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Home My WebLink About0203 CARLSON LANE r t E c oxford NO. 152 1/3 ORA m .,r r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel D 'E)EPT Application # 4"' Health Division JAaN282-ov Date Issued Conservation Division '�W 6F BARNS Application Fee TA6L� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis R� Project:St eetYAddress �-0� '�SOAJ1 4 Village &- �/8'Tici�S� wne CMG 0A,1 has Or/�/I/G�F�L. O/l��/E cire��'ss"'" 20.� � Pew r�uest T9A2 __51 W Allz( A900/4 6e4*YA-!5E 7Lf� TU T/LEA S GU ie Sr�}� 32 ''x �D Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 6 Zoning District Flood Plain Groundwater Overlay 6*P_roject Valuation._. Construction Type 2!��W&N 6 5/71-6 RovrN i06V1W S1i 16 Lot Size :41 ,OLD Grandfathered: ❑Yes ❑ y No If es, attach su ppp o�E d /NsPe D) orting ocumentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family (# units) Age of Existing Structure (o Historic House: ❑Yes XNo On Old King's Highway:'Yes ❑ No Basement Type: Full ❑ Crawl 'Walkout ❑ Other Basement Finished Area (sq.ft.) SOa A'Pt'/a-0}C Basement Unfinished Area (sq.ft) �DO� Number of Baths: Full: existing new 0 Half: existing ( new Number of Bedrooms: gawk existing 0 new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing New Q Existing wood/coal stove: ❑Yes ANo Detached garage: O existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size 1Shed:xexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use fiom e SING L Proposed Use S � APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name / �G�L �l��N� --,,,Q phone.,Nurnfjerr_- 6 3(00 &20 Addre�c � �,��SD/l/ (./y • License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATUR - - :DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED. MAP/'PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME t��i? oft a4 , ,Y !� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s.x FINAL BUILDING. DATE CLOSED OUT ASSOCIATION PLAN NO. .Fite Covin-oyrivealtli of- assachusetts Depararretrt of rnd stria1Accidenits f�►,f.�rre offmwstrgadons ' 600 Washington Street Boston,CIA 027M " uYvi-%massgov/din N[Torkers' CampensatianInsurance davit:Builder-siCentracturs/Electricians/Plnmbers Applicant Infat-nation Please Print Legibly 7Ad-dress- n-- rcitwsta,&Zip -W 8qf?4V5 li (Phone JIDF. 3&0 FZ 0,6 Are you a`n employer`?Cheekthe appropriate bo=: Type of project(requii ed)c 1.❑ I am a employer with. 4. ❑I am a general contractor and I 6- ❑New constuctioa employees(full andlor part-time).* have hired.the suir�-coatractors 2.❑ I am a sole groprietai or partners Tisted on the attached sheet.: 7`<Remodeling slip and have no employees. These stab-contractors have g. ❑`Demolition woffing forme in any capacity employees andhave wodcers' [No Workers, comp_insurance comp.insuranmi g- ❑Building addition. required] 5. ❑ We are a corporation and its 1�0-❑Electical repairs or additions C-33.� 'I i-2fhhdmeoum-er doing aU work officers have exercised their ME]Flumbingrepairs of additions self[No workers'comp- =igltt of exemption ger 1 fGL 12.❑Roofrepsirs fnsuranceregnired]Y c.152,§l(4h and we have no p employees.[No workers' 13-❑Other fl(celpv comp-insurance required.) ;Any eppKcautdut checksbox R must also flloutthe sectioubeIowshuniag the rwoxisers'compeasatioapoUcyinfacmauaa Romeowners who submit this affidziM iudi,cztmg they axe doing all'wain and:then hire outside contractors mast submit a new affidavit indicating sa h. ICaatrnctors ftt check this b=must attached an additinnsl sheet showing the nom of the sub-camRrva6ors sud stain whether ar not those eofities hwe employees.Ifthesubtaatractoishave employees,they must pmuidetheir warkers'•comp.policy aumber. lain an eenplojYrr that is prauiding markers'eanrperesafion insurance,for i?zy encploj�ees. $eloty is the paltry aed job site information Insurance Company Nance: Policy i,*'or Self-ins.Lic.;A� ExpirationDate: Job Sine Address: CitylStaW2l p: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and respiration 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$1,50Q00 andror one-year imprisonment,as-ue11 as civil penalties.in ihe form of a STOP WORK ORDEKand a floe of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Iavestrgations of the DI,A for insurance coverage verification_ I clo hereby certefy na r th 'is and penaW es ofpequty thatthe information provided a bogs.is.trove and correct �Sitature. I}eite: dL �Phatre Official use only. Do etot ayrite in this area,to be completed by city artown oij`rciaL City or Tcmu: PermitUcense 4 Issuing Authority(curie one): 1.Bomd of Health 3.Building Department 3.C#ffown Clerk 4.Electrical Inspector 5.Phrmbing Inspector 6.Other Contact Person: Phone#: • Information and lastrnctions• j Massachusetts Geheral Laws r iapter 152 rmpims all employers to provide workers'compensation for their employees. pamianttn this siesta,au employees is defined as."_.every personin the service of another under any contract ofhire, e2press or implied,oral or writirn." An e2ppla er ys defined as"an individual,parinersbip,association,corporation or other legal enfifn 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 mdividnal,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 mamhmance,construction or repair work on such dwelling house or oa the grounds or building app art thereto shall not because of such employment be deemed to be an employes." 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 compfiance with the insurauce.coverage required." Additionally,MGL chapt>;r 152, §25C(7)states Neither the commonwealth nor arty of ifs political subdivisions shall enter into any contract for the p erformance ofpublic work until acceptable evidence of compliance with-the iusm-an ce._ requuEm enis of this chapter have been presented to the contracting authority." Applicants Please fill otit the workers' compensation affidavit completely,by ch=ldag the boxes that apply to your sit cation and,if necessary,supply sub-muft-acto*)name(s), address(m)and phone,number(s) along with their certificates)of amn-a„ce. 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 regoired. Be advised that this a$tdayit maybe submitted to the Department of Industrial Accidents for conf raiation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retrmned to the city or town that the application for the permit or license is being requested,not the Department of Ind u ctri al'Accidents. Should you have any questions regarding the Iaw or¢you are required to obtain a workers' compensation policy,please caIl the Department at the n�ber listed below. Self-insured companies should enter their self-in gran ce license number on the appropriate line. City or Town Officials t Please be sure$bat the affidavit is complete and prided legibly. The Department has provided a space at the bottom of the affidavit:for you to fill.out in the event the Office of Investigations has to contact you regarding the ap.,-- t Please be sure to Ell in the pemiitl]icense number which will be used as a reference number. In addition,an applicant that must submit mvllipIe,pennitllicense applications in any given year,need only submit one affidavit indicating current policy information Cif necessary)and under"Job Site Address"the applicant should write:"all locaticns in (city or town)."A copy of the-affidavit that has been officially stamped or marked by tht city or town may be provided to the applicant as proof that a valid affidavit is on file for fuitme permits or licenses. Anew affidavit must be filled oit each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i-e. a dog license orpennh to,bum leaves etc.)saidpersonis NOT requmedto complete this affidavit ake to thank you in advance for your cooperation and should you hae v any The Office of Investigations would l questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. Tha t�ammaaweal$t of I1lass ChustM ' Department cif lndustial Acaldf nt% Qffi=of ire gktio-- 6QQ,WashingtGn.St=t Baste MA G� I I Tf~l.#617 727-49QO cmt 406 or 1-8-77- SAFE Fax#617-727-7749 Revised 4-24-07 � �� AWC Guide to Wood Consfracdorr in ffVz Wind Areas:II d mph Mind Zone Massachusetts Checklist for Compliance(7so m4R530t•�l.l)' - P1 cti=lc . Compliant 1.1 SCOPE. Wind Speed{3-sec-gust)_-_____-.___.._____._._._._-.__._.-...___.-__------_ _.110 mph Wind Exposure Caiagory__...-_._-._.__---._.__.-_.-_.-..------------�-_.. B Wind Exposure Category-.:.............Engineering Required ForErrtire Project......................................C 12 APPLICABILITY -plumber of Stories(a roof which exceeds 8 in 12 siape shall be considered a story) stories 5 2 stories Roof Prloh .- -_.----___._.-- ----- ._.__.._(Fg 2) ------ ----.----- s 1212 Mean Roof Height ._-_._...._.-___.._(Fig 2)-_____..--...--- --____-_ft s'33' Building Width,W___ _._______---.----_.(Fig Building Length,L _.___-_-•----__--- --(Fig 3)- ..-.____._.-_-._ _ft s 80' Building Aspect Ratio(IIW) (Fig 4)-- -__.._____. <_3=1 Nominal Height of Tallest OpeningZ _-___-•_-- __-(Fg 4)-- -----.----:-- 5 6 6" 13 FRAMINCi CONNECTIONS General compliance withframing conneCZDns_...-__:-.(Table2)--- ---._.-_--------_---- 2-1 FOUNDATION , Foundafion Walls meefing requirement of 780 CMR 5404A Concr ......... ............_.._:.......................:....._.................... .............................................. Concrete Masonry....... 22- ANCHORAGE TO FOUNDATIDNt- 5/8`Anchor Bolts�hbedded or 5/8`Propnefary Mechanical Anchors as an abrhafve in concrete only Boft Spacing-general ...........--------------------- .(Table 4). ------_.-__-.- Bolt Spa=*-g from endTo¢rt of plate (Fig 5).----':._ Bolt Embedment-concrete.-_..--- .—(Fig5)------ ----_-_- in.>_T Bolt Embedment (Fig 5) _ _-r---....___-_ in_>_15" Plate Washer_.---•-- --._..--__ -__ _(Fig 5)________ 3.1 FLOORS - Floorframing member spans checked ------w(per 7B0 CMR Chapter 55)-.---------_-_.-..... _ Maximum Floor Opening Dimension----.___--- (Fg 6)._---._-._.-_---_.___. ft<_12' Full Height WagStuds at Floor Openings less than 2`from Exterior Wall Fig 6)-------------------------- --------- MbXiM im Floor Joist Setbacks SuppDt fing Loadbearing Waifs or Shearwall-___-(fiig 7).._._--.___._.-.__._-_.-.-. -ft <d Maxdmum Canbleven:d Floor Joists , Supporfing L•aadbearing Walls-or Sheanvall--- (Fig 8)__. .____-_ _ftsd FloorBracing at Endwalls-.___. ...___ r_____- -. ._Fg 9)----_.--_-._.-- - _ -- Floor Sheathing Type ----------.--_.___ _ ._(per7B0 CMR-Chapter ---;--_-- Floor Sheathng Thickness (per 730 CMR Chapter 55)...... in. Floor Sheathing Fasfarimg 2)__d nails at in edge/_in field , 4.1 WALLS Wall Height Loadbearing (Fig 1fl and Table 5) -- _-- ft 510' Non-Laadbearing walls- ----- (Fig 10 and Table 5)--.._._._-__ft 7520' Wall Stud Spacing -_..-.--(Flg 10 and Table 5)_+.__-_in!;247 o.c. Wall Story Offsets ___._.__..__-____(Figs 7&8)_. _..__-.___ _ft 5 d ' 42 tDCT M OR:WALLS Wood Studs - [sradbeating"walls-_.__._._.__..._._....._._. - ft in. Non-Loadbearing galls - _-. _ ut Gable End Wail Bracing t Full Helot Endwall5tiWds_.__.__:_. ._---_-_-- WSP M&Floor Length ft zW/3 _ 'Gypsum Cuing Length[rf WSP not used)_.-_...._:.(Fg 11) -.-.- ._...,.�__._ft 2:0-9W _ and 2 x4 Contirruous Lateral Brace 9 6 ft:o_c_-(Fig 11)....................... or 1 x 3 ceiirmg fining strips @ 16'spa6mg•min.wi6r 2 x 4 biDaking @ 4 ft_spacing in end joist ortruss bays Double Tap Plata Splice Length - --.- -------(Fg 1 3.and Table 6) ft SpffM-Connection(no.of 16d common naN.)- _-_(Table 6). _ ---_-:-- - AFYCGuide to HVood Catrstructiort irk ll iglr *71ndAreas. 110 mph gird Zoix ' Massacl;<usetts Checklist for Compliance(7so CLIR5301 l.t)I Loadbearing Wall Connections ' Lalera! (no.of 16d common nails)_ _-- Non-Lvadbear➢ng Wall Connections Deal(no-of 16d common nags)-----(T?ible B) Load Bearing Wall openings(record largest opening but check all openings fnr compliance to Table 9) able 9 Header Spells (f_.._-_ -_.__._.._._�.__....---_. )..._-z_.._.-__..-_._tt_in. 1 Sill Plate Spans -_ __ .._ able 9 Full Height Studs (no. of studs)___-______--._(Table 9)--------:-- Non-Load.Bearing Wall Openings(remrd largest opening brit check all openings for compliance to Table 9) 9 c Header Spans-•-•---.____---------- -.:.-.-___.._.__(Table )----.___---_-_--..—ft n_c 12' 121 Sill Plate Spans-.-._-----�. ____-(Table 9)__-- --- — FLA Height Studs(no.of studs)_ ____-_---- E)da-rior Wa l Sheathing to Resist Uprdt and SheaL Simultaneousfy4 Minimum Building Dimension,W Nominal Height of Tallest Dpening2 ................._ --•-_--------_--------•--.- 5 6'B' Sheathing Type-----------(note 4}---------------------:-- Edge Nail spacing—__ _ -.(Table 10 or note 4 if less}---------___-- in Feld Nail Spacing__..___ _ _ --_-.(Table 1D).—_--______ _— in Shear Connection (no.af16d common nails)(Table 10)----_ Percent Full-Height•Sheathing.__-- 5°l°Additional Sheathing for Will with Opening>•6'w(Design Concepts)___._.__.__- ' Maximum Building Dimension,L Nominal Height of Tallest OpeningZ__--------------------------------------------------------=----!5 SIB_ ` Sheathing Type.__ ------_..__-(note 4).__.______..----__-------_--_-- Ed a Nail S akin -_ -_ able 11 or note 4 ifless _.________ ------ in. g P g-- -- R ) Feld Nail Spacing-------- -.__ __---;_(Table 11)_______-_-------.------•-•-- in. Shear Connection(no.of 16d common nails)(Table 11)---.--. - percent Full-Height Sheathing-_----.(Table 11)___�_ 5%Additional Sheathing for Wall with'Opening>SW(Design Concepts)_...__._--._ Waif Cladding Raised for Wind Speed?-.___-_ 5.1 RooFs_ . Roof framing member-spans checked?_-_---. .(For Rafters use AWC Span Toot,sae BBRS Website) Roof Overhang --------------------------•--- ------(Figure 19)____._----- ft s smaller of 2'or L!3 Truss or Rafter Connections at Loadbearing Walls = Proprietary Connectors Uprdt__-__.___._..—____—•(Table 12}--•-- U= pif Lateral ._._. _--_(Table 12)__-__ _-------.--.--1= Pff Shear----- -- ----[fable 12) --------- -------�' P� Ridge Strap Cannections,if collar ties not used per page 21... (Table 13)___________._..__.._T= pif Gable Rake Outlooker---------------- 20),___--- ft s smaller of 2`or LR ' Truss or Rafter Connections at Non-Laadbearing Walls Proprietary Connectors ib. Lateral(no.of 16d common nails)--(Table 14)......-------------------------------L= . Ib. Roof Sheathing Type-_--.--_ ____----(per7130 CMR Chapters 53 and s9)............. - Roof Sheathing Thickness___....- -___.-----__----- _--. irL>_7l16'WSP Roof sheathing Fastening___...._. _-_._._.---.(Table 2)------__-.-__------ -----._---_ Nouns- •1. _ This di x*fst shall be met in its entirety;excluding the specific exception noted in 2, to comply with the nequirements of 713D CMR5301.21.1 item 1. If the checldist is met in its entirety then the fallowing metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 2b Gage Straps per Figure i 1 i. Uprdt Straps per Figure 14 d_ All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure Iab 2 'Exception:Dpening heights ofupto a ft sh2U be permitted when 5%is added to the percent fluff-height sheathing requirements shown in Tables 10 and 11. 