSanMational Lumber Reg#2308-64259 0906241 Hostetter Realty 329 Wianno Ave Osterville,MA Beam B Prepared by:MSM Date:6/17/09 Selection W 8x 31 60 ksi Wide Flange Steel Lateral Support Lc=7.2 ft max. Conditions Actual Size is 8 x 8 in. Min Bearing Length R1=0.9 in. R2=0.9 in. (1.0)DL Defl= 0.25 in Recom Cambe—0.38 in . Data Beam Span 15.5 ft Reaction 1 LL 8835# Reaction 2 LL 8835# Beam Wt per ft 31.0# Reaction 1 TL 13477# Reaction 2 TL 13477# Bm Wt Included 481# Maximum V 13477# Max Moment 52224 V Max V(Reduced) N/A TL Max Deft L/240 TL Actual Dell L/253 LL Max Deft L/360 LL Actual Deft L/386 Atfibufes --q�tinn fin3l—. Shear(in!) TI Deft(in) Li Dan Actual 27.50 2.28 0.74 0.48 Critical 18.99 0.67 0.78 0.52 Status OK OK OK OK Ratio 69% 30% 95% 93% Fb(psi) Fv(psi) E(psi x mil Values Ref.Value Fy 50000 50000 29.0 Adjusted Values 33000 20000 29.0 Adjustments YP Factor,Lc 0.66 0.40 Loads Uniform LL:360 Uniform TL:486 =A Par Unif LL Par Unif TL Start End H=130 0 15.5 520 1=702 0 15.5 260 J=390 0 15.5 J H Uniform Load A 0 0 R1=13477 R2=13477 SPAN=15.5 FT Uniform and partial uniform loads are Ibs per lineal ft. Notes Actual length: 15'-5" Primed&punched Top Loads: A: 1st floor H: Walls IT IS THE RESPONSIBILITY OF THE I:2nd floor J: Attic CONTRACTOR TO ENSURE THAT THE SUPPORT REACTIONS SHOWN ON THIS BEAM CALCULATION CAN BE CARRIED BY SUPPORTING FRAMING AND/OR FOUNDATIONS. The engineer's approval is for structural Engineered Lumber Products(ELP)only and is based solely on the Information provided to National Lumber by the Customer.National Lumber Is not responsible for checking the validity of this information or to ascertain what further factors may be taken into consideration.It is the tµ OF Customer's responsibility to satisfy themselves that the information and configuration shown is correct and satisfactory for the given structure and all parties involved. o`' LAWRE E tiN o C T 30146 Am",&V� Q ForsreP�o ,�e ENGINEERED WOOD DIVISION FSS/ONAL 65 Maple Street,Mansfield,MA 02048 /09 (508)339-8020 LSC-51255 %Wserv1 i%work%Wprk2009\O9O6_Jun10906241\Public Submissions\Install Documents\ELP\0906241 MA 6.18-09.pdf ___ ..��..--„-:,.mot-�...A:�.•�-r---- >�; ' S., L(CweacAuJeCtd 8OARD OF BUILDING REGULATIONS Y;- 's" License: CONSTRUCTION SUPERVISOR r Number: CS 094302 4 ._ Expires: 1212212009 Tr.no: 94302 Restiicted.: 00 ARAM HOSTETTER - 1293 NEWTOWN ROAD COTUIT, MA 02635 Commissioner 13tMi5Muf'f#?t��aafii4 :::.c ... ,. .. •:se ur rer:.irrt°e�:r';, :'d for individul use only -- fIOh1E UP.PRO:!EMEN?C%NTRAi,IO?h uc! :re the eai; ,:rtiort Pir . :r r t rn to: Registration: 152124 1io:u-d 01'Builc�ir._Re2r;:::-.r:s and Standards Exp taM_;;;.8/2/2010 Trrk 27412d One Ashburton Place K —.7y C:aton. Mn.02108Inr'm usl ADAAA HOSTET7ER__;., ADAM HOSTETTER` "c:-.. �. —.-• ::,.._..� OSTERVILLE,-MA 02055 -- rstr:rtor— 4.; rNo! .nlid %v:i r: s:; afore 20'-0" _ I I I • UTILITY / STORAGE d - z STL BM ABOVE LL- LL V-5 1/2'---. ---'- ------- �- „ FIF:E ;PLACE li IIF- UNDER STAIRS 1 L__.�.:_ PLAY GUBBY II _ -- - - - _ - - -_-- -- __ - - ---- 5TL BM ABOV�7 _ --- TV DEN I & AJ . 2�•"�s J (�i lz4Qa- y STUDY An- Uy- J� I I ® BUILT-IN , UP ENTERTAINMENT i c, rc. S-1-y-e,4 BIASF.nF_-,��NT 5UlLD -_O_U_T __PL.A SCALE: 1/4" I• - - - TVWN OF Wfff TABLE Z1T9 JUL 117 Pt1 p s TIVISIOplj 1' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, � ayoo;L Map Parcel Application# Q114 7Q Health Division Date Issued g �� Conservation Division Application Fee ►.� Tax Collector Permit Fee r ?D"l �� Treasurer gho /o-7 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Z VV 10`(1^Cl('� Aue Village / Owner V Address Telephon�, — d s��r Y 1��e, �"� d Z1 5 Permit Request _SE'e W r%r ►st' CxA ck f`ine d !6 V�e r> I - 6v CA S — Zz l3 Square feet: 1 st floor:existing *ON4 2nd floor:existing pfelposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Jr��Lp• Construction Type Lot Size 22, �/� S9��' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family LS/ Two Family ❑ Multi-Family(#units) Age of Existing Structure bSi& Xn3 Historic House: ❑Yes V to On Old King's Highway: ❑Yes 94o Basement Type: &'Full ❑Crawl 1 ❑Walkout ❑Other Basement Finished Area(sq.ft.) `-4 on C Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 2 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: WGas ❑Oil ❑Electric ❑Other Central Air: Moles ❑No Fireplaces: Existing _i New Existing wood/coal stove: ❑Yes wglo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:N(existing ❑new size Shed:❑existing ❑new size Other: --Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# r� Current Use Proposed Use BUILDER INFORMATION Name 6 C< Telephone Number Address License# Home Improvement Contractor# 62,p Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a� SIGNATURE DATE off© FOR OFFICIAL USE ONLY r 3 APPLICATION# _ DATE ISSUED MAP'/PARCEL NO. ADDRESS VILLAGE OWNER _ r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL FINAL BUILDING 6k' cit z r ' DATE CLOSED OUT ' , • i ASSOCIATION PLAN NO. S N F E'O�'4 Town-of Barnstable Regulatory Services snarrsresrA _ Thomas F.Geller,Director � ]HA6S �� ,e3q �•� BuildinQ Division lED MA'S b . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction,alterations,renovation,repair,modernization,conversion, •improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: ��(/f'1 O e�L Estimated Cost Address of Work: L�J a in Ca—&J 9 Owner's Name: EA �Ln Date of Application: O (o 10 l I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied• �wner pulling own permit Nonce is hereby given that: O"ERS 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. Date Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents € Office of Investigations 600 Washington Street Boston, MA 02111 6 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information i Please Print Le 'bl Name (Business/Organization/Individual): . 1 0,. Address: X. nc:o -(D City/State/Zip: ���Iry� k �_� Ph0�# i:_,�� Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. New construction . employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• $. 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.EYI am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions t lnysel£ [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 must submit a new affidavit indicating such. 1C6ntractors 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 pravidt:their workers'comp.policy number. 'lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and f ob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifv:ender the pains a d penalties of perjury that the information provided above if true and correct: Sienature: a e: - V Phone #: Official use only. Do not write in this area,'tb he completed by city or town officfaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i i oFTHE, Town of Barnstable Regulatory Services BAatvsTABce, : Thomas F. Geiler,Director NAM �b639. .�� g Buildin Division Argo��a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Q A f� f JOB LOCATION: �-l �/l1 1(,L n�'L(S I =U`�� � �,tr V 1 I I number I street village "HOMEOWNER": Y - �$ name hom p one work phone N CURRENT MAILING ADDRESS: (7:�< ( Q,Q city/town state iip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and re,si m nts. Stgftfure of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the.perrnit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt _ 6 s 'OD � r h 1 l ' s owm , fb a r /p q 7111�1- LA a Of o If ^ 41 LAj ry - �- I i I �� V,`\ ^�c/> V �++ �1 �S l /��../\ /^ / wL� G �� t ' r .-Z 9 Av e. � WorkLis- ' CbWner� J �ePlace 411 ►r�er��ar +Y, \m P�urnbin9 -�lx}urns 1lePlace c_c�r�et W i-�h h ardwooa = Scar,d excistin� hardwood ` �eplace, hollow doors w/ Splid _' �e-�lacc \in�-eriar J CDP. -n�r�9 be-4-Wei -Dinin ��m e � open„n9 �oom eW ��.�e door lln tA �, 4� — �n� 0�1\ vvQlls m � a �e�lac��c�nex t o-4' windows (A 3� Beam Specs SPAN 24' TRIBUTARY 14' LOADING 30/10 PSF LL/DL PLF LOADING 30PSF LL X 14'=420PLF LL 10PSF DL X 14'=140PLF DL END REACTION 24'/2=12'X 420PLF=5040LBS LL 24'/2=12'X 140PLF=1680LBS DL 24'/2=12'X 40PLF= 480LBS BEAM I TOTAL LOAD 7200LBS LALLY CAPACITY 19300LBS Table 1 31i2-INCH and 4-INCH PORTLAND COLUMN DESIGN COMPRESSIVE STRENGTH' Column Length Design Compressive Strength (in kips) (in feet) 3v2-inch column 2 4-inch column 6.0 25.1 33.3 6.5 23.6 31.8 7.0 22.2 30.3 28.8 8.0 19.3 27.2 8.5 17.8 25.7 9.0 16.4 24.1 9.5 15.1 22.6 10.0 13.8 21.0 11.0 11.3 18.1 12.0 9.1 15.3 13.0 N.D. 12.8 14.0 N.D. 10.6 Taylor Design Associates, Inc. P. O. Box 1313 Forestdale, MA 02644 Telephone & Fax: (508) 790-4686 March 20, 2010 Mr. Adam Hostetter Hostetter Realty, Inc. 770 Main Street Osterville, MA 02655 RE: Ewald Residence - Addition 329 Wianno Ave. Osterville, MA Dear Mr. Hostetter: On March 19, 2010, 1 inspected the framing of the subject residence. The header at the garage door has been interrupted by 2"x6" studs (5) at each end. The continuity of the 3'-8"+/- end wall panels can be retained by using '`/z"plywood sheathing on the interior wall. The roof framing can'change the bottom chord to a 2"x6" @ 12"o.c. and raise the bottom to allow for a tray ceiling with a clear height of 9'-0". If you have any questions, please do not hesitate to contact me. 444 OF Sincerely, TAYLAI9 ff" U Mo.a R. Gre r aylor, P. t 5 1 . , JOB Gw�c._� k15% `�. TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 ' Forestdale, MA 02644 CALCULATED BY 0=1'r DATE -1%-� o Tel./fax: (508) 790-4686 `• CHECKED BY DATE SCALE .......................................................................;......................................................... ..... ..... ...... ...... ..... .................... ..... ..... ..... ...... ..... ..... ...... ..... ..... ...... ...... ..... ............................_.... �i ........................... ... ....................` ........ t ®o �... z.- .... ..... _.... ..... ...... .. .... _... ..... ... . -- - ..... ..... .... ...... .... ......... ......... ......... ......... ....... ........ .......... .............. .. ............. .... ... a................... .. f .......... ...... .... .... .... ..... ..... ... ..... .....Of�............. ............`...... ..... ...... ...... ..... ...... .. s .....;.... t N l 3 . ` 4- m.5: rt y ..;.:........... :............................. ............ ..... 8�. 7 ..... ...... ..... ..... ...... ...... ..... .. .......... .... .... ...... f �+ I{j..... .........................................................................:............_i..................................... .. i �/. i i . ...........................<......................................................_s............................................ ..........................................................................:.............................. .. 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T .......................................a..............! ... ...�Z..........���1.�`, �..�03......�... ... . .. ................................... _ ..... ...... _..... .. ... ...,.... ....... ......... ....... ......... .... .... ...... 3 pOnn�Yn MI.�.f...:.f8.a,nnG,rg4►n m.I-Q Q.'E5. Z�6v-r,67�rm_JOBy TAYLOR DESIGN ASSOC., INC. SHEET NO. ` OF_L v P.O. 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GATs Y. - ; gpp S�Oy O.C. • (p�5�}}�Og� Ob STOP Gwa SNORT ABOVE SLAB 24'-W SOLID CMU BLOCKING j�s.�'s44AEo �r' ' f ` •'�'• -r ---- w �' oil •:Y-'.It!--• ;�'•;•�-• 4- MAI 4W0•MINIMUME ••/ •x•' ••' r'• nl FOOTING CWAO ERE --�. •�•,:. •''.-I ' — k I I I I I PRGOIDQ o0 SAM• I -' •• +' 12'O.C.VERT.IN MAIN '`�`'C 7 V . ••,•• ••��; •'•% `•'• I I 1 i I I FOUNDATION WAIL TIE INTO I E-I�"O +••^��•••'•;.• bl F-I /R06T WALLS am CAL I ADD NEW STET O W V CORalcTION I.311ERa POUR �^ IL4 REDARB•2'-O' <`• •' -¢• - •~. I I I I I 16 Nor CONTINUOUS. I SEAM, •�Q . B•RB RB3ARe CON 0 " • I j 11 I '2 0. Mill TO I II _ 1- COSTIRONNG FOR II0 I I 0 I I I GARAGE OcrENSION. DROP TOP Or I I I I I WALL @' 2H WALL ON 2a7NGONflNUOUS 1 05 I I I STRIP TINTING B S. I I If i FOOTING DETAIL ® BEARING WALL i i i I coNrlNua,e BARS I I I I PROVIDE be BARS• I I I ds� 41gy 999€e - 88 I I I I 121 O.C.Vmr.IN MAIN H FOUNDATION NA"TIE INTO I I SEe111i11YY SEE a e•THK,4'O' rRoer WALLS TYPICAL cONc.wALL aNcaaeenoN I IUIMe POUR I I COURT I6•u6' CONE. I 1 I Is Nor CONTINUOUS. I I TOOTING I � 1 1 I I I COORD.DIM.W/ ---- DOOR LOCATION 6'APRON THICKEN TO S• •DOOR dPENING w GARAGE DOOR Z Y I) 2. r.RESAR f�r� • L PERIMETER ANCHORS•W-O" 1A- w W D.C.M". FOUNDATION PLAN IOL:3 a SCALE, I/a'-1'-0° Z r SIRS 6/6 WWP 0 Q Iij TOP IA OF SLAB Q E QZ5 Z �3 .C4 a C b' A :;;:_,'„ GENERAL_ NOTES: 0 �'�" •,d •d .Q .;%.