3- The bottom sill plate in eXterior walls shall be a minimum 2 fn.nominal thickness pressure trued 2-grade- ' ATYC Grcide to Wood Cormc-Yctioa ur Hji�[r 111 ndffr-eas_ 110 rnph H17sd Zo ne Massachusetts Checklist for Compliance(7so crvm s3.n2 I_I)r 4 _ a. From Tables 19 and 11 and location of waq sh-eathing and Buil&g Aspect Ratio,determine Percent Full-Height Sheathing and Mail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows L Panels shall be installed yvffft strength axis parallel to studs, ; I All horizontal joints shall occur over and be nailed to framing. uL On single stoiy construction,panels shall be attached to bottom plates and top inember of the double top plate. - iv. On two story construction,upper panels shall be attached to the top member of the upper double top plats:and to band joist at bottom of panel Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plata at first floor flaming. v. Horizontal nail spacing at double tap plates, band joists,and girders shall-be a double row of ad staggered;t 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)'new house or horizontal addifibn—required if pplEd'is i mule or doserto shore(generally,south of Rte.28 or north of Rte.6) b)vertical addrlr'on—not requlred uriless then:is extensive renovation to the first floor c)replacementiMclows—needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B maybe obtained from the American Wood Council (AWC)webstte, WrMUMM RESrs ON FRar+rt=USEsdRA S ATS-bx- • it 11 • u N , tl II I 4 - [ Q` Ft H • l Cr t -.Is • 11 11 1 Q t t o it l a t s [r Ir rz r I •I? tl I :E 1 r r I( u 1 r r . .o i1 r r .. W k It I ,u 1 t ti 1If (I= Y _ I, 11 t l t r r I3Dt1fa� - -STAGGERED s'MYd f rAE-`?Atli — 1` 11ML?A77 H?t r Z PANES. iFri'K= mcm Oou9rEr+44Q_Ei)C�ESPAGiYCs bEIAL See aetril fln Naxt Page - Vertical and HDrizontal hlaring Detail - VeriiC31 far Panel Attachment t sod Holizanfal Nailing for Panel Attachment ofly Town of Barnstable Regnlatory Services - ' @ Si14Nlw•lR.T4 i y MAsM P Chard V.S=H,D rect= Building Division / TomPerry,BmZdmg Commissioner 200 Maim Street Hyannis,MA 02601 � wwyr townbarnstabI m2-us Office: 508-9624.038 Fa= 508-790-6230 Prope4 Owner lYlust Complete and Sign Section If Using ABuilder as Owner of the subject Property benebyautboIIze / to act on mybehalf, in all=ttPss Mhtim to wozk authonr d bythis bmIdiag Pe=it aPP Iication r fo . , (Add=ss of Job) '-Pool fences and alai n-s are the responsIRE7 of the applicant Pools are not to be filled 6r ufized before fence is installed and all final " inspections_are pelf =d and accepted. S4at= of Owner SknataM of Applicant PrinrName ///� PrintNa= Date QFORn�s:owt��ssmr�oors \�.� y . 'down of Barnstable Regulatory Services �uCCE r � Billiard V.Sufi,Director Rilffi ing WVMon. t Z Tom Perry,Bu ffing Commircinn^r 20D Maim Street, Hyamus,MA 02601 Wye VVAD rMb-mst2ble ma Office: 508-862-4038 Far: 508-790-6230 $OIMOWNER U:EcREXEIRox JOB LOCAnML 3 Cd iLSoltI ST�'t3& soMEo - / OMSL P`ONN6 J08 .3&0 D-04 . 7 b—phMn # CCJBRENT MAU-WG ADDRESS: ---- 1N 13STf3GE NJ D�� The n„=nt exemption for`homeowners"was Wi de nded to inclp o of snc 1mits or less and to allow homeowners to engage an individual for hkmwho does notposscss a license,gtoyided thatthc owner acts as supervisor_ DXFDqILON OFHOMEOWN7 8 P=on(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- famrly dwelling attached or detached stmc==accessory to sack use and/or farm sftuctiuss. A person who constructs more than one home in a two-year period shall notbe considcredxhomcowner. Such"homcownee',shall mbmitto the Building Official on a form acceptable to the Bm"]dmg Official,thathrAhc shall be r=onsible for all such workperformed uaderth,e buildmz yeack (Section 109.L1) The undersigned`,`homeowner'ascrt =responminI-Uy for compliance with the State Bmldmg Cods and other applicable codes, bylaws,rules and mg httans_ - ')hc undcoigned`homcownm"ced f=thathelshe uadeast m&the Towa ofBamstable Building Deparfta=tmmml=inspection �regniiemenfs andthathe/shc will comply with saidpmcedu=andreqaiements. • App=r4 ofBm7dmgOffircial • Note: 'Three taomay dwellings contamfog 35,000 cubic Rzt or larger wMbe reqaired to comply wrththe State Buadmg Code Secdan 127.0 Cauemc ion C'OutrDL $GMEOW CIS pox The Code states that: 'Any homeowner performing work for which a buiZdiag permit is required shall be exempt from the provisions of this section(Section 109.1.1-Lirnn sm- of construction Supervisors);provided that if the homeowner engages a person(;)for hire to do such work,that such Homeowner shall act as superYisor." hfa uy homeowners who use the exemption are unaware.that they are assuming f e responsfotTities of a supervisor (see Appendb[%R.nles&R.egolations for Licensing Constrncfion SIIperdsors,Section 2- 5) This lack of awarraess of= results in serious problems,pmficularly When the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as if would with a licensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is&UT aware of his/her respoasibzlifi-es,many conrms�es require,as part of the permit application, that the homeowner ccztify,that he/she understands fhe responsibMes of a Supervisor. On the Last Page of this issue is a form currently used by.several towns. Yon may caret amend and adopt surly a fo rm/er_*t+firatrnn for use in your community. Q-l�PFII FS1FD�d5'L�""�•��gP�f�.s1l��8FSSdoc . Rtvised D61313 103 C rJ BA F6WP- P6Av Ql/ ' 7 ' G c(( S-n NC- 8-AT+ CrElLIN G i DNS 1 r/0/L/ yrj5V//t f ;C7/pj&-I,� tA.6S kub lxl- S /Vbs �4 P /ff 6n� 'SZS 3 6 6 FrZo .6 _ Commonwealth of Massachusetts official Use only Department of Fire Services Permit No. ~_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(IyTEC),527 CMR 12.00 (PLEASEPRINT.ININK OR TYPEALL INFORMATION; Date: . City or Town of: &M&S7-,4,3 L E To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps /.. Volts _ .Overhead❑ _, Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity + Location and Nature of Proposed Electrical Work: Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o.o Emergency i ng g_rnd. d. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total No. of Alerting Devices Tons g No. of Waste Disposers Heat Pump Number Tons KW. No.of Self-Contained Totals: IDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kyt. Security Systems: No.of Devices or Equivalent No. of Water KW No.of No.of Data Wiring: Heaters Ballasts �•. Si 5' No.of Devices or Equivalent Z Telecommunications Wiring: No.Hydromassage Bathtubs No:of Motors - Total HP No.of Devices or Equivalent [OTHER: CAttach additional detail if desires{or as required by the Inspector of Wires. IL INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in.accordance with NMC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (Ifapplicable, enter "exempt"in the license number line) Bus.Tel.No.; Address: Alt.Tel.No..• OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. s, X=�. MSS PEP-4-MIT o Town of Barnstable *Permit#o o � 0 7,301 24 2015 Expires 6 months from issue date Regulatory Services Fee szast e s RARNSTML.E Richard V.Scali,Director prFO MA't A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number l?;� Z(,) " Property Address —(�;d (! 6,1154wj /i �J �J 'b A,QAv--l-"iL []Residential Value of Work$ aJ jOp Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 11711&- /Jjo 2s- 0 3 41,4-/osJ LA-) 5-4+W r Contractor's Name qv•-y K U-e-,rrI'( � Telephone Number S aS�3$S'8So I Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance 7 k one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name �✓'14u o�o'j Workman's Comp.Policy# /S— Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) /n ❑e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to )�!e— 40L, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign.Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE `Z r V=- QAWPFILESTORNIMbuilding permit forms\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetty ` Deparonent of 1'ndaastrial Accidents t - - -- Office of Investigations 600 Washinglon Street - Boston,CIA 02111 wmv.artas&govldiaa Workei<s' Compensation Insurance Affidavit: Builders/ContractorslEiectricians/Plumbers Applicant Information Please Print Legibly Name(Bus- 'onandividnal)� Q t Address: -- - // pe_,L�, City/Stat&Zip: LU Av-IUoL Phone#: �b h 359 � 6 Are you an employer?Check the appropriate boa: Type-of project(required): ant a contractor an 1.❑ I am a employer with 4. ❑ I gel d i 6. New construction gees(full and/or part4ime)* have hired the sub-contractors 2. am a solle 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 wodcers 9. ❑Building addition. [No woricers'comp.insurance comp-insurance.$ required-] 5. ❑ We are a corporation and its 10 E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions, seF£ o worloers' right of exemption per MGL �` � - 12.[_1 Roof repairs insurance required.]8 c..152, §1(4X and we have:no employees.(No workers' 13.0'Other comp-insurance required.] •�hny spplic�fat checks box#1 mast also fill out the section below showing the¢uu&ers'compensation policy informatiao- Ii�omeotvners who submit this affidavit h dccatiaeg they are doing all vat and then hue outside coattactors nmst submit a new affidavit indicating such. fConttactors that check this bwL must attached an additional sheet showing the name of the sub-conuz ors and state whether or oat(hose eatities have employees. If the stabaaatn3ctotshave employees,they ffiastpmvidetheir worken'comp.policy number. I am an eaaaployer tltat is providing workers'cougmisaiiott iusrrrance for rwy employees. Below is die policy and job site informadom Insurance Company flame: Policy#or Self=ins-Lic.#:L,�U X -- y G fi> 31— 3 /3— Expiration Date: 2 Job Site Address: 6 4u ASea�j City/State0p:ZZ., t/Sf�t h`se 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 foram of a STOP WORK ORDER and a fate 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 ofthe DIA for insurance coverage verification. 1 do hereby certify rander the pains andpenalties afpedwy that the inform ation.pry ded above is and correct Si ttrre: Date- Phone 9: N2 fl Official use only. Do not avrite in this area,to be completed by city or town official City or Town: Peramt/License# Issuing Authority(circle one): 1.Board of Health 2.Biding Department 3.Cityrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: L�pFTHE tp� ' * BARNSTABLE, MASS.: Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnstable.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:\WPHLESTORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services OF1ME tOiij� Richard V.Scali,Director Building Division IIAENSTA13M ` Tom Perry,Building Commissioner Mass. 039. `�� 200 Main Street Hyannis,MA 02601 arFo a 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 he/she shall be responsible for all such work'performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with'a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe Revised 040215 MID CAPE ROOFING %j 0 11 RUSSO ROAD L WEST YARMOUT 1,MA 0M73 508-775-3799/508-385-8801 Barry Merrill Paul Merrill .�/y --== a Job Site Address _ _ _-- Mailing Address Name: mi z v, : z Name: Street Street:. . . . °-"- City: j ii r 1V 5� �Ia City: 1 " Telephone: Telephonc. rAbix r We hereby propose to furnish all the materials and all the labor necessary for-the-completion of rood•--- :-- replacement of the dwelling at the above address. Mid Cape Roofing proposes to remove and dispose of the existing roof. The roof will be replaced with Certainteed landmark 240 lb shingles. Aluminum drip edge will be installed along the gutter line. Ice&water shield installed on bottom edges t to protect ice back up. 15 pound felt paper will also be applied. The shingles will be installed using 1'/4 inch roofing nails. New pip`a tv coen liars will be installed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of the attic space. Mid Cape Roofing guarantees the workmanship for a period of 10 years. All walls and landscaping will be protectgfrom damage;the property will be raked and cleaned of all debris. All material is guaranteed to be as specified aid the above work is to be performed in accordance with. specificRtln—submitted for above work and completed in a substantial workmanlike manner for the sum of: $?5-5c'o -All discounts have be7 applied. Payment made as follows: = Deposit of: $85-ect a the day the job is started and remainder to be paid on completion. Any alteration 6r deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner. Respectively Submitted-by Mid Cape Roofing NOTE: This proposal may be withdrawn by Nfid Cape Roofing in not accepted within 30 days. Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid Cape Roofing is authoriz�to perform work as specified with payments made as outlined above. Accepted: ;t;=r �"�t.e1616 r-'�' w m ' - �-�--.: v/ze�poorurna�acuear!Cl o��,/laaear�ccae,••; }J. . � ~a-=• ----- -_-_�:_..:,__. _--�;_._._ ._. _�. Licen$e.o"r,:rggistration valid for individul use only t --Office of Consumer Affairs&Business Regulatign .��...', ._ . ; ,... ME'IMPROVEMENT CONTRACTOR before the`exp'iration date.'If found return.to: UWe Office of Consumer Affairs and Business Regulationgistration: ::1.61458 Type:piration: 1.0%20(2016 Partnership. 10 Park Plaza-Suite 5170 Boston,MA 02116 , MID CAPE ROOFING c ,.BARRY• MERRILL K' _fJ1 •,.r, I . 11 RUSSO RD.A. G -WEST YARMOUTH,MA 0267a ry 1 Not v lid without signature � • Undersecreta ' h Massachusetts -De ~---- - . partm, t of Pu Board.of.Buildin bhc Safety g Regulations and,Standards. Construction Supervisor } . License: CS-054428tv �' ', • PARR3'BS1CUM 1VIEDD �� NUT7 CENTERVU,LE LKp Commissioner Expiration •05/21/2016'.' Town of Barnstable cF THE�qY W �P� tio Regulatory Services Thomas F.Geiler,Director `t!f • RAMSTABLL • 1 MASS. Building Division f bV p�Eo►�'�° Tom Perry,Building Commissioner V 6 200 Main Street, Hyannis,MA 02601 0Y-- Q/ www.town.barnstable.ma.us I Office: 508-862-4038 Fax: 508-790-623( . PRA4 PERMIT#�O�� FEE: $ SHED REGISTRATION 120 square feet or less ZO 3 CAALOy -Al Wes r &0tZ7A61� Location of shed(address) Village MIG4f �IOA)NC: 5-OS 3(oZ 6 s �- Property owners name Telephone number —+ =V x Size of Shed Map/Parcel# . tv � a-0d (o Signature Date Hy_annis.__Main_Street Waterfront Historic District? o-ld_King_s_Higbway Historic District Commission jurisdiction? i C.onser_vation Commission(signature is required)- Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS, THIS FORM MUST BE ACCOMPANIED BY A L- OT_PLAN Q-forms-shedreg REV:042506 I Application:to: Odd King s Iighway Regional Hisocic District Committee in the Town of Barnstable for a CERTIFICATION.OF EXEMPTION Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work'as described below and on plans, drawings, or photo- graphs accompanying this application. . DATE TYPE OR PRINT LEGIBLY a ll 2 ADDRESS OF PROPOSED WORK `®J 6 f)Q —' " ASSESSORS MAP N0. —>3 [� . D IO/�IN� ASSESSORS LOT N O. 5 OWNER HOME ADDRESS _<A �3 C' � 161 `"' ' TEL. N0. AGENT OR CONTRACTOR ADDRESS TEL, NO. This application is for exemption of proposed exterior construction on the ground that: ❑ (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition Is involved, show. ing location of existing building. A-MAC4�0) Qkf610AZb FPNT IGNED Owner Gontractor-Agent Space below line for Committee use. . 9?%'v "; The Certificate is hereby Date AUG 2 3 .806 1 Time ,N S-ABLET CNEA V Date Approved y❑ The categories of work entitled to exemption are listed.on Disapproved ❑ the back of this form. f Why guy A rime Harbor Po Shed f ° Pine Harbor offers you superior quality products. ° We are a hill service family company with a.knowledgable staff in the shed business for over 30 year%. • Our certified installers are dedicated to building you a quality shed. Our Post &-Beam sheds are built with a Post &Beam frame system for rugged durability. Precise scheduling and on time installations. Free site analysis and consultations. Pine Harbor offers traditional New England designs. Our standard and custom designs offer flexibility to meet your storage needs. ° We have more standard features and endless options and .� .4 accessories to customize your shed. Convenient locations with great displays and store hours. 3� k a � lan° Competative pricing—Having sold over 10,000 sheds through- out d we are confident you will get the best shad �., �, �- �- � �,•�.., New Eng y g ' for a great price. 'P • We. install sheds and deliver shed kits throughout New England and beyond. Standard Post & Beam Sheds Come With: X"plywood floor& roof CDX exterior grade •.Post.and Beam frame •Board & batten siding •6'5"inside wall height •36"!standard door, with free 40" ramp •Heavy Duty handle •Stationary windows with flowerbox and shutter •25 yr.Asphalt shingles • Louvers for ventilation •Solid concrete block • T'x 6" Pressure treated floor framing (2"x S"on 12'deep sheds) T _ In extreme circumstances and supply shortages, Pine Harbor Wood Products reserves the right to use materials of equal or better quality. ..' !'--" fLt T 1 YT T FY[11 T�Y11■ M1A�C /11/C 416,e z Div/UST i!:*E91f�bv6 V/7U/ 40F DEC AUG 21 2006 TOWN OF BAR BILE HISTORIC PRESERVATION 41 cs, S L O T i 1'' 3 t-203 GAR. { �= L OI f LOT 2 r 4 3. 551" . F. 's .- S?'REET ADDRESS: +R203 CARLSON LAPS xx ASSESSORS- U4P 133 PARCEI 57 OWNER- 11 .1. $-_0ff_ tNFn I ARID .�. DEED REF. . Y . 11208 PC. ?� `! PLAN REF. : Pi.. 8K. 389 6. 5 LOT 2 I � J I i ! i g(}iFAN OF 9ARN37"SSE ZONI 6 BY-LAW DATED MARCH I4.. 1997 ZONE tq,f- I CERTIFY THAT TO THE REST OF MY PROF SSIOMAL ! XR0WL E'133E.' !R+:OR�.�!T f DH AMD &EL!E'F Ts'•!E rWEL L P lrG SE.TUAICta FRONT 30 SNE�;�N HEREONC:D:4'FOica4S TO rug :�`0171ZO.g17s'if'SETBACKS TBAClt3 1 S!DE 1,5 OF THE ZONING BY-LAW FOR THE R-F DISTRICT � REAR - 15' !t . Pf?O?E P�Y L!t'JE� r � HEP.EON THE LOT SHOKW HEREON i S IN FLOOD 6•IAZARD ZONE G WERE COMPILED FROU AVAILABLE AS SHOWN ON �P 250001 OC�11 D. D�td� D UV t. PLANS OF RECORD AND De NOT REPRESENT AN ACTUAL SURVEY {�U�j 2, L000 J OAI THE GROUND_ � f�y��'UJ:�ar — — T01� N1CTrT"17 : i iON i i J COTUIT OL i sTREET OL ,S85 °34 �?cq-E -7 ,w 7073 �� \� - LOCUS 3;- Ql� -PLAN 257=27 i ROAD TAKING IBRYANTS BA Y A. M. 20-135 LOT 37 lrj y POOLf� LOCUS MAP PLAN REF 125-123 & 257-27 DEED REF 19224-233 ZONING: "RF" SETBACKS: 30, 15,-15, ` FLOOD ZONE. C 11 PANEL NUMBER: 250001 0021 D Q ,,,,,,,,, � DATED.- 07-02-92 Q ,,,,,,,,,,,, ti�O �c ' PLOT PLAN OF LAND LOCATED AT �� 1C 11 GROVE STREET COTUIT, MA. DECK PREPARED FOR. 1 1 TOM KLEIN � Q POr_'hfk`g � MAY 31, 2006 16\ CO ,�� FND) AREA=17295 f S. F. otiQ) � p��N REV AUGUST 09, 2006 \ . ._. A. M. 20-111 /`�I) °AYE. REV- Q , � ,� REV.• �Q LOT 35 -S ,�y YANKEE LAND SURVEYORS � ..,96 & CONSULTANTS GRAPHIC SCALE P. BOX 265 UNIT 1 20 0 10 20 ao , 40 INDUSTRY ROAD 00 C.B. MARSTONS MILLS, MA 02648 (FND) I TEL• 508-428-0055 FAX 508-420-5553 r 1 inch = 20 ft. SHEET 1 OF 1 JOB �!' S4080 JF i I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address ]( � C (A' Y-Is p v-\. 4.-�.i_K Village Owner Address Telephone Permit Request ry i Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Cl Gas ❑Oil ❑Electric ❑Other Central Air: O 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:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes Cl No If yes,site plan review# Current Use y�Proposed U Use,,, �_BUILDE ORMATION '`N I 1 Name Telephone Number Address 2a ,' &aly lam/, License# f IIA Home Improvement Contractor# A� L/ � �� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I.SIGNATURE=" ` ' AATE�`�"`'� FOR OFFICIAL USE ONLY f PERMIT NO. DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION ti FIREPLACE ti ELECTRICAL: ROUGH FINAL i Y r: PLUMBING: ROUGH FINAL `t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r 1 °FWE Town of Barnstable Regulatory Services BnxxsT�& Thomas F.Geiler,Director 39. ON 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 CHANGE OF LICENSED CONSTRUCTION SUPERVISOR i owner o 1property located at �3CAX&SO1 , hereby certify that 14 , k6AD61 AG is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# 04� issued on 200 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. 6ZI PROPERTY OWNER D q/forms/newcontr reference R-5 780 CMR rev:080102 Town of Barnstable Dp THE Tp� ' Regulatory Services Sszns . = Thomas F.Geiler,Director BARN9q, MASS.9 � Building Division ATFo Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAown.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �- Please Print /� , c IOByIACATION: 2�3 r W OAV LQ /number 1 / street village "HOIvIEO/"�461�1�G L DZOAM J (J l0 z (O 1[e name home phones# work phone# CURFtENT��MAI]!TG•ADDRESS: _V rwt SON 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 woik 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 To of Barnstable Building Department um' pection procedures and requirements and that he/she will comply with said procedures and re ents t Signature of Home 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 on(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 pemvt 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 -\ i/�Y VVIII/I-V/-I-v�r�/- rrr wr�w../-wvr-- ` Department oflndustrial Accidents Office of Investigations 600 Washington Street Bostoy, M4 OZlll ' www massgov/dia' Workers' Compensation Insurance Affidavit: Butiders/Contractors/Electricians/Plwnbers Applicant information Please Print Legibly CName�8s/prgaaizatioallndividual): &laIFL Z)lyrN�ys✓ Address' City/StateMp: Phone M 36Z Are you an employer? Check the-appropriate boa: Type of project'(required): 1,❑ I Mn a employer with 4. ❑I am a general contractor and I 6. ❑New construction employees (fall and/or part-time).* havehaed the sub-contractors 2.❑ I am a sole proprietor or parser- listed on flee attached sheet $ 7. ❑ Remodeling ship and have no empployees 'These sub-contractors have SS ❑ Demolftion working for me in any capacity. workers' comp.insuranea 9. ❑ Building addition o workers' Comp.insuramo 5. ❑We are a corporation sad its Cd officers have exercised their 10,❑ Elcctricalrepaizs or additions 34JZ2hLuwm0jdo-Tag an work right of exemption per MGL 11.0 Plumbing repairs or additions elf o workers' co c. 152,§1(4),and we have no 12. Roof repairs ' . , �?ozXs �� I �' o ' ❑ eP • insurance rapured:]t : employees.(N workers 13.❑ Other cam,insurance required.] *Any applicant that checks box#1 mast also U out the section below ahowkg their workers'compensation pclicyinformatiom.' ' t E=eownen who submit this affidavit indicating they are doing all work sndlhen bite outside eoatractca mast submit a mew aMdavh iadioatiag auoh. ;Contractors that check axis baud mast attached as additienel aheet showing the name of the sab•contraatora and their workers'comp.policy Jxformatioa. I am an employer that is providing workers'compensation insurance for.my employees. Below is the policy and4ob site 'Information. .Insiaanco CompaayATame' .. . Policy or Sena.Lac.iz Job Site Address: City/5tatc/Zip.. Attach a copy of the workers' compensation policy declaration page(showing the policy number and W.iratlon date). Failure to secorg-covorage as required under Section 25A of MGL c. 152 nail lead to-the imposition of criminal penalties of a fine up to$1,50090 and/or one-year impriso�ent,as well as civil penalties in the-form oi`a STOP WORK ORDER and a fine of up to S250.00 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 c fy nd ,e pains and penalties of perjury that the information provided above is true and correct; R Vie: .�D`ate• C� `�oG . . Phone#; i iai K3f sue}. I3o t tea, e e pre d.#3 dy'-or .t om City or Town- Isermftliceuse# Bssniug Authority (circle one).,' 1.Bo2rd of,health 2.Building Department 3.City/Town Clerk a.Electrical inspector 5.Plumbing Inspes,tor 6.Other CoutactPersov: Phone#: Information and Instructions Massaebusetts General Laws chapter 152 requires all employers to Providewb*MV c0mpensafion1or-1W 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,.oi al or written." An employer is defined as-"an individual,partnership,association;corporation dr other legal entity,or any two or=Wore of the forrgomg engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the . receiver or trustee of an individual,partne 4,association or other legal entity, employing emnployees. 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 m such dw-eIling house or on the grounds or building appurtenant thereto shall not because of such employment bed.eemed tube an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall witbhold the issuance or renewal of it license or permit to operate it business or to constmet buildings in the conun nwealtb for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states 17jeither1he commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of coma liance With the insurance requir=mrts of this chapter have been presented to the contracting authority." Applicants Please Mi Out the workers'compensation affidavit completely,by checldng the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(a)along with their certificates)of insurance. Limited Liability Companies(LLC)or-Lmrited Liabfiity Partnerships(LIP)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. At advised that this affidavit may be submitted to the Department.of Industrial Accidents fur confirmation of fim=ce coverage, Also be sure to sign aad date the affidavit. The•affidavit should be returned to the city or town that$me application for the permit or license is being requested;nut the Deparhnent of Industzial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' campensationpolicy,pleirse can the Department at the mnzrbar lisW below. Self-inswred comliaaies d muter rhea self iasrmrance license number an•the appropriate lice. 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•due aMdavit far you to fill outin the event the Cf r=of Investigations has to contact you regarding ine applicant. - Please be sure to fM in the pem iV1iccwe nanmbea which wm'1i be used as a reference number. In addition;an agplic;aut thatumst SAm3it=?dple Pcrmi0icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.S*Address"the applicant should write"an locations in_ ;_(city or town)."A copy of the affidavit that has been officially stamap ed or marked by the city or town may be provided to the applicantas proof that•a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each ' year.Where a home owner or citizen is obtaining a license or permit notrelated to any business or commercial ventare (it a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a C21 The Department's address,telephone and far member: 'i$e Cm=onwealih of M- usacbmtts DepaAment of Industrial.Accidems . . Offim of EF- 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 e-;,-t 406 or 1 o77-MASSAFE ' Tax#617-727-7749 Revised 5-26-05 WWW=zss.gov/dia f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel C,?�7 Permit# Raj P— Health Division / 1 �` Date Issued Z�_ Conservation Division Application Fee00 o Tax Collector Permit Fee O 1 l C Treasurer � o EXISTING Some swaW Planning Dept. Lam OF Date Definitive Plan Approved by Planning Board c� Historic-OKH Preservation/Hyannis Project Street Address 21-0 3 C,411LS0,AJ 6AJ, `Z7- , , Village S-Y-�oAM i Owner C DlOAMdr Telephonek Permit Request F/N/Sk EY-12761 G BvP6�EN l 96CCgt 1-7trV /ZonM GV/NE C6uAfC_ , 1347k /K , ��M��vo�i f- WA Square feet: 1 st floor: existing proposed 2nd floor: existing AIIA proposed N Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��r W o Construction Type 2 Y4 C /AJC Lot Size ±4 l . Opp SQ d Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family J// Two Family ❑ Multi-Family(#units) Age of Existing Structure (Ot145 Historic House: ❑Yes /XNo On Old King's Highway: Yes ❑Iof Basement Type:XFull ❑Craw Walkout ❑Other t� Basement Finished Area(sq.ft.) - 96�3 z Basement Unfinished Area(sq.ft) Do Number of Baths: Full: existing new Half: existing new IJ A Number of Bedrooms: existing 4 new Total Room Count(not including baths):existing new First Floor Room Count 5 . Heat Type and Fuel: XGas ❑Oil O Electric ❑Other Central Air: 4Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 'WNo Detached garage:❑existing ❑new size Pool:0 existing 0 new size Barn:0 existing ❑new size Attached garage: existing ❑new size Z- Shed:0 existing O new size Other: `— Zoning Board of Appeals Authorization ❑ Appeal# Recorded 0 Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name (11W xT_ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE (Now .F FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ =r MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME O�C �/'_('� `� p S� P/Z' INSULATION DC� '-67 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH' � FINAL FINAL BUILDING AN DATE CLOSED OUT } a ASSOCIATION PLAN NO. I 7W CMR AppwA1z J L Table Jl=b(continued) FassB Fuel z Prescriptive Packages far due and Two-Famiiy Residential Buildings,Heated with MA)dMUM MINIM 1JM Heaung/Cooling Wall Floor Basement Slab Glaring Glazing. Ceiling eta Equipment E1licienc)� Areas(%) U-value= R-valud R-value' R-valu2 wallR-value .VWUCT Package 5701 to 6500 Hating Degree Days Normal 6 . Q� 12% 0.40 38 13 19 !0 6 i4n� R 12% 0.52 30 19 19 10 6 95 AFUE s 12% 0.10 38 13 19 10 N/A Normal ---- -- T------IS%.- - -0.36 - -- 38 13 25 N/A Normal-- -- ----- 19 19 10 - 6--.�_-- U '13% 0.46 38 N/A 85 AFUE y 15% 0.44 38 13 25 N/A 6 95 AFUE W 15% 0.52 30 19 25 19 10 N/A Normal l8% 0.32 38 13 N/A N/A Normal y 18% 0.42 38 19 25 N/A 6 .90 AFUE y 19% 0.42 38 13 19 10 6 go AFUE AA 18% 0.50 30 19 19 l0 1. ADDRESS OF PROPERTY: 2-o 0 A LN 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: /TH A2 P� 3. SQUARE FOOTAGE OF ALL GLAZING: Ely o #3 DIVIDED BY#2) 4. /a GLAZING AREA( GE(Q AA-see chart above): ' 5. SELECT PACKA -- NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS BUILDING INSPECTOR APPROVAL: YES: NO: - 1 q4orms-®80303 a 780 CMR Appendix J Footnotes to Table J$.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and at enclose conditioned space,but excluding opaque doors)to the gross wall basement windows if located in walls th � area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U=values cannot be used. ersized truss construction. If the insulation achieves the full ' The ceiling.R-values do not assume a raised or ov insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38 insulation and R-3*8 insulation may besubstituted-for R-49-insulation; Ceiling Rvalues-represent-the-sum-of caviyty--...-.. insulation plus insulating sheathing(if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. us insulating sheathing(if used). Do not include 'Wall R-values represent the sum.of the wall cavity insulation pl exterior siding, structural sheathing, and interior drywall. For example,an.R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages),Floors over outside air must meet the ceiling requirements. I The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elpttrie resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the-efficiency required by the selected package.. 'For Heating Degree Day requirements of the closest city or town see Table J5.2:1a NOTES: a) Glazing areas and-U-values are maximum acceptable levels. Insulation R-values are minimum acceptable-levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different-insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Commonwealth of Massachusetts Department of Industrial Accidents -_ Office of Investigations 600 Washington Street, 7`h Floor Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Buildin lumbin lectrical Contractors Iiii; 'j4^eT11. I b7y iJ-�rt'ft:......•.—.�{. T b �r, i• F. I n3� Elll 03i: 11115 ili qNMEMOIR! !;. tf967� ? S frr name /L��C/� ia!► L 1S/ONN� �l �� -N�y� i�ly' address• '40 city / / state: zip• tl /[-ph one# �Vt 36 ` .work site location full address):- NI am a homeowner performing all work myself. Project Type: ❑New Construction[]Remodel 2^•9 1 am a sole roprietor and have no one working in any capacity. ❑Building Addition � 'j_+�AS£.'�"4' :tr �ikMu•'�+r"�--��1��:.'^.�ct�.� ,....:, .. `..}._::i��l:.: %i.�:'�::F•_.z- :_ .. 'k':•`, •�':: .._.K.'.. _t'4^j.'.:..� ❑ 1 am an employer providing workers' compensation for my employees working on this job. company name, address: city. phone M insurance co. PHU# ❑ i am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name:- address: city, phone M insurance co. 1nolicv# F, ;,,, .• !k ;Jf'��;'11� "'. Fi''°-�.�t�b:��`QC',"�+.�F<"s�'��-:�'egg:'ay'3"�'�'i'.�tl`xl-r�.o-`��'� com an name: address: phone#: insurance co. nolicy Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. i understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. 1 do h eby c i --ander he pains and enalties of perjury that the information provided above is true a d c rrect. [� "3 Signature Date Print name /�tC�7/7(�L- L - U`ONN� Phone# �(� 3 t�Z ' [.r 6 official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department []Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 5epi.2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate.of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the"law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. BEER 1CHIY1I RR IR _ City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street,71e Floor Boston,Ma. 02111 fax#; (617)727-7749 phone.