••-n�".•'..::;5 .��. .;.`;, 2u4 KEYWAY sTRueruRAL CNG1NEeR/DEBIGNER TO INBPBleT1011 GARAGE NOTES: Q/ ^.:.:.;. WHEN PLATEE IS ARD"I,a AND PRIOR By I ERIOR Fd1NDATION WALLS TO SE M FCUREO CQ1C.MV 2•as TOP Lam. .<p•, •�:. • �`<;, i:✓w•:r'C•` WALL PLASTER S0.1RD/FINISN. j"i4eorrdti SAR•!DT FOUNDATION ON 1 STRIP FOOTING. V/ y''');. '•:.r;�,< ..:R•�+ ^;•lam. �t"%`:� Da 4p6 HORR.SORB CONTINUOUS ly STRIP P/OTING WW// "•��' :.� �,.1 eHA:i.9G1cRlLa pND ppRRpRWr!Cr�pqM weATHeR ALL T PRO✓1 a Its VERY.DWlLS•24 O.0 H IS.CRlNDlO 'y... "•et' •,iC IXIST�USE corIFOHIUNT6 AND INTlRIORS DURING cONeTRUCTION .mf W a mew 2•ae R®ARB e/Nr.—'Ti; !, _ '::,•` ;'.' ND NBTwer Ten sTRueruR rNG.oeuREe As nAr BE e-TanIN. ����p�E roP or TavnNo.PR/vlDa Ir}xn ANwae :,•: a pp ppggRr ES/ Boils• �.,. '.':'.'-:•)::..,:.' �� NEC669ARY TO INBIIRE SUCH PROTECTION. ' /y..•�II • •'' �- \\ \\ COND.ACTOR A L-OITS INSPECT ALL IXIOTING yp FROPOSID 2.DOI LA FLOOR JOISTS UNDER ALL PARALLEL PARTITIONS. /� /���.��.\� \/ .\+• �\` \\ �/ / //\/\/ D.InOtls PRIOR'TO AND DURING CONS Idl AND IFY.-I-. i //� / E r ICIU PROyI / \ a //�\/\/\/\\/\ Or ANT DEBCREPA7iGlB AND/OR WANE. T M4 AN NTERED. C CCiIAN \//�/ /\ CONTRACTW SNAIL CONBTRIICT AND MAINTAIN RY WALLS/ B. REWI�D D O�ODa WINDOWS M ICA r)ON A8 SNORING ETC TO IIAiNTp1N/pRprCCT COSTING HOUea D STRUCTURAL I�NOTNE}BRRITY OP IXI8 TING NOUSC. A. OR BNALL INSURE THAT ALL FOUNDATION WALLS MAINTAIN 7Aj�ONBpRIOA TOIpI DUPRINGN�CgI(tp6YjRAUCLL�ro IBgTNINGM,M.!ADJUBTMCiT6 4'- MINIMUM CO✓ER. Trza C G7P7PLIAliC!N D GN I' < a AB NECE88ARr AN TO INBUR NTH IMM ARAFI'ARS AB S.PRWIDs WEB STIFFENING PLATES AT ENDS OF STEEL BEAMS,TYP. D Ym 6'COMP.FILL WORK PROGRESSES. �8 s.ae!STRUCTURAL DRAWINGS OUR LocR,nONs or ALL sTRucTURAL cowrwe. NEW CRAW SPACE DUST CAP TO BE LOCATED NO MORE THAN s'-4' 7.�QN7RgCrOR SHALL NOT BC4LE ppRRgqyyUUINGB FOIL DIMENSIOr18. ANT 11�•tISsiNG �IJ b S GARAGE APRON DETAIL FROM TOP,*OF FOUNDATION WALL, IN DEPTH BECAUSE OF LOCAnaN NCORRECT ppRR auESTIONADLe DIr1E1910NI NOT BROUGHT TO THE ATTENTIbN E ii BCALE.1 1/2'-1'-0' or SEPTIC LEAD:-:SD. OF THE D�IGNR BCCQ7!TNa REB Fir Or TH!CONTRACTOR. m C p O � O O lr = . • D yv-o. 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C0PYR3G.T ® `• FIRST •O- -LAN RESERVES ITS COLUJON LAW ,>r COPYRIGHT TKESES PLANS ARE a , CUSTarl ADVITWIN __ I NOT TO 13E=TANYNO CONSENT OF HORTHSOE FOM OR MANNER VIHATSWAR TERRA FIRMA PROPERTIES OYMOUT FIRST OBTAINING THE • m OSTERVILLE, t . 4 Y 6 0 0 D r Y 4 Y Y Y p q Y p Y Y 9 Y i r C a a a t. g y y q D q q q z xn I v 21 F � a yn oy ny Mr ny M��III' ar R • G , � t n a o I a 1 oy III °� II 1 , 1 �U / 1 11 I 11 1 N II •� I 11 O `O a I i I 0 r- 3g IL EDo O ?U Rn F-" V 1 6rl.q�o [[ moz 7 � qo me '0 840 m I [1 SCAM 1/4'-I'-O' �u me�10T" 01f m COPYRIGHT DATE REVISIONS NORTHSIDE SECOND FLOOR FRAMING PLAN a"„a w .� NORiN�E etEttsr EXar�sr O 1 2 4 D cs mnn oEml its twra uM DE9GN DESIGN COPYRIGHT.t��5 ARE SEIEET N0. CI)STOM DI PREP PORT ww wn a o...aEa woven NOT TO E REPRODUCED ai To OnW9 m a®am w mE A C�CtO�T ATEQ ONANG D OR WWED OI M1Y DRAWN DATE TERRA FIRMA PROPERTIES �s" HA�7 1H E7 FORM OR MANNER ADMOMATSOEVERYK S 1 14/IB/07 m"T aralc m..Nnw me�clm wMOUT EVtsT oerADmro THE n�w a Tway m ran ItlX DISIRICIIVE Ii�DFMIAI h COMMERCIAL DES ! 329 WIANNO AVENUE awawo®w oar w•q.emm rsl wAm srlatT•rAwlounsoar•w oxen AND�W15E1 T OF NORTH E 04ECKED aw lave.w•wsrmrw.nmwmra wa moel x2ailo OWO ass-anm OSTERVILLE, MA. wee ®■ -1 D r - ® < II II c l C 3 0 3 a A 3 3 o m y i q q q q Z n r h• O LY LY p3 • 7 C.C. $ n I MA 'ma � s �g ss s I EI a 2dO• EE ' r 70 m i81 IL JI N i' - - - - - - - - - - ° m I w 8 s °"T j i i fppys w� Er i. Z ►\ O j E E.S. = 1 i � 5 7Pp I i i OF°d � 3 ifs - y pe I i i "• ,;;, M f . i C I I I i N � I N i i E i i i i i M i i i i i i i i i i i i 92 i i i i I i r- e O a a� 0 a i i Q 3 z z QPI $§, l � Els, h.p- np n snn AI•EOEx nAI0N0 tmm vwn SCALES I/4'•1'_0' °aEwaT aRoa na m"orc. oa m COPYRIGHT DATE REVISIONS ROOF FRAMING PLAN AS eeAMR IM mono-S.&a- NORTHSIDE EDAI Y�IDOAIS M rpo�n? NORIIOIDE NET�sr F]�RESLr D 1 1 4 a °1'•91E M�IOE a n°K0O1 RESERVES ITS COMMON LA DESIGN Yoan®e°�' DESIGN COPYRIGHT.THESES PLANS N� 4911E9 qn OI tumor CU9TH7M ADDITIONPREP FRG ra e m owuaz Mo1aan NOT ro BE REPRODUCED t SHEET NO. DATE ,m a "M ASSOCIATES GHQ HA caP'm w ANY DRAWN TERRA FIRMA PROPERTIES n"'°° "`°°�" FORM OR MANNER TeHATSOEVER •EE9°�Ym w EWI N\1g3 4. �nB/Q7 nor arae a°T. m°i<.-' EXPRESS WTFIRST N PERMISSION THE nesT wvs ff TRIM ro ian ELC�L OISIINCTIVE RESDENINL AL COMMERCIAL DrSIGN YQ871EN PElIO590N 5.2 329 WIANNO AVENUE A•0110 ElyAIm[Yr AIm/oY ports w 141 MAIN STREET•YARMMM ORT•MA Ixnrs µO CONSENT OF MORTHSDE CHECKED OSTERVI—, MA. co s e AI tme�aez-aw moe)xx-oem DESIGN. �4 PROJECT 1 NAME: ,PAS/dE' 7 - a� (7 6 r 59 L �t6ort of ADDRESS: ,2 9 �!T`F1�/�0G ✓ PERMIT#_Z601 D 6 3 2_'1- PERMIT DATE: M/P: I VD " /26419.21 LARGE ROLLED PLANS ARE IN: BOX �O SLOT r Data entered in MAPS program on: BY: N-6 q/wpfiles/archive TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION { . Map l Parcel 2 Application # � Health`Division Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis - Project Street Address Village �qwn��A (IR — EW 4t-LO Add's' Sol- C K4t-.0T [telephone 0 TO _ 4 t 0 k&n-•J 76�-) AV+- Permit Re uest A—i r400l a _"-v_V_G�_( � c2 j _�'�Q�� ��V �2_ lit i�4-t i/.¢�Z c-,-v✓}-�a Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type —. Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting dbcurnentation. C-34 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) =1 ry va — ,., Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'���.ighway�U Yes ❑ No �z Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Flo Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft o Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ' ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name_; r�Telephone.Number� ? - `1 Address'°5—' - (VL�l A-yeijoC License # / V Home Improvement Contractor# Worker's Compensation # BALL CONS^�RUCTION DEBRIS RESULTING`FROM THIS,PROJECT WILL BE TAKEN TO SIGNAT-UR�IF— � DATE l� (U Z �~ FOR OFFICIAL USE ONLY x APPJICATION# DATE ISSUED ; MAP/PARCEL N0. ` 4 'ADDRESS VILLAGE OWNER y"DATE OF INSPECTION: "FOUNDATION FRAME COD 212,110 t INSULATION b9 i FIREPLACE ELECTRICAL: ROUGH FINAL— ; PLUMBING: ROUGH FINAL :h GAS: ROUGH FINAL FINAL BUILDING I DATE CLOSED OUT - ASSOCIATION PLAN NO. Y y: I J I OF THE Tp Town of Barnstable � Regulatory Services BARNSrABLE, : Thomas F. Geiler,Director MASS. 0 9. p�0� Building Division lFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print D`A' TE: �JOB-IACATION:`Y9 )J cl UJI 0r� AA--t.,t L 0 57 ew v kLL C' number street village F"HOMEOWNER"� R WAVL tvl,.PAyA 6(7—� 0 S(fi^J W name home phone# work phone# tiCURRENT MAILING-ADDRESS:"_ , S� C, city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building Permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requir eats. Signatur of Homeowner" Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forr /certification for use in your community. Q:forms:homeexempt \1 �THE T � Town of Barnstable Regulatory Services BMAM ARNSTABIZ Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date , Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0RMS:0 WNERPERMISS10N 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 Ledbly I-Name-(B ss/Organization/IndividuaI): `Adtiiess AAA-tJ N- cCity/State%Zip '' 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 6. ❑New construction . employees(frill 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 ca employees and have workers' y capacity.tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions C--3: I-am a homeowner,doing all work officers have exercised their I LE]Plumbing repairs or additions / _ right of exemption per MGL mysel£_[No workers' comp 12.❑Roof repairs -insuranceiequired]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 him outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: . 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 DIA for insurance coverage verification. I do hereby certify der the pains-annd`p_e/nalties of perjury that the information provided above is true and correct. r---�SiPnature• '4 ��lDat. (O-(I — Phone# Official use only. Do not write in this area,tb be completed by city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: " Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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-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 permittlicense 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 trust 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 bairn 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,tclephone-and fax number: The Commonwealth of Massachusetts Department of lndustrial Accidents office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia I °FI►E A Town of Barnstable Regulatory Services MRNSTABr � 'E�KAng' Thomas F.Geiler,Director `��Eo;�,�►`` Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY ems -`Q , Construction"Su isor License. # ,hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit# �2��U2!;3Q ►, issued to (property address) ��� ---J c A?,FN0 ��-h1 uC; y SJLhV lc L cr on Q , 2000 The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LICE OLD rER/�� DATE q/forms/newcont b F"E�� Town of Barnstable ti Regulatory Services RAW. � ' Thomas F.Geiler,Director 9 0a 1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 .Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL,OF , LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT -- Z: Z /A =: I �. G S e -license U= ' ry i= vc� a] # ,hereby certify that I am no longer the &Ons=ction Supe isor lis ed on the application for the project under construction as authorized by building permit # rYtn Ry, _,issued to (property address) on ) , 200-1- I also certify that on MaA.CJ4. R f , 200 I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. /.21/.-2 00 p' HOLDER ATE gdorms/newcontr reference R-5 780 CMR 02/12/2008 TUE 17: 03 FAX 508 420 3161 Sotheby' s Osterville 0001/005 Sotheby*s INTERNATIONAL REALTY i 851 Main Street. Osterville,MA 02655. 508.428.91 15 248 Stevens Street. Hyannis,MA 02601 . S08.77S.0900 Fax Transmission Date: To: Fr: SUSAN GILL, CRS Fax: �(pf7—A-'/(„ -- l� Fax: 508—G20-3161 RE: �� fC° Ph: 508-957-5578 I Remarks: /�'J, ^A a f Following you'll finder page(s) not including this cover sheet, If received poorly or if incomplete, please notify me, Phone Number: 508.428.91 15 Fax Number: 508.420,3161 j ; U � Please no,e.. The pages comp Isin this facsimile transmission ntain confidential information from Sotheby's Inter. national Rc2lcr. This information is Intended solely for use by the individual or entity named as the recipient hereof If you are not (fie intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this transm;ssio,j is prohibited. If you-have received this transmission in error, please notify us by telephone immedi. ately so chi,, we may arrange to retrieve this transmission at no cost to you. The recipient may request that the sender nit .:.end any future facsimile advertisements to a designated facsimile machine or machines. To opt out of tuture facsf-de advertisements from this sender, please call 800.851.91 15 at any tOie, own,a?�day of the week. It is prohibited to send this facsimile, in whole or in part,.to any third party, d—j 02/12/2008 TUE 17: 03 FAX 508 420 3161 Sotheby' s Osterville 2002/005 9U-W}P/,ZXV8U016!09*n FAX WPO�rt'•D $®8 44;kfiy"ls &%Wjtil 4% (late 1 Pihl4%02/QPA19 .02/11/2008 19:22 FAX 0 002/005 i 02/11/9008 MON 17r57 FAX 508 420 3161 Sotheby' s Osterville ®002/005 j Cape Cod real estate,homes for sale,vacation rentals. Page 1 of 2 i i I i 851 Main Street OatervPte,MA 02fiS5 P.SOU28.9115 Fs SMA203MI f , OFFER.TO PURCHASE REAL ESTATE j TO.Owmtof Record Date:02/11/2008 I Places) f hereby offer to buy the ptopertq hccao refnred to and identified as f ollows A$Ingle fausify residence aside=located at 329 Wistmo Avenue;Oaterville, I i Massachusetts as shown on Barnstable Aasessan Map 140;Parcel U4-W2. {` ± I hereby of(cs to buy said property under the following temas and conditions I I will pay therefore One million six bmrdttd and fifty tbousarxL......,.«.