#: (617) 727-4900 ext. 406 I Town of Barnstable �7�Of 1HE Tp�� Regulatory Services . sniixsr�r�. • Thomas F.Geiler,Director Building Division a6sg. Arlo may. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862�038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE. 0 JOB LOCATION ( so number street village Al iamu blotow .669 360920C, "TOMEOWNER name home phone# work phone#CURRENT MAU-1NG ADDRESS: SAy�' ' -" 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 persons)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 fame structures. A person who constricts 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 1mg ,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 1o9.1.1-Licensing of construction Supdrvisors);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. Thehomeowaer acting as Supervisor is ultirnatelyresponsible. To ensure that the homeowner is fully aware of bis/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:homeexenpt i oFt ,a� Town of Barnstable KE Regulatory Services 4 BAMMMU, Thomas F.Geller,Director NAM 03g a`�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date AFFIDAVIT HOME IlV1PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernizao,c con-version, n 1er ion, improvement,removal,demolition,or construction of an addition to any pre.existing wne building containing at least one but not more than four dwelling units or to structures which are A scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �� "��c Ll i��/U� Estimated Cost Z o�000 Type of Work: Address bf Work: �3 �'�UI Owner's Name: /V u Can o- �— 10�N Date of Application: 1 hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied ;KOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED OVEMMNT WORK DO NOT HA CONTRACTORS FOR APPLICABLE HOME IMP GUARANTY FEND tTNDERMGL cc..142A. ACCESS TO THE ARBITRATION PROGRAM OR SIGNED UNDER.PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. oi� Date Owner's Name Q:farms:homeafPidav i i A .9 Q LOT / Q A 9 F, GAR. • AR' i to L 07 3 LOT 2 cli ,,, •y 43. 561• S. F. STREET ADDRESS: 0203 CARLSON LANE ASSESSORS' MAP 133 PARCEL S7 °'. OWNER: STEVEN J. AGOSTINELL I AND JOANN M. AGOSTINELL 1 DEED REF. : BK. 11208 PG. 25 PLAN REF. : PL. BK. 389 `:PG. 5 LOT 2 TOWN OF BARNSTABLE ZONING BY-LAW DATED MARCH !4. 1997 !� ZONE Rr' 1 CERTIFY THAT TO THE BEST OF MY PROFESSIONAL 1 SETBACKS KNOWLEDGE. lNFORM4TION AND BELIEF THE DWELLING FRONT 30. SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS SIDE - 15' OF THE ZONING BY-LAW FOR THE R-F DISTRICT. REAR 15. PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON /S IN FLOOD HAZARD ZONE C I j WERE COMPILED FROM AVAILABLE AS SHOWN ON HAP 250001 0011 D. DATED JULY 2. 1992. I PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. I ate+ IS,_ Nr. °i.. .. Tw.'.4. r s_ tom'< �, r '� k �:.� a" '� "" ♦-"t �� 'L"" :� I t` 1r J yr y- '1� rf°`. y - L,! •�bj Y N � f � ��.� r j a` }r •F RAT ��,.• � � � � . 1.,� f f." .f•�,,t 1': �f' 1 k rya A " 1 « — •"�� .i .l t�• °it .. i r •t` �� FJ`, V Yr 'ir i li .2v3 cAusalu Div• �� ; Lv• fJRniVs�GE, -TANK . — Ple9N Td Fin//SH B/+SE�I�N 7 zx.4 /b►iNC s�«n o A/ \ / g�Nr� G✓A�S 3 Z�. �/i3P,C�GLA'SS SCa�►E DR cvAu� Ado. f�><241' Do✓&e 64Atr4 Gv�.v46t.d 21JMCi/N( ,e.Ev OUSLy �ivGH�/� /N �ZDD� — -7 i O _ p Q SMOKE DETECTORS REVIEWED Q �jPc D� N I G �naDly ! '� BARN8TABLE BUILDING DEPT, DATE tAP- AefA i I i ------------- ' L q � FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED POR PERMITTING S Gyi�/G>wrt�avT o! C cA000tr At w/NE G6"e v sys.rtA LA - C3. r wa ri4(- aNT /¢x 28 '� LbUssLE IiAC4 R- VACtJLM GLA2ED LY-(5TIIJ6 /^ U/ t ` r rQUAii)ATIbN �Odu8LEQ-4Z�-D) '�G'�Nt)A'i1pP-) ----tea TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION !%�✓v Map Parcel r ` G Permit# tS Health Division 3Y CI 1 �� ,r B hYlS tABL� Date Issued �� G Conservation Division _ to`t QjLk, _ I P111/3 4$ Application Fee Tax Collector I-OVA ov 'A Permit Feed Treasurer -��eQ ��-� SEPTIC SY INSTALLED WM MUST BF Plannin pt. �i� I VLE�LIANCE Date Definitive Plan Approved by Planning Board ENVIRONMENTALCODEAND Historic-OKH Preservation/Hyannis TO1NN REGULATIONS Project Street Address r C�C_1=_ o� Village W �� T- 1" �i i� � t—i-s: r-- Owner _ 9 V_ H l �tcc y 00,E Address 2 a CNF L S a� �1 � b4XZJ.J MISLYE Telephone 50 S ---,s �`� Gs� Permit Request 5"r-) zcsa,;n Square feet: 1 st floor: existing proposed q;�4 2nd floor: existing proposed Total new Zoning District 'F F Flood Plain f*35 Groundwater Overlay No Project Valuation 3©s D C>e3 Construction Type tcr� Lot Size 31 _Grandfathered: 0 Yes "No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family O Multi-Family(#units) Age of Existing Structure 1 Historic House: O Yes )CNo On Old King's Highway�-*Yes ❑No Basement Type: ;�IkFull Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new '�'' Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new �— First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric 0 Other Central Air: O Yes O No Fireplaces: Existing New "�— Existing wood/coal stove: ❑Yes No Detached garage:O existing ❑new size -r Pool:O existing ❑new size Barn:O existing O new size Attached garage)(existing ❑new size -Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# K� 1 /� Recorded 0 Commercial ❑Yes zo If yes, site plan review# Current Use Q Proposed Use BUILDER INFORMATION Name �' �T 7 n Telephone Number Address,3 License# ©� 25 I Lf T_/��1-�' � Home Improvement Contractor# 4 � �] Worker's Compensation# " C_ (000 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SP_-IN9:7 N VCl-U SIGNATURE DATE P� y FOR OFFICIAL USE ONLY PERMIT NO. ;( DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE I OWNER . a . `. DATE OF INSPECTION: SoND —o S` dk FOUNDATION D 1( p 2 FRAME -05 INSULATION 0 —/ —D /e t z a • FIREPLACE ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL to Mc GAS: ROUCt. N Z h FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN,NO MM-e b/ON/vr 6&tw w Zp 3 CAftsonJ (�! IZAI 6 TU-,(-G F/L/G/NF?,-< C WA,w apt/ 3E -GU ono yr calL(peom iSE �LS . CA-cc (F 1bv Q,��S�77oA�S; ® - Friday,Jul 15 2005 12:5f BC CALM2003 DESIGN REPORT-US y, y Triple 1 3/4" x 9 112" VERSA-LAM®3100 SP File(Name: BC CALC Project:FB01 Job Name: Dionne Res Description: Address: 20 arison Ln A L a:w E Specifier: Botello Lumber Co.Inc. City,State,Zap:W.Ba e,Me. Designer. Unknown Customer. M.Dionne Company: Code reports: ICBO 5512,NER 629 Misc: E I1 131l 1 1 I 1 1. 1 1 1II 1 ' 121 1 1a I 1 _ I JStardarj toad-40 psf 110 psi Tributary 14-OOMI I _ l- rvmg�` y '�y"` .t;3 -+ t;- 1 r `nr4.++ �. 1 1 AL 05-08-00 08-11430 BO B1 ' B2 3760 lbs LL 13959 tbs LL 5552 lbs LL 734 lbs DL 4691 lbs DL 1779 lbs DL Total Horizontal Length-14-07-00 General Data Load Summary Version: US Imperial 10 Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00-00 14-07-00 Live 40 psf 14-00-00 100% Member Type: Floor Beam Dead 10 psf 14-00-00 90% Number of Spans:. 2 1 wall load Unf.Lin. Left 00-WOO 14-07-00 Live 0 plf nta 100% Left Cantilever. No Dead 60 plf n1a 900A Right Cantilever. No 2 2nd floor load. Unf.Area Left 00-00-00' 14-07-00 Live 40 psf 14-00-00 100% Dead 10 psf 14-00-00 90% Slope: 0112 3 ceiling load. Unf.Area Left 0"0-00 14-07-00 Live 25 psf 14-00-00 100°A Tributary: 14-00-00 Dead 10 psf 14-00-00 90% Controls Summary Control Type Value %Allowable Duration Load Case Span Location Live Load: 40 psf Moment 14998 ft4bs 71.6% 100% 2 2-Left Dead Load: 10 psf Neg.Moment -14998 ft4bs 71.6% 10011/0 2 1-Right Partition Load: 0 psf End Shear 5777 lbs, 59.9% 100% 5 2-Right Duration: 100 Cont.Shear 8883 lbs 92.1% 100%' 2 2-Left Uplift 842 lbs nfa 5 1-Left Disclosure Total Load Deft. U468(0229") 51.3% 5 2 The completeness and accuracy of Live Load Defl. U602(0.178") 59.8% 5 2 the input must be verified by anyone Total Neg.Deft. -0.046" 9.1% 5 1 who would rely on the output as Max Defl. 0-229" 22.9% 5 2 evidence of suitability for a particular application. The output Cautions above is based upon building Uplift of 842 lbs found at span 1-Left code-accepted design properties and analysis methods. Installation Notes of BOISE engineered wood Design meets Code minimum(1-1240)Total toad deflection criteria. products must be in accordance Design meets Code minimum g ('i./360)Live load deflection criteria. with the current Installation Guide Design meets arbitrary(1'Maximum load deflection criteria. and the applicable building codes. Minimum bearing length for SO is 1-12r'. To obtain an Installation Guide or if Minimum bearing length for B1 is 4-11W. you have any questions,please call Minimum bearing length for 62 is 1-0/8". product installation.32-0788 before beginning Entered0isplayed Horizontal Span Length(s) m s)=Clear Span+1in.end bearing+12 intermediate bearing produ BC CALC®,BC FRAMER®,BCIS, BC RIM BOARD-,BC OSB RIM BOARD-,BOISE GLULAM-, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND-, , VERSA-STUD®,ALLJOISTO and AJS""are trademarks of Boise Cascade Corporation. BC CALC®2003 DESIGN REPORT-US Friday,July 15,200512:5E Triple 1 314" x 9 W2" VERSA-LAM®3100 SP File Name: BC CALC Project:FB01 Job Name: Dionne Res. Description: Address: 203 Garison Ln Specifier Boteilo Lumber Co.Inc. City,State,Zip:W.Barnstable,Ma. Designer: Unknown Customer. M.Dionne Company: Code reports: ICBO 5512,NER 629 Miisc: Connection Diagram Consult project design professional of record or BOISE technical representative for connection design Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are:16d Sinker Naits a-2" --d b=3" c=2-3/4" a • • ' ,'•X d=12" `� e=3" o o X • -s —� .\ e o o tb - h N •a1� :� h LOT l boo 01 S�-1 N�.'Po12G �o v203 dye h9 yo 6 GAP. 0 LOT 3 LoT 2 ,,, mop\ 43.561•S.F. A O m . Z t STREET ADDRESS., 0203 CARLSON LANE LA >. 0 ASSESSORS* MAP 133 PARCEL 57 I OWNER: STEVEN J. AGOSTINELLI AND JOANN M. AGOSTINELLI Cr1`Y DEED REF. : BK. 11208 PG. 25 PLAN REF. : PL. BK. 389 PG. 5 LOT 2 E TOWN OF BARNSTABLE ZONING BY-LAW.DATED-.MARCH 14. 1997. ZONE RF` r CERTIFY THAT'._TO:`7HE'8ES.T OF MY.:.-PROFESSI;ONAL KNOWLEDGE. INFORMATION AND BELIEF THE-0IWELLING SHOWN HEREON CONFORMS TO THE,-HOR•I.ZONTAL'SETBACKS FRONT—. - ' 15 . 'OF THE ZONING BY-LAW,FOR.THc R-F,.DISTRICT. ,' REAR, - I S.' f PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON is IN ,=LOOD HAZARD ZONE C I WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0011 D. DATED JULY 2. 1992. PLANS OF.RECORD ANC DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. ��OFM 9�y TERRY os THE DWELLING DEPICTED ON THIS A H PLOT PLAN --- WARNER PLAN•Was LOCATED ON"THE'"GR'OUND` ..: .. IN,.. . . _:...... ....:. ... BY SURVEY ON NOV. 8. }999 AND No.3a721 EXIST-$-.; S SHOWN AS OF THE DAT� BAR111S"Ti1 BLE. , /1lASS. OF LOCA;T/ON. I ;;SCALE; / 40 ;;.NOV /4 /999:.,,; THIS PLAN IS FOR'PLDT PLAN J f(A. ` TERRY`.4. VANER.:.P..b Sy. PURPOSES ONLY AND NOT FOR ' 22 LONG ROAD DESCRIPTIONS. R YA. 0294S -RECORDING.. DEED. AR/TCR. ESTABLISHING PROPERTY.LINES (808) 432-8300 OR FOR CONSTRUCTION PURPOSES. • I THIS PLAN IS VOID tF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT NO._99-3J5� i oFjr ` Town of Bar nstable Regulatory Services anrxsrnsi s. ' Thomas F.Geiler;Director Mass. 9�a 1639. Building D"Sion Tea►�+ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 Property Owner Must Complete and Sign This Section _ If Using A Builder l�ldAll __ as Owner of the subject property hereby authorize °Q �r- mil lu Ia rA a • � \n c to act on my behalf, in all matters relative to work:authorized by this building permit application for: .:203 CO�SoN 6AJ. —�(Address�of Job3: . 1 C. Signature of Owner Z)IoNAv e 4�11 E Print Name n:FoRMS:oWNERPEPMSSIOT` r RESIDENTIAL BUILDING PERAHT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE o / d�3 square feet x$96/sq.foot= x.0041= _ plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached). square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS 1 • Open Porch 1 x$30.00 (number) Deck V x$30.00 (number) Fireplace/Chimney © x$25.00= (number) s Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) r Permit ree Proicost / / '7. 79 o W E of Barnstable Of� �Y • . ' • ' y y°; Regulatory Services s sr ThomasF.Geller,Director v�A s639' k� g Buildin Division rFb h1A'� Tom Perry,Building Commissioner' ' 200 Main Street, Hyannis,MA 02601 , Office: 508-862-4038 Fax: 508-790-6230 Permit no. . Date AFMAVIT ' P[OME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MQL e•142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owgLer-occupied building containing at least one but not more than four dwelling units or to structures which are adj acent to • such residence or building be done by registered contractors,with certain exceptions,along with other requirements, • Type of Work: /7 G� Estimated Cost a Address of Work: v ' o L SD. 1' 'l��/�rmLe Re . Owner's Name: /'7� Date of Application: I hereby certify that: Registration is not required for the following yeas on(s): []Work excluded bylaw []Job Under S 1,000 ' []Building not owner-occupied ❑Owner pulling owls permit , Notice is hereby given that: OVMRS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME ZUROYEMENT W ORK D 0 NOT HA•YE ACCESS TO TEE AMITPUMON PROGRAM OR GUARANTY FUND UNDER MGL c.142k, • SIGNED MMERPENALTIES OF PERIURY Ihereby apply for 'Permit as the agent of the owner: 03 Date Contractor Name RegistraEontio. . � OR • Owner's Name , The Commonwealth of Massachusetts Department of Industrial Accidents' 600'Washington Street yi Boston,Mass. 02111'. workers' Corn ensation.Insurance Affidavit-General Businesses �i II 6t"`, Z'ix/ �/' '•• •: '.�u'?"'j'a+' .. :.Tan c+,..Fr"'fr. ,..; `'_'%- + �••.i� ��_,.C '+:�11 J - XY GL�• state: hone work site locaticra full address):El ; I am.a sole proprietor and have no one %tsiness Type- E]Retail❑'Restaurant%BaAating'Estatblishment working in any capacity. Ej Office[] Sales(including•Real Estate, Autos etc.)' I am an em toyer with employespe (full& art time) ❑ Other ' _ , / /////%/ // %%/ ////%�%�//%%%%%/%//�%%%/%/��%%% I am an-c�qployer providing workers' comvensation for my employees working on this job. �d18I71e: '•� •_:'� ��6 ._;_' ,r. .li: .•C'+' ..t =i coIDPanV t., !-J;' S' '.�lyP'�'� . 1i t'7.._;r.'}• :j•.r,':..i+i �,'.'.::^:: 't: . �� '• ••1�• ,:�''.!. -•��.: v1 •a '.t•.:' •i•: 'S•''r.a'f-.,r::'.•t.:._ •i,(+•:1+..1't' .. Y•. i•7.'��:',•: �j�r' :4 r?(.�,��J,'� :J.=;• �... _ .,':� t... >t.:n.r:! S•.+C Wit,. ii�- �.•.7 r. sd ram_ � � ,' ,� '',�,••` *,' •'�� •;;' •, ^ ✓.•: :, '�. , +�a:w:• r;. z. o fc,•#' 1' ! 'i• I:, 7e � r`�'" ✓, 1� fnsiirarice.c'irs' 4 ! , / ,. I am a sole proprietor and have hired the independent contractors listed below who have fife following workers' compensation polices: Con] sill, I18IIrL: .J.• 4 t.; , i','• .;,.t:.:,Yr.'-'r' :r ai?! •:n- `tiy';'j= •_:° G!i" ,1' is ',,. J.T:?•' 1��,r, .e•:'d`1J 1',• .. .t' f^. ._. :r•::,y. .�-,-ter.,.r•'•-i'...t•.��=, .. one � `,Y'Y, � `.,` � ,1:., k:,,,�• a ._ 'i _:- ':!: :'i�=_.'r�.,,,.,• �. 'T,r'• :'l�e..� _5~" ,'.t �73•••.': ;1�:?i'1+,.•.�i,:til Z.�• ;: •l:,i• .�:�• �'t'r .,�it,.v r:" - .t,• Cl •.t. ,± ,•' :'�/. iC r .•i j•'iv:ti,' Ljti i:,ir`1., :.�•� 1�.-:' :+ :�'�' :��.:: i;'�h:'• �: "'.' �;�r'.'+ ' '�! ',r=-��+.,:`�v:,,I•,:'.(„'� r•.e,.'�.°,,:•.=u�.';,aN:�r�••p' ?S`.t': -�••.r:. ,O'l1C J#�•:,t,??'r:2•i:..:• .2=':':•.. :::,i:'"ter•:.`•+ '.'>''.:`�`i.Ji�•. '..; r:. .1:,:S' '"i': �' :,: •V:Y.. ''_. .�.i•::;, d':;••!'t' ri.. ,r• :rr..;r;=.... '• ;ram r'•�••' '._ '..,.. �•''�' JC:.J+!v: '•.!t''~:•.�;t'v�,: r'ydv t,'+r•:t'v :} +l.. `r'i. ..a..=J'+•. w .c•. Com any rielzi ;•• ,:_ .. i y �y.., _ t•'j:1-• one Cl' •? ,..� •'6 .:r:+'':;,.:;ti�. •�t. ..s., `''•" •'t'• 'Z•1:.+.�;at;'..•!..'?':� i'i Si';:�'• �' ':1::,�;. '::;,,•1'.:��3: ., ,i, 4.•_ :•)Y•; ,�.'i;•�':• :l.'t.,�: �J.': .,. .•_;: .•!. =:°;;r.�.:,: ,;i:.:.•. y .q•,if+ ,.�:5.: .. ; .J�.: ,• e:Sb:'!'y 'i`l'1 rs:- 'Y..• :a�.. :�,., ul•'_i.,. .