(i], W,000AD)'dollur,of whisd►: i 1 a s 1,W.0D is paid bereivitb as a deposit to bind this Offer, i h: SlAW00 is to be paid as an additional deposit upon execution of Purchast&Sales specracot as provided for below. i c S 1,567,50D.00 is to be paid In cnh,certified check or back draft at the time of the delivery of the Dud. f C d.$.1.&W 90.00 is the Tout Purchase Price. j 2 This Offeris good tmtil 6:OD PM oa o2/12/ZM,at of bef n vrbicb time a copy hereof"be signed by you, tbc Seder and your(vdc)(hnsbw4 signifying antsnce of tits Offer,and tettnned to me foolvhh:otherwue this Offer shall be considered as rejected and any money deposited herewith shall be retumed to me fotthwitb. e heave s ore o:before S�0 PDf on 02 22 2008 execute a sou wtis6r Pars:hase&Sale I� Agreemeu%which whm exeemed,shall bi the Agmmeat betwua du parder hereto. { 4.A good and sufficient Deod,conveying a good,clew and marketable title of record shall be ddivcred at too PM on 03/211=0 5.(a)If you(Seller)do not fulfill your(Seller's)obligations under this Agteeree a%said Agrament shall be eaformbIt both at law and in t:q*,(inclusive of s md&performance).(b)If I(Buyer,do not NO my obligations under this offer,the deposit(1)(a)mendoned above shall become your(SoDds)propertyas Ggnidated damages without recourse to dthet patty. 6.Time Is of the cuence hueo£ RI0'Jo 4..4. 7.A fee as agreed wi0 be paid by the Seiler to William Ravele,the listing btolrer,upon passing of tide. The eo-fret:due Sotheby's International Reafty b:NM.This offer is subject tw L Of3'et to Purchase Contingency Addendum;2.$Oat hwhWing an appliances as viewed(including diahwashes�Seller to provide permit for a four bedmom septic system and existingpermit(o rdom over the gamge,4.Seller to hmall a solid hm&ted door at bW&hmd ".additional basemew stairway mating,and to give BIIyesz the use of an electtidaq 1{%owe day;S.Buyer to obtafn a ba tk appraisal for at least A00,000 by 2/22105 with up;*+..sugars day extendw ff needed. hVV/www cottowMents:Fom/listings/admin/CREForms/OfferTohnbawAddEdit.asp 2/11/2008 02/12/2008 TUE 17: 04 FAX 508 420 3161 Sotheby' s Osterville /2003/005 0WjU.2$W9UUIUyI Wr Pax WVOWV bt@U t-tg j-0 V0gCWY4f&A nate1 YdlCl�arttt�pib 02/11/2008 18:23 FAX Q 005/O05 oZ/11/2008 MOM M 59 FAX 508 420 3161 Sotheby's osterville 0005/005 i I Cage Cod real estate,homes for sale,vacation rentals. Page 2 of 2 i i Lupecion Boren"on f&with the municipal Board of Hal&Should the fom iodic ate that tie system is a"Riled l 6ysecm"=de6aed by u UTWc 5,at the Buyer's opdoa sad upon v>itten notice to 5ellervithin 72 homs of ttceivkg a COPY of the logwctioo Pone,this Agreement sba be n an ull d vold sad without tecoum to ehhec putt'sad all de poasta i abaci be promptly tttumed to Buyer. i I , INMAIS i of spouse) SELLER i BUYER BUYER BROKER j sum .I I i I i { i I i I I 1 i • http://Www.CDftOMnmts.Col lgS/admWCREFor S/AddmduMOTPAddFAt.asp 2/11008 02/12/2008 TUE 17: 04 FAX 508 420 3161 Sotheby' s Osterville /2004/005 OV1IY/A-9"19UYj9Y4Y FAX *POWV -U@Uti940MY0 4PVW xW&A Hate 1 1'd4w:$/VVAIb 02/11/2008 19:22 FAX 9003/005 : 02/11/2008 MON 17:58 PAX 506 420 3161 Sotheby'a Oaterville 0003/905 Cape Cod real estate,homes for sale,vacation rentals. Page 2 of 2 -MIS IS A IEGAI.LY BDMING CONTRACT.IF NOT UNDERMOD,SEEK COMPETENT ADVICE" my(onr band_(s)and see(t) . t (Type Buyer 1's name as it will be sigued) (type Biqa 2h nurse as it wM be igned) MM=cl A.Ewald (Addreu) 52 Gnat Avenue;Newton,MA (Phone No.) This offa is accepted upon the forgoing rums and conditions at 6:00 PM on 02/12/20M. Reed t of the deposit of=is hereby ockwMedgrA WITNESS my(vA haad(s)and tugs) j (I*sells name as it will be stgrtcd) (Type seilea a aaa:ee as ft will be slg;tet)) { (Burka)Agent Son Buyer (Bteker)Agent foF Btsyet j RECBIPT FOR DEPOSrr Date:02/11/2008 Received from b ichaoi and Lwude Ewald rho sum of i 1000A0 as deposit under the tarns sad conditions of the i above offer to be held in csaew by WiQwm Ravels (Btoket or authorized reptuentadve) i i rw= t j i • http:/fwww.00ttomeagmts.com/listiii0admix/CREFmms/OfferToPurohaseAddFdit up 2/11/2008 02/12/2008 TUE 17: 04 FAX 508 420 3161 Sotheby' s Osterville 0005/005 0V-✓lY/o&XtM5u41V34xY rxx PIopoWu t18i85DJ4 D$'!� IYOrimtW&A nate 1 Ydqw,/tbuA1.b i 02/11/2008 19:23 FAX @004/005 ' 02/11/'2008 NON 17:58 PAX 508 420 3161 Sotheby'a Doterville 0004/005 Cape Cod real estate,homes for sale,vacation rental& Fags 1 of 2 i 851 Main Street Os*"Me,MA 026M Fr 508A28 US F.SM.420.3161 j I OFFER TO PURCHASE CONTINGENCY ADDENDUM Tbc BUYER may at the BUYER'S own expense and on or before 02/20/2M.have the property inspected by a daily- Rcensod person eagagcd in the business of coaducting home iwpwfiona.for any or aD of the foBowiogr j a. Hoax Inspection E adowi ere Inspection b. Texmite Wood-bo=%Insect:Pest Inspecdon g Hazardaw Materials c. Lead Paint Inspection h. Groundwater&Boll Test Inspection d. Radon Gas Inspection i Wcl Tcata Ittspemn(water qualq and quantity) e. Asbestos Inspection 1. Other,if stated If it is of the opinion of such inspector that the property oonnins serious vwxtarak meehudal or other defects which would coat the BUYER at the sgpWta more than f s:mr to then the BUYER"have the option of revoking ii this Otkr by vdmw m6ce to the SELLER and/or the Broka(s)as agent(:)&r the SELLI t,on or before OZ/21/2008. Sudh notice sball be accompanied by a copy of the inspectojea opinion sad nay rehted iospeetioo report If the BUYER so elects to revoker this Offer,aII deposits nu*by the BUYER shah be forthwith refisnded this Offs ahaU become null and void without f miter oeeomae to either party.( INITIALS + §EU U R(or spouse) a t� SELLER i BUYER BUYER i I i . BROKER f MORTGAGE CON IN Y ADDENDUM In order to help finance the aequitid=of the pmperty,the ply for a conventional bank or other cnstitatimW mortgage loan of i at prawiling rates,terms despite the BUYERS diligent of oits a commitmentoan for suck a l tanner be obtained or /29 ,then the BUYER"have the option of i revoking this 00a by wdttm notice to the S or a)as agents)for the SELLER,poor to the capitation of such time,whereupon all deposb de tau B be forthwith=&nded and this Offer shall beooanc mill and void cud wIthotat farther lry'' In no event wiH the BUYER be deemed to have used daTigeat dFom to obtain such commitment a the BUYER submlts a complete mortgage loan applieadoo eonfoaming to the ii>rcgoing provisions on or before 02/12/21M. INITIALS + SELLER(or spoors) SMIM BUYER BUYER BROKER : SEPTIC SYSTEM INSPECTION ADDENDUM Pursaaat to Tdc 5 of the State Enaimamewd Code 9310 czar 15301,the oa4te waste wares system(the"septic system")which serves the pmpety"be inspected is eonowdon with the trmsfer of the pmperty.Within 14 days of the arocuddn of this agreement;Seller shall provide to Boyers oatified copy of the"Subsurface Swage Disposal System httpJ/Www.cott =wgen+t&com&tngsladlWWCREFmms/M*dmn0l?Ad"t asp 2/1 WOOS TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map / 0 Parcel /a `{/a o a- Application# V 60 Health Division Date Issued O`er Conservation Division Application Fe Tax Collector Permit Fee LA(0 - Treasurer l 3�10� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 a!2 l�l a n n o Village r I l YYl A- C) i Owner �-A \ Lin �j2 . r Address i�.� ���� I�� Us+ Telephone (? (o Q4� — V LS Permit Request a r" c) A v J (0 O r- bo rq v- r n o rm a I,Do J-e- Q azc_a C L Square feet: 1 st floor:existing 2,61 proposed q b.5• • 2nd floor:existing proposed,�2qj-) —Total new r7b&s..0. Zoning District Flood Plain Groundwater Overlay Project Valuation ( 00,0 0 a.'-Construction Type Lot Size a a I � Qfi Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family fd Two Family ❑ Multi-Family(#units) Age of Existing Structure b��g g 14- I q �-21 Historic House: ❑Yes )!�No On Old King's Highway: ❑Yes )dNo Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ()0 n---- Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 2� new Half:existing l new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count_ J Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: dyes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes )9/No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:4xisting ❑new size AZM, Shed:❑existing ❑new size Other: { Zoning Board of Appeals Authorization ❑ Appeal#' `Recorded❑ o Commercial ❑Yes No If yes, site plan review# `� 5 Current Use Proposed Use BUILDER INFORMATION Name ini"n 5 Telephone Number �S Address 9DOX I c (n License# Pry A- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I /3 1ja-o0 i FOR OFFICIAL USE ONLY, APPLICATION# DATE ISSUED MAP/PARCEL N0. . ) ADDRESS ' VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME LA INSULATION FIREPLACE k. ELECTRICAL: ROUGH FINAL A ' PLUMBING: ROUGH FINAL ry- GAS: ROUGH FINAL FINAL BUILDING ►' DATE CLOSED OUT ' ASSOCIATION PLAN NO. f`� 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/Individual): Address: 2� 1(' City/State/Zip: l "" C I . � ' 4 Phone.#: `� 'LJ Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the 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' 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 I LE] 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 must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 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 and r the pains an penalties of perjury that the information provided above is true and correct Signature: 2,-z 1,t-- J Date: -� 31 G'iOCJ _ 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person,is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable �ppTHE t�ti Regulatory Services Thomas F.Geiler,Director BARNSfABLE. 9 MASS. 1639• A Building Division lfn � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2 Please Print DATE: ,Z '>1 JOB LOCATION: "l I :01-n in(D �,I-p— number street village "HOMEOWNER": name home p `nee# work phone# CURRENT MAILING ADDRESS: (� • ��� /� �tL�' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides.or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. - 'P a,11 =�, L- � Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt �FTHElp� Town of Barnstable Regulatory Services BARNSTABvQ MASS,LE'�` Thomas F. Geiler,Director -Up i63q. `0 rFo�,,prA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA'02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION i ERENCES: ZONE.:RC FLOOD ZONE: :sors Moo:140 Setbacks: Zone C 002 4 124— Front:20 Community Panel No- Side:10 #250001 0016 D Rear:10 July 2.-1992 Wianno % Ave . .0PM aM57.M , % % o geed % CC Light Post O utility Pole ��� ----- i E, GB/oH ___ 1 , 9 ® water Gate (round) s Gas Gate (round) Hydrant �nr y-- overhead wires \ 9 O .c i-1i sir./tRbW I 0X 3'- p rd.u,.rmma ns 5 � i — 11Z69' N 541 W'00 E a3/bN 1 Ify that the structure rnd i hereon conforms to the FW U �x ck requirements of the ,g,.,Byiows of the town 1 43:>' %HEt � TOWN OF BARNSTABLE Application R • Building pp Ref: 200704860 sARAisTASLE. ' Issue Date: 9 MASS 08/10/07 Permft �p 039. Tip MAC A Applicant: SCHULTZ,MARGARET F TRS & Permit Number: B 20071907 Proposed Use: SINGLE FAMILY HOME Expiration Date: 02/07/08 [Location 329 WIANNO AVENUE Zoning District RC Permit Type:yp RESIDENTIAL ADDITION/ALTERATIO Map Parcel 140124002 Permit Fee$ 307.50 Contractor PROPERTY OWNER Village OSTERVILLE App Fee$ 50.00 License Num OWNER Est Construction Cost$ 75,000 Remarks INTERIOR RENOVATION-REMODELING -� APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD MUST BE KEPT POSTED UNTIL FINAL l INSPECTION HAS BEEN MADE. WHERE A Owner on Record: SCHULTZ, MARGARET F TRS 8L CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Address: 196 VIA DEL MAR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL PALM BEACH, FL 33480-4820 INSPECTION HAS BEEN MADE. Application Entered by: IL Building Permit Issued By: [ENCROA IS PERMIT CONVEYS NO.RIGHT'TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR.A. PART THE T TEMPORARILY•OR',PERMANENTLY CHEMENTS ON PUBLIC PROPERTY NOT SPECIFICALLY PERIvtITTED UNDER°.THE BUIL•DING.0 D MUST BE`APPROVED BY? E'JSDIION: EETORALLY GRADESAS WELL=AS DEPTH ANDsLOCATION OF PUBLIC SEWERS MAY BE`OBTAINED FROM'THE DEPARTMENT OF_PUBDIE ISSUANCE OF:THIS PERMIT DOES NOT RHLEASE THE APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLESUBDIV'ISION RESTRICTIONS S .z, MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 3 1 .Heating Inspection Approvals Engineering Dept Fire Dept 2 f . Board of Health i f! I t Town of Barnstable *Permit# OCR 0 14 13 Expires 6 montlis from issue date . y RESS PERT Regulatory Services Fee f T. :� /s Thomas F.Geiler,Director AUG - 6 2007 Building DivisionaLC: F BARNSTABL Tom Perry,CBO, Building Commissioner TOWN 0 200 Main Street,Hyannis,MA 02601 � www.town.barnstable.ma.us 0%9 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address ��vIC1 \AJ t C4-r)n a NA Residential Value of Work // n c o." Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address P 7 . (fin; Co l :f u� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ® Re-roof(stripping old shingles) All construction debris will be taken to &L.—V%��s� 7 ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter tfermission. A copy of the Home Improvement C ac rs ' ense is required. SIGNATURE: At� Q:Fomis:expmtrg Revise061306 i The Commonwealth of Massachusetts Department of Industrial Accidents € Office of Investigations ' d 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/Individual):. Pt le_ Address: &0 Tc 0�L c., _ City/State/Zip: r-✓% 'i Phone.#: 62 V �Q 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 stab-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 8. ❑Demolition working for me in any capacity. employees and have workers' #• 9. 0 Building addition [No workers' comp.insurance comp.insurance.required.] 5. We are a corporation and 10.its Electrical repairs or additions 3j4 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 must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure•to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a I 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 DIA for insurance coverage verification. I do hereby certify under the pat s a d penalties ofperjury th 'e rormation provided above i/true and correct /0 Si ature: Date: �/ Phone k Official use only. Do not write in this area,tb be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2:BuiIding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the' dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." Mc-rL 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()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." y Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies*(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'The affidavit should be returned to the city or town that the application for the-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 n town)."A copy of the affidavit that has been officially stamped or marked by the city or tow 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 tc give us a call. The Department's address,telephone-and fax number:: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.4 617-727-4900 ext 406 or 1-977-MASSAFE Revised 11-22-06 Fax 4 617-727-7749 www.mass.gov/dia oF1NE r Town of Barnstable Regulatory Services BARNsrABM Thomas F.Geiler,Director Building Division Foy Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: r 'r--a a�©U JOB LOCATION: Ulatollo number street village "HOMEOWNER": - - ® (-4 name home phone# work phone# CURRENT MAILING ADDRESS: I oa (0 r 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,pr6vided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirem ts. 1 ) V S ignature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I03/21/2010 15: 17 508-790-4686 PAGE 03/03 Taylor Design Associates, Inc. P. O. Box 1313 )~orestdaile,.AJA 02644 Telephone &Fax: (508) 790-4686 March 20,2010 I Mr. Adam Hostetter Hostetter Realty, Inc. 770 Main Street Osterville,MA 02655 RE Ewald Residence -,A,ddition 3?9 Wianno Ave. Osterville, 'VIA Dear Mr. Hostetter: On March 19, 2010, I inspected the fiaming of the subject residenc . The header at the garage door has been interrupted by 2"x6"studs (5)at each end. T�e continuity of the 3'-8"+/- end wall panels can be retained by using '/2"plywood shea�hing on the interior wall. The roof framing can change the bottom chord to a 2"x6" a@ 12"o. , and raise the bottom to allow for a txay ceiling with a clear height of 9'-0". If you have any questions,please do not hesitate to contact me. _ Sincerely, TAYLM R. Gre aylor,P. , 'i i NOISILAI® 85 :11 lid Sz 8vw GID? 319vistAvo JO MMOI I 03/21/2010 15:17 508-790-4686 PAGE 02/03 Joe 15%AtA.1-2 TAYLOR DESIGN ASSOC., INC. SHEET NO. OF- P.O. 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G/ Area min. 87, � .�0 - � Fron to a ( in)) 20 #250001 0016 0 n ot�e� S.A.S. ,�� ° Width min 100' Jul 2 1992 . tv S 1 O °ia Setbac�s: ) y , :- �0\ Q Front 20 � EXISTING PIT Side JO' tCo Q6 � Location Map: , ,Ib SEE NOTE 10) _ Rear 10' Scale: 1"- 2.000'f \y G>L� Dc� O�� G9 �„ ` EXISTING SEPTIC y r--7TAN D-BOX "j PER �. M T X2006-224 PERC TEST:12,125 Mwonm en JOHN OVIL%mr.-stxINANFllODGIERM TrIiNBSSED RY:DONNA L MI(RANDL Rs.-WW►OFOARMAKE Q O •7 G \ FUWARY21,290{ `9 7� TEST HOLE-1 EL ns TEST HOLE-2 Bz 3js TEST HOLE-3 Ei 33s TEST HOLE-4 ELs tls \ LOAM LOAN LOAM LOAM o� \ , D I AYER I0YR5/6 .LAYER IOYR s16 8 LAYER IOYR 59 9 LAYER,O'YRSA6 C�^ YE LORWOMWN YELLOWISHWO M YELLOWISHNU M - YELiOWINIBROWN '.. M®.SAND WIFEWFM M®.UND WIFEWFna;S IV MED.SAND W,FEWFM 4M®.sANO WIFFIVFNIN PROPOSED CLAYER25Y614 CLAYER23Y6N CLAY0t23Y64 C1AYER25Yd4 \ �, LIOAYELLOWSFEROW LORr sHaww LKW LL9INtOW LKWYM10WISEROWADDITION t JAMSAND It N00ROeNe�WArERA1WIR11�® 3r MC7W 303 SM FF cmw ".0 MO M001DWATER II70QlilEltPD°6 QO \�G _ 2SOULONS I RA78 s 7 1 RA78 2MV Q7� '.. \ ��i3� `�Lp © RON` DESIGN DATA NOaROUMd1VATERIPICOW16RID MDOROUNMATERMAXOMMM Single Family-4 Ba Iu mss With NO Garbage Grinder ,�,O •\ / — — r' \ .+V` O DailyFMW-llOx4-MOGPD Septic Tank:440 GPD x 2009A-880 GPD Use Ex B&91500 Gallon Septic Tank `r1oX< 4�10 \ pc LEACHING AREA 440 GPD 10.74-595 SF Rogoired G s ��-1\ Sidewall-2(12.83 +33SV-195 SF \ \1 Bottom Area-(12.83'x33.5)-430SF o � )� \ \ 1 O(\ 613 SF TotalPmvided ' `'��' LEACHING CHAMBER DESIGN r \ �, �0�o All Pipes tobe Schednk 40.Use r 3N'slow -I I1r \ 1� 3-500 Gal.Leaching(3un*=in 2' LFACHM sum S J•>>� \. \ Jy0 12'-10-x 33'-6"Washed SweF6dds as Shown. CILUMER Le end: \\ \ ` 17.10- CROSS SECTION OF SEPTIC NOTE R O CHAMBER S FF.EL.3S3 � NOT TO SCALE I.Location of Utilities Shown on This Plan Are Appr=At Least72 Hours Deciduous Tree \ Prior to Any Bxeavadon For This Pwjcd 81e Co b=W Shdl make PA.EL 330 FA.EL333 the Required Notification to Dig SaSe(1-886.3447233), 2.The Contractor is Required to seems Appropnot Permits From Town Sallote4(1yp) (p�' Agencies For Construction Defined by This Plan. 3.The Water Line Shall bo Construckd n Condonation Wid1 tk Coniferous Tree COMM water,and Shot be in Accordance With 218 CMR 1.00-7.00 \/ Q 0 dohaftwoff 310 CMR 15.00.The water Line shall be Sleeved Whore Reluhed 0 Water Gate (round) 6� 4•Install Risers to Within 6-of finished Grade(4 Raquh4. 