`011cv: insuraac FaUure to secure coverage a9 required under Section 25A of MGL 152 can lead to the imposition of erlmfnal penalties of a fine up to S1,500.00 and/or one yeah'jmprlsonment as well as civil penaItiey in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me, I understand that a . copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification. , I do hereby certify gdder the p i s and penalties perjury that the information provided above is Prue a d corr . Date f� � .. SignaturePhone# �•7 ©� � . Priat name t•-�- S��.I _ official we only do not write in this area to be completed by city or town official city or town: permitlllceme# ❑Building Department . _ ❑Licensing Board i ❑'check if immediate response is required ❑Selectmen's Office ❑Health Departmeti contact person: phone#; ❑Other J (revved Sept 2003) Information and Instructions• /Iassachusetts General Laws chapter�152 section 25.requires all employers to provide workers' compensation for their. loyees: As quoted from•the law', an employee is.defined as every person in the service of another under any contract lie oral or written. )f hire; express or u�np • �� • _ . ' arhiers , association, corporatibn or other legal entity, or any two orrizgre of kn employer is defined as an individual,g hip be foregoing engaged in anoint enterprise, and including the Legal representatives of a deeeased,employer, or the receiver or a employees. 'However the owtter of a zustee of an individual,p .rtners�P, association or other legal entity, employing Swelling house `!Tng•not'tnore than three apartments and-who resides therein, or the.occupant_of the dwelling house bf another who emplbys persbris to do.maintenauce, construction or repair work on such dwelling house or on the grounds or build g appurtenant thereto shall not because of such employment.be deemed to be an employer. ; tion 25 also'states that every state or local licensing agency shall withhold the issuance or renewa MGL chapter 152 sec l of a license or p se t o operate business or to construct buildings in the.cbmmonweaIth for any'appAcant who has not produced acceptable evidence of�compliance with enter into ane contract for the performance of publi work until coinmonwealth nor.any.of its political subdivisions s Y acceptable evidence of compliance with t ,e insurance requirements.of this chapter have been presented to the contracting . authority. VOROMI'M NO, / y Applicants Please fill in .the workers'compensation affidavit completely;by checking the box that applies to your situation.:Please supply company iiame, address and phone numbers along with a certificate of insurance as all affidavits maybe 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 oflndustrial 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. City or Towns . Pleasebe sure that the affidavit is cbmplete andprinted 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 perrrnt/licens.e n .which will be used as a reference number. The.affidavits may.be.returned to the Depastmentb}.r or FAX unless other:arrangements have been made. ; The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a-60L• _ The Department's address,telephone anti fax number: . , , The Commonwealth Of Massachusetts Department of Industrial Accidents tttTiee of West!909119 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 I ✓.lie�omm�zaruved� o�✓�odc�ivae�'ld . BOARD.;OF gU1LDING:REGULATIONS,! License �CONSTRIJ.CTIONSUPERUISOR Numb S 072897 zExp►re.'s;'VoY0372006 Tr..no: 4344.0 -- _ ; UK, D ) ; i ftANDALL E HUG�H�S � y 77 HOMESTEAD TEA-TIC KET .MA 02536� Comrrnssioner �-' ' 802rd Of Building Regulations Sind Standards HOME 1WROVEMENT CON License or TRACTOR registration valid for individul use only Re�s before the expiration date. If found return to: io!!r';..1.44703 Board of Bulldin g Regulations g ations and Standards t!&= /a/2006 One Asbburtan Place Rm 1301 " +pad._ 11 Boston,Me.02108 RHCONTRACTOf�$cc >± RANDALL HUGH�$` .s,.;'.: 316 GIFFORD ST Sta'. g" FALMOUTH.MA 02540 Administrator Not valid without signature T 'd LTTCLSb80S 5u040eu1u00 •H *H bT :E b002 Sz A0N Permit Number RESeheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSofhvare Version 3.6 Release 1 Data filename: C:\Program Files\Check\REScheck\dionne.rck PROJECT TITLE:Addition for Dionne CITY: Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: I or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) WINDOW/WALL RATIO:0.16 DATE: 11/30/04 DATE OF PLANS: 10/7/04 PROJECT DESCRIPTION: Sun porch with walk out deck above. DESIGNER/CONTRACTOR: E. A Ready&Sons Inc 22 Main Street .Hyannis,02601 COMPLIANCE:Passes Maximum UA=74 Your Home UA=63 14.9%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimete R_-Value I;-Value U-Factor IJA Ceiling 1:Flat Ceiling or Scissor Truss 208 30.0 0.0 7 Wall 1: Wood Frame, 16"o.c. 480 19.0 0.0 24 Window 2:Wood Frame-Double Pane with Low-E 40 0.330 13 Door 1: Glass 36 0.330 12 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 208 30.0 0.0 7 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans; specifications,and other calculations submitted v<qth the permit application. The proposed building has been designed 0 meet the Massachusetts Energy Code requirements in REScheckVersion 3.6 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed m the REScheckInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standa-d Design Conditions found in the Code. The RVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and AA Builder/Designer Date REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 DATE: 11/30/04 PROJECT TITLE:Addition for Dionne Bldg. j Dept. J Use J. J Ceilings: L ] ( 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation j Comments: I J Above-Grade Walls: [ ) J I. Wall 1: Wood Frame, 16"o.c.,R-19A cavity insulation J Comments: I J Windows: [ ] J 1. Window 2:Wood Frame:Double Pane Frith Low-E,U-factor:0.330 J For windows without labeled U-factors.describe features: J #Panes Frame Type Thermal Break?[ )Yes [ ] No J Comments: J Doors: [ ] J 1. Door 1: Glass,U-factor:0.330 J Comments: J Floors: [ ) J 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation { Comments.- Air Leakage: [ J J Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ } J When installed in the building envelope,recessed lighting fixtures J shall meet one of the following requirements: J 1. Type 1C rated,manufactured with no penetrations between the inside of the recessed fixture J and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. J 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 J L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture J shall have been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. J Vapor Retarder: [ ] J Required on the warm-in-winter side of all non-vented framed ceilings,walls, and floors. I J J Materials Identification: L ] J Materials and equipment must be identified so that compliance can be determined. [ } } Manufacturer manuals for all installed heating and cooling equipment and senvice water heating ( equipment must be provided. [ j ( Insulation Revalues and glazing U-factors must be clearly marked on the building plans or specifications. ( ( Duct Insulation: [ ] ( Ducts shall be insulated per Table J4.4.7.1. ( I Duct Construction: [ J All accessible joints,seams,and connections of supply and return ductwork lccated outside ( conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed ( using mastic and fibrous backing tape installed according to the manufacturer's installation ( instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. f ( 'Temperature Controls,: [ ] ( Thermostats are required for each separate HVAC system. A manual or automatic means to ( partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. f ( Heating and Cooling Equipment Sizing: [ ] ( Rated output capacity of the heating/cooling system is not greater than 125%of the design load as ( specified in Sections 780CMR I3I0 and J4.4. ( ( Circulating Hot Water Systems: [ ] ( Insulate circulating hot water pipes to the levels in Table 1. f ( Swimming Pools: [ J ( All heated swimming pools must have an on/off heater switch and require a cover unless over 20% ( of the heating energy is from non-depletable sources. Pool pumps require a time clock. { ( Heating and Cooling Piping Insulation: [ ] ( HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the ( levels in Table 2. r i Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation ThUmss in Inches by Pipe Sizes Heated Water Nan-Circulating Runouts Circulating Mains and Rests Temperature(F) Ug to 1„ JW to L25" 1.5"to 2.0" Over 2„ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HYAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipg Sizes pjiping Svstem -)=S Range(F) 2"Runouts 1"and Less 1.25"to 2„ 5�tQ 4" Heating Systems Low Prm@reaemmature 201-250 1.0 1.5 1'i 2.0 Low Temperature 120-200 0.5 1.0 -1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.'75 1.0 and Brine Below 40 1.0 1.0 l.:i 1.5 NOTES TO FIELD (Building Department Use Only) Application to ® ITCq'o 3,bigbbap Reoianal Wsstoric Miotritt Committee In the Town of Barnstable CERTIFICATE OF APPROPRIATENESS ocj 2 0 - �00¢ \pplication is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section i of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, c� irawings, or photographs accompanying this application for. HECK CATEGORIES THAT APPLY: - 1. Exterior building construction: ❑ New Addition ❑ Alteration r Indicate type of building: ® House ❑ Garage ❑ Commercial ❑ Other r`r t. Exterior Painting: ❑ 9. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign I. Structure: ❑ Fence ❑ Wall El Flagpole ❑ Other TYPE OR PRINT LEGIBLY: 1, / DATE 10 — 19— Zc:-DA+ kDDRESS OF PROPOSED WORK Z 4.� �.0/ZGSOyI 1 !/�/ �, ASSESSOR'S MAP NO. )WNER, ASSESSOR'S LOT NO. TOME ADDRESS_ Z�OY V05-1 . r W VL,ETELEPHONE NO. 3,6 M :ULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across dray )ublic street or way. (Attach additional sheet if necessary.) ,GENT OR CONTRACTOR E..a - FLU D -/ t 5 i---,rgS )rJ C TELEPHONE NO. ADDRESS 22 Ma))4 C(5 L 5�o f;• Z )ESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please iclude locations of proposed signs. tJ D�C.I� A.. E�.� Z.• ��-7� O�� D SLR,C.C-1J�' 1~X Signed vO v T 6 er- ntract r-Agent or Committee Use Only This Certificate is herebyAJ'PFQ Date Approved/ enied -- Committee Members' Sign tures: ' rvy�, Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET ��cc�� F IINDATION $ C� V�N�� v n� La rJ Ctc' S`-�S SIDING TYPE C��oa„�! COLOR CHIMNEY TYPE N �,� COLOR v ROOF MATERIAL ?-Q�,,p� _ COLOR PITCH 4 g�CL boo T / WINDOWS L l►-S�P_M. r_- COLOR W"k-rE.SIZE 4 c Y. TRIM COLOR kA -VVTVE—_ , -['d DOORS COLORS SHUTTERS t1J 1 A - COLORS GUTTERS ) rJ \I r-1 COLORS_ N 1+ DECKS MATERIALS 1-k(f)C.:h !,, p7. 4 GARAGE DOORS Lz:;;%(S '-r 1 r?C COLORS W LT SKYLIGHTS N�� SIZE COLORS SIGNS NI COLORS FENCE I% I COLOR NOTES Fill out completely, including measurements and material a/colors to be used. Your copies of this form are required for submittal of an application, along with Your copies of the plot plan, landscape plan and elevation plans, when applicable. caFrsxT 0240 `+ I 11 rva13, ---------- 0 023-002 039 o rw 134 01 MAP 134 001-0,02' — .210 Q 013 rw 13, —134 023-003 �_ I AIL 001-001 00 ` •2°0 ` n1 V 016 I r 12,7 rwIII019 v �' •23s35 I — \014 Will 1 015 + AL s 215 Is 0119 \ ` — — i AL 134 ` -AIL " 4 p0 {161 / 10 oa-ooi�� j I„ MAPof '° bzo-001 031 ISO: 002 026 - - - " - _ 1 ♦126 O7 001� vn n60w4 009 I / / 027 rw 110 4P I 0 / 004 010 •ICI .� 59 � t r I / O rw 1810 02 0175 ' Q 06 028�00, W110 , 20 8- 02 004-011 •10 - ruv no 004-012 b 0613 _ •o •227 i Willi w1Io 2 o1i5 110 •2ae 062 26 +� 11° -� a 0 SCALE: V=200' MAP 1, 33 PARCEL 057 W E �u DIRECT & ACROSS THE S *NOTE: Planimehiq topography,and **NOTE: The parcel lines are only graphic representations DATA SOURCES: Manimetrics(man-made features)were interpreted from 1995 aerial photographs by The lames vegetation were mapped to meet National of property boundaries. They are not true locations,and W.Sewall(ompany. Topography and vegetation were interpreted from 1989 aerial photographs by GEOD Map Accuracy Standards of a scale of do not represent actual relationships to physical objects Corporation. Planimet►ia,topography,and vegetation were mopped to meet National Map Accuracy Standards 1"=)00'. on the map. at o scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps. Direct & Across the Street Abutters to Map 133 Parcel 057 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 10/19/2004 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Pountry I - I]0026 MILOS,JOHN E&MAUREEN E P O BOX 280 FaMOUTHPORT MA 102675 USA ��-l OBERLY,L►NDA A TR 191 CARLSON W BARNSTABLE MA 02668 USA ILA P3057 lDIONNE,MICHAEL L& DIONNE,MARY C 203 CARLSON W BARNSTABLE IMA 02668 �LN 133058 MAHONEY,WALTER D&BERNICE 205 CARLSON W BARNSTABLE MA �026 8 U SA LANE 134003 (KAISER,CONSTANCE L P O BOX 183 W BARNSTABLE MA �026-68 (�US=A P4-020001 IKALWEIT,DAMES L&NAPLES, 2808 MARS ST ]iZ-kLEIGH NC 27604 JEANNE 134020002 KAISER,CONSTANCE L P O BOX 183 W BARNSTABLE MA �02668 USA Wednesday,October 20,2004 Page I of I BUILDER E.A. READY & SONS INC. ADDITION TO RESIDENCE FOR , MR . MICHAEL DIONNE TEL 508 - 862 - 2674 HICK 140380 GENERAL NOTES 1 . ALL WORK SUBJECT TO TOWN OF BARNSTABLE APPROVAL INCLUDING, HISTORICAL DISTRICT. REQUIREMENTS 2. ALL WORK PER LASS STATE CODES 3. PLUMBING & ELETRICAL WORK BY LICENSED CONTRACTORS DRAWINGS 1 . TITLE SHEET 2. EXISTING CONDITIONS 3. SUN PORCH FOUNDATION 4. SUN PORCH FRAMING 5. SUN PORCH NORTH ELEVATION 6. SUN PORCH EAST ELEVATION 7. SUN PORCH HEAT AND ELECTRICAL 8. PERGOLA FOUNDATION AND SITE PLAN 9. PERGOLA FRAMING 10. PERGOLA ELEVATIONS ADDITION FOR MR. MICHAEL DIONNE 11 . PERGOLA DETAILS SECTIONS 203 CARLSON LANE WEST BARNSTABLE 12. SITE PLANS ( TERRY WARNER ) _ TITLE SHEET 10j7/04 DWG #1 a �27'-6" ; O MASTER BEDROOM r DECK � r, t �I C DRESSING SITTING ROOM AREA O MASTER BA FOYER O � a 1°'—Q" IIAJ DINING ROOM a / N I FAMILY ROOM J� 20'-0* KITCHEN BATH NUDROOM 2 CAR GARAGE 74'-°" 24'- -fDLOT PLAN l . UU T 2� o 2004 20-0" 18'-7jj" ADDITION FOR MR.MICHAEL D10NNE 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 /16"= 1 '0" 110/03/041 DWG #2 EXISTING BATH EXISTING DINING ROOM I I . NEW POST 13'-6" O O r 2) 2X10 � � I Z t Go i h= i N Ix tz LiNEW � EXISTING 1/2 PLYWOOD OVER 3/4 EXISTING MAHOGONY 2X4 EXISTING -6X6 POST ON 8" SONOTUBE (3) I 2X10 i t t 2'-8" UCI2 �� SCALE=1/2"=1' SUN PORCH FOUNDATION \�0°�; ADDITION FOR MR. MICHAEL DIONNE i� 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 /4of = 1 ' ' " 9/26/04 DWG #3 EXISTING BATH EXISTING DINING ROOM 2 -4" 00 a, I I o I � � o EXISTING DECK o I z J M i � � a O � O � N N I x W O 1 e- 1 (V M 2,-91„ J r/_3„ 5,_5�H r I L � ADDITION FOR MR.MICHAEL DIONNE SUN PORCH FRAMING 2.03 CARLSON LANE WEST BARNSTABLE SCALE= 1 /4" = 1 '0" 10/07/0 DWG #4 COPPER SCUPPER CLAPBOARDS to I to WINDOWS AFCW245 = STAINLESS STL. O ANDERSON CASEMENT i00 I 0) U-) Ell N � to N EXISTING DECK o � I N 5„ 4,-9„ PC -9" h 13'-6" SUN PORCH NORTH ELEVATION \ �oo� ADDITION FOR MR. , MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE f 9/26/04 DWG #5 SCALE-- 1 /4" — 1 '0" I BITUTHENE RUBBER ROOFING FINAL LOCATION TO BE COORDINATED WITH STAIR VENDOR I UFUTURECOPPER SCUPPER J- — - &&SST PIPE REMOVABLE RAILING FOR UTURE SPIRAL STAIRCASE I = - N I ap r I in N o EXISTING DECK l tV 6'-0" �--6" 16'-4" 2x10 2x10 SUN PORCH EAST ELEVATION LEDGER EXISTING DECK DETAIL ADD 2(2X10) BEAM ADDITION FOR MR. MICHAEL DIONNE 8" SONOTUBE POST ON SONOTUBE 203 CARLSON LANE WEST BARNSTABLE ON (8) 16X'16 FOOTING BELOW FROST LINE SCALE= 1 /4" = 1 '0" 9/26/04 1 DWG #6 EXISTING;DINING ROOM 2,—4„ 2'-5" 6'-7" V-0" OUTSIDE LIGHT co WALL RECEPTICLE 0 0 ® FLOOR DIFFUSERS CEILING 5" CAN CEILING 5" CAN 49OX1 2" l .I O EXISTING DECK 0 i CEILING 5" CAN I CID 0 0 Li � CEILING 5" CAN CEILING 5" CAN , I ry o _I N 2'-9� 5'-3 5'-51 I - 2 �r -e ADDITION FOR MR.MICHAEL DIONNE HEAT & ELECTRIC 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 /4" = 1 '0" 9/26/04 DWG #7 24'-4" 6'-41 EXISTING GARAGE 11'-7" I -- - - - - -�--r -- -- -- r —r-- -- I _ o t2 24"X24"X24" CONCRETE FOOTING -e N � PERGOLA FOR MR.MICHAEL DIONNE PLAN VIEW -= 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 /4 if = 1 '0"110/07/0� DWG #8 24'-4" 6,_41 EXISTING GARAGE —6'-41" 2 11'-7" CD 0 � I 4'-0" 16'-4" .e PERGOLA FRAMING ADDITION FOR MR.MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 /4" = 1 '0" 10/07/0 DWG #9 14 -0" 2X10 LEDGER 24'-4" --I 2X8 ON 16" CENTERS 2X3 ON 8" CENTERS I , I -- - ----------•---------------------------------------- -- I u-u , , ❑ „ I �MO I , EXISTING GARAGE I II II II II I W I o L 0 � 1 Q 1 I -- N —g�-2'�—-'� I , W I I i I - .. •� ..,Y,. I SLOPE _ DOWN is GROUND- -- - - -..: :.R .