1?xigiog 0 S.Ali Structures Th es Bmree Fedor Mom of Subject 1500 aallao � T-nEL 31AO © Gas Gate (round) �iS, SA P, to Ve kdw Traffic to be H 20 Loading.it is the a*meees ��` D 1)ar A 20 FIo+. i7�n ® Catch Basin C` ��,..�.,.�,,,.µ Recommendation that x 20Always be Used.0 Iron � Septic System tobe CB Hlpe r' P Div F ,�`' �"\ 6 249 CMR 1.00-7.00 Latest Revision Town of Ba stable � El /� "��� . ct.mr>Q -0 Guy 7d�r� p E.I", Hoard f Health - EeddioR.'7"a.dtB�eh � Utility Pole Y oX S '' \ ' ; 8.1n1et Ten ShaBExtend a7.All Piping to be S&40 �c. f10" ra nP&THIoS Asta�ml.sa.Trdr.tof 2 " CNIL BelowtheFlowLme IVUfs-say (SaeNotask9) T6eOWaPa®seof7MSyu® —OHW— Overhead Wires o 2 7„ 9.An Outlet Tee shall Extend 140 Below 6e Flow Lone, DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM 25 Elevation Contour ! �? f w2 and Shall be Egniped with a Gas Beffk EL 23 33x9 Spot Shot Elevation .` ^F ;: '"�` {,,. 10.p Existing LeeachT,Pit tobeTReem�oved,ornbmadonedby NVrTOSCALs " a00Oa""' Pumpong,Cmshulg,andFlilmg. TvTAb.oramdwtrNy TITLE,• Site Plan PREPARED BY.• PREPARED FOR: NOTES Proposed Improvements Sullivan Engineering, Inc. CapeSury 1.) The structures shown were located on the round_ g s Ellen Val en t os by conventional survey methods on 08 JUNE 2007. PO Box 6 7 Parker g rn 59 Road (b At Oste'rville, MA 02655 0sterville MA 02655 PO BOX i 026 2•) The property information shown hereon was 329 2 r r ianI Y I 1�r1 o Avenue ' en a (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fox compiled from available record information. OSferVlll e, MA 02655 3.) The datum used is NGVD '29, a fixed mean ff�RNS�A��E ( ) MA57.5, sea level datum.OstervilleDraft: JOD • Field: ►�l�lK/Owe 20 0 10 20 40 80 4.) The intent of this plan is for the permitting DATE. SCALE. Review: PS Comp/Draft: RRL of a proposed septic leaching area only. Februar 2?, 2008 1 "=20' y Pr0j # 27002 Project # C696 ---- GENERAL NOTES MO r' / i : LOCATIONS ARE BASED ON AN"ON THE GROUND"INSTRUMENT SURVEY AND ELEVATIONS BASED ON u ! 1f9 J THE NAVD 1988 DATUM.COORDINATE SYSTEM USED IS THE MA-MAINLAND COORDINATE SYSTEM, DATUM:NAD 83,UNITS:U.S.SURVEY FEET. :a :n M to /� _ THE FINISHED FLOOR ELEVATION(FIN.FL.EL)SHOWN HEREON IS BASED ON AN ASSUMED 1"LOWER yta v THAN THE SURVEYED THRESHOLD ELEVATION. AN INTERIOR INSPECTION OF BUILDINGS WAS NOT as ds6 2'3 PERFORMED. 466 . ]09 ZONING DISTRICT:RC II 2 44 5tt lis f ,� Q 34 v PROPERTY IS LOCATED WITHIN AN AREA HAVING A ZONE DESIGNATION OF NON-HAZARD X BY THE i , � 1 FEDERAL EMERGENCY MANAGEMENT AGENCY(FEMA),ON FLOOD INSURANCE RATE MAP NO. lie 29 33 �w 25001 C0757J,WITH A MAP EFFECTIVE DATE OF JULY 16,2014. �U4 446 ttl /� tk THIS LOT IS NOT LOCATED WITHIN A DEP APPROVED ZONE 11 WELLHEAD PROTECTION AREA. THIS LOT IS NOT MAPPED WITHIN A MESA NATURAL HERITAGE AND ENDANGERED SPECIES AREA. 46 LOCUS '°' THIS LOT IS NOT LOCATED WITHIN THE SALTWATER ESTUARY PROTECTION DISITRICT. _ THIS LOT IS NOT LOCATED WITHIN THE WELL PROTECTION DISTRICT. �24S /f /� �� �sc THIS LOT IS NOT LOCATED WITHIN THE GROUNDWATER PROTECTION DISTRICT. ia; V 20 ' \ z4 2 ' THIS LOT IS LOCATED WITHIN THE RESOURCE PROTECTION OVERLAY DISTRICT. LOCUS MAP NOT TO SCALE WIND EXPOSURE CATEGORY:ZONE B DEED REFERENCE:CERTIFICATE OF TITLE 212701 UP LOT 235 (SERVICE BY TOWN WATER) PLAN REFERENCE: LC PLAN 2664-115 APPROXIMATE LOCATION- OWNER: JASON AND ROBIN PORTER OF SEPTIC SYSTEM I 59 CURVE STREET FROM TIE-CARD NEEDHAM,MA 02492 N35° 14'24" E 210.02' cn al LOTcq 22,295 S.F. A 18„� I —_ — — — _- co j 18" W AS-BUILT L — — J I m J 14" AS-BUILT FOUNDATION _❑ _ _ _ _ __j > U POOL — Q (4)AS-BUILT SONG-TUBES O a 63.7' / OEz\J N� Z w O O O / 59.6' EXISTING �. #329 \ 16" w Q a�,`HOFd/,�Ss9 STONE 1 112 STORY w — p� CyG DRIVEWAY DWELLING > AIATTHElti C. ^, FIN.FL.EL.=34.2' / \ 1 a S COSTA Z EXISTING \ FOUNDCBDISC BRB Q No. ma? cn GARAGE FOUNDLU �c \ / FESS10��� ° (7 \ w Cq v LC) 16" \ 16" '�SURV� rn ., w 0 AS-BUILT 2 FOUNDATION c9 12" NOTICE / THIS PLAN MAY NOT BE ADDED TO,DELETED FROM,OR ALTERED IN ANY WAY BY ANYONE OTHER THAN CAPE& / ISLANDS ENGINEERING,INC. 44/ u rb UNLESS AND UNTIL SUCH TIME AS AN ORIGINAL(RED)STAMP APPEARS ON THIS PLAN NO PERSON OR ca nj WATER PERSONS,MUNICIPAL OR PUBLIC OFFICIAL MAY RELY UPON THE INFORMATION CONTAINED HEREIN,AND THIS LOT 235 �o o off` SHUTOFF PLAN REMAINS THE PROPERTY OF CAPE AND ISLANDS ENGINEERING,INC. MASQNRY STEP 16 SIGN HYDRANT COPYRIGHT(C)BY CAPE&ISLANDS ENGINEERING, INC.ALL RIGHTS RESERVED &LANDING 20" GUY WlF. ZONING DISTRICT RC —170.7T UP ZONING DISTRICT-"R — w S 29° 49' 38"W w— _w--- ZONING DISTRICT RC W_ WATER _. - ZONING DISTRICT RF-1 W— W— ,�SHUTOFF l� EDGE OF PAVEM-fT W w WATER SERVICE DATE DESCRIPTION BY CHK w PER TIE-CARD PREPARED FOR: CBDH CBDH / FOUND FOUND LAKE ROAD JASON AND ROBIN PORTER C R Y S T A ti (30'WIDE-PUBLIC) NEEDHAM, MA 02492 PROJECT: �uL' iNU jEPT. 329 WIANNO AVENUE Jp 0 2 2020 CBDH OSTERVILLE, MASSACHUSETTS LEGEND FOUND ;, �I: ` '- BARNSTABLE ■CB CONCRETE BOUND SHEET NO.: 1 OF 1 DATE: DECEMBER 31, 2019 ■SB STONE BOUND 0 20 50 100 O RC ROD CAP DRAWN BY: JVB CHECKED BY:MC OIP IRON PIPE FOUND PREPARED BY: HYDRANT SCALE: 1 20' WATER SHUTOFF ® CATCH BASIN SQUARE CAPE & ISLANDS ENGINEERING UTILITY POLE CIVIL ENGINEERING- LAND SURVEYING- ENVIRONMENTAL PERMITTING O- GUY POLE TREE LINE _ INC UKVUKAItU GUY WIRE OHW OVERHEAD WIRES SUMMERFIELD PARK �E LIGHT POLE STONE WALL 800 FALMOUTH ROAD SUITE 301C 508.477.7272 PHONE info@CapeEng.com SIGN ; POST&RAIL FENCE MASHPEE,MA 02649 508.477.9072 FAX www.CapeEng.com CONIFEROUS TREEEl STOCKADE FENCE DRAWING TITLE: Q DECIDUOUS TREE x x x PICKET ROW ® TREE STUMP xx xx CHAINLINK FENCE FOUNDATION AS-BUILT PLAN SHRUB CONIFEROUS SHRUB ASSESSORS INFORMATION: MAP 140 PARCEL 124-002