�::•� -- - - GROUND -- -— f 0 6" SLOPE ' '1 16'-4" ! 13'-0" 1 SIDE ELEVATION FRONT ELEVATION 1 f o f 0 ADDITION FOR MR.MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE I ISCALE= 1 /4" = 1 '0" 10/07/0 DWG #10 2X8 16" ON CENTER 2X3 RIBS ON CENTER HID E71 licalbuouou i COLONIAL CURVE � i 1 I FLASHING 2X10 BOXING CROWN MOLDING BOXED SOFFIT DETTIL MOLDING T COLUMN DETAIL A No ' O -e PERGOLA DETAILS ADDITION FOR MR.MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE= 1 " = 1 '0" 10/07/04 DWG #11 N o� a � a m tn O^i m LOT I goo Q� i *203 �y�• yo GAR. • ati IA a LOT 3 L 0 T 2 43. 561• S. F. v, � O �` t , mz� STREET ADDRESS: *203 CARLSON LANE ASSESSORS' MAP 133 PARCEL 57 oa �_70 o OWNER: STEVEN J. AGOSTINELL 1 AND JOANN M. AGOSTINELL I DEED REF. : BK. 11208 PG. 25 PLAN REF. : PL. BK. 389 PG. 5 LOT 2 lob TOWN OF BARNSTABLE ZONING BY-LAW DATED MARCH 14. 1997 ZONE `RF I CERTIFY THAT=TO' THE "BES-T OF MY:PROFES.S1,0NAL SETBACKS KNOWLEDGE. INFORMATION AND BEL I EF THE, DWELL I NG SHOWN HEREON CONFORMS;;TO THE:.HOR I ZONTAL-SETBACKS , SIDE - 15' - OF THE ZONING BY-LAW.FOR..THE R-F DISTRICT. REAR - 15' PROPERTY LINES SHOWN HEREON THE LOT SHOWN HEREON /S IN FLOOD HAZARD ZONE C WERE COMPILED FROM AVAILABLE AS SHOWN ON MAP 250001 0011 D. DATED JULY 2. 1992. PLANS OF RECORD AND DO NOT REPRESENT AN ACTUAL SURVEY ON THE GROUND. ��`3�TMoF�Agcy RR �, THE DWELLING DEPICTED ON THIS o TE Y ANN PLOT PLAN PLAN WAS LOCATED ON THE GROUND U WARNER BY SURVEY .ON NOV. J. I99 N0.38721 9 AND & EXISTS.AS SHOWN AS OF THE DATE BARNSTABLE, MASS. .OF LOCATION. l.`-40,'•NOV. ,l4. .1,999. .: THIS PLAN IS FOR'.PLOT PLAN i I`' /� TERRY al;: :TURNER• : P.L:S. + PURPOSES ONLY AND NOT FOR 111 P8 L 00 RGND RECORDING—DEED-DESCRIPTIONS. NARFICN. MA. 010645 ESTABLISHING PROPERTY LINES (508) 432-8309 OR FOR CONSTRUCTION PURPOSES. THIS PLAN IS VOID 1F NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT N0. 99-335 BUILDER e.A- READY & soNs INC. TEL -508 - 862 - 2674 ADDITION TO RESIDENCE FOR MR & MRS MICHAEL DIONNE HIC #' 140380 203 CARLSON LANE BARNSTABLE, MASS GENERAL NOTES ' 1 . ALL WORK SUBJECT TO TOWN OF BARNSTABLE APPROVAL , INCLUDING, HISTORICAL DISTRICT REQUIREMENTS 2. ALL WORK PER MASS STATE CODES 3. PLUMBING. & ELETRICAL WORK BY LICENSED CONTRACTORS DRAWINGS 1 . TITLE SHEET 2. EXISTING CONDITIONS 3. SUN PORCH FOUNDATION 4. SUN PORCH FRAMING 5. SUN PORCH NORTH ELEVATION 6. SUN PORCH EAST ELEVATION 7. SUN PORCH HEAT AND ELECTRICAL ?� 8. PERGOLA FOUNDATION AND SITE PLAN 9. PERGOLA FRAMING 10. PERGOLA ELEVATIONS 11 . PERGOLA DETAILS SECTIONS � 12. SITE PLANS (TERRY WARNER) , ADDITION FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE TITLE SHEET 11 /07/04 DWG #1 P i r f o �27'-6" � !! ! O MASTER BEDROOM ! Z 0 DECK 0 / Q 1 DRESSING I SITTING ROOM N �/ 'a AREA 4 ! � � o f---16'-4" o MASTER BAT 1 O 0) FOYER 1 SUN PORCH e O 441 o) / Q o DINING ROOM 1 a / N 1 FAMILY ROOM 14'-3" KITCHEN BATH MUDROOM 2 CAR GARAGE PERGOLA 74'-0" 20'-0" 24'-0" 19'-0" PLOT PLAN 20'-0" 18'-7j" ADDITION FOR MR . MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /16" = 1 '0" 9/04L DWG #2 f EXISTING BATH EXISTING DINING ROOM 13'-6" I ' FLASHING NEW POST ! EXISTING 2X10 ON 16" CENTERS I 1111 ' 0 2 X4 BLOCKING-48" O.C. 2 X 6 P.T. JOIST ISCALE=1/2"=1' (2) 2X10 2X10 ON 16" CENTERS Q IZ 00 i H i V) Ix W NEW JOIST - 1/2 PLYWOOD OVER 3/4 EXISTING MAHOGONY - - i 2X4 EXISTING 6X6 POST ON 8" SONOTUBE (3) I EXISTING a °D (2) 2X10 N 8" SONOTUBE SCALE=1/2"=1' SUN PORCH FOUNDATION ADDITION FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /4" = 1 ' 0" 11 /07/04 DWG #3 EXISTING BATH EXISTING DINING ROOM 2'—4" ao a, I I o �r o EXISTING DECK I � � Q O I � �Z i V) N I X W N _I N 2'_91„ 5,_3.p 5'_51„ I 2 2 I 13'-611 SUN PORCH FRAMING ADDITION FOR MR 8c MRS MICHAEL DIONNE ! 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /4" = 1 ' 0" 11 /07/04 DING #4 t ALUMINUM SCUPPER THRU PARAPET CLAPBOARDS 2" 6" SOFFIT T- 6'-_�------------------ oWINDOWS AFCW245 LUM. LEADER TO "EXISTING ANDERSON CASEMENT DRAINAGE PIPE T r _� - co ROOF RESEVOIR/ DIVERTER DETAIL I 00 \ N PEEin co _ N �- EXISTING DECK o N 5. �_4'-9'� 6" 4'-9" 13'-6" SUN PORCH NORTH ELEVATION ADDITION. FOR MR 8c MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /4" = 1 ' 0" 11 /07/04 DWG #5 BITUTHENE RUBBER ROOFING FINAL LOCATION TO BE COORDINATED WITH STAIR VENDOR c° UFRE i ►� ALUMINUM SCUPPER i ------------------------------------------------o -- -------------------------------- 6" OVERHANG WITH SOFFIT REMOVABLE RAILING FOR c° UTURE SPIRAL STAIRCASE . I � N 00 Lo co (V o EXISTING DECK N 4'-9" 5" 6'-0" 16'-4" 2X10 2X10 SUN PORCH EAST ELEVATION LEDGER EXISTING DECK DETAIL ADD 2(2X10) BEAM 8" SONOTUBE "-6X6 POST ON SONOTUBE ON (8) 16X16 FOOTING BELOW FROST LINE ADDITION FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /4" = 1 '0" 11 /07/04 DWG #6 d EXISTING ;DINING ROOM 2'—4" 00 v, WALL RECEPTICLE ® FLOOR DIFFUSERS CEILING 5" CAN CEILING 5" CAN 4"X12" o ' I ' I 0 O EXISTING DECK 0 0 I �- CEILING 5" FAN eJ OUTSIDE LIGHT I c� i r- 1 0 0 X N w CEILING 5" CAN CEILING 5" CAN J I N M I N I 2'-9 ,. 5'-3„ 5'-51" i 13'-6" HEAT & ELECTRIC ADDITION FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE = 1 /4" 1 '0" 11 /07/04 DING #7 r _ r - , Iry�.: -- •_ ,��Wy r•"r ...,_ ..�. ... - - -` �.3.: - - - :t t i - 24'-4" 6'-41 EXISTING GARAGE --6'_4�, �--- 11'-71' 2 , 24"X24"X24" CONCRETE FOOTING 16'-4" -i PLAN VIEW PERGOLA FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE 1 4„ _ l '0,� 1 1 /07/04 DWG #8 / i im rva- Cl O - ,�j a. I TI •- C) ru D I c, 3 i v :> � - ZH I I I I I 1 11 TE=1 11 C) a i TFM u u u u u u u ILI u u u ILI u u u u ILI u mu i i. i C� ro l�J CD H� W V a o D z 3 FT1 9 CD .� z o -p M 3 H V T -+ o t7d z F r M �' r 24,-4 l0. 13102X10 LEDGER ' 19'-00 I I 8' I -_- --- j 2x10 I EXISTING GARAGE I I I l I ICI I � I I a " L7 0 II I ' II x iSLOPE <`:..' ; ' DOWN - — -- -- — -- — — -- ---- — -- ; ' "a' --- — --- ----- — --- — -- -- GROUND 6' SLOPE GROUND 16'-4' -; 12 -6 SIDE ELEVATION FRONT ELEVATION r ADDITI ❑N FOR MR & MRS MICHAEL DIONNE 203 CARLSON LANE WEST BARNSTABLE SCALE -- 1 / 4 " = 1 '0 " 11 /07/ 04 DWG # 10 • j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map r. Parcel ,� ' Pi`�` Permit# g Health Division � .�S' - 3 � Date Issued b 9 4 Conservation Division Fee � Tax Collector r��j/ f �� _ - , l/77 Treasurer •'; Planning Dept M- Date Definitive Plan Approved by Planning Board /Q /a Y/FY, Drt ,r Lo 1 le�f�d zW 00.5 6r► Historic-OKH Preservation/Hyannis Project Street Address Village JA/_ �N 6 ry e/ OW/V l / Owner r� � � A dress Telephone Permit Request Square feet: 1st floor:existin proposed /lyy 2nd floor: existing proposed 9py Total new Z�Q� �sy�Estimated Project Cost Zonin6 District Flood Plain Groundwater Overlay Construction Type Lot Size ��,,�� Grandfathered: ❑Yes 91.0 If yes, attach supporting documentation. Dwelling Type: Single Family U- Two Family ❑ Multi-Family(#units) 07 Age of Existing Structure' Historic House: es �Rlo On Old King's Highway: ❑Yes Flo Basement Type: wrull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �_ Basement Unfinished Area(sq.ft) MONO Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new 3 Total Room Count(not including baths):existing new_� First Floor Room Count A Heat Type and Fuel: Mas ❑Oil ❑ Electric ❑Other G�ntral Air: ❑Yes ErNo ,Fire laces: Existing New_ Existing wood/coal stove: ❑Yes 4<00 Detached garage:❑existing &new size Pool:❑existing ❑new size Barn:❑existing ❑new i g size Attached garage:❑existing mk10e0`w' size 2!&Z49 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded El Commercial ❑Yes &1100 If yes,site plan review# Current Use Proposed Use UILDER INFORMATION Name / e Telephone Number &e9p� '�f �— Address �f� � �T f4Z License# 0 &4-4�llyyif ,^�/' OZE4 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ e�-,2 22 FOR OFFICIAL USE ONLY PERMIT NO. c o f i !r DATE ISSUED MAP/PARCEL NO. � ., + ., � y • r ,,' , ADDRESS; -- ; -VILLAGE OWNER ' '.E j � `' {' � , f'..�i� 1 • - DATE OF INSPECTION: F FOUNDATION FRAME ` �! ..4 INSULATION FIREPLACE r �- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 17 • ' 3y. �1-0'l ...... .:... • ��N_..�rn.Ls -,' `�nbn� l�zs:.3►Yo�. . i • 1 . 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ROOF FRAMG RAN s �ADRTRSlDE . /"'O° p1 STEVof ACMTKILU DM .s A.1 ASH RARMS Sent By: NATIONAL ALARM INC; 9415918303; Oct-19-99 1 :51PM; Page 1/2 7yvle -GZ�o r Sent By: NATIONAL ALARM INC; 9415918303; Oct-19-99 1 :52PM; Page 212 Wwo vivopi+L. 41r . o � -41 r �n c� 4001' WU'l JW O� a' w TOWN OF BARNSTABLE CERTIFICATE OF .00CUPANCY PARCEL ID 133 057 GEOBASE ID 31971 ADDRESS 203 CARLSON LANE PHONE W BARNSTABLE ZIP - LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT. DISTRICT WB PERMIT 42080 DESCRIPTION SINGLE FAMILY HOME (BLDG PMT 038775) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: BOND $.00 �tNE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY BARNSTABLE, *' MASS. . i639. BUILDING - IVISIOI BY DATE ISSUED' 10/28/1999 EXPIRATION DATE Rill iy. ti • �-•.'yam PARU.1',, Ili,,J33 057 1 0BASE ID 31911. ADDRESS - �03 CARLS'ON LANE PHONE W BARNSTABUE ZIP LOT 2 ' • BLOCK.: LOT SIZE DBA DEVELOPMENT DISTRICT WB PERMIT 38715 DESCRIPTIONN 3BR/2 1/2 BA. FULCAPE/2CAR ATT/DECK( SD195234) PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: STEVEN AGOSTINELLI. Department of Health, Safety -ARCHITECTS: and Environmental Services TOTAL FEES: $4'�`7.40 THE BOND 00 CONSTRUCTION COSTS $154, '0 r00 i0i SINGLE FAM HOML' DETACHED , •1 PRIVATE- A . � .... * BARNSTABLE, 163 BUILDI VISION7 BY DATES ISSUED 06/01/1999 ;EXPIRATION DATE THIS'PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. ' 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRjQAL INSPECTION APfROVALS i� � 1 HEATING INSPECTION APPROVALS W7,!LER7 DEP T J0 -�l9 Gas 2 f 00Dy) O F HEALT OTHER:_�L, ' `STaI?1E f=,h SITE P REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1 ,- w� it - --- ---- I I I I I It I � � BUILDING I I PERMIT "e IQVI% I • I a .. f� MAScheck COMPLIANCE REPORT I I Massachusetts Enerqv Code ( Permit# I MAScheck Software Version 2.01 Release 2 I . I I Checked bv/Date I CITY: Boston I � STATE: Massachusetts HDD: 5641 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 5-24-1999 DATE OF PLANS: 5/24/99 TITLE: STEVEN AGOSTINELLI k PROJECT INFORMATION: BODFISH FARMS COMPLIANCE: PASSES Required UA= 684 Your Home = 517 Area or Cavitv Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS _ • 2098 32.0 0.0 71 WALLS: Wood Frame, 16" O.C. 3450 21.0 0.0 197 GLAZING: Windows or Doors 451 0.320 144 FLOORS: Over Unconditioned Space 2290 20.0 0.0 105 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than % of t de ign load as specified in Sections 780CMR 131 J Builder/Designer Datelo*_ i , r h 1 1 -ti . 1111 � ve) i =M s � •iOO � + C2 a . UPM LZVEL PLAN --s.�- ®xoxrxswE 0"° _ •"` •1•,• .�� snv.K _ AG05T10W A.2 BODFISH FARMS 1c RWP� X3 �. 07 >1 .s ri P P � t • � i . i ° c i KAU' 4 � oo tW*11L PLAN L .� �- at<<vnt AroanMau =�! ® r� EM - A.I SODRSH PARKS p n'a`®"•�'® s ^� /� - ti {:i i •�� $ -..,�aa.- ..-.ter.. .� I � j i I . I { { I 11 1 { ! i i 1 j i j J I i i I wni{PH.� -.daft— Own ! { ! ii ! { ! I { / ' I •� i { ® 1� a L LEVEL RANDESIG UASSDCIN A O STN AWSTOUILU -MATES BOORSH PARKS • 9 1 6 r 65 � , � �. 1 g l 1 1 I ii I I Fu. I i_ 1 E �g Tj rr 1 MalJ i l i o 00 i ono $ jai i i r ; I � 1 ' J ee 1 i gg gg � 0 0 MORT f FAM ELAVATtoas DESIGN A.3 �+ 6TZVf•R.AC.OSTM Was�clarEs _ BODFISH FARMS I I I 1 1 1 I 1 1 1 1 I I , � 1 � I 1 1 , 1 , . � 1 I r E S i ' 6� � 1 1 1 (9( Q 1 1 1 . Ju I I 1 . r 1 Y: ` I T I I I I I { - rI I n • I g 1 I Y , 8G It t� :I n 9C yygg qq F tE &F 1 d�dr awfr<LE"sevATWM' - =z ®NDRTHSIDE ®°a_ wt a.oe STRYU AC48TWZW � ASSOCIATES A•q BODFISH FARMS . I T I u n • I A es� G I 1 C 1 ,p 1 ' 1 1 � � 1 1 ' 1 I (m • m . - 9 O I i m I 7 `rrr. r i!ii Him O 'i' .11iii 'D a W Q O'< N I s ' I I 1 •i' m I 1 • m iON mm 60r„ � O NOMWE mm STEVSK AC46TKEW F BASSOCIATES LU 1 1 = 4g 1 IIg� C f 6 A.5 B60FISH FARMS �``�_ Y l 13 -- - 1 _- ____________ _ =____= B6 ------------ - ----------- F ---- - t nil SMCOKD FLOOR FRAmrm, MNORTHSIDE NMI. DESIGN �.a ""� "* STRVRK AGOSTMJ _.-- ASSOCIATES A.6 BODFISH FARMS =� w f / 9 - / , , / , ,• / , l , / -- _ _____ _______ _ I I 1 1 1 1 I 1 I 1 I 1pp1 1 e -F J no•� t l I I I I I I I I 1 1 1 91 1 _ ________ __ y+-t-t-r-+-r-r-t-r-r-r-r--a- ^4_ 4•-4., / / , � :____ aq_____ Yt- I r •I I ---- ------- '- I 1 1 1 1 1 1 1 1 I I pp 1 1 J— .LL ___________ ______ _ __ _ $$49 33 � I , 1 I I , i 4C u ROOT FRAMUG R.MI �NORfFISIDE "°°" o•' •"°" •�� •'"• OTKVKK _y_.- DESIGN m° AC.OiTtMKW ASSOCIATES A•� BODFISH FARMS i of n+e r . �: Town f B. ,,MS.EEX o Barnstable MAS& Department of Public Works ° 367 Main Street, Hyannis MA 02601 Office: 508-862-4088 Thomas J. Mullen Fax: 508-862-4711 Superintendent October 7, 1999 Re : Complaint from Resident on Carlson Lane , West Barnstable Engineering Division received a complaint from Mr Walter Mahoney on Carlson Lane in West Barnstable. A residence is being erected on the property at 203 Carlson Lane. During the last few rainstorms a large amount of runoff occurred and has plugged the nearest catch basin. Could your department, please, contact the builder and have the catch basin cleaned out immediately and have some hay bales placed around the catch basin so that the problem doesn't reoccur during the next rainstorm. Walter Mahoney can be contacted at 508 - 362 - 5486. Thank you; DJA (( s {S• .:�;i v. •, . 9M �+., r. a< K� y � �t`._ .� .n'.F t7 jF: wj ) `r+}ti'lj E•4}S,�t` ��'�,�Y�� . 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ROMAc ed To: 00 STEVEN J AGOSTINELO r, 6701 STONEGATE OR Ltr«ar NAPLES, FL 34104 Adminlstrotor d/Z a��d `Wd69 l 66 d utif`•EOE8I6Slb6 ;ONI VgHVIV IVNOIiVN :As lues I PROPOSED PLOT PLAN �( FOR 11 LOT 2 HIGH STREET WEST BARNBTABLE,MA. PLAN BOOK 389 PAGE 5 PREPARED FOR STEVE AGOSTINELLI SCALE: 1" = 60' MAY 27, 1999 fop — L471T 2- Weller & Associates �� \ 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 \\ (508) 775-0735 PROPOSED PLOT PLAN �( FOR rr LOT 2 HIGH STREET WEST BARNSTABLE,MA. PLAN BOOK 389 PAGE 5 l I PREPARED FOR STEVE AGOSTINELLI SCALE: 1" = 60' MAY 27, 1999 4-3s("l p�0 ` a �S m \ odd\\ \��\ Weller & Associates 1645 Falmouth Rd. —Suite 4C Centerville, Ma. 02632 (508) 775-0735 {t�,rioFa•� r tt( ' • � ��• , \�1St{.�. �r +�..4��j��3�`i.. 1 •-.. �S ��"M.�.,` t � •l: 1)�t� ♦ y� xr �,-� S� ��M"•Nri 2� ry s z"w. �%t t t FN.t`<'i 2!' �{t rt t►L);w• fJ<+' t� 'T t �4•'k )ti ,�v.' Y`,SPc'��_'�F ` ,s + ,•!r F.��;::1•�r�.� ��.-'Ir'iriJ i'rfL. 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P_.3 .- � � 1 -25 1 d: Kuigs,HighrayReCdnai gone:District Committee In the Town of Sarrustable' for a CERTIFICATE OF-APPROPRIATENESS APpWicedb,n it hereby made;iri triplicaft for the invanea of s Certificate of Appropriateness under Section 6 of Chapter 470. Arts and %wives of"Massachusetts, 1873, for proposed work as described below and on plans, deswings or photographs aommpa %%g this.app0catlon for: : CHECK CATEGORIES THAT APPLY: 1. Exterior tuilding Cotlsuuetloe: New Building ❑ Addition`: :.- ❑ Alteration Indicate type of building: H 0 Garage 0.Commercial ❑ Other 2. 5cterlor ft%ziiig: b . 3 Signt or 0lboards: tj Newsign 0 Existing aign ❑ Repainting akisting sign 4. StrucUW,. ❑ Fence ❑Wall ❑ Flagpole ❑ Other (Pleoze reed other side for explanation anti requirements). TYPE OR PINNTIEGIBLY 2S w DATE — LOT LOT2 1 Q-1.�oN t.4�N+E " - - AODRESS Qp"PROPOSED WORK w: t TAe�t E M{ , . __ ASSESSORS MAP NO. OWNER t*PM VA ASSESSORS LOT NO. • fo'�O �141 ►•38�. it- HOME ADOR I ESS•; _ i. � �' n2l TEL NO. �I FULL NAMES AND:ADDRESSES OF ABUTTING OWNERS. Include:name of adjacent property ownevcoss�any public strat or thy. tAtach addidonal she' K:necessary):. =-; .�o ,v AGENT OR CONTRACTOR - o WD&A C- &9:?6=0 �e nTEL NO. b� `362 9'SOL ADDRESS,W--MR« ek. %_1Jke-mem1Xk 2&=k. MBA a-&L25� DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No.8,other side),including materials tp be used,if specifications do not accompany plans. In the case.of signs,jive locations of existing signs and proposed lamlons of Raw sign IAttech additional sheet,if necessary). VIEW 2- <A,-Q" C.>'�Ptr wl'a'Cte�cart�p �Zaate' r "f e-4-iJ, G • �.�v pow _ . L` o Sigin ed .contracao►,Agent Certificate is hereby �� Date �� 99 ir ®R: RNSTABLE Approved ❑ IMPORTANT- If Certifiicate i aPe ad,approval is bject to the 10 day ep eal period provided iq the Act k rJ A- -a- aa Ifl o -ISO kloq M9 cL n LW- - - �,_c �� i - 9 . _ - � l e `t Ali i�� {�� _ ,;•- t � ', > � � � �_, � � } t �. .. t ' ` t i f �� t � � t 1 r �� r � � y t r _ � ,� � } 1 _ e�� . � i .. r � � i r � ,. { , �� k ; �, , ,� F , � " s + . � �.1 i ; , .. — - , .4� _ _ _ 4 } CERTIFICATE OF COMPLIANCE Bodfish Farms Community Association, Inc., a Massachusetts corporation with offices at 207 Carlson Lane, West Barnstable, MA. Of"Bodfish Farms; Barnstable, Massachusetts; Declaration of Protective Covenants" recorded at Barnstable Registry Book 4479, Page 273, and hereby approve the plans (marked A) and specifications submitted thereunder for the following: Owners: S_TEVEN AGOSTINELLI Lot No. 2 located in Barnstable, Barnstable County, Massachusetts as shown on plan entitled `Bodfish Farm", recorded at Plan Book 389, Page 5. Wherefore, the Bodfish Farms Community Association, Inc., has caused these presents to be signed by EDMUND L. BOWER, its President this -_Izl day of 1 AXYT,'r:9-9.-4- Bodfish Farms Comm ss iation, Inc. By: President -t n .r OLD KING' HIGHWAY REGIONAL HISTORIC DISTRICT;{, LrL�.t� ADDRESS: M* , FOUNDATION MATERIAL: 6.a4G.. EXPOSURE:fg,QX• OVERALL LENGTH: OVERALL WIDTH: SIDING TYPE: Gam. Fle. + COLOR: N p�.7 C. s}hN�, s, c,,.S L S vvk57 Q- �P�vS. CHIMNEY: BRICK COLOR: R�-� ROOF MATERIAL: PITCH: ' �Ze �-.� COLOR: NR`L: ,_, HEIGHT TO RIDGE:±�_& ( WINDOWS: pbL, tyG GRILLS:,rj&E._,bj5 SIZE: TRIM COLOR: v �TE DOORS: ,c✓ �5 COLOR: W'�kITf STEP MATERIAL: �6GZ\orr zry SHUTTERS: COLOR: Lu*N, �i GUTTERS: ;N.UjMZ�N COLOR: )tA-\jC DECK SIZE: I �k �S/ MATERIAL: p -�' W oo 9 GARAGE-DOOR MATERIAL: ` COLOR: STORM WINDOWS 8 DOORS: -kL M ,NU-M COLOR: SKYLIGHTS: N I SIZE: COLOR: OUTDOOR LIGHTING STYLE: pk NUMBER & WATTAGE: (BE SURE TO INDICATE LIGHTING ON PLANS) SHED SIZE: I\j A FENCE STYLE: NA SIZE: COLOR: ELECTRIC METER LOCATION: jZ-16r})7 f" G0 _SCREENING: DRIVEWAY MATERIAL: ps$d V7 LOT SIZE: LANDSCAPING: ADDITIONAL INFORMATION: Town of Barnstable r Old King's Highway Historic District Committee SPEC SHEET FOUNDATION SIDING TYPE C_LkVZ0_ T :9p 10e_ OSdo COLOR wt} -TUTS CHIMNEY TYPE COLOR ZIE[�o ROOF MATERIAL COLOR PITCH' \'L; \Z , WINDOW �LS?S�, SIZE Vcz.l�S TRIM COLOR DOORS COLOR SHUTTERS YES GUTTERS PA_%, OW\ u ok-ro_ DECK � k �5 U-) GARAGE DOORS COLOR W E NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of this form are required for submittal of an application, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be "Certified" , but should show all structures on the lot to scale. QDo � o SPECSHT r Sent By: NATIONAL ALARM INC; 9415918303; Jun-2-99 1 :59PM; Page 112 �y The Town of Barnstable VE °� ' ►o Department of Health Safety and Environmental Services Building Division MARNMASS. 367 Main Street,Hyannis MA 02601 0,19. tee$ A�FD NIA't A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION j Please Print DATE: c� In' 9 /� / / JOB LOCATION: cZO 3 C.C!//��/�A0,_,, (G�/��-- Z--11number street street ) village "HOMEOWNER": , /�G.t�l�/%fie// — 601F name / f —7� home pho/#/ work phone# /// CURRENT MAILING ADDRESS: 7 .. cJ� LJ j� cr /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 req�r _ Sig ature of Homeowner"' Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMFT m I P Y B P n P ' 4 ' Y ° ! B Y I n Western Surety .company r e p n LICENSE AND PERMIT BOND F For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract, ; I Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. P u KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 2 914 2 3 4 ' That we, ftshn6li of the Li q of _ &S , State of Elar-ICACc , as Principal, n and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of, Mass aCh U Se+is , as Surety, are held and firmly bound unto.the Tbwr1 of 66&ns�-&bl e , State of H1k5SAQA05e_HS , Obligee, in the amount (Valid only when a County,City,Town or Village is named as Obligee) of 1�t? -�'�1bUS,N� O1, A xx�iC� DOLLARS ($ 5, O0O ), (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATIO IS SUCH, That whereas, the Principal has been licensed ST�EE 1 1)EEM iT a03 ur Ron Wn - ( ySt erainsiakG, ma by the Obligee. N�W" BEFORE, if the Principal shall faithfully perform the duties and comply with the laws and orcrl�anRces. We g all amendments), pertaining to the license or permit, then this obligation to be void, o '.;4e1I"sevto�kreir�a� ' n full force and effect for a period com encing on the u day of Zak q� , and ending on the �N day off! irj "110 - , -01QQ(2, unless renewed by continuation certificate. �1i b c�Aay b* +rminated at any time by the Surety upon sending notice in writing to the Obligee and to t � ''iaclpa], 1 the Obligee or at such other address as the Surety deems reasonable, and at the expira- tio�� ,e") b� days from the mailing of notice or as soon thereafter as permitted by applicable law, which e SD acef''��this bond shall terminate and the Surety shall be relieved from any liability for any subsequent acts or omissions of the Principal. Dated this 2Y day of , —Principal Principal Countersi ed WE STERN S U E T Y CO A N Y P ` By Resident Agent By President ° I ACKNOWLEDGMENT OF SURETY r , STATE OF SOUTH DAKOTA l (Corporate Officer) County of Minnehaha f ss GG ` On this a`Ab day of �(.�U L,before me, the undersigned officer,personally G appeared Stephen T.Pate ,who acknowledged himself to be the aforesaid officer of WESTERN y SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing ; F instrument for the purpose therein contained,by signing the name of the corpor on by himself as such officer. ; IN WITNESS WHEREOF, I have hereunto,set my hand and official se p ! p J. RHONE ; NOTARY PUBLIC o SEAL SOUTH PUBLIC SEAL .` ! otary Public, South Dakota Y My Commission Expires 6-12-2 0 Western Surety Company • 101 S. Phillips Ave. n Form 849•A—12-97 ''°'°'y°'' '+ Sioux Falls, SD 57104 • 1-605-336-0850 ' 7 �,� ACKNOWLEDGMENT OF-PRINCIPAL (Individual or Partners) STATE OF r " ss + ° : P County of a P r On this day of before me personally appeared a P tl P 6 known to me to be the individual_ described in and who executed the foregoing instrument and acknowledged tome that Vie_ executed the same. r I P My commission,expires g pi Notary Public ACKNOWLEDGMENT OF•PRINCIPAL�_' - (Corporate Officer) ti J .... STATE,OF ss County of s On-this j day of ,before me, ' personally appeared - ;,who acknowledged himself to be the of_ , a corporation, f and-that he officer being authorized so to do, executed• the.-foregoing instrument for the pur- poses therein con_ tained-by,signing the name of the corporation by himself as-such officer. My;commission expires Notary Public P P r _ n , EI r ° yo ans A //L .ti•. ., f z.�.'. Vie•_ ,4 ¢ ? :A ' - P W M1 •r+-i - � r ' 30 !n r P ° ^C ®' •v , S=-Z�_C� i Deparrment of Inrlttstrial eiccidents X s -'?= Olfrce aflQyestfgatfo�s 600 Washington Street - a+' Boston,Mass. 02111 ,iia.�7ri�mm,,,y .i..a, /Workej%Com��nsation Insurance davit rcat:t� of tit—xt.;///'%�i,/%%//%//////////�%// ///, ` ///%%/%//IM11/71111,//// i! name: /Lz— location: el zl f7', city 6 g/�itii% '/��i phone#4 �—00 6 .0 ❑ I am a homeowner performing all work myself. I am%/❑///�%/7//////s� to� working capacity ❑ lam an employer providing workers' compensation for my employees working on this job. comnnnv name: address: :.:... : ... . city: phone* insurs cc cn. eiicv 10 i ////// am a sole proprietor, general contract r. or homeowner(car a one)and have hired the contractors listed below who havethe foIlo«ing workers' compensation polices: comnnnv name• address: ci tv: Ohone llh insarnnce cn. noitev#.. ;:..:.....,:, ;: ..:,:.:., >r: <:sV•>..:.... comnnnv name: address- N ... phone#: .:. ..: .: ... ..... . ....... frtsarancc co. ;;, .. :•... olii Famlure to seeur a coverage as required under Section 25A of MCL 152 can lead to the imposition of criminal penalties of a fine up to SI.500.00 and/or one years'Imprisonment as well as dvd penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby eon f• rider the pa• and penalties of perjury that the information provided above is tone mid coned signantre Date Z 7--f 57 _ Print name vr,� !� _ Phone it -2,7r—00 6 C- Cmmwa.c4 use only do not write in this area to be completed by city or town ofi ial town: permitalcetne 0 QBuiiding Department ❑Licensing Board ck if immediate response is required ❑Seleeanen's Office ❑Health Department person: phoneM. ❑other (MVUWG 9,95 P1A1 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thZ 1. employees. As quoted from the "law", an employee is defined as every person in the service of another under any CC— of hire, express or implied, oral or written. e; An employer is defined as an individual. partnership, association, corporation or other legal entity, or any two or more =- the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recce s•e: _- 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 c: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew_ of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe . commonwealth nor any of its political subdivisions shall eater into any contract for the performance of public work until acceptable evidence of compliance with the in�.+nce requirements ofthis chapter have been presented to the contrac^..r� authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be 'submitted to the Department of Industrial Accidents for confirmasioa of insum=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= Slim d you have nag questions regarding the`law"or if you are required to obtain a workers' compensation policy,please call the-Departmeat:at the mmmber listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Departmaat 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 permittUccnse number which will be used as a reference number. The affidavits may be:conned io the Department by marl or FAX unless other anangemeats have been made. The Office of Investigations would Bice to thank you is advance for you cooperation and should you have any questioas_ 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 Me of lovestf-30023 600 Washington street Boston;Ma. 02111 fax#: (617) 727--7749 phone#: (617) 727-4900 exL 406, 409 or 375 i I✓ngineering Dept.(3rd floor Map Parcel Permit# �Jlp 7/ House# :LD3 �i' /'IfO,&I 164J' Date Iss -l Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ,�'' 231{ Fee ��g; �a Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 1 JN Planning Dept.(1st floor/School Admin. Bldg.) o*•►'�►p Definitive Plan Approved by Planning Board U o'�`/° 19 ; X�+ I RNSTABLE 40 2✓�-/�c'SA`'/��-! " V MASS. TOWN OF BARNSTABLE 'E°�'�'� Building Permit Application Project Street Address �_O 3 CgefZ O/y Lev- 3 Village Owner Address 461 Lrz�, p,gey4j d Telephone 006(o Permit Request 1 First Floor Fy k square fe t Secon Floor square feet Construction Typ Immd ,!2g I Estimated Project Co t $ Aa Zoning District Flood P ain Water Protection Lot Size Z.3, t4r7L, Grandfathered ❑Ye- QIQo Dwellin T e: Sin le Famil" TW Famil� ulti-Family #units) g YP g Y�� ❑ y( m s) Age of Existing Structure Historic House ❑Yes [/No On Old King's Highway p Yes Rlo Basement Type: ❑Full ❑Crawlkout ther Basement Finished Area(sq.ft.) \1� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing I New 3 Half: Existing New No.of Bedrooms: Existing New Total Room Count not including baths): Exi New First Floor Room Count , Heat Type and Fuel: Uas ❑Oil ❑Electric ❑Other Central Air QYes? ❑No Fireplaces: Existing New _� Existing wood/coal stove ❑Yes gk o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Q�(ttached(size) �X'L�-I` .3 ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes � If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number � 1 ZJ 00 G .6' Address !y�� )QSeO�i off- yy,�;f. �/� , License# �"e-a ,tie/L Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 11 —� BUILDING PERMIT DENIED FOR THE FOLL WING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ~z MAP/PARCEL_ NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION ".14.FRAME _ INSULATION - - FIREPLACE ELECTRICAL: • ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. NOTES: ON 6/19/98 STEVEN AGOSTINELLI,HOMEOWNER,WAS ISSUED PERMIT#31679 TO BUILD A SINGLE FAMILY DWELLING ON MAP/PARCEL 133/057. HE PAID$558.00 FOR THIS PERMIT. 7/21/98 MR.AGOSTINELLI DECIDED NOT TO BUILD ON PARCEL 133/057. HE REQUESTED WE CANCEL THAT PERMIT AND APPLY THE FEE HE HAD PAID TO A BUILDING PERMIT FOR A SINGLE FAMILY DWELLING TO BE BUILT ON MAP/PARCEL 110/028. PERMIT#31679 HAS BEEN ALTERED TO REFLECT THIS CHANGE. i F TOWN OF BARNSTABLE BUILDING;RRMIT PARCEL; ID 133 .0571 GEOBASE II) F 31971 ADDRESS 203 CARLSON LANE PHONE W BARNSTABLE ZIP - LOT 2 BLOCK LOT SIZE/ DBA DEVELOPME STRICT WB 16 PERMIT 31679 DESCRIPTION I LE FAMIL DWE NG SEPTIC NO 95-234 ° PERMIT TYPE BUILD TITLE EW SIDENT AEI✓ LDG PMT. CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS: and Environmental Services: TOTAL FEES: 558.00 BOND $.00 O� CONSTRUCTION COSTS $1 0, 00.00 101 SINGLE F M ME D ACHED 1 PRIVATE PEA.?E" * '` * BARNSTABLE.1639. # �ED�A BUIL • I16 IV O B DATE -I UED 06/19/1998 EXPIRATION DATE ____ ` / G I �- I } � ` /�7�52� .'ice--•s,�=� �..�, j w , TOWN OF, BARN*,STABLE { ti BUILDING, PERMIT b —PARCEL 'ID 133 057, GEOBASE ID 531971 ADDRESS 203,CA.ELSON LANE PHONE W sBARN TABLE 2I P LOT 2 BLOCK LOT _ DBA DEVELOPMENT DISTRICT WB PERMIT 3166'79 DESCRIPTIONAT�MGLR FAMILY, D 'CL Ii C SEPTIC N0 95--234 PERMIT•,TYPR''ABUILD TITLE EW i�tESIDEN'TI BLDG. PMT . y ,r CONTRACTORS: PROPERTY OWNER Department of Health, Safety ARCHITECTS and Environmental Services TOTAL FEES. `4.+,, _%58.00 . . 5 1ME BOND - ► J $.00 .Ok" CONSTRt7CTI0At_COSTS $1. 1 , 00.00 101 y SINGLE F 4ME DETACHED 1 PRIVATE P'. 1- * BARNSrABLE, 39 BU G DI ON= 4 e , BY ^' DATE, Is. D 06%1 1968 ExPI;RATTON DATE i THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I 1 1 1 I I ' I 2 2 2 1 I I • I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL ' WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. I( I I I I I I I I I I I I I I I I I i I I I I I I I I -• I I I ' I I I `I T!r'L• C11171Jrrurrll•Culth assac• 1uVC11V ' . pc•p(rrtrrrcrit nflrrdirstrialACGrrIL'JrtS ONCZOf1BMlI9aIlvnS - �;;ia:__�' &Ja !f aslrirrg-ruir Street Bttstnrr■ Miffs. 0111 Workers' Compensation InsuranecAfrid.wit L11iPiic ntinfnrmatinn Plc•tse i'RINT'le��iiv - - nartc. 61�.� /ice r IRI am a homeowner performingall work myself. I am a sole proprietor and have no one work-ing, in any capacity •r,�,.___...�.____. I am an empiover providing %workers' compensation for m% employees working on this job. enmrrnnV n:tmt•- r atirl rrcc� nftnnr 0• inenr:*nrr rn. liev 0 i am a sole proprietor. -enersl contractor. or homy-OWner(circle otter and have hired the con==ors listed below 'x'rc the "oilowin_ workers compensation polices: Q( cmmf1:1nc nninr �� a(Irirr�c• �� fir` 11f1nf1C�• incrir-nrr rn V rmmn::nv norm— �� atirlrr.c• , inxtirnrirc rn. ftnnc?�• rir�•• pile•� ,lttacft additional sheet ifneecssni-v-77. Failure to secure cin-crnac as required. unucr-ectton=`A of AIGI. lsz can lead to the imposition of ertmtnai penaities of a line up to Ss °OU.UU any ' e form of a STOr WORK ORDER and a Gtte Uf 5100.00 a dap against me. I understand the unc care impri>onment :t+ �.cll :is cit ii penalties in th copy of this 'falcntclit nin% be funrarded to itte Olrce of InVestitstions of the D1A for coyen�t Verification. 1 do itercht• cerri" rile p(titts /d penalties of perjun•chat the information provided above is true and correct. q Sicr:atvr� Datc Phone 9 P'- atTicini use only do nut write in this area to be completed by city or town otTiciai E cite or tnt�n permitilicense d -,tsuildint:Department OLicensinr Board F [t�cleetmen's 0MCC check itiminediate respunse is required L'ttlealth Ueprrtment phone 9: r'Vttter�— font::: nercnn: � � T Information and Instructions Massac'.iutieits Gene-if Laws chapter 152 section 25 requires all emplovees to provide workers ctnnPeits:uitin employees. As quoted ironi the "fa��". an enyplarer is defined as ever}, person in the service of :uuither contrci of hire, express or implied. on. I or written. An empioY r is defined as an individual. partnership. association. corporation or other legal entity, or any two c: the foregoing_ enua.r d in a joint enterprise. and including the legal representatives of a dec=c-d emploven or rcccfver or inistee of an individual . partnership, association-or other legal entit}'. employing employees. Ho«e•. mWncr of a dwelling_ liouse hal•in_ not more than three apartments and who resides therein. or the occupant of dwelling !iouse of another N%-lto employs persons to do maintenance 'construction or repair wort: on such dtve!ti;- or oii the _rounds or fluitding appurtenant thereto shall not because of such emplovment be deemed to be ::n erg VtGi_ �harnc: !5_' section 25 also states that eti•crr state or local licensing agency shall witlihold the issunric_ •• W.Il of a license or hermit to operate a business or to construct buildings in the conimon�,ealtli Cor ar,` ic:nit wfio lies not Produced acceptable evidence of compliance with the insurhnee coverabc requircu. ,e�..ionall�. neither the cominonweaitlt nor any of its political subdivisions shall eater into any contract for,lie per:'Ijriii;.::ce of public work until acceptable evide:ice of compliance with tite insurance requirements of this c!:cc prey_::tee to the contracting authority. Appiicznts the workers" compensation affidavit completely, by checking the box that applies to your situatio;: : suCLi� inc zomt,any rtaincs. address and phone numbers as all affidavits may be submitted to the Department of nc atrial \cz'de::ts for conrirination of insurance co�'e:�_P. Also be sure to siiDn and date the afiicla�'it• Tfte :a•. it iiouid be re:urtied to tlic cin or town that the application for the pe..trait or license is beinc requested. :;ie Jecartnte:;t of Industrial Accide:its. Sliould you have any questions retarding the "law or if you are req .0 LT z::i \-crkc:-s' coinpensatioil polic}•. please call the Department at the number Iisted below. Cite )r Tuxns the affidav it is coi.ipiete and printed legibly. The Department fins provided a space at the bMI: the for "ou to fiil out lit cite event the Office of Investigations has to contact you regarding the applicant. be _ : :o till in rile permit/license number which will be used as a reference number. The affidavits may be recur- -:ie D.cartme::t by malt or FAX unless other arrang:_:rents have been made. Tiie C'Micc of Investigations would like :o thank you in advance for you cooperation and should you have any que_ picric do not hesitate :o _i-,•e is a call. Tiie �Depar:t:,enf s address. teiepiione and fax number: TIie Commonwealth Of Massachusetts Dcpamment of Industrial Accidents -• Office Of Investigations 600 Wasliington Street Boston, Ma. 02111 fax rr: (6I7) IT17-749 �iione =. 6 i-' 00 406. -'09 or _ . i y 2� , ti - (AMP Tian/ 31 t 2 , 1 3 I 6 � ksl Ohl CERTIFIED PLOT PLAN SHOWN FOUNDATION O THIS PLAN IS LOCATED ON ,;201 T FOR THE GROUND AS SHOWN HEREON AND "Lo T z ,y/0,41 ST, Al 7-4 BGF A1�q, THAT IT CONFORMS TO THE MINIMUM BUILDING SETBACK REQUIREMENTS OF THE TOWN OF PREPARED FOR r3 roa4ytt,45 H Of SCALE: V _ a' JUNE Z j- , 1999 sr RUMBJ� y Aq "3;Irvg9J� SsIONP Weller & Associates 1645 Falmouth Rd.-Suite 4C Centerville, Ma. 02632 (508)77"735 RESIDENTIAL NEW HOUSE APPLICATION PACKAGE MUST INCLUDE: If located North of Route 6-needs certificate of appropriateness from OKH v In Hyannis-Check to see if it's included in the Hyannis Historic Waterfront District- if so it needs Certificate of Appropriateness from them Sign-offs from Engineering Health --l' Conservation / Planning Tax Collector Street address Owner's name&address Permit request- full description of proposed project / Square footage Estimated project cost , Building Detail for Assessor's office Lot size- minimum I acre OR documentation from attorney to prove grandfathering(letter+deeds) Builder's information !�Signature Plot plan 2 sets of reduced(8.5"x 11"or 8.5"x 14")plans with cross section& framing schedule Worker's Comp form must include: Insurance company's name& Work. Comp.policy number / Energy Compliance Form Copy of Construction Supervisor's Lic a OR Homeowner's License Exemption Form Road Bond . Fee q-forms-PERMITS 1 Rev 2/10/98 i MARSHALL K. LOVELETI'E INSURANCE AGENCY9 INC. 1 396 MAIN STREET-BOX 836 , WEST YARMOU H,MASSACHUSET'T'S 02673 (508)775-4559-FAX(508)775-4577 06-18-98 Town of Barnstable Building Permits RE: Peter Agostinelli To Whom It May Concern: Per the enclosed application, please be advised that Mr. i Agostinelli has applied today for the necessary Street j Permit Bond. It should be available in the next 5-7 days. Thank you and please do not hesitate to call with any questions. ,5Zely yours, cShera UNITED CASUALTY AND SURETY INSURANCE COMPANY APPLICATION FOR STREET PERMIT BOND Applicant S �-E'v Ea t� ��- 9 n1 E\� ) single 13 Address 4-I S+ 30.q\ •�+, WAA A+sr Divorced O tcltyl (street And Number) �(n1f Al$l6 1 A O-.bo t (County) Istate) gap) Phone: (v ill?) 7�i-ayy3 Fax: (inoir) 7)j- oo(,o Occupation or Business How long so engaged? Previous Sure b Yes No J } If Yes.Give name. -- Complete Name and Address of Obligee �awa of QAr.4t�41.\ -��.�►. S+�eE} ,�`tANnl rr m� a�bG Type of Bond STREET PERMIT BOND Amount of Bond $ .r000 Effective Date 6)is I t;g The Principal has made application for a license or permit to the Obligee for the purpose of opening and/or occupying a public way located at: X`3 CAr`,r&,l LA„1F LJSF* QP(rnrl i'�l�E NAGdbbB INDEMNITY The %fih f alf& spp6cat end indamutitas hereby raqusat United Casualty and Suet Inm anti ter oath of aG ateremeMs n tlr apptieatiOr%euthwite the Company to verily it"thr I W**""COO atp additional W a+al 1 to become surety for the above bond. The III To pay thts uwa)gernuens, ormatlon from any source,srd tetdentiorted hereby Gerrity 121 Toe ceding rarwwM gamkans, lo&IW and asv4rally agnas: omtpletaly INDEMNIFY thin Company from ertd nY U10itit 1 I,) of having been surety on this bond a pairot y. oas,coal.attorrry's fsas and atcparsas vahattoewr Which city Cam Upon dmwtd by ttw Company for anyreasson other Ito •°r for the anfo►camern of this agreement. Q�y.hap at any time twats(n M av auietyship, posit tyrant funds wIM rite Company N n sty a by mason (4) That the Company"Min the rcght to handle Of settle amour suffieiart to satisfy arty claim palrwt city Company by rosen of eudt Company.shag be prime facia evidence of the fact end extent off the Bit Good faith. M Itemized statement of Is"and to) That the Company may decline to become ateoty an any bond and may cancel t udwimaned to the Company, axP6nO4 Incterod by the Company.sworn to by an offt m of the l81 Thu the Company".without notice.Mw the right to alter the Y amend any bond without case and vyithocA 171 That if a convect or performance bond" tasuW her penalty.terms.sal condition o/any bond l$auad for my liability which might arise therefrom, deferred paymerte end retained coder.the undersigned hereby assign to the Company any mor"s undersigned. OW fee prcomi nt shag apply to any such ahaed bond, I91 That this vdsmut; Oled asago'wpplits,tool$.plants.equipment and msteriab due a used on Ilia contract.anal or hand this baasmtnG due odor city contract.btcludebo asp h r May M canceled u to eubstquert liability by an indemmita upon wrhtn notice to the Company at 170 Milk Straw.Bastory MA 02109;effective Tan 1101 days afar the serlwat data thereafter upon which the Company cotdd have canceled aG bads in face for applicat. A9ant Signs this_(b day of Insurance �A' • i9 Ste_ 4 Iti \L l.wt\E-R� ?1•►C Address o 3 b W y G Phone Note:Personal indemnitorsshould sign their names and add the word 9ndemnitor' i in thelr own handwriting. 170 MILK STREET,BOSTON. MA 02109 TEL: 1617)542-3232 FAX: (6171542-3545 TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . ' DATE % ..... , JOB. LOCATION 1 07'� aD Number Street address Section of town "HOMEOWNER" U regl ,,j i / D,�i�i✓lc'�l�r �J7,�Oa(o 6 Name Home phone Work phone PRESENT MAILING ADDRESS / fT /1i2,1 City town State Zip code The current exemption for "homeowners" was extended to include owner-occuniE dwellings of six units 'or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. S DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re side, on which there is, or is intended to be, a one or two family dwelling, : attached or detached structures accessory to such use and/or farm structures A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Offic on a form acceptable to the Building Official, that he/she shall be resmonsi 'for all such work performed under the building permit. (Section 109. 1. 1) ,The undersigned "homeowner" assumes responsibility for compliance with the S Building Code and other. applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requiremientE and that he/she will comp with sa ' d procedures and requirements. HOMEOWNER'S SIGNATURE kPPROVAL OF' BUILDING OFFICIAL Tote: Three family dwellings 35 , 000 cubic feet, or larger, will be required _0 comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which--a--building permit is required shall be exempt '-from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that Home Owner engages a person (s) for hire to do such work, that such Home Oct shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulation. for . licensing Construction' Supervisors, Section 2. 15) . This lack of aware often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home Owner ac- as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities , z ^=unities require, as part of the permit application, that the Home Owne_. .. .rtify that he/she understands the responsibilities of a supervisor. On t .3st page- of this issue is a form currently used by several towns. You ma% care to amend and adopt such a form/certification for use in your communit.i r l V3w t ' 1.24 -Old Kings Highway Regional Hist�ortc District Committee in the Town of Barnstable for a CERTI FICATE OF APPROPRIATENESS Application.Is hereby made, id triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as.described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: . 1. Exterior Building Construction: 29 New Building D Addition ❑ Alteration Indicate type of building: 0 House Eff Garage ❑ Commercial ❑ Other Z Exterior Painting: ❑ 3. Signs or Billboards: ❑ New sign ❑-Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence. ❑ Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY - — DATE s. G D -1I QA'RLs 0/V LH'/YE ADDRESS OF PROPOSED WORK /y.cS T �= MA7 ASSESSORS MAP NO. OWNER /r)R. E M R.S . 3 Tip 4F 14 /4ie71J_ciT-1N-JC_LJ j ASSESSORS LOT NO. _ HOME ADDRESS N A ��/D TEL N0. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Y AGENT OR CONTRACTOR TEL NO. ADDRESS �fN 924 DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). APPROVED AS MODIFI ne ' owner-con -Agent Space below line for Committee use. 0 R i •. . .D.C. Date a CertificaJ��hereby � n n1-o e� Date _ 2 '7—7 Time nlvLvo To O NG• H1TO GHWgY Approved IMPORTANT: If Ce"ficatisved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ ABUTTING OWNERS 1. Map Lot__aQ Abutter: 2. Map /M Lot Abutter : ¢-- Q2 eve ynoa35L��7 , /�9" - 3 . Map Lot Abutter: 90P 91 Lo t_-,2?� Abutter: er AF 5 . Map ' Lot Abutter : 6. Mapes Lot Abutter : os - Town of Barnstable Old.Macs Highway Historic District Committee SPEC SHEET FOUNDATsax l/ SIDING TYPE Cam' COLOR . CIT Y TYPE 1j _ COLOR ROOF MATERIAL COLOR PITCH WINDOW SIZE / TRIM COLOR DOORS / COLOR Sl=-TERS. GUTTERS 1� �'7��AJ O& DECK. GARAGE DOORS /'// COLOR r NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies of. this foray are required forsubmittal of an appliGatioa, along with three copies each of the plot plan, landscape plan and elevation plans, when applicable. Plot play need not be "Certified" , but should. show all structures on the lot to scale. =C= APPROVED AS MODIFIED- M Bodfish Farms 15 October 1999 Town of Barnstable Building Services 367 Main Street Hyannis, MA 02601 Attention: Mr. Ralph Crossen, Building Commissioner Dear Mr. Commissioner: i At the request of the officers of the Bodfish Farms Community Association, I am writing regarding the current house construction work on Lot No. 2 in our West Barnstable subdivision. Lot No. 2, also identified as 202 Carlson Lane, is shown on the attached Subdivision Plan of Land for the Bodfish Farms recorded in the Registry of Deeds. As the result of the construction work on Lot No. 2 by the builder, Mr. Steven Agostinelli and associates, the rain water drainage from the lot has been adversely impacted. As indicted in the attached marked up plot plan for Lot No. 2, a substantial amount of fill has been placed on the south side of the house foundation. This fill, which amounts to over 4-feet in depth has covered over the natural swale depression on this part of the property that previously existed and served to capture the rain runoff from severe storms. As a consequence, at present any water runoff from this part of Lot No. 2 simply pours off onto the adjoining property, Lot No. 3, as indicated in the diagram. In addition, as a result of the construction.work, the previously paved driveway across the west edge of Lot No. 2, which serves as common easement access to Carlson Lane for Lots No. 1 through 4, has been substantially damaged by heavy machinery. The smooth macadam driveway surface has been scarred and the edges broken. The catch basin drain and associated street drainage drywells have become filled with construction debris and soil, and may also have suffered damage by the machinery. Now the rainwater accumulates and this section of the driveway remains flooded for days. Bod6sh Farms CommunityAssociation • P.O.Box 511 • West Barnstable,MA 02668 On behalf of the residents of the Bodfish Farm subdivision, it is requested that, before any Occupancy Permit is issued for the house on Lot No. 2, the above problems instigated by the builder be corrected in a manner satisfactory to the Town and the subdivision residents. Please feel free to contact me at any time at 362-1759 to discuss the resolution of this matter Sincerely Edmund Bower President CC: Steven Agostinelli, Naples, FL Bodfish Farm Directors Encl: Diagrams (2) 2 I off.Z� GO? :Z :c 17� � g: 9 Y. NAM r ; . 1 CIR CERT D � T. PLA SHOWN O THIS PLAN LS LOCED ON FOR. '. . . :THE GROUA� ", SHOWN .HEIMON. AND; T z f,1/ .Sy ' �i.� THAT 1T CONFORMS.�TO. THE. MINIXUM /�'�/ST•�Bc NA., . .BUILDING.>.SLrTh`ACK REQUD THE TOWN OF 'MPA6RED FOR SCALE6 JUNE Z L , 1999 Wtlkr& A►Ssoc#tt" 1"s F hs"O Rd.�.fags OC..Cedbmft Me.OW2 (5M 75-073S i .y.j owl `b�, - O.-0An"�r%�taE.-Y.eM'dtii QfiRwO y`` asraa ��'tom.• �.._ 2 ♦rr O- N $Tft �.,yya� i:"aw.enr olm ' ,� •asp ` �' fY.f 43pr S{.9A ti S43M�. fSlto 47,TN2 rrna C ROA =eN v NTl1Rt RAILD K.OY AY•�G MG'n+MbV1rI O�ilW GF RCiIN9T.dOti �rrlOY C wT�A ww c wcc[ Gaw rwo.nfb' cs u.6� u�r�r' r r or .a��n__',��,+•. r i,Ntntie.t°.�tJOO,ir vi C'Oa'M?'✓��N �wCW.*L tS ;wo3uT"ndw a`��.+��,��• .?UBGYY/J/GYV GL FN Of LF7N4- ryy LT IN�r��- dt+rrr�ro✓rT 9r�1Fk Rltii�1� M.ri:,.12.s�.�� Ti�.iJ J�YQJ�Si. :04 G STrgGE:IW4C + { 7` Q.rcryKd:!'-gyp• ...wtq�•Ni/rw J Off777 LLL